ABSTRACT
BACKGROUND: The assessment of antibody responses to severe acute respiratory syndrome coronavirus-2 is potentially confounded by exposures to flaviviruses. The aims of the present research were to determine whether anti-dengue antibodies affect the viral load and the detection of anti-coronavirus nucleocapsid (N)-protein antibodies in coronavirus infectious disease 2019 (COVID-19) in Bangladesh. METHODS: Viral RNA was evaluated in swab specimens from 115 COVID-19 patients by real-time reverse transcription polymerase chain reaction (rT-PCR). The anti-N-protein antibodies, anti-dengue virus E-protein antibodies and the dengue non-structural protein-1 were determined in serum from 115 COVID-19 patients, 30 acute dengue fever pre-COVID-19 pandemic and nine normal controls by ELISA. RESULTS: The concentrations of viral RNA in the nasopharyngeal; Ct median (95% CI); 22 (21.9-23.3) was significantly higher than viral RNA concentrations in oropharyngeal swabs; and 29 (27-30.5) p < 0.0001. Viral RNA concentrations were not correlated with-dengue IgG levels. The anti-nucleocapsid antibodies were IgA 27% positive and IgG 35% positive at days 1 to 8 post-onset of COVID-19 symptoms versus IgA 0% and IgG 0% in dengue patients, p < 0.0001. The levels of anti- nucleocapsid IgA or IgG versus the levels of anti-dengue IgM or IgG revealed no significant correlations. CONCLUSIONS: Viral RNA and anti-nucleocapsid antibodies were detected in COVID-19 patients from dengue-endemic regions of Bangladesh, independently of the dengue IgG levels.
ABSTRACT
OBJETIVO: Investigar os efeitos da aplicação de um Programa de Desenvolvimento da Coordenação Motora, baseado em Piret e Béziers, na voz do cantor lírico. MÉTODOS: Cinco cantores líricos profissionais executaram uma ária de ópera, de livre escolha, que foi filmada. Em seguida responderam a uma questão sobre a propriocepção ao cantar. Durante um mês submeteram-se ao Programa de Desenvolvimento da Coordenação Motora e ao final gravaram novamente a mesma ária e responderam a mesma questão. As filmagens foram enviadas para nove juizes profissionais (três fonoaudiólogos, três fisioterapeutas e três professores de canto) que avaliaram a integração corpo e voz dos cantores por meio de análise perceptivo-auditiva e visual. Os cantores, após assistirem às duas filmagens, fizeram outra auto-avaliação. RESULTADOS: Na avaliação dos juízes: as duas sopranos, a mezzo-soprano e o baixo melhoraram a projeção da voz; o tenor melhorou a ressonância e o baixo melhorou também a respiração; com exceção do baixo todos ficaram com os gestos mais livres. Segundo relato dos cantores, os exercícios garantiram maior percepção da tensão muscular durante o canto e isso possibilitou melhor controle dos gestos. CONCLUSÃO: De acordo com a avaliação subjetiva os ajustes posturais, oriundos da execução dos exercícios da coordenação motora, provavelmente garantiram abertura da caixa torácica e melhoraram as condições da respiração dos cantores, durante o canto; este fato pode ter favorecido a verticalização da ressonância e a projeção da voz.
PURPOSE: To investigate the effects of the application of a Motor Coordination Development Program, based on Piret and Béziers, on the voice of lyric singers. METHODS: Five professional lyric singers performed an opera aria of their choice, which was filmed. Next, they answered a question regarding their proprioception when singing. They were submitted to the Motor Coordination Development Program for a month, after which each subject performed the same aria and answered the same question. The videos were sent to nine professional judges (three speech therapists, three physical therapists and three singing teachers), who carried auditory-perceptive and visual analyses of the singers' body and voice integration. After watching the two recordings, the subjects carried out another self-evaluation. RESULTS: In the judges' evaluation: the two sopranos, the mezzo-soprano and the bass improved their voice projection; the tenor improved the resonance, and the bass also improved the breathing; all subjects, except the bass, showed freer gestures after the program. According to the singers' report, the exercises guaranteed greater perception of the muscular tension when singing, and that allowed more control of gestures. CONCLUSION: According to the subjective analysis, the postural adjustments deriving from the execution of motor coordination exercises probable guaranteed greater opening of the thoracic cavity and improved the breathing conditions of the subjects while singing, which might have favored the verticalization of resonance and the projection of the voice.
