cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.19936041
title: Nutritional status and CD4 cell counts in patients with HIV/AIDS receiving antiretroviral therapy

description: Introduction Even with current highly active antiretroviral therapy, individuals with AIDS continue to exhibit important nutritional deficits and reduced levels of albumin and hemoglobin, which may be directly related to their cluster of differentiation 4 (CD4) cell counts. The aim of this study was to characterize the nutritional status of individuals with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and relate the findings to the albumin level, hemoglobin level and CD4 cell count. Methods Patients over 20 years of age with AIDS who were hospitalized in a university hospital and were receiving antiretroviral therapy were studied with regard to clinical, anthropometric, biochemical and sociodemographic characteristics. Body mass index, percentage of weight loss, arm circumference, triceps skinfold and arm muscle circumference were analyzed. Data on albumin, hemoglobin, hematocrit and CD4 cell count were obtained from patient charts. Statistical analysis was performed using Fisher's exact test, Student's t-test for independent variables and the Mann-Whitney U-test. The level of significance was set to 0.05 (α = 5%). Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) 17.0 software for Windows. Results Of the 50 patients evaluated, 70% were male. The prevalence of malnutrition was higher when the definition was based on arm circumference and triceps skinfold measurement. The concentrations of all biochemical variables were significantly lower among patients with a body mass index of less than 18.5kg/m2. The CD4 cell count, albumin, hemoglobin and hematocrit anthropometric measures were directly related to each other. Conclusions These findings underscore the importance of nutritional follow-up for underweight patients with AIDS, as nutritional status proved to be related to important biochemical alterations.
DOI: 10.6084/m9.figshare.19936048
title: Biochemical and nutritional evaluation of patients with visceral leishmaniasis before and after treatment with leishmanicidal drugs

description: Introduction Visceral leishmaniasis (VL) is caused by the intracellular protozoan Leishmania donovani complex. VL may be asymptomatic or progressive and is characterized by fever, anemia, weight loss and the enlargement of the spleen and liver. The nutritional status of the patients with VL is a major determinant of the progression, severity and mortality of the disease, as it affects the clinical progression of the disease. Changes in lipoproteins and plasma proteins may have major impacts in the host during infection. Thus, our goal was evaluate the serum total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglycerides, glucose, albumin, globulin and total protein levels, as well as the body composition, of VL patients before and after treatment. Methods Nutritional evaluation was performed using the bioelectrical impedance analysis (BIA) to assess body composition. Biochemical data on the serum total cholesterol, HDL, LDL, triglycerides, glucose, albumin, globulin and total protein were collected from the medical charts of the patients. Results BIA indicated that both pre-treatment and post-treatment patients exhibited decreased phase angles compared to the controls, which is indicative of disease. Prior to treatment, the patients exhibited lower levels of total body water compared to the controls. Regarding the biochemical evaluation, patients with active VL exhibited lower levels of total cholesterol, HDL, LDL and albumin and higher triglyceride levels compared to patients after treatment and the controls. Treatment increased the levels of albumin and lipoproteins and decreased the triglyceride levels. Conclusions Our results suggest that patients with active VL present biochemical and nutritional changes that are reversed by treatment.
DOI: 10.6084/m9.figshare.19936048.v1
title: Biochemical and nutritional evaluation of patients with visceral leishmaniasis before and after treatment with leishmanicidal drugs

description: Introduction Visceral leishmaniasis (VL) is caused by the intracellular protozoan Leishmania donovani complex. VL may be asymptomatic or progressive and is characterized by fever, anemia, weight loss and the enlargement of the spleen and liver. The nutritional status of the patients with VL is a major determinant of the progression, severity and mortality of the disease, as it affects the clinical progression of the disease. Changes in lipoproteins and plasma proteins may have major impacts in the host during infection. Thus, our goal was evaluate the serum total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglycerides, glucose, albumin, globulin and total protein levels, as well as the body composition, of VL patients before and after treatment. Methods Nutritional evaluation was performed using the bioelectrical impedance analysis (BIA) to assess body composition. Biochemical data on the serum total cholesterol, HDL, LDL, triglycerides, glucose, albumin, globulin and total protein were collected from the medical charts of the patients. Results BIA indicated that both pre-treatment and post-treatment patients exhibited decreased phase angles compared to the controls, which is indicative of disease. Prior to treatment, the patients exhibited lower levels of total body water compared to the controls. Regarding the biochemical evaluation, patients with active VL exhibited lower levels of total cholesterol, HDL, LDL and albumin and higher triglyceride levels compared to patients after treatment and the controls. Treatment increased the levels of albumin and lipoproteins and decreased the triglyceride levels. Conclusions Our results suggest that patients with active VL present biochemical and nutritional changes that are reversed by treatment.
DOI: 10.6084/m9.figshare.19936051
title: Severe visceral leishmaniasis in children: the relationship between cytokine patterns and clinical features

description: Introduction The relationship between severe clinical manifestations of visceral leishmaniasis (VL) and immune response profiles has not yet been clarified, despite numerous studies on the subject. This study aimed to investigate the relationship between cytokine profiles and the presence of immunological markers associated with clinical manifestations and, particularly, signs of severity, as defined in a protocol drafted by the Ministry of Health (Brazil). Methods We conducted a prospective, descriptive study between May 2008 and December 2009. This study was based on an assessment of all pediatric patients with VL who were observed in a reference hospital in Maranhão. Results Among 27 children, 55.5% presented with more than one sign of severity or warning sign. Patients without signs of severity or warning signs and patients with only one warning sign had the highest interferon-gamma (IFN-γ) levels, although their interleukin 10 (IL-10) levels were also elevated. In contrast, patients with the features of severe disease had the lowest IFN-γ levels. Three patients who presented with more than two signs of severe disease died; these patients had undetectable interleukin 2 (IL-2) and IFN-γ levels and low IL-10 levels, which varied between 0 and 36.8pg/mL. Conclusions Our results showed that disease severity was associated with low IFN-γ levels and elevated IL-10 levels. However, further studies with larger samples are needed to better characterize the relationship between disease severity and cytokine levels, with the aim of identifying immunological markers of active-disease severity.
DOI: 10.6084/m9.figshare.19936051.v1
title: Severe visceral leishmaniasis in children: the relationship between cytokine patterns and clinical features

description: Introduction The relationship between severe clinical manifestations of visceral leishmaniasis (VL) and immune response profiles has not yet been clarified, despite numerous studies on the subject. This study aimed to investigate the relationship between cytokine profiles and the presence of immunological markers associated with clinical manifestations and, particularly, signs of severity, as defined in a protocol drafted by the Ministry of Health (Brazil). Methods We conducted a prospective, descriptive study between May 2008 and December 2009. This study was based on an assessment of all pediatric patients with VL who were observed in a reference hospital in Maranhão. Results Among 27 children, 55.5% presented with more than one sign of severity or warning sign. Patients without signs of severity or warning signs and patients with only one warning sign had the highest interferon-gamma (IFN-γ) levels, although their interleukin 10 (IL-10) levels were also elevated. In contrast, patients with the features of severe disease had the lowest IFN-γ levels. Three patients who presented with more than two signs of severe disease died; these patients had undetectable interleukin 2 (IL-2) and IFN-γ levels and low IL-10 levels, which varied between 0 and 36.8pg/mL. Conclusions Our results showed that disease severity was associated with low IFN-γ levels and elevated IL-10 levels. However, further studies with larger samples are needed to better characterize the relationship between disease severity and cytokine levels, with the aim of identifying immunological markers of active-disease severity.
DOI: 10.6084/m9.figshare.19936053
title: Dengue infection in children and adolescents: Clinical profile in a reference hospital in northeast Brazil

description: Introduction This study aimed to describe the clinical spectrum of dengue in children and adolescents from a hyperendemic region who were admitted for hospitalization. Methods A retrospective study was conducted on patients diagnosed with dengue infection upon admission to a reference center in Fortaleza, Brazil. Results Of the 84 patients included, 42 underwent confirmatory testing. The main symptoms were fever, abdominal pain and vomiting. The median level of serum aspartate aminotransferase was 143.5±128mg/dL. Conclusions A peculiar clinical profile was evident among children and adolescents with dengue infection in a reference center in northeast Brazil, including gastrointestinal symptoms and liver involvement.
DOI: 10.6084/m9.figshare.19936053.v1
title: Dengue infection in children and adolescents: Clinical profile in a reference hospital in northeast Brazil

description: Introduction This study aimed to describe the clinical spectrum of dengue in children and adolescents from a hyperendemic region who were admitted for hospitalization. Methods A retrospective study was conducted on patients diagnosed with dengue infection upon admission to a reference center in Fortaleza, Brazil. Results Of the 84 patients included, 42 underwent confirmatory testing. The main symptoms were fever, abdominal pain and vomiting. The median level of serum aspartate aminotransferase was 143.5±128mg/dL. Conclusions A peculiar clinical profile was evident among children and adolescents with dengue infection in a reference center in northeast Brazil, including gastrointestinal symptoms and liver involvement.
DOI: 10.6084/m9.figshare.19936057.v1
title: Incidence of canine leptospirosis in the metropolitan area of Curitiba, State of Parana, Southern Brazil

description: Introduction The incidence of canine leptospirosis in Brazil needs to be assessed Methods The same dogs in southern Brazil were sampled over two years to determine the prevalence, incidence and association of canine leptospirosis with various risk factors. Results In 2009, the prevalence was 33 (14.4%) of 228 dogs, with a predominance of serovar Canicola (33.4%). In 2010, 90 dogs were re-evaluated (the remaining dogs were lost to deaths, address changes and donations), and the prevalence was found to be 35 (38.9%) of 90, with the predominant serovar being Icterohaemorrhagiae (51.4%). Moreover, the incidence was 26 of 90 (28.9%), and the disease was statistically associated with age (2009) and street access (2010). Conclusions Our findings revealed instability in the dog population and age to be relevant risk factors for canine leptospirosis.
DOI: 10.6084/m9.figshare.19936057
title: Incidence of canine leptospirosis in the metropolitan area of Curitiba, State of Parana, Southern Brazil

description: Introduction The incidence of canine leptospirosis in Brazil needs to be assessed Methods The same dogs in southern Brazil were sampled over two years to determine the prevalence, incidence and association of canine leptospirosis with various risk factors. Results In 2009, the prevalence was 33 (14.4%) of 228 dogs, with a predominance of serovar Canicola (33.4%). In 2010, 90 dogs were re-evaluated (the remaining dogs were lost to deaths, address changes and donations), and the prevalence was found to be 35 (38.9%) of 90, with the predominant serovar being Icterohaemorrhagiae (51.4%). Moreover, the incidence was 26 of 90 (28.9%), and the disease was statistically associated with age (2009) and street access (2010). Conclusions Our findings revealed instability in the dog population and age to be relevant risk factors for canine leptospirosis.
DOI: 10.6084/m9.figshare.15098582
title: Ultrasound from underground: cryptic communication in subterranean wild-living and captive northern mole voles (<i>Ellobius talpinus</i>)

description: This study provides the first evidence of ultrasonic vocalisations (USVs) in a truly subterranean rodent, the northern mole vole <i>Ellobius talpinus</i>. Calls were recorded by attracting callers with a bait to burrow entrances, where they were mostly visible to researchers. USVs recorded from 14 different burrows in southern Russia were verified as belonging to <i>Ellobius talpinus</i> by comparison with USVs of two wild-captured young males and by comparison with USVs of four adults from a captive colony. As a first attempt at exploring the function of USV diversity, we defined upward-intense USVs, with a maximum fundamental frequency (f0) of 35.32 ± 5.11 kHz, and variable-faint USVs, with a maximum f0 of 31.40 ± 7.78 kHz. Compared to variable-faint USVs, the upward-intense USVs were longer, had a larger depth of frequency modulation and were produced at high intensity in regular series. The upward-intense USVs were lower in the maximum and peak frequencies in the wild than in captivity, whereas the variable-faint USVs did not differ between recordings from the wild and from captivity. We discuss that similar ranges of acoustic variables found in USVs of <i>Ellobius talpinus</i> and surface-dwelling Arvicolinae species do not support the hypothesis that subterranean life has drastically reduced ultrasonic vocalisation in rodents.
DOI: 10.6084/m9.figshare.15098582.v1
title: Ultrasound from underground: cryptic communication in subterranean wild-living and captive northern mole voles (<i>Ellobius talpinus</i>)

description: This study provides the first evidence of ultrasonic vocalisations (USVs) in a truly subterranean rodent, the northern mole vole <i>Ellobius talpinus</i>. Calls were recorded by attracting callers with a bait to burrow entrances, where they were mostly visible to researchers. USVs recorded from 14 different burrows in southern Russia were verified as belonging to <i>Ellobius talpinus</i> by comparison with USVs of two wild-captured young males and by comparison with USVs of four adults from a captive colony. As a first attempt at exploring the function of USV diversity, we defined upward-intense USVs, with a maximum fundamental frequency (f0) of 35.32 ± 5.11 kHz, and variable-faint USVs, with a maximum f0 of 31.40 ± 7.78 kHz. Compared to variable-faint USVs, the upward-intense USVs were longer, had a larger depth of frequency modulation and were produced at high intensity in regular series. The upward-intense USVs were lower in the maximum and peak frequencies in the wild than in captivity, whereas the variable-faint USVs did not differ between recordings from the wild and from captivity. We discuss that similar ranges of acoustic variables found in USVs of <i>Ellobius talpinus</i> and surface-dwelling Arvicolinae species do not support the hypothesis that subterranean life has drastically reduced ultrasonic vocalisation in rodents.
DOI: 10.6084/m9.figshare.16574900
title: Courtship and underwater communication in the Sunda gharial (<i>Tomistoma schlegelii</i>)

description: Many threatened crocodilians are shy and difficult to observe in the wild, limiting the current knowledge of their behaviour and ecology. Although acoustic communication is commonly used by adults during courtship and territory defence, the signals produced vary between taxa. Here we provide the first classification of adult vocalisations in <i>Tomistoma schlegelii</i> – a rare gavialid inhabiting swamp forests in Southeast Asia – and describe the behaviour produced during courtship. Using video and passive underwater acoustic monitoring we recorded a breeding captive pair of <i>T. schlegelii</i> housed indoors, as well as monitored 12 captive adults kept in a semi-natural outdoor enclosure over a period of two months. Courtship behaviour during 18 recorded mating events followed that observed in other crocodilians, but acoustic signals were restricted to mating activity and were only recorded in the two animals housed indoors. We identified seven signal types produced by <i>T. schlegelii</i>, which differed in duration, dominant frequency, and the presence of harmonic structure. These results suggest the species uses short-range, underwater acoustic signals during courtship and mating, with little vocal activity outside of those events, and provide foundation for future studies of this rare crocodilian.
DOI: 10.6084/m9.figshare.16574900.v1
title: Courtship and underwater communication in the Sunda gharial (<i>Tomistoma schlegelii</i>)

description: Many threatened crocodilians are shy and difficult to observe in the wild, limiting the current knowledge of their behaviour and ecology. Although acoustic communication is commonly used by adults during courtship and territory defence, the signals produced vary between taxa. Here we provide the first classification of adult vocalisations in <i>Tomistoma schlegelii</i> – a rare gavialid inhabiting swamp forests in Southeast Asia – and describe the behaviour produced during courtship. Using video and passive underwater acoustic monitoring we recorded a breeding captive pair of <i>T. schlegelii</i> housed indoors, as well as monitored 12 captive adults kept in a semi-natural outdoor enclosure over a period of two months. Courtship behaviour during 18 recorded mating events followed that observed in other crocodilians, but acoustic signals were restricted to mating activity and were only recorded in the two animals housed indoors. We identified seven signal types produced by <i>T. schlegelii</i>, which differed in duration, dominant frequency, and the presence of harmonic structure. These results suggest the species uses short-range, underwater acoustic signals during courtship and mating, with little vocal activity outside of those events, and provide foundation for future studies of this rare crocodilian.
DOI: 10.6084/m9.figshare.19936080
title: Diagnosing schistosomiasis: where are we?

description: In light of the World Health Organization's initiative to extend schistosomiasis morbidity and mortality control programs by including a disease elimination strategy in low endemic settings, this paper reviews diagnostic tools described during the last decades and provide an overview of ongoing efforts in making an efficient diagnostic tool available worldwide. A literature search on PubMed using the search criteria schistosomiasis and diagnosis within the period from 1978 to 2013 was carried out. Articles with abstract in English and that used laboratory techniques specifically developed for the detection of schistosomiasis in humans were included. Publications were categorized according to the methodology applied (parasitological, immunological, or molecular) and stage of development (in house development, limited field, or large scale field testing). The initial research generated 4,535 publications, of which only 643 met the inclusion criteria. The vast majority (537) of the publications focused on immunological techniques; 81 focused on parasitological diagnosis, and 25 focused on molecular diagnostic methods. Regarding the stage of development, 307 papers referred to in-house development, 202 referred to limited field tests, and 134 referred to large scale field testing. The data obtained show that promising new diagnostic tools, especially for Schistosoma antigen and deoxyribonucleic acid (DNA) detection, which are characterized by high sensitivity and specificity, are being developed. In combination with international funding initiatives these tools may result in a significant step forward in successful disease elimination and surveillance, which is to make efficient tests accessible and its large use self-sustainable for control programs in endemic countries.
DOI: 10.6084/m9.figshare.19936080.v1
title: Diagnosing schistosomiasis: where are we?

description: In light of the World Health Organization's initiative to extend schistosomiasis morbidity and mortality control programs by including a disease elimination strategy in low endemic settings, this paper reviews diagnostic tools described during the last decades and provide an overview of ongoing efforts in making an efficient diagnostic tool available worldwide. A literature search on PubMed using the search criteria schistosomiasis and diagnosis within the period from 1978 to 2013 was carried out. Articles with abstract in English and that used laboratory techniques specifically developed for the detection of schistosomiasis in humans were included. Publications were categorized according to the methodology applied (parasitological, immunological, or molecular) and stage of development (in house development, limited field, or large scale field testing). The initial research generated 4,535 publications, of which only 643 met the inclusion criteria. The vast majority (537) of the publications focused on immunological techniques; 81 focused on parasitological diagnosis, and 25 focused on molecular diagnostic methods. Regarding the stage of development, 307 papers referred to in-house development, 202 referred to limited field tests, and 134 referred to large scale field testing. The data obtained show that promising new diagnostic tools, especially for Schistosoma antigen and deoxyribonucleic acid (DNA) detection, which are characterized by high sensitivity and specificity, are being developed. In combination with international funding initiatives these tools may result in a significant step forward in successful disease elimination and surveillance, which is to make efficient tests accessible and its large use self-sustainable for control programs in endemic countries.