In the early 2015, several cases of patients presenting symptoms of mild fever, rash,
conjunctivitis and arthralgia were reported in the northeastern Brazil. Although all
patients lived in a dengue endemic area, molecular and serological diagnosis for
dengue resulted negative. Chikungunya virus infection was also discarded.
Subsequently, Zika virus (ZIKV) was detected by reverse transcription-polymerase
chain reaction from the sera of eight patients and the result was confirmed by DNA
sequencing. Phylogenetic analysis suggests that the ZIKV identified belongs to the
Asian clade. This is the first report of ZIKV infection in Brazil.
Background The development of rK39-based immunochromatographic rapid diagnostic tests represents an important advance for serodiagnosis of visceral leishmaniasis, being cheap and easy to use at the point of care (POC). Although the use of rK39 have considerably improved the sensitivity and specificity of serological tests compared with total antigens, great variability in sensitivity and specificity was reported. This study aimed at the evaluation of "Kalazar Detect™ Rapid Test, Whole Blood" (Kalazar Detect RDT) for Visceral Leishmaniasis (VL) diagnosis using oral fluid, whole blood and serum specimens collected at different endemic areas of VL of Brazil. Methodology To evaluate Kalazar Detect RDT, oral fluid, whole blood and serum specimens from 128 VL patients, 85 healthy individuals, 22 patients with possible cross-reactivity diseases and 20 VL/aids coinfected patients were collected and assayed at the POC.
Introduction
The presence of lymph node metastasis in colorectal cancer is determinant for prognosis and for treatment planning. The relationship between visceral fat and the prognosis is not fully documented in the literature, so this study intended to evaluate whether there is a relationship between the presence of visceral obesity and the presence of lymph node metastases and the prognosis of patients with colorectal cancer.
Materials and methods
A sample of 68 patients who underwent surgery for colorectal cancer at Hospital de Braga between 1/1/2007 and 31/12/2007 was constructed, and their clinical and pathological data were recorded. Visceral fat, subcutaneous, and total fat areas were measured on preoperative computed tomography. Visceral obesity was defined as a ratio of visceral fat to total fat area >0.29. The ratio of metastatic lymph node (; number of metastatic lymph node/number of lymph node examined) was calculated.
Results
There was a significant association between visceral obesity and male sex (
p
= 0.032). Patient survival at 5 and 10 years of follow-up was higher in patients with subcutaneous obesity in both periods, but not significant. There was a significant association between the ratio of metastatic lymph node and survival at 5 and 10 years (
p
= 0.03 and
p
= 0.002, respectively), with higher survival when ratio of metastatic lymph node = 0% and worse for ≥ 18%.
Conclusion
In this study, no significant association was observed between visceral obesity and the number of metastatic lymph node, nor with survival at 5 and 10 years.
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