Informative statements to communicate the findings of systematic reviews of interventions: Cross-cultural translation of GRADE plain language into Portuguese language.

Objective: Transparent and easy-to-understand communication can enhance the dissemination of systematic reviews (SR) results to interest-holders. The GRADE Working Group developed an approach to improve the communication of results from SR of interventions in the English language. Here, we present the cross-cultural translation into Brazil Portuguese language of this approach.

The synergistic impact of ethanol consumption and Schistosoma mansoni infection on renal histopathology in mice.

The impact of ethanol ingestion combined with acute Schistosoma mansoni infection on renal architecture remains unclear. This study evaluated renal histopathology in mice exposed to both conditions. Male Swiss Webster mice were first infected with S.

Elevated regulatory T cells in pediatric patients recovering from multisystem inflammatory syndrome (MIS-C) are evident five months post-COVID-19.

Background: Children can present a severe post-COVID-19 condition called Multisystem Inflammatory Syndrome in Children (MIS-C) and regulatory T cells (Tregs) can regulate the immune response during the inflammatory process, serving as an important tool for controlling the immune response.

Objective: To analyze the profile of Tregs in pediatric patients recovering from COVID-19 at two time points: between 2 and 8 months post-infection (visit 1) and between 10 and 15 months post-infection (visit 2).

Methods: This prospective cohort study included a convenience sample divided into two groups: CV1 (COVID-19, n = 67) and MV1 (MIS-C convalescents, n = 9) at visit 1, and CV2 (n = 42) and MV2 (n = 8) at visit 2.

Neurovascular coupling assessment by transcranial doppler in acute stroke could be informative of long-term cognitive status.

To assess whether Neurovascular Coupling (NVC) status in acute ischemic stroke predicts long-term cognitive impairment, this prospective study included consecutive ischemic stroke patients, without prior cognitive deficits, recruited between September 2021 and August 2022. Transcranial Doppler (TCD) monitoring was performed within 72 hours post-stroke to measure NVC, determined by peak relative increase in cerebral blood velocity (CBv) in the posterior cerebral artery (PCA) during a visual stimulus. Age-, gender-, and vascular risk factor-matched controls were included.

Description of Four New Species Infecting Small Wild Mammals from Two Brazilian Biomes: The Pantanal and Cerrado Hotspots.

The parasites of the genus have a great diversity of vertebrate hosts and can be transmitted by several groups of invertebrates. All rodent and marsupial species are potential hosts of different trypanosome species. Most species descriptions of trypanosomes have been based only on morphological characteristics.

Brazilian Research in Intensive Care Network (BRICNet): shaping the landscape of critical care research in Brazil and beyond.

Critical illnesses such as sepsis and acute respiratory distress syndrome lead to millions of deaths globally, with a higher burden in low- and middle-income countries. Conducting multicentric clinical studies is essential to help minimize the burden of critical illnesses, particularly in areas where their impact is greater. However, conducting large-scale multicentric studies is challenging, and most large multicentric studies in critical care are from high-income countries, which limits their relevance in other contexts.

Thrombotic microangiopathy following gene therapy for 5q-spinal muscular atrophy.

Onasemnogene abeparvovec (OA) is the first gene replacement therapy (GT) approved for 5q spinal muscular atrophy (SMA). While effective, it can cause severe side effects, including thrombotic microangiopathy (TMA). The pathophysiology, risk factors, and management of viral-vector-related TMA remain unclear.

Impact of a Competency-based Mechanical Ventilation Course Using Virtual Simulation.

Mechanical ventilation (MV) skills are crucial for clinicians who care for critically ill patients; however, few training programs incorporate structured curricula and appropriate assessments. The use of virtual simulators for teaching and assessments has not been evaluated and can offer advantages. To create an MV competency-based course for internal medicine residents using a virtual simulator and to evaluate course impact.

Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies.

Mechanical ventilation can be a life-saving intervention, but its implementation requires a multidisciplinary approach, with an understanding of its indications and contraindications due to the potential for complications. The management of mechanical ventilation should be part of the curricula during clinical training; however, trainees and practicing professionals frequently report low confidence in managing mechanical ventilation, often seeking additional sources of knowledge. Review articles, consensus statements and clinical practice guidelines have become important sources of guidance in mechanical ventilation, and although clinical practice guidelines offer rigorously developed recommendations, they take a long time to develop and can address only a limited number of clinical questions.

Evaluation of porcine epidemic diarrhea virus RNA contamination on swine industry transportation vehicles.

Porcine epidemic diarrhea virus (PEDV) is one of the most devastating pathogens of global swine health and welfare. It is well known that contaminated fomites and vehicle movements play an important role in farm-to-farm PEDV spread, but the efficacy of cleaning and disinfection (C&D) protocols on the reduction in dissemination risk via vehicles and trailers remains unclear. This study used swine industry data to determine how frequently vehicles and trailers were contaminated with PEDV RNA before and after C&D.

Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies.

Mechanical ventilation can be a life-saving intervention, but its implementation requires a multidisciplinary approach, with an understanding of its indications and contraindications due to the potential for complications. The management of mechanical ventilation should be part of the curricula during clinical training; however, trainees and practicing professionals frequently report low confidence in managing mechanical ventilation, often seeking additional sources of knowledge. Review articles, consensus statements and clinical practice guidelines have become important sources of guidance in mechanical ventilation, and although clinical practice guidelines offer rigorously developed recommendations, they take a long time to develop and can address only a limited number of clinical questions.

Epidemiology, Ventilation Management, and Outcomes in Invasively Ventilated Coronavirus Disease 2019 Patients: An Analysis of Four Observational Studies in Four Countries on Two Continents.

Epidemiology, ventilator management, and outcomes in patients with acute respiratory distress syndrome (ARDS) because of coronavirus disease 2019 (COVID-19) have been described extensively but have never been compared between countries. We performed an individual patient data analysis of four observational studies to compare epidemiology, ventilator management, and outcomes. We used propensity score weighting to control for confounding factors.

Bedaquiline, pretomanid, linezolid, and moxifloxacin (BPaLM) for multidrug- or rifampin-resistant tuberculosis: a systematic review.

Objective: To evaluate the available evidence comparing the use of the bedaquiline, pretomanid, linezolid, and moxifloxacin (BPaLM) regimen for 6 months with that of standard-of-care regimens for patients with multidrug-resistant or rifampin-resistant tuberculosis (MDR/RR-TB).

Methods: This was a systematic review of clinical trials comparing the use of the BPaLM regimen with the standard of care in patients with MDR/RR-TB. The main outcome measure was an unfavorable endpoint (a composite of death, treatment failure, treatment discontinuation, loss to follow-up, and recurrence), and secondary outcome measures included adverse events and serious adverse events.

Hyperventilation worsens inflammatory lung injury in spontaneously breathing rats.

Objectives: Here, we investigated the effects of hyperventilation on acute lung injury (ALI) in spontaneously breathing rats.

Methods: Wistar rats were randomized to receive either intraperitoneal lipopolysaccharides (LPS) or saline, and intravenous infusion of NH4Cl (to induce metabolic acidosis and hyperventilation) or saline. Four groups were established: control-control (C-C), control-hyperventilation (C-HV), LPS-control (LPS-C), and LPS-hyperventilation (LPS-HV).

Immune Profile and MRI-Detected Cardiac Fibrosis and Edema in Hypertensive and Non-Hypertensive Patients with COVID-19.

Cardiac involvement in 2019 coronavirus disease (COVID-19) survivors has been reported frequently. An exacerbated immune response may be the main mechanism of myocardial injury and late cardiac sequelae in this population. We investigated the immune profile in hypertensive and non-hypertensive patients with COVID-19 who developed late cardiac fibrosis and edema, as detected by magnetic resonance imaging (MRI).