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Viral infections have been the cause of high mortality rates throughout different periods in history. Over the last two decades, outbreaks caused by zoonotic diseases and transmitted by arboviruses have had a significant impact on human health. The emergence of viral infections in different parts of the world encourages the search for new inputs to fight pathologies of viral origin. Antibodies represent the predominant class of new drugs developed in recent years and approved for the treatment of various human diseases, including cancer, autoimmune and infectious diseases. A promising group of antibodies are single-domain antibodies derived from camelid heavy chain immunoglobulins, or VHHs, are biomolecules with nanometric dimensions and unique pharmaceutical and biophysical properties that can be used in the diagnosis and immunotherapy of viral infections. For viral neutralization to occur, VHHs can act in different stages of the viral cycle, including the actual inhibition of infection, to hindering viral replication or assembly. This review article addresses advances involving the use of VHHs in therapeutic propositions aimed to battle different viruses that affect human health.

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The recent emergence of Zika virus (ZIKV) has affected many countries, with severe clinical manifestations such as fetal microcephaly and Guillain-Barré syndrome. However, even though it is a major public health concern, there is no approved treatment available. Structural knowledge of the main neutralization regions of the envelope (E) protein of ZIKV and its interactions with neutralizing antibodies (nAbs) are crucial for the rational development of subunit vaccines and establishment of antibody-based interventions. In this study we screened from public data hot spot epitopes in conserved regions of ZIKV E protein that are nAbs targets. The result points to a conserved epitope located at domain II of the ZIKV E protein, namely adjacent dimer epitope, which is the ZIKV-117 and Z20 nAbs target. Although these two nAbs have been isolated from different donors, we have demonstrated, from structural and energetic details obtained by molecular dynamics of native and mutants, that hot spots residues of the epitope are the same for these nAbs, thereby indicating that they may share similar binding and neutralization mechanism. This convergence of information between these nAbs is important because both are potential targets for the development of therapies against ZIKV and only Z20 has its sequence and its complex structure with ZIKV E protein determined. Finally, these findings also contribute to existing knowledge, by fine mapping of the epitope/paratope residue pairs that are important for biotechnological development of therapies such as epitope mimetics for subunit vaccines and the rational design for antibody-based interventions against ZIKV. Communicated by Ramaswamy H. Sarma.

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Objetivo: Investigar a correlação existente entre o nível de estresse de crianças pós-operadas, de 11 a 14 anos de idade, em relação à qualidade da percepção destes pacientes sobre o suporte familiar recebido durante o processo de reabilitação física. Método: Trata-se de um estudo transversal, com análise qualitativa e quantitativa, desenvolvido em um centro de reabilitação, no município de São Paulo. Os instrumentos aplicados nos pacientes foram: Escala de Stress Infantil (ESI), Inventário de Percepção do Suporte Familiar (IPSF) e no respectivo cuidador, um questionário de caracterização dos participantes. Resultados: Os dados foram analisados estatisticamente e se observou significância estatística entre o fator Adaptação (IPSF) com a dimensão Reações psicológicas com componente depressivo (ESI). Houve associação significativa entre o escore total da ESI e do IPSF. Neste estudo, das crianças com sinais significativos de estresse, a maioria apresentou baixa/ médio-baixa percepção do suporte familiar. Discussão: A percepção do paciente sobre o meio pelo qual se relaciona é um importante indício do enfrentamento às situações adversas vividas no meio social, conforme associação encontrada neste estudo. Conclusão: Os aspectos relacionados à maturidade cognitiva e emocionais da criança contribuem na qualidade da percepção do suporte familiar. É importante que novos estudos sejam realizados para ampliar as discussões nessa área

Objective: The objective of this study is to investigate the correlation between the levels of stress of children from 11 to 14 years of age after orthopedic surgery, and their perceived quality of family support received during the process of physical rehabilitation. Method: This is a cross-sectional study with qualitative and quantitative analysis, developed in a rehabilitation center, in Sao Paulo. The following instruments were applied in the patients: Childhood Stress Scale (CSS) and Perceived Family Support Inventory (PFSI), along with a characterization questionnaire of the participants, which was applied to the patients caretakers. Results: Data was statistically analyzed and statistical significance was observed between the adaptation factor (PFSI) and the domain of psychological reactions with depressive component (CSS). There was significant correlation between the total score of the CSS and PFSI - 73%. Children with significant levels of stress presented low/medium-low perception of family support. Discussion: Patient's perception regarding their environment and relations is an important indication of how they deal with adverse situations of their social life, according to association found in this study. Conclusion: The aspects related to child's cognitive and emotional maturity contribute to the perception of family support quality. It is important that further studies are conducted to enlarge discussions in this area

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Frontal bone fracture treatment is still an issue of research in craniofacial surgery and neurosurgery. The aims of the treatment are to reduce the complication risks and to keep the aesthetic of the face. Before the management of this fracture type, it is necessary to consider the permanence or not of the frontal sinus function. Rapid prototyping has been an aid tool on planning and simulation of the surgical procedure, improving the diagnostic quality and the implant manufacture, beyond reducing the operative time. Among the used materials on treatment of these fractures, titanium mesh shows large versatility and ease of handling. Poly(methyl methacrylate) has been used in defects of partial thickness or irregularities on cranial surface. The aim of this study is to report a case of a patient presenting sequelae of large fracture of anterior wall of frontal bone, treated by a titanium mesh associated with the customized poly(methyl methacrylate) implant from the rapid prototyping. It could be concluded that the use of this technique showed itself effective on patient treatment, and rapid prototyping demonstrated being a valuable tool showing predictable and satisfactory results.

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The Scinax perpusillus species group consists of thirteen bromeligenous treefrogs, of which only six have had their acoustic parameters appropriately described. In this work, we present the vocal repertory of Scinax littoreus (Peixoto, 1988) based on recordings obtained from three different populations in the state of Rio de Janeiro, Brazil. Based on our observations we suggest that the vocal repertory of S. littoreus is composed of two distinct types of calls. The call named type A, which corresponds to a long series of multipulsed notes, is likely to have a mating function. This type of call is similar to that reported for Scinax arduous Peixoto, 2002, Scinax peixotoi Brasileiro, Haddad, Sawaya & Martins, 2007, and Scinax perpusillus (Lutz & Lutz, 1939). However, the type A call of S. littoreus is nonetheless readily distinguishable from the comparable call observed in other congeneric species. The call named type B, which exhibits a multipulsed structure, presumably has an aggressive function. We observed that different types of calls could be emitted alone or combined according to the social context. Additionally, we discuss problems involving comparisons of call parameters among species belonging to the S. perpusillus species group, provide an updated geographic distribution map, discuss the conservation status of the included species, and emphasize the importance of acoustic data for the recognition of species groups within Scinax.

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The Scinax perpusillus species group consists of thirteen bromeligenous treefrogs, of which only six have had their acoustic parameters appropriately described. In this work, we present the vocal repertory of Scinax littoreus (Peixoto, 1988) based on recordings obtained from three different populations in the state of Rio de Janeiro, Brazil. Based on our observations we suggest that the vocal repertory of S. littoreus is composed of two distinct types of calls. The call named type A, which corresponds to a long series of multipulsed notes, is likely to have a mating function. This type of call is similar to that reported for Scinax arduous Peixoto, 2002, Scinax peixotoi Brasileiro, Haddad, Sawaya & Martins, 2007, and Scinax perpusillus (Lutz & Lutz, 1939). However, the type A call of S. littoreus is nonetheless readily distinguishable from the comparable call observed in other congeneric species. The call named type B, which exhibits a multipulsed structure, presumably has an aggressive function. We observed that different types of calls could be emitted alone or combined according to the social context. Additionally, we discuss problems involving comparisons of call parameters among species belonging to the S. perpusillus species group, provide an updated geographic distribution map, discuss the conservation status of the included species, and emphasize the importance of acoustic data for the recognition of species groups within Scinax.

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The Scinax perpusillus species group consists of thirteen bromeligenous treefrogs, of which only six have had their acoustic parameters appropriately described. In this work, we present the vocal repertory of Scinax littoreus (Peixoto, 1988) based on recordings obtained from three different populations in the state of Rio de Janeiro, Brazil. Based on our observations we suggest that the vocal repertory of S. littoreus is composed of two distinct types of calls. The call named type A, which corresponds to a long series of multipulsed notes, is likely to have a mating function. This type of call is similar to that reported for Scinax arduous Peixoto, 2002, Scinax peixotoi Brasileiro, Haddad, Sawaya & Martins, 2007, and Scinax perpusillus (Lutz & Lutz, 1939). However, the type A call of S. littoreus is nonetheless readily distinguishable from the comparable call observed in other congeneric species. The call named type B, which exhibits a multipulsed structure, presumably has an aggressive function. We observed that different types of calls could be emitted alone or combined according to the social context. Additionally, we discuss problems involving comparisons of call parameters among species belonging to the S. perpusillus species group, provide an updated geographic distribution map, discuss the conservation status of the included species, and emphasize the importance of acoustic data for the recognition of species groups within Scinax.

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Descrever um caso de astrocitoma pilomixoide, um tumor do sistema nervoso central raro, descrito e classificado recentemente diante de sintomatologia e achados pouco específicos. Análise e descrição de um caso de astrocitoma pilomixoide submetido a tratamento cirúrgico no Instituto José Frota, Fortaleza, Ceará. Paciente evolui com regressão importante dos sintomas, sem indícios de recidiva tumoral. O diagnóstico e a classificação correta dos tumores cerebrais são de extrema importância clínica, pois modificam de forma impactante o prognóstico, assim como a abordagem terapêutica.

To describe a pilomyxoid astrocytoma case, a tumor of the central nervous system rare recently described and classified in the face of a specific symptomatology and little found. Analysis and description of a case of pilomyxoid astrocytoma underwent surgical treatment at the José Frota Institute in Fortaleza, Ceará. Patient developed a significant decrease of symptoms without evidence of tumor relapse. The diagnosis and the correct classification of cerebral tumors are of extreme clinical importance, because it changes so as impacting the prognosis as well as therapeutic approach.

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