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Campos MAG, Valois TDO, Magalhães LE, Vasques LF, de Medeiros RG, Costa DMDN, Salgado Filho N, Nogueira RMDR, Neves PDMDM, Silva GEB. ANCA-associated glomerulonephritis and lupus nephritis following COVID-19 vaccination: a case report and literature review. Front Immunol 2024; 14:1298622. [PMID: 38299140 PMCID: PMC10828972 DOI: 10.3389/fimmu.2023.1298622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 12/13/2023] [Indexed: 02/02/2024] Open
Abstract
With the coverage of COVID-19 vaccination, it has been possible to observe the potential side effects of SARS-CoV-2 vaccines, with the most common ones being fever, myalgia, headache, and fatigue. However, an association has been observed between new and recurrent kidney injuries, mainly glomerulonephritis and lupus nephritis associated with ANCA, with the Pfizer-BioNTech, Moderna, Sinovac, and AstraZeneca vaccines, although the relationship between them is not clear. We report a case of ANCA-related vasculitis and lupus glomerulonephritis after the second dose of the AstraZeneca vaccine. The elderly patient presented significant worsening of kidney function after immunosuppression and complications after a new onset COVID-19 infection that led to death. We provide a literature review about kidney damage related to ANCA vasculitis after COVID-19 vaccine, aiming for a better understanding of the pathophysiological mechanism of kidney injury, its presentation, and treatment.
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Affiliation(s)
- Marcos Adriano Garcia Campos
- Clinical Hospital of State University Júlio de Mesquita Filho, State University of São Paulo, Botucatu, São Paulo, Brazil
| | - Tiago de Oliveira Valois
- Divison of Nephrology, University Hospital of the Federal University of Maranhão, São Luís, Maranhão, Brazil
| | - Luís Eduardo Magalhães
- Clinical Hospital of State University Júlio de Mesquita Filho, State University of São Paulo, Botucatu, São Paulo, Brazil
| | | | | | - Denise Maria do Nascimento Costa
- Divison of Nephrology, Hospital das Clínicas, Federal University of Pernambuco, Recife, Pernambuco, Brazil
- Recife Medical School, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Natalino Salgado Filho
- Clinical Hospital of State University Júlio de Mesquita Filho, State University of São Paulo, Botucatu, São Paulo, Brazil
| | | | | | - Gyl Eanes Barros Silva
- Clinical Hospital of State University Júlio de Mesquita Filho, State University of São Paulo, Botucatu, São Paulo, Brazil
- Department of Pathology and Legal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
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Nogueira RMDR, de Souza Moura J, Costa CPS, Novais TM, de Lourdes Oliveira P, Ribeiro MJ, Maduro PA, de Jesus Furtado Almeida F, Soares SL, Schwingel PA, Gambassi BB. Adherence to Exercise Training and Physical Function in Older Adults Diagnosed with Knee Osteoarthritis. Can Geriatr J 2023; 26:511-516. [PMID: 38045884 PMCID: PMC10684300 DOI: 10.5770/cgj.26.674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2023] Open
Abstract
Background Knee osteoarthritis (KOA) provokes pain, muscle weakness, and consequent impairment in activities of daily living. On the other hand, adherence to exercise training (ET) is associated with the attenuation of the impairments. The aims of the present study were to a) investigate adherence to ET in older adults with KOA diagnosed attending public service; and b) to analyze the physical function of the older adults with KOA who did not adhere to the ET in public service. Methods The adherence to ET programs was analyzed retrospectively from each patient's date of KOA diagnosis. After assessing the adherence to ET, the physical function of these older adults diagnosed with KOA (n=19) was analyzed and compared with another group composed of asymptomatic sedentary older adults without evidence of KOA (ASKOA) (n=17). Results Although all older adults with KOA received guidelines to practice ET, only 58% were able to start a program. Additionally, 100% of the sample could not perform ET uninterruptedly. According to the findings, close to 80% of older adults had difficulties scheduling ET sessions in public places. Subjects with KOA (12.1±3.1; IC95%:10.6-13.6) had worse lower limb functional capacity than ASKOA (8.1±1.0; IC95%:7.6-8.6; p<.001; δ=4.0 sec; d=1.7). Likewise, they had a lower dynamic balance than KOA (12.4±2.7; IC95%:11.1-13.7 vs. 8.0±1.1; IC95%:7.4-8.6; p<.001; δ=4.4 sec; d=2.1). Conclusions The investigated sample has a lack of ET adherence by difficulties in scheduling ET sessions in public places. In addition, it demonstrated impairment in physical function in older adults with KOA.
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Affiliation(s)
| | | | | | | | | | | | - Paula Andreatta Maduro
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE), Petrolina
| | | | - Stela Lopes Soares
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE), Petrolina
- Centro Universitário Inta (UNINTA), Tianguá, Brazil
| | - Paulo Adriano Schwingel
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE), Petrolina
| | - Bruno Bavaresco Gambassi
- Programa de Pós-Graduação em Gestão de Programas e Serviços de Saúde (PPGGPSS), Universidade Ceuma, São Luís
- Universidade Ceuma, São Luís
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE), Petrolina
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Gambassi BB, Neves VR, Brito EZA, da Silva Fernandes DS, Sá CA, da Rocha Nogueira RM, de Jesus Furtado Almeida F, de Araújo Cavalcanti PA, Gomes Gonçalves e Silva DC, Neto DS, de Souza Mesquita FO, Novais TMG, de Souza VDFM, Oliveira ACC, Leite RD, Schwingel PA. A validation study of a smartphone application for heart rate variability assessment in asymptomatic adults. Am J Cardiovasc Dis 2020; 10:219-229. [PMID: 32923104 PMCID: PMC7486523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 06/29/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Assessment of heart rate variability (HRV) is an effective non-invasive tool to obtain data on cardiac autonomic modulation and may be assessed by a range of devices, including mobile applications. Objective: This study aimed to validate a smartphone application by comparing the R-R intervals (RRi) obtained by the app with a classic electrocardiogram (ECG)-derived reference condition Methods: Fifteen asymptomatic adults (24.9±3.4 years) underwent an orthostatic challenge during which RRi were simultaneously recorded by a freeware smartphone application and by an ECG recorder. Pearson correlation coefficients (r) and coefficients of determination (r 2) were calculated to determine the degree of association between the two electronic devices. Two-way repeated measures analysis of variance and Bland-Altman analysis were used to calculate the measurement consistency and agreement, respectively, between the two methods. Effect size was also used to estimate the magnitude of the differences. RESULTS The number of RRi from asymptomatic adults recorded by the ECG and by the free smartphone application was similar at rest in supine position (13,149 vs. 13,157; P = 0.432) and during orthostatic challenge (10,666 vs. 10,664 P = 0.532). RRi in milliseconds from both devices presented a near perfect correlation in the supine position (r = 0.999; Confidence Interval [CI] at 95%: 0.999-0.999; P < 0.0001) and during orthostatic challenge (r = 0.988; 95% CI: 0.988-0.989; P < 0.0001). A negative bias of -0.526 milliseconds (95% limits of agreement [LoA] from -4.319 to 3.266 milliseconds) was observed in supine position between ECG and the smartphone application. On the other hand, a positive bias of 0.077 milliseconds (95% LoA from -10.090 to 10.240 milliseconds) during the orthostatic challenge was observed. CONCLUSIONS Our results cross-validated a freeware smartphone application with the ECG-derived reference condition for asymptomatic adults at rest in the supine position and during orthostatic challenge.
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Affiliation(s)
- Bruno Bavaresco Gambassi
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE)Petrolina, PE 56328-900, Brazil
- Programa de Pós-Graduação em Gestão de Programas e Serviços de Saúde (MGPSS), Universidade Ceuma (CEUMA)São Luís, MA 65075-120, Brazil
| | - Victor Ribeiro Neves
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE)Petrolina, PE 56328-900, Brazil
- Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (PPGRDF), UPEPetrolina, PE 56328-900, Brazil
| | - Einstein Zeus Alves Brito
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE)Petrolina, PE 56328-900, Brazil
- Curso de Pós-Graduação em Fisioterapia em Traumato-Ortopedia e Esportiva, Faculdade de Tecnologia Inspirar (INSPIRAR)Petrolina, PE 56302-280, Brazil
| | - Danilo Sobral da Silva Fernandes
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE)Petrolina, PE 56328-900, Brazil
- Curso de Pós-Graduação em Fisioterapia em Traumato-Ortopedia e Esportiva, Faculdade de Tecnologia Inspirar (INSPIRAR)Petrolina, PE 56302-280, Brazil
- Departamento de Medicina Esportiva, Instituto Valler Medicina Integrada (VALLER)Juazeiro, BA 48903-055, Brazil
| | - Camila Almeida Sá
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE)Petrolina, PE 56328-900, Brazil
- Curso de Pós-Graduação em Fisioterapia em Traumato-Ortopedia e Esportiva, Faculdade de Tecnologia Inspirar (INSPIRAR)Petrolina, PE 56302-280, Brazil
- Departamento de Medicina Esportiva, Instituto Valler Medicina Integrada (VALLER)Juazeiro, BA 48903-055, Brazil
| | - Raquel Moraes da Rocha Nogueira
- Programa de Pós-Graduação em Gestão de Programas e Serviços de Saúde (MGPSS), Universidade Ceuma (CEUMA)São Luís, MA 65075-120, Brazil
| | | | - Pedro Augusto de Araújo Cavalcanti
- Curso de Pós-Graduação em Fisioterapia em Traumato-Ortopedia e Esportiva, Faculdade de Tecnologia Inspirar (INSPIRAR)Petrolina, PE 56302-280, Brazil
| | - Daniela Conceição Gomes Gonçalves e Silva
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE)Petrolina, PE 56328-900, Brazil
- Programa de Pós-Graduação em Ciências da Saúde (PPGCS), UPERecife, PE 50100-130, Brazil
| | - Danilo Sobreira Neto
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE)Petrolina, PE 56328-900, Brazil
- Departamento de Medicina Esportiva, Instituto Valler Medicina Integrada (VALLER)Juazeiro, BA 48903-055, Brazil
- Hospital Universitário da Universidade Federal do Vale do São Francisco (HU-UNIVASF), Empresa Brasileira de Serviços Hospitalares (EBSERH)Petrolina, PE 56304-205, Brazil
| | - Fabrício Olinda de Souza Mesquita
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE)Petrolina, PE 56328-900, Brazil
- Curso de Pós-Graduação em Fisioterapia em Traumato-Ortopedia e Esportiva, Faculdade de Tecnologia Inspirar (INSPIRAR)Petrolina, PE 56302-280, Brazil
- Programa de Pós-Graduação em Ciências da Saúde (PPGCS), UPERecife, PE 50100-130, Brazil
- Hospital Universitário da Universidade Federal do Vale do São Francisco (HU-UNIVASF), Empresa Brasileira de Serviços Hospitalares (EBSERH)Petrolina, PE 56304-205, Brazil
| | - Tânia Maria Gaspar Novais
- Programa de Pós-Graduação em Gestão de Programas e Serviços de Saúde (MGPSS), Universidade Ceuma (CEUMA)São Luís, MA 65075-120, Brazil
| | | | - Antonio Carlos Cerqueira Oliveira
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE)Petrolina, PE 56328-900, Brazil
- Complexo Hospitalar Universitário Professor Edgard Santos (HUPES), Universidade Federal da Bahia (UFBA)Salvador, BA 40301-155, Brasil
| | - Richard Diego Leite
- Laboratório de Força e Condicionamento, Centro de Educação Física e Desportos (CEFD), Universidade Federal do Espírito Santo (UFES)Vitória, ES 29075-91, Brazil
| | - Paulo Adriano Schwingel
- Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE)Petrolina, PE 56328-900, Brazil
- Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (PPGRDF), UPEPetrolina, PE 56328-900, Brazil
- Programa de Pós-Graduação em Ciências da Saúde (PPGCS), UPERecife, PE 50100-130, Brazil
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