Diabetes is associated with a worse prognosis and a high risk of morbidity and mortality in COVID-19 patients. We aimed to evaluate the main factors involved in the poor prognosis in diabetic patients. A total of 984 patients diagnosed with COVID-19 admitted to the hospital were included in this study. Patients were first divided into type-2 diabetic (DM+) and non-diabetic (DM–) groups. The participants were analyzed based on the National Early Warning Score (NEWS) and on the Quick-Sequential Organ Failure Assessment (qSOFA) to find the best prognostic risk score for our study. The DM+ and DM– groups were divided into non-severe and severe groups. Comparative and correlative analyses were used to identify the physiological parameters that could be employed for creating a potential risk indicator for DM+ COVID-19 patients. We found a poorer prognosis for the DM+ COVID-19 patients with a higher ICU admission rate, mechanical ventilation rate, vasopressor use, dialysis, and longer treatment times compared with the DM– group. DM+ COVID-19 patients had increased plasma glucose, lactate, age, urea, NEWS, and D-dimer levels, herein referred to as the GLAUND set, and worse prognosis and outcomes when compared with infected DM– patients. The NEWS score was a better indicator for assessing COVID-19 severity in diabetic patients than the q-SOFA score. In conclusion, diabetic COVID-19 patients should be assessed with the NEWS score and GLAUND set for determining their prognosis COVID-19 prognosis.

Atividades humanas têm um grande impacto sobre os sistemas hidrográficos e a fauna de peixes. A presente revisão em genética da conservação dos peixes de água doce neotropicais revela que as análises de DNA têm promovido um crescimento no conhecimento da estrutura genética das espécies e suas respostas às alterações ambientais. Este conhecimento é fundamental para o manejo das populações de peixes nativos e para o estabelecimento de Unidades Evolutivas Significantes capazes de conservar a integridade genética dessas populações. Enquanto o fenômeno de estruturação de populações pode ocorrer mesmo em peixes migradores de longas distâncias, populações isoladas podem mostrar reduzida variação genética e apresentar grande risco de extinção. Em adição, a filogeografia e a filogenia têm dado importantes contribuições para o entendimento da evolução das populações, espécies e comunidades de peixes em distintos ambientes neotropicais. Populações de cativeiro podem ser utilizadas como fonte de introdução de novos indivíduos e genes no ambiente natural e seus benefícios e desvantagens podem ser monitorados por meio de análises genéticas. É altamente importante, portanto, entender como é gerada e mantida a biodiversidade de peixes de água doce neotropicais, uma vez que os habitats são transformados pelo desenvolvimento humano e as comunidades de peixes têm sido intensamente exploradas como alimento de sustentação desse crescimento das populações humanas.

Human activities have a considerable impact on hydrographic systems and fish fauna. The present review on conservation genetics of neotropical freshwater fish reveals that DNA analyses have been promoting increased knowledge on the genetic structure of fish species and their response to environmental changes. This knowledge is fundamental to the management of wild fish populations and the establishment of Evolutionary Significant Units capable of conserving genetic integrity. While population structuring can occur even in long-distance migratory fish, isolated populations can show reduced genetic variation and be at greater risk of extinction. Phylogeography and phylogeny have been powerful tools in understanding the evolution of fish populations, species and communities in distinct neotropic environments. Captive fish can be used to introduce new individuals and genes into the wild and their benefits and disadvantages can be monitored through genetic analysis. Understanding how fish biodiversity in neotropical freshwaters is generated and maintained is highly important, as these habitats are transformed by human development and fish communities are increasingly exploited as food sources to sustain a growing human population.