Infection by Streptococcus pneumoniae in children with or without radiologically confirmed pneumonia

ObjectiveCommunity-acquired pneumonia is an important cause of morbidity in childhood, but the detection of its causative agent remains a diagnostic challenge. The authors aimed to evaluate the role of the chest radiograph to identify cases of community-aquired pneumonia caused by typical bacteria.MethodsThe frequency of infection by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis was compared in non-hospitalized children with clinical diagnosis of community acquired pneumonia aged 2–59 months with or without radiological confirmation (n = 249 and 366, respectively). Infection by S. pneumoniae was diagnosed by the detection of a serological response against at least one of eight pneumococcal proteins (defined as an increase ≥2-fold in the IgG levels against Ply, CbpA, PspA1 and PspA2, PhtD, StkP-C, and PcsB-N, or an increase ≥1.5-fold against PcpA). Infection by H. influenzae and M. catarrhalis was defined as an increase ≥2-fold on the levels of microbe-specific IgG.ResultsChildren with radiologically confirmed pneumonia had higher rates of infection by S. pneumoniae. The presence of pneumococcal infection increased the odds of having radiologically confirmed pneumonia by 2.8 times (95% CI: 1.8–4.3). The negative predictive value of the normal chest radiograph for infection by S. pneumoniae was 86.3% (95% CI: 82.4–89.7%). There was no difference on the rates of infection by H. influenzae and M. catarrhalis between children with community-acquired pneumonia with and without radiological confirmation.ConclusionsAmong children with clinical diagnosis of community-acquired pneumonia submitted to chest radiograph, those with radiologically confirmed pneumonia present a higher rate of infection by S. pneumoniae when compared with those with a normal chest radiograph.</p

Trajetórias truncadas, trabalho e futuro: jovens fora de série na escola pública de ensino médio

Resumo O artigo discute resultados da etapa quantitativa da pesquisa Jovens fora de série: trajetórias truncadas de estudantes do ensino médio na cidade do Rio de Janeiro. A investigação tem como objetivo geral depreender e compreender trajetórias de escolarização e percursos biográficos de jovens estudantes de ensino médio de escolas públicas que se encontram em situação de defasagem escolar. Neste artigo, apresenta-se o perfil que emerge da aplicação do questionário estruturado a um universo de 593 jovens. A amostra exploratória e não probabilística foi distribuída entre 14 escolas localizadas nas zonas sul, centro, oeste e norte da cidade do Rio de Janeiro. Os jovens participantes da pesquisa fazem parte de classes de Educação de Jovens Adultos (EJA) e do programa de correção de fluxo denominado Autonomia. Enfoque especial de análise é dado à combinação entre trabalho, estudo e constituição de projetos de futuro. Verificou-se que o abandono escolar cria mais problemas para o fluxo da escolarização do que as reprovações. Os dados apontam para a existência de uma superposição entre os tempos de trabalho e escola na vida dos jovens. Nesse sentido, ocorre um duplo efeito do trabalho nas trajetórias dos estudantes. Se, por um lado, trabalhar e estudar representam um desafio para a continuidade dos estudos sem truncamentos do fluxo da escolarização, por outro, a experiência de trabalho cria disposições relacionadas com a independência, a conquista da autonomia e o delineamento de projetos de futuro

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Plantar povoações no território: (re)construindo a urbanização da capitania do Piauí, 1697-1761

The Piauí province´s urbanization has kept up with since late 17th century a complex process dealt among Portuguese Crown, the regal representatives, the network woven by the Casa da Torre and by the resident population in its countryside. What it was content of Rodelas countryside has begun to build with territorial identity since the foundation of first parish in 1697. Structuring itself discontinuously in time and space, the Piauí had reformed in 1758, year of creation of its autonomous government. And had became urban in 1761 when the king D. José I and marquis of Pombal had framed by the royal letter written in June 19 a territory formed by six towns and one city. Thus, this paper purposes to reconstructing the Piauí province according to agents involved in the urbanization processes. It proposes to deconstructing Crown´s polices by means towns strategically placed in territory aiming at control and "remedy" of routine injustices practiced in Piauí´s hinterlands. The method of presenting this reconstruction draws on interconnection between text (manuscript documents) and image (maps and photography) which in their discourses have represented a Piauí as space of experiences apprehended as much in official dimension as inhabitant´s everyday life.A urbanização da capitania do Piauí acompanhou, desde finais do século XVII, um complexo processo negociado entre a Coroa portuguesa, os representantes régios, a rede clientelar urdida pela Casa da Torre e a população residente em seus sertões. O que antes era conteúdo dos sertões de Rodelas passou a construir-se como identidade territorial a partir da fundação da primeira freguesia, em 1697, dedicada a Nossa Senhora da Vitória. Estruturando-se descontinuamente no tempo e no espaço, o Piauí reforma-se em 1758, ano da autonomização do seu governo. E fez-se urbano em 1761, quando D. José I e o marquês de Pombal equacionaram, por meio da carta régia de 19 de junho, um território formado por seis vilas e uma cidade. Nessa direção, o objetivo deste artigo consiste em reconstruir o processo de formação da capitania do Piauí segundo os agentes envolvidos na urbanização do território. Propõe-se descortinar as políticas da Coroa por meio da oficialização de povoações estrategicamente locadas no território visando o controle e o "remédio" das injustiças rotineiras do Piauí. O método de apresentar essa reconstrução vale-se da interconexão entre texto (documentação manuscrita) e imagem (mapas e fotografias), que em suas entrelinhas representam um Piauí como espaço de experiências sentidas tanto na dimensão oficial quanto no cotidiano dos seus moradores

Fish assemblages in a coastal bay adjacent to a network of marine protected areas in southern Brazil

Abstract Baía Norte (North Bay) in Santa Catarina State is considered a typical coastal bay and is surrounded by a network of Marine Protected Areas. The objectives of this study were to describe the composition of the demersal fish assemblage, identify seasonal and spatial structures on a fine scale and evaluate the role of habitat descriptors and abiotic variables affecting the fish assemblage structure. Seasonal samplings were conducted in 2005, using bottom trawls in six pre-established areas in Baía Norte in summer, fall, winter and spring. Simultaneously with each trawl, environmental data were collected with a multiparameter probe. Temporal and spatial differences in fish abundance were tested by a PERMANOVA. To illustratethe differences detected graphically we ran a canonical analysis of principal coordinates (CAP). The influence of environmental variables on the fish fauna was evaluated using a Distant Based Linear Model (DistLM) with Akaike's information criterion (AIC). A total of 9,888 specimens, distributed in 27 families and 62 species, were collected. Citharichthys spilopterus was the most abundant species. PERMANOVA detected differences for abundance between seasons, areas and interaction among all the factors. The DISTLM selected temperature and pH. The results highlight seasonality as an important factor in the structuring of fish fauna of the study place