Selecting SUDS in the Valencia Region of Spain

This paper reports on a study of the implementation of sustainable urban drainage systems (SUDS) in two Spanish towns (Xàtiva and Benaguasil) as part of the EU LIFE+ Project AQUAVAL, which has been conceived to introduce examples of sustainable drainage to the Valencia Region of Spain. Six sites in a range of common urban spaces and land uses are selected and appropriate SUDS techniques proposed by means of a decision-support process. This primarily consisted of the systematic application of key selection criteria through matrices and scores, followed by a brief sustainability analysis. Stakeholders’ preferences and opinions as well as educational and social opportunities are highly considered throughout the process. General monitoring requirements and major limitations in using the methodology are outlined, stressing the need for improvement of four main aspects: local data regarding SUDS performance, detail of the sustainability analysis, support through comprehensive modelling tools, and level of stakeholder engagement. The importance of creating showcases for SUDS in Mediterranean Regions, thus adapting key selection criteria as to foster sustainable drainage understanding and expertise is highlighted

Critical phenomena of thick branes in warped spacetimes

We have investigated the effects of a generic bulk first-order phase transition on thick Minkowski branes in warped geometries. As occurs in Euclidean space, when the system is brought near the phase transition an interface separating two ordered phases splits into two interfaces with a disordered phase in between. A remarkable and distinctive feature is that the critical temperature of the phase transition is lowered due to pure geometrical effects. We have studied a variety of critical exponents and the evolution of the transverse-traceless sector of the metric fluctuations.Comment: revtex4, 4 pages, 4 figures, some comments added, typos corrected, published in PR

On Higher Derivatives as Constraints in Field Theory: a Geometric Perspective

We formalize geometrically the idea that the (de Donder) Hamiltonian formulation of a higher derivative Lagrangian field theory can be constructed understanding the latter as a first derivative theory subjected to constraints.Comment: 7 page

Costs Associated with Malaria in Pregnancy in the Brazilian Amazon, a Low Endemic Area Where Plasmodium vivax Predominates.

BACKGROUND: Information on costs associated with malaria in pregnancy (MiP) in low transmission areas where Plasmodium vivax predominates is so far missing. This study estimates health system and patient costs of MiP in the Brazilian Amazon. METHODS/PRINCIPAL FINDINGS: Between January 2011 and March 2012 patient costs for the treatment of MiP were collected through an exit survey at a tertiary referral hospital and at a primary health care centre in the Manaus metropolitan area, Amazonas state. Pregnant and post-partum women diagnosed with malaria were interviewed after an outpatient consultation or at discharge after admission. Seventy-three interviews were included in the analysis. Ninety-six percent of episodes were due to P. vivax and 4% to Plasmodium falciparum. In 2010, the total median costs from the patient perspective were estimated at US $45.91 and US$216.29 for an outpatient consultation and an admission, respectively. When multiple P. vivax infections during the same pregnancy were considered, patient costs increased up to US $335.85, representing the costs of an admission plus an outpatient consultation. Provider direct and overhead cost data were obtained from several sources. The provider cost associated with an outpatient case, which includes several consultations at the tertiary hospital was US$103.51 for a P. vivax malaria episode and US $83.59 for a P. falciparum malaria episode. The cost of an inpatient day and average admission of 3 days was US$118.51 and US $355.53, respectively. Total provider costs for the diagnosis and treatment of all malaria cases reported in pregnant women in Manaus in 2010 (N = 364) were US$17,038.50, of which 92.4% (US$ 15,741.14) due to P. vivax infection. CONCLUSION: Despite being an area of low risk malaria transmission, MiP is responsible for a significant economic burden in Manaus. Especially when multiple infections are considered, costs associated with P. vivax are higher than costs associated with P. falciparum. The information generated may help health policy decisions for the current control and future elimination of malaria in the area

HIV-1 mother-to-child transmission in Brazil (1994\u20132016): a time series modeling

HIV-1 mother-to-child transmission (HIV-1 MTCT), is an important cause of children mortality worldwide. Brazil has been traditionally praised by its HIV/Aids program, which provides free-of-charge care for people living with HIV-1. Using public epidemiology and demographic databases, we aimed at modeling HIV-1 MTCT prevalence in Brazil through the years (1994\u20132016) and elaborate a statistical model for forecasting, contributing to HIV-1 epidemiologic surveillance and healthcare decision-making. We downloaded sets of live births and mothers\u2019 data alongside HIV-1 cases notification in children one year old or less. Through time series modeling, we estimated prevalence along the years in Brazil, and observed a remarkable decrease of HIV-1 MTCT between 1994 (10 cases per 100,000 live births) and 2016 (five cases per 100,000 live births), a reduction of 50%. Using our model, we elaborated a prognosis for each Brazilian state to help HIV-1 surveillance decision making, indicating which states are in theory in risk of experiencing a rise in HIV-1 MTCT prevalence. Ten states had good (37%), nine had mild (33%), and eight had poor prognostics (30%). Stratifying the prognostics by Brazilian region, we observed that the Northeast region had more states with poor prognosis, followed by North and Midwest, Southeast and South with one state of poor prognosis each. Brazil undoubtedly advanced in the fight against HIV-1 MTCT in the past two decades. We hope our model will help indicating where HIV-1 MTCT prevalence may rise in the future and support government decision makers regarding HIV-1 surveillance and prevention