597 research outputs found
Lethality by pneumonia and factors associated to death
AbstractObjectiveto describe the case-fatality rate (CFR) and risk factors of death in children with community-acquired acute pneumonia (CAP) in a pediatric university hospital.Methoda longitudinal study was developed with prospective data collected from 1996 to 2011. Patients aged 1 month to 12 years were included in the study. Those who left the hospital against medical orders and those transferred to ICU or other units were excluded. Demographic and clinical-etiological characteristics and the initial treatment were studied. Variables associated to death were determined by bivariate and multivariate analysis using logistic regression.Resultsa total of 871 patients were selected, of whom 11 were excluded; thus 860 children were included in the study. There were 26 deaths, with a CFR of 3%; in 58.7% of these, penicillin G was the initial treatment. Pneumococcus was the most common pathogen (50.4%). From 1996 to 2000, there were 24 deaths (93%), with a CFR of 5.8% (24/413). From 2001 to 2011, the age group of hospitalized patients was older (p = 0.03), and the number of deaths (p = 0.02) and the percentage of disease severity were lower (p = 0.06). Only disease severity remained associated to death in the multivariate analysis (OR = 3.2; 95%CI: 1.2-8.9; p = 0.02).Conclusionwhen the 1996-2000 and 2001-2011 periods were compared, a significant reduction in CFR was observed in the latter, as well as a change in the clinical profile of the pediatric inpatients at the institute. These findings may be related to the improvement in the socio-economical status of the population. Penicillin use did not influence CFR
Perturbation evolution with a non-minimally coupled scalar field
We recently proposed a simple dilaton-derived quintessence model in which the
scalar field was non-minimally coupled to cold dark matter, but not to
`visible' matter. Such couplings can be attributed to the dilaton in the low
energy limit of string theory, beyond tree level. In this paper we discuss the
implications of such a model on structure formation, looking at its impact on
matter perturbations and CMB anisotropies. We find that the model only deviates
from CDM and minimally coupled theories at late times, and is well
fitted to current observational data. The signature left by the coupling, when
it breaks degeneracy at late times, presents a valuable opportunity to
constrain non-minimal couplings given the wealth of new observational data
promised in the near future.Comment: Version appearing in Physical Review D. 10 pages, 9 figs. Comparison
with SN1a and projected MAP results, and appendix adde
DIAGNĂSTICO AMBIENTAL DO RIO PARAGUAI EM CĂCERES A PARTIR DE INDICADORES MORFOLĂGICOS, PANTANAL SUPERIOR â BRASIL
O objetivo deste estudo foi verificar o nĂvel de degradação do rio Paraguai a partir de indicadores morfolĂłgicos e tipologias de uso, no trecho do perĂmetro urbano de CĂĄceres â Mato Grosso, bem como nas ĂĄreas de influĂȘncia. Para tanto, os dados foram obtidos atravĂ©s dos Protocolos de Avaliação RĂĄpida de Rios, adaptados de Callisto et al. (2002) e Rodrigues et al. (2012). Para anĂĄlise granulomĂ©trica dos sedimentos adotou-se Embrapa (1997), Suguio (1973), Carvalho (2000) e Leli et al. (2010)
Cosmology with a long range repulsive force
We consider a class of cosmological models in which the universe is filled
with a (non-electric) charge density that repels itself by means of a force
carried by a vector boson with a tiny mass. When the vector's mass depends upon
other fields, the repulsive interaction gives rise to an electromagnetic
barrier which prevents these fields from driving the mass to zero. This can
modify the cosmology dramatically. We present a very simple realization of this
idea in which the vector's mass arises from a scalar field. The electromagnetic
barrier prevents this field from rolling down its potential and thereby leads
to accelerated expansion.Comment: 15 pages, 8 figures, LaTeX (version accepted for publication in PRD).
3 new figures, extended discussion of observational consequence
Genesis of Dark Energy: Dark Energy as Consequence of Release and Two-stage Tracking Cosmological Nuclear Energy
Recent observations on Type-Ia supernovae and low density () measurement of matter including dark matter suggest that the present-day
universe consists mainly of repulsive-gravity type `exotic matter' with
negative-pressure often said `dark energy' (). But the nature
of dark energy is mysterious and its puzzling questions, such as why, how,
where and when about the dark energy, are intriguing. In the present paper the
authors attempt to answer these questions while making an effort to reveal the
genesis of dark energy and suggest that `the cosmological nuclear binding
energy liberated during primordial nucleo-synthesis remains trapped for a long
time and then is released free which manifests itself as dark energy in the
universe'. It is also explained why for dark energy the parameter . Noting that for stiff matter and for radiation; is for dark energy because is due to `deficiency of
stiff-nuclear-matter' and that this binding energy is ultimately released as
`radiation' contributing , making . When
dark energy is released free at , . But as on present day
at when radiation strength has diminished to , . This, thus almost solves the dark-energy mystery of
negative pressure and repulsive-gravity. The proposed theory makes several
estimates /predictions which agree reasonably well with the astrophysical
constraints and observations. Though there are many candidate-theories, the
proposed model of this paper presents an entirely new approach (cosmological
nuclear energy) as a possible candidate for dark energy.Comment: 17 pages, 4 figures, minor correction
Early-universe constraints on a Primordial Scaling Field
In the past years 'quintessence' models have been considered which can
produce the accelerated expansion in the universe suggested by recent
astronomical observations. One of the key differences between quintessence and
a cosmological constant is that the energy density in quintessence,
, could be a significant fraction of the overall energy even in
the early universe, while the cosmological constant will be dynamically
relevant only at late times. We use standard Big Bang Nucleosynthesis and the
observed abundances of primordial nuclides to put constraints on
at temperatures near . We point out that current experimental data
does not support the presence of such a field, providing the strong constraint
at C.L. and strengthening previous
results. We also consider the effect a scaling field has on CMB anisotropies
using the recent data from Boomerang and DASI, providing the CMB constraint
at during the radiation dominated epoch.Comment: 5 pages, 4 figures. The revised version includes the new Boomerang
and DASI dat
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