Cross-cultural adaptation and clinical validation of the neonatal skin condition score to Brazilian Portuguese

Objective: to describe the process of cross-cultural adaptation and clinical validation of the Neonatal Skin Condition Score. Methods: this methodological cross-cultural adaptation study included five steps: initial translation, synthesis of the initial translation, back translation, review by an Committee of Specialists and testing of the pre-final version, and an observational cross-sectional study with analysis of the psychometric properties using the Adjusted Kappa, Intraclass Correlation Coefficient, and Bland- Altman Method statistical tests. A total of 38 professionals were randomly recruited to review the clarity of the adapted instrument, and 47 newborns hospitalized in the Neonatology Unit of the Clinical Hospital of Porto Alegre were selected by convenience for the clinical validation of the instrument. Results: the adapted scale showed approximately 85% clarity. The statistical tests showed moderate to strong intra and interobserver item to item reliability and from strong to very strong in the total score, with a variation of less than 2 points among the scores assigned by the nurses to the patients. Conclusions: the scale was adapted and validated to Brazilian Portuguese. The psychometric properties of the Brazilian version of the Neonatal Skin Condition Score instrument were similar to the validation results of the original scale

Groundwater Buffers Decreasing Glacier Melt in an Andean Watershed—But Not Forever

©2019. The Authors. Accelerating mountain glacier recession in a warming climate threatens the sustainability of mountain water resources. The extent to which groundwater will provide resilience to these water resources is unknown, in part due to a lack of data and poorly understood interactions between groundwater and surface water. Here we address this knowledge gap by linking climate, glaciers, surface water, and groundwater into an integrated model of the Shullcas Watershed, Peru, in the tropical Andes, the region experiencing the most rapid mountain-glacier retreat on Earth. For a range of climate scenarios, our model projects that glaciers will disappear by 2100. The loss of glacial meltwater will be buffered by relatively consistent groundwater discharge, which only receives minor recharge (~2%) from glacier melt. However, increasing temperature and associated evapotranspiration, alongside potential decreases in precipitation, will decrease groundwater recharge and streamflow, particularly for the RCP 8.5 emission scenario

Manifold angles, the concept of self-similarity and angle-enhanced bifurcation diagrams

Chaos and regularity are routinely discriminated by using Lyapunov exponents distilled from the norm of orthogonalized Lyapunov vectors, propagated during the temporal evolution of the dynamics. Such exponents are mean-field-like averages that, for each degree of freedom, squeeze the whole temporal evolution complexity into just a single number. However, Lyapunov vectors also contain a step-by-step record of what exactly happens with the angles between stable and unstable manifolds during the whole evolution, a big-data information permanently erased by repeated orthogonalizations. Here, we study changes of angles between invariant subspaces as observed during temporal evolution of Hénon’s system. Such angles are calculated numerically and analytically and used to characterize self-similarity of a chaotic attractor. In addition, we show how standard tools of dynamical systems may be angle-enhanced by dressing them with informations not difficult to extract. Such angle-enhanced tools reveal unexpected and practical facts that are described in detail. For instance, we present a video showing an angle-enhanced bifurcation diagram that exposes from several perspectives the complex geometrical features underlying the attractors. We believe such findings to be generic for extended classes of systems