Determinants of tuberculosis transmission and treatment abandonment in Fortaleza, Brazil

BACKGROUND: Tuberculosis (TB) remains a public health problem, despite recent achievements in reducing incidence and mortality rates. In Brazil, these achievements were above the worldwide average, but marked by large regional heterogeneities. In Fortaleza (5th largest city in Brazil), the tuberculosis cure rate has been declining and treatment abandonment has been increasing in the past decade, despite a reduction in incidence and an increase in directly observed therapy (DOT). These trends put efforts to eliminate tuberculosis at risk. We therefore sought to determine social and programmatic determinants of tuberculosis incidence and treatment abandonment in Fortaleza. METHODS: We analyzed sociodemographic and clinical data for all new tuberculosis cases notified in the Notifiable Diseases Information System (SINAN) from Fortaleza between 2007 and 2014. We calculated incidence rates for 117 neighborhoods in Fortaleza, assessed their spatial clustering, and used spatial regression models to quantify associations between neighborhood-level covariates and incidence rates. We used hierarchical logistic regression models to evaluate how individual- and neighborhood-level covariates predicted tuberculosis treatment abandonment. RESULTS: There were 12,338 new cases reported during the study period. Case rates across neighborhoods were significantly positively clustered in two low-income areas close to the city center. In an adjusted model, tuberculosis rates were significantly higher in neighborhoods with lower literacy, higher sewerage access and homicide rates, and a greater proportion of self-reported black residents. Treatment was abandoned in 1901 cases (15.4%), a rate that rose by 71% between 2007 and 2014. Abandonment was significantly associated with many individual sociodemographic and clinical factors. Notably, being recommended for DOT was protective for those who completed DOT, but associated with abandonment for those who did not. CONCLUSION: Low socioeconomic status areas have higher tuberculosis rates, and low socioeconomic individuals have higher risk of treatment abandonment, in Fortaleza. Treatment abandonment rates are growing despite the advent of universal DOT recommendations in Brazil. Proactive social policies, and active contact tracing to find missed cases, may help reduce the tuberculosis burden in this setting

Application of fuzzy logic and geostatistic in the analysis of the fertility of a soil under pasture

The objective of this research was to generate a representation of the chemical attributes of the soil, using fuzzy logic and geostatistic analysis as procedures of appropriate mapping to the representation of continuous phenomena. The area in study is located in the south of Espirito Santo state, county district of Alegre. The experiment was done in an Ultisol Yellow-Red loamy texture under cultivation of pasture Brachiaria decumbens The soil was sampled in the depth of 0-0,2 m, in the 64 points of a regular grid, with dimension of 90 x 90 m. The studied chemical attributes were K, Ca, Mg, Al. SB, T and V It took place a continuous classification (if the attributes, using the fuzzy logic The data were submitted to the descriptive analysis and, soon afterwards. the geostatistic analysis. through the semivariograms adjustment. The attributes presented moderate and high variability measured by CV. All of the attributes presented spatial dependence, demonstrated by the adjustment of the spherical and the exponential semivariogram The maps in study presented a mild representation of the limits of variation of the degrees of pertinence of the chemical attributes of the soil, turning them more representative The fuzzy logic associated to the geostatistic analysis is it suitable technique to be applied to generate a representation of soils attributes, which naturally present a gradual variation in the land.40332333

An evaluation of enteral nutrition practices and nutritional provision in children during the entire length of stay in critical care

<b>Background</b> Provision of optimal nutrition in children in critical care is often challenging. This study evaluated exclusive enteral nutrition (EN) provision practices and explored predictors of energy intake and delay of EN advancement in critically ill children.<p></p> <b>Methods</b> Data on intake and EN practices were collected on a daily basis and compared against predefined targets and dietary reference values in a paediatric intensive care unit. Factors associated with intake and advancement of EN were explored.<p></p> <b>Results</b> Data were collected from 130 patients and 887 nutritional support days (NSDs). Delay to initiate EN was longer in patients from both the General Surgical and congenital heart defect (CHD) Surgical groups [Median (IQR); CHD Surgical group: 20.3 (16.4) vs General Surgical group: 11.4 (53.5) vs Medical group: 6.5 (10.9) hours; p <= 0.001]. Daily fasting time per patient was significantly longer in patients from the General Surgical and CHD Surgical groups than those from the Medical group [% of 24 h, Median (IQR); CHD Surgical group: 24.0 (29.2) vs General Surgical group: 41.7 (66.7) vs Medical group: 9.4 (21.9); p <= 0.001]. A lower proportion of fluids was delivered as EN per patient (45% vs 73%) or per NSD (56% vs 73%) in those from the CHD Surgical group compared with those with medical conditions. Protein and energy requirements were achieved in 38% and 33% of the NSDs. In a substantial proportion of NSDs, minimum micronutrient recommendations were not met particularly in those patients from the CHD Surgical group. A higher delivery of fluid requirements (p < 0.05) and a greater proportion of these delivered as EN (p < 0.001) were associated with median energy intake during stay and delay of EN advancement. Fasting (31%), fluid restriction (39%) for clinical reasons, procedures requiring feed cessation and establishing EN (22%) were the most common reasons why target energy requirements were not met.<p></p> <b>Conclusions</b> Provision of optimal EN support remains challenging and varies during hospitalisation and among patients. Delivery of EN should be prioritized over other "non-nutritional" fluids whenever this is possible.<p></p&gt

O assassinato de Marielle Franco e os algoritmos racistas: dimensões aplicadas da teoria crítica da organização do conhecimento

Focusing on a critical theory of the knowledge organization (KO), unfolding the studies like those of Martínez-Ávila, Daniel; Semidao, R .; Ferreira, M. (2016) and Olson (2006), the empirical plan of the research is related to the comments produced after the murder of the deputy of Rio de Janeiro City, Marielle Franco, and the driver Anderson Gomes, in March 2018. We have tried to deepen the studies already carried out (Saldanha, Silva, Lima, Garcês, Romeiro, 2018) in the territory of the meta-discursive corpus produced on the basis of what we have been working under the notion of ordinary organization of socially oppressed knowledge about crime, with a focus on Marielle's female political presence. The research dialogues with the questioning of the power of language and the role of the KO in the contemporary production of the vocabularies of evil. Like Capurro (2019), the approach to the thinking of the philosopher Hannah Arendt (1999, 2007), within the framework of the reflection on the evil in expansion in the society and its forms (in our case, structurally originating from and oriented to the language) of trivialization. For this current stage of research, we discuss the condition of citizenship in the global digital world and the dilemma (also essentially linguistic) of the algorithms, as well as the power of a robotic ethos that interests critically the KO. The condition of the racist and ethical algorithms of robots is debated from the Ertzcheid (2017) thinking, pointing out online search engines present racist stereotypes and hate speech. From the context of the murder, we direct our scientific look at the discursive production on Marielle Franco established in electronic publications after the first news of the crime. The course allowed us to demonstrate the critical panorama of folk approaches and the need to build a look based on the constant revision of the ethical positions of language construction and its reproduction in and for the web. The corpus demonstrated the role of robots in the massive reproduction of misinformation. With this reflection, the development of critical theories in KO, falls here on the dilemma of a global digital citizenship and the evil represented by algorithms, machines of reproduction of the paths that distance us from the minimum conditions of human dignity. The Marielle case is emblematic in this sense, given that the cruelty involved in the whole process is not enough, it is perceived that its murder is long and continuous, influenced by a robotics of evil and by the continuous algorithmic manipulation. The case reveals precisely the tragic dynamics of the modes of production, organization, representation of knowledge on the web and the emergency role of the constitution of critical theories of knowledge organization

Learning Temporal Patterns of Risk in a Predator-Diverse Environment

Predation plays a major role in shaping prey behaviour. Temporal patterns of predation risk have been shown to drive daily activity and foraging patterns in prey. Yet the ability to respond to temporal patterns of predation risk in environments inhabited by highly diverse predator communities, such as rainforests and coral reefs, has received surprisingly little attention. In this study, we investigated whether juvenile marine fish, Pomacentrus moluccensis (lemon damselfish), have the ability to learn to adjust the intensity of their antipredator response to match the daily temporal patterns of predation risk they experience. Groups of lemon damselfish were exposed to one of two predictable temporal risk patterns for six days. “Morning risk” treatment prey were exposed to the odour of Cephalopholis cyanostigma (rockcod) paired with conspecific chemical alarm cues (simulating a rockcod present and feeding) during the morning, and rockcod odour only in the evening (simulating a rockcod present but not feeding). “Evening risk” treatment prey had the two stimuli presented to them in the opposite order. When tested individually for their response to rockcod odour alone, lemon damselfish from the morning risk treatment responded with a greater antipredator response intensity in the morning than in the evening. In contrast, those lemon damselfish previously exposed to the evening risk treatment subsequently responded with a greater antipredator response when tested in the evening. The results of this experiment demonstrate that P. moluccensis have the ability to learn temporal patterns of predation risk and can adjust their foraging patterns to match the threat posed by predators at a given time of day. Our results provide the first experimental demonstration of a mechanism by which prey in a complex, multi-predator environment can learn and respond to daily patterns of predation risk

Perspectives on the Trypanosoma cruzi-host cell receptor interaction

Chagas disease is caused by the parasite Trypanosoma cruzi. The critical initial event is the interaction of the trypomastigote form of the parasite with host receptors. This review highlights recent observations concerning these interactions. Some of the key receptors considered are those for thromboxane, bradykinin, and for the nerve growth factor TrKA. Other important receptors such as galectin-3, thrombospondin, and laminin are also discussed. Investigation into the molecular biology and cell biology of host receptors for T. cruzi may provide novel therapeutic targets

Mechanical properties of double-layer and graded composite coatings of YSZ obtained by atmospheric plasma spraying

Double-layer and graded composite coatings of yttria-stabilized zirconia were sprayed on metallic substrates by atmospheric plasma spray. The coating architecture was built up by combining two different feedstocks: one micro- and one nanostructured. Microstructural features and mechanical properties (hardness and elastic modulus) of the coatings were determined by FE-SEM microscopy and nanoindentation technique, respectively. Additional adherence and scratch tests were carried out in order to assess the failure mechanisms occurring between the layers comprising the composites. Microstructural inspection of the coatings confirms the two-zone microstructure. This bimodal microstructure which is exclusive of the layer obtained from the nanostructured feedstock negatively affects the mechanical properties of the whole composite. Nanoindentation tests suitably reproduce the evolution of mechanical properties through coatings thickness on the basis of the position and/or amount of nanostructured feedstock used in the depositing layer. Adhesion and scratch tests show the negative effect on the coating adhesion of layer obtained from the nanostructured feedstock when this layer is deposited on the bond coat. Thus, the poor integrity of this layer results in lower normal stresses required to delaminate the coating in the adhesion test as well as minor critical load registered by using the scratch test.This work has been supported by the Spanish Ministry of Science and Innovation (Project MAT2012-38364-C03) and co-funded by ERDF (European Regional Development Funds).Carpio-Cobo, P.; Rayón Encinas, E.; Salvador Moya, MD.; Lusvarghi, L.; Sanchez, E. (2016). Mechanical properties of double-layer and graded composite coatings of YSZ obtained by atmospheric plasma spraying. Journal of Thermal Spray Technology. 25(4):778-787. https://doi.org/10.1007/s11666-016-0390-zS778787254Y.S. Tian, C.Z. Chen, D.Y. Wang, and J.I. Quianmao, Recent Developments in Zirconia Thermal Barrier Coatings, Surf. Rev. Lett., 2005, 12, p 369-378S. Sampath, U. Schulz, M.O. Jarligo, and S. Kuroda, Processing Science of Advanced Thermal-Barrier Systems, MRS Bull., 2012, 37(10), p 903-910D.R. Clarke, M. Oeschsner, and N.P. Padture, Thermal-Barrier Coatings for More Efficient Gas-Turbine Engines, MRS Bull., 2012, 37(10), p 891-898A. Feuersein, J. Knapp, T. Taylor, A. Ashary, A. Bolcavage, and N. Hitchman, Technical and Economical Aspects of Current Thermal Barrier Coating Systems for Gas Turbine Engines by Thermal Spray and EBPVD: A Review, J. Therm. Spray Technol., 2008, 17(2), p 199-213R.S. Lima and B.R. Marple, Thermal Spray Coatings Engineered from Nanostructured Ceramic Agglomerated Powders for Structural, Thermal Barrier and Biomedical Applications: A Review, J. Therm. Spray Technol., 2007, 16(1), p 40-63P. Fauchais, G. Montavon, R.S. Lima, and B.R. Marple, Engineering a New Class of Thermal Spray Nano-based Microstructures from Agglomerated Nanostructured Particles, Suspensions and Solutions: An Invited Review, J. Phys. D Appl. Phys., 2011, 44(9), p 093001P. Carpio, Q. Blochet, B. Pateyron, L. Pawlowski, M.D. Salvador, A. Borrell, and E. Sánchez, Correlation of Thermal Conductivity of Suspension Plasma Sprayed Yttira Stabilized Zirconia Coatings with some Microstructural Effects, Mater. Lett., 2013, 107, p 370-373R. Vassen, A. Stuke, and D. Stöver, Recent Developments in the Field of Thermal Barrier Coatings, J. Therm. Spray Technol., 2009, 18(2), p 181-186H. Dai, X. Zhong, J. Li, Y. Zhang, J. Meng, and X. Cao, Thermal Stability of Double-Ceramic-Layer Thermal Barrier Coatings with Various Coating Thickness, Mater. Sci. Eng. A—Struct., 2006, 433(1), p 1–7V. Viswanathan, G. Dwivedi, and S. Sampath, Multimaterial Thermal Barrier Coating Systems: Design, Synthesis, and Performance Assessment, J. Am. Ceram. Soc., 2015, 98(6), p 1769-1777M. Saremi and Z. Valefi, Thermal and Mechanical Properties of Nano-YSZ-Alumina Functionally Graded Coatings Deposited by Nano-agglomerated Powder Plasma Spraying, Ceram. Int., 2014, 40(8), p 13453-13459A. Portinham, V. Teixeira, J. Carneiro, J. Martins, M.F. Costa, R. Vassen, and D. Stoever, Characterization of Thermal Barrier Coatings with a Gradient Porosity, Surf. Coat. Technol., 2005, 195(2), p 245-251P. Carpio, E. Bannier, M.D. Salvador, R. Benavente, and E. Sánchez, Multilayer and Particle Size-Graded YSZ Coatings Obtained by Plasma Spraying of Micro- and Nanostructured Feedstocks, J. Therm. Spray Technol., 2014, 23(8), p 1362-1372S. Nath, I. Manna, and J.D. Majumdar, Nanomechanical Behavior of Yttria Stabilized Zirconia (YSZ) Based Thermal Barrier Coating, Ceram. Int., 2015, 41(4), p 5247-5256P. Carpio, E. Rayón, L. Pawlowski, A. Cattini, R. Benavente, E. Bannier, M.D. Salvador, and E. Sánchez, Microstructure and Indentation Mechanical Properties of YSZ Nanostructured Coatings Obtained by Suspension Plasma Spraying, Surf. Coat. Technol., 2013, 220, p 237-243H.B. Guo, H. Murakami, and S. Kuroda, Effect of Hollow Spherical Powder Size Distribution on Porosity and Segmentation Cracks in Thermal Barrier Coatings, J. Am. Ceram. Soc., 2006, 89(12), p 3797-3804R.S. Lima, A. Kucuk, and C.C. Berndt, Integrity of Nanostructured Partially Stabilized Zirconia After Plasma Spray Processing, Mater. Sci. Eng. A, 2001, 313(1), p 75-82E. Rayón, V. Bonache, M.D. Salvador, and E. Sánchez, Hardness and Young’s Modulus Distributions in Atmospheric Plasma Sprayed WC-Co Coatings Using Nanoindentation, Surf. Coat. Technol., 2011, 205(17), p 4192-4197J.A. Wollmershauser, B.N. Feigelson, E.P. Gorzkowski, C.T. Ellis, R. Goswami, S.B. Qadri, J.G. Tischler, F.J. Kub, and R.K. Everett, An Extend Hardness Limit in Bulk Nanoceramics, Acta Mater., 2014, 69, p 9-16L. Wang, Y. Wang, X.G. Sun, J.Q. He, Z.Y. Pan, and C.H. Wang, Microstructure and Indentation Mechanical Properties of Plasma Sprayed Nano-Bimodal and Conventional ZrO2-8 wt% Y2O3 Thermal Barrier Coatings, Vacuum, 2012, 86(8), p 1174-1185G.S. Barroso, W. Krenkel, and G. Motz, Low Thermal Conductivity Coating System for Application up to 1000 °C by Simple PDC Processing with Active and Passive Fillers, J. Eur. Ceram. Soc., 2015, 35(12), p 3339-3348R. Ghasemi, R. Shoja-Razavi, R. Mozafarinia, H. Jamali, M. Hajizadh-Oghaz, and R. Ahmadi-Pidani, The Influence of Laser Treatment on Hot Corrosion Behavior of Plasma-Sprayed Nanostructured Yttria Stabilized Zirconia Thermal Barrier Coatings, J. Eur. Ceram. Soc., 2014, 34(8), p 2013-2021E. Rayón, V. Bonache, M.D. Salvador, E. Bannier, E. Sánchez, A. Denoirjean, and H. Ageorges, Nanoindentation Study of the Mechanical and Damage Behaviour of Suspension Plasma Sprayed TiO2 Coatings, Surf. Coat. Technol., 2012, 206(10), p 2655-2660J.J. Roa, E. Jiménez-Piqué, R. Martínez, G. Ramírez, J.M. Tarragó, R. Rodríguez, and L. Llanes, Contact Damage and Fracture Micromechanisms of Multilayered TiN/CrN Coatings at Micro- and Nano-length Scales, Thin Solid Films, 2014, 571(2), p 308-31

Covid-19 Dynamic Monitoring and Real-Time Spatio-Temporal Forecasting

Background: Periodically, humanity is often faced with new and emerging viruses that can be a significant global threat. It has already been over a century post—the Spanish Flu pandemic, and we are witnessing a new type of coronavirus, the SARS-CoV-2, which is responsible for Covid-19. It emerged from the city of Wuhan (China) in December 2019, and within a few months, the virus propagated itself globally now resulting more than 50 million cases with over 1 million deaths. The high infection rates coupled with dynamic population movement demands for tools, especially within a Brazilian context, that will support health managers to develop policies for controlling and combating the new virus. / Methods: In this work, we propose a tool for real-time spatio-temporal analysis using a machine learning approach. The COVID-SGIS system brings together routinely collected health data on Covid-19 distributed across public health systems in Brazil, as well as taking to under consideration the geographic and time-dependent features of Covid-19 so as to make spatio-temporal predictions. The data are sub-divided by federative unit and municipality. In our case study, we made spatio-temporal predictions of the distribution of cases and deaths in Brazil and in each federative unit. Four regression methods were investigated: linear regression, support vector machines (polynomial kernels and RBF), multilayer perceptrons, and random forests. We use the percentage RMSE and the correlation coefficient as quality metrics. / Results: For qualitative evaluation, we made spatio-temporal predictions for the period from 25 to 27 May 2020. Considering qualitatively and quantitatively the case of the State of Pernambuco and Brazil as a whole, linear regression presented the best prediction results (thematic maps with good data distribution, correlation coefficient >0.99 and RMSE (%) <4% for Pernambuco and around 5% for Brazil) with low training time: [0.00; 0.04 ms], CI 95%. / Conclusion: Spatio-temporal analysis provided a broader assessment of those in the regions where the accumulated confirmed cases of Covid-19 were concentrated. It was possible to differentiate in the thematic maps the regions with the highest concentration of cases from the regions with low concentration and regions in the transition range. This approach is fundamental to support health managers and epidemiologists to elaborate policies and plans to control the Covid-19 pandemics

Threat-sensitive anti-predator defence in precocial wader, the northern lapwing Vanellus vanellus

Birds exhibit various forms of anti-predator behaviours to avoid reproductive failure, with mobbing—observation, approach and usually harassment of a predator—being one of the most commonly observed. Here, we investigate patterns of temporal variation in the mobbing response exhibited by a precocial species, the northern lapwing (Vanellus vanellus). We test whether brood age and self-reliance, or the perceived risk posed by various predators, affect mobbing response of lapwings. We quantified aggressive interactions between lapwings and their natural avian predators and used generalized additive models to test how timing and predator species identity are related to the mobbing response of lapwings. Lapwings diversified mobbing response within the breeding season and depending on predator species. Raven Corvus corax, hooded crow Corvus cornix and harriers evoked the strongest response, while common buzzard Buteo buteo, white stork Ciconia ciconia, black-headed gull Chroicocephalus ridibundus and rook Corvus frugilegus were less frequently attacked. Lapwings increased their mobbing response against raven, common buzzard, white stork and rook throughout the breeding season, while defence against hooded crow, harriers and black-headed gull did not exhibit clear temporal patterns. Mobbing behaviour of lapwings apparently constitutes a flexible anti-predator strategy. The anti-predator response depends on predator species, which may suggest that lapwings distinguish between predator types and match mobbing response to the perceived hazard at different stages of the breeding cycle. We conclude that a single species may exhibit various patterns of temporal variation in anti-predator defence, which may correspond with various hypotheses derived from parental investment theory