1,866 research outputs found

    Determinants of tuberculosis transmission and treatment abandonment in Fortaleza, Brazil

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    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

    Allergic conjunctivitis and conjunctival provocation tests in atopic dogs.

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    INTRODUCTION: Canine atopic dermatitis (cAD) is a very common disease, but little is known about eye involvement. The conjunctival provocation test (CPT) is used in human to study the ocular response to allergenic stimuli and to evaluate anti-allergic therapy. To our knowledge it has not been used in dogs. OBJECTIVES: To evaluate the prevalence of ocular signs in a population of atopic dogs and relate these with clinical cAD scores; and the usefulness of CPT for dust mites in atopic dogs with itchy eyes. PROCEDURES: Sixty cAD patients were evaluated for (i) ocular signs of allergic conjunctivitis including conjunctival hyperemia, chemosis, epiphora, ocular discharge, pruritus and corneal involvement, graded 0 to 3 according to severity, and (2) cAD Extent and Severity Index (CADESI-03). Additionally, CPTs for Dermatophagoides farinae (n = 12) and Dermatophagoides pteronyssinus (n = 12) were performed in sensitized atopic dogs and 24 control dogs. RESULTS: Periocular and ocular signs of allergy were present in 60% (36/60) of cases. Conjunctival hyperemia (90%) was the most common sign. Severity of ocular signs was significantly correlated with eye pruritus (r(s)  = 0.690, P = <0.001) and skin lesions score for head region (r(s) = 0.261, P = 0.04). A highly significant difference (P < 0.001, Fisher test) was found in CPTs between the test and the control groups. CONCLUSION:  Allergic conjunctivitis signs associated with cAD seem under valuated so these patients would benefit from an ophthalmologic evaluation. Furthermore, we found CPT to be a reliable, easy to perform and safe test for the etiologic diagnosis of allergic conjunctivitis in the dog

    The role of evolutive elastic properties in the performance of a sheet formed spring applied in multimedia car industry

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    The manufacturing process and the behavior of a sheet formed spring manufactured from an aluminum sheet is described and investigated in this work considering the specifications for the in-service conditions. The sheet formed spring is intended to be applied in car multimedia industry to replace bolted connections. Among others, are investigated the roles of the constitutive parameters and the hypothesis of evolutive elastic properties with the plastic work in the multi-step forming process and in working conditions.This research was sponsored by:a) Portugal Incentive System for Research and Technological Development. Project in co-promotion no 36265/2013 (Project HMIExcel - 2013-2015), andb) FCT with the reference project UID/EEA/04436/2013, by FEDER funds through the COMPETE 2020 - Programa Operacional Competitividade e Internacionalizacao (POCI) with the reference project POCI-01-0145-FEDER-006941.info:eu-repo/semantics/publishedVersio

    A Dystopic or Utopic Future?

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    de Castro Neto, M., & de Melo Cartaxo, T. (2021). Algorithmic Cities: A Dystopic or Utopic Future? In M. I. A. Ferreira (Ed.), How Smart Is Your City?: Technological Innovation, Ethics and Inclusiveness (Vol. 98, pp. 59-73). (Intelligent Systems, Control and Automation: Science and Engineering; Vol. 98). Springer Science and Business Media B.V.. https://doi.org/10.1007/978-3-030-56926-6_6Cities of today face a digital transformation process, leading to a new reality where urban space is taking advantage of information and communication technologies and data science to answer present and future challenges, namely to become more efficient in services and infrastructures management in order to deliver increased quality of life to the people who live, work or visit the city, and addressing at the same time the problems of climate change. This new reality is leveraged by big data produced by the cities Internet of everything (as interconnected systems, sensors and people), information management and data science capabilities, which allow us to measure and describe what happens, predict what can happen, and prescribe what could be the course of actions bringing policy making to a fact-based environment, which had never been possible before. In this work, we will address the opportunities and challenges of this paradigm shift that is leading to the city as a platform reality that supports what we can call the algorithmic city where it is up to us to decide if this will be a dystopic or utopic future for the citizen.authorsversionpublishe

    Gastrointestinal helminths in calves and cows in an organic milk production system

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    The main aim of this study was to determine the distribution of populations of gastrointestinal helminths in lactating crossbred cows and calves during the grazing season in an organic milk production system. In addition, the potential importance of the peripartum in relation to the parasite load was examined. Between January 2007 and December 2008, parasitological fecal examinations were performed on cattle belonging to the Integrated Animal Production Program of Embrapa Agrobiology. The cows' parasite load remained low during the study period, and there were no statistical differences (p > 0.05) in comparisons between the seasons. The average egg count showed a positive correlation (0.80) with the peripartum, such that egg elimination per gram (p < 0.05) was higher during the week of labor than during the pre and postpartum periods. Calves showed low parasite loads, with significantly higher egg elimination (p < 0.05) during the winter. The study indicated that infection with gastrointestinal helminths was not a limiting factor for milk production in the organic system. Specifically, it was concluded that the nematode load can be maintained at moderate levels throughout the production system, even in the absence of anthelmintic treatment

    Gauss-Bonnet Black Holes and Heavy Fermion Metals

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    We consider charged black holes in Einstein-Gauss-Bonnet Gravity with Lifshitz boundary conditions. We find that this class of models can reproduce the anomalous specific heat of condensed matter systems exhibiting non-Fermi-liquid behaviour at low temperatures. We find that the temperature dependence of the Sommerfeld ratio is sensitive to the choice of Gauss-Bonnet coupling parameter for a given value of the Lifshitz scaling parameter. We propose that this class of models is dual to a class of models of non-Fermi-liquid systems proposed by Castro-Neto et.al.Comment: 17 pages, 6 figures, pdfLatex; small corrections to figure 10 in this versio

    Cavernoma cerebral oligossintomático - caso clínico

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