COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

Infestação por larvas de Cerotoma arcuata (Olivier) (Coleoptera: Chrysomelidae) em nódulos de feijoeiro em cultivo com cobertura morta ou em consórcio com milho ou com caupi Infestation by Cerotoma arcuata (Olivier) (Coleoptera: Chrysomelidae) larvae on Phaseolus bean with mulching or intercropped with maize or cowpea

A vaquinha Cerotoma arcuata ataca folhas de leguminosas e suas larvas alimentam-se de raízes e também de nódulos, onde a fixação de nitrogênio (FBN) ocorre. O ataque das larvas aos nódulos pode causar mais danos à cultura do feijoeiro do que o consumo das folhas pelas formas adultas. Este estudo foi conduzido em condições de campo para avaliar os efeitos da infestação de C. arcuata no cultivo do feijoeiro com ou sem cobertura morta ou consorciado com caupi ou com milho. A nodulação, o crescimento e a produção de grãos de feijoeiro quando consorciado com caupi não diferiram do controle. A barreira aos insetos formada pelo milho adensado falhou, provavelmente devido à infestação precoce de C. arcuata e ao sombreamento causado pelo milho, com redução na produtividade de feijoeiro. O consumo dos nódulos pelas larvas na cultura de feijão solteiro e nos consórcios foi superior ao do tratamento com cobertura morta. A barreira física imposta pela cobertura morta agiu provavelmente através da redução da oviposição diretamente no solo e do ressecamento dos ovos sobre a palha e resultou em menor porcentagem de nódulos furados, com conseqüente aumento no número e peso de nódulos, no peso de raiz e na produção de grãos. Os consórcios com milho ou com caupi não reduziram a infestação de feijoeiro por C. arcuata, mas a aplicação da cobertura morta antes da infestação reduziu os danos causados pelas larvas aos nódulos e favoreceu a FBN e a produtividade.The bean leaf beetle Cerotoma arcuata is a legume leaf eater and its larvae feed on roots and also nodules where nitrogen fixation occurs. The attack of larvae to nodule may result in more damage to the bean crop than the consumption of leaves by adults. This study was conducted under field conditions to test the effects of C. arcuata infestation on Phaseolus bean with or without straw mulching or intercropped with maize or cowpea. Nodulation, growth and grain production when intercropping with cowpea did not differ from the control. The insect barrier formed by the maize’s high density failed, probably due to the early infestation by C. arcuata, as well as shading by the rows of maize, thereby reducing grain yield. Consumption of nodules was higher on the Phaseolus bean with or without intercropping than on the treatment with straw mulching. The physical barrier imposed by straw mulch probably acted by reducing oviposition directly on soil and drying the eggs laid above the straw, resulting in a smaller percentage of punctured nodules and consequently increasing nodule number and dry weight, root dry weight and grain yields. Intercropping with maize and cowpea did not reduce Phaseolus bean infestation by C. arcuata but straw mulching applied before infestation reduced damage caused by larvae to the nodules, increasing N2 fixation and grain yields

Atratividade da isca granulada de polpa de fruto do jatobá para saúva-limão, no campo Attractiveness of the granulated bait of jatobá's fruit pulp to the leaf- cutting ant, in the field

A atratividade da polpa do fruto de jatobá para saúva-limão foi avaliada tendo como parâmetro comparativo a polpa cítrica desidratada, utilizada como veículo por diversas marcas comerciais. O experimento foi conduzido em quatro formigueiros de saúva-limão em canteiros gramados com espécies arbóreas. As iscas de jatobá e de polpa cítrica desidratada, ambas sem princípio ativo, foram confeccionadas em grânulos com formato e diâmetro semelhantes aos das iscas granuladas comerciais. As iscas de jatobá foram mais atrativas para as operárias de saúva-limão, que fizeram o primeiro contato aos 17s, em contraste com os 29s gastos para o primeiro contato com as iscas de polpa cítrica. As iscas de jatobá também começaram a ser carregadas mais cedo, aos 26s, sendo que as iscas de polpa cítrica foram carregadas 48s mais tarde. A grande aceitação do jatobá foi reforçada pelo menor tempo para o encerramento dos testes, 5min 39s, contrastando com os 11min 17s necessários para o encerramento do teste com a polpa cítrica. A polpa do fruto do jatobá foi mais atrativa para saúva-limão do que a polpa cítrica desidratada.Attractiveness of the leaf-cutting ant, Atta sexdens rubropilosa to jatobá's fruit pulp was evaluated, having the dehydrated citrus pulp as comparative parameter, used as vehicle by several commercial brands. The experiment was conducted on four nests of leaf-cutting ants on lawns with arboreal species. Jatobá baits and dehydrated citric pulp both without active principle were made into granules with form and diameter similar to the commercial granulated baits. Jatobá baits were more attractive to the laborers of leaf-cutting ants which made the first contact after 17s, contrasting with 29s before the first contact with citric pulp baits. Jatobá baits were also carried earlier, after 26s, while citric pulp baits were carried 48s later. The great acceptance of jatobá baits was strengthened by the short time to end the tests, 5min 39s, contrasting with 11min 17s to end the test with the citric pulp. The pulp of jatobá's fruit was more attractive to leaf-cutting ants than the dehydrated citric pulp

Qualidade da informação das estatísticas de mortalidade: códigos garbage declarados como causas de morte em Belo Horizonte, 2011-2013

Resumo: Objetivo: Avaliar a qualidade da informação sobre causas de óbito, identificando a frequência de códigos garbage (CG) em Belo Horizonte, Minas Gerais. Métodos: Foram selecionados óbitos de residentes, ocorridos de 2011 a 2013. As causas de óbito foram classificadas como CG, segundo a lista do estudo Global Burden of Disease (GBD) 2015. Esses códigos foram agrupados em: CG do capítulo XVIII da CID-10 e CG de outros capítulos da CID-10. Foram calculadas as proporções de CG por sexo, faixa etária e local de ocorrência. Resultados: Em Belo Horizonte ocorreram 44.123 óbitos no período analisado, dos quais 30,5% tiveram sua causa classificada como CG. Maiores proporções desses códigos foram observadas em crianças de 1 a 4 anos e em maiores de 60 anos. Os principais CG foram: outras causas mal definidas e as não especificadas de mortalidade (R99), pneumonia não especificada (J18.9), acidente vascular cerebral não especificado como hemorrágico ou isquêmico (I64) e septicemias (A41.9). Em 28,7% dos óbitos ocorridos em hospitais, a causa básica do óbito foi por CG, sendo essa proporção maior para óbitos domiciliares (36,9%). Maior diferença foi observada para os CG do capítulo XVIII da CID-10: 1,7% em hospitais e 16,9% para óbitos no domicílio. Conclusão: A magnitude dos CG nas estatísticas de mortalidade enfatiza sua importância na avaliação da qualidade da informação sobre causas de óbito

Susceptibilidade de larvas de Cerotoma arcuata Olivier (Coleoptera: Chrysomelidae) a Beauveria bassiana (Bals.) Vuillemin, Metarhizium anisopliae (Metsch.) Sorokin e Bacillus thuringiensis Berliner Susceptibility of Cerotoma arcuata Olivier (Coleoptera: Chrysomelidae) larvae to Beauveria bassiana (Bals.) Vuillemin, Metarhizium anisopliae (Metsch.) Sorokin and Bacillus thuringiensis Berliner

Larvas de 2&deg; instar de Cerotoma arcuata foram avaliadas em relação à susceptibilidade aos fungos entomopatogênicos Beauveria bassiana, Metarhizium anisopliae e a bactéria Bacillus thuringiensis com as toxinas Cry3. Os insetos adultos foram mantidos em gaiolas e alimentados com plântulas de feijão (Phaseolus vulgaris L.) e as larvas em "gerbox" com cotilédones de plântulas de feijão recém-germinadas. Das oito estirpes de B. bassiana avaliadas, CG 156 e CG 213 causaram 100% de mortalidade das larvas, as duas estirpes de M. anisopliae CG 210 e CG 321 foram patogênicas, eliminando 80 e 100% das larvas de C. arcuata, e, das cinco estirpes de B. thuringiensis testadas, o isolado CG 940 causou 70% de mortalidade das larvas.<br>Second instar larvae of Cerotoma arcuata were evaluated concerning the susceptibility to fungi Beauveria bassiana and Metarhizium anisopliae and Bacillus thuringiensis strains containing Cry3 toxin. Adults of C. arcuata were kept in large cages and fed on bean seedlings and the larvae were reared in ‘gearbox’ feeding on germinated Phaseolus bean cotyledons. Strains CG 156 and CG 213 of B. bassiana killed 100% of the insect larvae and strains CG 210 and CG 321 of M. anisopliae killed 80 and 100% of the insect larvae. Strain CG 940 of B. thuringiensis killed 70% of the insect larvae

Bromeliad-inhabiting mosquitoes in an urban botanical garden of dengue endemic Rio de Janeiro - Are bromeliads productive habitats for the invasive vectors Aedes aegypti and Aedes albopictus?

Immatures of both Aedes aegypti and Aedes albopictus have been found in water-holding bromeliad axils in Brazil. Removal of these plants or their treatment with insecticides in public and private gardens have been undertaken during dengue outbreaks in Brazil despite uncertainty as to their importance as productive habitats for dengue vectors. From March 2005-February 2006, we sampled 120 randomly selected bromeliads belonging to 10 species in a public garden less than 200 m from houses in a dengue-endemic neighborhood in Rio de Janeiro. A total of 2,816 mosquito larvae and pupae was collected, with an average of 5.87 immatures per plant per collection. Culex (Microculex) pleuristriatus and Culex spp of the Ocellatus Group were the most abundant culicid species, found in all species of bromeliads; next in relative abundance were species of the genus Wyeomyia. Only two individuals of Ae. aegypti (0.07%) and five of Ae. albopictus(0.18%) were collected from bromeliads. By contrast, immatures of Ae. aegypti were found in manmade containers in nearly 5% of nearby houses. These results demonstrate that bromeliads are not important producers of Ae. aegypti and Ae. albopictus and, hence, should not be a focus for dengue control. However, the results of this study of only one year in a single area may not represent outcomes in other urban localities where bromeliads, Ae. aegypti and dengue coincide in more disturbed habitats