Simulação de cenários agrícolas futuros: em busca do imprevisível cenário futuro real.

Neste trabalho são apresentadas e analisadas as principais linhas de aprimoramentos na simulação de cenários agrícolas futuros baseadas em discussões sobre as primeiras aproximações elaboradas pelos autores. Com a intenção de gerar cenários agrícolas futuros mais próximos do imprevisível cenário futuro real, são propostos o aumento da resolução espacial e temporal dos cenários climáticos de entrada; a inclusão nos modelos das tendências de aumento da frequência de eventos extremos, de processos fisiológicos e do possível efeito da fertilização pelo CO2 no crescimento das culturas; a consideração do avanço tecnológico como amenizador do impacto das mudanças climáticas; a análise da nova geografia de produção e seus impactos econômicos sobre a matriz produtiva; o desenvolvimento de simulador; e formas eficazes de divulgação.CBA 2009

Avaliação dos impactos das mudanças climáticas no zoneamento agrícola utilizando anomalias de temperatura e precipitação dos modelos HADCM3 e IPCM4.

O trabalho teve o objetivo principal de aprimorar a metodologia utilizada para gerar cenários de impactos de mudanças climáticas no zoneamento agrícola do Brasil. A área de estudo foi o Estado de São Paulo e os modelos escolhidos foram o HADCM3 e o IPCM4. Foram empregadas anomalias de temperatura e/ou precipitação e as culturas anuais escolhidas foram arroz, feijão, milho, soja, sorgo, trigo e cevada. Foi desenvolvido um sistema de simulação que permitiu a geração de 25.488 mapas de risco colocados à disposição na internet. O desempenho das simulações foi distinto para os dois modelos climáticos utilizados, ressaltando a importância da escolha deles nos estudos de impactos das mudanças climáticas. As anomalias de temperatura do IPCM4 e as de precipitação do HADCM3 foram as que produziram as maiores reduções das áreas de baixo risco climático. A forma de incorporação das anomalias de precipitação nas simulações é uma contribuição do trabalho que pode ser útil em trabalhos futuros.CBA 2011

Avaliação da relação seca/produtividade agrícola em cenário de mudanças climáticas.

As mudanças climáticas alertam para um possível aumento de eventos meteorológicos extremos em todo o mundo, sendo crescente a preocupação de como o clima pode mudar o ambiente e afetar a produção das culturas agrícolas. Este estudo investiga a relação entre a produtividade agrícola e a seca em algumas mesorregiões do estado de Minas Gerais, em cenários de mudanças climáticas. Foram utilizados dados meteorológicos diários projetados pelo modelo ECHAM5/MPI-OM, para o período de 2008 a 2020 para o cenário A1B. Utilizou-se a metodologia da zona agroecológica (AEZ) para estimar a produtividade futura do milho. Empregou-se o índice de seca Z de Palmer em um modelo de regressão linear com a produtividade do milho estimada pela metodologia da AEZ. O desempenho dos modelos foi verificado por meio das estatísticas: coeficiente de determinação (r2), raiz do erro quadrático médio(RMSE), erro absoluto médio (MAE) e índice de concordância de Willmott (d). Os resultados do índice de concordância de Willmott variaram entre 0,48 e 0,90, e os valores de r2 foram pouco expressivos.Contudo, a produtividade estimada pela metodologia AEZ projetou maiores perdas na produtividade do milho devido a limitações por água para os anos agrícolas de 2008/2009, 2009/2010, 2014/2015,2018/2019 para as mesorregiões Triângulo/Alto Paranaíba, Central Mineira e Jequitinhonha

Why Are Outcomes Different for Registry Patients Enrolled Prospectively and Retrospectively? Insights from the Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF).

Background: Retrospective and prospective observational studies are designed to reflect real-world evidence on clinical practice, but can yield conflicting results. The GARFIELD-AF Registry includes both methods of enrolment and allows analysis of differences in patient characteristics and outcomes that may result. Methods and Results: Patients with atrial fibrillation (AF) and ≥1 risk factor for stroke at diagnosis of AF were recruited either retrospectively (n = 5069) or prospectively (n = 5501) from 19 countries and then followed prospectively. The retrospectively enrolled cohort comprised patients with established AF (for a least 6, and up to 24 months before enrolment), who were identified retrospectively (and baseline and partial follow-up data were collected from the emedical records) and then followed prospectively between 0-18 months (such that the total time of follow-up was 24 months; data collection Dec-2009 and Oct-2010). In the prospectively enrolled cohort, patients with newly diagnosed AF (≤6 weeks after diagnosis) were recruited between Mar-2010 and Oct-2011 and were followed for 24 months after enrolment. Differences between the cohorts were observed in clinical characteristics, including type of AF, stroke prevention strategies, and event rates. More patients in the retrospectively identified cohort received vitamin K antagonists (62.1% vs. 53.2%) and fewer received non-vitamin K oral anticoagulants (1.8% vs . 4.2%). All-cause mortality rates per 100 person-years during the prospective follow-up (starting the first study visit up to 1 year) were significantly lower in the retrospective than prospectively identified cohort (3.04 [95% CI 2.51 to 3.67] vs . 4.05 [95% CI 3.53 to 4.63]; p = 0.016). Conclusions: Interpretations of data from registries that aim to evaluate the characteristics and outcomes of patients with AF must take account of differences in registry design and the impact of recall bias and survivorship bias that is incurred with retrospective enrolment. Clinical Trial Registration: - URL: http://www.clinicaltrials.gov . Unique identifier for GARFIELD-AF (NCT01090362)

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency–Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical research

Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42\ub74% vs 44\ub72%; absolute difference \u20131\ub769 [\u20139\ub758 to 6\ub711] p=0\ub767; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5\u20138] vs 6 [5\u20138] cm H2O; p=0\ub70011). ICU mortality was higher in MICs than in HICs (30\ub75% vs 19\ub79%; p=0\ub70004; adjusted effect 16\ub741% [95% CI 9\ub752\u201323\ub752]; p<0\ub70001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0\ub780 [95% CI 0\ub775\u20130\ub786]; p<0\ub70001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status. Funding: No funding