Fungal Infections in Neonatal Intensive Care

Neonates represent a unique and highly vulnerable patient population. Advances in medical technology have improved the survival and quality of life of newborns, particularly those with extreme prematurity or with congenital defects. Furthermore, immunologic immaturity and altered cutaneous barriers play some role in the vulnerability of neonates to nosocomial infections. In this context, the incidence of invasive fungal infections has increased significantly worldwide, representing an important infective complication in patients hospitalized in intensive care units. Invasive fungal infections in Neonatal Intensive Care Unit (NICUs) show high mortality; being species of Candida, the most isolates etiologic agents. The better prognosis of the patient is associated with the early diagnosis and fast treatment. However, guidelines to facilitate the optimal therapy choice for the treatment of neonatal fungal disease do not exist. The current antifungal agents that are available to treat fungemia among newborns and children are based on clinical trials in adults, since there are few comparative studies of antifungal agents in infants. The most commonly used drugs for the treatment of invasive fungal infections in neonates are classified in four different classes: polyene, azoles, analogs of pyrimidines and echinocandins

A systematic review of indicators for evaluating the effectiveness of digital public services

Effectiveness is a key feature of good governance, as the public sector must make the best use of resources to comply with the needs of the population. Several indicators can be analyzed to evaluate the effectiveness of a service. This study analyzes theoretical references and presents a systematic research of indicators to assess the effectiveness of digital public services in the perspective of the user. First, a literature review was carried out to identify the most common indicators employed to evaluate effectiveness in the public sector; then, the perception of academics and professionals regarding digital government was assessed to analyze the relevance of these indicators. As a result, two groups of indicators were found: technical factors based on service quality and usefulness of the service. This work contributes to enrich the discussion on how to create an effective model to evaluate the effectiveness of public services to guarantee quality standards and comply with the expectations of users

On the local corrosion behavior of coupled welded zones of the 2098-T351 Al-Cu-Li alloy produced by Friction Stir Welding (FSW): An amperometric and potentiometric microelectrochemical investigation

Electrochimica Acta 373 (2021) 137910, 12 pp. https://doi.org/10.1016/j.electacta.2021.137910.The galvanic coupling effects and the local electrochemical activity developed along the welded zones in FSWelded 2098-T351 Al-Cu-Li alloy have been investigated using localized electrochemical methods supported by surface analytical characterizations. The investigation was carried out in the coupled welding joint/heat affected zones (WJ/HAZ) for both the retreating (RS) and the advancing (AS) sides. The correlation between surface chemistry, microstructural features and electrochemical activity of these welded zones has been studied. The results showed the development of galvanic interactions within and between the WJ and the HAZ regions that were visualized using the Scanning vibrating electrode technique (SVET) and scanning electrochemical microscopy (SECM). SVET analyses showed that the HAZ was more susceptible to the development of anodic sites compared to WJ. SECM in amperometric operation mode showed that the WJ coupled to HAZ presented higher oxygen consumption and greater cathodic activity compared to HAZ. Furthermore, SECM in the potentiometric operation mode showed alkalization on the WJ and increased acidity on the HAZ, mainly at severe localized corrosion (SLC) sites. Based on SVET and SECM results in combination surface analysis, it is proposed that the micro-galvanic cells formed within these welded zones are due to the presence of secondary phases in the 2098-T351 alloy and their interactions with the adjacent matrix