Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines

ABSTRACT

Mamíferos em remanescentes florestais de um ecótono Mata Atlântica-Cerrado no sudeste do Brasil

Forest areas in southeastern Brazil were intensively fragmented by historical processes of land use, and even today this region is under severe anthropic pressure due to agricultural, mining, tourism, and high urban expansion. However, contemporaneous studies on its biodiversity, particularly those focusing on remaining fauna in higly fragmented landscapes are necessary. In the present study, we present a species list of mammals in forest remnants of an agricultural landscape from southeastern Brazil (RPPN Fazenda Lagoa), located in an ecotone of Atlantic Forest and Cerrado, with additional information on habitat use, vulnerability to roadkill and considerations for conservation purposes. We recorded 63 species of Chiroptera, Carnivora, Rodentia, Didelphimorphia, Primates, Cingulata, Pilosa, Cetartiodactyla and Lagomorpha. Approximately 15% of the species are under some risk of extinction, including the endemic buffy-tufted-ear marmoset (Callithrix aurita). We also recorded invasive species and domestic dogs and cats living in feral condition. Ten species were reported as roadkills in the roads that give access to the RPPN. We concluded that these remnants play an important role in the maintenance and conservation of the mammals, serving as one of the last refuges for wildlife in a severely deforested region. Keywords: conservation, diversity, forest fragments, Mammalia, richness, roadkill.As florestas do sul de Minas Gerais foram intensamente fragmentadas pelos processos históricosde uso do solo, e ainda hoje essa região está sob severa pressão antrópica devido àampliação agrícola, mineradora, turística e urbana. No entanto, estudos contemporâneos sobresua biodiversidade, particularmente sobre a biodiversidade remanescente em paisagensprofundamente fragmentadas são necessários. No presente estudo, apresentamos uma listade espécies de mamíferos em remanescentes florestais de uma paisagem agrícola do sudestedo Brasil (RPPN Fazenda Lagoa), localizada em ecótono de Mata Atlântica e Cerrado,com informações adicionais sobre uso de habitats, vulnerabilidade a atropelamentos e consideraçõespara a conservação. Registramos 63 espécies de Chiroptera, Carnivora, Rodentia,Didelphimorphia, Primates, Cingulata, Pilosa, Cetartiodactyla e Lagomorpha. Cerca de 15%das espécies estão em algum risco de extinção, incluindo o endêmico sagui-da-serra-escuro, Callithrix aurita. Também registramos espécies silvestres invasoras, cães e gatos domésticosvivendo em condição feral. Dez espécies foram registradas como vítimas de atropelamentonas estradas de acesso a RPPN. Nós concluímos que esses remanescentes possuem umimportante papel na manutenção e conservação da mastofauna, servindo como um dosúltimos refúgios para a vida silvestre de uma região severamente desmatada.Palavras-chave: conservação, diversidade, fragmentos florestais, Mammalia, riqueza,animais atropelados

THE ANKLE-HIP TRANSVERSE PLANE COUPLING DURING THE STANCE PHASE OF NORMAL WALKING

The aim of this study was to investigate the strength and features of a possibly existent ankle-hip transverse plane coupling during the stance of walking. Fifteen healthy volunteers walked on a 10m walkway in their natural speed using sandals. Kinematic data were obtained with a 3-dimensional motion analysis system. Calculation of the cross-correlation (r=-0.78) indicated a strong ankle-hip coupling, with ankle external rotation (foot pronation) coupled with hip internal rotation, and ankle internal rotation (foot supination) coupled with hip external rotation. Vector coding technique (Φ=41.01°) showed that ankle and hip joints present similar displacement magnitudes. The results agree with suggestions of ankle-hip transverse plane interdependency and an important kinetic energy transmission between the shank and thigh in this plane of movement

EFFECTS OF SIMULATING FOREFOOT VARISM INCREASES ON LOWER EXTREMITY KINEMATICS DURING THE STANCE PHASE OF WALKING

This study investigates the effects of simulating forefoot varism increases on lower extremity kinematics during the stance phase. Sixteen volunteers walked on a walkway in three conditions: wearing flat sandals; wearing a 5º and a 10º laterally wedged sandal. Data were obtained with a 3-D motion analysis system. The variables analyzed were: subtalar eversion/inversion; shank internal/external rotation; knee internal/external rotation; hip internal/external rotation. The simulations of 5º and 10º increases in forefoot varism increased subtalar pronation (P≤.007) and the simulation of 10º increased internal rotation of the shank in relation to the pelvis and of the hip (P=.001). The results suggest that forefoot varism can lead to kinematic patterns related to the occurrence of overuse injuries

The role of maternal infection in preterm birth: evidence from the Brazilian Multicentre Study on Preterm Birth (EMIP)

OBJECTIVES: Evidence suggests that infection or inflammation is a major contributor to early spontaneous preterm birth (sPTB). Therefore, this study aimed to investigate the development and causes of maternal infection associated with maternal and neonatal outcomes in women with sPTB. METHODS: This was a secondary analysis of a multicenter cross-sectional study with a nested case–control component, the Brazilian Multicentre Study on Preterm Birth (EMIP), conducted from April 2011 to July 2012 in 20 Brazilian referral obstetric hospitals. Women with preterm birth (PTB) and their neonates were enrolled. In this analysis, 2,682 women undergoing spontaneous preterm labor and premature pre-labor rupture of membranes were included. Two groups were identified based on self-reports or prenatal or hospital records: women with at least one infection factor and women without any maternal infection (vulvovaginitis, urinary tract infection, or dental infection). A bivariate analysis was performed to identify potential individual risk factors for PTB. The odds ratios (ORs) with their respective 95% confidence intervals were calculated. RESULTS: The majority of women with sPTB fulfilled at least one criterion for the identification of maternal infection (65.9%), and more than half reported having urinary tract infection during pregnancy. Approximately 9.6% of women with PTB and maternal infection were classified as having periodontal infection only. Apart from the presence of a partner, which was more common among women with infectious diseases (p=0.026; OR, 1.28 [1.03–1.59]), other variables did not show any significant difference between groups. CONCLUSION: Maternal infection was highly prevalent in all cases of sPTBs, although it was not clearly associated with the type of PTB, gestational age, or any adverse neonatal outcomes

Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association?

OBJECTIVE: To evaluate the occurrence of Post-Traumatic Stress Disorder among women experiencing a severe maternal morbidity event and associated factors in comparison with those without maternal morbidity. METHODS: In a retrospective cohort study, 803 women with or without severe maternal morbidity were evaluated at 6 months to 5 years postpartum for the presence of Post-Traumatic Stress Disorder. Interviews were conducted by telephone and electronic data was stored. Data analysis was carried out by using χ2, Fisher’s Exact test, and logistic regression analysis. RESULTS: There was no significant change in the prevalence of Post-Traumatic Stress Disorder related to a previous severe maternal morbidity experience. There were also no differences in diagnostic criteria for severe maternal morbidity (hypertensive syndromes, hemorrhage, surgical intervention or intensive care unit admission required, among other management criteria). Low parity (2.5-fold risk) and increasing age were factors associated with Post-Traumatic Stress Disorder. CONCLUSIONS: A severe maternal morbidity episode is not associated with Post-Traumatic Stress Disorder symptoms within five years of the severe maternal morbidity event and birth. However, a more advanced maternal age and primiparity increased the risk of Post-Traumatic Stress Disorder. This does not imply that women who had experienced a severe maternal morbidity event did not suffer or need differentiated care

Encontro de Aedes (Stegomyia) albopictus (Skuse) em Bromeliaceae na periferia de São Paulo, SP, Brasil

Larvae of Aedes albopictus from a plant of the Bromeliaceae family on the outskirts of S. Paulo, SP, Brazil, were collected. This occurrence sheds new light on the attempt to determine the potential of this plants as a breeding site for this mosquito in Brazil.Foram coletadas larvas de Aedes albopictus em uma planta da família Bromeliaceae, na periferia da cidade de São Paulo, SP, Brasil. Esse encontro abre perspectivas de estudo para avaliação do potencial desse vegetal como criadouro desse mosquito no País

Fishers and groupers (epinephelus marginatus and E. morio) in the coast of Brazil : integrating information for conservation

Groupers are a vulnerable but economically important group of fish, especially for small-scale fisheries. We investigated catches and local ecological knowledge (LEK) of diet, habitat, and past fishing experiences. Landings, prices, interviews, and restaurants demand for two species, Epinephelus marginatus (dusky grouper) and Epinephelus morio (red grouper), were registered. We visited 74 markets and 79 sites on the coast of Brazil in 2017–2018, and we interviewed 71 fishers: Bahia (NE), Rio de Janeiro and São Paulo (SE), and Santa Catarina (S). The landings sampled of dusky grouper (2016–2017) in Rio de Janeiro were: n = 222, size 38–109 cm, weight 1–24 kg, average 3.84 kg; in São Paulo, São Sebastião were: n = 47, size 39–106 cm, weight 2–8 kg, average of 2.77 kg; and at Santos: n = 80, 26–120 cm, weight 0.36–15 kg, average 2.72 kg. Red grouper was observed in markets in the northeastern Brazil. We did not observe Epinephelus marginatus from Bahia northward; a maximum size of 200 cm was reported south of the Bahia, besides Rio de Janeiro and São Paulo coasts, 20 years ago (or longer) by 12 fishers. Local knowledge of fishers was important for grouper data of habitat and diet; the reproduction period was identified by fishers as September to March. Groupers can be considered as a cultural and ecological keystone species. We suggest protective measures: 1) fishing zoning, 2) islands (MPAs) with the surveillance of fishers, 3) late Spring and early Summer as key periods for management (grouper reproduction), 4) studies on grouper larvae, 5) mapping of fishing spots, 6) studies on local knowledge. Collaboration with small-scale fishers and local knowledge could contribute to low-conflict management measures. In that regard, integrative models of management from Latin America, by using local knowledge and citizen science, could produce successful grouper management for Brazilian data-poor fisheries, a contrasting reality to the Mediterranean areas. Finally, the distribution of E. marginatus in Brazil leave us with questions: a) Have dusky groupers disappeared from Bahia because of a decline in the population? b) Was it uncommon in Northeast Brazil? c) Did changes in water temperatures forced a movement southward?151CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQFUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESP307762/2013–0; 301592/2017–914/16939–7In addition to FAPESP and CNPq, we acknowledge Eduardo Camargo and Marco Antonio A. G. Araújo for helping with fieldwork in NE Brazil and Mara Magenta (UNISANTA) for helping us with infrastructure for fish larvae observation in the laboratory. We are grateful to the fisher-buyers Antonio, Elenilson and Valdecir. We are also very grateful to Rodrigo Caires, who supported us with taxonomic matter

Conceiving a Digital Twin for a Flexible Manufacturing System

Digitization and virtualization represent key factors in the era of Industry 4.0. Digital twins (DT) can certainly contribute to increasing the efficiency of various productive sectors as they can contribute to monitoring, managing, and improvement of a product or process throughout its life cycle. Although several works deal with DTs, there are gaps regarding the use of this technology when a Flexible Manufacturing System (FMS) is used. Existing work, for the most part, is concerned with simulating the progress of manufacturing without providing key production data in real-time. Still, most of the solutions presented in the literature are relatively expensive and may be difficult to implement in most companies, due to their complexity. In this work, the digital twin of an FMS is conceived. The specific module of an ERP (Enterprise Resources Planning) system is used to digitize the physical entity. Production data is entered according to tryouts performed in the FMS. Sensors installed in the main components of the FMS, CNC (computer numerical control) lathe, robotic arm, and pallet conveyor send information in real-time to the digital entity. The results show that simulations using the digital twin present very satisfactory results compared to the physical entity. In time, information such as production rate, queue management, feedstock, equipment, and pallet status can be easily accessed by operators and managers at any time during the production process, confirming the MES (manufacture execution system) efficiency. The low-cost hardware and software used in this work showed its feasibility. The DT created represents the initial step towards designing a metaverse solution for the manufacturing unit in question, which should operate in the near future as a smart and autonomous factory model.Thanks are due to Elkartek 2022 project LANVERSO, and in some sections (simulations) to Basque government university group IT 1573-22