Chronic inflammatory diseases, subclinical atherosclerosis, and cardiovascular diseases: Design, objectives, and baseline characteristics of a prospective case-cohort study ‒ ELSA-Brasil

Objectives: This analysis describes the protocol of a study with a case-cohort to design to prospectively evaluate the incidence of subclinical atherosclerosis and Cardiovascular Disease (CVD) in Chronic Inflammatory Disease (CID) participants compared to non-diseased ones. Methods: A high-risk group for CID was defined based on data collected in all visits on self-reported medical diagnosis, use of medicines, and levels of high-sensitivity C-Reactive Protein >10 mg/L. The comparison group is the Aleatory Cohort Sample (ACS): a group with 10% of participants selected at baseline who represent the entire cohort. In both groups, specific biomarkers for DIC, markers of subclinical atherosclerosis, and CVD morbimortality will be tested using weighted Cox. Results: The high-risk group (n = 2,949; aged 53.6 ± 9.2; 65.5% women) and the ACS (n=1543; 52.2±8.8; 54.1% women) were identified. Beyond being older and mostly women, participants in the high-risk group present low average income (29.1% vs. 24.8%, p < 0.0001), higher BMI (Kg/m2) (28.1 vs. 26.9, p < 0.0001), higher waist circumference (cm) (93.3 vs. 91, p < 0.0001), higher frequencies of hypertension (40.2% vs. 34.5%, p < 0.0001), diabetes (20.7% vs. 17%, p = 0.003) depression (5.8% vs. 3.9%, p = 0.007) and higher levels of GlycA a new inflammatory marker (p < 0.0001) compared to the ACS. Conclusions: The high-risk group selected mostly women, older, lower-income/education, higher BMI, waist circumference, and of hypertension, diabetes, depression, and higher levels of GlycA when compared to the ACS. The strategy chosen to define the high-risk group seems adequate given that multiple sociodemographic and clinical characteristics are compatible with CID

Tritium Beta Spectrum and Neutrino Mass Limit from Cyclotron Radiation Emission Spectroscopy

The absolute scale of the neutrino mass plays a critical role in physics at every scale, from the particle to cosmological. Measurements of the tritium endpoint spectrum have provided the most precise direct limit on the neutrino mass scale. In this Letter, we present advances by Project 8 to the Cyclotron Radiation Emission Spectroscopy (CRES) technique culminating in the first frequency-based neutrino mass limit. With only a cm$^3$-scale physical detection volume, a limit of $m_\beta$<180 eV is extracted from the background-free measurement of the continuous tritium beta spectrum. Using $^{83{\rm m}}$Kr calibration data, an improved resolution of 1.66$\pm$0.16 eV (FWHM) is measured, the detector response model is validated, and the efficiency is characterized over the multi-keV tritium analysis window. These measurements establish the potential of CRES for a high-sensitivity next-generation direct neutrino mass experiment featuring low background and high resolution.Comment: 7 pages, 5 figures, for submission to PR

Atividade biológica de extratos acetato de etila, etanólico e aquoso de timbó (Lonchocarpus floribundus) sobre carrapato bovino

Os extratos acetato de etila, etanólico e aquoso de raízes de Lonchocarpus floribundus foram utilizados, a fim de avaliar a atividade biológica sobre carrapato bovino. Carrapatos adultos foram coletados em bovinos infestados artificialmente, separados em grupos de dez indivíduos, pesados e imersos, separadamente, nos extratos de raízes de L. Floribundus, nas concentrações de 5, 25, 50, 75 e 100 mg mL-1. Para a avaliação em larvas, foram utilizados indivíduos de 14 a 21 dias, os quais foram imersos nos extratos nas concentrações de 1, 5, 10, 15 e 20 mg mL-1. Após o tratamento, cada grupo foi colocado em placa de Petri e incubado a 27 ± 1 ºC e umidade relativa de 80 ± 5%. Os extratos avaliados não foram eficazes para induzir, acima de 50%, a mortalidade de fêmeas ingurgitadas. Os extratos acetato de etila e etanólico induziram 100% de mortalidade de larvas. Entretanto, quanto aos valores de concentração letal mediana (CL50), o extrato etanólico (CL50 = 2,1 mg mL-1) foi mais tóxico que o extrato acetato de etila (CL50 = 4,1 mg mL-1). O extrato etanólico estimou concentração inibitória mediana (CI50) de 3,0 mg mL-1 e foi mais tóxico que os demais extratos quanto a este parâmetro de avaliação. Entre os três extratos avaliados, os extratos acetato de etila e etanólico apresentaram os melhores resultados quanto ao controle de reprodução de R. (B.) microplus, atingindo 100% na concentração de 5 mg mL-1. Os extratos de raízes de L. Floribundus apresentaram atividade biológica sobre carrapato bovino

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

What’s new with numbers? Sociological approaches to the study of quantification

Calculation and quantification have been critical features of modern societies, closely linked to science, markets, and administration. In the past thirty years, the pace, purpose, and scope of quantification have greatly expanded, and there has been a corresponding increase in scholarship on quantification. We offer an assessment of the widely dispersed literature on quantification across four domains where quantification and quantification scholarship have particularly flourished: administration, democratic rule, economics, and personal life. In doing so, we seek to stimulate more cross-disciplinary debate and exchange. We caution against unifying accounts of quantification and highlight the importance of tracking quantification across different sites in order to appreciate its essential ambiguity and conduct more systematic investigations of interactions between different quantification regimes

Modelagem do desenvolvimento de trigo considerando diferentes temperaturas cardinais e métodos de cálculo da função de resposta à temperatura Modeling wheat development considering different cardinal temperatures and methods for the temperature response function calculation

O objetivo deste trabalho foi melhorar a estimativa dos estádios de desenvolvimento de genótipos brasileiros de trigo (Triticum aestivum) realizada por meio do modelo WE-Streck. Foram avaliadas diferentes combinações de temperaturas cardinais e métodos de cálculo da função de resposta à temperatura. Dados referentes às datas da emergência, da emissão da espigueta terminal, da antese e da maturidade fisiológica de seis genótipos brasileiros de trigo semeados em 11 datas ao longo de três anos (2005, 2006 e 2007) em Santa Maria, RS, foram usados para estimar os coeficientes do modelo WE-Streck modificado e testar as diferentes combinações de temperaturas cardinais e métodos de cálculo da função de resposta à temperatura. Para os genótipos BRS Louro, BRS 177, CEP 51, CEP 52 e Nova Era, a simulação do desenvolvimento com o modelo de WE-Streck é melhor quando são usados maiores valores de temperaturas cardinais ótima e máxima, em comparação às usadas originalmente no modelo. Para o genótipo BRS Tarumã, devem ser utilizadas as temperaturas cardinais do modelo WE-Streck original. É recomendável usar as temperaturas mínimas e máximas diárias para calcular a função de resposta à temperatura quando o modelo WE-Streck for usado para simulação do desenvolvimento de genótipos brasileiros de trigo.<br>The objective of this work was to improve the prediction of developmental stages of Brazilian wheat (Triticum aestivum) genotypes made using the WE-Streck model. Different combinations of cardinal temperatures and methods of calculating the temperature response function were evaluated. Data regarding the dates of emergence, terminal spikelet, anthesis, and physiological maturity of six Brazilian wheat genotypes sown on 11 dates during three years (2005, 2006, and 2007) at Santa Maria, RS, Brazil, were used to estimate the WE-Streck model coefficients and to evaluate the different combinations of cardinal temperatures and methods for calculating the temperature response function. For the genotypes BRS Louro, BRS 177, CEP 51, CEP 52, and Nova Era, the simulation of the development with the WE-Streck model is better with higher values of optimum and maximum cardinal temperatures compared to those originally used in the model. For the genotype BRS Tarumã, the cardinal temperatures from the original version of the WE-Streck model should be used. It is recommended that the minimum and maximum daily temperatures be used to calculate the temperature response function when the WE-Streck model is selected for simulating the development of Brazilian wheat genotypes