Habitat use, daily activity periods, and thermal ecology of Ameiva ameiva (Squamata: Teiidae) in a caatinga area of northeastern Brazil.

Estudamos o uso dos recursos espaciais, temporais e térmicos pelo lagarto neotropical Ameiva ameiva durante as estaçõesseca e chuvosa em um ambiente de caatinga do nordeste do Brasil. Os lagartos utilizaram os hábitats e micro-hábitats de vegetação baixa, mas nunca foram observados no hábitat rochoso. Os adultos utilizaram usualmente o hábitat arbóreo-arbustivo, enquanto os juvenis foram observados maisfrequentemente no hábitat arbustivo-herbáceo. Diferenças ontogenéticas no uso do espaço parecem estar relacionadas a diferentes necessidades térmicas entre as classes de idade devido a diferenças de tamanho corporal. As temperaturas corporais dos juvenis foram significativamente maiores que asdos adultos. A maioria das espécies de Teiidae possui temperaturas corporais elevadas, usualmente acima de 37oC, e atividade concentrada nas horas mais quentes do dia, como observado em A. ameiva neste estudo. A sazonalidade influenciou o uso do hábitat e os períodos diários de atividade dos adultos, mas não influenciou as temperaturas corporais. Verificamos flutuações anuais na abundância de indivíduos adultos, com um declínio de lagartos ativos na estação seca; esse fenômeno pode estar relacionado à estivação e/ou ao aumento da taxa de mortalidade durante os meses mais secos.We studied the use of spatial, temporal, and thermal resources by the Neotropical lizard Ameiva ameiva during rainy and dry seasons in a caatinga (xerophilous open forests) environment in northeastern Brazil. Lizards used the vegetation habitats and microhabitats in the ground, but never were seen in the rocky habitat. Adults usually used the arboreal-shrubby habitat, whereas juveniles were sighted more often in the shrubby-herbaceous habitat. Ontogenetic differences in spatial use seem to be linked to different thermal needs between age groups owing to differences in body size. Body temperatures were significantly higher in juveniles than in adults. Most teiid species have elevated body temperatures, usually above 37oC,and are active during the hottest times of day, as was observed for A. ameiva in this study. Seasonality influenced habitat use and daily activity periods of adults, but not body temperatures. We verified annual fluctuations in adult abundance, with a decline of active lizards in the dry season; this phenomenon may be related to aestivation and/or increased mortality rate during the driest months

ECMO for COVID-19 patients in Europe and Israel

Since March 15th, 2020, 177 centres from Europe and Israel have joined the study, routinely reporting on the ECMO support they provide to COVID-19 patients. The mean annual number of cases treated with ECMO in the participating centres before the pandemic (2019) was 55. The number of COVID-19 patients has increased rapidly each week reaching 1531 treated patients as of September 14th. The greatest number of cases has been reported from France (n = 385), UK (n = 193), Germany (n = 176), Spain (n = 166), and Italy (n = 136) .The mean age of treated patients was 52.6 years (range 16–80), 79% were male. The ECMO configuration used was VV in 91% of cases, VA in 5% and other in 4%. The mean PaO2 before ECMO implantation was 65 mmHg. The mean duration of ECMO support thus far has been 18 days and the mean ICU length of stay of these patients was 33 days. As of the 14th September, overall 841 patients have been weaned from ECMO support, 601 died during ECMO support, 71 died after withdrawal of ECMO, 79 are still receiving ECMO support and for 10 patients status n.a. . Our preliminary data suggest that patients placed on ECMO with severe refractory respiratory or cardiac failure secondary to COVID-19 have a reasonable (55%) chance of survival. Further extensive data analysis is expected to provide invaluable information on the demographics, severity of illness, indications and different ECMO management strategies in these patients

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

Feeding ecology of the pygmy gecko Coleodactylus natalensis (Squamata: Sphaerodactylidae) in the Brazilian Atlantic Forest

We studied the feeding ecology of a population of Coleodactylus natalensis Freire, 1999, an endemic gecko of Atlantic Forest fragments in the state of Rio Grande do Norte, northeastern Brazil. Lizards (N = 49) were collected manually through active search in the four habitats of Parque Estadual Dunas de Natal, type locality of the species. In the laboratory, we measured the lizards and registered the number of consumed prey items identified to Order, its dimensions and frequencies. We also collected samples of leaf litter in each habitat to determine prey availability. Females were significantly larger than males, but head size did not differ between the sexes. The most important prey categories in the diet of C. natalensis based on number, volume and frequency were Isopoda and Araneae. Prey categories with highest importance indices in the diet were Isopoda, Araneae, Homoptera and Gryllidae. The diets of adult males and females were similar with respect to prey size, but differed qualitatively, mainly due to the larger trophic spectrum of females. We found some variations on trophic niche breadths and food preferences of lizards between habitats, but in general niche breadths were intermediate, and the most elected prey categories were Isopoda, Araneae, Homoptera and Thysanoptera. High electivities for Isoptera and Gryllidae occurred only in the open habitats (restinga and dunes), and for Mantodea in the forested habitats (high and low forest). Collembola was consumed in the same proportion of the environment, and Acarina and Formicidae had negative values of electivity, indicating rejection. We conclude that the population studied seems to have a selective diet, preferring relatively large prey items that are less abundant in the leaf litter, and possibly avoiding potentially toxic prey

A Novel Fully Automatic Concept to Produce First Subset of Bowden Cables, Improving Productivity, Flexibility, and Safety

With a view to maintaining the competitiveness required by the market, the automotive industry strongly encourages its suppliers to develop new production methods and technologies capable of reducing the costs of produced products, ensuring the necessary quality, and increasing flexibility, with a view to responding more easily to the customization of the products that the market increasingly demands. The main goal of this work was to increase the flexibility and productivity of equipment capable of producing the first subset that constitutes the product commonly known as the Bowden cable. To this end, the design science research methodology was used, which was understood as the most effective in describing scientific work related to the improvement of existing systems. Bowden cables are cables that activate various devices in the car, such as opening doors, moving window glasses, and adjusting some car seats, among others. The work consisted of integrating several operations usually carried out for the manufacture of the referred subset, reducing logistics operations and manual work, increasing operator safety, and increasing the production rate and flexibility of the equipment, by reducing the setup time. For this purpose, new mechanical concepts were developed, and automation was applied, which resulted in a completely new concept, able to fulfill all the objectives initially set. It should be noted here that the new equipment allowed a production rate of 1140 p/h, when the initial objective was 1100 p/h; it requires an investment of only around EUR 55,000 (easy return on investment), occupies only 11.6 m2, and has reinforced safety systems to avoid workers’ injuries, an aspect that is very important in this type of equipment, where operators deal with cutting systems and high temperatures. The dissemination of this concept could help other researchers to easily find solutions to certain problems that they face in the development of modern equipment. The main contributions of this paper are the novel concepts created to overcome some process difficulties, which can be used for a wide range of other processing situations with similar difficulties. The solutions proposed allow a decrease in the cycle time, present high flexibility, save workshop space, and are affordable in terms of global cost

INCONEL^® Alloy Machining and Tool Wear Finite Element Analysis Assessment: An Extended Review

Machining INCONEL® presents significant challenges in predicting its behaviour, and a comprehensive experimental assessment of its machinability is costly and unsustainable. Design of Experiments (DOE) can be conducted non-destructively through Finite Element Analysis (FEA). However, it is crucial to ascertain whether numerical and constitutive models can accurately predict INCONEL® machining. Therefore, a comprehensive review of FEA machining strategies is presented to systematically summarise and analyse the advancements in INCONEL® milling, turning, and drilling simulations through FEA from 2013 to 2023. Additionally, non-conventional manufacturing simulations are addressed. This review highlights the most recent modelling digital solutions, prospects, and limitations that researchers have proposed when tackling INCONEL® FEA machining. The genesis of this paper is owed to articles and books from diverse sources. Conducting simulations of INCONEL® machining through FEA can significantly enhance experimental analyses with the proper choice of damage and failure criteria. This approach not only enables a more precise calibration of parameters but also improves temperature (T) prediction during the machining process, accurate Tool Wear (TW) quantity and typology forecasts, and accurate surface quality assessment by evaluating Surface Roughness (SR) and the surface stress state. Additionally, it aids in making informed choices regarding the potential use of tool coatings

An In-Depth Exploration of Unconventional Machining Techniques for INCONEL^® Alloys

Build-up-edge (BUE), high-temperature machining and tool wear (TW) are some of the problems associated with difficult-to-machine materials for high-temperature applications, contributing significantly to high-cost manufacturing and poor tool life (TL) management. A detailed review of non-traditional machining processes that ease the machinability of INCONEL®, decrease manufacturing costs and suppress assembly complications is thus of paramount significance. Progress taken within the field of INCONEL® non-conventional processes from 2016 to 2023, the most recent solutions found in the industry, and the prospects from researchers have been analysed and presented. In ensuing research, it was quickly noticeable that some techniques are yet to be intensely exploited. Non-conventional INCONEL® machining processes have characteristics that can effectively increase the mechanical properties of the produced components without tool-workpiece contact, posing significant advantages over traditional manufacturing

Immunocompromised patients with acute respiratory distress syndrome: Secondary analysis of the LUNG SAFE database

Background: The aim of this study was to describe data on epidemiology, ventilatory management, and outcome of acute respiratory distress syndrome (ARDS) in immunocompromised patients. Methods: We performed a post hoc analysis on the cohort of immunocompromised patients enrolled in the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG SAFE) study. The LUNG SAFE study was an international, prospective study including hypoxemic patients in 459 ICUs from 50 countries across 5 continents. Results: Of 2813 patients with ARDS, 584 (20.8%) were immunocompromised, 38.9% of whom had an unspecified cause. Pneumonia, nonpulmonary sepsis, and noncardiogenic shock were their most common risk factors for ARDS. Hospital mortality was higher in immunocompromised than in immunocompetent patients (52.4% vs 36.2%; p &lt; 0.0001), despite similar severity of ARDS. Decisions regarding limiting life-sustaining measures were significantly more frequent in immunocompromised patients (27.1% vs 18.6%; p &lt; 0.0001). Use of noninvasive ventilation (NIV) as first-line treatment was higher in immunocompromised patients (20.9% vs 15.9%; p = 0.0048), and immunodeficiency remained independently associated with the use of NIV after adjustment for confounders. Forty-eight percent of the patients treated with NIV were intubated, and their mortality was not different from that of the patients invasively ventilated ab initio. Conclusions: Immunosuppression is frequent in patients with ARDS, and infections are the main risk factors for ARDS in these immunocompromised patients. Their management differs from that of immunocompetent patients, particularly the greater use of NIV as first-line ventilation strategy. Compared with immunocompetent subjects, they have higher mortality regardless of ARDS severity as well as a higher frequency of limitation of life-sustaining measures. Nonetheless, nearly half of these patients survive to hospital discharge. Trial registration: ClinicalTrials.gov, NCT02010073. Registered on 12 December 2013