Processamento de Leite Fermentado Probiótico com um Preparado de Albúmen Sólido de Coco Verde.

O coco verde é muito consumido no Brasil, sendo basicamente utilizado na produção da água de coco (albúmen líquido). A água de coco verde corresponde a aproximadamente 25% do peso do fruto in natura, ou seja, a industrialização resulta em uma grande quantidade de resíduo. O albúmen sólido do coco, em geral, é descartado junto com as cascas. Os leites fermentados podem ter adição de outras substâncias alimentícias, tais como sucos, pedaços, preparados ou polpas de frutas em uma concentração máxima de 30% em relação à massa final do produto. A adição de preparados de frutas conferem diferentes experiências sensoriais, agregando valor ao leite fermentado. A utilização do albúmen sólido de coco verde para elaboração um preparado para conferir aroma e sabor de coco verde ao leite fermentado potencialmente probiótico é uma alternativa interessante e viável. A concentração de probióticos no produto varia de 10 8 UFC/g (primeira semana) a 10 6 UFC/g (quarta semana de armazenagem). A quantidade observada até a quarta semana de armazenagem é suficiente para conferir uma possível alegação funcional de probiótico. De acordo com a legislação brasileira, as contagens de Bifidobacterium em leite fermentados devem ficar acima de 10 6 UFC/g (Brasil, 2007). O produto tem uma boa aceitação sensorial, com relação ao sabor, aroma e aceitação global, alcançando nota média de 7,0 em uma escala hedônica de nove pontos. O produto tem pouca pós-acidificação durante estocagem, com uma variação de pH de 4,73 a 4,91 ao longo da estocagem refrigerada. Nesta publicação é descrito o processo para obtenção de um leite fermentado probiótico com adição de 30% de preparado de albúmen sólido de coco verde para agregar valor à esta matéria-prima e conferir sabor e aroma de coco verde ao leite fermentado

Hygienisation, gentrification, and urban displacement in Brazil

This article engages recent debates over gentrification and urban displacement in the global South. While researchers increasingly suggest that gentrification is becoming widespread in “Southern” cities, others argue that such analyses overlook important differences in empirical context and privilege EuroAmerican theoretical frameworks. To respond to this debate, in this article, we outline the concept of higienização (hygienisation), arguing that it captures important contextual factors missed by gentrification. Hygienisation is a Brazilian term that describes a particular form of urban displacement, and is directly informed by legacies of colonialism, racial and class stigma, informality, and state violence. Our objective is to show how “Southern” concepts like hygienisation help urban researchers gain better insight into processes of urban displacement, while also responding to recent calls to decentre and provincialise urban theory

Clinical standards for drug-susceptible TB in children and adolescents

BACKGROUND: These clinical standards aim to provide guidance for diagnosis, treatment, and management of drug-susceptible TB in children and adolescents. METHODS: Fifty-two global experts in paediatric TB participated in a Delphi consensus process. After eight rounds of revisions, 51/52 (98%) participants endorsed the final document. RESULTS: Eight standards were identified: Standard 1, Age and developmental stage are critical considerations in the assessment and management of TB; Standard 2, Children and adolescents with symptoms and signs of TB disease should undergo prompt evaluation, and diagnosis and treatment initiation should not depend on microbiological confirmation; Standard 3, Treatment initiation is particularly urgent in children and adolescents with presumptive TB meningitis and disseminated (miliary) TB; Standard 4, Children and adolescents should be treated with an appropriate weight-based regimen; Standard 5, Treating TB infection (TBI) is important to prevent disease; Standard 6, Children and adolescents should receive home-based/community-based treatment support whenever possible; Standard 7, Children, adolescents, and their families should be provided age-appropriate support to optimise engagement in care and clinical outcomes; and Standard 8, Case reporting and contact tracing should be conducted for each child and adolescent. CONCLUSION: These consensus-based clinical standards, which should be adapted to local contexts, will improve the care of children and adolescents affected by TB.National Institutes of HealthRevisión por pare

Reducing repeat pregnancies in adolescence: applying realist principles as part of a mixed-methods systematic review to explore what works, for whom, how and under what circumstances

BACKGROUND: Previous research has demonstrated emotional, psychological and educational harm to young mothers following unintended conceptions. The UK has one of the highest rates of pregnancies in adolescence in Western Europe with a high proportion of these being repeat pregnancies, making it a topic of interest for public health policy makers, and health and social care practitioners. As part of a wider mixed-methods systematic review, realist principles were applied to synthesise evidence about interventions aiming to reduce repeat pregnancies in adolescence.METHODS: A multi-streamed, mixed-methods systematic review was conducted searching 11 major electronic databases and 9 additional databases from 1995 onwards, using key terms such as pregnancy, teen or adolescent. The principles of realist synthesis were applied to all included literature to uncover theories about what works, for whom, how and in what context. Initial theory areas were developed through evidence scoping, group discussion by the authors and stakeholder engagement to uncover context + mechanism = outcome (CMO) configurations and related narratives.RESULTS: The searches identified 8,664 documents initially, and 403 in repeat searches, filtering to 81 included studies, including qualitative studies, randomised controlled trials, quantitative studies and grey literature. Three CMO configurations were developed. The individual experiences of young mothers' triggered self-efficacy, notions of perceived risks, susceptibility and benefits of pregnancy, resulting in the adolescent taking control of their fertility and sexual encounters. The choice between motherhood and other goals triggered notions of motivations, resulting in the adolescent managing their expectations of motherhood and controlling their fertility and sexual encounters. Barriers and facilitators to accessing services triggered notions of connectedness and self-determination; resulting in interventions that are tailored so they are relevant to young persons, and improve access to services and engagement with the issue of pregnancy in adolescence.CONCLUSIONS: Pregnancy in adolescence is a complex issue with many factors to consider. The conceptual platform described here could help guide policy makers and professionals towards a number of areas that need to be attended to in order to increase the likelihood of an intervention working to prevent rapid repeat pregnancy in adolescence.TRIAL REGISTRATION: PROSPERO CRD42012003168

Polarimetric SAR Image Segmentation with B-Splines and a New Statistical Model

We present an approach for polarimetric Synthetic Aperture Radar (SAR) image region boundary detection based on the use of B-Spline active contours and a new model for polarimetric SAR data: the GHP distribution. In order to detect the boundary of a region, initial B-Spline curves are specified, either automatically or manually, and the proposed algorithm uses a deformable contours technique to find the boundary. In doing this, the parameters of the polarimetric GHP model for the data are estimated, in order to find the transition points between the region being segmented and the surrounding area. This is a local algorithm since it works only on the region to be segmented. Results of its performance are presented