Sentinel Case of Candida auris in the Western United States Following Prolonged Occult Colonization in a Returned Traveler from India.

Candida auris is an emerging multidrug-resistant yeast with high mortality. We report the sentinel C. auris case on the United States West Coast in a patient who relocated from India. We identified close phylogenetic relatedness to the South Asia clade and ERG11 Y132F and FKS1 S639Y mutations potentially explaining antifungal resistance

QED self-energy contribution to highly-excited atomic states

We present numerical values for the self-energy shifts predicted by QED (Quantum Electrodynamics) for hydrogenlike ions (nuclear charge $60 \le Z \le 110$) with an electron in an $n=3$, 4 or 5 level with high angular momentum ($5/2\le j \le 9/2$). Applications include predictions of precision transition energies and studies of the outer-shell structure of atoms and ions.Comment: 20 pages, 5 figure

Avaliação de cultivares de milho precoce em alguns estados do Nordeste brasileiro.

bitstream/item/88596/1/CPATC-PESQ.-AND.-27-84.pd

Sistemas de cultivo para as culturas de milho, feijão (Phaseolus vulgaris L.) e algodão em consórcio, no Estado de Sergipe.

Área de abrangênia, sistema de cultivo n.1 (milho x feijão), preparo do solo, adubação, plantio, época, cultivares, arranjo espacial, espaçamento e densidade do plantio, tratos culturais, tratos fitossanitários, colheita e beneficiamento, armazenamento, coeficientes técnicos, sistema de cultivo n.2, (milho x feijão x algodão) .bitstream/item/43933/1/CPATC-DOCUMENTOS-04-SISTEMAS-DE-CULTIVO-PARA-AS-CULTURAS-DE-MILHO-FEIJAO-E-ALGODAO-EM-CONSORCIO-N.pd

Influence of migration on the thought process of individuals at ultra-high risk for psychosis

OBJECTIVE To assess the influence of migration on the psychopathological presentation of individuals at ultra-high risk for psychosis (UHR) in São Paulo, Brazil. METHODS This study is part of the Subclinical Symptoms and Prodromal Psychosis (SSAPP) project, a cohort study in São Paulo, Brazil, designed to follow individuals at UHR. After screening with the Prodromal Questionnaire (PQ) and a clinical interview, the Global Assessment of Functioning (GAF) was administered, a neuropsychological assessment was performed, sociodemographic and migration data were obtained. We then analyzed UHR individuals who had migration data to see if migration had any effect on their cognition and psychopathology. Chi-square tests were used for categorical variables, and Student's t test or analysis of variance (ANOVA) were used for nonparametric and parametric distributions, respectively. RESULTS The sample was composed of 42 at-risk subjects, of whom 5 had a migration history in the past two generations. Those with migration history showed significantly more formal thought disturbances (p = 0.012) and sleeping problems (p = 0.033) compared to those without. CONCLUSIONS Our data reinforce migration as a risk factor for psychosis in developing countries as well, and highlights the importance of studying the specific effect of this factor in UHR psychopathology

Driving pressure during general anesthesia for open abdominal surgery (DESIGNATION) : study protocol of a randomized clinical trial

Background Intraoperative driving pressure (Delta P) is associated with development of postoperative pulmonary complications (PPC). When tidal volume (V-T) is kept constant, Delta P may change according to positive end-expiratory pressure (PEEP)-induced changes in lung aeration. Delta P may decrease if PEEP leads to a recruitment of collapsed lung tissue but will increase if PEEP mainly causes pulmonary overdistension. This study tests the hypothesis that individualized high PEEP, when compared to fixed low PEEP, protects against PPC in patients undergoing open abdominal surgery. Methods The "Driving prESsure durIng GeNeral AnesThesIa for Open abdomiNal surgery trial" (DESIGNATION) is an international, multicenter, two-group, double-blind randomized clinical superiority trial. A total of 1468 patients will be randomly assigned to one of the two intraoperative ventilation strategies. Investigators screen patients aged >= 18 years and with a body mass index <= 40 kg/m(2), scheduled for open abdominal surgery and at risk for PPC. Patients either receive an intraoperative ventilation strategy with individualized high PEEP with recruitment maneuvers (RM) ("individualized high PEEP") or one in which PEEP of 5 cm H2O without RM is used ("low PEEP"). In the "individualized high PEEP" group, PEEP is set at the level at which Delta P is lowest. In both groups of the trial, V-T is kept at 8 mL/kg predicted body weight. The primary endpoint is the occurrence of PPC, recorded as a collapsed composite of adverse pulmonary events. Discussion DESIGNATION will be the first randomized clinical trial that is adequately powered to compare the effects of individualized high PEEP with RM versus fixed low PEEP without RM on the occurrence of PPC after open abdominal surgery. The results of DESIGNATION will support anesthesiologists in their decisions regarding PEEP settings during open abdominal surgery

A Cross-Sectional Study of People with Epilepsy and Neurocysticercosis in Tanzania: Clinical Characteristics and Diagnostic Approaches.

Neurocysticercosis (NCC) is a major cause of epilepsy in regions where pigs are free-ranging and hygiene is poor. Pork production is expected to increase in the next decade in sub-Saharan Africa, hence NCC will likely become more prevalent. In this study, people with epilepsy (PWE, n=212) were followed up 28.6 months after diagnosis of epilepsy. CT scans were performed, and serum and cerebrospinal fluid (CSF) of selected PWE were analysed. We compared the demographic data, clinical characteristics, and associated risk factors of PWE with and without NCC. PWE with NCC (n=35) were more likely to be older at first seizure (24.3 vs. 16.3 years, p=0.097), consumed more pork (97.1% vs. 73.6%, p=0.001), and were more often a member of the Iraqw tribe (94.3% vs. 67.8%, p=0.005) than PWE without NCC (n=177). PWE and NCC who were compliant with anti-epileptic medications had a significantly higher reduction of seizures (98.6% vs. 89.2%, p=0.046). Other characteristics such as gender, seizure frequency, compliance, past medical history, close contact with pigs, use of latrines and family history of seizures did not differ significantly between the two groups. The number of NCC lesions and active NCC lesions were significantly associated with a positive antibody result. The electroimmunotransfer blot, developed by the Centers for Disease Control and Prevention, was more sensitive than a commercial western blot, especially in PWE and cerebral calcifications. This is the first study to systematically compare the clinical characteristics of PWE due to NCC or other causes and to explore the utility of two different antibody tests for diagnosis of NCC in sub-Saharan Africa

UMA AÇÃO PIBIDIANA NO CONTEXTO DA LINGUAGEM E DA CULTURA MUSICAL

O presente estudo está relacionado às ações do PIBID, subprojeto música da Escola Municipal Bernardo Moro Sobrinho de Capinzal-SC, através dos bolsistas vinculados à Licenciatura em Música da Unoesc Campus de Capinzal. O PIBID tem o intuito de auxiliar os acadêmicos no inicio de sua carreira, no que tange ações do ensino dentro da musicalização infantil com o objetivo de promover na escola um espaço de educação musical, levando a musicalização em contexto com interdisciplinaridade em prol do desenvolvimento da sensibilidade e da criatividade humana. Nesse sentido, por meio do contato com a linguagem musical, que contribui ativamente com as mudanças socioculturais necessárias para a construção de uma sociedade mais ética e digna, foi construído o Projeto Poesia e Rimas, que aborda o conhecimento sobre versos e estrofes, por meio da música “Deus e eu no sertão”. A prática pedagógica musical ocorreu a partir da criação de estrofes e versos de cunho juninos, criados pelos alunos do 5º ano, que culminou em uma canção inédita denominada “Como é bom as festas de São João”. A canção foi elaborada em sala de aula, com auxílio dos pibidianos, com a finalidade de que aprendessem a linha melódica, dando ênfase às questões musicais da obra. Portanto, essa atividade permitiu que os alunos envolvidos agregassem um conhecimento maior sobre rimas, versos e estrofes, aumentando a capacidade de criação musical, habilidade artística, aprimoramento da ortografia, fortalecimento da cultura das festas juninas, também servindo como estimulo e encontro particular com a arte musical