Managing patients with dengue fever during an epidemic: the importance of a hydration tent and of a multidisciplinary approach

<p>Abstract</p> <p>Background</p> <p>Dengue fever is one of the most common tropical diseases worldwide. Early detection of the disease, followed by intravenous fluid therapy in patients with dengue hemorrhagic fever (DHF) or with warning signs of dengue has a major impact on the prognosis. The purpose of this study is to describe the care provided in a hydration tent, including early detection, treatment, and serial follow-up of patients with dengue fever.</p> <p>Findings</p> <p>The analysis included all patients treated in the hydration tent from April 8 to May 9, 2008. The tent was set up inside the premises of the 2^ndMilitary Firemen Group, located in Meier, a neighborhood in Rio de Janeiro, Brazil. The case form data were stored in a computerized database for subsequent assessment. Patients were referred to the tent from primary care units and from secondary city and state hospitals. The routine procedure consisted of an initial screening including vital signs (temperature, blood pressure, heart rate, and respiratory rate), tourniquet test and blood sampling for complete blood count. Over a 31-day period, 3,393 case recordings were seen at the hydration tent. The mean was 109 patients per day. A total of 2,102 initial visits and 1,291 return visits were conducted. Of the patients who returned to the hydration tent for reevaluation, 850 returned once, 230 returned twice, 114 returned three times, and 97 returned four times or more. Overall, 93 (5.3%) patients with DHF seen at the tent were transferred to a tertiary hospital. There were no deaths among these patients.</p> <p>Discussion</p> <p>As the epidemics were already widespread and there were no technical conditions for routine serology, all cases of suspected dengue fever were treated as such. Implementing hydration tents decrease the number of dengue fever hospitalizations.</p

High-intensity interval training upon cognitive and psychological outcomes in youth : a systematic review

© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).Development of innovative and time-efficient strategies to involve youth in physical activity is pivotal in the actual inactivity pandemic. Moreover, physical activity may improve academic performance, of great interest for educators. This present systematic review aimed to analyze the effects of high-intensity interval training (HIIT) on cognitive performance and psychological outcomes in youth. A database search (Web of Science, PubMed, Scopus, and PsycINFO) for original research articles was performed. A total of eight articles met the inclusion criteria, and the Cochrane risk of bias tool was used. The studies' results were recalculated to determine effect sizes using Cohen's d. Different HIIT interventions reported improvements on cognitive performance at executive function (d = 0.75, +78.56%), linguistic reasoning (d = 0.25, +7.66%), concentration (d = 0.71, +61.10%), selective attention (d = 0.81, +60.73%), non-verbal and verbal abilities (d = 0.88, +47.50%; d = 1.58, +22.61%, respectively), abstract reasoning (d = 0.75, +44.50%), spatial and numerical abilities (d = 37.19, +22.85%; d = 1.20, +8.28%, respectively), and verbal reasoning (d = 1.00, +15.71%) in youth. Regarding psychological outcomes, HIIT showed higher self-concept (d = 0.28, +8.71%) and psychological well-being in boys and girls (d = 0.73, +32.43%, d = 0.39, +11.58%, respectively). To sum up, HIIT interventions between 4-16 weeks, for 8-30 min/session, at ≥85% maximal heart rate, would provide positive effects on cognitive performance and psychological outcomes in youth.This research was funded by Portuguese Foundation for Science and Technology (FCT, I.P.), under the project UIDB/04045/2020.info:eu-repo/semantics/publishedVersio

Teoría de situaciones didácticas gamificadas: un esquema detallado en la enseñanza de la secuencia de Padovan

Este trabalho possui o objetivo de apresentar uma sistematização de saberes para uma possível aplicação da gamificação no ensino da Matemática, fundamentado nas etapas do percurso metodológico da Teoria das Situações Didáticas (TSD) como metodologia de ensino. Para tanto, utilizou-se como base de metodologia de pesquisa as duas fases iniciais da Engenharia Didática (ED), referentes às análises preliminares e a priori. Ademais, usou-se como exemplo o assunto específico da extensão da sequência de Padovan para índice inteiro não positivo, com o enfoque em alunos no nível de graduação. Nesse sentido, o ponto central do trabalho não direciona-se para uma análise dos dados de uma aplicação em si, mas da demarcação de elementos representativos que pleiteiam uma sistematização e acumulação de saberes teóricos/científicos, para a formulação de uma proposta didática e metodológica no ensino da Matemática com a interação das estratégias de gamificação, TSD e ED.The aim of this study is to create a systematisation of knowledge for the possible application of gamification in the teaching of Mathematics, based on the Theory of Didactical Situations (TDS) as a teaching methodology. The preliminary and a priori analysis phases of Didactical Engineering (DE) are used as the basis for the research methodology, taking as a case study the teaching to students at undergraduate level of the extension of the Padovan sequence to a non-positive whole index. The main objective of the research is not, therefore, to analyse the data of the application itself, but to identify the theoretical/scientific knowledge elements that require systematisation and accumulation, in order to formulate a didactic and methodological proposal for the teaching of mathematics that combines gamification strategies, TDS and DE

Wild dogs at stake: deforestation threatens the only Amazon endemic canid, the short-eared dog (Atelocynus microtis)

The persistent high deforestation rate and fragmentation of the Amazon forests are the main threats to their biodiversity. To anticipate and mitigate these threats, it is important to understand and predict how species respond to the rapidly changing landscape. The short-eared dog Atelocynus microtis is the only Amazon-endemic canid and one of the most understudied wild dogs worldwide. We investigated short-eared dog habitat associations on two spatial scales. First, we used the largest record database ever compiled for short-eared dogs in combination with species distribution models to map species habitat suitability, estimate its distribution range and predict shifts in species distribution in response to predicted deforestation across the entire Amazon (regional scale). Second, we used systematic camera trap surveys and occupancy models to investigate how forest cover and forest fragmentation affect the space use of this species in the Southern Brazilian Amazon (local scale). Species distribution models suggested that the short-eared dog potentially occurs over an extensive and continuous area, through most of the Amazon region south of the Amazon River. However, approximately 30% of the short-eared dog's current distribution is expected to be lost or suffer sharp declines in habitat suitability by 2027 (within three generations) due to forest loss. This proportion might reach 40% of the species distribution in unprotected areas and exceed 60% in some interfluves (i.e. portions of land separated by large rivers) of the Amazon basin. Our local-scale analysis indicated that the presence of forest positively affected short-eared dog space use, while the density of forest edges had a negative effect. Beyond shedding light on the ecology of the short-eared dog and refining its distribution range, our results stress that forest loss poses a serious threat to the conservation of the species in a short time frame. Hence, we propose a re-assessment of the short-eared dog's current IUCN Red List status (Near Threatened) based on findings presented here. Our study exemplifies how data can be integrated across sources and modelling procedures to improve our knowledge of relatively understudied species

Associações de Foraminíferos em Resposta a Variações Ambientais da Laguna de Aveiro -- Portugal

This study is based on the characterization of the sedimentary environment in selected sites, located in Aveiro canals and salt-pans, in the eastern-central and northern part of Aveiro Lagoon. Results of physicochemical parameters measured in water and sediment, as well as grain size, geochemical and microfaunal (benthic foraminifera) data are analyzed. The determinants factors of spatial and seasonal variability of living and dead foraminiferal assemblages were analyzed in two sampling periods, late summer and late winter, in order to study the response of these organisms to the impact caused by pollution and sazonal variation of physicochemical parameters. Biotic and abiotic results are analyzed to discriminate sites with different degree of environmental stress. The conditions of salinity, temperature, pH and Eh in the studied sites vary spatially and seasonally. The sediment in these locations is generally poorly oxygenated, suboxic or even anoxic a few millimeters below the surface. Some of the sites are affected by chemicals derived from industrial effluents and urban contaminants. The most polluted areas by heavy metals such as As, Cr, Cu and Zn are Porto de Salreu, Largo do Laranjo and some locals in the city of Aveiro. Foraminiferal assemblages in the studied sites integrate common lagoonal and estuarine euryhaline and eurythermic species, most of which tolerant to the oxygen reduction. The size of the living foraminiferal communities is reduced and their structure affected by increasing concentrations of heavy metals such as As, Cr, Cu and Zn, as well as by the high variability of environmental parameters such as low Eh, related to depressed levels of oxygen in the sediment, leading to the death of many species. The results also indicate a greater tolerance of some opportunistic species to the Pb enrichment, since the environment offer them abundance and quality of food.Este estudo baseia-se na caracterização do ambiente sedimentar de locais selecionados em canais e salinas da cidade de Aveiro, na zona central leste e na zona norte da Ria de Aveiro. Nessa caracterização foram utilizados os resultados de parâmetros físico-químicos medidos na água e nos sedimentos, assim como dados granulométricos, geoquímicos e microfaunais (foraminíferos bentônicos). Os fatores condicionantes da variabilidade espacial e sazonal das associações viva e morta de foraminíferos foram avaliados em dois períodos de amostragem: no final do verão e no final do inverno, tendo em vista a análise da resposta destes organismos ao impacto causado pela poluição e variação sazonal dos parâmetros físico-químicos. Os resultados bióticos e abióticos foram analisados para discriminar locais com diferente grau de estresseambiental. As condições de salinidade, temperatura, pH e Eh nos locais estudados variam espacial e sazonalmente. O sedimento nesses locais é em geral mal oxigenado, subóxico ou mesmo anóxico em alguns milímetros abaixo da superfície. Alguns dos locais encontram-se afetados por contaminantes químicos derivados de efluentes industriais e urbanos. As zonas mais poluídas por metais pesados como o As, Cr, Cu e Zn incluem o Porto de Salreu, Largo do Laranjo e alguns locais da Cidade de Aveiro. As associações de foraminíferos, nos locais estudados, integram espécies euritérmicas e eurihalinas comuns em ambientes lagunares e estuarinos, sendo majoritariamente tolerantes à redução de oxigênio. A dimensão das comunidades vivas de foraminíferos foi reduzida e a sua estrutura afetada pelo aumento das concentrações de metais pesados como As, Cr, Cu e Zn, assim como, pela variabilidade dos parâmetros ambientais, nomeadamente o Eh, relacionado com as condições de oxigenação do sedimento. Os dados indicam que as condições adversas podem ser causa de morte destes organismos. Sugerem também uma maior tolerância destes organismos ao enriquecimento por Pb, desde que o meio lhes proporcione abundância de alimento

Drug resistance, AmpC-β-lactamase and extended-spectrum β-lactamase-producing Enterobacteriaceae isolated from fish and shrimp

ABSTRACT The present study aims to detect the production of extended-spectrum beta-lactamases (ESBL) by enterobacteria isolated from samples of fresh shrimp and fish obtained from the retail trade of the city of Sobral, Ceará State, Brazil. All bacterial isolates were submitted to identification and antimicrobial susceptibility testing using aminopenicillin, beta-lactamase inhibitors, carbapenem, 1st, 2nd, 3rd and 4th generation cephalosporins, and monobactam. Three types of beta-lactamases - ESBL, AmpC and KPC - were investigated. 103 strains were identified, and the most frequent species in shrimp and fish samples was Enterobacter cloacae (n = 54). All the strains were resistant to penicillin and more than 50% of the isolates were resistant to ampicillin and cephalothin. Resistance to three 3rd generation cephalosporins (cefotaxime, ceftriaxone and ceftazidime) and one fourth generation cephalosporin (cefepime) was detected in two isolates of E. cloacae from shrimp samples. Phenotypic detection of AmpC was confirmed in seven strains. The ESBL was detected in two strains of E. cloacae from shrimp samples. No strain showed KPC production. These data can be considered alarming, since food (shrimp and fish) may be carriers of enterobacteria resistant to drugs of clinical interest