1,718 research outputs found
Percepción de agricultores y personal técnico sobre adopción de prácticas agroecológicas en municipios de la provincia de Holguín, Cuba
El objetivo fue conocer la percepción de agricultores y personal técnico sobre la adopción de prácticas agroecológicas en los municipios de Báguanos, Banes y Gibara de la provincia de Holguín; como contribución para propiciar debates en los tomadores de decisiones respecto al mejoramiento de los incentivos. Se realizaron 74 entrevistas a agricultores y a técnicos en los municipios y la información obtenida fue procesada con análisis estadísticos descriptivos con el software XLSTAT 2014. Los resultados muestran diferentes conceptualizaciones de la Agroecología, el predominio de prácticas para la conservación del suelo y recomendaciones del incremento de incentivos para el fomento de alternativas agroecológicas
Risk factors for developing ventilator-associated lower respiratory tract infection in patients with severe COVID-19:a multinational, multicentre study, prospective, observational study
Around one-third of patients diagnosed with COVID-19 develop a severe illness that requires admission to the Intensive Care Unit (ICU). In clinical practice, clinicians have learned that patients admitted to the ICU due to severe COVID-19 frequently develop ventilator-associated lower respiratory tract infections (VA-LRTI). This study aims to describe the clinical characteristics, the factors associated with VA-LRTI, and its impact on clinical outcomes in patients with severe COVID-19. This was a multicentre, observational cohort study conducted in ten countries in Latin America and Europe. We included patients with confirmed rtPCR for SARS-CoV-2 requiring ICU admission and endotracheal intubation. Only patients with a microbiological and clinical diagnosis of VA-LRTI were included. Multivariate Logistic regression analyses and Random Forest were conducted to determine the risk factors for VA-LRTI and its clinical impact in patients with severe COVID-19. In our study cohort of 3287 patients, VA-LRTI was diagnosed in 28.8% [948/3287]. The cumulative incidence of ventilator-associated pneumonia (VAP) was 18.6% [610/3287], followed by ventilator-associated tracheobronchitis (VAT) 10.3% [338/3287]. A total of 1252 bacteria species were isolated. The most frequently isolated pathogens were Pseudomonas aeruginosa (21.2% [266/1252]), followed by Klebsiella pneumoniae (19.1% [239/1252]) and Staphylococcus aureus (15.5% [194/1,252]). The factors independently associated with the development of VA-LRTI were prolonged stay under invasive mechanical ventilation, AKI during ICU stay, and the number of comorbidities. Regarding the clinical impact of VA-LRTI, patients with VAP had an increased risk of hospital mortality (OR [95% CI] of 1.81 [1.40-2.34]), while VAT was not associated with increased hospital mortality (OR [95% CI] of 1.34 [0.98-1.83]). VA-LRTI, often with difficult-to-treat bacteria, is frequent in patients admitted to the ICU due to severe COVID-19 and is associated with worse clinical outcomes, including higher mortality. Identifying risk factors for VA-LRTI might allow the early patient diagnosis to improve clinical outcomes. Trial registration: This is a prospective observational study; therefore, no health care interventions were applied to participants, and trial registration is not applicable
Meningococcal disease in North America: Updates from the Global Meningococcal Initiative
This review summarizes the recent Global Meningococcal Initiative (GMI) regional meeting, which explored meningococcal disease in North America. Invasive meningococcal disease (IMD) cases are documented through both passive and active surveillance networks. IMD appears to be decreasing in many areas, such as the Dominican Republic (2016: 18 cases; 2021: 2 cases) and Panama (2008: 1 case/100,000; 2021: <0.1 cases/100,000); however, there is notable regional and temporal variation. Outbreaks persist in at-risk subpopulations, such as people experiencing homelessness in the US and migrants in Mexico. The recent emergence of β-lactamase-positive and ciprofloxacin-resistant meningococci in the US is a major concern. While vaccination practices vary across North America, vaccine uptake remains relatively high. Monovalent and multivalent conjugate vaccines (which many countries in North America primarily use) can provide herd protection. However, there is no evidence that group B vaccines reduce meningococcal carriage. The coronavirus pandemic illustrates that following public health crises, enhanced surveillance of disease epidemiology and catch-up vaccine schedules is key. Whole genome sequencing is a key epidemiological tool for identifying IMD strain emergence and the evaluation of vaccine strain coverage. The Global Roadmap on Defeating Meningitis by 2030 remains a focus of the GMI.Medical writing support for the development of this manuscript, under the direction of the authors, was provided Matthew Gunther of Ashfield MedComms, an Inizio company. Medical writing support was funded by Sanofi Pasteur. All authors discussed and agreed to the objectives of this manuscript and con- tributed throughout its production. All authors read and approved the final manuscript.S
Highlights from the Pierre Auger Observatory
The Pierre Auger Observatory is the world's largest cosmic ray observatory.
Our current exposure reaches nearly 40,000 km str and provides us with an
unprecedented quality data set. The performance and stability of the detectors
and their enhancements are described. Data analyses have led to a number of
major breakthroughs. Among these we discuss the energy spectrum and the
searches for large-scale anisotropies. We present analyses of our X
data and show how it can be interpreted in terms of mass composition. We also
describe some new analyses that extract mass sensitive parameters from the 100%
duty cycle SD data. A coherent interpretation of all these recent results opens
new directions. The consequences regarding the cosmic ray composition and the
properties of UHECR sources are briefly discussed.Comment: 9 pages, 12 figures, talk given at the 33rd International Cosmic Ray
Conference, Rio de Janeiro 201
Anisotropy studies around the galactic centre at EeV energies with the Auger Observatory
Data from the Pierre Auger Observatory are analyzed to search for
anisotropies near the direction of the Galactic Centre at EeV energies. The
exposure of the surface array in this part of the sky is already significantly
larger than that of the fore-runner experiments. Our results do not support
previous findings of localized excesses in the AGASA and SUGAR data. We set an
upper bound on a point-like flux of cosmic rays arriving from the Galactic
Centre which excludes several scenarios predicting sources of EeV neutrons from
Sagittarius . Also the events detected simultaneously by the surface and
fluorescence detectors (the `hybrid' data set), which have better pointing
accuracy but are less numerous than those of the surface array alone, do not
show any significant localized excess from this direction.Comment: Matches published versio
Anisotropy and chemical composition of ultra-high energy cosmic rays using arrival directions measured by the Pierre Auger Observatory
The Pierre Auger Collaboration has reported evidence for anisotropy in the
distribution of arrival directions of the cosmic rays with energies
eV. These show a correlation with the distribution
of nearby extragalactic objects, including an apparent excess around the
direction of Centaurus A. If the particles responsible for these excesses at
are heavy nuclei with charge , the proton component of the
sources should lead to excesses in the same regions at energies . We here
report the lack of anisotropies in these directions at energies above
(for illustrative values of ). If the anisotropies
above are due to nuclei with charge , and under reasonable
assumptions about the acceleration process, these observations imply stringent
constraints on the allowed proton fraction at the lower energies
Update on the correlation of the highest energy cosmic rays with nearby extragalactic matter
Data collected by the Pierre Auger Observatory through 31 August 2007 showed
evidence for anisotropy in the arrival directions of cosmic rays above the
Greisen-Zatsepin-Kuz'min energy threshold, \nobreak{eV}. The
anisotropy was measured by the fraction of arrival directions that are less
than from the position of an active galactic nucleus within 75 Mpc
(using the V\'eron-Cetty and V\'eron catalog). An updated
measurement of this fraction is reported here using the arrival directions of
cosmic rays recorded above the same energy threshold through 31 December 2009.
The number of arrival directions has increased from 27 to 69, allowing a more
precise measurement. The correlating fraction is , compared
with expected for isotropic cosmic rays. This is down from the early
estimate of . The enlarged set of arrival directions is
examined also in relation to other populations of nearby extragalactic objects:
galaxies in the 2 Microns All Sky Survey and active galactic nuclei detected in
hard X-rays by the Swift Burst Alert Telescope. A celestial region around the
position of the radiogalaxy Cen A has the largest excess of arrival directions
relative to isotropic expectations. The 2-point autocorrelation function is
shown for the enlarged set of arrival directions and compared to the isotropic
expectation.Comment: Accepted for publication in Astroparticle Physics on 31 August 201
Advanced functionality for radio analysis in the Offline software framework of the Pierre Auger Observatory
The advent of the Auger Engineering Radio Array (AERA) necessitates the
development of a powerful framework for the analysis of radio measurements of
cosmic ray air showers. As AERA performs "radio-hybrid" measurements of air
shower radio emission in coincidence with the surface particle detectors and
fluorescence telescopes of the Pierre Auger Observatory, the radio analysis
functionality had to be incorporated in the existing hybrid analysis solutions
for fluoresence and surface detector data. This goal has been achieved in a
natural way by extending the existing Auger Offline software framework with
radio functionality. In this article, we lay out the design, highlights and
features of the radio extension implemented in the Auger Offline framework. Its
functionality has achieved a high degree of sophistication and offers advanced
features such as vectorial reconstruction of the electric field, advanced
signal processing algorithms, a transparent and efficient handling of FFTs, a
very detailed simulation of detector effects, and the read-in of multiple data
formats including data from various radio simulation codes. The source code of
this radio functionality can be made available to interested parties on
request.Comment: accepted for publication in NIM A, 13 pages, minor corrections to
author list and references in v
Search for First Harmonic Modulation in the Right Ascension Distribution of Cosmic Rays Detected at the Pierre Auger Observatory
We present the results of searches for dipolar-type anisotropies in different
energy ranges above eV with the surface detector array of
the Pierre Auger Observatory, reporting on both the phase and the amplitude
measurements of the first harmonic modulation in the right-ascension
distribution. Upper limits on the amplitudes are obtained, which provide the
most stringent bounds at present, being below 2% at 99% for EeV
energies. We also compare our results to those of previous experiments as well
as with some theoretical expectations.Comment: 28 pages, 11 figure
Identifying clouds over the Pierre Auger Observatory using infrared satellite data
We describe a new method of identifying night-time clouds over the Pierre Auger Observatory using infrared data from the Imager instruments on the GOES-12 and GOES-13 satellites. We compare cloud. identifications resulting from our method to those obtained by the Central Laser Facility of the Auger Observatory. Using our new method we can now develop cloud probability maps for the 3000 km(2) of the Pierre Auger Observatory twice per hour with a spatial resolution of similar to 2.4 km by similar to 5.5 km. Our method could also be applied to monitor cloud cover for other ground-based observatories and for space-based observatories. (C) 2013 Elsevier B.V. All rights reserved.The successful installation, commissioning, and operation of the
Pierre Auger Observatory would not have been possible without
the strong commitment and effort from the technical and adminis-
trative staff in Malargüe.
We are very grateful to the following agencies and organiza-
tions for financial support: Comisión Nacional de Energía Atómica,
Fundación Antorchas, Gobierno De La Provincia de Mendoza,
Municipalidad de Malargüe, NDM Holdings and Valle Las Leñas,
in gratitude for their continuing cooperation over land access,
Argentina; the Australian Research Council; Conselho Nacional de
Desenvolvimento Científico e Tecnológico (CNPq), Financiadora
de Estudos e Projetos (FINEP), Fundação de Amparo à Pesquisa do
Estado de Rio de Janeiro (FAPERJ), Fundação de Amparo à Pesquisa
do Estado de São Paulo (FAPESP), Ministério de Ciência e Tecnolo-
gia (MCT), Brazil; AVCR AV0Z10100502 and AV0Z10100522, GAAV
KJB100100904, MSMT-CR LA08016, LG11044, MEB111003,
MSM0021620859, LA08015, TACR TA01010517 and GA UK
119810, Czech Republic; Centre de Calcul IN2P3/CNRS, Centre Na-
tional de la Recherche Scientifique (CNRS), Conseil Régional Ile-de-
France, Département Physique Nucléaire et Corpusculaire (PNC-
IN2P3/CNRS), Département Sciences de l’Univers (SDU-INSU/
CNRS), France; Bundesministerium für Bildung und Forschung
(BMBF), Deutsche Forschungsgemeinschaft (DFG), Finanzministeri-
um Baden-Württemberg, Helmholtz-Gemeinschaft Deutscher
Forschungszentren (HGF), Ministerium für Wissenschaft und
Forschung, Nordrhein-Westfalen, Ministerium für Wissenschaft,
Forschung und Kunst, Baden-Württemberg, Germany; Istituto
Nazionale di Fisica Nucleare (INFN), Ministero dell’Istruzione,
dell’Università e della Ricerca (MIUR), Italy; Consejo Nacional de Ciencia y Tecnología (CONACYT), Mexico; Ministerie van Ond-
erwijs, Cultuur en Wetenschap, Nederlandse Organisatie voor Wet-
enschappelijk Onderzoek (NWO), Stichting voor Fundamenteel
Onderzoek der Materie (FOM), Netherlands; Ministry of Science
and Higher Education, Grant Nos. N N202 200239 and N N202
207238, Poland; Portuguese national funds and FEDER funds with-
in COMPETE - Programa Operacional Factores de Competitividade
through Fundação para a Ciência e a Tecnologia, Portugal; Roma-
nian Authority for Scientific Research ANCS, CNDI-UEFISCDI part-
nership projects nr.20/2012 and nr.194/2012, project nr.1/
ASPERA2/2012 ERA-NET and PN-II-RU-PD-2011-3-0145-17, Roma-
nia; Ministry for Higher Education, Science, and Technology, Slove-
nian Research Agency, Slovenia; Comunidad de Madrid, FEDER
funds, Ministerio de Ciencia e Innovación and Consolider-Ingenio
2010 (CPAN), Xunta de Galicia, Spain; The Leverhulme Foundation,
Science and Technology Facilities Council, United Kingdom;
Department of Energy, Contract Nos. DE-AC02-07CH11359, DE-
FR02-04ER41300, DE-FG02-99ER41107, National Science Founda-
tion, Grant No. 0450696, The Grainger Foundation USA; NAFO-
STED, Vietnam; Marie Curie-IRSES/EPLANET, European Particle
Physics Latin American Network, European Union 7th Framework
Program, Grant No. PIRSES-2009-GA-246806; and UNESCO.
We would like to thank the former Michigan Tech students:
Nathan Kelley-Hoskins, Kyle Luck and Arin Nelson for their impor-
tant contribution to the development of this paper. We would like
to thank NOAA for the GOES satellite data that we freely down-
loaded from their website. Also, we would like to mention in these
acknowledgments Dr. Steve Ackerman and Dr. Tony Schreiner for
very valuable conversationsPeer reviewe
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