assessing Portugal’s progress towards the noncommunicable disease-related target of the Sustainable Developmental Goals

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Ambulatory chest physiotherapy in mild-to-moderate acute bronchiolitis in children under two years of age - A randomized control trial

Objective: The aim of this study was to compare the role of a chest physiotherapy (CP) intervention to no intervention on the respiratory status of children under two years of age, with mild-to-moderate bronchiolitis. Methods: Out of 80 eligible children observed in the Emergency Room, 45 children completed the study with 28 randomized to the intervention group and 17 to the control group. The intervention protocol, applied in an ambulatory setting, consisted of combined techniques of passive prolonged slow expiration, rhinopharyngeal clearance and provoked cough. The control group was assessed with no chest physiotherapy intervention. The efficacy of chest physiotherapy was assessed using the Kristjansson Respiratory Score at the admission and discharge of the visit to the Emergency Room and during clinical visits at day 7 and day 15. Results: There was a significant improvement in the Kristjansson Respiratory Score in the intervention group compared to the control group at day 15 [1.2 (1.5) versus 0.3 (0.5); p -value =0.005 , in the control and intervention groups, respectively], with a mean difference (95% CI) of −0.9 ( −1.6 to −0.3 ). Conclusion: Chest physiotherapy had a positive impact on the respiratory status of children with mild-to-moderate bronchiolitis. Clinical trial registration: https://clinicaltrials.gov/ct2/show/NCT04260919

Agile training to help enable standardisation of phytoplankton sampling and gross gill terminology across the Scottish sector

Current aquaculture operations in the UK are dominated by finfish farming in Scotland, contributing over £1.8 billion to the Scottish economy with the ambition to double this value by 2030. Finfish health is the top priority across the sector as healthy fish enjoy higher survival rates. One of the most important threats is the occurrence of gill disease, e.g. due to HABs, with potentially devastating impacts on fish health resulting in mortality, reduced welfare, and associated losses in profit on the rise. To understand this threat better, high-quality data generation for reporting is essential. For example, a significant body of work – catalysed by the Scottish Government’s Farmed Fish Health Framework and involving SAIC, agencies, regulators, and a large representation from producers within the sector – acknowledged the need for procedures for sustained and standardised surveillance and reporting of algal blooms, and a standardised operating procedure was developed. The sector representatives are unanimous in the need for developing specific skills to operate under the HABs SOP and in fish health generally. Two courses have been funded by Defra, UK, in the area of aquaculture operators’ skills development. The first course aims for standardisation of HABs sampling and classification, and understanding of the data and modelling associated with mitigation and management of HABs events, and will be delivered through a partnership between SAIC, the Scottish Association for Marine Science (SAMS) and Lantra. The second course is under the health framework and aims to improve the skills and knowledge of technicians and veterinary professionals currently working in, or interested in diversifying into, the seafood sector. An initial aim of the latter course, a partnership between SRUC and SSF, is to standardise salmon gross gill health monitoring terminology

Agile training to help enable standardisation of phytoplankton sampling and gross gill terminology across the Scottish sector

Current aquaculture operations in the UK are dominated by finfish farming in Scotland, contributing over £1.8 billion to the Scottish economy with the ambition to double this value by 2030. Finfish health is the top priority across the sector as healthy fish enjoy higher survival rates. One of the most important threats is the occurrence of gill disease, e.g. due to HABs, with potentially devastating impacts on fish health resulting in mortality, reduced welfare, and associated losses in profit on the rise. To understand this threat better, high-quality data generation for reporting is essential. For example, a significant body of work – catalysed by the Scottish Government’s Farmed Fish Health Framework and involving SAIC, agencies, regulators, and a large representation from producers within the sector – acknowledged the need for procedures for sustained and standardised surveillance and reporting of algal blooms, and a standardised operating procedure was developed. The sector representatives are unanimous in the need for developing specific skills to operate under the HABs SOP and in fish health generally. Two courses have been funded by Defra, UK, in the area of aquaculture operators’ skills development. The first course aims for standardisation of HABs sampling and classification, and understanding of the data and modelling associated with mitigation and management of HABs events, and will be delivered through a partnership between SAIC, the Scottish Association for Marine Science (SAMS) and Lantra. The second course is under the health framework and aims to improve the skills and knowledge of technicians and veterinary professionals currently working in, or interested in diversifying into, the seafood sector. An initial aim of the latter course, a partnership between SRUC and SSF, is to standardise salmon gross gill health monitoring terminology

Q Fever Chronic Osteomyelitis in Two Children

We report 2 cases of chronic Q fever osteomyelitis in 10- and 5-year-old girls who presented with distal right femoral and left parasternal granulomatous osteomyelitis, respectively. Both were treated with ciprofloxacin and rifampin with good response. Q fever osteomyelitis is a challenging diagnosis in children, and the choice of antimicrobial treatment is difficult because of limited available data.info:eu-repo/semantics/publishedVersio

SARS-CoV-2 immunity and vaccine strategies in people with HIV

Current SARS-CoV-2 vaccines, based on the ancestral Wuhan strain, were developed rapidly to meet the needs of a devastating global pandemic. People living with HIV (PLWH) have been designated as a priority group for SARS-CoV-2 vaccination in most regions and varying primary courses (2 or 3-dose schedule) and additional boosters are recommended depending on current CD4+ T cell count and/or detectable HIV viraemia. From the current published data, licensed vaccines are safe for PLWH, and stimulate robust responses to vaccination in those well controlled on antiretroviral therapy and with high CD4+ T cell counts. Data on vaccine efficacy and immunogenicity remain, however, scarce in PLWH, especially in people with advanced disease. A greater concern is a potentially diminished immune response to the primary course and subsequent boosters, as well as an attenuated magnitude and durability of protective immune responses. A detailed understanding of the breadth and durability of humoral and T cell responses to vaccination, and the boosting effects of natural immunity to SARS-CoV-2, in more diverse populations of PLWH with a spectrum of HIV-related immunosuppression is therefore critical. This article summarises focused studies of humoral and cellular responses to SARS-CoV-2 infection in PLWH and provides a comprehensive review of the emerging literature on SARS-CoV-2 vaccine responses. Emphasis is placed on the potential effect of HIV-related factors and presence of co-morbidities modulating responses to SARS-CoV-2 vaccination, and the remaining challenges informing the optimal vaccination strategy to elicit enduring responses against existing and emerging variants in PLWH. Lay Abstract People living with Human Immunodeficiency Virus (PLWH), appear to be at a higher risk (approximately 15%) of becoming more seriously unwell if they are infected with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the virus that causes COVID-19 disease, and at least twice as likely to die from COVID-19 as the rest of the population. SARS-CoV-2 vaccination and boosters are recommended for all PLWH. However, there is limited information about the protective immune responses to both vaccination (and actual infection), the protection against serious COVID-19 disease, and whether the safety profile of the vaccines, which are very safe in the general population, differs in PLWH. Here we summarise findings from studies which looked specifically at vaccine-related immune responses in PLWH, and discuss factors – such as age, known to impact negatively on immune responses in the general population, to see whether this effect is worse in PLWH. A better understanding of these issues will help guide tailored vaccination and prevention strategies for PLWH

Endoscopically assisted procedure for removal of a foreign body from the maxillary sinus and contemporary endodontic surgical treatment of the tooth

There have been reports on the migration of teeth or implants into the maxillary sinus. We know of only one report on the migration of a gutta-percha point that had been used to fill a root canal into the ethmoid sinus. We report such a case treated with an endoscopically assisted procedure for removal of the foreign body and contemporary endodontic surgical treatment of the tooth

Reliability and time-to-failure bounds for discrete-time constrained Markov jump linear systems

[EN] This paper presents a methodology to obtain a guaranteed-reliability controller for constrained linear sys- tems, which switch between different modes according to a Markov chain (Markov jump linear systems). Inside the classical maximal robust controllable set, there is 100% guarantee of never violating constraints at future time. However, outside such set, some sequences might make hitting constraints unavoidable for some disturbance realisations. A guaranteed-reliability controller based on a greedy heuristic approach was proposed in an earlier work for disturbance-free, robustly stabilisable Markov jump linear systems. Here, extensions are presented by, first, considering bounded disturbances and, second, presenting an iterative algorithm based on dynamic programming. In non-stabilisable systems, reliability is zero; therefore, prior results cannot be applied; in this case, optimisation of a mean-time-to-failure bound is proposed, via minor algorithm modifications. Optimality can be proved in the disturbance-free, finitely generated case.The authors gratefully acknowledge the financial support of Spanish MINECO (DPI2011-27845-C02-01, FPU12/02107) and Generalitat Valenciana (PrometeoII/2013/004).Hernandez-Mejias, MA.; Sala, A. (2017). Reliability and time-to-failure bounds for discrete-time constrained Markov jump linear systems. International Journal of Robust and Nonlinear Control. 27:1773-1791. https://doi.org/10.1002/rnc.3635S177317912

Toward High-Precision Measures of Large-Scale Structure

I review some results of estimation of the power spectrum of density fluctuations from galaxy redshift surveys and discuss advances that may be possible with the Sloan Digital Sky Survey. I then examine the realities of power spectrum estimation in the presence of Galactic extinction, photometric errors, galaxy evolution, clustering evolution, and uncertainty about the background cosmology.Comment: 24 pages, including 11 postscript figures. Uses crckapb.sty (included in submission). To appear in ``Ringberg Workshop on Large-Scale Structure,'' ed D. Hamilton (Kluwer, Amsterdam), p. 39