Effects of Voice Pitch on Social Perceptions Vary With Relational Mobility and Homicide Rate

Fundamental frequency ( fo) is the most perceptually salient vocal acoustic parameter, yet little is known about how its perceptual influence varies across societies. We examined how fo affects key social perceptions and how socioecological variables modulate these effects in 2,647 adult listeners sampled from 44 locations across 22 nations. Low male fo increased men’s perceptions of formidability and prestige, especially in societies with higher homicide rates and greater relational mobility in which male intrasexual competition may be more intense and rapid identification of high-status competitors may be exigent. High female fo increased women’s perceptions of flirtatiousness where relational mobility was lower and threats to mating relationships may be greater. These results indicate that the influence of fo on social perceptions depends on socioecological variables, including those related to competition for status and mates

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Search for stop and higgsino production using diphoton Higgs boson decays

Results are presented of a search for a "natural" supersymmetry scenario with gauge mediated symmetry breaking. It is assumed that only the supersymmetric partners of the top-quark (stop) and the Higgs boson (higgsino) are accessible. Events are examined in which there are two photons forming a Higgs boson candidate, and at least two b-quark jets. In 19.7 inverse femtobarns of proton-proton collision data at sqrt(s) = 8 TeV, recorded in the CMS experiment, no evidence of a signal is found and lower limits at the 95% confidence level are set, excluding the stop mass below 360 to 410 GeV, depending on the higgsino mass

Severe early onset preeclampsia: short and long term clinical, psychosocial and biochemical aspects

Preeclampsia is a pregnancy specific disorder commonly defined as de novo hypertension and proteinuria after 20 weeks gestational age. It occurs in approximately 3-5% of pregnancies and it is still a major cause of both foetal and maternal morbidity and mortality worldwide1. As extensive research has not yet elucidated the aetiology of preeclampsia, there are no rational preventive or therapeutic interventions available. The only rational treatment is delivery, which benefits the mother but is not in the interest of the foetus, if remote from term. Early onset preeclampsia (<32 weeks’ gestational age) occurs in less than 1% of pregnancies. It is, however often associated with maternal morbidity as the risk of progression to severe maternal disease is inversely related with gestational age at onset2. Resulting prematurity is therefore the main cause of neonatal mortality and morbidity in patients with severe preeclampsia3. Although the discussion is ongoing, perinatal survival is suggested to be increased in patients with preterm preeclampsia by expectant, non-interventional management. This temporising treatment option to lengthen pregnancy includes the use of antihypertensive medication to control hypertension, magnesium sulphate to prevent eclampsia and corticosteroids to enhance foetal lung maturity4. With optimal maternal haemodynamic status and reassuring foetal condition this results on average in an extension of 2 weeks. Prolongation of these pregnancies is a great challenge for clinicians to balance between potential maternal risks on one the eve hand and possible foetal benefits on the other. Clinical controversies regarding prolongation of preterm preeclamptic pregnancies still exist – also taking into account that preeclampsia is the leading cause of maternal mortality in the Netherlands5 - a debate which is even more pronounced in very preterm pregnancies with questionable foetal viability6-9. Do maternal risks of prolongation of these very early pregnancies outweigh the chances of neonatal survival? Counselling of women with very early onset preeclampsia not only comprises of knowledge of the outcome of those particular pregnancies, but also knowledge of outcomes of future pregnancies of these women is of major clinical importance. This thesis opens with a review of the literature on identifiable risk factors of preeclampsia

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Nanostructured antimicrobials in food packaging-recent advances

Active food packaging systems promote better food quality and/or stability, such as by releasing antimicrobial agents into food. Advantages of adding antimicrobials to the packaging material instead of into the bulk food include controlled diffusion, reduced antimicrobial contents, and improved cost effectiveness. Nanostructured antimicrobials are especially effective due to their high specific surface area. The present review is focused on recent advances and findings on the main nanostructured antimicrobial packaging systems for food packaging purposes. Several kinds of nanostructures, including both inorganic particles and organic structures, have been proven effective antimicrobials by different mechanisms of action and with different application scopes. Moreover, there are systems containing nanocarriers to protect antimicrobials and deliver them in a controlled fashion. On the other hand, scientific data about migration of nanostructures onto food and their toxicity are still limited, requiring special attention from researchers and regulation sectors1412CNPQ - Conselho Nacional de Desenvolvimento Científico e TecnológicoEMBRAPA – Empresa Brasileira de Pesquisa AgropecuáriaFAPESP – Fundação de Amparo à Pesquisa Do Estado De São Paulo01140300103002017/07013‐1; 2017/12174‐4302381/2016‐3; 303796/2014‐6; 304109/2017‐7; 306138/2015‐8; 310355/2015‐0; 402287/2013‐

Survey of Freshly Harvested Oat Grains from Southern Brazil Reveals High Incidence of Type B Trichothecenes and Associated Fusarium Species

The current study investigated the fungal diversity in freshly harvested oat samples from the two largest production regions in Brazil, Paran&aacute; (PR) and Rio Grande do Sul (RS), focusing primarily on the Fusarium genus and the presence of type B trichothecenes. The majority of the isolates belonged to the Fusarium sambucinum species complex, and were identified as F. graminearum sensu stricto (s.s.), F. meridionale, and F. poae. In the RS region, F. poae was the most frequent fungus, while F. graminearum s.s. was the most frequent in the PR region. The F. graminearum s.s. isolates were 15-ADON genotype, while F. meridionale and F. poae were NIV genotype. Mycotoxin analysis revealed that 92% and 100% of the samples from PR and RS were contaminated with type B trichothecenes, respectively. Oat grains from PR were predominantly contaminated with DON, whereas NIV was predominant in oats from RS. Twenty-four percent of the samples were contaminated with DON at levels higher than Brazilian regulations. Co-contamination of DON, its derivatives, and NIV was observed in 84% and 57.7% of the samples from PR and RS, respectively. The results provide new information on Fusarium contamination in Brazilian oats, highlighting the importance of further studies on mycotoxins

CO2 Vertical Profiles on Four Sites over Amazon from 2019 to 2020

To improve diagnosis of Amazonia's carbon cycle, we present a 2 year data (2019 to 2020), complementary to our previosly 9 years (2010 to 2018) observations of lower troposphere CO2 concentrations performed regularly at four aircraft vertical profiling sites spread over the Brazilian Amazonia (Gatti et al., 2021). The four sites from the CARBAM project at Amazonia: SAN (2.86S 54.95W); ALF (8.80S 56.75W); RBA (9.38S 67.62W) and TEF (3.39S 65.6W), started in 2013. The sampling period was typically twice per month (Gatti et al., 2021; Gatti et al., 2014; Basso et al., 2016; Miller et al., 2007; d'Amelio et al., 2009; Domingues et al., 2020). From 2019 to 2020, a total of 141 vertical profiles from 4420 m to 300 m asl. was performed at the 4 sites. The vertical profiles were usually taken between 12:00 and 13:00 local time. Air is sampled by semi-automatic filling of 0.7 L boro-silicate flasks inside purpose-built suitcases (PFP -Programmable Flask Package) (Tans et al., 1996); there are two versions, one with 17 flasks at SAN, and another with 12 flasks at TEF, ALF and RBA. This suitcase is connected to a compressor package (PCP –Portable Compressor Package), containing batteries and 2 compressors, which is connected to an air inlet on the outside of the aircraft at wing or window, depending on the aircraft model. Once a PFP (i.e. one vertical profile) has been filled with air the PFP is transported to the INPE/ LaGEE(Instituto Nacional de Pesquisas Espaciais/Greenhouse Gases Laboratory), in Sao Jose dos Campos, Sao Paulo state, Brazil. This laboratory is a replica of the NOAA/ESRL/GMD trace gas analysis system at Boulder, Colorado, USA, and was constructed in 2003 and sent to IPEN where started the analysis in 2004.Air samples were analysed with a non-dispersive infrared (NDIR) analyser for CO2. To ensure the accuracy, we construct a calibration curve every 2 samples. The calibration curve constructed with 3-standards concentrations, produced by NOAA/ESRL/GMD. The “High” (10 ppm higher than medium), “medium” (similar to mean CO2 concentration founded in Amazonia), and “Low” (10 ppm lower than medium). We have an intercomparison program with NOAA at Natal site (5S, 35W, located at Brazilian northeast coast) where the comparison IPEN/INPE-NOAA was -0.05 ± 0.38ppm. The precision is analysed based on CO2mole fraction from “target tanks” (calibrated CO2in air in high pressure cylinders treated as unknowns by NOAA) and demonstrated long-term repeatability of 0.03ppm and a difference between measured and calibrated values of 0.03 ppm. Additional information can be shared from the LaGEE/INPE group as temperature, precipitation, and others parameters used by the group for the Nature paper entitled “Decrease in Amazonia carbon uptake linked to trends in deforestation and climate” (Gatti et al, 2021)

CH4 Aircraft Vertical Profiles Measurements at Four Amazonian Sites Between 2010 and 2018

To improve diagnosis of Amazonia's carbon cycle, starting in 2010, we initiated regular observation of lower troposphere CH4 concentrations at four aircraft vertical profiling sites spread over the Brazilian Amazonia. The four sites from the CARBAM project at Amazonia: SAN (2.86S 54.95W); ALF (8.80S 56.75W); RBA (9.38S 67.62W); TAB (5.96S 70.06W) was from 2010 to 2012 and TEF (3.39S 65.6W), started in 2013. The sampling period was typically twice per month (Gatti et al., 2014; Basso et al., 2016; Miller et al., 2007; d'Amelio et al., 2009; Domingues et al., 2020). Over nine-years, 590 vertical profiles were performed in a descending spiral profile from 4420 m to 300 m a.s.l. A mean of 75 vertical profiles was performed per year from 2010 to 2018 at the 4 sites, except for 2015 and 2016. In 2015 the flight collection was stopped in April at all sites, returning only in November at RBA. In 2016 only RBA and ALF were measured. The vertical profiles were usually taken between 12:0 and 13:00 local time. Air is sampled by semi-automatic filling of 0.7 L boro-silicate flasks inside purpose-built suitcases (PFP -Programmable Flask Package) (Tans et al., 1996); there are two versions, one with 17 flasks at SAN, and another with 12 flasks at TAB_TEF, ALF and RBA. This suitcase is connected to a compressor package (PCP –Portable Compressor Package), containing batteries and 2 compressors, which is connected to an air inlet on the outside of the aircraft at wing or window, depending on the aircraft model. Once a PFP (i.e. one vertical profile) has been filled with air the PFP is transported (from 2010 to 2014) to the IPEN (Instituto de Pesquisas Energéticas e Nucleares) Atmospheric Chemistry Laboratory in Sao Paulo, Brazil and since 2015 to the INPE/ LaGEE(Instituto Nacional de Pesquisas Espaciais/Greenhouse Gases Laboratory), in Sao Jose dos Campos, Sao Paulo state, Brazil. This laboratory is a replica of the NOAA/ESRL/GMD trace gas analysis system at Boulder, Colorado, USA, and was constructed in 2003 and sent to IPEN where started the analysis in 2004. The CH 4 analysis system is an FID (Flame Ionization Detector) chromatography (HP6890 Plus+ model) with pre-column of 198 cm of length and 3/16” o.d. (Silica Gel 80/100 mesh), a column of 106 cm of length and 3/16” o.d. (Molecular Sieve 5A 80/100 mesh), and a 12 mL volume sample loop (see Basso et al. 2016 for a detailed description). In order to assess the accuracy and long-term repeatability of the CH4 measurements, a previously calibrated sample is measured as an unknown in the system regularly. These results indicate long-term repeatability (one sigma) of 1.0 ppb. An inter-comparison between INPE and NOAA of weekly measurements at NAT (Brazilian northeast coast site) had a mean difference of 0.24±2.67 ppb (r = 0.98)