To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Tuberculosis (TB) is the leading cause of death among infectious diseases worldwide. Among the estimated cases of drug-resistant TB, approximately 60% occur in the BRICS countries (Brazil, Russia, India, China and South Africa). Among Brazilian states, primary and acquired multidrug-resistant TB (MDR-TB) rates were the highest in Rio Grande do Sul (RS). This study aimed to perform molecular characterisation of MDR-TB in the State of RS, a high-burden Brazilian state. We performed molecular characterisation of MDR-TB cases in RS, defined by drug susceptibility testing, using 131 Mycobacterium tuberculosis (M.tb) DNA samples from the Central Laboratory. We carried out MIRU-VNTR 24loci, spoligotyping, sequencing of the katG, inhA and rpoB genes and RDRio sublineage identification. The most frequent families found were LAM (65.6%) and Haarlem (22.1%). RDRio deletion was observed in 42 (32%) of the M.tb isolates. Among MDR-TB cases, eight (6.1%) did not present mutations in the studied genes. In 116 (88.5%) M.tb isolates, we found mutations associated with rifampicin (RIF) resistance in rpoB gene, and in 112 isolates (85.5%), we observed mutations related to isoniazid resistance in katG and inhA genes. An insertion of 12 nucleotides (CCAGAACAACCC) at the 516 codon in the rpoB gene, possibly responsible for a decreased interaction of RIF and RNA polymerase, was found in 19/131 of the isolates, belonging mostly to LAM and Haarlem families. These results enable a better understanding of the dynamics of transmission and evolution of MDR-TB in the region.
Since its development and theorisation in the 60s, attachment theory has greatly influenced both clinical and developmental psychology suggesting the existence of complex dynamics based on the relationship between an infant and its caregiver, that affects personality traits and interpersonal relationships in adulthood. Many studies have been conducted to explore the association between attachment styles and psychosocial functioning and mental health. By contrast, only a few studies have investigated the neurobiological underpinnings of attachment style, showing mixed results. Therefore, in this review, we described current evidence from structural and functional imaging studies with the final aim to disentangle the neural correlates of attachment style in healthy individuals. Overall, different attachment styles have been correlated with volumetric alterations mainly in the cingulate cortex, amygdala, hippocampus and anterior temporal pole. Consistently, functional imaging studies suggested patterns of activations in fronto-striatal-limbic circuits during the processing of social and attachment-related stimuli. Further studies are needed to clarify the neurobiological signature of attachment style, possibly taking into consideration a wide range of demographic, psychosocial and clinical factors that may mediate the associations between the style of attachment and brain systems (e.g., gender, personality traits, psychosocial functioning, early-life experience).
Piezoelectric ceramics generate strain through the intrinsic piezoelectric effect, the motion of ferroelectric domain walls, or through field-induced phase transitions. The enhanced piezoelectric properties observed in morphotropic solid solutions arise from several distinct, but interrelated, mechanisms associated with the near degeneration of the energy surface from cubic to spherical symmetry. The phenomenological theory of ferroelectricity is used to explain the thermodynamic origins of strain generation mechanisms in these solid solutions. The displacement of ferroelectric domain walls is an extrinsic contribution to the piezoelectric response that can be controlled by modifying the host material with small concentrations of dopants. The concept of “hardening” is introduced; hardening can be useful in applications where piezoelectric energy conversion and low energy loss are more important than large strain. The operative mechanisms of strain generation and energy conversion in technologically important lead-based and lead-free piezoelectric materials are summarized.
Addenbrooke's Cognitive Examination III (ACE-III) is a brief cognitive screening tool to assess five cognitive domains: attention/orientation, verbal fluency, memory, language, and visuospatial abilities. This study aimed to provide normative data (for total score and subscale scores) of the Italian version of ACE-III for gender, age, and education.
A total of 574 healthy Italian participants (mean age 68.70 ± 9.65; mean education 9.15 ± 4.04) were recruited from the community and included in the study. Linear regression analysis was performed to evaluate the effects of age, gender, and education on the ACE-III total performance score.
Age and education exerted a significant effect on total and subscale ACE-III scores, whereas gender was on attention/orientation, language, and visuospatial subscale scores. From the derived linear equation, correction grids to adjust raw scores and equivalent scores (ESs) with cut-off values were provided.
The present study provided normative data, correction grids, and ESs for ACE-III in an Italian population.
Although serological assays have been widely used for the diagnosis of canine visceral leishmaniasis (CVL), they present different performances depending on the clinical profile of the dogs. This study evaluated the accuracy of serological tests, immunochromatographic (Dual Path Platform: DPP®) and enzyme-linked immunosorbent (ELISA EIE®), for CVL in relation to the detection of Leishmania DNA through real-time polymerase chain reaction (real-time PCR) in samples from symptomatic and asymptomatic dogs from a non-endemic area in the state of Rio Grande do Sul, Southern Brazil. Serum from 140 dogs (39 symptomatic and 101 asymptomatic) was tested by DPP and ELISA followed by real-time PCR. From a total of 140 samples evaluated, Leishmania DNA was detected by real-time PCR in 41.4% (58/140). Moreover, 67.2% of samples positive in real-time PCR were positive in both DPP and ELISA (39/58), showing moderate agreement between methods. In the symptomatic group, one sample non-reactive in both serological assays was positive in real-time PCR, whereas in the asymptomatic group, 17.8% non-reactive or undetermined samples in serological assays were positive in the molecular method. Leishmania DNA was not detected in 17.9% reactive samples by serological assays from the symptomatic group, and in 3.9% from asymptomatic dogs. Real-time PCR demonstrated greater homogeneity between symptomatic and asymptomatic groups compared with DPP and ELISA. The molecular method can help to establish the correct CVL diagnosis, particularly in asymptomatic dogs, avoiding undesirable euthanasia.
In order to contribute to the discussion of Holocene climate changes, four sediment cores were collected from the northern Brazilian Amazonia lowland. These cores were studied through pollen analysis and sedimentary features, and the results were discussed within a chronological framework provided by radiocarbon dating. The cores were sampled from fluvial terraces representative of channel, floodplain/lake and crevasse splay deposits formed since the mid-Holocene. The pollen samples derive from floodplain/lake deposits and the pollen grains are mainly composed by families Moraceae, Euphorbiaceae, Caesalpiniaceae, Fabaceae, Rubiaceae, Melastomataceae, Combretaceae, Sapindaceae, Poaceae, Cyperaceae, Aizoaceae, Apiaceae and genus Sebastiana. The pollen data suggest no significant vegetation changes in the study area for the past 4808–4886 cal yr BP. This led to proposing stable climatic conditions since at least the middle Holocene. Such a finding is contrary to the occurrence of a dry period during the middle Holocene. The stabilization of the relative sea level about 6000 cal yr BP along the northern Brazilian littoral may have influenced the water table, and favored the establishment and maintenance of Amazonian lowland forest during the mid- and late Holocene. In addition, this process may have attenuated the impact of that dry period in areas under most fluvial influence.
The Late Quaternary climate in Amazonia is an issue still open to debate, with hypotheses varying from alternate dry and wet episodes to stable climate with undisturbed rainforest. We approach this question using δ13C, C/N, and, to a lesser extent, δ15N from deposits derived from four cores, with the results combined with published pollen data from two of these cores. These data were analyzed within the context of radiocarbon dating, which revealed ages ranging from 42.8–41.8 to 2.3–2.2 cal ka BP. Fluvial channel and floodplain deposits with freshwater phytoplankton recorded a trend of wet climate with dry episodes before ~40 cal ka BP, followed by humid and cold climate until the Last Glacial Maximum, with intensified aridity towards the end of the Late Pleistocene. Peaks of increased contributions in C4 land plants in the mid- to late Holocene were not synchronous and have no correspondence with Amazonian Holocene dry episodes, being due to sedimentary processes related to fluvial dynamics during the establishment of herbaceous fields on abandoned depositional sites. Thus, the climate remained wet in the Holocene, which would have favored the expansion of the Amazonian rainforest as we see today.
Amazonian white-sand vegetation has unique tree communities tolerant to nutrient-poor soils of interest for interpreting processes of adaptation in neotropical forests. Part of this phytophysionomy is confined to Late Quaternary megafan palaeo-landforms, thus we posit that sedimentary disturbance is the main ecological factor controlling tree distribution and structuring in this environment. In this study, we characterize the topographic trend of one megafan palaeo-landform using a digital elevation model and verify its relationship to the forest by modelling the canopy height with remote sensing data. We also compare the composition and structure (i.e. canopy height and diameter at breast height) of tree groups from the outer and inner megafan environments based on the integration of remote sensing and floristic data. The latter consist of field inventories of trees ≥ 10 cm dbh using six (500 × 20 m) plots in várzea, terra firme and igapó from the outer megafan and 20 (50 × 20 m) plots in woodlands and forests from the inner megafan. The unweighted pair group method with arithmetic mean (UPGMA) and the non-metric multidimensional scaling (NMDS) were applied for clustering and dissimilarity analyses, respectively. The megafan is a sand-dominated triangular wetland with a topographic gradient of < 15 cm km−1, being more elevated along its axis. The outer megafan has a higher number of tree species (367), taller canopy height (mean of 14.1 m) and higher diameter at breast height (mean of 18.2 cm) than the white-sand forest. The latter records 89 tree species, mean canopy height of 8.4 cm and mean diameter at breast height of 15.3 cm. Trees increase in frequency closer to channels and toward the megafan's axis. The flooded and nutrient-poor sandy megafan substrate favoured the establishment of white-sand vegetation according to the overall megafan topography and morphological heterogeneities inherent to megafan sub-environments.
Background: SIRPIDS were first described in 2004 in patients admitted in an intensive care unit. Despite few studies attempting to better characterize SIRPIDS, their pathophysiology and clinical implication remain uncertain. Methods: Adult patients hospitalized in an intensive care unit with alteration of consciousness who underwent EEG recording in three separate centers were included in this retrospective study. Demographic data and EEG findings were noted. Characteristics of SIRPIDS were documented. The main outcome measures included the incidence of SIRPIDS, association of SIRPIDS with mortality and other EEG characteristics, EEG and clinical predictors of mortality. Results: 416 patients were included and SIRPIDs were identified in 43 patients (10.3%). The proportion of patients with SIRPIDs was not significantly different across the three sites (p=0.3351). Anoxia (p=0.0009), antiepileptic medications (p=0.0109), electrographic seizures (p=0.0259), triphasic waves (p=0.0012) and epileptiform discharges (p=0.0242) were independently associated with the presence of SIRPIDs. Older age (p=0.0050), anoxia (p=<0.0001) and absence of EEG reactivity (p<0.0001), but not SIRPIDs (p=0.1668), were independently associated with in-hospital mortality. Conclusions: In critically ill patients undergoing EEG, SIRPIDs occurred in 10% and were associated with other electrographic abnormalities previously reported to indicate poor prognosis. SIRPIDs were not independently associated with in-hospital mortality.
A sediment core was studied to characterize the influences of Holocene sea-level variations in the Barra Seca River valley, in the Atlantic rainforest, Linhares, Espírito Santo, southeastern Brazil. Biological proxies (pollen, spores, and sponge spicules), 14C dating, granulometry, δ13C, δ15N, C/N and major chemical elements revealed the establishment and the evolution of a paleo-estuary during the interval from ∼7700–585 cal BP. During the interval ∼7700–7000 cal BP, the study site was occupied by a bay-head delta, the inner portion of the paleo-estuary, presenting the most dense mangrove coverage of the entire record. In the interval ∼7000–3200 cal BP, the site was occupied by the central basin, possibly a consequence of the landward migration of the paleo-estuary. This interval presents reduced mangrove coverage, probably due to the permanent flooding of the valley. From ∼3200 cal BP, the marine influence at the site decreased probably as result of the seaward migration of the coast line. From ∼600 cal BP, the modern floodplain and freshwater lake were established. This interpretation is in agreement with the sea-level curves for the southeastern Brazilian coast, except for the fact that evidence of sea levels lower than the present at ∼4000 and ∼2500 cal BP as suggested by some authors were not found.
Analysis of biological proxies in lake sediment and geochemical analysis of soil profiles reveal natural vegetation dynamics, with climate inferences, since the late Pleistocene in a fragment of the pristine lowland Atlantic Forest of southeastern Brazil. Carbon isotopes from soil organic matter and 14C ages from the humin fraction indicate the dominance of C3 plants since ∼17,000 cal BP. Palynological analysis of a sediment core indicates the presence of Atlantic Forest vegetation since 7700 cal BP. Changes in the relative abundance of tree ferns and palms suggest the predominance of a humid period from ∼7000–4000 cal BP and establishment of the modern seasonal climate at ∼4000 cal BP. Data indicate maintenance of the regional forest coverage since the late Pleistocene, corroborating previous suggestions that this region was a forest refuge during less humid periods of the late Pleistocene and Holocene. Some plant taxa with currently divided distributions between Amazonia and the Atlantic Forest colonized the region since at least 7500 cal BP, indicating an earlier connection between Amazonia and Atlantic Forest.
Objective: Idiopathic normal pressure hydrocephalus (INPH) is a neurological disorder presenting with gait, cognitive, and bladder symptoms in the context of ventricular enlargement. Although gait is the primary indicator for treatment candidacy and outcome, additional monitoring tools are needed. Line Tracing Test (LTT) and Serial Dotting Test (SDT), two psychomotor tasks, have been introduced as potential outcome measures but have not been widely studied. This preliminary study examined whether LTT and SDT are sensitive to motor dysfunction in INPH and determined if accuracy and time are important aspects of performance. Methods: Eighty-four INPH subjects and 36 healthy older adults were administered LTT and SDT. Novel error scoring procedures were developed to make scoring practical and efficient; interclass correlation showed good reliability of scoring procedures for both tasks (0.997; p<.001). Results: The INPH group demonstrated slower performance on SDT (p<.001) and made a greater number of errors on both tasks (p<.001). Combined Time/Error scores revealed poorer performance in the INPH group for original-LTT (p<.001), modified-LTT (p≤.001) and SDT (p<.001). Conclusions: These findings indicate LTT and SDT may prove useful for monitoring psychomotor skills in INPH. While completion time reflects impaired processing speed, reduced accuracy may suggest planning and self-monitoring difficulties, aspects of executive functioning known to be compromised in INPH. This is the first study to underscore the importance of performance accuracy in INPH and introduce practical/reliable error scoring for these tasks. Future work will establish reliability and validity of these measures and determine their utility as outcome tools. (JINS, 2016, 22, 341–349)
Twenty-one Lactobacillus helveticus bacteriophages, 18 isolated from different cheese whey starters and three from CNRZ collection, were phenotypically and genetically characterised. A biodiversity between phages was evidenced both by host range and molecular (RAPD-PCR) typing. A more detailed characterisation of six phages showed similar structural protein profiles and a relevant genetic biodiversity, as shown by restriction enzyme analysis of total DNA. Latent period, burst time and burst size data evidenced that phages were active and virulent. Overall, data highlighted the biodiversity of Lb. helveticus phages isolated from cheese whey starters, which were confirmed to be one of the most common phage contamination source in dairy factories. More research is required to further unravel the ecological role of Lb. helveticus phages and to evaluate their impact on the dairy fermentation processes where whey starter cultures are used.
Quaternary post-Barreiras sediments are widespread along Brazil's passive margin. These deposits are well exposed in the onshore Paraíba Basin, which is one of the rift basins formed during the Pangean continental breakup. In this area, the post-Barreiras sediments consist of sandstones with abundant soft-sediment deformation structures related to seismicity contemporaneous with deposition. The trace fossils Thalassinoides and Psilonichnus are found up to 38 m above modern sea level in sandstones dated between 60.0 (± 1.4) and 15.1 (± 1.8) ka. The integration of ichnological and sedimentary facies suggests nearshore paleoenvironments. Such deposits could not be related to eustatic sea-level rise, as this time coincides with the last glaciation. Hence, an uplift of 0.63 mm/yr, or 1.97 mm/yr if sea level was 80 m lower in the last glaciation, would have been required to ascend the post-Barreiras sediments several meters above the present-day sea level during the last 60 ka. This would suggest that the post-rift stage of the South American eastern passive margin may have experienced tectonic reactivation more intense than generally recognized. Although more complete data are still needed, the information presented herein may play an important role in studies aiming to decipher the Quaternary evolution of this passive margin.
John William Polidori (1795–1821) was, for a brief period, the personal physician to Lord Byron. Half Italian, he was the uncle of the Rossetti siblings, and it was William Michael Rossetti, in his role as family recorder, who published Polidori's manuscript diary after nearly a century, in 1911. This account of his time with Byron (which ended two months later when they quarrelled and parted company) is the only contemporary account of the few weeks, crucial to the development of the Romantic movement, during which Mary Shelley's Frankenstein arose from a storytelling competition at the Villa Diodati. Polidori's later career as a physician and writer was hampered by a severe accident in 1817 which left him with brain damage. His most famous work, The Vampyre, was published in 1819, but attributed to Byron, leading both men to threaten the publisher with lawsuits. Polidori died (probably a suicide) two years later.