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This study presents a coding scheme for design protocols that is derived from Triple Process Theory postulating the existence of three categories of cognitive processes: spontaneous, deliberate, and metacognitive. We applied the coding scheme to think-aloud protocols of designers engaged in an open design task. Results show that all three types occur during designing. The scheme we propose has the potential to ground accounts of Triple Process Theory for design in empirical studies. We explore the relation between design sessions outcomes and shifts between cognitive processes.
For decades, the Brazilian north-east coast has been a recognized feeding area for five sea turtle species. However, it still lacks information about stranding patterns. A decade of a beach monitoring programme (from 2010–2019) provided information on the composition, abundance and spatio-temporal distribution of stranded sea turtle species along a semiarid coast in the western equatorial Atlantic. A total of 905 individuals of four species were recorded in a route of ~130 km. The most stranded group was the juvenile green turtles (Chelonia mydas), followed by Lepidochelys olivacea, Eretmochelys imbricata and Caretta caretta. The strandings present a seasonal and geographic pattern, and therefore any conservation measure to be implemented must consider these patterns. Also, the possible occurrence of fibropapillomatosis tumours calls for additional studies to understand its causes. Lastly, stranded sea turtles eventually show marks of fishery interaction, which indicate the need for environmental education programmes with fishing communities.
In this paper we apply Conley index theory in a covering space of an invariant set S, possibly not isolated, in order to describe the dynamics in S. More specifically, we consider the action of the covering translation group in order to define a topological separation of S which distinguishes the connections between the Morse sets within a Morse decomposition of S. The theory developed herein generalizes the classical connection matrix theory, since one obtains enriched information on the connection maps for non-isolated invariant sets, as well as for isolated invariant sets. Moreover, in the case of an infinite cyclic covering induced by a circle-valued Morse function, one proves that the Novikov differential of f is a particular case of the p-connection matrix defined herein.
The inoculation with Azospirillum brasilense has the potential to reduce the use of mineral fertilizers with efficient capacity to promote plant growth and yield. Most studies on the Azospirillum–plant association have been conducted on cereals and annual grasses. More studies are needed in perennial pastures, such as bermudagrass (Cynodon dactylon (L.) Pers.) that require substantial nitrogen (N) fertilization to maximize their production potential. Therefore, pastures based on Tifton 85 bermudagrass in association with annual ryegrass (Lolium multiflorum Lam.), which were inoculated with A. brasilense and fertilized with increasing amounts of N fertilizer and grazed by lactating Holstein cows were evaluated. Three grazing systems were evaluated: (i) Tifton 85, inoculated + 180 kg N/ha per year; (ii) Tifton 85 + 230 kg N/ha per year; and (iii) Tifton 85 + 280 kg N/ha per year. Forage samples were collected before and after grazing to evaluate the responses of the plants and animals. The forage yields of the systems were 21.0, 20.8 and 22.1 t DM/ha per year and the stocking rates were 3.9, 3.8 and 4.0 animal unit/ha per day, respectively. Crude protein, total digestible nutrients and neutral detergent fibre concentrations were 162, 560 and 667 g/kg, respectively. Inoculation in pastures planted with Tifton 85 bermudagrass in combination with ryegrass (plus 180 kg N/ha per year) had a positive effect, providing forage yield and nutritional value equivalent to those with fertilization with 230 kg N/ha per year.
This paper presents results from a design neurocognition study on the effect of gender on EEG frequency band power when performing constrained and open design. We used electroencephalography to measure the brain activity of 84 professional designers. We investigated differences in frequency power associated with gender of 38 female and 46 male designers, while performing two prototypical design tasks. The aim of the study was to explore whether gender moderates brain activity while performing a constrained versus an open design task. Neurophysiological results for aggregate activations across genders and between tasks indicate a main effect of gender for theta, alpha 2, and beta 1 frequency bands. Females show higher theta, alpha 2, and beta 1, namely in the right dorsolateral prefrontal cortex, right occipitotemporal cortex, secondary visual cortex, and prefrontal cortex in both tasks. Females show higher beta bands than males, in areas of the left prefrontal cortex, in the constrained design. While in the open design, females showed higher theta, alpha, and beta 2 in the left prefrontal cortex and secondary visual cortex for all frequency bands. Results within gender between tasks indicate higher theta and alpha in the prefrontal cortex in the constrained design for both genders. Whilst for open design, results indicate higher theta and alpha 1 in the right hemisphere and higher alpha 2 and beta bands across hemispheres for both genders. Results within gender reveal common brain areas and frequency bands in distinguishing constrained from open design.
To identify drugs that were administered off label to hospitalized patients with suspected coronavirus disease 2019 (COVID-19) and to identify adverse drug reactions (ADRs) and drug–drug interactions associated with these therapies.
Methods:
This case–control study was conducted in a Brazilian hospital from March to April 2020 among patients with suspected COVID-19, comparing those with positive severe acute respiratory coronavirus virus 2 (SARS-CoV-2) reverse-transcriptase polymerase chain reaction (RT-PCR) results and those with negative results.
Results:
The most commonly used medications in both groups were azithromycin and hydroxychloroquine. There was a significantly higher prevalence of reactions among patients with positive RT-PCR for SARS-CoV-2 (48.5% vs 28.8%; P = .008) in the propensity score–matched cohort, and the most commonly reported ADRs among these patients were diarrhea (43.8%), elevated liver enzymes (31.3%), and nausea and vomiting (29.7%).
Conclusions:
Our data demonstrate that ADRs and drug–drug interactions are common with off-label treatments for COVID-19.
Neurocysticercosis is a parasitic infection of the central nervous system and caused by the pork tapeworm Taenia solium. Humans become infected after consuming undercooked food or water contaminated with tapeworm eggs, or through poor hygiene practices. The clinical manifestations of neurocysticercosis (NCC) largely depend on the number, type, size, localization, and stage of development of cysticerci, as well as on the host immune response against the parasite. Seizures are the most common manifestations of NCC (70–90%) of patients, followed by headache (38%), focal deficits (16%) and signs of intracranial hypertension (ICH) (12%), but psychiatric symptoms can also be seen.
Objectives
Literature review on neuropsychiatric manifestations of neurocysticercosis, based on a clinical case.
Methods
Pubmed search using the keywords neurocysticercosis, psychiatric comorbidity, neuropsychiatric manifestations.
Results
We present a clinical case of a 29-year-old male patient, with history of an epilepsy, that immigrated to Portugal with his family from Cape Verde for specialized medical care. He presented to the ER with an acute psychotic episode characterized by disorientation, persecutory ideation, psychomotor agitation and violent behavior. Brain CT scan showed multiple calcifications in cerebral parenchyma and CSF was positive for antibodies against T. solium.
Conclusions
The polymorphous symptomatology seen in NCC is mimicked only by neuro-tuberculosis and neurosyphilis in developing countries, and multiple sclerosis in the Western countries. Psychiatric symptoms are a part of the clinical presentation of infectious diseases. It is important to consider NCC in endemic areas presenting with psychiatric symptoms, especially those showing poor response to the standard treatment and in those with history of seizures.
Coronavirus disease (COVID-19) has been associated with the development mental and behavioural symptoms and psychiatric disorders. This association is stronger in severe cases of the disease and in those needing inpatient treatment, particularly in intensive care units (ICU).
Objectives
To determine the incidence of psychiatric disorders in a Portuguese hospital-based sample of patients with COVID-19. To describe relevant demographic and clinical data.
Methods
We reviewed all COVID-19 inpatients assessed by liaison psychiatry at our hospital between April and September 2020. Patients admitted due to a psychiatric disorder were excluded from the analysis. We reviewed medical records and retrieved relevant clinical data. ICD-10 was used to classify diagnoses.
Results
We identified 36 cases with a mean age of 62.64 years-old (SD 19.23). The most common disorder was delirium, which occurred in 41.7% of our sample (15 patients), followed by adjustment disorder (22.2%, n=8), and depressive episode (16.7%, n=8). Most patients had no personal (61.1%, n=22) nor family (75%, n=27) history of a psychiatric disorder. Mean length of admission was 36.89 days (SD 28.91). Seventeen cases (47.22%) had at least one risk factor for severe COVID-19 disease and 14 (38.89%) were admitted at some point to the ICU.
Conclusions
In our sample, delirium was the main cause for mental or behavioural symptoms in COVID-19 patients. However, we observed a wide array of presentations in our center. A larger sample would allow to better characterize this often-overlooked symptoms and identify risk factors to psychiatric syndromes.
Ramadan happens in the ninth month of the Muslim lunar calendar. The cycle of the sun marks the beginning and the end of fasting. Its duration varies depending on the season: approximately 18 h in the summer to approximately 12 h during winter. The obligation to eat only during the night leads to an important change in the circadian rhythm There are certain psychiatric illnesses wherein people are very sensitive to this circadian disruption, bipolar disorder in particular. We know that a regulated circadian rhythm with adequate sleep are essential for symptom regulation and mood stability, with the risk of relapse or worsening symptoms. Additionally, some medications have to be maintained at a specific therapeutic index, namely lithium, a common mood stabilizer used to treat bipolar disorder.
Objectives
To review the impact of Ramadan on patients with bipolar disorder
Methods
Pubmed and Google Scholar search using the keywords Bipolar disorder, Ramadan, circadian rhythm, fasting, sleep deprivation
Results
All physiologic parameters are influenced by the circadian rhythm, which is influenced in its turn by the food rhythm. Studies on the effects of Ramadan on mood and mental health in the general population provide contradicting evidence. The inability to take medications during the day, dehydration and other somatic changes that necessitate dosing modification may lead to psychiatric symptom exacerbation.
Conclusions
Patients with bipolar disorder might be particularly sensitive to circadian rhythm disturbances and could require increased monitoring of their symptoms during this month.
To investigate the association between the Children’s Dietary Inflammatory Index (C-DIITM) scores and atherogenic risk in Brazilian schoolchildren.
Design:
A cross-sectional representative study. Three 24-h dietary recalls were performed to evaluate food consumption and to calculate C-DII scores. Blood samples were collected for the lipid profile analysis (serum total cholesterol (TC), HDL-cholesterol, LDL-cholesterol, VLDL-cholesterol and triglycerides (TAG)) and to determine atherogenic indexes (Castelli risk indexes I and II, lipoprotein combined index (LCI), and atherogenic index of plasma and atherogenic coefficient (AC)). A semi-structured questionnaire was used to obtain sociodemographic characteristics and screen time. Body fat was assessed by dual-energy X-ray absorptiometry. We compared the distributions of outcomes by C-DII categories using multivariable linear regression.
Setting:
Viçosa, Minas Gerais, Brazil.
Participants:
Three hundred seventy-eight children between the ages of 8 and 9 years.
Results:
The mean C-DII score was 0·60 ± 0·94, and the prevalence of dyslipidaemia was 70 %. Children with hypercholesterolaemia and hypertriglyceridaemia had higher C-DII scores. The C-DII was directly associated with atherogenic risk. Every 1 sd of C-DII was associated with a 0·07 (0·01, 0·13), 1·94 (0·20, 3·67), 0·06 (0·002, 0·12) and 0·12 (0·02, 0·22) units higher TC:HDL cholesterol ratio, LCI, AC and accumulation of altered dyslipidaemia markers (high TC + high LDL-cholesterol + high TAG + low HDL-cholesterol), respectively.
Conclusions:
Dietary inflammatory potential, as estimated by the C-DII, is directly associated with atherogenic risk in Brazilian schoolchildren. This results reinforce the importance of effective nutritional policies to promote healthy eating habits and improve children’s lipid profiles.
Human ascariasis is the most common and prevalent neglected tropical disease and is estimated that ~819 million people are infected around the globe, accounting for 0.861 million years of disability-adjusted life years in 2017. Even with the existence of highly effective drugs, the constant presence of infective parasite eggs in the environment contribute to a high reinfection rate after treatment. Due to its high prevalence and broad geographic distribution Ascaris infection is associated with a variety of co-morbidities and co-infections. Here, we provide data from both experimental models and humans studies that illustrate how complex is the interaction of Ascaris with the host immune system, especially, in the context of reinfections, co-infections and associated co-morbidities.
XtendFlex® technology from Bayer allows growers to apply glyphosate, glufosinate, and dicamba POST to cotton. Since the evolution and spread of glyphosate-resistant weed species, early POST applications with several modes of action have become common. However, crop injury potential from these applications warrants further examination. Field studies were conducted from 2015 to 2017 at two locations in Mississippi to evaluate XtendFlex® cotton injury from herbicide application. Herbicide applications were made to XtendFlex® cotton at the three- to six-leaf stage with herbicide combinations composed of two-, three-, and four-way combinations of glyphosate, glufosinate, S-metolachlor, and three formulations of dicamba. Data collection included visual estimations of injury, stand counts, cotton height, total mainstem nodes, and nodes above whiteflower at first bloom. Data collection at the end of the season included cotton height, total mainstem nodes, and nodes above cracked boll. Visual estimations of injury from herbicide applications were highest at 3 d following applications containing glufosinate + S-metolachlor (36% to 41% injury) and glufosinate + S-metolachlor in combination with dicamba + glyphosate (39% to 41% injury), regardless of the dicamba formulation. Crop injury decreased at each rating interval and dissipated by 28 d following applications (P = 0.3748). Height reductions were present at first bloom and at the end of the season (P < 0.0001), although cotton yield was unaffected (P = 0.2089), even when injury at 3 d after application was greater than 30%. Results indicate that growers may apply a variety of herbicide tank mixtures to XtendFlex® cotton and expect no yield penalty. Furthermore, if growers are concerned with cotton injury after herbicide applications, the use of glufosinate in combination with S-metolachlor should be approached with caution in XtendFlex® cotton.
Weedy rice (WR) (Oryza spp.) is the most troublesome weed infesting rice paddies in Brazil. Several changes have occurred in this region regarding crop management, especially WR control based on the Clearfield® (CL) rice production system launched in 2003. This survey’s objective was to evaluate the WR infestation status by assessing the producers’ perception and the management practices used in southern Brazil after 18 yr of CL use in Brazil. Rice consultants and extension agents distributed a questionnaire to 213 producers in the Rio Grande do Sul (RS) and Santa Catarina (SC) states in the 2018 to 2019 growing season. In RS, most farms are larger than 150 ha, and farmers have adopted the CL system for more than 2 yr and use minimal or conventional tillage, permanent flooding, clomazone PRE tank-mixed with glyphosate at the rice spiking stage, and crop rotation with soybean [Glycine max (L.) Merr.] or pasture. In SC, rice farms are small, averaging from 20 to 30 ha, farmers predominantly plant pre-germinated rice and do not rotate rice with other crops, and roguing is practiced. Comparing both states, the CL system is used in 99.5% and 69.3% of the total surveyed rice areas in RS and SC, respectively. Imidazolinone-resistant WR is present in 68.4% and 26.6% of rice farms in RS and SC, respectively. Rice cultivation in Brazil is currently coexisting with WR with minimal integration of control methods. However, integrated practices can control this weed and are fundamental to the sustainability of systems based on herbicide-resistant rice cultivars.
Strenuous physical activity, sleep deprivation and psychological stress are common features of military field training. The present study aimed to evaluate the effects of supplementation with a synbiotic ice cream on salivary IgA, gastrointestinal symptoms, well-being indicators and gut microbiota in young military participants undergoing field training. Sixty-five military completed the study: one group was supplemented for 30 d with synbiotic ice cream containing: 2·1 × 108 CFU/g for Lactobacillus acidophilus LA-5 and 2·7 × 109 CFU/g for Bifidobacterium animalis BB-12 and 2·3 g of inulin in the 60 g of ice cream at manufacture, and the other with a placebo ice cream. Volunteers were evaluated at pre-supplementation (baseline), post-supplementation and after a 5-d military training. Bifidobacterium and Lactobacillus genera were measured in stool samples and both showed a higher differential abundance post-supplementation and training. Salivary IgA and gastrointestinal symptoms decreased at post-training in both groups (P < 0·05; main effect of time); however, supplementation with synbiotic did not mitigate this effect. Tenseness and sleepiness were decreased in the synbiotic-treated group, but not in the placebo group at post-military training (P = 0·01 and 0·009, respectively; group × time effect). The other well-being indicators were not affected by the synbiotic supplementation. In conclusion, 30 d of synbiotic ice cream supplementation containing inulin, L. acidophilus LA-5 and B. animalis BB-12 favourably modulated gut microbiota and improved tenseness and sleepiness in healthy young military undergoing a 5-d field training. These improvements may be relevant to this population as they may influence the decision-making process in an environment of high physical and psychological stress.
We show that the Weibel or current filamentation instability can lead to the emission of circularly polarized radiation. Using particle-in-cell simulations and a radiation post-processing numerical algorithm, we demonstrate that the level of circular polarization increases with the initial plasma magnetization, saturating at ${\sim }13\,\%$ when the magnetization, given by the ratio of magnetic energy density to the electron kinetic energy density, is larger than 0.05. Furthermore, we show that this effect requires an ion–electron mass ratio greater than unity. These findings, which could also be tested in currently available laboratory conditions, show that the recent observation of circular polarization in gamma-ray burst afterglows could be attributed to the presence of magnetized current filaments driven by the Weibel or current filamentation instability.
Bryozoans with calcified frontal shields formed by the fusion of costae, collectively constituting a spinocyst, are traditionally assigned to the family Cribrilinidae. Today, this family is regarded as nonmonophyletic. In the Argentine Cenozoic, cribrilinids were until recently represented by only two fossil species from the Paleocene of Patagonia. This study describes the first fossil representatives of Jolietina and Parafigularia: J. victoria n. sp. and P. pigafettai n. sp., respectively. A fossil species of Figularia, F. elcanoi n. sp., is also described. The material comes from the early Miocene of the Monte León and Chenque formations (Patagonia, Argentina). For comparison, we also provide redescriptions of the remaining extant species of Jolietina: J. latimarginata (Busk, 1884) and J. pulchra Canu and Bassler, 1928a. The systematic position of some species previously assigned to Figularia is here discussed. Costafigularia n. gen. is erected, with Figularia pulcherrima Tilbrook, Hayward, and Gordon, 2001 as type species. Two species previously assigned to Figularia are here transferred to Costafigularia, resulting in C. jucunda n. comb. and C. tahitiensis n. comb. One species of Figularia is reassigned to Vitrimurella, resulting in V. ampla n. comb. The family Vitrimurellidae is here reassigned to the superfamily Cribrilinoidea. The subgenus Juxtacribrilina is elevated to genus rank. Inferusia is regarded as a subjective synonym of Parafigularia. Parafigularia darwini Moyano, 2011 is synonymized with I. taylori Kuklinski and Barnes, 2009, resulting in Parafigularia taylori n. comb. Morphological data suggest that these genera comprise different lineages, and a discussion on the disparities among cribrilinid (sensu lato) spinocysts is provided.
Mucositis is an inflammation of the gastrointestinal mucosa resulting from high doses of radio/chemotherapy treatment and may lead to interruption of antineoplasic therapy. Soluble fibres, like pectin, increase SCFA production, which play a role in gut homoeostasis and inflammation suppression. Due to the properties of pectin, the aim of the present study was to evaluate the effect of a high-fibre (HF) diet on chemotherapy-induced mucositis in a murine model. C57/BL6 mice received control (AIN93M), HF, low/zero fibre (LF) diets for 10 d prior to mucositis challenging with irinotecan (75 mg/kg), or they were treated with acetate added to drinking water 5 d prior to and during the mucositis induction. Mice that received the HF diet showed decreased immune cells influx and improved histopathological parameters in the intestine, compared with mice that received the normal diet. Furthermore, the HF diet decreased intestinal permeability induced in the mucositis model when compared with the control group. This effect was not observed for acetate alone, which did not improve gut permeability. For instance, mice that received the LF diet had worsened gut permeability, compared with mice that received the normal diet and mucositis. The effects of the HF and LF diets were shown to modulate the intestinal microbiota, in which the LF diet increased the levels of Enterobacteriaceae, a group associated with gut inflammation, whereas the HF diet decreased this group and increased Lactobacillus and Bifidobacterium (SCFA producers) levels. In conclusion, the results demonstrated the importance of dietary fibre intake in the modulation of gut microbiota composition and homoeostasis maintenance during mucositis in this model.
Babies born small-for-gestational age (SGA) have an increased risk of mortality, morbidity and adverse functional consequences. Studies suggest that pre-pregnancy maternal diet may influence newborns’ size. This study aimed to determine whether maternal pre-pregnancy dietary patterns (DP) are associated with delivering SGA newborns in the ProcriAr Cohort Study, Sao Paulo-Brazil. Pre-pregnancy DP of 299 women were investigated using factor analysis with principal component’s estimation, based on intake reported on a validated 110-item FFQ. Newborns were classified as SGA if their weight and/or length, adjusted by gestational age and sex, were below the 10th percentile of the INTERGROWTH-21st standards. Multivariate Poisson regression modelling with robust error variance was performed to examine associations between the different DP (in quintiles) and SGA. In a model adjusted by maternal sociodemographic and health behaviours, women who scored in the highest quintile of the DP ‘Snacks, sandwiches, sweets and soft drinks’ (in relation to the women who scored in the lowest quintile) were significantly more likely to deliver SGA babies (relative risk 1·92; 95 % CI 1·08, 3·39). This study verified that women’s pre-pregnancy dietary behaviour characterised by an energy-dense nutrient-poor food intake was a risk factor for delivering SGA newborns. Investments in education and improved access to healthful food and nutritional information before pregnancy should be prioritised due to their potential positive impact on child health. However, further studies are warranted to identify specific metabolic pathways that may be underlying these associations.
African animal trypanosomiasis (AAT) affects the livestock of 12.3 million Somalis and constrains their development and wellbeing. There is missing data on AAT in the country after the civil war of the 1990s. Therefore, this study has aimed to assess the prevalence of Trypanosoma spp. in 614 blood samples from cattle (n = 202), goats (n = 206) and sheep (n = 206) in Afgoye and Jowhar districts, Somalia using parasitological and molecular methods. Twenty-one out of 614 (3.4%; 95% CI: 2.1–5.2%) and 101/614 (16.4%; 95% CI: 13.6–19.6%) ruminants were positive for Trypanosoma spp. by buffy coat technique (BCT) and internal transcribed spacer 1 (ITS1)-polymerase chain reaction (PCR), respectively. Using ITS1-PCR, the highest prevalence was observed in cattle (23.8%; 95% CI: 18.4–30.1%) followed by goats (17.5%; 95% CI: 12.9–23.3%) and sheep (8.3%; 95% CI: 5.1–12.9%). A total of 74/101 (73.3%; 95% CI: 63.5–81.6%) ruminants were shown coinfection with at least two Trypanosome species. The four T. brucei-positive samples have tested negative for T. b. rhodesiense, by the human-serum-resistance-associated-PCR. Trypanosoma evansi, T. godfreyi, T. vivax, T. brucei, T. simiae and T. congolense were the Trypanosoma species found in this study. This is the first study on the molecular detection of Trypanosoma sp. in ruminants in Somalia. Further investigations and control measures are needed to manage Trypanosomiasis spreading in the country. Studies should also focus on the detection of T. b. rhodesiense in the country.
To investigate knowledge and practice of Brazilian public primary and secondary health care dentists during the coronavirus disease (COVID-19) pandemic.
Methods:
An online questionnaire with sociodemographic and COVID-19 knowledge questions was used.
Results:
A total of 4048 dentists working in the Brazilian public primary and secondary health care system were investigated; 4024 (99.41%) believe that COVID-19 can be transmitted through dental procedures. A fair level of COVID-19 symptoms knowledge by these dentists was observed (3.76±1.27 of 6.00), as well as the skepticism in personal protective equipment (3382; 83.55%) and biosafety procedures (3278; 80.98%) used as an efficient form of COVID-19 transmission prevention. Country region, performance of social distancing, dental specialty, the use of personal protective equipment, and biosafety preventive measures influenced the likelihood of dentists to perform dental treatment, either elective or urgent, during the COVID-19 pandemic.
Conclusion:
The need of extra preventive barriers for dental treatment may bring an extra financial stress in the Brazilian public primary and secondary health care system, as well as in the patient-dentist relationship, which may have to be reframed. Internationally accepted public guideline policies regarding dental treatment safety, as well as the technological development of preventive tools, are needed to deal with the challenges brought by COVID-19.