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The quality of colostrum is essential for the successful transfer of passive immunity and the early development of the immune system in newborns. This research was conducted with the aim of evaluating the agreement between measurements from different equipment: colostrometer, digital Brix refractometer and optical Brix refractometer, using fresh colostrum samples maintained at 21°C. Colostrum samples were collected from two farms (n1 = 31 and n2 = 193). Farm 1 included females from second to ninth lactation, comprising 15 Holstein Friesian (HF), 5 Jersey and 11 Holstein × Jersey crossbreeds. Farm 2 had HF heifers and cows from first to seventh lactation. Immunoglobulin content was assessed indirectly with a colostrometer and both types of Brix refractometers (digital and optical). For the correlation analysis, Pearson's product-moment method was used to assess the linear association between the equipment, followed by a Student's t-test and comparison of the obtained values with specific correlation coefficients (50%, 70%, 90% and 99%). There was a 98% correlation between the refractometers on Farm 1, which was significantly higher (P < 0.0001) than the commonly used reference values for weak (50%), moderate (70%) and strong (90%) correlations, and statistically equivalent to a 99% correlation. This indicates a very high, positive linear association between the digital and optical Brix refractometers. On Farm 2, a 97% correlation was found between the refractometers, which was significantly higher (P < 0.0001) than the specific reference values of 50%, 70% and 90%, but significantly lower than a 99% correlation.
Studies on tillering dynamics are essential to understand the aspects underlying the persistence and adaptation pathways of grass communities, especially in more complex multispecific pastures. This study aimed to assess the tillering dynamics and population stability of Andropogon gayanus cv. Planaltina (PG), Megathyrsus maximus cv. Massai (MG) and Urochloa brizantha cv. BRS Piatã (PP) grown as monocultures and as a mixture. The treatments corresponded to three grasses described above. Sixteen 180 m2 plots were randomly assigned and managed intermittently under manual harvest at pre- and post-harvest heights of 35 and 17.5 cm, respectively, for two years. During autumn/winter/early spring, when resource availability is limited by abiotic factors, pasture population stability was ensured by the conservation strategy of all species, mainly through the high tiller survival rate (85.5 ± 0.32). In late spring and summer, the capture strategy was prioritized for all species, with stability ensured through high tiller appearance rates (30.3 ± 0.80 and 40.4 ± 1.47, respectively), which compensated for the high tiller death rate (28.7 ± 1.10) and resulted in greater species turnover during these both seasons. The association among PG, MG and PP in a mixture allows species to coexist with relatively stable populations and tillering dynamics, similar to their monocultures. These findings represent a step forward in our understanding of mixed swards stability and indicate that such associations could be viable alternatives to palisadegrass monocultures in tropical regions. Further research should test this mixed sward under grazing, during medium to long-term.
Solar geoengineering offers a speculative means to cool the planet by reflecting solar radiation into space. While some research suggests that awareness of solar geoengineering could reduce public support for decarbonization through a moral hazard mechanism, other studies indicate that it could serve as a “clarion call” that motivates further action. Using a pre-registered factorial design, we assess how sharing balanced information on solar geoengineering affects attitudes toward decarbonization policies and climate attitudes among 2,509 US residents. We do not find that solar geoengineering information affects support for decarbonization on average, though it may increase support among initially less supportive subgroups; moreover, this information tends to increase the perception that climate change is a daunting problem that cannot be resolved without decarbonization. Our results suggest that concerns about moral hazard should not discourage research on solar geoengineering – as long as the public encounters realistic messages about solar geoengineering’s role.
Fields of sandy paleodunes have been identified in Brazil, Colombia, Venezuela, and Guyana north of the South American continent. In this study, geochronological data obtained by optically stimulated luminescence (OSL) for paleodunes in the Middle Rio Negro region (Brazil) allowed the identification of two stages of dune deposition: the older from 169.74 ± 1.01 ka to 124.38 ± 0.91 ka and the younger from 18.89 ± 0.88 ka to 14.75 ± 0.77 ka. The older interval is the first reported in the Amazon; no correlated sediment has been documented. In contrast, the more recent depositional interval correlates to the interval of paleodune fields of the region called “dry corridor” in the Late Pleistocene–Holocene. In this study, we associated the genesis of paleodunes with the reworking of alluvial deposits from the Negro and Demini rivers, driven by river seasonality during the Pleistocene–Holocene, as evidenced by characteristic microtextural data.
The “Critically Endangered” Cherry-throated Tanager Nemosia rourei is endemic to the Atlantic Forest of south-eastern Brazil, and extremely rare for reasons that are not yet fully understood. We monitored reproductive activities of the only known individuals of the species, at two sites, between October 2018 and November 2023. The birds foraged in social groups of 5–8 individuals. Ten nests, built in trees at heights of 12–26 m, were monitored through continuous direct observation. Most reproductive activity occurred between October and end of November, with one further nest found in March. Clutch size was 3–4 eggs, the incubation and nestling periods were 16 days, and the chicks were fed mainly on invertebrates. Up to six nest helpers, likely young from previous seasons, assisted with the collection of nest material, feeding the chicks, and defending the nest. Reproductive success was 50%, with losses due to climatic conditions (rain and cold) and predation, but may have been enhanced by the efforts of the researchers in scaring away potential predators including Spot-billed Toucanet Selenidera maculirostris and Black Capuchin Sapajus nigritus. These findings reinforce the value of detailed observation of social groups and their nests, and continuing efforts to deter predators. Further research could address how parental care and nest helpers affect reproductive success. The availability of large trees with abundant lichens may be a limiting factor for the reproductive success of species in the long term, and so protecting and restoring habitat with such features is crucial for the long-term conservation of this species.
The aim of the study was to evaluate calcium anacardate (CAn), associated or not with citric acid (CAc) in laying hen diets on performance, egg quality, serum biochemical profile, serum lipid peroxidation (TBARS) and catalase (CAT) in reproductive tissue. A total of 432 laying hens from 63 to 74 weeks of age, were distributed in nine diets: Control; 0.25% CAn; 0.25% of CAn associated with 0.25% CAc; 0.50% CAn; 0.50% CAn associated with 0.25% CAc; 0.50% CAn associated with 0.50% CAc; 0.75% of CAn; 0.75% CAn associated with 0.25% CAc; 0.75% CAn associated with 0.50% CAc. There was no effect of CAn or CAc on laying hen performance. Yolk colour showed greater pigmentation for 0.75% CAn and its associations with CAc (0.25% and 0.50%). Lower egg yolk oxidation was observed for an isolated dose of 0.75% CAn. Higher values of TBARs were observed in eggs from birds fed control diet; 0.25% CAn; 0.50% CAn associated with 25% CAc and 0.75% CAn associated with 0.25 and 0.50% CAc. Dietary inclusion of CAn (0.75%) and its association with CAc (0.50% CAn with 0.50 CAc) for late-phase laying hens reduce serum peroxidation. CAn from 0.50% associated with CAc increases catalase in magnum. The addition of 0.75% CAn increases yolk pigmentation, reduces lipid oxidation in the yolk and blood plasma and increases CAT activity in the magnum in late-stage laying hens. These benefits can also be obtained with the combination of 0.50% CAn and 0.50% CAc.
To investigate the effect of physical exercise intensity on state anxiety symptoms and affective responses.
Methods:
Twenty-one healthy women (mean age: 23.6 ± 5.4 years) participated in three sessions: self-selected intensity exercise, moderate-intensity prescribed exercise, and a nonexercise control session. Before each session, participants were exposed to unpleasant stimuli. State anxiety symptoms and affective responses were assessed pre- and post-stimulus exposure and pre- and post-sessions. A two-way repeated measures ANOVA tested state anxiety, while the Friedman test analysed affective responses.
Results:
Time significantly affected state anxiety symptoms [F (2,0) = 25.977; P < 0.001; η2p = 0.565]. Anxiety increased post-stimulus (P < 0.001) and decreased after all sessions. No significant differences were found between exercise and control conditions. Time also significantly influenced affective responses [χ2 (8.0) = 62.953; P < 0.001; Kendall’s W: 0.375]. Affective responses decreased post-stimulus (P = 0.029) and significantly increased after both exercise sessions (P < 0.001) but remained unchanged in the control session (P = 0.183).
Conclusions:
Although state anxiety increased after unpleasant stimuli in all conditions, reductions following exercise sessions were comparable to the nonexercise session. However, both exercise sessions uniquely improved affective responses, highlighting their potential for emotional recovery after unpleasant stimuli.
The Santa Marta Sabrewing Campylopterus phainopeplus is listed as a “Critically Endangered” hummingbird endemic to the Sierra Nevada de Santa Marta (SNSM) in Colombia. Prior to 2022, there were only three documented sightings of the sabrewing since it was described in 1879, including only one record between 1946 and 2022. As a result, this “lost” species has long been one of the most poorly known birds in Colombia. We located a resident population of Santa Marta Sabrewing along the Guatapurí River near the Chemesquemena and Guatapurí villages in July 2022, and at its type locality, San José, in January 2023. Based on historical data and newly collected field observations, we assess the species’ status and describe aspects of its natural history and ecology. Our review indicates that the species has been frequently misidentified in the past, and that to date, documented evidence of its presence is limited to four localities, all of them restricted to the south-eastern slope of the SNSM, along the mid Guatapurí River basin. Consequently, this bird appears to represent a case of microendemism. This species is likely to remain listed as Critically Endangered until conclusive evidence suggests otherwise. Field observations indicate that the species is highly associated with watercourses, where males hold year-round territories and form leks. We obtained records of males in mid-elevation habitats (1,150–1,850 m) for 16 consecutive months between July 2022 and October 2023, suggesting that the species might not be an elevational migrant, as previously speculated. More information is needed to understand the species’ ecology so that effective conservation actions can be designed in collaboration with the indigenous communities with which the species coexists.
The chapter begins with a review of the historical and current socio-political context for sexual minority and gender diverse (SMGD) individuals living in Brazil, followed by relevant research on the associations between minority stress and well-being. A particular focus is devoted to presenting data collected as part of the SMGD-MN study. The chapter concludes with recommendations for future psychological research with SMGD communities in Brazil.
This paper reports the methods and preliminary findings of Germina, an ongoing cohort study to identify biomarkers and trajectories of executive functions and language development in the first 3 years of life. 557 mother-infant dyads (mean age of mothers 33.7 years, 65.2% white, 48.7% male infants) have undergone baseline and are currently collecting data for other timepoints. A linear regression was used to predict baseline Bayley-III using scores derived from data-driven sparse partial least squares utilizing a multiple holdout framework of 15 domains. Significant associations were found between socioeconomic/demographic characteristics (B = 0.29), epigenetics (B = 0.11), EEG theta (B = 0.14) and beta activity (B = 0.11), and microbiome functional pathways (B = 0.08) domains, and infant development measured by the Bayley-III at T1, suggesting potential interventions to prevent impairments.
Whey, a greenish-yellow liquid resulting from curd separation in cheese manufacturing, was historically considered economically insignificant in the dairy industry and often discarded into the environment without proper oversight. However, recognizing its high nutritional value, whey has become a valuable ingredient in the food industry. Unprocessed whey (raw material) is highly susceptible to contamination, as it can serve as a substrate for the multiplication of a range of microorganisms, including spoilage, spore forming, pathogenic and toxin producing bacteria, particularly if stored at inappropriate temperatures. Staphylococcus aureus is one of these potential pathogenic bacteria often associated to dairy, that can also persist in the environment through biofilm formation and, once reaching the food matrix, can grow and produce enterotoxins. During the processing of whey powder production, there are points where S. aureus might find its way into the final product. Here we demonstrate critical contamination steps, and we highlight the need for more research to assess the microbiological integrity of whey powder, especially in Brazil, where its production has been growing in recent years. Considering the increasing use of whey powder as an ingredient for various formulations, continuous surveillance for the presence of spoilage microbiota and potentially pathogens, including S. aureus and associated enterotoxins is indispensable to prevent food poisoning outbreaks.
We aimed to determine whether benchmarking antimicrobial use (AU) to antimicrobial resistance (AR) using select AU/AR ratios is more informative than AU metrics in isolation.
Design:
We retrospectively measured AU (antimicrobial therapy days per 1,000 days present) and AU/AR ratios (specific antimicrobial therapy days per corresponding AR event) in two hospitals during 2020 through 2022. We then had antimicrobial stewardship committee members evaluate each AU and corresponding AU/AR value and indicate whether they believed it represented potential overuse, appropriate use, or potential underuse of the antimicrobials, or whether they could not provide an assessment.
Setting:
Two acute-care hospitals.
Patients:
Hospitalized patients.
Results:
In semi-annual facility-wide analyses, echinocandins had a median AU/AR ratio of 658.5 therapy days per fluconazole-resistant Candida event in Hospital A, IV vancomycin had a median AU/AR ratio of 114.9 and 108.2 therapy days per methicillin-resistant Staphylococcus aureus event in Hospital A and B, respectively, and linezolid had a median AU/AR ratio of 33.8 and 88.0 therapy days per vancomycin-resistant Enterococcus event in Hospital A and B, respectively. When AU and AU/AR values were evaluated by stewardship committees, more respondents were able to assess antimicrobial use based on AU/AR values compared to AU values. Based on AU/AR ratios, most respondents identified potential overuse of echinocandins and IV vancomycin in Hospital A, and potential overuse of linezolid and IV vancomycin in Hospital B.
Conclusion:
Select AU/AR ratios provided informative metrics to antimicrobial stewardship personnel, which can be used to motivate audits of antimicrobial administration to determine appropriateness.
Public hospitals in São Paulo can be held financially responsible for costs related to medications prescribed outside the recommendations of the Brazilian Unified Health System (SUS). The objective of this study was to describe these expenses in a public hospital and the measures implemented and evaluated to reduce this problem.
Methods
In January 2023, the Health Technology Assessment Center collected data on legal proceedings filed against a tertiary teaching hospital from January 2021 to November 2023. The data were obtained from monthly reports sent by the São Paulo State Department of Health (SES). The proceedings were categorized according to the type of technology and its availability in the SUS, costs, and the prescribing specialties. The indicators developed were used to plan improvement actions to guide care teams, negotiate with the SES, and resolve current legal proceedings.
Results
The cost of legal proceedings for 136 patients was BRL4,410,278 (USD890,965). Four medicines for six patients constituted 56 percent of the total cost. A group created an informative folder explaining how to access the National List of Essential Medicines, prescribe medicines from the high-cost program, and make administrative requests. Other related actions were the creation of a standardized process for requesting medicines, monthly assessment of judicialization data, clinical discussions with prescribers, and educational activities with residents. The interventions reduced average monthly costs from BRL177,268 (USD35,811) to BRL85,493 (USD17,271) in the last trimester.
Conclusions
Knowledge and measurement of judicialization costs allowed the hospital to implement improvements to help avoid new legal proceedings and to understand the demands of medical specialties regarding situations not covered by SUS guidelines. The Health Technology Assessment Center’s work with managers made it possible to identify opportunities for improving the education of professionals regarding the procedures and technologies available in the SUS.
While implementing an evidence-based guideline for venous thromboembolism (VTE) prophylaxis in a Brazilian tertiary hospital, we identified an unmet need for patients undergoing major orthopedic surgery. The Brazilian Unified Health System (SUS) does not provide access to direct oral anticoagulants (DOACs) or enoxaparin. Therefore, an assessment of the efficacy, safety, and budgetary impact of these medications from a hospital perspective is warranted.
Methods
Our Health Technology Assessment Center performed an overview of systematic reviews (SR) to compare the efficacy and safety of DOACs with enoxaparin. The Cochrane Library, Embase, and MEDLINE databases were searched in May 2023. The relative risks of symptomatic VTE, clinically relevant bleeding, and mortality were collected. The AMSTAR-2 tool was used to assess the methodological quality of included SRs. Treatment costs and estimates of the number of patients undergoing knee or hip arthroplasty were derived from historical institutional data.
Results
Of the 32 SRs included in the analysis, seven performed a network meta-analysis. All SRs had at least one flaw in a critical methodological domain, mainly in not providing the list of excluded studies. Regarding mortality rates, most SRs did not detect any differences between the treatments. The risk of experiencing VTE was lower with DOACs in eight SRs for hip arthroplasty and in five SRs for knee arthroplasty. The risk of major bleeding was similar between the treatments in all but two SRs. Substituting enoxaparin for DOACs led to a cost reduction of BRL490 (USD98) per patient, which could save BRL29,890 (USD6,038) per year.
Conclusions
Patients undergoing hip and knee arthroplasties are at high risk for the occurrence of VTE. Our overview of SRs showed that the efficacy and safety of DOACs are well recognized. DOACs reduce the risk of VTE, but to date patients in Brazil do not have access to these medicines through the SUS. By providing DOACs, hospitals could ensure adequate prophylaxis without increasing costs.