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The incidence of congenital malformations (CM) among non-Hispanic White American (NHWA) mothers was reviewed to identify and evaluate the geographic differences in the most frequent CM subtypes associated with smoking and other risk factors. Data on CM were obtained from 150,775 children (2000-2004) from the Centers for Disease Control and Prevention. Risk factors associated with CM development were the mother’s age < 21 and > 35 years, body weight gain during pregnancy, anemia, diabetes mellitus, eclampsia (cases of preeclampsia were omitted), smoking, and alcohol use during pregnancy. Among smoking mothers, the most common CM was omphalocele, club foot, cleft lip, and polydactyly. The highest incidences (CM/10,000 births/year) of observed CM in children of smoking mothers were clubfoot, 25.51 cases (Utah), cleft lip, 22.47 (South Dakota), polydactyly, 21.23 (North Dakota), and omphalocele, 13.14 (Montana). The presence of maternal comorbidities, tobacco and alcohol consumption, and their association with other environmental factors can affect the incidence of CM in NHWA mothers. Further comparisons among the American states regarding the overall changes in CM over the last two decades should uncover crucial outcomes in terms of CM and smoking.
Quantifying and assessing the computational accuracy of coarse-graining simulations of turbulence is challenging and imperative to achieve prediction – computations and results with a quantified and adequate degree of uncertainty that can be confidently used in projects without reference data. Verification, validation, and uncertainty quantification (VVUQ) provide the tools and metrics to accomplish such an objective. This chapter reviews these methods and illustrates their importance to coarse-graining models. Toward this end, we first describe the sources of computational errors and uncertainties in coarse-graining simulations of turbulence, followed by the concepts of VVUQ. Next, we utilize the modified equation analysis and the physical interpretation of a complex problem to demonstrate the role of VVUQ in evaluating and enhancing the fidelity and confidence in numerical simulations. This is crucial to achieving predictive rather than postdictive simulations.
We live in a turbulent world observed through coarse-grained lenses. Coarse graining (CG), however, is not only a limit but also a need imposed by the enormous amount of data produced by modern simulations. Target audiences for our survey are graduate students, basic research scientists, and professionals involved in the design and analysis of complex turbulent flows. The ideal readers of this book are researchers with a basic knowledge of fluid mechanics, turbulence, computing, and statistical methods, who are disposed to enlarging their understanding of the fundamentals of CG and are interested in examining different methods applied to managing a chaotic world observed through coarse-grained lenses.
We live in a turbulent world observed through coarse-grained lenses. Coarse graining (CG), however, is not only a limit but also a need imposed by the enormous amount of data produced by modern simulations. Target audiences for our survey are graduate students, basic research scientists, and professionals involved in the design and analysis of complex turbulent flows. The ideal readers of this book are researchers with a basic knowledge of fluid mechanics, turbulence, computing, and statistical methods, who are disposed to enlarging their understanding of the fundamentals of CG and are interested in examining different methods applied to managing a chaotic world observed through coarse-grained lenses.
Scale-resolving simulation (SRS) methods of practical interest are coarse-graining formulations widely used in science and engineering. These methods aim to efficiently predict complex flows by only resolving the phenomena not amenable to modeling, unleashing the concept of accuracy on demand. This chapter provides an overview of the SRS methods best suited for engineering applications: hybrid and bridging models. It starts by reviewing basic turbulence modeling concepts. Following on from that is an overview of hybrid and bridging models, discussing their main advantages and limitations. The challenges to the predictive application of these models are enumerated, as well as possible strategies to solve or mitigate them. Several examples are provided to illustrate the potential of these classes of SRS methods. Overall, the chapter intends to help new and experienced SRS modelers and users obtain predictive turbulence computations.
Longstanding design and reproducibility challenges in inertial confinement fusion (ICF) capsule implosion experiments involve recognizing the need for appropriately characterized and modeled three-dimensional initial conditions and high-fidelity simulation capabilities to predict transitional flow approaching turbulence, material mixing characteristics, and late-time quantities of interest – for example, fusion yield. We build on previous coarse-graining (CG) simulations of the indirect-drive national ignition facility (NIF) cryogenic capsule N170601 experiment – a precursor of N221205 which resulted in net energy gain. We apply effectively combined initialization aspects and multiphysics coupling in conjunction with newly available hydrodynamics simulation methods, including directional unsplit algorithms and low Mach-number correction – key advances enabling high fidelity coarse-grained simulations of radiation-hydrodynamics driven transition.
We live in a turbulent world observed through coarse grained lenses. Coarse graining (CG), however, is not only a limit but also a need imposed by the enormous amount of data produced by modern simulations. Target audiences for our survey are graduate students, basic research scientists, and professionals involved in the design and analysis of complex turbulent flows. The ideal readers of this book are researchers with a basic knowledge of fluid mechanics, turbulence, computing, and statistical methods, who are disposed to enlarging their understanding of the fundamentals of CG and are interested in examining different methods applied to managing a chaotic world observed through coarse-grained lenses.
This study evaluated the effects of capsaicin (CAP) supplementation on the intake, nutrient digestibility, ruminal fermentation, nitrogen balance, microbial protein synthesis and health traits of bulls managed on pasture. Eight crossbred (Holstein x Zebu) cattle averaging 313 ± 31 kg of body weight (BW) were arranged in a replicated 4 × 4 Latin square design (one square of four bulls, rumen fistulated with 4-inch silicone cannulas and one square of four non-fistulated bulls), which were kept on Pangola grass pasture (Digitaria decumbens). Each experimental period consisted of 21 days, with 7 days for data collection (no washout between periods). Bulls were randomly assigned to the following treatments: CON (control): concentrate supplementation at 0.5% live weight (BW) and no additive (CAPCIN®), or concentrate supplementation at 0.5% BW in association with CAPCIN® (NutriQuest, Campinas, Brazil) fed at the inclusion rates of 150 (CAP150), 300 (CAP300) and 450 (CAP450) mg/animal/day. Digestibilities of dry matter, organic matter and neutral detergent fibre showed quadratic responses to CAP supplementation. Rumen pH linearly increased with CAP supplementation. The numbers of lymphocytes and eosinophils were linearly increased with CAP supplementation. The use of encapsulated pepper in supplements of crossbred (Holstein x Zebu) bulls managed on D. decumbens pasture up to 450 mg/animal/day improves nutrients digestibility and ruminal fermentation and can positively influence the health status of beef cattle managed under tropical conditions.
Visceral leishmaniasis (VL) is a tropical disease that can be fatal if acute and untreated. Diagnosis is difficult, the treatment is toxic and prophylactic vaccines do not exist. Leishmania parasites express hundreds of proteins and several of them are relevant for the host's immune system. In this context, in the present study, 10 specific T-cell epitopes from 5 parasite proteins, which were identified by antibodies in VL patients’ sera, were selected and used to construct a gene codifying the new chimeric protein called rCHI. The rCHI vaccine was developed and thoroughly evaluated for its potential effectiveness against Leishmania infantum infection. We used monophosphoryl lipid A (MPLA) and polymeric micelles (Mic) as adjuvant and/or delivery system. The results demonstrated that both rCHI/MPLA and rCHI/Mic significantly stimulate an antileishmanial Th1-type cellular response, with higher production of IFN-γ, TNF-α, IL-12 and nitrite in vaccinated animals, and this response was sustained after challenge. In addition, these mice significantly reduced the parasitism in internal organs and increased the production of IgG2a isotype antibodies. In vivo and in vitro toxicity showed that rCHI is safe for the mammalians, and the recombinant protein also induced in vitro lymphoproliferative response and production of Th1-type cytokines by human cells, which were collected from healthy subjects and treated VL patients. These data suggest rCHI plus MPLA or micelles could be considered as a vaccine candidate against VL.
Ascaridoidea (Nematoda) is a widespread superfamily of nematodes that comprises gastrointestinal parasites from all major groups of vertebrates. Although this taxon probably emerged in the Carboniferous, its Brazilian fossil record includes mostly eggs, found in ancient remains, collected in paleontological and archeological sites from the Mesozoic and Cenozoic Eras. The Tremembé Formation (Oligocene of the Taubaté Basin) has become an important source for paleoparasitological studies in avian coprolites during the third decade of the 21st century, with reports of eggs only at only a single cell stage, of embryonic development. Here we present the first egg of Ascaridoidea preserved containing morula, from a bird coprolite recovered from the shales of the Tremembé Formation. Three coprolites, from the outcrop of Aligra Comércio de Argila S/A, Taubaté municipality (State of São Paulo), were rehydrated and subjected to spontaneous sedimentation. Based on morphological and morphometric features and diet and zoopaleontological context, the trace fossils were assigned to piscivorous birds. The egg found showed morphological characteristics typical of Ascaridoidea: namely spherical form, ornamented, and somewhat thick shell. Moreover, this superfamily includes several taxa that infect piscivorous birds and fish in heteroxenous life cycles and produce eggs with similar features as the egg found in the present study. The paleoparasitological information associated with the paleofaunistic diversity of birds and fish from the Tremembé Formation, reveal that the ancient Brazilian paleoenvironments provided subsidies for the rise and success of nematodes infecting these animals during the Paleogene.
Ensuring the demographic and genetic viability of small populations of threatened primates requires a range of management approaches. Here we describe a novel mixed in situ and ex situ management project that was developed to restore a population of the Critically Endangered northern muriqui Brachyteles hypoxanthus. This isolated population, located in Ibitipoca, Lima Duarte, Minas Gerais, Brazil, had declined to two adult males and would have gone extinct without intervention. A first attempt at in situ management in 2017 involved the translocation of a solitary female from another region, but this female did not associate or interact with the males and disappeared after 9 months. We thus initiated a second and ongoing ex situ management project that involved constructing a complex consisting of a large, open-air enclosure abutting a small patch of forest surrounded by an open area in the process of restoration, all of which is protected by electric fencing. The entire area within the fencing is called Muriqui House. The two Ibitipoca males and two solitary, wild females from another location were captured and released into the enclosed part of Muriqui House between March 2019 and January 2020 and into the forested part of Muriqui House in February 2020. The birth of an infant in this group in November 2020 and the acceptance by the group of a third female translocated from another area in January 2021 demonstrate the potential of this approach for the recovery of this isolated population, with positive implications for the conservation of the species.
The first insights on habitat and phylogenetic origin of a newly found population of Solen marginatus are provided in the mid-North Atlantic Azores archipelago, in the bay of Praia da Vitória, Terceira Island. Distribution is confined to the northern portion and most sheltered part of the bay down to 14.2 m depth. Densities with an average of 12.69 individuals/m2 were found at 8.4 m depth, using 4 × 20 sqm visual transects. Sizes of shell length between 10 and 12 cm comprised 60% of collected specimens (n = 118), ranging between 8.79 and 15.4 cm and averaging 11.28 cm. Considering shell length, the high densities and dispersion area, a settlement period above 20 years is estimated. Greater genetic affinity was found in the Ria de Aveiro (North of Portugal) and the Asturias populations (North of Spain). The source origin remains undetermined, with intentional or non-intentional anthropogenic introduction, as well as natural dispersion remaining possible, although more unlikely. Due to the commercial value of this species, a new clam fishery is likely to develop in the area, requiring further studies and immediate conservation measures.
Mental health-related stigma occurs not only within the public community but is also an issue among healthcare professionals. The relationship between national culture and provider stigma remains yet to be empirically attested.
Objectives
We performed a cross-sectional multicentre study across 32 European countries to investigate the attitudes of psychiatrists towards patients with mental health problems. We aimed to examine the relationship of attitude with country-specific indicators.
Methods
We measured stigmatizing attitudes using the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) within an online survey among specialists and trainees in general adult, child and adolescent psychiatry. Its total score was correlated with the Human Development Index (HDI), the Democracy Index (DI), the Social Progress Index (SPI), the number of psychiatrists per 100,000 people, and the Hofstede dimensions. Latent class analysis was done to find subgroups of countries according to the stigmatizing attitudes of psychiatrists and the six Hofstede dimensions.
Results
Altogether, n=4245 participants completed the survey. The total score of the OMS-HC significantly correlated with the long-term orientation (r=0.453, p=0.015) and indulgence dimensions (r=-0.629, p<0.0001) and with the HDI (r=-0.503, p=0.005), DI (r=-0.418, p=0.024), SPI (r=-0.348, p=0.040). The latent class analysis separated high- and low-stigma countries. High stigma was associated with high power distance and uncertainty scores.
Conclusions
Findings from this study not only expand knowledge of factors related to stigmatizing attitudes of healthcare professionals, but also enlighten the cultural aspects of the stigma that could contribute to the further development of anti-stigma programs.
Disclosure of Interest
D. Őri Grant / Research support from: Research grant form the Fulbright Association, P. Szocsics: None Declared, T. Molnár: None Declared, L. Bankovska Motlova: None Declared, O. Kazakova: None Declared, S. Mörkl: None Declared, M. Wallies: None Declared, M. Abdulhakim: None Declared, S. Boivin: None Declared, K. Bruna: None Declared, C. Cabaços: None Declared, E. A. Carbone: None Declared, E. Dashi: None Declared, G. Grech: None Declared, S. Greguras: None Declared, I. Ivanovic: None Declared, K. Guevara: None Declared, S. Kakar: None Declared, K. Kotsis: None Declared, I. Klinkby: None Declared, J. Maslak: None Declared, S. Matheiken: None Declared, A. Mirkovic: None Declared, N. Nechepurenko: None Declared, A. Panayi: None Declared, A. Pereira: None Declared, E. Pomarol-Clotet: None Declared, S. Raaj: None Declared, P. Rus Prelog: None Declared, J. Soler-Vidal: None Declared, R. Strumila: None Declared, F. Schuster: None Declared, H. Kisand: None Declared, A. Reim: None Declared, G. Ahmadova: None Declared, M. Vircik: None Declared, H. Yilmaz Kafali: None Declared, N. Grinko: None Declared, Z. Győrffy: None Declared, S. Rózsa: None Declared