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Billions of people are at risk due to mosquito-borne diseases. Ideally, the control of mosquito-borne diseases should integrate mosquito control and surveillance to maximize transmission prevention while minimizing environmental impacts. Mosquito surveillance is often limited in scope by logistical constraints, especially the labour and expertise in identifying captured mosquitoes. Mosquito sounds, primarily the wingbeat frequencies (WBF), have been extensively studied in the literature, often targeting a straightforward assessment of this technology with species identification in laboratory conditions. Optical sensors for measuring the WBF of free-flying mosquitoes are the most recent proposal to automate species identification. However, many of the factors that may influence WBF within and between species have not been fully examined, resulting in failures in the species identification. Here we show that body size and temperature modify the wingbeat frequency of female Aedes [Stegomyia] aegypti Linnaeus (Diptera:Culicidae) and such an optical sensor can capture these alterations. We demonstrate that this study's optical sensor can distinguish wingbeat frequency from large and small mosquitoes at different temperatures. The relationship between WBF and size should be taken into account to improve the accuracy of devices that automatically identify species using WBF.

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BACKGROUND: Pain assessment is a key measure that accompanies treatments in a wide range of clinical settings. A low-cost valid and reliable pressure algometer would allow objective assessment of pressure pain to assist a variety of health professionals. However, the pressure algometer is often expensive, which limits its daily use in both clinical and research settings. OBJECTIVES: This study aimed to assess the instrumental validity, and the intra- and inter-rater reliability of an inexpensive digital adapted pressure algometer. METHODS: A single rater applied 60 random compressions on a force platform. The pressure pain thresholds of 20 volunteers were collected twice (3 days apart) by two raters. The main outcome measurements were as follows: the maximal peak force (in kPa) and the pressure pain threshold (adapted pressure algometer vs. force platform). Cronbach's α test was used to assess internal consistency. The standard error of measurement provided estimates of measurement error, and the measurement bias was estimated with the Bland-Altman method, with lower and upper limits of agreement. RESULTS: No differences were observed when comparing the compression results (P = 0.51). The validity and internal intra-rater consistencies ranged from 0.84 to 0.99, and the standard error of measurement from 0.005 to 0.04 kPa. Very strong (r = 0.73-0.74) to near-perfect (r = 0.99) correlations were found, with a low risk of bias for all measurements. The results demonstrated the validity and intra-rater reliability of the digitally adapted pressure algometer. Inter-rater reliability results were moderate (r = 0.55-0.60; Cronbach's α = 0.71-0.75). CONCLUSION: The adapted pressure algometer provide valid and reliable measurements of pressure pain threshold. The results support more widespread use of the pressure pain threshold method among clinicians.

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Ornamental palms are an economically important component of international trade yet have recently experienced yield losses in Mexico due to red ring and bud rot diseases, which are spread by Rhynchophorus palmarum L. Considering that massive capture is a common strategy to control this pest and the cost of commercial traps and baits could be inaccessible for small farmers, an inexpensive trap-bait combination is desired. In this study, 16 trap-bait combinations for capturing R. palmarum were assessed in ornamental palm polycultures over the course of 1 year. An expensive yellow bucket trap combined with aggregation pheromone + insecticide + banana was compared with inexpensive, handmade trap-bait combinations. A total of 4712 weevils were collected in all traps, of which 52.7% were male and 47.3% female. The efficacy of the handmade trap made from a colorless polyethylene bottle and baited with banana + pineapple + sugarcane + sugarcane molasses was similar to that of the yellow bucket trap baited with aggregation pheromone + insecticide + banana. These two trap-bait combinations remained effective even when the R. palmarum population significantly decreased during the dry, warm season. The affordable handmade trap baited with food attractants and without insecticides was highly efficient in capturing R. palmarum and therefore represents an effective tool for monitoring weevil populations. As ornamental crops have recently gained greater economic importance in the studied region, the use of a novel and cheap trap-bait combination could offer great benefits to producers and form part of the integrated management of R. palmarum.

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O Sistema Único de Saúde brasileiro implantado não recebeu todos os investimentos necessários para alcançar a magnitude prevista desde sua concepção e estabelecida na Constituição Federal de 1988. No mesmo período, o setor privado de saúde brasileiro vem recebendo cada vez mais investimentos por meio das políticas públicas do Estado. A crise econômica e os problemas pelos quais o SUS passa nos dias atuais são usados por determinados atores para justificar uma suposta necessidade de diminuir não só a pressão por financiamento, mas também a demanda de serviços públicos, e apresentar como solução a diminuição do SUS concomitante à expansão do número de pessoas com planos privados de saúde nos moldes da reforma do sistema de saúde norte-americano conhecida como Obamacare. Este artigo apresenta a falácia desse raciocínio com evidências científicas e argumentos que mostram que um maior investimento no SUS é fundamental para o desenvolvimento econômico e social do país.

The Brazilian Sistema Único de Saúde (Unified Health System) in operation has not received all the investments needed to achieve the expected magnitude since its conception and established by Federal Constitution of 1988. In the same period, the health private sector in Brazil has received more and more investments through governmental public policies. The economic crisis and the problems faced by SUS today are used by some actors to justify a pretense necessity of reducing not only the pressure to finance but also the demand for public services, and to present as a solution to such problems a reduction of SUS concomitant with the expansion of people benefiting from private health insurance like those created with reform of the North American health care system known as Obamacare. This article shows the fallacy of reasoning in question through scientific evidences and arguments demonstrating that a greater investmentin SUS is fundamental to economic and social development of Brazil.

El Sistema Único de Salud brasileño implementado no recibió todas las inversiones necesarias para alcanzarla magnitud esperada desde su concepción y establecida en la Constitución Federal de 1988. En el mismo período, el sector privado de salud brasileño ha recibido cada vez más inversiones por el medio de las políticas públicas del Estado. La crisis económica y los problemas por los cuales el SUS ha pasado en los días actuales son utilizados por determinados actores para justificar una supuesta necesidad de reducir no sólo la presión de financiación, sino también la demanda de servicios públicos, y presentar como solución la disminución del SUS concomitantemente a la expansión del número de personas con planes privados de salud en los moldes de la reforma del sistema de salud norteamericano, conocida como Obamacare. Esto artículo presenta la falacia de ese raciocinio con evidencias científicas y argumentos que muestran que una mayor inversión en el SUS es esencial para el desarrollo económico y social del país.

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This work evaluated the potential of the acidification equalization tank (AET) used as a primary treatment unit, treating the hog farming wastewater. The treatment system consisted of a degritter with a triangular-notch weir, for measuring the flow, a static sieve, and an acidification and equalization tank (AET), an anaerobic baffled reactor (ABR), an upflow anaerobic sludge blanket (UASB) reactor, a settling tank, a greenhouse for fertirrigation and two infiltration ponds. The AET had a net capacity of 8,000 liters, internally covered with asphalt blanket, worked based on surface loading rates application. The unit operated continuously, with its flow varying from 0.1 to 10 L s-1. To determine the efficiency, the following parameters were measured: pH; COD; BOD; volatile and fixed solids; settleable solids; total, intermediate and partial alkalinity and total acidity. The COD removal varied from 5 to 20%. The average pH was 7.3 and the total, intermediate and partial alkalinity in the effluent, were 1919, 846, 1197 mg L-1, respectively. The total acidity in the effluent was 34 mg L-1. The influent and effluent total BOD and oil & grease concentrations were 3436 and 3443 mg L-1, and 415 and 668 mg L-1, respectively. It was found that the AET worked properly concerning the acidification, equalization and sedimentation processes, confirming low cost of implementation and easy operation, when compared to other traditional decanters.

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The tissue microarrays (TMAs) were first called multitumor block. In 1998 was described the current technique, that uses an innovated sampling method for more than 1,000 cylindrical paraffin tissue core biopsies in a single paraffin block. TMAs are now considered as a useful powerful research tool in Histology and Pathology laboratories, for the standardization of immunohistochemical techniques along with in situ hybridization. However, one disadvantage to its widespread use is the high cost of professional paraffin tissue punches, and the complexity in the development of homemade devices previously described in other studies. This study describes a step by step process to develop four different home-made devices made with materials that are common in hospitals and offices. These devices are useful in Histopathology laboratories to obtain paraffin blocks with until 360 samples of tissue, investing from two to fifteen dollars in the development of each device described.

Los microarreglos de tejido (TMAs) fueron llamados por primera vez como bloque multitumor. En 1998 se describió la técnica actual, que utiliza un novedoso método de muestreo para obtener más de 1,000 cilindros de biopsias de tejidos incluidos en un solo bloque de parafina. Actualmente, los TMAs se consideran una poderosa herramienta de investigación en laboratorios de Histología y Patología, para la estandarización de técnicas inmunohistoquímica e hibridación in situ entre otras. Sin embargo, uno de los inconvenientes para su uso generalizado es el alto costo de los dispositivos profesionales para tejidos en parafina, y la complejidad en la elaboración de los dispositivos caseros descritos previamente en otros estudios. Este estudio describe paso a paso el proceso de elaboración de cuatro dispositivos caseros útiles para la obtención de matrices de tejido elaborados con materiales que son comunes en hospitales y oficinas. Estos dispositivos son útiles en laboratorios de Histopatología con el fin de obtener bloques de parafina de hasta 360 muestras de tejido, con una inversión de 2 a 15 dólares en la elaboración de cada uno de los dispositivos descritos.

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In this prospective study we evaluated the performance characteristics of a specific and sensitive antigen preparation (AgA) used in an enzyme-linked immunosorbent assay (ELISA) for the detection of anti-Trypanosoma cruzi antibodies in serum samples, for Chagas’ disease diagnosis. The antigen production was achieved by combination of nutritional stress and autoclaving the parasites. Specificity and sensitivity were evaluated in two separate tests, using 152 sera from healthy individuals and 175 sera from Chagas’ patients (70 by xenodiagnosis). Cross-reactivity was tested using 289 sera from patients who had a parasitological diagnosis of a disease known to induce antigenic responses towards T. cruzi. All of these sera were tested with our AgA-ELISA and with 3 commercial diagnosis kits. To evaluate the agreement of results between our AgA-ELISA and a “gold standard” test for Chagas, we tested 566 sera from an endemic area. Results: sensitivity and specificity were 100 percent; cross-reactivity was the lowest compared with commercial kits. Overall agreement with the gold standard test was excellent (kappa=0.92). AgA-ELISA exhibits levels of sensitivity, specificity and cross-reactivity comparable or superior to those shown, obtained with the commercial kits used in our country, while being at least 10 times less expensive. This balance between diagnostic accuracy and cost makes AgA-ELISA useful for blood bank screening in poor regions of the world suffering from Chagas’ disease. Further validations of this antigenic formulation in other countries are necessary.

Este estudio fue realizado para evaluar las características de sensibilidad y especificidad de una formulación antigénica (AgA), producida a bajo costo, para detectar anticuerpos dirigidos a Trypanosoma cruzi, en muestras de suero de pacientes con enfermedad de Chagas. El AgA fue producido por el efecto combinado de estrés nutricional y autoclave de los parásitos. La especificidad y sensibilidad fueron evaluadas en dos estudios separados, con 152 sueros de individuos sanos y 175 de pacientes Chagásicos. La reactividad cruzada con 289 sueros de pacientes con diagnóstico parasitológico de enfermedades con anticuerpos que reaccionan con antígenos de T. cruzi. Estos sueros fueron evaluados con AgA-ELISA y con tres estuches comerciales. 566 muestras de suero provenientes de un área endémica, fueron empleadas para estudiar la concordancia entre nuestro diagnostico y una prueba designada por nosotros como patrón oro estándar. Resultados: la sensibilidad y especificidad fue de 100 por ciento. El AgA presento el más bajo porcentaje de reactividad cruzada, respecto a los estuches comerciales evaluados. La concordancia con la prueba patrón oro, en Venezuela, fue excelente (kappa=0,92). En conclusión, Aga-ELISA, presentó niveles de sensibilidad, especificidad y de reactividad cruzada, comparables o superiores a los obtenidos por los tres estuches comerciales mas empleados en el país, pero con costos de producción al menos 10 veces menor. Este balance conveniente, favorece su potencial uso para el despiste en los bancos de sangre de los países pobres y endémicos para la enfermedad de Chagas. Futuras validaciones de esta formulación en otros países es necesaria.

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