Abstract Objective: To determine the prevalence of allergic rhinitis and associated factors in adolescents and in their parents/guardians. Methods: A cross-sectional study, applying a standardized and validated written questionnaire. Adolescents (13–14 years old; n=1,058) and their parents/guardians (mean age=42.1 years old; n=896) living in the city of Uruguaiana, southern Brazil, responded to the Global Asthma Network standard questionnaires. Results: The prevalence of allergic rhinitis in adolescents was 28.0%, allergic rhinoconjunctivitis, 21.3%, and severe forms of allergic rhinitis, 7.8%. In the adults, the prevalence of allergic rhinitis was 31.7%. Some associated factors with allergic rhinitis in adolescents include low physical exercise (OR 2.16; 95%CI 1.15–4.05), having only one older sibling (OR 1.94; 95CI 1.01–3.72) and daily meat consumption (OR 7.43; 95% CI 1.53–36.11). In contrast, consuming sugar (OR 0.34; 95%CI 0.12–0.93) or olive oil (OR 0.33; 95%CI 0.13–0 .81) once or twice a week, and eating vegetables daily (OR 0.39; 95%CI 0.15–0.99) were considered factors negatively associated. In adults, exposure to fungi at home (OR 5.25; 95%CI 1.01–27.22) and consumption of meat once or twice a week (OR 46.45; 95CI 2.12–1020.71) were factors associated with the medical diagnosis of allergic rhinitis, while low education (OR 0.25; 95%CI 0.07–0.92) was found to be a factor negatively associated. Conclusions: The prevalence of allergic rhinitis in adolescents is high, as well as its medical diagnosis in adults living in Uruguaiana. Environmental factors, especially food habits, were associated with findings in both groups.

Resumo Objetivo: Determinar a prevalência de rinite alérgica e fatores associados em adolescentes e em seus pais/responsáveis. Métodos: Estudo transversal, com aplicação de questionário escrito padronizado e validado. Adolescentes (13–14 anos; n=1.058) e seus pais/responsáveis (média de idade=42,1 anos; n=896) residentes na cidade de Uruguaiana, Sul do Brasil, responderam aos questionários padrão da Global Asthma Network. Resultados: A prevalência de rinite alérgica em adolescentes foi de 28,0%, a de rinoconjuntivite alérgica foi de 21,3% e a de formas graves de rinite alérgica, de 7,8%. Nos adultos, a prevalência de rinite alérgica foi de 31,7%. Alguns fatores associados à rinite alérgica em adolescentes incluem fazer pouco exercício físico (odds ratio — OR 2,16; intervalo de confiança — IC95% 1,15–4,05), ter apenas um irmão mais velho (OR 1,94; IC95% 1,01–3,72) e consumir carne diariamente (OR 7,43; IC95% 1,53–36,11). Por outro lado, consumir açúcar (OR 0,34; IC5% 0,12–0,93) ou azeite de oliva (OR 0,33 IC95% 0,13–0,81) uma ou duas vezes por semana e comer vegetais diariamente (OR 0,39; IC95% 0,15–0,99) foram considerados fatores associados negativamente. Em adultos, a exposição a fungos no domicílio (OR 5,25; IC95% 1,01–27,22) e o consumo de carne uma ou duas vezes por semana (OR 46,45; IC95 2,12–1020,71) foram fatores associados ao diagnóstico médico de rinite alérgica, enquanto a baixa escolaridade (OR 0,25; IC95% 0,07–0,92) se mostrou como fator associado negativamente. Conclusões: A prevalência de rinite alérgica em adolescentes é alta, assim como seu diagnóstico médico em adultos residentes em Uruguaiana. Fatores ambientais, especialmente hábitos alimentares, foram associados aos achados em ambos os grupos.

Abstract Semi-analytical equations are developed for aiding the process of designing terahertz graphene-based rectangular dipole antennas lying on glass substrates. It directly provides the dipole length required for obtaining resonance at a desired frequency since antenna width and graphene chemical potential are known. By using the finite-difference time-domain (FDTD) method, a large number of computational simulations were performed considering several combinations of antenna dimensions and chemical potential values. The simulation results were used along with graphene electrostatic scaling law combined with the least squares method to optimize the formulation coefficients. With the optimized coefficients, we obtain very satisfying accuracy levels. In the frequency range from 0.5 THz to 3.0 THz, the average relative absolute error is 1.50%, with maximum relative absolute error of 6.77%.

RESUMO Fases líquidas não aquosas leves (LNAPL), como combustíveis líquidos, estão presentes em muitas áreas contaminadas. Para o gerenciamento dessas áreas, é importante conhecer a mobilidade desse produto, a fim de subsidiar decisões sobre sistemas de remediação e avaliação de risco. Uma alternativa para quantificar a mobilidade é o parâmetro transmissividade de LNAPL, ainda pouco aplicado no Brasil. Esse trabalho avaliou a aplicabilidade desse parâmetro em diferentes áreas contaminadas por LNAPL. Foram realizados testes em três áreas com litologias, tipos de contaminantes e históricos de contaminação distintos. Em alguns testes, não foi possível determinar a transmissividade de LNAPL devido à instabilidade do nível de fluidos, por consequência da operação de sistemas de bombeamento e precipitação, além de problemas operacionais durante a realização do teste. Apesar de ser um teste simples, em alguns casos, a determinação de transmissividade de LNAPL pode ser inviável, principalmente para LNAPL de baixa mobilidade por requerer testes mais prolongados. Os principais fatores determinantes no valor de transmissividade de LNAPL foram a litologia, a posição do poço na pluma e a posição do nível d’água em relação a série histórica. Assim, a transmissividade de LNAPL pode ser um parâmetro útil no gerenciamento de áreas contaminadas, cuja interpretação deve ser feita de forma cautelosa e integrada com outros dados de investigação da área.

ABSTRACT Light non-aqueous phase liquids (LNAPL), such as liquid fuels, are present in many contaminated sites. To adequately manage these sites, it is important to know the product mobility, to support decisions on remediation systems and risk assessment. One alternative to quantify mobility is to quantify the LNAPL transmissivity, which is rarely applied in Brazil. This work aimed to evaluate the applicability of this parameter in LNAPL contaminated sites with different conditions. Tests were performed in three sites, with different lithologies, types of contaminants and contamination histories. In some tests, it was not possible to obtain representative values of LNAPL transmissivity due to fluids levels instability, caused by pumping systems and precipitation events, and operational problems during the tests. Despite being a simple test, in some cases, the determination of LNAPL transmissivity may not be feasible, especially for low mobility LNAPLs, that require long period tests. The main factors controlling LNAPL transmissivity values were lithology, position of the well in the plume, and water level elevation in relation to the historical series. Thus, LNAPL transmissivity can be a useful parameter in the management of contaminated sites, but its interpretation must be made cautiously and integrated with other site data.

Abstract Objective: Identify associated factors for recurrent wheezing (RW) in male and female infants. Methods: Cross-sectional multicentric study using the standardized questionnaire from the Estudio Internacional sobre Sibilancias en Lactantes (EISL). The questionnaire was applied to parents of 9345 infants aged 12-15 months at the time of immunization/routine visits. Results: One thousand two hundred and sixty-one (13.5%) males and nine hundred sixty-three (10.3%) females have had RW (≥3 episodes), respectively (p10 colds episodes (OR = 3.46; IC 95% 2.35-5.07), air pollution (OR = 1.33; IC 95% 1.12-1.59), molds at home (OR = 1.23; IC 95% 1.03-1.47), Afro-descendants (OR = 1.42; IC 95% 1.20-1.69), bronchopneumonia (OR = 1.41; IC; 1.11-1.78), severe episodes of wheezing in the first year (OR = 1.56; IC 95% 1.29-1.89), treatment with bronchodilators (OR = 1.60; IC 95% 1.22-2,1) and treatment with oral corticosteroids (OR = 1,23; IC 95% 0.99-1,52). Associated factors for RW for females were passive smoking (OR = 1.24; IC 95% 1.01-1,51), parents diagnosed with asthma (OR = 1.32; IC 95% 1,08-1,62), parents with allergic rhinitis (OR = 1.26; IC 95% 1.04-1.53), daycare attendance (OR = 1.48; IC 95% 1.17-1,88), colds in the first 6 months of life (OR = 2.19; IC 95% 1.69-2.82), personal diagnosis of asthma (OR = 1.84; IC 95% 1.39-2.44), emergency room visits (OR = 1.78; IC 95% 1.44-2.21), nighttime symptoms (OR = 2.89; IC 95% 2.34-3.53) and updated immunization (OR = 0.62; IC 95% 0.41-0.96). Conclusion: There are differences in associated factors for RW between genders. Identification of these differences could be useful to the approach and management of RW between boys and girls.

ABSTRACT This work was carried out in a teak plantation in the state of Mato Grosso, Brazil. The objective was to evaluate technical and economic indicators of the cutting and processing of trees with a track harvester. Twenty complete work shifts were evaluated using direct thinning to determine operational cycle times. Other information was also recorded for the calculation of production costs. The second thinning was performed at 12 years, with a volume of 0.1648 m³/tree, and the third thinning at 18 years with 0.3408 m³/tree. The main finding was an increase in productivity and decrease in production costs with rising tree volumes. For each hour of effective work, 53 trees were cut (339 trees/day), and processed into 1,047 logs. The decrease in the cost of cutting and processing trees in proportion to the increase in the average volume of trees to be extracted was confirmed.

RESUMO Objetivo: Descrever a implantação de um serviço de telemedicina de UTI durante a pandemia de COVID-19, assim como descrever e analisar os resultados dos primeiros quatro meses de funcionamento do programa. Métodos: Estudo observacional descritivo da implantação de um serviço de telemedicina de UTI seguido de análise retrospectiva dos dados clínicos de pacientes com COVID-19 internados em UTI entre abril e julho de 2020. Resultados: O serviço foi implantado em quatro semanas e mostrou-se viável em meio à pandemia. O treinamento foi desenhado para ser remoto e baseado em evidências, promovendo a padronização do atendimento aos pacientes com COVID-19. Mais de 100.000 visualizações foram registradas nas plataformas on-line de acesso livre e no aplicativo móvel. Durante o período do estudo, os casos de 326 pacientes com COVID-19 foram avaliados no programa. A mediana de idade foi de 60 anos (variação: 49-68 anos). Houve predomínio do sexo masculino (56%) e alta prevalência de hipertensão arterial (49,1%) e diabetes mellitus (38,4%). Na admissão na UTI, 83,7% dos pacientes estavam em ventilação mecânica invasiva, com uma mediana da relação PaO2/FiO2 < 150. Ventilação pulmonar protetora foi possível em 75% dos casos. A mortalidade na UTI foi de 65%, e a mortalidade hospitalar foi de 68%. Conclusões: A telemedicina de UTI forneceu treinamento multidisciplinar aos profissionais de saúde e acompanhamento clínico de centenas de pacientes críticos. A iniciativa na rede pública foi pioneira e mostrou-se viável em meio à pandemia de COVID-19, incentivando a criação de projetos semelhantes que combinem práticas baseadas em evidências, treinamento e telemedicina.

ABSTRACT Objective: To describe the implementation of a Tele-ICU program during the COVID-19 pandemic, as well as to describe and analyze the results of the first four months of operation of the program. Methods: This was a descriptive observational study of the implementation of a Tele-ICU program, followed by a retrospective analysis of clinical data of patients with COVID-19 admitted to ICUs between April and July of 2020. Results: The Tele-ICU program was implemented over a four-week period and proved to be feasible during the pandemic. Participants were trained remotely, and the program had an evidence-based design, the objective being to standardize care for patients with COVID-19. More than 100,000 views were recorded on the free online platforms and the mobile application. During the study period, the cases of 326 patients with COVID-19 were evaluated through the program. The median age was 60 years (IQR, 49-68 years). There was a predominance of males (56%). There was also a high prevalence of hypertension (49.1%) and diabetes mellitus (38.4%). At ICU admission, 83.7% of patients were on invasive mechanical ventilation, with a median PaO2/FiO2 ratio < 150. It was possible to use lung-protective ventilation in 75% of the patients. Overall, in-hospital mortality was 68%, and ICU mortality was 65%. Conclusions: Our Tele-ICU program provided multidisciplinary training to health care professionals and clinical follow-up for hundreds of critically ill patients. This public health care network initiative was unprecedented and proved to be feasible during the COVID-19 pandemic, encouraging the creation of similar projects that combine evidence-based practices, training, and Tele-ICU.

Abstract The phenomenon of summer mortality in Pacific oysters cultures also occurs in Brazilian crops, with predominance in the adult phase, generating significant losses for local producers. In the search for a technological solution to mitigate its effects, the mechanical vapour compression and hydraulic refrigeration concepts are evaluated as two proposed cooling technologies. The comparative analysis carried out with numeric simulations indicated that the hydraulic cooling system presents disadvantages regarding both the size of the compression column and the energy efficiency, compared to the mechanical vapour compression cycle. By computing only the compression power, a COP value of 6.9 results for the MVCS at TCOND = 29.5 oC and TEVAP = 7.2 oC, while for HRS the COP value is around 3.1 for identical conditions. Results from the analysis contradict former publications, but are consistent with recent findings reported in literature.

Abstract: Technological improvement in sensors and the use of computer vision algorithms made possible the generation of high accuracy mapping products (cm level) using data acquired by low-cost Unmanned Aerial Vehicles (UAV). However, the procedure to optimally set the aerial block configuration is not well understood for some users mainly due to the popularization of the UAV and its use by non-specialists. This study aims to contribute to this aspect, investigating and highlighting the influence of flight parameters, camera calibration and number of Ground Control Points (GCP) on generating digital terrain models and orthomosaic. To address this issue, several field experiments and data processing were carried out. The quality was assessed by calculating the Root Mean Square Error (RMSE) together with a bias evaluation (t-Student test at 90% confidence level). The results suggest that an optimum block configuration for accurate and unbiased products is achieved by surveying at rates of 80%/60% (forward and sidelap, respectively), with an average Ground Sample Distance (GSD) of around 1 cm at a flight height of 31 m, using a pre-calibrated camera and 5 GCP at least.

Resumo O objetivo do presente estudo é analisar a dignidade da pessoa humana de acordo com suas projeções no mundo do trabalho. Para tanto, será abordada a noção de dignidade da pessoa humana no campo jurídico desde a sua positivação constitucional e seus efeitos nas relações entre capital e trabalho. Por fim, serão vistos os limites estruturais para a incidência da dignidade humana nas relações de trabalho. O método utilizado para a pesquisa é o indutivo. Conclui-se que a dignidade humana indica várias limitações salutares ao cidadão trabalhador.

Abstract The objective of the present study is to analyze the dignity of the human person according to their projections in the world of work. In order to do so, the notion of human dignity in the juridical field will be approached from its constitutional positivation and its effects on the relations between capital and labor. Finally, the structural limits for the incidence of human dignity in labor relations will be seen. The method used for the research is the inductive one. At the end of the article it is verified that human dignity indicates several salutary limitations to the working citizen.

Resumo Objetivo Analisar a principal causa do uso irresponsável de antibióticos em nível pediátrico de doenças muito frequentes, normalmente autolimitadas e virais: infecções respiratórias das vias aéreas superiores. Fontes Diferentes bases de dados foram pesquisadas com termos específicos relacionados à resistência a antibióticos, infecções respiratórias das vias aéreas superiores e pacientes de pediatria. Resumo dos achados A eficácia varia, depende do local, da forma e dos recursos usados. As formas de múltiplas intervenções parecem mais eficazes. O treinamento em aspectos técnicos e habilidades de comunicação para médicos e tempo suficiente para cada paciente, além do treinamento por meio da clínica e da mídia para pacientes/pais, são a base da eficácia. Prescrições de uso posterior e testes de diagnóstico rápido no ambiente de cuidado primário mostraram ser eficazes. Uma relação de confiança entre médicos e pais ou responsáveis é uma das pedras angulares. Conclusões Qualquer projeto que busque ser completamente eficaz deve incluir uma autoridade em saúde, que, além de ajudar a implantar as medidas nos pacientes, tem a sólida intenção de reduzir drasticamente o uso de antibióticos em animais e no meio ambiente, além de favorecer a pesquisa sobre novos antimicrobianos.

Abstract Objective To analyze the main cause of the irresponsible use of antibiotics at the pediatric level in a very frequent, usually self-limited, and typically viral condition: upper airway respiratory infections. Sources Different databases were searched using specific terms related to resistance to antibiotics, upper airway respiratory infections, and pediatrics patients. Summary of the findings Effectiveness varies depending on the place, the form of intervention, and the resources used. Multiple interventions appear to be more effective. The foundations of treatment are training in technical aspects and in communication skills for the prescribers, and having enough time for each patient; and training through the health clinic and the media for patients/parents. Deferred prescription and the use of rapid diagnostic tests in the primary care setting have been shown to be effective. A fluid relationship based on trust between clinicians and parents/guardians is one of the keystones. Conclusions Any project that seeks to be totally effective must include a health authority, which in addition to helping implement these measures, has the firm intention of drastically reducing the use of antibiotics in animals and in the environment, as well as favoring research into new antimicrobials.

ABSTRACT Objective: to describe the variables associated with thrombosis in patients with peripherally-inserted central venous catheters. Method: a retrospective cohort study with data collected in 2016, in the Research Electronic Data Capture information system of a high-complexity hospital in São Paulo, Brazil. Results: the critical patient was the one who presented more thrombosis (77.3%). The patient who had a peripherally-inserted central venous catheter taking more than 33% of the blood vessel, when punctured more than once (15.4%), evolved with thrombosis. Regarding the puncture area, there was no significant result since 96.2% of the patients had the catheter in the ideal puncture zone in the arm. Conclusion: the incidence of patients with Peripherally-Inserted Central Venous Catheters who evolved with thrombosis was 1.2%, considered low compared to other studies, contributing to strengthen the policies of good practices for the success of the intravenous therapy with its use.

RESUMEN: Objetivo: describir las variables asociadas a la trombosis en pacientes con un catéter venoso central de inserción periférica. Método: estudio de cohorte, retrospectivo, realizado con datos recolectados en el año 2016, en el sistema de información Research Eletronic Data Capture de un hospital de alta complejidad en San Pablo, Brasil. Resultados: los pacientes críticos fueron los que presentaron más casos de trombosis (77,3%). Cuando se realizó más de una punción (15,4%) en pacientes en los que el catéter venoso central de inserción periférica ocupaba más del 33% del vaso sanguíneo, el cuadro clínico evolucionó con trombosis. En relación al área de punción, no se registró un resultado significativo, puesto que el 96,2% de los pacientes tenía el catéter en la zona ideal de punción en el brazo. Conclusión: la incidencia de pacientes con un Catéter Venoso Central de Inserción Periférica que evolucionaron con trombosis fue del 1,2%, considerada baja en comparación con otros estudios, lo que contribuye a fortalecer las políticas de buenas prácticas para el buen resultado de la terapia intravenosa con su uso.

RESUMO Objetivo: descrever as variáveis associadas à trombose nos pacientes com cateter venoso central de inserção periférica. Método: estudo de coorte, retrospectivo, com dados coletados em 2016, no sistema de informação Research Eletronic Data Capture de um hospital de alta complexidade em São Paulo, Brasil. Resultados: o paciente crítico foi o que mais apresentou trombose (77,3%). O paciente que tinha o cateter venoso central de inserção periférica com ocupação do vaso sanguíneo maior que 33%, quando puncionado mais de uma vez (15,4%), evoluiu com trombose. Referente à área de punção, não houve resultado significativo já que 96,2% dos pacientes estavam com o cateter na zona ideal de punção no braço. Conclusão: a incidência de pacientes com Cateter Venoso Central de Inserção Periférica que evoluíram com trombose foi de 1,2%, considerada baixa em comparação com outros estudos, contribuindo para fortalecer as políticas de boas práticas para o sucesso da terapia intravenosa com seu uso.

Resumo Amblyomma scalpturatum é uma espécie de carrapato que ocorre apenas na América do Sul. Está comumente associada ao bioma da Amazônia e tem sido relatada em alguns estados brasileiros. Esta espécie de carrapato apresenta especificidade a hospedeiros: parasita antas e suídeos. Sua competência em transmitir agentes patogênicos a seres humanos é ainda desconhecida. Amblyomma scalpturatum é também conhecido por picar seres humanos; entretanto, há apenas um relato que evidencie que seres humanos sejam capazes de serem hospedeiros adequados. Ainda existem lacunas no conhecimento sobre a ixodofauna no estado do Acre. Neste estudo foram coletados carrapatos de vida livre com o objetivo de encontrar novos registros para o estado do Acre. Coletas de carrapatos foram realizadas em fragmentos de floresta Amazônica no município de Rio Branco. Um exemplar de A. scalpturatum foi identificado e submetido a sequenciamento do gene ITS-2. Este estudo apresenta a primeira confirmação molecular de A. scalpturatum coletado in situ no estado do Acre, região Norte, Brasil. Este estudo também apresenta o primeiro relato de parasitismo completo de uma ninfa de A. scalpturatum em um hospedeiro humano na região Norte do Brasil. Mais investigações são necessárias para elucidar o ciclo de vida completo dessa espécie de carrapato, a sazonalidade de seus estádios no meio ambiente, sua relação a agentes patogênicos e competência em transmiti-los.

Abstract Amblyomma scalpturatum is a tick species that is unique to South America. It is commonly associated with the Amazon biome and has been reported in some Brazilian states. This tick species exhibits host specificity: it parasitizes tapirs and suidae. Its role in transmitting pathogens to humans is still unknown. Amblyomma scalpturatum is known to be a human-biting tick; however, there is only one report showing that humans make suitable hosts for this species. The knowledge of tick fauna is lacking in the Acre State. This study collected free-living ticks with the aim of finding new records in Acre State. Collections were carried out in Amazon forest fragments in Rio Branco municipality. An A. scalpturatum specimen was identified and submitted sequencing of the ITS-2 gene. This study presents the first molecular confirmation of A. scalpturatum collected in situ in Acre State, North Region, Brazil. This study also presents the first record of a successfully completed feeding by an A. scalpturatum nymph on a human host in the North region of Brazil. Further investigation is needed to ascertain the complete life cycle of this tick species, its seasonality in the environment, and its relationship to pathogens and competence to transmit them.