RESUMO
BACKGROUND: Recently, Europe has seen an emergence of mosquito-borne viruses (MBVs). Understanding citizens' perceptions of and behaviours towards mosquitoes and MBVs is crucial to reduce disease risk. We investigated and compared perceptions, knowledge, and determinants of citizens' behavioural intentions related to mosquitoes and MBVs in the Netherlands and Spain, to help improve public health interventions. METHODS: Using the validated MosquitoWise survey, data was collected through participant panels in Spain (N = 475) and the Netherlands (N = 438). Health Belief Model scores measuring behavioural intent, knowledge, and information scores were calculated. Confidence Interval-Based Estimation of Relevance was used, together with potential for change indexes, to identify promising determinants for improving prevention measure use. RESULTS: Spanish participants' responses showed slightly higher intent to use prevention measures compared to those of Dutch participants (29.1 and 28.2, respectively, p 0.03). Most participants in Spain (92.2%) and the Netherlands (91.8%) indicated they used at least one prevention measure, but differences were observed in which types they used. More Spanish participants indicated to have received information on mosquitoes and MBVs compared to Dutch participants. Spanish participants preferred health professional information sources, while Dutch participants favoured government websites. Determinants for intent to use prevention measures included "Knowledge", "Reminders to Use Prevention Measures", and "Information" in the Netherlands and Spain. Determinants for repellent use included "Perceived Benefits" and "Cues to Action", with "Perceived Benefits" having a high potential for behavioural change in both countries. "Self-Efficacy" and "Knowledge" were determinants in both countries for breeding site removal. CONCLUSION: This study found differences in knowledge between the Netherlands and Spain but similarities in determinants for intent to use prevention measures, intent to use repellents and intent to remove mosquito breeding sites. Identified determinants can be the focus for future public health interventions to reduce MBV risks.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Países Baixos , Humanos , Espanha , Estudos Transversais , Adulto , Feminino , Masculino , Pessoa de Meia-Idade , Animais , Adulto Jovem , Culicidae , Mosquitos Vetores , Controle de Mosquitos/métodos , Adolescente , Intenção , Inquéritos e Questionários , IdosoRESUMO
Patients with left-sided neglect dyslexia often omit whole words positioned on the left, termed whole-word errors, or commit errors on the left-sided letters of words, termed unilateral paralexias. In addition, the errors have been shown to be exacerbated by simultaneously presented distractors, which has been interpreted as a failure of selective attention. In two experiments, we examined the dependency of these error types on parafoveal versus foveal viewing. The first experiment used a paradigm with parafoveal targets and distractors; the second a paradigm with foveal targets and parafoveal distractors. This enabled a separate evaluation of the influences of stimulus position within an egocentric frame, a two-word allocentric frame, and a within-word allocentric frame. First, regarding whole-word errors, we found the expected spatial and distractor effects with parafoveal targets and distractors. With foveal targets and parafoveal distractors, however, the spatial effect was effectively eliminated. Surprisingly, intrusions from the distractor word were common in distractor conditions. This is consistent with an egocentric account and not a two-word allocentric account. Second, we found that unilateral paralexias remained largely consistent regardless of spatial position or the presence of a distractor. Thus, there is a contrast in spatial and distractor effects between whole-word errors and unilateral paralexias. These results are consistent with three distinct deficits: an egocentric deficit across space resulting in whole-word errors, a failure of selective attention that results in whole-word intrusion errors, and a within-word allocentric deficit resulting in unilateral paralexias.
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Dislexia , Transtornos da Percepção , Humanos , Leitura , Lateralidade Funcional , AtençãoRESUMO
BACKGROUND: Mosquitoes and the diseases they transmit pose a significant public health threat worldwide, causing more fatalities than any other animal. To effectively combat this issue, there is a need for increased public awareness and mosquito control. However, traditional surveillance programs are time-consuming, expensive, and lack scalability. Fortunately, the widespread availability of mobile devices with high-resolution cameras presents a unique opportunity for mosquito surveillance. In response to this, the Global Mosquito Observations Dashboard (GMOD) was developed as a free, public platform to improve the detection and monitoring of invasive and vector mosquitoes through citizen science participation worldwide. METHODS: GMOD is an interactive web interface that collects and displays mosquito observation and habitat data supplied by four datastreams with data generated by citizen scientists worldwide. By providing information on the locations and times of observations, the platform enables the visualization of mosquito population trends and ranges. It also serves as an educational resource, encouraging collaboration and data sharing. The data acquired and displayed on GMOD is freely available in multiple formats and can be accessed from any device with an internet connection. RESULTS: Since its launch less than a year ago, GMOD has already proven its value. It has successfully integrated and processed large volumes of real-time data (~ 300,000 observations), offering valuable and actionable insights into mosquito species prevalence, abundance, and potential distributions, as well as engaging citizens in community-based surveillance programs. CONCLUSIONS: GMOD is a cloud-based platform that provides open access to mosquito vector data obtained from citizen science programs. Its user-friendly interface and data filters make it valuable for researchers, mosquito control personnel, and other stakeholders. With its expanding data resources and the potential for machine learning integration, GMOD is poised to support public health initiatives aimed at reducing the spread of mosquito-borne diseases in a cost-effective manner, particularly in regions where traditional surveillance methods are limited. GMOD is continually evolving, with ongoing development of powerful artificial intelligence algorithms to identify mosquito species and other features from submitted data. The future of citizen science holds great promise, and GMOD stands as an exciting initiative in this field.
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Aedes , Ciência do Cidadão , Animais , Humanos , Inteligência Artificial , Mosquitos Vetores , Controle de Mosquitos/métodosRESUMO
In this study, we asked to what degree hemifields contribute to divided attention effects observed in tasks with object-based judgments. If object recognition processes in the two hemifields were fully independent, then placing stimuli in separate hemifields would eliminate divided attention effects; in the alternative extreme, if object recognition processes in the two hemifields were fully integrated, then placing stimuli in separate hemifields would not modulate divided attention effects. Using a dual-task paradigm, we compared performance in a semantic categorization task for relevant stimuli arranged in the same hemifield to performance for relevant stimuli arranged in separate left and right hemifields. In two experiments, there was a reliable decrease in divided attention effects when stimuli were shown in separate hemifields compared to the same hemifield. However, the effect of divided attention was not eliminated. These results reject both the independent and integrated hypotheses, and instead support a third alternative - that object recognition processes in the two hemifields are partially dependent. More specifically, the magnitude of modulation by hemifields was closer to the prediction of the integrated hypothesis, suggesting that for dual tasks with objects, dependent processing is mostly shared across the visual field.
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Atenção , Percepção Visual , Humanos , Estimulação Luminosa/métodos , Campos VisuaisRESUMO
AIMS AND OBJECTIVES: To investigate the factors affecting quality of life in healthcare providers who care for patients with COVID-19. BACKGROUND: Healthcare providers caring for COVID-19 patients during the pandemic suffered a deterioration in their quality of life. Several studies have explored their psychological impact of working with COVID patients, but none have examined the causes of this deterioration. DESIGN: A cross-sectional study. METHODS: In the current study, the authors investigated the factors affecting quality of life in 293 healthcare providers recruited from a medical centre in northern Taiwan who had recently cared for patients with suspected or confirmed COVID-19 by analysing their responses to an online self-report questionnaire, using bivariate correlations and structural equation modelling. Reporting of this research adheres to the STROBE guideline. RESULTS: The study identified an important sequence of factors that mediated the effects of perceived success of epidemic prevention policies, family relations problems and education level on quality of life in a sample of healthcare workers caring for COVID-19 patients. The mediators were use of approach-oriented coping strategies and current mental health status. Specifically, use of approach-oriented coping strategies was found to directly cause improved quality of life and indirectly cause improved mental health, whereas use of avoidant coping strategies was found to directly cause worsening of mental health. Poor mental health predicted poor quality of life. CONCLUSIONS: Results suggest that implementation of sound epidemic prevention policies that promote adoption of approach-oriented coping behaviour should lead to a better quality of life in the future for healthcare providers working in challenging circumstances. RELEVANCE TO CLINICAL PRACTICE: Assessment of these policies as well as the providers' family relations are necessary first steps to improving the success of approach-oriented coping behaviour in this population, which in turn can improve their mental health and quality of life. PATIENT OR PUBLIC CONTRIBUTION: Neither patients nor members of the public were involved in the design or execution of the study.
Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , Qualidade de Vida , Estudos Transversais , Pessoal de Saúde/psicologia , PandemiasRESUMO
In most environments, the visual system is confronted with many relevant objects simultaneously. That is especially true during reading. However, behavioral data demonstrate that a serial bottleneck prevents recognition of more than one word at a time. We used fMRI to investigate how parallel spatial channels of visual processing converge into a serial bottleneck for word recognition. Participants viewed pairs of words presented simultaneously. We found that retinotopic cortex processed the two words in parallel spatial channels, one in each contralateral hemisphere. Responses were higher for attended than for ignored words but were not reduced when attention was divided. We then analyzed two word-selective regions along the occipitotemporal sulcus (OTS) of both hemispheres (subregions of the visual word form area, VWFA). Unlike retinotopic regions, each word-selective region responded to words on both sides of fixation. Nonetheless, a single region in the left hemisphere (posterior OTS) contained spatial channels for both hemifields that were independently modulated by selective attention. Thus, the left posterior VWFA supports parallel processing of multiple words. In contrast, activity in a more anterior word-selective region in the left hemisphere (mid OTS) was consistent with a single channel, showing (i) limited spatial selectivity, (ii) no effect of spatial attention on mean response amplitudes, and (iii) sensitivity to lexical properties of only one attended word. Therefore, the visual system can process two words in parallel up to a late stage in the ventral stream. The transition to a single channel is consistent with the observed bottleneck in behavior.
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Atenção/fisiologia , Córtex Cerebral/fisiologia , Leitura , Córtex Cerebral/diagnóstico por imagem , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Reconhecimento Psicológico/fisiologiaRESUMO
Divided attention effects have been observed across a variety of stimuli and perceptual tasks, which have given rise to both object-based and space-based theories of divided attention. Object-based theories assert that processing information from multiple objects is limited, whereas space-based theories assert that processing information from multiple locations is limited. Extant results in the literature are collectively inconsistent with both simple object-based theories and simple space-based theories of divided attention. Using a visual search task with the extended simultaneous-sequential method to reveal capacity limitations, we found evidence of limited-capacity processing of object properties and unlimited-capacity processing of feature contrast. We found no evidence of a separate spatial limitation. A multiple pathway processing theory can account for these and a large body of previous results. According to this theory, tasks that require object processing must follow a limited-capacity pathway and therefore incur divided attention effects. Tasks that depend on only feature contrast can follow a separate unlimited-capacity processing pathway and therefore do not incur divided attention effects.
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Atenção , Percepção Espacial , Humanos , Percepção VisualRESUMO
The dinuclear RuII complex [(Ru(phen)2 )2 (tpphz)]4+ (phen=1,10-phenanthroline, tpphz=tetrapyridophenazine) "RuRuPhen" blocks the transformation of G-actin monomers to F-actin filaments with no disassembly of pre-formed F-actin. Molecular docking studies indicate multiple RuRuPhen molecules bind to the surface of G-actin but not the binding pockets of established actin polymerisation inhibitors. In cells, addition of RuRuPhen causes rapid disruption to actin stress fibre organisation, compromising actomyosin contractility and cell motility; due to this effect RuRuPhen interferes with late-stage cytokinesis. Immunofluorescent microscopy reveals that RuRuPhen causes cytokinetic abscission failure by interfering with endosomal sorting complexes required for transport (ESCRT) complex recruitment.
Assuntos
Citocinese , Rutênio , Citoesqueleto de Actina , Actinas/metabolismo , Complexos Endossomais de Distribuição Requeridos para Transporte/metabolismo , Simulação de Acoplamento Molecular , Rutênio/metabolismo , Rutênio/farmacologiaRESUMO
Set-size effects in change detection have been attributed to capacity limits in a variety of processes, including perception, memory encoding, memory storage, memory retrieval, comparison, and decision. In this study, we investigated the locus of the effect of increasing set size from 1 to 2. The task was to detect a 90 degree change in the orientation of 1 or 2 briefly presented Gabor patterns in noise. To measure purely attentional effects and not another phenomena, such as crowding, a precue was used to manipulate relevant set size while keeping the display constant. The locus of the capacity limit was determined by varying when observers were cued to a single relevant stimulus. To begin, we measured the baseline set-size effect for change detection. Next, a dual-task procedure and a 100% valid postcue was added to test for an effect of decision: This modification did not reliably change the set-size effects. In the critical experiments, a 100% valid cue was provided during the retention interval between displays, or only one stimulus was presented in the second display (local recognition). For both of these conditions, there was only a relatively small set-size effect. These results are consistent with the bulk of capacity limits being in memory retrieval or comparison and not in perception, memory encoding, or memory storage.
Assuntos
Atenção , Memória de Curto Prazo , Sinais (Psicologia) , Humanos , Reconhecimento PsicológicoRESUMO
Divided attention has little effect for simple tasks, such as luminance detection, but it has large effects for complex tasks, such as semantic categorization of masked words. Here, we asked whether the semantic categorization of visual objects shows divided attention effects as large as those observed for words, or as small as those observed for simple feature judgments. Using a dual-task paradigm with nameable object stimuli, performance was compared with the predictions of serial and parallel models. At the extreme, parallel processes with unlimited capacity predict no effect of divided attention; alternatively, an all-or-none serial process makes two predictions: a large divided attention effect (lower accuracy for dual-task trials, compared to single-task trials) and a negative response correlation in dual-task trials (a given response is more likely to be incorrect when the response about the other stimulus is correct). These predictions were tested in two experiments examining object judgments. In both experiments, there was a large divided attention effect and a small negative correlation in responses. The magnitude of these effects was larger than for simple features, but smaller than for words. These effects were consistent with serial models, and rule out some but not all parallel models. More broadly, the results help establish one of the first examples of likely serial processing in perception.
Assuntos
Reconhecimento Visual de Modelos/fisiologia , Mascaramento Perceptivo/fisiologia , Percepção Visual/fisiologia , Adulto , Atenção/fisiologia , Feminino , Humanos , Julgamento , Masculino , Tempo de Reação/fisiologiaRESUMO
To test the limits of parallel processing in vision, we investigated whether people can recognize two words at once. Participants viewed brief, masked pairs of words and were instructed in advance to judge both of the words (dual-task condition) or just one of the words (single-task condition). For judgments of semantic category, the dual-task deficit was so large that it supported all-or-none serial processing: Participants could recognize only one word and had to guess about the other. Moreover, participants were more likely to be correct about one word if they were incorrect about the other, which also supports a serial-processing model. In contrast, judgments of text color with identical stimuli were consistent with unlimited-capacity parallel processing. Thus, under these conditions, serial processing is necessary to judge the meaning of words but not their physical features. Understanding the implications of this result for natural reading will require further investigation.
Assuntos
Atenção/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Psicolinguística , Leitura , Reconhecimento Psicológico/fisiologia , Adulto , Feminino , Humanos , Masculino , Adulto JovemRESUMO
Recent neural ensemble recordings have established a link between goal-directed spatial decision making and internally generated neural sequences in the hippocampus of rats. To elucidate the synaptic mechanisms of these sequences underlying spatial decision making processes, we develop and investigate a spiking neural circuit model endowed with a combination of two synaptic plasticity mechanisms including spike-timing dependent plasticity (STDP) and synaptic scaling. In this model, the interplay of the combined synaptic plasticity mechanisms and network dynamics gives rise to neural sequences which propagate ahead of the animals' decision point to reach goal locations. The dynamical properties of these forward-sweeping sequences and the rates of correct binary choices executed by these sequences are quantitatively consistent with experimental observations; this consistency, however, is lost in our model when only one of STDP or synaptic scaling is included. We further demonstrate that such sequence-based decision making in our network model can adaptively respond to time-varying and probabilistic associations of cues and goal locations, and that our model performs as well as an optimal Kalman filter model. Our results thus suggest that the combination of plasticity phenomena on different timescales provides a candidate mechanism for forming internally generated neural sequences and for implementing adaptive spatial decision making.
Assuntos
Algoritmos , Comportamento de Escolha/fisiologia , Modelos Neurológicos , Modelos Estatísticos , Rede Nervosa/fisiologia , Animais , Hipocampo , Plasticidade Neuronal/fisiologia , RatosRESUMO
Cationic surfactants such as benzalkonium chlorides (BACs) are used extensively as biocides in hospitals, food processing industries, and personal care products. BACs have the potential to reach the rooting zone of crop plants and BACs might thereby enter the food chain. The two most commonly used BACs, benzyl dimethyl dodecyl ammonium chloride (BDDA) and benzyl dimethyl tetradecyl ammonium chloride (BDTA), were tested in a hydroponic system to assess the uptake by and phytotoxicity to lettuce (Lactuca sativa L.) and garden cress (Lepidium sativum L.). Individually and in mixture, BACs at concentrations up to 100 mg L-1 did not affect germination; however, emergent seedlings were sensitive at 1 mg L-1 for lettuce and 5 mg L-1 for garden cress. After 12 d exposure to 0.25 mg L-1 BACs, plant dry weight was reduced by 68% for lettuce and 75% for garden cress, and symptoms of toxicity (necrosis, chlorosis, wilting, etc.) were visible. High performance liquid chromatography-mass spectroscopy analysis showed the presence of BACs in the roots and shoots of both plant species. Although no conclusive relationship was established between the concentrations of six macro- or six micro-nutrients, growth inhibition or BAC uptake, N and Mg concentrations in BAC-treated lettuce were 50% lower than that of control, indicating that BACs might induce nutrient deficiency. Although bioavailability of a compound in hydroponics is significantly higher than that in soil, these results confirm the potential of BACs to harm vascular plants.
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Compostos de Benzalcônio/toxicidade , Lactuca , Lepidium sativum , Poluentes do Solo/toxicidade , Compostos de Benzalcônio/farmacocinética , Raízes de Plantas , Plântula , Poluentes do Solo/farmacocinéticaRESUMO
Performance in many visual tasks is impaired when observers attempt to divide spatial attention across multiple visual field locations. Correspondingly, neuronal response magnitudes in visual cortex are often reduced during divided compared with focused spatial attention. This suggests that early visual cortex is the site of capacity limits, where finite processing resources must be divided among attended stimuli. However, behavioral research demonstrates that not all visual tasks suffer such capacity limits: The costs of divided attention are minimal when the task and stimulus are simple, such as when searching for a target defined by orientation or contrast. To date, however, every neuroimaging study of divided attention has used more complex tasks and found large reductions in response magnitude. We bridged that gap by using functional magnetic resonance imaging to measure responses in the human visual cortex during simple feature detection. The first experiment used a visual search task: Observers detected a low-contrast Gabor patch within one or four potentially relevant locations. The second experiment used a dual-task design, in which observers made independent judgments of Gabor presence in patches of dynamic noise at two locations. In both experiments, blood-oxygen level-dependent (BOLD) signals in the retinotopic cortex were significantly lower for ignored than attended stimuli. However, when observers divided attention between multiple stimuli, BOLD signals were not reliably reduced and behavioral performance was unimpaired. These results suggest that processing of simple features in early visual cortex has unlimited capacity.
Assuntos
Mapeamento Encefálico/métodos , Córtex Visual/fisiologia , Adulto , Atenção/fisiologia , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Orientação , Estimulação Luminosa , Campos Visuais , Adulto JovemRESUMO
OBJECTIVE: Iron deficiency is the most prevalent micronutrient deficiency worldwide and a common medical condition in the United States. The American Academy of Pediatrics has recommended universal screening for iron deficiency anemia in infants at approximately 1 year of age. This screening involves invasive venous blood sampling which increases the clinic visit time and may cause significant stress to the patient and family members. The purpose of this study was to assess the accuracy and utility of a non-invasive hemoglobin measurement device compared to standard laboratory hemoglobin measurement from venipuncture. METHODS: One hundred ten children were enrolled in the study following a well-child examination at San Antonio Military Medical Center from June 2012 to June 2014. Each child had a hemoglobin measurement obtained with the Masimo Pronto with Rainbow(®) R20L disposable sensor followed by venipuncture that was sent to the clinical laboratory for hemoglobin measurement. Paired hemoglobin results from the non-invasive device and the clinical laboratory were compared. RESULTS: Ninety-seven children successfully had hemoglobin measured by the Masimo Pronto device. Hemoglobin values obtained with the Masimo Pronto were significantly correlated with venous hemoglobin levels, with a correlation coefficient of 0.48. A hemoglobin level less than 11.5 gm/dL on the Masimo Pronto had a sensitivity of 82 % and a negative predictive value of 95 % when compared to venous hemoglobin level less than 11 gm/dL. CONCLUSIONS: for Practice Non-invasive hemoglobin testing with the Masimo Pronto device may be a useful screening tool for anemia in infants that avoids invasive testing.
Assuntos
Anemia Ferropriva/diagnóstico , Hematologia/instrumentação , Hemoglobinas/análise , Sistemas Automatizados de Assistência Junto ao Leito , Anemia Ferropriva/sangue , Pré-Escolar , Feminino , Hematologia/métodos , Humanos , Lactente , Masculino , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , TexasRESUMO
BACKGROUND: The vigour and precocity of trees highly influences their efficiency in commercial production. In apple, dwarfing rootstocks allow high-density plantings while their precocious flowering enables earlier fruit production. Currently, there is a lack of pear (Pyrus communis L.) rootstocks that are equivalent to the high yielding apple rootstock 'M9'. For the efficient breeding of new Pyrus rootstocks it is crucial to understand the genetic determinants of vigour control and precocity. In this study we used quantitative trait loci (QTLs) analysis to identify genetic loci associated with the desired traits, using a segregating population of 405 F1 P. communis seedlings from a cross between 'Old Home' and 'Louise Bonne de Jersey' (OHxLBJ). The seedlings were grafted as rootstocks with 'Doyenne du Comice' scions and comprehensively phenotyped over four growing seasons for traits related to tree architecture and flowering, in order to describe the growth of the scions. RESULTS: A high density single nucleotide polymorphism (SNP)-based genetic map comprising 597 polymorphic pear and 113 apple markers enabled the detection of QTLs influencing expression of scion vigour and precocity located on linkage groups (LG)5 and LG6 of 'Old Home'. The LG5 QTL maps to a position that is syntenic to the apple 'Malling 9' ('M9') Dw1 locus at the upper end of LG5. An allele of a simple sequence repeat (SSR) associated with apple Dw1 segregated with dwarfing and precocity in pear and was identified in other pear germplasm accessions. The orthology of the vigour-controlling LG5 QTL between apple and pear raises the possibility that the dwarfing locus Dw1 arose before the divergence of apple and pear, and might therefore be present in other Rosaceae species. CONCLUSION: We report the first QTLs associated with vigour control and flowering traits in pear rootstocks. Orthologous loci were found to control scion growth and precocity in apple and pear rootstocks. The application of our results may assist in the breeding process of a pear rootstock that confers both vigour control and precocity to the grafted scion cultivar.
Assuntos
Polimorfismo de Nucleotídeo Único , Pyrus/crescimento & desenvolvimento , Pyrus/genética , Locos de Características Quantitativas , Sintenia , Mapeamento Cromossômico , Marcadores Genéticos , Malus/genética , Malus/metabolismo , Raízes de Plantas/genética , Raízes de Plantas/crescimento & desenvolvimento , Raízes de Plantas/metabolismo , Pyrus/metabolismoRESUMO
OBJECTIVES: This project aims to determine the feasibility of predicting future critical care bed availability using data-driven computational forecast modelling and routinely collected hospital bed management data. METHODS: In this proof-of-concept, single-centre data informatics feasibility study, regression-based and classification data science techniques were applied retrospectively to prospectively collect routine hospital-wide bed management data to forecast critical care bed capacity. The availability of at least one critical care bed was forecasted using a forecast horizon of 1, 7 and 14 days in advance. RESULTS: We demonstrated for the first time the feasibility of forecasting critical care bed capacity without requiring detailed patient-level data using only routinely collected hospital bed management data and interpretable models. Predictive performance for bed availability 1 day in the future was better than 14 days (mean absolute error 1.33 vs 1.61 and area under the curve 0.78 vs 0.73, respectively). By analysing feature importance, we demonstrated that the models relied mainly on critical care and temporal data rather than data from other wards in the hospital. DISCUSSION: Our data-driven forecasting tool only required hospital bed management data to forecast critical care bed availability. This novel approach means no patient-sensitive data are required in the modelling and warrants further work to refine this approach in future bed availability forecast in other hospital wards. CONCLUSIONS: Data-driven critical care bed availability prediction was possible. Further investigations into its utility in multicentre critical care settings or in other clinical settings are warranted.
Assuntos
Cuidados Críticos , Estudos de Viabilidade , Previsões , Número de Leitos em Hospital , Humanos , Ocupação de Leitos/estatística & dados numéricos , Estudos Retrospectivos , Unidades de Terapia IntensivaRESUMO
Climatic, ecological, and socioeconomic factors are facilitating the spread of mosquito-borne diseases, heightening the importance of vector surveillance and control. Citizen science is proving to be an effective tool to track mosquito populations, but methods are needed to detect and account for small scale sampling biases in citizen science surveillance. In this article we combine two types of traditional mosquito surveillance records with data from the Mosquito Alert citizen science system to explore the ways in which the socioeconomic characteristics of urban neighborhoods result in sampling biases in citizen scientists' mosquito reports, while also shaping the spatial distribution of mosquito populations themselves. We use Barcelona, Spain, as an example, and focus on Aedes albopictus, an invasive vector species of concern worldwide. Our results suggest citizen scientists' sampling effort is focused more in Barcelona's lower and middle income census tracts than in its higher income ones, whereas Ae. albopictus populations are concentrated in the city's upper-middle income tracts. High resolution estimates of the spatial distribution of Ae. albopictus risk can be improved by controlling for citizen scientists' sampling effort, making it possible to provide better insights for efficiently targeting control efforts. Our methodology can be replicated in other cities faced with vector mosquitoes to improve public health responses to mosquito-borne diseases, which impose massive burdens on communities worldwide.
Assuntos
Aedes , Ciência do Cidadão , Mosquitos Vetores , Animais , Aedes/fisiologia , Humanos , Fatores Socioeconômicos , Viés de Seleção , Espanha , Coleta de Dados/métodos , Características de Residência , Controle de Mosquitos/métodos , CidadesRESUMO
Due to climate change and the expanding geographical ranges of key mosquito species, several mosquito-borne viruses (MBVs) have recently emerged in Europe. Understanding people's perceptions and behaviours towards these viruses and the mosquitoes capable of transmitting them is crucial for implementing effective prevention measures and targeted communication campaigns. However, there is currently no appropriate validated survey for European populations to assess this. This study developed and validated a standardized survey, based on the Health Belief Model (HBM), to assess perceptions of mosquitoes and MBVs among Europe's residents. The survey was distributed online to United Kingdom (UK), Dutch and Spanish participants through panel providers. Survey validity and reliability were tested using confirmatory factor analysis (CFA) and Cronbach's alpha. The optimised survey was completed by 336 UK, 438 Dutch and 475 Spanish residents, respectively, and the HBM items passed our validity and reliability testing in all three countries. The final survey has 57 questions, including 19 validated HBM items, and questions to assess demographic characteristics, knowledge, prevention measures and behavioural determinants. Our MosquitoWise survey bridges researchers' understandings of European residents' perceptions and knowledge as a first step to improve preventive behaviour towards mosquitoes and MBVs and guide prevention and communication initiatives.
Assuntos
Culicidae , Vírus , Animais , Humanos , Reprodutibilidade dos Testes , Europa (Continente) , Reino Unido , Inquéritos e QuestionáriosRESUMO
Surveillance data from wildlife and poultry was used to describe the spread of highly pathogenic avian influenza (HPAI) H5N1 clade 2.3.4.4b in British Columbia (B.C.) and the Yukon, Canada from September 2022 - June 2023 compared to the first "wave" of the outbreak in this region, which occurred April - August 2022, after the initial viral introduction. Although the number of HPAI-positive poultry farms and wildlife samples was greater in "Wave 2", cases were more tightly clustered in southwestern B.C. and the most commonly affected species differed, likely due to an influx of overwintering waterfowl in the area. Eight HPAI genetic clusters, representing seven genotypes and two inter-continental viral incursions, were detected, with significant variation in the relative abundance of each cluster between the waves. Phylogenetic data suggests multiple spillover events from wild birds to poultry and mammals but could not rule out transmission among farms and among mammals.