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1.
Living Rev Relativ ; 21(1): 2, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29674941

RESUMO

Euclid is a European Space Agency medium-class mission selected for launch in 2020 within the cosmic vision 2015-2025 program. The main goal of Euclid is to understand the origin of the accelerated expansion of the universe. Euclid will explore the expansion history of the universe and the evolution of cosmic structures by measuring shapes and red-shifts of galaxies as well as the distribution of clusters of galaxies over a large fraction of the sky. Although the main driver for Euclid is the nature of dark energy, Euclid science covers a vast range of topics, from cosmology to galaxy evolution to planetary research. In this review we focus on cosmology and fundamental physics, with a strong emphasis on science beyond the current standard models. We discuss five broad topics: dark energy and modified gravity, dark matter, initial conditions, basic assumptions and questions of methodology in the data analysis. This review has been planned and carried out within Euclid's Theory Working Group and is meant to provide a guide to the scientific themes that will underlie the activity of the group during the preparation of the Euclid mission.

2.
Phys Rev Lett ; 110(24): 241305, 2013 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-25165911

RESUMO

There is an approximately 9% discrepancy, corresponding to 2.4 σ, between two independent constraints on the expansion rate of the Universe: one indirectly arising from the cosmic microwave background and baryon acoustic oscillations and one more directly obtained from local measurements of the relation between redshifts and distances to sources. We argue that by taking into account the local gravitational potential at the position of the observer this tension--strengthened by the recent Planck results--is partially relieved and the concordance of the Standard Model of cosmology increased. We estimate that measurements of the local Hubble constant are subject to a cosmic variance of about 2.4% (limiting the local sample to redshifts z > 0.010) or 1.3% (limiting it to z > 0.023), a more significant correction than that taken into account already. Nonetheless, we show that one would need a very rare fluctuation to fully explain the offset in the Hubble rates. If this tension is further strengthened, a cosmology beyond the Standard Model may prove necessary.

3.
Int J Infect Dis ; 111: 190-195, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34390858

RESUMO

BACKGROUND: A number of estimates of the infection fatality ratio (IFR) of SARS-CoV-2 in different countries have been published. In Brazil, the fragile political situation, together with socioeconomic and ethnic diversity, could result in substantially different IFR estimates. METHODS: We infer the IFR in Brazil in 2020 by combining three datasets. We compute the prevalence via the population-based seroprevalence survey, EPICOVID19-BR. For the fatalities we obtain the absolute number using the public Painel Coronavírus dataset and the age-relative number using the public SIVEP-Gripe dataset. The time delay between the development of antibodies and subsequent fatality is estimated via the SIVEP-Gripe dataset. We obtain the IFR for each survey stage and 27 federal states. We include the effect of fading IgG antibody levels by marginalizing over the test detectability time window. RESULTS: We infer a country-wide average IFR (maximum posterior and 95% CI) of 1.03% (0.88-1.22%) and age-specific IFRs of 0.032% (0.023-0.041%) [< 30 years], 0.22% (0.18-0.27%) [30-49 years], 1.2% (1.0-1.5%) [50-69 years], and 3.0% (2.4-3.9%) [≥ 70 years]. We find that the fatality ratio in the country increased significantly at the end of June 2020, likely due to the increased strain on the health system. CONCLUSIONS: Our IFR estimate is based on data and does not rely on extrapolating models. This estimate sets a baseline value with which future medications and treatment protocols may be confronted.


Assuntos
COVID-19 , Adulto , Idoso , Teorema de Bayes , Brasil/epidemiologia , Humanos , Pessoa de Meia-Idade , SARS-CoV-2 , Estudos Soroepidemiológicos , Inquéritos e Questionários
4.
Sci Rep ; 11(1): 15591, 2021 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-34341397

RESUMO

The COVID-19 pandemic continues to have a devastating impact on Brazil. Brazil's social, health and economic crises are aggravated by strong societal inequities and persisting political disarray. This complex scenario motivates careful study of the clinical, socioeconomic, demographic and structural factors contributing to increased risk of mortality from SARS-CoV-2 in Brazil specifically. We consider the Brazilian SIVEP-Gripe catalog, a very rich respiratory infection dataset which allows us to estimate the importance of several non-laboratorial and socio-geographic factors on COVID-19 mortality. We analyze the catalog using machine learning algorithms to account for likely complex interdependence between metrics. The XGBoost algorithm achieved excellent performance, producing an AUC-ROC of 0.813 (95% CI 0.810-0.817), and outperforming logistic regression. Using our model we found that, in Brazil, socioeconomic, geographical and structural factors are more important than individual comorbidities. Particularly important factors were: The state of residence and its development index; the distance to the hospital (especially for rural and less developed areas); the level of education; hospital funding model and strain. Ethnicity is also confirmed to be more important than comorbidities but less than the aforementioned factors. In conclusion, socioeconomic and structural factors are as important as biological factors in determining the outcome of COVID-19. This has important consequences for policy making, especially on vaccination/non-pharmacological preventative measures, hospital management and healthcare network organization.


Assuntos
COVID-19/mortalidade , Mortalidade Hospitalar , Aprendizado de Máquina , Modelos Biológicos , Pandemias , SARS-CoV-2 , Brasil/epidemiologia , Brasil/etnologia , COVID-19/etnologia , COVID-19/terapia , Feminino , Hospitalização , Humanos , Masculino , Fatores Socioeconômicos
5.
Phys Rev Lett ; 105(12): 121302, 2010 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-20867626

RESUMO

We reanalyze the supernova data from the Union Compilation including the weak-lensing effects caused by inhomogeneities. We compute the lensing probability distribution function for each background solution described by the parameters Ω(M), Ω(Λ), and w in the presence of inhomogeneities, approximately modeled with a single-mass population of halos. We then perform a likelihood analysis in the parameter space of Friedmann-Lemaître-Robertson-Walker models and compare our results with the standard approach. We find that the inclusion of lensing can move the best-fit model significantly towards the cosmic concordance of the flat Lambda-Cold Dark Matter model, improving the agreement with the constraints coming from the cosmic microwave background and baryon acoustic oscillations.

6.
Lancet Glob Health ; 8(8): e1018-e1026, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32622400

RESUMO

BACKGROUND: Brazil ranks second worldwide in total number of COVID-19 cases and deaths. Understanding the possible socioeconomic and ethnic health inequities is particularly important given the diverse population and fragile political and economic situation. We aimed to characterise the COVID-19 pandemic in Brazil and assess variations in mortality according to region, ethnicity, comorbidities, and symptoms. METHODS: We conducted a cross-sectional observational study of COVID-19 hospital mortality using data from the SIVEP-Gripe (Sistema de Informação de Vigilância Epidemiológica da Gripe) dataset to characterise the COVID-19 pandemic in Brazil. In the study, we included hospitalised patients who had a positive RT-PCR test for severe acute respiratory syndrome coronavirus 2 and who had ethnicity information in the dataset. Ethnicity of participants was classified according to the five categories used by the Brazilian Institute of Geography and Statistics: Branco (White), Preto (Black), Amarelo (East Asian), Indígeno (Indigenous), or Pardo (mixed ethnicity). We assessed regional variations in patients with COVID-19 admitted to hospital by state and by two socioeconomically grouped regions (north and central-south). We used mixed-effects Cox regression survival analysis to estimate the effects of ethnicity and comorbidity at an individual level in the context of regional variation. FINDINGS: Of 99 557 patients in the SIVEP-Gripe dataset, we included 11 321 patients in our study. 9278 (82·0%) of these patients were from the central-south region, and 2043 (18·0%) were from the north region. Compared with White Brazilians, Pardo and Black Brazilians with COVID-19 who were admitted to hospital had significantly higher risk of mortality (hazard ratio [HR] 1·45, 95% CI 1·33-1·58 for Pardo Brazilians; 1·32, 1·15-1·52 for Black Brazilians). Pardo ethnicity was the second most important risk factor (after age) for death. Comorbidities were more common in Brazilians admitted to hospital in the north region than in the central-south, with similar proportions between the various ethnic groups. States in the north had higher HRs compared with those of the central-south, except for Rio de Janeiro, which had a much higher HR than that of the other central-south states. INTERPRETATION: We found evidence of two distinct but associated effects: increased mortality in the north region (regional effect) and in the Pardo and Black populations (ethnicity effect). We speculate that the regional effect is driven by increasing comorbidity burden in regions with lower levels of socioeconomic development. The ethnicity effect might be related to differences in susceptibility to COVID-19 and access to health care (including intensive care) across ethnicities. Our analysis supports an urgent effort on the part of Brazilian authorities to consider how the national response to COVID-19 can better protect Pardo and Black Brazilians, as well as the population of poorer states, from their higher risk of dying of COVID-19. FUNDING: None.


Assuntos
Infecções por Coronavirus/etnologia , Infecções por Coronavirus/mortalidade , Etnicidade/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Mortalidade Hospitalar/etnologia , Mortalidade Hospitalar/tendências , Pneumonia Viral/etnologia , Pneumonia Viral/mortalidade , Características de Residência/estatística & dados numéricos , Adulto , Idoso , Brasil/epidemiologia , COVID-19 , Comorbidade , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Fatores Socioeconômicos
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