Satellite-Based Precipitation Estimates Validation Using Surface Stations in the Central Region of the State of São Paulo, From 1981 to 2019

With the advance of remote sensing technologies, meteorological satellites have become an alternative in the process of monitoring and measuring meteorological variables, both spatially and temporally. The present study brings some additional elements to the validation of satellite-based precipitation estimates by evaluating the CHIRPS (Climate Hazards Group Infra-Red Precipitation with Station) monthly product for the central region of the state of São Paulo, Brazil, in the period 1981-2019. Initially, the general relationship between satellite estimates and surface rainfall data is assessed using the linear adjustment and error analysis in both temporal and spatial perspectives, followed by a trend analysis using Laplace test. The monthly map analysis showed a better performance of CHIRPS during the dry period (April to August) than for the wet period (October to March). Finally, monthly trends showed, in general, the same pattern of variability in rainfall over 38 years and a prevalence toward the reduction of rainfall. In summary, CHIRPS product seems a reasonable alternative for regions that lack historical rainfall information.

Total, Patient and System Diagnostic Delays for Pulmonary Bacilliferous Tuberculosis in the Six Diagnostic and Treatment Centers in the Five Health Districts of the Central Region, Burkina Faso, 2018

Introduction Long diagnosis delay contributes significantly to the failure to eradicate tuberculosis. The objective of this study was to evaluate the total, patient and system delays in diagnosis of pulmonary bacilliferous in the six tuberculosis Diagnostic and Treatment Centers in the five health districts of the central region in Burkina Faso. Methods A descriptive cross-sectional study was conducted among 384 microscopy-positive pulmonary tuberculosis patients in 2018 to address this objective. It concerned the socio-demographic, clinical, microbiological characteristics, and referral location/pathway characteristics of the patients. We then calculated the different delays. The “patient” (time from first symptoms to first consultation), “system” (time from first consultation to first diagnosis) and total (time from first symptoms to diagnosis) median diagnostic delay were estimated. Results The median “total”, “patient” and “system” diagnostic times were 37, 21 and 7 days, respectively. Of the 384 patients surveyed, 158 patients or 41.25% of patients had a long total diagnostic delay (> 45 days). The number of patients with a long system diagnostic delay was 125 patients (32.55%; p < 0.001) and those with a long patient diagnostic delay were 105 patients (27.34%; p < 0.001). Conclusion The total diagnosis delay of pulmonary tuberculosis was long for almost half of the patients. Awareness of the signs of tuberculosis among patients and caregivers, and consultation in a health center must be intensified to help considerably reduce these delays.

Comparison of Absolute Dose Achievable Between Helical Tomotherapy and RapidArc in Total Dura Mater Irradiation for Child Cancer

Background and Purpose: In this study, the absolute dose achievable between helical tomotherapy (HT) plans and RapidArc (RA) plans for total dura mater irradiation (TDMI) was compared. Materials and methods: A planning study was conducted on nine children's case datasets with dura mater metastasis of neuroblastoma. The target included the entire calvarium and skull base and formed a closed volume with a certain thickness around the brain. HT and RA plans with four coplanar full arcs (RA4) with half-field technique were generated for the comparison of absolute dose achievable. In total, 30.6 Gy was prescribed as D95% (ie, dose to 95% of PTV volume). Results: In the dosimetric comparison between the two modalities, HT provided more homogenous dose distribution than RA4 (mean HI5−95%: 1.046 vs 1.088, P < .001). The V107% and D2Gy of PTV in HT versus RA4 were 3.06% versus 30.47% and 32.59 Gy versus 33.45 Gy, respectively. HT reduced the Dmean and V5Gy of the brain, brainstem, and hippocampus by 25%–48% and 27%–56% compared with RA4, respectively. Conclusion: Both techniques could provide sufficient coverage for targets, but HT offered more homogenous dose to PTV and lower dose to the central region of the brain involving the brainstem and hippocampus. RA4 could be completed in a shorter time with lower MUs, but with relatively higher dose to the brain or hippocampus. In terms of dosimetry, HT may improve long-term cognitive decline in these young pediatric patients with TDMI.

Hypomagnesemia in beef cattle from the central region of Argentina: retrospective study

ABSTRACT: Hypomagnesaemia (grass tetany) is a metabolic disorder of ruminants due to a reduced dietary intake of magnesium (primary deficiency), incorrect digestibility or associated metabolic factors reducing Mg intake (secondary deficiency). Grass tetany is a production disease responsible for important economic losses in beef herds from Argentina. Several factors influence the development of grass tetany in cattle, including physiological status, weather, soil and forage. This research described a retrospective analysis over the past 20 years, revising the cases of beef cattle clinical hypomagnesaemia registered at the Veterinary Diagnostic Service in INTA Balcarce, Argentina.

Cultural Tourism and the Tourist Experience in the Digital Era

This chapter aims to reveal the growing importance of cultural tourism, reflected in the cultural heritage of cities and its concrete tourist experience in a digital age society. One of the stipulated goals was to understand the existing relationship between tourist and cultural appropriation with the mediation of the digital. The chapter focuses on a city located in the central region of Portugal and followed a quantitative and qualitative analysis methodology. The digital era has been fostering a fundamental capital in the promotion of the existing resources in cities to attract visitors and to reveal the tourist experiences developed in the visited tourist destinations. The main conclusion is the interactions that take place between heritage, tourist experience and ICT implying connections that tourists spontaneously comment through online resources. When making their comments they end up demarcating their tourist experience classifying it according to their expectations in relation to the heritage resources they visit.

The Mass of the Central Region of the Milky way Galaxy

On the Basis of tabular values of the gravitational constant. The calculated mass of the Nucleus of the Milky Way galaxy. The numerical value of the gravitational constant is determined by the mass of the nucleus of the milky way galaxy