Search Results (272)

Background/Objectives: Dietary patterns have changed over time, characterising a process of nutritional transition that reflects socioeconomic and demographic inequalities among different populations. This study assessed changes in dietary consumption patterns and the associated social determinants, comparing two time periods in a sample of individuals from a state in the Northeast Region of Brazil. Methods: Data from the 2008–2009 and 2017–2018 Household Budget Survey for the state of Paraíba were analysed, totalling 951 and 1456 individuals, respectively. Foods were categorised according to the NOVA classification and compared based on sociodemographic and economic variables. To determine the factors that most strongly explain the contribution of each NOVA food group to the diet, beta regression analysis was conducted. Results: Differences were observed between the two periods regarding the dietary contribution of the NOVA food groups, with a decrease in consumption of unprocessed foods and an increase in ultra-processed foods. Living in urban areas, being an adolescent, and having an income above the minimum wage were associated with reduced intake of unprocessed foods in both periods. Additionally, being an adolescent and having more than eight years of schooling were associated with higher consumption of ultra-processed foods. Conclusions: The population under study showed changes in food consumption, reflecting a transition process that is occurring unevenly across socioeconomic and demographic groups, thereby reinforcing social inequalities. These findings can guide priorities in food and nutrition policies, highlighting the need for intervention studies to evaluate the effectiveness of such actions. Full article

Background: Chlamydia trachomatis is the most prevalent bacterial sexually transmitted infection (STI) globally, linked to severe complications such as pelvic inflammatory disease and infertility. In the Brazilian Amazon, socioeconomic vulnerability and the absence of screening policies exacerbate risks, particularly among female sex workers (FSWs). Objective: This study aimed to determine the seroprevalence of anti-C. trachomatis IgG antibodies among FSWs in five municipalities of Pará State, Brazilian Amazon, and identify epidemiological factors associated with infection. Methods: A retrospective cross-sectional study (2005–2007) included 348 FSWs recruited via convenience sampling. Sociodemographic and behavioral data were collected through questionnaires, and blood samples were analyzed by ELISA for anti-C. trachomatis IgG. Statistical analyses included Fisher’s exact tests, odds ratios (ORs), and 95% confidence intervals (CIs), using SPSS 21.0. Results: Overall seroprevalence was 93.9% (327/348; 95% CI: 83.1–90%). Significant associations included a household income of 1–3 minimum wages (98.4%; p = 0.0002), sexual partners from the same region (98.8%; p = 0.0421), and age >42 years (96.3%). Most reported inconsistent condom use (43.7%), multiple monthly partners (54.6%), and illicit drug use (53.4%). Discussion: The extremely high seroprevalence reflects chronic C. trachomatis exposure, driven by socioeconomic deprivation and limited healthcare access. Comparisons with global data underscore the urgent need for screening policies, absent in Brazil for FSWs, and highlight the vulnerability of this population. Conclusions: The findings reveal an alarming burden of C. trachomatis exposure among Amazonian FSWs. Integrated strategies, including routine screening, sexual health education, and inclusion of FSWs in priority health programs, are critical to reduce transmission and associated complications. Full article

Redwood (Sequoia sempervirens (Lamb. ex D. Don) Endl.) is a fast-growing, long-lived conifer native to a narrow coastal zone along the western seaboard of the United States. Redwood can accumulate very high amounts of carbon in plantation settings and continuous cover forestry (CCF) represents a highly profitable option, particularly for small-scale forest growers in the North Island of New Zealand. We evaluated the profitability of conceptual CCF regimes using two case study forests: Blue Mountain (109 ha, Taranaki Region, New Zealand) and Spring Creek (467 ha, Manawatu-Whanganui Region, New Zealand). We ran a strategic harvest scheduling model for both properties and used its results to guide a tactical-spatially explicit model harvesting small 0.7 ha units over a period that spanned 35 to 95 years after planting. The internal rates of return (IRRs) were 9.16 and 10.40% for Blue Mountain and Spring Creek, respectively, exceeding those considered robust for other forest species in New Zealand. The study showed that small owners could benefit from carbon revenue during the first 35 years after planting and then switch to a steady annual income from timber, maintaining a relatively constant carbon stock under a continuous cover forestry regime. Implementing adjacency constraints with a minimum green-up period of five years proved feasible. Although small coupes posed operational problems, which were linked to roading and harvesting, these issues were not insurmountable and could be managed with appropriate operational planning. Full article

This study aimed to investigate food insecurity (FI) and its association with sociodemographic characteristics and behavioral and dental alterations in adolescents from a county in the inland of northeastern Brazil. Data on 192 adolescents aged 11–14 years were analyzed in the public school system in Juripiranga, Paraíba, Northeast Brazil. The adolescents and their guardians responded to the Brazilian Food Insecurity Scale, the Strength and Difficulties Questionnaire for the caregiver, the Strength and Difficulties Questionnaire for children and adolescents, and a sociodemographic questionnaire. Academic performance was observed by calculating the median of the final assessments of basic school subjects. The prevalence of FI was 69.19, and FI was associated with a family income of up to one minimum wage per month (prevalence ratio [PR]: 1.90; 95% confidence interval [95% CI]: 1.20–3.01), no practice of religion by the guardian (PR: 1.34; 95% CI: 1.04–1.73), behavior considered inappropriate by the guardian (PR: 1.33; 95% CI: 1.02–1.73), and academic performance (PR: 1.35; 95% CI: 1.05–1.72). FI is considered a complex and multifactorial problem that requires appropriate intervention to deal with multiple social determinants. The results point to the need for integrated public policies between the health, education, social assistance, and food security sectors. Full article

Background and Aim: Pneumococcal pneumonia is a major cause of death globally, emphasizing the importance of vaccination, especially in low- and middle-income countries. In Iran, the 13-valent pneumococcal conjugate vaccine (PCV13) is available exclusively through private healthcare systems, resulting in a lack of studies on the prevalence of Streptococcus pneumoniae (S. pneumoniae) serotypes among vaccinated children. This research aimed to explore and compare the prevalence of nasopharyngeal pneumococcal carriage, serotype distribution, and antibiotic resistance patterns in healthy PCV13-vaccinated and -unvaccinated children. Methods: From August 2023 to November 2024, a multi-center, cross-sectional observational study was conducted in Tehran, Iran. This study included 204 nasopharyngeal samples collected from children aged from 18 to 59 months, involving both cases of children vaccinated with PCV13 and unvaccinated populations. S. pneumoniae was identified through a combination of culture methods and biochemical tests, confirmed by real-time PCR. Serotyping was achieved using cpsB sequencing, and the minimum inhibitory concentration method was employed to assess antibiotic resistance. Results: This study revealed similar S. pneumoniae carriage rates between PCV13-vaccinated and -unvaccinated Iranian children (20.6% vs. 21.6%). Serotypes 23F and 19F were prevalent in unvaccinated children, while 15B/15C was more prevalent in PCV13-vaccinated children. The included S. pneumoniae serotypes in PCV13 were detected more in the unvaccinated group. PCV13-vaccinated children exhibited no penicillin-resistant pneumococcal isolates, although four isolates were non-susceptible in unvaccinated children. Both groups showed substantial resistance to erythromycin and SXT. Previous respiratory infections, daycare attendance, residence in Tehran, and a history of antibiotic consumption increased the risk of pneumococcal carriage. Conclusions: PCV13 vaccination influences pneumococcal serotype distribution and antimicrobial susceptibility, although there was no significant difference regarding carriage rates between vaccinated and unvaccinated groups. These findings highlight the critical importance of vaccination in reducing invasive serotypes and antimicrobial resistance in children under five years old, emphasizing the importance of national PCV vaccination programs alongside continuous serotype surveillance. Full article

Background: Anaemia and undernutrition remain a significant public health problem in low and middle-income countries (LMICs), particularly affecting under-five children. In Tanzania, the prevalence of anaemia and undernutrition in under-five children is still high; however, less is known about the prevalence and predictors of these conditions in rural areas. Therefore, the current cross-sectional study presents the prevalence and determinants of anaemia and undernutrition among 457 children aged 6–24 months in the Babati and Hanang districts of Tanzania. Method: Haemoglobin concentration was assessed through capillary blood samples. Anaemia was classified according to WHO 2011 guidelines using a cut-off of <11.0 g/dL for children under five, while the WHO 2006 growth indicators were used to classify the nutritional status (i.e., stunting, wasting and underweight). Results: The results from this study show that 32%, 32%, 20% and 4% of children aged 6–24 months were anaemic, stunted, underweight and wasted, respectively, while only 33% had an adequate minimum dietary diversity (MDD). In addition, the child’s age (13–24 months) was significantly associated with anaemia (AOR: 2.1 95% CI 1.4, 3.1), stunting (AOR:17.4 95% CI 10.3, 29.4) and underweight (AOR: 15.9 95% CI 7.9, 32.0). Moreover, male children were three times more likely to be wasted (AOR: 3.5 95% CI 1.1, 10.9) than their female counterparts. Anaemia and stunting were the most prevalent nutritional disorders among 6–24-month-old children in the Hanang and Babati districts. Moreover, age (13–24 months) was found to be the common predictor for anaemia, stunting and underweight. Conclusion: The observed association between age and anaemia, as well as undernutrition, suggest that age may be an essential factor when designing nutrition-related programs in similar rural settings. Full article

Objective: The aim of this study was to assess complementary feeding practices and dietary diversity in relation to the nutritional status of children under five attending health facilities in the Thabazimbi sub-district, Limpopo Province. Methods: A cross-sectional study was conducted among 409 mother–child pairs. Data on socio-demographics, feeding practices, and anthropometry were collected using validated tools. Nutritional status was assessed using WHO growth standards, and dietary diversity was evaluated using WHO infant and young child feeding (IYCF) indicators and a 24 h dietary recall. Associations were analyzed using prevalence ratios in STATA 18. Results: Among 409 children (median age: 18 months, IQR: 12–24), 38% were stunted, 13% were underweight, 5% were thin, and 17% were overweight/obese. Exclusive breastfeeding was reported in 27%, and only 24% met the minimum dietary diversity (DDS ≥ 4). Complementary feeding practices varied significantly by maternal age, with mixed feeding more common among older mothers and younger mothers more likely to receive feeding advice (p = 0.001). Stunting was associated with being a boy (PR = 1.27; 95% CI: 1.00–1.61), age > 24 months (PR = 0.33; 95% CI: 0.16–0.65), and DDS ≥ 4 (PR = 0.72; 95% CI: 0.52–0.99). Underweight was more prevalent among boys (PR = 2.40; 95% CI: 1.40–4.11), but less likely in children with DDS ≥ 4 (PR = 0.43; 95% CI: 0.20–0.92) and those from spouse-headed households (PR = 0.33; 95% CI: 0.13–0.87). Thinness was associated with DDS ≥ 4 (PR = 2.70; 95% CI: 1.13–6.45) and age 12–24 months (PR = 2.80; 95% CI: 1.02–7.64). Overweight/obesity was linked to age 12–24 months (PR = 1.94; 95% CI: 1.25–3.03) and household income > ZAR 15,000 (PR = 4.09; 95% CI: 2.33–7.17). Conclusions: Complementary feeding and dietary diversity deficits contribute significantly to the dual burden of malnutrition in rural Limpopo, highlighting the need for targeted, context-specific nutrition interventions. Full article

Amidst a period of sustained inflation and rising living costs, food insecurity is a growing concern in Australia and is correlated with poor diet quality and increased rates of non-communicable diseases. Currently there is a gap in knowledge of the impact of increasing cost-of-living pressures on the affordability of a healthy diet. As affordability plays a key role in food security, this cross-sectional study aimed to examine the costs, affordability, and differential of habitual (unhealthy) and recommended (healthy) diets within the Illawarra region of Australia and compare results to 2022 findings. The Healthy Diets Australian Standardised Affordability and Pricing tool was applied in six locations in the Illawarra, with two randomly selected each from a low, moderate, and high socioeconomically disadvantaged area. Costs were determined for three reference households: a family of four, a single parent family, and a single male. Affordability was determined for the reference households at three levels of income: median gross, minimum-wage, and welfare dependent. Data was compared to data collected in 2022 using the same methods and locations. Recommended diets cost 10.3–36% less than habitual diets depending on household type, but remained unaffordable for welfare dependant households and family households from socioeconomically disadvantaged areas, where diets required 25.5–45.9% of household income. Due to income increases, affordability of both diets has marginally improved since 2022, requiring 0.5–4.8% less household income. This study provides updated evidence that supports the urgent need for policies, interventions, and monitoring to widely assess and improve healthy diet affordability and decrease food insecurity rates. Possible solutions include increasing welfare rates above the poverty line and utilising nudge theory in grocery stores. Full article

This study examines access to rental housing in the metropolitan area of Las Palmas de Gran Canaria, linking it to socio-economic inequalities and the increasing precarization. In recent years, housing affordability has worsened due to rising rents, stagnant wages, and speculative dynamics—particularly those linked to tourism and platform-based economies. Drawing on official data from the State Reference System for Rental Housing Prices (SERPAVI) and income statistics at the census tract level, this research quantifies housing affordability and spatial disparities through indicators such as economic effort rates. The analysis identifies patterns of exclusion and urban fragmentation, showing that large sectors of the population—especially those earning the minimum age—face severe barriers to accessing adequate housing. The findings highlight the insufficiency of current public policies and propose the expansion of social rental housing and stricter rental market regulation as necessary steps to ensure fairer urban conditions. Full article

Floodplain agriculture is a practice that involves cultivating arable soils along riverbanks and reservoirs, which become submerged during the rainy season. This study aimed to analyze the socioeconomic aspects of floodplain farmers in the municipalities of Amarante, Floriano, and Uruçuí along the banks of the Parnaíba River in northeastern Brazil. We conducted semi-structured interviews using the rapport technique. Data were analyzed using generalized linear models with four distributions (gamma, inverse Gaussian, exponential, and Gaussian), with the aim of identifying patterns and relationships between socioeconomic variables and production system profiles. The average age of respondents was 49 years across the three communities, with a predominance of male farmers. Regarding the length of residence, communities in Uruçuí had lived in the area the longest. In terms of monthly income, 80% of farmers earned up to one minimum wage. Land size analysis indicated that properties in Amarante had the highest average land area in hectares. We conclude that agriculture in the region studied is dominated by manual planting, low adoption of technologies, and scarce use of soil conservation techniques, suggesting more sustainable agricultural practices, the development of management plans, and rural extension practices. Full article

This paper addresses the issues related to inaccurate inspections and high costs in incoming quality control. Incoming quality control refers to the initial inspection process that verifies whether externally provided products, materials, or services comply with specified quality requirements. Traditional methods inspect each item in sequence for a given part and terminate the inspection upon detecting a non-conforming item before proceeding to the next part. To reduce inspection times, we propose a novel approach termed ‘selection of minimal inspection items’, which formulates the selection of inspection items for a batch of parts as decision variables. This approach ensures that all non-conforming parts are detected while minimizing the total number of inspection items. We identify all the inspection items in the initial batch that cover all the non-conforming parts, then develop a set-covering approach to select the minimum inspection items that cover all non-conforming parts. Subsequently, the next batch of parts is inspected using the selected inspection items to identify as many non-conforming parts as possible. Compared to traditional inspection techniques, this approach demonstrates greater cost-effectiveness. Furthermore, we conduct experiments under scenarios with varying numbers of parts and inspection items across different batches to achieve zero-defect inspection, which ensures all non-conforming parts are identified and eliminated through systematic quality control procedures. Algorithms and programs are developed to implement the reported approach. The experimental results show that the proposed approach significantly reduces inspection times while maintaining high quality. Full article

In this paper, an improved online torque compensation strategy considering phase torque-generation capability is proposed to enhance the conventional torque-sharing function (TSF), thus reducing torque ripple for switched reluctance machines (SRMs). The improvements are mainly attributed to two aspects: First, the phase turn-on angle and TSF starting angle are separated. Thus, the phase turn-on angle can be advanced independently to enhance the torque-generation capability of the incoming phase. Second, to generate the desired torque with minimum current, the torque per ampere (TPA) characteristic is considered for commutation region separation. This can ensure that in each separated region, the phase with a stronger torque-tracking ability is utilized for torque error compensation. Accordingly, efficiency is not sacrificed. In addition to improving the TSF, a direct instantaneous torque control (DITC) method combined with a PWM regulator is proposed to reduce large torque increments due to the limited control frequency. As a result, the torque ripple can be further suppressed. Finally, an experimental setup is established, and tests are conducted under different working conditions. The results demonstrate the effectiveness of the proposed method. Full article

Built environment and physical activity (PA) studies have predominantly used fixed or home-centric approaches to identify environmental exposures. In this study, GPS-derived daily activity spaces were used to examine the relationships between the built environment and sedentary behavior (SB), light PA (LPA), and moderate-to-vigorous PA (MVPA). Thirty-one adults were assessed with activity monitors and GPS units. Three types of activity spaces were created: 50 m buffered GPS tracks, minimum convex hulls (MCHs), and standard deviational ellipses (SDEs). The environmental variables included land use mix, greenness, and intersection, multi-use trail, bike infrastructure, and bike station densities. Repeated measures regression was used to test the associations for 141 person-days, controlling for age, gender, income, body mass index, crime, precipitation, and temperature. Greenness within MCH activity spaces was positively associated with LPA (p = 0.02). The bike infrastructure density within SDE spaces had a significant positive association with MVPA (p = 0.04). Multi-use trail, bike infrastructure, and bike station densities had significant negative associations with LPA (p ≤ 0.05). There were no significant adjusted associations with SB. The few significant associations in this study varied by outcome and type of activity space. Further studies are needed to determine optimal, yet flexible methods for activity spaces in built environment and PA research. Full article

Background: Streptococcus agalactiae (Group B Streptococcus, GBS) is a leading cause of neonatal sepsis in high-income countries. While intrapartum antibiotic screening reduces this risk, increasing resistance to macrolides and lincosamides in Europe since the 1990s has limited therapeutic options for penicillin-allergic patients. Reports of reduced beta-lactam susceptibility in GBS further emphasise the need for robust antimicrobial resistance (AMR) surveillance. However, broth microdilution (BMD) methods are unsuitable for large-scale antimicrobial susceptibility testing (AST). Objective: To demonstrate that agar-dilution AST provides equivalent results to broth dilution methods, with superior capacity for high-throughput screening. Methods: Agar-dilution and microdilution AST methods were compared using a panel of 24 characterised susceptible and resistant GBS strains for benzylpenicillin, chloramphenicol, clindamycin, erythromycin, gentamicin, levofloxacin, tetracycline, and vancomycin. Minimum inhibitory concentration (MIC) agreements were evaluated, and resistance profile correlations were assessed using Cohen’s kappa values. Results: Agar-dilution demonstrated >90% agreement with BMD MIC for most antimicrobials, except vancomycin (87.5%), erythromycin (83.33%), and tetracycline (52.78%). Cohen’s kappa values indicated strong agreement (0.88–1.00) for resistance determination. Agar-dilution avoided “trailing growth” issues associated with BMD and facilitated easier detection of non-GBS contaminants. Conclusions: Agar-dilution is a valid method for high-throughput AMR surveillance of retrospective cohorts (96 isolates per plate) and is critical for identifying emerging GBS resistance trends and informing therapeutic guidelines. However, due to the large number of plates required per antimicrobial, it is impractical for routine clinical diagnostics. Full article

This study examines the aerodynamic performance of a joined-wing (JW) aircraft design based on the NASA Common Research Model (CRM), aiming to assess its potential for efficient commercial transport or cargo aircraft at transonic speed (Mach 0.85). The CRM wing, optimised for transonic flight, was transformed into a JW design featuring a high-aspect-ratio main wing. An initial parametric study using the vortex lattice minimum drag panel method identified viable designs. The selected JW configuration, comprising front and rear wings joined by a vertical fin, was analysed using ANSYS Fluent to understand flow interactions and aerodynamic performance. At an angle of attack (AoA) of −1°, the JW design achieved a peak lift-to-drag ratio (L/D) of 17.45, close to the CRM’s peak L/D of 19.64 at 2°, demonstrating competitive efficiency. The JW’s L/D exceeded the CRM’s between AoA −3° and 0.8°, but the CRM performed better above 0.8°, with differences decreasing at a higher AoA. Based on induced drag alone, the JW outperformed the CRM across AoA −3° to 8°, but flow complications restricted its L/D advantage to a small, low AoA range. A strong shock on the vertical fin’s inboard side due to high incoming flow speed delayed shock formation on the main wing near the joint. Optimising the vertical fin shape slightly improved L/D, suggesting potential for further enhancements or that other design factors significantly affect JW performance. This study provides insights into JW aerodynamics at transonic speeds, revealing its potential benefits and challenges compared to the CRM design. Full article