47 results match your criteria: "Insper Institute of Education and Research[Affiliation]"

Introduction: Prematurity is a factor that contributes to the increase in infant morbidity and mortality and is associated with factors determining child growth, such as nutritional deficits, mainly during the COVID-19 pandemic.

Objective: To evaluate the factors determining the growth of premature neonates treated at a secondary health service during the COVID-19 pandemic.

Method: Observational retrospective and prospective cohort study of premature patients followed at the follow-up clinic in the municipality of Carapicuíba from February 2020 to December 2023.

View Article and Find Full Text PDF

What should judges do when faced with immoral laws? Should they apply them without exception, since "the law is the law?" Or can exceptions be made for grossly immoral laws, such as historically, Nazi law? Surveying laypeople (N = 167) and people with some legal training (N = 141) on these matters, we find a surprisingly strong, monotonic relationship between people's subjective moral evaluation of laws and their judgments that these laws should be applied in concrete cases. This tendency is most pronounced among individuals who endorse natural law (i.e.

View Article and Find Full Text PDF
Article Synopsis
  • This paper explores how primary healthcare, particularly Brazil's Family Health Strategy (ESF), helped reduce the negative impacts of COVID-19 on health outcomes.
  • Using detailed data from 2016 to 2022, the study compares high-intensity ESF municipalities to low-intensity ones, revealing that the former experienced significantly fewer COVID-19 and cardiorespiratory deaths.
  • The research emphasizes that effective primary care, mainly through home visits and health promotion, along with higher vaccination rates, was crucial in managing the pandemic's effects and will be vital for addressing future health challenges post-pandemic.
View Article and Find Full Text PDF

Patient-level cost analysis of intensive care unit acquired infections: A prospective cohort study.

J Hosp Infect

July 2024

Big Data, Program to Support the Institutional Development of the Unified Health System (PROADI-SUS), Hospital Israelita Albert Einstein, São Paulo, SP, Brazil; Post-graduation Program, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Introduction: Hospital-associated infections (HAIs) are associated with increased mortality and prolonged hospital length-of-stay (LOS). Although some studies have shown that HAIs are associated with increased costs, these studies only used cost estimates, were carried out in a small number of centres, or only in high-income countries.

Methods: We carried out a prospective cohort study in ten Brazilian intensive care units (ICUs) selected from a collaborative platform study (IMPACTO MR).

View Article and Find Full Text PDF

This paper studies the patterns and consequences of birth timing manipulation around the carnival holiday in Brazil. We document how births are displaced around carnival and estimate the effect of displacement on birth indicators. We show that there is extensive birth timing manipulation in the form of both anticipation and postponement that results in a net increase in gestational length and reductions in neonatal and early neonatal mortality, driven by postponed births that would otherwise happen through scheduled c-sections.

View Article and Find Full Text PDF

Background: Gestational weight gain (GWG) is an important indicator for monitoring maternal and fetal health.

Objective: To evaluate the effect of GWG outside the recommendations of the Institute of Medicine (IOM) on fetal and neonatal outcomes.

Study Design: A prospective cohort study with 1642 pregnant women selected from 2017 to 2023, with gestational age ≤ 18 weeks and followed until delivery in the city of Araraquara, Southeast Brazil.

View Article and Find Full Text PDF

This paper expands traditional stochastic volatility models by allowing for time-varying skewness without imposing it. While dynamic asymmetry may capture the likely direction of future asset returns, it comes at the risk of leading to overparameterization. Our proposed approach mitigates this concern by leveraging sparsity-inducing priors to automatically select the skewness parameter as dynamic, static or zero in a data-driven framework.

View Article and Find Full Text PDF

Analysis of the currently established Bayesian nearest neighbors classification model points to a connection between the computation of its normalizing constant and issues of NP-completeness. An alternative predictive model constructed by aggregating the predictive distributions of simpler nonlocal models is proposed, and analytic expressions for the normalizing constants of these nonlocal models are derived, ensuring polynomial time computation without approximations. Experiments with synthetic and real datasets showcase the predictive performance of the proposed predictive model.

View Article and Find Full Text PDF

Machine Learning for the Detection and Diagnosis of Anomalies in Applications Driven by Electric Motors.

Sensors (Basel)

December 2023

Engineering Technology & Industrial Distribution (Joint Appt with Mechanical Engineering), Texas A&M University, College Station, TX 77840, USA.

Manufacturing systems are becoming increasingly flexible, necessitating the adoption of new technologies that allow adaptations to a turbulent and complex modern market. Consequently, modern concepts of production systems require horizontal and vertical integration, extending across value networks and within a factory or production shop. The integration of these environments enables the acquisition of a substantial amount of data containing information pertaining to production, processes, and equipment located on the shop floor.

View Article and Find Full Text PDF

Social media has become a one-stop shop for consuming news and expressing political views. Politics has become increasingly emotional, and the ensuing polarization has created echo chambers that favor narratives and stories that repeat only one point of view. In this article, we investigated the role of political activity through Twitter (now 'X') engagement as a predictor of destructive fires and deforestation in the Brazilian Legal Amazon (BLA).

View Article and Find Full Text PDF

Scientists have been trying to identify every gene in the human genome since the initial draft was published in 2001. In the years since, much progress has been made in identifying protein-coding genes, currently estimated to number fewer than 20,000, with an ever-expanding number of distinct protein-coding isoforms. Here we review the status of the human gene catalogue and the efforts to complete it in recent years.

View Article and Find Full Text PDF

Brazil's private health insurance market is the second largest in the world, behind only the United States, making it a valuable source of real-world evidence. This paper documents how physicians' inpatient reimbursement fees vary in the country and explores the relationship between these fees and the market share of health providers and health insurance companies. We implement a fixed-effects panel regression and take advantage of an unprecedented database that contains national administrative records of inpatient procedures paid by health insurance companies in 2016.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines how individual exposure to air pollution in urban areas like São Paulo varies based on socioeconomic status and commuting times.
  • Researchers used black carbon levels found in autopsied lungs as a measure of pollution and analyzed data to create a misclassification index.
  • Findings indicate that lower socioeconomic status and longer commuting times correlate with underestimation of actual air pollution exposure, prompting a call for urban planning reforms to address health impacts.
View Article and Find Full Text PDF

The status of the human gene catalogue.

ArXiv

March 2023

National Center for Biotechnology Information, National Library of Medicine, National Institutes of Health, Bethesda, MD 20894, USA.

Scientists have been trying to identify all of the genes in the human genome since the initial draft of the genome was published in 2001. Over the intervening years, much progress has been made in identifying protein-coding genes, and the estimated number has shrunk to fewer than 20,000, although the number of distinct protein-coding isoforms has expanded dramatically. The invention of high-throughput RNA sequencing and other technological breakthroughs have led to an explosion in the number of reported non-coding RNA genes, although most of them do not yet have any known function.

View Article and Find Full Text PDF

Law, Coercion and Folk Intuitions.

Oxf J Leg Stud

October 2022

Professor of Law and Philosophy, PUC-Rio.

In discussing whether legal systems are necessarily coercive, legal philosophers usually appeal to thought experiments involving angels or other morally driven beings who need no coercion to organise their social lives. Such appeals have invited criticism. Critics have not only challenged the relevance of such thought experiments to our understanding of legal systems; they have also argued that, contrary to the intuitions of most legal philosophers, the 'man on the Clapham Omnibus' would not hold that there is law in a society of angels because the view that law is necessarily coercive 'enjoys widespread support among laypersons'.

View Article and Find Full Text PDF

Comprehensive apologies are effective strategies to solve interpersonal conflict and promote reconciliation. However, transgressors tend to avoid providing comprehensive apologies because it is more threatening to do so. As a result, transgressors usually offer perfunctory apologies and hinder their own chances of being forgiven.

View Article and Find Full Text PDF

Background: Repurposed drugs for treatment of new onset disease may be an effective therapeutic shortcut. We aimed to evaluate the efficacy of repurposed antivirals compared to placebo in lowering SARS-CoV2 viral load of COVID-19 patients.

Methods: REVOLUTIOn is a randomised, parallel, blinded, multistage, superiority and placebo controlled randomised trial conducted in 35 centres in Brazil.

View Article and Find Full Text PDF

Barriers to employing digital technologies for a circular economy: A multi-level perspective.

J Environ Manage

April 2023

São Carlos School of Engineering, University of São Paulo, Department of Production Engineering, Av. Trabalhador São Carlense, 400, São Carlos, 13566-590, SP, Brazil. Electronic address:

Industry 4.0 and digital technologies might significantly impact resource optimization in a smart circular economy. However, adopting digital technologies is not easy due to barriers that may arise during this process.

View Article and Find Full Text PDF

Long non-coding RNAs: definitions, functions, challenges and recommendations.

Nat Rev Mol Cell Biol

June 2023

Translational Research Institute, Henan Provincial People's Hospital, Academy of Medical Science, Zhengzhou University, Zhengzhou, China.

Genes specifying long non-coding RNAs (lncRNAs) occupy a large fraction of the genomes of complex organisms. The term 'lncRNAs' encompasses RNA polymerase I (Pol I), Pol II and Pol III transcribed RNAs, and RNAs from processed introns. The various functions of lncRNAs and their many isoforms and interleaved relationships with other genes make lncRNA classification and annotation difficult.

View Article and Find Full Text PDF

In this paper, we assess the effects of a national policy implemented in Brazil to avoid unnecessary cesareans. The policy has a supply-side component that prohibits elective c-sections before the 39th gestational week and a demand-side awareness component. Since the policy is not binding for cases with a strong medical c-section indication, we use births of breech- and transverse-positioned babies as a counterfactual for births of cephalic-positioned babies in a difference-in-differences framework.

View Article and Find Full Text PDF

Rule is a dual character concept.

Cognition

January 2023

Department of Philosophy, Universidad de Granada, Spain. Electronic address:

Recent experimental work revealed that rule violation judgments are sensitive to morality. For instance: when someone blamelessly violates a rule's text, about half of the participants say that the rule was violated, with the remainder saying that it wasn't. Why is that so? Current evidence is compatible with three distinct explanations.

View Article and Find Full Text PDF

Forecasting Covid-19 in the United Kingdom: A dynamic SIRD model.

PLoS One

August 2022

Institute of Mathematics and Statistics, University of São Paulo, São Paulo, SP, Brazil.

Making use of a state space framework, we present a stochastic generalization of the SIRD model, where the mortality, infection, and underreporting rates change over time. A new format to the errors in the Susceptible-Infected-Recovered-Dead compartments is also presented, that permits reinfection. The estimated trajectories and (out-of-sample) forecasts of all these variables are presented with their confidence intervals.

View Article and Find Full Text PDF

Studies in the United States have shown that minority students might face a trade-off between better academic performance and peer acceptance, which has been termed "acting White." This paper investigates racial differences in the relationship between grades and popularity in five Brazilian schools. Popularity is measured using friendship ties among students, assigning a higher value to students more central in the network.

View Article and Find Full Text PDF

Previous studies have found that the expansion of primary health care in Brazil following the country-wide family health strategy (ESF), one of the largest primary care programs in the world, has improved health outcomes. However, these studies have relied either on aggregate data or on limited individual data, with no fine-grained information available concerning household participation in the ESF or local supply of ESF services, which represent crucial aspects for analytical and policy purposes. This study analyzes the relationship between the ESF and health outcomes for the adult population in metropolitan areas in Brazil.

View Article and Find Full Text PDF