HIV in pregnant woman and children: Mother-to-child transmission of HIV in the Brazilian land border from 2010 to 2021.

OBJECTIVE: The aim of the present study was to analyze the profile and trends of HIV mother-to-child transmission (MTCT) in the Brazilian land border strip (LBS). METHODS: This was a quantitative, ecological, and cross-sectional study using secondary data available in the information systems of the Brazilian Ministry of Health. All cases reported in the Notifiable Diseases Information System between 2010 and 2021 were studied. RESULTS: Between 2010 and 2021, 275 children were born infected through MTCT, and 6076 pregnant women were living with HIV in the Brazilian LBS. HIV detection rates in pregnant women increased in all border arcs. The northern arc experienced the highest increase (19.6%), followed by the central arc (11.4%), and the southern arc (6.1%). Despite historically high detection rates, the southern arc exhibited the smallest increase. While MTCT rate decreased by 37.7% in the border area, the central arc showed no statistically significant reduction. In 2021, the average age of pregnant women was 26.2 years, 25.7% had up to 8 years of schooling, and 55.8% identified as non-white. The majority (92.8%) received antenatal care, and 59.7% were diagnosed with HIV before prenatal care. The use of prophylactic antiretroviral therapy during prenatal care occurred in 69.6% of pregnant women, and infant prophylaxis was provided within first 24 h to 43.6% of live births. CONCLUSION: The results indicate progress in reducing MTCT cases in Brazilian LBS. Disparities in HIV detection rates may be influenced by differences in testing uptake, despite mandatory testing for all babies. It is crucial to continue implementing strategies to reach these women and ensure equitable access to healthcare services for MTCT prevention.

Implementation of a Fuzzy Inference System to Enhance the Measurement Range of Multilayer Interferometric Sensors.

This work presents a novel methodology to implement a fuzzy inference system (FIS) to overcome the measurement ambiguity that is typically observed in interferometric sensors. This ambiguity occurs when the measurand is determined by tracing the wavelength position of a peak or dip of a spectral fringe. Consequently, the sensor measurement range is typically limited to the equivalent of 1 free spectral range (FSR). Here, it is demonstrated that by using the proposed methodology, the measurement range of this type of sensor can be widened several times by overcoming the ambiguity over some FSR periods. Furthermore, in order to support the viability of the methodology, it was applied to a couple of temperature interferometric sensors. Finally, experimental results demonstrated that it was possible to quintuple the measurement range of one of the tested sensors with a mean absolute error of MAE = 0.0045 °C, while for the second sensor, the measurement range was doubled with an MAE = 0.0073 °C.