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Sample records for aco

  1. Pioneer ACO PUF

    Data.gov (United States)

    U.S. Department of Health & Human Services — Pioneer ACO PUF - To address the increasing number of requests for Pioneer ACO data, the Centers for Medicare and Medicaid Services (CMS) has created a standard...

  2. Pioneer ACO Model

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Pioneer ACO Model is designed for health care organizations and providers that are already experienced in coordinating care for patients across care settings....

  3. Feocromocitoma cardíaco

    Directory of Open Access Journals (Sweden)

    Gustavo L. Knop

    2006-01-01

    Full Text Available Los feocromocitomas cardíacos primarios (FCP son sumamente infrecuentes. Hasta el presente son menos de 50 los casos comunicados en el mundo. Presentamos el caso de un tumor intrapericárdico, que resultó ser un feocromocitoma primario, en una mujer de mediana edad, cuyo signo principal fue hipertensión arterial severa (HTAs. Los estudios diagnósticos por imágenes corroboraron la presencia de un tumor intrapericárdico como único hallazgo y los estudios bioquímicos de catecolaminas y sus metabolitos excretados por orina reafirmaron el diagnóstico etiológico. El tumor fue resecado quirúrgicamente sin complicaciones mediante cirugía cardíaca convencional con circulación extracorpórea (CEC y paro cardíaco con cardioplejía. Siete meses después de la operación, la paciente se encuentra asintomática y normotensa.

  4. Including Language Access into Medicaid ACO Design.

    Science.gov (United States)

    Gershon, Rachel; Morris, Lisa; Ferguson, Warren

    2016-09-01

    Quality health care relies upon communication in a patient's preferred language. Language access in health care occurs when individuals are: (1) Welcomed by providers regardless of language ability; and (2) Offered quality language services as part of their care. Federal law generally requires access to health care and quality language services for deaf and Limited English Proficient (LEP) patients in health care settings, but these patients still find it hard to access health care and quality language services.Meanwhile, several states are implementing Medicaid Accountable Care Organization (ACO) initiatives to reduce health care costs and improve health care quality. Alternative payment methods used in these initiatives can give Accountable Care Organizations more flexibility to design linguistically accessible care, but they can also put ACOs at increased financial risk for the cost of care. If these new payment methods do not account for differences in patient language needs, ACO initiatives could have the unintended consequence of rewarding ACOs who do not reach out to deaf and LEP communities or offer quality language services.We reviewed public documents related to Medicaid ACO initiatives in six states. Some of these documents address language access. More could be done, however, to pay for language access efforts. This article describes Medicaid ACO initiatives and explores how different payment tools could be leveraged to reward ACOs for increased access to care and quality language services. We find that a combination of payment tools might be helpful to encourage both access and quality. PMID:27587453

  5. Recent results of the ACO storage ring

    International Nuclear Information System (INIS)

    A permanent magnet undulator has been built and installed on the ACO Storage Ring. The undulator design, the spontaneous emission and gain of the system, as well as the laser induced bunch lengthening of the electron bunch, are presented. A low-loss optical cavity has been also recently built and operated on the ring. Its performance and the degradation problems of the mirrors are discussed. Amplification of the spontaneous emission stored in the optical cavity has been observed. Also, preliminary results on the operation of an optical klystron are reported and interpreted

  6. ALOHA Cabled Observatory (ACO): Acoustic Doppler Current Profiler (ADCP): Velocity

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The University of Hawaii's ALOHA ("A Long-term Oligotrophic Habitat Assessment") Cabled Observatory (ACO) is located 100 km north of the island of Oahu, Hawaii (22...

  7. ALOHA Cabled Observatory (ACO): Acoustic Doppler Current Profiler (ADCP): Temperature

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The University of Hawaii's ALOHA ("A Long-term Oligotrophic Habitat Assessment") Cabled Observatory (ACO) is located 100 km north of the island of Oahu, Hawaii (22...

  8. ACO-AFSA Algorithm in Function Optimization and Its Application

    Directory of Open Access Journals (Sweden)

    Wang Shi Gang

    2016-01-01

    Full Text Available ACO and AFSA as two kinds of new intelligent bionic algorithm, has better robustness, and the design method is simple and easy to understand. At present, in many engineering fields, they have been a pivotal position, but there are some defects in solving function optimization problems. Because of the lack of pheromone in the initial stage of ACO, the speed of the solution is relatively slow, and AFSA has the advantages of strong global convergence ability and fast speed. In this paper, based on the advantages and disadvantages of ACO and AFSA, two kinds of algorithms are integrated, and the advantage is enhanced, a better optimization algorithm is put forward: ACO-AFSA. The initial solution and improved state transition probabilities are obtained by AFSA, and the basic ACO is improved, the congestion degree of AFSA is introduced in the algorithm, makes most of ants’ initial optimization will not be randomly selected at a strong crowding restrictions. Experimental results show that the new algorithm can get the optimal solution with less number of iterations, which greatly saves computation time, and has higher accuracy and better convergence performance. Engineering, computing the shortest distance between the surface and plane of the problem has also been good results, the experimental results are satisfactory.

  9. Current Status of the ACO Cluster Redshift Compilation

    CERN Document Server

    Andernach, H; Tago, Erik

    1997-01-01

    We present an update of our compilation of measured redshifts of galaxy clusters in the all-sky Abell catalog. In the last 7 years the number of ACO clusters with measured z has doubled to now ~2100, but still ~56% of these are based on only 1 or 2 measured member galaxies. Our October 1997 version gives 2247 redshifts (including components or line-of-sight superpositions) for 2114 distinct A- and S-clusters. Velocity dispersions are listed for 536 different ACO clusters (613 subclusters) and the median is 695 km/s. We mention some applications of our compilation for determining the large-scale structure of the nearby Universe.

  10. Improving Network Performance using ACO Based Redundant Link Avoidance Algorithm

    Directory of Open Access Journals (Sweden)

    B. Chandra Mohan

    2010-05-01

    Full Text Available In the wide spread internet, response time and pocket loss are inappropriate due to network traffic, as a result the network efficiency becomes worst and the system provides poor Quality of Service (QoS. An optimal routing protocol, especially multipath may avoid such traffic in the network. But existing routing protocols, both single path and multi path, concentrates only on finding the routes based on any one or some set of metrics, that not always suitable for dynamic, cloud natured network environment. Ant Colony Optimization (ACO based multipath routing protocol was suggested as an alternate to this problem by many researchers. The multipath ACO also provides same set of link(s for the source to destination, so that traffic merging again becomes a critical problem. This paper proposes an optimal solution to avoid the problem of traffic merging in the network by removing redundant link in the route. The Proposed algorithm, called 'Redundant Link Avoidance (RLA algorithm', is an ACO based multi path routing methodology, avoiding copious link in the suggested routes of ACO multipath protocol.

  11. Redshifts and Distribution of ACO Clusters of Galaxies

    CERN Document Server

    Andernach, H; Einasto, M; Einasto, J; Jaaniste, J

    2004-01-01

    The June 2004 version of our compilation of measured redshifts for clusters in the Abell-ACO catalogue lists redshifts for 3715 clusters/subclusters in 3033 distinct (2396 A- and 637 S-) clusters, 67% of these with N_z>=3 galaxies measured. We provide velocity dispersions (sigma_V) for 1875 (sub)clusters towards 1353 unique ACO clusters. The median sigma_V is 650 km/s for A-(sub)clusters and 575 km/s for S-(sub)clusters, and sigma_V clearly increases with both, N_z and richness, and also, somewhat surprising, with later Bautz-Morgan type of the clusters. We show examples of supercluster properties based on these data.

  12. An ACO approach for the Parallel Machines Scheduling Problem

    OpenAIRE

    Gatica, Claudia R.; Esquivel, Susana Cecilia; Leguizamón, Guillermo

    2008-01-01

    The parallel machines scheduling problem (Pm) comprises the allocation of jobs on the system’s resources, i.e., a group of machines in parallel. The basic model consists of m identical machines and n jobs. The jobs are assigned according to resource availability following some allocation rule. In this work, we apply the Ant Colony Optimization (ACO) metaheuristic which includes in the construction solution process different specific heuristic to solve Pm for the minimization Maximum Tardiness...

  13. ACO in e-Learning: Towards an adaptive learning path

    Directory of Open Access Journals (Sweden)

    Pushpa. M

    2012-03-01

    Full Text Available Today we are in an era where drastic advancements in networking and information technology are in action. The learning process has also taken these advancements, as a result of which e-learning came to thescene. Personalization in e-learning will improve the performance of the system. Recent researches are concentrating on providing adaptability to the learning management systems, depending upon the varying user needs and contexts. Adaptability can be provided at different levels .Providing an adaptive learning path according to the context of the learners’ is an important issue. An optimal adaptive learning path will help the learners in reducing the cognitive overload and disorientation, and thereby improving the efficiency of the Learning Management System (LMS. Ant Colony Optimization (ACO is a widely accepted technique since it provides an adaptive learning path to the learners. Meta-heuristic which is used in intelligent tutoring systems provides the learning path in an adaptive way. The most interesting feature of ACO is its adaptation and robustness in an environment where the learning materials and learners are changing frequently. In this paper we can have a look through the existing ACO approaches towards providing an adaptive learning path and an introduction towards an enhanced attribute ant for making the e-learning system more adaptive.

  14. Dolor mandibular de origen cardíaco

    OpenAIRE

    MR Sáez Yuguero; A Bermejo Fenoll; JL Calvo Guirado; E. Álvarez Martínez

    2003-01-01

    En las complejas estructuras anatómicas orofaciales, asientan muchos procesos dolorosos. Las algias orofaciales más comunes tienen su origen a nivel dental, periodontal o en estructuras musculoesqueleticas. Sin embargo, el paciente puede manifestar dolor en esta región, bien en dientes o estructuras musculoesqueleticas, y la fuente originaria localizarse a distancia. A este tipo de dolor se le llama dolor heterotópico. Una posible fuente de dolor heterotópico es el dolor de origen cardíaco. E...

  15. MODELO ACO PARA LA RECOLECCIÓN DE RESIDUOS POR CONTENEDORES ACO MODEL APPLIED TO THE WASTE COLLECTION BY CONTAINERS

    Directory of Open Access Journals (Sweden)

    Eduardo Salazar Hornig

    2009-08-01

    Full Text Available ACO es una metaheurística inspirada en el comportamiento de las colonias de hormigas para solucionar problemas de optimización combinatoria, por medio de la utilización de agentes computacionales simples que trabajan de manera cooperativa y se comunican mediante rastros de feromona artificiales. En este trabajo se presenta un modelo para resolver el Problema de Recolección de Residuos Domiciliarios por Contenedores, el que aplica un concepto de secuencias parciales de recolección que deben ser unidas para minimizar la distancia total de recolección. El problema de unir las secuencias parciales se representa como un TSP, el que es resuelto mediante un algoritmo ACO. En base a recomendaciones de la literatura, se calibran experimentalmente los parámetros del algoritmo y se recomiendan rangos de valores que representan buenos rendimientos promedio. El modelo se aplica a un sector de recolección de la comuna de San Pedro de la Paz, Chile, obteniéndose rutas de recolección que reducen la distancia total recorrida respecto de la actual ruta utilizada y de la solución obtenida con otro modelo desarrollado previamente.ACO is a metaheuristic inspired in the behavior of natural ant colonies to solve combinatorial optimization problems, based on simple agents that work cooperatively communicating by artificial pheromone trails. In this paper a model to solve the municipal waste collection problem by containers is presented, which applies a concept of partial collection sequences that must be joined to minimize the total collection distance. The problem to join the partial collection sequences is represented as a TSP, which is solved by an ACO algorithm. Based on the literature, algorithm parameters are experimentally calibrated and range of variations that represents good average solutions are recommended. The model is applied to a waste collection sector of the San Pedro de la Paz commune in Chile, obtaining recollection routes with less total

  16. Report on the 10th International Conference of the Asian Clinical Oncology Society (ACOS 2012).

    Science.gov (United States)

    Kim, Yeul Hong; Yang, Han-Kwang; Kim, Tae Won; Lee, Jung Shin; Seong, Jinsil; Lee, Woo Yong; Ahn, Yong Chan; Lim, Ho Yeong; Won, Jong-Ho; Park, Kyong Hwa; Cho, Kyung Sam

    2013-04-01

    The 10th International Conference of the Asian Clinical Oncology Society (ACOS 2012) in conjunction with the 38th Annual Meeting of the Korean Cancer Association, was held on June 13 to 15 (3 days) 2012 at COEX Convention and Exhibition Center in Seoul, Korea. ACOS has a 20-year history starting from the first conference in Osaka, Japan, which was chaired by Prof. Tetsuo Taguchi and the ACOS conferences have since been conducted in Asian countries every 2 years. Under the theme of "Work Together to Make a Difference for Cancer Therapy in Asia", the 10th ACOS was prepared to discuss various subjects through a high-quality academic program, exhibition, and social events. The ACOS 2012 Committee was composed of the ACOS Organizing Committee, Honorary Advisors, Local Advisors, and ACOS 2012 Organizing Committee. The comprehensive academic program had a total of 92 sessions (3 Plenary Lectures, 1 Award Lectures, 1 Memorial Lectures, 9 Special Lectures, 15 Symposia, 1 Debate & Summary Sessions, 1 Case Conferences, 19 Educational Lectures, 1 Research & Development Session, 18 Satellite Symposia, 9 Meet the Professors, 14 Oral Presentations) and a total 292 presentations were delivered throughout the entire program. Amongst Free Papers, 462 research papers (110 oral presentations and 352 poster presentations) were selected to be presented. This conference was the largest of all ACOS conferences in its scale with around 1,500 participants from 30 countries. Furthermore, despite strict new financial policies and requirements governing fundraising alongside global economic stagnation, a total of 14 companies participated as sponsors and an additional 35 companies purchased 76 exhibition booths. Lastly, the conference social events provided attendees with a variety of opportunities to experience and enjoy Korea's rich culture and traditions during the Opening Ceremony, Welcome Reception, Invitee Dinner, Banquet, and Closing Ceremony. Overall, ACOS 2012 reinforced and promoted

  17. Hospitals Participating In ACOs Tend To Be Large And Urban, Allowing Access To Capital And Data.

    Science.gov (United States)

    Colla, Carrie H; Lewis, Valerie A; Tierney, Emily; Muhlestein, David B

    2016-03-01

    Relationships between physicians and hospitals have changed considerably over the past decade, as hospitals and physician groups have integrated and new public and private payment policies have created financial interdependence. The extent to which accountable care organizations (ACOs) involve hospitals in their operations may prove to be vitally important, because managing hospital care is a key part of improving health care quality and lowering cost growth. Using primary data on ACO composition and capabilities paired with hospital characteristics, we found that 20 percent of US hospitals were part of an ACO in 2014. Hospitals that were in urban areas, were nonprofit, or had a smaller share of Medicare patients were more likely to participate in ACOs, compared to hospitals that were in more rural areas, were for-profit or government owned, or had a larger share of Medicare patients, respectively. Qualitative data identified the following advantages of including a hospital in an ACO: the availability of start-up capital, advanced data sharing, and engagement of providers across the care continuum. Although the 63 percent of ACOs that included hospitals offered more comprehensive services compared to ACOs without hospitals, we found no differences between the two groups in their ability to manage hospital-related aspects of patient care.

  18. Physicians' Participation In ACOs Is Lower In Places With Vulnerable Populations Than In More Affluent Communities.

    Science.gov (United States)

    Yasaitis, Laura C; Pajerowski, William; Polsky, Daniel; Werner, Rachel M

    2016-08-01

    Early evidence suggested that accountable care organizations (ACOs) could improve health care quality while constraining costs, and ACOs are expanding throughout the United States. However, if disadvantaged patients have unequal access to physicians who participate in ACOs, that expansion may exacerbate health care disparities. We examined the relationship between physicians' participation in both Medicare and commercial ACOs across the country and the sociodemographic characteristics of their likely patient populations. Physicians' participation in ACOs varied widely across hospital referral regions, from nearly 0 percent to over 85 percent. After we adjusted for individual physician and practice characteristics, we found that physicians who practiced in ZIP Code Tabulation Areas where a higher percentage of the population was black, living in poverty, uninsured, or disabled or had less than a high school education-compared to other areas-had significantly lower rates of ACO participation than other physicians. Our findings suggest that vulnerable populations' access to physicians participating in ACOs may not be as great as access for other groups, which could exacerbate existing disparities in health care quality. PMID:27503961

  19. Layered ACO-OFDM for intensity-modulated direct-detection optical wireless transmission.

    Science.gov (United States)

    Wang, Qi; Qian, Chen; Guo, Xuhan; Wang, Zhaocheng; Cunningham, David G; White, Ian H

    2015-05-01

    Layered asymmetrically clipped optical orthogonal frequency division multiplexing (ACO-OFDM) with high spectral efficiency is proposed in this paper for optical wireless transmission employing intensity modulation with direct detection. In contrast to the conventional ACO-OFDM, which only utilizes odd subcarriers for modulation, leading to an obvious spectral efficiency loss, in layered ACO-OFDM, the subcarriers are divided into different layers and modulated by different kinds of ACO-OFDM, which are combined for simultaneous transmission. In this way, more subcarriers are used for data transmission and the spectral efficiency is improved. An iterative receiver is also proposed for layered ACO-OFDM, where the negative clipping distortion of each layer is subtracted once it is detected so that the signals from different layers can be recovered. Theoretical analysis shows that the proposed scheme can improve the spectral efficiency by up to 2 times compared with conventional ACO-OFDM approaches with the same modulation order. Meanwhile, simulation results confirm a considerable signal-to-noise ratio gain over ACO-OFDM at the same spectral efficiency. PMID:25969323

  20. MOEA/D-ACO: a multiobjective evolutionary algorithm using decomposition and AntColony.

    Science.gov (United States)

    Ke, Liangjun; Zhang, Qingfu; Battiti, Roberto

    2013-12-01

    Combining ant colony optimization (ACO) and the multiobjective evolutionary algorithm (EA) based on decomposition (MOEA/D), this paper proposes a multiobjective EA, i.e., MOEA/D-ACO. Following other MOEA/D-like algorithms, MOEA/D-ACO decomposes a multiobjective optimization problem into a number of single-objective optimization problems. Each ant (i.e., agent) is responsible for solving one subproblem. All the ants are divided into a few groups, and each ant has several neighboring ants. An ant group maintains a pheromone matrix, and an individual ant has a heuristic information matrix. During the search, each ant also records the best solution found so far for its subproblem. To construct a new solution, an ant combines information from its group's pheromone matrix, its own heuristic information matrix, and its current solution. An ant checks the new solutions constructed by itself and its neighbors, and updates its current solution if it has found a better one in terms of its own objective. Extensive experiments have been conducted in this paper to study and compare MOEA/D-ACO with other algorithms on two sets of test problems. On the multiobjective 0-1 knapsack problem,MOEA/D-ACO outperforms the MOEA/D with conventional genetic operators and local search on all the nine test instances. We also demonstrate that the heuristic information matrices in MOEA/D-ACO are crucial to the good performance of MOEA/D-ACO for the knapsack problem. On the biobjective traveling salesman problem, MOEA/D-ACO performs much better than the BicriterionAnt on all the 12 test instances. We also evaluate the effects of grouping, neighborhood, and the location information of current solutions on the performance of MOEA/D-ACO. The work in this paper shows that reactive search optimization scheme, i.e., the "learning while optimizing" principle, is effective in improving multiobjective optimization algorithms. PMID:23757576

  1. Methodology to Optimize Manufacturing Time for a CNC Using a High Performance Implementation of ACO

    Directory of Open Access Journals (Sweden)

    Oscar Montiel-Ross

    2012-10-01

    Full Text Available In this paper, an efficient methodology to generate optimal and/or quasi‐optimal sequences of G commands to minimize the manufacturing time is presented. Our solution starts from original G codes provided by application CAD/CAM software. Here, first we tackled the problem of reducing the time of the travel path for drilling of an industrial robotic manufacturing machine. The methodology can be easily implemented for free distribution or commercial CAD/CAM software without achieving any modification to it. Several experiments that demonstrate how this proposal can help to outperform solutions provided by application software are presented, consistent improvements around 62% were obtained. Moreover, for optimizing the time along the travel path, we present a high performance implementation of Ant Colonies (ACO known as Parallel ACO (P‐ACO that allows achieving the optimization task efficiently by speeding up the original ACO. A Graphical User Interface that integrates the whole process is shown.

  2. The Impact Of Medicare ACOs On Improving Integration And Coordination Of Physical And Behavioral Health Care.

    Science.gov (United States)

    Fullerton, Catherine A; Henke, Rachel M; Crable, Erica; Hohlbauch, Andriana; Cummings, Nicholas

    2016-07-01

    The accountable care organization (ACO) model holds the promise of reducing costs and improving the quality of care by realigning payment incentives to focus on health outcomes instead of service volume. One key to managing the total cost of care is improving care coordination for and treatment of people with behavioral health disorders. We examined qualitative data from ninety organizations participating in Medicare ACO demonstration programs from 2012 through 2015 to determine whether and how they focused on behavioral health care. These ACOs had mixed degrees of engagement in improving behavioral health care for their populations. The biggest challenges included a lack of behavioral health care providers, data availability, and sustainable financing models. Nonetheless, we found substantial interest in integrating behavioral health care into primary care across a majority of the ACOs. PMID:27385242

  3. An ACO model for a non-stationary formulation of the single elevator problem

    OpenAIRE

    Molina, Silvia; Leguizamón, Mario Guillermo; Alba Torres, Enrique

    2007-01-01

    The Ant Colony Optimization (ACO) metaheuristic is a bio-inspired approach for hard combinatorial optimization problems for stationary and non-stationary environments. In the ACO metaheuristic, a colony of artificial ants cooperate for finding high quality solutions in a reasonable time. An interesting example of a non-stationary combinatorial optimization problem is the Multiple Elevators Problem (MEP) which consists in finding a sequence of movements for each elevator to perform in a buildi...

  4. Dolor mandibular de origen cardíaco

    Directory of Open Access Journals (Sweden)

    MR Sáez Yuguero

    2003-10-01

    Full Text Available En las complejas estructuras anatómicas orofaciales, asientan muchos procesos dolorosos. Las algias orofaciales más comunes tienen su origen a nivel dental, periodontal o en estructuras musculoesqueleticas. Sin embargo, el paciente puede manifestar dolor en esta región, bien en dientes o estructuras musculoesqueleticas, y la fuente originaria localizarse a distancia. A este tipo de dolor se le llama dolor heterotópico. Una posible fuente de dolor heterotópico es el dolor de origen cardíaco. Este articulo presenta un caso clínico en el que el dolor mandibular bilateral fue el síntoma inicial de una cardiopatía isquémica que fue erróneamente etiquetada de artrosis de la articulación temporomandibular.In the complex orofacial anatomic structures, many painful processes are felt. The most common orofacial pains have their origin at dental or periodontal level, or in muscle -skeletical structures. However, the patient can have pain in this area- either in teeth or muscle-eskeletical structures- and the originating source can be located at a distance. This type of pain is called heterotopic pain. A possible source of heterotopic pain is the pain of cardiac origin. This paper presents a clinical case in which the bilateral mandibular pain is the initial symptom of an ischemic cardiopathy that was erroneously labeled as temporomandibular arthrosis.

  5. CACONET: Ant Colony Optimization (ACO) Based Clustering Algorithm for VANET.

    Science.gov (United States)

    Aadil, Farhan; Bajwa, Khalid Bashir; Khan, Salabat; Chaudary, Nadeem Majeed; Akram, Adeel

    2016-01-01

    A vehicular ad hoc network (VANET) is a wirelessly connected network of vehicular nodes. A number of techniques, such as message ferrying, data aggregation, and vehicular node clustering aim to improve communication efficiency in VANETs. Cluster heads (CHs), selected in the process of clustering, manage inter-cluster and intra-cluster communication. The lifetime of clusters and number of CHs determines the efficiency of network. In this paper a Clustering algorithm based on Ant Colony Optimization (ACO) for VANETs (CACONET) is proposed. CACONET forms optimized clusters for robust communication. CACONET is compared empirically with state-of-the-art baseline techniques like Multi-Objective Particle Swarm Optimization (MOPSO) and Comprehensive Learning Particle Swarm Optimization (CLPSO). Experiments varying the grid size of the network, the transmission range of nodes, and number of nodes in the network were performed to evaluate the comparative effectiveness of these algorithms. For optimized clustering, the parameters considered are the transmission range, direction and speed of the nodes. The results indicate that CACONET significantly outperforms MOPSO and CLPSO. PMID:27149517

  6. RNA interference of 1-aminocyclopropane-1-carboxylic acid oxidase (ACO1 and ACO2) genes expression prolongs the shelf life of Eksotika (Carica papaya L.) papaya fruit.

    Science.gov (United States)

    Sekeli, Rogayah; Abdullah, Janna Ong; Namasivayam, Parameswari; Muda, Pauziah; Abu Bakar, Umi Kalsom; Yeong, Wee Chien; Pillai, Vilasini

    2014-06-19

    The purpose of this study was to evaluate the effectiveness of using RNA interference in down regulating the expression of 1-aminocyclopropane-1-carboxylic acid oxidase gene in Eksotika papaya. One-month old embryogenic calli were separately transformed with Agrobacterium strain LBA 4404 harbouring the three different RNAi pOpOff2 constructs bearing the 1-aminocyclopropane-1-carboxylic acid oxidase gene. A total of 176 putative transformed lines were produced from 15,000 calli transformed, selected, then regenerated on medium supplemented with kanamycin. Integration and expression of the targeted gene in putatively transformed lines were verified by PCR and real-time RT-PCR. Confined field evaluation of a total of 31 putative transgenic lines planted showed a knockdown expression of the targeted ACO1 and ACO2 genes in 13 lines, which required more than 8 days to achieve the full yellow colour (Index 6). Fruits harvested from lines pRNAiACO2 L2-9 and pRNAiACO1 L2 exhibited about 20 and 14 days extended post-harvest shelf life to reach Index 6, respectively. The total soluble solids contents of the fruits ranged from 11 to 14° Brix, a range similar to fruits from non-transformed, wild type seed-derived plants.

  7. RNA Interference of 1-Aminocyclopropane-1-carboxylic Acid Oxidase (ACO1 and ACO2 Genes Expression Prolongs the Shelf Life of Eksotika (Carica papaya L. Papaya Fruit

    Directory of Open Access Journals (Sweden)

    Rogayah Sekeli

    2014-06-01

    Full Text Available The purpose of this study was to evaluate the effectiveness of using RNA interference in down regulating the expression of 1-aminocyclopropane-1-carboxylic acid oxidase gene in Eksotika papaya. One-month old embryogenic calli were separately transformed with Agrobacterium strain LBA 4404 harbouring the three different RNAi pOpOff2 constructs bearing the 1-aminocyclopropane-1-carboxylic acid oxidase gene. A total of 176 putative transformed lines were produced from 15,000 calli transformed, selected, then regenerated on medium supplemented with kanamycin. Integration and expression of the targeted gene in putatively transformed lines were verified by PCR and real-time RT-PCR. Confined field evaluation of a total of 31 putative transgenic lines planted showed a knockdown expression of the targeted ACO1 and ACO2 genes in 13 lines, which required more than 8 days to achieve the full yellow colour (Index 6. Fruits harvested from lines pRNAiACO2 L2-9 and pRNAiACO1 L2 exhibited about 20 and 14 days extended post-harvest shelf life to reach Index 6, respectively. The total soluble solids contents of the fruits ranged from 11 to 14° Brix, a range similar to fruits from non-transformed, wild type seed-derived plants.

  8. MGA trajectory planning with an ACO-inspired algorithm

    Science.gov (United States)

    Ceriotti, Matteo; Vasile, Massimiliano

    2010-11-01

    Given a set of celestial bodies, the problem of finding an optimal sequence of swing-bys, deep space manoeuvres (DSM) and transfer arcs connecting the elements of the set is combinatorial in nature. The number of possible paths grows exponentially with the number of celestial bodies. Therefore, the design of an optimal multiple gravity assist (MGA) trajectory is a NP-hard mixed combinatorial-continuous problem. Its automated solution would greatly improve the design of future space missions, allowing the assessment of a large number of alternative mission options in a short time. This work proposes to formulate the complete automated design of a multiple gravity assist trajectory as an autonomous planning and scheduling problem. The resulting scheduled plan will provide the optimal planetary sequence and a good estimation of the set of associated optimal trajectories. The trajectory model consists of a sequence of celestial bodies connected by two-dimensional transfer arcs containing one DSM. For each transfer arc, the position of the planet and the spacecraft, at the time of arrival, are matched by varying the pericentre of the preceding swing-by, or the magnitude of the launch excess velocity, for the first arc. For each departure date, this model generates a full tree of possible transfers from the departure to the destination planet. Each leaf of the tree represents a planetary encounter and a possible way to reach that planet. An algorithm inspired by ant colony optimization (ACO) is devised to explore the space of possible plans. The ants explore the tree from departure to destination adding one node at the time: every time an ant is at a node, a probability function is used to select a feasible direction. This approach to automatic trajectory planning is applied to the design of optimal transfers to Saturn and among the Galilean moons of Jupiter. Solutions are compared to those found through more traditional genetic-algorithm techniques.

  9. Regulation of Propylene and 1-Methylcyclopropene on Expressions of ACS and ACO Genes in Persimmon Fruits

    Institute of Scientific and Technical Information of China (English)

    LIU Le; RAO Jing-ping; CHANG Xiao-xiao; YI Shun-chao

    2009-01-01

    The regulation of postharvest treatment with propylene and 1-MCP on ethylene release rate and expressions of 1-aminocyclopropane-1-carboxylic acid synthase (ACS) and 1-aminocyclopropane-1-carboxylic acid oxidase (ACO) genes in Fuping Janshi persimmon (Diospyros kaki L.) fruit were investigated. Fruits were treated with propylene and 1-MCP, then stored at 20℃, ethylene release rate of the treated fruits was measured at regular intervals and RNA was extracted for Northern blotting analysis. The results suggested that treatment with propylene accelerated the expressions of ACS and ACO genes and then enhanced the ethylene biosynthesis, while treatment with 1-MCP inhibited the expressions of two genes and their ethylene biosynthesis. Furthermore, different effects on expressions caused by treatments with propylene and 1-MCP existed in various fruit tissues, the inhibitory effect on ACS and ACO genes by 1-MCP was the strongest in pericarp, followed by pulp and core tissues, in the area near fruit stalk, the inhibitory effect was the weakest. While the enhanced effect on ACS and ACO genes by propylene increased from pulp, core, and pericarp to the area near fruit stalk. Expression of each member of ACS and ACO families in various tissues was also completely different, in control and propylene treatment, DKACS3 gene just expressed in the area near fruit stalk and did not express in other tissues, but DKACS2 gene expressed in four tissues by treatment with propylene.

  10. Asthma-chronic obstructive pulmonary disease overlap syndrome (ACOS): current literature review

    Science.gov (United States)

    Papaiwannou, Antonis; Porpodis, Konstantinos; Spyratos, Dionysios; Kioumis, Ioannis; Pitsiou, Georgia; Pataka, Athanasia; Tsakiridis, Kosmas; Arikas, Stamatis; Mpakas, Andreas; Tsiouda, Theodora; Katsikogiannis, Nikolaos; Kougioumtzi, Ioanna; Machairiotis, Nikolaos; Siminelakis, Stavros; Kolettas, Alexander; Kessis, George; Beleveslis, Thomas; Zarogoulidis, Konstantinos

    2014-01-01

    Asthma and chronic obstructive pulmonary disease (COPD) are chronic diseases, very common in general population. These obstructive airway illnesses are manifested with chronic inflammation affecting the whole respiratory tract. Obstruction is usually intermittent and reversible in asthma, but is progressive and irreversible in COPD. Asthma and COPD may overlap and converge, especially in older people [overlap syndrome—asthma-chronic obstructive pulmonary disease overlap syndrome (ACOS)]. Although ACOS accounts approximately 15-25% of the obstructive airway diseases, is not well recognised because of the structure of clinical trials. COPD studies exclude asthma patients and asthma studies exclude COPD patients, respectively. It is crucial to define asthma, COPD and overlap syndrome (ACOS), as notable clinical entities, which they share common pathologic and functional features, but they are characterized from differences in lung function, acute exacerbations, quality of life, hospital impact and mortality. PMID:24672688

  11. Relative Study of CGS with ACO and BCO Swarm Intelligence Techniques

    Directory of Open Access Journals (Sweden)

    T.Hashni

    2012-09-01

    Full Text Available Swarm intelligence is the collective-level, problem-solving behavior of groups of relatively simple agents.Local interactions among agents, either direct or indirect through the environment, are fundamental for theemergence of swarm intelligence. Ant Colony Optimization (ACO is a swarm based meta-heuristic method that isinspired by the behavior of real ant colonies. Bee Colony Optimization (BCO meta-heuristic belongs to the groupof Swarm Intelligence techniques. Consultant Guided Search (CGS is a new hybrid meta heuristic, which combinesnew ideas with concepts found in Ant colony Optimization (ACO, Bee Colony Optimization (BCO technique. Thispaper presents comparative study of CGS, ACO, BCO techniques and the flexibility of CGS.

  12. An improved adaptive ACO meta heuristic for scheduling multimedia traffic across the 802.11e EDCA

    Science.gov (United States)

    Ditze, Michael; Becker, Markus

    2008-01-01

    This paper presents an adaptive near-optimal scheduler for multimedia traffic for the 802.11e Enhanced Distributed Channel Access (EDCA) medium access control scheme. The scheduler exploits the ant colony optimization (ACO) meta heuristic to tackle the challenge of packet scheduling. ACO is a biologically inspired algorithm that is known to find near-optimal solutions for combinatorial optimization problems. Thus, we expect that ACO scheduling produces more efficient schedules than comparable deterministic scheduling approaches at the expenses of a computational overhead it introduces. We compare ACO scheduling relevant deterministic scheduling approaches, and in particular the MLLF scheduler that is specifically designed for the needs of compressed multimedia applications. The purpose of the evaluation is twofold. It allows to draw conclusions on the feasibility of ACO scheduling for multimedia traffic while it serves as a benchmark to determine to what extent deterministic schedulers fall short of a near-optimal solution.

  13. Postharvest Analysis of Lowland Transgenic Tomato Fruits Harboring hpRNAi-ACO1 Construct

    Directory of Open Access Journals (Sweden)

    Bita Behboodian

    2012-01-01

    Full Text Available The plant hormone, ethylene, is an important regulator which involved in regulating fruit ripening and flower senescence. In this study, RNA interference (RNAi technology was employed to silence the genes involved in ethylene biosynthetic pathway. This was achieved by blocking the expression of specific gene encoding the ACC oxidase. Initially, cDNA corresponding to ACO1 of lowland tomato cultivar (MT1, which has high identity with ACO1 of Solanum lycopersicum in GenBank, was cloned through RT-PCR. Using a partial coding region of ACO1, one hpRNAi transformation vector was constructed and expressed ectopically under the 35S promoter. Results showed that transgenic lines harboring the hpRNA-ACO1 construct had lower ethylene production and a longer shelf life of 32 days as compared to 10 days for wild-type fruits. Changes in cell wall degrading enzyme activities were also investigated in cases where the transgenic fruits exhibited reduced rates of firmness loss, which can be associated with a decrease in pectin methylesterase (PME and polygalacturonase (PG activities. However, no significant change was detected in both transgenic and wild-type fruits in terms of β-galactosidase (β-Gal activity and levels of total soluble solid, titratable acid and ascorbic acid.

  14. Update Strength in EDAs and ACO: How to Avoid Genetic Drift

    DEFF Research Database (Denmark)

    Sudholt, Dirk; Witt, Carsten

    2016-01-01

    , there is a general trade-off: too strong updates can lead to genetic drift and poor performance. We demonstrate this trade-off for the cGA and a simple MMAS ACO algorithm on the OneMax function. More precisely, we obtain lower bounds on the expected runtime of Ω(K√n + nlogn) and Ω(√n/ρ + nlogn), respectively......We provide a rigorous runtime analysis concerning the update strength, a vital parameter in probabilistic model-building GAs such as the step size 1/K in the compact Genetic Algorithm (cGA) and the evaporation factor ρ in ACO. While a large update strength is desirable for exploitation...

  15. A Novel Framework Based on ACO and PSO for RNA Secondary Structure Prediction

    Directory of Open Access Journals (Sweden)

    Gang Wang

    2013-01-01

    Full Text Available Prediction of RNA structure is a useful process for creating new drugs and understanding genetic diseases. In this paper, we proposed a particle swarm optimization (PSO and ant colony optimization (ACO based framework (PAF for RNA secondary structure prediction. PAF consists of crucial stem searching (CSS and global sequence building (GSB. In CSS, a modified ACO (MACO is used to search the crucial stems, and then a set of stems are generated. In GSB, we used a modified PSO (MPSO to construct all the stems in one sequence. We evaluated the performance of PAF on ten sequences, which have length from 122 to 1494. We also compared the performance of PAF with the results obtained from six existing well-known methods, SARNA-Predict, RnaPredict, ACRNA, PSOfold, IPSO, and mfold. The comparison results show that PAF could not only predict structures with higher accuracy rate but also find crucial stems.

  16. New data association technique based on ACO with directional information considered

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Due to the advantages of ant colony optimization (ACO) in solving complex problems, a new data association algorithm based on ACO in a cluttered environment called DACDA is proposed. In the proposed method, the concept for tour and the length of tour are redefined. Additionally, the directional information is incorporated into the proposed method because it is one of the most important factors that affects the performance of data association. Kalraan filter is employed to estimate target states. Computer simulation results show that the proposed method could carry out data association in an acceptable CPU time, and the correct data association rate is higher than that obtained by the data association (DA) algorithm not combined with directional information.

  17. Experimental evaluation of a R134a/CO2 cascade refrigeration plant

    OpenAIRE

    Sanz Kock, Carlos; Llopis Doménech, Rodrigo; Sánchez García-Vacas, Daniel; Cabello López, Ramón; Torrella Alcaraz, Enrique

    2014-01-01

    We present the experimental evaluation of a R134a/CO2 cascade refrigeration plant designed for low evaporation temperature in commercial refrigeration applications. The test bench incorporates two single- stage vapour compression cycles driven by semi hermetic compressors coupled thermally through two brazed plate cascade heat exchangers working in parallel and controlled by electronic expansion valves. The experimental evaluation (45 steady-states) covers evaporating temperatures from -40 to...

  18. Relative Study of CGS with ACO and BCO Swarm Intelligence Techniques

    OpenAIRE

    T.Hashni; T Amudha

    2012-01-01

    Swarm intelligence is the collective-level, problem-solving behavior of groups of relatively simple agents.Local interactions among agents, either direct or indirect through the environment, are fundamental for theemergence of swarm intelligence. Ant Colony Optimization (ACO) is a swarm based meta-heuristic method that isinspired by the behavior of real ant colonies. Bee Colony Optimization (BCO) meta-heuristic belongs to the groupof Swarm Intelligence techniques. Consultant Guided Search (CG...

  19. Ant Colony Optimization ACO For The Traveling Salesman Problem TSP Using Partitioning

    OpenAIRE

    Alok Bajpai; Raghav Yadav

    2015-01-01

    Abstract An ant colony optimization is a technique which was introduced in 1990s and which can be applied to a variety of discrete combinatorial optimization problem and to continuous optimization. The ACO algorithm is simulated with the foraging behavior of the real ants to find the incremental solution constructions and to realize a pheromone laying-and-following mechanism. This pheromone is the indirect communication among the ants. In this paper we introduces the partitioning technique ba...

  20. Tailoring Systems Engineering Processes in a Conceptual Design Environment: A Case Study at NASA Marshall Spaceflight Center's ACO

    Science.gov (United States)

    Mulqueen, John; Maples, C. Dauphne; Fabisinski, Leo, III

    2012-01-01

    This paper provides an overview of Systems Engineering as it is applied in a conceptual design space systems department at the National Aeronautics and Space Administration (NASA) Marshall Spaceflight Center (MSFC) Advanced Concepts Office (ACO). Engineering work performed in the NASA MFSC's ACO is targeted toward the Exploratory Research and Concepts Development life cycle stages, as defined in the International Council on Systems Engineering (INCOSE) System Engineering Handbook. This paper addresses three ACO Systems Engineering tools that correspond to three INCOSE Technical Processes: Stakeholder Requirements Definition, Requirements Analysis, and Integration, as well as one Project Process Risk Management. These processes are used to facilitate, streamline, and manage systems engineering processes tailored for the earliest two life cycle stages, which is the environment in which ACO engineers work. The role of systems engineers and systems engineering as performed in ACO is explored in this paper. The need for tailoring Systems Engineering processes, tools, and products in the ever-changing engineering services ACO provides to its customers is addressed.

  1. Solving optimum operation of single pump unit problem with ant colony optimization (ACO) algorithm

    International Nuclear Information System (INIS)

    For pumping stations, the effective scheduling of daily pump operations from solutions to the optimum design operation problem is one of the greatest potential areas for energy cost-savings, there are some difficulties in solving this problem with traditional optimization methods due to the multimodality of the solution region. In this case, an ACO model for optimum operation of pumping unit is proposed and the solution method by ants searching is presented by rationally setting the object function and constrained conditions. A weighted directed graph was constructed and feasible solutions may be found by iteratively searching of artificial ants, and then the optimal solution can be obtained by applying the rule of state transition and the pheromone updating. An example calculation was conducted and the minimum cost was found as 4.9979. The result of ant colony algorithm was compared with the result from dynamic programming or evolutionary solving method in commercial software under the same discrete condition. The result of ACO is better and the computing time is shorter which indicates that ACO algorithm can provide a high application value to the field of optimal operation of pumping stations and related fields.

  2. Predicting coal ash fusion temperature based on its chemical composition using ACO-BP neural network

    International Nuclear Information System (INIS)

    Coal ash fusion temperature is important to boiler designers and operators of power plants. Fusion temperature is determined by the chemical composition of coal ash, however, their relationships are not precisely known. A novel neural network, ACO-BP neural network, is used to model coal ash fusion temperature based on its chemical composition. Ant colony optimization (ACO) is an ecological system algorithm, which draws its inspiration from the foraging behavior of real ants. A three-layer network is designed with 10 hidden nodes. The oxide contents consist of the inputs of the network and the fusion temperature is the output. Data on 80 typical Chinese coal ash samples were used for training and testing. Results show that ACO-BP neural network can obtain better performance compared with empirical formulas and BP neural network. The well-trained neural network can be used as a useful tool to predict coal ash fusion temperature according to the oxide contents of the coal ash

  3. De la Locura de doble forma a la Psicosis maníaco-depresiva.

    Directory of Open Access Journals (Sweden)

    - Consejo de Redacción

    1995-01-01

    Full Text Available Sin entrar en polémicas sobre a quién atribuir la primera descripción de lo que actualmente llamamos Psicosis maníaco-depresiva, es decir, sin tomar partido por Baillarger o J.-P. Falret, lo cierto es que a mediados del pasado siglo los alienistas franceses orquestaron un saber nosológico en el que se reunían en una única categoría dos manifestaciones extremas del humor: la manía y la melancolía. Tras las descripciones fundacionales de Baillarger y de Falret, fechadas ambas en el mismo año, 1854, se abrió un espacio nosológico opuesto al terreno de los delirios crónicos: las psicosis del humor frente a las psicosis de la razón, o bien psicosis maníaco-depresiva frente a esquizofrenia-paranoia. De la última cosecha del nosógrafo por excelencia, Emil Kraepelin, proviene la descripción clínica más completa y matizada de la locura maníaco-depresiva (das manisch-depressive Irresein. Dos años después, en 1915, S. Freud mostró en Duelo y Melancolía la infraestructura metapsicológica de la manía y de la melancolía.

  4. Taponamiento cardíaco por hipotiroidismo: descripción de 2 casos

    Directory of Open Access Journals (Sweden)

    José Rafael Rojas-Solano

    2005-07-01

    Full Text Available Rara vez el derrame pericárdico en el hipotiroidismo evoluciona al taponamiento cardíaco, complicación que es mortal si no se diagnostica y trata a tiempo. En este artículo describimos dos singulares casos y discutimos aspectos importantes de la fisiopatología, diagnóstico y manejo de esta enfermedad.Pericardial effusion in hypothyroidism seldom evolves to cardiac tamponade, a fatal complication if diagnosis and treatment are delayed. In this article, we describe 2 singular cases and discuss important facts about the pathophysiology, diagnosis and management of this disease.

  5. Transplante cardíaco em amiloidose primária Heart transplantation in primary amyloidosis

    Directory of Open Access Journals (Sweden)

    José Francisco Baumgratz

    2009-09-01

    Full Text Available A amiloidose cardíaca é doença altamente limitante da sobrevida, por morte súbita na maioria dos pacientes. Pela agressão contra outros órgãos, particularmente rins e sistema nervoso central, o transplante cardíaco tem sido opção questionável, face à escassez de órgãos. O objetivo é relatar a evolução, com sobrevivência de 7 anos, da paciente após transplante cardíaco por amiloidose, em boas condições. Um ano após o transplante cardíaco, houve indicação de transplante renal, também pela agressão da doença. Esta paciente contrasta com outros três pacientes de nosso serviço que foram a óbito, ainda na fase de avaliação. Apesar de sua natureza multisistêmica, a amiloidose cardíaca pode, em pacientes selecionados, justificar o transplante cardíaco, pela gravidade do seu potencial evolutivo após o início dos sintomasCardiac amyloidosis is a disease with a gloom life expectance after the beginning of the symptomatic phase, usually with sudden death as the final event. The aggression to other organs, although, can make heart transplantation a disputable form of treatment taking into consideration the shortage of donor organs. The aim is to report the evolution with a survival of seven years after heart transplantation and in very fair condition of a patient with amyloidosis. One year after the heart transplantation, there was indication of renal transplantation also from the aggression from the disease. This patient compares' favorable with three other patients also from our service, who died early after de diagnosis. Even considering the multi systemic nature of amyloidosis, we can accept that in peculiar patients justified the heart transplantation, taking in the consideration the very bad prognosis of the disease

  6. Domainwise Web Page Optimization Based On Clustered Query Sessions Using Hybrid Of Trust And ACO For Effective Information Retrieval

    Directory of Open Access Journals (Sweden)

    Dr. Suruchi Chawla

    2015-08-01

    Full Text Available Abstract In this paper hybrid of Ant Colony OptimizationACO and trust has been used for domainwise web page optimization in clustered query sessions for effective Information retrieval. The trust of the web page identifies its degree of relevance in satisfying specific information need of the user. The trusted web pages when optimized using pheromone updates in ACO will identify the trusted colonies of web pages which will be relevant to users information need in a given domain. Hence in this paper the hybrid of Trust and ACO has been used on clustered query sessions for identifying more and more relevant number of documents in a given domain in order to better satisfy the information need of the user. Experiment was conducted on the data set of web query sessions to test the effectiveness of the proposed approach in selected three domains Academics Entertainment and Sports and the results confirm the improvement in the precision of search results.

  7. A novel phylogeny and morphological reconstruction of the PIN genes and first phylogeny of the ACC-oxidases (ACOs

    Directory of Open Access Journals (Sweden)

    Ronald Matthew Clouse

    2014-06-01

    Full Text Available The PIN and ACO gene families present interesting questions about the evolution of plant physiology, including testing hypotheses about the ecological drivers of their diversification and whether unrelated genes have been recruited for similar functions. The PIN-formed proteins contribute to the polar transport of auxin, a hormone which regulates plant growth and development. PIN loci are categorized into groups according to their protein length and structure, as well as subcellular localization. An interesting question with PIN genes is the nature of the ancestral form and location. ACOs are members of a superfamily of oxygenases and oxidases that catalyze the last step of ethylene synthesis, which regulates many aspects of the plant life cycle. We used publicly available PIN and ACO sequences to conduct phylogenetic analyses. Third codon positions of these genes in monocots have a high GC content, which could be historical but is more likely due to a mutational bias. Thus we developed methods to extract phylogenetic information from nucleotide sequences while avoiding this convergent feature. One method consisted in using only A-T transformations, and another used only the first and second codon positions for serine, which can only take A or T and G or C, respectively. We also conducted tree-searches for both gene families using unaligned amino acid sequences and dynamic homology. PIN genes appear to have diversified earlier than ACOs, with monocot and dicot copies more mixed in the phylogeny. However, gymnosperm PINs appear to be derived and not closely related to those from primitive plants. We find strong support for a long PIN gene ancestor with short forms subsequently evolving one or more times. ACO genes appear to have diversified mostly since the dicot-monocot split, as most genes cluster into a small number of monocot and dicot clades when the tree is rooted by genes from mosses. Gymnosperm ACOs were recovered as closely related and

  8. A novel phylogeny and morphological reconstruction of the PIN genes and first phylogeny of the ACC-oxidases (ACOs).

    Science.gov (United States)

    Clouse, Ronald M; Carraro, Nicola

    2014-01-01

    The PIN and ACO gene families present interesting questions about the evolution of plant physiology, including testing hypotheses about the ecological drivers of their diversification and whether unrelated genes have been recruited for similar functions. The PIN-formed proteins contribute to the polar transport of auxin, a hormone which regulates plant growth and development. PIN loci are categorized into groups according to their protein length and structure, as well as subcellular localization. An interesting question with PIN genes is the nature of the ancestral form and location. ACOs are members of a superfamily of oxygenases and oxidases that catalyze the last step of ethylene synthesis, which regulates many aspects of the plant life cycle. We used publicly available PIN and ACO sequences to conduct phylogenetic analyses. Third codon positions of these genes in monocots have a high GC content, which could be historical but is more likely due to a mutational bias. Thus, we developed methods to extract phylogenetic information from nucleotide sequences while avoiding this convergent feature. One method consisted in using only A-T transformations, and another used only the first and second codon positions for serine, which can only take A or T and G or C, respectively. We also conducted tree-searches for both gene families using unaligned amino acid sequences and dynamic homology. PIN genes appear to have diversified earlier than ACOs, with monocot and dicot copies more mixed in the phylogeny. However, gymnosperm PINs appear to be derived and not closely related to those from primitive plants. We find strong support for a long PIN gene ancestor with short forms subsequently evolving one or more times. ACO genes appear to have diversified mostly since the dicot-monocot split, as most genes cluster into a small number of monocot and dicot clades when the tree is rooted by genes from mosses. Gymnosperm ACOs were recovered as closely related and derived.

  9. A novel phylogeny and morphological reconstruction of the PIN genes and first phylogeny of the ACC-oxidases (ACOs).

    Science.gov (United States)

    Clouse, Ronald M; Carraro, Nicola

    2014-01-01

    The PIN and ACO gene families present interesting questions about the evolution of plant physiology, including testing hypotheses about the ecological drivers of their diversification and whether unrelated genes have been recruited for similar functions. The PIN-formed proteins contribute to the polar transport of auxin, a hormone which regulates plant growth and development. PIN loci are categorized into groups according to their protein length and structure, as well as subcellular localization. An interesting question with PIN genes is the nature of the ancestral form and location. ACOs are members of a superfamily of oxygenases and oxidases that catalyze the last step of ethylene synthesis, which regulates many aspects of the plant life cycle. We used publicly available PIN and ACO sequences to conduct phylogenetic analyses. Third codon positions of these genes in monocots have a high GC content, which could be historical but is more likely due to a mutational bias. Thus, we developed methods to extract phylogenetic information from nucleotide sequences while avoiding this convergent feature. One method consisted in using only A-T transformations, and another used only the first and second codon positions for serine, which can only take A or T and G or C, respectively. We also conducted tree-searches for both gene families using unaligned amino acid sequences and dynamic homology. PIN genes appear to have diversified earlier than ACOs, with monocot and dicot copies more mixed in the phylogeny. However, gymnosperm PINs appear to be derived and not closely related to those from primitive plants. We find strong support for a long PIN gene ancestor with short forms subsequently evolving one or more times. ACO genes appear to have diversified mostly since the dicot-monocot split, as most genes cluster into a small number of monocot and dicot clades when the tree is rooted by genes from mosses. Gymnosperm ACOs were recovered as closely related and derived. PMID

  10. Studies on Pumice Lightweight Aggregate Concrete with Quarry Dust Using Mathematical Modeling Aid of ACO Techniques

    Directory of Open Access Journals (Sweden)

    J. Rex

    2016-01-01

    Full Text Available The lightweight aggregate is an aggregate that weighs less than the usual rock aggregate and the quarry dust is a rock particle used in the concrete for the experimentation. The significant intention of the proposed technique is to frame a mathematical modeling with the aid of the optimization techniques. The mathematical modeling is done by minimizing the cost and time consumed in the case of extension of the real time experiment. The proposed mathematical modeling is utilized to predict four output parameters such as compressive strength (Mpa, split tensile strength (Mpa, flexural strength (Mpa, and deflection (in mm. Here, the modeling is carried out with three different optimization techniques like genetic algorithm (GA, particle swarm optimization (PSO, and ant colony optimization (ACO with 80% of data from experiment utilized for the training and the remaining 20% for the validation. Finally, while testing, the error value is minimized and the performance obtained in the ACO for the parameters such as compressive strength, split tensile strength, flexural strength, and deflection is 91%, 98%, 87%, and 94% of predicted values, respectively, in the mathematical modeling.

  11. Marcadores cardíacos na medicina veterinária Cardiac markers in veterinary medicine

    Directory of Open Access Journals (Sweden)

    Letícia Andreza Yonezawa

    2010-02-01

    Full Text Available Os marcadores cardíacos são utilizados com o intuito de auxiliar no diagnóstico clínico de animais com doença cardíaca com maior acurácia e em menor tempo possível, possibilitando o estabelecimento do prognóstico e a terapia precocemente. Entretanto, em medicina veterinária, no Brasil, sua aplicabilidade ainda é, em geral, restrita a pesquisas. Esta revisão tem como objetivo abordar os principais marcadores cardíacos para que futuramente estes possam se tornar índices essenciais na avaliação cardíaca.Cardiac markers have been used in order to assist clinical diagnosis of animals with heart disease, more accurately, enabling the establishment of earlier prognosis and therapy. However, in Brazilian veterinary medicine, these markers are generally still restricted to researches. This review aims to approach the major cardiac markers, which further may become essential indexes in heart assessment.

  12. Optimization of Vibration Reduction Ability of Ladder Tracks by FEM Coupled with ACO

    Directory of Open Access Journals (Sweden)

    Hao Jin

    2015-01-01

    Full Text Available Ladder track, which has drawn increased attention in scientific communities, is an effective method for reducing vibrations from underground railways. In order to optimize the vibration reduction ability of ladder track, a new method, that is, the finite element method (FEM coupled with ant colony optimization (ACO, has been proposed in this paper. We describe how to build the FEM model verified by the vibration tests in the Track Vibration Abatement and Control Laboratory and how to couple the FEM with ACO. The density and elasticity modulus of the sleeper pad are optimized using this method. After optimization, the vibration acceleration level of the supporting platform in the 1–200 Hz range was reduced from 102.8 dB to 94.4 dB. The optimized density of the sleeper pad is 620 kg/m3, and the optimized elasticity modulus of the sleeper pad is 6.25 × 106 N/m2.

  13. Application of GA, PSO, and ACO Algorithms to Path Planning of Autonomous Underwater Vehicles

    Institute of Scientific and Technical Information of China (English)

    Mohammad Pourmahmood Aghababa; Mohammad Hossein Amrollahi; Mehdi Borjkhani

    2012-01-01

    In this paper,an underwater vehicle was modeled with six dimensional nonlinear equations of motion,controlled by DC motors in all degrees of freedom.Near-optimal trajectories in an energetic environment for underwater vehicles were computed using a numerical solution of a nonlinear optimal control problem (NOCP).An energy performance index as a cost function,which should be minimized,was defined.The resulting problem was a two-point boundary value problem (TPBVP).A genetic algorithm (GA),particle swarm optimization (PSO),and ant colony optimization (ACO) algorithms were applied to solve the resulting TPBVP.Applying an Euler-Lagrange equation to the NOCE a conjugate gradient penalty method was also adopted to solve the TPBVP.The problem of energetic environments,involving some energy sources,was discussed.Some near-optimal paths were found using a GA,PSO,and ACO algorithms.Finally,the problem of collision avoidance in an energetic environment was also taken into account.

  14. Sarcoidosis cardíaca: trasplante cardíaco y recidiva de la enfermedad

    Directory of Open Access Journals (Sweden)

    César A. Belziti

    2010-01-01

    Full Text Available RESUMENLa sarcoidosis cardíaca es una enfermedad granulomatosa multisistémica de causa desconocida.El compromiso aislado del corazón es poco frecuente y el pronóstico se correlacionacon el grado de afectación de este órgano. El tratamiento inmunosupresor y el trasplantecardíaco han demostrado que prolongan la sobrevida; no obstante, existen comunicacionesde recidiva de la enfermedad en el órgano implantado. En esta presentación se describe uncaso de recidiva de sarcoidosis cardíaca en un paciente con miocardiopatía dilatada coninsuficiencia cardíaca avanzada, sometido a un trasplante cardíaco y en quien el diagnósticode sarcoidosis cardíaca se estableció por el estudio anatomopatológico del corazón explantado.La evolución clínica fue favorable a pesar de la recidiva de la sarcoidosis en el órgano implantado.REV ARGENT CARDIOL 2010;78:358-360.

  15. NHETS - Estudo de Necrópsias de Pacientes Submetidos a Transplante Cardíaco

    Directory of Open Access Journals (Sweden)

    Thiago Ninck Valette

    2014-06-01

    Full Text Available Fundamento: Discordâncias entre diagnóstico pre e post-mortem são relatadas na literatura, podendo variar de 4,1 a 49,8% dentre os casos encaminhados para exame necroscópico, com importante repercussão no tratamento dos pacientes. Objetivo: Analisar pacientes com óbito após o transplante cardíaco e confrontar os diagnósticos pre e post-mortem. Métodos: Por meio da revisão de prontuários, foram analisados dados clínicos, presença de comorbidades, esquema de imunossupressão, exames laboratoriais, causa clínica do óbito e causa do óbito à necrópsia. Foram confrontadas, então, a causa clínica e a causa necroscópica do óbito de cada paciente. Resultados: Foram analisados 48 óbitos submetidos à necrópsia no período de 2000 a 2010; 29 (60,4% tiveram diagnósticos clínico e necroscópico concordantes, 16 (33,3% tiveram diagnósticos discordantes e três (6,3% tiveram diagnóstico não esclarecido. Entre os discordantes, 15 (31,3% apresentaram possível impacto na sobrevida e um (2,1% não apresentou impacto na sobrevida. O principal diagnóstico clínico feito equivocadamente foi o de infecção, com cinco casos (26,7% dos discordantes, seguido por rejeição hiperaguda, com quatro casos (20% dos discordantes, e tromboembolismo pulmonar, com três casos (13,3% dos discordantes. Conclusão: Discordâncias entre o diagnóstico clínico e achados da necrópsia são comumente encontradas no transplante cardíaco. Novas estratégias no aperfeiçoamento do diagnóstico clínico devem ser introduzidas, considerando-se os resultados da necrópsia para melhoria do tratamento da insuficiência cardíaca por meio do transplante cardíaco.

  16. Transplante cardíaco humano: experiência inicial Human cardiac transplant: initial experience

    OpenAIRE

    Noedir A. G Stolf; Edimar Bocchi; Pedro C. P Lemos; Fábio Biscegli Jatene; Pablo M. A. Pomerantzeff; Lourdes Higushi; Jorge Kalil; Alfredo I. FIORELLI; José Otávio C Auler Júnior; Giovanni Bellotti; Lélio A Silva; Fúlvio Pileggi; Adib D Jatene

    1986-01-01

    No Instituto do Coração, de março de 1985 a fevereiro de 1986,11 pacientes foram submetidos a transplante cardíaco ortotópico. Eram todos do sexo masculino, com idade variando de 39 a 54 anos; 6 com cardiopatia isquémica, 4 com cardiomiopatia dilatada e um com cardiomiopatia chagásica. Foi realizado estudo hemodinâmico através de catéter de Swan-Ganz, no pré-operatório, no pós-operatório, após estabilização na unidade de recuperação, e trinta ou mais dias após o transplante. Os dados mostram ...

  17. Experimental evaluation of a R134a/CO2 cascade refrigeration plant

    International Nuclear Information System (INIS)

    We present the experimental evaluation of a R134a/CO2 cascade refrigeration plant designed for low evaporation temperature in commercial refrigeration applications. The test bench incorporates two single-stage vapour compression cycles driven by semi hermetic compressors coupled thermally through two brazed plate cascade heat exchangers working in parallel and controlled by electronic expansion valves. The experimental evaluation (45 steady-states) covers evaporating temperatures from −40 to −30 °C and condensing from 30 to 50 °C. In each steady-state, we conducted a sweep of the condensing temperature of the low temperature cycle with speed variation of the high temperature compressor. Here, the energy performance of the plant is analysed, focussing on the compressors' performance, temperature difference in the cascade heat exchanger, cooling capacity, COP and compressors discharge temperatures. - Highlights: • The experimental evaluation of a R134a/CO2 cascade refrigeration plant is presented. • Temperature difference in cascade heat exchanger varied from 3.3 to 5.3 °C. • Variation of intermediate level produced maximum COP variations of 6%. • Cooling capacity ranged from 4.5 kW (−40 and 40 °C) to 7.5 kW (−30 and 30 °C). • COP ranged from 1.05 (−40 and 40 °C) to 1.65 (−30 and 30 °C)

  18. The Marker Gene ACO of Fruits Preservation%果树果实保鲜力强弱标记基因ACO

    Institute of Scientific and Technical Information of China (English)

    张太奎; 纵丹; 朱芳明; 贺笑; 刘惠民; 张汉尧

    2015-01-01

    果树果实的成熟期与保鲜是影响其经济价值的重要因素,ACC氧化酶是植物乙烯合成途径中的重要酶,催化ACC合成乙烯,进而催化果实的成熟.研究ACC氧化酶基因(ACO)对标记和提高果实的保鲜力具有重要意义.本研究对中华猕猴桃(Actinidia chinensis)、美味猕猴桃(Actinidia deliciosa)、杏(Prunus armeniaca)、葡萄(Vitis vinifera)、苹果(Malus domestica)、西洋梨(Pyrus communis)、沙梨(Pyrus pyrifolia)、桃(Prunus persica)、梅(Prunus mume)、大蕉(Musa ABB)10种果树的ACO基因进行氨基酸序列、蛋白质理化性质及结构、系统发育等生物信息学进行分析,并对这10种果树进行聚类.结果表明:(1)苹果较梅更耐储藏,桃与杏保鲜能力相当,西洋梨和沙梨保鲜力相当,中华猕猴桃和美味猕猴桃保鲜力相当;(2) ACO基因可用于同科物种间保鲜能力的选择,这可能与ACO基因编码氨基酸序列18位点处变异、2OG-Fell Oxy基因家族的高度保守和ACO的多元作用机制有关;(3) ACO的作用机制为在游离核糖体上合成稳定的亲水性蛋白质后,不经蛋白转运,直接在细胞膜内表面氧化ACC合成乙烯,受基因型和外界刺激的多重影响.因此,果树ACO基因可用于属间物种间果实保鲜能力的选择,是一个重要的功能基因.

  19. Taponamiento cardíaco secundario a carcinoma papilar esclerosante difuso de tiroides

    Directory of Open Access Journals (Sweden)

    Verónica Riva

    2011-12-01

    Full Text Available El carcinoma papilar, variante esclerosante difusa, corresponde al 2% de todos los carcinomas papilares de la tiroides. Se caracteriza por comprometer de manera difusa y bilateral a la glándula tiroides. Clínicamente se manifiesta con metástasis ganglionares y pulmonares, afectando predominantemente a mujeres jóvenes. Se describe un caso de taponamiento cardíaco como presentación inicial de un carcinoma papilar de tiroides variante esclerosante difusa. Una mujer de 32 años concurrió al servicio de emergencias médicas refiriendo epigastralgia y tos seca. Durante el examen físico se constató hipotensión arterial, taquicardia y ruidos cardíacos disminuidos. Se realizó un ecocardiograma, observándose derrame pericárdico. Por medio de una pericardiocentesis se obtuvo líquido pericárdico, cuyo análisis mostró células neoplásicas. Durante la evolución la paciente presentó recurrencia del derrame pericárdico por lo que se realizó una ventana pleuropericárdica, detectándose durante la cirugía una lesión nodular subpleural, la cual fue biopsiada e informada posteriormente como una metástasis de carcinoma papilar vinculable a origen tiroideo. Se realizó una tiroidectomía total con linfadenectomía cervical bilateral. El diagnóstico final fue carcinoma papilar, variante esclerosante difusa. Esta variante infiltra el tejido conectivo de los espacios interfoliculares, simulando una tiroiditis y se caracteriza por una permeación vascular temprana. En oposición a la variante clásica, la esclerosante difusa presenta mayor agresividad y mayor tasa de recurrencia. El carcinoma papilar de tiroides debe tenerse presente como diagnóstico diferencial en nuestro medio, en todas aquellas lesiones neoplásicas papilares metastásicas, más aún si se trata de mujeres jóvenes.

  20. 基于多蚁群的并行ACO算法%Parallel ACO Algorithm Based on Multiple Ant Colony

    Institute of Scientific and Technical Information of China (English)

    夏鸿斌; 须文波; 刘渊

    2009-01-01

    This paper proposes and implements a new approach to parallel Ant Colony Optimization(ACO) algorithms by changing the behavior of ACO. In view of the shortcomings for ant algorithms' stagnant, by improving selection strategies, a new selection and search strategies with parallel adaptive mechanisms are implemented, so as to strengthen its global search capability, and the method of data parallel is used to reduce communication time between processors and get a better solution. The performance of the proposed parallel algorithm, applied to the Traveling Salesman Problem(TSP), is investigated and evaluated with respect to solution quality and computational effort. Experimental results demonstrate that the proposed algorithm outperforms the sequential ant colony system as well as the existing parallel ACO algorithms.%通过改变蚁群优化(ACO)算法行为,提出一种新的ACO并行化策略--并行多蚁群ACO算法.针对蚁群算法存在停滞现象的缺点,改进选择策略,实现具有自适应并行机制的选择和搜索策略,以加强其全局搜索能力.并行处理采用数据并行的手段,能减少处理器间的通信时间并获得更好的解.以对称TSP测试集为对象进行比较实验,结果表明,该算法相对于串行算法及现有的并行算法具有一定的优势.

  1. No ROI in ACO. Risk, expense of Medicare program has most for-profit groups shying away.

    Science.gov (United States)

    Kutscher, Beth

    2012-04-23

    For-profit healthcare companies aren't beating down the door to get in on Medicare ACOs. Several of the big chains say there is too much uncertainty about the experiment, and they're waiting to see how the program evolves. One company on the sideline is Capella Healthcare. Chairman and CEO Daniel Slipkovich, left, says there is a potential for high patient dropout rates and risks in population management. PMID:22571000

  2. Eight reasons payer interoperability and data sharing are essential in ACOs. Interoperability standards could be a prerequisite to measuring care.

    Science.gov (United States)

    Mookencherry, Shefali

    2012-01-01

    It makes strategic and business sense for payers and providers to collaborate on how to take substantial cost out of the healthcare delivery system. Acting independently, neither medical groups, hospitals nor health plans have the optimal mix of resources and incentives to significantly reduce costs. Payers have core assets such as marketing, claims data, claims processing, reimbursement systems and capital. It would be cost prohibitive for all but the largest providers to develop these capabilities in order to compete directly with insurers. Likewise, medical groups and hospitals are positioned to foster financial interdependence among providers and coordinate the continuum of patient illnesses and care settings. Payers and providers should commit to reasonable clinical and cost goals, and share resources to minimize expenses and financial risks. It is in the interest of payers to work closely with providers on risk-management strategies because insurers need synergy with ACOs to remain cost competitive. It is in the interest of ACOs to work collaboratively with payers early on to develop reasonable and effective performance benchmarks. Hence, it is essential to have payer interoperability and data sharing integrated in an ACO model. PMID:22352172

  3. The Norma cluster (ACO3627): II. The near infrared K_s-band luminosity function

    CERN Document Server

    Skelton, R E; Kraan-Korteweg, R C

    2009-01-01

    A deep K_s-band photometric catalogue of galaxies at the core of the rich, nearby Norma cluster (ACO3627) is presented. The survey covers about 45 by 45 square arcmin (slightly less than 1/3 Abell radius), which corresponds to approx. 0.8 Mpc^2 at the adopted distance (v_cmb/H0) of 70 Mpc of this cluster. The survey is estimated to be complete to a magnitude of M_Ks <~ -19.5 mag. This extends into the dwarf regime, 6 magnitudes below M_Ks*. The catalogue contains 390 objects, 235 of which are classified as likely or definite galaxies and 155 as candidate galaxies. The Ks-band luminosity function (LF) is constructed from the photometric sample, using a spectroscopic subsample to correct for fore- and background contamination. We fit a Schechter function with a characteristic magnitude of M_Ks* = -25.39 \\pm 0.80 mag and faint-end slope of alpha = -1.26 \\pm 0.10 to the data. The shape of the LF is similar to those found in previous determinations of the cluster LF, in both optical and near infrared. The Schec...

  4. The cluster lens ACO 1703: redshift contrast and the inner profile

    CERN Document Server

    Saha, Prasenjit

    2008-01-01

    ACO 1703 is a cluster recently found to have a variety of strongly lensed objects: there is a quintuply-imaged system at z=0.888 and several other lensed objects from z=2.2 to 3.0 (the cluster itself is at z=0.28). It is not difficult to model the lens, as previous work has already done. However, lens models are generically non-unique. We generate ensembles of models to explore the non-uniqueness. When the full range of source redshifts is included, all models are close to \\rho \\propto r^{-1} out to 200 kpc. But if the quint is omitted, both shallower and steeper models (e.g., \\rho \\propto r^{-2}) are possible. The reason is that the redshift contrast between the quint and the other sources gives a good measurement of the enclosed mass at two different radii, thus providing a good estimate of the mass profile in between. This result supports universal profiles and explains why single-model approaches can give conflicting results. The mass map itself is elongated in the NW-SE direction, like the galaxy distrib...

  5. ACO-zeotype iron aluminum phosphates with variable Al/Fe ratios controlled by F⁻ ions.

    Science.gov (United States)

    Wang, Yanyan; Li, Yi; Wang, Lei; Zhang, Jingzhe; Yan, Yan; Li, Jiyang; Yu, Jihong; Wang, Jincheng; Xu, Ruren

    2011-03-01

    Three new iron aluminum phosphates |(C(2)H(10)N(2))(4)|[Fe(8 - x)Al(x)F(x)(H(2)O)(2 - x)(PO(4))(8)]·2H(2)O (χ = 1.64, 1.33, 0.80) with ACO-zeotype structures denoted as FeAPO-CJ66(a), FeAPO-CJ66(b), and FeAPO-CJ66(c), respectively, have been synthesized in the fluoride ion system. Their framework structures are made of double 4-ring (D4R) building units formed by the alternating connection of Fe(Al)O(4)F(O) trigonal bipyramids and PO(4) tetrahedra, which possess 3D intersecting 8-ring channels running along the [001], [010], and [100] directions. Fluoride ions or water molecules reside in the center of D4Rs, and diprotonated ethylenediamine cations and water molecules are occluded in the free space of channels to stabilize the whole structure. Notably, the Al/Fe ratios in the frameworks can be effectively controlled from 1/3.9 to 1/5.0 to 1/9.0 by adjusting the amounts of phosphoric acid and hydrofluoric acid added to the initial reaction mixture. Mössbauer and magnetic measurements show that the Fe ions in the compounds are bivalent and undergo antiferromagnetic ordering at room temperature.

  6. Task Scheduling problem in distributed systems considering communication cost and precedence by population-based ACO

    Directory of Open Access Journals (Sweden)

    Hossein Erfani

    2012-09-01

    Full Text Available With regard to the fact of the rapid growth of distributed systems and their large spectrum of usage of proposing and representing controlling solutions and optimization of task execution procedures is one of the most important issues. Task scheduling in distributed systems has determining role in improving efficiency in applications such as communication, routing, production plans and project management. The most important issues of good schedule are minimizing makespan and average of waiting time. However, the recent and previous effort usually focused on minimizing makespan. This article presents and analyze a new method based on Ant Colony Optimization (ACO algorithm with considerations to precedence and communication cost for task scheduling problem. In the mentioned method in addition to optimization of finish time, average of waiting time and number of needed processors are also optimized. In this method, by using of a new heuristic list, an algorithm based on ant colony is proposed. The results obtained in comparison with the latest similar models of random search algorithms, proves the higher efficiency of algorithm.

  7. 向日葵ACC氧化酶基因(HaACO1)的克隆及表达分析%Cloning and Expression Analysis of ACC Oxidase Gene (HaACO1) from Sunflower (Helianthus annuus L.)

    Institute of Scientific and Technical Information of China (English)

    孙瑞芬; 张艳芳; 郭树春; 于海峰; 李素萍; 乔慧蕾; 聂惠; 安玉麟

    2015-01-01

    目的:克隆向日葵中的ACC氧化酶基因(HaACO1),并对其进行生物信息学分析及盐胁迫表达分析,为理解向日葵ACC氧化酶生理功能并加强对ACO基因的利用奠定基础.方法:以前期从盐胁迫的内葵杂4号根中获得的ACC氧化酶基因片段4-4-7TDF(KM823963)为基础,通过RT-PCR和5'/3' RACE技术克隆ACO基因的全长cDNA序列,利用生物信息学软件对获得的eDNA序列及编码的蛋白质序列进行分析.同时采用PCR方法克隆基因组DNA(genemic DNA,gDNA)序列,并对其进行结构分析.利用实时荧光定量PCR分析NaCl胁迫下向日葵根、下胚轴、叶中HaACO1的表达量和不同NaCl浓度及不同胁迫时间下根中HaACO1的表达量.结果:HaACO1的cDNA序列全长为1 135bp,其开放阅读框为942bp,编码313个氨基酸.预测其分子质量和等电点分别为35.84kDa和5.13,基因登录号为KP966508.HaACO1与已报道的多种植物的ACO基因核苷酸序列及其推导的氨基酸序列有较高的相似性,分别为76% ~ 83%和77% ~88%.gDNA起始密码子至终止密码子序列长1 018bp,包含2个外显子和1个内含子,基因登录号为KP988289.实时荧光定量PCR分析表明向日葵HaACO1在不同器官及不同NaCl浓度、不同时间诱导下存在特异性表达差异.结论:获得的向日葵HaACO1是植物ACO家族成员之一,该基因应答盐胁迫具有独特的表达模式.

  8. REGISTRO DE PARO CARDÍACO EN EL ADULTO Registries of outer hospital cardiac arrest in Bogotta-Colombia

    Directory of Open Access Journals (Sweden)

    Ricardo Navarro Vargas

    2005-07-01

    Full Text Available En nuestro país no hay un registro estandarizado de los eventos cardíacos que requieren reanimación cerebro-cardio-pulmonar (RCCP siguiendo los lineamientos "Utstein". El propósito de este estudio fue determinar la calidad de los registros extrahospitalarios de paro cardíaco en el adulto, en Bogotá-Colombia. Entre enero y marzo de 2005 se realizó un análisis retrospectivo de los casos que correspondieron a paro cardíaco en el adulto atendidos por el "Centro Regulador de Urgencias del Distrito (CRU". El estudio reveló un registro deficiente de los eventos que requirieron RCCP realizados a nivel prehospitalario, e identificó al trauma como causa de paro cardíaco en 22% de los casos, una cifra particularmente elevada si se compara con los reportes mundiales, que oscilan entre 5% y 8%. Recomienda la estandarización del registro de paro cardíaco en el adulto, para lo cual se sugiere utilizar el formato de registro que sigue los lineamientos "Utstein".There is not a standardized registry form of cardiac events requiring cardiopulmonary resuscitation (CPR in our country such as the Utstein style. The purpose of this study was to determine the quality of the registries of out-ofhospital cardiac arrests in Bogotá-Colombia. A retrospective survey of registries of cardiac events assisted by a regulatory center "Centro Regulador de Urgencias del Distrito (CRU" was conducted, between January and March, 2005. The study reveals a poor registry of outof-hospital cardiac arrest in Bogotá-Colombia, and identifies trauma as the cause of cardiac arrest in 22% of cases, a particularly high figure compared with 5-8% registered worldwide. Recommend the standardization of the registry form of out-of-hospital cardiac arrest and suggest to use the "uniform reporting of data following cardiac arrest - the Utstein style". The registry forms are shown in appendix 1-2. Suggestions are welcome.

  9. Qualidade de vida de pacientes submetidos ao transplante cardíaco: aplicação da escala Whoqol-Bref Calidad de vida de pacientes sometidos a transplante cardíaco: aplicación de la escala Whoqol-Bref Quality of life of patients that had a heart transplant: application of Whoqol-Bref scale

    OpenAIRE

    Maria Isis Freire de Aguiar; Deisiana Rios Farias; Mabel Leite Pinheiro; Emília Soares Chaves; Isaura Letícia Tavares Palmeira Rolim; Paulo César de Almeida

    2011-01-01

    FUNDAMENTO: O sucesso do transplante cardíaco significa garantir a sobrevida dos pacientes com cardiopatia e permitir-lhes desenvolver suas atividades diárias. O transplante cardíaco apresenta-se como a primeira opção de tratamento na falência cardíaca, representando um aumento de sobrevida e qualidade de vida dos transplantados. OBJETIVO: Avaliar a qualidade de vida de pacientes submetidos ao transplante cardíaco através da aplicação de uma escala padronizada (Whoqol-Bref). MÉTODOS: Estudo e...

  10. Transplante cardíaco humano: experiência inicial Human cardiac transplant: initial experience

    Directory of Open Access Journals (Sweden)

    Noedir A. G Stolf

    1986-12-01

    Full Text Available No Instituto do Coração, de março de 1985 a fevereiro de 1986,11 pacientes foram submetidos a transplante cardíaco ortotópico. Eram todos do sexo masculino, com idade variando de 39 a 54 anos; 6 com cardiopatia isquémica, 4 com cardiomiopatia dilatada e um com cardiomiopatia chagásica. Foi realizado estudo hemodinâmico através de catéter de Swan-Ganz, no pré-operatório, no pós-operatório, após estabilização na unidade de recuperação, e trinta ou mais dias após o transplante. Os dados mostram melhora progressiva em relação ao índice cardíaco, pressão em artéria pulmonar, pressão de capilar pulmonar, resistência vascular pulmonar e resistência vascular sistêmica. Três dos 11 pacientes apresentaram disfunção renal transitória no pós-operatório imediato e que regrediram até o 15º dia, enquanto que 2 pacientes apresentaram aumento moderado da creatinina plasmática. Apenas 3 pacientes não apresentaram qualquer episódio de rejeição; nos demais, esses episódios foram um diagnóstico histológico sem repercussões clínicas. Complicações infecciosas ocorreram em 9 pacientes e foram de fácil controle clínico. No pós-operatório tardio, a hipertensão esteve presente em 8 pacientes, sendo mais acentuada em 2 deles. Não houve óbitos, nesta série de pacientes; todos estão assintomáticos e os 6 primeiros estão trabalhando.At the Instituto do Cora��ão, University of São Paulo Medical School, 11 patients were submitted to heart transplantation from march 1985 up to february 1986. All were male, with ages of 39-59 years, 6 with coronary heart disease, 4 with dilated cardiomyopathy and 1 with Chagas cardiomyopathy. The patients were studied hemodynamically with a Swan-Ganz catheter pre-operatively, at the arrival in the intensive care unit, in the first postoperative day and 30 or more days after the transplant. The data showed that there was a progressive increase of cardiac index and decreases of

  11. Tumores cardíacos: 10 anos de experiência

    Directory of Open Access Journals (Sweden)

    Antônio Augusto MIANA

    1997-01-01

    Full Text Available Objetivo: Avaliar a experiência cirúrgica do grupo no tratamento dos tumores cardíacos durante o período de janeiro de 1985 a dezembro de 1994. Casuística e Métodos: De um total de 2268 cirurgias cardíacas com circulação extracorpórea realizadas neste período de 10 anos, 6 foram para extirpação de tumores intracavitários, perfazendo 0,26% dos casos. Destes, 3 eram mixomas de átrio esquerdo, 1 fibroelastoma papilar de valva mitral, 1 rabdomioma de ventrículo esquerdo e 1 fibroma de ventrículo esquerdo. A forma clínica de apresentação foi embolia sistêmica (3 casos ou insuficiência cardíaca (3 casos. O diagnóstico foi ecocardiográfico (5 casos e angiográfico (6 casos. Resultados: Todos os pacientes tiveram evolução imediata favorável, exceto 1 deles, com mixoma de átrio equerdo, que evoluiu com mediastinite e septicemia, vindo a falecer e constituindo o único óbito hospitalar. O seguimento pós-operatório tardio, obtido em 4 pacientes (15 a 111 meses - média 49 ± 36,8 meses, não detectou qualquer recidiva, encontrando-se todos em classe funcional I (NYHA. Conclusões: Os autores concluem que os tumores cardíacos são bastante raros, de fácil diagnóstico desde que considerados, na grande maioria benignos e que cursam favoravelmente com a extirpação cirúrgica.Purpose: To review the surgical experience of our group in the treatment of primary cardiac tumors, during a 10 year period beginning January 1985 till December 1994. Material and Methods: From a total of 2268 cardiac surgeries with the aid of extracorporeal circulation performed during this 10 year period, there were 6 cases of intracavitary tumor resection, an incidence of 0.26%. Three were myxomas of the left atrium, 1 papillary fibroelastoma of the mitral valve, 1 rhabdomyoma of the left ventricule and 1 fibroma of the left ventricle. Three patients presented systemic embolism and the other three congestive heart failure. The diagnosis was confirmed

  12. Changes in oxidative stress in transgenic RNAi ACO1 tomato fruit during ripening

    Science.gov (United States)

    Eglous, Najat Mohamed; Ali, Zainon Mohd; Hassan, Maizom; Zainal, Zamri

    2013-11-01

    Tomato (Solanum Lycopersicum L.) is the second most cultivated vegetable in the world and widely used as a system for studying the role of ethylene during fruit ripening. Our objective was to study the oxidative stress and antioxidative metabolism during ripening of non transgenic tomato and transgenic line-21 tomato which reduced ethylene. The line-21 of transgenic tomato plants (RNAi ACO1) had lower ethylene production and longer shelf-life more than 32 days as compared to the wild-type fruits which have very short shelf-life. In this study, tomato fruit were divided into five different stages (MG: mature green 5%, B: breaker 25%, T: turning 50%, O: orange75%, RR: red ripe100%). The activity of lipoxygenase (LOX) and lipid peroxidation (MDA) were measured to assess changes in oxidative stress. The LOX activity and MDA content decreased significantly obtaining 2.6-fold and 1.2-fold, respectively, as compared to the wild type fruit. However, superoxide dismutase (SOD) and catalase (CAT) activities were increased to 1.9 and 1.2 folds from the mature green to the fully ripe stage in transgenic tomatoes. Furthermore, the wild type tomato increases 1.3 in SOD and 1.6 in CAT activities. The overall results indicate that the wild type tomato fruit showed a faster rate of ripening, parallel to decline in the rate of enzymatic antioxidative systems as compared to the transgenic line-21 tomato fruit. In addition, the results show that the antioxidant capacity is improved during the ripening process and is accompanied by an increase in the oxidative stress.

  13. SmartPATH: An Efficient Hybrid ACO-GA Algorithm for Solving the Global Path Planning Problem of Mobile Robots

    Directory of Open Access Journals (Sweden)

    Imen Châari

    2014-07-01

    Full Text Available Path planning is a fundamental optimization problem that is crucial for the navigation of a mobile robot. Among the vast array of optimization approaches, we focus in this paper on Ant Colony Optimization (ACO and Genetic Algorithms (GA for solving the global path planning problem in a static environment, considering their effectiveness in solving such a problem. Our objective is to design an efficient hybrid algorithm that takes profit of the advantages of both ACO and GA approaches for the sake of maximizing the chance to find the optimal path even under real-time constraints. In this paper, we present smartPATH, a new hybrid ACO-GA algorithm that relies on the combination of an improved ACO algorithm (IACO for efficient and fast path selection, and a modified crossover operator to reduce the risk of falling into a local minimum. We demonstrate through extensive simulations that smartPATH outperforms classical ACO (CACO, GA algorithms. It also outperforms the Dijkstra exact method in solving the path planning problem for large graph environments. It improves the solution quality up to 57% in comparison with CACO and reduces the execution time up to 83% as compared to Dijkstra for large and dense graphs. In addition, the experimental results on a real robot shows that smartPATH finds the optimal path with a probability up to 80% with a small gap not exceeding 1m in 98%.

  14. Sedação com sufentanil e clonidina em pacientes submetidos a cateterismo cardíaco

    Directory of Open Access Journals (Sweden)

    Anita Perpetua Carvalho Rocha

    2011-03-01

    Full Text Available FUNDAMENTO: A sedação para a realização de cateterismo cardíaco tem sido alvo de preocupação. Benzodiazepínicos, agonistas alfa-2 adrenérgicos e opioides são utilizados para esse fim, entretanto, cada um destes medicamentos possui vantagens e desvantagens. OBJETIVO: Avaliar a eficácia do sufentanil e da clonidina como sedativos em pacientes submetidos a cateterismo cardíaco, observando o impacto dos mesmos sobre os parâmetros hemodinâmicos e respiratórios, a presença de efeitos colaterais, além da satisfação do paciente e do hemodinamicista com o exame. MÉTODOS: Trata-se de um ensaio clínico prospectivo, duplo-cego, randomizado e controlado, que envolveu 60 pacientes que receberam 0,1 µg/kg de sufentanil ou 0,5 µg/kg de clonidina antes da realização do cateterismo cardíaco. O escore de sedação segundo a escala de Ramsay, a necessidade de utilização de midazolam, os efeitos colaterais, os parâmetros hemodinâmicos e respiratórios foram registrados, sendo os dados analisados em 06 diferentes momentos. RESULTADOS: O comportamento da pressão arterial, da frequência cardíaca e da frequência respiratória foi semelhante nos dois grupos, entretanto, no momento 2, os pacientes do grupo sufentanil (Grupo S apresentaram menor escore de sedação segundo a escala de Ramsay, e a saturação periférica da oxihemoglobina foi menor que o grupo clonidina (Grupo C no momento 6. Os pacientes do Grupo S apresentaram maior incidência de náusea e vômito pós-operatório que os pacientes do Grupo C. A satisfação dos pacientes foi maior no grupo clonidina. Os hemodinamicistas mostraram-se satisfeitos nos dois grupos. CONCLUSÃO: O sufentanil e a clonidina foram efetivos como sedativos em pacientes submetidos a cateterismo cardíaco.

  15. Interacciones entre dispositivos cardíacos implantables y modalidades fisioterapéuticas: ¿Mito o realidad?

    Directory of Open Access Journals (Sweden)

    Genevieve C. Digby

    2011-04-01

    Full Text Available La fisioterapia se ha transformado en una especialidad que claramente incide en la calidad de vida de nuestros pacientes. En poblaciones añosas, el uso de fisioterapia incluye múltiples modalidades para un alto número de distintas enfermedades. Varios informes sobre posibles interacciones negativas entre las distintas modalidades de fisioterapia y los dispositivos cardíacos implantables (marcapasos y cardiodesfibriladores han sido publicados en los últimos aňos. A pesar de ello, existe muy poca evidencia y guías precisas para identificar cuáles son las modalidades de fisioterapia seguras a utilizar en esta población de pacientes. En la siguiente revisión, nos propusimos resumir las interacciones documentadas entre fisioterapia y dispositivos cardíacos implantables (DCI, discutir el estándar actual de estas prácticas e identificar las principales consideraciones que existen desde la perspectiva de un servicio de electrofisiología cardíaca, para el tratamiento adecuado en estos pacientes. Finalmente, abogamos por fortalecer la colaboración entre fisioterapeutas y electrofisiólogos, con el fin de asegurar una óptima y segura atención de este grupo de pacientes.

  16. Aplicações do ecocardiograma intracardíaco no laboratório de eletrofisiologia

    Directory of Open Access Journals (Sweden)

    Eduardo B. Saad

    2011-01-01

    Full Text Available O ecocardiograma intracardíaco (EIC proporciona uma visualização detalhada das estruturas cardíacas, combinada a informações hemodinâmicas, permitindo posicionamento acurado e em tempo real do posicionamento dos cateteres, redução do tempo de exposição à fluoroscopia, e a monitorização de complicações agudas durante o procedimento eletrofisiológico (ex. formação de trombos, derrame pericárdico, tamponamento cardíaco. Por isso, a sua utilização tem sido crescente, principalmente na ablação da fibrilação atrial e das arritmias ventriculares. Na ablação de fibrilação atrial demonstra grande utilidade por fornecer dados anatômicos do átrio esquerdo e veias pulmonares, auxiliar nas punções transeptais, localizar o óstio e antro das veias pulmonares, monitorizar a lesão tecidual durante a aplicação de radiofrequência (RF, prevenir injúria esofágica através da monitorização das lesões por RF na parede posterior do átrio esquerdo e avaliar o fluxo das veias pulmonares.

  17. Manejo de las dislipidemias en pacientes cardíacos trasplantados. Hallazgos sobre nuevos factores de riesgo

    Directory of Open Access Journals (Sweden)

    Walter Masson

    2008-01-01

    Full Text Available En pacientes cardíacos trasplantados, el desarrollo de enfermedad vascular coronaria es una complicación frecuente y la dislipidemia es uno de los predictores más importantes. Los inmunosupresores predisponen a las dislipidemias y dificultan la utilización de hipolipemiantes. En este grupo particular de pacientes se recomienda alcanzar las metas terapéuticas de prevención secundaria. Las estatinas son los hipolipemiantes de elección. No existen recomendaciones claras sobre nuevos factores de riesgo, como la homocisteína y la lipoproteína (a [Lp(a].Con el objetivo de conocer el perfil lipídico, la prevalencia de homocisteinemia y de Lp(a elevadas, el cumplimiento de las metas terapéuticas y la tolerancia a la medicación, se incluyeron en el estudio 23 pacientes cardíacos trasplantados. Los resultados mostraron que el cumplimiento de las metas lipídicas fue aceptable y que el 65% recibía tratamiento hipolipemiante. El uso de estatinas fue seguro. Se encontró una prevalencia alta de homocisteína y Lp(a elevadas. Su implicación en la modificación del tratamiento se desconoce.

  18. Transient absorption spectroscopy in biology using the Super-ACO storage ring FEL and the synchrotron radiation combination

    CERN Document Server

    Renault, E; De Ninno, G; Garzella, D; Hirsch, M; Nahon, L; Nutarelli, D

    2001-01-01

    The Super-ACO storage ring FEL, covering the UV range down to 300 nm with a high average power (300 mW at 350 nm) together with a high stability and long lifetime, is a unique tool for the performance of users applications. We present here the first pump-probe two color experiments on biological species using a storage ring FEL coupled to the synchrotron radiation. The intense UV pulse of the Super-ACO FEL is used to prepare a high initial concentration of chromophores in their first singlet electronic excited state. The nearby bending magnet synchrotron radiation provides, on the other hand a pulsed, white light continuum (UV-IR), naturally synchronized with the FEL pulses and used to probe the photochemical subsequent events and the associated transient species. We have demonstrated the feasibility with a dye molecule (POPOP) observing a two-color effect, signature of excited state absorption and a temporal signature with Acridine. Applications on various chromophores of biological interest are carried out,...

  19. Trasplante cardíaco y de médula ósea en un paciente

    Directory of Open Access Journals (Sweden)

    CÉSAR BELZITI

    2009-01-01

    Full Text Available RESUMENLa amiloidosis es una enfermedad infiltrativa sistémica que compromete al corazón y representauna causa importante de miocardiopatía restrictiva.Se describe el caso de un paciente masculino de 35 años con insuficiencia cardíaca avanzadasecundaria a miocardiopatía infiltrativa por depósito amiloide. Durante su evaluación serealizó diagnóstico de neoplasia de células plasmáticas. Debido a la rápida progresión de lossíntomas, el deterioro de la función ventricular y la incapacidad para tolerar el tratamientoadecuado para su enfermedad hematológica, se realizó trasplante cardíaco seguido de trasplanteautólogo de médula ósea sin complicaciones. La presentación de este caso constituyela primera comunicación en nuestro país de trasplante cardíaco seguido de trasplante demédula ósea como tratamiento de la amiloidosis cardíaca.REV ARGENT CARDIOL 2009;77;309-311.

  20. Acute Care of At-Risk Newborns (ACoRN): quantitative and qualitative educational evaluation of the program in a region of China

    OpenAIRE

    Singhal Nalini; Lockyer Jocelyn; Fidler Herta; Aziz Khalid; McMillan Douglas; Qiu Xiangming; Ma Xiaolu; Du Lizhong; Lee Shoo K

    2012-01-01

    Abstract Background The Acute Care of at-Risk Newborns (ACoRN) program was developed in Canada for trained health care providers for the identification and management of newborns who are at-risk and/or become unwell in the first few hours or days after birth. The ACoRN process follows an 8-step framework that enables the evaluation and management of babies irrespective of the experience or expertise of the caregiving individual or team. This study assesses the applicability of the program to ...

  1. Imunocitomonitorização em pacientes transplantados cardíacos Immunocytomonitorization in patients submitted to cardiac transplantation

    Directory of Open Access Journals (Sweden)

    Ricardo Manrique

    1990-04-01

    Full Text Available A técnica de Imunocitomonitorização (CIM - Cytologrcal and Immunologic Monitoring, fundamenta-se na avaliação de mudanças nas subpopulações de linfócitos e seus precursores celulares, durante o processo rejeição aguda. O método avalia a ativação precoce pela contagem do número de: linfócitos ativados, linfoblastos e prolinfócitos (aqui chamados em conjunto de linfócitos ativos, quando esses se apresentam acima do limite superior normal. Utilizamos essa técnica para seguimento e controle da atividade da imunologia celular em 9 pacientes transplantados cardíacos. Também foram submetidos ao CIM para verificar a faixa de normalidade de ativação linfocítica 20 voluntários normais e cinco pacientes candidatos ao transplante cardíaco. Ambos os grupos não tinham antecedentes de quadro de infecção ou alteração imunológica. Para obtenção do controle positivo, testamos 10 pacientes com infecção bacteriana ou virai, previamente diagnosticados por exames bacterianos e/ou sorológicos. Foram observados valores de 1,8% de linfócitos ativos nos indivíduos normais e 3,2% nos candidatos ao transplante cardíaco. Dos 63 testes realizados nos transplantados cardíacos, quatro deles se mostraram positivos, onde três desses tratavam-se de casos de infecção e um confirmado como processo de rejeição aguda em evolução. O tempo médio necessário para a realização da CIM foi de aproximadamente duas horas. A técnica utiliza mostrou-se valiosa no reconhecimento imunológico dos pacientes transplantados cardíacos, pela sua sensibilidade diagnostica, baixo custo e rapidez.The immunocytomonitorization technique (CIM - Cytological and Immunologic Monitoring is based on assessment of changes in the subpopulations of lyphocyte and their precursor cells, while under the acute rejection. The method assesses the precocious activation by counting the number of the lymphocytes normal and actives, lymphoblasts and prolymphocytes (here

  2. Intelligent Search Method Based ACO Techniques for a Multistage Decision Problem EDP/LFP

    Directory of Open Access Journals (Sweden)

    Mostefa RAHLI

    2006-07-01

    the algorithm getting to him a rate preferably more or less justifiable. In operational research, this subject is known under the name of CPO [14] (combinatory problem optimization.The choice of a numerical method to use for a merged case study and calculation of the LFP/Fitting/EDP what is [7, 8, 9, 10, 18, 19, 20] (in theoretical form of a problem compensates the final decision to adopt and a strategy of optimal production (which is a practical problem form and the final task most wanted.Each method is imposed by:· The algorithm complexity.· In an application gathering all calculations, the number of uses of method compared to the total number of later issues.· The maximum number of iterations for a given use.· The maximum iterations count allowed for this algorithm kind.· The limitations of the algorithm such as: applicability of a method (algorithm adapted or not to the problem; does the problem constrained or not; problem dimension or order N (N ≤ Nmax; the algorithm stability.It's well-known that for an approached calculation method, the propagation of errors strongly conditions the need of making its adequate choice and if it can be adopted compared to others for the same area.More is the number of the elementary operations is large more the final result misses precision and especially if the finality of the study is a responsible decision to make and a satisfaction of constraints and multiple conditions. Our study proposes an inference based solution (AI with the use of ACO technique (Ant colony Optimization2.

  3. Expression Study of LeGAPDH, LeACO1, LeACS1A, and LeACS2 in Tomato Fruit (Solanum lycopersicum

    Directory of Open Access Journals (Sweden)

    Pijar Riza Anugerah

    2015-10-01

    Full Text Available Tomato is a climacteric fruit, which is characterized by ripening-related increase of respiration and elevated ethylene synthesis. Ethylene is the key hormone in ripening process of climacteric fruits. The objective of this research is to study the expression of three ethylene synthesis genes: LeACO1, LeACS1A, LeACS2, and a housekeeping gene LeGAPDH in ripening tomato fruit. Specific primers have been designed to amplify complementary DNA fragment of LeGAPDH (143 bp, LeACO1 (240 bp, LeACS1A (169 bp, and LeACS2 (148 bp using polymerase chain reaction. Nucleotide BLAST results of the complementary DNA fragments show high similarity with LeGAPDH (NM_001247874.1, LeACO1 (NM_001247095.1, LeACS1A(NM_001246993.1, LeACS2 (NM_001247249.1, respectively. Expression study showed that LeACO1, LeACS1A, LeACS2, and LeGAPDH genes were expressed in ripening tomato fruit. Isolation methods, reference sequences, and primers used in this study can be used in future experiments to study expression of genes responsible for ethylene synthesis using quantitative polymerase chain reaction and to design better strategy for controlling fruit ripening in agroindustry.

  4. Meta-heurística ACO (Ant Colony Optimization) para la resolución de problemas en líneas de producción

    OpenAIRE

    Bautista Valhondo, Joaquín; Bretón Blas, Javier; Fernández Ros, José Antonio; De la Rosa Herrero, Marcela

    2000-01-01

    La meta-heurística ACO (Ant Colony Optimization) es un procedimiento heurístico para la resolución de problemas de optimización discreta basado en el comportamiento de las hormigas. Sus principales características son: (1) la utilización de

  5. Hybridisations Of Simulated Annealing And Modified Simplex Algorithms On A Path Of Steepest Ascent With Multi-Response For Optimal Parameter Settings Of ACO

    Science.gov (United States)

    Luangpaiboon, P.

    2009-10-01

    Many entrepreneurs face to extreme conditions for instances; costs, quality, sales and services. Moreover, technology has always been intertwined with our demands. Then almost manufacturers or assembling lines adopt it and come out with more complicated process inevitably. At this stage, products and service improvement need to be shifted from competitors with sustainability. So, a simulated process optimisation is an alternative way for solving huge and complex problems. Metaheuristics are sequential processes that perform exploration and exploitation in the solution space aiming to efficiently find near optimal solutions with natural intelligence as a source of inspiration. One of the most well-known metaheuristics is called Ant Colony Optimisation, ACO. This paper is conducted to give an aid in complicatedness of using ACO in terms of its parameters: number of iterations, ants and moves. Proper levels of these parameters are analysed on eight noisy continuous non-linear continuous response surfaces. Considering the solution space in a specified region, some surfaces contain global optimum and multiple local optimums and some are with a curved ridge. ACO parameters are determined through hybridisations of Modified Simplex and Simulated Annealing methods on the path of Steepest Ascent, SAM. SAM was introduced to recommend preferable levels of ACO parameters via statistically significant regression analysis and Taguchi's signal to noise ratio. Other performance achievements include minimax and mean squared error measures. A series of computational experiments using each algorithm were conducted. Experimental results were analysed in terms of mean, design points and best so far solutions. It was found that results obtained from a hybridisation with stochastic procedures of Simulated Annealing method were better than that using Modified Simplex algorithm. However, the average execution time of experimental runs and number of design points using hybridisations were

  6. Certeza diagnóstica en la mortalidad de una población de pacientes con trasplante cardíaco

    Directory of Open Access Journals (Sweden)

    Marcos Amuchástegui

    2008-01-01

    Full Text Available RESUMENIntroducciónA pesar de que la morbimortalidad en el trasplante cardíaco ha sido motivo de extensoanálisis, la mayoría de los estudios y registros de mortalidad en pacientes trasplantados sebasan sobre datos clínicos. En la bibliografía existen comunicaciones aisladas de autopsiasen pacientes con trasplante cardíaco.ObjetivoDeterminar la importancia de la realización de estudios anatomopatológicos para el diagnósticode causa de muerte en un programa de trasplante cardíaco.Material y métodosSe incluyeron todos los pacientes con trasplante cardíaco fallecidos entre enero 1990 y enero2005. El diagnóstico definitivo de la causa de muerte fue corroborado por autopsia obiopsia de órgano sólido. Las causas de muerte evaluadas fueron falla precoz del injerto,rechazo celular, infección, enfermedad vascular del injerto, neoplasia y otros.ResultadosDurante el período en estudio 73 pacientes fueron sometidos a trasplante cardíaco; de ellos,fallecieron 31. Se obtuvieron 12 autopsias y 7 biopsias de órgano sólido que certificaron lacausa de muerte (61%. La causa de muerte más frecuente fue el rechazo celular mayor degrado III. En el 12,9%, la anatomía patológica difirió de la sospecha clínica de la causa demuerte.ConclusiónLa información clinicopatológica derivada de estudios post mortem es un indicador de nuestrarealidad asistencial y se constituye en un pilar fundamental para el conocimiento y elmanejo futuro de los pacientes trasplantados, por lo que consideramos que la realización deautopsias en estos pacientes es de vital importancia.REV ARGENT CARDIOL 2008;76:292-294.

  7. Certeza diagnóstica en la mortalidad de una población de pacientes con trasplante cardíaco

    Directory of Open Access Journals (Sweden)

    Marcos Amuchástegui (h,

    2006-01-01

    Full Text Available Introducción A pesar de que la morbimortalidad en el trasplante cardíaco ha sido motivo de extenso análisis, la mayoría de los estudios y registros de mortalidad en pacientes trasplantados se basan sobre datos clínicos. En la bibliografía existen comunicaciones aisladas de autopsias en pacientes con trasplante cardíaco.Objetivo Determinar la importancia de la realización de estudios anatomopatológicos para el diagnóstico de causa de muerte en un programa de trasplante cardíaco.Material y métodosSe incluyeron todos los pacientes con trasplante cardíaco fallecidos entre enero 1990 y enero 2005. El diagnóstico definitivo de la causa de muerte fue corroborado por autopsia o biopsia de órgano sólido. Las causas de muerte evaluadas fueron falla precoz del injerto, rechazo celular, infección, enfermedad vascular del injerto, neoplasia y otros.ResultadosDurante el período en estudio 73 pacientes fueron sometidos a trasplante cardíaco; de ellos, fallecieron 31. Se obtuvieron 12 autopsias y 7 biopsias de órgano sólido que certificaron la causa de muerte (61%. La causa de muerte más frecuente fue el rechazo celular mayor de grado III. En el 12,9%, la anatomía patológica difirió de la sospecha clínica de la causa de muerte.ConclusiónLa información clinicopatológica derivada de estudios post mortem es un indicador de nuestra realidad asistencial y se constituye en un pilar fundamental para el conocimiento y el manejo futuro de los pacientes trasplantados, por lo que consideramos que la realización de autopsias en estos pacientes es de vital importancia.

  8. R404A/CO_2复叠式制冷系统的熵分析%Entropy Analysis of R404A/CO_2 Cascade Refrigeration System

    Institute of Scientific and Technical Information of China (English)

    赖艳华; 王庆为; 吕明新; 董震; 潘继红

    2012-01-01

    为了研究R404A/CO_2复叠式制冷系统的性能,对其进行了热力学分析。采用理论计算和熵产最小法分析蒸发温度T_e、冷凝温度T_k、冷凝蒸发器的传热温差△T等参数对该系统的性能、部件及整个系统的熵产的影响。结果表明,给定T_e、T_k和△T时,在最佳低温级冷凝温度下,系统COP取得最大值,系统总熵产取得最小值;高温级节流阀和压缩机、冷凝蒸发器和低温级压缩机的熵产约占总熵产的80%。%In order to study the performance of R404A/CO_2 cascade refrigeration system,thermodynamic analysis is applied to this system.Theoretical calculation and entropy generation minimization method were adopted to get the influence of some important operating and design parameters on the performance of the system and entropy generations of each component and the whole system,such as the evaporating temperature T_e,the condensing temperature T_k and the temperature difference AT in the cascade-condenser.The results indicate that there are a maximum coefficient of performance and a minimum total entropy generation of the system at the optimal condensing temperature of the cascade-condenser when T_e,T_k and△T are constant.The total entropy generations of the throttling device and the compressor of the R404A circuit,the cascade-condenser and the compressor of CO_2 circuit are 80%of the total entropy generation of the whole system.

  9. Achados oftalmológicos em pacientes que receberam transplante cardíaco Ophthalmologic findings in cardiac transplant recipients

    Directory of Open Access Journals (Sweden)

    Cecília Sales Pires

    2007-10-01

    Full Text Available OBJETIVO: Avaliar os achados oculares, pelo exame oftalmológico, em indivíduos que receberam transplante cardíaco, buscando especialmente investigar possíveis alterações na camada de fibras nervosas da retina com polarímetro de varredura a laser. MÉTODOS: Foram estudados 15 indivíduos que receberam transplante cardíaco no período de setembro de 2003 a julho de 2004. Todos foram submetidos a exame que constava de acuidade visual para longe (AVL, biomicroscopia, tonometria e fundoscopia. Onze pacientes foram submetidos ao analisador de fibras nervosas GDx. Doze eram do sexo masculino e a média da idade foi de 55,0 ± 13,5 anos. O tempo decorrido desde o transplante variou de 3 a 74 meses, com média de 29,7 ± 20,8 meses. RESULTADOS: A AVL com melhor correção foi igual ou melhor do que 20/40 em todos os pacientes. Em um deles observou-se a presença de catarata subcapsular posterior; em outro, nubéculas na córnea secundárias a quadro de herpes zoster. À fundoscopia pôde-se observar lesão cicatrizada sugestiva de retinocoroidite em um paciente. As alterações observadas à biomicroscopia e à fundoscopia eram esperadas devido à imunossupressão subseqüente ao transplante. Ao GDx observou-se perda de fibras da camada de fibras nervosas da retina superior em 12 dos 22 olhos avaliados. CONCLUSÃO: Os resultados apóiam a suposição de que antes ou durante o transplante cardíaco tenha havido diminuição no aporte de oxigênio à circulação retiniana, levando a perda parcial de fibras da retina.PURPOSE: To evaluate findings of ophthalmologic examinations in cardiac transplant recipients, searching especially for changes in the retinal nerve fiber layer by means of Scanning Laser Polarimetry. METHODS: Fifteen cardiac transplant recipients were examined from September 2003 to July 2004. All of them underwent ophthalmologic examination, which consisted of visual acuity (VA, biomicroscopy, tonometry and fundoscopy. Fiber layer

  10. El calcio en los miocitos cardíacos y su papel en las miocardiopatías.

    Directory of Open Access Journals (Sweden)

    Guido Ulate Montero

    2006-01-01

    Full Text Available El papel que desempeña el calcio en los miocitos cardíacos abarca un gran número de funciones, desde su rol en el acoplamiento excitación-ccontracción hasta su papel de segundo mensajero en las diversas vías de señalización, algunas de las cuales se activan en procesos que afectan la integridad del tejido miocárdico y que tienen que ver con el crecimiento y la apoptosis de los miocitos y que al final, son los que determinan la evolución de la mayoría de las cardiomiopatías. En esta revisión se abordan los mecanismos fisiológicos en las células de músculo cardíaco en los que este ión juega un papel determinante y los cambios que se presentan en ciertas cardiopatías como la miocardiopatía arritmogénica del ventrículo derecho, las miocardiopatías asociadas a alteraciones en el receptor de rianodina y la miocardiopatía dilatada. Se revisa también la farmacodinamia de los agentes inotrópicos positivos que actúan sensibilizando los miofilamentos del sarcómero al calcio.The rol played by calcium in cardiomyocytes includes a great number of functions like the excitation-contraction coupling as well as a second messenger in diverse signaling pathways. Some of these pathways are activated in processes that affect the cardiac tissue integrity and also participate in cell growth and apoptosis, determining the poor prognosis that characterize the majority of the cardiomyopathies. In this review,the mechanisms inside the cardiomyocytes in which participates calcium and the pathophysiological changes observed in some cardiac diseases like arrhythmogenic right ventricular cardiomyopathy, catecholaminergic polymorphic ventricular tachycardia, idiopathic dilated cardiomyopathy, and others, are described. The action mechanism of positive inotropic drugs that act as sarcomere myofilaments sensitizers is also reviewed.

  11. Valvoplastia mitral percutânea complicada com tamponamento cardíaco em paciente gestante Percutaneous mitral valvuloplasty complicated by cardiac tamponade in a pregnant patient

    Directory of Open Access Journals (Sweden)

    Luís Seca

    2008-11-01

    Full Text Available A ocorrência de Hemopericárdio com Tamponamento Cardíaco é uma complicação da Valvoplastia Mitral Percutânea por balão (VMB, que apesar de pouco freqüente, pode ter graves conseqüências materno-fetais. Este artigo descreve o caso de um tamponamento cardíaco após VMB em uma mulher de 28 anos, com estenose mitral reumática severa na 20ª semana de gravidez.The occurrence of hemopericardium with cardiac tamponade is a complication of percutaneous balloon mitral valvuloplasty (BMV which, although uncommon, may have severe maternal and fetal consequences. This article describes a case of cardiac tamponade following BMV in a 28-year-old woman with severe rheumatic mitral stenosis in the 20th week of gestation.

  12. Acute Care of At-Risk Newborns (ACoRN: quantitative and qualitative educational evaluation of the program in a region of China

    Directory of Open Access Journals (Sweden)

    Singhal Nalini

    2012-06-01

    Full Text Available Abstract Background The Acute Care of at-Risk Newborns (ACoRN program was developed in Canada for trained health care providers for the identification and management of newborns who are at-risk and/or become unwell in the first few hours or days after birth. The ACoRN process follows an 8-step framework that enables the evaluation and management of babies irrespective of the experience or expertise of the caregiving individual or team. This study assesses the applicability of the program to Chinese pediatric practitioners. Methods Course content and educational materials were translated from English into Chinese by bilingual neonatal practitioners. Confidence and knowledge questionnaires were developed and reviewed for face and content validity by a team of ACoRN instructors. Bilingual Chinese instructors were trained at the tertiary perinatal centre in Hangzhou Zhejiang to deliver the course at 15 level II county hospitals. Participants completed pre- and post-course confidence and knowledge questionnaires and provided feedback through post-course focus groups. Results 216 physicians and nurses were trained. Confidence and knowledge relating to neonatal stabilization improved significantly following the courses. Participants rated course utility and function between 4.2 and 4.6/5 on all items. Pre/post measures of confidence were significantly correlated with post course knowledge. Focus group data supported the perceived value of the program and recommended course adjustments to include pre-course reading, and increased content related to simulation, communication skills, and management of respiratory illness and jaundice. Conclusions ACoRN, a Canadian educational program, appears to be well received by Chinese health care providers and results in improved knowledge and confidence. International program adaptation for use by health care professionals requires structured and systematic evaluation to ensure that the program meets the needs of

  13. L’intelligence collective dans un contexte de développement professionnel continu : ACoPé, l’exemple d’une communauté de pratique

    OpenAIRE

    Pichon, Aude; Morel, Alexandre; Gassie, Brigitte; Vandenkoornhuyse, Christine; Delalande, Pascaline

    2015-01-01

    Cooperating with a view to furthering professional development, taking decisions and functioning interoperatively within a community implies working with participants committed to fostering strong relationships, reflective practice, and reaching shared understanding.The collaboration between the ACoPé educational advisors takes place within this context itself part of the wider framework of a higher education environment with intersectoral, interprofessional, interdisciplinary and inter-regio...

  14. Swarm Intelligence Based Ant Colony Optimization (ACO Approach for Maximizing the Lifetime of Heterogeneous Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    LingaRaj.K

    2013-11-01

    Full Text Available This paper attempts to undertake the study of maximizing the lifetime of Heterogeneous wireless sensor networks (WSNs. In wireless sensor networks, sensor nodes are typically power-constrained with limited lifetime, and thus it is necessary to know how long the network sustains its networking operations. Heterogeneous WSNs consists of different sensor devices with different capabilities. We can enhance the quality of monitoring in wireless sensor networks by increasing the coverage area. One of major issue in WSNs is finding maximum number of connected coverage. This paper proposed a Swarm Intelligence, Ant Colony Optimization (ACO based approach. Ant colony optimization algorithm provides a natural and intrinsic way of exploration of search space of coverage area. Ants communicate with their nest- mates using chemical scents known as pheromones, Based on Pheromone trail between sensor devices the shortest path is found. The methodology is based on finding the maximum number of connected covers that satisfy both sensing coverage and network connectivity. By finding the coverage area and sensing range, the network lifetime maximized and reduces the energy consumption

  15. The Norma Cluster (ACO 3627): I. A Dynamical Analysis of the Most Massive Cluster in the Great Attractor

    CERN Document Server

    Woudt, P A; Lucey, J; Fairall, A P; Moore, S A W

    2007-01-01

    A detailed dynamical analysis of the nearby rich Norma cluster (ACO 3627) is presented. From radial velocities of 296 cluster members, we find a mean velocity of 4871 +/- 54 km/s and a velocity dispersion of 925 km/s. The mean velocity of the E/S0 population (4979 +/- 85 km/s) is offset with respect to that of the S/Irr population (4812 +/- 70 km/s) by `Delta' v = 164 km/s in the cluster rest frame. This offset increases towards the core of the cluster. The E/S0 population is free of any detectable substructure and appears relaxed. Its shape is clearly elongated with a position angle that is aligned along the dominant large-scale structures in this region, the so-called Norma wall. The central cD galaxy has a very large peculiar velocity of 561 km/s which is most probably related to an ongoing merger at the core of the cluster. The spiral/irregular galaxies reveal a large amount of substructure; two dynamically distinct subgroups within the overall spiral-population have been identified, located along the Nor...

  16. Qualidade de vida de pacientes submetidos ao transplante cardíaco: aplicação da escala Whoqol-Bref

    Directory of Open Access Journals (Sweden)

    Maria Isis Freire de Aguiar

    2011-01-01

    Full Text Available FUNDAMENTO: O sucesso do transplante cardíaco significa garantir a sobrevida dos pacientes com cardiopatia e permitir-lhes desenvolver suas atividades diárias. O transplante cardíaco apresenta-se como a primeira opção de tratamento na falência cardíaca, representando um aumento de sobrevida e qualidade de vida dos transplantados. OBJETIVO: Avaliar a qualidade de vida de pacientes submetidos ao transplante cardíaco através da aplicação de uma escala padronizada (Whoqol-Bref. MÉTODOS: Estudo exploratório descritivo de abordagem quantitativa, realizado com 55 pacientes submetidos ao transplante cardíaco, em um período entre o terceiro e o 103º mês, que realizam acompanhamento na Unidade de Transplante e Insuficiência Cardíaca em um Hospital de Referência em Cardiologia na cidade de Fortaleza, CE. Os dados foram coletados no período de fevereiro a abril de 2009, por meio da aplicação de um questionário padronizado pela Organização Mundial da Saúde e utilização de dados constantes nos prontuários. RESULTADOS: Com relação ao domínio físico, 62,8% e 58,3% dos pacientes, dos sexos masculino e feminino, respectivamente, estão satisfeitos. No domínio psicológico, dentre pacientes do sexo masculino, 65,1% apresentam satisfação quanto à qualidade de vida e, no sexo feminino, 58,3% encontram-se satisfeitas. No domínio das relações sociais, observou-se que, no sexo masculino, 53,5% estão muito satisfeitos, e apresentou-se um nível de satisfação de 100% no sexo feminino. No domínio do meio ambiente, 65,1% do sexo masculino encontram-se satisfeitos, e no sexo feminino, 83,3% estão satisfeitas. CONCLUSÃO: O transplante cardíaco teve bastante influência na qualidade de vida dos pacientes transplantados, pois os resultados mostram-se estatisticamente significantes no pós-transplante.

  17. R404A/CO_2复叠式制冷系统的火用分析%Exergy analysis of the R404A/CO_2 cascade refrigeration system

    Institute of Scientific and Technical Information of China (English)

    赖艳华; 王庆为; 吕明新; 邵长波; 孔德曼

    2011-01-01

    In order to decrease the energy consumption of the R404A/CO2 cascade refrigeration system,exergy analysis was applied to this system.An exergy analysis method was adopted to obtain the influence of the design and operating parameters on the coefficient of performance ε,the exergy destruction X and the exergetic efficiency ηe of this system.The design and operating parameters include the evaporating temperature Te,the condensing temperature Tk and the temperature difference ΔT in the cascade-condenser.The results indicate that there were a maximum ε,ηe and a minimum Xtot at the same optimal condensing temperature of the cascade-condenser T4opt when Te,Tk and ΔT were constant in the system.It is helpful to reduce X and improve ηe and ε through increasing Te,decreasing Tk and ΔT.The total exergy destructions of the throttling device and the compressor of the R404A circuit,the cascade-condenser and the compressor of the CO2 circuit were 80% of the total exergy destruction of the system.A Multiple linear regression analysis was employed in term of Te,Tk and ΔT to develop mathematics expressions for t4opt,εmaxand ηe,max.%为了降低R404A/CO2复叠式制冷系统的能耗,对该系统进行了能量分析。通过火用分析方法分析系统设计与运行参数对系统性能系数ε、各组成部件及整个系统的火用损X和火用效率ηe的影响。结果表明,在一定蒸发温度Te、冷凝温度Tk和冷凝蒸发器的传热温差ΔT条件下,在相同最佳T4opt时,Xtot取得最小值,ε和ηe取得最大值;为了有利于减小X、提高ηe和ε,应尽量升高Te、降低Tk和ΔT;高温级膨胀阀、压缩机、冷凝蒸发器和低温级压缩机的火用损约占总火用损的80%。对数据进行多重线性回归分析,得到以Te、Tk和ΔT为自变量的t4opt、εmax和ηe,max关系式。

  18. Correlation between electrical properties and thermodynamic stability of ACoO3-δ perovskites (A= La, Pr, Nd, Sm, Gd)

    International Nuclear Information System (INIS)

    For perovskites with the general formula ACoO3-δ (A = La, Pr, Nd, Sm, and Gd) the influence of the A-site cation on the electrical conductivity, electronic structure, thermodynamic stability, and oxygen stoichiometry was studied. The perovskite oxide powders were produced by a combined citric acid and ethylenediaminetetraacetic acid complexing method. Ceramic specimens sintered at 1100 deg. C in air were single-phase perovskites. With increasing temperature, the electrical conductivity shows three discrete regimes. All compositions show semiconductivity up to a transition temperature of ∼300 deg. C-450 deg. C and then behave like metallic conductors. The activation energies for the semiconductivity, as well as the transition temperatures to the metallic-like conduction, decrease monotonically with increasing pseudocubic lattice parameters, i.e., with increasing ionic radii of the A cation. This behavior correlates with decreasing oxygen nonstoichiometry and increased thermodynamic stability. The highest conductivity and the lowest activation energy of 0.66 eV were found for LaCoO3-δ, which also had the lowest semiconductor-metal transition temperature at 269 deg. C, the lowest oxygen nonstoichiometry of δ= 0.008, and the highest Gibbs free energy change for the decomposition reaction of 42.37 kJ/mol at 850 deg. C. GdCoO3-δ had the highest oxygen nonstoichiometry with δ0.032, a high activation energy of 1.19 eV for the semiconductivity with a high transition temperature at 452 deg. C, and the lowest Gibbs free energy change of 26.54 kJ/mol at 850 deg. C. X-ray absorption spectroscopy data imply an increasing Co low-spin character with decreasing cation radius from La to Gd, while an increase in temperature increases the number of holes or Co 3d bandwidth. This correlates well with the electrical conductivity data.

  19. Transplante cardíaco no Instituto Dante Pazzanese de Cardiologia: análise da sobrevida

    Directory of Open Access Journals (Sweden)

    ASSEF Marco Aurélio Salles

    2001-01-01

    Full Text Available CASUÍSTICA E MÉTODOS: Foram analisados, retrospectivamente, 80 transplantes cardíacos realizados no Instituto Dante Pazzanese de Cardiologia (IDPC no período de novembro de 1991 a agosto de 2000. Houve predomínio do sexo masculino em 70% dos casos e a idade variou de 7 a 69 anos, com média de 44,8 anos. Doze (15% pacientes se encontravam em prioridade, em uso de drogas inotrópicas endovenosas no momento do transplante. As etiologias determinantes da insuficiência cardíaca congestiva grave foram: miocardiopatia dilatada idiopática em 37,5%, miocardiopatia isquêmica em 33,75%, miocardiopatia chagásica em 17,5% e outras causas em 11,25%. Foram realizados 78 transplantes ortotópicos e 2 heterotópicos. A técnica empregada foi bicaval/bipulmonar em 63,75%, atrial em 27,5%, bicaval/unipulmonar em 6,25% e heterotópico em 2,5%. A mortalidade hospitalar (30 dias foi de 18,75%. RESULTADOS: A sobrevida para o transplante ortotópico em um ano foi de 72,7%, em cinco anos 61,5% e em sete anos 56,4%. A sobrevida após o transplante foi correlacionada com as variáveis idade, causa de óbito e sexo do doador, e pelo transplante ter sido ou não a primeira cirurgia cardíaca do paciente.

  20. Aneurisma ilíaco associado a fístula arteriovenosa Iliac aneurysm associated with arteriovenous fistula

    Directory of Open Access Journals (Sweden)

    Daniel Mendes Pinto

    2007-09-01

    Full Text Available A ruptura dos aneurismas aorto-ilíacos para a veia ilíaca ou veia cava é uma complicação pouco comum. A hipertensão venosa leva a vários sinais e sintomas, o que dificulta o diagnóstico pré-operatório, tais como edema do membro inferior, dispnéia, hematúria, sinais de insuficiência renal ou cardíaca. Sopro abdominal é a chave do diagnóstico clínico, associado à massa pulsátil e dor abdominal. O reconhecimento da fístula arteriovenosa no pré-operatório é importante para o planejamento cirúrgico. Relatamos um caso de aneurisma da artéria ilíaca comum e interna direita associado a fístula para veia ilíaca comum, cursando, inicialmente, com edema do membro inferior direito e dispnéia, o que levou ao diagnóstico incorreto de trombose venosa profunda.Rupture of aortoiliac aneurysms into the iliac vein or vena cava is an uncommon complication. Many signs and symptoms develop as a result of venous hypertension, which makes preoperative diagnosis difficult, such as leg edema, dyspnea, hematuria, signs of renal or cardiac insufficiency. Abdominal bruit, associated with pulsatile mass and abdominal pain, is the key for clinical diagnosis. Preoperative recognition of arteriovenous fistula is important for surgical planning. We report a case of right internal and common iliac artery aneurysm associated with fistula into the common iliac vein. Initial symptoms were right leg edema and dyspnea, which induced to the incorrect diagnosis of deep vein thrombosis.

  1. Lo prometeico de la naturaleza dionisíaco-apolínea en la forma de sentir y pensar de la poesía de Goethe

    OpenAIRE

    Albanese Pastene, Francisco; Leal Riquelme, Rubén

    2015-01-01

    Utilizando el pensamiento expuesto la obra El Origen de la Tragedia, de Friedrich Nietzsche, en particular lo relacionado con los dioses Apolo y Dionisios, se analizan los componentes dionisíacos y apolíneos en la evolución de lo prometeico en la obras poéticas Prometeo, Límites de lo humano, Lo divino y Uno y todo, de Johann Wolfgang von Goethe Using the ideas articulated in Friedrich Nietzsche's The Birth of Tragedy, especially those related to the gods Apollo and Dionysus...

  2. Contribuição de decavanadato para os efeitos IN VIVO e IN VITRO de vanadato no músculo cardíaco

    OpenAIRE

    Soares, S. S.

    2007-01-01

    Tese dout., Biologia - Fisiologia Animal, Universidade do Algarve, 2007 No presente estudo aborda-se a contribuição da espécie decamérica de vanadato nos efeitos tóxicos in vivo e in vitro de vanadato. Após administração intravenosa de decavanadato em Sparus aurata, o vanadato decamérico induz respostas nos marcadores de stresse oxidativo do tecido cardíaco distintas das promovidas pelo monovanadato, evidenciando a importância de considerar a contribuição dos diferentes olig...

  3. Significados dos episódios maníacos para pacientes com transtorno bipolar em remissão: um estudo qualitativo

    Directory of Open Access Journals (Sweden)

    Luiz Carlos Pereira Bin

    2014-07-01

    Full Text Available Objetivo Discutir os significados da vivência de episódios maníacos para pacientes com transtorno bipolar (TAB. Métodos Trata-se de uma pesquisa qualitativa, feita por meio de entrevistas semidirigidas em profundidade, em uma amostra fechada pelo critério de saturação com oito pacientes com TAB em remissão. A técnica de tratamento de dados foi feita por meio da análise de conteúdo das entrevistas transcritas na íntegra e categorização. Os resultados foram submetidos à validação externa, no Laboratório de Pesquisa Clínico-Qualitativa do Departamento de Psicologia Médica e Psiquiatria da Unicamp, composto por 37 pesquisadores do método, entre eles mestrandos, doutorandos, pós-doutorados e pesquisadores seniores. Resultados Foram identificadas três categorias – Ambivalência e vergonha: pensar ou não pensar sobre os episódios maníacos; Organizando sentimentos pessoais: a remissão como um momento de autoconsciência; Episódios maníacos estruturando relações interpessoais versus projeções da angústia. Conclusão Os achados da presente pesquisa contribuem para a maior compreensão dos quadros maníacos no TAB, que podem auxiliar nas reflexões acerca da relação profissional-paciente, para elaborar estratégias para aderência e para as medidas terapêuticas e preventivas da recorrência dos episódios. Podem auxiliar a equipe de saúde envolvida no acompanhamento desses casos e também os pesquisadores na investigação da contribuição dos significados aqui discutidos nos fenômenos de aderência ao tratamento e de um melhor prognóstico.

  4. QUINOA (CHENOPODIUM QUINOA WILLD): DIGESTIBILIDADE IN VITRO, DESENVOLVIMENTO E ANÁLISE SENSORIAL DE PREPARAÇÕES DESTINADAS A PACIENTES CELÍACOS

    OpenAIRE

    L. I. A. CASTRO; C. M. V. REAL; I. S. C. PIRES; C. V. PIRES; N. A.V.D. PINTO; Miranda, L. S.; B. C. ROSA; P. A. DIAS

    2008-01-01

    A quinoa (Chenopodium quinoa Willd) é um pseudocereal isento de glúten, oriundo dos Andes, onde tem sido cultivado há milhares de anos. O objetivo deste trabalho foi desenvolver e avaliar sensorialmente algumas preparações contendo quinoa em grãos, flocos e farinha, destinadas ao paciente celíaco, e determinar a digestibilidade in vitro de sua proteína, submetida ou ...

  5. Espectro óculo-aurículo-vertebral em pacientes com defeitos cardíacos congênitos

    Directory of Open Access Journals (Sweden)

    Rafael Fabiano Machado Rosa

    2010-10-01

    Full Text Available FUNDAMENTO: Há poucos estudos avaliando a frequência do espectro óculo-aurículo-vertebral (EOAV nos pacientes com defeitos cardíacos congênitos (DCC. OBJETIVO: Verificar a frequência do EOAV em uma amostra de pacientes com malformações cardíacas graves. MÉTODOS: Avaliamos uma coorte prospectiva de pacientes com DCC, admitidos em uma unidade de terapia intensiva (UTI cardiopediátrica no Brasil. O diagnóstico de EOAV foi feito com base em dados clínicos, considerando critérios padrões. Os pacientes que preenchiam esses critérios foram submetidos ao cariótipo de alta resolução com bandamento GTG e hibridização fluorescente in situ para a microdeleção 22q11.2. O teste exato de Fisher (P < 0,05 foi usado para as análises estatísticas. RESULTADOS: Durante o período de avaliação, 330 pacientes foram hospitalizados pela primeira vez na UTI, mas trinta deles não participaram deste estudo. Dos 300 pacientes que constituíram a amostragem final, o EOAV foi verificado em três casos (1%. Todos apresentaram estudos citogenéticos normais. CONCLUSÃO: O EOAV parece ser uma condição frequente em pacientes com DCC. Contudo, não podemos excluir a possibilidade de que a frequência de EOAV encontrada em nosso estudo possa ter sido subestimada devido à baixa taxa de detecção pré-natal de DCC e ao acesso limitado dos pacientes ao tratamento médico apropriado em nosso meio. Estudos prospectivos futuros com critérios clínicos bem definidos e pacientes com defeitos leves e graves serão importantes para avaliar o papel do EOAV na população em geral de indivíduos com malformações cardíacas.

  6. Characterization of transcriptional profiles of MA-ACS1 and MA-ACO1 genes in response to ethylene, auxin, wounding, cold and different photoperiods during ripening in banana fruit.

    Science.gov (United States)

    Choudhury, Swarup Roy; Roy, Sujit; Sengupta, Dibyendu N

    2008-12-01

    The ripening-specific genes MA-ACS1 (Musa acuminata ACC synthase1) and MA-ACO1 (M. acuminata ACC oxidase 1) are regulated in response to a wide variety of factors. Here, we have studied the differential transcript accumulation pattern and protein levels of MA-ACS1 and MA-ACO1 genes in response to ethylene, auxin, wounding and low temperature in preclimacteric banana fruit. We have shown that exogenous application of ethylene and auxin induced the expression of MA-ACS1, while MA-ACO1 showed marginal expression following ethylene treatment in preclimacteric stage. Auxin did not induce MA-ACO1 expression. Thus, auxin-treated banana fruits showed lower ethylene production rate as compared to ethylene-treated fruits. Conversely, wounding and cold treatment down-regulated the expression of both the genes and thus inhibited ethylene production. Furthermore, we have detected a GCC-box putative ethylene-responsive element (ERE)- and an auxin-responsive element (ARE)-specific DNA-binding activity in the banana pulp and studied the ethylene and auxin responsive characteristics of the GCC-box and ARE (TGTCTC) containing synthetic promoter fragments. In addition, we have detected an enhanced ethylene production rate and expression level of MA-ACS1 and MA-ACO1 genes along with a strong GCC-box-specific DNA-binding activity following exposure to constant dark period for 8d at the preclimacteric stage. Together, our study provides interesting information about the regulation of expression of MA-ACS1 and MA-ACO1 genes in response to various factors during ripening in banana fruit, which may have physiological relevance concerning ethylene biosynthesis during post-harvest conditions.

  7. Advance Payment ACO Model

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Advance Payment Model is designed for physician-based and rural providers who have come together voluntarily to give coordinated high quality care to the...

  8. ACO - Ant Colony Optimization

    OpenAIRE

    Žumer, Viljem; Brest, Janez; Pešl, Ivan

    2015-01-01

    Ant colony optimization is a relatively new approach to solving NP-Hard problems. It is based on the behavior of real ants, which always find the shortest path between their nest and a food source. Such behavior can be transferred into the discrcte world, were real ants are replaced by simple agents. Such simple agents are placed into the environment where different combinatorial problems can be solved In this paper we describe an artificial ant colony capable of solving the travelling salesm...

  9. Dynamics and performance of the free electron laser at Super-Aco with a harmonic RF cavity set on 500 MHz

    International Nuclear Information System (INIS)

    This work is dedicated to the development of the potentialities of the free electron laser that has been installed on the storage ring Super-Aco at Orsay university. We have studied the dynamics of the electron beam inside a harmonic RF cavity set on 500 MHz. The impact of the geometric characteristics of the optical cavity on the transverse overlapping between laser radiation and the electron beam has been studied in details. An important part of the work has been the assessment of the optical characterization of the dielectric multi-layer mirrors of the cavity. For that purpose a complete system has been designed to assess the changes in optical properties of mirrors during laser operation. Another important part of this work was the study of the interaction process between laser radiation and the electron bunch leading to saturation. This interaction process has been simulated through a new model and some predictions given by this model have been successfully confronted to experimental data. The installation of the harmonic RF cavity has led to a significant increase of the laser radiation gain and the value of the mean power of the laser radiation has reached 300 mW. An interesting application of this technique is the generation of high energy gamma photons through Compton backscattering. A collimated 35 MeV-energy photon beam has been produced at Super-Aco with a rate of 5.106 photons per second. (A.C.)

  10. Tamponamento cardíaco em dois recém-nascidos causado por cateter umbilical Cardiac tamponade caused by central venous catheter in two newborns

    Directory of Open Access Journals (Sweden)

    Andrey José Monteiro

    2008-09-01

    Full Text Available Tamponamento cardíaco secundário ao uso de cateter venoso central é uma complicação rara, porém potencialmente tratável, quando identificada a tempo. Nós relatamos dois casos de tamponamento cardíaco, diagnosticados por ecocardiograma transtorácico, seguido de pericardiocentese de urgência e drenagem pericárdica cirúrgica como complicação de cateterização venosa umbilical. Em um caso, a ponta do cateter estava adequadamente localizada e, no outro caso, não. Em ambos os casos, solução hiperosmolar estava sendo infundida. Apesar de situação incomum, esta deve ser sempre considerada em neonato, evoluindo com choque cardiogênico sem causa aparente.Cardiac tamponade secondary to the use of central venous catheter is a rare complication; however, it is potentially reversible when it is caught in time. We report two cases of cardiac tamponade that was diagnosed using a transthoracic echocardiography, followed by urgent pericardiocentesis and surgical pericardial drainage as a complication from umbilical venous catheterization. In one case, the tip of the catheter was properly placed, and in the other case, it was not. In both cases, a hyperosmolar solution was being injected. Although it may be an uncommon situation, it should be always considered as a possibility in a newborn who develops cardiogenic shock without an apparent cause.

  11. Análisis de la calidad del registro de paro cardíaco en casos de responsabilidad médico legal en médicos generales, 1999-2007

    OpenAIRE

    Barragán, Gabriel; Navarro Vargas, José Ricardo; Marulanda, Nathalie; Eslava Schmalbach, Javier Hernando

    2010-01-01

    Antecedentes. El registro del paro cardíaco es una actividad que se debe acompañar en la reanimación cerebro cardio pulmonar. En Colombia no existe un formato de registro oficial de paro cardiorrespiratorio, lo que dificulta la investigación en reanimación y la conducción de los procesos de responsabilidad médica que se deriven de esta atención. Objetivo. Analizar la calidad del registro de paro cardíaco en casos de responsabilidad médico legal iniciada a médicos generales que tuvieron as...

  12. GASTO CARDÍACO MATERNO COMO PREDICTOR DEL SÍNDROME DE PREECLAMPSIA-ECLAMPSIA / Maternal cardiac output as a predictor of preeclampsia-eclampsia syndrome

    Directory of Open Access Journals (Sweden)

    Luis A. Díaz Moreno

    2012-03-01

    Full Text Available Resumen Introducción y objetivos: La hipertensión es la complicación médica más común del embarazo, y puede dejar secuelas permanentes como: alteraciones neurológicas, hepáticas, hematológicas o renales. Cada tres minutos muere una mujer debido a la preeclampsia. Durante el embarazo el gasto cardíaco sufre un incremento de hasta 40 %. Este incremento es secundario al aumento de aproximadamente 30 % del volumen sistólico. El objetivo de la investigación fue predecir la aparición del síndrome de preeclampsia-eclampsia mediante la identificación de alteraciones del gasto cardíaco. Método: Se realizó un estudio observacional, descriptivo, longitudinal y analítico, de cohorte prospectiva, donde se determinó, por ecocardiografía, el gasto cardíaco en 31 embarazadas, entre las semanas 11 y 13,6 de gestación como único valor; y mediante seguimiento prenatal, se observó la aparición o no del síndrome de Preeclampsia-Eclampsia. Resultados: Se logró el seguimiento de 31 embarazadas a las que se le midió el gasto cardíaco, y se encontró una prevalecía de la enfermedad de 12,9 % con un 64,5 % de pacientes correctamente diagnosticados, con una sensibilidad de 75 %, con valor predictivo positivo de 23 %, especificidad de 62 % y valor predictivo negativo de 94%, con un riesgo relativo de 4,1 (intervalo de confianza 95 %, 0,48-35,6. Conclusiones: Es posible establecer la medición de gasto cardíaco como estudio de escrutinio para predecir la aparición del síndrome de Preeclampsia desde el control prenatal, y contribuir así a la disminución de la muerte materna. / Abstract Introduction and Objectives: Hypertension is the most common medical complication of pregnancy, and it can leave permanent sequelae such as neurological, hepatic, hematological or renal disorders. Every three minutes a woman dies due to preeclampsia. During pregnancy, cardiac output suffers an increase of 40%. This increase is secondary to an increase of

  13. Characterization and expression profiles of MaACS and MaACO genes from mulberry (Morus alba L.)%桑树MaACS和MaACO基因的鉴定和表达模式研究

    Institute of Scientific and Technical Information of China (English)

    Chang-ying LIU; Shu-mei HAN; Cheng LU; Mao-de YU; Rui-hua LÜ; Jun LI; Ai-chun ZHAO; Xi-ling WANG; Umuhoza DIANE; Xiao-hong WANG; Chuan-hong WANG; Ya-sheng YU

    2014-01-01

    1-Aminocyclopropane-1-carboxylic acid synthase (ACS) and 1-aminocyclopropane-1-carboxylic acid oxidase (ACO) are encoded by multigene families and are involved in fruit ripening by catalyzing the production of ethylene throughout the development of fruit. However, there are no reports on ACS or ACO genes in mulberry, partly because of the limited molecular research background. In this study, we have obtained five ACS gene sequences and two ACO gene sequences from Morus Genome Database. Sequence alignment and phylogenetic analysis of MaACO1 and MaACO2 showed that their amino acids are conserved compared with ACO proteins from other species. MaACS1 and MaACS2 are type I, MaACS3 and MaACS4 are type II, and MaACS5 is type III, with different C-terminal se-quences. Quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) expression analysis showed that the transcripts of MaACS genes were strongly expressed in fruit, and more weakly in other tissues. The expression of MaACO1 and MaACO2 showed different patterns in various mulberry tissues. MaACS and MaACO genes demon-strated two patterns throughout the development of mulberry fruit, and both of them were strongly up-regulated by abscisic acid (ABA) and ethephon.%研究目的:分离和鉴定桑树中参与乙烯生物合成的酶的编码基因MaACS 和MaACO,研究其表达模式。创新要点:基于最新公布的桑树基因组数据库数据,获得5个MaACS 基因和2个MaACO 基因,对其进行了生物信息分析,同时鉴定了其在不同桑树组织中、不同发育时期桑椹中和不同激素作用下的表达模式。研究方法:通过生物信息学方法筛选和鉴定基因,利用荧光定量逆转录聚合酶链式反应(qRT-PCR)分析基因的表达量。重要结论:MaACS 和MaACO 基因在根、茎、叶等不同组织中呈现出不同的表达模式,在桑椹发育过程中呈现出两种表达模式,其表达量被脱落酸和乙烯利上调。

  14. Qualidade de vida de pacientes submetidos ao transplante cardíaco: aplicação da escala Whoqol-Bref Calidad de vida de pacientes sometidos a transplante cardíaco: aplicación de la escala Whoqol-Bref Quality of life of patients that had a heart transplant: application of Whoqol-Bref scale

    Directory of Open Access Journals (Sweden)

    Maria Isis Freire de Aguiar

    2011-01-01

    Full Text Available FUNDAMENTO: O sucesso do transplante cardíaco significa garantir a sobrevida dos pacientes com cardiopatia e permitir-lhes desenvolver suas atividades diárias. O transplante cardíaco apresenta-se como a primeira opção de tratamento na falência cardíaca, representando um aumento de sobrevida e qualidade de vida dos transplantados. OBJETIVO: Avaliar a qualidade de vida de pacientes submetidos ao transplante cardíaco através da aplicação de uma escala padronizada (Whoqol-Bref. MÉTODOS: Estudo exploratório descritivo de abordagem quantitativa, realizado com 55 pacientes submetidos ao transplante cardíaco, em um período entre o terceiro e o 103º mês, que realizam acompanhamento na Unidade de Transplante e Insuficiência Cardíaca em um Hospital de Referência em Cardiologia na cidade de Fortaleza, CE. Os dados foram coletados no período de fevereiro a abril de 2009, por meio da aplicação de um questionário padronizado pela Organização Mundial da Saúde e utilização de dados constantes nos prontuários. RESULTADOS: Com relação ao domínio físico, 62,8% e 58,3% dos pacientes, dos sexos masculino e feminino, respectivamente, estão satisfeitos. No domínio psicológico, dentre pacientes do sexo masculino, 65,1% apresentam satisfação quanto à qualidade de vida e, no sexo feminino, 58,3% encontram-se satisfeitas. No domínio das relações sociais, observou-se que, no sexo masculino, 53,5% estão muito satisfeitos, e apresentou-se um nível de satisfação de 100% no sexo feminino. No domínio do meio ambiente, 65,1% do sexo masculino encontram-se satisfeitos, e no sexo feminino, 83,3% estão satisfeitas. CONCLUSÃO: O transplante cardíaco teve bastante influência na qualidade de vida dos pacientes transplantados, pois os resultados mostram-se estatisticamente significantes no pós-transplante.FUNDAMENTO: El éxito del transplante cardíaco significa garantizar la sobrevida de los pacientes con cardiopatía y permitirles

  15. Consistent evaluation of ACOS-GOSAT, BESD-SCIAMACHY, CarbonTracker, and MACC through comparisons to TCCON

    Science.gov (United States)

    Kulawik, Susan; Wunch, Debra; O'Dell, Christopher; Frankenberg, Christian; Reuter, Maximilian; Oda, Tomohiro; Chevallier, Frederic; Sherlock, Vanessa; Buchwitz, Michael; Osterman, Greg; Miller, Charles E.; Wennberg, Paul O.; Griffith, David; Morino, Isamu; Dubey, Manvendra K.; Deutscher, Nicholas M.; Notholt, Justus; Hase, Frank; Warneke, Thorsten; Sussmann, Ralf; Robinson, John; Strong, Kimberly; Schneider, Matthias; De Mazière, Martine; Shiomi, Kei; Feist, Dietrich G.; Iraci, Laura T.; Wolf, Joyce

    2016-02-01

    Consistent validation of satellite CO2 estimates is a prerequisite for using multiple satellite CO2 measurements for joint flux inversion, and for establishing an accurate long-term atmospheric CO2 data record. Harmonizing satellite CO2 measurements is particularly important since the differences in instruments, observing geometries, sampling strategies, etc. imbue different measurement characteristics in the various satellite CO2 data products. We focus on validating model and satellite observation attributes that impact flux estimates and CO2 assimilation, including accurate error estimates, correlated and random errors, overall biases, biases by season and latitude, the impact of coincidence criteria, validation of seasonal cycle phase and amplitude, yearly growth, and daily variability. We evaluate dry-air mole fraction (XCO2) for Greenhouse gases Observing SATellite (GOSAT) (Atmospheric CO2 Observations from Space, ACOS b3.5) and SCanning Imaging Absorption spectroMeter for Atmospheric CHartographY (SCIAMACHY) (Bremen Optimal Estimation DOAS, BESD v2.00.08) as well as the CarbonTracker (CT2013b) simulated CO2 mole fraction fields and the Monitoring Atmospheric Composition and Climate (MACC) CO2 inversion system (v13.1) and compare these to Total Carbon Column Observing Network (TCCON) observations (GGG2012/2014). We find standard deviations of 0.9, 0.9, 1.7, and 2.1 ppm vs. TCCON for CT2013b, MACC, GOSAT, and SCIAMACHY, respectively, with the single observation errors 1.9 and 0.9 times the predicted errors for GOSAT and SCIAMACHY, respectively. We quantify how satellite error drops with data averaging by interpreting according to error2 = a2 + b2/n (with n being the number of observations averaged, a the systematic (correlated) errors, and b the random (uncorrelated) errors). a and b are estimated by satellites, coincidence criteria, and hemisphere. Biases at individual stations have year-to-year variability of ˜ 0.3 ppm, with biases larger than the TCCON

  16. Endovascular repair of an aorto-iliac aneurysm succeeded by kidney transplantation Tratamento endovascular de aneurisma aorto-ilíaco sucedido por transplante renal

    Directory of Open Access Journals (Sweden)

    Marcelo Bellini Dalio

    2010-09-01

    Full Text Available We present the case of aorto-iliac aneurysm in a patient with chronic renal failure requiring dialysis who were treated with an endovascular stent graft and, later on, submitted to kidney transplantation. A 53-year-old male with renal failure requiring dialysis presented with an asymptomatic abdominal aorto-iliac aneurysm measuring 5.0cm of diameter. He was treated with endovascular repair technique, being used an endoprosthesis Excluder®. After four months, he was successfully submitted to kidney transplantation (dead donor, with anastomosis of the graft renal artery in the external iliac artery distal to the endoprosthesis. The magnetic resonance imaging, carried out 30 days after the procedure, showed a good positioning of the endoprosthesis and adequate perfusion of the renal graft. In the follow-up, the patient presented improvement of nitrogenous waste, good positioning of the endoprosthesis without migration or endoleak. The endovascular repair of aorto-iliac aneurysm in a patient with end-stage renal failure under hemodialysis treatment showed to be feasible, safe and efficient, as it did not prevent the success of the posterior kidney transplantation.Apresentamos o caso de aneurisma aortoilíaco em um paciente com insuficiência renal crônica dialítica tratado com uma endoprótese vascular, sendo, após, submetido a transplante renal. Um homem de 53 anos com insuficiência renal dialítica apresentava um aneurisma abdominal aortoilíaco assintomático com 5,0cm de diâmetro. Foi tratado com técnica endovascular com uma endoprótese Excluderâ. Após quatro meses, foi submetido a transplante renal (doador cadáver com sucesso, com anastomose da artéria renal do enxerto na artéria ilíaca externa distal à endoprótese. A ressonância magnética 30 dias após o procedimento mostrou a endoprótese bem posicionada e o enxerto renal bem perfundido. No seguimento, o paciente evoluiu com melhora das escórias nitrogenadas, bom

  17. Transplante experimental cardíaco heterotópico e cutâneo em camundongos Experimental heterotopic cardiac and cutaneous transplantation in mice

    Directory of Open Access Journals (Sweden)

    Patrícia Sestrheim

    2005-06-01

    Full Text Available OBJETIVO: Estudo experimental com o objetivo de desenvolver e avaliar a viabilidade das técnicas de transplante experimental cardíaco heterotópico abdominal vascularizado e cutâneo em camundongos, criando um instrumento para investigação da eficácia de soluções de preservação, novas drogas imunossupressoras, agentes biológicos, terapia gênica e indução de tolerância imunológica. MÉTODO: Para este estudo, as técnicas utilizadas foram descritas previamente por Corry et al. e Billingham et al. RESULTADOS: O tempo cirúrgico total para a realização dos transplantes cardíacos (n=20 foi, em média, 60,3±6,3 minutos e para os transplantes cutâneos (n=20, 17,75±0,71 minutos. A média de sobrevida dos aloenxertos cutâneos (n=34 e cardíacos (n=24 foi, respectivamente, 7 e 11 dias, enquanto que os isoenxertos sobreviveram por mais de 100 dias. CONCLUSÕES: Ambas as técnicas se caracterizaram pela fácil reprodutibilidade dos modelos experimentais. As diferenças entre as técnicas não se limitaram às peculiaridades metodológicas ou ao tempo de sobrevida e vascularização, mas principalmente à sua imunogenicidade e suscetibilidade à rejeição.OBJECTIVE: This is an experimental study which aims at developing and evaluating the feasibility of experimental techniques of vascularized and cutaneous abdominal heterotopic heart transplant in mice, creating an instrument of investigation for the effectiveness of prservation solutions, new immunosuppressive drugs, biological agents, genetic therapy and induction of immunological tolerance. METHOD: The techniques used in this work were previously described by Corry et al. and Billingham et al. RESULTS: The total surgical time to perform the cardiac transplants (n=20 was on average 60.3+6.3 minutes and the time of cutaneous transplants (n= 20 17.75+0.71 minutes. The average survival of the cutaneous allografts (n=34 and cardiac (n=24 allografts was 7 and 11 days, respectively, while

  18. Tamponamento cardíaco tardio traumático: análise de cinco casos Traumatic late cardiac tamponade: analysis of five cases

    Directory of Open Access Journals (Sweden)

    FERNANDO LUIZ WESTPHAL

    2000-09-01

    Full Text Available São analisados cinco casos de tamponamento cardíaco tardio traumático. Os pacientes eram masculinos, idade média de 26,2 anos, vítimas de ferimento por arma branca em região precordial, área de Ziedler, sendo admitidos em centro de referência para trauma. Foram classificados pelo índice fisiológico de Ivatury para trauma cardíaco e inicialmente tratados por pleurotomia intercostal e reposição volêmica, com estabilização do quadro hemodinâmico e respiratório. Os pacientes foram readmitidos após intervalo de oito a 24 dias (mediana de 20 dias, agora no serviço de cirurgia torácica de um hospital de referência terciária, com sinais de tamponamento cardíaco. Os exames diagnósticos confirmaram derrame pericárdico com espessamento pericárdico associado a encarceramento de base pulmonar esquerdo em quatro casos, os quais foram abordados por toracotomia póstero-lateral, com realização de pericardiectomia parcial e descorticação pulmonar. Um paciente evoluiu com pericardite purulenta, comprovada por exames complementares, e foi submetido à drenagem pericárdica subxifóidea. Ocorreu arritmia pós-operatória em um paciente; os demais evoluíram sem complicações pós-operatórias ou recidiva do tamponamento.Five traumatic late cardiac tamponade cases were analyzed. All patients were male, mean age was 26.2, victims of thoracic penetrating stabbing wound in the precordial region, Ziedler area, admitted to a trauma reference center. They were classified by the Ivatury physiological index for cardiac trauma. The first treatment approach was intercostal pleurectomy and volemic resuscitation followed by hemodynamic and respiratory recovery. Patients with cardiac tamponade symptoms were re-admitted within an interval from eight to twenty four days (mean 20 days in a thoracic surgery service of a tertiary reference hospital. Diagnostic exams confirmed thickening and pericardial effusion associated with a left pulmonary base

  19. Cardiac beta-receptors in experimental Chagas' disease Receptores beta cardíacos na doença de Chagas experimental

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    Julio E. Enders

    1995-02-01

    Full Text Available Experimental Chagas' disease (45 to 90 days post-infection showed serious cardiac alterations in the contractility and in the pharmacological response to beta adrenergic receptors in normal and T. cruzi infected mice (post-acute phase. Chagasic infection did not change the beta receptors density (78.591 ± 3.125 fmol/mg protein and 73.647 ± 2.194 fmol/mg protein for controls but their affinity was significantly diminished (Kd = 7.299 ± 0.426 nM and Kd = 3.759 ± 0.212 nM for the control p Estudaram-se os receptores beta cardíacos de camundongos infectados pelo Trypanosoma cruzi na fase pós-aguda da doença de Chagas para estabelecer em que medida os mesmos contribuem a gerar respostas anômalas às catecolaminas observadas nestes miocardios. Utilizara-se 3-H/DHA para a marcação dos receptores beta cardíacos dos camundongos normais e dos infectados na fase pós-aguda (45 a 90 dias pós-infecção. O número dos sítios de fixação foi similar nos dois grupos, 78.591 ± 3.125 fmol/mg. Proteína nos chagásicos e 73.647 ± 2.194 fmol/mg. Proteína no grupo controle. Em vez disso, a afinidade verificou-se significativamente diminuida no grupo chagásico (Kd = 7.299 ± 0.426 nM respeito do controle (Kd = 3.759 ± 0.212 nM p < 0.001. Os resultados obtidos demonstram que as modificações observadas na estimulação adrenérgica do miocárdio chagásico se correlacionam com a menor afinidade dos receptores beta cardíacos e que estas alterações exerceriam uma parte determinante para as consequências funcionais que são detectadas na fase crônica.

  20. Do estigma da psicose maníaco-depressiva ao incentivo ao tratamento do transtorno bipolar: a evolução da abordagem em dois veículos midiáticos nos últimos 40 anos

    Directory of Open Access Journals (Sweden)

    Daniel Montanini

    2012-01-01

    Full Text Available OBJETIVO: Investigar a evolução ao longo dos últimos 40 anos da assimilação midiática do transtorno bipolar. MÉTODOS: Foram pesquisadas referências sobre os termos "transtorno bipolar" e "maníaco-depressivo" na revista Veja e no jornal The New York Times e analisada uma amostra de 40 textos de cada veículo. Os textos foram divididos em dois grupos, o primeiro reunindo aqueles datados dos anos entre 1970 e 1999 e o segundo, 2000 a 2009. RESULTADOS: Entre os anos de 1970 e 1999 é mais utilizado o termo "maníaco-depressivo", porém na década de 2000-2009 a expressão "transtorno bipolar" predomina amplamente. Além disso, artigos mais antigos, que utilizam principalmente o termo "maníaco-depressivo", tendem a ser mais estigmatizantes e com menor pretensão informativa. Já artigos mais recentes, em que a expressão "transtorno bipolar" é mais utilizada, tendem a incentivar a busca de tratamento. CONCLUSÃO: Sugere-se que a abordagem midiática do transtorno bipolar, comparada ao tratamento recebido pela psicose maníaco-depressiva, é marcada pela maior assimilação do referencial biomédico.

  1. 改进的牵引移动的蚁群算法在2D HP 模型中的应用%APPLYING IMPROVED PULL MOVES ACO IN 2D HP MODEL

    Institute of Scientific and Technical Information of China (English)

    高翔; 杨惠; 张成文

    2015-01-01

    Protein folding problem is to predict a protein’s conformation from its amino acid sequence,it is one of the most prominent problems in bioinformatics.In this paper we mainly study two-dimensional (2D)hydrophobic-polar (HP)lattice model,which is a representative simplified model widely used for simulating the protein folding problem,and apply the ant colony optimisation (ACO)to solving the 2D HP protein folding problem.Besides,we introduce an improved pull moves method to local search mechanism,to improve protein’s conformation it is an effective method.Experimental results show that the improved ACO with pull moves (ACO +)can obtain lower-energy conformations than ACO for several longer amino acid sequences,this demonstrates that our ACO + algorithm is a effective method to predict the structure of protein.%蛋白质折叠问题就是从氨基酸序列中预测蛋白质的构象,该问题是生物信息学的一个突出问题。主要研究二维 HP 格点模型,它是用于模拟蛋白质折叠问题的一个具有代表性的简化模型,并且将蚁群算法用于求解该二维 HP 蛋白质的折叠问题。此外,在局部搜索机制中引入一种改进的牵引移动方法,这是一个提高蛋白质构象的有效方法。实验结果表明,针对较长的氨基酸序列,改进的带牵引移动的蚁群算法(ACO +)比 ACO 能够获得更低能量的构象,证明了所提出的改进蚁群算法是预测蛋白质结构的有效方法。

  2. Bioimpedância transtorácica comparada à ressonância magnética na avaliação do débito cardíaco

    Directory of Open Access Journals (Sweden)

    Humberto Villacorta Junior

    2012-12-01

    Full Text Available FUNDAMENTO: A ressonância magnética cardíaca é considerada o método padrão-ouro para o cálculo de volumes cardíacos. A bioimpedância transtorácica cardíaca avalia o débito cardíaco. Não há trabalhos que validem essa medida comparada à ressonância. OBJETIVO: Avaliar o desempenho da bioimpedância transtorácica cardíaca no cálculo do débito cardíaco, índice cardíaco e volume sistólico, utilizando a ressonância como padrão-ouro. MÉTODOS: Avaliados 31 pacientes, com média de idade de 56,7 ± 18 anos, sendo 18 (58% do sexo masculino. Foram excluídos os pacientes cuja indicação para a ressonância magnética cardíaca incluía avaliação sob estresse farmacológico. A correlação entre os métodos foi avaliada pelo coeficiente de Pearson, e a dispersão das diferenças absolutas em relação à média foi demonstrada pelo método de Bland-Altman. A concordância entre os métodos foi realizada pelo coeficiente de correlação intraclasses. RESULTADOS: A média do débito cardíaco pela bioimpedância transtorácica cardíaca e pela ressonância foi, respectivamente, 5,16 ± 0,9 e 5,13 ± 0,9 L/min. Observou-se boa correlação entre os métodos para o débito cardíaco (r = 0,79; p = 0,0001, índice cardíaco (r = 0,74; p = 0,0001 e volume sistólico (r = 0,88; p = 0,0001. A avaliação pelo gráfico de Bland-Altman mostrou pequena dispersão das diferenças em relação à média, com baixa amplitude dos intervalos de concordância. Houve boa concordância entre os dois métodos quando avaliados pelo coeficiente de correlação intraclasses, com coeficientes para débito cardíaco, índice cardíaco e volume sistólico de 0,78, 0,73 e 0,88, respectivamente (p < 0,0001 para todas as comparações. CONCLUSÃO: A bioimpedância transtorácica cardíaca mostrou-se acurada no cálculo do débito cardíaco quando comparada à ressonância magnética cardíaca.

  3. Confección de diagramas termodinámicos asociados a la mixtura amoníaco-agua en la fase líquido-vapor

    OpenAIRE

    Napoleão, Diovana Aparecida dos Santos; Silveira, Jose Luz; Reto, Alonso Bernabé Aguirre

    2006-01-01

    El objetivo de este trabajo es determinar la entalpía y la entropía relacionadas a un sistema de refrigeración por absorción, empleando mixturas de amoníaco y agua. El conocimiento de la termodinámica de mezclas, así como la utilización de los diagramas de entalpía-concentración y entropía-concentración son fundamentales para comprender el funcionamiento de los sistemas de refrigeración por absorción. Para proyectos industriales que signifiquen análisis energéticos y exergéticos, si...

  4. Efecto de la incorporación de fibras dietéticas en la calidad de panes para celíacos

    OpenAIRE

    Díaz Malmierca, Álvaro

    2013-01-01

    La investigación en la elaboración de panes sin gluten está muy avanzada, siendo el déficit en micronutrientes de estos productos uno de los problemas sobre el que se está centrando la investigación. Uno de los nutrientes más deficitarios, y que más problemas causa sobre la salud de los pacientes celíacos es la fibra dietética. En este estudio se ha investigado el efecto que produce la adición de un 10% de diferentes fibras sobre las características de los panes, la influencia ...

  5. Investigação de lipofuscina em miócitos cardíacos de camundongos após tratamento com oxamniquine

    Directory of Open Access Journals (Sweden)

    Maria Luiza Silveira Mello

    1984-10-01

    Full Text Available A fluorescencia natural devida à presença de corpos de lipofuscina foi pesquisada em miócitos cardíacos de camundongos adultos jovens tratados com oxamniquine. O objetivo foi buscar uma evidência de indução de envelhecimento celular precoce, com base em dados prévios de acentuação poliploidia, promovida pela droga. Comparando o miocárdio dos camundongos tratados com animais contrôle jovens e velhos, não foi observada a presença de lipofuscina nos seus miócitos. Isto possivelmente se deva a um não comprometimento da eficiência das lipases lisossomiais apesar da acentuação do fenômeno de poliploidização induzida pela droga.

  6. A method for colocating satellite XCO2 data to ground-based data and its application to ACOS-GOSAT and TCCON

    Directory of Open Access Journals (Sweden)

    H. Nguyen

    2014-02-01

    Full Text Available Satellite measurements are often compared with higher-precision ground-based measurements as part of validation efforts. The satellite soundings are rarely perfectly coincident in space and time with the ground-based measurements, so a colocation methodology is needed to aggregate "nearby" soundings into what the instrument would have seen at the location and time of interest. We are particularly interested in validation efforts for satellite-retrieved total column carbon dioxide (XCO2, where XCO2 data from Greenhouse Gas Observing Satellite (GOSAT retrievals (ACOS, NIES, RemoteC, PPDF, etc. or SCanning Imaging Absorption SpectroMeter for Atmospheric CHartographY (SCHIACHY are often colocated and compared to ground-based column XCO2 measurement from Total Carbon Column Observing Network (TCCON. Current colocation methodologies for comparing satellite measurements of total column dry-air mole fractions of CO2 (XCO2 with ground-based measurements typically involve locating and averaging the satellite measurements within some latitudinal, longitudinal, and temporal window. We examine a geostatistical colocation methodology that takes a weighted average of satellite observations depending on the "distance" of each observation from a ground-based location of interest. The "distance" function that we use is a modified Euclidian distance with respect to latitude, longitude, time, and mid-tropospheric temperature at 700 hPa. We apply this methodology to XCO2 retrieved from Greenhouse Gas Observing Satellite (GOSAT spectra by the ACOS team, cross-validate the results to TCCON XCO2 ground-based data, and present some comparison between our methodology and standard existing colocation methods showing that in general geostatistical colocation produces smaller mean-squared error.

  7. Cerebral physiology and preservation during cardiac arrest Fisiología y preservación cerebral durante el paro cardíaco: vulnerabilidad del cerebro

    Directory of Open Access Journals (Sweden)

    Luis M. Gómez

    1991-03-01

    Full Text Available

    Cerebral physiology during cardiac arrest is discussed with particular Interest on selective neuronal damage. Previous concepts on brain tolerance to hypoxia are analyzed and new information about brain function prognosis after cardiac arrest is presented. Therapeutic alternatives for brain preservation are discussed with emphasis on the lack of effectiveness of barbiturates, the results of research with other drugs and the future role that blockers of excitatory neurotransmission may have as elements of cerebral preservation.

    Se hace una aproximación a la fisiología cerebral durante el paro cardíaco, destacando el concepto de darlo neuronal selectivo. Se presentan elementos que permiten modificar concepciones antiguas sobre la tolerancia del cerebro a la hipoxia severa. Además, se hace un nuevo planteamiento sobre el pronóstico cerebral luego de un paro cardíaco y se esbozan las alternativas terapéuticas utilizadas hasta la fecha para la preservación cerebral. Se hace énfasis en la inefectividad de los barbitúricos, en la investigación sobre la terapia con otras drogas y en el futuro abierto hacia los bloqueadores de los neurotransmisores excitadores, como elementos terapéuticos para la preservación cerebral.

  8. Perfil dos pacientes na Lista Única de Espera para transplante cardíaco no estado do Ceará Perfil de los pacientes en la lista única de espera para transplante cardíaco en el estado de Ceará Profile of patients in the Unified Waiting List for heart transplantation in state of Ceará

    Directory of Open Access Journals (Sweden)

    Francisca Elisângela Teixeira Lima

    2010-07-01

    Full Text Available FUNDAMENTO: Os transplantes de órgãos têm aumentado consideravelmente nos últimos anos em razão da evolução tecnológica e da sensibilização da sociedade para doação de órgãos. OBJETIVO: Descrever as características dos pacientes da Lista Única de Espera para transplante cardíaco; identificar as principais cardiopatias; e verificar o tempo médio de permanência do paciente na Lista até a realização da cirurgia. MÉTODOS: Trata-se de um estudo descritivo, documental e retrospectivo, com abordagem quantitativa, desenvolvido na Central de Transplante do Estado do Ceará, com 156 pacientes incluídos na Lista Única de Espera do ano de 1999 a 2006. Os dados foram organizados em figuras. RESULTADOS: Foram encontrados: 81% do sexo masculino; 22,4% adultos jovens (20 a 40 anos e 56,4% adultos de meia-idade (40 a 64 anos, com uma média de 36 anos; 79% procedentes de Fortaleza-CE; 91% tinham miocardiopatia como causa do transplante cardíaco. Dentre esses pacientes 102 (69% foram transplantados; 37 (25% evoluíram para óbito antes do transplante e 8 (6% foram excluídos por melhora ou piora do quadro clínico. CONCLUSÃO: Os pacientes da Lista Única de Espera para transplante cardíaco no Estado do Ceará, no período de 1999 a 2006, eram do sexo masculino (80%, com faixa etária variando de 1 a 71 anos, com predomínio da miocardiopatia dilatada (53,4%, e o tempo médio de espera foi de 136 dias até o dia do transplante cardíaco.FUNDAMENTO: Los transplantes de órganos han aumentado considerablemente en los últimos años, en razón de la evolución tecnológica y de la sensibilización de la sociedad para la donación de órganos. OBJETIVO: Describir las características de los pacientes de la Lista Única de Espera para transplante cardíaco; identificar las principales cardiopatías; y verificar el tiempo medio de permanencia del paciente en la Lista hasta la realización de la cirugía. MÉTODOS: Se trata de un estudio

  9. Prevalence of nursing diagnosis of decreased cardiac output and the predictive value of defining characteristics in patients under evaluation for heart transplant Prevalencia del diagnóstico de enfermería de disminución del gasto cardíaco y valor predictivo de las características definidoras en pacientes en fase de evaluación para trasplante cardíaco Prevalência do diagnóstico de enfermagem de débito cardíaco diminuído e valor preditivo das características definidoras em pacientes em avaliação para transplante cardíaco

    Directory of Open Access Journals (Sweden)

    Lígia Neres Matos

    2012-04-01

    Full Text Available The purposes of the study were to identify the prevalence of defining characteristics (DC of decreased cardiac output (DCO in patients with cardiac insufficiency under evaluation for heart transplantation, and to ascertain the likelihood of defining characteristics being predictive factors for the existence of reduction in cardiac output. Data was obtained by retrospective documental analysis of the clinical records of right-sided heart catheterizations in 38 patients between 2004 and 2009. The results showed that 71.1% of the patients had decreased cardiac output (measured by cardiac index. The majority of the NANDA-International defining characteristics for DCO were more frequent in individuals with reduced cardiac index levels. The study emphasizes the odds ratio (OR for increased Systemic Vascular Resistance of OR=4.533, of the third heart sound with OR=3.429 and the reduced ejection fraction with OR=2.850. By obtaining the predictive values for the defining characteristics the study identifies them as diagnostic indicators of decreased cardiac output.El estudio tiene como objetivos identificar la prevalencia de las características definitorias de la disminución del gasto cardíaco (DGC en pacientes con insuficiencia cardíaca (IC en evaluación para el trasplante de corazón y ver la probabilidad de las características definitorias sean factores predictivos de la existencia de una disminución del gasto cardíaco. Los datos se obtuvieron mediante el análisis documental retrospectivo de historias clínicas de cateterismo cordiaco derecho en 38 pacientes con insuficiencia cardíaca en la evaluación para el trasplante de corazón entre 2004 y 2009. Los resultados mostraron que el 71% de los pacientes habían reducido el gasto cardíaco (medido por el índice cardíaco. La mayoría de las características definitorias de la NANDA-International para el DGC fueron más frecuentes en individuos con índice cardíaco reducido. Los aspectos m

  10. Expression of ACO1, ERS1 and ERF1 genes in harvested bananas in relation to heat-induced defense against Colletotrichum musae.

    Science.gov (United States)

    Zhu, Xiangfei; Wang, Aiping; Zhu, Shijiang; Zhang, Lubin

    2011-09-15

    The aim of this study was to investigate the connection between heat-induced ethylene signal changes and enhanced disease resistance. Heat enhanced ripening and elevated MaACO1 expression in naturally ripened bananas (NRB), while it delayed ripening and reduced MaACO1expression in the ethephon-treated bananas (ETB). However, in both cases, heat reduced lesion sizes infected by Colletotrichum musae. This indicates that heat-induced disease resistance in bananas was independent of ripening rate. The expression of MaERS1 gene was inhibited by heat treatment in both NRB and ETB, implying that heat as a physical signal could be sensed by banana fruits through the inhibition of ethylene receptor gene expression. The intensity of MaERF1 transcript signals was elevated in heated bananas, suggesting that the enhanced accumulation of MaERF1 transcript following heat treatment could play an important role in activation of the defense system. In ETB, inhibition of JA biosynthesis by application of IBU down-regulated the expression of MaERF and significantly weakened disease resistance, suggesting involvement of endogenous JA in induction of the gene expression, which was reconfirmed by the fact that exposure to exogenous MeJA following the combination of heat plus IBU treatment restored part of the gene expression. On the other hand, in NRB, application of IBU elevated level of MaERF1 expression at 24h and enhanced disease resistance, suggesting that, when banana was not exposed to ethephon, the expression of MaERF1 gene was not JA dependent, which was verified by the fact that MeJA application did not enhance MaERF1 gene expression. In conclusion, heat-induced disease resistance in harvested bananas could involve down-regulation of MaERS1 expression and up-regulation of MaERF1 expression and JA pathway could be involved in heat activation of the defense system in bananas exposed to ethephon.

  11. Energy-Balance Adaptive Routing Algorithm Based on ACO%基于蚁群优化的能量均衡自适应路由算法

    Institute of Scientific and Technical Information of China (English)

    杨大鹏

    2013-01-01

    The routing algorithm based ACO (Ant Colony Optimization) has good performance in WSNs (Wire⁃less Sensor Networks),for its several advantages,such as positive feedback,distributed computing,robustness and parallelism. But the algorithm also costs a lot in exploring optimization. Based on ACO’s characteristics and lim⁃itation of energy in WSNs, an ACO based energy-balance adaptive routing algorithm was proposed. A new phero⁃mone update operator was designed to integrate energy consumption and hops into routing choice. Energy level⁃ing elements of network was introduced in the operator. During routing maintenance, the new algorithm took adaptive routing maintenance mechanism based on sense ants. Simulation results showed that the proposed algo⁃rithm obviously reduced the energy consumption and prolonged the lifetime of WSNs.%  基于蚁群优化的WSNs路由算法具有蚁群优化自组织性、正反馈性和并行性的特点,在构造无线传感器网络中的最优路由时有很好的性能。但是蚁群优化构造最优解时带来的网络开销十分可观,不适合在路由维护阶段反复使用蚁群优化重构路由。考虑到蚁群优化的上述特点,同时针对无线传感器网络能量受限的特点,提出了一种基于蚁群优化的能量均衡自适应路由算法。该算法使用了新的信息素更新算子,算子中包含了网络能量水平因子,能够均衡网络能量消耗。在路由维护阶段,该算法使用了新的基于侦测蚂蚁的自适应路由维护机制,很好地降低了网络开销。

  12. Hemorrhage in cerebral metastasis from angiosarcoma of the heart: case report Hemorragia em metástase cerebral de angiossarcoma cardíaco: relato de caso

    Directory of Open Access Journals (Sweden)

    Pasquale Gallo

    2001-09-01

    Full Text Available The purpose of this article is to describe the clinical and pathological features of metastatic angiosarcoma in the central nervous system. Only a few cases of cerebral metastasis from angiosarcoma of the heart have been recorded in the literature; particulary related to intracerebral hemorrhage. A case of secondary cerebral angiosarcoma of the heart in a 33 years old man is presented. The initial symptoms were headache, vomiting, lethargy and aphasia. There was a mass in the left temporal lobe with hemorrhage and edema on the computerized tomography (CT. After 24 hours the neurological status worsened and another CT scan showed rebleeding on the tumor area. He underwent an emergency craniotomy but died two days after. Considering the longer survival of sarcoma patients with new modalities of treatment, the incidence of brain metastasis may increase, demanding a bether preventive and more aggressive approach. Besides, due to the hemorrhagic nature of such lesions, we suggest the imediate surgery to prevent a fast and lethal evolution because rebleeding.O propósito deste artigo é descrever os achados clínicos e patológicos das metástases de angiossarcoma no sistema nervoso central. Apenas poucos casos de metástases cerebrais de angiossarcoma cardíaco foram relatados na literatura, menos ainda relacionados a hemorragia intracerebral. Relatamos o caso de um tumor cerebral secundário a angiossarcoma cardíaco em um paciente masculino de 33 anos. Os sintomas iniciais foram: cefaléia, vômitos, letargia e afasia. A tomografia computadorizada mostrou massa no lobo temporal esquerdo associada a hemorragia e edema. Após 24 horas houve piora do estado neurológico e nova tomografia demonstrou ressangramento no leito tumoral. Foi submetido a uma craniotomia de urgência mas faleceu dois dias após. Considerando a longa sobrevida dos pacientes com sarcoma devido às novas modalidades terapêuticas, poderá aumentar a incidência de met

  13. Desarrollo de una escala de auto-reporte para medición de síntomas maníacos

    Directory of Open Access Journals (Sweden)

    Karol Barrios

    2013-09-01

    Full Text Available Resumen Antecedentes. No existen instrumentos de auto-reporte en español para medir síntomas de trastorno bipolar. La perspectiva del paciente puede dar información complementaria de utilidad para el diagnóstico y manejo de la enfermedad. Objetivo. Desarrollar una escala de auto-reporte para medir síntomas maníacos, a partir de la escala EMUN. Materiales y métodos. Los ítems de la escala EMUN se transformaron a un lenguaje en primera persona por parte de dos psiquiatras. Esta versión preliminar en primera persona fue analizada en un estudio piloto y ajustada de acuerdo con los resultados de la evaluación. Se realizó un segundo estudio piloto con 20 pacientes con enfermedad bipolar, aplicando la versión ajustada. Resultados. Se generó una escala con 26 ítems que incorporan síntomas del episodio mixto. La escala mide tres dimensiones de importancia clínica en salud mental: frecuencia, intensidad y grado de desadaptación producido por los síntomas. Conclusión. El instrumento desarrollado puede ser de utilidad en áreas de investigación y en escenarios clínicos para intervenciones psicoeducativas y seguimiento del paciente.

  14. The Norma cluster (ACO3627) -- III. The Distance and Peculiar Velocity via the Near-Infrared Ks-band Fundamental Plane

    CERN Document Server

    Mutabazi, T; Woudt, P A; Lucey, J R; Jarrett, T H; Bilicki, M; Schroder, A C; Moore, S A W

    2014-01-01

    While Norma (ACO3627) is the richest cluster in the Great Attractor (GA) region, its role in the local dynamics is poorly understood. The Norma cluster has a mean redshift (z_CMB) of 0.0165 and has been proposed as the "core" of the GA. We have used the Ks-band Fundamental Plane (FP) to measure Norma cluster's distance with respect to the Coma cluster. We report FP photometry parameters (effective radii and surface brightnesses), derived from ESO NTT SOFI images, and velocity dispersions, from AAT 2dF spectroscopy, for 31 early-type galaxies in the cluster. For the Coma cluster we use 2MASS images and SDSS velocity dispersion measurements for 121 early-type galaxies to generate the calibrating FP dataset. For the combined Norma-Coma sample we measure FP coefficients of a=1.465+/-0.059 and b=0.326+/-0.020. We find an rms scatter, in log(sigma) of 0.08 dex which corresponds to a distance uncertainty of 28% per galaxy. The zero point offset between Norma's and Coma's FPs is 0.154+\\-0.014 dex. Assuming that the C...

  15. A Transition from Localized to Strongly Correlated Electron Behavior and Mixed Valence Driven by Physical or Chemical Pressure in ACo2As2 (A = Eu and Ca)

    Energy Technology Data Exchange (ETDEWEB)

    Tan, Xiaoyan; Fabbris, Gilberto; Haskel, Daniel; Yaroslavtsev, Alexander A.; Cao, H.; Thompson, Corey M.; Kovnir, Kirill; Menushenkov, Alexey P.; Chernikov, Roman V.; Garlea, V. Ovidiu; Shatruk, Michael

    2016-03-02

    We demonstrate that the action of physical pressure, chemical compression, or aliovalent substitution in ACo(2)As(2) (A = Eu and Ca) has a general consequence of causing these antiferromagnetic materials to become ferromagnets. In all cases, the mixed valence triggered at the electropositive A site results in the increase of the Co 3d density of states at the Fermi level. Remarkably, the dramatic alteration of magnetic behavior results from the very minor (<0.15 eleetron) change in the population of the 3d orbitals. The mixed valence state of En observed in the high-pressure (HP) form of EuCo2As2 exhibits a remarkable stability, achieving the average oxidation state of +2.25 at 12.6 GPa. In the case of CaCo2As2, substituting even 10% of Eu or La into the Ca site causes ferromagnetic ordering of Co moments. Similar to HP-EuCo2As2, the itinerant 3d ferromagnetism emerges from electronic doping into the Co layer because of chemical compression of Eu sites in Ca0.9Eu0.1Co1.91As2 or direct electron doping in Ca0.85La0.15Co1.89As2. The results reported herein demonstrate the general possibility of amplifying minor localized electronic effects to achieve major changes in material's properties via involvement of strongly correlated electrons.

  16. Electrospun poly(bisphenol A-co-4-nitrophthalic anhydride-co-1,3-phenylenediamine fibers: Preparation and potential for use in filtration applications

    Directory of Open Access Journals (Sweden)

    Patcharaporn Thitiwongsawet

    2011-06-01

    Full Text Available Poly(bisphenol A-co-4-nitrophthalic anhydride-co-1,3-phenylenediamine (PEI fibers were successfully prepared byelectrospinning from PEI solutions in dichloromethane (DCM, 1,2-dichloroethane (DCE, N-methylpyrrolidone (NMP andcertain mixtures between NMP and N,N-dimethylformamide (DMF. Electrospinnability of PEI solutions in NMP was greaterthan that in DCM and DCE. The addition of DMF with NMP for the preparation of PEI solutions helped improve electrospinnabilityof the PEI solutions. The effect of solution concentration on morphological appearance and/or size of the obtainedproducts was investigated. At low concentrations of the PEI solutions, discrete beads and/or beaded fibers was formed.Smooth fibers were obtained at the highest concentration investigated, i.e., 20% (w/v. The size of the obtained fibers wasfound to be an increasing function with the solution concentration or, to be exact, the solution viscosity. The water fluxesthrough the electrospun fiber mats prepared from 20% (w/v PEI solutions in 75/25 and 50/50 NMP/DMF mixtures wereinvestigated in comparison with the films prepared by phase immersion-precipitation technique. The fiber mats exhibitedmuch greater fluxes of water than the films, which implied their potential for uses as filtration membranes.

  17. Experiência com transplante cardíaco heterotópico em pacientes com resistência pulmonar elevada: seguimento tardio Experiencia con trasplante cardíaco heterotópico en pacientes con resistencia pulmonar elevada: seguimiento tardío Experience with heterotopic heart transplantation in patients with elevated pulmonary vascular resistance: late follow-up

    Directory of Open Access Journals (Sweden)

    Jose Henrique Andrade Vila

    2010-02-01

    Full Text Available FUNDAMENTO: Nos últimos anos o numero de artigos sobre transplante cardíaco heterotópico tem sido escasso na literatura, inclusive internacional, e em particular do seguimento de longo prazo destes pacientes, o que levou ao presente relato. OBJETIVO: Relatar a experiência clínica inicial e evolução tardia de quatro pacientes submetidos a transplante cardíaco heterotópico, sua indicação e principais complicações. MÉTODOS: As cirurgias ocorreram entre 1992 e 2001, sendo que a indicação de transplante heterotópico, em todas, foi pela RVP, variável de 4,8UW a 6.5UW, com gradiente transpulmonar acima de 15mmHg. No 3º paciente, foi realizada uma anastomose direta entre as artérias pulmonares sem emprego de tubo protético e, no coração nativo, foi realizada uma valvoplastia mitral e aneurismectomia de ventrículo esquerdo (VE. O esquema imunossupressor imediato foi duplo com ciclosporina e azatioprina nos três primeiros pacientes e ciclosporina e micofenolato mofetil no 4º paciente. RESULTADOS: Um óbito imediato por falência do enxerto, um óbito após dois anos e meio por endocardite em trombo intraventricular no coração nativo, e um terceiro óbito seis anos após o transplante, por complicações pós-operatórias de cirurgia na valva aórtica do coração nativo. O remanescente, 15 anos após o transplante, encontra-se bem, em classe funcional II (NYHA, seis anos após a oclusão cirúrgica da valva aórtica do coração nativo. CONCLUSÃO: O transplante cardíaco heterotópico é um procedimento com resultado inferior ao transplante cardíaco ortotópico, por apresentarem maior RVP. Os trombos intraventriculares no coração nativo, que exigem anticoagulação prolongada, bem como as complicações de válvula aórtica, também no coração nativo, podem exigir tratamento cirúrgico. Entretanto, em um paciente, a sobrevida de 15 anos mostrou a eficácia de longo prazo desse tipo de alternativa, para pacientes

  18. Taponamiento cardíaco secundario a carcinoma papilar esclerosante difuso de tiroides Metastatic cardiac tamponade as initial manifestation of papillary thyroid carcinoma

    Directory of Open Access Journals (Sweden)

    Verónica Riva

    2011-12-01

    Full Text Available El carcinoma papilar, variante esclerosante difusa, corresponde al 2% de todos los carcinomas papilares de la tiroides. Se caracteriza por comprometer de manera difusa y bilateral a la glándula tiroides. Clínicamente se manifiesta con metástasis ganglionares y pulmonares, afectando predominantemente a mujeres jóvenes. Se describe un caso de taponamiento cardíaco como presentación inicial de un carcinoma papilar de tiroides variante esclerosante difusa. Una mujer de 32 años concurrió al servicio de emergencias médicas refiriendo epigastralgia y tos seca. Durante el examen físico se constató hipotensión arterial, taquicardia y ruidos cardíacos disminuidos. Se realizó un ecocardiograma, observándose derrame pericárdico. Por medio de una pericardiocentesis se obtuvo líquido pericárdico, cuyo análisis mostró células neoplásicas. Durante la evolución la paciente presentó recurrencia del derrame pericárdico por lo que se realizó una ventana pleuropericárdica, detectándose durante la cirugía una lesión nodular subpleural, la cual fue biopsiada e informada posteriormente como una metástasis de carcinoma papilar vinculable a origen tiroideo. Se realizó una tiroidectomía total con linfadenectomía cervical bilateral. El diagnóstico final fue carcinoma papilar, variante esclerosante difusa. Esta variante infiltra el tejido conectivo de los espacios interfoliculares, simulando una tiroiditis y se caracteriza por una permeación vascular temprana. En oposición a la variante clásica, la esclerosante difusa presenta mayor agresividad y mayor tasa de recurrencia. El carcinoma papilar de tiroides debe tenerse presente como diagnóstico diferencial en nuestro medio, en todas aquellas lesiones neoplásicas papilares metastásicas, más aún si se trata de mujeres jóvenes.Papillary carcinoma, diffuse sclerosing variant corresponds to 2% of all papillary thyroid carcinomas. It is usually diffuse and bilateral, affecting the entire

  19. Correção simultânea de defeito congênito intracardíaco e pectus excavatum Simultaneous repair of congenital heart defect and pectus excavatum

    Directory of Open Access Journals (Sweden)

    João Roberto Breda

    2007-09-01

    Full Text Available Relatamos tratamento simultâneo de pectus excavatum e defeito congênito intracardíaco representado por comunicação interatrial ostium secundum. Paciente do sexo masculino, 8 anos de idade, com diagnóstico clínico e ecocardiográfico de comunicação interatrial, associada à deformidade da parede torácica tipo pectus excavatum. Foi encaminhado para operação com correção simultânea do defeito congênito intracardíaco associado ao reparo do pectus. O tratamento operatório simultâneo do pectus excavatum e defeitos congênitos intracardíacos torna difícil o acesso ao coração. Foi feita a correção simultânea dessas alterações, com satisfatório resultado, sobretudo estético, para o paciente.The author describes the simultaneous treatment of pectus excavatum and congenital intracardiac defect (atrial septal defect represented by the interatrial foramen secundum. An 8-year-old boy, with clinical and echocardiography diagnosis of atrial septal defect associated with pectus excavatum was referred to a simultaneous surgical treatment of both abnormalities. The simultaneous surgical treatment of both pectus excavatum and congenital intracardiac defects make it difficult to access the heart. In this case, the simultaneous surgical treatment of atrial septal defect and pectus excavatum was a valuable alternative to surgical repair of both abnormalities, mainly due to its cosmetic outcome.

  20. Improved ACO for protein structure prediction using 2D HP lattice model%改进的蚁群算法及其在2DHP模型中的应用

    Institute of Scientific and Technical Information of China (English)

    周方; 廖波

    2009-01-01

    For improve the quality of solution to a Protein folding problem, ant colony optimization (ACO) is adopted to solve the protein folding simulations problem. Eliminate and clone based on the existing ACO is introduced. This ACO is applied in 2DHP model. At the same time, the ant colony will converge to local classic result easily when searching, and this process will infect the quality of the result. Avoiding the result converge to the local classic result, involving max-rain ant colony. Choose some HP sequence for the ex-periment. And experiment proved that the improvement have higher efficiency than the older one when the two arithmetic got the same optimal solution.%为了提高蛋白质折叠问题解的质量,采用蚁群算法对蛋白质的折叠问题进行研究,并且在现有的蚁群算法的基础上成功引入了淘汰和克隆机制,使其具有更好的运算效率,并成功应用到2DHP模型中.在蚁群对最优值进行搜索的过程中,容易出现局部最优点,导致影响解的质量.为了避免计算结果收敛到局部最优点,引入了一种最大最小蚁群策略.选择测试序列进行实验,实验结果表明,该算法在保证解的质量的同时,还具有较高的效率.

  1. Do estigma da psicose maníaco-depressiva ao incentivo ao tratamento do transtorno bipolar: a evolução da abordagem em dois veículos midiáticos nos últimos 40 anos

    OpenAIRE

    Daniel Montanini; Cláudio E. M. Banzato

    2012-01-01

    OBJETIVO: Investigar a evolução ao longo dos últimos 40 anos da assimilação midiática do transtorno bipolar. MÉTODOS: Foram pesquisadas referências sobre os termos "transtorno bipolar" e "maníaco-depressivo" na revista Veja e no jornal The New York Times e analisada uma amostra de 40 textos de cada veículo. Os textos foram divididos em dois grupos, o primeiro reunindo aqueles datados dos anos entre 1970 e 1999 e o segundo, 2000 a 2009. RESULTADOS: Entre os anos de 1970 e 1999 é mais utilizado...

  2. Respostas cardiorrespiratórias durante exercício em portadores de transplante cardíaco. Análise ergoespirométrica comparativa com indivíduos normais

    OpenAIRE

    Salles Ana Fátima; Oliveira Fº Japy Angelini; Barros Neto Turíbio Leite de; Almeida Dirceu Rodrigues; Carvalho Antonio Carlos de Camargo; Juliano Yara; Buffolo Ênio; Martinez Fº Eulógio Emílio

    1998-01-01

    OBJETIVO: Avaliar as respostas cardiorrespiratórias dos portadores de transplante cardíaco (TxC). MÉTODOS: Submeteram-se a testes ergoespirométricos 9 portadores de TxC (GI), pareados por sexo, idade, peso e altura, com 9 indivíduos sedentários, aparentemente sadios (GII). Os pacientes eram do sexo masculino, com idade de 48±12 anos, com TFI (NYHA) após 23±21 meses TxC. Faziam uso regular de ciclosporina, azatioprina, prednisona, dipiridamol e anti-hipertensivos. Os testes foram limitados por...

  3. Transplante cardíaco (TC: a experiência do portador da doença de Chagas Trasplante cardíaco (TC: la experiencia del portador de la enfermedad de Chagas Heart transplantation: the experience of patients with Chagas disease

    Directory of Open Access Journals (Sweden)

    Maria Lúcia Araújo Sadala

    2009-09-01

    Full Text Available O sucesso do transplante cardíaco com portadores da doença de Chagas está condicionado a cuidados especiais durante todas as fases do transplante, com necessidade de acompanhamento específico e rigoroso pela equipe de saúde. Os receptores devem estar conscientes da permanência do Trypanossoma no organismo, e das possibilidades de reativação da infecção após o transplante. Portanto, seu conhecimento dessa condição, e a sua participação ativa no próprio tratamento, têm importância fundamental. O objetivo do estudo foi investigar a experiência do transplante cardíaco vivenciada por pacientes portadores da doença de Chagas, para buscar compreender os significados que eles atribuem a esta experiência. Os procedimentos metodológicos abrangeram: a seleção dos pacientes; as entrevistas; a análise dos dados, indicando as unidades de significado e a análise individual; a busca de convergências dos discursos; e análise hermenêutica das convergências. Da análise dos dados emergiram os seguintes temas: o tempo vivido pelo receptor, portador da Doença de Chagas; a concepção do TC apresentado pelo portador de Chagas; o cuidado na trajetória do TC.El éxito del trasplante cardíaco con portadores de la enfermedad de Chagas está condicionado a cuidados especiales durante todas las fases del trasplante, con necesidad de acompañamiento específico y riguroso por el equipo de salud. Los receptores deben estar conscientes de la permanencia del Tripanosoma en el organismo y de las posibilidades de reactivación de la infección después del trasplante. Por lo tanto, su conocimiento sobre esa condición y su participación activa en el propio tratamiento es de fundamental importancia. El objetivo del estudio fue investigar la experiencia del trasplante cardíaco experimentada por pacientes portadores de la enfermedad de Chagas, para comprender los significados que ellos atribuyen a esta experiencia. Los procedimientos metodol

  4. Débito cardíaco diminuído: revisão sistemática das características definidoras Débito cardíaco disminuído: revisión sistemática de las características definidoras Decreased cardiac output: a systematic review of the defining characteristics

    Directory of Open Access Journals (Sweden)

    Vanessa de Souza

    2011-01-01

    Full Text Available OBJETIVOS: Caracterizar os artrigos científicos relacionados ao diagnóstico de enfermagem débito cardíaco diminuído. Verificar os artigos que descrevem o comportamento das características definidoras deste diagnóstico, identificando aquelas que ocorrem com maior frequência. MÉTODOS: Trata-se de uma revisão sistemática realizada nas bases de dados: Lilacs, SciELO, Embase, Medline, Pubmed e Cochrane, no período de 1985 a 2008. RESULTADOS: Foram selecionados 13 artigos, identificando 50 características definidoras, sendo dez com maior frequência: alteração da frequência/ritmo cardíaco, dispneia, labilidade da pressão arterial, estertores, oligúria anúria, edema, pele fria, fadiga/fraqueza, diminuição dos pulsos periféricos e diminuição da perfusão periférica. CONCLUSÃO: A temática vem sendo pouco explorada. Constatou-se a importância do exame físico, a utilização de técnicas menos invasivas e a necessidade de rever as características definidoras propostas a fim de proporcionar clareza e objetividade na identificação desse diagnóstico de enfermagemOBJETIVOS: Caracterizar los artículos científicos relacionados al diagnóstico de enfermería débito cardíaco disminuído. Verificar los artículos que describen el comportamiento de las características definidoras de este diagnóstico, identificando aquellas que ocurren con mayor frecuencia. MÉTODOS: Se trata de una revisión sistemática realizada en las bases de datos: Lilacs, SciELO, Embase, Medline, Pubmed y Cochrane, en el período de 1985 al 2008. RESULTADOS: Fueron seleccionados 13 artículos, identificando 50 características definidoras, siendo diez con mayor frecuencia: alteración de la frecuencia/ritmo cardíaco, disnea, labilidad de la presión arterial, estertores, oliguria anuria, edema, piel fría, fatiga/debilidad, disminución de los pulsos periféricos y disminución de la perfusión periférica. CONCLUSIÓN: La temática viene siendo poco

  5. Estado, iglesia y sociedad en la Monarquía Hispana de Carlos IV. Las apreciaciones de un embajador austríaco en Madrid

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    Álvarez Gutiérrez, Luis

    2003-12-01

    Full Text Available This writing deals with an historiographical analysis of the contents of the diplomatic dispatches sent to Vienna by the imperial ambassador, John Frederick count of Kageneck, accredited at the Court of Charles IV. They concern to the first seven years of that reign (1789-1795. Provide issues, appreciations, and commentaries about the conditions of the contemporaneous Hispanic kingdom in the matter of institutional, administrative, political, economic, social, religious, military affairs, international relations and geostrategical interests. The Austrian diplomat pays much attention to the consequences of the French revolution in Spain; to the measures adopted by the Spanish authorities against the spread of the subversive ideas, as much in the metropolis, as in the overseas dominions, with special reference to the outstanding rôle played by the clergy, as the ideological and moral bulwark against the impetuous attacks of the French revolutionary activity; to the attitude of Spain with regard to the purpose of forming an international coalition against the revolutionary France; and to the later access of Spain in the war against the France of the Convention (1793-1795.

    Este trabajo propone un análisis historiográfico del contenido de los despachos diplomáticos enviados a Viena por el embajador imperial, Juan Federico de Kageneck, acreditado ante la Corte de Carlos IV. Corresponden a los siete primeros años de aquel reinado (1789-1795. Proporcionan datos, apreciaciones y comentarios sobre el estado de la monarquía hispana de la época en sus aspectos institucionales, administrativos, políticos, económicos, sociales, religiosos, militares, relaciones internacionales, e intereses geoestratégicos. El diplomático austríaco dedica atención preferente a las repercusiones de la Revolución francesa en España; a las medidas adoptadas por las autoridades españolas para contrarrestar la difusión de las ideas subversivas, tanto en la

  6. Drenagem anômala total das veias pulmonares: terapêutica cirúrgica dos tipos anatômicos infracardíaco e misto

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    Atik Fernando Antibas

    2004-01-01

    Full Text Available OBJETIVO: Estudar a evolução hospitalar em portadores de drenagem anômala total de veias pulmonares (DATVP, nas formas infracardíaca e mista, submetidos a tratamento cirúrgico. MÉTODOS: De 65 pacientes operados com o diagnóstico isolado de DATVP, de dezembro/1993 a março/2002, foram selecionados, retrospectivamente, 7 (10,8% pacientes das formas mista e infradiafragmática, sendo 5 (71,4% do sexo masculino, idades variando de 5 dias a 19 (média de 7 meses, com diagnóstico clínico feito pelo ecocardiograma bidimensional. Quatro (57,1% pacientes apresentavam formas mistas, em um, obstrutiva intrínseca, com estenose discreta da veia inferior esquerda. Os restantes três (42,9% apresentavam a forma infradiafragmática obstrutiva, extrínseca ao nível do diafragma. Todas as operações foram realizadas através de esternotomia mediana, sob circulação extracorpórea hipotérmica com parada circulatória total em 2 casos. RESULTADOS: Óbito hospitalar ocorreu em 1 paciente com DATVP infradiafragmática com conexão da veia vertical inferior com a veia porta. A causa mortis foi relacionada à falência de múltiplos órgãos e sistemas. O pós-operatório foi caracterizado pela presença de baixo débito cardíaco e hipertensão pulmonar em 4 (57,1% pacientes. CONCLUSÃO: O resultado da correção cirúrgica desta anomalia está associado à morbidade e mortalidade aceitáveis, na dependência do encaminhamento e tratamento cirúrgico precoces, sem progressão do quadro de hipertensão vascular pulmonar.

  7. Osteoma osteoide no osso ilíaco: relato de dois casos Osteoid osteoma in the iliac bone: report on two cases

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    Elmano de Araújo Loures

    2012-04-01

    Full Text Available O osteoma osteoide é um tumor benigno do osso que se apresenta geralmente com dor noturna em adultos jovens, aliviada por repouso e salicilatos. Pode acometer qualquer osso, mas sua ocorrência no ilíaco é infrequente. Os autores descrevem dois casos de osteoma osteoide intramedular, localizado junto à articulação sacroilíaca, com sintomas que simulavam dor ciática e cujo diagnóstico se deu de forma tardia, apesar de o exame radiológico inicial mostrar lesão esclerótica em ambos os casos. O diagnóstico foi ratificado por tomografia computadorizada e o tratamento proposto foi a ressecção em bloco da lesão, com excisão do nidus. O diagnóstico definitivo foi confirmado pelo exame histopatológico. No seguimento de longo prazo, ambos estão assintomáticos e observou-se completa remodelação óssea no sítio cirúrgico. Os autores enfatizam as características típicas do tumor, a localização não usual, o diagnóstico diferencial e o tratamento.Osteoid osteoma is a benign bone tumor that generally presents with nighttime pain among young adults and is relieved by rest and salicylates. It can affect any bone, but occurrences in the iliac are unusual. The authors describe two cases of intramedullary osteoid osteoma next to the sacroiliac joint, with symptoms that simulated sciatic pain. The cases were diagnosed late, although the initial radiographs showed sclerotic lesions in both cases. The diagnosis was confirmed by means of CT scan and the nidus was excised surgically through en bloc resection. The definitive diagnosis was given by means of histopathological examination. Over long-term follow-up, both cases remained asymptomatic and complete bone remodeling at the surgical site was observed. The authors highlight the typical characteristics of the tumor, the unusual location, the differential diagnosis and the treatment.

  8. La iluminación agustiniana como explicación de los contenidos de la mente: Agustín en Casicíaco

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    Óscar Velásquez

    2007-01-01

    Full Text Available Se examina en este trabajo la teoría agustiniana de la iluminación del período de Casicíaco. Lo temprano de su manifestación revela su carácter más filosófico que teológico. Proteo es figura de la verdad que se resiste a darse a conocer, pero que mediante la auctoritas (Cristo y la ratio puede ser hallada, como se muestra en Contra Académicos. De este modo, en Soliloquios, la ratio se presenta como mediadora entre el alma y Dios. Se utiliza aquí la oración como método de introspección e investigación filosófica. Se concluye que la iluminación abarca tanto la verdad objetiva como al receptor de esa verdad, la mente; y que esa misma mente en que las verdades eternas son reconocidas debe ser inmortal, como aquellas lo son: así, la senda que conduce al conocimiento de Dios, pasa por el conocimiento de nosotros mismosAugustine's Theory of Illumination from the Cassisiacum period is examined in this work. The early appearance of the theory reveals its character as of a more philosophical than theological kind. Proteus is a figure of the truth resisting discovery, but which can be found through auctoritas (Christ and ratio as it is shown in Contra Académicos. Thus ratio shows itself in Soliloquia as mediating between the soul and God. Prayer as a method of introspection and philosophical research is used. The author concludes that illumination includes as much the objective truth as the receiver of that truth-the mind; and that this same mind, in which the eternal truths are recognized, must be immortal, as they themselves are. In this way, the path which leads to the knowledge of God passes through the knowledge of our very selves

  9. ACO based routing for MANETs

    CERN Document Server

    Arif, Mohammad

    2012-01-01

    Mobile ad hoc network (MANET) is a collection of wireless mobile nodes. It dynamically forms a temporary network without using any pre existing network infrastructure or centralized administration i.e. with minimal prior planning. All nodes have routing capabilities and forward data packets to other nodes in multi-hop fashion. As the network is dynamic, the network topology continuously experiences alterations during deployment. The biggest challenge in MANETs is to find a path between communicating nodes. The considerations of the MANET environment and the nature of the mobile nodes create further complications which results in the need to develop special routing algorithms to meet these challenges. Swarm intelligence, a bio-inspired technique, which has proven to be very adaptable in other problem domains, has been applied to the MANET routing problem as it forms a good fit to the problem. In ant societies the activities of the individuals are not regulated by any explicit form of centralized control but ar...

  10. ACO Based Routing for MANETs

    Directory of Open Access Journals (Sweden)

    Mohammad Arif

    2012-05-01

    Full Text Available Mobile ad hoc network (MANET is a collection of wireless mobile nodes. It dynamically forms atemporary network without using any pre existing network infrastructure or centralized administrationi.e. with minimal prior planning. All nodes have routing capabilities and forward data packets to othernodes in multi-hop fashion. As the network is dynamic, the network topology continuously experiencesalterations during deployment. The biggest challenge in MANETs is to find a path betweencommunicating nodes. The considerations of the MANET environment and the nature of the mobile nodescreate further complications which results in the need to develop special routing algorithms to meet thesechallenges. Swarm intelligence, a bio-inspired technique, which has proven to be very adaptable in otherproblem domains, has been applied to the MANET routing problem as it forms a good fit to the problem.In ant societies the activities of the individuals are not regulated by any explicit form of centralizedcontrol but are the result of self-organizing dynamics driven by local interactions and communicationsamong a number of relatively simple individuals. This unique characteristic has made ant societies anattractive and inspiring model for building new algorithms and new multi-agent systems. In this paper,we have studied and reviewed Ant Colony based routing algorithms and its variants. Finally, aperformance evaluation of the original ARA and the EARA is carried out with respect to each other.

  11. Spectroscopy, thermal and structural studies of new Zn II coordination polymer, [Zn 3(μ-bpa) 4.5(AcO) 3](ClO 4) 3·4.26H 2O

    Science.gov (United States)

    Amiri, Maryam Ghoreishi; Morsali, Ali; Hunter, Allen D.; Zeller, Matthias

    2007-11-01

    Three Zn II coordination polymers with acetate and perchlorate anions, [Zn 3(μ-bpa) 4.5(AcO) 3](ClO 4) 3·4.26H 2O ( 1), [Zn 2(μ-bpe) 3(AcO) 2](ClO 4) 2 ( 2) and [Zn 2(bpe)(AcO) 4] ( 3), bpa = 1,2-bis(4-pyridyl)ethane and bpe = 1,2-bis(4-pyridyl)ethene, have been synthesized and characterized by elemental analysis, IR, 1H NMR, and 13C NMR spectroscopies, and the structure of compound 1 was determined by single-crystal X-ray diffraction. The thermal stabilities of compounds 1- 3 were studied by thermal gravimetric (TG) and differential thermal analyses (DTA). The structural studies of compound 1 show that the structure may be considered as a three-dimensional coordination polymer of zinc(II) with large voids filled with disordered water molecules. The stability of the porous networks after removal of the guest water molecules is confirmed by X-ray powder diffraction.

  12. ANÁLISIS DE LA CALIDAD DEL REGISTRO DE PARO CARDÍACO EN CASOS DE RESPONSABILIDAD MÉDICO LEGAL EN MÉDICOS GENERALES, 1999-2007 Quality of cardiac arrest records in cases of medical responsibility, 1999-2007

    OpenAIRE

    Gabriel Barragán; José Ricardo Navarro; Nathalie Marulanda; Javier Eslava Schmalbach

    2009-01-01

    Antecedentes. El registro del paro cardíaco es una actividad que se debe acompañar en la reanimación cerebro cardio pulmonar. En Colombia no existe un formato de registro oficial de paro cardiorrespiratorio, lo que dificulta la investigación en reanimación y la conducción de los procesos de responsabilidad médica que se deriven de esta atención. Objetivo. Analizar la calidad del registro de paro cardíaco en casos de responsabilidad médico legal iniciada a médicos generales que tuvieron asesor...

  13. Consulta de enfermagem ao cliente transplantado cardíaco: impacto das ações educativas em saúde Consulta de Enfermería al cliente trasplantado cardíaco: impacto de las acciones en salud Appointment with nurses for transplanted heart clients: impact of educative health actions

    Directory of Open Access Journals (Sweden)

    Zélia Maria de Sousa Araújo Santos

    2004-12-01

    Full Text Available O estudo teve como objetivo avaliar o impacto das ações educativas em saúde, na consulta de Enfermagem com 18 clientes transplantados cardíacos, embasado na Teoria de Orem. Foi realizado em uma Unidade de Transplante e Insuficiência Cardíaca de uma Instituição Pública de Saúde de Fortaleza - Ce. Os dados foram coletados através da consulta de Enfermagem. Identificou-se 14 diagnósticos de enfermagem na primeira consulta e 7 na última. Constatou-se que, os clientes desenvolveram habilidades para o autocuidado, com a implementação das ações educativas em saúde, tornando-os agentes de autocuidado, com o alcance de um bom nível de saúde e bem-estar. Por outro lado, despertou no enfermeiro, um direcionamento sistemático e eficaz no acompanhamento ambulatorial a esta clientela.El estudio tiene como objetivo, evaluar el impacto de las acciones educativas en salud, en la consulta de Enfermería con 18 cliente trasplantados cardíacos, basado en la teoría de Orem. Se realizó en una Unidad de Trasplante e Insuficiencia Cardiaca de una Institución Pública de Fortaleza-Ce. Se colectaron los datos a través de consulta de enfermería. Se identificaron 14 diagnósticos en la primera consulta y 7 en la última. Hubo la constatación de que, los clientes desarrollaron habilidades para el autocuidado, con la implementación de las acciones educativas en salud, volviéndose agentes de autocuidado, con el alcance de un buen nivel de salud y bienestar. Por otro lado, estimuló en el enfermero, una dirección sistemática y eficaz en el acompañamiento ambulatorial a esta clientela.The study was aimed at evaluating the impact of educative health actions on nursing appointments with 18 transplanted heart clients, based on Orem's Theory. It was conducted in a Heart Transplant and Insufficiency Unit of a Public Health Institution in Fortaleza - CE. The data were collected by way of nursing appointments. 14 nursing diagnoses were identified in

  14. Espectro óculo-aurículo-vertebral em pacientes com defeitos cardíacos congênitos Espectro óculo-aurículo-vertebral en pacientes con defectos cardíacos congénitos Oculo-auriculo-vertebral spectrum in patients with congenital heart defects

    Directory of Open Access Journals (Sweden)

    Rafael Fabiano Machado Rosa

    2010-10-01

    Full Text Available FUNDAMENTO: Há poucos estudos avaliando a frequência do espectro óculo-aurículo-vertebral (EOAV nos pacientes com defeitos cardíacos congênitos (DCC. OBJETIVO: Verificar a frequência do EOAV em uma amostra de pacientes com malformações cardíacas graves. MÉTODOS: Avaliamos uma coorte prospectiva de pacientes com DCC, admitidos em uma unidade de terapia intensiva (UTI cardiopediátrica no Brasil. O diagnóstico de EOAV foi feito com base em dados clínicos, considerando critérios padrões. Os pacientes que preenchiam esses critérios foram submetidos ao cariótipo de alta resolução com bandamento GTG e hibridização fluorescente in situ para a microdeleção 22q11.2. O teste exato de Fisher (P FUNDAMENTO: Hay pocos estudios evaluando la frecuencia del espectro óculo-aurículo-vertebral (EOAV en los pacientes con defectos cardíacos congénitos (DCC. OBJETIVO: Verificar la frecuencia del EOAV en una muestra de pacientes con malformaciones cardíacas graves. MÉTODOS: Evaluamos una cohorte prospectiva de pacientes con DCC, admitidos en una unidad de terapia intensiva (UTI cardiopediátrica en el Brasil. El diagnóstico de EOAV fue hecho con base en datos clínicos, considerando criterios estándares. Los pacientes que llenaban esos criterios fueron sometidos al cariotipo con bandeamiento GTG en alta resolución e Hibridización fluorescente in situ para la microdelección 22q11.2. El Test Exacto de Fisher (P BACKGROUND: There have been few studies evaluating the frequency of oculo-auriculo-vertebral spectrum (OAVS in patients with congenital heart defects (CHDs. OBJECTIVE: To verify the frequency of OAVS in a sample of patients with major heart malformations. METHODS: We evaluated a prospective cohort of patients with CHD admitted in a pediatric cardiac intensive care unit (ICU in Brazil. The diagnosis of OAVS was made based on the clinical data, considering standard criteria. The patients that met these criteria were submitted to

  15. Modificações técnicas no transplante cardíaco ortotópico Technic modifications to the cardiac orthotopic transplantation

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    José Teles de Mendonça

    1994-09-01

    Full Text Available Apresentamos algumas modificações na técnica convencional de implante de coração nos transplantes cardíacos ortotópicos. As modificações propostas consistem basicamente em: 1 ressecar, durante a cardiectomia, o máximo do coração doente deixando apenas tecido suficiente para permitir a sutura do novo coração, durante o implante; 2 abrir o átrio direito do coração doador, a partir da veia cava inferior, próximo e paralelamente ao septo interatrial até a parte mais alta, quando a incisão deve ser bruscamente direcionada para a aurícula direita; 3 iniciar o implante pelo tronco pulmonar e 4 suturar os átrios conjuntamente, em um só plano, ao nível do septo. Estas modificações técnicas foram utilizadas em todos os pacientes transplantados nas três Instituições e apresentam como vantagens: 1 perfeito alinhamento do tronco pulmonar, evitando-se acotovelamentos e torções e 2 cavidades atriais menores, sem suturas salientando paradentro dos átrios e, conseqüentemente, menores oportunidades de fenômenos tromboembólicos ou contrações assincrônicas dos átrios (doador-receptor que, além de favorecer a formação de trombos, podem interferir na suficiência das valvas atrioventriculares. O método é facilmente reproduzível e pode ser recomendado para os transplantes ortotópicos de coração.OBJECTIVE: To present a number of modifications to the conventional heart implant technique in orthotopic cardiac transplants. METHODS: The proposed modifications consist basically of the following: 1 resecting as much of the disease heart as possible during the cardiectomy, leaving only sufficient tissue to enable the new heart to be sutured during the implant; 2 opening the right atrium of the donor heart from the inferior vena cava, close and parallel to the interatrial septum as far as the highest part, where the incision should be sharply directed towards the right atrial apendix; 3 initiating the implant through the

  16. Cardiac lesions in patients with lethal central nervous system trauma Daño cardíaco en pacientes con trauma mortal del sistema nervioso central

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    María E. Cardona

    1991-03-01

    ño cardíaco comprobado por el estudio anatomopatológico, la fracción MB resultó por encima del valor normal. En 6 pacientes (40% se encontraron lesiones cardíacas; las más comunes fueron las hemorragias subendocárdicas. Se llama la atención hacia la importancia de las lesiones cardíacas ya que los pacientes que fallecen por traumatismo craneoencefálico son donadores potenciales de órganos para trasplante.

  17. Feature Extraction of Stored-grain Insects Based on Ant Colony Optimization and Support Vector Machine Algorithm%基于ACO-SVM的粮虫特征提取研究

    Institute of Scientific and Technical Information of China (English)

    胡玉霞; 张红涛; 罗康; 张恒源

    2012-01-01

    [目的]研究基于ACO-SVM的粮虫特征提取,探讨粮虫特征提取的可行性.[方法]通过分析储粮害虫图像识别系统中的1个关键环节——特征提取,提出把支持向量机(Support vector machine,简称SVM)算法中交叉验证训练模型的识别率作为储粮害虫特征提取评价准则的1个重要因子,将蚁群优化算法(Ant Colony Optimization,简称ACO)应用于粮虫特征的自动提取.[结果]该算法从粮虫的17维形态学特征中自动提取出面积、周长等7个特征的最优特征子空间,采用参数优化之后的SVM分类器对90个粮虫样本进行分类,识别率达到95%以上.[结论]该研究表明蚁群优化算法在粮虫特征提取中的应用是可行的.%[Objective] The aim was to study the feature extraction of stored-grain insects based on ant colony optimization and support vector machine algorithm, and to explore the feasibility of the feature extraction of stored-grain insects. [ Method ] Through the analysis of feature extraction in the image recognition of the stored-grain insects, the recognition accuracy of the cross-validation training model in support vector machine( SVM ) algorithm was taken as an important factor of the evaluation principle of feature extraction of stored-grain insects. The ant colony optimization (ACO) algorithm was applied to the automatic feature extraction of stored-grain insects. [Result] The algorithm extracted the optimal feature subspace of seven features from the 17 morphological features, including area and perimeter. The ninety image samples of the stored-grain insects were automatically recognized by the optimized SVM classifier, and the recognition accuracy was over 95%. [ Conclusion] The experiment showed that the application of ant colony optimization to the feature extraction of grain insects was practical and feasible.

  18. Eritema nodoso como forma de reativação da doença de Chagas em transplantado cardíaco Erythema nodoso in reactivation of Chagas' disease after cardiac transplantation

    Directory of Open Access Journals (Sweden)

    Solange Corrêa Garcia Pires d'Ávila

    2005-02-01

    Full Text Available O presente caso ilustra uma forma de eritema nodoso, cujo agente foi o Trypanosoma cruzi em paciente chagásica submetida a transplante cardíaco. O diagnóstico foi firmado através do exame histopatológico de biópsia da lesão cutânea e estudo imunohistoquímico. O tratamento com nifurtimox promoveu regressão total das lesões.We report a patient with Chagas' disease that presented Trypanosoma cruzi reactivation after cardiac transplantation and immunodepression, characterized by skin lesions of erythema nodosum. This is an unusual presentation of Chagas' disease.

  19. Percepção dos indivíduos celíacos acerca da contaminação dos cosméticos com glúten

    OpenAIRE

    Ivanilde Miciele da Silva Santos; Diogo Guedes Peixoto; Emília Patrícia de Oliveira Costa Brito

    2015-01-01

    A exclusão do glúten na dieta por toda a vida é o único tratamento com eficácia inquestionável para a doença celíaca (DC), o qual mesmo em pequenas quantidades pode ser prejudicial à saúde. Recentes discussões na comunidade científica sugerem que, além da dieta, devem ser excluídos também medicamentos, produtos de higiene e cosméticos que possam conter traços de glúten. Assim, este trabalho visou verificar o grau de conhecimento dos celíacos acerca da provável influência dos cosméticos no agr...

  20. Taponamiento cardíaco tras cambio de catéter venoso central, sobre guía, para nutrición parenteral total: ¿Lo podemos evitar?

    Directory of Open Access Journals (Sweden)

    C. González Fernández

    2003-02-01

    Full Text Available La cateterización de venas centrales es un proceso rutinario, sobre todo en enfermos graves. Es una técnica en la que están descritas múltiples complicaciones, afortunadamente no muy frecuentes, y en relación con la pericia del que la realiza. El taponamiento cardíaco es una de estas infrecuentes complicaciones, con muy elevada mortalidad. Describimos un caso en el que por sospecha, diagnóstico precoz y tratamiento inmediato se siguió de éxito en las maniobras de recuperación del enfermo. Asimismo, se revisa la literatura y se analizan los posibles mecanismos de estos episodios.

  1. Preliminary study on polymorphism of ACO gene in six varieties of sweet cherry ( Prunus avium )%6个甜樱桃品种ACO基因多态性的检测

    Institute of Scientific and Technical Information of China (English)

    王廿; 张开春; 王晶; 张晓明; 闫国华

    2012-01-01

    乙烯在植物果实成熟过程中起着重要的作用,ACC合酶(1-aminocyclop ropane-1-carboxylic acid synthase,ACS)和ACC氧化酶(1-aminocyclop ropane-1-carboxylic acid oxidase,ACO)是植物乙烯生物合成途径的限速酶。通过DNA序列分析,以不同果实成熟期的6个甜樱桃品种(Prunus avium L.)为材料,检测ACO基因的多态性。获得甜樱桃ACO基因约1kh,与桃(Ppersica)ACO基因(GenBank登录号:AF532976)序列的同源性达96%,其预测的氨基酸序列与桃、梅(Pmume)、美洲李(Parmeniaca)和欧洲李(Pdomestica)等ACO的氨基酸序列同源性超过95%。该片段包括4个外显子和4个内含子,内含子符合GT—AT规律。用DNAMAN进行多序列比对分别在内含子2和内含子4内发现2个多态性简单重复序列(AT)n。内含子2有3种片段:即(AT)6、(AT)7和(AT)8;内含子4有2种片段,即(AT)5和(AT)6,组合后共得到4种ACO单倍型。研究在甜樱桃ACO基因座上发现2个SSR标记,为进一步研究4CD基因多态性与果实成熟期相关性奠定基础。%Ethylene plays an important role in ripening of plants. ACC synthease ( 1-aminocyclop ropane- 1-carboxylic acid synthase, ACS) and ACC oxidase (1-aminocyclop ropane-1-carboxylic acid oxidase, ACO) are rate-limiting enzymes in ethylene biosynthesis in plants. DNA sequence analysis was applied to detect the polymorphism of A CO gene in 6 sweet cherry varieties (Prunus avium L.) of different maturity time. The DNA sequences of partial A CO gene about 1 kb were obtained from sweet cherry (P. avium). The identity of these DNA sequences was 96% with A CO of peach (P. persica). The identity of predicted amino acid sequences was 95% with the amino acid sequence of ACO in P. persica, Prunus mume, Prunus armeniaca, and Prunus domestica. These fragments contained four extrons and four introns which has GT-AG sequence. Two SSR markers

  2. Diagnóstico pré-natal de rabdomioma cardíaco fetal pela ultrassonografia: relato de caso Prenatal sonographic diagnosis of fetal cardiac rhabdomyoma: a case report

    Directory of Open Access Journals (Sweden)

    Hélio Antonio Guimarães Filho

    2009-06-01

    Full Text Available Os tumores cardíacos constituem condição rara, com incidência entre 0,17 e 28/10.000 na população geral. Os rabdomiomas são os tumores mais frequentes no período pré-natal. Este trabalho tem como objetivo relatar o caso de um feto com 31 semanas de gestação que apresentava tumoração intracardíaca de grandes dimensões, com graves repercussões clínicas.Cardiac tumors constitute a rare condition, affecting 0.17-28/10,000 of the general population. Rhabdomyomas represent the most frequently found type of tumor in the prenatal period. The present report describes the case of a 31-week fetus presenting with a large intracardiac tumor with severe clinical repercussions.

  3. Interacciones entre dispositivos cardíacos implantables y modalidades fisioterapéuticas: ¿Mito o realidad? Cardiac implantable devices and physiotherapy practices interaction: Myth or real?

    Directory of Open Access Journals (Sweden)

    Genevieve C. Digby

    2011-04-01

    Full Text Available La fisioterapia se ha transformado en una especialidad que claramente incide en la calidad de vida de nuestros pacientes. En poblaciones añosas, el uso de fisioterapia incluye múltiples modalidades para un alto número de distintas enfermedades. Varios informes sobre posibles interacciones negativas entre las distintas modalidades de fisioterapia y los dispositivos cardíacos implantables (marcapasos y cardiodesfibriladores han sido publicados en los últimos aňos. A pesar de ello, existe muy poca evidencia y guías precisas para identificar cuáles son las modalidades de fisioterapia seguras a utilizar en esta población de pacientes. En la siguiente revisión, nos propusimos resumir las interacciones documentadas entre fisioterapia y dispositivos cardíacos implantables (DCI, discutir el estándar actual de estas prácticas e identificar las principales consideraciones que existen desde la perspectiva de un servicio de electrofisiología cardíaca, para el tratamiento adecuado en estos pacientes. Finalmente, abogamos por fortalecer la colaboración entre fisioterapeutas y electrofisiólogos, con el fin de asegurar una óptima y segura atención de este grupo de pacientes.Several reports of negative interactions between physiotherapy practices and cardiac rhythm devices (CRDs have been described in the literature. In spite of this, there is very little evidence to suggest the extent to which it is safe to use physiotherapy practices in this patient population. Here we summarize the documented interactions between physiotherapy and CRDs, discuss the current standard of practice for treating CRD patients, and outline the main considerations that exist from the arrhythmia service perspective in terms of patient and device factors. Finally, we advocate for a stronger cooperation between physiotherapists and the electrophysiology service team in order to safely and effectively deliver optimal physiotherapy care to CRD patients.

  4. Ecocardiografia por Doppler tecidual no diagnóstico de rejeição após transplante cardíaco Ecocardiografía con Doppler tisular en el diagnóstico de rechazo después de transplante cardíaco Tissue doppler echocardiography in the diagnosis of heart transplantation rejection

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    Marcos Valério Coimbra Resende

    2011-07-01

    Full Text Available FUNDAMENTO: A biópsia endomiocárdica (BEM é o método padrão-ouro para o diagnóstico de rejeição celular (RC após transplante cardíaco (TC. OBJETIVO: Testar a hipótese de que o exame de imagem por Doppler tecidual (IDT pode detectar RC > 3A e agregar informação diagnóstica, comparado ao Doppler convencional. MÉTODOS: Cinquenta e quatro pacientes com TC foram submetidos à BEM e estudo ecocardiográfico através de IDT em até 24 horas. Comparamos os pacientes com TC e RC > 3A com pacientes com TC e RC 3A em 39/129 (30,2% das BEM. O melhor preditor isolado para o diagnóstico de RC foi a a'LAT, com sensibilidade de 76,3%, especificidade de 73,8% (p = 0,001. Na análise multivariada, a a'LAT (p = 0,001, a'SEP (p = 0,002, relação e'/a' LAT (p = 0,006, relação e'Mitral/ e'LAT (p = 0,014, SINF (p = 0,009 foram preditores de RC > 3A. Obtivemos um escore com sensibilidade de 88,2%, acurácia de 79,6%, e valor preditivo negativo de 92,9% para diagnosticar RC > 3A. O Doppler convencional (fluxo mitral e pulmonar venoso não foi relevante para predizer a RC > 3A. CONCLUSÃO: O estudo de IDT agregou informação diagnóstica para predizer RC > 3A quando comparado ao Doppler convencional. O modelo baseado em IDT pode ser tornar um método em potencial para detectar RC > 3A após TC.FUNDAMENTO: La biopsia endomiocárdica (BEM es el método gold standard para el diagnóstico de rechazo celular (RC después de transplante cardíaco (TC. OBJETIVO: Testear la hipótesis de que el examen de imagen con Doppler tisular (IDT puede detectar RC > 3A y agregar información diagnóstica, comparado al Doppler convencional. MÉTODOS: Cincuenta y cuatro pacientes con TC fueron sometidos a BEM y estudio ecocardiográfico a través de IDT en hasta 24 horas. Comparamos los pacientes con TC y RC > 3A con pacientes con TC y RC 3A en 39/129 (30,2% de las BEM. El mejor predictor aislado para el diagnóstico de RC fue la a'LAT, con sensibilidad de 76

  5. Utilidade do Ultrassom intracardíaco no isolamento de veias pulmonares usando cateter-balão a laser Utilidad del ultrasonido intracardíaco en el aislamiento de venas pulmonares usando catéter-balón láser Utility of intracardiac ultrasound imaging to guide pulmonary vein ablation using laser balloon catheter

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    Luiz Leite

    2009-12-01

    Full Text Available FUNDAMENTO: O isolamento das veias pulmonares (IVP tem sido usado como endpoint para a ablação da fibrilação atrial (FA com cateter balão. OBJETIVO: Determinar a utilidade do ultrassom intracardíaco (USIC para guiar o IVP, usando cateter balão a laser. MÉTODOS: 59 VP foram ablacionadas em 27 cães. Imagens de Doppler foram usadas para identificar os vazamentos do fluxo sanguíneo entre a VP e o balão. Após cada liberação de energia, o cateter de mapeamento circular foi reposicionado para verificar se o isolamento tinha sido obtido. A posição de vazamento foi então correlacionada com a posição do gap no estudo patológico. A análise de regressão logística multivariada foi realizada. RESULTADOS: Cinquenta e nove VP foram submetidas à ablação. O tempo médio de energia liberada foi de 279±177 seg., o diâmetro médio do balão era de 23±3 mm, e o comprimento médio do balão era 25±4 mm. O isolamento completo foi obtido em 38/59 (64%, e foi significantemente mais comum sem vazamento: [30/38 (79% versus 8/23 (35%, pFUNDAMENTO: Se usó el aislamiento de las venas pulmonares (AVP como endpoint para la ablación de la fibrilación atrial (FA con catéter-balón. OBJETIVO: Determinar la utilidad del ultrasonido intracardíaco (USIC para guiar el AVP, usando catéter-balón láser. MÉTODOS: Se ablacionaron 59 VP en 27 perros. Se usaron imágenes de Doppler para identificar los derrames del flujo sanguíneo entre la VP y el balón. Tras cada liberación de energía, se reposicionó el catéter de mapeamiento circular para verificar si se obtuvo el aislamiento. Se correlaccionó, entonces, la posición del derrame con la posición del gap en el estudio patológico. Se realizó el análisis de regresión logística multivariada. RESULTADOS: Se sometieron 59 VP a la ablación. El tiempo promedio de energía liberada fue de 279±177 seg., el diámetro promedio del balón era de 23±3 mm, y la largura promedio del balón era 25±4 mm

  6. 协同抑制番茄ACO1对果实成熟及病程相关蛋白基因表达的影响%The Influence of Co-suppressing Tomato 1-Aminocyclopropane-1-Carboxylic Acid Oxidase I on the Expression of Fruit Ripening-Related and Pathogenesis-Related Protein Genes

    Institute of Scientific and Technical Information of China (English)

    胡宗利; 陈国平; 吕丽娟; 陈绪清; GRIERSON Donald

    2007-01-01

    [目的]探讨协同抑制番茄ACO1基因对果实成熟和病程相关蛋白基因表达、内源乙烯生物合成及果实耐贮性的影响.[方法]采用PCR或RT-PCR方法克隆了番茄ACC氧化酶1、ACC氧化酶3、EBF1、PR1、PR5以及NP24基因片段,并以此制备探针,以协同抑制ACO1的转基因番茄和野生型番茄为研究对象,进行Northern杂交,同时测定了伤害叶片和果实的乙烯释放量,并进行了果实贮藏试验等.[结果]Northern杂交结果表明,番茄ACO1基因表达被抑制后,与果实成熟相关基因LeACO3和LeEBF1,以及病程相关蛋白基因LePR1、LePR5 和LeNP24的表达量急剧降低.乙烯释放量测定试验和果实贮藏试验结果表明,协同抑制LeACO1番茄完整和受伤叶片以及完整果实内源乙烯释放量相对于野生型番茄大大减少,成熟果实贮藏时间延长.[结论]协同抑制番茄ACO1基因表达的同时,与果实成熟相关基因和病程相关蛋白基因的表达也不同程度地受到抑制,而且其内源乙烯生物合成减少,果实耐贮性增强.

  7. Avaliação ecocardiográfica do desenvolvimento cardíaco de cavalos atletas: comparação entre atividades físicas distintas

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    Carolina C.M. Bonomo

    2014-09-01

    Full Text Available A capacidade aeróbica dos equinos atletas pode ser explicada, em partes, pelo seu desenvolvimento cardíaco associado ao treinamento físico. O exame ecocardiográfico de equinos atletas permite a visualização destas alterações e da função cardíaca destes animais. Buscou-se avaliar ecocardiograficamente equinos de diferentes modalidades esportivas, para verificar se o tipo de atividade física desempenhada por cada grupo de animais promove diferenças estruturais ou funcionais cardíacas. 196 equinos foram submetidos à avaliação ecocardiográfica em repouso, sendo divididos em três grupos: grupo Polo, 44 equinos participantes de provas de Polo; grupo QM, 49 equinos da raça Quarto de Milha, participantes de provas de baliza e tambor, e grupo PSI, 103 equinos da raça Puro Sangue Inglês participantes de provas de corridas. Foram avaliados os seguintes índices cardíacos: SIV, DIVE e PLVE em sístole e diástole, AE em sístole, Ao em diástole, relação AE:Ao, FEj, VEj, VSFVE, VDFVE, FS%, E-S, TEVE, DC e FC. Os animais do grupo PSI apresentaram os maiores volumes de ventrículo esquerdo, tendo apresentado proporcionalmente menor eficiência quando analisado o VEj. Os animais do grupo Polo e QM apresentaram melhores valores quando analisadas as variáveis de função cardíaca. A atividade física mais intensa desempenhada pelos animais do grupo QM e Polo permitiu melhor desenvolvimento funcional do coração destes animais, tendo o grupo PSI, apresentado valores que sugerem que sua capacidade aeróbica ainda pode ser melhor explorada através de melhor orientação de seu treinamento físico.

  8. Efeitos do propofol sobre o sistema de condução cardíaca Efectos del propofol sobre el sistema de conducción cardíaco Effects of propofol on the cardiac conduction system

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    Paulo Warpechowski

    2010-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Alguns estudos têm demonstrado que o uso do propofol é, algumas vezes, associado a bradiarritmias ou reversão de arritmias para ritmo sinusal. Essa propriedade do propofol sugere interferência no Sistema de Condução Cardíaco (SCC. CONTEÚDO: Realizou-se revisão com base nos principais artigos contemporâneos que englobam o uso do propofol na presença de arritmias cardía cas. Os autores discorrem sobre os mecanismos fisiopatológicos das taquiarritmias supraventriculares (TSV e as eventuais interferências causadas pelo propofol sobre o SCC. CONCLUSÕES: Os estudos realizados até então parecem indicar que, provavelmente, o propofol interfere nas TSV automáticas (pelo menos em crianças, mas não nas taquiarritmias em que o mecanismo seja de reentrada.JUSTIFICATIVA Y OBJETIVOS: Algunos estudios han demostrado que el uso del propofol es algunas veces, asociado a bradiarritmias o a reversión de arritmias para ritmo sinusal. Esa propiedad del propofol nos sugiere una interferencia en el Sistema de Conducción Cardíaco (SCC. CONTENIDO: Se realizó una revisión en base a los principales artículos contemporáneos que engloban el uso del propofol cuando ocurren arritmias cardíacas. Los autores nos hablan sobre los mecanismos fisiopatológicos de las taquiarritmias supraventriculares y las eventuales interferencias causadas por el propofol sobre el SCC. CONCLUSIÓN: Los estudios realizados hasta ahora parecen indicar que probablemente, el propofol interfiere en las TSV automáticas (por lo menos en niños, pero no en las taquiarritmias en que el mecanismo sea de reentrada.BACKGROUND AND OBJECTIVES: Some studies have demonstrated that the use of propofol is occasionally associated with bradyarrhythmias or reversion of arrhythmias to sinus rhythm. This property of propofol suggests interference with the Cardiac Conduction System (CCS. CONTENTS: A review of the main contemporary articles on the use of propofol in

  9. Baixas doses de óxido nítrico na seleção dos pacientes candidatos a transplante cardíaco com hipertensão pulmonar Low doses of nitric oxide in the selection of candidates to heart transplantation with pulmonary hypertension

    OpenAIRE

    MEJIA Juan Alberto Cosquillo; Valdester Cavalcante PINTO Jr; BARROSO Haroldo Brasil; de Mesquita, Fernando Antônio; Waldomiro CARVALHO Jr.; CASTELO BRANCO José Matos Brito; SOUZA Flávio José Rocha; Maria Corina Amaral VIANA; SOUSA Patrícia Lopes; João David SOUSA NETO

    2001-01-01

    A disfunção do ventrículo direito no pós-operatório do transplante cardíaco é uma complicação freqüente com morbimortalidade elevada. A avaliação hemodinâmica pulmonar dos candidatos precisa, às vezes, do emprego de prova farmacológica com o uso de drogas endovenosas vasodilatadoras tipo nitroprussiato de sódio (NTPNa), visando reduzir os níveis de pressão e resistência vascular pulmonar (RVP) elevados a níveis compatíveis com os protocolos de inclusão dos Programas de Transplante Cardíaco. V...

  10. Aplicación de un algoritmo ACO al problema de taller de flujo de permutación con tiempos de preparación dependientes de la secuencia y minimización de makespan An ant colony algorithm for the permutation flowshop with sequence dependent setup times and makespan minimization

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    Eduardo Salazar Hornig

    2011-08-01

    Full Text Available En este trabajo se estudió el problema de secuenciamiento de trabajos en el taller de flujo de permutación con tiempos de preparación dependientes de la secuencia y minimización de makespan. Para ello se propuso un algoritmo de optimización mediante colonia de hormigas (ACO, llevando el problema original a una estructura semejante al problema del vendedor viajero TSP (Traveling Salesman Problem asimétrico, utilizado para su evaluación problemas propuestos en la literatura y se compara con una adaptación de la heurística NEH (Nawaz-Enscore-Ham. Posteriormente se aplica una búsqueda en vecindad a la solución obtenida tanto por ACO como NEH.This paper studied the permutation flowshop with sequence dependent setup times and makespan minimization. An ant colony algorithm which turns the original problem into an asymmetric TSP (Traveling Salesman Problem structure is presented, and applied to problems proposed in the literature and is compared with an adaptation of the NEH heuristic. Subsequently a neighborhood search was applied to the solution obtained by the ACO algorithm and the NEH heuristic.

  11. GA-ACO for solving flexible job shop scheduling problem%求解柔性作业车间调度问题的遗传-蚁群算法

    Institute of Scientific and Technical Information of China (English)

    陈成; 邢立宁

    2011-01-01

    为更有效地求解柔性作业车间调度问题,提出了一种遗传一蚁群算法,该算法采用遗传算法解决机器分配问题,采用蚁群算法解决工序排序问题.存算法的求解过程中,不断从前期优化中挖掘、学习知识,并采用已获得的知识指导后续优化过程.通过标准实例测试,验证了所提算法的有效性.%To solve flexible job shop scheduling problem effectively, a hybrid approach which combined Genetic Algorithm(GA)with Ant Colony Optimization(ACO)was proposed. GA was applied to tackle machine assignment problem, while AC() was employed to deal with operation sequencing problem. In the solution process, knowledge was continuously learned from previous optimization process and then adopted to guide subsequent optimization. Effectiveness of the proposed algorithm was validated through an experiment.

  12. Nível de ansiedade de clientes submetidos a cineangiocoronariografia e de seus acompanhantes Nivel de ansiedad de acompañantes y clientes durante el cateterismo cardíaco Caregivers and patient's anxiety level during cardiac catheterizathion

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    Eliane da Silva Grazziano

    2004-04-01

    Full Text Available Este estudo exploratório e com abordagem quantitativa teve como objetivos identificar o nível de ansiedade de 40 acompanhantes e 40 clientes submetidos a cineangiocoronariografia pela primeira vez, no período de espera do exame, e correlacionar os dados entre si e com as variáveis sóciodemográficas, utilizando a Escala de Ansiedade-Estado (IDATE. Concluiu-se que a maioria dos clientes apresenta baixo nível de ansiedade e a maioria dos acompanhantes apresenta nível médio de ansiedade. Na análise das correlações, não houve relação entre o nível de ansiedade e as variáveis sóciodemográficas da população estudada. Na análise das comparações, observou-se que o acompanhante do sexo masculino é mais ansioso que aquele do sexo feminino. As intervenções de enfermagem, nesse período, podem ser mais eficazes se incluírem ações para redução da ansiedade dos familiares/acompanhantes.Este estudio exploratorio de carácter cuantitativo que tuvo como objetivo analizar el nivel de ansiedad de 40 acompañantes y 40 clientes sometidos por primera vez al cateterismo cardíaco y durante el periodo de espera del examen, con aplicación de la Escala de Ansiedad-Estado (IDATE. La conclusión es que la mayoría de los clientes tiene bajo nivel de ansiedad e sus acompañantes tienen nivel medio de ansiedad. Pudimos verificar en el análisis estadístico que no hay relación entre el nivel de ansiedad y la variables sociodemográficas de la población estudiada. El análisis de las comparaciones muestra que el acompañante del sexo masculino es más ansioso que el femenino. Intervenciones específicas de enfermería para reducir ansiedad del acompañante durante el cateterismo cardíaco podrán ayudar con la ansiedad de los clientes.This exploratory and quantitative study aimed to identify the anxiety level of 40 caregivers and 40 patients before cardiac catheterization and to establish a correlation among them and with sociodemographic

  13. Osteotomia proximal da tíbia: estabilização da abertura medial com enxerto tricortical de ilíaco Proximal tibial osteotomy: stabilization of the medial opening with atricortical iliac bone graft

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    Roberto da Cunha Luciano

    2010-01-01

    Full Text Available OBJETIVO: Avaliação radiográfica do alinhamento do membro inferior, nos planos frontal e sagital, após osteotomia alta da tíbia. Para estabilização da osteotomia foi utilizado enxerto tricortical de ilíaco e parafuso de posicionamento. MÉTODOS: Estudo prospectivo envolvendo 46 pacientes com idade entre 17 e 61 anos, sendo 42 portadores de geno varo secundário à osteoartrose e quatro por outras causas. A telerradiografia foi realizada para planejamento cirúrgico, utilizando o método de Frank Noyes modificado por Fugizawa. Foi realizado acesso cirúrgico convencional de 3cm para retirada do enxerto tricortical de ilíaco. A osteotomia foi realizada sob controle de radioscopia, por incisão anteromedial de 3cm com liberação da porção superficial do ligamento colateral medial. O enxerto foi colocado na porção posterior da osteotomia, para manter inalterado o slope tibial. O parafuso cruzou a osteotomia ortogonalmente para proteger a cortical lateral. Foram estabelecidos critérios radiográficos pré e pós-operatórios para avaliação dos resultados. RESULTADOS: Houve consolidação em 100% dos casos e manutenção do eixo mecânico, obtido no intraoperatório, em 94%. A inclinação posterior do platô tibial, no plano sagital, variou entre 7º e 12º. A mobilidade articular foi restabelecida em todos os pacientes operados. Onze pacientes apresentaram dor temporária no local da retirada do enxerto; no entanto, nenhum apresentou parestesia. A incidência de complicações foi de 8% (infecção, perda da correção, fratura articular. CONCLUSÃO: A técnica mostrou-se reprodutível, simples, biológica, precisa e com baixos custos, podendo ser uma alternativa às técnicas já existentes.OBJECTIVE: Roentgenographic assessment of lower limb alignment, in the frontal and sagittal planes, after a high tibial osteotomy. To stabilize the osteotomy, a tricortical iliac graft was used along with a positioning screw. METHODS

  14. Sildenafil vs. Nitroprussiato de Sódio durante Teste de Reatividade Pulmonar pré-transplante cardíaco Sildenafil vs. sodium before nitroprusside for the pulmonary hypertension reversibility test before cardiac transplantation

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    Aguinaldo Figueiredo Freitas Jr

    2012-09-01

    Full Text Available FUNDAMENTO: A hipertensão pulmonar é associada ao pior prognóstico no pós-transplante cardíaco. O teste de reatividade pulmonar com Nitroprussiato de Sódio (NPS está associado a elevados índices de hipotensão arterial sistêmica, disfunção ventricular do enxerto transplantado e elevadas taxas de desqualificação para o transplante. OBJETIVO: Neste estudo, objetivou-se comparar os efeitos do Sildenafil (SIL e NPS sobre variáveis hemodinâmicas, neuro-hormonais e ecocardiográficas durante teste de reatividade pulmonar. MÉTODOS: Os pacientes foram submetidos, simultaneamente, ao cateterismo cardíaco direito, ao ecocardiograma e à dosagem de BNP e gasometria venosa, antes e após administração de NPS (1 - 2 µg/Kg/min ou SIL (100 mg, dose única. RESULTADOS: Ambos reduziram a hipertensão pulmonar, porém o nitrato promoveu hipotensão sistêmica significativa (Pressão Arterial Média - PAM: 85,2 vs. 69,8 mmHg, p BACKGROUND: Pulmonary hypertension is associated with a worse prognosis after cardiac transplantation. The pulmonary hypertension reversibility test with sodium nitroprusside (SNP is associated with a high rate of systemic arterial hypotension, ventricular dysfunction of the transplanted graft and high rates of disqualification from transplantation. OBJECTIVE: This study was aimed at comparing the effects of sildenafil (SIL and SNP on hemodynamic, neurohormonal and echocardiographic variables during the pulmonary reversibility test. METHODS: The patients underwent simultaneously right cardiac catheterization, echocardiography, BNP measurement, and venous blood gas analysis before and after receiving either SNP (1 - 2 µg/kg/min or SIL (100 mg, single dose. RESULTS: Both drugs reduced pulmonary hypertension, but SNP caused a significant systemic hypotension (mean blood pressure - MBP: 85.2 vs. 69.8 mm Hg; p < 0.001. Both drugs reduced cardiac dimensions and improved left cardiac function (SNP: 23.5 vs. 24.8%, p = 0

  15. Efeito da suplementação com vitamina E sobre os metabolismos oxidativo e cardíaco em equinos submetidos a exercício de alta intensidade

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    L.A. Yonezawa

    2015-02-01

    Full Text Available A suplementação antioxidante visa prevenir os danos oxidativos induzidos pelo exercício físico em diversos tecidos, como o miocárdio. Nesse contexto, este estudo objetivou avaliar os marcadores cardíacos e a lipoperoxidação em equinos no teste de exercício de rápida aceleração e curta duração (TRA, em esteira de alta velocidade, antes e após a suplementação com vitamina E. Para tanto, foram utilizados 10 equinos sem treinamento, que realizaram o primeiro TRA (TRA1 com carga de trabalho fundamentada no consumo máximo de oxigênio individual (VO2max e que induziu a concentração de lactato maior que 4mmol/L, sendo considerado predominantemente anaeróbico. Em seguida, os equinos receberam vitamina E (dl-alfa-tocoferol na dose de 1.000UI/dia, por via oral, durante 52 dias, e, posteriormente, realizaram um segundo TRA (TRA2 com o mesmo protocolo de TRA1. As amostras de sangue foram colhidas nos momentos antes do exercício, imediatamente após o término do teste e em 1h, 3h, 6h, 12h e 24h subsequentes. Determinou-se o malondialdeído (MDA plasmático como índice de lipoperoxidação, e as concentrações séricas de troponina I cardíaca (cTnI, isoenzima MB da creatinoquinase (CK-MB e mioglobina, como marcadores cardíacos. Como efeito do exercício, observou-se aumento discreto de MDA, de cTnI e de CK-MB, sendo significativo apenas para CK-MB. A suplementação foi capaz de amenizar a produção das espécies reativas de oxigênio, evidenciada pela menor concentração de MDA em TRA2, em 24h, além de causar um efeito protetor no miocárdio, devido ao menor valor de cTnI em 6h no TRA2 em relação ao TRA1. Não houve grandes alterações na concentração de mioglobina. Concluiu-se que o exercício de alta intensidade promoveu estresse no miocárdio nos equinos avaliados, bem como houve efeito benéfico da vitamina E na proteção miocárdica e sobre a lipoperoxidação.

  16. Impacto da variabilidade de peso na estabilidade metabólica dos pacientes transplantados cardíacos no Ceará Impact of weight variation on the metabolic stability of cardiac transplant patients in the state of Ceara

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    Daniele Maria de Oliveira Carlos

    2008-04-01

    Full Text Available FUNDAMENTO: As alterações de peso após o transplante cardíaco (TC freqüentemente ocorrem e aumentam os riscos de doenças secundárias. OBJETIVO: Determinar o impacto da variabilidade do peso nos níveis séricos de glicose, triglicérides, colesterol total e frações dos pacientes transplantados cardíacos. MÉTODOS: Estudo retrospectivo documental realizado com 82 pacientes adultos submetidos a TC entre outubro de 1997 e dezembro de 2005 no Ceará, sendo 83% do sexo masculino e a idade média de 45,06±12,04 anos. As variáveis estudadas foram o perfil biopatológico, o peso e o índice de massa corporal (IMC relacionadas às alterações bioquímico-metabólicas. Os dados foram descritos usando freqüências, medidas de tendência central, teste t de Student e coeficiente de correlação de Pearson. RESULTADOS: A média global do IMC aumentou de 23,77±3,68kg/m² antes do TC, para 25,48±3,92kg/m² no primeiro ano e para 28,38±4,97kg/m² no quinto. Os pacientes com sobrepeso/obesidade (IMC > 25 kg/m² apresentaram valores médios de glicose, colesterol total, lipoproteína de baixa densidade (LDL e triglicérides maiores que os pacientes com eutrofia/desnutrição (IMC BACKGROUND: Weight alterations post cardiac transplant (CT frequently occur and increase the risks of secondary diseases. OBJECTIVE: This study aimed at determining the impact of weight variability on serum levels of glucose, triglycerides, total cholesterol and its fractions of cardiac transplant patients. METHODS: This was a retrospective documental study held with 82 patients submitted to CT between October, 1997 and December, 2005 in Ceará, Brazil. 83% were male and the average age was 45.06±12.04 years. The studied variables were: biopathology profile, the weight and the body mass index (BMI related to the biochemical-metabolic alterations and to the survival. Data were described using frequencies, measures of central tendency, t-Student test and Pearson

  17. EVALUACIÓN ECOCARDIOGRÁFICA DEL GASTO CARDÍACO SISTÉMICO EN LA ATRESIA PULMONAR CON SEPTO INTERVENTRICULAR INTACTO / Echocardiographic evaluation of cardiac output in pulmonary atresia with intact ventricular septum

    Directory of Open Access Journals (Sweden)

    Giselle Serrano Ricardo

    2013-07-01

    Full Text Available Resumen: Introducción: El estudio de la atresia pulmonar con septo interventricular intacto no ha prestado suficiente atención al carácter dual del ventrículo izquierdo como receptor circulatorio y su repercusión sobre la hemodinámica sistémica. Objetivo: Identificar, mediante la ecocardiografía, los elementos fisiopatológicos propios de esa enfermedad que perfilan su actuación hemodinámica de base, influyen sobre el gasto cardíaco y generan condiciones potenciales para el pronóstico a corto plazo. Método: Se realizó una investigación con carácter descriptivo, prospectivo y aplicado, donde se estudiaron 43 pacientes con diagnóstico de la enfermedad remitidos al Cardiocentro Pediátrico "William Soler" desde enero de 1992 a noviembre de 2011. Se evaluaron, en cada sujeto, los perfiles de ocho variables ecocardiográficas y de la frecuencia cardíaca. Se analizaron los niveles de asociación y dependencia entre ellas mediante la aplicación estadística de modelos de regresión simple. Resultados: Existen variaciones considerables en la frecuencia cardíaca, en el índice volumétrico y en la fracción de eyección correspondientes al ventrículo izquierdo de los pacientes respecto al grupo control de referencia. Conclusiones: El mayor tamaño de la comunicación interauricular y la prolongación de la diastasis transmitral favorecen el incremento volumétrico del ventrículo izquierdo. La frecuencia cardíaca, el carácter restrictivo del miocardio ventricular izquierdo y su fracción de eyección son factores reguladores del gasto cardíaco en esta enfermedad. / Abstract: Introduction: In the study of pulmonary atresia with intact ventricular septum, not enough attention has been paid to the dual nature of the left ventricle as a circulatory receptor, and its impact on systemic hemodynamics. Objective: To identify, by echocardiography, the pathophysiological elements that characterize the disease and that determine its basic

  18. 一种基于精英策略的蚁群优化QoS单播路由算法%A New Algorithm Based on the Elitist Strategy and ACO for QoS Unicast Routing

    Institute of Scientific and Technical Information of China (English)

    吴碧霞

    2011-01-01

    In computer networks,QoS unicast routing problems are constrained by the bandwidth and delay.To reduce its costs and the possibility to fall in local best,and then improve its searching ability and convergence speed.In this paper,a new algorithm for QoS unicast routing based on the elitist strategy and ant colony optimization(ACO) was proposed in response to these problems.The concepts and principles of this algorithm come from the elitist strategy and ACO.And some experiments carry out on simulating to solve 20-noed QoS unicast routing problem,comparing the new algorithm with traditional ant colony algorithm.Experimental results show that the new algorithm is effective.%指出传统蚁群算法在解决QoS单播路由选择问题时,受到时延和带宽的约束,为降低路由费用,容易出现陷入局部最优且收敛速度慢的现象。针对上述问题,提出一种基于精英策略的蚁群优化QoS单播路由算法,该算法利用蚁群算法原理,并引入精英策略。通过仿真模拟一个20节点的计算机网络QoS单播路由选择实例,并与传统蚁群优化(ACO)算法进行对比,仿真结果表明该算法是有效的。

  19. QUINOA (CHENOPODIUM QUINOA WILLD: DIGESTIBILIDADE IN VITRO, DESENVOLVIMENTO E ANÁLISE SENSORIAL DE PREPARAÇÕES DESTINADAS A PACIENTES CELÍACOS

    Directory of Open Access Journals (Sweden)

    L. I. A. CASTRO

    2008-11-01

    Full Text Available

    A quinoa (Chenopodium quinoa Willd é um pseudocereal isento de glúten, oriundo dos Andes, onde tem sido cultivado há milhares de anos. O objetivo deste trabalho foi desenvolver e avaliar sensorialmente algumas preparações contendo quinoa em grãos, flocos e farinha, destinadas ao paciente celíaco, e determinar a digestibilidade in vitro de sua proteína, submetida ou não ao tratamento térmico. As amostras foram avaliadas sensorialmente através de um teste de aceitação utilizando a escala hedônica nominal de 9 pontos. O método utilizado na análise da digestibilidade protéica in vitro foi o da queda de pH após 10 minutos, com a adição das enzimas tripsina e pancreatina às amostras de quinoa, tratadas e não tratadas termicamente. Das sete preparações testadas, seis foram bem aceitas, já que apresentaram um Índice de Aceitabilidade maior que 70%. Os flocos e grãos de quinoa, após serem testados termicamente, tiveram sua digestibilidade otimizada. Portanto, a quinoa e seus derivados podem ser considerados uma boa opção para a alimentação dos indivíduos portadores da doença celíaca.

  20. Infliximab reduces cardiac output in rheumatoid arthritis patients without heart failure Infliximabe reduz débito cardíaco em pacientes com artrite reumatoide sem insuficiência cardíaca

    Directory of Open Access Journals (Sweden)

    Rodrigo Cardoso Santos

    2012-12-01

    insuficiência cardíaca em pacientes submetidos a tratamento crônico tenha sido descrito, os efeitos cardiovasculares agudos da infusão desta droga em pacientes com AR sem insuficiência cardíaca são desconhecidos. MÉTODOS: Pacientes com AR e ecocardiogramas normais e sem antecedentes de insuficiência cardíaca foram avaliados durante o período de infusão de infliximabe (3-5mg/kg, de 2 horas, utilizando um sistema de monitoramento hemodinâmico não invasivo batimento-a-batimento (Portapres. As variáveis avaliadas foram: volume sistólico (VS, pressão arterial sistólica, diastólica e média (PAS, PAD e PAM, respectivamente, débito cardíaco (DC, frequência cardíaca (FC e resistência vascular periférica total (RVPT. Todos os voluntários também receberam infusão de soro fisiológico (SF como estudo controle. Estatísticas foram avaliadas usando o teste de Tuckey. Os valores estão expressos em média ± desvio-padrão. RESULTADOS: Catorze pacientes (6M/8F, com idade média de 47,2 ± 8,8 anos, foram avaliados. Reduções significativas no débito cardíaco e volume sistólico foram encontradas após a infusão do infliximabe (7,04 ± 2,3 a 6,12 ± 2,1 L/min e 91 ± 29,0 a 83 ± 28,8 mL/batimento, respectivamente. Embora não estatisticamente significante, detectaram-se aumentos progressivos na PAS, PAD e RVPT durante a infusão. A infusão controle de SF não causou mudanças hemodinâmicas significativas nos pacientes estudados. Não foram observados efeitos adversos no período de infusão. CONCLUSÃO: A administração de infliximabe reduz agudamente o débito cardíaco devido a redução no volume sistólico em pacientes com AR sem insuficiência cardíaca. Nossos resultados mostram que, apesar do efeito inotrópico negativo, o infliximabe elevou a pressão arterial, provavelmente devido ao aumento na RVPT.

  1. Validação do reprocessamento de cateteres cardíacos angiográficos: uma avaliação da funcionalidade e da integridade Validación del reprocesamiento de catéteres cardíacos angiográficos: una evaluación de la funcionalidad e integridad Reprocessing validation of angiographic cardiac catheters: an evaluation of the functionality and integrity

    Directory of Open Access Journals (Sweden)

    Thabata Coaglio Lucas

    2010-12-01

    Full Text Available Objetivou-se validar o reprocessamento de cateteres cardíacos angiográficos quanto às suas características de funcionalidade mecânica e à integridade molecular e micro-estrutural da cadeia polimérica. Pesquisa experimental, aplicada, comparativa e controlada. Construiu-se uma bancada de simulação de uma arteriografia de coronária esquerda para simular um estresse mecânico e biológico em cateteres. Testou-se a funcionalidade por ensaio de tração e a integridade por Espectroscopia na Região do Infravermelho e Microscopia Eletrônica de Varredura. Evidenciou-se uma tendência ao aumento da rigidez a cada acréscimo do número de reprocessamento (pEl objetivo del trabajo fue validar el reprocesamiento de catéteres cardíacos angiográficos en cuanto a sus características de funcionalidad mecánica e integridad molecular y microestructural de la cadena de polímeros. Investigación experimental, aplicada, comparativa y controlada. Se construyó un banco de simulación de una arteriografía de coronaria izquierda para simular un estrés mecánico y biológico en catéteres. Se testeó la funcionalidad por ensayo de tracción y la integridad por Espectroscopía Local Infrarroja y Microscopía Electrónica de Barrido. Se evidenció una tendencia al aumento de la rigidez en cada incremento del número de reprocesamientos (pThe objective of this study was to validate the reprocessing of angiographic cardiac catheters regarding their characteristics of mechanical functionality and the molecular and micro-structural integrity of the polymeric chain. This is an experimental, applied, comparative and controlled study. A simulation set was built for a left coronary angiography in order to simulate mechanical and biological stress in the catheters. Traction tests were performed for the functionality and the integrity was tested through Infrared Spectrometry and Scanning Electronic Microscopy. The study evidenced a tendency to an increase in

  2. Comparação entre a medida contínua do débito cardíaco e por termodiluição em bolus durante a revascularização miocárdica sem circulação extracorpórea

    Directory of Open Access Journals (Sweden)

    Kim Sílvia M.

    2004-01-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A cirurgia de revascularização miocárdica sem o uso de circulação extracorpórea (CEC relaciona-se a importantes alterações hemodinâmicas bruscas, que podem não ser prontamente detectadas pela medida contínua de débito cardíaco. Este estudo compara resultados obtidos pela medida do índice cardíaco com o cateter de artéria pulmonar com filamento térmico (Baxter Edwards Critical Care, Irvine, CA com o método padrão por termodiluição com solução, durante a anastomose coronariana distal. MÉTODO: Dez pacientes submetidos à cirurgia de revascularização miocárdica sem CEC foram monitorizados com o cateter de artéria pulmonar com filamento térmico. As medidas de índice cardíaco foram obtidas em quatro momentos: no início da anestesia, enquanto o tórax ainda estava fechado (M1, após a esternotomia (M2, após a estabilização do coração com o aparelho octopus (M3 e ao final da anastomose coronariana distal (M4. RESULTADOS: Houve diminuição significativa (p < 0,05 do índice cardíaco durante a anastomose coronariana, detectada pela medida com termodiluição com bolus de solução. O índice cardíaco variou de 2,8 ± 0,7 para 2,3 ± 0,8 l.min.m-2 no início da anastomose e 2,5 ± 0,8 l.min.m-2 ao final da mesma. Essa variação não foi detectada pela medida contínua (de 3 ± 0,6 para 3,2 ± 0,5 e 3,1 ± 0,6 l.min.m-2 durante a anastomose coronariana. CONCLUSÕES: A medida de débito cardíaco contínuo utilizando o cateter de artéria pulmonar com filamento térmico apresentou atraso na detecção das alterações hemodinâmicas agudas relacionadas à mudança do posicionamento do coração na cirurgia de revascularização miocárdica sem CEC.

  3. Bioimpedância transtorácica comparada à ressonância magnética na avaliação do débito cardíaco Transthoracic impedance compared to magnetic resonance imaging in the assessment of cardiac output

    Directory of Open Access Journals (Sweden)

    Humberto Villacorta Junior

    2012-12-01

    Full Text Available FUNDAMENTO: A ressonância magnética cardíaca é considerada o método padrão-ouro para o cálculo de volumes cardíacos. A bioimpedância transtorácica cardíaca avalia o débito cardíaco. Não há trabalhos que validem essa medida comparada à ressonância. OBJETIVO: Avaliar o desempenho da bioimpedância transtorácica cardíaca no cálculo do débito cardíaco, índice cardíaco e volume sistólico, utilizando a ressonância como padrão-ouro. MÉTODOS: Avaliados 31 pacientes, com média de idade de 56,7 ± 18 anos, sendo 18 (58% do sexo masculino. Foram excluídos os pacientes cuja indicação para a ressonância magnética cardíaca incluía avaliação sob estresse farmacológico. A correlação entre os métodos foi avaliada pelo coeficiente de Pearson, e a dispersão das diferenças absolutas em relação à média foi demonstrada pelo método de Bland-Altman. A concordância entre os métodos foi realizada pelo coeficiente de correlação intraclasses. RESULTADOS: A média do débito cardíaco pela bioimpedância transtorácica cardíaca e pela ressonância foi, respectivamente, 5,16 ± 0,9 e 5,13 ± 0,9 L/min. Observou-se boa correlação entre os métodos para o débito cardíaco (r = 0,79; p = 0,0001, índice cardíaco (r = 0,74; p = 0,0001 e volume sistólico (r = 0,88; p = 0,0001. A avaliação pelo gráfico de Bland-Altman mostrou pequena dispersão das diferenças em relação à média, com baixa amplitude dos intervalos de concordância. Houve boa concordância entre os dois métodos quando avaliados pelo coeficiente de correlação intraclasses, com coeficientes para débito cardíaco, índice cardíaco e volume sistólico de 0,78, 0,73 e 0,88, respectivamente (p BACKGROUND: Cardiac magnetic resonance imaging is considered the gold-standard method for the calculation of cardiac volumes. Transthoracic impedance cardiography assesses the cardiac output. No studies validating this measurement, in comparison to that obtained

  4. Bioimpedância transtorácica comparada à ressonância magnética na avaliação do débito cardíaco Transthoracic impedance compared to magnetic resonance imaging in the assessment of cardiac output

    Directory of Open Access Journals (Sweden)

    Humberto Villacorta Junior

    2012-01-01

    Full Text Available FUNDAMENTO: A ressonância magnética cardíaca é considerada o método padrão-ouro para o cálculo de volumes cardíacos. A bioimpedância transtorácica cardíaca avalia o débito cardíaco. Não há trabalhos que validem essa medida comparada à ressonância. OBJETIVO: Avaliar o desempenho da bioimpedância transtorácica cardíaca no cálculo do débito cardíaco, índice cardíaco e volume sistólico, utilizando a ressonância como padrão-ouro. MÉTODOS: Avaliados 31 pacientes, com média de idade de 56,7 ± 18 anos, sendo 18 (58% do sexo masculino. Foram excluídos os pacientes cuja indicação para a ressonância magnética cardíaca incluía avaliação sob estresse farmacológico. A correlação entre os métodos foi avaliada pelo coeficiente de Pearson, e a dispersão das diferenças absolutas em relação à média foi demonstrada pelo método de Bland-Altman. A concordância entre os métodos foi realizada pelo coeficiente de correlação intraclasses. RESULTADOS: A média do débito cardíaco pela bioimpedância transtorácica cardíaca e pela ressonância foi, respectivamente, 5,16 ± 0,9 e 5,13 ± 0,9 L/min. Observou-se boa correlação entre os métodos para o débito cardíaco (r = 0,79; p = 0,0001, índice cardíaco (r = 0,74; p = 0,0001 e volume sistólico (r = 0,88; p = 0,0001. A avaliação pelo gráfico de Bland-Altman mostrou pequena dispersão das diferenças em relação à média, com baixa amplitude dos intervalos de concordância. Houve boa concordância entre os dois métodos quando avaliados pelo coeficiente de correlação intraclasses, com coeficientes para débito cardíaco, índice cardíaco e volume sistólico de 0,78, 0,73 e 0,88, respectivamente (p BACKGROUND: Cardiac magnetic resonance imaging is considered the gold-standard method for the calculation of cardiac volumes. Transthoracic impedance cardiography assesses the cardiac output. No studies validating this measurement, in comparison to that obtained

  5. Respostas cardiorrespiratórias durante exercício em portadores de transplante cardíaco. Análise ergoespirométrica comparativa com indivíduos normais Cardiorespiratory response during exercise in heart transplant recipients comparated to normal healthy subjects

    OpenAIRE

    Ana Fátima Salles; Japy Angelini Oliveira Fº; Turíbio Leite de Barros Neto; Dirceu Rodrigues Almeida; Antonio Carlos Camargo Carvalho; Yara Juliano; Ênio Buffolo; Eulógio Emílio Martinez Fº

    1998-01-01

    OBJETIVO: Avaliar as respostas cardiorrespiratórias dos portadores de transplante cardíaco (TxC). MÉTODOS: Submeteram-se a testes ergoespirométricos 9 portadores de TxC (GI), pareados por sexo, idade, peso e altura, com 9 indivíduos sedentários, aparentemente sadios (GII). Os pacientes eram do sexo masculino, com idade de 48±12 anos, com TFI (NYHA) após 23±21 meses TxC. Faziam uso regular de ciclosporina, azatioprina, prednisona, dipiridamol e anti-hipertensivos. Os testes foram limitados por...

  6. Relación de los hallazgos coronariográficos y ecocardiográficos en pacientes con infarto agudo de miocardio secundario a trauma penetrante cardíaco

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    Carlos Hernando Morales Uribe

    2008-11-01

    Full Text Available Después de reparar quirúrgicamente una lesión cardíaca por trauma penetrante se puede presentar como complicación el infarto agudo de miocardio (IAM. Tradicionalmente se explica esta complicación por la herida u oclusión de una arteria coronaria. Sin embargo, esto no siempre se cumple. Se desea enfocar la fisiopatología del IAM traumático para posteriormente plantear estrategias de tratamiento. HIPÓTESIS: los pacientes con trauma cardíaco penetrante por arma cortopunzante pueden desarrollar IAM traumático sin haber presentado ningún tipo de lesión vascular coronaria. DISEÑO: estudio observacional prospectivo. LUGAR: Hospital Universitario San Vicente de Paul, Medellín, Colombia. PACIENTES: entre abril de 2007 y abril de 2008 se estudiaron 51 pacientes con herida cardíaca por arma cortopunzante. DESENLACE: el desenlace primario fue la definición de lesión vascular coronaria en los pacientes que desarrollaron infarto traumático agudo de miocardio. RESULTADOS: de los 51 pacientes fallecieron 3 (5,9%. Treinta y cinco (68,6% no tuvieron IAM, 6 (11,8% presentaron IAM secundario a lesión coronaria y 10 (19,6% tuvieron IAM sin lesión coronaria. Entre los factores de riesgo explorados para IAM postraumático sin lesión coronaria el único que presentó asociación fue el RTS (Revised Trauma Score menor de 8 (RR = 5,09. IC: 95% 1,1-23,49. No se presentó relación entre el IAM postraumático y el consumo de sustancias psicoactivas ni con los factores de riesgo para ateroesclerosis como hipertensión arterial, diabetes mellitus y dislipidemia. CONCLUSIÓN: el principal factor de riesgo para desarrollar infarto agudo de miocardio secundario a trauma penetrante por arma cortopunzante es el RTS menor de 8. Se debe hacer una búsqueda activa del IAM traumático en todos los pacientes aunque no presenten lesión de las coronarias ni síntomas sugestivos de isquemia.

  7. Cardiac sympathetic-parasympathetic balance in rats with experimentally-induced acute chagasic myocarditis O balanço autonômico cardíaco nas ratas com miocardite chagásica aguda experimental

    Directory of Open Access Journals (Sweden)

    Diego F. Davila

    1995-04-01

    Full Text Available To clarify the mechanism responsible for the transient sinus tachycardia in rats with acute chagasic myocarditis, we have examined the cardiac sympathetic-parasympathetic balance of 29 rats inoculated with 200,000 parasites (Trypanosoma cruzi. Sixteen infected animals and 8 controls were studied between days 18 and 21 after inoculation (acute stage. The remaining 13 infected animals and 9 controls were studied between days 60 and 70 after inoculation (sub-acute stage. Under anesthesia (urethane 1.25 g/kg, all animals received intravenous atenolol (5 mg/kg and atropine (10 mg/kg. Acute stage: The baseline heart rate of the infected animals was significantly higher than that of the controls (P Com a finalidade de pesquisar o mecanismo responsável pela taquicardia sinusal transitória que ocorre nas ratas com miocardite chagásica aguda, foi estudado o balanço autonômico cardíaco em 16 ratas inoculadas com Trypanosoma cruzi por via intraperitoneal. Oito animais foram estudados aos 18 e 21 dias após-inoculação (Estádio agudo; os oito animais restantes foram estudados entre os dias 60 a 70 após inoculação (Estádio sub-agudo. Todos os animais em estudo bem como os controles receberam atenolol e atropina. No estádio agudo, a frequência cardíaca basal dos animais infectados foi significativamente maior que a dos controles. A resposta cronotrópica negativa pela administração de atenolol foi quatro vezes maior nos animais infectados. No estádio sub-agudo, a frequência cardíaca basal e a resposta cronotrópica ao atenolol e atropina foi similar nos dois grupos do estudo. Os nossos resultados sugerem que no estádio agudo da miocardite chagásica experimental, a atividade simpática encontra-se periodicamente aumentada.

  8. Análise histomorfométrica dos cardiomiócitos e deposição de colágeno no músculo cardíaco de ratas ooforectomizadas

    Directory of Open Access Journals (Sweden)

    Maria C.R. Silva

    2016-03-01

    Full Text Available Resumo: Esse estudo objetivou avaliar o efeito da ooforectomia sob os parâmetros histomorfométricos dos cardiomiócitos e quantificação de colágeno em ratas Wistar. Vinte ratas foram utilizadas e separadas em dois grupos: GI - ooforectomizada e GII - sham-ooforectomizada. Após a recuperação anestésica os animais foram acomodados em gaiolas e separados nas condições de ciclo claro/escuro 12/12h por um período de 6 meses. Passado o período experimental, os animais foram anestesiados, o coração retirado e mergulhado em formaldeído a 10%. Os fragmentos dos ventrículos foram submetidos ao processamento histológico e corados com hematoxilina e eosina. As análises histomorfométricas (área celular e área e volume nuclear foram realizadas pelo microscópio de luz e software ImageJ versão 1.44. Os dados foram submetidos à análise ANOVA e quando significantes, complementados pelo teste t de student (p<0,001. Observou-se uma diminuição significativa das áreas celular e nuclear dos cardiomiócitos do grupo GI quando comparado ao grupo GII, bem como a área ocupada, pelo colágeno, no músculo cardíaco foi maior em GI, quando comparado a GII. Diante disso, conclui-se que as alterações observadas nos cardiomiócitos do grupo GI, sugerem uma maior atividade apoptótica nesse grupo, devido à diminuição dos níveis séricos do estrógeno provocado pela ooforectomia e o aumento da área ocupada pelo colágeno, no grupo ooforectomizado, está associada ao efeito cardioprotetor do estrógeno.

  9. Feature Extraction of Stored-grain Insects Based on Ant Colony Optimization and Support Vector Machine Algorithm%基于ACO-SVM的粮虫特征提取研究(英文)

    Institute of Scientific and Technical Information of China (English)

    胡玉霞; 张红涛; 罗康; 张恒源

    2012-01-01

    [Objective] The aim was to study the feature extraction of stored-grain insects based on ant colony optimization and support vector machine algorithm, and to explore the feasibility of the feature extraction of stored-grain insects. [Method] Through the analysis of feature extraction in the image recognition of the stored-grain insects, the recognition accuracy of the cross-validation training model in support vector machine (SVM) algorithm was taken as an important factor of the evaluation principle of feature extraction of stored-grain insects. The ant colony optimization (ACO) algorithm was applied to the automatic feature extraction of stored-grain insects. [Result] The algorithm extracted the optimal feature subspace of seven features from the 17 morphological features, including area and perimeter. The ninety image samples of the stored-grain insects were automatically recognized by the optimized SVM classifier, and the recognition accuracy was over 95%. [Conclusion] The experiment shows that the application of ant colony optimization to the feature extraction of grain insects is practical and feasible.%[目的]研究基于ACO-SVM的粮虫特征提取,探讨粮虫特征提取的可行性。[方法]通过分析储粮害虫图像识别系统中的1个关键环节——特征提取,提出把支持向量机(Support vector machine,简称SVM)算法中交叉验证训练模型的识别率作为储粮害虫特征提取评价准则的1个重要因子,将蚁群优化算法(Ant Colony Optimization,简称ACO)应用于粮虫特征的自动提取。[结果]该算法从粮虫的17维形态学特征中自动提取出面积、周长等7个特征的最优特征子空间,采用参数优化之后的SVM分类器对90个粮虫样本进行分类,识别率达到95%以上。[结论]该研究表明蚁群优化算法在粮虫特征提取中的应用是可行的。

  10. Development and application of the mania rating guide (MRG Desenvolvimento e aplicação do guia para avaliação do estado maníaco (GAEM

    Directory of Open Access Journals (Sweden)

    Flávio Shansis

    2003-06-01

    Full Text Available In this article we present the development and application of the Mania Rating Guide (MRG, a semi-structured interview. This guide was created in order to assist the filling of three mania Scales: Mania Rating Scale, Bech-Rafaelsen Mania Scale and Clinician-Administered Rating Scale for Mania. The MRG consists of twenty-one Psychopathological Dimensions, that correspond to the Items of the original Scales, and are structured in Questions. The guide was applied to fifteen manic patients admitted in the Psychiatric Unit of the Clinical Hospital of Porto Alegre. A psychiatrist interviewed them using the MRG, and the interviews were videotaped. Afterwards, three independent raters scored the Mania scales based on the films. The impression of the raters was that the MRG allows not only to easily score all the Items of the Scales but also to cover the wide spectrum of the symptomatological presentation of a manic syndrome.No presente artigo, são apresentados o desenvolvimento e a aplicação de uma entrevista semi-estruturada, denominada Guia para Avaliação do Estado Maníaco (GAEM. Esse foi elaborado para auxiliar no preenchimento de três escalas de mania: Mania Rating Scale, Bech-Rafaelsen Mania Scale e Clinician-Administered Rating Scale for Mania. O GAEM é formado por vinte e uma Dimensões Psicopatológicas, que correspondem aos Itens das Escalas originais, estruturados na forma de Questões. O Guia foi aplicado em quinze pacientes bipolares em fase maníaca, admitidos na Unidade de Internação Psiquiátrica do Hospital de Clínicas de Porto Alegre. Um psiquiatra os entrevistou utilizando o GAEM, sendo que as entrevistas foram filmadas. Posteriormente, três avaliadores independentes pontuaram as Escalas de Mania a partir das filmagens. A impressão dos avaliadores foi a de que o GAEM permite não só pontuar facilmente todos os Itens das Escalas, como também abarcar o grande espectro da apresentação sintomatológica de uma síndrome maníaca.

  11. Sevoflurano e desflurano sobre o ritmo cardíaco de cães tratados com infusão contínua de doses crescentes de adrenalina

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    Nunes Newton

    2004-01-01

    Full Text Available Os anestésicos inalatórios sensibilizam o miocárdio ou seu sistema de condução à ação das catecolaminas endógenas e/ou exógenas, predispondo o animal às arritmias cardíacas. Dentre os anestésicos voláteis, o sevoflurano e o desflurano são fármacos relativamente recentes e, embora sejam dotados de características relacionadas a não sensibilização do miocárdio às catecolaminas, desconhecem-se estudos que comparem suas eventuais propriedades antiarritmogênicas. Com o objetivo de estudar, comparativamente, o comportamento do ritmo cardíaco e observar eventuais bloqueios atrioventriculares em cães anestesiados pelo sevoflurano e desflurano e submetidos à infusão contínua de adrenalina, foram utilizados 20 animais adultos, os quais foram separados em dois grupos de igual número (G1 e G2. Aos cães do G1, foi administrado propofol, na dose média de 10mmg.kg-1; em seguida os animais receberam sevoflurano, a 1,5CAM. Decorridos 30 minutos do início da administração do anestésico volátil, iniciou-se a infusão de adrenalina na dose de 1mmg.kg-1.min-1. A cada 10 minutos, a dose da catecolamina foi acrescida em uma unidade, cessando-se a administração em 6mmg.kg-1.min-1. Para o G2, empregou-se a mesma metodologia, substituindo-se o sevoflurano pelo desflurano, administrado a 1,5CAM. A cada dose de adrenalina, foi feita contagem de batimentos ventriculares ectópicos, bem como a observação de bloqueios atrioventriculares. Os achados foram tratados pelos métodos estatísticos de Análise de Perfil e Kruskall-Wallis. Os resultados permitiram concluir que o desflurano minimiza de maneira mais eficiente a arritmia induzida pela adrenalina, além de reduzir a incidência de bloqueios atrioventriculares.

  12. Pressão expiratória positiva na via aérea por máscara facial na hemodinâmica de pós-operatórios cardíacos

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    Ana Claudia Borges dos Santos Sena

    2010-10-01

    Full Text Available FUNDAMENTOS: A pressão expiratória positiva na via aérea por máscara facial (EPAP é utilizada no pós-operatório de cirurgias cardíacas, entretanto, seus efeitos hemodinâmicos não foram claramente estudados. OBJETIVO: Avaliar as alterações hemodinâmicas causadas pela EPAP em pacientes pós-cirurgia cardíaca monitorados por cateter de Swan-Ganz. MÉTODOS: Foram incluídos no estudo, pacientes no primeiro ou segundo pós-operatório de cirurgia cardíaca, estáveis hemodinamicamente e com cateter de Swan-Ganz. Eles foram avaliados em repouso e após o uso de 10 cmH2O de EPAP, de forma randomizada. As variáveis estudadas foram: saturação de oxigênio, frequências cardíaca e respiratória, pressões arteriais médias sistêmica e pulmonar (PAM e PAMP, pressões venosa central (PVC e de oclusão da atéria pulmonar (POAP, débito e índice cardíacos, e resistências vasculares sistêmica e pulmonar. Os pacientes foram divididos em subgrupos (com fração de ejeção 50% e os dados foram comparados por teste t e ANOVA. RESULTADOS: Vinte e oito pacientes foram estudados (22 homens, idade média 68 ± 11 anos. Comparando o período de repouso versus EPAP, as alterações observadas foram: POAP (11,9 ± 3,8 para 17,1 ± 4,9 mmHg, p < 0,001; PVC (8,7 ± 4,1 para 10,9 ± 4,3 mmHg, p = 0,014; PAMP (21,5 ± 4,2 para 26,5 ± 5,8 mmHg, p < 0,001; PAM (76 ± 10 para 80 ± 10 mmHg, p = 0,035. As demais variáveis não mostraram diferenças significativas. CONCLUSÃO: A EPAP foi bem tolerada nos pacientes e as alterações hemodinâmicas encontradas mostraram aumento nas medidas de pressão de enchimento ventricular direito e esquerdo, assim como, na pressão arterial média.

  13. Avaliação da correlação entre o dióxido de carbono expirado e o débito cardíaco em pacientes submetidos à cirurgia cardíaca com circulação extracorpórea Evaluación de la correlación entre el dióxido de carbono expirado y el débito cardíaco en pacientes sometidos a la cirugía cardíaca con circulación extracorpórea Correlation between end-tidal carbon dioxide levels and cardiac output during cardiac surgery with cardiopulmonary bypass

    OpenAIRE

    Karina Takesaki Miyaji; Roberto Iara Buscati; Antônio José Arraiz Rodriguez; Luciano Brandão Machado; Luiz Marcelo Sá Malbouisson; Maria José Carvalho Carmona

    2004-01-01

    JUSTIFICATIVA E OBJETIVOS: O CO2 expirado (P ET CO2) reflete, além da ventilação pulmonar (eliminação), a produção de dióxido de carbono (metabolismo) e o fluxo sangüíneo pulmonar (circulação). Quando o metabolismo e a ventilação são constantes, o CO2 expirado reflete o fluxo sangüíneo pulmonar e, desta forma, o débito cardíaco (DC). Este estudo tem como objetivo a avaliação da correlação entre o dióxido de carbono expirado (P ET CO2) e o débito cardíaco em pacientes submetidos à cirurgia car...

  14. ACO Agent Based Routing in AOMDV Environment

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    Kaur Amanpreet

    2016-01-01

    Full Text Available Mobile Ad-hoc Network (MANET is a group of moving nodes which can communicate with each other without the help of any central stationary node. All the nodes in the MANET act as router for forwarding data packets. The nodes in the network also move randomly and there exists no fixed infrastructure. So, path breaks are the frequent problem in MANET. The routing protocol faces a lot of problem due these path breaks. Therefore, the routing protocol which is multipath in nature is more reliable than a unipath routing protocol. Ant colony optimization is a relatively new technique which is suitable for the optimization problems. AOMDV is a multipath routing protocol. Thus, if there happens to be path break, the packets can start following the new path which has already been selected. In this paper, we are trying to add ant’s agents into AOMDV behavior. In this way, the new protocol will be benefited by the dual properties i.e. of ant’s nature and multipath nature of AOMDV. The modified concept is simulated and the outcomes are compared with AOMDV, AODV and DSR routing protocols for few performance parameters. Results obtained are encouraging; the new algorithm performs better than traditional unipath and multipath routing protocols.

  15. Blind Alley Aware ACO Routing Algorithm

    Science.gov (United States)

    Yoshikawa, Masaya; Otani, Kazuo

    2010-10-01

    The routing problem is applied to various engineering fields. Many researchers study this problem. In this paper, we propose a new routing algorithm which is based on Ant Colony Optimization. The proposed algorithm introduces the tabu search mechanism to escape the blind alley. Thus, the proposed algorithm enables to find the shortest route, even if the map data contains the blind alley. Experiments using map data prove the effectiveness in comparison with Dijkstra algorithm which is the most popular conventional routing algorithm.

  16. Perfil clínico dos membros da associação dos celíacos do Brasil: regional de Santa Catarina (ACELBRA-SC Clinical profile of Santa Catarina members of Brazilian Celiac Association

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    Clarissa Araujo Cassol

    2007-09-01

    Full Text Available RACIONAL: A doença celíaca é afecção inflamatória do intestino delgado associada à intolerância permanente ao glúten, que ocorre em indivíduos geneticamente susceptíveis. OBJETIVO: Conhecer as características clínicas e epidemiológicas dessa doença em nosso meio. MÉTODO: Tratou-se de estudo descritivo transversal com amostra não-probabilística selecionada entre os membros da Associação dos Celíacos do Brasil - Regional de Santa Catarina, aos quais foi enviado questionário abrangendo diversos aspectos da doença. RESULTADOS: Dos 506 associados, 145 (28,7% foram incluídos no estudo - todos celíacos confirmados por biopsia. Suas idades variaram entre 3,3 e 82,5 anos (média de 30,8 anos. A maioria era do sexo feminino (proporção de 2 mulheres para 1 homem. A idade média ao diagnóstico foi de 16 anos para os homens e 26,7 para as mulheres. Os principais sintomas relatados foram distensão abdominal (71,8%, dor abdominal (71% e diarréia (65,5%. No sexo masculino, predominaram diarréia e déficit ponderal enquanto que no sexo feminino aftas, constipação e anemia. Apenas 42,1% dos associados foram submetidos a biopsia em momento compatível com o diagnóstico correto de doença celíaca (44,2% relataram biopsia somente em vigência de dieta já isenta de glúten e 11,7% não souberam informar. Quanto aos testes sorológicos, 61,4% realizaram pelo menos um teste. Doenças associadas ou complicações foram relatadas por 65,5%; dessas, a mais freqüente foi a intolerância à lactose (33%. Suplementação vitamínica ou mineral foi indicada em 45% dos casos e 35,2% foram submetidos a densitometria óssea. Desses, 59% relataram um resultado alterado (osteopenia ou osteoporose. CONCLUSÕES: Os resultados apontam para uma tendência de diagnóstico da doença celíaca em idades mais avançadas em nosso meio, especialmente entre as mulheres, e sugerem a necessidade de maiores esclarecimentos do público em geral e da classe m

  17. Uso do óxido nítrico inalatório no tratamento da crise hipertensiva pulmonar no pós-operatório de transplante cardíaco

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    Juan Alberto Cosquillo MEJIA

    2002-09-01

    Full Text Available OBJETIVO: Este trabalho relata a experiência no manuseio da crise hipertensiva pulmonar (CHP refratária, com o uso do óxido nítrico inalatório (NOi no pós-operatório imediato do transplante cardíaco (TC ortotópico. MÉTODOS: De outubro/1997 a fevereiro/2002 foram realizados 31 TC em adultos, sendo incluídos pacientes com RVP ±5,1horas.RESULTADOS: Cinco pacientes (1 mulher, com idade média de 42 anos, fizeram uso de NOi por apresentarem critérios de CHP, todos com sinais de baixo débito cardíaco. O tempo médio de CEC foi de 150,8±34,3 minutos, a média sistólica arterial pulmonar foi de 87mmHg (75-115 e a PO2 média de 60mmHg (FiO2 100%, sendo evidenciada dilatação moderada a severa do ventrículo direito no ETT. Foi administrado NOi durante uma média 35h (6-96, iniciando-se desmame após estabilização hemodinâmica. O tempo médio de ME do doador foi de 27,6±5,5horas, a internação hospitalar média foi de 63 dias (17-145, uma morte ocorreu por sepse no 17º PO e os demais pacientes estão em CF I (NYHA. CONCLUSÕES: O tempo de CEC superior a 120 minutos e tempo de ME do doador superior a 20 horas sugerem fatores de risco para CHP no período pós-operatório imediato do TC. O NOi é uma ferramenta útil no manuseio desta complicação, refratária ao tratamento convencional no POI de pacientes submetidos ao TC.OBJECTIVE: This study reviews our experience with the use of nitric oxide inhalation (NOi in the treatment of the refractory pulmonary hypertensive crisis (PHC during the immediate post-operative period (IPOP of heart transplantation (HT. METHOD: Between Oct/97 and Feb/02, 31 HT in adults were performed. Among them were patients with Pulmonary Vascular Resistance (PVR greater than 6 uW, or patients with PVR greater than 2,5 uW during the pharmacological test. All patients were weaned from the CPB (M=101±21 minutes in use of dobutamine, dopamine and milrinone. In the absence of an adequate response to these drugs

  18. Consenso brasileiro de monitorização e suporte hemodinâmico - parte III: métodos alternativos de monitorização do débito cardíaco e da volemia Brazilian consensus of monitoring and hemodynamic support - part III: alternative methods for cardiac output monitoring and volemia estimation

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    Guilherme Schettino

    2006-03-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A interpretação do débito cardíaco e da pré-carga como números absolutos não traz grandes informações sobre a hemodinâmica do paciente crítico. Em contrapartida, a monitorização da resposta do débito cardíaco à expansão volêmica ou suporte inotrópico é uma ferramenta muito útil na unidade de terapia intensiva, quando o paciente apresenta algum sinal de má perfusão tecidual. Apesar do CAP ser considerado como " padrão-ouro" na avaliação destes parâmetros, foram desenvolvidas tecnologias alternativas bastante confiáveis para a sua monitorização. MÉTODO: O processo de desenvolvimento de recomendações utilizou o método Delphi modificado para criar e quantificar o consenso entre os participantes. A AMIB determinou um coordenador para o consenso, o qual escolheu seis especialistas para comporem o comitê consultivo. Outros 18 peritos de diferentes regiões do país foram selecionados para completar o painel de 25 especialistas, médicos e enfermeiros. Um levantamento bibliográfico na MEDLINE de artigos na língua inglesa foi realizado no período de 1966 a 2004. RESULTADOS: Foram apresentadas recomendações referentes à análise da variação da pressão arterial durante ventilação mecânica, débito cardíaco contínuo por contorno de pulso arterial, débito cardíaco por diluição do lítio, Doppler transesofágico, bioimpedância transtorácica, ecocardiografia e reinalação parcial de gás carbônico. CONCLUSÕES: As novas e menos invasivas técnicas para medida do débito cardíaco, pré-carga e fluidoresponsividade apresentam adequada precisão e podem ser uma alternativa ao uso do CAP em pacientes graves.BACKGROUND AND OBJECTIVES: Cardiac output and preload as absolute data do not offer helpful information about the hemodynamic of critically ill patients. However, monitoring the response of these variables to volume challenge or inotropic drugs is a very useful tool in the

  19. Correlação entre gasometria atrial direita e índice cardíaco no pós-operatório de cirurgia cardíaca Correlation between right atrial venous blood gasometry and cardiac index in cardiac surgery postoperative period

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    João Jackson Duarte

    2010-06-01

    Full Text Available OBJETIVO: Determinar a confiabilidade em se correlacionar o índice cardíaco com os dados fornecidos pela gasometria do sangue venoso atrial direito em pacientes submetidos à cirurgia cardíaca, durante o período pós-operatório. MÉTODOS: A partir das amostras de sangue arterial e venoso do átrio direito, colhidas no pós-operatório de cirurgia cardíaca, foram determinados os parâmetros de oxigênio do sangue venoso do átrio direito. Estes parâmetros foram então comparados com o índice cardíaco determinado pela termodiluição. RESULTADOS: Houve boa correlação entre a saturação de oxigênio do sangue venoso do átrio direito (SvO2, diferença artério-venosa do conteúdo de oxigênio do sangue colhido no átrio direito e o índice cardíaco aferido pela termodiluição, com boa sensibilidade e especificidade e alto valor preditivo positivo e negativo. A pressão do sangue do átrio direito (PvO2 apresentou baixa sensibilidade na estimativa de baixo débito cardíaco. CONCLUSÃO: No pós-operatório de cirurgia cardíaca, a SvO2e a diferença artério-venosa do conteúdo de oxigênio (C(avO2 apresentaram-se como parâmetros confiáveis correlacionados a baixo débito cardíaco. A PvO2 foi pouco sensível no diagnóstico de baixo débito no pós-operatório de cirurgia cardíaca.OBJECTIVE: To determine, even during postoperative period, the confiability of the cardiac index correlate with the data data given by a central atrial venous blood gasometry in patients who underwent cardiac surgery. METHODS: From the sample of arterial and venous blood of right atrium gathered in postoperative of cardiac surgery, it was determinated the hemoglobin concentration and the gasometric study through what was observed of the venous oxygen saturation (SvO2 and the partial pressure of oxygen from venous blood gathered in right atrium (PvO2, add to the calculation of artery-venous difference of the oxygen content - radial artery / right atrium (C

  20. Inibição da corrente de cálcio tipo L por tramadol e enantiômeros em miócitos cardíacos de ratos

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    Emiliano Medei

    2011-10-01

    Full Text Available FUNDAMENTO: O tramadol é um analgésico de ação central cujo mecanismo de ação envolve a ativação de um receptor opioide. Anteriormente, mostramos que o tramadol e seus enantiômeros apresentavam um efeito inotrópico negativo sobre o músculo papilar no qual o (+-enantiômero era mais potente que (-- e (±-tramadol. OBJETIVO: No presente trabalho, investigamos os efeitos do tramadol e seus enantiômeros na corrente de cálcio tipo L (I Ca-L. MÉTODOS: Os experimentos foram realizados em miócitos ventriculares isolados de ratos Wistar utilizando a técnica de patch-clamp com configuração de célula inteira. RESULTADOS: O tramadol (200 µM reduziu a amplitude de pico do I Ca-L em potenciais de 0 a +50 mV. Em 0 mV, a I Ca-L foi reduzida em 33,7 ± 7,2%. (+- e (--tramadol (200 µM produziram uma inibição semelhante da I Ca-L, na qual a amplitude do pico foi reduzida em 64,4 ± 2,8% e 68,9 ± 5,8%, respectivamente a 0 mV (P > 0,05. O tramadol, (+- e (--tramadol mudaram a inativação de estado estacionário de I Ca-L para potenciais de membrana mais negativos. Além disso, tramadol e (+-tramadol alteraram significativamente a curva de recuperação dependente de tempo da I Ca-L para a direita e reduziram a recuperação de I Ca-L da inativação. A constante de tempo foi aumentada de 175,6 ± 18,6 a 305,0 ± 32,9 ms (P < 0,01 para o tramadol e de 248,1 ± 28,1 ms para 359,0 ± 23,8 ms (P < 0,05 para o (+-tramadol. O agonista do receptor µ-opioide (DAMGO não tem nenhum efeito na I Ca-L. CONCLUSÃO: A inibição da I Ca-L induzida por tramadol e seus enantiômeros não teve relação com a ativação de receptores opioides e poderia explicar, pelo menos em parte, seu efeito inotrópico negativo cardíaco.

  1. Imunodepressão induzida por talidomida e ciclosporina em transplante cardíaco heterotópico de coelho Imunodeppression induced by thalidomide and cyclosporine in heterotopic heart transplantation of rabbits

    Directory of Open Access Journals (Sweden)

    João Batista Vieira de Carvalho

    2003-04-01

    Full Text Available OBJETIVO: A talidomida, por seus efeitos antiinflamatórios e imunodepressores, tem sido utilizada no tratamento de doenças dermatológicas e na doença enxerto-contra-hospedeiro no transplante de medula óssea. O objetivo deste trabalho é avaliar a ação deste medicamento como imunodepressor em transplante de órgãos, estudando sua ação isoladamente ou em combinação com a ciclosporina na prevenção da rejeição ao aloenxerto cardíaco heterotópico em coelho. MÉTODO: Foram utilizados 50 coelhos, sendo 25 doadores e 25 receptores.Os animais receptores foram subdivididos em cinco grupos (n= 5 : Grupo I (controle animais não-imunodeprimidos; Grupo II (imunodeprimidos com ciclosporina na dose de 10 mg/kg/dia; Grupo III (imunodeprimidos com talidomida na dose de 100 mg/kg/dia; Grupo IV (imunodeprimidos com ciclosporina na dose de 5,0 mg/kg/dia e Grupo V (imunodeprimidos com ciclosporina na dose de 5,0 mg/kg/dia associada a talidomida na dose de 50 mg/kg/dia. Os medicamentos foram administrados através de cateter orogástrico, a partir do dia anterior ao transplante. RESULTADOS: O coração do doador foi implantado no abdome dos receptores. A associação de talidomida e ciclosporina apresentou o menor escore histopatológico de rejeição (p BACKGROUND: Because of its anti-inflammatory and immunodepressive effects, thalidomide has been used for the treatment of dermatologic diseases and of host-versus-graft disease in patients submitted to bone marrow transplantation. In the present study we evaluated the immunodepressive action of thalidomide alone or in combination with cyclosporine on the prevention of rejection of a heterotopic cardiac allograft in rabbits. METHODS: Fifty rabbits were used, 25 of them as donors and 25 as recipients. Recipient animals were divided into five groups (n = 5 each: Group I (control _ non-immunodepressed animals, Group II (immunodepressed animals with cyclosporine at the dose of 10 mg/kg/day, Group III

  2. Fatores prognósticos de mortalidade em pacientes com trauma cardíaco que chegam à sala de cirurgia Predictors of mortality in patients with cardiac trauma who arrive alive in the operation room

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    Fernando Antonio Campelo Spencer Netto

    2001-04-01

    Full Text Available OBJETIVO: Detectar índices de complicações pós-operatórias e de letalidade, identificando fatores de risco (mecanismo de trauma, sítio da lesão cardíaca, local da intervenção cirúrgica, lesões associadas, necessidade de transfusão e escores anatômicos de trauma em pacientes com traumatismo cardíaco que apresentavam sinais vitais à admissão na sala de operações. MÉTODO: Realizou-se um estudo descritivo e analítico, de cunho retrospectivo, através dos prontuários de 52 pacientes, submetidos à toracotomia para tratamento de lesões cardíacas penetrantes entre julho/91 e março/97 em um centro de trauma no Nordeste do Brasil. RESULTADOS: O instrumento lesivo mais freqüente foi a arma branca em 28 pacientes (53,85%, seguidos pela arma de fogo em 24 (46,15%. A lesão de ventrículo direito isolada ocorreu em 25 casos (48,08%. As medianas dos escores anatômicos de trauma foram: injury severity score (ISS=26; penetrating trauma index (PTI=23; penetrating thoracic trauma index (PTTI=20; e penetrating cardiac trauma index (PCTI=15. A taxa de complicação pós-operatória foi de 36,54% e a de letalidade de 13,45%. O sangramento pós-operatório, a necessidade de reoperação e o uso de mais de três concentrados de hemácias aumentaram o risco relativo de morte. Os escores anatômicos de trauma não estiveram associados a aumento do risco relativo de letalidade. CONCLUSÕES: A maioria dos pacientes com lesão cardíaca desta série apresentou bons fatores prognósticos, justificando a baixa taxa de mortalidade observada.BACKGROUND: The purpose of this study is to outline the postoperative complications, lethality rates and associated risk factors (trauma mechanism, anatomic site injury, location of surgical intervention, associated injuries, transfusion need and anatomic trauma scores in patients with cardiac wounds presenting vital signs at admission in the operation room. METHODS: This is a retrospective and analytic study

  3. Intervenção coronária percutânea utilizando Full Metal Jacket com stents farmacológicos: eventos cardíacos adversos maiores em um ano

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    Rita Calé

    2013-08-01

    Full Text Available FUNDAMENTO: O benefício clínico de intervenção coronária percutânea (ICP para lesões coronárias longas é incerto; além disso, foram levantadas dúvidas questões sobre a sua segurança. OBJETIVO: Avaliar os preditores de eventos cardíacos adversos maiores (ECAM associados à ICP utilizando Full Metal Jacket (FMJ, definido como a sobreposição de stents farmacológicos (SF medindo >60 mm de comprimento, para lesões muito longas. MÉTODOS: Foram incluídos 136 pacientes consecutivos com lesões coronárias longas, requerendo FMJ em nosso cadastro de centro único. O desfecho primário incluiu a ocorrência combinada de todas as causas de morte, infarto do miocárdio (IM e revascularização do vaso alvo (RVA. Variáveis demográficas, clínicas, angiográficas e de procedimento foram avaliadas por meio de análise de regressão de Cox para determinar os preditores independentes de desfecho. RESULTADOS: O comprimento médio do stent por lesão foi de 73,2 ± 12,3 mm e o diâmetro médio do vaso de referência foi de 2,9 ± 0,6 mm. O sucesso angiográfico foi de 96,3%. A ausência de ECAM foi de 94,9% em 30 dias e 85,3% em um ano. No acompanhamento de um ano, a taxa de mortalidade por todas as causas foi de 3,7% (1,5% por mortes cardíacas, a taxa de IM foi de 3,7%, e a incidência de trombose de stent (TS definitiva ou provável foi de 2,9%. O gênero feminino [risco relativo (RR, 4,40; intervalo de confiança de 95% (IC, 1,81-10,66, p = 0,001 e ICP de artéria coronária não direita (RR, 3,49; p = 0,006; IC 95%, 1,42-8,59 foram preditores independentes de ECAM em um ano. A ausência de eventos adversos em um ano foi maior em pacientes com angina estável submetidos à ICP (RR, 0,33; IC 95% 0,13-0,80, p = 0,014. CONCLUSÕES: A ICP utilizando FMJ com SF para lesões muito longas foi eficaz, mas associada a uma alta taxa de TS em acompanhamento de um ano. No entanto, a taxa de mortalidade cardíaca, IM não relacionado a procedimento, e

  4. Transplante cardíaco em Campo Grande - MS. Redução significativa de lesão coronária pós transplante: relato de caso

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    Marcos Vinícius R. P. CALDAS

    1997-04-01

    Full Text Available No Serviço de Cirurgia Cardíaca da Santa Casa de Campo Grande/MS - foi realizado, em 23 de setembro de 1994, um transplante cardíaco ortotópico no paciente C.A.D., 27 anos, portador de miocardiopatia dilatada idiopática, o qual transcorreu sem anormalidades. O paciente recebeu alta da UTI com 7 dias e alta hospitalar no 40º dia de pós-operatório, recebendo ciclosporina, azatioprina e prednisona para manutenção do enxerto, captopril, furosemida e aspirina. Apresentou no 1º ano de seguimento 2 episódios de rejeição, leve e moderada, sendo modificada a posologia dos imunossupressores. Em setembro de 1995, nos exames de seguimento, foi detectada, na coronariografia, lesão obstrutiva de 50% em artéria coronária direita. Decidiu-se modificar a terapêutica do paciente, iniciando diltiazen substituindo o captopril, e associando-se complexo vitamínico (betacaroteno, C e E mais selênio, na tentativa de evitar progressão da lesão obstrutiva. Foi também realizada orientação dietética por nutricionista. Após 12 meses com a nova terapêutica, a coronariografia mostrou redução significativa da lesão obstrutiva em artéria coronária direita. Durante todo o período de seguimento o paciente apresentou níveis normais no lipidograma. Hoje o paciente encontra-se no terceiro ano de seguimento, assintomático e tendo suas atividades habituais sem intercorrências.The Cardiac Surgery Service of Campo Grande, Santa Casa/MS performed on September 23 rd, 1994 an orthotopic cardiac transplantation in a 27 year-old man with idiopathic dilated cardiomyopathy, which elapsed without abnormalities. The patient left the ICU in 7 days and was discharged at 40 th postoperative day, receiving cyclosporine, azathioprine and prednisone for graft support; captopril, furosemide and aspirin. Presented at one year follow-up, 2 rejection episodes, mil and moderate, when the immunesupressivet herapy dose was modified. On September 1995, at follow up, an

  5. Indirect calorimetry can be used to measure cardiac output in septic patients? A calorimetria indireta pode ser utilizada para medir o débito cardíaco em pacientes sépticos?

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    Maria Auxiliadora Martins

    2008-01-01

    Full Text Available PURPOSE: The aim of this study was to compare two different cardiac output (CO monitoring systems based on the thermodilution principle (Thermo-CO and indirect calorimetry (Fick mixed-CO in septic patients. METHODS: Prospective study in septic patients admitted in an intensive care unit of a university hospital. Nineteen patients aged on average 45.4 ± 21.5 years were enrolled in the study. Four series of hourly measurements by the two techniques were carried out simultaneously. RESULTS: No significant differences were observed between Thermo-CO and Fick mixed-CO (7.0 ± 1.8 L.min-1 and 6.4 ± 1.7 L.min-1.. Parallel analysis of Fick mixed-CO and Fick atrial-CO was performed introducing a correction factor for the eight atrial samples in order to adjust the values of oxygen saturation obtained from atrial blood (Fick corrected atrial-CO to those obtained from mixed venous blood. No significant differences could be detected between Fick mixed-CO and Fick corrected atrial-CO. The correlation coefficients of Thermo CO/Fick mixed-CO and Fick mixed-CO/Fick corrected atrial-CO were 0.84 and 0.94, respectively. CONCLUSION: We observed that the agreement between the two methods was satisfactory on the basis of the decisions made for treatment. Indirect calorimetry is useful to measure CO in patients with septic shock.OBJETIVO: O objetivo deste estudo foi comparar as medidas do débito cardíaco (DC obtidas pela termodiluição (DC-termo e pela calorimetria indireta (DC-Fick misto em pacientes com choque séptico. MÉTODOS: Estudo prospectivo em pacientes sépticos internados em unidade de terapia intensiva de um hospital universitário. Foram estudados 19 pacientes (45,4 ± 21,5 anos. Foram realizadas quatro séries de medidas do DC pelos dois métodos, simultaneamente. RESULTADOS: Não houve diferenças significativas entre os valores do DC-termo e DC-Fick misto (7,0 ± 1,8 L.min-1 e 6,4 ± 1,7 L.min-1, respectivamente. Na avaliação dos oito casos

  6. Correlação entre classe funcional e qualidade de vida em usuários de marcapasso cardíaco Correlation between functional class and quality of life among cardiac pacemaker users

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    TMB Cunha

    2007-10-01

    Full Text Available INTRODUÇÃO: Os crescentes avanços tecnológicos desenvolvidos para o tratamento de distúrbios de condução cardíaca vêm proporcionando aos pacientes melhores condições de vida. As escalas de classificação funcional e questionários de qualidade de vida (QV constituem uma forma suplementar de avaliação dos aspectos físicos, emocionais e funcionais dos pacientes. Entretanto, permanece a seguinte questão: existe correlação entre a classe funcional (CF e a percepção da QV em usuários de marcapasso (MP? OBJETIVO: O objetivo do estudo foi avaliar se existe correlação entre classe funcional (CF e QV em portadores de MP cardíaco definitivo. MÉTODOS: Foram avaliados 14 usuários de MP. Para avaliar CF, foi utilizada a escala de atividade específica proposta por Goldman, e, com objetivo de avaliação da QV, foi aplicado o questionário Aquarel associado ao SF-36. Com o objetivo de verificar se existe correlação entre as variáveis, foi aplicado o teste de correlação de Spearman, considerando como significativo aINTRODUCTION: Growing technological progress in treating patients with heart conduction disturbances has provided such patients with better life conditions. Functional classification (FC scales and quality of life (QOL questionnaires are additional means for evaluating patients' physical, emotional and functional characteristics. However, the question remains as to whether there is any association between FC and perception of QOL among pacemaker users. OBJECTIVE: To evaluate whether there is any correlation between FC and QOL among definitive cardiac pacemaker users. METHOD: Fourteen pacemaker users were evaluated. To assess FC, the specific activity scale proposed by Goldman was used. To evaluate QOL, the Aquarel questionnaire was used in association with SF-36. The Spearman correlation test was applied to investigate whether there was any association between the variables, considering p< 0.05 to be significant. The

  7. Assistência de enfermagem a idosos que realizam cateterismo cardíaco: uma proposta a partir do modelo de adaptação de Calista Roy Asistencia de enfermería a ancianos que realizan cateterismo cardíaco: una propuesta a partir del modelo de adaptación de Calista Roy Nursing care to elderly patients undergoing heart catheterization: a proposal according to the Adaptation model of Calista Roy

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    Maria Célia de Freitas

    2006-10-01

    Full Text Available O estudo objetivou identificar os diagnósticos de enfermagem de idosos que realizam cateterismo cardíaco, abordando os aspectos psicossociais, segundo a Teoria de Adaptação de Roy. Desenvolveu-se em hospital de pronto-atendimento em cardiologia de Fortaleza-CE, de janeiro a julho de 2005. Utilizou-se entrevista semi-estruturada, com 18 idosos de ambos os sexos, no pré-cateterismo. Na análise reconheceram-se os diagnósticos: alteração na manutenção da saúde, ansiedade, medo e alteração no processo familiar. Como intervenções propõe-se: criar um clima de confiança, antes do exame; escutar e respeitar sentimentos, crenças e valores, orientar quanto ao procedimento. A utilização desta teoria permitiu reconhecer que as pessoas, mediante estímulos, podem desencadear respostas positivas ou negativas, cabendo ao enfermeiro atuar como mediador.El estúdio objetivó identificar los diagnósticos de enfermería abordando los aspectos psico-sociales de los pacientes que realizan cateterismo cardiaco, según la Teoría de Adaptación de Roy. Se desarrolló en la sección de cardiología de un hospital de Fortaleza-CE, de Janeiro a Julio de 2005. Se utilizó la entrevista semi-estructurada, con 18 ancianos, en el pre-cateterismo. En el análisis reconocieron los diagnósticos: alteración en la manutención de la salud, ansiedad, miedo y alteración en el proceso familiar. Entre las acciones se elaboraron las siguientes: crearse un clima de confianza para el paciente después del examen; escuchar y respetar sentimientos, creencias y valores referentes a la situación; orientar el paciente cuanto al procedimiento. La utilización de esta teoría permitió reconocer que las personas, mediante estímulos, pueden desencadenar respuestas ora positivas ora negativas, cabiendo al enfermero actuar como mediador.The study aimed at identifying the nursing diagnoses related to the psychological and social aspects of elderly patients undergoing

  8. Variáveis perioperatórias de função ventilatória e capacidade física em indivíduos submetidos a transplante cardíaco Perioperative variables of ventilatory function and physical capacity in heart transplant patients

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    Christian Correa Coronel

    2010-06-01

    Full Text Available INTRODUÇÃO: O transplante cardíaco é atualmente a única alternativa cirúrgica amplamente aceita para tratar pacientes com insuficiência cardíaca (IC grave que a terapia medicamentosa otimizada não consiga manter qualidade de vida adequada. OBJETIVO: Descrever e comparar os valores entre pré e pós-operatório, das capacidades física e pulmonar de pacientes que realizaram transplante cardíaco. MÉTODOS: Estudo de coorte retrospectivo composto por indivíduos submetidos ao transplante cardíaco, entre janeiro de 2001 a março de 2005, no IC-FUC/RS. RESULTADOS: Foram incluídos na análise 21 indivíduos. Observou-se redução dos valores de volumes e capacidades pulmonares (VEF1 e CVF no 1º dia de pós-operatório em relação ao pré-operatório (PINTRODUCTION: Heart transplantation is currently the only widely accepted surgical alternative to treat patients with severe heart failure (HF drug therapy cannot maintain optimal quality of life appropriate. OBJECTIVE: To describe and to compare the values between pre-and postoperative physical capacity and pulmonary patients who underwent heart transplantation. METHODS: A retrospective cohort composed of patients undergoing heart transplantation between January 2001 to March 2005 in IC-FUC/RS. RESULTS: Were included in the 21 individuals. We observed decreased levels of volume and lung capacity (FEV1 and FVC in the first days after surgery compared to preoperatively (P <0.001 and recovery of these values in the 14th postoperative day (P <0.001. The values of muscle strength showed similar trends in reducing post-operative period compared to preoperative (P <0.001 and recovered on the 14th postoperative day (P <0.001. A useful functional capacity, measured by testing 6-minute walk test (T6' showed improvement in the 14th postoperative day in relation to pre-operatively (P <0.001. CONCLUSION: Changes in ventilatory function of subjects undergoing cardiac transplantation are predictable, but

  9. Pressão pulmonar aferida pela ecocardiografia em pacientes chagásicos indicados para transplante cardíaco Pulmonary pressure by echocardiophy in chagasic patients on heart transplant waiting list

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    Cláudio Léo Gelape

    2011-03-01

    Full Text Available INTRODUÇÃO: O paciente com insuficiência cardíaca desenvolve aumento da pressão pulmonar por mecanismo retrógrado e a hipertensão arterial pulmonar (HP é um marcador de mau prognóstico. OBJETIVO: Correlacionar pressão pulmonar ao ecogardiograma (eco e ao cateterismo, em pacientes em lista de espera para transplante cardíaco (TC, especialmente nos chagásicos. MÉTODOS: Avaliamos 90 pacientes no HC-UFMG entre 2004 e 2009. Todos realizaram cateterismo e eco no pré-transplante. A idade média foi de 45,5 anos, sendo 68(75,6% homens, 42(46,7% chagásicos, 32(35,6% portadores de miocardiopatia dilatada e 10(11,1% isquêmicos. RESULTADOS: A eco-PSAP (pressão sistólica arterial pulmonar média foi de 45 ± 12mmHg. A cat-PSAP média foi de 47 ± 14mmHg. A eco-PSAP-chagásicos foi 41,7 ±12,5 mmHg e não-chagásicos, 47,6 ±12,8 mmHg P=0,04. A cat-PSAP-chagásicos foi de 46 ±12,1 mmHg e não-chagásicos 48,7±12,8mmHg; P=0,43. Oito pacientes apresentavam cat-PSAP>60. A correlação entre a eco-PSAP e o cat-PSAP nos chagásicos foi r=0,45, P=0,008 e nos não-chagásicos de r=0,66, P32,5mmHg tem uma sensibilidade de 79% e especificidade de 75% para diagnosticar HP, com área sob a curva ROC de 0,819. A eco-PSAP-não chagásico>35,5 mmHg tem sensibilidade de 82% e especificidade de 70% para HP, com área sob a curva ROC de 0,776. CONCLUSÕES: Há boa correlação entre a eco-PSAP e a cat-PSAP (r=0,54 entre os pacientes em fila de espera. A eco-PSAP foi menor no grupo dos chagásicos. O ecocardiograma é um método útil para diagnosticar e monitorar a pressão pulmonar previamente ao TC, especialmente em pacientes chagásicos. Entretanto, não é possível prescindirmos do cateterismo para avaliar a reatividade pulmonar com o teste com vasodilatador e indicar com segurança o TC mesmo nos pacientes chagásicos.INTRODUCTION: The patients suffering heart failure develop an increase in pulmonary pressure because of a retrograde mechanism. The

  10. Validação de conteúdo das atuais e de novas características definidoras do diagnóstico de enfermagem débito cardíaco diminuído Validación de contenido de las actuales y nuevas características que definen el diagnostico de enfermería: disminución del gasto cardíaco Content validation of current and new defining characteristics of the nursing diagnosis: decreased cardiac output

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    Juliana de Lima Lopes

    2010-01-01

    Full Text Available OBJETIVO: Validar o conteúdo das características definidoras, tanto aquelas atualmente aprovadas como as identificadas por meio de revisão de literatura, para o diagnóstico de enfermagem Débito Cardíaco Diminuído. MÉTODOS: Trata-se de um estudo de validação de conteúdo utilizando o modelo proposto por Fehring. As características definidoras foram validadas por 18 peritos (oito enfermeiros e dez médicos, usando uma escala do tipo Likert de cinco pontos e seguindo a classificação: escore maior do que 0,80 foram consideradas como as características principais, as com peso entre 0,50 a 0,79 como secundárias e as com média menor ou igual a 0,50, como irrelevantes. RESULTADOS: Dentre as 79 características definidoras investigadas, 38 (48,1% foram validadas, dentre elas, 17 presentes na NANDA-I e, 41 (51,9% foram consideradas como irrelevantes para este diagnóstico, sendo que oito estão listadas na NANDA-I. CONCLUSÃO: As características definidoras listadas atualmente na classificação da Taxonomia da NANDA-I não abrangem completamente o diagnóstico de enfermagem débito cardíaco diminuído.OBJETIVO: Validar el contenido de las características definidoras, tanto de las actualmente aprobadas como las identificadas por medio de una revisión de la literatura, para el diagnóstico de enfermería: disminución del gasto cardíaco. MÉTODOS: Se trata de un estudio de validación de contenido utilizando el modelo propuesto por Fehring. Las características definidoras fueron validadas por 18 expertos (ocho enfermeros y diez médicos, usando una escala de tipo Likert de cinco puntos y siguiendo la siguiente clasificación: las con puntaje mayor que 0,80 fueron consideradas como características principales; las con peso entre 0,50 y 0,79 como secundarias; y, las con promedio menor o igual a 0,50, como irrelevantes. RESULTADOS: Entre las 79 características definidoras investigadas, 38 (48,1% fueron validadas, entre ellas, 17 se

  11. ON ACO-BASED ENERGY-AWARE ROUTING PROTOCOL FOR MOBILE AD HOC NETWORKS AND ITS PARAMETERS OPTIMISATION%基于蚁群优化的无线自组织网络能量感知路由协议与参数优化研究

    Institute of Scientific and Technical Information of China (English)

    任敬安; 涂亚庆; 张敏; 蒋银华

    2012-01-01

    蚁群优化ACO(Ant Colony Optimization)作为一种模拟进化算法,具有信息正反馈、分布式计算和多agent协同的特点,在求解复杂优化问题方面体现出许多优越性.提出基于ACO的无线自组织网络能量感知路由协议ABEAR(Ant-Based Energy-Aware Routing).协议按需发送人工蚂蚁进行路由发现,根据信息素浓度、节点能量和链路使用情况综合选择下一跳节点来转发数据包,尽量避开信道使用频率较高的路径,还可根据节点通信活动情况将空闲节点转入睡眠状态来节省能量消耗.由于蚁群参数的取值对于ACO算法的性能有着非常重要的影响,因此在分析三个关键参数(信息素挥发系数ρ、信息素权重因子α、剩余能量和链路拥塞指标权重因子β)对ABEAR性能的影响基础上,在NS2平台上进行了仿真实验,对参数优化的效果进行了对比,并总结出了参数值设定的具体步骤.%Ant colony optimisation is a simulated evolutionary algorithm which is characterised with a positive feedback, distributed computation and multi-agent synergy. It shows many advantages in solving complicated optimisation problems. This paper puts forward an ACO-based energy-aware routing protocol ( ABEAR) for mobile Ad Hoc networks. ABEAR sends out artificial ants to find paths to the destination node reactively, selects comprehensively the next hop to forward data packets based on the pheromone density, the nodes energy and the link usage situation. ABEAR tries hard to make channel avoid the paths highly occupied and can make idle node turn to sleeping state to conserve energy according to the communication situation of nodes. The selection on parameters of the ACO algorithm plays an important role for the performance of the algorithm, therefore, in this paper, the influence of three key parameters, the pheromone evaporating factor ρ, the weight of pheromone α and the weight of the remaining energy & link congestion metric

  12. Inventory of Ammonia Emissions from Livestock Production in Los Lagos and Los Ríos Regions, Chile Inventario de Emisiones de Amoníaco de la Producción Pecuaria de las Regiones de Los Lagos y de Los Ríos, Chile

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    Josué Martínez-Lagos

    2010-03-01

    Full Text Available This paper presents the first inventory of ammonia emissions from livestock production in Los Lagos and Los Ríos Regions of Chile. The inventory was focused in this area because is where cattle production is concentrated. This study aimed to quantify the amount of N losses due to ammonia volatilization from livestock production in these regions of the country, and to provide its spatial representation identifying their main sources. Calculations have been carried out for 1997 and 2007, and also projections to 2017 and 2027 were obtained. Calculated emissions were 6097 and 6206 t NH3-N for 1997 and 2007, respectively. Major sources of NH3-N emissions were cattle accounting for more than 85%, followed by horses and pigs. Farm management practices as grazing, housing, manure storage and land spreading of manure accounted for 87%, 9%, 3%, and 2%, respectively, of total annual emissions. Projections suggest that emissions could increase up to 6344 and 6516 t NH3-N for 2017 and 2027, respectively. Emissions are much lower than those reported for developed European countries. However, intensification of cattle production systems may lead to an increase of ammonia emissions which could impact the temperate forest of Southern Chile characterized by low nutrient fluxes.Este artículo presenta el primer inventario de emisiones de amoníaco de la producción pecuaria de las Regiones de Los Lagos y Los Ríos de Chile, porque esta área concentra la producción chilena de ganado bovino. Este estudio tuvo como objetivos cuantificar las pérdidas de N por volatilización de amoníaco emitidas desde la producción animal en estas regiones del país, y proveer su representación espacial identificando las principales fuentes de emisión. Los cálculos fueron realizados para 1997 y 2007; y desde el año base se proyectaron emisiones para los años 2017 y 2027. Las emisiones calculadas fueron 6097 y 6206 t NH3-N para 1997 y 2007, respectivamente. Las principales

  13. Importância da toxicidade pulmonar pela amiodarona no diagnóstico diferencial de paciente com dispnéia em fila para transplante cardíaco The importance of amiodarone pulmonary toxicity in the differential diagnosis of a patient with dyspnea awaiting a heart transplant

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    Christiano Pereira Silva

    2006-09-01

    Full Text Available A amiodarona é um antiarrítmico da classe III, amplamente utilizado em arritmias ventriculares¹. Farmacologicamente é classificado como uma drogra ampifílica catiônica, pelos seus constituintes polares e apolares. Nos últimos anos, a amiodarona obteve destaque pelo seu uso em portadores de disfunção ventricular por qualquer etiologia, em especial a chagásica, quando ocorrem arritmias ventriculares². Entretanto, a despeito de seus benefícios hemodinâmicos e eletrofisiológicos, a amiodarona produz efeitos colaterais relevantes, como coloração azulada da pele, fotossensibilidade, disfunção tireoidiana, depósito corneal, neuropatia periférica, supressão da medula óssea, hepatite, bloqueios cardíacos, pneumonites e outros³. Este relato de caso se propõe a abordar uma de suas mais sérias complicações, a toxicidade pulmonar, aqui especialmente descrita como diagnóstico diferencial em um paciente chagásico que aguardava em fila de transplante cardíaco. Pneumonite por amiodarona constitui-se em um importante diagnóstico diferencial entre os pacientes que se apresentam na sala de emergência com dispnéia, quando estes são portadores de insuficiência cardíaca (IC e estão em uso dessa droga.Amiodarone is a class III antiarrhythmic medication used extensively to treat ventricular arrhythmias¹. It is pharmacologically classified as a cationic amphiphilic drug due to its polar and apolar components. During the past few years, amiodarone has proved to be an effective treatment therapy for patients with ventricular dysfunctions, regardless of the etiology, and in particular ventricular arrhythmia associated with Chagas disease². Nevertheless, despite its hemodynamic and electrophysiological benefits, amiodarone produces serious collateral effects such as a bluish skin discoloration, photosensitivity, thyroid dysfunction, corneal deposit, peripheral neuropathy, bone marrow suppression, hepatitis, heart blocks, pneumonitis

  14. Perfil clínico de pacientes chagásicos e não-chagásicos portadores de marca-passo cardíaco artificial Clinical profile of Chagas and non-Chagas' disease patients with cardiac pacemaker

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    Leonor Garcia Rincon

    2006-06-01

    Full Text Available O objetivo do estudo foi comparar pacientes chagásicos e não-chagásicos com marca-passo cardíaco artificial uni ou bicameral quanto à fração de ejeção do ventrículo esquerdo, o limiar de estimulação ventricular e a incidência de arritmias cardíacas. Entre janeiro/2001 e novembro/2002 foram avaliados 45 pacientes chagásicos e 35 não-chagásicos portadores de marca-passo quanto à história clínica, radiografia do tórax, ecocardiograma, Holter 24h e análise telemétrica do marca-passo. Embora os chagásicos fossem mais jovens, os dois grupos foram semelhantes quanto a variáveis radiológicas e o limiar de estimulação ventricular direito. Os chagásicos apresentaram menor fração de ejeção do ventrículo esquerdo ao ecocardiograma e maior incidência de arritmia ventricular ao Holter 24h. Observou-se correlação positiva entre a baixa fração de ejeção do ventrículo esquerdo e a intensidade da arritmia ventricular ao Holter 24h. Em pacientes com marca-passo, a doença de Chagas está associada a marcadores cardíacos de prognóstico adverso.The aim of this study was to compare Chagas and non-Chagas' disease patients using single or dual-chamber pacemaker in relation to the ejection fraction of the left ventricle, the ventricular stimulation threshold and the occurrence of ventricular arrhythmia. From January, 2001 to November, 2002, 45 Chagas' disease patients and 35 non-Chagas' disease patients, all pacemaker users, were evaluated considering clinical history, echocardiographic study, Holter monitoring and analysis of the pacemaker telemetry data. Chagas' disease patients were significantly younger, but both groups were similar when chest X-Ray variables and right ventricular stimulation threshold were analyzed. Chagas' disease patients had a lower left ventricular ejection fraction and more frequent ventricular arrhythmia during Holter monitoring. A positive correlation between the low ejection fraction of the left

  15. Taponamiento cardíaco tras cambio de catéter venoso central, sobre guía, para nutrición parenteral total: ¿Lo podemos evitar? Cardiac blockade after changing central venous catheter, on a guide, for total parenteral nutrition: Can it be avoided?

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    C. González Fernández

    2003-02-01

    Full Text Available La cateterización de venas centrales es un proceso rutinario, sobre todo en enfermos graves. Es una técnica en la que están descritas múltiples complicaciones, afortunadamente no muy frecuentes, y en relación con la pericia del que la realiza. El taponamiento cardíaco es una de estas infrecuentes complicaciones, con muy elevada mortalidad. Describimos un caso en el que por sospecha, diagnóstico precoz y tratamiento inmediato se siguió de éxito en las maniobras de recuperación del enfermo. Asimismo, se revisa la literatura y se analizan los posibles mecanismos de estos episodios.Catheterization of central veins is a routine process, especially in severely-ill patients. It is a technique associated with multiple potential complications, fortunately infrequent, depending on the skill with which it is performed. Cardiac blockade is one of these infrequent complications with a high mortality. We describe a case in which suspicion, early diagnosis, and immediate manipulative treatment allowed a successful recovery of the patient. In addition, the literature is reviewed and possible mechanisms involved in these episodes are discussed.

  16. Transplante cardíaco: complicações apresentadas por pacientes durante a internação Trasplante de corazón: complicaciones que presentan los pacientes durante la hospitalización Heart Transplantation: complications presented by patients during the hospitalization

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    Elaine Araújo da Silva

    2012-12-01

    Full Text Available Com o avanço da ciência, a insuficiência cardíaca tem como possibilidade de intervenção o transplante cardíaco. Este trabalho teve como objetivos traçar o perfil demográfico dos pacientes submetidos ao transplante cardíaco e identificar as complicações apresentadas durante a internação. Trata-se de um estudo descritivo, quantitativo, realizado com 44 prontuários de pacientes submetidos a transplante de junho/2006 a julho/2009 em um Hospital Universitário de Belo Horizonte, Minas Gerais, Brasil. O projeto atendeu às recomendações da Resolução 196/96. Pelos resultados, a maioria dos pacientes era do sexo masculino, casada, escolaridade de nível fundamental e idade média de 45,2 anos. A miocardiopatia chagásica foi a principal causa de insuficiência cardíaca. As complicações predominantes foram alteração da glicemia, insuficiência renal e infecções. A taxa de mortalidade na internação foi de 20,4%. Além das complicações biológicas só foram registradas ansiedade e depressão. São necessárias pesquisas sobre o tema nos âmbitos psicossociais e espirituais, contribuindo para o desenvolvimento científico.Hoy día, con los avances de la medicina y de la tecnología para el tratamiento de la insuficiencia cardiaca irreversible, se ha utilizado como última intervención el trasplante cardíaco. Este trabajo se desarrolló con los objetivos de delinear el perfil demográfico de los pacientes sometidos a trasplante cardíaco e identificar las complicaciones presentadas por ellos después del trasplante de corazón. Estudio descriptivo y cuantitativo, realizado en conjunto con los registros de 44 pacientes sometidos a trasplante de corazón desde Jun/2006 hasta Jul/2009, en un Hospital Universitario de Belo Horizonte, Minas Gerais, Brasil. El proyecto cumplió con las recomendaciones de la Resolución 196/96. Los resultados mostraron que la mayoría de los pacientes eran del sexo masculino, casados, con educaci

  17. Avaliação da correlação entre o dióxido de carbono expirado e o débito cardíaco em pacientes submetidos à cirurgia cardíaca com circulação extracorpórea Evaluación de la correlación entre el dióxido de carbono expirado y el débito cardíaco en pacientes sometidos a la cirugía cardíaca con circulación extracorpórea Correlation between end-tidal carbon dioxide levels and cardiac output during cardiac surgery with cardiopulmonary bypass

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    Karina Takesaki Miyaji

    2004-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O CO2 expirado (P ET CO2 reflete, além da ventilação pulmonar (eliminação, a produção de dióxido de carbono (metabolismo e o fluxo sangüíneo pulmonar (circulação. Quando o metabolismo e a ventilação são constantes, o CO2 expirado reflete o fluxo sangüíneo pulmonar e, desta forma, o débito cardíaco (DC. Este estudo tem como objetivo a avaliação da correlação entre o dióxido de carbono expirado (P ET CO2 e o débito cardíaco em pacientes submetidos à cirurgia cardíaca com circulação extracorpórea (CEC. MÉTODO: Foram estudados 25 pacientes submetidos à cirurgia de revascularização miocárdica com CEC. Após a intubação traqueal iniciou-se a monitorização da P ET CO2. A determinação do débito cardíaco (DC foi feita por método de termodiluição com o uso de cateter de Swan-Ganz e a PaCO2 foi avaliada através de gasometria arterial. Os parâmetros do estudo foram avaliados em quatro momentos: logo após a indução da anestesia geral; antes da circulação extracorpórea, ao término da circulação extracorpórea e ao final da cirurgia. RESULTADOS: O teste estatístico não demonstrou uma correlação entre o CO2 expirado e o DC, assim como o gradiente de dióxido de carbono arterial e expirado (Ga-eCO2 e o DC. Foi encontrada correlação entre a variação dos valores da P ET CO2, Ga-eCO2 e DC em relação ao basal antes da CEC com perda da correlação após a CEC até o final da cirurgia. CONCLUSÕES: Neste estudo, onde se avaliam pacientes submetidos à cirurgia cardíaca com CEC, as alterações de relação ventilação/perfusão ocorridas ao longo do procedimento são, provavelmente, os fatores determinantes da diminuição da correlação entre o débito cardíaco e o valor de dióxido de carbono expirado.JUSTIFICATIVA Y OBJETIVOS: El CO2 expirado (P ET CO2 refleja, además de la ventilación pulmonar (eliminación, la producción de dióxido de carbono (metabolismo y el

  18. ANÁLISIS DE LA CALIDAD DEL REGISTRO DE PARO CARDÍACO EN CASOS DE RESPONSABILIDAD MÉDICO LEGAL EN MÉDICOS GENERALES, 1999-2007 Quality of cardiac arrest records in cases of medical responsibility, 1999-2007

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    Gabriel Barragán

    2009-01-01

    Full Text Available Antecedentes. El registro del paro cardíaco es una actividad que se debe acompañar en la reanimación cerebro cardio pulmonar. En Colombia no existe un formato de registro oficial de paro cardiorrespiratorio, lo que dificulta la investigación en reanimación y la conducción de los procesos de responsabilidad médica que se deriven de esta atención. Objetivo. Analizar la calidad del registro de paro cardíaco en casos de responsabilidad médico legal iniciada a médicos generales que tuvieron asesoría científica del Fondo para Auxilio de Demandas de la Sociedad Colombiana de Anestesiología y Reanimación (SCARE-FEPASDE, 1999-2007. Material y métodos. Se realizó una investigación tipo serie de casos, en donde se incluyeron los casos de paro cardiorrespiratorio que tuvieron demanda médico legal y que fueron atendidos por médicos generales, entre 1999 y 2007, y que requirieron asesoría jurídica por SCAREFEPASDE. La información se registró en tablas de Excel®, según las recomendaciones Utstein. La calificación de calidad se hizo por tres médicos expertos en responsabilidad médica de manera independiente. Se utilizó un formato de calificación sobre la proporción de registros realizados sobre 25 ítem posibles. La calidad se consideró alta (mayor de 95% ítem, media (70-94% ítem y baja (menor de 70%. En los casos de desacuerdo se realizó consenso. Resultados. Se incluyeron en total 83 casos. La calidad del registro del paro fue media en 49 casos (59%, baja en 32 casos (39% y alta en dos casos. Conclusión. El registro de paro cardiorrespiratorio en casos de responsabilidad médica es de mediana calidad, por lo que no se alcanza a cumplir con los estándares internacionales y las guías al estilo Utstein.Background. Cardiac arrest must be recorded when occurring during cardiopulmonary resuscitation. There is no official registration form for cardiac arrest in Colombia, thereby hampering research in resuscitation and managing

  19. Efeitos do exercício aeróbico e anaeróbico em variáveis de risco cardíaco em adultos com sobrepeso Effects of aerobic and anaerobic exercise on cardiac risk variables in overweight adults

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    Mônica Medeiros Moreira

    2008-10-01

    Full Text Available FUNDAMENTO: O exercício físico aeróbico é importante aliado no combate aos fatores de risco cardiovascular. No entanto, os efeitos de exercícios de alta intensidade sobre tais fatores ainda são pouco conhecidos. OBJETIVO: Comparar os efeitos de protocolos de exercícios aeróbico e anaeróbico sobre fatores associados ao risco cardíaco. MÉTODOS: Vinte e dois indivíduos com idade média de 40±8 anos foram alocados nos grupos: controle (CO, treinamento de endurance (ET e treinamento intermitente (IT. Os protocolos tiveram duração de 12 semanas, três vezes por semana; e intensidades de 10% abaixo e 20% acima do limiar anaeróbico (LAn. Foram medidas: massa corporal total (MCT, índice de massa corporal (IMC, circunferências de cintura (CINT e quadril (QUA e a composição corporal, além das concentrações plasmáticas de glicose (GLI, colesterol total (CHO e triglicérides (TG; ainda foram calculados a razão cintura-quadril (PCCQ e o índice de conicidade (Índice C. RESULTADOS: As variáveis de MCT, IMC, CINT, GLI e a composição corporal apresentaram alterações significativas nos grupos ET e IT. Os valores de CHO e QUA foram significativamente reduzidos no grupo ET, enquanto a PCCQ mostrou redução significativa no grupo IT. O LAn e o índice C, no grupo IT foram significativamente diferentes em relação a ET. CONCLUSÃO: Tendo em vista as diferenças encontradas nas respostas das variáveis estudadas, em razão do treinamento empregado, concluímos que um programa de exercício que contemple atividades de alta e baixa intensidades seja mais completo para garantir a redução de maior número de variáveis de risco cardíaco.BACKGROUND: Aerobic exercise is an important ally in the fight against cardiovascular risk factors. However, the effects of high-intensity exercise on these factors are still poorly known. OBJECTIVE: To compare the effects of aerobic and anaerobic exercise protocols on cardiac risk factors. METHODS: 22

  20. Perspectivas da evolução clínica de pacientes com cardiomiopatia chagásica listados em prioridade para o transplante cardíaco Clinical perspectives of patients with Chagas cardiomyopathy listed as high priority for heart transplantation

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    Luiz Felipe P. Moreira

    2005-09-01

    Full Text Available INTRODUÇÃO: O choque cardiogênico é responsável por elevados índices de mortalidade na fila de espera para o transplante cardíaco. Na cardiomiopatia chagásica, a alta incidência de disfunção biventricular pode contribuir com a gravidade desta complicação. MÉTODO: Foram estudados 141 pacientes indicados em caráter de prioridade para o transplante. Destes pacientes, 46 eram portadores de cardiomiopatia chagásica e 95 de outras cardiomiopatias. O choque cardiogênico foi tratado farmacologicamente e com o implante ocasional do balão intra-aórtico. Em cinco pacientes chagásicos, foi realizado o implante de dispositivo paracorpóreo de assistência ventricular esquerda. RESULTADOS: Num período médio de 2,8 meses, 58 (41,1% dos 141 pacientes foram transplantados, 73 (51,7% faleceram e 10 foram retirados da fila. A mortalidade entre os pacientes chagásicos e não chagásicos foi de 45,6% e 54,7%, respectivamente. No entanto, a expectativa média de vida, sem a realização do transplante cardíaco, dos pacientes chagásicos foi de apenas 1,5 meses, sendo observado risco relativo de mortalidade de 1,6 para estes pacientes em relação aos não chagásicos (pINTRODUCTION: Heart failure is responsible for high mortality rates of patients on heart transplantation waiting lists. In Chagas cardiomyopathy, the presence of biventricular dysfunction increases the severity of this situation. METHOD: One hundred and forty-one patients suffering from cardiogenic shock, listed as high priority for heart transplantation, were studied. Forty-six patients presented with Chagas cardiomyopathy and 95 with other cardiomyopathies. Heart failure was treated using intravenous inotropic drugs and intra-aortic balloon pump implantation. Five patients with Chagas disease underwent paracorporeal left ventricular assist device implantation. RESULTS: During a mean follow-up of 2.8 months, 58 (41.1% of the 141 patients were transplanted, while 73 (53.7% died

  1. Diagnósticos de Enfermagem em pacientes pós-cateterismo cardíaco: contribuição de Orem Diagnósticos de Enfermería en pacientes post-cateterismo cardiaco: contribuición de Orem Nursing Diagnoses in patients after heart catheterization: contribution of Orem

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    Luciano Ramos de Lima

    2006-06-01

    Full Text Available Estudo de múltiplos casos, transversal, envolvendo 30 clientes, no período pós-cateterismo cardíaco. Objetivou estabelecer Diagnósticos de Enfermagem da North American Nursing Diagnosis Association (NANDA. O método de coleta de dados foi o Processo de Enfermagem fundamentado na Teoria Déficit do Autocuidado. Foram estabelecidos 25 diferentes Diagnósticos de Enfermagem. Todos os pacientes apresentaram Integridade tissular prejudicada; Risco para infecção; Dor aguda (região inguinal; Mobilidade física prejudicada, Déficit do autocuidado para higiene íntima e Risco para lesão orgânica renal. Conclui-se que a Teoria do Déficit de autocuidado facilitou a classificação de Diagnósticos de Enfermagem da NANDA, contribuindo para individualização, humanização e qualificação da assistência de enfermagem, além de promover o auto-conhecimento, auto-controle e a participação dos clientes no próprio cuidado.Estudio transversal de múltiplos casos, incluyendo 30 pacientes, en período post-cateterismo cardíaco. Con el objectivo de establecer Diagnósticos de Enfermería de North American Nursing Diagnosis Association (NANDA-Asociación Norteamericana de Diagnósticos de Enfermería.El método de recolecta de datos fue el Proceso de Enfermería, fundamentado en la Teoría de Déficit del Autocuidado de Dorothea Orem. Fueron establecidos 25 diferentes Diagnósticos de Enfermería. Todos los pacientes presentaron perfusión tisular perjudicada; Riesgo para infección; Dolor aguda em la región ingle, Movilidad física prejudicada. Déficit de autocuidado para higiene íntima y riesgo para lesión orgánica renal fue identificado en 100% de los pacientes. Se concluye que, la Teoría de Déficit de Autocuidado de Dorothea Orem, facilitó la clasificación de Diagnósticos de Enfermería de NANDA. Contribuyó para individualización, humanización y calificación de la asistencia de enfermería, incentivando la participación del

  2. LUCHA TEMPERANTE Y ‘AMOR LIBRE’. ENTRE LO PROMETEICO Y LO DIONISÍACO: EL DISCURSO MORAL DE LOS ANARQUISTAS CHILENOS AL DESPUNTAR EL SIGLO XX THE STRUGGLE FOR TEMPERANCE AND ‘FREE LOVE’. BETWEEN THE PROMETHEAN AND THE DIONYSIAN: THE MORAL DISCOURSE OF THE CHILEAN ANARCHIST AT THE BEGINNING OF THE TWENTIETH CENTURY

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    Eduardo A Godoy Sepúlveda

    2011-06-01

    Full Text Available En el siguiente artículo se aborda el discurso moral de los anarquistas chilenos de comienzos del siglo XX en torno al consumo de alcohol y las prácticas amorosas, a partir de las categorías analíticas del sociólogo francés Michael Maffesoli. Se postula que el discurso anarquista transitó indistintamente entre lo "prometeico" y lo "dionisíaco", ya que mientras, por una parte, la prensa ácrata repudió acérrimamente el consumo de alcohol, en tanto permitía la reproducción de la dominación política (y la subyugación económica de las clases dominantes, por otra, pregonó fórmulas amatorias antagónicas a las tradicionales, el "amor libre", sin ataduras jurídicas, ni religiosas.In the following article there is approached the moral speech of the Chilean anarchists of beginning of the 20th century concerning the consumption of alcohol and the loving practices from the analytical categories of the French sociologist Michael Maffesoli. It is postulated that the anarchistic speech passed indistinctly among the "promethean theory" and the "Dionysian thing", since that on one hand, the nonconformist press repudiated the consumption of alcohol, while, it was allowing the reproduction of the political domination and economic subjugation, on the other hand, it bet for antagonistic formulae of love on the traditional ones, the "free love ", without juridical ties, not religious.

  3. Baixas doses de óxido nítrico na seleção dos pacientes candidatos a transplante cardíaco com hipertensão pulmonar Low doses of nitric oxide in the selection of candidates to heart transplantation with pulmonary hypertension

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    Juan Alberto Cosquillo MEJIA

    2001-03-01

    Full Text Available A disfunção do ventrículo direito no pós-operatório do transplante cardíaco é uma complicação freqüente com morbimortalidade elevada. A avaliação hemodinâmica pulmonar dos candidatos precisa, às vezes, do emprego de prova farmacológica com o uso de drogas endovenosas vasodilatadoras tipo nitroprussiato de sódio (NTPNa, visando reduzir os níveis de pressão e resistência vascular pulmonar (RVP elevados a níveis compatíveis com os protocolos de inclusão dos Programas de Transplante Cardíaco. Valores de RVP acima de 6 unidades Wood sem droga vasodilatadora, ou acima de 2,5 com a utilização destas, excluem os pacientes do Programa. Entre janeiro de 1997 e janeiro de 2000 foram submetidos a cateterismo direito, 40 pacientes candidatos a transplante. A maioria homens, com idade mé (±12 anos. As etiologias mais encontradas foram miocardiopatia dilatada idiopática (59% e miocardiopatia isquêmica (25%. Todos em CF IV da NYHA, com fração de ejeção média do ventrículo esquerdo de 0,21 (± 0,03. A monitorização do débito cardíaco (DC, pressão da artéria pulmonar (PAP e RVP foi feita pelo método contínuo, utilizando para isto cateter de artéria pulmonar especial. Em 5 pacientes a prova farmacológica foi interrompida devido aos efeitos sistêmicos do NTPNa com queda da PAM, RVP e DC. Todos foram submetidos a inalação de óxido nítrico (NO por máscara, a uma dose de 20 ppm durante 10 minutos. Em 3, a RVP reduziu de 7,8 (±0,88 para 2,4 (±0,36 unidades Wood, e eles foram incluídos no Programa de Transplante. Nos outros 2, apesar de doses de NO de 20,30 e 40 ppm, a redução foi de 8,4 (±2,12 para 4,9 (±0,42 unidades Wood, ou seja, insuficiente para serem incluídos nos Programas de Transplante. Não tivemos óbitos, nem complicações durante os procedimentos. O NO inalatório na avaliação hemodinâmica dos candidatos a TC -- pelo seu efeito vasodilatador seletivo -- permite identificar aqueles com hiper

  4. Um modelo experimental de ablação do Sistema Nervoso Intrínseco Cardíaco reduz a contratilidade do coração de ratos A new experimental model of chemical ablation of the Intrinsic Cardiac Nervous System reduces heart contractility and causes a type of dilated cardiopathy in rats

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    Adilson Scorzoni Filho

    2004-09-01

    Full Text Available OBJETIVO: A função do Sistema Nervoso Intrínseco Cardíaco e o seu papel na doença cardíaca permanecem pobremente compreendidos. Sabe-se que o cloreto de benzalcônio (CB induz a desnervação intrínseca do tubo digestivo. O objetivo deste estudo foi tentar produzir um modelo experimental de desnervação intrínseca do coração utilizando o CB. MÉTODO: Trinta ratos Wistar foram submetidos à aplicação intrapericárdica de CB (0,3% e trinta animais controle receberam a solução salina. Após 15 dias, os animais foram divididos em três grupos, com 10 animais tratados e 10 controles em cada. Os animais do grupo I foram submetidos a estudo radiológico e histopatológico. A área cardíaca e o índice cardiotorácico (ICT foram medidos nas radiografias. Os animais do grupo II foram submetidos a estudo hemodinâmico com registro da pressão arterial, freqüência cardíaca e débito cardíaco. No grupo III, a integridade da inervação parassimpática extrínseca do coração foi avaliada por estimulação vagal direita. O sistema de condução foi avaliado pelo ECG basal. RESULTADOS: A aplicação de CB acarretou aumento do ICT, da área cardíaca, pressão arterial e débito cardíaco, bem como do peso ponderal e do fígado. Nestes animais, a análise histopatológica mostrou redução do número de neurônios atriais e congestão passiva crônica do fígado. A estimulação vagal não mostrou diferenças entre os grupos experimentais. CONCLUSÃO: A ablação do sistema nervoso intrínseco propiciou o aparecimento de cardiopatia dilatada com insuficiência cardíaca direita e esquerda. Esse modelo experimental inédito deverá nortear futuros estudos na tentativa da elucidação da relação entre lesão neuronal e miocardiopatia.OBJECTIVE: The function of Intrinsic Cardiac Nervous System is largely unknown, as is its role in heart disease. In the digestive system, a topic aplication of Benzalkonium chloride (BC leads to intrinsic

  5. Respostas cardiorrespiratórias durante exercício em portadores de transplante cardíaco. Análise ergoespirométrica comparativa com indivíduos normais Cardiorespiratory response during exercise in heart transplant recipients comparated to normal healthy subjects

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    Ana Fátima Salles

    1998-01-01

    Full Text Available OBJETIVO: Avaliar as respostas cardiorrespiratórias dos portadores de transplante cardíaco (TxC. MÉTODOS: Submeteram-se a testes ergoespirométricos 9 portadores de TxC (GI, pareados por sexo, idade, peso e altura, com 9 indivíduos sedentários, aparentemente sadios (GII. Os pacientes eram do sexo masculino, com idade de 48±12 anos, com TFI (NYHA após 23±21 meses TxC. Faziam uso regular de ciclosporina, azatioprina, prednisona, dipiridamol e anti-hipertensivos. Os testes foram limitados por sintomas e interrompidos por exaustão. RESULTADOS: No pico do exercício, o GI apresentou desempenho significativamente inferior ao GII quanto ao VO2, VE, VEO2, FC, tempo de endurance e potência. No limiar anaeróbio, o GI apresentou VO2, tempo de endurance e potência significativamente inferior a do GII. Na potência de 40W o desempenho dos dois grupos foi similar. CONCLUSÃO: O GI apresentou desempenho cardiorrespiratório significativamente inferior no pico do exercício e similar na potência de 40W em relação ao GII, evidenciando os benefícios do TxC para cardiopatas em atividades habituaisPURPOSE: To evaluate the cardiorespiratory response of heart transplant (HT recipients. METHODS: Nine HT recipients (GI underwent ergospirometric tests and were compared to 9 apparently healthy, sedentary subjects with similar sex, age, weight and height (GII. All were male patients aging 48±12 years, in functional class I (NYHA an average of 23±21 months after HT. They were receiving cyclosporin, azathioprine, prednisone, dipyridamole and antihypertensive drugs. The tests were symptom-limited and they were interrupted due to exhaustion. RESULTS: During peak exercise, GI had a significantly lower physical performance related to lower VO2, VE, VEO2, HR, endurance time and work load. At the anaerobic threshold, VO2, endurance time and work load levels were also significantly lower in GI. The physical performance was similar between the groups in the 40W

  6. Myocardial stereology in captive Callithrix kuhlii (Callitrichidae, Primates: healthy animals versus animals affected by wasting marmoset syndrome (WMS Estereologia do músculo cardíaco em Callitrhix kuhlii cativos (Primatas, Callithrichidae: animais sadios versus animais afetados pela síndrome do emagrecimento progressivo (SEP

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    Thalita A. Pissinatti

    2007-02-01

    Full Text Available This study comprised 12 hearts of Wied´s black-tufted-ear marmoset, Callithrix kuhlii (Coimbra-Filho 1985, 6 with Wasting Marmoset Syndrome (WMS and 6 non-affected. Biometry was performed after death. After necropsy, the hearts were weighed, dissected, fixed in 10% formalin solution (pH 7.2, and processed for optical microscopy at 5µm sections stained with Haematoxylin-Eosin. Quantitative analysis was performed by stereological techniques. The statistical differences between the biometrical and stereological parameters were assessed by the Mann-Whitney test. The morphometric results showed that WMS causes a significant reduction in body and cardiac weights, and also in the volume density of vessels in those animals. Further studies are necessary to understand some of the results shown here.Neste estudo, foram utilizados corações de 12 Sagui-de-Wied, Callitrhix kuhlii (Coimbra-Filho 1985, sendo 6 animais afetados pela SEP e 6 animais normais. Após a morte foi realizada a biometria seguida de necropsia. Os corações foram fixados em formol tamponado a 10%, pesados e dissecados, sendo processados através de técnicas histológicas de rotina para microscopia óptica em cortes de 5µm corados por Hematoxilina-Eosina. As análises quantitativas foram feitas com o uso de técnicas estereológicas. As diferenças estatísticas entre os parâmetros biométricos e estereológicos foram avaliadas usando o test Mann-Whitney. Os resultados encontrados através da morfometria mostraram que a SEP causa uma redução significante do peso tanto corporal quanto do músculo cardíaco, e também uma redução no volume dos vasos nestes animais. Novos estudos são necessários para entender alguns dos resultados mostrados aqui.

  7. Aneurisma de aorta abdominal justa-renal: correção endovascular combinada com derivação ilíaco-renal direita para criar colo proximal adequado Juxtarenal abdominal aortic aneurysm: combined endovascular and open repair with right iliorenal bypass to create adequate proximal neck

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    Matheus Bredarioli

    2007-06-01

    Full Text Available Homem de 78 anos de idade, portador de múltiplas morbidades clínicas deu entrada na emergência com um aneurisma de aorta abdominal justa-renal em condições hemodinâmicas estáveis. A tomografia computadorizada caracterizou aneurisma de 6 cm de diâmetro, e a distância do colo proximal do aneurisma era de 5 mm em relação à artéria renal direita e 28 mm à esquerda. Em virtude das condições clínicas do paciente, optou-se pelo reparo endovascular, mas previamente fez-se uma derivação ilíaco-renal direita com enxerto de politetrafluoretileno, via retroperitoneal para se criar um colo proximal adequado. Após quatro dias, o aneurisma de aorta abdominal foi corrigido colocando-se uma endoprótese Excluder® sem intercorrências. O seguimento pós-operatório evidenciou boa perfusão do rim esquerdo e ausência de migração ou endoleak da endoprótese. Este caso ilustra a combinação de técnicas para tornar possível o reparo de aneurisma de aorta abdominal justa-renal em pacientes de alto risco cirúrgico e anatomia desfavorável.A 78-year-old man with a juxtarenal abdominal aortic aneurysm and several comorbid conditions was admitted at the emergency room in hemodynamically stable conditions. Computed tomography revealed an aneurysm measuring 6 cm in diameter beginning 28 mm below the left renal artery and 5 mm below the right renal artery. Because of the patient's clinical status, a bypass from the right iliac artery to the right renal artery was performed through a retroperitoneal approach using a polytetrafluoroethylene vascular graft. Four days later, an endovascular aneurysm repair was successfully performed using an Excluder® stent-graft. Postoperative follow-up showed good left renal perfusion and no migration or endoleak. This case illustrates the effectiveness of combining open and endovascular techniques to repair juxtarenal abdominal aortic aneurysm in high-risk patients with unfavorable anatomy.

  8. Cardiopatia chagásica crônica causando insuficiência cardíaca congestiva na infância: estudo clínico e histopatológico de um caso, com ênfase para as lesões dos sistemas excito-condutor e nervoso autônomo intracardíaco

    Directory of Open Access Journals (Sweden)

    Ademir Rocha

    1993-12-01

    Full Text Available Descreve-se caso de cardiopatia chagásica em menino de nove anos, natural e procedente do sulde Goiás, que desenvolveu insuficiência cardíaca congestiva quatro meses antes do óbito. As reações sorológicaspara doença de Chagas eram reagentes, epositivo o xenodiagnóstico. Os eletrocardiogramas mostraram taquicardia sinusal, extra-sístoles ventriculares e supraventriculares, hemibloqueio anterior esquerdo, bloqueio completo do ramo direito e sinais de sobrecarga de câmaras. O exame ecocardiográfico evidenciou dilatação de câmaras com hipocontratilidade difusa. O quadro se agravou progressivamente, complicando-se por vários episódios pneumônicos, o último dos quais provocou o óbito. A necrópsia, verificou-se, no coração, inflama ção crônica dos três folhetos, com miocardite crônica fibrosante predominando no septo interventricular e no ventrículo esquerdo. As estruturas componentes do sistema excito-condutor mostraram processoflogístico crônico, essencialmente exsudativo, ora discreto, ora moderado. No sistema nervoso autônomo intracardíaco constataram-se focos esparsos de discreta periganglionite crônica, e raros fenômenos degenerativos dos neurônios sem despopulação neuronal.A case of decompensated chagasic cardiopathy in a nine-year-old boy from the south of the State of Goiás, is described. He developed congestive heart failure four months before death. The sorological reaction for Chagas ' disease and the xenodiagnosis were positive. Electrocardiograms showed sinusal tachycardia, ventricular and supraventricular extrasystoles, left anterior hemiblock, complete right bundle branch block and signs of chambers overload. The echocardiogram demonstraded chamber dilatation with diffuse hypocontractility. He presented a downhill course complicated with several pneumonic episodes, the last one just before death. At necropsy, the heart, exhibited a chronicpancarditis with fibrosing chronic myocarditis involving

  9. MGA trajectory planning with an ACO-inspired algorithm

    CERN Document Server

    Ceriotti, Matteo

    2011-01-01

    Given a set of celestial bodies, the problem of finding an optimal sequence of swing-bys, deep space manoeuvres (DSM) and transfer arcs connecting the elements of the set is combinatorial in nature. The number of possible paths grows exponentially with the number of celestial bodies. Therefore, the design of an optimal multiple gravity assist (MGA) trajectory is a NP-hard mixed combinatorial-continuous problem. Its automated solution would greatly improve the design of future space missions, allowing the assessment of a large number of alternative mission options in a short time. This work proposes to formulate the complete automated design of a multiple gravity assist trajectory as an autonomous planning and scheduling problem. The resulting scheduled plan will provide the optimal planetary sequence and a good estimation of the set of associated optimal trajectories. The trajectory model consists of a sequence of celestial bodies connected by twodimensional transfer arcs containing one DSM. For each transfer...

  10. Efficient Spatial Data mining using Integrated Genetic Algorithm and ACO

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    K Sankar

    2011-05-01

    Full Text Available Spatial data plays a key role in numerous applications such as network traffic, distributed security applications such as banking, retailing, etc., The spatial data is essential mine, useful for decision making and the knowledge discovery of interesting facts from large amounts of data. Many private institutions, organizations collect the number of congestion on the network while packets of data are sent, the flow of data and the mobility of the same. In addition other databases provide the additional information about the client who has sent the data, the server who has to receive the data, total number of clients on the network, etc. These data contain a mine of useful information for the network traffic risk analysis. Initially study was conducted to identify and predict the number of nodes in the system; the nodes can either be a client or a server. It used a decision tree that studies from the traffic risk in a network. However, this method is only based on tabular data and does not exploit geo routing location. Using the data, combined to trend data relating to the network, the traffic flow, demand, load, etc., this work aims at deducing relevant risk models to help in network traffic safety task. The existing work provided a pragmatic approach to multi-layer geo-data mining. The process behind was to prepare input data by joining each layer table using a given spatial criterion, then applying a standard method to build a decision tree. The existing work did not consider multi-relational data mining domain. The quality of a decision tree depends, on the quality of the initial data which are incomplete, incorrect or non relevant data inevitably leads to erroneous results. The proposed model develops an ant colony algorithm integrated with GA for the discovery of spatial trend patterns found in a network traffic risk analysis database. The proposed ant colony based spatial data mining algorithm applies the emergent intelligent behavior of ant colonies. The experimental results on a network traffic (trend layer spatial database show that our method has higher efficiency in performance of the discovery process compared to other existing approaches using non-intelligent decision tree heuristics.

  11. An ACO Algorithm for Effective Cluster Head Selection

    CERN Document Server

    Sampath, Amritha; Thampi, Sabu M; 10.4304/jait.2.1.50-56

    2011-01-01

    This paper presents an effective algorithm for selecting cluster heads in mobile ad hoc networks using ant colony optimization. A cluster in an ad hoc network consists of a cluster head and cluster members which are at one hop away from the cluster head. The cluster head allocates the resources to its cluster members. Clustering in MANET is done to reduce the communication overhead and thereby increase the network performance. A MANET can have many clusters in it. This paper presents an algorithm which is a combination of the four main clustering schemes- the ID based clustering, connectivity based, probability based and the weighted approach. An Ant colony optimization based approach is used to minimize the number of clusters in MANET. This can also be considered as a minimum dominating set problem in graph theory. The algorithm considers various parameters like the number of nodes, the transmission range etc. Experimental results show that the proposed algorithm is an effective methodology for finding out t...

  12. Searching (the) FIRST radio arcs near ACO clusters

    CERN Document Server

    Andernach, H; Slee, O B

    1997-01-01

    Gravitational lensing (GL) of distant radio sources by galaxy clusters should produce radio arc(let)s. We extracted radio sources from the FIRST survey near Abell cluster cores and found their radio position angles to be uniformly distributed with respect to the cluster centres. This result holds even when we restrict the sample to the richest or most centrally condensed clusters, and to sources with high S/N and large axial ratio. Our failure to detect GL with statistical methods may be due to poor cluster centre positions. We did not find convincing candidates for arcs either. Our result agrees with theoretical estimates predicting that surveys much deeper than FIRST are required to detect the effect. This is in apparent conflict with the detection of such an effect claimed by Bagchi & Kapahi (1995).

  13. Shared Savings Program ACO Beneficiary-level RIF

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Centers for Medicare (CM) has created a set of standard analytical files that contain Shared Savings Program Accountable Care Organizations. Beneficiary-level...

  14. Shared Savings Program ACO Provider-level RIF

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Centers for Medicare (CM) has created a set of standard analytical files that contain Shared Savings Program Accountable Care Organizations. Provider-level RIF...

  15. Ação do soro de cabra anti-soro de coelho imunizado ou não com células linfóides do doador sobre o alotransplante cardíaco em ratos: immunosupression of goat antiserum against rabbit serum immunized or not with donor lymphoid cells Cardiac allograft in rats

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    Haylton Jorge Suaid

    2002-01-01

    Full Text Available INTRODUÇÃO: A rejeição imunológica é uma das principais causas da perda de órgãos transplantados. A tentativa do controle da reação imunológica é clinicamente feita através da imunossupressão inespecífica e experimentalmente também por bloqueio específico. O alotransplante cardíaco em ratos pela técnica de ONO,K é um bom método para avaliação clínica da rejeição e de estudos voltados para o controle da rejeição. Objetivo : estudar o efeito de um anti-antisoro linfocitário, anti-linfócitos do doador sobre a rejeição do alotransplante cardíaco de ratos Wistar para ratos Holtzman. MÉTODOS: o soro anti-linfocitário (SAL foi obtido através da imunização de coelhos com linfócitos obtidos de gânglios linfáticos da cadeia mesentérica de ratos Wistar, em solução de Tyrode, contendo 3x10(9 células/ ml. A inoculação de 3 coelhos foi feita com 1 ml da suspensão celular e 1 ml de adjuvante completo de Freund. Duas semanas após a primeira inoculação fez-se 4 doses semanais de reforço. Os coelhos foram sangrados na 5ª semana, quando então foram separados os soros. A titulação dos soros foi realizada pelo teste de citotoxicidade, sendo verificado que ambos apresentaram título de 1:1024. A dosagem de proteínas mostrou albumina com 3,1 e 2,7 g% e globulinas com 3,5 e 2,9 g%, sendo o normal 3,7 e 2,2 g% respectivamente. Os dois SAL foram misturados. Duas cabras foram inoculados, com 3 ml da mistura desses SAL, associados a 2 ml de adjuvante de Freund. As doses de reforço com 5 ml do SAL foram iniciadas 2 semanas após. A cabra A recebeu 8 doses (1,4 g de globulinas. A cabra B recebeu 4 doses de reforço (0,7 g de globulinas. Uma semana após a última inoculação retirou-se 125 ml de sangue de cada cabra, fazendo a separação dos anti-soro anti-SAL (ASAL. Uma terceira cabra C foi imunizada com soro normal de coelho. A determinação de precipitinas foi feita pelo método de OUCHTERLONY. O ASAL A teve t

  16. Associação independente do tabagismo aos eventos cardíacos pós-operatórios e à mortalidade em 30 dias Asociación independiente del tabaquismo a los eventos cardiacos postoperatorios y a la mortalidad a 30 días Independent association of smoking with postoperative cardiac events and thirty-day mortality

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    Luciane Midory Sakuma

    2010-05-01

    Full Text Available FUNDAMENTO: Há poucos estudos que demonstrem a associação do tabagismo, como fator de risco independente, aos eventos cardíacos pós-operatórios. OBJETIVO: Avaliar a associação do tabagismo, como variável independente, às complicações cardiovasculares pós-operatórias e à mortalidade em 30 dias em operações não cardíacas. MÉTODOS: Utilizou-se coorte retrospectiva de um hospital geral, na qual foram incluídos 1.072 pacientes estratificados em tabagistas atuais (n = 265, ex-tabagistas (n = 335 e não tabagistas (n = 472. Esses três grupos foram analisados para os desfechos cardiovasculares combinados no pós-operatório (infarto, edema pulmonar, arritmia com instabilidade hemodinâmica, angina instável e morte cardíaca e mortalidade em 30 dias. Utilizaram-se o teste qui-quadrado e a regressão logística, considerando p FUNDAMENTO: Existen pocos estudios que demuestren la asociación del tabaquismo, como factor de riesgo independiente, a los eventos cardiacos postoperatorios. OBJETIVO: Evaluar la asociación del tabaquismo, como variable independiente, a las complicaciones cardiovasculares postoperatorias y a la mortalidad a 30 días en operaciones no cardiacas. MÉTODOS: Se utilizó una cohorte retrospectiva de un hospital general, en la que fueron incluidos 1.072 pacientes estratificados en tabaquistas actuales (n = 265, ex-tabaquistas (n = 335 y no tabaquistas (n = 472. Se analizaron en estos tres grupos las complicaciones cardiovasculares combinadas en el postoperatorio (infarto, edema pulmonar, arritmia con inestabilidad hemodinámica, angina inestable y muerte cardiaca y la mortalidad a 30 días. Se utilizaron el test de chi-cuadrado y la regresión logística, considerando pBACKGROUND: Few studies have demonstrated the association of smoking, as an independent risk factor, with postoperative cardiac events. OBJECTIVE: To evaluate the association of smoking, as an independent variable, with postoperative cardiovascular

  17. Guidelines for specialized nutritional and metabolic support in the critically-ill patient: Update. Consensus SEMICYUC-SENPE: Cardiac patient Recomendaciones para el soporte nutricional y metabólico especializado del paciente crítico: Actualización. Consenso SEMICYUC-SENPE: Paciente cardíaco

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    F. J. Jiménez Jiménez

    2011-11-01

    a veces precisará suplementación con nutrición parenteral. La hiperglucemia aguda sostenida en las primeras 24 h en pacientes ingresados por síndrome coronario agudo, sean o no diabéticos, es un factor de mal pronóstico en términos de mortalidad a los 30 días. En el paciente crítico cardíaco con fallo hemodinámico en situación estable, un soporte nutricional de 20-25 kcal/kg/día es eficaz para mantener un estado nutricional adecuado. El aporte proteico debe ser de 1,2-1,5 g/kg/día. Se administrarán fórmulas poliméricas o hiperproteicas habituales, según la situación nutricional previa del paciente, con restricción de sodio y volumen según su situación clínica. La glutamina es la mayor fuente de energía para el miocito, vía conversión a glutamato, protegiendo además a la célula miocárdica de la isquemia en situaciones críticas. La administración de 1 g/día de ω-3 (EpA+DHA, en forma de aceite de pescado, puede prevenir la muerte súbita en el tratamiento del síndrome coronario agudo y también puede contribuir a una disminución de los ingresos hospitalarios, por eventos cardiovasculares, en la insuficiencia cardíaca crónica.

  18. Cytomegalovirus and other herpesviruses infections in heart and bone marrow transplant recipients Infecções causadas por citomegalovírus e outros vírus do grupo herpes em transplantados cardíacos e de medula óssea

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    Adriana Weinberg

    1990-10-01

    Full Text Available From January 1988 to January 1989 all the heart transplant and bone marrow recipients at the Instituto do Coração of the Hospital das Clínicas of the University of São Paulo Medical School were studied for the incidence and morbidity associated with herpesviruses infections after transplantation. Five bone marrow and 5 heart transplant recipients were followed for a mean of 4.2 months post-transplantation. All the patients were seropositive for cytomegalovirus (CMV before admission and 80% experienced one or more recurrences during the observation period. Of the 12 episodes of CMV infection, that were identified in this study, 83% were accompanied by clinical or laboratory abnormalities. However, there was only one case of severe disease. The overall incidence of infection for herpes simplex (HSV was 50%. Although most of HSV reactivations were oral or genital, one case of HSV hepatitis occurred. One of the 6 episodes of HSV infections that were treated with acyclovir showed an unsatisfactory response and was successfully managed with ganciclovir. All the individuals had anti-varicella zoster virus antibodies, but none of them developed infection. The study emphasizes the importance of active diagnostic surveillance of herpesvirus infections in transplant patients. Both CMV and HSV reactivations showed high incidence and important morbidity and thus, deserve prophylactic therapy.De janeiro de 1988 a janeiro de 1989 todos os pacientes submetidos a transplante de coração ou de medula óssea no Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo foram estudados quanto à incidência e morbidade das infecções pós-transplante causadas por vírus do grupo herpes. Cinco recipientes de medula óssea e 5 transplantados cardíacos foram observados por um período médio de 4.2 meses após o transplante. Todos os pacientes tinham sorologia positiva para citomegalovírus (CMV antes do transplante

  19. Débito cardíaco e fração de ejeção fetal por meio do spatio-temporal image correlation (STIC: comparação entre fetos masculinos e femininos Fetal cardiac output and ejection fraction by spatio-temporal image correlation (STIC: comparison between male and female fetuses

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    Christiane Simioni

    2012-06-01

    Full Text Available OBJETIVO: Comparar do débito cardíaco (DC e a fração de ejeção (FE do coração de fetos masculinos e femininos obtidos por meio da ultrassonografia tridimensional, utilizando o spatio-temporal image correlation (STIC. MÉTODOS: Realizou-se um estudo de corte transversal com 216 fetos normais, entre 20 a 34 semanas de gestação, sendo 108 masculinos e 108 femininos. Os volumes ventriculares no final da sístole e diástole foram obtidos por meio do STIC, sendo as avaliações volumétricas realizadas pelo virtual organ computer-aided analysis (VOCAL com rotação de 30º. Para o cálculo do DC utilizou-se a fórmula: DC= volume sistólico/frequência cardíaca fetal, enquanto que para a FE utilizou-se a fórmula: FE= volume sistólico/volume diastólico final. O DC (combinado, feminino e masculino e a FE (masculina e feminina foram comparadas utilizando-se o teste t não pareado e ANCOVA. Foram criados gráficos de dispersão com os percentis 5, 50 e 95. RESULTADOS: A média do DC combinado, DC direito, DC esquerdo, FE direita e FE esquerda, para feminino e masculino, foram 240,07 mL/min; 122,67 mL/min; 123,40 mL/min; 72,84%; 67,22%; 270,56 mL/min; 139,22 mL/min; 131,34 mL/min; 70,73% e 64,76%, respectivamente; sem diferença estatística (P> 0,05. CONCLUSÕES: O DC e a FE fetal obtidos por meio da ultrassonografia tridimensional (STIC não apresentaram diferença significativa em relação ao gênero.OBJECTIVE: To compare the cardiac output (CO and ejection fraction (EF of the heart of male and female fetuses obtained by 3D-ultrasonography using spatio-temporal image correlation (STIC. METHODS: We conducted a cross-sectional study with 216 normal fetuses, between 20 and 34 weeks of gestation, 108 male and 108 female. Ventricular volumes at the end of systole and diastole were obtained by STIC, and the volumetric assessments performed by the virtual organ computer-aided analysis (VOCAL rotated 30º. To calculate the DC used the formula

  20. Pressão expiratória positiva na via aérea por máscara facial na hemodinâmica de pós-operatórios cardíacos Expiratory positive airway pressure in postoperative cardiac hemodynamics

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    Ana Claudia Borges dos Santos Sena

    2010-10-01

    Full Text Available FUNDAMENTOS: A pressão expiratória positiva na via aérea por máscara facial (EPAP é utilizada no pós-operatório de cirurgias cardíacas, entretanto, seus efeitos hemodinâmicos não foram claramente estudados. OBJETIVO: Avaliar as alterações hemodinâmicas causadas pela EPAP em pacientes pós-cirurgia cardíaca monitorados por cateter de Swan-Ganz. MÉTODOS: Foram incluídos no estudo, pacientes no primeiro ou segundo pós-operatório de cirurgia cardíaca, estáveis hemodinamicamente e com cateter de Swan-Ganz. Eles foram avaliados em repouso e após o uso de 10 cmH2O de EPAP, de forma randomizada. As variáveis estudadas foram: saturação de oxigênio, frequências cardíaca e respiratória, pressões arteriais médias sistêmica e pulmonar (PAM e PAMP, pressões venosa central (PVC e de oclusão da atéria pulmonar (POAP, débito e índice cardíacos, e resistências vasculares sistêmica e pulmonar. Os pacientes foram divididos em subgrupos (com fração de ejeção 50% e os dados foram comparados por teste t e ANOVA. RESULTADOS: Vinte e oito pacientes foram estudados (22 homens, idade média 68 ± 11 anos. Comparando o período de repouso versus EPAP, as alterações observadas foram: POAP (11,9 ± 3,8 para 17,1 ± 4,9 mmHg, p BACKGROND: Expiratory positive airway pressure (EPAP is used in after cardiac surgeries. However, its hemodynamic effects have not been clearly studied. OBJECTIVE: To evaluate the hemodynamic changes caused by EPAP in patients after cardiac surgery monitored by Swan-Ganz. METHODS: Patients at the first or second cardiac surgery postoperative period hemodynamically stable with a Swan-Ganz catheter were included in the study. They were assessed at rest and after using 10 cmH2O EPAP at random. The variables studied were: oxygen saturation, heart rate and respiratory rate, mean artery pressures and pulmonary artery mean pressures (MAP and PAMP, central venous pressure (CVP and pulmonary capillary wedge pressure

  1. Pneumonia por Influenza A(H1N1 em paciente imunossuprimido após transplante cardíaco Neumonía por Influenza A (H1N1 en paciente inmunosuprimido tras transplante cardiaco Influenza A (H1N1 pneumonia in an immunossupressed patient after heart transplantation

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    Fernando Bacal

    2009-12-01

    Full Text Available O papel da resposta imunológica durante a infecção pelo vírus Influenza H1N1 não está totalmente estabelecido, mas acredita-se que atue de forma decisiva no agravamento do quadro e no aparecimento da síndrome de desconforto respiratório agudo. O papel de terapias imunomoduladoras no controle de infecções virais também não é consensual e faltam dados de literatura para se definir as indicações de seu uso. Neste relato de caso, apresentamos, segundo nosso conhecimento, pela primeira vez, o relato de um paciente transplantado cardíaco que apresentou infecção pelo vírus H1N1 e evoluiu de forma favorável, trazendo um questionamento sobre o real papel da terapia imunossupressora como fator de risco para a forma grave da doença.El rol de la respuesta inmunológica durante la infección por el virus Influenza H1N1 no está totalmente establecido, sino que se cree que él actúe de forma decisiva en el agravamiento del cuadro y en el surgimiento del síndrome de distrés respiratorio agudo. El papel de terapias inmunomoduladoras en el control de infecciones virales también no es consensual y nos faltan datos de la literatura para definirse las indicaciones de su utilización. En este caso clínico presentamos, según nuestro conocimiento, por primera vez, el relato de un paciente transplantado cardiaco que presentó infección por el virus H1N1 y evolucionó de forma favorable, y aprovechamos para poner en cuestión el real papel de la terapia inmunosupresora como factor de riesgo para la forma severa de la enfermedad.The role of the immune response during Influenza H1N1 virus infection is not yet fully established, but it is believed that it decisively participates in the severity of the disease as well as in the development of acute respiratory distress syndrome. The role of immunomodulating therapies in the control of viral infections is not a consensus either, and data from the literature defining the indications for their use

  2. Preservação das artérias hipogástricas com endoprótese ramificada no tratamento endovascular de aneurismas aorto-ilíacos The Zenith iliac bifurcation Device (IBD for preservation of the internal iliac arteries during endovascular repair of aortic-iliac aneurysms

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    Emanuel Dias

    2010-12-01

    Full Text Available Introdução: Os doentes com indicação para tratamento endovascular de aneurismas da aorta abdominal (EVAR apresentam frequentemente artérias ilíacas comuns ectasiadas ou aneurismáticas, o que impossibilita a sua utilização como zona de encoragem distal da endoprótese. Em cerca de 15 a 30% dos casos pode existir necessidade de oclusão/embolização de uma ou de ambas as hipogástricas, com extensão da endoprótese para a artéria ilíaca externa. Isto tem sido associado a casos de claudicação glútea, isquémia intestinal, deficits neurológicos, e de disfunção vesical, intestinal e eréctil. O uso de endopróteses com ramo para a artéria hipogástrica apresenta-se como uma recente inovação que permite a preservação desta artéria e evitar estas complicações. Caso clínico: Homem de 63 anos, com antecedentes de cirurgia aórtica com interposição protésica aorto-aórtica em 2008 por aneurisma da aorta abdominal (AAA infra-renal, admitido para tratamento endovascular de aneurisma das artérias ilíaca comum e hipogástrica direitas, com 3,3 cm de maior diâmetro. O doente foi submetido a colocação por via femoral de endoprótese Zenith® ramificada para bifurcação ilíaca com preservação da artéria hipogástrica. Conclusões: A utilização de endopróteses ramificadas para a bifurcação ilíaca durante a correcção endovascular de aneurismas aorto-ilíacos para ser uma forma segura e pouco complexa de garantir a preservação das artérias hipogástricas e minimizar as complicações associadas à sua oclusão.Introduction: A significant portion of patients presenting for endovascular aneurysm repair of the abdominal aorta (EVAR have aneurysmatic or ectasied common iliac arteries, raising distal anchorage issues. In these cases, it may be necessary occlusion / embolization of one or both hipo gastric arteries with extension of the endoprothesis to the external iliac artery. This procedure has been associated to

  3. Peso dos ventrículos cardíacos determinado em necropsia de indivíduos saudáveis mortos por causas externas Cardiac ventricular weights recorded at the autopsy of healthy subjects who died of external causes

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    Sérgio Lamêgo Rodrigues

    2007-11-01

    Full Text Available OBJETIVO: Determinar o peso dos ventrículos cardíacos em necropsia de indivíduos sadios vítimas de morte acidental, visando determinar padrões de normalidade em nossa população. MÉTODOS: Foram examinados 94 corações no Instituto Médico Legal de Vitória. Após remoção do coração e ressecção dos átrios e gordura epicárdica, os ventrículos direito (VD e esquerdo (VE, incluindo o septo, foram separados e pesados e a massa indexada pela altura. O teste de Kolmogorov-Smirnov foi usado para testar normalidade da distribuição. Os dados são apresentados como média ± desvio padrão. RESULTADOS: Após 12 exclusões (doença cardiovascular possível detectada após a morte foram analisados 82 corações (52 homens e 30 mulheres, 16-68 anos, média 31±12 anos. O peso do VE foi de 181±25 g e 125±15 g, do VD foi de 54±7 g e 38±6 g e a massa de VE indexada pela altura foi de 105±14 g/m e 78±8 g/m para homens e mulheres, respectivamente. O P95 do peso do VE foi de 218 g e 128 g/m em homens e 148 g e 88 g/m em mulheres. Não detectamos correlação significante entre a massa ventricular e idade. CONCLUSÃO: O peso do ventrículo esquerdo do coração dos homens da nossa amostra foi superior aos relatados na literatura contemporânea. Nossos resultados sugerem que a presença de hipertrofia de VE pode ser inferida em presença de massa de VE superior a 218 g ou 128 g/m nos homens e 148 g ou 88 g/m nas mulheres.OBJECTIVE:To establish cardiac ventricular weights recorded during the autopsy of healthy individuals who died of external causes, aiming at determining normality patterns in our population. METHODS:A total of 94 hearts were evaluated at the Forensics Department of the city of Vitória, Espírito Santo. After the heart removal and resection of the atria and epicardial fat, the right ventricle (RV and the left ventricle (LV, including the septum, were separated and weighed and the mass was indexed by the height. The Kolmogorov

  4. Transplante cardíaco pediátrico em vigência de choque cardiogênico refratário: análise crítica da viabilidade, aplicabilidade e resultados Pediatric heart transplantation in refractory cardiogenic shock: a critical analysis of feasibility, applicability and results

    Directory of Open Access Journals (Sweden)

    Marcelo Biscegli Jatene

    2008-05-01

    Full Text Available FUNDAMENTO: Considerando crianças com miocardiopatia dilatada, na lista de espera de transplante de coração, podemos avaliar a gravidade do quadro hemodinâmico desses pacientes. Alguns apresentam choque cardiogênico e um elevado índice de mortalidade. Mesmo com suporte inotrópico e respiratório, o transplante de coração é considerado uma condição de extrema gravidade. OBJETIVO: Apresentar nossa experiência com crianças na circunstância de transplante cardíaco em vigência de choque cardiogênico refratário, procurando analisar a viabilidade, a aplicabilidade e os resultados desses transplantes. MÉTODOS: De março de 2001 a fevereiro de 2004, 22 crianças com miocardiopatia dilatada, previamente registradas na lista de transplante, apresentaram choque cardiogênico, necessitando transferência para unidade de terapia intensiva (UTI pediátrica, intubação e suporte inotrópico. As idades variaram de 11 meses a 11 anos (média = 4,3 idade, com 55% do sexo masculino; 14 poderiam ser listados como prioridade clínica e os outros 8 foram excluídos da lista de espera em razão de condição clínica desfavorável. RESULTADOS: Oito transplantes de coração foram executados, 6 crianças faleceram na fila de espera (42,9%. Duas crianças faleceram (25% após o transplante; as outras 6 receberam alta hospitalar com boas condições clínicas. As duas principais complicação são rejeição, em 4 casos, e infecção, em 5 casos. Dois apresentaram complicações neurológicas, com recuperação total em um dos casos. CONCLUSÃO: Crianças com miocardiopatia e choque cardiogênico necessitam de transplante imediato; somente 57,1% podiam ser transplantadas, com mortalidade de 25%. Daquelas que sobreviveram ao transplante, a evolução clínica foi boa, similar às crianças transplantas em cirurgias eletivas.BACKGROUND: In children with dilated cardiomyopathy who are on the waiting list for heart transplantation, we evaluate the

  5. Comparação dos efeitos da dobutamina e da milrinona sobre a hemodinâmica e o transporte de oxigênio em pacientes submetidos à cirurgia cardíaca com baixo débito cardíaco após indução anestésica Comparación de los efectos de la dobutamina y de la milrinona sobre la hemodinámica y el transporte de oxígeno en pacientes sometidos a cirugía cardiaca con bajo débito cardiaco después de inducción anestésica Comparison of the effects of dobutamine and milrinone on hemodynamic parameters and oxygen supply in patients undergoing cardiac surgery with low cardiac output after anesthetic induction

    Directory of Open Access Journals (Sweden)

    Maria José Carvalho Carmona

    2010-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Diversas classes de fármacos inotrópicos, com efeitos hemodinâmicos diferentes, são utilizadas no tratamento do baixo débito cardíaco em pacientes com disfunção sistólica submetidos a procedimento cirúrgico cardíaco. O objetivo deste estudo foi comparar o efeito da dobutamina e da milrinona sobre a hemodinâmica e o transporte de oxigênio nessa população de pacientes. MÉTODO: Após aprovação do Comitê de Ética institucional e obtenção do consentimento escrito pós-informado, 20 pacientes submetidos à cirurgia cardíaca e com índice cardíaco JUSTIFICATIVA Y OBJETIVOS: Diversas clases de fármacos inotrópicos con efectos hemodinámicos diferentes, se usan en el tratamiento del bajo débito cardíaco en pacientes con disfunción sistólica sometidos al procedimiento quirúrgico cardíaco. El objetivo de este estudio, fue comparar el efecto de la dobutamina y de la milrinona sobre la hemodinámica y el transporte de oxígeno en esa población de pacientes. MÉTODO: Después de la aprobación del Comité de Ética institucional y de la obtención del consentimiento informado, 20 pacientes sometidos a la cirugía cardíaca y con índice cardíaco BACKGROUND AND OBJECTIVES: Several classes of inotropic drugs with different hemodynamic effects are used in the treatment of low cardiac output in patients with diastolic dysfunction undergoing cardiac surgery. The objective of the present study was to compare the effects of dobutamine and milrinone on hemodynamic parameters and oxygen supply in this population of patients. METHODS: After approval by the Ethics Committee of the institution and signing of the informed consent, 20 patients undergoing cardiac surgery with cardiac index < 2 L.min-1.m2 after anesthetic induction and place ment of a pulmonary artery catheter were randomly divided to receive dobutamine 5 µg.kg-1. min-1 (n = 10, or milrinone 0.5 µg.kg-1.min-1 (n = 10. Hemodynamic parameters were

  6. Tratamento da luxação paralítica do quadril na paralisia cerebral tetraparética espástica com osteotomia do fêmur e do ilíaco sem abertura da cápsula articular (capsuloplastia Hip dislocation treatment in cerebral palsy patients with spastic quadriplegia with femoral and pelvic osteotomies, without opening of the joint capsule (capsuloplasty

    Directory of Open Access Journals (Sweden)

    Fernando Farcetta Junior

    2010-01-01

    Full Text Available OBJETIVO: Mostrar o planejamento pré-operatório, e os resultados do tratamento cirúrgico da luxação paralítica do quadril em pacientes com paralisia cerebral. A técnica utilizada foi a osteotomia derrotatória e varizante do fêmur proximal, associada à osteotomia do ilíaco tipo Dega, sem abertura da cápsula articular. MÉTODOS: Realizamos um estudo retrospectivo de 10 quadris em oito pacientes com paralisia cerebral tipo tetraparesia espástico, submetidos a tratamento cirúrgico entre 2003 e 2005 com a mesma técnica cirúrgica. Foram avaliados parâmetros clínicos e radiográficos pré e pós-operatórios, bem como o planejamento pré-operatório com uso do intensificador de imagem. Os parâmetros clínicos analisados foram: dor, dificuldade de higiene e dificuldade de posicionamento. Os parâmetros radiológicos foram os índices de Reimers, índice acetabular e ângulo cervicodiafisário. Estes resultados foram submetidos a análise estatística. RESULTADOS: Obtivemos bons resultados com esta técnica. Com um seguimento médio de três anos, todos os quadris estavam reduzidos na última consulta, com alto grau de satisfação dos familiares, em relação ao tratamento. Além disso, mostramos que o planejamento pré-operatório com uso do intensificador de imagem nos permite a redução e estabilização desses quadris sem a necessidade de capsuloplastia. CONCLUSÃO: Os autores concluíram que no tratamento da luxação do quadril dos pacientes com paralisia cerebral tetraparéticos espásticos com o planejamento pré-operatório, não é necessária a capsuloplastia para estabilização da articulação coxofemoral.OBJECTIVES: To show the preoperative planning and the results of surgical treatment for paralytic hip dislocation in children with cerebral palsy. The techniques used were proximal femoral varus derotation osteotomy and Dega osteotomy without opening of the joint capsule. METHODS: We performed a retrospective review of

  7. Avaliação do peptídeo natriurético tipo B no diagnóstico de rejeição após transplante cardíaco pediátrico Evaluación del péptido natriurético tipo B en el diagnóstico de rechazo tras transplante cardiaco pediátrico B-type natriuretic peptide assessment in the diagnosis of rejection after pediatric heart transplant

    Directory of Open Access Journals (Sweden)

    Cristina de Sylos

    2009-03-01

    Full Text Available FUNDAMENTO: A rejeição constitui-se em uma das principais causas de mortalidade após o transplante cardíaco pediátrico. O peptídeo natriurético tipo B (BNP tem sido estudado como método no diagnóstico de rejeição aguda, especialmente em pacientes adultos submetidos a transplante cardíaco. OBJETIVO:Correlacionar o nível sérico de BNP à rejeição aguda diagnosticada pela biópsia endomiocárdica em pacientes do grupo de transplante cardíaco pediátrico. MÉTODOS:Foram coletadas 50 amostras de BNP de 33 crianças em pós-operatório de transplante cardíaco e analisados dados de idade, sexo, cor, grupo sangüíneo, painel imunológico, tempo de evolução após o transplante, classe funcional, imunossupressão utilizada e número de rejeições. RESULTADOS:Foram 33 crianças com idade mediana de 10,13 anos, predomínio do sexo feminino (54% e da cor branca (78%. No momento da dosagem de BNP o tempo médio de transplante foi 4,25 anos. A biópsia endomiocárdica diagnosticou nove rejeições em oito pacientes (27%, sendo três com grau 3 A, cinco com grau 2 e um com rejeição humoral. No momento da biópsia, a maioria dos pacientes encontrava-se assintomática. O nível sérico de BNP foi em média 77,18 pg/ml, sendo 144,22 pg/ml no grupo com rejeição e 62,46 pg/ml no grupo sem rejeição, com p = 0,02. CONCLUSÃO: Crianças assintomáticas podem apresentar rejeição aguda no pós-operatório de transplante cardíaco. O nível sérico de BNP apresentou diferença estatisticamente significante no grupo com rejeição, podendo ser método adicional no diagnóstico de rejeição cardíaca.FUNDAMENTO: El rechazo constituye una de las principales causas de mortalidad tras el transplante cardiaco pediátrico. El péptido natriurético tipo B (BNP ha sido estudiado como método en el diagnóstico de rechazo agudo, sobre todo en pacientes adultos sometidos a transplante cardiaco. OBJETIVO:Correlacionar el nivel sérico de BNP al rechazo

  8. Doença celíaca: avaliação da obediência à dieta isenta de glúten e do conhecimento da doença pelos pacientes cadastrados na Associação dos Celíacos do Brasil (ACELBRA Celiac disease: evaluation of compliance to a gluten-free diet and knowledge of the disease in celiac patients registered at the Brazilian Celiac Association (BCA

    Directory of Open Access Journals (Sweden)

    Vera Lucia SDEPANIAN

    2001-10-01

    Full Text Available Racional — A obediência à dieta isenta de glúten previne a ocorrência de complicações malignas e não-malignas. Objetivo - Avaliar a obediência à dieta isenta de glúten e o conhecimento teórico acerca da doença celíaca e seu tratamento pelos pacientes cadastrados na Associação dos Celíacos do Brasil (ACELBRA. Métodos - Foi enviado por correio um questionário a respeito da obediência à dieta isenta de glúten e do conhecimento teórico da doença celíaca e seu tratamento a 584 membros cadastrados na ACELBRA. Resultados - Dos 534 (91,4% questionários recebidos, foram analisados 529 (90,6%. Quanto à obediência à dieta, 69,4% dos pacientes responderam que nunca ingerem glúten e 29,5% que não obedecem à dieta. A proporção de pacientes que ingerem glúten freqüentemente ou sem restrição alguma é maior entre aqueles com idade igual ou maior a 21 anos (17,7% do que os com idade menor (9,9%. A freqüência de obediência à dieta foi maior quando o intervalo de tempo em que foi estabelecido o diagnóstico da doença foi inferior a 5 anos. O intestino delgado foi assinalado como o principal órgão afetado na doença celíaca por 82% dos pacientes. Os principais sintomas assinalados foram diarréia (96,6%, emagrecimento (93,4%, barriga inchada (90,4%, anemia (68,1% e vômitos (59,6%. Apenas 59,0% concordaram com a existência de predisposição genética. Segundo 90,4% das respostas, a doença é permanente e 96,2% assinalaram que a dieta deve ser totalmente isenta de glúten; 67,1% responderam que o glúten é uma proteína que está presente, segundo 92,1% dos inquéritos, no trigo, centeio, cevada e aveia. Observou-se maior proporção de obediência à dieta quando há conhecimento da doença e dieta. A biopsia de intestino delgado foi considerada necessária por apenas 67,5% dos pacientes, observando-se maior freqüência de obediência à dieta nos pacientes que realizaram pelo menos uma biopsia de intestino delgado

  9. Efeito da administração oral de arginina sobre a pressão arterial e parâmetros cardíacos em ratos submetidos ao bloqueio crônico da síntese de óxido nítrico Efecto de la administración oral de arginina sobre la presión arterial y los parámetros cardiacos en ratones sometidos al bloqueo crónico de síntesis de óxido nítrico Effect of oral arginine administration over blood pressure and cardiac parameters in rats submitted to chronic inhibition of nitric oxide synthesis

    Directory of Open Access Journals (Sweden)

    Luciano Ramos

    2006-08-01

    Full Text Available Já está claramente estabelecido, que a inibição crônica da síntese de óxido nítrico resulta em hipertensão sustentada, remodelamento cardíaco e fibrose. Além disso, resultados de nosso grupo demonstraram que a suplementação oral com L-arginina foi capaz de aumentar a resistência da musculatura esquelética a fadiga muscular localizada em humanos. O tratamento experimental de ratos com L-NAME é um dos modelos mais comumente utilizados para se induzir hipertensão. A resposta compensatória esperada contra o aumento da resistência vascular sistêmica seria a hipertrofia ventricular esquerda; entretanto, isso tem sido um ponto bastante controverso na literatura. O objetivo do presente estudo foi verificar os efeitos da inibição do óxido nítrico pela administração oral de L-NAME sobre o tecido cardíaco de ratos e a possível reversão pela L-arginina. Foram utilizados 30 ratos Wistar machos (250-350g, mantidos em condições de temperatura, luz e umidade controlada, e com água e comida ad libitum. Ao final de quatro semanas, os animais foram sacrificados por inalação de CO2 e os corações foram removidos e imediatamente dissecados, sendo separados átrios e ventrículos, obtendo-se os pesos total e parcial. Os valores foram corrigidos em função do peso corporal obtido na última semana de tratamento e expressos como índice cardíaco. O L-NAME foi capaz de induzir hipertensão e aumento significativo do duplo produto, porém sem resultados significativos sobre os pesos cardíacos, não sendo observada hipertrofia do órgão. Os aumentos de pressão arterial e duplo produto foram revertidos pela administração concomitante de arginina, de maneira dependente da dose. Dados preliminares não publicados demonstraram a reversão da fibrose cardíaca induzida pelo L-NAME, nos animais que receberam tratamento com arginina. Podemos concluir que a arginina pode vir a ser uma ferramenta valiosa na prevenção da hipertensão e do

  10. Theoretical analysis of two ACO approaches for the traveling salesman problem

    DEFF Research Database (Denmark)

    Kötzing, Timo; Neumann, Frank; Röglin, Heiko;

    2012-01-01

    Bioinspired algorithms, such as evolutionary algorithms and ant colony optimization, are widely used for different combinatorial optimization problems. These algorithms rely heavily on the use of randomness and are hard to understand from a theoretical point of view. This paper contributes to the...

  11. Dependência tabágica, assertividade e alexitimia em doentes cardíacos

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    Vânia Rocha

    2010-08-01

    Full Text Available O tabagismo é uma das principais causas evitáveis de morte, aumentando acentuadamente o risco de infarto do miocárdio. Este último está associado a certas variáveis psicossociais relacionadas com o tabagismo, nomeadamente a alexitimia e a falta de assertividade. O objetivo do presente artigo foi caracterizar os dois tipos de dependência tabágica (fisiológica e comportamental, a assertividade e a alexitimia, e avaliar a relação das variáveis entre si, em 30 doentes homens internados com infarto. Foram aplicados o Teste de Fagerström, o Questionário de Glover-Nilsson, a Escala de "Rathus" e a TAS-20. Os resultados indicam que a alexitimia encontra-se relacionada com a dependência comportamental e com a assertividade, sugerindo que os sujeitos menos assertivos e com dificuldade em gerir afetos negativos e situações de estresse, podem recorrer ao tabagismo como mecanismo de enfrentamento. Nas intervenções voltadas à interrupção do hábito de fumar em doentes infartados deve-se enfatizar as competências sociais e de regulação emocional.

  12. Routing in Wireless Sensor Networks Using an Ant Colony Optimization (ACO) Router Chip.

    Science.gov (United States)

    Okdem, Selcuk; Karaboga, Dervis

    2009-01-01

    Wireless Sensor Networks consisting of nodes with limited power are deployed to gather useful information from the field. In WSNs it is critical to collect the information in an energy efficient manner. Ant Colony Optimization, a swarm intelligence based optimization technique, is widely used in network routing. A novel routing approach using an Ant Colony Optimization algorithm is proposed for Wireless Sensor Networks consisting of stable nodes. Illustrative examples, detailed descriptions and comparative performance test results of the proposed approach are included. The approach is also implemented to a small sized hardware component as a router chip. Simulation results show that proposed algorithm provides promising solutions allowing node designers to efficiently operate routing tasks. PMID:22399947

  13. Caracterización molecular de la microbiota de individuos celíacos

    OpenAIRE

    SÁNCHEZ SÁNCHEZ, ESTER

    2013-01-01

    La enfermedad celíaca (EC) es una enteropatía de carácter autoinmune en la que intervienen factores genéticos y ambientales. Es la enfermedad crónica intestinal más frecuente, y aunque puede presentarse a cualquier edad y con una gran variedad de síntomas, los casos típicos suelen manifestarse durante la infancia y cursar con síntomas gastrointestinales. En individuos genéticamente susceptibles a desarrollar la enfermedad la ingesta del gluten de la dieta causa una inflamación crónica en el i...

  14. A Novel Framework for Medical Web Information Foraging Using Hybrid ACO and Tabu Search.

    Science.gov (United States)

    Drias, Yassine; Kechid, Samir; Pasi, Gabriella

    2016-01-01

    We present in this paper a novel approach based on multi-agent technology for Web information foraging. We proposed for this purpose an architecture in which we distinguish two important phases. The first one is a learning process for localizing the most relevant pages that might interest the user. This is performed on a fixed instance of the Web. The second takes into account the openness and dynamicity of the Web. It consists on an incremental learning starting from the result of the first phase and reshaping the outcomes taking into account the changes that undergoes the Web. The system was implemented using a colony of artificial ants hybridized with tabu search in order to achieve more effectiveness and efficiency. To validate our proposal, experiments were conducted on MedlinePlus, a real website dedicated for research in the domain of Health in contrast to other previous works where experiments were performed on web logs datasets. The main results are promising either for those related to strong Web regularities and for the response time, which is very short and hence complies the real time constraint. PMID:26573642

  15. Routing in Wireless Sensor Networks Using an Ant Colony Optimization (ACO) Router Chip

    OpenAIRE

    Dervis Karaboga; Selcuk Okdem

    2009-01-01

    Wireless Sensor Networks consisting of nodes with limited power are deployed to gather useful information from the field. In WSNs it is critical to collect the information in an energy efficient manner. Ant Colony Optimization, a swarm intelligence based optimization technique, is widely used in network routing. A novel routing approach using an Ant Colony Optimization algorithm is proposed for Wireless Sensor Networks consisting of stable nodes. Illustrative examples, detailed descriptions a...

  16. AN ADAPTIVE ACO-DRIVEN SCHEME FOR LEARNING AIM ORIENTED PERSONALIZED E-LEARNING

    Directory of Open Access Journals (Sweden)

    Sushma Hans

    2014-10-01

    Full Text Available The e-learning paradigm is now a well-established vehicle of modern education. It caters to a wide spectrum of students with diverse backgrounds who enroll with their own learning aims. A core challenge under this scenario is to generate personalized learning paths so that each student can achieve her learning aim most effectively. Prior works used static attributes such as prior knowledge level, learning ability, browsing preferences, learning style etc. to generate personalized learning paths. In this paper, we take an entirely new route by taking into account the continuous improvement of a learner in the light of her own learning aim, to redefine her learning path at each level of the course. We introduce the concept of personalized examination system that systematically evaluates the dynamic learning ability of every student according to her pre-set goals. The proposed intelligent e-learning system uses Ant Colony Optimization to iteratively optimize the forward learning paths. Experimental results reveal that the system is able to tap a student’s improved learning ability to choose more difficult paths that contribute highly towards her own aims. We demonstrate that the overall learning success of weaker students doubles as compared to statically generated paths while there is considerable improvement of 50% in the learning success for average students as well. This clearly indicates that our approach gives realistic benefits to initially weak students who gradually evolve as the course progresses.

  17. ACO Algorithm Applied to Multi-Objectives Optimization of Capacity Expansion in Next Generation Wireless Network

    Directory of Open Access Journals (Sweden)

    Dac-Nhuong Le

    2013-09-01

    Full Text Available The optimal capacity expansion of base station subsystems in Next Generation Wireless Network (NGWN problem with respect to multi-demand type and system capacity constraints is known to be NP-complete. In this paper, we propose a novel ant colony optimization algorithm to solve a network topology has two levels in which mobile users are sources and both base stations and base station controllers are concentrators. There are two important aspects of upgrading to NGWN. The first importance of backward compatibility with pre-existing networks, and the second is the cost and operational benefit of gradually enhancing networks, by replacing, upgrading and installing new wireless network infrastructure elements that can accommodate both voice and data demand. Our objective function is the sources to concentrators connectivity costas well as the cost of the installation, connection, replacement, and capacity upgrade of infrastructure equipment. We evaluate the performance of our algorithm with a set of real world and data randomly generated. Numerical results show that our algorithms is a promising approach to solve this problem.

  18. Endocarditis infecciosa asociada con dispositivos electrónicos implantables intracardíacos. Nuestra experiencia

    Directory of Open Access Journals (Sweden)

    Fabián Salmo

    2007-01-01

    Full Text Available IntroducciónLa endocarditis infecciosa es una patología con una morbimortalidad elevada. En esta comunicación se presentan 17 casos de endocarditis infecciosa (EI asociada con dispositivos electrónicos implantables (DEI, que representaron el 6% de las endocarditis entre 1992 y 2005.ObjetivoAnalizar las características clínicas, evolutivas y anatomopatológicas de un subgrupo de pacientes con EI portadores de DEI.Material y métodosDe un total de 263 pacientes con EI admitidos en nuestra institución entre 1992 y 2005, se analizaron 17 con EI asociada con DEI.Las EI asociadas con DEI se clasificaron en: 1 temprana, la ocurrida dentro de los 12 meses del posquirúrgico, y 2 tardía, la producida luego de ese lapso. En todos los pacientes se obtuvieron muestras para hemocultivos, se efectuó el cultivo de todo material extraído durante la cirugía y se realizaron ecocardiogramas por vía transtorácica (ETT y transesofágica (ETE.ResultadosDe los 17 pacientes, 13 (73% eran hombres; la edad promedio fue de 60 años y el tiempo entre el implante y el diagnóstico fue de 344 días. Dieciséis pacientes presentaron fiebre y bacteriemia; el germen predominante fue Staphylococcus aureus en el 70% de los casos. En todos se extrajo el sistema. La mortalidad fue del 17%.ConclusionesLa EI asociada con el DEI, que debe sospecharse siempre en ausencia de otro foco infeccioso, constituye un subgrupo que con diagnóstico y tratamiento precoz tiene una mortalidad menor que la global descripta. Al igual que para la EI sin DEI, los hemocultivos y la ecocardiografía son los pilares para el diagnóstico.

  19. Multi-objective integrated process planning and scheduling : a hybrid MAS/ACO approach

    OpenAIRE

    Zhang, Sicheng.; 张思成

    2015-01-01

    Process planning and scheduling are two important manufacturing planning functions which are traditionally performed separately and sequentially. Usually, the process plan has to be prepared first before scheduling can be performed. However, due to the complexity of manufacturing systems and the uncertainties encountered in practical production, the sequentially prepared process plans and schedules may sometimes become inefficient or even infeasible. Integrated process planning and scheduling...

  20. Corpo estranho intracardíaco: complicação da ventriculoauriculostomia

    Directory of Open Access Journals (Sweden)

    Gilberto Machado de Almeida

    1965-09-01

    Full Text Available A ventriculoauriculostomia, apesar das complicações que pode determinar, continua a ser a técnica cirúrgica mais freqüentemente usada para o tratamento da hidrocefalia. Na literatura, existe referência a apenas três casos em que a extremidade inferior do sistema de derivação deslocou-se para o ventrículo direito. Nestes doentes o corpo estranho foi retirado ci-rùrgicamente. Apresentamos um caso operado segundo a técnica de Spitz-Holter, com embolização cardíaca pelo cateter jugular. O doente permanece há 22 meses com o corpo estranho no coração direito, porque a família não permitiu que fôsse realizada a cardiotomia.

  1. Asfixia perinatal e problemas cardíacos Perinatal asphyxia and heart problems

    Directory of Open Access Journals (Sweden)

    Gesmar Volga H. Herdy

    1998-08-01

    Full Text Available OBJETIVO: Avaliar a gravidade das complicações cardíacas na asfixia neonatal, sua evolução e correlacioná-las com o grau e duração do processo hipóxico. MÉTODOS: Foram estudados 90 bebês nos últimos 7 anos com grau de Apgar PURPOSE: To evaluate the severity of cardiac complications of neonatal asphyxia in relation to the length and degree of hipoxia. METHODS: Ninety babies with an Apgar score <6 were examined in the intensive care unit at our institution during seven years. Arterial blood for measuring pH, glucose, LDH and MB fraction of CK, together with serial electrocardiogram (ECG, echocardiogram and chest X rays was obtained. The fatal cases were studied with macro and microscopic examination. RESULTS: From a total of 90 cases, 73 were premature: 30 (41% appropriate for gestation age (AGA and 43 (59% small for gestation age (SGA. Twenty one (23% cases had arterial pH <7.2. The most common clinical conditions were: pneumonia 28 (31%, anemia 24 (26% and jaundice 12 (13%. The main cardiological findings were: systolic murmur in 46 (50%, signs of heart hypertrophy in 18 (20% and heart failure in 8 (9%. On ECG the main findings were ST and T abnormalities. The echocardiogram showed a patent ductus arteriosus (PDA in 20 (22%, tricuspid regurgitation in 6 (7%, pulmonary hypertension in 6 (7%, dyskinesia and ventricular dilatation in 4 (5%. Necropsy was performed in 23 cases and macro and microscopy obtained in 14; the most frequent findings were: myocite necrosis in 8 (54%, congestion, vacuolization and loss of striae in 4 (29%. CONCLUSION: In the majority of cases, patients had a benign course, even those presenting with severe acidemia. Many abnormal EKGs and echocardiograms became normal after a few weeks. Among those who had a fatal outcome, the severity of histological lesions was observed in babies who had suffered asphyxia for more prolonged periods.

  2. El complejo Auriñaco - Perigordiense en el País Vasco.

    Directory of Open Access Journals (Sweden)

    Rosa Ruiz Idarraga

    1990-01-01

    Full Text Available Se presenta una visión general actualizada del comienzo del Paleolítico Superior en el País Vasco con especial atención en el desarrollo del complejo industrial: Auriñaciense y Perigordiense.

  3. Fibroma cardíaco mimetizando cardiomiopatia hipertrófica Cardiac fibroma mimicking hypertrophic cardiomyopathy

    Directory of Open Access Journals (Sweden)

    Luís Alberto Dallan

    1989-12-01

    Full Text Available É relatado o caso de paciente com queixa de dor precordial, dispnéia e arritmia desde a adolescência, tratada clinicamente por mais de 10 anos. Nesse período, foi submetida a inúmeros exames ângio e ecocardiográficos, com suspeita inicial de endomiocardiofibrose e, posteriormente, de cardiomiopatia hipertrófica de ventrículo esquerdo. Como houve piora progressiva da sintomatologia e ausência de resposta à medicação, foi encaminhada ao nosso Serviço, onde se diagnosticou fibroma de ventrículo esquerdo. Foi submetida, com sucesso, à ressecção cirúrgica do tumor, sendo realizada reconstrução geométrica do ventrículo esquerdo. Apresenta boa evolução, decorridos dois anos, com remissão completa dos sintomas. Destacamos a dificuldade no diagnóstico diferencial desses tumores benignos e de crescimento lento, com as cardiomiopatias hipertróficas do ventrículo esquerdo.A 33 year-old woman was seen, for the first time, ten years ago, for evaluation of a recurrent chest pain, dyspnea and arrhythmia. She was submitted to echocardiographic studies and a cardiac catheterization. The diagnoses was endomyocardial fibrosis at first, and hypertrophic cardiomyopathy after. Despite treatment with propranolol and quinidine, the episodes of dyspnea and tachyarrhythmias became more frequent and severe, and the patient was guided to our Service. Cardiac re-catheterization, echocardiographic and computed tomography studies identified in traumural cardiac fibroma and the patient was referred for surgical treatment. The cardiac fibroma was successfully resected on extracorporeal bypass and with cardioplegic arrest of the heart. Repair of the heart was accomplished with a patch placed to close the left ventricular cavity. The postoperative course was uncomplicated, and she remains assymptomatic two years later. We have emphazied tha this tumor often produces clinically obscure disease, simulating particularly the left ventricle hypertrophic cardiomiopathy.

  4. Deleção 22q11.2 em pacientes com defeito cardíaco conotruncal e fenótipo da síndrome da deleção 22q11.2 Deleción 22q11.2 en pacientes con defecto cardiaco conotruncal y fenotipo del síndrome de la deleción 22q11.2 22q11.2 deletion in patients with conotruncal heart defect and del22q syndrome phenotype

    Directory of Open Access Journals (Sweden)

    Sintia Iole Nogueira Belangero

    2009-04-01

    Full Text Available FUNDAMENTO: A síndrome da deleção 22q11.2 é a mais freqüente síndrome de microdeleção humana. O fenótipo é altamente variável e caracterizado por defeito cardíaco conotruncal, dismorfias faciais, insuficiência velofaríngea, dificuldade de aprendizagem e retardo mental. OBJETIVO: O objetivo deste trabalho foi investigar a freqüência da deleção 22q11.2 em uma amostra brasileira de indivíduos portadores de cardiopatia conontrucal isolada e do fenótipo da síndrome da deleção 22q11.2. MÉTODOS: Vinte e nove pacientes foram estudados por meio de citogenética clássica, por hibridação in situ fluorescente (FISH e por técnicas moleculares. RESULTADOS: A análise citogenética por meio de bandamento G revelou cariótipo normal em todos os pacientes, com exceção de um que apresentou cariótipo 47,XX,+idic(22(q11.2. Com o uso de técnicas moleculares, a deleção foi observada em 25% dos pacientes, todos portadores do fenótipo da síndrome da deleção 22q11.2. Em nenhum dos casos, a deleção foi herdada dos pais. A freqüência da deleção 22q11.2 foi maior no grupo de pacientes portadores do espectro clínico da síndrome da deleção 22q11.2 do que no grupo de pacientes com cardiopatia conotruncal isolada. CONCLUSÃO: A investigação da presença da deleção e sua correlação com os dados clínicos dos pacientes podem auxiliar os pacientes e suas famílias a terem um melhor aconselhamento genético e um seguimento clínico mais adequado.FUNDAMENTO: El síndrome de la deleción 22q11.2 es el más frecuente síndrome de microdeleción humana. El fenotipo, altamente variable, se caracteriza por defecto cardiaco conotruncal, dismorfias faciales, insuficiencia velofaríngea, dificultad de aprendizaje y retardo mental. OBJETIVO: El objetivo de este trabajo fue investigar la frecuencia tanto de la deleción 22q11.2 en una muestra brasileña de individuos portadores de cardiopatía conotrucal aislada, como del fenotipo del s

  5. O exercício físico atenua o déficit autonômico cardíaco induzido pelo bloqueio da síntese do óxido nítrico El ejercicio físico atenúa el déficit autonómico cardiaco inducido por el bloqueo de la síntesis de óxido nítrico Physical exercise attenuates the cardiac autonomic deficit induced by nitric oxide synthesis blockade

    Directory of Open Access Journals (Sweden)

    Bruno Rafael Orsini Rossi

    2009-01-01

    Full Text Available FUNDAMENTO: O bloqueio da síntese do óxido nítrico (NO é caracterizado pelo aumento da atividade simpática cardíaca, e o treinamento físico promove a redução da atividade simpática. OBJETIVO: Investigamos o efeito do bloqueio da síntese do NO sobre o controle autonômico cardiovascular em ratos submetidos ao exercício aeróbio durante dez semanas. MÉTODOS: Ratos wistar foram divididos em quatro grupos: controle tratados com ração e água ad libitum durante dez semanas (RC; controle tratados com N G-nitro-L-arginine methyl ester (L-NAME na última semana (RCL; treinados durante dez semanas em esteira motorizada (RT; treinados por dez semanas e tratados com L-NAME na última semana (RTL. O controle autonômico cardiovascular foi investigado em todos os grupos com a utilização de duplo bloqueio com metilatropina e propranolol, e análise da variabilidade. RESULTADOS: Os grupos RCL e RTL apresentaram hipertensão. O grupo RCL apresentou taquicardia e predomínio do tônus simpático na determinação da FC após o bloqueio autonômico farmacológico. O grupo RT apresentou bradicardia e menor freqüência cardíaca (FC intrínseca em relação aos demais. A avaliação da variabilidade da FC mostrou menores valores absolutos e normalizados na banda de baixa freqüência (BF no grupo RCL. Por sua vez, o grupo RTL apresentou elevação na banda de BF em valores absolutos. A análise da variabilidade da PAS mostrou que os grupos RCL e RTL apresentaram maiores valores na banda de BF. CONCLUSÃO: O exercício físico prévio impediu o déficit no controle autonômico cardíaco induzido pelo tratamento com L-NAME, no entanto não impediu o aumento na variabilidade da PAS.FUNDAMENTO: El bloqueo de la síntesis de óxido nítrico (NO se caracteriza por el incremento de la actividad simpática cardiaca, y el entrenamiento físico promueve la reducción de la actividad simpática. OBJETIVO: Investigamos el efecto del bloqueo de la s

  6. Vale do Aco pipeline: pipeline natural gas implementation in ArcelorMittal Monlevade steel work; Gasoduto Vale do Aco: implantacao do gas natural via gasoduto na ArcelorMittal Monlevade

    Energy Technology Data Exchange (ETDEWEB)

    Goncalves, Eduardo Sergio da Silva; Arantes, Luiz Flavio Mourao; Ribeiro, Vicente Aleixo Pinheiro [ArcelorMittal Monlevade, Joao Monlevade, MG (Brazil)

    2011-12-21

    Since September 2010, ArcelorMittal Monlevade has gained flexibility and an important opportunity to reduce the cost of its energy mix due to the arrival of the Natural Gas (NG) via Steel Valley Pipeline. The proposal of the project included the substitution of the Liquefied Petroleum Gas (LPG), Fuel Oil and Compressed Natural Gas for natural gas via pipeline. To support the investment decision, in addition to domestic economic and technical aspects, the macro economic environment concerning the NG was also taken into account. This paper shows the analysis for adjustment of internal equipment, the structure of the contract, the conceptual project of the gas distribution built inside the main events, the gains achieved, the alternatives for the acquisition of NG and operational flexibility of ArcelorMittal Monlevade in case of interruption of supply of natural gas. (author)

  7. Natural gas use in treatment of steel surfaces; Utilizacao de gas natural em tratamento de superficies de aco

    Energy Technology Data Exchange (ETDEWEB)

    Ferraz, Andre Dias; Machado, Antonio Rogerio; Rocha, Ivan; Azevedo, Jorge; Oshiro, Hugo K.; Konishi, Ricardo; Lehmkuhl, Willian [Companhia de Gas de Santa Catarina (SCGAS), Florianopolis, SC (Brazil); Piazza, Walter [PETROBRAS, Rio de Janeiro, RJ (Brazil)

    2011-12-21

    The surface treatments of metals, such as carburizing, rely on processing under high temperature in carbon rich atmospheres. The atmosphere is industrially generated using the partial oxidation of a carbon rich fuel, such as propane, butane or methanol. This article reports a study of the production of a carburizing atmosphere for surface treatment of steel from the partial oxidation of natural gas in a catalytic reactor. The reactor studied was a production size reactor with 300 mm of diameter and 1500 mm of length, packed with alumina supported nickel catalyst. The quality of the carburizing gas was evaluated from its carbon potential of the carburizing gas that was calculated from the concentrations of carbon monoxide (CO), carbon dioxide (CO{sub 2}), oxygen (O{sub 2}) and methane (CH{sub 4}) measured at the reactor's exit. The results indicate that CO concentration is very close to equilibrium, while CO{sub 2} is higher and CH{sub 4} is lower. Examining the reactor, the conclusion was that there was an axial temperature gradient, resulting in lower residence time under the required processing temperature. This resulted in smaller decomposition of CH{sub 4} and smaller production of CO{sub 2}. An equilibrium calculation of carbon potential, expressed as weight percent of carbon in iron, was developed to predict the possible optimizations of mixture composition and reactor temperature for a given required carbon potential. Conclusion: it is possible to generate a carburizing atmosphere under well controlled and repeatable conditions for the carbon potentials required for surface carburizing of steels in industrial processing using natural gas and air mixtures. (author)

  8. Regulación fisiológica del cotransportador sodio/bicarbonato cardíaco

    OpenAIRE

    Orlowski, Alejandro

    2014-01-01

    El objetivo del presente trabajo de tesis doctoral es estudiar y caracterizar la formación de un complejo físico-funcional entre el cotransporte sodio/bicarbonato electrogénico Na+/HCO3- (NBCe1) y la AC IX.

  9. Corrosion behavior of stainless steel in bio diesel production; Comportamento quanto a corrosao de acos inoxidaveis na producao do biodiesel

    Energy Technology Data Exchange (ETDEWEB)

    Miranda, E.F. de [ArcelorMittal Sao Paulo Servicos, SP (Brazil); Moreira, M.C.; Lebrao, S.M.G. [Centro Universitario do Instituto Maua de Tecnologia, Sao Paulo, SP (Brazil)], e-mail: susana.lebrao@maua.br

    2010-07-01

    Biodiesel has become more attractive due to the benefits to the environment, mainly because it is a renewable resource. However, the main barrier to biodiesel is it cost. One factor which is charged to marketing is the use of stainless steel throughout the production line, the most used is AISI 304. To evaluate more economical stainless steels, weight loss and stress corrosion tests were performed on samples of AISI 304 and 439 in methanol PS X30% sodium methylate solution, crude soybean oil, glycerol and biodiesel for about two hundred and fifty days. The mass loss was negligible, and there was complete absence of pitting and stress corrosion cracking in all media studied, showing that both alloys are suitable for the manufacture of such equipment. (author)

  10. Vers une coordination d'équipes de secours lors de situations de crise : un algorithme ACO prometteur

    OpenAIRE

    Jason Mahdjoub; Francis Rousseaux

    2014-01-01

    Résumé. La gestion de crise pose plusieurs défis aux concepteurs de systèmes d'aide à la décision. Nous proposons dans cet article de traiter la question de la conception de systèmes aptes à orienter intelligemment la coordination des équipes de secours. Un des défis est de permettre au système de fonctionner avec des moyens de communication dégradés. Nous avons développé un modèle d'optimisation par colonies de fourmis, capable de gérer la complexité inhérente dans le déploiement des ressour...

  11. Punciones repetidas de la arteria radial para cateterismo cardíaco Repeated radial artery puncture for cardiac catheterization

    Directory of Open Access Journals (Sweden)

    Eduardo Magariños

    2007-06-01

    Full Text Available La punción percutánea de la arteria radial para la realización de procedimientos por cateterismo ha ganado aceptación debido a una eficacia similar a la obtenida con el acceso femoral. En el presente trabajo evaluamos los resultados obtenidos con la punción repetida de esta arteria. En un total de 182 accesos radiales se realizaron 17 punciones repetidas, y mediante ellas, 20 procedimientos (9 coronariografías y 11 angioplastias. Se obtuvo éxito del acceso en 15 punciones repetidas (88.2% y éxito del procedimiento en todos los casos cuando logramos éxito del acceso. Si bien el grupo es pequeño es suficiente para mostrar que la punción repetida de la arteria radial es factible y permite una alta tasa de éxito de los procedimientos con una disminución ostensible de las complicaciones locales.The radial artery approach for percutaneous cardiac interventions has gained worldwide acceptance due to the similar results obtained by the femoral artery access. In this paper, we report our experience with repeated puncture of the radial artery. One hundred and eighty two radial artery access procedures were performed, in 17 interventions the puncture was repeated once or twice, with a total of 20 therapeutic catheterizations (9 coronary angiographies, 11 angioplasties. There was no therapeutic failure through the radial approach but, we successfully gained access in 88.2% (15/17 of the re-interventions cases. Although an experience with a low number of cases, we had a very high successful therapeutic rate, and also a remarkable lowering of local complications, this shows the feasibility and potential of this technique.

  12. Hydrogen embrittlement of super austenitic stainless steel welded joints; Fragilizacao por hidrogenio em juntas soldadas de acos inoxidaveis superausteniticos

    Energy Technology Data Exchange (ETDEWEB)

    Paredes, Ramon S. Cortes [Parana Univ., Curitiba, PR (Brazil). Centro Politecnico. Inst. de Tecnologia para o Desenvolvimento (LACTEC); Berthier, Thiana; Kuromoto, Neide K. [Parana Univ., Curitiba, PR (Brazil). Lab. de Materiais e Tratamento de Superficies. Lab. de Nanopropriedades Mecanicas

    2004-09-15

    The austenitic stainless steel embrittlement is usually present on sulphurous medium due to the hydrogen presence, resulting on cracks and corrosion on acid medium. Several researches carried out on the behaviour of hydrogenated stainless steel structures, had shown that the hydrogen induces superficial phase transformation during hydrogenation period and cracks formation after this period. These are due to the permeation of the hydrogen into the material, which is apprehended on preferential site, resulting on high pressure zones of molecular hydrogen. These zones may lead the crack formation, compromising the mechanical properties. There are few results on austenitic and super austenitic stainless steel, considering the transformations induced on welded unions. This work evaluates the cracks nucleation on welded unions of super austenitic stainless steel AISI 904L exposed to hydrogen rich environments and its relation to the reduction of material ductility. The samples were welded by the Mig/Mag process, followed by hydrogenation which were cathodic on sulfuric acid solution at room temperature. The results showed that the tested super austenitic stainless steel has a significant amount of cracks and no phase transformation has occurred after hydronization. (author)

  13. Recuperación retrospectiva de un archivo policíaco: el “Casellario Politico Centrale”

    OpenAIRE

    Chiaretti, Alessandro

    2012-01-01

    The research illustrates utilization strategies of description standards and advanced technologies that are the basis of recovery ("recuperación retrospectiva") methodologies of archival finding aids, experienced in overcoming the problems associated with communicating and sharing resources. Considering interoperability, both technological and semantic, and long-term preservation of information as primary objectives of information systems, it is considered that recovery operations have to ...

  14. Colecistectomia videolaparoscópica em paciente submetido a transplante cardíaco Laparoscopic cholecystectomy in heart transplant patient

    Directory of Open Access Journals (Sweden)

    Flávio Heuta Ivano

    2000-10-01

    Full Text Available Cardiac transplant has been performed with an increased frequency as the treatment for end-stage cardiac disease. Although cholelithiasis is more frequent in both pretransplant and posttransplant patients, no standard management approach exists. Pretransplant patients are well recognized for cardiac events, and posttransplant immunossupressed patients are at a considerable risk for septic complications. Because the first presentation of gallstones in this population is often acute cholecystitis, asymptomatic calculi cannot be considered benign and it seems reasonable to recommend pretransplant screening and posttransplant surveillance for gallstones. Prophylatic laparoscopic cholecistectomy should be undertaken in the stable patient to avoid the substantial mortality associated with postoperative acute cholecystitis and urgent cholecystectomy. In this case report we present a 44 year-old male with acute cholecystitis after cardiac transplantation who was submitted to a safe laparoscopic cholecystectomy one year and seven months later.

  15. Evaluation of the carburized surface of steels with Magnetic Barkhausen Noise; Avaliacao de superficie cementada de acos com efeito Barkhausen

    Energy Technology Data Exchange (ETDEWEB)

    Campos, M.F. de; Santos, R.; Silva, F.S. da; Ribeiro, S.B.; Lins, J.F.C., E-mail: mcampos@metal.eeimvr.uff.b [Universidade Federal Fluminense (PUVR/UFF), Volta Redonda, RJ (Brazil). Polo Universitario de Volta Redonda; Franco, F.A.; Padovese, L.R. [Universidade de Sao Paulo (EPUSP), SP (Brazil). Escola Politecnica

    2010-07-01

    Steels with different carbon content, 0.11%C and 0.48%C were submitted to a heat treatment for carburization in the surface. The samples were analyzed in the conditions: normalized, only carburized and carburized and quenched as received. The Magnetic Barkhausen Noise (MBN) was measured in all samples. A better understanding of the relation between microstructure and MBN is of large interest for nondestructive characterization. X-ray diffraction (XRD) has revealed large peak broadening for the samples carburized and quenched, which have martensite. This is due to the high density of dislocations and high internal stress in the martensite. It is also found that the MBN peaks are quite distinct for the samples with martensite, which present nanocrystalline structure. When martensite is present, domain rotation occurs more significantly, reducing the permeability and the MBN envelope signal intensity. MBN is a suitable method for non-destructive evaluation of the quality of the carburization process. (author)

  16. Analyzing Convergence in e-Learning Resource Filtering Based on ACO Techniques: A Case Study with Telecommunication Engineering Students

    Science.gov (United States)

    Munoz-Organero, Mario; Ramirez, Gustavo A.; Merino, Pedro Munoz; Kloos, Carlos Delgado

    2010-01-01

    The use of swarm intelligence techniques in e-learning scenarios provides a way to combine simple interactions of individual students to solve a more complex problem. After getting some data from the interactions of the first students with a central system, the use of these techniques converges to a solution that the rest of the students can…

  17. Hydroxyapatite coating on stainless steel by biomimetic method; Recobrimento de hidroxiapatita em acos inoxidaveis austeniticos pelo metodo biomimetico

    Energy Technology Data Exchange (ETDEWEB)

    Dias, V.M.; Maia Filho, A.L.M.; Silva, G.; Sousa, E. de; Cardoso, K.R., E-mail: katiarc@univap.b [Universidade do Vale do Paraiba (IPD/UNIVAP), Sao Jose dos Campos, SP (Brazil). Inst. de Pesquisa e Desenvolvimento

    2010-07-01

    Austenitic stainless steels are widely used in implants due to their high mechanical strength and corrosion, however, are not able to connect to bone tissue and were classified as bioinert. The calcium phosphate ceramics such as hydroxyapatite (HA) are bioactive materials and create strong chemical bonds with bone tissue, but its brittleness and low fracture toughness render its use in conditions of high mechanical stress. The coating of steel with the bioactive ceramics such as HA, combines the properties of interest of both materials, accelerating bone formation around the implant. In this study, austenitic stainless steel samples were coated with apatite using the biomimetic method. The effect of three different surface conditions of steel and the immersion time in the SBF solution on the coating was evaluated. The samples were characterized by SEM, EDS and X-ray diffraction. (author)

  18. The optimization of FHT-based ACO-OFDM atmospheric laser communication system in terms of PAPR reduction

    Science.gov (United States)

    Guo, Qiwen; Wei, Yiran; Duan, Yuning

    2013-08-01

    The application of orthogonal frequency division multiplexing (OFDM) in atmospheric laser communication is not as wildly as expected. This is should be owing to several problems rooted in OFDM system and the incompatibility between IM and OFDM. Aiming to analyze the major problems and propose optimized solutions, in the first part of this paper, we introduce the application of fast Hartley transform (FHT), as a suitable alternative to FFT, in asymmetrically clipped (AC) OFDM Atmospheric laser communication system. Then we demonstrate the problem of high PAPR embedded in such system. In the following part of this paper, we firstly review and analyze the performance of some standard methods, namely, Clipping, Companding, Selective Mapping (SLM), Partial Transmit Sequence (PTS), used to reduce the high peak to average power ratio (PAPR) caused by OFDM. And then we make some modifications on those methods so that they could be applied on DHT based AC-OFDM atmospheric laser communication system with more effectiveness. Finally, we propose and compare four different PAPR reduction techniques obtained by serialization of those modified methods. And by using Matlab simulation we demonstrate the feasibility of the proposed methods.

  19. Reprocessamento de cateteres cardíacos: uma revisão Reuse of cardiac catheters: a review

    Directory of Open Access Journals (Sweden)

    Silma Maria Cunha Pinheiro Ribeiro

    2006-09-01

    Full Text Available Os cateteres de hemodinâmica são amplamente reprocessados, principalmente em países em desenvolvimento, onde os custos da utilização desses insumos são altos. A literatura científica aponta a ausência de processos validados de limpeza e esterilização e é unânime a afirmação de que o reprocessamento provoca alterações na integridade física, química e funcional desses materiais. Dentro desse contexto, questionam-se quais as evidências publicadas sobre os danos provocados pelo reprocessamento dos cateteres de hemodinâmica? O objetivo é identificar as evidências científicas em relação aos efeitos do reprocessamento dos cateteres, do ponto de vista mecânico, físico, químico e biológico. Foi realizada uma pesquisa na base de dados Medline/Pubmed e LILACS, sem restrições de tempo, em inglês, português e espanhol, usando vocabulário controlado e não-controlado. Um total de 21 publicações foi analisado. Os artigos analisados apontam a ocorrência de alterações físicas, mecânicas e químicas. A limpeza e a esterilização dos cateteres não foi eficiente, tendo sido identificada a presença de debris e microrganismos ao final do processo. Vale ressaltar a importância dessas informações para a tomada de decisão em relação ao reprocessamento e reuso de cateteres de hemodinâmica.Hemodynamic catheters are widely reused mainly in developing countries where the cost of new devices is very high. Scientific publications point to an absence of validated cleaning and sterilization processes and there is a consensus that reusing these devices causes physical, chemical and funcional damage. So what is the evidence related to the use of this kind of catheter? The objective of this study is to identify the scientific evidence related to the effects of reprocessing. A search for publications in English, Portuguese and Spanish was performed in Medline/Pubmed and LILACS using Medical Subject Headings (MeSH terms and free terms without stipulating restraints on time. In total 21 papers were analized. It was found that there is commonly damage to the surface polymers as identified by eletronic microscopy. Failure in the cleaning and sterilization process was identified by the presence of debris and microrganisms at the end of the procedure. The results of this study are very important when choosing to reuse hemodynamic catheters.

  20. Home for the Helidays: A Guide for Student Adult Children of Alcoholics (ACoA). Making a Difference Series

    Science.gov (United States)

    Chapman, Robert J.

    2009-01-01

    For many students with addicted family members, the holiday season acts more like a time machine, instantly transporting them back to a time when addicted behavior makes it seem like they have gone, "home for the helidays" rather than home to celebrate caring and sharing with members of the family. Often, students who return to an addicted family…

  1. Evaluation of welding by MIG in martensitic stainless steel; Avaliacao da soldagem pelo processo MIG em aco inoxidavel martensitico

    Energy Technology Data Exchange (ETDEWEB)

    Fernandes, M.A. [Universidade Estadual de Campinas (UNICAMP), SP (Brazil); Mariano, N.A.; Marinho, D.H.C. Marinho, E-mail: neideaparecidamariano@gmail.co [Universidade Federal de Alfenas (UNIFAL), Pocos de Caldas, MG (Brazil)

    2010-07-01

    This work evaluated structure's characterization and mechanical properties after the welding process of the stainless steel CA6NM. The employed welding process was the metal active gas with tubular wire. The control of the thermal cycle in the welding process has fundamental importance regarding the properties of the welded joint, particularly in the thermally affected zone. The mechanical properties were appraised through impact resistance tests and the hardness and microstructure through metallographic characterization and Ray-X diffraction. The parameters and the process of welding used promoted the hardness and toughness appropriate to the applications of the steel. Welding energy's control becomes an essential factor that can affect the temperature of carbide precipitation and the nucleation of the retained austenite in the in the region of the in the thermally affected zone. (author)

  2. A novel tripodal colorimetric and fluorescence "turn on" chemosensor for AcO(-) and F(-) anions in CH3CN.

    Science.gov (United States)

    Alici, Onder

    2016-10-01

    A novel chemosensor, 3',3‴,3‴″-(((nitrilotris(ethane-2,1-diyl))tris(azanylylidene))tris(methanylylidene))tris(4-hydroxy-4'-biphenylcarbonitrile) (L) was synthesized and characterized by the combination of (1)H,(13)C, APT, COSY NMR, FT-IR, and elemental analysis. The behavior of the receptor (L) toward different anions was investigated using UV-visible and fluorescence spectroscopy. The receptor (L) indicated an efficient colorimetric "naked-eye" and "turn on" fluorescent response for fluoride and acetate in CH3CN, respectively. PMID:27258686

  3. Mechanical And Microstructural Evaluation Of A Wear Resistant Steel; Avaliacao mecanica e microestrutural de um aco resistente ao desgaste

    Energy Technology Data Exchange (ETDEWEB)

    Santos, F.L.F. dos; Vieira, A.G.; Correa, E.C.S.; Pinheiro, I.P., E-mail: falletti@hotmail.co [Centro Federal de Educacao Tecnologica de Minas Gerais (CEFET/MG), Belo Horizonte, MG (Brazil). Dept. de Engenharia de Materiais

    2010-07-01

    In the present work, the analysis of the mechanical properties and the microstructural features of a high strength low alloy steel, containing chromium, molybdenum and boron, subjected to different heat treatments, was conducted. After austenitizing at 910 deg C for 10 minutes, three operations were carried out: oil quenching, oil quenching followed by tempering at 200 deg C for 120 minutes and austempering at 400 deg C for 5 minutes followed by water cooling. The analysis was performed through tensile and hardness tests, optical microscopy and X-ray diffraction. The bainitic structure led to high strength and toughness, both essential mechanical properties for wear resistant steels. The occurrence of allotriomorphic ferrite and retained austenite in the samples also increased the wear resistance. This phenomenon is related to the fact that both structures are able to be deformed and, in the case of the retained austenite, the transformation induced plasticity TRIP effect may take place as the material is used. (author)

  4. Reliability-Based Design Optimization for Crane Metallic Structure Using ACO and AFOSM Based on China Standards

    Directory of Open Access Journals (Sweden)

    Xiaoning Fan

    2015-01-01

    Full Text Available The design optimization of crane metallic structures is of great significance in reducing their weight and cost. Although it is known that uncertainties in the loads, geometry, dimensions, and materials of crane metallic structures are inherent and inevitable and that deterministic structural optimization can lead to an unreliable structure in practical applications, little amount of research on these factors has been reported. This paper considers a sensitivity analysis of uncertain variables and constructs a reliability-based design optimization model of an overhead traveling crane metallic structure. An advanced first-order second-moment method is used to calculate the reliability indices of probabilistic constraints at each design point. An effective ant colony optimization with a mutation local search is developed to achieve the global optimal solution. By applying our reliability-based design optimization to a realistic crane structure, we demonstrate that, compared with the practical design and the deterministic design optimization, the proposed method could find the lighter structure weight while satisfying the deterministic and probabilistic stress, deflection, and stiffness constraints and is therefore both feasible and effective.

  5. Selective induction and subcellular distribution of ACONITASE 3 reveal the importance of cytosolic citrate metabolism during lipid mobilization in Arabidopsis.

    Science.gov (United States)

    Hooks, Mark A; Allwood, J William; Harrison, Joanna K D; Kopka, Joachim; Erban, Alexander; Goodacre, Royston; Balk, Janneke

    2014-10-15

    Arabidopsis thaliana has three genes that encode distinct aconitases (ACO), but little is known about the function of each isoenzyme during plant development. In newly emerged seedlings of Arabidopsis, transcript and protein levels for ACO3 were selectively induced to yield more than 80% of total aconitase activity. Characterization of knockout mutants for each of the three ACOs suggests a major role for only ACO3 in citrate metabolism. The aco3 mutant showed delayed early seedling growth, altered assimilation of [14C]acetate feeding and elevated citrate levels, which were nearly 4-fold greater than in wild-type, aco1 or aco2. However, both ACO1 and ACO2 are active in seedlings as shown by inhibition of aco3 growth by the toxin monofluoroacetate, and altered [14C]acetate assimilation and metabolite levels in aco1 and aco2. Relative levels of fumarate and malate differed between aco2 and aco3, indicating metabolically isolated pools of these metabolites in seedlings. Our inability to enrich ACO protein through mitochondria isolation, and the reduced cytosolic ACO activity of the iron-sulfur centre assembly mutant atm3-1, indicated a cytosolic localization of ACO3 in 3-day-old seedlings. Subsequently, we determined that more than 90% of ACO3 was cytosolic. We conclude that ACO3 is cytosolic in young seedlings and functions in citrate catabolism consistent with the operation of the classic glyoxylate and not direct catabolism of citrate within mitochondria.

  6. Dissecção espontânea do tronco celíaco: qual a melhor abordagem terapêutica?

    OpenAIRE

    Francisco Leonardo Galastri; Felipe Nasser; Breno Boueri Affonso; Jorge Eduardo de Amorim; Fabiellen Berzoini Travassos

    2013-01-01

    A dissecção espontânea das artérias viscerais é um evento relativamente raro. Dor abdominal súbita no epigástrio é o sintoma mais frequentemente manifestado pelos pacientes. O avanço das técnicas de exames de imagem possibilitou o diagnóstico deste evento com maior facilidade, aumentando a incidência das dissecções das artérias viscerais. O tratamento clínico conservador, a revascularização cirúrgica, e a terapia endovascular são as três possíveis opções terapêuticas. Neste artigo, relatamos ...

  7. Modification and characterization of the AISI 410 martensitic stainless steels surface; Modificacao e caracterizacao da superficie do aco inoxidavel martensitico AISI 410

    Energy Technology Data Exchange (ETDEWEB)

    Bincoleto, A.V.L. [Universidade Federal de Sao Carlos (PPG-CEM/UFSCar), SP (Brazil). Programa de Pos-Graduacao em Ciencia e Engenharia de Materiais; Nascente, P.A.P. [Universidade Federal de Sao Carlos (DEMa/UFSCar), SP (Brazil). Dept. de Engenharia de Materiais

    2010-07-01

    Steam turbines are used in the generation of more than half the electric energy produced in the world nowadays. It is important the study which aims to improve the efficiency by means of the optimization of leaks and of the aerodynamic profiles, as well as to maintain the integrity of the components. The martensitic stainless steels are widely employed due to the combination of their good mechanical properties with higher corrosion resistance. However, their lower wear resistance and their poor tribological behavior limit their use, since they decrease the component life time. In order to evaluate the improvement in the performance of the AISI 410 stainless steel, several process of surface modification were employed. Five samples were produced: the first one was not treated, the second one received liquid nitriding, the third, gas nitriding, the forth, thermal aspersion of tungsten carbide, and the fifth, boronizing. The samples were characterized by optical microscopy, surface microhardness, and X-ray diffractometry. (author)

  8. Analysis of ferritic stainless steel tube applied in radiation furnaces; Analise de tubos de aco inoxidavel ferritico para aplicacao em fornos de radiacao

    Energy Technology Data Exchange (ETDEWEB)

    Porto, P.C.R.; Spim, J.A. [Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS (Brazil). Centro de Tecnologia. Lab. de Fundicao], e-mail: spim@ufrgs.br; Santos, C.A. [Pontificia Universidade Catolica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS (Brazil). Fac. de Engenharia. Programa de Pos-Graduacao em Engenharia e Tecnologia de Materiais (PGETEMA)

    2006-07-01

    The objective of this work was to evaluate the change in mechanic properties and phase transformations of ferritic stainless steel tube, ASTM 268 Gr 446, applied in high temperature conditions. The work has used tubes from radiation furnaces of the PETROBRAS Xisto Industrialization Unit. The samples used for comparison were obtained from new tubes and tubes already used in furnaces. The test analyses were optical metallography, scanning electron microscopy, energy dispersive spectrometer, hardness and microhardness test and tension test. Results have shown that the new tubes presented a ferritic matrix and in old tubes were observed a great quantity of sigma phase and carbides. Along with the thickness of the tubes it was verified that the inside region presented an increase of sulfate and the outside region an increase of carbides. (author)

  9. Liberación de endotelina-1 por angiotensina ll en miocitos cardíacos aislados Angiotensin II-induced endothelin-1 release in cardiac myocytes

    Directory of Open Access Journals (Sweden)

    María C. Villa-Abrille

    2006-06-01

    Full Text Available Muchos de los efectos de la angiotensina II (Ang II son mediados en realidad por la acción de endotelina (ET endógena liberada y/o producida en respuesta a la Ang II. En este trabajo evaluamos la interacción Ang II/ET-1, sus consecuencias en la contractilidad cardíaca y el papel de las especies reactivas del oxígeno (EROs. Se usaron cardiomiocitos aislados de gato. La Ang II, 1 nM, produjo un efecto inotrópico positivo (EIP de 31.8±3.8% que fue cancelado por inhibición de los receptores AT1, de los receptores de ET, del intercambiador Na+/H+ (NHE, del modo inverso del intercambiador Na+/Ca2+ (NCX o por el secuestro de EROs. La Ang II, 100 nM, produjo un EIP de 70.5±7.6% que fue cancelado por inhibición de los receptores AT1 y bloqueado en parte por inhibición de los receptores de ET, del NHE, del modo inverso del NCX o por el secuestro de EROs. La Ang II, 1 nM, incrementó el ARNm de la preproET-1 lo cual fue anulado por el bloqueo de los receptores AT1. Los resultados permiten concluir que el EIP de la Ang II es debido a la acción de la ET-1 endógena liberada/formada por la Ang II. La ET-1 produce: estimulación del NHE, activación del modo inverso del NCX y un consecuente EIP. Dentro de esta cascada también participarían los EROs.Many of the effects thought to be due to angiotensin II (Ang II are due to the release/formation of endothelin (ET. We tested whether Ang II elicits its positive inotropic effect (PIE by the action of endogenous ET-1 and the role played by the reactive oxygen species (ROS in this mechanism. Experiments were performed in cat isolated ventricular myocytes in which sarcomere shortening (SS was measured to asses contractility after pharmacological interventions and the effect of Ang II on inotropism were analyzed. Ang II 1 nM increased SS by 31.8±3.8% (p<0.05. This PIE was cancelled by AT1 receptor blockade, by ET-1 receptors blockade, by Na+/H+ exchanger (NHE inhibition, by reverse mode Na+/Ca2+ exchanger (NCX blockade or by ROS scavenging. Ang II 100 nM increases SS by 70.5±7.6% (p<0.05. This PIE was completely abolished by AT1 receptors blockade and were partially bocked by ET-1 receptors blockade, by NHE inhibition, by reverse mode NCX blockade or by ROS scavenging. Ang II increased preproET-1 mRNA, effect that was blunted by AT1 receptors blockade. We conclude that Ang II induces (through its AT1 receptor release/formation of ET-1, which acting in autocrine fashion on ET receptors of the isolated myocytes increases inotropism through NHE stimulation and NCX reverse mode activation. The participation of ROS is involved is this chain of events.

  10. Study creep in 4340 steels with different microstructure and plasma carbon nitridation processing; Estudo de fluencia em acos 4340 com diferentes microestruturas e tratamento de carbonitretacao a plasma

    Energy Technology Data Exchange (ETDEWEB)

    Abdalla, A.J., E-mail: abdalla@ieav.cta.b [Departamento de Ciencia e Tecnologia Aeroespacial (IEAv/DCTA), Sao Jose dos Campos, SP (Brazil). Inst. de Estudos Avancados; Carrer, I.R.; Barboza, M.J.R.; Baggio-Scheid, V.H. [Universidade de Sao Paulo (EEL/USP), Lorena, SP (Brazil). Escola de Engenharia; Moura Neto, C.; Reis, D.A.P. [Departamento de Ciencia e Tecnologia Aeroespacial (ITA/DCTA), Sao Jose dos Campos, SP (Brazil). Inst. Tecnologico de Aeronautica

    2010-07-01

    From the AISI 4340 bars specimens were made-for-test of creep, they were subjected to different heat treatments for the formation of multiphase microstructures. After this initial treatment, a lot of the specimens were tested in creep. One second batch of specimens was treated with a plasma carbonitriding, and later, were also tested. The carbonitriding layer and microstructure were characterized with X-ray analysis, laser confocal microscopy and hardness testing. Tests showed that the hardness in the steel was reduced due to thermochemical treatment at 500 deg C. We observed variation in creep behavior due to different microstructures formed. After the plasma treatment, there was a considerable reduction in the rate of creep and an increase in the time required for fracture. (author)

  11. Development and characterization of high collapse boron alloys heat treated pipes for oil wells; Tubos de aco TiB para aplicacao em revestimento de pocos de petroleo

    Energy Technology Data Exchange (ETDEWEB)

    Moreira, Fabio A.; Silva, Ronaldo; Chad, Luis [Tenaris Confab, Pindamonhangaba SP (Brazil); Fritz, Marcelo C. [Tenaris Confab, Pindamonhangaba SP (Brazil). Dept. de Engenharia do Produto

    2008-07-01

    The utilization of OCTG (Oil Country Tubular Goods) pipes will increase with the discovery of new oil wells in ultra deep waters. This study aims to evaluate the mechanical and microstructural performance of welded and heat treated pipes through quenching and tempering using a steel project based in titanium/boron for casing pipes. The objective of this development is to present a set of techniques used during the manufacturing of heated treated ERW pipes boron allowing, discussing mechanical and metallurgical aspects of the steel project, coil conformation, heat treatment and test procedures. The results are within the limits set by the API 5CT standard. It was found that the pipes obtained good geometry and uniformity of mechanical properties, showing that this product can be applied safely and reliability as wells' casing. (author)

  12. Segmentación automática de estudios PET cardíacos con ¹³NH_3 basada en correlación iterativa

    OpenAIRE

    Mateos-Pérez, José M.; García-Villalba, Carmen; Abella, Mónica; Desco, Manuel; Vaquero, Juan José

    2010-01-01

    Actas de: XXVIII Congreso Anual de la Sociedad Española de Ingeniería Biomédica (CASEIB 2010). Madrid, 24-26 de noviembre de 2010. La obtención de la función de entrada en estudios dinámicos de corazón a partir de la imagen PET se realiza habitualmente mediante la selección previa de una región de interés (ROI) o utilizando procedimientos de análisis factorial para encontrar aquellas curvas actividad/tiempo que mejor se adaptan a la función de entrada. En este trabajo se presenta un método...

  13. Evaluation to a long term remediation actions after Goiania radiological accident; Avaliacao a longo prazo das acoes de remediacao apos o acidente radiologico de Goiania

    Energy Technology Data Exchange (ETDEWEB)

    Rochedo, Elaine R.R.; Rio, Monica A. Pires do; Coutinho, Celia M.C.; Acar, Maria E.D.; Romeiro, Carlos H. [Instituto de Radioprotecao e Dosimetria (IRD), Rio de Janeiro, RJ (Brazil)

    2000-07-01

    Ten years after the Goiania radiological accident, the results obtained by the IRD Environmental Monitoring Program are compared to the values adopted for establishing the intervention levels at the time of the accident occurrence (1987), and to the values of the parameters obtained by European countries, after the Chernobyl accident. Significant differences were observed in parameter values, particularly, those related to a long term prediction of the contamination behaviour in an urban area. This paper shows the importance of the survey for the environmental behaviour of pollutants in tropical climate conditions. (author)

  14. Cuidado sistematizado em pré-operatório cardíaco: Teoria do Cuidado Transpessoal na perspectiva de enfermeiros e usuários

    Directory of Open Access Journals (Sweden)

    Thais Vasconselos Amorim

    2014-07-01

    Full Text Available Estudo de caso que objetivou desvelar, a partir da adoção da Teoria do Cuidado Transpessoal, os significados do relacionamento interpessoal terapêutico entre enfermeiro e usuário, sobre a visita pré-operatória de enfermagem após a vivência do processo cirúrgico. A amostra, de conveniência, foi constituída por três enfermeiros e três usuários de uma instituição que possui cadastro atualizado para realizar cirurgia de alta complexidade cardiovascular, perfazendo nove combinações de interações terapêuticas. Foram utilizados impressos estruturados segundo a teoria de Jean Watson e as taxonomias North American Nursing Diagnosis Association, Nursing Intervention Classification e Nursing Outcome Classification. Os aspectos éticos e legais de pesquisa envolvendo seres humanos foram assegurados. Nos resultados, identificaram-se três clusters para apreender a significação da visita pré-operatória pelos usuários e cinco clusters para apreender a percepção dos enfermeiros ao vivenciarem esta experiência clínica.

  15. Weldability evaluation of special stainless steels for utilization in petroleum industry; Avaliacao da soldabilidade de acos inoxidaveis especiais a ser utilizados na industria do petroleo

    Energy Technology Data Exchange (ETDEWEB)

    Cortes Paredes, Ramon S. [Parana Univ., Curitiba, PR (Brazil)]. E-mail: ramon@demec.ufpr.br; Borsato, Karin Soldatelli [Pontificia Univ. Catolica do Parana, Curitiba, PR (Brazil); Bernardini, Pedro Amadeo Nanneti [Santa Catarina Univ., Florianopolis, SC (Brazil); Villanueva Aguila, Jaime [Universidade de Tarapaca (UTA), Arica (Chile)

    2003-07-01

    A weldability study of super austenitic stainless steel AISI 904L type 25 Ni. 20 Cr, with Mo, Cu and duplex stainless steel UNS S31803 additions is made. The higher mechanical properties and corrosion resistance of duplex stainless steels, when compared to other kinds of stainless steels, have increased the attention of different industrial areas. According to literature, AISI 904L stainless steel is sensitive to solidification and liquation cracking during welding. The main microstructural features, as well as mechanical properties of duplex stainless steels, can be modify when submitted to multiple thermal cycles , such as happen during welding process. Samples have been prepared and welded by two welding processes: coated electrodes and semi-automatic MIG. The objective was to evaluate the cracking sensitiveness of super austenitic steels . For duplex steels the aim was to research the welding process influence for tubular wire in the microstructure and mechanical properties of a 25 mm plate, which are considered of great thickness. In AISI 904L it has not been observed any solidification cracking in the structure in the two welding processes that were studied. However, cracking of liquation in the affected thermal zone has been observed. In duplex steels the use of different thermal cycles showed variation of delta ferrite in the structure of solidification and variation of ferrite grain size in the ZTA. The formation of nitrate and secondary austenitic was also observed, which results in a proportional hardness increase . The mechanical and microstructure characterization data of those two stainless steels are presented. (author)

  16. The actions for the development of photovoltaic power generation in Brazil; As acoes para o desenvolvimento da geracao fotovoltaica no Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Reis, Jucele [Eletricidade Moderna - EM, SP (Brazil)

    2011-11-15

    Despite the strong growth registered by photovoltaic in the world in recent years, it is still incipient in Brazil. High costs, lack of incentives and difficulties in establishing the photovoltaic supply chain in the country are among the main obstacles to the development of the segment. In the workshop sponsored by ABENS such issues and also the initiatives and pilot projects in progress were discussed.

  17. Investigation of the benzotriazole as addictive for carbon steel phosphating; Estudo da utilizacao do benzotriazol como aditivo para a fosfatizacao de aco carbono

    Energy Technology Data Exchange (ETDEWEB)

    Annies, V.; Cunha, M.T.; Rodrigues, P.R.P.; Banczek, E.P. [Universidade Estadual do Centro-Oeste, Guarapuava, PR (Brazil). Dept. de Quimica; Costa, I. [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Terada, M. [Universidade de Sao Paulo (POLI/USP), SP (Brazil). Escola Politecnica. Dept. de Engenharia Metalurgica e de Materiais

    2010-07-01

    This work studied the viability of substitution of sodium nitrite (NaNO{sub 2}) for benzotriazole (BTAH) in the zinc phosphate bath (PZn+NaNO{sub 2}) for phosphating of carbon steel (SAE 1010). The characterization of the samples was carried out by Scanning Electron Microscopy, Optical Microscopy and X-ray diffraction. The chemical composition was evaluated by Energy Dispersive Spectroscopy. The corrosion behavior of the samples was investigated by Open Circuit Potential, Electrochemical Impedance Spectroscopy and Anodic Potentiodynamic Polarization Curves in a 0.5 mol L{sup -1} NaCl electrolyte. The experimental results showed that the phosphate layer obtained in the solution with benzotriazole (PZn+BTAH) presented better corrosion resistance properties than that obtained in sodium nitrite. The results demonstrated that the sodium nitrite NaNO{sub 2} can be replaced by benzotriazole (BTAH) in zinc phosphate baths. (author)

  18. Quantificação da complexidade do ritmo cardíaco usando o método da Multiscale Entropy

    OpenAIRE

    Pires, Tiago Marques

    2011-01-01

    Dissertação para obtenção do Grau de Mestre em Engenharia Biomédica Uma forma de aumentar o nosso conhecimento sobre os princípios fundamentais de funcionamento dos sistemas de controlo biológicos é através da análise da dinâmica dos sinais por eles produzidos em condições normais, patológicas e em resposta a estímulos específicos. Porém, a maioria destes sinais desafiam as técnicas tradicionais de processamento de sinal devido a propriedades como a não estacionariedade, não linearidade...

  19. Efeito da eletrolipólise na gordura abdominal em doentes cardíacos - fase manutenção

    OpenAIRE

    Miranda, Ana

    2012-01-01

    Objective: Verify if electrolipolysis could help the Cardiac Rehabilitation decreasing the abdominal’s fat in people with Cardiovascular Disease. Methods: six individuals of both sexes, from “Centro Clínico de Gaia” Cardiac Rehabilitation Program, were randomized in two groups: the control (CG) (n=3) and the experimental group (EG) (n=3). The EG had 8 session (twice a week) of electrolipolysis, through microcurrent, during 30 minutes and before the Cardiac Rehabilitation classe...

  20. GPS for QSP: A Summary of the ACoP6 Symposium on Quantitative Systems Pharmacology and a Stage for Near‐Term Efforts in the Field

    Science.gov (United States)

    Musante, CJ; Abernethy, DR; Allerheiligen, SR; Lauffenburger, DA

    2016-01-01

    Quantitative Systems Pharmacology (QSP) is experiencing increased application in the drug discovery and development process. Like its older sibling, systems biology, the QSP field is comprised of a mix of established disciplines and methods, from molecular biology to engineering to pharmacometrics.1 As a result, there exist critical segments of the discipline that differ dramatically in approach and a need to bring these groups together toward a common goal. PMID:27639191

  1. GPS for QSP: A Summary of the ACoP6 Symposium on Quantitative Systems Pharmacology and a Stage for Near-Term Efforts in the Field.

    Science.gov (United States)

    Musante, C J; Abernethy, D R; Allerheiligen, S R; Lauffenburger, D A; Zager, M G

    2016-09-01

    Quantitative Systems Pharmacology (QSP) is experiencing increased application in the drug discovery and development process. Like its older sibling, systems biology, the QSP field is comprised of a mix of established disciplines and methods, from molecular biology to engineering to pharmacometrics. As a result, there exist critical segments of the discipline that differ dramatically in approach and a need to bring these groups together toward a common goal. PMID:27639191

  2. OUTCOME ANALYSIS OF POSTERIOR STABILIZATION OF THOR ACO- LUMBAR SPINE FRACTURES IN A RURAL TERTIARY CARE CEN TRE –AN EXPERIENCE

    Directory of Open Access Journals (Sweden)

    Prasanta Kumar

    2013-05-01

    Full Text Available ABSTRACT: Thirty five patient with unstable fractures of the lower thoracic and lumbar spine managed uniformly with Hartshill fixation and subla minar wiring were analyzed. On admission, 18 patients had complete neurologic deficit and 17 had incomplete lesions. The neurologic recovery and functional activities were assessed after an averag e follow up for 20.4 months. Improvement of neural function was seen in 71 % patients. Positive correlation was found between the level of injury and Frankel grades. The cord lesions tended to demo nstrate more severe neurologic deficit than cauda equina lesions. A component of dislocation to the injury also resulted in a more severe neural deficit. The complications were minor. Stable fixat ion of thoracolumbar spine fractures was helpful in decreasing hospital stay and recumbency period, the reby facilitating early rehabilitation of the spine injured patients.

  3. Estudo sobre a prática do origami em pacientes cardíacos internados no Hospital São Paulo

    Directory of Open Access Journals (Sweden)

    Sandra Midori Kuwahara Sasaki

    2012-06-01

    Full Text Available Introdução: Origami é uma arte milenar japonesa traduzida como dobradura de papel, ori significa dobrar e gami, papel. Este trabalho vem sendo utilizado com freqüência nos hospitais por ser uma atividade de baixo custo que nos remete a algumas lendas e histórias envolvendo o restabelecimento da doença. Objetivo: Compreender os efeitos do aprendizado da técnica do origami e analisar as representações simbólicas do pássaro tsuru. Método: A pesquisa teve uma abordagem qualitativa, exploratória e descritiva. Participaram 19 pacientes internados na enfermaria de cardiologia do Hospital São Paulo, com idade entre 24 e 65 anos, que aprenderam a técnica do origami e confeccionaram o pássaro tsuru. Em seguida, responderam um questionário sobre as percepções e sentimentos que afloraram na realização da atividade. Para a análise de conteúdo, utilizamos a técnica da análise temática. A análise simbólica dos depoimentos teve como base o referencial teórico da Psicologia Analítica de Jung. Resultados: Identificamos as seguintes categorias: Categoria 1- O origami como uma via de acesso ao estado meditativo. Categoria 2 - Simbolismos do pássaro tsuru. Categoria 3- O doente crônico no processo de individuação. Conclusão: a confecção do origami representou para os pacientes a manifestação de sentimentos e sensações associados ao estado meditativo. A estrutura do origami e seu caráter ritualístico e mandálico possuem semelhanças com o “artifício de autofocalização” (âncora relatado nas práticas meditativas. O pássaro tsuru foi representado como símbolo da paz, liberdade e vida, despertando o paciente a olhar para si mesmo, refletindo, assim, sobre o adoecer nesse momento de sua existência. Consideramos que o trabalho com o origami é um recurso que pode auxiliar o paciente a elaborar o processo de adoecimento. Este recurso lúdico também criou um espaço de integração entre o paciente, a equipe, os familiares e o ambiente hospitalar, favorecendo a humanização do cuidado na área da saúde.

  4. Prevalencia de patrones electrocardiográficos tipo Brugada en un centro de monitoreo cardíaco transtelefónico en El Salvador

    Directory of Open Access Journals (Sweden)

    Hugo Alberto Abrego

    2006-05-01

    Full Text Available Introducción: Desde que se definieron los criterios que permiten diagnosticar el síndrome de Brugada, se han realizado varios estudios para determinar la prevalencia en el electrocardiograma (ECG de los pacientes con esta enfermedad. El objetivo de esta investigación fue determinar la prevalencia de los distintos patrones electrocardiográficos tipo Brugada (PETB en una población con acceso a monitoreo electrocardiográfico transtelefónico en El Salvador. Métodos: Todos los ECGs recibidos desde el 1/1/2002 hasta el 1/12/2004 en un centro de monitoreo transtelefónico fueron analizados por 2 cardiólogos de manera independiente. Los pertenecientes a pacientes a quienes se les diagnosticó enfermedad cardiovascular estructural y los de quienes tomaban fármacos de acción cardiovascular fueron excluidos. Resultados: De un total de 11669 ECGs de igual número de pacientes, algún PETB se encontró en 81 pacientes (0.7%. El promedio de edad de los pacientes fue de 36.4 ± 15.4 años; 64.6% de ellos eran masculinos. En 5 pacientes (6,17% se encontró el patrón tipo 1, todos estaban asintomáticos y en 1 se colocó un cardiodesfibrilador implantable por tener arritmia ventricular maligna inducible. El patrón tipo 2 fue el más frecuente (59 pacientes, 72,83% y solo se encontraron 17 pacientes con patrón tipo 3 (20,98%, todos asintomáticos. Conclusión: El electrocardiograma con PETB no es raro en esta población de El Salvador. Hay aproximadamente 1 PETB por cada 144 individuos y 1 caso de PETB tipo 1 por cada 2334 individuos de consulta general.Aim: Since the diagnostic criteria for the Brugada syndrome were defined, several studies have been made to calculate the electrocardiographic prevalence of this disease. The objective of this study was to define the prevalence of the different Brugada-type patterns in a population with access to transtelephonic electrocardiographic monitoring in El Salvador. Methods: All the electrocardiograms (ECG received via transtelephonic monitoring at our center between 1/1/2002 and 1/12/2004 were independently analyzed by 2 cardiologists. Results: Alter the exclusion of patients with structural cardiovascular disease, some pattern of Brugada-type ECG was found in 1 patients (0,7% out of 1166 ECGs from the same number of patients. Average age was 36.4 ± 15.4 years; 64.66 of the patients were male and 35.4% were female. In 5 patients Type 1 pattern was identified (6,17%, none of them had symptoms but an automatic cardioverter defibrillator was implanted in 1 of them because of inducible malignant ventricular arrhytmia. Type 2 was the most frequently found (59 cases, 72,83 and only 17 patients (20,98% were found to have a Type 3 pattern, all of them were free of symptoms. Conclusion The Brugada-like ECG is not infrequent in this population from El Salvador. There is a Brugada-type pattern for every 144 patients and one case of Type 1 pattern for every 2334 patients of general consultation.

  5. Isolamento, caracterização, ativação e diferenciação em linhagens mesenquimais de pericitos cardíacos humanos

    OpenAIRE

    de Aguiar, Alessandra Melo

    2012-01-01

    Resumo: Células residentes teciduais são atualmente identificadas como populações de células progenitoras promissoras para terapias celulares. Neste trabalho, foi realizado o isolamento de células cardíacas humanas que expressam a enzima fosfatase alcalina, e estas células apresentaram características de célula-tronco mesenquimais (CTM). Foram utilizadas amostras de 24 doadores cadavéricos provenientes do Banco de Homoenxertos Humanos da Santa Casa de Misericórdia de Curitiba. O tempo médio d...

  6. Relativistic actions for bound-states and applications in the meson spectroscopy; Acoes relativisticas para estados ligados e aplicacoes na espectroscopia de mesons

    Energy Technology Data Exchange (ETDEWEB)

    Silva Carvalho, Hendly da

    1991-08-01

    We study relativistic equations for bound states of two-body systems using Dirac`s constraint formalism and supersymmetry. The two-body system can be of spinless particles, one of them spinning and the other one spinless, or both of them spinning. The interaction is described by scalar, timelike four-vector and spacelike four-vector potentials under Lorentz transformations. As an application we use the relativistic wave equation for two scalar particles and calculate the mass spectra of the mesons treating them as spinless quark-antiquark bound states. The interaction potential in this case is a convenient adaptation of the potential employed in non-relativistic calculations. Finally, we compare our results with more recent experimental data and with theoretical results obtained with the same potential used by us but with a non-relativistic wave equation. We also compare our results with results obtained with the relativistic wave equation but with a different interaction potential. (author). 38 refs, 9 figs, 8 tabs.

  7. Performance evaluation of cast iron pipe for crude oil and salt water transportation; Avaliacao e desempenho de duto de aco fundido no transporte de petroleo com aguas salgadas

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Carlos Alexandre Martins da [PETROBRAS Transporte S.A. (TRANSPETRO), Rio de Janeiro, RJ (Brazil); Mainier, Fernando B. [Universidade Federal Fluminense, Niteroi, RJ (Brazil)

    2005-07-01

    The present paper aims to study and to evaluate the performance of casting iron pipe for transportation of salty and produced waters, presented in the oil industry, where salt contents ranging on very large values. The cast iron above mentioned has an yield strength of 23 kg/mm{sup 2}, tensile strength of de 46 kg/mm{sup 2} (minimum) and an elongation of 15%, and contents of some chemical alloys, such as Cr (0,8 -1,3 %), Mn (1,5 % max) and Si (1,%). Nevertheless it is an exploratory study, the dynamic tests of weight loss carried out in laboratory, with specimens machined from a used pipe piece, with salty solution (3,5 % NaCl) aerated media, has shown very promising results, enabling to qualify, satisfactorily, such material for using in transportation and transferring operations of fluids with a high salty contents, such as crude oil. (author)

  8. Expanded austenite in nitrided layers deposited on austenitic and super austenitic stainless steel grades; Analise da austenita expandida em camadas nitretadas em acos inoxidaveis austeniticos e superaustenitico

    Energy Technology Data Exchange (ETDEWEB)

    Casteletti, L.C.; Fernandes, F.A.P.; Heck, S.C. [Universidade de Sao Paulo (EESC/USP), Sao Carlos, SP (Brazil). Escola de Engenharia. Dept. de Engenharia de Materais, Aeronautica e Automobilistica; Oliveira, A.M. [Instituto de Educacao, Ciencia e Tecnologia do Maranhao (IFMA), Sao Luis, MA (Brazil); Gallego, J., E-mail: gallego@dem.feis.unesp.b [UNESP, Ilha Solteira, SP (Brazil). Dept. Engenharia Mecanica

    2010-07-01

    In this work nitrided layers deposited on austenitic and super austenitic stainless steels were analyzed through optical microscopy and X-rays diffraction analysis (XRD). It was observed that the formation of N supersaturated phase, called expanded austenite, has promoted significant increment of hardness (> 1000HV). XRD results have indicated the anomalous displacement of the diffracted peaks, in comparison with the normal austenite. This behavior, combined with peaks broadening, it was analyzed in different nitriding temperatures which results showed good agreement with the literature. (author)

  9. Cardiac markers: profile in rats experimentally infected with Toxocara canis Marcadores cardíacos: perfil em ratos infectados experimentalmente com Toxocara canis

    Directory of Open Access Journals (Sweden)

    Cecília Braga Laposy

    2012-09-01

    Full Text Available The aim of this study was to evaluate the profile of the enzymes creatine kinase (CK, creatine kinase MB (CK-MB and lactate dehydrogenase (LDH in Wistar rats infected with 250 (GI, n = 24 or 1000 (GII, n = 24 Toxocara canis eggs. Animals were evaluated on days 7, 15, 30, 60, 120 and 180 post-infection (DPI. Only the GI rats showed an increase in CK and CK-MB, at 15 and 30 DPI, respectively. Anti-Toxocara spp. antibodies were detected by ELISA in infected animals. Despite of the presence of eosinophilic infiltrate in the heart of three infected animals, none larva was recovered from the organ neither by acid digestion nor by Baermann procedure. Eosinophilia was observed in both groups but there was no significant difference in the eosinophil counts between GI and GII (p = 0.2239. It is possible to consider that cardiac lesion is an eventual finding in murine model for toxocariasis.O objetivo do presente estudo foi avaliar o perfil das enzimas creatinoquinase (CK, creatinoquinase-MB (CK-MB e lactato desidrogenase (LDH em ratos Wistar infectados com 250 (GI, n = 24 ou 1000 (GII, n = 24 ovos de Toxocara canis. Os animais foram avaliados nos dias 7, 15, 30, 60, 120 e 180 pós-infecção (DPI. Observou-se que apenas os animais do GI apresentaram aumento da atividade de CK e CK-MB aos 15 e 30 DPI, respectivamente. Anticorpos anti-T. canis foram detectados por ELISA nos animais infectados. Apesar da presença de infiltrado eosinofílico em três animais infectados, nenhuma larva foi recuperada do coração pela digestão ácida ou pela técnica de Baermann. Eosinofilia foi observada em todos os momentos em GI e GII, sem diferença significativa entre os grupos (p = 0,2239. Pode-se considerar que as lesões cardíacas foram um achado eventual no modelo murino para toxocaríase.

  10. Study of corrosive effect of oil in super duplex stainless steels; Estudo do efeito corrosivo do petroleo em acos super duplex

    Energy Technology Data Exchange (ETDEWEB)

    Gusmao, E.F.; Azambuja, V.M. [IFES, Coordenadoria de Metalurgia, Vitoria, ES (Brazil); Santos, D.S. [Universidade Federal do Rio de Janeiro (PEMM/COPPE/UFRJ), RJ (Brazil). Pos-Graduacao em Engenharia Metalurgica e de Materiais

    2010-07-01

    The super duplex stainless steel was exposed in an environment at 75 degree C with oil for days, weeks and month to observe the change in mass. The corrosion leads to loss of weight of material which could harm the economy of a company, as this will have to stop production to replace the corroded part. Hence the great importance of studies on ways to mitigate the corrosion. There was a chemical attack by the reagent Behara and testing to study the quality of the protective coating after the tests with oil by electrochemical impedance. (author)

  11. Network Traffic Prediction Based on Neural Network Optimized by ACO%蚁群算法优化RBF神经网络的网络流量预测

    Institute of Scientific and Technical Information of China (English)

    廖金权

    2012-01-01

    Traditional RBF neural network in the forecasting process of the network traffic convergence is slow, prone to local optima and other shortcomings, resulting in low prediction accuracy and difficult problems. In order to improve the prediction accuracy of network traffic, network traffic prediction method for an ant colony algorithm to optimize the parameters of RBF neural network. Ant colony algorithm for training RBF neural network center and the width of the basis functions to speed up the convergence, simplifying the network structure to improve the generalization capability of RBF neural networks, and optimized RBF neural network to predict the network traffic, to prevent local optimum to appear. The experimental results show that relative to the commonly used BP neural network traffic prediction model, model predictions more accurate, can be well described by the variation of the network flow. With good generalization ability, good stability and a certain practical value in the prediction of network traffic.%传统RBF神经网络在网络流量预测过程中存在收敛速度慢、极易出现局部最优等缺点,从而导致预测精度低.采用蚁群算法优化RBF神经网络参数来进行网络流量预测.利用蚁群优化算法来训练RBF神经网络的基函数宽度和中心,简化网络结构,加快收敛速度,防止局部最优的出现,改善RBF神经网络的泛化能力.实验结果表明,相对于GA-RBF以及PSO-RBF流量预测模型,模型预测准确度更高,能够很好地描述网络流的变化规律.具有泛化能力强、稳定性良好的特点,在网络流量预测中有一定的实用价值.

  12. Characterization of steel grit recovered from ornamental rocks waste by magnetic separation; Caracterizacao da granalha de aco recuperada do residuo de rochas ornamentais por separacao magnetica

    Energy Technology Data Exchange (ETDEWEB)

    Junca, E.; Telles, V.B.; Rodrigues, G.F.; Oliveira, J.R. de; Tenorio, J.A.S., E-mail: eduardojunca@gmail.co [Universidade de Sao Paulo (USP), SP (Brazil). Dept. de Engenharia Metalurgica e de Materiais; Instituto Federal de Ciencia e Tecnologia do Espirito Santo (IFES), Vitoria, ES (Brazil)

    2010-07-01

    The aim of this work is characterization of steel grit recovered from ornamental rock waste by magnetic separation. The magnetic separation was realized in three steps: first, using a high intensity wet magnetic separator, which used only the remaining magnetic field of equipment. In the second step, the magnetic material obtained in the first phase was subjected to a new manual magnetic separation using rare earth magnets. In a third step, magnetic material obtained with rare earth magnets was subjected to manual magnetic separation using ferrite magnets. After the magnetic separation, the material was sent to characterization which was obtained by chemical analysis, scanning electron microscopy, X-ray diffraction and size analysis. The size analysis showed that the concentrate range from 0,5 to 563,67 {mu}m with 4 wt.% over 100 {mu}m and content metallic iron of 93 wt%. (author)

  13. Study of residual stresses generated in machining of AISI 4340 steel; Estudo das tensoes residuais geradas na usinagem de aco AISI 4340

    Energy Technology Data Exchange (ETDEWEB)

    Reis, W.P. dos; Fonseca, M.P. Cindra; Serrao, L.F.; Chuvas, T.C.; Oliveira, L.C., E-mail: mcindra@vm.uff.b [Universidade Federal Fluminense (PGMEC/UFF), Niteroi, RJ (Brazil). Dept. de Engenharia Mecanica

    2010-07-01

    Among the mechanical construction steels, AISI 4340 has good harden ability, while combining high strength with toughness and good fatigue strength, making it excellent for application in the metalworking industry, where it can work at different levels and types of requests. Residual stresses are generated in almost all processes of mechanical manufacturing. In this study, the residual stresses generated in different machining processes and heat treatment hardening of AISI 4340 were analyzed by X-ray diffraction, by the sen{sup 2} {psi} method, using Cr{kappa}{beta} radiation and compared. All samples, except for turned and cut by EDM, presented compressive residual stresses in the surface with various magnitudes. (author)

  14. Carbon Monitoring System Flux Estimation and Attribution: Impact of ACOS-GOSAT X(CO2) Sampling on the Inference of Terrestrial Biospheric Sources and Sinks

    Science.gov (United States)

    Liu, Junjie; Bowman, Kevin W.; Lee, Memong; Henze, David K.; Bousserez, Nicolas; Brix, Holger; Collatz, G. James; Menemenlis, Dimitris; Ott, Lesley; Pawson, Steven; Jones, Dylan; Nassar, Ray

    2014-01-01

    Using an Observing System Simulation Experiment (OSSE), we investigate the impact of JAXA Greenhouse gases Observing SATellite 'IBUKI' (GOSAT) sampling on the estimation of terrestrial biospheric flux with the NASA Carbon Monitoring System Flux (CMS-Flux) estimation and attribution strategy. The simulated observations in the OSSE use the actual column carbon dioxide (X(CO2)) b2.9 retrieval sensitivity and quality control for the year 2010 processed through the Atmospheric CO2 Observations from Space algorithm. CMS-Flux is a variational inversion system that uses the GEOS-Chem forward and adjoint model forced by a suite of observationally constrained fluxes from ocean, land and anthropogenic models. We investigate the impact of GOSAT sampling on flux estimation in two aspects: 1) random error uncertainty reduction and 2) the global and regional bias in posterior flux resulted from the spatiotemporally biased GOSAT sampling. Based on Monte Carlo calculations, we find that global average flux uncertainty reduction ranges from 25% in September to 60% in July. When aggregated to the 11 land regions designated by the phase 3 of the Atmospheric Tracer Transport Model Intercomparison Project, the annual mean uncertainty reduction ranges from 10% over North American boreal to 38% over South American temperate, which is driven by observational coverage and the magnitude of prior flux uncertainty. The uncertainty reduction over the South American tropical region is 30%, even with sparse observation coverage. We show that this reduction results from the large prior flux uncertainty and the impact of non-local observations. Given the assumed prior error statistics, the degree of freedom for signal is approx.1132 for 1-yr of the 74 055 GOSAT X(CO2) observations, which indicates that GOSAT provides approx.1132 independent pieces of information about surface fluxes. We quantify the impact of GOSAT's spatiotemporally sampling on the posterior flux, and find that a 0.7 gigatons of carbon bias in the global annual posterior flux resulted from the seasonally and diurnally biased sampling when using a diagonal prior flux error covariance.

  15. Cateterismo cardíaco por acceso radial percutáneo en pacientes con disección humeral previa

    Directory of Open Access Journals (Sweden)

    Eduardo Magariños

    2013-02-01

    Full Text Available La punción percutánea de la arteria radial para la realización de procedimientos por cateterismo ha ganado mayor aceptación en los últimos tiempos. Esto sucedió como consecuencia de haber alcanzado resultados similares a los obtenidos mediante el acceso femoral, con los beneficios de una menor tasa de complicaciones y mayor confort de los pacientes. Recientemente, su utilización tomó un impulso adicional, por estar asociada a mejor pronóstico en síndromes coronarios agudos. En el presente trabajo hemos evaluado si la factibilidad, resultados y ventajas relacionadas al acceso percutáneo de la arteria radial en procedimientos por cateterismo, se aplican también a quienes presentan disección previa de la arteria humeral. Sobre un total de 1 356 accesos radiales percutáneos, 53 fueron en pacientes con disección previa de la arteria humeral, obteniéndose éxito del acceso en el 96.2% (51/53 de las punciones. A través de estos accesos se realizaron 71 procedimientos por cateterismo, con 93.6% (44/47 de éxito del procedimiento en las intervenciones diagnósticas y 100% (24/24 en las terapéuticas. En este grupo no ocurrieron complicaciones mayores. Las complicaciones menores sucedieron en el 1.4% (1/71 de los casos y no se registraron nuevas complicaciones en el seguimiento a siete días. Si bien el grupo es pequeño, consideramos que resulta suficiente para mostrar que las punciones percutáneas de la arteria radial para la realización de procedimientos por cateterismo, en pacientes con disección previa de la arteria humeral, son factibles y permiten elevadas tasas de éxito con baja frecuencia de complicaciones.

  16. Temperature profile of steel bars for construction industry fabricated by the TEMPCORE process; Perfil de temperaturas em barras de aco para construcao civil fabricadas pelo processo Tempcore

    Energy Technology Data Exchange (ETDEWEB)

    Matos Rodrigues, Paulo C. de [Fundacao Universidade Sao Joao Del Rey (FUNREI), MG (Brazil); Cetlin, Paulo R.; Paula e Silva, Adriano de; Aguiar, Maria T.P. [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Escola de Engenharia

    1992-12-31

    A foreknowledge of the temperature distribution along the transverse section of steel bars produced by TEMPCORE process was made.The foreknowledge was elaborated from the study of the transverse hardness profile of the bar.That becomes relevant because the tempering temperature is the main variable of control the TEMPCORE process and therefore, it acts in the hardness of steel. Microhardness were taken along the diameter of transversal samples taken from a bar which were submitted to the TEMPCORE process and then an hardness profile was made. Other samples were also prepared in order to be submitted in water quenching followed by temper from 200 up to 920 degrees Celsius. The best equation for microhardness-tempering temperature data from steel studied is showed. The temperature profile was made from those results. (author). 6 refs., 7 figs., 4 tabs.

  17. Susceptibility to intergranular corrosion of welded joints of Super 13Cr stainless steels; Suscetibilidade a corrosao intergranular de juntas soldadas de acos inoxidaveis Super 13Cr

    Energy Technology Data Exchange (ETDEWEB)

    Rovere, C.A.D.; Ribeiro, C.R.; Kuri, S.E. [Universidade Federal de Sao Carlos (UFSCar), Sao Carlos, SP (Brazil). Dept. de Engenharia de Materiais], e-mail: dellarovere@superig.com.br

    2006-07-01

    The susceptibility to intergranular corrosion was evaluated in distinct regions of radial friction welded joints of super 13 Cr martensitic stainless steel, using the electrochemical potentiokinetic reactivation test in the double loop version (DL-EPR). The thermal cycle and the plastic deformation associated to radial friction process alter significantly the microstructure of heat affected zone and thermo-mechanically affected zone, fact that causes a low value in the I{sub r}/I{sub a} ratio of these regions in comparison to the quenching and tempering condition of the base metal. (author)

  18. The correlation between accelerated and field corrosion tests performed in carbon steel and weathering steel coupons, coated and non-coated; Correlacao entre ensaios acelerados e ensaios de campo em corpos-de-provas de aco carbono e aco patinavel, sem e com revestimento

    Energy Technology Data Exchange (ETDEWEB)

    Antunes, Renato Altobelli

    2002-07-01

    The performance of four different organic coating systems applied to carbon and weathering steel coupons has been assessed in this investigation. applied on the surface of carbon steel and weathering steel coupons. The coupons have been evaluated using five different tests, three field tests and two accelerated tests. The field tests were carried out at three atmospheric stations, located at COSIPA in Cubatao-SP, at Alto da Serra in Cubatao-SP and at Paula Souza in Sao Paulo city. The accelerated tests consisted of (a) exposure to alternate cycles of ultraviolet radiation/condensation combined with salt spray cycles (UVCON combined with Salt Spray) and of (b) exposure to alternate cycles of ultraviolet radiation/condensation combined with the Prohesion test. The performance of the coatings was assessed by visual observation and photographs, using a method based on ASTM D-610, ASTM D-714 and ASTM-1654 standards to rank them. The oxide phases formed on the surfaces of the non-coated specimens of carbon and weathering steels, exposed to the same tests performed with the coated specimens, were identified using three different techniques: X-ray diffraction, Raman microscopy and Moessbauer spectroscopy. In the field tests, the specimens have been exposed for 1, 2, 3, 6 and 9 months. In the accelerated ones, the results were obtained after 1340 hours (4 cycles) test. The main component identified in all the specimens collected from the field tests and from the UVCON combined with the Prohesion test was lepidocrocite ({gamma}-FeOOH). Goethite ({alpha}-FeOOH ) and magnetite (Fe{sub 3}O{sub 4}) were identified as the other two main phases present in ali the specimens. In the UVCON combined with Salt Spray test, the dominant phase was magnetite, followed by goethite and lepidocrocite. The morphology of the rust formed on the specimens was examined by scanning electron microscopy (SEM). Structures corresponding to goethite and lepidocrocited were recognized on ali specimens, except those exposed to the UVCON combined with Salt Spray testo In this case, the structures corresponding to the phases magnetite and goethite were more frequently observed than that of lepidocrocite. The weathering steel specimens, in general, presented a more compact and less porous rust layer, than that of the carbon steel specimens. The atmosphere of the COSIPA station can be considered to be the most aggressive one compared to that of Alto da Serra and Paula Souza stations, because the oxide layer on its specimens was more irregular and porous than that on the specimens exposed at the other two stations. In the specimens from the Paula Souza station, the oxide layer was found to be more compact, and its atmosphere can be considered to be the least aggressive of the three locations. (author)

  19. O paciente portador de marcapasso cardíaco e a repercussão em seu estilo de vida El Paciente Portador de Marcapaso Cardíaco y la Repercusión en su Estilo de Vida Cardiac Pacemaker Bearer Pacient and the Repercussion in the Lifestyle

    Directory of Open Access Journals (Sweden)

    Mirna Albuquerque Frota

    2007-06-01

    Full Text Available Objetivou-se discutir a repercussão no estilo de vida do paciente portador de marca-passo. Os informantes foram sete usuários que se submeteram ao implante de marca-passo definitivo no Hospital de Messejana - CE, Brasil, de maio a junho de 2004. A análise dos dados foi desenvolvida a partir da categorização dos conteúdos das entrevistas, emergindo como resultado duas categorias temáticas: condições de vida mediante a descoberta da doença e repercussão do autocuidado no estilo de vida no contexto da promoção da saúde. Conclui-se que há necessidade de formar equipes multiprofissionais para atuar com estratégias em educação em saúde, ampliando e divulgando a utilização do marca-passo definitivo, e objetivando a adesão destas pessoas à prática do autocuidado.El objetivo fue discutir la repercusión en el estilo de vida del paciente portador de marcapaso. Los informantes fueron siete usuarios que se sometieron al implante de marcapaso definitivo en el Hospital de Messejana Ceará (Brasil, entre mayo y junio de 2004. El análisis de los datos se desarrolló a partir de la categorización de los contenidos de las entrevistas, surgiendo como resultado dos categorías temáticas: Condiciones de vida mediante el descubrimiento de la enfermedad y repercusión del autocuidado en el estilo de vida en el contexto de la promoción de la salud. Se concluyó que existe la necesidad de formar equipos multiprofesionales para actuar con estrategias en Educación para la Salud, ampliando y divulgando la utilización del marcapasos definitivo, con el objetivo de que estas personas adhieran a la práctica del autocuidado.This study aimed to discuss the repercussion in the lifestyle of the pacemaker bearer patient. The informants were seven patients that were submitted to the definitive pacemaker implant in the Messejana Hospital Ceára (Brazil, from May to June 2004. The data analysis was developed from the categorization of the interviews contents, emerging as a result two thematic categories: life conditions because of the disease discovery and self-care repercussion in the lifestyle change in the context of the health promotion. It is concluded the need of forming multi-professional teams to act in strategies in Health Education, enlarging and publishing the use of the definitive pacemaker, aiming at these people's adherence for the similar self-care.

  20. Electro-economic, environmental and social consequences in the efficient abatement of a hydroelectric plant (C. H. Santa Rosa, CFE-ACO); Consecuencias electro-economicas, ambientales y sociales del abatimiento eficiente de una central hidroelectrica (C. H. Santa Rosa, CFE-ACO)

    Energy Technology Data Exchange (ETDEWEB)

    Narvaez Perez, Camilo; Garcia Conejo, Dante Aristoteles [Comision Federal de Electricidad, Centro Nacional de Control de Energia, Area de Control Occidental, Zapopan, Jalisco (Mexico)]. E-mail: camilo.narvaez@cfe.gob.mx; camilo.narvaez@univa.mx; Narvaez Perez, Claudia Universidad de Guadalajara, Zapopan, Jalisco [Mexico]). E-mail: claudia_narvaez@hotmail.com; Blanco Gomez, Cesar Eduardo [Comision Federal de Electricidad, Centro Nacional de Control de Energia, Area de Control Occidental, Zapopan, Jalisco (Mexico)

    2013-03-15

    Renewable energy systems, like hydroelectric generation system gives electric energy, in reliable economic, it takes care with environment, and growths the society, if the hydroelectric dam is suitably drained in non rainy season, if we consider, flow rate in its river, rain, thunderstorms and floods, dam's size, load shape per day, generators capacity unit and the flow in turbines, generating units maintenance and other necessities like irrigation crops in farms. In this research we propose a new methodology about hydroelectric dam drained in non rainy season. But in rainy season, you can consider this methodology with few changes and you would obtain satisfactory results. The methodology is used since 2010 in the Area de Control Occidental in the Comision Federal de Electricidad with results compared with data from previous years, in which different methodologies were applied. [Spanish] Los sistemas de energias renovables, como los complejos hidroelectricos impactan de manera electrica, economica, ambiental y social, siempre y cuando se realice adecuadamente el abatimiento de la presa en el estiaje, considerando, el aporte del cauce, las lluvias aun siendo escasas, el tamano del embalse, la demanda horaria de la carga abastecida, el tamano de los generadores y su gasto turbinado, los mantenimientos de las unidades, las necesidades hidraulicas aguas abajo y demas imponderantes. En esta investigacion se propone una metodologia de abatimiento de presas de centrales hidroelectricas en estiaje. Y para tiempo de lluvias se aplica la metodologia con variantes pequenas y con resultados satisfactorios. La metodologia es utilizada desde el 2010 en el Area de Control Occidental de la Comision Federal de Electricidad, con resultados comparados con los datos de los anos anteriores, en los cuales se aplicaron metodologias diversas.

  1. 76 FR 28988 - Medicare Program; Accelerated Development Sessions for Accountable Care Organizations-June 20, 21...

    Science.gov (United States)

    2011-05-19

    ... developed many of the characteristics of an ACO, and other experts in ACO core competencies--practitioners... curriculum on core competencies for ACO development within four main areas: leadership and priority-setting... establishing ACO core competencies. Each participating team should consist of two to four senior-level...

  2. Accountable care organization formation is associated with integrated systems but not high medical spending.

    Science.gov (United States)

    Auerbach, David I; Liu, Hangsheng; Hussey, Peter S; Lau, Christopher; Mehrotra, Ateev

    2013-10-01

    Medicare's approximately 250 accountable care organizations (ACOs) care for a growing portion of all fee-for-service beneficiaries across the United States. We examined where ACOs have formed and what regional factors are predictive of ACO formation. Understanding these factors could help policy makers foster growth in areas with limited ACO development. We found wide variation in ACO formation, with large areas, such as the Northwest, essentially empty of ACOs, and others, such as the Northeast and Midwest, dense with the organizations. Key regional factors associated with ACO formation include a greater fraction of hospital risk sharing (capitation), larger integrated hospital systems, and primary care physicians practicing in large groups. Area income, Medicare per capita spending, Medicare Advantage enrollment rates, and physician density were not associated with ACO formation. Together, these results imply that underlying provider integration in a region may help drive the formation of ACOs.

  3. Development of API 5L X70 and X80 in the Brazilian Vallourec and Mannesmann Tubes industry; Desenvolvimento de acos API 5L X70 e X80 na Vallourec e Mannesmann Tubes

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Julio M. Silveira e; Carvalho, Ricardo N. de [Vallourec and Mannesmann Tubes - V e M do Brasil, Belo Horizonte, MG (Brazil)

    2000-07-01

    The demand for seamless pipes with resistance higher than those for API 5L X60 and X65 grades has increased in the last years. They are traditionally used up to now for applications on rigid risers for production and exportation and line pipes for oil and gas. In the case of seamless pipes, the great challenge is to fulfill the requirements of mechanical properties for X70 and X80 grades, quenched and tempered, with values of carbon equivalent low enough to assure a good weldability. This paper presents the results obtained by Vallourec and Mannesmann Tubes - V and M do Brazil on producing seamless pipes of X70 and X80 API grades, with outside diameter lower than 8 5/8{sup (} 219,1 mm ) and wall thickness up to 0,562{sup (} 14,3 mm ). Results of tensile, Charpy notch impact resistance and hardness tests are shown. Hydrogen-Induced and Environmental Cracking tests were also carried out, since for some applications is required a good resistance to these kinds of embrittlement mechanisms. The mechanical properties, microstructure and physical characteristics of welded joints were also evaluated. The results obtained up to now are quite promising, showing good suitability to the aimed final applications. (author)

  4. Application of Nonlinear Simplex ACO in Waste Transport%非线性单纯形蚁群算法在垃圾运输问题中的应用

    Institute of Scientific and Technical Information of China (English)

    李舟; 向长城

    2011-01-01

    Municipal solid waste transport management is an important issue.To address the problem, a mathematical model for waste transport is first established to get the objective function and constraints.According to the mathematical model for waste transport,an improved ant colony algorithm is used for computing.The non-linear simplex algorithm is used to generate the initial ant,and then optimize it with ant colony algorithm.Finally,the algorithm is applied to municipal waste transportation model,and good results were achieved.%城市垃圾运输问题是困扰一个城市管理的重要课题.针对该问题,首先建立了垃圾运输问题的数学模型,建立目标函数和约束条件.针对垃圾运输问题数学模型,采用改进的蚁群算法进行计算,利用非线性单纯形算法生成初始蚂蚁,然后结合蚁群算法进行优化.将该算法最后应用到城市垃圾运输模型,取得了较好的效果.

  5. Utilization of aluminum to obtaining a duplex type stainless steel using high energy ball milling; Obtencao de um aco inoxidavel de estrutura duplex do sistema FeMnAl processado por moagem de alta energia

    Energy Technology Data Exchange (ETDEWEB)

    Pavlak, I.E.; Cintho, O.M., E-mail: eng.igorpavlak@yahoo.com.b [Universidade Estadual de Ponta Grossa (UEPG), PR (Brazil); Capocchi, J.D.T. [Universidade de Sao Paulo (USP), SP (Brazil)

    2010-07-01

    The obtaining of stainless steel using aluminum in its composition - FeMnAl system, has been researches subject since the sixties, by good mechanical properties and resistance to oxidation presented, when compared with conventional FeNiCr stainless steel system. In another point, the aluminum and manganese are low cost then traditional elements. This work, metallic powders of iron, manganese and pure aluminum, were processed in a Spex type high-energy ball mill in nitrogen atmosphere. The milling products were compressed into pastille form and sintered under inert atmosphere. The final products were characterized by optical and electronic microscopy and microhardness test. The metallographic analysis shows a typical austenite and ferrite duplex type microstructure. The presence of these phases was confirmed according X ray diffraction analysis. (author)

  6. Organogênese e transformação genética de maracujá amarelo (Passiflora edulis f. flavicarpa Deg.) com os genes CMe-ACO1 AS e nptll via Agrobacterium tumefaciens

    OpenAIRE

    Winkler, Larissa Macedo

    2013-01-01

    O Brasil é o principal produtor mundial de maracujá-amarelo (Passiflora edulis f. flavicarpa Deg.). Seus frutos, de grande valor nutricional e farmacêutico são comercializados in natura e industrializados, garantindo o abastecimento do mercado interno e exportação. Contudo, seus frutos perdem grande quantidade de água durante o processo de maturação, conferindo à eles um aspecto de murcha em poucos dias, além de aumentar a fragilidade durante o transporte. Assim, o presente trabalho teve como...

  7. Main radiation protection actions for medical personnel as primary responders front of an event with radiological dispersive device; Principais acoes de protecao radiologica para equipe medica como primeiros respondedores frente a um evento com dispositivo de dispersao radiologica

    Energy Technology Data Exchange (ETDEWEB)

    Duque, Hildanielle Ramos

    2015-07-01

    After the terrorist attack in New York, USA, in 2001, there was a worldwide concern about possible attacks using radioactive material in conventional detonators, called as Radiological Dispersal Device (RDD) or 'dirty bomb'. Several studies have been and are being made to form a global knowledge about this type of event. As until now, fortunately, there has not been an event with RDD, the Goiania Radiological Accident in Brazil, 1987, is used as a reference for decision-making. Several teams with technical experts should act in an event with RDD, but the medical staffs who respond quickly to the event must be properly protected from the harmful effects of radiation. Based on the radiological protection experts performance during the Goiania accident and the knowledge from lessons learned of many radiological accidents worldwide, this work presents an adaptation of the radiation protection actions for an event with RDD that helps a medical team as primary responders. The following aspects are presented: the problem of radioactive contamination from the explosion of the device in underground environment, the actions of the first responders and evaluation of health radiation effects. This work was based on specialized articles and papers about radiological accidents and RDD; as well as personal communication and academic information of the Institute of Radiation Protection and Dosimetry. The radiation protection actions, adapted to a terrorist attack event with RDD, have as a scenario a subway station in the capital. The main results are: the use of the basic radiation protection principle of time because there is no condition to take care of a patient keeping distance or using a shielding; the use of full appropriate protection cloths for contaminating materials ensuring the physical safety of professionals, and the medical team monitoring at the end of a medical procedure, checking for surface contamination. The main conclusion is that all medical actions as primary responders must be followed up by radiation protection specialists. (author)

  8. Infarto cerebral hemorrágico por embolización de un trombo mural cardíaco Hemorrhagic cerebral infarction due to embolization of a mural thrombus within the right ventricle

    OpenAIRE

    Marín, R; Rico, A.; Blanco, M.; E. Barrero; I. Manresa; Santos, M.; J. Lucena

    2008-01-01

    Las enfermedades cerebrovasculares son consecuencia de una alteración en la circulación cerebral. Su forma más distintiva de presentación es el ictus, entendido como un déficit neurológico focal de instauración brusca y evolución rápida. Un infarto cerebral de origen oclusivo puede deberse bien a una trombosis in situ o bien a una embolia procedente de un foco distante. En las embolias cerebrales la causa principal son los trombos murales cardiacos y el área encefálica afectada con mayor frec...

  9. Sliding wear of steels (used in polished rods of oil pump jack) against polyurethane; Desgaste de deslizamento de acos (usados em hastes de unidade de bombeio de petroleo) contra poliuretano

    Energy Technology Data Exchange (ETDEWEB)

    Gois, Gelsoneide da Silva [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil). Engenharia de Materiais; Farias, Aline Cristina Mendes; Lima da Silva, Ruthilene Catarina; Medeiros, Joao Telesforo Nobrega [Universidade Federal do Rio Grande do Norte (PPGEM/UFRN), Natal, RN (Brazil). Programa de Pos-Graduacao em Engenharia de Materiais], e-mail: gelsoneidegg@yahoo.com.br, e-mail: alineastro@yahoo.com.br, e-mail: ruthilene@ufrnet.br, e-mail: medeirosj2@asme.org

    2008-07-01

    Accelerated sliding tests were carried out in the steels AISI 316, AISI 4140, AISI 1045 coated and AISI 4142 coated, in the dry and lubricated with contaminated oil with 10% SiO{sub 2} conditions. Each cylindrical counterbody with angular generatrix of polyurethane slid against a stationary metallic specimen. The contact pressure changed by increment of normal loads of 10,0 and 2,3 N, velocity of 0,91 m/s and distance of 12 km. The wear rates were calculated through of the mass variation from specimens after each test. The wear morphology was characterized by Optical and Scanning Electron Microscopy, where identified damages by abrasion at two and three bodies. The contaminated lubricant increase the wear rate due to action of the abrasive particles. (author)

  10. Characterization by X ray diffraction of deleterious phases precipitated in a super duplex stainless steel; Caracterizacao por difracao de raios X de fases deleterias precipitadas em aco inoxidavel superduplex

    Energy Technology Data Exchange (ETDEWEB)

    Pardal, Juan M.; Tavares, Sergio S. Maior; Fonseca, Maria P. Cindra; Montenegro, Talles Ribeiro, E-mail: juanpardal@vm.uff.b [Universidade Federal Fluminense (PGEMEC/UFF), Niteroi, RJ (Brazil). Programa de Pos-graduacao em Engenharia Mecanica; Dias, Antonio Jose N.; Almeida, Sergio L. de [Instituto Nacional de Tecnologia (INT), Rio de Janeiro, RJ (Brazil). Div. de Materiais Ceramicos e Metalicos. Lab. de Tecnologia de Materiais

    2010-07-01

    In this work the identification and quantification of deleterious phases in two super duplex stainless steels grade UNS S32750, with quite different grain sizes, was performed by X-ray diffraction. The materials were isothermally aged in the 800 . 950 deg C range. Direct comparison method was used to quantify the ferrite phase in each sample. The amount of deleterious phases ({sigma}, {chi} and {gamma}2) formed was calculated by the difference of the amount of ferrite phase measured in each specimen to the amount of ferrite initially measured in the un-aged steel. The results obtained give an useful contribution to the understanding of kinetics of deleterious phases precipitation in super duplex steels. (author)

  11. Plasma sintering of ferritic steel reinforced with niobium carbide prepared by high energy milling; Sinterizacao a plasma de aco ferritico reforcado com carbeto de niobio preparado por moagem de alta energia

    Energy Technology Data Exchange (ETDEWEB)

    Silva Junior, J.F. da; Almeida, E.O.; Gomes, U.U.; Alves Junior, C.; Messias, A.P. [Universidade Federal do Rio Grande do Norte (UFRN), Natal (Brazil). Lab. de Materiais Ceramicos e Metais Especiais; Universidade Federal do Rio Grande do Norte (UFRN), Natal (Brazil). Lab. de Processamento de Materiais por Plasma

    2010-07-01

    Plasma is an ionized gas where ions are accelerated from anode to cathode surface, where the sample is placed. There are a lot of collisions on cathode surface by ions heating and sintering the sample. High energy milling (HEM) is often used to produce composite particles to be used on powder metallurgy. These particles can exhibit fine particles and high phase dispersion. This present work aim to study ferritic steels reinforced with 3%NbC prepared by HEM and sintered on plasma furnace. Ferritic steel and NbC powders were milled during 5 hours and characterized by SEM, XRD and laser scattering. Then, these composite powders were compacted in a cylindrical steel die and then sintered in a plasma furnace. Vickers microhardness tests and SEM and XRD analysis were performed on sintered samples. (author)

  12. Evaluation of thermomechanical behavior of refractories for steel pouring through non-linear finite elements analysis; Avaliacao do comportamento termomecanico de refratarios para lingotamento indireto de acos atraves de simulacao por analise nao-linear de elementos finitos

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, R.; Noronha, R.T.T.; Mattos, U. [Ceramica Safran, Betim, MG (Brazil); Pandolfelli, Victor Carlos [Sao Carlos Univ., SP (Brazil). Dept. de Engenharia de Materiais

    1995-12-31

    The conditions that should be input in a Finite Element Analysis for a suitable characterization of refractory bricks used for Bottom Pouring of Steel were investigated. The stiffness and thermal conductivity of the outside brick media (silica sand) were considered for the development of the model (which included silica sand properties). The stress components (shear, tensile or compressive stress) responsible for the spalling of the refractory bricks were identified through a transient nonlinear analysis. The thermomechanical spalling of the bricks is caused due to an increase in the shear stress inside the brick, in agreement with the observations at Steel Plants along steel leaks. (author) 5 figs., 1 tab.

  13. Study of residual stresses in welded joints of dual phase HSLA steel used in automotive industry; Estudo das tensoes residuais em juntas soldadas de aco ARBL bifasico usado na industria automobilistica

    Energy Technology Data Exchange (ETDEWEB)

    Barbato, D.S.; Fonseca, M.P. Cindra; Marques Junior, A.S.; Chuvas, T.C.; Pardal, J.M., E-mail: mcindra@vm.uff.b [Universidade Federal Fluminense (PGMEC/UFF), Niteroi, RJ (Brazil). Programa de Pos-graduacao em Engenharia Mecanica; Berretta, J.R. [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2010-07-01

    One way of weight reduction in automotive vehicles is through the use of high strength and low alloy (HSLA) steels, which enables the use of small thickness plates. Whereas the appearance of residual stresses is intrinsic to the welding process, this study evaluates the residual stresses generated in welded joints obtained by TIG and LASER welding processes and comparing them. Residual stresses were measured by X-rays diffraction technique, using a portable device with Cr{kappa}{alpha} radiation applying the double exposure method. It also evaluates the influence of shot peening treatment applied after welding, in the bend tests conducted for both welding conditions and TIG welded joints showed higher stability of compressive stresses after welding. The metallographic analysis by optical microscopy complemented the welded joints characterization. (author)

  14. Volumetric fractions determination in different M-42 steel carbides, without the use of quantitative metallography; Determinacao das fracoes volumetricas dos diferentes carbonetos de um aco M-42, sem metalografia quantitativa

    Energy Technology Data Exchange (ETDEWEB)

    Freitas, Welerson Romaniello de [Centro Tecnologico (CETEC), Belo Horizonte, MG (Brazil); Ferreira, Osmar da Luz; Santos, Dagoberto Brandao [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Escola de Engenharia

    1987-12-31

    The volume fractions of different carbides present in M-42 steel were determined using a mathematical analytical procedure. This method is based on mass conservation, without application of the classical quantitative metallography techniques. The data were obtained by electron probe micro-analysis and mass fraction calculation. (author) 5 refs., 2 figs., 8 tabs.

  15. Microstructural characterization of IF steel after severe plastic deformation via ARB and subsequent heat treatment; Caracterizacao microestrutural de um aco IF apos deformacao plastica severa via ARB e posterior recozimento

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, F.C.; Abrantes, A.L.A.; Lins, J.F.C., E-mail: cristinafo2@hotmail.co [Universidade Federal Fluminense (PPGEM/UFF), Volta Redonda, RJ (Brazil). Programa de Pos-graduacao em Engenharia Metalurgica

    2010-07-01

    This study aimed to evaluate the microstructural evolution of a titanium stabilized IF steel deformed to warm through the ARB process for 5 consecutive cycles and then annealing at 600 deg C for 1 h. The material was characterized with the aid of the techniques of scanning electron microscopy and electron backscatter diffraction (Electron Backscatter Diffraction - EBSD). An intense process of microstructural refinement was observed in the deformed material and the phenomenon of dynamic recovery was predominant. It can be concluded that the annealing of severely deformed material was not sufficient for a complete recrystallization of the microstructure. (author)

  16. Comparative study of AISI M3:2 high speed steel produced through different techniques of manufacturing; Estudo comparativo de acos rapidos AISI M3:2 produzidos por diferentes processos de fabricacao

    Energy Technology Data Exchange (ETDEWEB)

    Araujo Filho, Oscar Olimpio de

    2006-07-01

    In this work AISI M3:2 high speed steels obtained through different techniques of manufacturing, submitted to the same heat treatment procedure were evaluated by measuring their mechanical properties of transverse rupture strength and hardness. Sinter 23 obtained by hot isostatic pressing (HIP), VWM3C obtained by the conventional route and a M3:2 high speed steel obtained by cold compaction of water atomized powders and vacuum sintered with and without the addition of a small quantity of carbon were evaluated after the same heat treatment procedure. The vacuum sintered M3:2 high speed steel can be an alternative to the more expensive high speed steel produced by hot isostatic pressing and with similar properties presented by the conventional one. The characterization of the vacuum sintered M3:2 high speed steel was performed by measuring the densities of the green compacts and after the sintering cycle. The sintering produced an acceptable microstructure and densities near to the theoretical. The transverse rupture strength was evaluated by means of three point bending tests and the hardness by means of Rockwell C and Vickers tests. The technique of scanning electronic microscopy (SEM) was used to evaluate the microstructure and to establish a relation with the property of transverse rupture strength. The structure was determined by means of X-ray diffraction (XRD) patterns and the retained austenite was detected to all the conditions of heat treatment. The main contribution of this work is to establish a relation between the microstructure and the mechanical property of transverse rupture strength and to evaluate the AISI M3:2 vacuum sintered high speed steel as an alternative to the similar commercial high speed steels. (author)

  17. Obtaining and analysis of results of fatigue and corrosion-fatigue in steel API 5L X60; Obtencao e analise de resultados de fadiga e corrosao-fadiga em aco API 5L X60

    Energy Technology Data Exchange (ETDEWEB)

    Araujo, Bruno Allison [Universidade Federal de Campina Grande (UFCG), PB (Brazil). Programa de Pos-Graduacao em Ciencia e Engenharia de Materiais; Silva, Antonio Almeida; Santos, Fabio Gualberto Chagas [Universidade Federal de Campina Grande (UFCG), PB (Brazil)

    2008-07-01

    The corrosion process allied to the fatigue, due to repetitive efforts of several natures, is the main responsible for the damages in pipeline and offshore structures that results in the appears of located faults, and by the way can results in leaks and financial and environmental loss. This phenomenon calls corrosion-fatigue, however, it is very complex, and mainly, in what it concerns the form as this it develops in the structure. The objective of this work is to present some results of experimental fatigue tests and corrosion-fatigue accomplished with specimen that the material originated a pipeline steel API 5L X60. The tests developed in a machine which could test until 12 specimens per time. For test of corrosion-fatigue was used a cell-of-corrosion especially projected, in this way simulated an aggressive environmental condition in a corrosion conditions. With the results of tests, was possible estimate the fatigue limits of the specimen when submitted to the repeated flexing, and compare it with evaluate corrosion-fatigue graphs, that as the literature comes moved down of the curve, in relation to the fatigue curve. (author)

  18. Effect of sigma phase in the repassivation potential of austenitic-ferritic stainless steel SEW 410 Nr. 14517; Efeito da fase sigma no potencial de repassivacao do aco inoxidavel austeno-ferritico SEW 410 Nr. 14517

    Energy Technology Data Exchange (ETDEWEB)

    Itman Filho, A.; Pimenta, C.C.; Santos, C.M.L. [Instituto Federal do Espirito Santo, Vitoria (Brazil)], e-mail: andrei@ifes.edu.br; Casteletti, L.C. [Escola de Engenharia de Sao Carlos - EESC/USP, SP (Brazil)

    2010-07-01

    The austenitic-ferritic stainless steels, due to the optimum compromise between mechanical properties and corrosion resistance, are being used in many applications, as chemical and oil industries. In the oil exploitation, the effect of erosion-corrosion in acid environment is responsible for the increment in the equipment maintenance costs. Regarding the interest in researches of deep water oil exploitation, the proposal of this study was to evaluate the effect of the heat treatment at 850 degree C of the austenitic-ferritic stainless steel SEW 410 Nr.14517. Microstructural characterizations, microhardness measurements of the phases and corrosion tests were accomplished to evaluate the samples. The pitting potential values were obtained by galvanostatic tests in H{sub 2}SO{sub 4} acid solution. The results showed that the volumetric percentages of sigma phase increased while the ferritic phase percentages decreased, when the heat treatment time increased. The sigma phase promoted hardness increase with little corrosion resistance decrease in the austenitic-ferritic stainless steel, too. (author)

  19. Influence of plasma nitro carburization on fatigue properties in a 4340 steel with different microstructure; Infuencia da nitrocarbonetacao a plasma nas propriedades de fadiga de um aco 4340 com diferentes microestruturas

    Energy Technology Data Exchange (ETDEWEB)

    Ranieri, A.; Hashimoto, T.M. [UNESP, Guaratingueta, SP (Brazil). Faculdade de Engenharia (FEG); Baggio-Scheid, V.H.; Abdalla, A.J., E-mail: abdalla@ieav.cta.b [Departamento de Ciencia e Tecnologia Aeroespacial (IEAv/DCTA), Sao Jose dos Campos, SP (Brazil). Inst. de Estudos Avancados

    2010-07-01

    Three different routes of heat treatments were applied in samples of 4340 steel in order to modify the microstructures and mechanical properties. After this initial treatment was applied a plasma nitrocarburizing thermochemical treatment in a part of the samples, forming a layer of nitride (Fe{sub 4}N and Fe{sub 3}N{sub 2}) of about 10{mu}m, with high hardness, in order to improve the surface characteristics. The layer and microstructure were characterized with X-ray analysis, optical microscopy, confocal laser scanning and hardness test by microindentation. Tensile and fatigue tests show the influence of microstructure formed on the mechanical properties, the microstructure predominantly bainitic phase showed a better combination of ductility, toughness and fatigue life. After treatment nitrocarburizing was observed the effect of tempering, with a reduction in hardness of substrate and tensile strength. In steel with martensitic microstructure the fatigue life decreases. (author)

  20. Criteria and procedures for stability studies - adopted measures for improving system dynamic performance; Criterios e procedimentos para estudos de estabilidade - definicao de acoes para a melhoria do desempenho em regime transitorio e dinamico de sistemas de transmissao

    Energy Technology Data Exchange (ETDEWEB)

    Figueiredo, Erli F. [FURNAS, Rio de Janeiro, RJ (Brazil); Fontoura, Roberto N. [ELETROBRAS, Rio de Janeiro, RJ (Brazil); Souza, Luiz Gastao C. [ELETROSUL, Curitiba, PR (Brazil); Barros, Joao Ricardo P. de [Companhia Hidroeletrica do Sao Francisco (CHESF), Recife, PE (Brazil); Aires, Joao C. de O. [Light Servicos de Eletricidade S.A., Rio de Janeiro, RJ (Brazil); Etrusco, Wellignton [Companhia Energetica de Sao Paulo (CESP), SP (Brazil); Rosa, Aciron B. de [Companhia Estadual de Energia Eletrica do Estado do Rio Grande do Sul (CEEE), Porto Alegre, RS (Brazil); Daldagan, Maria L. [Companhia Paranaense de Energia (COPEL), Curitiba, PR (Brazil); Bastos, Jose R. [Eletricidade de Sao Paulo, Sao Paulo, SP (Brazil); Yamamura, Paulo [ELETRONORTE, Belem, PA (Brazil); Luz, Ariosto [Companhia de Energia Eltrica da Bahia, Salvador, BA (Brazil); Oliveira, Elizabeth F. [CELG (Brazil); Mello, Albert C.G. de [Centro de Pesquisas de Energia Eletrica (CEPEL), Rio de Janeiro, RJ (Brazil); Souza, Itamar [Centrais Eletricas de Santa Catarina S.A. (CELESC), Florianopolis, SC (Brazil); Oliveira, Amaury R.C. [Companhia Energetica de Minas Gerais (CEMIG), Belo Horizonte, MG (Brazil); Martins Junior, Jose A. [Companhia Paulista de Forca e Luz (CPFL), Campinas, SP (Brazil); Ferreira, Jose S. [Espirito Santo Centrias Eletricas S.A. (ESCELSA), Vitotia, ES (Brazil); Molina, Jair M. [Empresa Energetica do Mato Grosso do Sul S.A. (ENERSUL), Campo Grande, MS (Brazil); Pereira, Marcel J.A. [Centrais Eltricas do Para S.A. (CELPA)]|[Belem, PA (Brazil); Rocha Neto, Cassiano, C. [Companhia Energetica do Ceara (COELCE), Fortaleza, CE (Brazil); Coelho, Simone N. [CELPE (Brazil); Silva, Robson P. [CEAL (Brazil)

    1994-12-31

    This work presents criterion and proceedings to the analysis of the performance of AC and DC transmission systems point to point and multi-terminal, in dynamic and transient regime. (author) 9 refs., 2 figs., 2 tabs.

  1. Crenças Erróneas e Perceção da Doença em Pacientes Cardíacos e Seus Cônjuges: Um Estudo Piloto

    Directory of Open Access Journals (Sweden)

    Maria João Figueiras

    2012-11-01

    Full Text Available Objetivo: O presente estudo de caráter exploratório procurou caraterizar e comparar as perceções de doença e as crenças erróneas sobre a doença cardíaca em pacientes portugueses e nos seus cônjuges. Método: A amostra foi composta por 46 pacientes com doença cardíaca e 32 cônjuges. Foi utilizada uma metodologia combinada (qualitativa e quantitativa, com recurso a instrumentos de autorrelato e, no caso das perceções de doença dos pacientes, também a desenhos do coração. Resultados: Verificou-se que as perceções de doença do paciente diferem consoante o sexo, a idade e a situação profissional e estão relacionadas com traços de personalidade. Os cônjuges dos pacientes parecem reportar níveis mais elevados de preocupação com a doença. A análise dos desenhos efetuados pelos pacientes sugere ainda que a altura e a área dos mesmos podem estar associadas com dimensões específicas das perceções de doença. Conclusão: Em termos gerais consideramos que o presente estudo contribui de forma modesta mas significativa para descrever o tipo de crenças erróneas sobre as doenças de coração dos pacientes e cônjuges, assim como para analisar de que forma a perceção da doença influencia outras crenças relacionadas com diferentes aspetos da fase de ajustamento e gestão da doença.

  2. Structural steels for fixed offshore platforms: technical challenges at the Brazilian national supply chain; Acos estruturais para plataformas fixas offshore: desafios tecnicos junto a cadeia de suprimentos nacional brasileira

    Energy Technology Data Exchange (ETDEWEB)

    Castro, Fabio Modesti Orsini de [Promon Engenharia Ltda., Rio de Janeiro, RJ (Brazil)

    2012-07-01

    This paper presents the main technical requirements for structural steel applied to the construction of bottom fixed offshore platforms, based on the most widely adopted and recognized actual standards. The mechanical properties and lab tests necessary to fulfill the Risk Management and E and P companies requirements are presented aiming to build the theoretical bases necessary for the engineering design of projects of this kind. The main types of steel available in the national market are presented at the end, giving an overall look at the Brazilian steel supply chain. (author)

  3. Revascularização do miocárdio sem circulação extracorpórea com uso de shunt intracardíaco: 12 anos de experiência

    Directory of Open Access Journals (Sweden)

    Luiz Antônio RIVETTI

    1997-07-01

    Full Text Available Os autores apresentam a experiência com a técnica desenvolvida em 1983, na Faculdade de Ciências Médicas da Santa Casa de São Paulo, que consiste em substituir a circulação extracorpórea nas operações de revascularização do miocárdio, por uma derivação (shunt, introduzida na luz da coronária. Este shunt consiste em um pequeno tubo de silicone, flexível, transparente, com diâmetros variando de 1 a 3 mm, que permanece na luz do vaso durante a feitura da anastomose entre o enxerto e a coronária. Esta técnica oferece mais segurança ao paciente, por dispensar o uso da circulação extracorpórea e, conseqüentemente, os seus malefícios, além de evitar isquemia do miocárdio durante a anastomose e mantendo um campo cirúrgico sem sangue, facilitando, assim, a realização da anastomose. De 1983 a 1995, foram operados 419 pacientes, tendo sido realizados 671 enxertos, dos quais 153 com a artéria torácica interna para as coronárias das faces anterior e inferior do coração. A mortalidade hospitalar foi de 1,43%, com 1,67% de incidência de infarto do miocárdio no intra-operatório. A técnica mostrou ser segura, sem complicações graves durante o seu emprego. Os pacientes evoluíram bem no pós-operatório imediato, necessitando menor tempo de intubação, menor permanência na UTI ou internação. Em um grupo inicial estudou-se a qualidade das anastomoses, através da cinecoronariografia pós-operatória em um período médio de 24 meses, mostrando uma taxa de enxertos pérvios de 84%. A técnica mostrou ser simples, segura e econômica, além dos benefícios ao paciente, por ser menos agressiva. Com o advento da cirurgia minimamente invasiva, esta técnica traz a contribuição definitiva para maior segurança dos pacientes.An analysis was made of the results in a group of 419 patients that underwent myocardial revascularization without cardiopulmonary bypass, by means of a technique using a temporary intraluminal shunt (TIS described originally by Rivetti and Gandra in 1991. The technique consists of inserting a shunt of a flexible and transparent sylastic tube with external diameter varying from 1 mm to 3 mm into the coronary artery which allows distal irrigation of the coronary artery during the anastomosis between the vein or mammary artery and the coronaries. It offers safety to the patient by avoiding ischemia and its consequences, by molding the coronary artery and maintaining a bloodless field. Mortality was 1,4% in this series and 1,6% of myocardial infarction. There were no life-threatening complications during the procedure. There were no complications similar those normally occurring in the post-operative period of cardiopulmonary procedures. This technique is useful for any patient with coronary stenosis in the antero-diaphragmatic region, but it also provided a good quality of the anastomosis in the cases studied.

  4. An ACO-Based Fair Energy Usage Routing Algorithm for Wireless Sensor Networks%基于蚁群优化的无线传感器网络能量均衡路由算法

    Institute of Scientific and Technical Information of China (English)

    梁华为; 陈万明; 李帅; 梅涛; 孟庆虎

    2007-01-01

    如何有效使用无线传感器节点有限的能量来最大化网络的寿命是无线传感器网络研究的重要问题.网络能量是否均衡消耗对网络寿命有着决定性的影响.本文将蚁群优化算法应用于无线传感器网络的路径选择,提出一种基于蚁群优化的无线传感器网络能量均衡路由算法.该算法利用蚁群的动态适应性和寻优能力在网络最短路径和能量均衡消耗之间进行平衡,以达到网络能量的优化均衡消耗,进而延长整个网络的寿命.仿真实验表明,该算法在延长网络寿命方面效果较显著,与最短路径路由算法相比网络寿命延长超过33%.

  5. Alpha prime effect on mechanical properties and corrosion resistance of UR 52N+ duplex stainless steel; Efeito da fase alfa linha nas propriedadesmecanicas e de resistencia a corrosao do aco inoxidavel duplex UR 52N+

    Energy Technology Data Exchange (ETDEWEB)

    Fontes, Talita Filier

    2009-07-01

    Alpha prime phase leads to decreased corrosion resistance and mechanical properties losses of duplex stainless steels. In this work mechanical and electrochemical tests were performed in duplex stainless steel UR 52N+ aged at 475 degree C for various periods in order to determine the sensibility of these tests to alpha prime presence. Hardness tests showed a gradual increase in its values; on the other hand, impact tests revealed that the material aged for 12h losses about 80% of energy absorption capacity of the solution annealed sample. Notwithstanding cyclic polarization tests showed that significant changes are only noted for aging times greater than 96h. (author)

  6. Influence of treatment by vibration in residual stress generated in the laser welding of HSLA and IF steels; Influencia do tratamento de vibracao nas tensoes residuais geradas na soldagem a laser de acos ARBL e IF

    Energy Technology Data Exchange (ETDEWEB)

    Chuvas, T.C.; Fonseca, M.P. Cindra, E-mail: chuvas@vm.uff.b [Universidade Federal Fluminense (PGMEC/UFF), Niteroi, RJ (Brazil). Programa de Pos-graduacao em Engenharia Mecanica; Castello, D.A. [Universidade Federal do Rio de Janeiro (DEM/UFRJ), RJ (Brazil). Dept. de Engenharia Mecanica

    2010-07-01

    The stress relieving treatment by vibration is a new technology under development, which has many advantages over thermal methods. In this work was analyzed the surface residual stress generated in the laser welding of biphasic HSLA and IF steels, both used in the automotive industry. Residual stresses were measured by X-ray diffraction, by the sen{sup 2} {Psi} method. Residual stresses generated in the welding of the samples were tensile at all points measured. After welding, the samples were submitted to the mechanical vibration treatment. Some samples presented a significant reduction in the stress values. The welded joints were also characterized by optical microscopy. (author)

  7. A Grid Task Scheduling Method Based on Min-Min and ACO Algorithm%基于Min-Min和蚁群算法的网格任务调度方法

    Institute of Scientific and Technical Information of China (English)

    黄学雨; 何焕; 戴志晃

    2009-01-01

    网格任务调度是网格计算的研究热点,也是一个NP难问题.文章结合Min-Min算法和蚁群算法的优点,提出了一种基于Min-Min蚁群算法(MMACO)的任务调度方法.仿真实验表明:在网格环境下,该算法具有较好的全局最优求解能力和较快的收敛速度.

  8. Infarto cerebral hemorrágico por embolización de un trombo mural cardíaco Hemorrhagic cerebral infarction due to embolization of a mural thrombus within the right ventricle

    Directory of Open Access Journals (Sweden)

    R. Marín

    2008-04-01

    Full Text Available Las enfermedades cerebrovasculares son consecuencia de una alteración en la circulación cerebral. Su forma más distintiva de presentación es el ictus, entendido como un déficit neurológico focal de instauración brusca y evolución rápida. Un infarto cerebral de origen oclusivo puede deberse bien a una trombosis in situ o bien a una embolia procedente de un foco distante. En las embolias cerebrales la causa principal son los trombos murales cardiacos y el área encefálica afectada con mayor frecuencia es el territorio irrigado por la arteria cerebral media. Presentamos el caso de una mujer de 81 años, con antecedentes de Hepatitis C, cardiopatía hipertensiva y fibrilación auricular crónica, que sufrió una fractura de cadera consecutiva a una caída accidental. Durante el ingreso hospitalario comenzó un cuadro de deterioro neurológico progresivo que no llegó a ser filiado, falleciendo 9 días después. En la autopsia médico-forense se encontró un infarto cerebral hemorrágico en el territorio de la arteria cerebral media izquierda. Dado que las arterias del Polígono de Willis eran permeables y ante la presencia de trombos vitales adheridos a la pared del ventrículo derecho, se estimó como causa más probable del accidente vasculocerebral la embolización de uno de dichos trombos.Cerebrovascular diseases are due to a disturbance in cerebral blood flow. The most frequent way of presentation is stroke, defined as a sudden and focal neurological impairment with rapid evolution. Cerebral infarction of occlusive origin can be secondary to in situ thrombosis or to embolism from a distal focus. Mural thrombi are the main cause of brain embolism and the middle cerebral artery territory is the most likely affected brain area. We report the case of an 81 year-old woman, with antecedents of Hepatitis C, hypertensive cardiopathy and chronic atrial fibrillation, who suffered a hip fracture due to an accidental fall. A progressive neurological impairment of unknown aetiology appeared during her hospitalization, and she died 9 days after her admission. Forensic autopsy found a hemorrhagic cerebral infarction in the territory of the left middle cerebral artery. As the arteries of the polygon of Willis were patent and there were vital thrombi adhered to the free wall of the right ventricle, thromboembolism was considered the most probable cause of the cerebrovascular event.

  9. Prevalência de estenose das artérias renais em 1.656 pacientes que realizaram cateterismo cardíaco Prevalence of renal artery stenosis in 1,656 patients who have undergone cardiac catheterization

    Directory of Open Access Journals (Sweden)

    Rogério Tadeu Tumelero

    2006-09-01

    Full Text Available OBJETIVO: Determinar a prevalência de estenose da artéria renal (EAR em pacientes submetidos a cineangiocoronariografia. MÉTODOS: Estudo prospectivo, considerando 1.656 cinean-giocoronariografias seguidas de aortografia, entre janeiro/2002 e fevereiro/2004, de pacientes encaminhados à cineangiocoronariografia diagnóstica com história ou não de hipertensão arterial sistêmica (HAS. RESULTADOS: Dos 1.656 pacientes, a idade média foi de 61,6 ± 11,8 anos, 53,8% eram do sexo masculino, 10,2% eram diabéticos, 63,8% apresentavam coronariopatia obstrutiva. A presença de EAR maior que 50% foi observada em 228 (13,8% pacientes, e em 25 (1,5% destes, ocorreu bilateralmente. A coronariopatia obstrutiva foi definida como estenose que causa redução do lúmen do vaso em 50% ou mais, em um, dois ou três vasos principais, denominados uniarterial, biarterial ou triarterial, respectivamente.A quantificação era realizada através da análise visual da angiografia. Comparando os grupos com e sem EAR > 50%, observou-se diferença estatisticamente significativa quanto a gênero, idade, ocorrência de diabete melito, PA e função ventricular esquerda. Não houve diferença significativa, no entanto, quanto à ocorrência de obstrução coronariana > 50%. Quando, porém, a EAR considerada é > 70%, observa-se diferença significativa quanto a PA, associação à obstrução coronariana > 50% e à disfunção ventricular esquerda, maiores no grupo com EAR. CONCLUSÃO: A prevalência de EAR neste estudo foi comparável àquela das grandes casuísticas da literatura e, em razão de sua importância pela associação com HAS e doença renal terminal (DRT e suas seqüelas, devemos estar atentos para seu diagnóstico angiográfico.OBJECTIVE: To determine the prevalence of renal artery stenosis (RAS in patients who have undergone cineangiocoronariography. METHODS: Prospective study of cineangiocoronariography and aortography examinations conducted between January 2002 and February 2004 on 1,656 hypertensive and normotensive patients who underwent the examinations to confirm the diagnosis of obstructive coronary artery disease or valve disease. RESULTS: The average age of the 1,656 patients was 61.6 ± 11.8 years. Eight hundred and ninety-one (53.8% were male, 169 (10.2% were diabetic and 1,054 (63.8% presented obstructive coronary artery disease. Renal stenosis greater than 50% was observed in 228 (13.8% patients, and 25 (1.5% had bilateral stenosis. Obstructive coronary artery disease was defined as stenosis greater than or equal to 50% of the vessel lumen, in one, two or three main arteries, classified as single, double or triple vessels, respectively. Quantification was conducted using visual analysis of the angiography. Comparison of the groups with and without renal artery obstruction > 50%, revealed significant statistical differences in relation to gender, age, diabetes mellitus, blood pressure and left ventricular function. However, no statistical difference was noted in relation to the occurrence of coronary artery obstructions > 50%. Nevertheless, renal artery obstructions > 70%, revealed significant differences in relation to blood pressure, coronary artery obstructions > 50% and left ventricular function, which were all higher in the renal artery obstruction group. CONCLUSION: The prevalence of RAS found in our study was comparable to that reported by major medical literature case studies. RAS is associated with systemic hypertension (SH, end-stage renal disease (ESRD and its sequelae, emphasizing how important it is that we are aware of possible candidates for angiographic diagnosis of this disease.

  10. Effect of shot peening treatment in the behavior of residual stress in duplex stainless steel during medium cycle fatigue; Efeito do tratamento de shot peening no comportamento das tensoes residuais em aco inoxidavel duplex durante fadiga de medio ciclo

    Energy Technology Data Exchange (ETDEWEB)

    Pedrosa, Peter D.S.; Rebello, Joao Marcos A. [Coordenacao dos Programas de Pos-Graduacao de Engenharia (PEMM/COPPE/UFRJ), Rio de Janeiro, RJ (Brazil). Programa de Engenharia Metalurgica e de Materiais; Fonseca, Maria P. Cindra, E-mail: mcindra@vm.uff.b [Universidade Federal Fluminense (PGMEC/UFF), Niteroi, RJ (Brazil). Escola de Engenharia. Programa de Pos-Graduacao em Engenharia Mecanica

    2010-07-01

    The lifetime of duplex stainless steel parts experiencing cyclic fatigue is directly influenced by the residual stresses present in the ferrite and austenite phases. The motivation for this work was to analyze the behaviour of the residual stresses fields introduced by shot peening treatment in both phases, in the sample surface as in the subsurface layers, in low fatigue cycles, using the X-rays diffraction technique. The results shows that the compressive residual stresses introduced by the shot peening treatment in both phases improved fatigue life of the material. However, the cyclical loads produce partial or total relief in these residual stresses fields. It was verified that the shot peening process induced the formation of microcracks only in the ferrite phase. The largest variations in the total compressive residual stresses fields also occurred in this phase. The samples surfaces were analyzed by scanning electron microscopy. (author)

  11. One safety critical indicators model for regulatory actions on nuclear power plants based on a level 1 PSA; Um modelo de indicadores criticos de seguranca para acoes regulatorias em usinas nucleares baseado em uma APS nivel 1

    Energy Technology Data Exchange (ETDEWEB)

    Araujo, Jefferson Borges

    2006-03-15

    This study presents a general methodology to the establishment, selection and use of safety indicators for a two loop PWR plant, as Angra 1. The study performed identifies areas considered critical for the plant operational safety. For each of these areas, strategic sub-areas are defined. For each strategic sub-area, specific safety indicators are defined. These proposed Safety Indicators are based on the contribution to risk considering a quantitative risk analysis. For each safety indicator, a goal, a bounded interval and proper bases are developed, to allow for a clear and comprehensive individual behavior evaluation. Additionally, an integrated evaluation of the indicators, using expert systems, was done to obtain an overview of the plant general safety. This methodology can be used for identifying situations where the plant safety is challenged, by giving a general overview of the plant operational condition. Additionally, this study can also identify eventual room for improvements by generating suggestions and recommendations, as a complement for regulatory actions and inspections, focusing resources on eventual existing weaknesses, in order to increase or maintain a high pattern of operational safety. (author)

  12. Hardness and microstructural characterization of API 5L X70 steel pipes welded by HF/ERW process; Caracterizacao microestrutural e de dureza em tubos de aco API 5L X70 soldados pelo processo HF/ERW

    Energy Technology Data Exchange (ETDEWEB)

    Calcada, Mauricio Vieira; Voorwald, Herman Jacobus Cornelis; Nascimento, Marcelino Pereira do [UNESP, Guaratingueta, SP (Brazil). Faculdade de Engenharia

    2010-07-01

    The materials that stand in the manufacture of steel pipes are called API, that should have, high mechanical resistance, high corrosion resistance, high fatigue resistance, good weldability, and other properties. Thus, the purpose of this project was to evaluate the microstructure and hardness of welded joints by the HF/ERW process of API 5L X70 steel pipes. The microstructural analysis was performed using a surface finish with grit sizes from 220 to 25 {mu}m e polishing with diamond paste from 9 {mu}m to 0.05 {mu}m; the revelation was made with 3% Nital attack. The Vickers hardness was performed across the welded joint by 33 points to indentation. The results were: 80.5 {+-} 3.4% of ferrite and 19.5 {+-} 3.4% of perlite for microanalysis. As for hardness, the values were: 215.69 HV10 for weld line, 218.65 HV10 for ZTA and 218.95 HV10 for base metal. (author)

  13. Los segmentos cardíacos primitivos, su implicación en la cardiogénesis normal aplicada a la cardiología pediátrica

    OpenAIRE

    Salazar García, Marcela; Sánchez Gómez,Concepción; Contreras Ramos,Alejandra; Carrillo Ávalos,Blanca A; Revilla Monsalve,Ma Cristina; Palomino Garibay,Miguel Ángel

    2006-01-01

    El gran desarrollo de la imagenología diagnóstica en la cardiología pediátrica ha exigido un conocimiento preciso de la anatomía alterada de los corazones con cardiopatía congénita. De esta manera, la información sobre la embriología cardíaca, en los aspectos morfológicos y moleculares constituye un fundamento para comprender la anatomía de los corazones mal formados. Con base en estos hechos, en este trabajo se revisa la cardiogénesis normal, integrando los nuevos hallazgos logrados experime...

  14. Risk assessment in the electric power transmission business: a proposal for equivalence between debenture bonds and share certificates; Avaliacao de risco no negocio de transmissao de energia eletrica: uma proposta de equivalencia entre debentures e acoes ordinarias

    Energy Technology Data Exchange (ETDEWEB)

    Rocha, Paulo Glicio da [Companha Hidroeletrica do Sao Francisco (CHESF), Recife, PE (Brazil); Araujo, Juliana Vale [Banco Central do Brasil, Brasilia, DF (Brazil)

    2008-07-01

    Electric Energy Transmission Enterprises are significantly affected by the loan they borrow, because the debt service impacts the company's profit and its liquidity. Nowadays, the cheapest source of funds is the National Bank for Economic and Social Development - BNDES. In the other hand, companies from the electric energy sector have borrowed funds from securities issues, as debentures. The great advantage from issuing debentures is its flexibility in some features as interest rate, amortization period, amortization system, etc, that are chosen by the security issuer. The interest rate is an important factor, since it directly affects the project's result and its cash availability. However, which would be the ideal interest rate, considering the debentures' risk?. In this study, the stockholder and debtholder (debentures' holder) risks is measured using the ARCH models and the Monte Carlo Simulation Method. The shareholder's SI was applied to the debentures, assuming that the stocks and debentures should be the same Sharpe Index. It was attributed to the debentures the interest rate of 7% per year + IPCA and it was observed that to the debentures' SI be equivalent to the stock's SI, the return of the debtholder should be 12,12% per year + IPCA, because its risk (measured in this work) is superior to the shareholder's risk. (author)

  15. Participação dos canais de sódio voltagem-dependentes no efeito tipo antimaníaco da feinitoína e da carbamazepina na hiperlocomoção induzida por metilfenidato

    OpenAIRE

    Tonelli, Denise Aparecida Gianoti

    2013-01-01

    Resumo Alguns anticonvulsivantes como o valproato e a carbamazepina são efetivos no tratamento da fase maníaca do transtorno afetivo bipolar e embora possuam algumas diferenças farmacológicas, todos compartilham de um efeito comum que é o bloqueio dos canais de sódio voltagem-dependentes. A fenitoína também promove tal efeito e recentemente foi demonstrado que ela reduziu o tempo de imobilidade dos camundongos submetidos ao teste de natação forçada, efeito este que é bloqueado pela veratrina,...

  16. Effect of annealing temperature on microstructure of ferritic stainless steels with high Mo content; Efeito da temperatura de recozimento na microestrutura em acos inoxidaveis ferriticos com alto teor de Mo

    Energy Technology Data Exchange (ETDEWEB)

    Abreu, H.F.G.; Miranda, H.C. [Universidade Federal do Ceara (UFC), Fortaleza (Brazil). Dept. de Engenharia Metalurgica e de Materiais; Herculano, L.F.G. [Universidade Federal do Ceara (UFC), Fortaleza (Brazil). Lab. de Caracterizacao de Materiais; Tavares, S.S.M. [Universidade Federal Fluminense (UFF), Niteroi, RJ (Brazil). Dept. de Engenharia Mecanica

    2006-07-01

    The petroleum refined in Brazilian refining plants is characterized by its high content of sulphur. This fact has increased problems related to naphtenic corrosion. It is known by the experience in refining that steels with high contents of Mo present good naphtenic corrosion resistance. This papers studied aspects referring to mechanical properties and microstructure of high Mo ferritic stainless steels developed in laboratory as a function of annealing temperature. Results showed that temperatures between 1000 and 1050 deg C were more suitable to the steels studied. (author)

  17. Study of API 5L X70 steel corrosion processes when in contact with some Brazilian soils; Estudo dos processos de corrosao de acos API 5L X70 em contato com alguns dos solos do Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Jesus, Sergio Luis de

    2007-07-01

    Pipelines, fuel storage tanks and other metallic structures are in permanent contact and exposed to different types of soils, of horizons or layers, or of soil aggressiveness. This interaction may cause expressive damages to the environment and to the planned work. Contamination may occur due to leakage of stored products, splitting during transportation, accidents caused by pipelines without extensive maintenance. The result of these accidents could be, among others, some financial losses. In order to recognize the dynamic interactions between metallic surfaces and the environment it is crucial to have preventive actions and to develop better-applied materials. API steel 5L X70 has been used in structures of low and high pressure with high mechanical strength and corrosion and, even so, it is susceptible to etching corrosion since it is in contact with different environments from mangrove regions to industrial environments. The present case evaluated the role of 5L X70 API steel in contact with different soil horizons representative of the Brazilian soil. This investigation correlated chemical species with solute ions in soil solution, secondary and primary phase minerals besides physical and chemical characteristics as pH, electric conductivity, total dissolved solids, among others, to the results of corrosion resistance and ways of corrosion. The evaluation was carried out using x-ray diffractometry, scanning electron microscopy, total reflection x-ray fluorescence, fuel injection flow besides texture and gravimetric analyses to soil characterization and mineralogy, identification of corrosion products, soil solution analyses, evaluation of tested materials and classification of ways and types of corrosion. This was an attempt to integrate the data to a better understanding of the process involving reagents and products. The results showed that different soil horizons such as different types of analyzed soils produce specific etching in metallic structures showing this selectivity. The study also shows that these results can be readily obtained with soil solution as an analytical means in comparison with nowadays evaluations. (author)

  18. Evaluation of the potential of additives as corrosion inhibitors of CA-50 carbon steel used as reinforcement in concretes; Avaliacao da potencialidade de aditivos como inibidores de corrosao do aco carbono CA-50 usado como armadura de estruturas de concreto

    Energy Technology Data Exchange (ETDEWEB)

    Mennucci, Marina Martins

    2006-07-01

    In this work, various compounds were tested to evaluate their potential capability for their use as corrosion inhibitors of carbon steel reinforcement in concretes. The additives tested were sodium benzoate, polyethylene glycol, hexamethylenetetramine, benzotriazole and yttrium carbonate. Initially, exploratory tests were carried out to select the ones to be used as corrosion inhibitors, based on the inhibit ion efficiency determined from electrochemical tests, specifically polarization tests and electrochemical impedance spectroscopy. These tests were carried out in a solution composed of 0.01 N sodium hydroxide (NaOH) and 0.05 N potassium hydroxide (KOH) to simulate the composition of the solution inside the pores in concretes. The additive that presented the most promising potential to be used as corrosion inhibitor was benzotriazole (BTA). After the elimination of some compounds and selection of the additive with higher corrosion inhibit ion efficiency in the test medium, the effect of its concentration on the corrosion inhibition efficiency was evaluated. Sodium nitrite solutions with the same concentrations as those solutions with BTA were tested for comparison reasons. Sodium nitrite is a well established corrosion inhibitor for carbon steel reinforcement in concretes but it has been related to toxic effects. The BTA was associated to higher corrosion inhibition efficiencies than that of sodium nitrite in similar concentrations. A blackish adherent film was formed on the steel surface exposed to BTA solutions during long periods of immersion in the alkaline medium. The results suggest that BTA is a potential candidate for substitution of nitrites as corrosion inhibitor of reinforcements in concrete. (author)

  19. Behaviour of steel pipe exposed to fouling by heavy oil during core-annular flow; Comportamento de tubo de aco exposto a sujeira de oleo pesado durante escoamento nucleo-anular

    Energy Technology Data Exchange (ETDEWEB)

    Barbosa, Adriana; Bannwart, Antonio C. [Universidade Estadual de Campinas, SP (Brazil). Faculdade de Engenharia Mecanica. Dept. de Engenharia de Petroleo

    2004-07-01

    The use of water-assisted technologies such as core-annular flow to the pipelines of viscous oils has been proposed as an attractive alternative for production and transportation of heavy crudes in both onshore and offshore scenarios. Usually, core-annular flow can be created by injecting a relatively small water flow rate laterally in the pipe, so as to form a thin water annulus surrounding the viscous oil, which is pumped through the center. The reduction in friction losses obtained thanks to lubrication by water is significant, since the pressure drop in a steady state core flow becomes comparable to water flow only. For a complete assessment of core flow technology, however, unwanted effects associated with possible oil adhesion onto the pipe wall should be investigated, since these may cause severe fouling of the wall and pressure drop increase. It has been observed that oil adhesion on metallic surfaces may occur for certain types of crude and oilphilic pipe materials. In this work we present results of pressure drop monitoring during 35 hour-operation of a heavy oil-water core annular flow in a 26.08 mm. i.d. horizontal steel pipe. The oil used is described in terms of its main components and the results of static wet ability tests are also presented for comparison (author)

  20. Study of corrosion resistance of AISI 444 ferritic stainless steel for application as a biomaterial; Estudo da resistencia a corrosao do aco inoxidavel ferritico AISI 444 para aplicacao como biomaterial

    Energy Technology Data Exchange (ETDEWEB)

    Marques, Rogerio Albuquerque

    2014-09-01

    Ferritic stainless steels are ferromagnetic materials. This property does not allow their use in orthopedic prosthesis. Nevertheless, in some specific applications, this characteristic is very useful, such as, for fixing dental and facial prostheses by using magnetic attachments. In this study, the corrosion resistance and cytotoxicity of the AISI 444 ferritic stainless steel, with low nickel content, extra-low interstitial levels (C and N) and Ti and Nb stabilizers, were investigated for magnetic dental attachments application. The ISO 5832-1 (ASTM F-139) austenitic stainless steel and a commercial universal keeper for dental attachment (Neo-magnet System) were evaluated for comparison reasons. The first stainless steel is the most used metallic material for prostheses, and the second one, is a ferromagnetic keeper for dental prostheses (NeoM). In vitro cytotoxicity analysis was performed by the red neutral incorporation method. The results showed that the AISI 444 stainless steel is non cytotoxic. The corrosion resistance was studied by anodic polarization methods and electrochemical impedance spectroscopy (EIS), in a saline phosphate buffered solution (PBS) at 37 °C. The electronic properties of the passive film formed on AISI 444 SS were evaluated by the Mott-Schottky approach. All tested materials showed passivity in the PBS medium and the passive oxide film presented a duplex nature. The highest susceptibility to pitting corrosion was associated to the NeoM SS. This steel was also associated to the highest dopant concentration. The comparatively low levels of chromium (nearly 12.5%) and molybdenum (0.3%) of NeoM relatively to the other studied stainless steels are the probable cause of its lower corrosion resistance. The NeoM chemical composition does not match that of the SUS444 standards. The AISI 444 SS pitting resistance was equivalent to the ISO 5832-1 pointing out that it is a potential candidate for replacement of commercial ferromagnetic alloys used in dental prosthesis. (author)

  1. Study of the mechanical metallic coating properties on the steel used on sucker rods; Estudo das propriedades mecanicas de revetimentos mtalicos aplicados sobre o aco utilizado em hastes de bombeio

    Energy Technology Data Exchange (ETDEWEB)

    Santos, A.O.; Cavalcanti, E.B.; Cruz, M.C.P.; Souza, L.P. [Universidade Tiradentes, Aracaju, SE (Brazil). Inst. de Tecnologia e Pesquisa. Lab. de Energia e Materiais; Araujo, P.M.M. [Universidade Federal de Sergipe (UFS), Sao Cristovao, SE (Brazil). Nucleo de Engenharia Mecanica], e-mail: paubaumma@yahoo.com.br

    2008-07-01

    The mechanical properties of the steel carbon alloy coating with NiCr 80/20, NiCr 20/80, 95 MXC, aluminum and cupper had been studied about hardness and modulus of elasticity of coating. A time that the sucker rods will be submitted the efforts stress, is important that the applied coverings are not more rigid of what the steel carbon, because has problems of deformations in the material applied on the sucker rods. One observed that the coverings are less rigid than the steel carbon used on the sucker rods, presenting small modulus of elasticity to the ones of the sucker rods. This property is interesting for being to the sucker rods submitted the efforts stress and compression when in operation in the oil. With regard to the hardness, it was verified that the cupper and aluminum coating are less hard than the steel carbon, therefore more degradation to the consuming for abrasion. (author)

  2. Aluminum and steel adhesion with polyurethanes from castor oil adhesives submitted to gamma irradiation;Estudo da adesividade do aco e aluminio com adesivo de poliuretana derivada de oleo de mamona submetido a radiacao gama

    Energy Technology Data Exchange (ETDEWEB)

    Azevedo, Elaine C.; Assumpcao, Roberto L.; Nascimento, Eduardo M. do, E-mail: elainazeve@utfpr.edu.b [Universidade Tecnologia Federal do Parana (UTFPR), Curitiba, PR (Brazil); Claro Neto, Salvador [Universidade de Sao Paulo (USP), Sao Carlos, SP (Brazil); Soboll, Daniel S. [Universidade Tecnologia Federal do Parana (CPGEI/UTFPR), Curitiba, PR (Brazil). Programa de Pos-Graduacao em Engenharia Eletrica e Informatica Industrial; Lepienski, Carlos M., E-mail: elainazeve@utfpr.edu.b [Universidade Tecnologia Federal do Parana (UTFPR), Curitiba, PR (Brazil)

    2009-07-01

    Polyurethanes adhesive from castor oil is used to join aluminum and steel pieces. The effect of gamma radiation on the resistance to tension tests is investigated. The aluminum and steel pieces after being glued with the adhesive were submitted to gamma irradiation in doses of 1 kGy, 25 kGy and 100 kGy. The rupture strength of the joints after irradiation have a slightly increase or remains practically unchanged indicating that the adhesive properties is not affected by the gamma radiation. (author)

  3. Determination of the softening proportion due to dynamic recovering and recrystallization in austenitic and ferritic stainless steel; Determinacao da proporcao de amaciamento promovido por recuperacao e recristalizacao dinamicas em acos inoxidaveis ferritico e austenitico

    Energy Technology Data Exchange (ETDEWEB)

    Jorge Junior, Alberto M.; Balancin, Oscar [Sao Carlos Univ., SP (Brazil). Dept. de Engenharia de Materiais

    1996-12-31

    The mechanical behavior of the 304 austenitic stainless steel and UNSS 44660 ferritic stainless steel in hot working conditions was simulated by continuous torsion tests. The flow behaviour was described fitting mathematical equations at the experimental flow curves. Since the number of dislocation is large, even at small strains, only their average behavior was taken into account in this equations that represent, at the first stage, the work hardening, dynamic recovery and, once the critical dislocation density is reached (critical strain), the dynamic recrystallization. The behaviour of this two steels can be differentiated with this model, with the individual determination of the dynamic softening due recovery and recrystallization, on any stage of the flow curve. The results indicate the adequacy of the model and can be used to predict the flow behaviour of this two steels. (author) 13 refs., 7 figs., 1 tab.

  4. Analysis of the similarity process between model material and steels (ABNT 1020 and ABNT 1040); Estudo do processo de similaridade entre o material especialmente desenvolvido e os materiais reais aco ABNT 1020 e ABNT 1040

    Energy Technology Data Exchange (ETDEWEB)

    Cetlin, Paulo R. [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Dept. de Engenharia Metalurgica; Melo Pertence, Antonio E. de [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Dept. de Engenharia Mecanica

    1996-12-31

    Metal forming is being increasingly used as manufacturing method in the large scale consumer goods industry. This had led to many studies about the materials and process typical of this technology. In many situations, the material behaviour and the boundary conditions are either unknown or insufficient data is available about them. In these cases, physical simulation of metal forming is a powerful tool for the analysis of the problem, usually associated to some type of mathematical modeling, such as Finite Element Modeling (FEM). Physical simulation can involve various model materials such as sodium, aluminum, copper, lead, steel, rubber, thermo-plastic materials, waxes and especially plasticine. These should be carefully characterized concerning their behaviour at different testing situation, and their similarity to real materials should also be established, so that their laboratory response should be similar and proportional to the real, industrial behaviour. Another important aspect of model materials is the control of its manufacturing and handling procedures, in order to assure the repeatability of the experimental results. (author) 14 refs., 8 figs., 9 tabs.

  5. Evaluation of performance of AISI 444 steel for application in distillation towers; Avaliacao do desempenho do aco AISI 444 para aplicacao como 'lining' em torres de destilacao

    Energy Technology Data Exchange (ETDEWEB)

    Guimaraes, R.F.; Miranda, H.C. de; Farias, J.P. [Universidade Federal do Ceara (DEMM/UFC), Fortaleza, CE (Brazil). Dept. de Engenharia Metalurgica e de Materiais. Lab. de Caracterizacao de Materiais], e-mail: rf.guimaraes@yahoo.com.br

    2008-07-01

    In this work, the behavior of the AISI 444 ferritic stainless steel submitted to thermal fatigue test and their corrosion resistance in heavy crude oil was evaluated. The AWS E309MoL-16 and E316L-17 weld metal was employed as filler metal. Plates of the AISI 444 were welded on ASTM A-516 Gr. 60 plates and submitted to fatigue thermal cycle. Samples were extracted from plates welded and heat treated immersed in heavy crude oil at 300 deg C. Optical microscopy (OM), scanning electron microscopy (SEM) and energy dispersive of X-ray analysis (EDX) were used to characterize the microstructure and the corroded surface. The results show that the AISI 444 stainless steels did not present cracks after the thermal fatigue cycle and the heat treated immerse in heavy crude oil. The electrode AWS E309MoL-16 show better corrosion resistance than the AWS E316L-17. (author)

  6. PPARα及Aco x1在酒精性脂肪肝中的表达∗%Expression of PPARαand Acox1 in Rats with Alcoholic Fatty Liver Disease

    Institute of Scientific and Technical Information of China (English)

    仝巧云; 葛存锦; 郑世华

    2016-01-01

    Objective To investigate the molecular biological mechanism of deposition of triglyceride(TG)in hepatocytes in alcoholic fatty liver disease(AFLD)and the pathogenesis of this condition by detecting the contents of serum tumor necrosis fac-tor-α(TNF-α),liver triglyceride(TG),peroxisome proliferator-activated receptorα(PPARα)and acyl-CoA oxidase(Acox1)mR-NAs,and liver PPARαprotein after intervention with bezafibrate,a PPARαagonist.Methods Sixty Wistar rats were randomly divided into three groups:control group(n=20),AFLD group(n=20),and bezafibrate group(n=20).Animals in control group were given distilled water by gavage once a day for 8 weeks.Those in AFLD group were given ethanol and fish oil(2.5 mL/kg) by gavage daily for the same period of time.In bezafibrate group,rats were treated by gavage with ethanol and fish oil(2.5 mL/kg)for the first 4 weeks and then with bezafibrate(100 mg/kg)for another 4 weeks.TG in the liver was measured by colorimet-ric method,serum TNF-αlevels by enzyme linked immunoabsorbent assay (ELISA),the mRNA expression of PPARαand Acox1 in hepatocytes by reverse transcription polymerase chain reaction(RT-PCR)and the expression of PPARαprotein in hep-atocytes by Western blot.Results A significant increase in TG[AFLD group(0.72±0.09)mmol/L vs.control group(0.28± 0.07)mmol/L,P<0.01]and TNF-α[AFLD group(3.01±0.31)ng/mL vs.control group(1.07±0.28)ng/mL,P<0.01]was found in AFLD group when compared with control group.After bezafibrate intervention,the contents of liver TG and serum TNF-αwere significantly decreased.The mRNA expression of PPARα[AFLD group(0.22±0.08)vs.control group(0.68± 0.13),P<0.01]and Acox1[AFLD group(0.43±0.12)vs.control group(1.14±0.21),P<0.01]was suppressed in AFLD group,which was significantly reversed by bezafibrate treatment[bezafibrate group(0.59±0.13)for PPARαmRNA vs.AFLD group,P<0.01;bezafibrate group(0.83±0.17)for Acox1 mRNA vs.AFLD group,P<0.01].The expression of PPARαpro-tein in hepatocyts was also found to decrease in AFLD group[AFLD group(0.19±0.07)vs.control group(0.48±0.11),P<0.01].After bezafibrate intervention,it was profoundly increased.Conclusion The down-expression of PPARαand Acox1 in the liver of rats with AFLD may suppress the fatty acid metabolism and lead to the TG deposition in the liver.The increase in serum TNF-αcontents also contributes to the development of AFL.Bezafibrate can prevent and treat AFL by activating PPARα,increasing the expression of PPARαand Acox1 ,promoting the metabolism of fatty acids,decreasing the TG deposition and the serum TNF-αcontents.%目的:通过测定酒精性脂肪肝大鼠血清 TNF-α、肝内甘油三酯、PPARαmRNA 及 Acox1 mRNA 含量、肝内PPARα蛋白含量,并通过PPARα激动剂苯扎贝特(Bezafibrate)的干预研究,探讨酒精性脂肪肝大鼠肝内甘油三酯沉积的分子生物学机制及酒精性脂肪肝的发病机制。方法将60只 Wistar大鼠随机分为正常对照组(n=20)、酒精性脂肪肝组(n=20)及苯扎贝特组(n=20)。正常对照组予蒸馏水灌胃8周;酒精性脂肪肝组给予鱼油2.5 mL/kg+乙醇灌胃8周;苯扎贝特组采用鱼油+乙醇灌胃,4周后加用苯扎贝特100 mg/kg灌胃治疗4周。第8周取腹腔静脉血及肝组织,采用 ELISA法测定血清TNF-α含量;比色法测定肝脏甘油三酯沉积;RT-PCR 法测定肝内 PPARαmRNA 及 Acox1 mRNA含量;Western blot法测定肝内PPARα蛋白含量。结果与正常对照组相比,酒精性脂肪肝组大鼠血清内TNF-α含量升高[(3.01±0.31)ng/mL vs.(1.07±0.28)ng/mL,P<0.01],肝内甘油三酯沉积增多[(0.72±0.09)mmol/L vs.(0.28±0.07)mmol/L,P<0.01],肝内PPARαmRNA[(0.22±0.08)vs.(0.68±0.13),P<0.01]及 Acox1 mRNA [(0.43±0.12)vs.(1.14±0.21),P<0.01]表达减少,PPARα蛋白含量减少[(0.19±0.07)vs.(0.48±0.11),P<0.01]。经苯扎贝特治疗后,苯扎贝特组大鼠血清内 TNF-α含量降低,肝内甘油三酯沉积减少,肝内 PPARαmRNA 及Acox1 mRNA表达增多,PPARα蛋白含量增多。结论酒精性脂肪肝大鼠肝内 PPARα及 Acox1表达

  7. Efectos de los hidrocoloides en las características fisicoquímicas y reológicas de pastas libres de gluten aptas para individuos celíacos

    OpenAIRE

    Larrosa, Virginia Judit

    2014-01-01

    El propósito de esta Tesis fue el diseño de pastas libres de gluten (LG), aptas para individuos que padecen la enfermedad celiaca, así como en los métodos de preservación industriales a fin de obtener un producto de óptimas características, de manera tal que se pueda producir y comercializar manteniendo sus atributos de calidad. En una primera etapa se adoptó una formulación básica compuesta por mezcla de almidón y harina de maíz, aceite de girasol, mezclas huevo y clara en polvo, mezcla de ...

  8. Mechanical properties and weldability of steel bars for reinforcing concrete obtained by TEMPCORE process; Propriedades necanicas e soldabilidade de barras de aco para concreto armado fabricadas pelo processo Tempcore

    Energy Technology Data Exchange (ETDEWEB)

    Paula e Silva, Adriano de; Cetlin, Paulo R.; Aguilar, Maria T. P. [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Escola de Engenharia; Rodrigues, Paulo C. [Fundacao Universidade de Sao Joao Del Rey (FUNREI), MG (Brazil)

    1992-12-31

    TEMPCORE process consists of a controlled cooling steel bars after passing through the last roll stand. When using water under pressure, which was previously defined, low carbon content steel can be produced as well as other alloys elements, having similar properties to steel produced by conventional process. The TEMPCORE process is discussed and the mechanical properties of TEMPCORE bars are compared with the TEMPCORE bars welded by the process of sheathed electrodes. 4 refs., 8 figs., 4 tabs.

  9. Machining tools in AISI M2 high-speed steel obtained by spray forming process; Ferramentas de usinagem em aco rapido AISI M2 obtido por conformacao por 'spray'

    Energy Technology Data Exchange (ETDEWEB)

    Jesus, Edilson Rosa Barbosa de. E-mail: erbjesus@usp.br

    2004-07-01

    The aim of the present work was the obtention of AISI M2 high-speed steel by spray forming technique and the material evaluation when used as machining tool. The obtained material was hot rolled at 50% and 72% reduction ratios, and from which it was manufactured inserts for machining tests. The performance of inserts made of the spray formed material was compared to inserts obtained from conventional and powder metallurgy (MP) processed materials. The spray formed material was chemical, physical, mechanical and microstructural characterised. For further characterisation, the materials were submitted to machining tests for performance evaluation under real work condition. The results of material characterisation highlight the potential of the spray forming technique, in the obtention of materials with good characteristics and properties. Under the current processing, hot rolling and heat treatments condition, the analysis of the results of the machining tests revealed a very similar behaviour among the tested materials. Proceeding a criterious analysis of the machining results tests, it was verified that the performance presented by the powder metallurgy material (MP) was slight superior, followed by conventional obtained material (MConv), which presented a insignificant advantage over the spray formed and hot rolled (72% reduction ratio) material. The worst result was encountered for the spray forming and hot rolled (50% reduction ratio) material that presented the highest wear values. (author)

  10. Efeitos da correção cirúrgica de estenose mitral sobre o ritmo cardíaco Effects of mitral stenosis correction surgery on the cardiac rhythm

    Directory of Open Access Journals (Sweden)

    Carlos Augusto SCHMIDLIN

    2001-06-01

    Full Text Available Objetivo: Determinar a freqüência de reversão de fibrilação atrial (FA ao ritmo sinusal (SA em pacientes com estenose mitral (EM submetidos a tratamento cirúrgico e identificar prováveis fatores favoráveis ou desfavoráveis a este evento. Casuística e Métodos: Estudo de caso-controle, envolvendo 53 pacientes com EM, sem acometimento de outras valvas, submetidos a correção cirúrgica. A população estudada apresentou as seguintes características: mulheres: 71,7%; idade média: 42,4 anos; classe funcional III: 67,9%; área mitral média: 0,92 cm²; átrio esquerdo médio: 56,0 mm; ritmo antes da operação: SA: 51,0% e FA: 49,0%. Os pacientes foram divididos em dois grupos de acordo com o ritmo apresentado no período pós-operatório tardio: grupo I, formado pelos pacientes que, após a operação, apresentavam ritmo SA e grupo II, constituído por aqueles que, no pós-operatório, estavam em FA. Resultados: Dez (18,9% pacientes (em relação ao total; 38,5% em relação àqueles com FA apresentavam FA no período pré-operatório e sofreram reversão para o ritmo SA no pós-operatório e em 2 pacientes (3,8% em relação ao total; 7,4% em relação àqueles em ritmo SA houve degeneração do ritmo SA para FA. Houve diferença estatisticamente significativa (p Objective: To determine the frequency of reversion of atrial fibrillation (AF to sinus rhythm (SR following surgical treatment of patients with mitral stenosis (MS and identify likely favourable or unfavourable factors to this event. Material and Methods: Retrospective case control study, analysing 53 patients with MS, without other valvar diseases, undergoing surgical correction. The baseline characteristics of the studied population were: women: 71.7%; mean age: 42.4 years; functional class III: 67.9%; mean mitral valve area: 0.92 cm²; mean left atrial size: 56.0 mm; rhythm before the surgery: SR: 51.0% and AF: 49.0%. Patients were divided in two groups according to their late postoperative rhythm: group I included the patients with SR after the surgery and group II were formed by those with AF in the postoperative period. Results: Ten (18.9% patients out of all patients; 38.5% in respect to those with AF presented reversion of AF to SR and 2 of them (3.8% out off all patients; 7.4% out of those with SR presented degeneration of rhythm from SR to AF. There was statistically significant difference (p < 0.05 between the groups only in respect to variable age (p = 0.0456. Conclusions: The MS correction surgery presents unsatisfactory results in respect to reversion from AF to SR, suggesting the necessity of another associated surgical proceeding to restore the SR. Many studies tried to identify the predisposing factors to the permanence or to the development of AF after the surgery, but they got contradictory results. In the present study, only the variable advanced age presented association with AF.

  11. Medicare Accountable Care Organizations: Beneficiary Assignment Update.

    Science.gov (United States)

    Vaughn, Thomas; MacKinney, A Clinton; Mueller, Keith J; Ullrich, Fred; Zhu, Xi

    2016-06-01

    This brief updates Brief No. 2014-3 and explains changes in the Centers for Medicare & Medicaid Services (CMS) Accountable Care Organization (ACO) regulations issued in June 2015 pertaining to beneficiary assignment for Medicare Shared Savings Program ACOs. Overall, the regulatory changes are intended to (1) encourage ACOs to participate in two-sided risk contracts, (2) increase the likelihood that beneficiaries are assigned to the physician (and ACO) from whom they receive most of their primary care services, and (3) make it easier for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to participate in ACOs. Understanding ACO beneficiary assignment policies is critical for ACO in managing their panel of ACO providers and beneficiaries. PMID:27416650

  12. Shared Savings Program Accountable Care Organizations PUF

    Data.gov (United States)

    U.S. Department of Health & Human Services — SSP ACO PUF - To address the increasing number of requests for SSP ACO data, the Centers for Medicare (CM) has created a standard analytical file that CMS can use...

  13. Medicare Accountable Care Organizations: Beneficiary Assignment Update.

    Science.gov (United States)

    Vaughn, Thomas; MacKinney, A Clinton; Mueller, Keith J; Ullrich, Fred; Zhu, Xi

    2016-06-01

    This brief updates Brief No. 2014-3 and explains changes in the Centers for Medicare & Medicaid Services (CMS) Accountable Care Organization (ACO) regulations issued in June 2015 pertaining to beneficiary assignment for Medicare Shared Savings Program ACOs. Overall, the regulatory changes are intended to (1) encourage ACOs to participate in two-sided risk contracts, (2) increase the likelihood that beneficiaries are assigned to the physician (and ACO) from whom they receive most of their primary care services, and (3) make it easier for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to participate in ACOs. Understanding ACO beneficiary assignment policies is critical for ACO in managing their panel of ACO providers and beneficiaries.

  14. Experiment Study of Entropy Convergence of Ant Colony Optimization

    OpenAIRE

    Pang, Chao-Yang; Wang, Chong-Bao; Hu, Ben-Qiong

    2009-01-01

    Ant colony optimization (ACO) has been applied to the field of combinatorial optimization widely. But the study of convergence theory of ACO is rare under general condition. In this paper, the authors try to find the evidence to prove that entropy is related to the convergence of ACO, especially to the estimation of the minimum iteration number of convergence. Entropy is a new view point possibly to studying the ACO convergence under general condition. Key Words: Ant Colony Optimization, Conv...

  15. Cloning and sequence of cDNA encoding 1-aminocyclo- propane-1-carboxylate oxidase in Vanda flowers

    Directory of Open Access Journals (Sweden)

    Pattana Srifah Huehne

    2013-08-01

    Full Text Available The 1-aminocyclopropane-1-carboxylate oxidase (ACO gene in the final step of ethylene biosynthesis was isolated from ethylene-sensitive Vanda Miss Joaquim flowers. This consists of 1,242 base pairs (bp encoding for 326 amino acid residues. To investigate the specific divergence in orchid ACO sequences, the deduced Vanda ACO was aligned with five other orchid ACOs. The results reveal that the ACO sequences within Doritaenopsis, Phalaenopsis and Vanda show highly conserved and almost 95% identical homology, while the ACOs isolated from Cymbidium, Dendrobium and Cattleya are 8788% identical to Vanda ACO. In addition, the 2-oxoglutarate- Fe(II_oxygenase (Oxy domain of orchid ACOs consists of a higher degree of amino acid conservation than that of the non-haem dioxygenase (DIOX_N domain. The overall homology regions of Vanda ACO are commonly folded into 12 α-helices and 12 β-sheets similar to the three dimensional template-structure of Petunia ACO. This Vanda ACO cloned gene is highly expressed in flower tissue compared with root and leaf tissues. In particular, there is an abundance of ACO transcript accumulation in the column followed by the lip and the perianth of Vanda Miss Joaquim flowers at the fully-open stage.

  16. Novel Approach to Nonlinear PID Parameter Optimization Using Ant Colony Optimization Algorithm

    Institute of Scientific and Technical Information of China (English)

    Duan Hai-bin; Wang Dao-bo; Yu Xiu-fen

    2006-01-01

    This paper presents an application of an Ant Colony Optimization (ACO) algorithm to optimize the parameters in the design of a type of nonlinear PID controller. The ACO algorithm is a novel heuristic bionic algorithm, which is based on the behaviour of real ants in nature searching for food. In order to optimize the parameters of the nonlinear PID controller using ACO algorithm,an objective function based on position tracing error was constructed, and elitist strategy was adopted in the improved ACO algorithm. Detailed simulation steps are presented. This nonlinear PID controller using the ACO algorithm has high precision of control and quick response.

  17. A HYBRID OPTIMIZATION ALGORITHM BASED ON GENETIC ALGORITHM AND ANT COLONY OPTIMIZATION

    Directory of Open Access Journals (Sweden)

    Zainudin Zukhri

    2013-09-01

    Full Text Available In optimization problem, Genetic Algorithm (GA and Ant Colony Optimization Algorithm (ACO have been known as good alternative techniques. GA is designed by adopting the natural evolution process, while ACO is inspired by the foraging behaviour of ant species. This paper presents a hybrid GA-ACO for Travelling Salesman Problem (TSP, called Genetic Ant Colony Optimization (GACO. In this method, GA will observe and preserve the fittest ant in each cycle in every generation and only unvisited cities will be assessed by ACO. From experimental result, GACO performance is significantly improved and its time complexity is fairly equal compared to the GA and ACO.

  18. An Early Assessment of Accountable Care Organizations' Efforts to Engage Patients and Their Families.

    Science.gov (United States)

    Shortell, Stephen M; Sehgal, Neil J; Bibi, Salma; Ramsay, Patricia P; Neuhauser, Linda; Colla, Carrie H; Lewis, Valerie A

    2015-10-01

    Accountable care organizations (ACOs) have incentives to meet quality and cost targets to share in any resulting savings. Achieving these goals will require ACOs to engage more actively with patients and their families. The extent to which ACOs do so is currently unknown. Using mixed methods, including a national survey, phone interviews, and site-visits, we examine the extent to which ACOs actively engage patients and their families, explore challenges involved, and consider approaches for dealing with those challenges. Results indicate that greater ACO use of patient activation and engagement (PAE) activities at the point-of-care may be related to positive perceptions among ACO leaders of the impact of PAE investments on ACO costs, quality, and outcomes of care. We identify a number of important practices associated with greater PAE, including high-level leadership commitment, goal-setting supported by adequate resources, extensive provider training, use of interdisciplinary care teams, and frequent monitoring and reporting on progress. PMID:26038349

  19. Novel method based on ant colony optimization for solving ill-conditioned linear systems of equations

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    A novel method based on ant colony optimization (ACO), algorithm for solving the ill-conditioned linear systems of equations is proposed. ACO is a parallelized bionic optimization algorithm which is inspired from the behavior of real ants. ACO algorithm is first introduced, a kind of positive feedback mechanism is adopted in ACO. Then, the solution problem of linear systems of equations was reformulated as an unconstrained optimization problem for solution by an ACO algorithm. Finally, the ACO with other traditional methods is applied to solve a kind of multi-dimensional Hilbert ill-conditioned linear equations. The numerical results demonstrate that ACO is effective, robust and recommendable in solving ill-conditioned linear systems of equations.

  20. Variation In Accountable Care Organization Spending And Sensitivity To Risk Adjustment: Implications For Benchmarking.

    Science.gov (United States)

    Rose, Sherri; Zaslavsky, Alan M; McWilliams, J Michael

    2016-03-01

    Spending targets (or benchmarks) for accountable care organizations (ACOs) participating in the Medicare Shared Savings Program must be set carefully to encourage program participation while achieving fiscal goals and minimizing unintended consequences, such as penalizing ACOs for serving sicker patients. Recently proposed regulatory changes include measures to make benchmarks more similar for ACOs in the same area with different historical spending levels. We found that ACOs vary widely in how their spending levels compare with those of other local providers after standard case-mix adjustments. Additionally adjusting for survey measures of patient health meaningfully reduced the variation in differences between ACO spending and local average fee-for-service spending, but substantial variation remained, which suggests that differences in care efficiency between ACOs and local non-ACO providers vary widely. Accordingly, measures to equilibrate benchmarks between high- and low-spending ACOs--such as setting benchmarks to risk-adjusted average fee-for-service spending in an area--should be implemented gradually to maintain participation by ACOs with high spending. Use of survey information also could help mitigate perverse incentives for risk selection and upcoding and limit unintended consequences of new benchmarking methodologies for ACOs serving sicker patients. PMID:26953298

  1. Using health information technology to manage a patient population in accountable care organizations.

    Science.gov (United States)

    Wu, Frances M; Rundall, Thomas G; Shortell, Stephen M; Bloom, Joan R

    2016-06-20

    Purpose - The purpose of this paper is to describe the current landscape of health information technology (HIT) in early accountable care organizations (ACOs), the different strategies ACOs are using to develop HIT-based capabilities, and how ACOs are using these capabilities within their care management processes to advance health outcomes for their patient population. Design/methodology/approach - Mixed methods study pairing data from a cross-sectional National Survey of ACOs with in-depth, semi-structured interviews with leaders from 11 ACOs (both completed in 2013). Findings - Early ACOs vary widely in their electronic health record, data integration, and analytic capabilities. The most common HIT capability was drug-drug and drug-allergy interaction checks, with 53.2 percent of respondents reporting that the ACO possessed the capability to a high degree. Outpatient and inpatient data integration was the least common HIT capability (8.1 percent). In the interviews, ACO leaders commented on different HIT development strategies to gain a more comprehensive picture of patient needs and service utilization. ACOs realize the necessity for robust data analytics, and are exploring a variety of approaches to achieve it. Research limitations/implications - Data are self-reported. The qualitative portion was based on interviews with 11 ACOs, limiting generalizability to the universe of ACOs but allowing for a range of responses. Practical implications - ACOs are challenged with the development of sophisticated HIT infrastructure. They may benefit from targeted assistance and incentives to implement health information exchanges with other providers to promote more coordinated care management for their patient population. Originality/value - Using new empirical data, this study increases understanding of the extent of ACOs' current and developing HIT capabilities to support ongoing care management. PMID:27296880

  2. An Ant Colony Optimization Based Dimension Reduction Method for High-Dimensional Datasets

    Institute of Scientific and Technical Information of China (English)

    Ying Li; Gang Wang; Huiling Chen; Lian Shi; Lei Qin

    2013-01-01

    In this paper,a bionic optimization algorithm based dimension reduction method named Ant Colony Optimization -Selection (ACO-S) is proposed for high-dimensional datasets.Because microarray datasets comprise tens of thousands of features (genes),they are usually used to test the dimension reduction techniques.ACO-S consists of two stages in which two well-known ACO algorithms,namely ant system and ant colony system,are utilized to seek for genes,respectively.In the first stage,a modified ant system is used to filter the nonsignificant genes from high-dimensional space,and a number of promising genes are reserved in the next step.In the second stage,an improved ant colony system is applied to gene selection.In order to enhance the search ability of ACOs,we propose a method for calculating priori available heuristic information and design a fuzzy logic controller to dynamically adjust the number of ants in ant colony system.Furthermore,we devise another fuzzy logic controller to tune the parameter (q0) in ant colony system.We evaluate the performance of ACO-S on five microarray datasets,which have dimensions varying from 7129 to 12000.We also compare the performance of ACO-S with the results obtained from four existing well-known bionic optimization algorithms.The comparison results show that ACO-S has a notable ability to generate a gene subset with the smallest size and salient features while yielding high classification accuracy.The comparative results generated by ACO-S adopting different classifiers are also given.The proposed method is shown to be a promising and effective tool for mining high-dimension data and mobile robot navigation.

  3. Primary Care Clinics and Accountable Care Organizations

    Directory of Open Access Journals (Sweden)

    Judith Ortiz PhD

    2015-10-01

    Full Text Available Background: The Accountable Care Organization (ACO is one of the new models of health care delivery in the United States. To date, little is known about the characteristics of health care organizations that have joined ACOs. We report on the findings of a survey of primary care clinics, the objective of which was to investigate the opinions of clinic management about participation in ACOs and the characteristics of clinic organizational structure that may contribute to joining ACOs or be willing to do so. Methods: A 27-item survey questionnaire was developed and distributed by mail in 3 annual waves to all Rural Health Clinics (RHCs in 9 states. Two dependent variables—participation in ACOs and willingness to join ACOs—were created and analyzed using a generalized estimating equation approach. Results: A total of 257 RHCs responded to the survey. A small percentage (5.2% of the respondent clinics reported that they were participating in ACOs. Rural Health Clinics in isolated areas were 78% less likely to be in ACOs (odds ratio = 0.22, P = .059. Nonprofit RHCs indicated a higher willingness to join an ACO than for-profit RHCs (B = 1.271, P = .054. There is a positive relationship between RHC size and willingness to join an ACO (B = 0.402, P = .010. Conclusion: At this early stage of ACO development, many RHC personnel are unfamiliar with the ACO model. Rural providers’ limited technological and human resources, and the lack of ACO development in rural areas, may delay or prevent their participation in ACOs.

  4. Ant Colony Optimization Approaches to Clustering of Lung Nodules from CT Images

    Directory of Open Access Journals (Sweden)

    Ravichandran C. Gopalakrishnan

    2014-01-01

    Full Text Available Lung cancer is becoming a threat to mankind. Applying machine learning algorithms for detection and segmentation of irregular shaped lung nodules remains a remarkable milestone in CT scan image analysis research. In this paper, we apply ACO algorithm for lung nodule detection. We have compared the performance against three other algorithms, namely, Otsu algorithm, watershed algorithm, and global region based segmentation. In addition, we suggest a novel approach which involves variations of ACO, namely, refined ACO, logical ACO, and variant ACO. Variant ACO shows better reduction in false positives. In addition we propose black circular neighborhood approach to detect nodule centers from the edge detected image. Genetic algorithm based clustering is performed to cluster the nodules based on intensity, shape, and size. The performance of the overall approach is compared with hierarchical clustering to establish the improvisation in the proposed approach.

  5. Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations--Revised Benchmark Rebasing Methodology, Facilitating Transition to Performance-Based Risk, and Administrative Finality of Financial Calculations. Final rule.

    Science.gov (United States)

    2016-06-10

    Under the Medicare Shared Savings Program (Shared Savings Program), providers of services and suppliers that participate in an Accountable Care Organization (ACO) continue to receive traditional Medicare fee-for-service (FFS) payments under Parts A and B, but the ACO may be eligible to receive a shared savings payment if it meets specified quality and savings requirements. This final rule addresses changes to the Shared Savings Program, including: Modifications to the program's benchmarking methodology, when resetting (rebasing) the ACO's benchmark for a second or subsequent agreement period, to encourage ACOs' continued investment in care coordination and quality improvement; an alternative participation option to encourage ACOs to enter performance-based risk arrangements earlier in their participation under the program; and policies for reopening of payment determinations to make corrections after financial calculations have been performed and ACO shared savings and shared losses for a performance year have been determined. PMID:27295736

  6. Ant colony optimization approaches to clustering of lung nodules from CT images.

    Science.gov (United States)

    Gopalakrishnan, Ravichandran C; Kuppusamy, Veerakumar

    2014-01-01

    Lung cancer is becoming a threat to mankind. Applying machine learning algorithms for detection and segmentation of irregular shaped lung nodules remains a remarkable milestone in CT scan image analysis research. In this paper, we apply ACO algorithm for lung nodule detection. We have compared the performance against three other algorithms, namely, Otsu algorithm, watershed algorithm, and global region based segmentation. In addition, we suggest a novel approach which involves variations of ACO, namely, refined ACO, logical ACO, and variant ACO. Variant ACO shows better reduction in false positives. In addition we propose black circular neighborhood approach to detect nodule centers from the edge detected image. Genetic algorithm based clustering is performed to cluster the nodules based on intensity, shape, and size. The performance of the overall approach is compared with hierarchical clustering to establish the improvisation in the proposed approach. PMID:25525455

  7. Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations--Revised Benchmark Rebasing Methodology, Facilitating Transition to Performance-Based Risk, and Administrative Finality of Financial Calculations. Final rule.

    Science.gov (United States)

    2016-06-10

    Under the Medicare Shared Savings Program (Shared Savings Program), providers of services and suppliers that participate in an Accountable Care Organization (ACO) continue to receive traditional Medicare fee-for-service (FFS) payments under Parts A and B, but the ACO may be eligible to receive a shared savings payment if it meets specified quality and savings requirements. This final rule addresses changes to the Shared Savings Program, including: Modifications to the program's benchmarking methodology, when resetting (rebasing) the ACO's benchmark for a second or subsequent agreement period, to encourage ACOs' continued investment in care coordination and quality improvement; an alternative participation option to encourage ACOs to enter performance-based risk arrangements earlier in their participation under the program; and policies for reopening of payment determinations to make corrections after financial calculations have been performed and ACO shared savings and shared losses for a performance year have been determined.

  8. Effect of plant growth-promoting bacteria on the growth and fructan production of Agave americana L.

    Science.gov (United States)

    De La Torre-Ruiz, Neyser; Ruiz-Valdiviezo, Víctor Manuel; Rincón-Molina, Clara Ivette; Rodríguez-Mendiola, Martha; Arias-Castro, Carlos; Gutiérrez-Miceli, Federico Antonio; Palomeque-Dominguez, Héctor; Rincón-Rosales, Reiner

    2016-01-01

    The effect of plant growth-promoting bacteria inoculation on plant growth and the sugar content in Agave americana was assessed. The bacterial strains ACO-34A, ACO-40, and ACO-140, isolated from the A. americana rhizosphere, were selected for this study to evaluate their phenotypic and genotypic characteristics. The three bacterial strains were evaluated via plant inoculation assays, and Azospirillum brasilense Cd served as a control strain. Phylogenetic analysis based on the 16S rRNA gene showed that strains ACO-34A, ACO-40 and ACO-140 were Rhizobium daejeonense, Acinetobacter calcoaceticus and Pseudomonas mosselii, respectively. All of the strains were able to synthesize indole-3-acetic acid (IAA), solubilize phosphate, and had nitrogenase activity. Inoculation using the plant growth-promoting bacteria strains had a significant effect (pagave plants with proper biological characteristics for agroindustrial and biotechnological use and to increase the sugar content in this agave species. PMID:27268113

  9. Global Transcriptomic Analysis of Targeted Silencing of Two Paralogous ACC Oxidase Genes in Banana

    Science.gov (United States)

    Xia, Yan; Kuan, Chi; Chiu, Chien-Hsiang; Chen, Xiao-Jing; Do, Yi-Yin; Huang, Pung-Ling

    2016-01-01

    Among 18 1-aminocyclopropane-1-carboxylic acid (ACC) oxidase homologous genes existing in the banana genome there are two genes, Mh-ACO1 and Mh-ACO2, that participate in banana fruit ripening. To better understand the physiological functions of Mh-ACO1 and Mh-ACO2, two hairpin-type siRNA expression vectors targeting both the Mh-ACO1 and Mh-ACO2 were constructed and incorporated into the banana genome by Agrobacterium-mediated transformation. The generation of Mh-ACO1 and Mh-ACO2 RNAi transgenic banana plants was confirmed by Southern blot analysis. To gain insights into the functional diversity and complexity between Mh-ACO1 and Mh-ACO2, transcriptome sequencing of banana fruits using the Illumina next-generation sequencer was performed. A total of 32,093,976 reads, assembled into 88,031 unigenes for 123,617 transcripts were obtained. Significantly enriched Gene Oncology (GO) terms and the number of differentially expressed genes (DEGs) with GO annotation were ‘catalytic activity’ (1327, 56.4%), ‘heme binding’ (65, 2.76%), ‘tetrapyrrole binding’ (66, 2.81%), and ‘oxidoreductase activity’ (287, 12.21%). Real-time RT-PCR was further performed with mRNAs from both peel and pulp of banana fruits in Mh-ACO1 and Mh-ACO2 RNAi transgenic plants. The results showed that expression levels of genes related to ethylene signaling in ripening banana fruits were strongly influenced by the expression of genes associated with ethylene biosynthesis. PMID:27681726

  10. Improved Ant Algorithms for Software Testing Cases Generation

    OpenAIRE

    Shunkun Yang; Tianlong Man; Jiaqi Xu

    2014-01-01

    Existing ant colony optimization (ACO) for software testing cases generation is a very popular domain in software testing engineering. However, the traditional ACO has flaws, as early search pheromone is relatively scarce, search efficiency is low, search model is too simple, positive feedback mechanism is easy to porduce the phenomenon of stagnation and precocity. This paper introduces improved ACO for software testing cases generation: improved local pheromone update strategy for ant colony...

  11. Apply Ant Colony Algorithm to Search All Extreme Points of Function

    OpenAIRE

    Pang, Chao-Yang; Liu, Hui; Li, Xia; Wang, Yun-fei; Hu, Ben-Qiong

    2009-01-01

    To find all extreme points of multimodal functions is called extremum problem, which is a well known difficult issue in optimization fields. Applying ant colony optimization (ACO) to solve this problem is rarely reported. The method of applying ACO to solve extremum problem is explored in this paper. Experiment shows that the solution error of the method presented in this paper is less than 10^-8. keywords: Extremum Problem; Ant Colony Optimization (ACO)

  12. Ant Colony Optimization Analysis on Overall Stability of High Arch Dam Basis of Field Monitoring

    OpenAIRE

    Peng Lin; Xiaoli Liu; Hong-Xin Chen; Jinxie Kim

    2014-01-01

    A dam ant colony optimization (D-ACO) analysis of the overall stability of high arch dams on complicated foundations is presented in this paper. A modified ant colony optimization (ACO) model is proposed for obtaining dam concrete and rock mechanical parameters. A typical dam parameter feedback problem is proposed for nonlinear back-analysis numerical model based on field monitoring deformation and ACO. The basic principle of the proposed model is the establishment of the objective function o...

  13. A Hybrid Optimization Algorithm based on Genetic Algorithm and Ant Colony Optimization

    OpenAIRE

    Zainudin Zukhri; Irving Vitra Paputungan

    2013-01-01

    In optimization problem, Genetic Algorithm (GA) and Ant Colony Optimization Algorithm (ACO) have been known as good alternative techniques. GA is designed by adopting the natural evolution process, while ACO is inspired by the foraging behaviour of ant species. This paper presents a hybrid GA-ACO for Travelling Salesman Problem (TSP), called Genetic Ant Colony Optimization (GACO). In this method, GA will observe and preserve the fittest ant in each cycle in every generation and on...

  14. Effect of plant growth-promoting bacteria on the growth and fructan production of Agave americana L.

    OpenAIRE

    De La Torre-Ruiz, Neyser; Ruiz-Valdiviezo, Víctor Manuel; Rincón-Molina, Clara Ivette; Rodríguez-Mendiola, Martha; Arias-Castro, Carlos; Gutiérrez-Miceli, Federico Antonio; Palomeque-Dominguez, Héctor; Rincón-Rosales, Reiner

    2016-01-01

    The effect of plant growth-promoting bacteria inoculation on plant growth and the sugar content in Agave americana was assessed. The bacterial strains ACO-34A, ACO-40, and ACO-140, isolated from the A. americana rhizosphere, were selected for this study to evaluate their phenotypic and genotypic characteristics. The three bacterial strains were evaluated via plant inoculation assays, and Azospirillum brasilense Cd served as a control strain. Phylogenetic analysis based on the 16S rRNA gene sh...

  15. Ant colony optimization for bearings-only maneuvering target tracking in sensors network

    Institute of Scientific and Technical Information of China (English)

    Benlian XU; Zhiquan WANG; Zhengyi WU

    2007-01-01

    In this paper, the problem of bearings-only maneuvering target tracking in sensors network is investigated.Two objectives are proposed and optimized by the ant colony optimization (ACO), then two kinds of node searching strategies of the ACO algorithm are presented. On the basis of the nodes determined by the ACO algorithm, the interacting multiple models extended Kalman filter (IMMEKF) for the multi-sensor bearings-only maneuvering target tracking is introduced. Simulation results indicate that the proposed ACO algorithm performs better than the Closest Nodes method.Furthermore, the Strategy 2 of the two given strategies is preferred in terms of the requirement of real time.

  16. Inverse estimation of the spheroidal particle size distribution using Ant Colony Optimization algorithms in multispectral extinction technique

    Science.gov (United States)

    He, Zhenzong; Qi, Hong; Wang, Yuqing; Ruan, Liming

    2014-10-01

    Four improved Ant Colony Optimization (ACO) algorithms, i.e. the probability density function based ACO (PDF-ACO) algorithm, the Region ACO (RACO) algorithm, Stochastic ACO (SACO) algorithm and Homogeneous ACO (HACO) algorithm, are employed to estimate the particle size distribution (PSD) of the spheroidal particles. The direct problems are solved by the extended Anomalous Diffraction Approximation (ADA) and the Lambert-Beer law. Three commonly used monomodal distribution functions i.e. the Rosin-Rammer (R-R) distribution function, the normal (N-N) distribution function, and the logarithmic normal (L-N) distribution function are estimated under dependent model. The influence of random measurement errors on the inverse results is also investigated. All the results reveal that the PDF-ACO algorithm is more accurate than the other three ACO algorithms and can be used as an effective technique to investigate the PSD of the spheroidal particles. Furthermore, the Johnson's SB (J-SB) function and the modified beta (M-β) function are employed as the general distribution functions to retrieve the PSD of spheroidal particles using PDF-ACO algorithm. The investigation shows a reasonable agreement between the original distribution function and the general distribution function when only considering the variety of the length of the rotational semi-axis.

  17. PAPR reduction techniques for asymmetrically clipped optical OFDM communication system

    Science.gov (United States)

    Wang, Yong; Zhang, Zhaojun; Sun, Lu

    2014-07-01

    In the ultraviolet communication system, ACO-OFDM technology can effectively suppress inter-symbol interference on the system performance, and further improve the transmission rate of the system. However, ACO-OFDM has a high peak to average power ratio (PAPR), and high PAPR not only reduces the power efficiency of the optical modulator, but also bring damage to the human eye or skin. In order to solve the above problem, according to ACO-OFDM signal characteristics, two clipping and filtering algorithms are used, and its performance is simulated, the simulations show that the two algorithms are able to inhibit well the PAPR of ACO-OFDM system.

  18. TABU SEARCH SEBAGAI LOCAL SEARCH PADA ALGORITMA ANT COLONY UNTUK PENJADWALAN FLOWSHOP

    Directory of Open Access Journals (Sweden)

    Iwan Halim Sahputra

    2009-01-01

    Full Text Available Ant colony optimization (ACO is one of the meta-heuristic methods developed for finding solutions to optimization problems such as scheduling. Local search method is one part of the ACO which determines the quality of the resulting solution. In this paper, Tabu Search was proposed as a method of local search in ACO to solve the problem of flowshop scheduling. The purpose of this scheduling was to minimize the makespan. Makespan and computation time of the proposed method were compared to the ACO that implemented Job-Index as local search method. Using proposed algorithm, makespan values obtained were not significantly different than solutions of ACO using Job-Index method, and had computation time shorter. Abstract in Bahasa Indonesia: Ant colony optimization (ACO adalah salah satu metode meta-heuristic yang dikembangkan untuk mencari solusi bagi permasalahan optimasi seperti penjadwalan. Metode local search merupakan salah satu bagian dari ACO yang menentukan kualitas solusi yang dihasilkan. Dalam makalah ini Tabu Search diusulkan sebagai metode local search dalam algoritma ACO untuk menyelesaikan masalah penjadwalan flowshop. Tujuan dari penjadwalan ini adalah untuk meminimalkan makespan. Hasil makespan dan computation time dari metode usulan ini akan dibandingkan dengan algoritma ACO yang menggunakan Job-Index sebagai metode local search. Dengan menggunakan algoritma Tabu Search sebagai local search didapat nilai makespan yang tidak berbeda secara signifikan dibandingkan yang menggunakan metode Job-Index, dengan kelebihan computation time yang lebih singkat. Kata kunci: Tabu Search, Ant Colony Algorithm, Local Search, Penjadwalan Flowshop.

  19. Changes in Patients’ Experiences in Medicare Accountable Care Organizations

    Science.gov (United States)

    McWilliams, J. Michael; Landon, Bruce E.; Chernew, Michael E.; Zaslavsky, Alan M.

    2014-01-01

    BACKGROUND Incentives for accountable care organizations (ACOs) to limit health care use and improve quality may enhance or hurt patients’ experiences with care. METHODS Using Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey data covering 3 years before and 1 year after the start of Medicare ACO contracts in 2012 as well as linked Medicare claims, we compared patients’ experiences in a group of 32,334 fee-for-service beneficiaries attributed to ACOs (ACO group) with those in a group of 251,593 beneficiaries attributed to other providers (control group), before and after the start of ACO contracts. We used linear regression and a difference-in-differences analysis to estimate changes in patients’ experiences in the ACO group that differed from concurrent changes in the control group, with adjustment for the sociodemographic and clinical characteristics of the patients. RESULTS After ACO contracts began, patients’ reports of timely access to care and their primary physicians’ being informed about specialty care differentially improved in the ACO group, as compared with the control group (P = 0.01 and P = 0.006, respectively), whereas patients’ ratings of physicians, interactions with physicians, and overall care did not differentially change. Among patients with multiple chronic conditions and high predicted Medicare spending, overall ratings of care differentially improved in the ACO group as compared with the control group (P = 0.02). Differential improvements in timely access to care and overall ratings were equivalent to moving from average performance among ACOs to the 86th to 98th percentile (timely access to care) and to the 82nd to 96th percentile (overall ratings) and were robust to adjustment for group differences in trends during the preintervention period. CONCLUSIONS In the first year, ACO contracts were associated with meaningful improvements in some measures of patients’ experience and with unchanged performance in

  20. Serial heart rate changes in rats inoculated by conjunctival instillation of Trypanosoma cruzi obtained from bug faeces Alterações do ritmo cardíaco de ratos infectados pela via conjuntival por Trypanosoma cruzi obtidos de fezes de triatomíneos

    Directory of Open Access Journals (Sweden)

    Adalinda Ollarves

    2000-12-01

    Full Text Available The cardiac effects of experimentally induced myocarditis, when the parasite is obtained from mouse blood, are well known. However, the consequences of the infection when the parasites are obtained from bug faeces are less well defined. In the present investigation, we have used the "Y" strain of Trypanosoma cruzi, which was maintained in Rhodnius prolixus by repeated passages in mice. The faeces of 30 infected bugs were collected, the number of parasites counted and 4,000 parasites inoculated by the conjunctival route in 60 rats. Twenty-nine other rats received faeces from noninfected bugs (sham-inoculated controls and 40 were used as normal controls. The heart rate of the three groups of animals was recorded under general anesthesia with ether. The heart rate, at day 0 pre-inoculation, was similar in the three groups of animals (Controls: 379 ± 27 beats/min Mean ± SD; Sham-inoculated: 366 ± 31; Infected: 351 ± 29 (p> 0.05. In the infected animals, the mean heart rate began to increase significantly by day 12 following infection (375 ± 31, reaching the highest values between days 18 (390 ± 33 and 21 (403 ± 33 and returned to baseline by day 30 (359 ± 28 (pOs efeitos da miocardite chagásica experimental, produzida por Trypanosoma cruzi proveniente do sangue de camundongos são bem conhecidos. O mesmo não ocorre quando a inoculação é feita com Trypanosoma cruzi proveniente de fezes do vetor. No presente estudo, usamos a variedade "Y" do Trypanosoma cruzi mantida em Rodhnius prolixus por repetidas passagens em camundongos. As fezes de 30 insetos parasitados foram coletadas e contados os parasitas. O estudo foi desenvolvido em três grupos de ratos. O primeiro, controle, formado por 40 animais, o segundo, por 29 animais que receberam fezes de insetos não infectados (controle falso inoculado e o terceiro grupo constituído por 60 ratos inoculados com 4.000 parasitas, por via conjuntival. Em todos os animais, após anestesia geral, registrou-se a freqüência cardíaca (FC. Esta, antes da inoculação, era similar nos infectados e nos controles (controle 379 ± 27bpm; falso inoculado: 366 ± 31bpm; infectado 351 ± 29bpm. No 12º dia após a infecção, a FC no grupo chagásico começou a se elevar (375 ± 31bpm atingindo seu valor máximo entre os dias 18 (390 ± 33bpm e 21 (403 ± 33bpm. No 33º dia pós-infecção, a FC retornou ao valor basal inicial. Nos grupos controles, não se detectaram alterações da FC. O estudo estatístico mostrou que as variações da FC, no grupo infectado, foram estatisticamente diferentes das detectadas nos outros grupos. Conclui-se que a infecção pelo Trypanosoma cruzi, em ratos, produz taquicardia sinusal transitória, independente da fonte do parasita e da via de inoculação.

  1. Efeitos da acupuntura nos acupontos Shenmen (C-7 e Neiguan (PC-6 sobre a frequência cardíaca, a variabilidade da frequência cardíaca e o ritmo cardíaco em cães saudáveis

    Directory of Open Access Journals (Sweden)

    E.G.M. Silva

    2016-02-01

    Full Text Available Acupuncture derives from traditional Chinese medicine, which aims to restore homeostasis. The action mechanism of this technique involves stimulation of certain points on the skin by inserting a needle. The aim of this study was to evaluate the influence of stimulation of acupoints C7 and PC6 on the heart rate variability, heart rate and heart rhythm in healthy dogs. 30 male and female adult dogs were used, with no breed restriction. The animals were analyzed at two different times in weekly intervals. Firstly were applied needles in the true acupoints, and on the second time we applied needles in false acupoints. Previously to the acupuncture an ECG with 2 minutes of recorder was performed, and after an insertion of needles the electrocardiographic recording was maintained during the 30 minutes of acupuncture. Results showed no significant difference between the HR when comparing true and false acupoints (p = 0.890. For heart rate variability a small difference was observed between the groups (p = 0.0051, however, when comparing the baseline with 15 and 25 minutes of monitoring in the false acupoint group, no significant results were found when compared with true acupoint. In conclusion, it is suggested that the stimulation of acupoints C-7 and PC-6 in healthy dogs does not promote change in sympathovagal balance, specifically on the heart rate variability, heart rate and heart rhythm on healthy dogs.

  2. Desarrollo de producto sobre la base de harinas de cereales y leguminosa para niños celíacos entre 6 y 24 meses; I: Formulación y aceptabilidad Product development on the basis of cereal and leguminous flours to coeliac disease in children between 6-24 months; I: formulation and acceptability

    OpenAIRE

    P. Cerezal Mezquita; V. Urtuvia Gatica; V. Ramírez Quintanilla; N. Romero Palacios; R. Arcos Zavala

    2011-01-01

    La revalorización de los cultivos andinos, quinua (Chenopodium quinua Willd) y lupino (Lupinus albus L), para ser utilizados en mezclas alimenticias, con cereales tradicionales como maíz (Zea mays L.) y arroz (Oryza sativa L.), originan mezclas sin gluten que constituyen una buena alternativa para la alimentación de niños menores de 24 meses que sufren la enfermedad celíaca, ya que mejoran la calidad de la proteína, por compensación de los aminoácidos esenciales, e incide en la diversificació...

  3. Comparative study of the impacts of hydroelectric power plants with impacts avoided by a Virtual Plants Equivalents (VPEs) through of energy efficiency actions; Estudo comparativo dos impactos das usinas hidreletricas com os impactos evitados por uma usina virtual equivalente atraves das acoes de eficiencia energetica

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Roberto Perillo Barbosa da; Barros, Regiane Silva de [Universidade Estadual de Campinas (FEM/UNICAMP), SP (Brazil). Fac. de Engenharia Mecanica], emails: rpbsilva@fem.unicamp.br, rsbarros@fem.unicamp.br Rossi, Luiz Antonio [Universidade Estadual de Campinas (FEAGRI/UNICAMP), SP (Brazil). Fac. Engenharia Agricola], email: rossi@feagri.unicamp.br

    2010-07-01

    This article presents a comparative study of the impacts caused by Hydroelectric Power Plants (HPPs) in relation to the impacts avoided through actions that promotes energy efficiency called Virtual Plants Equivalents (VPEs). To do so, it was considering the recent results presented by the National Program for Electric Energy Conservation (PROCEL) to the year 2008, which shows that the program actions' in this period resulted in a Virtual Plant Equivalent of 1049 MW. It was performed a survey of the values of wetland and families displaced by the construction of hydropower plants and, later, it was compared these data with the values found in the literature and, finally, it was established that the actions of energy efficiency are important instruments to avoid (or at least postpone) the social and environmental impacts directly and indirectly that affects the whole society. Thus, it is suggested that there is a stimulus in relation to energy efficiency actions, what is observed nowadays in Brazil is that these actions are negligible before the potential that exists at industrial, commercial and residential sectors. (author)

  4. Influência do nível de ruídos na percepção do estresse em pacientes cardíacos The influence of noise levels on the perception of stress in heart disease patients

    Directory of Open Access Journals (Sweden)

    Aline Maria Heidemann

    2011-03-01

    Full Text Available OBJETIVO: Identificar os principais fatores geradores de estresse em pacientes internados em unidade coronariana e a influência do nível de ruídos na percepção de estresse dos mesmos. MÉTODOS: Estudo prospectivo, descritivo e quantitativo, realizado de junho a novembro de 2009 na Unidade Coronariana do Hospital de Clínicas da Unicamp. Para identificar os fatores estressantes foi utilizada a Escala de Estressores em Unidade de Terapia Intensiva (Intensive Care Unit Environmental Stressor Scale ICUESS no primeiro, segundo e terceiro dias de internação. Na primeira e segunda noite de internação, foi mensurado o nível de ruído pelo decibelímetro marca Instrutherm - modelo DEC-460. RESULTADOS: Participaram do estudo 32 pacientes cardiopatas clínicos. A mediana para a Escala de Estressores em Unidade de Terapia Intensiva foi de 67,5, 60,5 e 59,5, no primeiro, segundo e terceiro dias respectivamente, não apresentando diferença estatisticamente significante entre os valores. O maior valor de nível de ruídos foi às 21 horas, da segunda noite com mediana de 58,7dB, e o me-nor, de 51,5dB à zero hora da primeira noite. Quando feita a regressão linear múltipla, o nível de ruídos da primeira noite teve correlação de 33% com a Escala de Estressores do segundo dia, e o nível de ruídos da segunda noite teve correlação de 32,8% com a Escala de Estressores do terceiro dia, com p=0,001. CONCLUSÃO: Pacientes internados em Unidade Coronariana apresentam maior percepção de estresse. O elevado nível de ruídos também é responsável pela percepção do estresse dos pacientes.OBJECTIVES: To identify the main causes of stress in patients staying in a coronary unit and to assess the influence of noise levels on their perception of stress. METHODS: This was a prospective, descriptive and quantitative study conducted between June and November 2009 in the Coronary Unit of the Hospital de Clínicas da Universidade Estadual de Campinas. The Intensive Care Unit Environmental Stressor Scale was used on the first, second and third days of hospitalization to identify stressors. The noise level was measured on the first and second nights using an Instrutherm DEC-460 decibel meter. RESULTS: Overall, 32 clinical heart disease patients were included. The median Intensive Care Unit Environmental Stressor Scale scores were 67.5, 60.5 and 59.5 for the first, second and third days, respectively. The differences were not statistically significant. The highest noise level (a median of 58.7 dB was detected on the second night at 9:00 pm; the lowest level (51.5 dB was measured on the first night at 12:00 am. In a multiple linear regression model, the first-night noise level had a 33% correlation with the second-day stress scale score, and for the second night, the correlation with the third-day stress scale score was 32.8% (p = 0.001. CONCLUSION: Patients admitted into a coronary unit have an increased perception of stress. Higher noise levels are also responsible for the perception of stress in these patients.

  5. The use of steel and lead shieldings in radiotherapy rooms and its comparison with respect to neutrons doses at patients; Comparacao de blindagens de aco e de chumbo usadas em salas de radioterapia quanto a dose devido a neutrons depositada em pacientes

    Energy Technology Data Exchange (ETDEWEB)

    Silva, M.G.; Rebello, W.F.; Andrade, E.R.; Medeiros, M.P.C.; Mendes, R.M.S.; Braga, K.L.; Gomes, R.G., E-mail: maglosilva15@gmail.com, E-mail: rebello@ime.eb.br, E-mail: fisica.dna@gmail.com, E-mail: eng.cavaliere@gmail.com, E-mail: raphaelmsm@gmail.com, E-mail: kelmo.lins@gmail.com, E-mail: ggrprojetos@gmail.com [Instituto Militar de Engenharia (IME), Rio de Janeiro, RJ (Brazil); Santos, R.F.G., E-mail: raphaelfgsantos@gmail.com [Centro Universitario Anhanguera, Niteroi, RJ (Brazil). Departamento de Engenharia; Silva, Ademir X., E-mail: ademir@con.ufrj.br [Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil)

    2015-07-01

    The NCRP Report No. 151, Structural Shielding Design and Evaluation for Megavoltage X- and Gamma-Ray Radiotherapy Facilities, considers, in shielding calculations for radiotherapy rooms, the use of lead and/or steel to be applied on bunker walls. The NCRP Report calculations were performed foreseeing a better protection of people outside the radiotherapy room. However, contribution of lead and steel to patient dose should be taken into account for radioprotection purposes. This work presents calculations performed by MCNPX code in analyzing the Ambient Dose Equivalent due to neutron, H*(10){sub n}, within a radiotherapy room, in the patients area, considering the use of additional shielding of 1 TVL of lead or 1 TVL of steel, positioned at the inner faces of walls and ceiling of a bunker. The head of the linear accelerator Varian 2100/2300 C/D was modeled working at 18MeV, with 5x5cm{sup 2}, 10x10cm{sup 2}, 20x20cm{sup 2}, 30x30cm{sup 2} and 40x40cm{sup 2} openings for jaws and MLC and operating in eight gantry's angles. This study shows that the use of lead generates an average value of H*(10){sub n} at patients area, 8.02% higher than the expected when using steel. Further studies should be performed based on experimental data for comparison with those from MCNPX simulation.

  6. Avaliação do ritmo cardíaco em cães da raça Boxer saudáveis pela eletrocardiografia contínua (Holter Evaluation of the cardiac rhythm in healthy dogs of the Boxer breed using ambulatorial electrocardiography (Holter

    Directory of Open Access Journals (Sweden)

    R.B. Nogueira

    2006-02-01

    Full Text Available The cardiac rhythm in a 24-hour period of 12 dogs of the Boxer breed, clinically healthy, males and females, of different ages was evaluated. No differences between males and females in the minimum, medium and maximum cardiac rates were observed (P>0.05. The females showed larger number of ventricular premature complex than the males. The major disorder in the cardiac rhythm was the ventricular premature complex. Several dogs showed the R over T phenomenon. Episodes of ventricular bigeminy and trigeminy were also observed.

  7. O uso do aspirado de medula óssea de ilíaco em falhas ósseas de fêmures de camundongos: estudo experimental The use of inhaled bone marrow of ileum in bone failures of femurs of rats: experimental study

    Directory of Open Access Journals (Sweden)

    Alberto Tesconi Croci

    2004-03-01

    Full Text Available Os autores estudam a utilização de medula óssea em camundongos como estimulação da formação de calo ósseo. Foram utilizados dez camundongos adultos machos de linhagem isogênica gioto com peso de aproximadamente 250 gramas, e realizadas falhas ósseas na região distal do fêmur com alternância do lado direito e esquerdo, divididos em grupos A e B, sendo como controle camundongos com falha óssea isolado e com falhas ósseas com medula óssea colhida previamente de cada camundongo. Após análise qualitativa e quantitativa foi observado que o uso do aspirado de medula óssea não leva à estimulação da formação do calo ósseo e não há o aumento de processo inflamatório local.The aim of this study is to analyze the bone marrow employment in rats to stimulate the bone callus formation. Ten adult rats were used, male, isogenic, gioto lineage, approximate weight of 250 grams. Bone failures were produced at femur distal portion, alternating the right and left sides, and they were divided in group A and B. The control was held in rats presenting an isolated bone failure or having their bone marrow previously collected After quantitative and qualitative analysis, it was observed that the bone marrow utilization does not lead to the bone callus formation and there isn't an increase in the local inflammation process.

  8. Development of Nb{sub 2}O{sub 5}|Cu composite as AISI 1020 steel thermal spray coating for protection against corrosion by soil in buried structures; Desenvolvimento e uso do composito de Nb{sub 2}O{sub 5}|Cu como revestimento aplicado por aspersao termica sobre o aco AISI 1020 para protecao contra a corrosao pelo solo em estruturas enterradas

    Energy Technology Data Exchange (ETDEWEB)

    Regis Junior, Oscar [Universidade Tecnologica Federal do Parana, Ponta Grossa, PR (Brazil). Dept. de Mecanica; Silva, Jose Maurilio da; Portella, Kleber Franke [Instituto de Tecnologia para o Desenvolvimento, Curitiba, PR (Brazil). Dept. de Pesquisa em Engenharia Civil; Paredes, Ramon Sigifredo Cortes, E-mail: regis@utfpr.edu.br [Universidade Federal do Parana, Curitiba, PR (Brazil). Dept. de Mecanica

    2012-07-01

    An Nb{sub 2}O|Cu corrosion-resistant coating was developed and applied onto AISI 1020 steel substrate by Powder Flame Spray. A galvanostatic electrochemical technique was employed, with and without ohmic drop, in four different soils (two corrosively aggressive and two less aggressive). Behavior of coatings in different soils was compared using a cathodic hydrogen reduction reaction (equilibrium potential, overvoltage and exchange current density) focusing on the effect of ohmic drop. Results allow recommendation of Nb{sub 2}O{sub 5}|Cu composite for use in buried structure protection. (author)

  9. Exercício de força ativa a via AKT/mTor pelo receptor de angiotensina II tipo I no músculo cardíaco de ratos Activation of AKT-mTor signaling pathways by angiotensin II receptor type 1 after a session of strength exercise in cardiac muscle of rats

    Directory of Open Access Journals (Sweden)

    Stéphano Freitas Soares Melo

    2011-09-01

    Full Text Available O receptor de angiotensina II tipo I (AT1 tem uma importante participação no desenvolvimento da hipertrofia cardíaca. Em um trabalho publicado anteriormente, por nosso grupo, demonstramos que o bloqueio do receptor AT1 durante o treinamento de força inibiu a hipertrofia cardíaca em ratos. Por isso, o objetivo deste trabalho foi estudar a participação do receptor AT1 na ativação de vias de sinalização intracelular relacionadas com o aumento da síntese de proteína em ratos submetidos a uma sessão de exercício de força. Para isso, realizamos um experimento com seis grupos de animais (n = 6; cada: controle (Con, exercitado e sacrificado cinco minutos após o exercício (Exe 5, exercitado e sacrificado 30 minutos após o exercício (Exe 30, controle tratado com losartan (Con Los, tratado com losartan, exercitado e sacrificado cinco minutos após o exercício (Exe 5 Los, tratado com losartan, exercitado e sacrificado 30 minutos após o exercício (Exe 30 Los. Os resultados mostram que no grupo Exe 5 e Exe 30 ocorreu um aumento de 63% (P The angiotensin II type I (AT1 receptor has an important participation in the development of cardiac hypertrophy. Previously, we have shown that AT1 receptor participates in the cardiac hypertrophy induced by resistance training in rats. Here, we studied the involvement of AT1 receptor in the activation of intracellular signaling pathways related to the concentric HC in rats submitted to a session of strength exercise. Male Wistar rats were divided into 6 groups (n= 6 each: control (Con; exercised and killed 5 minutes after exercise (Exe 5; exercised and killed 30 minutes after exercise (Exe 30; control treated with Losartan (Con Los; treated with Losartan, exercised and killed 5 minutes after the exercise (Exe Los 5; treated with Losartan, exercised and killed 30 minutes after training (Exe Los 30. The results show that phosphorylation activity of AKT in group Exe 5 and Exe 30 increased 63% (P < 0.05 and 62% (P < 0.05, respectively, compared with Con. Whereas the phosphorylation of mTOR was increased 65% (P < 0.05, compared to Con, only in the group Exe 30. Furthermore, these effects were blocked by losartan treatment in groups Exe Los 5 and Exe Los 30. These results, together with ours previous data shows that the AT1 receptor has an role in the activation of AKT and mTOR pathway after a session of strength exercise.

  10. Plasma nitriding of AISI 304L and AISI 316L stainless steels: effect of time in the formation of S phase and the chromium nitrides; Nitretacao a plasma dos acos inoxidaveis AISI 304L e AISI 316L: efeito do tempo na formacao da fase S e dos nitretos de cromo

    Energy Technology Data Exchange (ETDEWEB)

    Souza, D.A. de; Barbosa, G.C.; Pinto, F.A.M.; Gontijo, L.C. [Instituto Federal de Educacao, Ciencia e Tecnologia do Espirito Santo - IFES, Vitoria, ES (Brazil); Canal, G.P.; Cunha, A.G., E-mail: disouzam@yahoo.com.br [Universidade Federal do Espirito Santo (UFES), Vitoria, ES (Brazil). Dept. de Fisica

    2009-07-01

    Plasma nitriding can improve hardness and wear resistance of austenitic stainless steels without losses in corrosion resistance. This fact relies on a nitrided layer constituted only by S phase, without chromium nitrides precipitation. In this work, the effect of nitriding time on phases formed on nitrided layer was investigated in two austenitic stainless steels: AISI 304L e AISI 316L. The samples were nitrided at 420 deg C, using a mixture of 60 % N{sub 2} and 40% H{sub 2}, during 5, 7 and 9 hours. It was noted that chromium nitrides were formed on samples of AISI 304L, nitrided for 7 e 9 hours, while all nitrided samples of AISI 316L showed only formation of S phase. The nitrided layers were characterized using optical microscope and x-ray diffraction. (author)

  11. Presión parcial de oxígeno, pH, hematocrito, hemoglobina e índice cardíaco en pollos de engorde a 2.600 metros sobre el nivel del mar Arterial blood oxygen partial pressure, hematocrit, haemoglobin, and cardiac index in broilers at 2600 m above sea level

    Directory of Open Access Journals (Sweden)

    E. JIMENEZ

    1998-01-01

    Full Text Available La incidencia de hipertensión arterial pulmonar (HP en pollosparrilleros constituye un problema económico importante. Dentrode los mecanismos de adaptación del organismo a la altitud se encuentran,además del aumento de la tensión arterial pulmonar, el incremento de la masa muscular ventricular derecha, la policitemía y posiblemente la hiperventilación con la subsecuente alcalosis respiratoria. Es factible que el alto nivel de energía en la ración incremente la hipoxemia derivada de la hipoxia; con lo anterior, el grado de policitemia se puede elevar y producirse un efecto agravante de la HP. Para establecer valores de pO2, Ht, Hb e IC en pollos parrilleros residentes a 2.600 m de altura sobre el nivel del mar, se estudiaron 24 aves de ambos sexos, de una población de 400 animales. Los valores promedios obtenidos fueron los siguientes: a pO2: 67.21 mmHg ± 5.21. Hubo diferencias estadísticas (pWideman y Buss (1985y Julian y col. (1985. La correlación inversa entre el IC y la pO2 arterial indican el efecto de la hipoxia de las vías aéreas en la hipoxemia y en el grado de hipertrofia e hiperplasia ventricular derecha.High incidence of cardiac failure in broilers due to hypoxic pulmonaryhypertension (PH, produces huge economical losses. Adaptive responsesinclude right ventricular hypertrophy and polycythemia. High energy levelin feed could increase hypoxemia and therefore the degree of polycythemia,thus increasing PH. To establish normal values in arterial oxygen partialpressure (pO2, pH, hematocrit (Ht, haemoglobin (Hb, and cardiacindex (CI, 24 broilers (12 males and 12 females, chosen at random, froma population of 400 birds, were studied in Bogotá, Colombia, 2600m above sea level. Mean values obtained were as follows: a pO2:67.21 ± 5.21 mmHg; statistical differences between sexes and among ages were found (p<0.05; b pH: 7.5 ± 0.05; c Ht: 37.13 ± 3.27%. In males, Ht values were higher at 24 and 37 days. In females, therewas a marked increment on day 31, but no significant differences were found (p<0.05. d Hb: 11.51 ± 1.37. e CI (right ventricular weight/total ventricular weight x 100: 26.6 ± 4.83. Highest values were found on day 31, being greater in the males. There were no statistical differences(p<0.05 between sexes or among ages for pH, Hb and CI. Hypoxemia is induced by environmental hypoxia and energy ingestion. Respiratory alcalosis was found, in comparison to data by other authors. The correlation found between pO2 and CI indicates that, in susceptible chickens hypoxemia due to airways hypoxia induces PH and therefore there is an increase in CI.

  12. Texture development study during the primary recrystallization of ferritic steels by using X ray and electron backscattering diffraction; Estudo do desenvolvimento da textura durante a recristalizacao primaria de acos ferriticos por difracao de raio-X e difracao de eletrons retroespalhados

    Energy Technology Data Exchange (ETDEWEB)

    Loew, Marjorie

    2006-07-01

    X ray and electron backscattering diffraction, in distinct levels, were applied to evaluate microstructural changes in two low carbon ferritic steels (2 per cent Si and ABNT 1006), observing the texture development in cold lamination step (skin-pass) and in the subsequent annealing at 760 deg C. In these two steels, results showed that after the skin-pass and annealing in the conditions of the present work, the observed phenomenon is the primary recrystallization. By applying skin-pass dislocations were introduced mostly in low Taylor factor grains as they are prone to be more deformed. Nucleation and grain growth were observed in high density dislocation cell regions. Silicon presence delayed the recovery favoring the sub-boundaries increase. It was not observed the abnormal grain growth, even in the presence of Gross grains. CSL boundaries did not guarantee the grains growth. Growing nuclei gave rise to grains with distinct orientations, showing that the grain growth was not dependent on the previous presence of grains with the developed orientation. This fact demonstrates that the abnormal grain growth is not necessarily related to the Gross grains. (author)

  13. Quantificação de tecido conjuntivo do músculo cardíaco em equinos de tração através de técnicas histoquímicas e morfométricas Quantification of connective tissue in cardiac muscle from horses used for traction using histochemical and morphometric techniques

    OpenAIRE

    Eduardo Maurício Mendes de Lima; Marcelo Ismar Silva Santana; Márcio Botelho de Castro; Pedro Primo Bombonato; Hildebrando Gomes Benedicto; André Rodrigues da Cunha Barreto Vianna

    2011-01-01

    Os cardiomiócitos são sustentados e inseridos em um esqueleto de tecido conjuntivo, este possui distribuição desigual de acordo com as propriedades das distintas regiões em que se encontra. O propósito deste estudo foi quantificar a proporção de tecido conjuntivo em relação à disposição de cardiomiócitos dos ventrículos direito e esquerdo e no septo interventricular do miocárdio de seis equinos subnutridos, adultos, sendo quatro machos e duas fêmeas, sem raça definida e utilizados para tração...

  14. Environmental education at Bacia de Campos: activities sponsored by the Exploration and Production business Unit in the state of Rio de Janeiro, Brazil; Educacao ambiental na Bacia de Campos: acoes desenvolvidas na Unidade de Negocios de Exploracao e Producao do Rio de Janeiro

    Energy Technology Data Exchange (ETDEWEB)

    Freire, Ana Lucia Bueno; Vidal, Roseane Dias de Medeiros; Rocha, Valmir Gomes da [PETROBRAS, Rio de Janeiro, RJ (Brazil). Unidade de Negocios

    2004-07-01

    PETROBRAS Exploration and Production Business Unit in the State of Rio de Janeiro - PETROBRAS/UN-RIO has been developing environmental education actions as part of its environmental license process at Campos Basin. These actions are included in the project for the education of the multiplier groups in environmental education and core skills on environmental education. The goals of the project are either to create an integrated understanding of the environmental issue and a responsible conduction on natural resource and community values preservation. The multiplier groups are formed by associated professionals from the state government secretaries of education, health, environment and infra-structure areas. This Project has been developed at the north area of the State of Rio de Janeiro since 1999, in partnership of the Non Government Organization - NGO named 'Centro Norte Fluminense para Conservacao da Natureza - CNFCN'. Initial actions were based on a training course to prepare multiplier professionals on environmental education. In order to keep the multiplier Professional updated on environmental skills additional training course and local seminars are planned to be implemented in the region. Another project consider to create environmental skill cores to be implemented in the region based on training courses through either the use of the local public schools facilities and the volunteer contribution of the multiplier professionals. (author)

  15. Effect of the welding process on the microstructure and microhardness of API 5L X80 steel welded joint used for oil transportation pipeline; Efeito do processo de soldagem sobre a microestrutura e a microdureza de juntas soldadas de aco API 5L X80 usado em tubulacoes para transporte de petroleo

    Energy Technology Data Exchange (ETDEWEB)

    Alves, R.T.P.; Albuquerque, S.F. [Universidade Federal de Campina Grande (UFCG), PB (Brazil); Maciel, T.M.; Almeida, D.M.; Santos, M.A.

    2008-07-01

    This study had as objective to evaluate the microstructure and microhardness of API 5L X80 steel welded joints, used for pipelines to transport oil and gas, using the Shield Metal Arc Welding process with pre- heating temperature of 200 deg C and 400 deg C and the AWS E8010G electrode as filler metal. For this, besides the microhardness of the welded joint, the weld metals percentiles of micro-constituents and of columnar and regenerated grains and the medium size and extension of the heat affected zone were evaluated. The percentage of acicular ferrite in weld metal ranged from 13% to 33% which generated values of microhardness from 114 HV to 309 HV. (author)

  16. Desarrollo de producto sobre la base de harinas de cereales y leguminosa para niños celíacos entre 6 y 24 meses; II: Propiedades de las mezclas Product development on the basis of cereal and leguminous flours to coeliac disease in children aged 6-24 months; II: properties of the mixtures

    Directory of Open Access Journals (Sweden)

    P. Cerezal Mezquita

    2011-02-01

    Full Text Available Las formulaciones alimenticias de alto contenido proteico, aportado por una mezcla de harinas a partir de dos cultivos andinos, quinua (Chenopodium quinua Willd y lupino (Lupi-nus albus L, con dos cereales tradicionales maíz (Zea mays L. y arroz (Oryza sativa L., conllevaron a la preparación de una 'mezcla dulce' para la elaboración de queques y otra "mezcla postre" saborizada con plátano, que puede ser preparada con agua o con leche, constituyeron una buena alternativa como suplemento alimenticio para la nutrición de niños entre 6 y 24 meses que sufren la enfermedad celíaca, ya que contribuyen al mejoramiento de la calidad de la proteína, por compensación de los aminoácidos esenciales, son de bajo costo y permite un aumento en la disponibilidad de productos para los niños intolerantes al gluten. Se realizó la evaluación de algunas propiedades físicas, químicas, reológicas, mecánicas y de fluidez, así como el color de estas mezclas para un período de conservación de 90 días. Al finalizar el almacenamiento, la mezcla dulce resultó ser de "poco flujo" y la mezcla postre pasó de "poco flujo" a "flujo fácil". La viscosidad para la mezcla postre, con sus dos tipos de diluyentes, agua y leche, presentó un comportamiento de fluido pseudoplástico. Se pudo estimar que el tiempo de vida útil de las mezclas sería de 9 meses antes de llegar al límite de rancidez (10 mEq de oxígeno/kg de grasa, que inhabilitaría el producto para el consumo. Las coordenadas de color CIEL*a*b* no presentaron diferencias significativas manteniéndose el color en una tonalidad "beige".The nutritional formulations of high protein content, provided by a flour mixture from two Andean cultures, quinua (Chenopodium quinua Willd and lupino (Lupinus albus L, with two traditional cereals, maize (Zea mays L. and rice (Oryza sativa L., entailed to the preparation of a "sweet mixture" for the elaboration of "queques" and another "dessert mixture" flavoured with banana, that can be prepared with water or milk, constituted a good alternative as food supplement for the nutrition of children aged 6-24 months who suffer from celiac disease, since they contribute to the quality improvement of the protein, by essential amino acids compensation, they are of low cost and allow an increase in availability of products for gluten-intolerant children. Some physical, chemical, rheological, mechanical and fluidity properties, as well as the color of these mixtures for a period of conservation of 90 days were evaluated. At the end of the storage, the sweet mixture turned out to be of "little flow" and the dessert mixture changed from "little flow" to "easy flow". Viscosity for the dessert mixture, with its two types of dilutions, water and milk, presented a behavior of pseudoplastic fluid. It was possible to guess that the time of shelf life of the mixtures would be of 9 months before achieving the rancidity limit (10 mEq of oxigen/kg of fat, which would disqualify the product for consumption. The CIEL*a*b* color coordinates did not show significant differences keeping the colour in "a beige" tonality.

  17. Increased oxidative stress as a mechanism for decreased BDNF levels in acute manic episodes Aumento do estresse oxidativo como um mecanismo para a diminuição dos níveis de BDNF em episódios maníacos agudos

    Directory of Open Access Journals (Sweden)

    Flávio Kapczinski

    2008-09-01

    Full Text Available OBJECTIVE AND METHOD: There is a growing amount of data indicating that alterations in brain-derived neurotrophic factor and increased oxidative stress may play a role in the pathophysiology of bipolar disorder. In light of recent evidence demonstrating that brain-derived neurotrophic factor levels are decreased in situations of increased oxidative stress, we have examined the correlation between serum thiobarbituric acid reactive substances, a measure of lipid peroxidation, and serum brain-derived neurotrophic factor levels in bipolar disorder patients during acute mania and in healthy controls. RESULTS: Serum thiobarbituric acid reactive substances and brain-derived neurotrophic factor levels were negatively correlated in bipolar disorder patients (r = -0.56; p = 0.001, whereas no significant correlation was observed in the control group.. CONCLUSION: These results suggest that alterations in oxidative status may be mechanistically associated with abnormal low levels of brain-derived neurotrophic factor observed in individuals with bipolar disorder.OBJETIVO E MÉTODO: Existem crescentes evidências indicando que alterações no fator neurotrófico derivado do cérebro e aumento do estresse oxidativo podem estar envolvidos na fisiopatologia do transtorno bipolar. Considerando os achados recentes de que os níveis de fator neurotrófico derivado do cérebro estão diminuídos em situações de aumento de estresse oxidativo, nós testamos a correlação entre os níveis séricos de substâncias reativas do ácido tiobarbitúrico, um índice de peroxidação lipídica, e os níveis séricos de fator neurotrófico derivado do cérebro em pacientes portadores de transtorno bipolar durante mania aguda e em controles saudáveis. RESULTADOS: Os níveis séricos de substâncias reativas do ácido tiobarbitúrico e fator neurotrófico derivado do cérebro apresentaram uma correlação negativa em pacientes bipolares (r = -0,56; p = 0,001, enquanto não houve correlação significativa no grupo controle. CONCLUSÃO: Estes resultados sugerem que alterações de estresse oxidativo podem ser mecanisticamente associadas com níveis reduzidos de BDNF observados em indivíduos com transtorno bipolar.

  18. Caracterização da relação entre a massa muscular esquelética e aptidão física funcional de pessoas com insuficiência cardíaca crónica após implante cardíaco de ressincronização.

    OpenAIRE

    Santos, Vanessa Sofia Teigão dos

    2015-01-01

    Mestrado em Exercício e Saúde Contexto: A terapia de ressincronização cardíaca (TRC) é recomendada para reduzir a mortalidade e morbilidade em doentes com insuficiência cardíaca crónica (ICC), cujos sintomas permanecem na classe II-IV da New York Heart Association (NYHA). Objetivo: O objetivo do estudo foi caracterizar a composição corporal e a aptidão física funcional destes doentes com TRC e verificar associações. Métodos: O estudo foi transversal observacional e descritivo, com um...

  19. Inibição da corrente de cálcio tipo L por tramadol e enantiômeros em miócitos cardíacos de ratos Inhibition of L-type calcium current by tramadol and enantiomers in cardiac myocytes from rats

    Directory of Open Access Journals (Sweden)

    Emiliano Medei

    2011-10-01

    Full Text Available FUNDAMENTO: O tramadol é um analgésico de ação central cujo mecanismo de ação envolve a ativação de um receptor opioide. Anteriormente, mostramos que o tramadol e seus enantiômeros apresentavam um efeito inotrópico negativo sobre o músculo papilar no qual o (+-enantiômero era mais potente que (-- e (±-tramadol. OBJETIVO: No presente trabalho, investigamos os efeitos do tramadol e seus enantiômeros na corrente de cálcio tipo L (I Ca-L. MÉTODOS: Os experimentos foram realizados em miócitos ventriculares isolados de ratos Wistar utilizando a técnica de patch-clamp com configuração de célula inteira. RESULTADOS: O tramadol (200 µM reduziu a amplitude de pico do I Ca-L em potenciais de 0 a +50 mV. Em 0 mV, a I Ca-L foi reduzida em 33,7 ± 7,2%. (+- e (--tramadol (200 µM produziram uma inibição semelhante da I Ca-L, na qual a amplitude do pico foi reduzida em 64,4 ± 2,8% e 68,9 ± 5,8%, respectivamente a 0 mV (P > 0,05. O tramadol, (+- e (--tramadol mudaram a inativação de estado estacionário de I Ca-L para potenciais de membrana mais negativos. Além disso, tramadol e (+-tramadol alteraram significativamente a curva de recuperação dependente de tempo da I Ca-L para a direita e reduziram a recuperação de I Ca-L da inativação. A constante de tempo foi aumentada de 175,6 ± 18,6 a 305,0 ± 32,9 ms (P BACKGROUND: Tramadol is a centrally acting analgesic, whose mechanism of action involves opioid-receptor activation. Previously, we have shown that tramadol and its enantiomers had a negative inotropic effect on the papillary muscle in which the (+-enantiomer is more potent than (-- and (±-tramadol. OBJECTIVE: In this study, we investigated the effects of tramadol and its enantiomers on L-type calcium current (I Ca-L. RESULTS: Tramadol (200 µM reduced the peak amplitude of I Ca-L at potentials from 0 to +50 mV. At 0 mV, I Ca-L was reduced by 33.7 ± 7.2%. (+- and (--tramadol (200 µM produced a similar inhibition of I Ca-L, in which the peak amplitude was reduced by 64.4 ± 2.8% and 68.9 ± 5.8%, respectively at 0 mV (p > 0.05. Tramadol, (+- and (--tramadol shifted the steady-state inactivation of I Ca-L to more negative membrane potentials. Also, tramadol and (+-tramadol markedly shifted the time-dependent recovery curve of I Ca-L to the right and slowed down the recovery of I Ca-L from inactivation. The time constant was increased from 175.6 ± 18.6 to 305.0 ± 32.9 ms (p < 0.01 for tramadol and from 248.1 ± 28.1 ms to 359.0 ± 23.8 ms (p < 0.05 for (+-tramadol. The agonist of µ-opioid receptor DAMGO had no effect on the I Ca-L. CONCLUSION: The inhibition of I Ca-L induced by tramadol and its enantiomers was unrelated to the activation of opioid receptors and could explain, at least in part, their negative cardiac inotropic effect.

  20. Study of carbonitriding thermochemical treatment by plasma screen in active with pressures main austenitic stainless steels AISI 409 and AISI 316L; Estudo do tratamento termoquimico de carbonitretacao por plasma em tela ativa com pressoes variaveis nos acos inoxidaveis austenitico AISI 316L e ferririco AISI 409

    Energy Technology Data Exchange (ETDEWEB)

    Melo, M.S.; Oliveira, A.M.; Leal, V.S.; Sousa, R.R.M. de; Alves Junior, C. [Centro Federal de Educacao Tecnologica do Maranhao (CEFET/MA), Sao Luis, MA (Brazil); Centro Federal de Educacao Tecnologica do Piaui (CEFET/PI), Teresina, PI (Brazil); Universidade Federal do Rio Grande do Norte (DF/UFRN), Natal, RN (Brazil). Dept. de Fisica. Labplasma

    2010-07-01

    The technique called Active Screen Plasma Nitriding (ASPN) is being used as an alternative once it offers several advantages with respect to conventional DC plasma. In this method, the plasma does not form directly in the sample's surface but on a screen, in such a way that undesired effects such as the edge effect is minimized. Stainless steels present not very satisfactory wearing characteristics. However, plasma carbonitriding has been used as to improve its resistance to wearing due to the formation of a fine surface layer with good properties. In this work, samples of stainless steel AISI 316L and AISI 409 were treated at pressures of 2.5 and 5 mbar. After the treatments they were characterized by microhardness, microscopy and Xray diffraction. Microscopy and hardness analysis showed satisfactory layers and toughness in those steels. (author)

  1. Inflamação sistêmica causada pela periodontite crônica em pacientes vítimas de ataque cardíaco isquêmico agudo Systemic inflammation caused by chronic periodontitis in acute ischemic heart attack patients

    Directory of Open Access Journals (Sweden)

    Fernando José de Oliveira

    2010-03-01

    Full Text Available OBJETIVO: Processos inflamatórios e infecciosos mediados por bactérias em sítios distantes têm sido descritos como fator de risco à doença coronariana isquêmica aguda (DCIA. MÉTODOS: Cento e oitenta e um pacientes com DCIA, com e sem periodontites crônicas, foram incluídos neste estudo. Os pacientes foram admitidos no HC da UNICAMP e estratificados em três grupos: grupo 1 - pacientes com periodontite crônica grave (31 homens e 19 mulheres; média de idade 55,1 ± 11,29 anos; grupo 2 - pacientes com periodontite crônica leve (40 homens e 28 mulheres; média de idade 54,8 ± 10,37 anos; grupo 3 - pacientes desdentados (43 homens e 20 mulheres; média de idade 67,5 ± 8,55 anos. Amostras sanguíneas foram coletadas para mensurar os perfis lipídico, hematológico e glicêmico. Além disso, biópsias de 17 artérias coronárias com aterosclerose e igual número de artérias mamárias internas sem degeneração aterosclerótica no grupo 1 foram investigadas. Para análise estatística utilizou-se a análise de variância (ANOVA e o teste de Scheffé para comparações múltiplas. RESULTADOS: Triglicérides e LDL estavam elevados no grupo 1 em relação ao grupo 2. O HDL apresentou-se reduzido em 20% dos pacientes do grupo 1, e em 8% nos desdentados. A glicemia estava elevada no grupo 1. DNA de bactérias periodontais foram detectados em 58,8% das artérias coronárias. CONCLUSÕES: Pacientes com DCIA e periodontite crônica grave podem apresentar perfil lipídico alterado, como também microorganismos associados com as periodontites crônicas graves podem permear dentro de vasos coronarianos.OBJECTIVE: Infectious and inflammatory processes mediated by bacteria in distant sites have been described as a risk factor for acute ischemic heart disease (AIHD. METHODS: One hundred one patients with AIHD with and without chronic periodontitis (CP were included in this study. Patients were admitted to the HC UNICAMP and stratified into three groups: in group 1, we selected patients with severe chronic periodontitis (31 men and 19 women, mean age 55.1 ± 11.29 years old; the group 2 with mild chronic periodontitis (40 men and 28 women, mean age 54.8 ± 10.37 years old and group 3 represented by the toothless (43 men and 20 women, mean age 67.5 ± 8.55 years old. Blood samples were collected to measure the lipid profiles, hematological and blood glucose levels. In addition, biopsies of seventeen coronary arteries with atherosclerosis and an equal number of internal mammary arteries without atherosclerotic degeneration in group 1 were investigated. Statistical analysis by analysis of variance (ANOVA and Scheffé test for multiple comparisons was performed. RESULTS: Triglyceride and LDL levels were elevated in group 1 than in group 2. HDL were reduced by 20% in group 1 and remained reduced by 8% in toothless. Blood glucose was higher in group 1. DNA of periodontal bacteria was detected in 58.8% of the coronary arteries. CONCLUSIONS: Patients with (AIHD and severe chronic periodontitis may have altered lipid profile, as well as microorganisms associated with CP can permeate into coronary vessels.

  2. Visceral leishmaniasis in heart transplant patients in the endemic state of Ceará, Brazil: a report of two casesLeishmaniose visceral em pacientes submetidos a transplante cardíaco no estado do Ceará, área endêmica no Brasil: um relato de dois casos

    Directory of Open Access Journals (Sweden)

    Bráulio Matias de Carvalho

    2016-03-01

    Full Text Available Visceral leishmaniasis (VL in transplant patients is a serious disease, with atypical and aggressive manifestations, compromising patient survival. During the period from 2008 to 2012, 126 heart transplants were performed in the state of Ceará, Brazil, of which, two patients developed VL. Fever, pancytopenia and hepatosplenomegaly were the common clinical signs. Both patients were diagnosed and properly treated, but the first one had a clinical relapse and died, five months after treatment. These findings emphasize the importance of investigating VL in heart-transplant patients in endemic areas and highlight the importance of early diagnosis and treatment for favorable clinical outcomes.

  3. Desarrollo de una escala de auto reporte para medición de síntomas maníacos basado en la escala de manía de la Universidad Nacional de Colombia (EMUN) / Development of a scale of selfreport for measurement ofmaniacal symptoms based on the scale of mania of the National University of Colombia (EMUN)

    OpenAIRE

    Barrios Martínez, Karol Juliana

    2011-01-01

    Objetivo: Disponer de un instrumento en formato de auto-reporte basada en la escala EMUN, que optimice la evaluación clínica y que facilite el desarrollo de la investigación a nivel de síndrome maniaco en pacientes colombianos con trastorno afectivo bipolar. Diseño: adaptación y desarrollo de un cuestionario Escenario: servicios de urgencias, Hospital la victoria, Clínica nuestra señora de la paz. Población: 20 pacientes que aceptaron participar en el estudio con diagnostico de t...

  4. Cytomegalovirus and other herpesviruses infections in heart and bone marrow transplant recipients Infecções causadas por citomegalovírus e outros vírus do grupo herpes em transplantados cardíacos e de medula óssea

    OpenAIRE

    Adriana Weinberg; Lucy S. Vilas Boas; Olavo Feher; Tania M. V. Strabelli; Maria Cristina D. S. Fink; Frederico L. Dulley; Uip, David E.; Giovani Bellotti; Dalton A. F. Chamone; Vicente Amato Neto; Pannuti, Cláudio S.

    1990-01-01

    From January 1988 to January 1989 all the heart transplant and bone marrow recipients at the Instituto do Coração of the Hospital das Clínicas of the University of São Paulo Medical School were studied for the incidence and morbidity associated with herpesviruses infections after transplantation. Five bone marrow and 5 heart transplant recipients were followed for a mean of 4.2 months post-transplantation. All the patients were seropositive for cytomegalovirus (CMV) before admission and 80% e...

  5. Quantificação de tecido conjuntivo do músculo cardíaco em equinos de tração através de técnicas histoquímicas e morfométricas Quantification of connective tissue in cardiac muscle from horses used for traction using histochemical and morphometric techniques

    Directory of Open Access Journals (Sweden)

    Eduardo Maurício Mendes de Lima

    2011-06-01

    Full Text Available Os cardiomiócitos são sustentados e inseridos em um esqueleto de tecido conjuntivo, este possui distribuição desigual de acordo com as propriedades das distintas regiões em que se encontra. O propósito deste estudo foi quantificar a proporção de tecido conjuntivo em relação à disposição de cardiomiócitos dos ventrículos direito e esquerdo e no septo interventricular do miocárdio de seis equinos subnutridos, adultos, sendo quatro machos e duas fêmeas, sem raça definida e utilizados para tração. Com auxílio de paquímetro eletrônico digital, avaliou-se a altura do ventrículo esquerdo, a largura do coração, assim como sua circunferência, as espessuras das paredes livres dos ventrículos e do septo interventricular. Os fragmentos relativos ao terço médio do septo interventricular e das paredes livres dos ventrículos foram submetidos à técnica histológica convencional. Os blocos foram cortados com espessura de 5µm e corados com Picrosirius Red, Tricromo de Gomori e Tricromo de Azan para evidenciação do tecido conjuntivo. As lâminas foram analisadas com uso do microscópio óptico digital acoplado ao programa de análise de imagens Image-Pro Plus®. A proporção média de tecido conjuntivo no ventrículo esquerdo foi de 6,1±3,7%, no septo interventricular foi obtida a média de 6,8±3,6% e no ventrículo direito a média foi de 6,1±3,1%. Ao aplicarmos teste H de Kruskal-Wallis, verificamos que ocorreu diferença estatística entre os diferentes corantes utilizados em relação às regiões avaliadas. No teste de correlação de Pearson, não foi encontrado padrão de correlação entre a espessura das regiões analisadas e a proporção de tecido conjuntivo.Cardiomyocytes are sustained and inserted into a connective tissue skeleton that has different distribution depending up on the properties of the region in which it stands. The purpose of this study was to quantify the proportion of connective tissue in relation to the arrangement of cardiomyocytes of left and right ventricles and interventricular septum in myocardium of six mixed breed, ill trifted adult horses, of both sexes, used for traction. With hearts still fresh and with the aid of a digital caliper, it was estimated the height of left ventricle, the heart's width, the heart's circumference and the thickness of the ventricular free walls and interventricular septum. The fragments on the middle third of the interventricular septum and free walls of the ventricles were subjected to conventional histological technique. The blocks were cut with thickness of 5µm and stained with Picrosirius Red, Gomori Trichrome and Azan Trichrome to show the connective tissue. The slides were analyzed using optical microscope coupled to a digital analysis program Image-Pro Plus®. The average proportion of connective tissue in the left ventricle was 6.1+3.7%, in the interventricular septum and it was observed a mean of 6.8+3.6%. In the right ventricle the average was 6.0+3.0%. Applying the H test of Kruskal-Wallis, it was found that there was statistical difference between the different dyes used for each region. In the Pearson correlation test it was not found pattern correlation between the thickness of the regions analyzed and the proportion of connective tissue

  6. Avaliação da segurança do teste de caminhada dos 6 minutos em pacientes no pré-transplante cardíaco Evaluación de la seguridad de la test de marcha de 6 minutos en pacientes en el pre-transplante cardiaco Analysis of 6-minute walk test safety in pre-heart transplantation patients

    Directory of Open Access Journals (Sweden)

    Gerson Cipriano Jr

    2009-04-01

    Full Text Available FUNDAMENTO: O teste de caminhada dos 6 minutos (TC6 tem sido utilizado como forma de avaliação da capacidade funcional, estadiamento clínico e prognóstico cardiovascular. A segurança e o impacto metabólico são pouco descritos na literatura, principalmente em pacientes com insuficiência cardíaca grave, com indicação clínica para transplante cardiovascular. OBJETIVO: Avaliar a ocorrência de arritmias e alterações cardiovasculares durante o TC6. Correlacionar o desempenho no TC6 com o estadiamento clínico e prognóstico cardiovascular. MÉTODOS: Doze pacientes, sendo 10 masculinos, com idade de 52 ± 8 anos, foram submetidos à avaliação inicial. Realizaram o TC6 com monitoramento eletrocardiográfico por telemetria, sinais vitais e lactato. Foram acompanhados por 12 meses. RESULTADOS: Os pacientes percorreram 399,4 ± 122,5 (D, m, atingindo um esforço percebido (EP de 14,3 ± 1,5 e variação de 34% na freqüência cardíaca basal. Dois pacientes apresentaram arritmia de maior gravidade pré-TC6 e não pioraram ante o esforço, quatro tiveram elevação significativa nos níveis de lactato sangüíneo (>5 mmol/dl, e três interromperam o exame. A distância percorrida evidenciou correlação com a fração de ejeção (% e classificação funcional (NYHA. Após 12 meses de seguimento, três pacientes foram a óbito, e reinternaram-se sete por descompensação cardíaca. A relação (D/EP e freqüência cardíaca de recuperação no segundo minuto (FCR2, bpm foram inferiores no grupo-óbito. CONCLUSÃO: O comportamento clínico e eletrocardiográfico sugere que o método é seguro, mas pode ser considerado de alta intensidade para alguns pacientes com insuficiência cardíaca grave. Variáveis relacionadas ao desempenho no TC6 podem estar associadas com a mortalidade no seguimento de um ano.FUNDAMENTO: El test de marcha de 6 minutos (TM6m ha sido utilizado como forma de evaluación de la capacidad funcional, del estadiamiento clínico y el pronóstico cardiovascular. La seguridad y el impacto metabólico son poco descritos en la literatura, principalmente en pacientes con insuficiencia cardiaca severa e indicación clínica para transplante cardiovascular Objetivo: Evaluar la ocurrencia de arritmias y alteraciones cardiovasculares durante el TM6m. Correlacionar el desempeño en el TM6m con el estadiamiento clínico y el pronóstico cardiovascular. MÉTODOS: Un total de 12 pacientes, 10 varones, con edad de 52 ± 8 años, fueron sometidos a evaluación inicial. Realizaron el TM6m con monitoreo electrocardiográfico por telemetría, señales vitales y lactato. Se siguieron a los individuos por 12 meses. RESULTADOS: Los pacientes recorrieron 399,4 ± 122,5 (D, m, alcanzando un esfuerzo percibido (EP de 14,3 ± 1,5 y variación del 34% en la frecuencia cardiaca basal. Dos pacientes presentaron arritmia de mayor severidad pre-TM6m y no mostraron empeoramiento ante el esfuerzo; cuatro tuvieron elevación significativa en los niveles de lactato sanguíneo (>5 mmol/dl, y tres interrumpieron el examen. La distancia recorrida evidenció correlación con la fracción de eyección (% y la clasificación funcional (NYHA. Tras 12 meses de seguimiento, tres pacientes murieron, y siete se reinternaron por descompensación cardiaca. La relación (D/EP y frecuencia cardiaca de recuperación en el segundo minuto (FCR2, lpm fueron inferiores en el grupo óbito. CONCLUSIÓN: El comportamiento clínico y electrocardiográfico sugiere que el método es seguro, pero se puede considerarlo de alta intensidad para algunos pacientes con insuficiencia cardiaca severa. Variables relacionadas al desempeño en el TM6m pueden estar asociadas con la mortalidad en el seguimiento de un año.BACKGROUND: The 6-minute walk test (6WT has been used as a means of assessment of the functional capacity, clinical staging and cardiovascular prognosis. Its safety and metabolic impact have not been frequently described in the literature, especially in patients with severe heart failure with clinical indication for cardiovascular transplantation. OBJECTIVE: To evaluate the occurrence of arrhythmias and cardiovascular changes during 6WT. To correlate 6WT performance with clinical staging and cardiovascular prognosis. METHODS: Twelve patients, 10 of whom males, aged 52 ± 8 years were evaluated at baseline. 6WT was performed with telemetry electrocardiography, vital signs and lactate monitoring. The patients were followed-up for 12 months. RESULTS: The patients walked 399.4±122.5 (D, m, reaching a perceived exertion (PE of 14.3±1.5 and a 34% baseline heart rate variation. Two patients presented more severe pre-6WT arrhythmia which did not worsen with the exercice, four patients presented a significant increase of blood lactate levels (>5 mmol/dl, and three interrupted the test. The distance walked correlated with the ejection fraction (% and functional class (NYHA. After 12-month follow-up, three patients died and seven were rehospitalized for cardiac decompensation. The D/PE ratio and 2-minute heart rate recovery (HRR2, bpm were lower in the death group. CONCLUSION: The clinical and electrocardiographic behaviors suggest that the method is safe, but it may be considered too strenuous for some patients with severe heart failure. Variables related to 6WT performance may be associated with the one-year follow-up mortality.

  7. Desarrollo de producto sobre la base de harinas de cereales y leguminosa para niños celíacos entre 6 y 24 meses; I: Formulación y aceptabilidad Product development on the basis of cereal and leguminous flours to coeliac disease in children between 6-24 months; I: formulation and acceptability

    Directory of Open Access Journals (Sweden)

    P. Cerezal Mezquita

    2011-02-01

    Full Text Available La revalorización de los cultivos andinos, quinua (Chenopodium quinua Willd y lupino (Lupinus albus L, para ser utilizados en mezclas alimenticias, con cereales tradicionales como maíz (Zea mays L. y arroz (Oryza sativa L., originan mezclas sin gluten que constituyen una buena alternativa para la alimentación de niños menores de 24 meses que sufren la enfermedad celíaca, ya que mejoran la calidad de la proteína, por compensación de los aminoácidos esenciales, e incide en la diversificación de productos. En el presente trabajo se determinó la composición de los porcentajes de cada harina en la mezcla mediante Programación Lineal empleando la planilla Solver de la hoja de cálculo Excel. Se determinaron las prolaminas en las harinas de quinua y lupino por el método ELISA y se empleó la técnica del HPLC en los dos productos obtenidos, denominados "mezcla dulce" y "mezcla postre", para definir la cantidad de aminoácidos con la finalidad de suplementar alrededor del 15% de las proteínas requeridas en el día. Las mezclas de harina seleccionadas como óptimas, mezcla dulce, apropiada para la preparación de queques, así como para la mezcla postre, que por adición de agua o leche, da origen a un postre, se evaluaron después de tres meses de almacenamiento, siendo aceptables sus requisitos microbiológicos, bromatológicos y sensoriales, corroborándose los resultados, con la buena aceptación de los productos preparados a partir de las mezclas formuladas, por parte de los menores de 2 Jardines Infantiles de la Ciudad de Antofagasta-Chile.The revaluation of the Andean cultivations, quinua (Chenopodium quinua Willd and lupin (Lupinus albus L., to be used in nutritional mixtures, with traditional cereals like corn (Zea mays L. and rice (Oryza sativa L., originate mixtures without gluten which constitute a good alternative for the nutrition of children under 24 months that suffer from celiac disease, since they improve the quality of the protein, by essential amino acids compensation, and also impacts in the product's diversification strategy. In the present work, the percentage composition of each flour in the mixture was determined by means of Linear Programming by means of the Solver form from the Excel spreadsheet. Prolamines were determined in the quinua and lupin flours by the ELISA test and the HPLC technique was used in both products obtained called "sweet mix" and "dessert mix", to define the quantity of amino acids with the purpose of providing around the 15% of the proteins required in the day. The flour mixtures selected as optimum, sweet mix, suitable for the preparation of sweet pancakes, as well as for the dessert mix, that by addition of water or milk produce a semi solid dessert, were evaluated after three months of storage, being acceptable their microbiological, bromatological and sensorial requirements, corroborating the results with the good acceptance of the products, prepared from the formulated mixtures, by the children of two Day Care centers of the City of Antofagasta-Chile.

  8. Actions to ensure the power and utilities supplying during the start-up and regular operation of the TKCSA steel complex through island operation mode; Acoes para garantir o suprimento de energia eletrica e utilidades durante a fase de start up e de operacao regular do complexo siderurgico da TKCSA (Thyssenkrupp - Companhia Siderurgica do Atlantico) atraves do modo de operacao em ilha

    Energy Technology Data Exchange (ETDEWEB)

    Vianna, Bernardo Matoso T.; Viana, Claudio Sobreira; Vaz, Daniel; Cesario, Fabricio; Pereira, Jose Antonio; Gimenez, Marcus Vinicius O.; Pascotto, Ricardo; Freitas Neto, Roberto Soares; Riederer, Werner [ThyssenKrupp Companhia Siderurgica do Atlantico (TKCSA), Rio de Janeiro, RJ (Brazil)

    2011-12-21

    At TKCSA, the energy and media distribution has an important function in the production processes. The electrical department is responsible for the power system operation, ensuring the receiving, transformation and supplying of this media for the regular and stable operation of the electrical equipment of the steel processes, and another important assignment of the electrical power sector is to guarantee the continuous power supply for the complex, even in case of interruption caused by the external grid, since the blast furnace, steel making and continuous casting cannot be interrupted abruptly. This continuous supply of energy is guaranteed by the Island Operation Mode (IOM), which always aims to ensure the supply of electricity from the Power Plant for the blowers, technical gases distribution system, fuel gases, steam and internal distribution of electricity and industrial water for the steel mill complex. During the complex start up and the regular operation phases, these two distribution systems (electricity and media) work interconnected and are kept in operation by the IOM, being guaranteed by the permanent operation of the electrical power generation system of Power Plant. This work presents how this concept was developed, tested and implemented at TKCSA. (author)

  9. Tratamento convencional e endovascular para rara associação de doenças: síndrome de veia cava superior e aneurisma aorto-ilíaco - controle após 12 meses Conventional and endovascular treatment for a rare combination of diseases: superior vena cava syndrome and aortoiliac aneurysm - control after 12 months

    Directory of Open Access Journals (Sweden)

    Gustavo Petorossi Solano

    2011-09-01

    Full Text Available A associação entre a síndrome de veia cava superior e uma dilatação aneurismática das artérias aorta e ilíacas não é comum. A abordagem de cada uma destas patologias pode ser efetuada através do modo convencional, com cirurgia aberta ou pela técnica endovascular. Neste trabalho, relatamos as duas modalidades de intervenção cirúrgica executadas e discutimos suas indicações e os resultados deste caso em particular.The association between superior vena cava syndrome and an aorto-iliac aneurysm is not common. The approach to each of theses diseases can be either by the conventional way with open surgery or by endovascular techniques. We report the two methods of surgical intervention and discuss their indications and results in this particular case.

  10. Caso 4/2003 - Paciente de 61 anos, portadora de cardiopatia da doença de Chagas, com disfunção ventricular, taquicardia ventricular recorrente e marcapasso cardíaco, que apresentou morte em assistolia após ressecção cirúrgica de aneurisma de ponta

    Directory of Open Access Journals (Sweden)

    Franco Fábio Gazelato

    2003-01-01

    Full Text Available A 61 year-old Chagasic woman, with previous left ventricular systolic disfunction, ventricular tachychardia and cardiac pacemaker, presented cardiac arrest in asystolia after surgical ressection of apical aneurysm.

  11. Sistema inalámbrico de monitorización cardíaco : integración con dispositivos móviles inteligentes mediante el diseño de una aplicación en la capa Software as a Service (SaaS) en el entorno de Google Cloud

    OpenAIRE

    Sáez Sánchez, Sergio

    2015-01-01

    El presente proyecto final de grado está enfocado al estudio de las posibilidades de almacenamiento y procesamiento que se pueden encontrar hoy en día en la nube, así como su relación con las aplicaciones móviles para smarthpones, más concretamente en el ámbito de la salud. Para poder cumplir el objetivo mencionado, se realizará el estudio de un caso práctico de una toma de datos de un sensor de frecuencia cardiaca, y se le aplicarán una serie de algoritmos para poder tener tod...

  12. Item Selection for the Development of Short Forms of Scales Using an Ant Colony Optimization Algorithm

    Science.gov (United States)

    Leite, Walter L.; Huang, I-Chan; Marcoulides, George A.

    2008-01-01

    This article presents the use of an ant colony optimization (ACO) algorithm for the development of short forms of scales. An example 22-item short form is developed for the Diabetes-39 scale, a quality-of-life scale for diabetes patients, using a sample of 265 diabetes patients. A simulation study comparing the performance of the ACO algorithm and…

  13. Size and albedo distributions of asteroids in cometary orbits using WISE data

    CERN Document Server

    Licandro, J; Tancredi, G; Fernandez, Y

    2015-01-01

    We study the distributions of effective diameter ($D$), beaming parameter ($\\eta$), and visible geometric albedo ($p_V$) of asteroids in cometry orbits (ACOs) populations, derived from NASA's Wide-field Infrared Explorer (WISE) observations, and compare these with the same, independently determined properties of the comets. The near-Earth asteroid thermal model (NEATM) is used to compute the $D$, $p_V$ and $\\eta$. We obtained $D$ and $p_V$ for 49 ACOs in Jupiter family cometary orbits (JF-ACOs) and 16 ACOs in Halley-type orbits (Damocloids). We also obtained $\\eta$ for 45 of them. All but three JF-ACOs (95% of the sample) present a low albedo compatible with a cometary origin. The $p_V$ and $\\eta$ distributions of both ACO populations are very similar. For the entire sample of ACOs, the mean geometric albedo is $\\bar{p_V} = 0.05 \\pm 0.02$, ($\\bar{p_V} = 0.05 \\pm 0.01$ and $\\bar{p_V} =0.05 \\pm 0.02$ for JF-ACOs and Damocloids, respectively) compatible with a narrow albedo distribution similar to that of the Ju...

  14. Dicty_cDB: Contig-U09871-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available 6983_3( AB196983 |pid:none) Acidithiobacillus thiooxidans aco,... 113 5e-29 AJ720176_1( AJ720176 |pid:none) ...thecochloris aestuarii DSM ... 43 4e-09 AB062764_3( AB062764 |pid:none) Acidithiobacillus thiooxidans aco,..

  15. Dicty_cDB: Contig-U13807-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available pid:none) Desulfovibrio vulgaris subsp. v... 59 2e-07 AB062764_1( AB062764 |pid:none) Acidithiobacillus thiooxidans... aco,... 59 2e-07 AB196983_1( AB196983 |pid:none) Acidithiobacillus thiooxidans aco,... 59 2e-07 CP00

  16. The March to Accountable Care Organizations--How Will Rural Fare?

    Science.gov (United States)

    MacKinney, A. Clinton; Mueller, Keith J.; McBride, Timothy D.

    2011-01-01

    Purpose: This article describes a strategy for rural providers, communities, and policy makers to support or establish accountable care organizations (ACOs). Methods: ACOs represent a new health care delivery and provider payment system designed to improve clinical quality and control costs. The Patient Protection and Affordable Care Act (ACA)…

  17. Alabama Physicians and Accountable Care Organizations: Will What We Don't Know Hurt Us?

    Science.gov (United States)

    Powell, M Paige; Post, Lindsey R; Bishop, Blake A

    2016-01-01

    Accountable care organizations (ACOs) were designed to improve the quality of care delivered to Medicare beneficiaries while also halting the growth in Medicare spending. Many existing health systems in the Northeast, Midwest, and West have formed ACOs, whereas implementation in Southern states has been slower. The study team conducted a survey of all physician members of the Medical Association of the State of Alabama to determine the likelihood of their participation in an ACO and their attitudes toward some of the characteristics, such as quality measures, regulations, and risks versus rewards. The team found that many physicians reported a lack of knowledge about these areas. Physicians who reported that they were either likely or not likely to participate overwhelmingly held unfavorable attitudes about ACOs. It would be advantageous for Alabama physicians to become more knowledgeable about ACOs in the case that they become a more predominant form of care delivery in the future. PMID:25414377

  18. Phenotype of asthma-chronic obstructive pulmonary disease overlap syndrome.

    Science.gov (United States)

    Rhee, Chin Kook

    2015-07-01

    Many patients with asthma or chronic obstructive pulmonary disease (COPD) have overlapping characteristics of both diseases. By spirometric definition, patients with both fixed airflow obstruction (AO) and bronchodilator reversibility or fixed AO and bronchial hyperresponsiveness can be considered to have asthma-COPD overlap syndrome (ACOS). However, patients regarded to have ACOS by spirometric criteria alone are heterogeneous and can be classified by phenotype. Eosinophilic inflammation, a history of allergic disease, and smoke exposure are important components in the classification of ACOS. Each phenotype has a different underlying pathophysiology, set of characteristics, and prognosis. Medical treatment for ACOS should be tailored according to phenotype. A narrower definition of ACOS that includes both spirometric and clinical criteria is needed. PMID:26161009

  19. SWARM INTELLIGENCE FROM NATURAL TO ARTIFICIAL SYSTEMS: ANT COLONY OPTIMIZATION

    Directory of Open Access Journals (Sweden)

    O. Deepa

    2016-03-01

    Full Text Available Successful applications coming from biologically inspired algorithm like Ant Colony Optimization (ACO based on artificial swarm intelligence which is inspired by the collective behavior of social insects. ACO has been inspired from natural ants system, their behavior, team coordination, synchronization for the searching of optimal solution and also maintains information of each ant. At present, ACO has emerged as a leading metaheuristic technique for the solution of combinatorial optimization problems which can be used to find shortest path through construction graph. This paper describe about various behavior of ants, successfully used ACO algorithms, applications and current trends. In recent years, some researchers have also focused on the application of ACO algorithms to design of wireless communication network, bioinformatics problem, dynamic problem and multi-objective problem.

  20. Ant colony optimisation for economic dispatch problem with non-smooth cost functions

    Energy Technology Data Exchange (ETDEWEB)

    Pothiya, Saravuth; Kongprawechnon, Waree [School of Communication, Instrumentation and Control, Sirindhorn International Institute of Technology, Thammasat University, P.O. Box 22, Pathumthani (Thailand); Ngamroo, Issarachai [Center of Excellence for Innovative Energy Systems, Faculty of Engineering, King Mongkut' s Institute of Technology Ladkrabang, Bangkok 10520 (Thailand)

    2010-06-15

    This paper presents a novel and efficient optimisation approach based on the ant colony optimisation (ACO) for solving the economic dispatch (ED) problem with non-smooth cost functions. In order to improve the performance of ACO algorithm, three additional techniques, i.e. priority list, variable reduction, and zoom feature are presented. To show its efficiency and effectiveness, the proposed ACO is applied to two types of ED problems with non-smooth cost functions. Firstly, the ED problem with valve-point loading effects consists of 13 and 40 generating units. Secondly, the ED problem considering the multiple fuels consists of 10 units. Additionally, the results of the proposed ACO are compared with those of the conventional heuristic approaches. The experimental results show that the proposed ACO approach is comparatively capable of obtaining higher quality solution and faster computational time. (author)

  1. What is asthma-COPD overlap syndrome? Towards a consensus definition from a round table discussion.

    Science.gov (United States)

    Sin, Don D; Miravitlles, Marc; Mannino, David M; Soriano, Joan B; Price, David; Celli, Bartolome R; Leung, Janice M; Nakano, Yasutaka; Park, Hye Yun; Wark, Peter A; Wechsler, Michael E

    2016-09-01

    Patients with asthma-chronic obstructive pulmonary disease overlap syndrome (ACOS) have been largely excluded from pivotal therapeutic trials and, as a result, its treatment remains poorly defined and lacking firm evidence. To date, there is no universally accepted definition of ACOS, which has made it difficult to understand its epidemiology or pathophysiology. Despite many uncertainties, there is emerging agreement that some of the key features of ACOS include persistent airflow limitation in symptomatic individuals 40 years of age and older, a well-documented history of asthma in childhood or early adulthood and a significant exposure history to cigarette or biomass smoke. In this perspective, we propose a case definition of ACOS that incorporates these key features in a parsimonious algorithm that may enable clinicians to better diagnose patients with ACOS and most importantly enable researchers to design therapeutic and clinical studies to elucidate its epidemiology and pathophysiology and to ascertain its optimal management strategies.

  2. Transforming healthcare delivery: Why and how accountable care organizations must evolve.

    Science.gov (United States)

    Chen, Christopher T; Ackerly, D Clay; Gottlieb, Gary

    2016-09-01

    Accountable care organizations (ACOs) have shown promise in reducing healthcare spending growth, but have proven to be financially unsustainable for many healthcare organizations. Even ACOs with shared savings have experienced overall losses because the shared savings bonuses have not covered the costs of delivering population health. As physicians and former ACO leaders, we believe in the concept of accountable care, but ACOs need to evolve if they are to have a viable future. We propose the novel possibility of allowing ACOs to bill fee-for-service for their population health interventions, a concept we call population health billing. Journal of Hospital Medicine 2016;11:658-661. © 2016 Society of Hospital Medicine. PMID:27596543

  3. Accountable care organizations: principles and implications for hospital administrators.

    Science.gov (United States)

    Bennett, Andrew Russell

    2012-01-01

    With the passage of the Affordable Care Act (ACA) in 2010, broad agreement has been reached on the need for fundamental reform of healthcare delivery and payment systems. Accountable care organizations (ACOs) have become one of the most discussed provisions of the ACA, and Medicare's Shared Savings Program (SSP), the incentive program tied to ACOs, has the potential to change the delivery of healthcare. The SSP will attempt to improve the quality of care while reducing the growth in expenditures by encouraging the formation of ACOs. The SSP is voluntary, and organizations that wish to participate will encounter advantages and disadvantages in its adoption. This article provides hospital administrators with basic information about the ACO requirements set forth by the Centers for Medicare & Medicaid Services and helps frame decision making about hospital participation in ACOs. PMID:22905603

  4. Ant Colony Optimization and the Minimum Cut Problem

    DEFF Research Database (Denmark)

    Kötzing, Timo; Lehre, Per Kristian; Neumann, Frank;

    2010-01-01

    Ant Colony Optimization (ACO) is a powerful metaheuristic for solving combinatorial optimization problems. With this paper we contribute to the theoretical understanding of this kind of algorithm by investigating the classical minimum cut problem. An ACO algorithm similar to the one that was proved...... successful for the minimum spanning tree problem is studied. Using rigorous runtime analyses we show how the ACO algorithm behaves similarly to Karger and Stein's algorithm for the minimum cut problem as long as the use of pheromone values is limited. Hence optimal solutions are obtained in expected...... polynomial time. On the other hand, we show that high use of pheromones has a negative effect, and the ACO algorithm may get trapped in local optima resulting in an exponential runtime to obtain an optimal solution. This result indicates that ACO algorithms may be inappropriate for finding minimum cuts....

  5. Asthma COPD Overlap Syndrome on CT Densitometry: A Distinct Phenotype from COPD.

    Science.gov (United States)

    Gao, Yanli; Zhai, Xiaoli; Li, Kun; Zhang, Hong; Wang, Ying; Lu, Yong; Pan, Zhenyu; Zhang, Lei; Huang, Kewu; Zhai, Renyou

    2016-08-01

    Patients with asthma COPD overlap syndrome (ACOS) are an important but poorly characterized group. This study sought to explore the distinct characteristics of ACOS on CT densitometry. The study population was randomly selected from communities via questionnaires. All participants underwent low-dose volumetric chest CT both before and after bronchodilator administration. Each CT scan was performed at full-inspiration and full-expiration for CT densitometry. Emphysema index (EI), air trapping (AT), mean lung density (MLD) and total lung volume (TLV) were measured and compared between the ACOS and COPD groups. The distributions of both EI and AT were compared between patients with ACOS and COPD. The variations between the pre- and post-BD measurements observed in patients with ACOS were compared with those in patients with COPD. A total of 71 patients completed the study, including 32 patients with COPD and 39 patients with ACOS. The patients with ACOS exhibited lower EI and more upper-zone-predominant EI distributions, compared with the patients with COPD. No significant differences were exhibited in AT and its distribution. Following bronchodilator administration, the variations in AT and expiratory MLD were greater in patients with ACOS than in patients with COPD. No differences were observed in the variations of EI and inspiratory MLD. Our results indicate that patients with ACOS have lower extent of emphysema and different emphysema distribution, as well as greater post-BD variations in air trapping, compared with patients with COPD. These findings suggest that CT densitometry characterizes ACOS as a distinct phenotype from COPD. PMID:26742511

  6. Understanding asthma-chronic obstructive pulmonary disease overlap syndrome.

    Science.gov (United States)

    Wurst, Keele E; Kelly-Reif, Kaitlin; Bushnell, Greta A; Pascoe, Steven; Barnes, Neil

    2016-01-01

    Asthma-chronic obstructive pulmonary disease overlap syndrome (ACOS) is a loosely-defined clinical entity referring to patients who exhibit characteristics of both asthma and chronic obstructive pulmonary disease (COPD). Clinical definitions and classifications for ACOS vary widely, which impacts our understanding of prevalence, diagnosis and treatment of the condition. This literature review was therefore conducted to characterize the prevalence of ACOS and the effect of different disease definitions on these estimates, as this has not previously been explored. From an analysis of English language literature published from 2000 to 2014, the estimated prevalence of ACOS ranges from 12.1% to 55.2% among patients with COPD and 13.3%-61.0% among patients with asthma alone. This variability is linked to differences in COPD and asthma diagnostic criteria, disease ascertainment methods (spirometry-based versus clinical or symptom-based diagnoses and claims data), and population characteristics including age, gender and smoking. Understanding the reasons for differences in prevalence estimates of ACOS across the literature may help guide decision making on the most appropriate criteria for defining ACOS and aid investigators in designing future ACOS clinical studies aimed at effective treatment.

  7. The asthma–COPD overlap syndrome: how is it defined and what are its clinical implications?

    Directory of Open Access Journals (Sweden)

    van den Berge M

    2016-02-01

    Full Text Available Maarten van den Berge,1,2 René Aalbers,31Department of Pulmonary Diseases, University Medical Center Groningen, University of Groningen, 2GRIAC Research Institute, University Medical Center Groningen, University of Groningen, 3Department of Pulmonary Diseases, Martini Hospital, Groningen, the Netherlands Abstract: It is increasingly recognized that both asthma and chronic obstructive pulmonary disease (COPD are heterogeneous diseases with a large inter-individual variability with respect to their clinical expression, disease progression, and responsiveness to the available treatments. The introduction of asthma–COPD overlap syndrome (ACOS may lead to a better clinical characterization and improved treatment of patients with obstructive airways disease. However, it is still in its early phase and several improvements will have to be made. First, a clear definition of ACOS and preferably also its sub-phenotypes, eg, asthma–ACOS and COPD–ACOS, is urgently needed. That would also allow researchers to design clinical studies in well-defined patients. The latter is important since the interpretation of clinical studies performed so far is hampered by the use of many different definitions of ACOS. Second, future studies are needed to investigate the role of state-of-the-art techniques such as computed tomography, genetics, and genomics in the phenotyping of patients with obstructive airways disease, ie, asthma, COPD, and ACOS. Third, longitudinal studies are now needed to better define the clinical implications of ACOS with respect to the long-term outcome and treatment of ACOS and its sub-phenotypes compared to only asthma or COPD. Keywords: ACOS, asthma, COPD, inflammation, remodeling, overlap phenotype

  8. Acetate selective fluorescent turn-on sensors derived using vitamin B6 cofactor pyridoxal-5-phosphate

    Science.gov (United States)

    Sharma, Darshna; Kuba, Aman; Thomas, Rini; Ashok Kumar, S. K.; Kuwar, Anil; Choi, Heung-Jin; Sahoo, Suban K.

    2016-03-01

    Two new Schiff base receptors have been synthesized by condensation of pyridoxal-5-phosphate with 2-aminophenol (L1) or aniline (L2). In DMSO, the receptors showed both chromogenic and 'turn-on' fluorescence responses selectively in the presence of AcO- and F-. However, in mixed DMSO-H2O medium, the receptors showed AcO- selective 'turn-on' fluorescence without any interference from other tested anions including F-. The detection limit for AcO- was found to be 7.37 μM and 22.9 μM using the receptors L1 and L2, respectively.

  9. A Study of Different Quality Evaluation Functions in the cAnt-MinerPB Classification Algorithm

    OpenAIRE

    Medland, Matthew; Otero, Fernando E. B.

    2012-01-01

    Ant colony optimization (ACO) algorithms for classification in general employ a sequential covering strategy to create a list of classification rules. A key component in this strategy is the selection of the rule quality function, since the algorithm aims at creating one rule at a time using an ACO-based procedure to search the best rule. Recently, an improved strategy has been proposed in the cAnt-MinerPB algorithm, where an ACO-based procedure is used to create a complete list of rules inst...

  10. Tips for medical practice success in the upcoming accountable care era.

    Science.gov (United States)

    Bobbitt, Julian D

    2012-01-01

    Due to the unsustainable cost of healthcare, the movement to accountable care will be inevitable. This author predicts that recent Medicare Accountable Care Organization (ACO) regulations will energize ACO development. There are specific practical strategies every medical practice leader should know in order to navigate this new healthcare environment successfully. There is a window of opportunity, which will not stay open long, to control a medical practice's destiny in molding a fair, sustainable, and successful ACO. Not being prepared and defaulting to the status quo through passivity is also a choice that promises more work for less compensation for medical practices. The choice is clear, and the blueprint for success is available.

  11. The aconitate hydratase family from Citrus

    Directory of Open Access Journals (Sweden)

    Cercos Manuel

    2010-10-01

    Full Text Available Abstract Background Research on citrus fruit ripening has received considerable attention because of the importance of citrus fruits for the human diet. Organic acids are among the main determinants of taste and organoleptic quality of fruits and hence the control of fruit acidity loss has a strong economical relevance. In citrus, organic acids accumulate in the juice sac cells of developing fruits and are catabolized thereafter during ripening. Aconitase, that transforms citrate to isocitrate, is the first step of citric acid catabolism and a major component of the citrate utilization machinery. In this work, the citrus aconitase gene family was first characterized and a phylogenetic analysis was then carried out in order to understand the evolutionary history of this family in plants. Gene expression analyses of the citrus aconitase family were subsequently performed in several acidic and acidless genotypes to elucidate their involvement in acid homeostasis. Results Analysis of 460,000 citrus ESTs, followed by sequencing of complete cDNA clones, identified in citrus 3 transcription units coding for putatively active aconitate hydratase proteins, named as CcAco1, CcAco2 and CcAco3. A phylogenetic study carried on the Aco family in 14 plant species, shows the presence of 5 Aco subfamilies, and that the ancestor of monocot and dicot species shared at least one Aco gene. Real-time RT-PCR expression analyses of the three aconitase citrus genes were performed in pulp tissues along fruit development in acidic and acidless citrus varieties such as mandarins, oranges and lemons. While CcAco3 expression was always low, CcAco1 and CcAco2 genes were generally induced during the rapid phase of fruit growth along with the maximum in acidity and the beginning of the acid reduction. Two exceptions to this general pattern were found: 1 Clemenules mandarin failed inducing CcAco2 although acid levels were rapidly reduced; and 2 the acidless "Sucreña" orange

  12. Examining the Solution for Solving Optimization Problems using Swarm Intelligence and Its Applications

    OpenAIRE

    Selvi, V; Dr. R. Umarani

    2012-01-01

    - SI is a computational and collective behavioral metaphor that is used for solving problems. The problems can be solved by SI by taking ants, termites, bees and wasps as an example. The application of SI algorithm are ACO, PSO and ABC which have been already applied to solve real world optimization problems in engineering. ACO is a member of SI in which ACO is inspired by the behaviour of ant colonies and it constitutes some metaheuristic optimization. ACO’s aim is to search for an optimal p...

  13. A Survey Paper on Solving TSP using Ant Colony Optimization on GPU

    Directory of Open Access Journals (Sweden)

    Khushbu Khatri

    2014-12-01

    Full Text Available Ant Colony Optimization (ACO is meta-heuristic algorithm inspired from nature to solve many combinatorial optimization problem such as Travelling Salesman Problem (TSP. There are many versions of ACO used to solve TSP like, Ant System, Elitist Ant System, Max-Min Ant System, Rank based Ant System algorithm. For improved performance, these methods can be implemented in parallel architecture like GPU, CUDA architecture. Graphics Processing Unit (GPU provides highly parallel and fully programmable platform. GPUs which have many processing units with an off-chip global memory can be used for general purpose parallel computation. This paper presents a survey on different solving TSP using ACO on GPU.

  14. Ant colony optimisation for resource searching in dynamic peer-to-peer grids

    OpenAIRE

    Krynicki, Kamil; Jaén Martínez, Francisco Javier; Mocholi Agües, Jose Antonio

    2014-01-01

    The applicability of peer-to-peer (p2p) in the domain of grid computing has been an important subject over the past years. Nevertheless, the sole merger between p2p and the concept of grid is not sufficient to guarantee non-trivial efficiency. Some claim that ant colony optimisation (ACO) algorithms might provide a definite answer to this question. However, the use of ACO in grid networks causes several problems. The first and foremost stems out of the fact that ACO algorithms usually perform...

  15. Aircraft technology portfolio optimization using ant colony optimization

    Science.gov (United States)

    Villeneuve, Frederic J.; Mavris, Dimitri N.

    2012-11-01

    Technology portfolio selection is a combinatorial optimization problem often faced with a large number of combinations and technology incompatibilities. The main research question addressed in this article is to determine if Ant Colony Optimization (ACO) is better suited than Genetic Algorithms (GAs) and Simulated Annealing (SA) for technology portfolio optimization when incompatibility constraints between technologies are present. Convergence rate, capability to find optima, and efficiency in handling of incompatibilities are the three criteria of comparison. The application problem consists of finding the best technology portfolio from 29 aircraft technologies. The results show that ACO and GAs converge faster and find optima more easily than SA, and that ACO can optimize portfolios with technology incompatibilities without using penalty functions. This latter finding paves the way for more use of ACO when the number of constraints increases, such as in the technology and concept selection for complex engineering systems.

  16. Examining the Solution for Solving Optimization Problems using Swarm Intelligence and Its Applications

    Directory of Open Access Journals (Sweden)

    V. Selvi

    2012-06-01

    Full Text Available - SI is a computational and collective behavioral metaphor that is used for solving problems. The problems can be solved by SI by taking ants, termites, bees and wasps as an example. The application of SI algorithm are ACO, PSO and ABC which have been already applied to solve real world optimization problems in engineering. ACO is a member of SI in which ACO is inspired by the behaviour of ant colonies and it constitutes some metaheuristic optimization. ACO’s aim is to search for an optimal path with the help of graph. In PSO, a solution of continuous optimization problems can be solved , because PSO is population based stochastic optimization techniques for the solution of continuous optimization problem. In ABC the solution for the problem is found with help of foraging behaviour of honey bees. It is also swarm based meta heuristic algorithm. This paper presents the experimental verification of ACO and EACO.

  17. How to Stop Biting Your Nails

    Medline Plus

    Full Text Available ... meaningful use ACOs & medical homes Teledermatology Compliance Medicare fee schedule MACRA resource center PQRS reporting 2016 reporting ... Medicare physician payment MACRA implementation Alternative payment models Fee schedule State policy Legislative Conference Position statements SkinPAC ...

  18. Bug bites and stings: When to see a dermatologist

    Medline Plus

    Full Text Available ... meaningful use ACOs & medical homes Teledermatology Compliance Medicare fee schedule MACRA resource center PQRS reporting 2016 reporting ... Medicare physician payment MACRA implementation Alternative payment models Fee schedule State policy Legislative Conference Position statements SkinPAC ...

  19. Size and albedo distributions of asteroids in cometary orbits using WISE data

    Science.gov (United States)

    Licandro, J.; Alí-Lagoa, V.; Tancredi, G.; Fernández, Y.

    2016-01-01

    Context. Determining whether asteroids in cometary orbits (ACOs) are dormant or extinct comets is relevant for understanding the end-states of comets and the sizes of the comet population. Aims: We intend to study the value distributions of effective diameter (D), beaming parameter (η), and visible geometric albedo (pV) of ACO populations, which can be derived from NASA's Wide-field Infrared Explorer (WISE) observations, and we aim to compare these with the same, independently determined properties of the comets. Methods: The near-Earth asteroid thermal model (NEATM) is used with WISE data and the absolute magnitude (H) of the ACOs to compute the D, pV and η. Results: We obtained D and pV for 49 ACOs in Jupiter family cometary orbits (JF-ACOs) and 16 ACOs in Halley-type cometary orbits (Damocloids). We also obtained the infrared beaming parameter η for 45 of them. All but three JF-ACOs (95% of the sample) present a low albedo compatible with a cometary origin. The pV and η distributions of both ACO populations are very similar. For the entire sample of ACOs, the mean geometric albedo is p̅V = 0.05±0.02, (p̅V = 0.05±0.01 and p̅V = 0.05±0.02 for JF-ACOs and for Damocloids, respectively) compatible with a narrow albedo distribution similar to that of the Jupiter family comets (JFCs), with a p̅V ~ 0.04. The mean beaming parameter is η̅ = 1.0±0.2. We find no correlations between D, pV, or η. We also compare the cumulative size distribution (CSD) of ACOs, Centaurs, and JFCs. Although the Centaur sample contains larger objects, the linear parts in their log-log plot of the CSDs presents a similar cumulative exponent (β = 1.85 ± 0.30 and 1.76 ± 0.35, respectively). The CSD for Damocloids presents a much shallower exponent β = 0.89 ± 0.17. Conclusions: The pV- and η-value distributions of ACOs are very similar to those of JF comet (JFCs) nuclei. The ACOs in Tancredi's list are the best possible candidates to be dormant/inactive comets. The CSD for JF-ACOs

  20. Efficiency improvement of ant colony optimization in solving the moderate LTSP

    Institute of Scientific and Technical Information of China (English)

    Munan Li

    2015-01-01

    In solving smal- to medium-scale travel ing salesman problems (TSPs) of both symmetric and asymmetric types, the traditional ant colony optimization (ACO) algorithm could work wel , providing high accuracy and satisfactory efficiency. However, when the scale of the TSP increases, ACO, a heuristic algorithm, is greatly chal enged with respect to accuracy and efficiency. A novel pheromone-trail updating strategy that moderately reduces the iteration time required in real optimization problem-solving is proposed. In comparison with the traditional strategy of the ACO in several experiments, the proposed strategy shows advan-tages in performance. Therefore, this strategy of pheromone-trail updating is proposed as a valuable approach that reduces the time-complexity and increases its efficiency with less iteration time in real optimization applications. Moreover, this strategy is espe-cial y applicable in solving the moderate large-scale TSPs based on ACO.

  1. Parameter estimation of Lorenz chaotic system using a hybrid swarm intelligence algorithm

    Science.gov (United States)

    Lazzús, Juan A.; Rivera, Marco; López-Caraballo, Carlos H.

    2016-03-01

    A novel hybrid swarm intelligence algorithm for chaotic system parameter estimation is present. For this purpose, the parameters estimation on Lorenz systems is formulated as a multidimensional problem, and a hybrid approach based on particle swarm optimization with ant colony optimization (PSO-ACO) is implemented to solve this problem. Firstly, the performance of the proposed PSO-ACO algorithm is tested on a set of three representative benchmark functions, and the impact of the parameter settings on PSO-ACO efficiency is studied. Secondly, the parameter estimation is converted into an optimization problem on a three-dimensional Lorenz system. Numerical simulations on Lorenz model and comparisons with results obtained by other algorithms showed that PSO-ACO is a very powerful tool for parameter estimation with high accuracy and low deviations.

  2. Performance evaluation of ant colony optimization-based solution strategies on the mixed-model assembly line balancing problem

    Science.gov (United States)

    Akpinar, Sener; Mirac Bayhan, G.

    2014-06-01

    The aim of this article is to compare the performances of iterative ant colony optimization (ACO)-based solution strategies on a mixed-model assembly line balancing problem of type II (MMALBP-II) by addressing some particular features of real-world assembly line balancing problems such as parallel workstations and zoning constraints. To solve the problem, where the objective is to minimize the cycle time (i.e. maximize the production rate) for a predefined number of workstations in an existing assembly line, two ACO-based approaches which differ in the mission assigned to artificial ants are used. Furthermore, each ACO-based approach is conducted with two different pheromone release strategies: global and local pheromone updating rules. The four ACO-based approaches are used for solving 20 representative MMALBP-II to compare their performance in terms of computational time and solution quality. Detailed comparison results are presented.

  3. Accountable care organizations: back to the future?

    Science.gov (United States)

    Burns, Lawton R; Pauly, Mark V

    2012-01-01

    Accountable Care Organizations (ACOs) are networks of providers that assume risk for the quality and total cost of the care they deliver. Public policymakers and private insurers hope that ACOs will achieve the elusive "triple aim" of improving quality of care, improving population health, and reducing costs. The model is still evolving, but the premise is that ACOs will accomplish these aims by coordinating care, managing chronic disease, and aligning financial incentives for hospitals and physicians. If this sounds familiar, it may be because the integrated care networks of the 1990s tried some of the same things, and mostly failed in their attempts. This Issue Brief summarizes the similarities and differences between the new ACOs and the integrated delivery networks of the 1990s, and presents the authors' analysis of the likely success of these new organizations in affecting the costs and quality of health care. PMID:23610793

  4. Sustainable competitive advantage for accountable care organizations.

    Science.gov (United States)

    Macfarlane, Michael Alex

    2014-01-01

    In the current period of health industry reform, accountable care organizations (ACOs) have emerged as a new model for the delivery of high-quality and cost-effective healthcare. However, few ACOs operate in direct competition with one another, and the accountable care business model has yet to present a means of continually developing new marginal value for patients and network partners. With value-based purchasing and patient consumerism strengthening as market forces, ACOs must build organizational sustainability and competitive advantage to meet the value demands set by customers and competitors. This essay proposes a strategy, adapted from the disciplines of agile software development and Lean product development, through which ACOs can engage internal and external customers in the development of new products that will provide sustainability and competitive advantage to the organization by decreasing waste in development, promoting specialized knowledge, and closely targeting customer value. PMID:25154124

  5. How to Stop Biting Your Nails

    Medline Plus

    Full Text Available ... a derm practice EHR & meaningful use ACOs & medical homes Teledermatology Compliance Medicare fee schedule MACRA resource center ... plans and activities Video library Find a dermatologist Home Public and patients Skin, hair, and nail care ...

  6. Bug bites and stings: When to see a dermatologist

    Medline Plus

    Full Text Available ... a derm practice EHR & meaningful use ACOs & medical homes Teledermatology Compliance Medicare fee schedule MACRA resource center ... plans and activities Video library Find a dermatologist Home Public and patients Skin, hair, and nail care ...

  7. Optimatization of transient transformation methods to study gene expression in Musa acuminata (AAA group) cultivar Ambon Lumut

    Science.gov (United States)

    Prayuni, Kinasih; Dwivany, Fenny M.

    2015-09-01

    Banana is classified as a climateric fruit, whose ripening is regulated by ethylene. Ethylene is synthesized from ACC (1-aminocyclopropane-1-carboxylic acid) by ACC oxidase enzyme which is encoded by ACO gene. Controling an important gene expression in ethylene biosynthesis pathway has became a target to delay the ripening process. Therefore in the previous study we have designed a MaACO-RNAi construct to control MaACO gene expression. In this research, we study the effectiveness of different transient transformation methods to deliver the construct. Direct injection, with or no vaccum infiltration methods were used to deliver MaACO-RNAi construct. All of the methods succesfully deliver the construct into banana fruits based on RT-PCR result.

  8. Deep ocean current profiles, water temperatures, and echo amplitudes from bottom-moored ADCP during 2011-2013 of the Aloha Cabled Observatory (NODC Accession 0123608)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The ALOHA Cabled Observatory (ACO) is a system of hardware and software that extends electric power and the Internet offshore, supporting sustained real-time...

  9. Deep ocean CTD data 2011-2013 from the Aloha Cabled Observatory (NODC Accession 0123115)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The ALOHA Cabled Observatory (ACO) is a system of hardware and software that extends electric power and the Internet offshore, supporting sustained real-time...

  10. How to Stop Biting Your Nails

    Medline Plus

    Full Text Available ... EHR & meaningful use ACOs & medical homes Teledermatology Compliance Medicare fee schedule MACRA resource center PQRS reporting 2016 ... Indoor tanning Network adequacy Impacted states Private payer Medicare physician payment MACRA implementation Alternative payment models Fee ...

  11. Bug bites and stings: When to see a dermatologist

    Medline Plus

    Full Text Available ... EHR & meaningful use ACOs & medical homes Teledermatology Compliance Medicare fee schedule MACRA resource center PQRS reporting 2016 ... Indoor tanning Network adequacy Impacted states Private payer Medicare physician payment MACRA implementation Alternative payment models Fee ...

  12. An Ant Colony Optimization Algorithm for Microwave Corrugated Filters Design

    Directory of Open Access Journals (Sweden)

    Ivan A. Mantilla-Gaviria

    2013-01-01

    Full Text Available A practical and useful application of the Ant Colony Optimization (ACO method for microwave corrugated filter design is shown. The classical, general purpose ACO method is adapted to deal with the microwave filter design problem. The design strategy used in this paper is an iterative procedure based on the use of an optimization method along with an electromagnetic simulator. The designs of high-pass and band-pass microwave rectangular waveguide filters working in the C-band and X-band, respectively, for communication applications, are shown. The average convergence performance of the ACO method is characterized by means of Monte Carlo simulations and compared with that obtained with the well-known Genetic Algorithm (GA. The overall performance, for the simulations presented herein, of the ACO is found to be better than that of the GA.

  13. Optimum culture medium composition for lipopeptide production by Bacillus subtilis using response surface model-based ant colony optimization

    Indian Academy of Sciences (India)

    J Satya Eswari; M Anand; C Venkateswarlu

    2016-01-01

    Central composite rotatable design (CCRD) of experiments was used to obtain data for Lipopeptide and Biomass concentrations from fermentation medium containing the following five components: glucose,monosodium glutamate, yeast extract,MgSO4·7H2O, and K2HPO4. Data was used to develop a second order regression response surface model (RSM) which was coupled with ant colony optimization (ACO) to optimize the media compositions so as to enhance the productivity of lipopeptide. The optimized media by ACO was found to yield 1.501 g/L of lipopeptide concentration which was much higher compared to 1.387 g/L predicted by Nelder–Mead optimization (NMO). The optimum from ACO was validated experimentally. RSM-based ACO is thus shown to be an effective tool for medium optimization of biosurfactant production.

  14. Sustainable competitive advantage for accountable care organizations.

    Science.gov (United States)

    Macfarlane, Michael Alex

    2014-01-01

    In the current period of health industry reform, accountable care organizations (ACOs) have emerged as a new model for the delivery of high-quality and cost-effective healthcare. However, few ACOs operate in direct competition with one another, and the accountable care business model has yet to present a means of continually developing new marginal value for patients and network partners. With value-based purchasing and patient consumerism strengthening as market forces, ACOs must build organizational sustainability and competitive advantage to meet the value demands set by customers and competitors. This essay proposes a strategy, adapted from the disciplines of agile software development and Lean product development, through which ACOs can engage internal and external customers in the development of new products that will provide sustainability and competitive advantage to the organization by decreasing waste in development, promoting specialized knowledge, and closely targeting customer value.

  15. Utilidad de la determinación de la fracción I de la Troponina cardíaca (cTnI, en el diagnóstico de la muerte súbita de origen cardíaco en autopsias forenses Usefulness of cardiac troponin I (cTnI in the diagnosis of sudden cardiac death in forensic autopsies

    Directory of Open Access Journals (Sweden)

    E. Navarro

    2007-07-01

    Full Text Available Objetives: To evaluate practical usefulness of cardiac Troponin analysis (cTnI in peripheral blood levels, in order to improve diagnosis of sudden cardiac death in routine forensic cases. Comparing these levels with Myoglobin and MB-CK blood levels in the same type of samples. Material and methods: We have studied 97 medico legal autopsies performed in the Pathology Service of the Institute of Legal Medicine (Alicante. In every case we analyzed sample of serum from peripheral blood (femoral, by Microparticle Enzyme Immunoassay (MEIA Axsym system (Abbott Diagnostics. Causes of death were classified into 6 groups according: 1 Death of cardiac origin (n=42; 2 Traumatic deaths (n=19; 3 Death by asphyxia (n=12; 4 Natural deaths of non-cardiac origin (n=8; 5 Miscellaneous group (n=6, and 6 Traumatic death with Thoracic trauma (n=10. Data was analysed by means of SPSS 14.0 statistical software program (SPSS Inc, 2005. Results: cTnI levels were significantly high in cases of sudden cardiac death, but it were also high in the group of thoracic trauma, which could raise diagnosis problems between these groups, as was shown previously in the literature. Conclusions: The determination of cTnI is more efficient than CKMB and Myoglobine in the diagnosis of sudden cardiac death. However, the elevation of mean levels of this marker in cases of severe thoracic traumatism limits its diagnostic usefulness in these situations.

  16. 枇杷胚性培养物ACC氧化酶基因的克隆及序列分析%Cloning and Sequence Analysis of ACC Oxidase Gene from Eriobotrya japonica Embryonic Cultures

    Institute of Scientific and Technical Information of China (English)

    音建华; 赖钟雄; 林玉玲; 李惠华; 李丽秀

    2012-01-01

    Homologous cloning method was used to clone the 1-aminocyclopropane-l -carboxylic acid oxidase (ACO)gene, EjACO-1, Eriobotrya japonica embryonic cultures. The gene, GenBank accession number GQ377219, was of 1 160 bp, encoding 322 amino acids, and highly homologous to other rosaceous plants origins (Malus x domestica, Prunus persica, Pyrus pyrifolia and so on), and was distant from that of monocotyledons (Oryza sativa, Dendrobium and so on) . Moreover, gACO, which encoding EjACO-1 mRNA, was obtained from the genomic DNA. The length of gACO was 1 517 bp, and the accession number was GU180353 in GenBank. The gACO gene contained 3 introns consistent with the GT-AG dogma for eukaryotic introns, with lengths 114,240 and 194 bp, respectively. The cloning of EjACO provides a foundation for further study of ethylene function in Eriobotrya japonica.%以枇杷胚性培养物(Eriobotrya j(a)ponica emnbryonic cultures)为材料,采用同源克隆方法,从其mRNA中分离得到ACC氧化酶(ACO)基因EjA CO-1,在GenBank中登录号为GQ377219.结果表明:EjA CO-1大小为1 160bp,编码322个氨基酸.枇杷EjACO-1与苹果、桃和梨等蔷薇科植物同源性较高,而与水稻、石斛兰等单子叶植物距离较远.此外,从枇杷基因组DNA中分离了转录为EjACO-1 mRNA的基因gACO,大小为1 517 bp,在GenBank中的登录号为GU233743.生物信息学分析显示,gACO基因中含有3个内含子,大小分别为114、240、194 bp,均符合真核生物内含子通用的GT-AG法则.EjACO基因的克隆为以后研究乙烯在枇杷中的功能奠定基础.

  17. Aconitase post-translational modification as a key in linkage between Krebs cycle, iron homeostasis, redox signaling, and metabolism of reactive oxygen species.

    Science.gov (United States)

    Lushchak, Oleh V; Piroddi, Marta; Galli, Francesco; Lushchak, Volodymyr I

    2014-01-01

    Aconitase, an enzyme possessing an iron-sulfur cluster that is sensitive to oxidation, is involved in the regulation of cellular metabolism. There are two isoenzymes of aconitase (Aco)--mitochondrial (mAco) and cytosolic (cAco) ones. The primary role of mAdco is believed to be to control cellular ATP production via regulation of intermediate flux in the Krebs cycle. The cytosolic Aco in its reduced form operates as an enzyme, whereas in the oxidized form it is involved in the control of iron homeostasis as iron regulatory protein 1 (IRP1). Reactive oxygen species (ROS) play a central role in regulation of Aco functions. Catalytic Aco activity is regulated by reversible oxidation of [4Fe-4S]²⁺ cluster and cysteine residues, so redox-dependent posttranslational modifications (PTMs) have gained increasing consideration as regards possible regulatory effects. These include modifications of cysteine residues by oxidation, nitrosylation and thiolation, as well as Tyr nitration and oxidation of Lys residues to carbonyls. Redox-independent PTMs such as phosphorylation and transamination also have been described. In the presence of a sustained ROS flux, redox-dependent PTMs may lead to enzyme damage and cell stress by impaired energy and iron metabolism. Aconitase has been identified as a protein that undergoes oxidative modification and inactivation in aging and certain oxidative stress-related disorders. Here we describe possible mechanisms of involvement of the two aconitase isoforms, cAco and mAco, in the control of cell metabolism and iron homeostasis, balancing the regulatory, and damaging effects of ROS.

  18. Phenotype of asthma-chronic obstructive pulmonary disease overlap syndrome

    OpenAIRE

    Rhee, Chin Kook

    2015-01-01

    Many patients with asthma or chronic obstructive pulmonary disease (COPD) have overlapping characteristics of both diseases. By spirometric definition, patients with both fixed airflow obstruction (AO) and bronchodilator reversibility or fixed AO and bronchial hyperresponsiveness can be considered to have asthma-COPD overlap syndrome (ACOS). However, patients regarded to have ACOS by spirometric criteria alone are heterogeneous and can be classified by phenotype. Eosinophilic inflammation, a ...

  19. A swarm intelligence framework for reconstructing gene networks: searching for biologically plausible architectures

    OpenAIRE

    Poole, Matthew; Kentzoglanakis, Kyriakos

    2011-01-01

    In this paper, we investigate the problem of reverse engineering the topology of gene regulatory networks from temporal gene expression data. We adopt a computational intelligence approach comprising swarm intelligence techniques, namely particle swarm optimization (PSO) and ant colony optimization (ACO). In addition, the recurrent neural network (RNN) formalism is employed for modelling the dynamical behaviour of gene regulatory systems. More specifically, ACO is used for searching the discre...

  20. Kinetics and mechanism of synthetic CoS oxidation process

    Directory of Open Access Journals (Sweden)

    Štrbac N.

    2006-01-01

    Full Text Available The results of investigation of kinetics and mechanism for synthetic a-CoS oxidation process are presented in this paper. Based on experimental data obtained using DTA and XRD analysis and constructed PSD diagrams for Co-S-O system, mechanism of synthetic a-CoS oxidation process is suggested. Characteristic kinetic parameters were obtained for experimental isothermal investigations of desulfurization degree using Sharp method.

  1. Trail-Using Ant Behavior Based Energy-Efficient Routing Protocol in Wireless Sensor Networks

    OpenAIRE

    Soon-gyo Jung; Byungseok Kang; Sanggil Yeoum; Hyunseung Choo

    2016-01-01

    Swarm Intelligence (SI) observes the collective behavior of social insects and other animal societies. Ant Colony Optimization (ACO) algorithm is one of the popular algorithms in SI. In the last decade, several routing protocols based on ACO algorithm have been developed for Wireless Sensor Networks (WSNs). Such routing protocols are very flexible in distributed system but generate a lot of additional traffic and thus increase communication overhead. This paper proposes a new routing protocol...

  2. Accountable Care Organizations in the Era of Healthcare Reform

    OpenAIRE

    2010-01-01

    Under the Patient Protection and Affordable Care Act (PPACA) of 2010, Medicare providers, including physician groups and hospitals, will soon have the option to form accountable care organizations (ACOs) to improve quality and efficiency. ACO participants may share financial gains generated from improved clinical and economic performance, provided that quality goals and patient safeguards are met. Through future regulations, the Centers for Medicare & Medicaid Services (CMS) must implement th...

  3. Data Mining using Advanced Ant Colony Optimization Algorithm and Application to Bankruptcy Prediction

    OpenAIRE

    Vishal Arora; Vadlamani Ravi

    2013-01-01

    Ant Colony Optimization (ACO) is gaining popularity as data mining technique in the domain of Swarm Intelligence for its simple, accurate and comprehensive nature of classification. In this paper the authors propose a novel advanced version of the original ant colony based miner (Ant-Miner) in order to extract classification rules from data. They call this Advanced ACO-Miner (ADACOM). The main goal of ADACOM is to explore the flexibility of using a different knowledge extraction heuristic app...

  4. An agent-based simulation model to study accountable care organizations.

    Science.gov (United States)

    Liu, Pai; Wu, Shinyi

    2016-03-01

    Creating accountable care organizations (ACOs) has been widely discussed as a strategy to control rapidly rising healthcare costs and improve quality of care; however, building an effective ACO is a complex process involving multiple stakeholders (payers, providers, patients) with their own interests. Also, implementation of an ACO is costly in terms of time and money. Immature design could cause safety hazards. Therefore, there is a need for analytical model-based decision-support tools that can predict the outcomes of different strategies to facilitate ACO design and implementation. In this study, an agent-based simulation model was developed to study ACOs that considers payers, healthcare providers, and patients as agents under the shared saving payment model of care for congestive heart failure (CHF), one of the most expensive causes of sometimes preventable hospitalizations. The agent-based simulation model has identified the critical determinants for the payment model design that can motivate provider behavior changes to achieve maximum financial and quality outcomes of an ACO. The results show nonlinear provider behavior change patterns corresponding to changes in payment model designs. The outcomes vary by providers with different quality or financial priorities, and are most sensitive to the cost-effectiveness of CHF interventions that an ACO implements. This study demonstrates an increasingly important method to construct a healthcare system analytics model that can help inform health policy and healthcare management decisions. The study also points out that the likely success of an ACO is interdependent with payment model design, provider characteristics, and cost and effectiveness of healthcare interventions. PMID:24715674

  5. A Survey Paper on Solving TSP using Ant Colony Optimization on GPU

    OpenAIRE

    Khushbu khatri; Vinit Kumar Gupta

    2014-01-01

    Ant Colony Optimization (ACO) is meta-heuristic algorithm inspired from nature to solve many combinatorial optimization problem such as Travelling Salesman Problem (TSP). There are many versions of ACO used to solve TSP like, Ant System, Elitist Ant System, Max-Min Ant System, Rank based Ant System algorithm. For improved performance, these methods can be implemented in parallel architecture like GPU, CUDA architecture. Graphics Processing Unit (GPU) provides highly parallel and f...

  6. An ant colony optimization algorithm for job shop scheduling problem

    OpenAIRE

    Edson Flórez; Wilfredo Gómez; MSc. Lola Bautista

    2013-01-01

    The nature has inspired several metaheuristics, outstanding among these is Ant Colony Optimization (ACO), which have proved to be very effective and efficient in problems of high complexity (NP-hard) in combinatorial optimization. This paper describes the implementation of an ACO model algorithm known as Elitist Ant System (EAS), applied to a combinatorial optimization problem called Job Shop Scheduling Problem (JSSP). We propose a method that seeks to reduce delays designating th...

  7. Continuous function optimization using hybrid ant colony approach with orthogonal design scheme

    OpenAIRE

    Zhang, J.; Chen, W.; Zhong, J.; Tan, X.; Li, Y.

    2006-01-01

    A hybrid Orthogonal Scheme Ant Colony Optimization (OSACO) algorithm for continuous function optimization (CFO) is presented in this paper. The methodology integrates the advantages of Ant Colony Optimization (ACO) and Orthogonal Design Scheme (ODS). OSACO is based on the following principles: a) each independent variable space (IVS) of CFO is dispersed into a number of random and movable nodes; b) the carriers of pheromone of ACO are shifted to the nodes; c) solution path can be obtained by ...

  8. Using supercluster geometry as a cosmological probe