WorldWideScience

Sample records for brazil treatment heterogeneity

  1. Trypanosoma cruzi maxicircle heterogeneity in Chagas disease patients from Brazil.

    Science.gov (United States)

    Carranza, Julio César; Valadares, Helder M S; D'Avila, Daniella A; Baptista, Rodrigo P; Moreno, Margoth; Galvão, Lúcia M C; Chiari, Egler; Sturm, Nancy R; Gontijo, Eliane D; Macedo, Andrea M; Zingales, Bianca

    2009-07-15

    The majority of individuals in the chronic phase of Chagas disease are asymptomatic (indeterminate form, IF). Each year, approximately 3% of them develop lesions in the heart or gastrointestinal tract. Cardiomyopathy (CCHD) is the most severe manifestation of Chagas disease. The factors that determine the outcome of the infection are unknown, but certainly depend on complex interactions amongst the genetic make-up of the parasite, the host immunogenetic background and environment. In a previous study we verified that the maxicircle gene NADH dehydrogenase (mitochondrial complex I) subunit 7 (ND7) from IF isolates had a 455 bp deletion compared with the wild type (WT) ND7 gene from CCHD strains. We proposed that ND7 could constitute a valuable target for PCR assays in the differential diagnosis of the infective strain. In the present study we evaluated this hypothesis by examination of ND7 structure in parasites from 75 patients with defined pathologies, from Southeast Brazil. We also analysed the structure of additional mitochondrial genes (ND4/CR4, COIII and COII) since the maxicircle is used for clustering Trypanosoma cruzi strains into three clades/haplogroups. We conclude that maxicircle genes do not discriminate parasite populations which induce IF or CCHD forms. Interestingly, the great majority of the analysed isolates belong to T. cruzi II (discrete typing unit, (DTU) IIb) genotype. This scenario is at variance with the prevalence of hybrid (DTU IId) human isolates in Bolivia, Chile and Argentina. The distribution of WT and deleted ND7 and ND4 genes in T. cruzi strains suggests that mutations in the two genes occurred in different ancestrals in the T. cruzi II cluster, allowing the identification of at least three mitochondrial sub-lineages within this group. The observation that T. cruzi strains accumulate mutations in several genes coding for complex I subunits favours the hypothesis that complex I may have a limited activity in this parasite.

  2. Treatment of Organic Pollutants by Heterogeneous Photocatalysis

    Science.gov (United States)

    Feroz, S.; Jesil, A.

    2012-08-01

    An experimental investigation was carried out in the area of heterogeneous catalysis using TiO2 as a catalyst for the removal of the model organic compounds (benzoic acid and phenol) in three different photocatalytic reactors. Natural and artificial UV source of radiation were used and the performance of the reactors were studied in the present investigation. The extent of degradation/removal of the organic compounds was found by varying the initial concentration, flow rate, pipe diameter, TiO2 concentration and exposure time.

  3. Heterogeneity Moderates Treatment Response among Patients with Binge Eating Disorder

    Science.gov (United States)

    Sysko, Robyn; Hildebrandt, Tom; Wilson, G. Terence; Wilfley, Denise E.; Agras, W. Stewart

    2010-01-01

    Objective: The purpose of the study was to explore heterogeneity and differential treatment outcome among a sample of patients with binge eating disorder (BED). Method: A latent class analysis was conducted with 205 treatment-seeking, overweight or obese individuals with BED randomized to interpersonal psychotherapy (IPT), behavioral weight loss…

  4. Heterogeneity Moderates Treatment Response among Patients with Binge Eating Disorder

    Science.gov (United States)

    Sysko, Robyn; Hildebrandt, Tom; Wilson, G. Terence; Wilfley, Denise E.; Agras, W. Stewart

    2010-01-01

    Objective: The purpose of the study was to explore heterogeneity and differential treatment outcome among a sample of patients with binge eating disorder (BED). Method: A latent class analysis was conducted with 205 treatment-seeking, overweight or obese individuals with BED randomized to interpersonal psychotherapy (IPT), behavioral weight loss…

  5. Heterochromatin heterogeneity in Hypostomus prope unae (Steindachner, 1878 (Siluriformes, Loricariidae from Northeastern Brazil

    Directory of Open Access Journals (Sweden)

    Jamille Bitencourt

    2011-11-01

    Full Text Available Cytogenetic analyses using C-banding and chromosomal digestion by several restriction enzymes were carried out in four populations (named A, B, C and D of Hypostomus prope unae (Loricariidae, Hypostominae from Contas river basin, northeastern Brazil. These populations share 2n=76 and single NORs on the second metacentric pair but exclusive karyotype forms for each locality. Populations A and B presented conspicuous terminal and interstitial heterochromatic blocks on most of acrocentric chromosomes and equivalent to NORs with differences in both position and bearing pair. Population D showed evident marks at interstitial regions and interspersed with nucleolar region while population C presented interstitial and terminal heterochromatin segments, non-coincident with NORs. The banding pattern after digestion with the endonucleases Alu I, Bam HI, Hae III and Dde I revealed a remarkable heterogeneity within heterochromatin, allowing the identification of distinctive clusters of repeated DNA in the studied populations, besides specific patterns along euchromatic regions. The analysis using restriction enzymes has proved to be highly informative, characterizing population differences and peculiarities in the genome organization of H. prope unae.

  6. Trichophyton tonsurans strains from Brazil: phenotypic heterogeneity, genetic homology, and detection of virulence genes.

    Science.gov (United States)

    Sidrim, José Julio Costa; Rocha, Marcos Fábio Gadelha; Leite, João Jaime Giffoni; Maranhão, Fernanda Cristina de Albuquerque; Lima, Rita Amanda Chaves; Castelo-Branco, Débora de Souza Collares Maia; Bandeira, Tereza de Jesus Pinheiro Gomes; Cordeiro, Rossana de Aguiar; Brilhante, Raimunda Sâmia Nogueira

    2013-11-01

    The objective of this study was to establish the phenotypical and molecular patterns of clinical isolates of Trichophyton tonsurans circulating in the state of Ceará, northeastern Brazil. For this purpose, 25 T. tonsurans strains isolated from independent cases of tinea capitis in children were phenotypically evaluated regarding their macro- and micro-morphological characteristics, vitamin requirements, urease production, and antifungal susceptibility. The molecular characterization was carried out with random amplified polymorphic DNA molecular markers and M13 fingerprinting. The presence of the genes CarbM14, Sub2, CER, URE, ASP, PBL, and LAC, which encode enzymes related to fungal virulence, was also evaluated. Finally, melanin production was assessed through specific staining. The data obtained demonstrated that these T. tonsurans strains have considerable phenotypical variation, although they showed a low degree of genetic polymorphism according to the markers used. The genes CarbM14, Sub2, CER, and URE were detected in all the analyzed strains. The gene LAC was also identified in all the strains, and melanin synthesis was phenotypically confirmed. The strains were susceptible to antifungals, especially itraconazole (GM = 0.06 μg/mL) and ketoconazole (GM = 0.24 μg/mL). Therefore, T. tonsurans strains can present great phenotypical heterogeneity, even in genetically similar isolates. Moreover, the presence of the LAC gene indicates the possible participation of melanin in the pathogenesis of these dermatophytes.

  7. Heterogeneity in earnings quality between different classes of companies after IFRS adoption: evidence from Brazil

    Directory of Open Access Journals (Sweden)

    Roberto Black

    Full Text Available ABSTRACT This paper aims to investigate the existence of heterogeneity in earnings quality between different classes of companies after the adoption of the International Financial Reporting Standards (IFRS. IFRS adoption is generally associated with an increase in the quality of financial statements. However, companies within the same country are likely to have different economic incentives regarding the disclosure of information. Thus, treating companies equally, without considering the related economic incentives, could contaminate earnings quality investigations. The case of Brazil is analyzed, which is a country classified as code-law, in which tax laws determined accounting practice and in which IFRS adoption is mandatory. First, Brazilian companies listed on the São Paulo Stock, Commodities, and Futures Exchange (BM&FBOVESPA were separated into two classes: companies issuing American Depositary Receipts (ADRs before IFRS adoption and companies that did not issue ADRs until the adoption of IFRS. Then, this second class of companies was grouped, using cluster analysis, into two different subclasses according to economic incentives. Based on the groups identified, the quality of accounting earnings is tested for each class of the companies before and after IFRS adoption. This paper uses timely recognition of economic events, value relevance of net income, and earnings management as proxies for the quality of accounting earnings. The results indicate that a particular class of companies began showing conditional conservatism, value relevance of net income, and lower earnings management after IFRS adoption. On the other hand, these results were not found for the two other classes of companies.

  8. An Overview of Autism Spectrum Disorder, Heterogeneity and Treatment Options.

    Science.gov (United States)

    Masi, Anne; DeMayo, Marilena M; Glozier, Nicholas; Guastella, Adam J

    2017-04-01

    Since the documented observations of Kanner in 1943, there has been great debate about the diagnoses, the sub-types, and the diagnostic threshold that relates to what is now known as autism spectrum disorder (ASD). Reflecting this complicated history, there has been continual refinement from DSM-III with 'Infantile Autism' to the current DSM-V diagnosis. The disorder is now widely accepted as a complex, pervasive, heterogeneous condition with multiple etiologies, sub-types, and developmental trajectories. Diagnosis remains based on observation of atypical behaviors, with criteria of persistent deficits in social communication and restricted and repetitive patterns of behavior. This review provides a broad overview of the history, prevalence, etiology, clinical presentation, and heterogeneity of ASD. Factors contributing to heterogeneity, including genetic variability, comorbidity, and gender are reviewed. We then explore current evidence-based pharmacological and behavioral treatments for ASD and highlight the complexities of conducting clinical trials that evaluate therapeutic efficacy in ASD populations. Finally, we discuss the potential of a new wave of research examining objective biomarkers to facilitate the evaluation of sub-typing, diagnosis, and treatment response in ASD.

  9. Heterogeneous Photocatalysis: Fundamentals and Application for Treatment of Polluted Air

    Directory of Open Access Journals (Sweden)

    Tomašić, V.

    2011-07-01

    the photocatalytic degradation of organic compounds is generally more efficient in the gas phase than in the liquid phase, and the fact that the treatment cost may be significantly lower than that of the water phase photocatalytic treatment, the scientific interest has shifted towards the application of photocatalysis for air treatment. This paper describes the basics of heterogeneous photocatalysis, mainly on TiO2 and the application of photocatalytic processes for air treatment purposes. Review of more interesting practical application of heterogeneous photocatalysis for the treatment of polluted air is presented. Special efforts are made to describe the technical aspects of the photocatalytic processes and to characterize different photocatalytic reactors in use for air treatment.

  10. Cost of the treatment of myelodisplastic syndrome in Brazil

    Directory of Open Access Journals (Sweden)

    Otávio Clark

    2011-02-01

    Full Text Available INTRODUCTION: Myelodysplastic syndrome is an incurable and rare hematological disease that affects the production of blood cells. One aim of treatment is to maintain the blood-cell count to near-normal levels. This is mainly achieved with hematopoietic- growth factors and transfusions. Our objective was to determine the cost of supportive treatment/care for patients with low and intermediate I risk myelodysplastic syndrome in respect to private healthcare plans in Brazil. METHOD: We adapted the National Comprehensive Cancer Network treatment guidelines for intermediate risk myelodysplastic syndrome patients to the Brazilian reality, adopting a decision tree to explore treatment combinations. Then, we calculated the costs for each branch of the tree, according to national prices. We also estimated total costs for a cohort of 100 patients, distributed across treatment combinations according to the expected epidemiology. We assumed a horizon of one year of treatment. RESULTS: The mean cost of treatment for low and intermediate I risk myelodysplastic syndrome is US$ 42,758/patient/year. This cost can vary from US$ 24,282 to US$ 121,952, according to patient characteristics and the treatment used. Overall, patients that require immunotherapy with antithymocyte globulins are associated with the highest cost. Those that achieve disease stability solely with the use of erythropoietin were associated with the lowest cost. CONCLUSION: In Brazil, treatment of low and intermediate I risk myelodysplastic syndrome is associated with a mean cost of the order of US$ 42,700/patient/year. New types of therapy have the potential to change this scenario if they can diminish the requirements for supportive care.

  11. Contrasting patterns in the small-scale heterogeneity of human helminth infections in urban and rural environments in Brazil.

    Science.gov (United States)

    Brooker, Simon; Alexander, Neal; Geiger, Stefan; Moyeed, Rana A; Stander, Julian; Fleming, Fiona; Hotez, Peter J; Correa-Oliveira, Rodrigo; Bethony, Jeffrey

    2006-09-01

    Marked heterogeneity exists in the patterns of parasitic infection between individuals, households and communities. Analysis of parasite distributions within populations is complicated by the fact that parasite distributions are highly aggregated and few studies have explicitly incorporated this distribution when investigating small-scale spatial heterogeneities. This study aimed to quantify the small-scale (within- and between-household) heterogeneity of helminth infection in an area of Minas Gerais State, Brazil, with rural and urban sectors. Parasitological data from a cross-sectional survey of 1,249 individuals aged 0-86 years from 242 households were analysed. Within-household clustering of infection was assessed using random effect logistic regression models and between-household spatial heterogeneity was assessed using a Bayesian negative binomial spatial model. The overall prevalence of hookworm (Necator americanus) was 66.9%, the prevalence of Schistosoma mansoni was 44.9% and the prevalence of Ascaris lumbricoides was 48.8%. Statistical analysis indicated significant (within) household and (between household) spatial clustering of hookworm in both rural and urban areas and of S. mansoni in rural areas. There was no evidence of either household or spatial clustering of S. mansoni in urban areas. The spatial correlation of S. mansoni was estimated to reduce by half over a distance of 700 m in the rural area. Rural hookworm had a much smaller half-distance (28 m) and urban hookworm showed an even smaller half-distance (12 m). We suggest that such species-specific differences in patterns of infection by environment are primarily due to variation in exposure and parasite life cycle, although host genetic factors cannot be ruled out.

  12. Retinopathy of prematurity screening and treatment cost in Brazil.

    Science.gov (United States)

    Zin, Andrea A; Magluta, Cynthia; Pinto, Márcia F T; Entringer, Aline P; Mendes-Gomes, Maria A; Moreira, Maria E L; Gilbert, Clare

    2014-07-01

    To assess the additional cost of incorporating the detection and treatment of retinopathy of prematurity (ROP) into neonatal care services of Brazil's Unified Health System (SUS). A deterministic decision-tree simulation model was built to estimate the direct costs of screening for and treating ROP in neonatal intensive-care units (NICUs), based on data for 869 preterm infants with birth weight less than 1 500 g examined in six governmental NICUs in the capital city of Rio de Janeiro, where coverage was 52% and 8% of infants were treated. All of the parameters from this study were extrapolated to Brazilian newborn estimates in 2010. Costs of screening and treatment were estimated considering staff, equipment and maintenance, and training based on published data and expert opinion. A budget impact analysis was performed considering the population of preterm newborns, screening coverage, and the incidence of treatable ROP. One- and two-way sensitivity analyses were performed. In Rio de Janeiro, unit costs per newborn were US$ 18 for each examination, US$ 398 per treatment, and US$ 29 for training. The estimated cost of ROP diagnosis and treatment for all at-risk infants NICUs was US$ 80 per infant. The additional cost to the SUS for one year would be US$ 556 640 for a ROP program with 52% coverage, increasing to US$ 856 320 for 80% coverage, and US$ 1.07 million or 100% coverage. The results of this study indicate that providing ROP care is affordable within the framework of the SUS in Brazil, and might be feasible elsewhere in Latin America, considering the evidence of the effectiveness of ROP treatment and the social benefits achieved.

  13. Hemophilia A in Brazil – epidemiology and treatment developments

    Directory of Open Access Journals (Sweden)

    Ferreira AA

    2014-09-01

    Full Text Available Adriana Aparecida Ferreira,1 Isabel Cristina Gonçalves Leite,2 Maria Teresa Bustamante-Teixeira,2 Maximiliano Ribeiro Guerra2 1Foundation and Center for Hematology and Hemotherapy of Minas Gerais (Hemominas, 2Department of Collective Health, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, BrazilAbstract: Hemophilia A is an inherited disorder characterized by deficiency of coagulation factor VIII, which predisposes patients to bleeding events. Treatment is based on replacement of the deficient factor, in a therapeutic or prophylactic manner. Brazil is the country with the third largest population of people with hemophilia, for which the public health system provides free comprehensive care. Maintaining an updated registry of patients, documenting the prevalence of complications, and assessing the effectiveness of resource use are indispensable elements in the design of a well-coordinated national program. According to sociodemographic, clinical, and laboratory data collected by the computerized Brazilian system on coagulopathies, in June 2013, there were 9,122 registered patients with hemophilia A in Brazil, of which 36.1% had a severe form of the disease. Clotting factor inhibitors were present in 7.5%, but 25.7% of records did not provide this type of data. Around 70% of the patients belonged to the economically active population, being between 15 and 59 years old. Infection by the human immunodeficiency virus was present in 23.4% of the patients tested and infection by hepatitis C virus antibodies in 59.3%. Infection by the hepatitis B virus and human T-lymphotropic virus was also reported. The high percentage of incomplete records regarding serological data shows the fragility of the information system to date. There was also no information available on the prevalence of permanent or disabling joint damage. Although few hemophiliacs receive adequate care in developing countries, and despite Brazil exhibiting great social

  14. Genetic heterogeneity in Alzheimer disease and implications for treatment strategies.

    Science.gov (United States)

    Ringman, John M; Goate, Alison; Masters, Colin L; Cairns, Nigel J; Danek, Adrian; Graff-Radford, Neill; Ghetti, Bernardino; Morris, John C

    2014-11-01

    Since the original publication describing the illness in 1907, the genetic understanding of Alzheimer's disease (AD) has advanced such that it is now clear that it is a genetically heterogeneous condition, the subtypes of which may not uniformly respond to a given intervention. It is therefore critical to characterize the clinical and preclinical stages of AD subtypes, including the rare autosomal dominant forms caused by known mutations in the PSEN1, APP, and PSEN2 genes that are being studied in the Dominantly Inherited Alzheimer Network study and its associated secondary prevention trial. Similar efforts are occurring in an extended Colombian family with a PSEN1 mutation, in APOE ε4 homozygotes, and in Down syndrome. Despite commonalities in the mechanisms producing the AD phenotype, there are also differences that reflect specific genetic origins. Treatment modalities should be chosen and trials designed with these differences in mind. Ideally, the varying pathological cascades involved in the different subtypes of AD should be defined so that both areas of overlap and of distinct differences can be taken into account. At the very least, clinical trials should determine the influence of known genetic factors in post hoc analyses.

  15. Treatment heterogeneity in asthma: genetics of response to leukotriene modifiers.

    Science.gov (United States)

    Lima, John J

    2007-01-01

    Despite advances in treatment, asthma continues to be a significant health and economic burden. Although asthma cannot be cured, several drugs, including beta2 agonists, corticosteroids, and leukotriene (LT) modifiers, are well tolerated and effective in minimizing symptoms, improving lung function, and preventing exacerbations. However, inter-patient variability in response to asthma drugs limits their effectiveness. It has been estimated that 60-80% of this inter-patient variability may be attributable to genetic variation. LT modifiers, in particular, have been associated with heterogeneity in response. These drugs exert their action by inhibiting the activity of cysteinyl leukotrienes (CysLTs), which are potent bronchoconstrictors and pro-inflammatory agents. Two classes of LT modifiers are 5-lipoxygenase (ALOX5) inhibitors (zileuton) and leukotriene receptor antagonists (LTRAs) [montelukast, pranlukast, and zarfirlukast]. LT modifiers can be used as alternatives to low-dose inhaled corticosteroids (ICS) in mild persistent asthma, as add-on therapy to low- to medium-dose ICS in moderate persistent asthma, and as add-on to high-dose ICS and a long-acting ss2 agonist in severe persistent asthma. At least six genes encode key proteins in the LT pathway: arachidonate 5-lipoxygenase (ALOX5), ALOX5 activating protein (ALOX5AP [FLAP]), leukotriene A4 hydrolase (LTA4H), LTC4 synthase (LTC4S), the ATP-binding cassette family member ABCC1 (multidrug resistance protein 1 [MRP1]), and cysteinyl leukotriene receptor 1 (CYSLTR1). Studies have reported that genetic variation in ALOX5, LTA4H, LTC4S, and ABCC1 influences response to LT modifiers. Plasma concentrations of LTRAs vary considerably among patients. Physio-chemical characteristics make it likely that membrane efflux and uptake transporters mediate the absorption of LTRAs into the systemic circulation following oral administration. Genes that encode efflux and uptake transport proteins harbor many variants that could

  16. Estimated costs of treatment of benign prostate hyperplasia in Brazil

    Directory of Open Access Journals (Sweden)

    Haylton J. Suaid

    2003-06-01

    Full Text Available INTRODUCTION: The treatment of benign prostate hyperplasia (BPH presents 2 options: medical or surgical, and there are doubts about what is the best treatment since 80% of patients who undergo surgery become asymptomatic and 10 to 40% of those under medical regimen undergo surgery within a 5 years period. It is difficult to assess the actual costs of treating BPH in Brazil due to several factors, among them regional particularities and the scarcity of current statistical data. PATIENTS AND METHODS: Recently, in the Ribeirão Preto area, São Paulo, Brazil, the IPSS (International Prostatic Symptoms Score and quality of life were verified in 934 volunteers. It was determined the percentage of individuals with ages ranging from 40 to 79 years with moderate symptoms (score 8-19 and with severe symptoms (score 20-35, values for which are indicated medical and surgical treatment, respectively, according to the Brazilian Society of Urology consensus on BPH. Data on Brazilian population in that age range were obtained from the Brazilian Institute of Geography and Statistics referent to the year of 2000. It was determined the number of patients, according to the criteria above, subjected to either one of the treatments mentioned. Surgical costs of prostate transurethral resection were researched according to Unified Health System - SUS tables (US$ 173 and of Brazilian Medical Society - AMB with a mean cost in 3 hospitals of US$ 933. Drug costs were calculated by the annual mean price (US$ 355 of 4 alpha-blockers (tamsulosin, alfuzosin, doxazosin and terazosin. RESULTS: The estimated population for medical treatment was 5,397,321 individuals, with a cost corresponding to US$ 1,916,489,055.00. The estimated population for surgical treatment was 2,040,299 men, what would represent a cost of US$ 353,291,204.00 based on the SUS table and of US$ 1,904,279,066.00 based on AMB with hospital expenses included. CONCLUSION: All theses facts induce us to predict

  17. Treatment of Alzheimer's disease in Brazil: I. Cognitive disorders

    Directory of Open Access Journals (Sweden)

    Francisco de Assis Carvalho do Vale

    Full Text Available Abstract This article reports the recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology for the treatment of Alzheimer's disease (AD in Brazil, with special focus on cognitive disorders. It constitutes a revision and broadening of the 2005 guidelines based on a consensus involving researchers (physicians and non-physicians in the field. The authors carried out a search of articles published since 2005 on the MEDLINE, LILACS and Cochrane Library databases. The search criteria were pharmacological and non-pharmacological treatment of cognitive disorders in AD. Studies retrieved were categorized into four classes, and evidence into four levels, based on the 2008 recommendations of the American Academy of Neurology. The recommendations on therapy are pertinent to the dementia phase of AD. Recommendations are proposed for the treatment of cognitive disorders encompassing both pharmacological (including acetyl-cholinesterase inhibitors, memantine and other drugs and substances and non-pharmacological (including cognitive rehabilitation, physical activity, occupational therapy, and music therapy approaches. Recommendations for the treatment of behavioral and psychological symptoms of dementia due to Alzheimer's disease are included in a separate article of this edition.

  18. Lung cancer in Brazil: epidemiology and treatment challenges

    Directory of Open Access Journals (Sweden)

    de Sá VK

    2016-11-01

    Full Text Available Vanessa Karen de Sá,1,2 Juliano C Coelho,3 Vera Luiza Capelozzi,1 Sergio Jobim de Azevedo3 1Department of Pathology, Faculty of Medicine, University of São Paulo, 2Department of Genomics and Molecular Biology, International Research Center, A.C. Camargo Cancer Center, São Paulo, 3Department of Oncology, Clinical Research – UPCO, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil Abstract: Lung cancer persists throughout the world as a major cause of death. In 2014, data from the Brazilian National Cancer Institute (INCA estimated 16.400 new cases of lung cancer among men (second most common and 10.930 new cases among women (fourth most common. These data are consistent for all Brazilian regions and reflect the trends of cancer in the country over the last decade. Brazil is a continental country, the largest in Latin America and fifth in the world, with an estimated population of >200 million. Although the discrepancy in the national income between rich and poor has diminished in the last 2 decades, it is still huge. More than 75% of the Brazilian population do not have private health insurance and rely on the national health care system, where differences in standard of cancer care are evident. It is possible to point out differences from the recommendations of international guidelines in every step of the lung cancer care, from the diagnosis to the treatment of advanced disease. This review aims to describe and recognize these differences as a way to offer a real discussion for future modifications and action points toward delivery of better oncology care in our country. Keywords: NSCLC, screening, drivers mutations, diagnosis, Brazilian scenario

  19. Brazil.

    Science.gov (United States)

    1985-09-01

    Brazil's population in 1985 was 135 million, with an annual growth rate (1982) of 2.3%. The infant mortality rate (1981) was 92/1000, and life expectancy stood at 62.8 years. 76% of the adult population was literate. Brazil is a federal republic which recognizes 5 political parties. 55% of the population is Portuguese, Italian, German, Japanese, African, or American Indian; 38% is white. Of the work force of 50 million, 35% are engaged in agriculture, 25% work in industry, and 40% are employed in services. Trade union membership totals 6 million. The agricultural sector accounts for 12% of the GDP and 40% of exports. Brazil is largely self-sufficient in terms of food. The GDP was US$218 billion in 1984, with an annual growth rate of 4%. Per capita GDP was US$1645. Brazil's power, transportation, and communications systems have improved greatly in recent years, providing a base for economic development. High inflation rates have been a persistent problem.

  20. Treatment of Hidden Heterogeneity in Event History Analysis

    OpenAIRE

    1986-01-01

    In this paper we describe some statistical tools for event history analysis when there is unobserved heterogeneity of particular types as well as measured covariates. For expository purposes we also discuss several potential applications of these statistical methods. Actual application of these methods to demographic data remains as a goal for future work.

  1. Geophysical evidence of crustal-heterogeneity control of fault growth in the Neocomian Iguatu basin, NE Brazil

    Science.gov (United States)

    de Castro, David L.; Bezerra, Francisco H. R.; Castelo Branco, Raimundo M. G.

    2008-11-01

    Models of fault growth propose that rift initiation starts with short fault segments. Knowledge of the growth of these segments and their interactions is important to understanding rift geometry and evolution. In the northern part of the Borborema Province, northeastern Brazil, a continental-scale, Cretaceous extensional system of faults has been observed to have reactivated ductile Precambrian shear zones. The faults form small grabens that represent the rift stage of the sedimentary basins. We integrated airborne radiometric and magnetic data with terrestrial gravity survey to investigate the influence of crustal heterogeneity on fault growth and the development of the extensional faults in one of these grabens, the Iguatu basin. Previous studies presented geophysical data, which provide evidence that the Iguatu basin contains a half-graben geometry. In our study, gravity and airborne geophysical data indicate that the basement of the Iguatu basin is part of a heterogeneous structural framework composed of two structural domains, is affected by several ductile shear zones and intruded by a few granite bodies. The gravity modeling reveals that this basin is composed of three right-bend en echelon fault segments. They form a sigmoid system of normal faults that accommodate the strong ˜90° bend of the Precambrian shear zones from E-W to roughly N-S. The growth of these segments led to the generation of two isolated depocenters. The overlapping fault segments link through relay ramps. Release faults that are nearly perpendicular or oblique to the three main fault segments form marginal strike ramps and horst structures in both depocenters. 3D-gravity modeling incorporates the presence of interfering sources of a heterogeneous structural framework. The modeling reveals a maximum sedimentary cover 1620 m thick, which occurs at the bend of the reactivated shear zones. The gravity signature of a possible granite body, after removal of the gravity effect of the basin

  2. Lung cancer in Brazil: epidemiology and treatment challenges

    Science.gov (United States)

    de Sá, Vanessa Karen; Coelho, Juliano C; Capelozzi, Vera Luiza; de Azevedo, Sergio Jobim

    2016-01-01

    Lung cancer persists throughout the world as a major cause of death. In 2014, data from the Brazilian National Cancer Institute (INCA) estimated 16.400 new cases of lung cancer among men (second most common) and 10.930 new cases among women (fourth most common). These data are consistent for all Brazilian regions and reflect the trends of cancer in the country over the last decade. Brazil is a continental country, the largest in Latin America and fifth in the world, with an estimated population of >200 million. Although the discrepancy in the national income between rich and poor has diminished in the last 2 decades, it is still huge. More than 75% of the Brazilian population do not have private health insurance and rely on the national health care system, where differences in standard of cancer care are evident. It is possible to point out differences from the recommendations of international guidelines in every step of the lung cancer care, from the diagnosis to the treatment of advanced disease. This review aims to describe and recognize these differences as a way to offer a real discussion for future modifications and action points toward delivery of better oncology care in our country. PMID:28210170

  3. [Habitat heterogeneity, richness and structure of assemblages of dung beetles (Scarabaeidae: Scarabaeinae) in areas of cerrado in the Chapada dos Parecis, Mato Grosso state, Brazil].

    Science.gov (United States)

    Silva, Ricardo J da; Diniz, Soraia; Vaz-de-Mello, Fernando Z

    2010-01-01

    Ecological theory of habitat heterogeneity and limited niche-similarity assumes that more heterogeneous environments provide a greater amount and diversity of resources than simple environments, resulting in a greater diversity of species. This study aimed to evaluate the effect of the habitat heterogeneity on the richness of dung beetles and to examine the spatial patterns of assemblage structure in relation to patterns of habitat heterogeneity. Dung beetles were collected using pitfall traps without bait in 30 points distributed in an area of cerrado sensu lato, in the region of Tangará da Serra, MT, Brazil, including areas of cerrado sensu stricto, campo sujo, cerradão and gallery forest. A total of 1,291 dung beetles were collected, distributed in 16 genera and 29 species. Overall habitat heterogeneity exerted a negative effect on patterns of dung beetles richness. Higher levels of species richness were observed in areas of cerrado campo sujo, while the areas of gallery forest were the most species poor. Regarding assembly structure, it was found that the dung beetles were separated into two major groups, one formed by the presence of specialized species in forest areas and other composed of species that occurred predominantly in cerrado. In conclusion, it was found that habitat complexity influenced the distribution of dung beetles, but the level of turnover in species composition along the heterogeneity gradient was relatively weak.

  4. Solar energy for wastewater treatment: review of international technologies and their applicability in Brazil.

    Science.gov (United States)

    Marcelino, R B P; Queiroz, M T A; Amorim, C C; Leão, M M D; Brites-Nóbrega, F F

    2015-01-01

    Several studies have reported the adverse effects of recalcitrant compounds and emerging contaminants present in industrial effluents, which are not degradable by ordinary biological treatment. Many of these compounds are likely to accumulate in living organisms through the lipid layer. At concentrations above the limits of biological tolerance, these compounds can be harmful to the ecosystem and may even reach humans through food chain biomagnification. In this regard, advanced oxidation processes (AOPs) represent an effective alternative for the removal of the pollutants. This study focused on the AOP involving the use of ultraviolet radiation in homogeneous and heterogeneous systems. Based on the literature review, comparisons between natural and artificial light were established, approaching photoreactors constructive and operational characteristics. We concluded that the high availability of solar power in Brazil would make the implementation of the AOP using natural solar radiation for the decontamination of effluents feasible, thereby contributing to clean production and biodiversity conservation. This will serve as an important tool for the enforcement of environmental responsibility among public and private institutions.

  5. Acceptance and Commitment Therapy for a Heterogeneous Group of Treatment-Resistant Clients: A Treatment Development Study

    Science.gov (United States)

    Clarke, Sue; Kingston, Jessica; Wilson, Kelly G.; Bolderston, Helen; Remington, Bob

    2012-01-01

    Acceptance and commitment therapy (ACT) has been shown to have broad applicability to different diagnostic groups, and there are theoretical reasons to consider its use with clients with chronic mental health problems. We report an innovative treatment development evaluation of ACT for a heterogeneous group of "treatment-resistant clients" (N =…

  6. Acceptance and Commitment Therapy for a Heterogeneous Group of Treatment-Resistant Clients: A Treatment Development Study

    Science.gov (United States)

    Clarke, Sue; Kingston, Jessica; Wilson, Kelly G.; Bolderston, Helen; Remington, Bob

    2012-01-01

    Acceptance and commitment therapy (ACT) has been shown to have broad applicability to different diagnostic groups, and there are theoretical reasons to consider its use with clients with chronic mental health problems. We report an innovative treatment development evaluation of ACT for a heterogeneous group of "treatment-resistant clients" (N =…

  7. Granular filters for water treatment: heterogeneity and diagnostic tools

    DEFF Research Database (Denmark)

    Lopato, Laure Rose

    the last barrier against disinfection resistant protozoan pathogens and this has led to increased regulation of the filtration process. To be able to produce high-quality filtrate in a constant and reliable manner while meeting stricter drinking water guideline values, it is important to be able...... to be able to observe the physical state of the filter. The aim of this PhD study is to contribute to the understanding and optimization of the granular media filtration process. The focus of the work is to develop methodologies and diagnostic tools to analyze the physical state of rapid filters and improve....... Similarly, despite the importance of nitrification in groundwater treatment, the removal of ammonium and the determination of the kinetics of nitrification have been insufficiently researched in full-scale filters. A tool is developed to describe nitrification quantitatively on full-scale filters under real...

  8. Using patient self-reports to study heterogeneity of treatment effects in major depressive disorder

    NARCIS (Netherlands)

    Kessler, R C; van Loo, H. M.; Wardenaar, K J; Bossarte, R M; Brenner, L A; Ebert, D D; de Jonge, P; Nierenberg, A A; Rosellini, A J; Sampson, N A; Schoevers, R A; Wilcox, M A; Zaslavsky, A M

    2016-01-01

    BACKGROUNDS: Clinicians need guidance to address the heterogeneity of treatment responses of patients with major depressive disorder (MDD). While prediction schemes based on symptom clustering and biomarkers have so far not yielded results of sufficient strength to inform clinical decision-making, p

  9. The effect of small intestine heterogeneity on irreversible electroporation treatment planning.

    Science.gov (United States)

    Phillips, Mary

    2014-09-01

    Nonthermal irreversible electroporation (NTIRE) is an ablation modality that utilizes microsecond electric fields to produce nanoscale defects in the cell membrane. This results in selective cell death while preserving all other molecules, including the extracellular matrix. Here, finite element analysis and experimental results are utilized to examine the effect of NTIRE on the small intestine due to concern over collateral damage to this organ during NTIRE treatment of abdominal cancers. During previous studies, the electrical treatment parameters were chosen based on a simplified homogeneous tissue model. The small intestine, however, has very distinct layers, and a more realistic model is needed to further develop this technology for precise clinical applications. This study uses a two-dimensional finite element solution of the Laplace and heat conduction equations to investigate how small intestine heterogeneities affect the electric field and temperature distribution. Experimental results obtained by applying NTIRE to the rat small intestine in vivo support the heterogeneous effect of NTIRE on the tissue. The numerical modeling indicates that the electroporation parameters chosen for this study avoid thermal damage to the tissue. This is supported by histology obtained from the in vivo study, which showed preservation of extracellular structures. The finite element model also indicates that the heterogeneous structure of the small intestine has a significant effect on the electric field and volume of cell ablation during electroporation and could have a large impact on the extent of treatment. The heterogeneous nature of the tissue should be accounted for in clinical treatment planning.

  10. Using patient self-reports to study heterogeneity of treatment effects in major depressive disorder

    Science.gov (United States)

    Kessler, R.C.; van Loo, H.M.; Wardenaar, K.J.; Bossarte, R.M.; Brenner, L.A.; Ebert, D.D; de Jonge, P.; Nierenberg, A.A.; Rosellini, A.J.; Sampson, N.A.; Schoevers, R.A.; Wilcox, M.A.; Zaslavsky, A.M.

    2016-01-01

    Aims Clinicians need guidance to address the heterogeneity of treatment responses of patients with major depressive disorder (MDD). While prediction schemes based on symptom clustering and biomarkers have so far not yielded results of sufficient strength to inform clinical decision-making, prediction schemes based on big data predictive analytic models might be more practically useful. Methods We review evidence suggesting that prediction equations based on symptoms and other easily-assessed clinical features found in previous research to predict MDD treatment outcomes might provide a foundation for developing predictive analytic clinical decision support models that could help clinicians select optimal (personalized) MDD treatments. These methods could also be useful in targeting patient subsamples for more expensive biomarker assessments. Results Approximately two dozen baseline variables obtained from medical records or patient reports have been found repeatedly in MDD treatment trials to predict overall treatment outcomes (i.e., intervention versus control) or differential treatment outcomes (i.e., intervention A versus intervention B). Similar evidence has been found in observational studies of MDD persistence-severity. However, no treatment studies have yet attempted to develop treatment outcome equations using the full set of these predictors. Promising preliminary empirical results coupled with recent developments in statistical methodology suggest that models could be developed to provide useful clinical decision support in personalized treatment selection. These tools could also provide a strong foundation to increase statistical power in focused studies of biomarkers and MDD heterogeneity of treatment response in subsequent controlled trials. Conclusions Coordinated efforts are needed to develop a protocol for systematically collecting information about established predictors of heterogeneity of MDD treatment response in large observational treatment

  11. Effect of thermochemical treatment on the surface morphology and hydrophobicity of heterogeneous ion-exchange membranes

    Science.gov (United States)

    Vasil'eva, V. I.; Pismenskaya, N. D.; Akberova, E. M.; Nebavskaya, K. A.

    2014-08-01

    A comparative analysis is performed on the effect thermochemical treatment in aqueous, alkali, and acid media has on the surface morphology and hydrophobicity of swelling heterogeneous ion-exchanged membranes. A correlation between changes in surface morphology and hydrophobicity is established. It is shown that under prolonged (50 h) membrane thermal treatment above room temperature, hydrophobicity is reduced due to substantial enlargement of cavities and cracks resulting from the partial destruction of inert binder (polyethylene) and reinforcing poly-ɛ-caproamide fabric (capron).

  12. Spiritist psychiatric hospitals in Brazil: integration of conventional psychiatric treatment and spiritual complementary therapy.

    Science.gov (United States)

    Lucchetti, Giancarlo; Aguiar, Paulo Rogério D C; Braghetta, Camilla Casaletti; Vallada, Candido P; Moreira-Almeida, Alexander; Vallada, Homero

    2012-03-01

    In Brazil, during the XX century, dozens of Spiritist psychiatric hospitals emerged seeking to integrate conventional medical treatment with complementary spiritual therapy. This combined inpatient treatment is largely found in Brazil, where many psychiatric hospitals stem from the Spiritist movement. The present report describes the use of these spiritual practices, their operating structure, health professionals involved, modalities of care, and institutional difficulties in integrating spiritual practices with conventional treatment in six leading Brazilian Spiritist psychiatric hospitals. These hospitals combine conventional psychiatric treatment with voluntary-based spiritual approaches such as laying on of hands ("fluidotherapy"), lectures regarding spiritual and ethical issues, intercessory prayer, spirit release therapy ("disobsession") and "fraternal dialogue". The non-indoctrination and optional nature of these spiritual complementary therapies seem to increase acceptance among patients and their family members. In conclusion, the Spiritist psychiatric hospitals in Brazil have, for more than half a century, provided an integrative approach in the treatment of psychiatric disorders, associating conventional and spiritual treatments, more specifically Spiritist therapy. The lack of standardized treatment protocols and scientific studies remain a barrier to assessing the impact of this integrative approach on patients' mental health, quality of life, adherence, and perceived quality of treatment.

  13. Dealing with heterogeneity of treatment effects: is the literature up to the challenge?

    Directory of Open Access Journals (Sweden)

    Elmore Joann G

    2009-06-01

    Full Text Available Abstract Background Some patients will experience more or less benefit from treatment than the averages reported from clinical trials; such variation in therapeutic outcome is termed heterogeneity of treatment effects (HTE. Identifying HTE is necessary to individualize treatment. The degree to which heterogeneity is sought and analyzed correctly in the general medical literature is unknown. We undertook this literature sample to track the use of HTE analyses over time, examine the appropriateness of the statistical methods used, and explore the predictors of such analyses. Methods Articles were selected through a probability sample of randomized controlled trials (RCTs published in Annals of Internal Medicine, BMJ, JAMA, The Lancet, and NEJM during odd numbered months of 1994, 1999, and 2004. RCTs were independently reviewed and coded by two abstractors, with adjudication by a third. Studies were classified as reporting: (1 HTE analysis, utilizing a formal test for heterogeneity or treatment-by-covariate interaction, (2 subgroup analysis only, involving no formal test for heterogeneity or interaction; or (3 neither. Chi-square tests and multiple logistic regression were used to identify variables associated with HTE reporting. Results 319 studies were included. Ninety-two (29% reported HTE analysis; another 88 (28% reported subgroup analysis only, without examining HTE formally. Major covariates examined included individual risk factors associated with prognosis, responsiveness to treatment, or vulnerability to adverse effects of treatment (56%; gender (30%; age (29%; study site or center (29%; and race/ethnicity (7%. Journal of publication and sample size were significant independent predictors of HTE analysis (p Conclusion HTE is frequently ignored or incorrectly analyzed. An iterative process of exploratory analysis followed by confirmatory HTE analysis will generate the data needed to facilitate an individualized approach to evidence

  14. The outcome of tuberculosis treatment in subjects with chronic kidney disease in Brazil: a multinomial analysis

    OpenAIRE

    Barbara Reis-Santos; Teresa Gomes; Bernardo Lessa Horta; Ethel Leonor Noia Maciel

    2013-01-01

    OBJECTIVE: To analyze the association between clinical/epidemiological characteristics and outcomes of tuberculosis treatment in patients with concomitant tuberculosis and chronic kidney disease (CKD) in Brazil. METHODS: We used the Brazilian Ministry of Health National Case Registry Database to identify patients with tuberculosis and CKD, treated between 2007 and 2011. The tuberculosis treatment outcomes were compared with epidemiological and clinical characteristics of the subjects usi...

  15. Factorial experimental design of winery wastewaters treatment by heterogeneous photo-Fenton process.

    Science.gov (United States)

    Mosteo, Rosa; Ormad, Peña; Mozas, Engracia; Sarasa, Judith; Ovelleiro, José Luis

    2006-05-01

    Winery wastewaters are difficult to treat by conventional biological processes because they are seasonal and experience a substantial flow variations. Photocatalytic advanced oxidation is a promising technology for wastewaters containing high amounts of organic matter. In this work, the photo-Fenton process in heterogeneous phase is presented as an alternative methodology for the treatment of winery wastewaters. As a consequence of the great number of existing variables, an experimental design methodology has been used in order to study the influence and interaction of various variables and to obtain a reduced empirical model which describes the organic matter degradation process. Applying photo-Fenton treatment in heterogeneous phase under energetic conditions for synthetic samples simulating winery wastewaters results in purification levels of up to 50% (measured as total organic carbon). Different reduced models are obtained and their utilization depends mainly on the degree of degradation of organic matter required.

  16. Factors associated with low adherence to medicine treatment for chronic diseases in Brazil

    Science.gov (United States)

    Tavares, Noemia Urruth Leão; Bertoldi, Andréa Dâmaso; Mengue, Sotero Serrate; Arrais, Paulo Sergio Dourado; Luiza, Vera Lucia; Oliveira, Maria Auxiliadora; Ramos, Luiz Roberto; Farias, Mareni Rocha; Pizzol, Tatiane da Silva Dal

    2016-01-01

    ABSTRACT OBJECTIVE To analyze factors associated with low adherence to drug treatment for chronic diseases in Brazil. METHODS Analysis of data from Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM - Brazilian Survey on Access, Use and Promotion of Rational Use of Medicines), a population-based cross-sectional household survey, based on a probabilistic sample of the Brazilian population. We analyzed the association between low adherence to drug treatment measured by the Brief Medication Questionnaire and demographic, socioeconomic, health, care and prescription factors. We used Poisson regression model to estimate crude and adjusted prevalence ratios, their respective 95% confidence interval (95%CI) and p-value (Wald test). RESULTS The prevalence of low adherence to drug treatment for chronic diseases was 30.8% (95%CI 28.8-33.0). The highest prevalence of low adherence was associated with individuals: young adults; no education; resident in the Northeast and Midwest Regions of Brazil; paying part of the treatment; poor self-perceived health; three or more diseases; reported limitations caused by a chronic disease; using five drugs or more. CONCLUSIONS Low adherence to drug treatment for chronic diseases in Brazil is relevant, and regional and demographic differences and those related to patients’ health care and therapy regime require coordinated action between health professionals, researchers, managers and policy makers. PMID:27982378

  17. Modified natural zeolite as heterogeneous Fenton catalyst in treatment of recalcitrants in industrial effluent

    Directory of Open Access Journals (Sweden)

    Milton M. Arimi

    2017-04-01

    Full Text Available Industrial effluents with high recalcitrants should undergo post-treatment after biological treatment. The aim of this study was to use cheap and abundantly available natural materials to develop heterogeneous Fenton catalysts for the removal of colored recalcitrants in molasses distillery wastewater (MDW. The pellets of zeolite, which is naturally available in many countries, were modified by pre-treatment with sulphuric acid, nitric acid and hydrochloric acid, before embedding on them the ferrous ions. The effects of pH and temperature on heterogeneous Fenton were studied using the modified catalysts. The sulphuric acid-ferrous modified catalysts showed the highest affectivity which achieved 90% color and 60% TOC (total organic carbon removal at 150 g/L pellet catalyst dosage, 2 g/L H2O2 and 25 °C. The heterogeneous Fenton with the same catalyst caused improvement in the biodegradability of anaerobic effluent from 0.07 to 0.55. The catalyst was also applied to pre-treat the raw MDW and increased it's biodegradability by 4%. The color of the resultant anaerobic effluent was also reduced. The kinetics of total TOC removal was found to depend on operation temperature. It was best described by simultaneous first and second order kinetics model for the initial reaction and second order model for the rest of the reaction.

  18. Concepts of nurses on supervised treatment of tuberculosis in Brazil

    Directory of Open Access Journals (Sweden)

    Roberta Cristina Zago Ferreira

    2015-08-01

    Full Text Available Objective: To analyze the conception of the primary care nurses about the viability of supervised treatment for tuberculosis. Methods: This was an exploratory descriptive study with 11 nurses. The interviews were recorded, transcribed and the data were organized in facilitators and hindering for supervised treatment. The Ethics Committee on Research in Human Beings, opinion No. 112.520, approved the study. Results: The nurses considered the small number of professionals, the lack of community healthcare agents, lack of in-service education and communication problems with the reference center as complicating the viability of supervised treatment and identify that the bond facilitates the adherence to treatment as well as the flexibilization in time of taking the medicine, the care incentives such as basic food, vouchers, milk donation in addition to medication availability. Conclusions: The findings of this study indicate that high demand and diversity of actions on the responsibility of the nurse, associated with reduced number of professionals, hamper the attention to supervised treatment, and suggest adjustments to increase their effectiveness, as more training and space for professionals to exchange experiences, acknowledge the effectiveness of a treatment modality for tuberculosis.

  19. Heterogeneous Photo-Fenton Reaction Catalyzed by Nanosized Iron Oxides for Water Treatment

    Directory of Open Access Journals (Sweden)

    Chuan Wang

    2012-01-01

    Full Text Available Great efforts have been exerted in overcoming the drawbacks of the Fenton reaction for water treatment applications. The drawbacks include pH confinement, handling of iron sludge, slow regeneration of Fe(II, and so forth. This paper highlights the recent developments in the heterogeneous photo-Fenton reaction which utilizes nanosized iron oxides as catalyst for maximizing the activity due to the enhanced physical or chemical properties brought about by the unique structures. This paper also summarizes the fundamentals of the Fenton reaction, which determine the inherent drawbacks and associated advances, to address the advantages of iron oxides and nanosized iron oxides. Tips for applying this method in water treatment are also provided. Given that the environmental effect of nanosized iron oxides is not yet well established, rapid research growth may occur in the near future to advance this promising technology toward water treatment once it is smartly coupled with conventional technologies.

  20. Public health system and psychiatry in the treatment of 'dangerous' young offenders in Brazil.

    Science.gov (United States)

    Ribeiro, Rafael Bernardon; Cordeiro, Quirino; Taborda, José G V

    2015-01-01

    We describe the Experimental Health Unit, a special forensic mental health facility in Brazil, created by court order and administered by the São Paulo Department of Health. It was designed for young offenders receiving compulsory inpatient treatment for severe personality disorders. All nine patients admitted to date came from Foundation CASA (a socio-educational centre of assistance for adolescents, the juvenile correctional centres managed by the São Paulo state Department of Justice). The court decision is questionable, relying on a new interpretation of the Child and Adolescent Statute and the law that regulates psychiatric treatment in Brazil. The public health system and psychiatry have been supporting the isolation of some individuals from society, based on the seriousness of their crimes and possession of particular personality characteristics. The decision to commit and send a small group of personality disordered individuals to this unit as inpatients is an unfair decision, since jails and correctional centres hold a high number of psychopathic who have also committed barbaric crimes. The central mental health issue is the role that the public health system should play in the custody of dangerous people; the cost-effectiveness of this model, the accuracy of risk assessment and tractability of people with severe personality disorders are also debatable. From a legal perspective, the operation of this facility raises questions about age of legal majority, the maximum period of incarceration of young offenders and use of whole-life sentences for certain types of crimes and criminals in Brazil.

  1. [Policy dilemmas in providing antiretroviral treatment in Brazil].

    Science.gov (United States)

    do Lago, Regina Ferro; Costa, Nilson do Rosário

    2010-11-01

    This paper addresses institutional constraints that have affected Brazilian politics regarding provision of anti-retroviral treatment (ART) to HIV/Aids patients. We analyzed the normative conflict resulting from international agreements on intellectual property rights, especially patent protection, and the constitutional rights of Brazilian patients to universal and free access to ART. These constraints have not substantially changed the Brazilian public policy yet, but they may impact the future sustainability of this policy. As the main barrier to the production of patented drugs is not technological but institutional, Brazilian government faces a dilemma. It may either abide by existing monopolistic restrictions or it may incite competitiveness of domestic industries and developing countries in the pharmaceutical market.

  2. Access to treatment for phenylketonuria by judicial means in Rio Grande do Sul, Brazil.

    Science.gov (United States)

    Trevisan, Luciano Mangueira; Nalin, Tatiele; Tonon, Tassia; Veiga, Lauren Monteiro; Vargas, Paula; Krug, Bárbara Corrêa; Leivas, Paulo Gilberto Cogo; Schwartz, Ida Vanessa Doederlein

    2015-05-01

    Treatment of phenylketonuria (PKU) includes the use of a metabolic formula which should be provided free of charge by the Unified Health System (SUS). This retrospective, observational study sought to characterize judicial channels to obtain PKU treatment in Rio Grande do Sul (RS), Brazil. Lawsuits filed between 2001- 2010 and having as beneficiaries PKU patients requesting treatment for the disease were included. Of 20 lawsuits filed, corresponding to 16.8% of RS patients with PKU, 19 were retrieved for analysis. Of these, only two sought to obtain therapies other than metabolic formula. In all the other 17 cases, prior treatment requests had been granted by the State Department of Health. Defendants included the State (n = 19), the Union (n = 1), and municipalities (n = 4). In 18/19 cases, the courts ruled in favor of the plaintiffs. Violation of the right to health and discontinuation of State-provided treatment were the main reasons for judicial recourse. Unlike other genetic diseases, patients with PKU seek legal remedy to obtain a product already covered by the national pharmaceutical assistance policy, suggesting that management failures are a driving factor for judicialization in Brazil.

  3. Effects of treatment or/and vaccination on HIV transmission in homosexuals with genetic heterogeneity.

    Science.gov (United States)

    Hsu Schmitz, S

    2000-09-01

    Several mutant genes in HIV co-receptors (e.g., CCR5, CCR2 and CXCR4) have been correlated with susceptibility to HIV or/and rate of progression to AIDS. Some of these genes have high allele frequencies in general populations. Their effects on the HIV/AIDS dynamics may be significant. To study such genetic heterogeneity, Hsu Schmitz [S.-F. Hsu Schmitz, A mathematical model of HIV transmission in homosexuals with genetic heterogeneity, J. Theoret. Med. (to appear)] proposed a one-sex model with susceptibles classified by genotype as having no, partial or full natural resistance to HIV infection and infecteds classified as rapid, normal or slow progressors. The example of CCR5-Delta32 mutation in San Francisco gay men indicated that the normal progressors are most responsible for disease spread. The per-partnership transmission rates of rapid and slow progressors are identified as key parameters. The present manuscript extends the previous one by considering the intervention of treatment or/and vaccination. Detailed investigations are illustrated by using the same example of CCR5-Delta32 mutation in San Francisco gay men. Treating only newly infected individuals or vaccinating only newly recruited susceptibles is not effective enough for disease control. When both measures are applied, the epidemic may be eradicated if the transmission rate of slow progressors is not too large, and treatments and vaccines in use are of decent quality.

  4. Assessing and reporting heterogeneity in treatment effects in clinical trials: a proposal

    Directory of Open Access Journals (Sweden)

    Kent David M

    2010-08-01

    Full Text Available Abstract Mounting evidence suggests that there is frequently considerable variation in the risk of the outcome of interest in clinical trial populations. These differences in risk will often cause clinically important heterogeneity in treatment effects (HTE across the trial population, such that the balance between treatment risks and benefits may differ substantially between large identifiable patient subgroups; the "average" benefit observed in the summary result may even be non-representative of the treatment effect for a typical patient in the trial. Conventional subgroup analyses, which examine whether specific patient characteristics modify the effects of treatment, are usually unable to detect even large variations in treatment benefit (and harm across risk groups because they do not account for the fact that patients have multiple characteristics simultaneously that affect the likelihood of treatment benefit. Based upon recent evidence on optimal statistical approaches to assessing HTE, we propose a framework that prioritizes the analysis and reporting of multivariate risk-based HTE and suggests that other subgroup analyses should be explicitly labeled either as primary subgroup analyses (well-motivated by prior evidence and intended to produce clinically actionable results or secondary (exploratory subgroup analyses (performed to inform future research. A standardized and transparent approach to HTE assessment and reporting could substantially improve clinical trial utility and interpretability.

  5. Evolution of antiretroviral drug costs in Brazil in the context of free and universal access to AIDS treatment.

    Directory of Open Access Journals (Sweden)

    Amy S Nunn

    2007-11-01

    Full Text Available Little is known about the long-term drug costs associated with treating AIDS in developing countries. Brazil's AIDS treatment program has been cited widely as the developing world's largest and most successful AIDS treatment program. The program guarantees free access to highly active antiretroviral therapy (HAART for all people living with HIV/AIDS in need of treatment. Brazil produces non-patented generic antiretroviral drugs (ARVs, procures many patented ARVs with negotiated price reductions, and recently issued a compulsory license to import one patented ARV. In this study, we investigate the drivers of recent ARV cost trends in Brazil through analysis of drug-specific prices and expenditures between 2001 and 2005.We compared Brazil's ARV prices to those in other low- and middle-income countries. We analyzed trends in drug expenditures for HAART in Brazil from 2001 to 2005 on the basis of cost data disaggregated by each ARV purchased by the Brazilian program. We decomposed the overall changes in expenditures to compare the relative impacts of changes in drug prices and drug purchase quantities. We also estimated the excess costs attributable to the difference between prices for generics in Brazil and the lowest global prices for these drugs. Finally, we estimated the savings attributable to Brazil's reduced prices for patented drugs. Negotiated drug prices in Brazil are lowest for patented ARVs for which generic competition is emerging. In recent years, the prices for efavirenz and lopinavir-ritonavir (lopinavir/r have been lower in Brazil than in other middle-income countries. In contrast, the price of tenofovir is US$200 higher per patient per year than that reported in other middle-income countries. Despite precipitous price declines for four patented ARVs, total Brazilian drug expenditures doubled, to reach US$414 million in 2005. We find that the major driver of cost increases was increased purchase quantities of six specific drugs

  6. 1842676957299765Latent class cluster analysis to understand heterogeneity in prostate cancer treatment utilities

    Directory of Open Access Journals (Sweden)

    Meghani Salimah

    2009-01-01

    Full Text Available Abstract Background Men with prostate cancer are often challenged to choose between conservative management and a range of available treatment options each carrying varying risks and benefits. The trade-offs are between an improved life-expectancy with treatment accompanied by important risks such as urinary incontinence and erectile dysfunction. Previous studies of preference elicitation for prostate cancer treatment have found considerable heterogeneity in individuals' preferences for health states given similar treatments and clinical risks. Methods Using latent class mixture model (LCA, we first sought to understand if there are unique patterns of heterogeneity or subgroups of individuals based on their prostate cancer treatment utilities (calculated time trade-off utilities for various health states and if such unique subgroups exist, what demographic and urological variables may predict membership in these subgroups. Results The sample (N = 244 included men with prostate cancer (n = 188 and men at-risk for disease (n = 56. The sample was predominantly white (77%, with mean age of 60 years (SD ± 9.5. Most (85.9% were married or living with a significant other. Using LCA, a three class solution yielded the best model evidenced by the smallest Bayesian Information Criterion (BIC, substantial reduction in BIC from a 2-class solution, and Lo-Mendell-Rubin significance of < .001. The three identified clusters were named high-traders (n = 31, low-traders (n = 116, and no-traders (n = 97. High-traders were more likely to trade survival time associated with treatment to avoid potential risks of treatment. Low-traders were less likely to trade survival time and accepted risks of treatment. The no-traders were likely to make no trade-offs in any direction favouring the status quo. There was significant difference among the clusters in the importance of sexual activity (Pearson's χ2 = 16.55, P = 0.002; Goodman and Kruskal tau = 0.039, P < 0.001. In

  7. Public versus private treatment of chronic diseases in seniors: Argentina, Brazil, Chile and Uruguay.

    Science.gov (United States)

    Cataife, Guido

    2012-01-01

    This article measures differences in the likelihood of treatment of chronic diseases in elders across types of coverage (private, public and social security) in four major Latin American cities: Buenos Aires (Argentina), Sao Paulo (Brazil), Santiago (Chile) and Montevideo (Uruguay). We used a logistic regression to estimate the odds ratio for treatment of chronic diseases carried by individuals with public, private and social security coverage. The data were from the Survey on health, well-being and aging in Latin America and the Caribbean (SABE) conducted in 1999 and 2000. We find a strong association between possession of public coverage only and treatment failure of chronic diseases in elders in Argentina. We find no significant association for Brazil, Chile and Uruguay. In Buenos Aires, access to private or social security coverage is a necessity for elders because the public sector fails to provide proper treatment. In the remaining cities, private or social security coverage provides similar coverage for chronic diseases in elders compared with the public sector. For this group of countries, the main difference between the former and the latter seems to be in terms of 'luxurious' characteristics, such as the quality of the facilities and waiting times.

  8. VEGFR2 heterogeneity and response to anti-angiogenic low dose metronomic cyclophosphamide treatment

    Directory of Open Access Journals (Sweden)

    Skowronski Karolina

    2010-12-01

    Full Text Available Abstract Background Targeting tumor vasculature is a strategy with great promise in the treatment of many cancers. However, anti-angiogenic reagents that target VEGF/VEGFR2 signaling have met with variable results clinically. Among the possible reasons for this may be heterogeneous expression of the target protein. Methods Double immunofluorescent staining was performed on formalin-fixed paraffin embedded sections of treated and control SW480 (colorectal and WM239 (melanoma xenografts, and tissue microarrays of human colorectal carcinoma and melanoma. Xenografts were developed using RAG1-/- mice by injection with WM239 or SW480 cells and mice were treated with 20 mg/kg/day of cyclophosphamide in their drinking water for up to 18 days. Treated and control tissues were characterized by double immunofluorescence using the mural cell marker α-SMA and CD31, while the ratio of desmin/CD31 was also determined by western blot. Hypoxia in treated and control tissues were quantified using both western blotting for HIF-1α and immunohistochemistry of CA-IX. Results VEGFR2 is heterogeneously expressed in tumor vasculature in both malignant melanoma and colorectal carcinoma. We observed a significant decrease in microvascular density (MVD in response to low dose metronomic cyclophosphamide chemotherapy in both malignant melanoma (with higher proportion VEGFR2 positive blood vessels; 93% and colorectal carcinoma (with lower proportion VEGFR2 positive blood vessels; 60% xenografts. This reduction in MVD occurred in the absence of a significant anti-tumor effect. We also observed less hypoxia in treated melanoma xenografts, despite successful anti-angiogenic blockade, but no change in hypoxia of colorectal xenografts, suggesting that decreases in tumor hypoxia reflect a complex relationship with vascular density. Based on α-SMA staining and the ratio of desmin to CD31 expression as markers of tumor blood vessel functionality, we found evidence for increased

  9. Heterogeneity and Microeconometrics Modelling

    DEFF Research Database (Denmark)

    Browning, Martin; Carro, Jesus

    Presented at the 2005 Econometric Society World Congress Plenary Session on "Modelling Heterogeneity". We survey the treatment of heterogeneity in applied microeconometrics analyses. There are three themes. First, there is usually much more heterogeneity than empirical researchers allow for. Seco...

  10. The heterogeneity of disruptive behaviour disorders – implications for neurobiological research and treatment

    Directory of Open Access Journals (Sweden)

    Christina Stadler

    2010-10-01

    Full Text Available Disruptive behaviour disorders are reflected by a great variety of symptoms ranging from impulsive-hot tempered quarrels to purposeful and goal directed acts of cruelty. A growing body of data indicates that there are neurobiological factors that increase the risk for developing disruptive behaviour disorders. In this review, we give a broad overview of recent studies investigating physiological, neural, genetic factors, and specific neurotransmitter systems. We also discuss the impact of psychosocial risk and consider the effects of gene-environment interactions. Due to the heterogeneity of disruptive behaviour disorders, it is concluded that specific subtypes of disruptive behaviour should be considered both in terms their biological basis and in regard to specific treatment needs.

  11. Barriers to treatment of hepatitis C in HIV/HCV coinfected adults in Brazil

    Directory of Open Access Journals (Sweden)

    Maria Cássia Mendes-Corrêa

    Full Text Available The objective of this study was to assess the prevalence of barriers to interferon treatment in a population of HIV/HCV coinfected patients. A cross-sectional study was conducted at two AIDS Outpatient Clinics in Brazil. The study included all HIV infected patients followed at these institutions from January 2005 to November 2007. Medical records of 2,024 HIV-infected patients were evaluated. The prevalence of anti-HCV positive patients among them was 16.7%. Medical records of HCV/HIV coinfected patients were analyzed. 189 patients with the following characteristics were included in our study: mean age 43 years; male gender 65%; former IDUs (52%; HCV genotype 1 (66.4%; HCV genotype 3 (30.5%; median CD4+ T cell count was 340 cells/mm³. Among 189 patients included in the analyses, only 75 (39.6% were considered eligible for HCV treatment. The most frequent reasons for non-treatment were: non-compliance during clinical follow-up (31.4%, advanced HIV disease (21.9%, excessive alcohol consumption or active drug use (18.7%, and psychiatric disorders (10.1%. CONCLUSIONS: In Brazil, as in elsewhere, more than half of HIV/HCV coinfected patients (60.4% have been considered not candidates to received anti-HCV treatment. The main reasons may be deemed questionable: non-adherence, drug abuse, and psychiatric disease. Our results highlight the importance of multidisciplinary teams to optimize the access of coinfected patients to HCV treatment.

  12. First successful field tests of a water treatment system in the offshore Brazil environmental

    Energy Technology Data Exchange (ETDEWEB)

    Kriegshaeuser, Berthold [CETCO Oilfield Services Company, Covington, LA (United States); Fabian, Samuel [PETROBRAS, Rio de Janeiro, RJ (Brazil)

    2008-07-01

    In this paper we describe the first offshore Brazil field applications of a water treatment system deployed on various platforms to treat completion fluid flow backs. These completion fluid flow backs typically occur during well test operations that are routinely used to evaluate reservoir productivity. The composition of these completion flow back fluids typically comprises borehole fluid, reservoir fluid, and often gels. Since fluid storage capacity on a deep water platform rig is minimal, there is a significant interest in having a system available that can treat the produced fluids during well test operation where the water component can be discharged overboard. During the time of the discussed case histories the Institute for Environment and Natural Renewable Resources (IBAMA) had set an upper limit of 20 ppm (mg/l) of total oil and grease (TOG) for the water component from fluid flow backs before it can be discharged in the ocean. However, this limit has recently been increased to 29 ppm. Thus, it is critical for both, the operator and the service provider to meet IBAMA's regulations in order to improve the efficiency of well test operations in the offshore environment. The objective is to have a flow back treatment system available on the platform to treat the fluids online, and thus, eliminate the need to either store the fluid on the rig, or transport the fluid to the shoreline. This paper describes two different case histories where PETROBRAS evaluated a flow back treatment system in a light oil and a heavy oil application offshore Brazil. In both cases, the treatment system managed to reduce the TOG from inlet values between 10's and 100's of thousands ppm to below 10 ppm on the outlet prior to discharge in the ocean. (author)

  13. Advanced treatment of biologically pretreated coal gasification wastewater by a novel heterogeneous Fenton oxidation process.

    Science.gov (United States)

    Zhuang, Haifeng; Han, Hongjun; Ma, Wencheng; Hou, Baolin; Jia, Shengyong; Zhao, Qian

    2015-07-01

    Sewage sludge from a biological wastewater treatment plant was converted into sewage sludge based activated carbon (SBAC) with ZnCl2 as activation agent, which was used as a support for ferric oxides to form a catalyst (FeOx/SBAC) by a simple impregnation method. The new material was then used to improve the performance of Fenton oxidation of real biologically pretreated coal gasification wastewater (CGW). The results indicated that the prepared FeOx/SBAC significantly enhanced the pollutant removal performance in the Fenton process, so that the treated wastewater was more biodegradable and less toxic. The best performance was obtained over a wide pH range from 2 to 7, temperature 30°C, 15 mg/L of H2O2 and 1g/L of catalyst, and the treated effluent concentrations of COD, total phenols, BOD5 and TOC all met the discharge limits in China. Meanwhile, on the basis of significant inhibition by a radical scavenger in the heterogeneous Fenton process as well as the evolution of FT-IR spectra of pollutant-saturated FeOx/BAC with and without H2O2, it was deduced that the catalytic activity was responsible for generating hydroxyl radicals, and a possible reaction pathway and interface mechanism were proposed. Moreover, FeOx/SBAC showed superior stability over five successive oxidation runs. Thus, heterogeneous Fenton oxidation of biologically pretreated CGW by FeOx/SBAC, with the advantages of being economical, efficient and sustainable, holds promise for engineering application.

  14. The outcome of tuberculosis treatment in subjects with chronic kidney disease in Brazil: a multinomial analysis

    Directory of Open Access Journals (Sweden)

    Barbara Reis-Santos

    2013-09-01

    Full Text Available OBJECTIVE: To analyze the association between clinical/epidemiological characteristics and outcomes of tuberculosis treatment in patients with concomitant tuberculosis and chronic kidney disease (CKD in Brazil. METHODS: We used the Brazilian Ministry of Health National Case Registry Database to identify patients with tuberculosis and CKD, treated between 2007 and 2011. The tuberculosis treatment outcomes were compared with epidemiological and clinical characteristics of the subjects using a hierarchical multinomial logistic regression model, in which cure was the reference outcome. RESULTS: The prevalence of CKD among patients with tuberculosis was 0.4% (95% CI: 0.37-0.42%. The sample comprised 1,077 subjects. The outcomes were cure, in 58%; treatment abandonment, in 7%; death from tuberculosis, in 13%; and death from other causes, in 22%. The characteristics that differentiated the ORs for treatment abandonment or death were age; alcoholism; AIDS; previous noncompliance with treatment; transfer to another facility; suspected tuberculosis on chest X-ray; positive results in the first smear microscopy; and indications for/use of directly observed treatment, short-course strategy. CONCLUSIONS: Our data indicate the importance of sociodemographic characteristics for the diagnosis of tuberculosis in patients with CKD and underscore the need for tuberculosis control strategies targeting patients with chronic noncommunicable diseases, such as CKD.

  15. Heterogeneous photocatalysis for air and water treatment: Fundamental needs for quantum efficiency enhancement

    Energy Technology Data Exchange (ETDEWEB)

    Ollis, D.F. [North Carolina State Univ., Raleigh, NC (United States)

    1996-09-01

    In the remediation industries, a useful treatment technology must be {open_quotes}general, robust, and cheap{close_quotes}. Among oxidation processes, heterogeneous photocatalysis is now broadly demonstrated to destroy common water and air contaminants. The potential process uses of highly stable titania, long lived lamps (one year), and room temperature operation, indicating a simple and robust process. We are left to address the third criterion: Can photocatalysis be {open_quotes}cheap{close_quotes}? In both liquid phase and gas phase treatment and purification by photocatalysis, it is established that the primary barrier to commercialization is often cost. Cost in return is dominated by the efficiency with which solar or lamp photons are harvested for productive light, and subsequent dark, reactions. This paper therefore defines fundamental needs in photocatalysis for pollution control in terms of activities which could lead to quantum efficiency enhancement. We first recall three related definitions. The quantum yield (QY) is the ratio of molecules of reactant converted per photon absorbed, a fundamental quantity. A less fundamental, but more easily measured variable is the quantum efficiency (QE), the ratio of molecules converted per photon entering the reactor. A third variable is the energy required per order of magnitude pollutant reduction, or EEO, a definition which provides for easy energy cost comparisons among different technologies. Each measure cited here reflects the photon, and thus the electrical, cost of this photochemistry.

  16. Compulsive sexual behavior and psychopathology among treatment-seeking men in São Paulo, Brazil.

    Science.gov (United States)

    Scanavino, Marco de Tubino; Ventuneac, Ana; Abdo, Carmita Helena Najjar; Tavares, Hermano; do Amaral, Maria Luiza Sant'ana; Messina, Bruna; dos Reis, Sirlene Caramello; Martins, João Paulo Lian Branco; Parsons, Jeffrey T

    2013-10-30

    This study examined compulsive sexual behavior (CSB) and psychopathology in a treatment-seeking sample of men in São Paulo, Brazil. Eighty-six men (26% gay, 17% bisexual, 57% heterosexual) who met diagnostic criteria for excessive sexual drive and sexual addiction completed assessments consisting of the Mini International Neuropsychiatric Interview, a structured clinical interview for DSM-IV Axis I Disorders-Clinical Version (segment for Impulse Control Disorder), Sexual Compulsivity Scale (SCS), and questions about problematic CSB. The average SCS score for our sample was above the cut-off score reported in other studies, and 72% of the sample presented at least one Axis I psychiatric diagnosis. There were no differences among gay, bisexual, and heterosexual men on SCS scores and psychiatric conditions, but gay and bisexual men were more likely than heterosexual men to report casual sex and sex with multiple casual partners as problematic behaviors. SCS scores were associated with psychiatric co-morbidities, mood disorder, and suicide risk, but diagnosis of a mood disorder predicted higher SCS scores in a regression analysis. The study provides important data on the mental health needs of men with CSB in São Paulo, Brazil.

  17. Primary drug resistance among pulmonary treatment-naïve tuberculosis patients in Amazonas State, Brazil.

    Science.gov (United States)

    da Silva Garrido, M; Ramasawmy, R; Perez-Porcuna, T M; Zaranza, E; Chrusciak Talhari, A; Martinez-Espinosa, F E; Bührer-Sékula, S

    2014-05-01

    Multidrug-resistant tuberculosis (MDR-TB) is the main indicator of previous treatment in tuberculosis (TB) patients. MDR-TB among treatment-naïve patients indicates infection with drug-resistant Mycobacterium tuberculosis strains, and such cases are considered primary drug-resistant cases. To estimate the prevalence of drug resistance in pulmonary TB (PTB) treatment-naïve patients and to identify the socio-demographic and clinical characteristics of the resistant population. A total of 205 treatment-naïve PTB patients from Manaus, Amazonas State, Brazil, were enrolled. Drug susceptibility testing (DST) was performed on all positive mycobacterial cultures using the 1% proportion method. Positive M. tuberculosis cultures were obtained from only 175 patients for DST. The prevalence of primary MDR-TB was 1.7% (3/175); 14.3% (25/175) of the cultures presented resistance to at least one of the drugs. Resistance to streptomycin, isoniazid, rifampicin and ethambutol was respectively 8.6%, 6.9%, 3.4% and 2.3%. An association between TB patients with resistance to more than one drug and known previous household contact with a TB patient was observed (P= 0.008, OR 6.7, 95%CI 1.2-67.3). Although the prevalence of primary MDR-TB currently is relatively low, it may become a major public health problem if tailored treatment is not provided, as resistance to more than one drug is significantly associated with household contact.

  18. Cost-utility analysis of methylphenidate treatment for children and adolescents with ADHD in Brazil

    Directory of Open Access Journals (Sweden)

    Carlos R. Maia

    2015-01-01

    Full Text Available Objective:To perform a cost-utility analysis on the treatment of attention deficit hyperactivity disorder (ADHD with methylphenidate immediate-release (MPH-IR in children and adolescents from Brazil.Method:A Markov model was constructed to compare MPH-IR vs. no treatment. A 24-week naturalistic study was conducted to collect transition probabilities and utility data. Effectiveness was expressed as quality-adjusted life-years (QALY, and costs reported in 2014 international dollars (I$. The perspective was the Brazilian Unified Health System as payer, and the time horizon was 6 years.Results:Of 171 patients, 73 provided information at baseline, and 56 at week 24. Considering the MPH-IR monthly cost of I$ 38, the incremental cost-effectiveness ratio (ICER of treatment was I$ 9,103/QALY for children and I$ 11,883/QALY for adolescents. In two-way sensitivity analysis, considering one Gross National Product per capita (I$ 11,530 as willingness-to-pay, a cost of no-treatment lower than I$ 45/month would render MPH-IR a cost-saving strategy.Discussion:MPH-IR treatment of children and adolescents is cost-effective for ADHD patients from the Brazilian public health system perspective. Both patients and the healthcare system might benefit from such a strategy.Trial registration number:NCT01705613.

  19. Trace Analysis of Pharmaceutical Residues in Wastewater Treatment Plants in Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Aldo Pacheco Ferreira

    2014-05-01

    Full Text Available The occurrence and fate of trace-level contamination of pharmaceuticals in the aquatic environment has been recognized as one of the emerging issues in environmental chemistry. The effluents of wastewater treatment plants, usually directly emitted to the environment, often contain the anti-inflammatory drug diclofenac. Diclofenac was chosen because it is of high consumption; by background literature indicate toxic effects on biota and the lack of profile in sewage removal provided by the city. For this purpose, a survey on the presence of diclofenac in urban wastewater of Rio de Janeiro was carried out. It were evaluated diclofenac concentration in the affluent and effluent from wastewater treatment plant (WWTP Penha and Ilha do Governador, Rio de Janeiro, Brazil. Samples were collected along the line of treatment of each WWTP, and for clean up the samples were solid phase extraction (SPE, analysed by high performance liquid chromatography (HPLC, assisted by diode array detector (DAD techniques. The removal efficiency of pharmaceuticals in the wastewater treatment plants was roughly evaluated. Diclofenac was detected in all samples analysed wastewater (treated and raw, which confirms the low removal efficiency of conventional treatment systems, aerobes and anaerobes.

  20. Treatment effect heterogeneity for univariate subgroups in clinical trials: Shrinkage, standardization, or else.

    Science.gov (United States)

    Varadhan, Ravi; Wang, Sue-Jane

    2016-01-01

    Treatment effect heterogeneity is a well-recognized phenomenon in randomized controlled clinical trials. In this paper, we discuss subgroup analyses with prespecified subgroups of clinical or biological importance. We explore various alternatives to the naive (the traditional univariate) subgroup analyses to address the issues of multiplicity and confounding. Specifically, we consider a model-based Bayesian shrinkage (Bayes-DS) and a nonparametric, empirical Bayes shrinkage approach (Emp-Bayes) to temper the optimism of traditional univariate subgroup analyses; a standardization approach (standardization) that accounts for correlation between baseline covariates; and a model-based maximum likelihood estimation (MLE) approach. The Bayes-DS and Emp-Bayes methods model the variation in subgroup-specific treatment effect rather than testing the null hypothesis of no difference between subgroups. The standardization approach addresses the issue of confounding in subgroup analyses. The MLE approach is considered only for comparison in simulation studies as the "truth" since the data were generated from the same model. Using the characteristics of a hypothetical large outcome trial, we perform simulation studies and articulate the utilities and potential limitations of these estimators. Simulation results indicate that Bayes-DS and Emp-Bayes can protect against optimism present in the naïve approach. Due to its simplicity, the naïve approach should be the reference for reporting univariate subgroup-specific treatment effect estimates from exploratory subgroup analyses. Standardization, although it tends to have a larger variance, is suggested when it is important to address the confounding of univariate subgroup effects due to correlation between baseline covariates. The Bayes-DS approach is available as an R package (DSBayes).

  1. Efficient treatment allocation in 2 × 2 cluster randomized trials, when costs and variances are heterogeneous

    NARCIS (Netherlands)

    Lemme, Francesca; van Breukelen, Gerard J P; Berger, Martijn P F

    2016-01-01

    Typically, clusters and individuals in cluster randomized trials are allocated across treatment conditions in a balanced fashion. This is optimal under homogeneous costs and outcome variances. However, both the costs and the variances may be heterogeneous. Then, an unbalanced allocation is more effi

  2. Iatrogenic stigma in outpatient treatment for Hansen's disease (leprosy) in Brazil.

    Science.gov (United States)

    White, Cassandra

    2008-02-01

    This paper explores how iatrogenic stigma, or stigma that is produced through a patient's encounter with physicians or with biomedicine in general, might emerge in outpatient treatment for Hansen's disease, or leprosy. Based on in-depth interviews with people affected by Hansen's disease and observations conducted at several public health clinics in Rio de Janeiro, Brazil, this research identified several aspects of the biomedical encounter that generated or contributed to stigma, either felt or enacted. Also noted in the research were positive examples of techniques used by physicians and health care workers for minimizing or circumventing stigma. The paper touches upon several topics, such as culturally mediated responses to medication side effects and communication between health care workers and patients, that might be salient or useful for health educators and others who are attempting to reduce health-related stigma.

  3. Intracoronary brachytherapy in the treatment of in-stent restenosis. Initial experience in Brazil

    Directory of Open Access Journals (Sweden)

    Fábio Sândoli de Brito Jr

    2001-09-01

    Full Text Available Intracoronary brachytherapy using beta or gamma radiation is currently the most efficient type of therapy for preventing the recurrence of coronary in-stent restenosis. Its implementation depends on the interaction among interventionists, radiotherapists, and physicists to assure the safety and quality of the method. The authors report the pioneering experience in Brazil of the treatment of 2 patients with coronary in-stent restenosis, in whom beta radiation was used as part of the international multicenter randomized PREVENT study (Proliferation REduction with Vascular ENergy Trial. The procedures were performed rapidly and did not require significant modifications in the traditional techniques used for conventional angioplasty. Alteration in the radiological protection devices of the hemodynamic laboratory were also not required, showing that intracoronary brachytherapy using beta radiation can be incorporated into the interventional tools of cardiology in our environment.

  4. [Clinical trials and licensing of monoclonal antibodies and biological medicines for cancer treatment in Brazil].

    Science.gov (United States)

    Silva, Cecilia Ferreira da; Silva, Miriam Ventura da; Osorio-de-Castro, Claudia Garcia Serpa

    2016-03-01

    Objective To analyze the pathway of clinical trials of monoclonal antibodies and biological medicines for cancer treatment involving Brazilian institutions from 2003 to 2012. Method This retrospective, descriptive study was based on review of two clinical trial registries, ClinicalTrials.gov and the Brazilian registry ReBEC. Phase II or III studies with participation from Brazilian institutions listed in at least one of the registries were included. Following selection of the trials, the pathway of monoclonal antibodies and biological medicines was investigated from the research stage until licensing by the Brazilian Agency for Sanitary Surveillance (Anvisa), Food and Drug Administration (FDA), and European Medicines Agency (EMA). Results Nine trials (eight phase III and one phase II) were selected. All had a randomized, controlled design. Two trials were double-blind and seven were open-label, and all recruited adults (≥ 18 years of age) of both sexes. The mean number of patients recruited per trial was 985.2. Seven trials had been completed and two had been terminated early. All trials were sponsored by non-Brazilian pharmaceutical companies and focused on renal, colorectal, gastric, and lung (non-small cell) cancer, non-Hodgkin lymphoma, and melanoma, and involved the use of cetuximab, figitumumab, ipilimumab, rituximab, bevacizumab and interferon alfa-2a. The FDA was the first agency to license the drugs, followed by EMA, except in the case of interferon alfa-2a, which was not approved by EMA. We were unable to determine the year of drug licensing by Anvisa in Brazil. Conclusions The participation of Brazil in clinical trials of monoclonal antibodies and biological medications for cancer treatment is insufficient. The quality of the available information on trials, history of licensing, and other relevant elements is a major weakness of the sources reviewed.

  5. Treatment of Alzheimer's disease in Brazil: II. Behavioral and psychological symptoms of dementia

    Directory of Open Access Journals (Sweden)

    Francisco de Assis Carvalho do Vale

    Full Text Available Abstract This article reports the recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology for the treatment of Alzheimer's disease (AD in Brazil, with special focus on behavioral and psychological symptoms of dementia (BPSD. It constitutes a revision and broadening of the 2005 guidelines based on a consensus involving researchers (physicians and non-physicians in the field. The authors carried out a search of articles published since 2005 on the MEDLINE, LILACS and Cochrane Library databases. The search criteria were pharmacological and non-pharmacological treatment of the behavioral and psychological symptoms of AD. Studies retrieved were categorized into four classes, and evidence into four levels, based on the 2008 recommendations of the American Academy of Neurology. The recommendations on therapy are pertinent to the dementia phase of AD. Recommendations are proposed for the treatment of BPSD encompassing both pharmacological (including acetyl-cholinesterase inhibitors, memantine, neuroleptics, anti-depressives, benzodiazepines, anti-convulsants plus other drugs and substances and non-pharmacological (including education-based interventions, physiotherapy, occupational therapy, music therapy, therapy using light, massage and art therapy approaches. Recommendations for the treatment of cognitive disorders of AD symptoms are included in a separate article of this edition.

  6. Application of heterogeneous catalytic ozonation as a tertiary treatment of effluent of biologically treated tannery wastewater.

    Science.gov (United States)

    Huang, Guangdao; Pan, Feng; Fan, Guofeng; Liu, Guoguang

    2016-07-02

    The present study employed a Mn-Cu/Al2O3 heterogeneous catalytic ozonation process for tertiary treatment of actual tannery wastewater, focusing on its feasibility in that application. The primary factors affecting the removal efficiency of organic pollutants were investigated, including catalyst dosage, ozone dosage, and initial pH value. The experimental results showed that the addition of a Mn-Cu/Al2O3 catalyst improved the removal efficiency of chemical oxygen demand (COD) during ozonation, which initiated a 29.3% increase for COD removal, compared to ozonation alone after 60 min. The optimum pH, catalyst dosage, and ozone dosage were determined to be 7.0, 2.0 g/L, and 0.3 g/h, respectively. Under these conditions, following 60 min of reaction, the COD removal efficiency and the concentration in effluent were 88%, and 17 mg/L, respectively. In addition, the presence of tert-butanol (a well known hydroxyl radical scavenger) strongly inhibited COD removal via Mn-Cu/Al2O3 catalytic ozonation, indicating that the Mn-Cu/Al2O3 catalytic ozonation process follows a hydroxyl radical (OH·) reaction mechanism. The Mn-Cu/Al2O3 catalyst exhibited good stability and reusability. Finally, the kinetic analysis revealed that the apparent reaction rate constant of COD removal with the Mn-Cu/Al2O3 catalytic ozonation system (0.0328 min(-1)) was 2.3 times that of an ozonation system alone (0.0141 min(-1)). These results demonstrated that the catalytic ozonation using Mn-Cu/Al2O3 is an effective and promising process for tertiary treatment of tannery effluent in biological systems.

  7. From concepts, theory, and evidence of heterogeneity of treatment effects to methodological approaches: a primer.

    Science.gov (United States)

    Willke, Richard J; Zheng, Zhiyuan; Subedi, Prasun; Althin, Rikard; Mullins, C Daniel

    2012-12-13

    Implicit in the growing interest in patient-centered outcomes research is a growing need for better evidence regarding how responses to a given intervention or treatment may vary across patients, referred to as heterogeneity of treatment effect (HTE). A variety of methods are available for exploring HTE, each associated with unique strengths and limitations. This paper reviews a selected set of methodological approaches to understanding HTE, focusing largely but not exclusively on their uses with randomized trial data. It is oriented for the "intermediate" outcomes researcher, who may already be familiar with some methods, but would value a systematic overview of both more and less familiar methods with attention to when and why they may be used. Drawing from the biomedical, statistical, epidemiological and econometrics literature, we describe the steps involved in choosing an HTE approach, focusing on whether the intent of the analysis is for exploratory, initial testing, or confirmatory testing purposes. We also map HTE methodological approaches to data considerations as well as the strengths and limitations of each approach. Methods reviewed include formal subgroup analysis, meta-analysis and meta-regression, various types of predictive risk modeling including classification and regression tree analysis, series of n-of-1 trials, latent growth and growth mixture models, quantile regression, and selected non-parametric methods. In addition to an overview of each HTE method, examples and references are provided for further reading.By guiding the selection of the methods and analysis, this review is meant to better enable outcomes researchers to understand and explore aspects of HTE in the context of patient-centered outcomes research.

  8. From concepts, theory, and evidence of heterogeneity of treatment effects to methodological approaches: a primer

    Directory of Open Access Journals (Sweden)

    Willke Richard J

    2012-12-01

    Full Text Available Abstract Implicit in the growing interest in patient-centered outcomes research is a growing need for better evidence regarding how responses to a given intervention or treatment may vary across patients, referred to as heterogeneity of treatment effect (HTE. A variety of methods are available for exploring HTE, each associated with unique strengths and limitations. This paper reviews a selected set of methodological approaches to understanding HTE, focusing largely but not exclusively on their uses with randomized trial data. It is oriented for the “intermediate” outcomes researcher, who may already be familiar with some methods, but would value a systematic overview of both more and less familiar methods with attention to when and why they may be used. Drawing from the biomedical, statistical, epidemiological and econometrics literature, we describe the steps involved in choosing an HTE approach, focusing on whether the intent of the analysis is for exploratory, initial testing, or confirmatory testing purposes. We also map HTE methodological approaches to data considerations as well as the strengths and limitations of each approach. Methods reviewed include formal subgroup analysis, meta-analysis and meta-regression, various types of predictive risk modeling including classification and regression tree analysis, series of n-of-1 trials, latent growth and growth mixture models, quantile regression, and selected non-parametric methods. In addition to an overview of each HTE method, examples and references are provided for further reading. By guiding the selection of the methods and analysis, this review is meant to better enable outcomes researchers to understand and explore aspects of HTE in the context of patient-centered outcomes research.

  9. Reduced cortical bone compositional heterogeneity with bisphosphonate treatment in postmenopausal women with intertrochanteric and subtrochanteric fractures.

    Science.gov (United States)

    Donnelly, Eve; Meredith, Dennis S; Nguyen, Joseph T; Gladnick, Brian P; Rebolledo, Brian J; Shaffer, Andre D; Lorich, Dean G; Lane, Joseph M; Boskey, Adele L

    2012-03-01

    Reduction of bone turnover with bisphosphonate treatment alters bone mineral and matrix properties. Our objective was to investigate the effect of bisphosphonate treatment on bone tissue properties near fragility fracture sites in the proximal femur in postmenopausal women with osteoporosis. The mineral and collagen properties of corticocancellous biopsies from the proximal femur were compared in bisphosphonate-naive (-BIS, n = 20) and bisphosphonate-treated (+BIS, n = 20, duration 7 ± 5 years) patients with intertrochanteric (IT) and subtrochanteric (ST) fractures using Fourier transform infrared imaging (FTIRI). The mean values of the FTIRI parameter distributions were similar across groups, but the widths of the parameter distributions tended to be reduced in the +BIS group relative to the -BIS group. Specifically, the widths of the cortical collagen maturity and crystallinity were reduced in the +BIS group relative to those of the -BIS group by 28% (+BIS 0.45 ± 0.18 versus -BIS 0.63 ± 0.28, p = 0.03) and 17% (+BIS 0.087 ± 0.012 versus -BIS 0.104 ± 0.036, p = 0.05), respectively. When the tissue properties were examined as a function of fracture morphology within the +BIS group, the FTIR parameters were generally similar regardless of fracture morphology. However, the cortical mineral:matrix ratio was 8% greater in tissue from patients with atypical ST fractures (n = 6) than that of patients with typical (IT or spiral ST) fractures (n = 14) (Atypical 5.6 ± 0.3 versus Typical 5.2 ± 0.5, p = 0.03). Thus, although the mean values of the FTIR properties were similar in both groups, the tissue in bisphosphonate-treated patients had a more uniform composition than that of bisphosphonate-naive patients. The observed reductions in mineral and matrix heterogeneity may diminish tissue-level toughening mechanisms.

  10. Heterogeneous catalytic wet peroxide oxidation systems for the treatment of an industrial pharmaceutical wastewater.

    Science.gov (United States)

    Melero, J A; Martínez, F; Botas, J A; Molina, R; Pariente, M I

    2009-09-01

    The aim of this work was to assess the treatment of wastewater coming from a pharmaceutical plant through a continuous heterogeneous catalytic wet peroxide oxidation (CWPO) process using an Fe(2)O(3)/SBA-15 nanocomposite catalyst. This catalyst was preliminary tested in a batch stirred tank reactor (STR), to elucidate the influence of significant parameters on the oxidation system, such as temperature, initial oxidant concentration and initial pH of the reaction medium. In that case, a temperature of 80 degrees C using an initial oxidant concentration corresponding to twice the theoretical stoichiometric amount for complete carbon depletion and initial pH of ca. 3 allow TOC degradation of around 50% after 200 min of contact time. Thereafter, the powder catalyst was extruded with bentonite to prepare pellets that could be used in a fixed bed reactor (FBR). Results in the up-flow FBR indicate that the catalyst shows high activity in terms of TOC mineralization (ca. 60% under steady-state conditions), with an excellent use of the oxidant and high stability of the supported iron species. The activity of the catalyst is kept constant, at least, for 55h of reaction. Furthermore, the BOD(5)/COD ratio is increased from 0.20 to 0.30, whereas the average oxidation stage (AOS) changed from 0.70 to 2.35. These two parameters show a high oxidation degree of organic compounds in the outlet effluent, which enhances its biodegradability, and favours the possibility of a subsequent coupling with a conventional biological treatment.

  11. Non-participation during azithromycin mass treatment for trachoma in The Gambia: heterogeneity and risk factors.

    Directory of Open Access Journals (Sweden)

    Tansy Edwards

    2014-08-01

    Full Text Available There is concern that untreated individuals in mass drug administration (MDA programs for neglected tropical diseases can reduce the impact of elimination efforts by maintaining a source of transmission and re-infection.Treatment receipt was recorded against the community census during three MDAs with azithromycin for trachoma in The Gambia, a hypo-endemic setting. Predictors of non-participation were investigated in 1-9 year olds using random effects logistic regression of cross-sectional data for each MDA. Two types of non-participators were identified: present during MDA but not treated (PNT and eligible for treatment but absent during MDA (EBA. PNT and EBA children were compared to treated children separately. Multivariable models were developed using baseline data and validated using year one and two data, with a priori adjustment for previous treatment status. Analyses included approximately 10000 children at baseline and 5000 children subsequently. There was strong evidence of spatial heterogeneity, and persistent non-participation within households and individuals. By year two, non-participation increased significantly to 10.4% overall from 6.2% at baseline, with more, smaller geographical clusters of non-participating households. Multivariable models suggested household level predictors of non-participation (increased time to water and household head non-participation for both PNT and EBA; increased household size for PNT status only; non-inclusion in a previous trachoma examination survey and younger age for EBA only. Enhanced coverage efforts did not decrease non-participation. Few infected children were detected at year three and only one infected child was EBA previously. Infected children were in communities close to untreated endemic areas with higher rates of EBA non-participation during MDA.In hypo-endemic settings, with good coverage and no association between non-participation and infection, efforts to improve participation

  12. Synthesis of iron/GAC catalyst for wastewater treatment using heterogeneous Fenton reaction

    Indian Academy of Sciences (India)

    S T T Le; T T Ngo; W Khanitchaidecha; A Nakaruk

    2015-08-01

    Iron catalyst dispersed on granular activated carbon (GAC) was prepared by impregnating Fe(NO3)3 solution on GAC. The mixed solution was annealed at 600°C in muffle furnace under ambient condition for 1 h. The structural property of the catalyst was investigated using X-ray diffraction (XRD). The catalyst’s activity and lifetime were tested using the degradation of 50 ppm methyl orange (MO) solution. In addition, the optimum conditions of the Fenton reaction such as initial pH, initial MO concentration hydrogen peroxide concentration and the amount of catalyst were also investigated. The XRD results showed that magnetite and haematite were two main compositions of the synthesized catalyst. The investigation of optimum conditions suggested that initial pH at 3 provided the highest efficiency of MO removal. In addition, the concentration of hydrogen peroxide at 8 ppm was the most suitable. The optimum condition of amount of catalyst was 5 g l−1. The efficiencies of MO removal reached 95% at 60 min of reaction time at low initial MO concentration (25–500 mg l−1). In the meantime, the removal efficiency was found to decrease with the increase in the initial MO concentration. The efficiency decreased to 70 and 30% at 1000 and 3000 mg l−1 of initial MO concentration, respectively. Additionally, after reuse the synthesized catalyst 3 times the MO removal efficiency still remained over 90%. In conclusion, the iron/GAC catalyst was successfully synthesized and applied to dye treatment using heterogeneous Fenton reaction. The catalyst showed high efficiency of MO removal and could be reused many times.

  13. Development of a phantom to validate high-dose-rate brachytherapy treatment planning systems with heterogeneous algorithms

    Energy Technology Data Exchange (ETDEWEB)

    Moura, Eduardo S., E-mail: emoura@wisc.edu [Department of Medical Physics, University of Wisconsin–Madison, Madison, Wisconsin 53705 and Instituto de Pesquisas Energéticas e Nucleares—IPEN-CNEN/SP, São Paulo 05508-000 (Brazil); Micka, John A.; Hammer, Cliff G.; Culberson, Wesley S.; DeWerd, Larry A. [Department of Medical Physics, University of Wisconsin–Madison, Madison, Wisconsin 53705 (United States); Rostelato, Maria Elisa C. M.; Zeituni, Carlos A. [Instituto de Pesquisas Energéticas e Nucleares—IPEN-CNEN/SP, São Paulo 05508-000 (Brazil)

    2015-04-15

    Purpose: This work presents the development of a phantom to verify the treatment planning system (TPS) algorithms used for high-dose-rate (HDR) brachytherapy. It is designed to measure the relative dose in a heterogeneous media. The experimental details used, simulation methods, and comparisons with a commercial TPS are also provided. Methods: To simulate heterogeneous conditions, four materials were used: Virtual Water™ (VM), BR50/50™, cork, and aluminum. The materials were arranged in 11 heterogeneity configurations. Three dosimeters were used to measure the relative response from a HDR {sup 192}Ir source: TLD-100™, Gafchromic{sup ®} EBT3 film, and an Exradin™ A1SL ionization chamber. To compare the results from the experimental measurements, the various configurations were modeled in the PENELOPE/penEasy Monte Carlo code. Images of each setup geometry were acquired from a CT scanner and imported into BrachyVision™ TPS software, which includes a grid-based Boltzmann solver Acuros™. The results of the measurements performed in the heterogeneous setups were normalized to the dose values measured in the homogeneous Virtual Water™ setup and the respective differences due to the heterogeneities were considered. Additionally, dose values calculated based on the American Association of Physicists in Medicine-Task Group 43 formalism were compared to dose values calculated with the Acuros™ algorithm in the phantom. Calculated doses were compared at the same points, where measurements have been performed. Results: Differences in the relative response as high as 11.5% were found from the homogeneous setup when the heterogeneous materials were inserted into the experimental phantom. The aluminum and cork materials produced larger differences than the plastic materials, with the BR50/50™ material producing results similar to the Virtual Water™ results. Our experimental methods agree with the PENELOPE/penEasy simulations for most setups and dosimeters. The

  14. Niobium substituted magnetite as a strong heterogeneous Fenton catalyst for wastewater treatment

    Energy Technology Data Exchange (ETDEWEB)

    Rahim Pouran, Shima, E-mail: rahimpooran@yahoo.com [Chemical Engineering Department, Faculty of Engineering, University of Malaya, 50603 Kuala Lumpur (Malaysia); Abdul Aziz, A.R., E-mail: azizraman@um.edu.my [Chemical Engineering Department, Faculty of Engineering, University of Malaya, 50603 Kuala Lumpur (Malaysia); Wan Daud, Wan Mohd Ashri, E-mail: ashri@um.edu.my [Chemical Engineering Department, Faculty of Engineering, University of Malaya, 50603 Kuala Lumpur (Malaysia); Embong, Zaidi, E-mail: zembong@gmail.com [Faculty of Science, Technology and Human Development, University Tun Hussein Onn Malaysia, 86400 Johor (Malaysia)

    2015-10-01

    decrease in their catalytic efficiency. The results proved that incorporation of niobium into magnetite significantly improved the characteristics and effectiveness of the heterogeneous catalyst for Fenton treatment of recalcitrant effluents.

  15. [Advanced treatment of coking wastewater with a novel heterogeneous electro-Fenton technology].

    Science.gov (United States)

    Li, Hai-Tao; Li, Yu-Ping; Zhang, An-Yang; Cao, Hong-Bin; Li, Xin-Gang; Zhang, Yi

    2011-01-01

    A novel electro-catalytic reactor, with oxygen-reduction cathode (PAQ/GF), dimensionally stable anode (IrO2-RuO2 -TiO2/ Ti) and heterogeneous catalysts, is developed for advanced treatment of coking wastewater after biological process, integrating cathodic and anodic simultaneous oxidation processes. A PAQ/GF electrode was synthesized by the electro-polymerization of 2-ethyl anthraquinone on graphite felt, which was characterized with cyclic voltametry measurements; the results indicated that the PAQ/GF electrode showed high reversibility for oxidation-reduction reaction of anthraquinone and catalytic activity for O2 reduction to H2O2; 13.5 mmol/L H2O2 was obtained after electrolysis for 6 h at -0.7 V (vs. SCE) and pH 6 with a current efficiency of 50% in a membrane reactor. Fe-Cu/Y350 catalysts, prepared by impregnation method, could catalyze the production of hydroxyl radicals (*OH) from H2O2, which was confirmed both by fading reaction of crystal violet and oxidation of *OH-probe compound (p-chlorobenzoic acid); Fe-Cu/Y350 also showed high catalytic-activity for the oxidation of organics by hypochlorous sodium, because COD removal of coking wastewater reached 26% in the catalytic process while only 11% of COD removal was obtained in the absence of Fe-Cu/Y350. COD removal of coking wastewater reached 49.4% (26.0% and 23.4% in cathodic system and anodic system, respectively) in the developed electrolytic-reactor, which was higher than that of conventional cathodic-anodic-oxidation process (29.8%). At optimal reaction condition of initial COD = 192 mg/L, I = 10A x m(-2) and pH 4-5, more than 50% COD were removed after electrolysis for 1 h. The mechanism might be as follows: in cathodic system, H2O2 is generated from reduction of O2 on PAQ/GF cathode, and catalyzed by Fe-Cu/Y350 for production of *OH, which causes mineralization and degradation of organic pollutants; in anodic system, Cl2 and HClO are generated from Cl- oxidation on IrO2-RuO2-TiO2/Ti anode and the

  16. Cluster analysis of cognitive deficits may mark heterogeneity in schizophrenia in terms of outcome and response to treatment

    Science.gov (United States)

    Gilbert, Elsa; Mérette, Chantal; Jomphe, Valérie; Émond, Claudia; Rouleau, Nancie; Bouchard, Roch-Hugo; Roy, Marc-André; Paccalet, Thomas

    2016-01-01

    Cognitive impairments are central to schizophrenia, but their clinical utility for tagging heterogeneity in lifetime outcome and response to treatment is not conclusive. By exploiting four cognitive domains consistently showing large deficits in studies, we tested whether cluster analysis would define separate subsets of patients and then whether the disease heterogeneity marked by these clusters would be related to lifetime outcome and response to treatment. A total of 112 schizophrenia patients completed a neuropsychological evaluation. The PANSS, GAF-S and GAF-F were rated at the onset and endpoint of the illness trajectory. A blind judgment of the lifetime response to treatment was made. The first cluster presented near-normal cognitive performance. Two other clusters of severely impaired patients were identified: one generally impaired in the four cognitive domains and another selectively impaired in visual episodic memory and processing speed, each relating to a different lifetime evolution of disease and treatment response. Although the two impaired clusters were clinically indistinguishable in symptom severity and functioning at disease onset, patients with selective cognitive impairments demonstrated better improvement at outcome, whereas the generally impaired patients were more likely to be treatment refractory. The findings have implications for the management of patients and for clinical trials since particular combinations of cognitive deficits in patients would influence their treatment response. PMID:24173295

  17. From tumour heterogeneity to advances in precision treatment of colorectal cancer

    NARCIS (Netherlands)

    Punt, Cornelis J. A.; Koopman, Miriam; Vermeulen, Louis

    In recent years, the high heterogeneity of colorectal cancer (CRC) has become evident. Hence, biomarkers need to be developed that enable the stratification of patients with CRC into different prognostic subgroups and in relation to response to therapies, according to the distinctive tumour biology.

  18. Residual waters treatment by heterogeneous photocatalysis: a study of experimental parameters applied to the photoelectrocatalysis

    Directory of Open Access Journals (Sweden)

    Henrique de Santana

    2006-02-01

    Full Text Available In this paper, the use of electrochemically-assisted heterogeneous photo-catalysis will be discussed. Several operational parameters will also be discussed, in order to achieve optimum efficiency of this photo-degradation system, such as: the influence of variables as support electrolyte, applied potential, dye initial concentration, pH and choice of a UV source on dye degradation.

  19. Predictors of favorable results in pulmonary tuberculosis treatment (Recife, Pernambuco, Brazil, 2001-2004).

    Science.gov (United States)

    Sassaki, Cinthia Midori; Scatena, Lucia Marina; Gonzales, Roxana Isabel Cardozo; Ruffino-Netto, Antonio; Hinos, Paula; Villa, Tereza Cristina Scatena

    2010-06-01

    Based on data available in the Information System for Notifiable Diseases, predictive factors of favorable results were identified in the treatment of pulmonary tuberculosis, diagnosed between 2001 and 2004 and living in Recife-PE, Brazil. Uni- and multivariate logistic regression methods were used. In multivariate analysis, the following factors remained: Age (years), 0 to 9 (OR = 4.27; p = 0.001) and 10 to 19 (OR = 1.78; p = 0.011), greater chance of cure than over 60; Education (years), 8 to 11 (OR = 1.52; p = 0.049), greater chance of cure than no education; Type of entry, ne wcase s (OR = 3.31; p abandonment; Time (months) 2, 5--6 (OR = 9.15; p < 0.001); 6--9 (OR = 27.28; p < 0.001) and More than 9 (OR = 24.78; p < 0.001), greater chances of cure than less than 5; Health Unit District, DSII (OR = 1.60; p = 0.018) and DSIIV (OR = 2.87; p < 0.001), greater chance sof cure than DS II.

  20. The Evolving Genotypic Profile of HIV-1 Mutations Related to Antiretroviral Treatment in the North Region of Brazil.

    Science.gov (United States)

    Lopes, Carmen Andréa F; Soares, Marcelo A; Falci, Diego R; Sprinz, Eduardo

    2015-01-01

    HIV related mutations can be associated with decreased susceptibility to antiretrovirals and treatment failures. There is scarce information about HIV mutations in persons failing HIV treatment in North of Brazil. Our aim was to evaluate evolution of HIV subtypes and mutations patterns related to antiretroviral therapy in this region. We investigated HIV resistance profile in adults failing antiretroviral regimen in Northern Brazil from January, 2004, through December, 2013. Genotype data was evaluated through Stanford University algorithm. There were 377 genotypes from different individuals to evaluate. Resistance mutations were similar to worldwide reports and related to antiretroviral exposure. Most prevalent mutations in the reverse transcriptase gene were M184V (80.1%) and K130N (40.6%). Thymidine associated mutations were more frequent in multiexperienced patients. Most common protease mutations were M46I, V82A, I54V, L90M, I84V, M46L, and L76V. Subtype B was the most prevalent (90.7%). There were differences between subtypes B and non-B mutations. We documented for the first time subtypes and patterns of HIV associated mutations in Northern Brazil. A1 subtype was identified for the first time in this area. Depending on drug regimen and how experienced the patient is, an empirical switch of a failing antiretroviral treatment could be a reasonable option.

  1. The Evolving Genotypic Profile of HIV-1 Mutations Related to Antiretroviral Treatment in the North Region of Brazil

    Directory of Open Access Journals (Sweden)

    Carmen Andréa F. Lopes

    2015-01-01

    Full Text Available HIV related mutations can be associated with decreased susceptibility to antiretrovirals and treatment failures. There is scarce information about HIV mutations in persons failing HIV treatment in North of Brazil. Our aim was to evaluate evolution of HIV subtypes and mutations patterns related to antiretroviral therapy in this region. We investigated HIV resistance profile in adults failing antiretroviral regimen in Northern Brazil from January, 2004, through December, 2013. Genotype data was evaluated through Stanford University algorithm. There were 377 genotypes from different individuals to evaluate. Resistance mutations were similar to worldwide reports and related to antiretroviral exposure. Most prevalent mutations in the reverse transcriptase gene were M184V (80.1% and K130N (40.6%. Thymidine associated mutations were more frequent in multiexperienced patients. Most common protease mutations were M46I, V82A, I54V, L90M, I84V, M46L, and L76V. Subtype B was the most prevalent (90.7%. There were differences between subtypes B and non-B mutations. We documented for the first time subtypes and patterns of HIV associated mutations in Northern Brazil. A1 subtype was identified for the first time in this area. Depending on drug regimen and how experienced the patient is, an empirical switch of a failing antiretroviral treatment could be a reasonable option.

  2. Heterogeneous dermatitis complaints after change in drinking water treatment: a case report

    Science.gov (United States)

    Weintraub, June M; Berger, Magdalena; Bhatia, Rajiv

    2006-01-01

    Background The disinfectant monochloramine minimizes the formation of potentially hazardous and regulated byproducts, and many drinking water utilities are shifting to its use. Case presentation After a drinking water utility serving 2.4 million people switched to monochloramine for residual disinfection, a small number of residents complained of dermatitis reactions. We interviewed 17 people about their symptoms. Skin appearance, symptoms, and exposures were heterogeneous. Five respondents had history of hives or rash that preceded the switch to monochloramine. Conclusion The complaints described were heterogeneous, and many of the respondents had underlying or preexisting conditions that would offer plausible alternative explanations for their symptoms. We did not recommend further study of these complaints. PMID:16764728

  3. Heterogeneous dermatitis complaints after change in drinking water treatment: a case report

    Directory of Open Access Journals (Sweden)

    Bhatia Rajiv

    2006-06-01

    Full Text Available Abstract Background The disinfectant monochloramine minimizes the formation of potentially hazardous and regulated byproducts, and many drinking water utilities are shifting to its use. Case presentation After a drinking water utility serving 2.4 million people switched to monochloramine for residual disinfection, a small number of residents complained of dermatitis reactions. We interviewed 17 people about their symptoms. Skin appearance, symptoms, and exposures were heterogeneous. Five respondents had history of hives or rash that preceded the switch to monochloramine. Conclusion The complaints described were heterogeneous, and many of the respondents had underlying or preexisting conditions that would offer plausible alternative explanations for their symptoms. We did not recommend further study of these complaints.

  4. Free access to medicines for the treatment of chronic diseases in Brazil

    Science.gov (United States)

    Tavares, Noemia Urruth Leão; Luiza, Vera Lucia; Oliveira, Maria Auxiliadora; Costa, Karen Sarmento; Mengue, Sotero Serrate; Arrais, Paulo Sergio Dourado; Ramos, Luiz Roberto; Farias, Mareni Rocha; Pizzol, Tatiane da Silva Dal; Bertoldi, Andréa Dâmaso

    2016-01-01

    ABSTRACT OBJECTIVE To analyze the free access to medicines for the treatment of chronic diseases in the Brazilian population, according to demographic and socioeconomic factors. We also analyzed the most used pharmacological groups, according to funding source: free-of-charge or out-of-pocket paid. METHODS Analysis of data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), a population-based household survey, of cross-sectional design, based on probabilistic sample of the Brazilian population. We analyzed as outcome the prevalence of free access (free-of-charge) to all medicines for treatment of the reported chronic diseases, in the last 30 days. We studied the following independent variables: sex, age group, education in complete years of school, economic class, health plan, and geographical region of residence. We estimated the prevalences and 95% confidence intervals (95%CI) and applied the Pearson’s Chi-squared test to assess the differences between the groups, considering a 5% significance level. RESULTS About half of adults and older adults who have had full access to the treatment of chronic diseases in Brazil obtained all needed medicines for free (47.5%; 95%CI 45.1–50.0). The prevalences of free access were higher among men (51.4%; 95%CI 48.1–54.8), age group of 40-59 years (51.1%; 95%CI 48.1–54.2), and in the poorest social classes (53.9%; 95%CI 50.2–57.7). The majority of medicines that act on the cardiovascular system, such as diuretics (C03) (78.0%; 95%CI 75.2–80.5), beta-blockers (C07) (62.7%; 95%CI 59.4–65.8), and the agents that work in the renin-angiotensin system (C09) (73.4%; 95%CI 70.8–75.8), were obtained for free. Medicines that act on the respiratory system, such as agents against obstructive airway diseases (R03) (60.0%; 95%CI 52.7–66.9) were mostly paid with own resources. CONCLUSIONS Free

  5. PUBLIC POLITICS AS A WAY TO CONCRETE REALIZATION OF THE HUMAN RIGHTS AND THE TREATMENT TO REFUGEES IN BRAZIL

    Directory of Open Access Journals (Sweden)

    Janaina Freiberger Benkendorf Peixer

    2012-09-01

    Full Text Available The present study investigates through the Brazilian Federal Constitution of 1988, according to the international pacts which Brazil has subscribed, taking as reference the human dignity principle, if the Brazilian public politics are design to foreigners and in what extension. It aims to understand the concept of public politics and who are their recipients, as well the treatment given to immigrants, independently if they are refugees or not. From the forced migration problem, it seeks to raise some hypothesis of public politics achievement directed to human promotion, without ethnics, social classes and nationality distinction. Theme of fundamental importance in a world where prevails a very heavy transit of people of many different nationalities to many countries, it is indispensable to understands that the individual and collective rights are assured to everyone present in Brazil, therefore, to all Brazilians, foreigners and stateless, according to article number 6 of 1988 Brazilian Federal Constitution.

  6. Advanced treatment of biologically pretreated coal gasification wastewater by a novel integration of heterogeneous catalytic ozonation and biological process.

    Science.gov (United States)

    Zhuang, Haifeng; Han, Hongjun; Jia, Shengyong; Hou, Baolin; Zhao, Qian

    2014-08-01

    Advanced treatment of biologically pretreated coal gasification wastewater (CGW) was investigated employing heterogeneous catalytic ozonation integrated with anoxic moving bed biofilm reactor (ANMBBR) and biological aerated filter (BAF) process. The results indicated that catalytic ozonation with the prepared catalyst (i.e. MnOx/SBAC, sewage sludge was converted into sludge based activated carbon (SBAC) which loaded manganese oxides) significantly enhanced performance of pollutants removal by generated hydroxyl radicals. The effluent of catalytic ozonation process was more biodegradable and less toxic than that in ozonation alone. Meanwhile, ANMBBR-BAF showed efficient capacity of pollutants removal in treatment of the effluent of catalytic ozonation at a shorter reaction time, allowing the discharge limits to be met. Therefore, the integrated process with efficient, economical and sustainable advantages was suitable for advanced treatment of real biologically pretreated CGW.

  7. Where does treatment optimism fit in? Examining factors associated with consistent condom use among people receiving antiretroviral treatment in Rio de Janeiro, Brazil.

    Science.gov (United States)

    Hanif, Homaira; Bastos, Francisco I; Malta, Monica; Bertoni, Neilane; Winch, Peter J; Kerrigan, Deanna

    2014-10-01

    In the era of highly active antiretrovirals, people living with HIV (PLWH) have resumed sexual activity in the context of longer and healthier lives, and thus the chances of transmitting the HIV virus, as well as the potential to be re-infected also increase. HIV treatment optimism has been found to be associated with sexual risk behaviors among PLWH in different settings. A cross sectional survey was conducted to examine the relationship between treatment optimism, safer sex burnout and consistent condom use as well as variables associated with treatment optimism in a sample of PLWH on antiretrovirals (ARVs) in Rio de Janeiro, Brazil (n = 604). Seventy-two percent of participants always used a condom in the last 6 months. Homosexual, bisexual, transexual persons were less likely to use condoms consistently than heterosexuals (AOR .58 CI .42-.78). Those who were treatment optimistic (AOR .46 CI .25-.88) were more likely not use a condom consistently in the past 6 months, as were participants who reported safer sex burnout (AOR .58 CI .36-.90). Sexual orientation, safer sex burnout, and lower education levels were significantly associated with higher treatment optimism in multivariate analysis. Study findings highlight the need to address psychosocial factors such as treatment optimism and safer sex burnout associated with lower consistent condom use among PLWH in Rio de Janeiro, Brazil.

  8. Prevalence, Awareness, and Treatment of Hypertension in Patients with Type 1 Diabetes: A Nationwide Multicenter Study in Brazil

    Directory of Open Access Journals (Sweden)

    Marilia B. Gomes

    2013-01-01

    Full Text Available Objective. This study evaluated the prevalence, awareness, and type of treatment for hypertension in Brazil in patients with type 1 diabetes (T1D. Methods. This was a cross-sectional, multicenter study that was conducted from December 2008 to December 2010 in 28 public clinics located in 20 Brazilian cities. Results. A total of 3,591 patients were studied, 56% female, average age 21.2±11.7 years, with a median duration of diabetes 9.6±8.1 years. Blood pressure levels were available for a total of 3,323 patients and 689 (19.2% patients were hypertensive. Hypertensive patients were older, exhibited longer duration of diabetes, and had higher body mass index (BMI, total cholesterol, triglycerides, and LDL-C values (P<0.001, for all comparisons, but only 370 (53.7% received treatment. Patient awareness of hypertension was documented in 453 (65.5% patients. However, only 76 (22.9% of the treated patients attained the target systolic (sBP and diastolic blood pressures (dBP. Conclusions. Our results demonstrate that a large number of T1D patients with hypertension do not receive appropriate treatment; few of the treated T1D patients achieved the target sBP and dBP values. Greater attention should be paid to blood pressure evaluation, hypertension diagnosis, and treatment of T1D patients in Brazil.

  9. Heterogeneity in Early Responses in ALLHAT (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial).

    Science.gov (United States)

    Dhruva, Sanket S; Huang, Chenxi; Spatz, Erica S; Coppi, Andreas C; Warner, Frederick; Li, Shu-Xia; Lin, Haiqun; Xu, Xiao; Furberg, Curt D; Davis, Barry R; Pressel, Sara L; Coifman, Ronald R; Krumholz, Harlan M

    2017-07-01

    Randomized trials of hypertension have seldom examined heterogeneity in response to treatments over time and the implications for cardiovascular outcomes. Understanding this heterogeneity, however, is a necessary step toward personalizing antihypertensive therapy. We applied trajectory-based modeling to data on 39 763 study participants of the ALLHAT (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial) to identify distinct patterns of systolic blood pressure (SBP) response to randomized medications during the first 6 months of the trial. Two trajectory patterns were identified: immediate responders (85.5%), on average, had a decreasing SBP, whereas nonimmediate responders (14.5%), on average, had an initially increasing SBP followed by a decrease. Compared with those randomized to chlorthalidone, participants randomized to amlodipine (odds ratio, 1.20; 95% confidence interval [CI], 1.10-1.31), lisinopril (odds ratio, 1.88; 95% CI, 1.73-2.03), and doxazosin (odds ratio, 1.65; 95% CI, 1.52-1.78) had higher adjusted odds ratios associated with being a nonimmediate responder (versus immediate responder). After multivariable adjustment, nonimmediate responders had a higher hazard ratio of stroke (hazard ratio, 1.49; 95% CI, 1.21-1.84), combined cardiovascular disease (hazard ratio, 1.21; 95% CI, 1.11-1.31), and heart failure (hazard ratio, 1.48; 95% CI, 1.24-1.78) during follow-up between 6 months and 2 years. The SBP response trajectories provided superior discrimination for predicting downstream adverse cardiovascular events than classification based on difference in SBP between the first 2 measurements, SBP at 6 months, and average SBP during the first 6 months. Our findings demonstrate heterogeneity in response to antihypertensive therapies and show that chlorthalidone is associated with more favorable initial response than the other medications. © 2017 American Heart Association, Inc.

  10. Dynamic treatment of vibrational energy relaxation in a heterogeneous and fluctuating environment

    CERN Document Server

    Fujisaki, Hiroshi

    2008-01-01

    A computational approach to describe the energy relaxation of a high-frequency vibrational mode in a fluctuating heterogeneous environment is outlined. Extending previous work [H. Fujisaki, Y. Zhang, and J.E. Straub, J. Chem. Phys. {\\bf 124}, 144910 (2006)], second-order time-dependent perturbation theory is employed which includes the fluctuations of the parameters in the Hamiltonian within the vibrational adiabatic approximation. This means that the time-dependent vibrational frequencies along an MD trajectory are obtained via a partial geometry optimization of the solute with fixed solvent and a subsequent normal mode calculation. Adopting the amide I mode of N-methylacetamide in heavy water as a test problem, it is shown that the inclusion of dynamic fluctuations may significantly change the vibrational energy relaxation. In particular, it is found that relaxation occurs in two phases, because for short times ($\\lesssim$ 200 fs) the spectral density appears continuous due to the frequency-time uncertainty...

  11. [Bronchoscopic lung volume reduction is a treatment offered to patients with severe heterogenous emphysema].

    Science.gov (United States)

    Perch, Michael; Titlestad, Ingrid L; Rychwicha-Kielek, Beata A; Bendstrup, Elisabeth; Iversen, Martin; Siemsen, Mette; Jørgensen, Ole D; Haahr, Poul Erik

    2014-07-14

    Introduction of bronchoscopic lung volume reduction as a treatment for severe emphysema has been defined as an area of development by The Danish Health and Medicines Authority. We here present the rationale for treatment, in- and exclusion criteria, and ultimately the organization for assessment, treatment and follow-up in Denmark. The treatment aim is to lower dyspnoea. There is a national protocol for patient selection according to in- and exclusion criteria. Different commercial devices are available, but endobronchial valves have been the devices mostly applied. A national database has been established to evaluate cost-effectiveness.

  12. Plants used in the treatment of leishmanial ulcers due to Leishmania (Viannia braziliensis in an endemic area of Bahia, Brazil

    Directory of Open Access Journals (Sweden)

    Flávio França

    1996-06-01

    Full Text Available This paper records the plants used in the treatment of cutaneous leishmaniasis due to Leishmania (Viannia braziliensis (L(Vb among the rural population of a cocoa- producing coastal area of Bahia state, Brazil. An enquiry conducted among a hundred patients identified 49 plant species used to treat skin ulceration caused by this Leishmania species. The principal plants used are caju-branco (Anacardium occidentale - Anacardiaceae, used by 65% of the population, folha-fogo (Clidemia hirta - Melastomataceae 39%, alfavaca-grossa (Plectranthus amboinicus - Lamiaceae 33%, mastruz (Chenopodium ambrosioides - Chenopodiaceae 31%, erva-de-santa-maria (Solatium americanum - Solanaceae (25% and transagem (Plantago major - Plantaginaceae. 2%.

  13. Plants used in the treatment of leishmanial ulcers due to Leishmania (Viannia) braziliensis in an endemic area of Bahia, Brazil.

    Science.gov (United States)

    França, F; Lago, E L; Marsden, P D

    1996-01-01

    This paper records the plants used in the treatment of cutaneous leishmaniasis due to Leishmania (Viannia) braziliensis (L(V)b) among the rural population of a cocoa-producing coastal area of Bahia state, Brazil. An enquiry conducted among a hundred patients identified 49 plants species used to treat skin ulceration caused by this Leishmania species. The principal plants used are caju-branco (Anacardium occidentale, Anacardiaceae), used by 65% of the population, folha-fogo (Clidemia hirta,Melastomataceae) 39%, alfavaca-grossa (Plectranthus amboinicus, Lamiaceae) 33%, mastruz (Chenopodium ambrosioides, Chenopodiaceae) 31%, erva-de-santa-maria (Solanum americanum, Solanaceae) (25%) and transagem (Plantago major, Plantaginaceae) 2%.

  14. Epidemiology of psychotropic drug use in Rio de Janeiro, Brazil: gaps in mental illness treatments.

    Directory of Open Access Journals (Sweden)

    Maria Ines Quintana

    Full Text Available OBJECTIVE: Estimate the prevalence of psychotropic drugs use in the city of Rio de Janeiro, Brazil, and establish its relationship with the presence of mental disorders. METHODS: A probabilistic sample of non-institutionalized individuals, from the general population of Rio de Janeiro (n = 1208;turn out:81%, 15 years or older, who were interviewed using the Composite International Diagnostic Interview 2.1 (depression, anxiety-phobia, OCD\\PTSD, alcoholism sections, and asked about their psychotropic use during a 12 and one-month period before the interview. Data were collected between June/2007-February/2008.The prevalence was estimated with a confidence interval of 95%. The associations between psychotropics use and mental disorders were analyzed through a logistic regression model (Odds Ration - OR. RESULTS: The one-month prevalence of psychotropic drug use was 6.55%, 3.19% for men and 9.13% for women. Antidepressants were the most frequently used drug (2.78%, followed by anorectics (1.65%, tranquilizers (1.61% and mood stabilizers (1.23%. General practitioners issued the highest number of prescriptions (46.3%, followed by psychiatrists (29.3%; 86.6% of the psychotropic drugs used were paid for by the patient himself. Individuals with increased likelihood of using psychotropic drugs were those that had received a psychiatric diagnosis during a one-month period before the study (OR:3.93, females (OR:1.82, separated/divorced (OR:2.23, of increased age (OR:1.03, with higher income (OR:2.96, and family history of mental disorder (OR:2.59; only 16% of the individuals with a current DSM IV diagnosis were using a psychotropic drug; 17% among individuals with a depression-related diagnosis and 8% with Phobic Anxiety Disorders-related diagnosis used psychotropics. CONCLUSION: Approximately 84% of individuals displaying some mental disorder did not use psychotropic drugs, which indicates an important gap between demand and access to treatment. A

  15. Clinical and pathological importance of vacA allele heterogeneity and cagA status in peptic ulcer disease in patients from North Brazil

    Directory of Open Access Journals (Sweden)

    Luisa Caricio Martins

    2005-12-01

    Full Text Available We have examined the prevalence of gene cagA and vacA alleles in 129 patients, 69 with gastritis and 60 with peptic ulcer diseases from North Brazil and their relation with histopathological data. vacA and cagA genotype were determined by polymerase chain reaction. Hematoxylin-eosin staining was used for histological diagnosis. 96.6% of the patients were colonized by Helicobacter pylori strains harboring single vacA genotype (nont-mixed infection. Among them, 11.8% had subtype s1a, 67.8% had subtype s1b, and 17% subtype s2. In regard to the middle region analysis, m1 alleles were found in 75.4% and m2 in 21.2% of patients. The cagA gene was detected in 78% patients infected with H. pylori and was associated with the s1-m1 vacA genotype. The H. pylori strains, vacA s1b m1/cagA-positive, were associated with increased risk of peptic ulcer disease and higher amounts of lymphocytic and neutrophilic infiltrates and the presence of intestinal metaplasia. These findings show that cagA and vacA genotyping may have clinical relevance in Brazil.

  16. Trends in treatment of anterior cruciate ligament injuries of the knee in the public and private healthcare systems of Brazil

    Directory of Open Access Journals (Sweden)

    Diego Costa Astur

    Full Text Available CONTEXT AND OBJECTIVE Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding treatment of a damaged anterior cruciate ligament, which is a common knee injury. DESIGN AND SETTING Descriptive cross-sectional study conducted during the Brazilian Orthopedics Congress in Brasília. METHODS We applied questionnaires during the 2010 Brazilian Orthopedics Congress, with participation by 241 knee surgeons from 24 Brazilian states. This was followed by statistical analysis on the data that were obtained. RESULTS The orthopedic surgeons who were evaluated used different approaches and treatment options in different Brazilian states, comparing between the public and private systems. CONCLUSION Both in the public and in the private systems in Brazil, because of non-medical issues surrounding the treatment, the best medical decision is not always made. This may be harmful both to patients and to physicians.

  17. TH-A-19A-01: An Open Source Software for Proton Treatment Planning in Heterogeneous Medium

    Energy Technology Data Exchange (ETDEWEB)

    Desplanques, M; Baroni, G [Politecnico di Milano, Milano (Italy); Wang, K [Princess Margaret Hospital, Toronto (Canada); Phillips, J; Gueorguiev, G; Sharp, G [Massachusetts General Hospital, Boston, MN (United States)

    2014-06-15

    Purpose: Due to its success in Radiation Oncology during the last decade, interest in proton therapy is on the rise. Unfortunately, despite the global enthusiasm in the field, there is presently no free, multiplatform and customizable Treatment Planning System (TPS) providing proton dose distributions in heterogenous medium. This restricts substantially the progress of clinical research for groups without access to a commercial Proton TPS. The latest implementation of our pencil beam dose calculation algorithm for proton beams within the 3D Slicer open-source environment fulfills all the conditions described above. Methods: The core dose calculation algorithm is based on the Hong algorithm (1), which was upgraded with the Kanematsu theory describing the evolution of the lateral scattering of proton beamlets in heterogeneous medium. This algorithm deals with both mono-energetic beams and Spread Out Bragg Peak (SOBP). In order to be user-friendly, we provide a graphical user interface implemented with the Qt libraries, and visualization with the 3D Slicer medical image analysis software. Two different pencil beam algorithms were developed, and the clinical proton beam line at our facility was modeled. Results: The dose distributions provided by our algorithms were compared to dose distributions coming from both commercialized XiO TPS and literature (dose measurements, GEANT4 and MCNPx) and turned out to be in a good agreement, with maximum dose discrepancies of 5% in homogeneous phantoms and 10% in heterogeneous phantoms. The algorithm of SOBP creation from an optimized weigthing of mono-energetic beams results in flat SOBP. Conclusion: We hope that our efforts in implementing this new, open-source proton TPS will help the research groups to have a free access to a useful, reliable proton dose calculation software.(1) L. Hong et al., A pencil beam algorithm for proton dose calculations, Phys. Med. Biol. 41 (1996) 1305–1330. This project is paid for by NCI

  18. Differences in Sepsis Treatment and Outcomes between Public and Private Hospitals in Brazil: A Multicenter Observational Study

    Science.gov (United States)

    Conde, Katia Aparecida Pessoa; Silva, Eliezer; Silva, Carla Oliveira; Ferreira, Elaine; Freitas, Flavio Geraldo Rezende; Castro, Isac; Rea-Neto, Alvaro; Grion, Cintia Magalhaes Carvalho; Moura, Anselmo Dornas; Lobo, Suzana Margareth; Azevedo, Luciano Cesar Pontes; Machado, Flavia Ribeiro

    2013-01-01

    Background Previous studies showed higher sepsis mortality rates in Brazil compared to other developed or developing countries. Moreover, another trial demonstrated an increased mortality rate in public hospitals compared to private hospitals in Brazil. The reasons for these findings may include delayed recognition and inadequate treatment of sepsis in public facilities. We designed this study to evaluate the factors associated with mortality in septic patients admitted to intensive care units in a network of public and private institutions. Materials and Methods This study is a retrospective analysis of a prospective cohort of sepsis patients in 19 private and public institutions in Brazil. We analyzed data from the original database and collected additional data to assess compliance to the treatment guidelines and to determine the time from the onset of organ dysfunction and the sepsis diagnosis by the healthcare team. Results A total of 396 patients were analyzed. Patients in public hospitals were younger, had a greater number of dysfunctional organs at baseline and a lower chance to have sepsis diagnosed within two hours of the onset of organ dysfunction. Private hospitals had a better compliance to lactate and blood culture sampling and maintenance of glycemic control. The multivariate analysis showed that age, disease severity at baseline and being treated at a public hospital were independent risk factors for mortality. A delay in the sepsis diagnosis of longer than two hours was associated with mortality only in the public setting. Conclusions We confirmed a lower sepsis mortality rate in the private hospitals of this network. Being treated in a public hospital was an independent factor for mortality. Delayed recognition of sepsis was more frequent in public institutions and this might have been associated with a higher mortality. Improving sepsis recognition and early diagnosis may be important targets in public institutions. PMID:23762255

  19. Cluster analysis of quantitative parametric maps from DCE-MRI: application in evaluating heterogeneity of tumor response to antiangiogenic treatment.

    Science.gov (United States)

    Longo, Dario Livio; Dastrù, Walter; Consolino, Lorena; Espak, Miklos; Arigoni, Maddalena; Cavallo, Federica; Aime, Silvio

    2015-07-01

    The objective of this study was to compare a clustering approach to conventional analysis methods for assessing changes in pharmacokinetic parameters obtained from dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) during antiangiogenic treatment in a breast cancer model. BALB/c mice bearing established transplantable her2+ tumors were treated with a DNA-based antiangiogenic vaccine or with an empty plasmid (untreated group). DCE-MRI was carried out by administering a dose of 0.05 mmol/kg of Gadocoletic acid trisodium salt, a Gd-based blood pool contrast agent (CA) at 1T. Changes in pharmacokinetic estimates (K(trans) and vp) in a nine-day interval were compared between treated and untreated groups on a voxel-by-voxel analysis. The tumor response to therapy was assessed by a clustering approach and compared with conventional summary statistics, with sub-regions analysis and with histogram analysis. Both the K(trans) and vp estimates, following blood-pool CA injection, showed marked and spatial heterogeneous changes with antiangiogenic treatment. Averaged values for the whole tumor region, as well as from the rim/core sub-regions analysis were unable to assess the antiangiogenic response. Histogram analysis resulted in significant changes only in the vp estimates (pclustering approach depicted marked changes in both the K(trans) and vp estimates, with significant spatial heterogeneity in vp maps in response to treatment (pclustered in three or four sub-regions. This study demonstrated the value of cluster analysis applied to pharmacokinetic DCE-MRI parametric maps for assessing tumor response to antiangiogenic therapy. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Effect of heterogeneous Fenton-like pre-treatment on anaerobic granular sludge performance and microbial community for the treatment of traditional Chinese medicine wastewater

    Energy Technology Data Exchange (ETDEWEB)

    Su, Chengyuan, E-mail: suchengyuan2008@126.com [School of Environment and Resources, Guangxi Normal University, 15 Yucai Road, Guilin 541004 (China); School of Municipal and Environmental Engineering, Harbin Institute of Technology, 73 Huanghe Road, Harbin 150090 (China); Li, Weiguang [School of Municipal and Environmental Engineering, Harbin Institute of Technology, 73 Huanghe Road, Harbin 150090 (China); Lu, Yuxiang; Chen, Menglin; Huang, Zhi [School of Environment and Resources, Guangxi Normal University, 15 Yucai Road, Guilin 541004 (China)

    2016-08-15

    Highlights: • Rhein has metabolic or physiological toxicity on methanogens in anaerobic granular sludge. • TCM wastewater containing rhein can be successfully treated by the combined treatment. • The productions of the EPS of granular sludge increased after pre-treatment. • Methanoregula, Methanobacterium, Methanosphaerula were predominant in the DC reactor after pre-treatment. - Abstract: The effect of a heterogeneous Fenton-like pre-treatment on the anaerobic processes, characteristics and microbial community of sludge was investigated for traditional Chinese medicine (TCM) wastewater containing rhein. When the concentrations of rhein were 50 mg/L and 100 mg/L, the toxic effect was physiological toxicity for anaerobic granular sludge. Using a single double circle (DC) reactor for the treatment of TCM wastewater containing rhein at concentrations of 15–20 mg/L, the chemical oxygen demand (COD) removal rate was 69%, and coenzyme F{sub 420} was nearly undetectable in the 3D-excitation-emission matrix (EEM) spectra of soluble microbial products (SMP). The abundances of Methanoregula, Methanobacterium, Methanosphaerula were only 5.57%, 2.39% and 1.08% in the DC reactor, respectively. TCM wastewater containing rhein could be successfully treated by the combination of the heterogeneous Fenton-like pre-treatment and the DC reactor processes, and the COD removal rate reached 95%. Meanwhile, the abundances of Methanoregula, Methanobacterium, Methanosphaerula increased to 22.5%, 18.5%, and 13.87%, respectively. For the bacterial community, the abundance of Acidobacteria-Gp6 decreased from 6.99% to 1.07%, while the abundances of Acidobacteria-Gp1 and Acidobacteria-Gp2 increased from 1.61% to 6.55% and from 1.28% to 5.87%, respectively.

  1. An Investigation into the Completeness of, and the Updates to, OpenStreetMap Data in a Heterogeneous Area in Brazil

    Directory of Open Access Journals (Sweden)

    Silvana Philippi Camboim

    2015-08-01

    Full Text Available The integration of user-generated content made in a collaborative environment is being increasingly considered a valuable input to reference maps, even from official map agencies such as USGS and Ordnance Survey. In Brazil, decades of lack of investment has resulted in a topographic map coverage that is both outdated and unequally distributed throughout the territory. This paper aims to analyze the spatial distribution of updates of OpenStreetMap in rural and urban areas in the country to understand the patterns of user updates and its correlation with other economic and developmental variables. This analysis will contribute to generating the knowledge needed in order to consider the use of this data as part of a reference layer of the National Spatial Database Infrastructure as well to design strategies to encourage user action in specific areas.

  2. Advanced treatment of biologically pretreated coal gasification wastewater by a novel integration of heterogeneous Fenton oxidation and biological process.

    Science.gov (United States)

    Xu, Peng; Han, Hongjun; Zhuang, Haifeng; Hou, Baolin; Jia, Shengyong; Xu, Chunyan; Wang, Dexin

    2015-04-01

    Laboratorial scale experiments were conducted in order to investigate a novel system integrating heterogeneous Fenton oxidation (HFO) with anoxic moving bed biofilm reactor (ANMBBR) and biological aerated filter (BAF) process on advanced treatment of biologically pretreated coal gasification wastewater (CGW). The results indicated that HFO with the prepared catalyst (FeOx/SBAC, sewage sludge based activated carbon (SBAC) which loaded Fe oxides) played a key role in eliminating COD and COLOR as well as in improving the biodegradability of raw wastewater. The surface reaction and hydroxyl radicals (OH) oxidation were the mechanisms for FeOx/SBAC catalytic reaction. Compared with ANMBBR-BAF process, the integrated system was more effective in abating COD, BOD5, total phenols (TPs), total nitrogen (TN) and COLOR and could shorten the retention time. Therefore, the integrated system was a promising technology for engineering applications.

  3. Bronchoscopic lung volumen reduction is a treatment offered to patients with severe heterogenous emphysema

    DEFF Research Database (Denmark)

    Bendstrup, Elisabeth; Hilberg, Ole

    2014-01-01

    interstitial pneumonia on high resolution computed tomography or specific combinations of radiological and histopathological patterns. All patients should be evaluated for lung transplantation, and treatment with the anti-fibrotic drug pirfenidone is recommended for patients with a forced vital capacity > 50...

  4. Bronchoscopic Lung Volume Reduction Coil Treatment of Patients With Severe Heterogeneous Emphysema

    NARCIS (Netherlands)

    Slebos, Dirk-Jan; Klooster, Karin; Ernst, Armin; Herth, Felix J. F.; Kerstjens, Huib A. M.

    2012-01-01

    Background: The lung volume reduction coil (LVR-coil), a new experimental device to achieve lung volume reduction by bronchoscopy in patients with severe emphysema, works in a manner unaffected by collateral airflow. We investigated the safety and efficacy of LVR-coil treatment in patients with hete

  5. 精神医学中的生物统计学(7):治疗效应的异质性%Heterogeneity of treatment effects

    Institute of Scientific and Technical Information of China (English)

    段乃华; 王元佳

    2012-01-01

    @@ In many clinical studies it is important to examine whether or not the effect of the treatment varies across patient subgroups[1].For example, does the effect of treatment for depression with a specific SSRI vary by gender? In other words, is there ‘heterogeneity of treatment effects' (HTE)? This information is important for clinical decision-making; clinicians can target a specific treatment to patients who are expected to benefit most from the treatment and seek alternative treatments for patients who are expected to benefit least from the treatment.

  6. Free access to medicines for the treatment of chronic diseases in Brazil.

    Science.gov (United States)

    Tavares, Noemia Urruth Leão; Luiza, Vera Lucia; Oliveira, Maria Auxiliadora; Costa, Karen Sarmento; Mengue, Sotero Serrate; Arrais, Paulo Sergio Dourado; Ramos, Luiz Roberto; Farias, Mareni Rocha; Pizzol, Tatiane da Silva Dal; Bertoldi, Andréa Dâmaso

    2016-12-01

    To analyze the free access to medicines for the treatment of chronic diseases in the Brazilian population, according to demographic and socioeconomic factors. We also analyzed the most used pharmacological groups, according to funding source: free-of-charge or out-of-pocket paid. Analysis of data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines), a population-based household survey, of cross-sectional design, based on probabilistic sample of the Brazilian population. We analyzed as outcome the prevalence of free access (free-of-charge) to all medicines for treatment of the reported chronic diseases, in the last 30 days. We studied the following independent variables: sex, age group, education in complete years of school, economic class, health plan, and geographical region of residence. We estimated the prevalences and 95% confidence intervals (95%CI) and applied the Pearson's Chi-squared test to assess the differences between the groups, considering a 5% significance level. About half of adults and older adults who have had full access to the treatment of chronic diseases in Brazil obtained all needed medicines for free (47.5%; 95%CI 45.1-50.0). The prevalences of free access were higher among men (51.4%; 95%CI 48.1-54.8), age group of 40-59 years (51.1%; 95%CI 48.1-54.2), and in the poorest social classes (53.9%; 95%CI 50.2-57.7). The majority of medicines that act on the cardiovascular system, such as diuretics (C03) (78.0%; 95%CI 75.2-80.5), beta-blockers (C07) (62.7%; 95%CI 59.4-65.8), and the agents that work in the renin-angiotensin system (C09) (73.4%; 95%CI 70.8-75.8), were obtained for free. Medicines that act on the respiratory system, such as agents against obstructive airway diseases (R03) (60.0%; 95%CI 52.7-66.9) were mostly paid with own resources. Free access to medicines for treatment of chronic diseases occurs to a

  7. Heterogeneity in diabetic distal neuropathy and differential approach to its treatment

    Directory of Open Access Journals (Sweden)

    O E Khutornaya

    2013-06-01

    Full Text Available Aims. To determine the prevalence of painful diabetic neuropathy (PDN, to evaluate the composition and efficacy of pharmacotherapy and to develop a differential algorithm for symptomatic treatment of PDN.Materials and Methods. 4494 outpatient subjects participated in this study. Severity of pain syndrome was assessed with DN4 question- naire (supplemented with NTSS-9 scale and visual analogue scale (VAS. After initial examination, a pharmacological evaluation of treatment was performed.Results. Based on our data, prevalence of diabetic neuropathy was estimated at 54%, with painful form reaching 6.4%. Median age was 57.2±12.1, duration of diabetes mellitus – 16.5±10.6 years. Type 1 / type 2 ratio equaled 32.4% : 67.6%, male/female – 29.7%: 70.3%. Median HbA1c level was 8.4±1.6%. Ratio of chronic/acute forms of neuropathy was 267 : 20. Pain severity (as measured by VAS distribution was as following: 15.6% – severe, 40.6% – moderate, 12.3% – mild, and 31.3% – no pain symptoms. We did not find PDN to be associated with any parameters but sensory deficit (NTSS-9 and NDS: r=0.4; p <0.001. 21% of patients with chronic painful neuropathy (CPN demonstrated allodynia and hyperalgesia besides typical symptoms. 97.9% of patients were previ- ously treated with “pathogenetic” agents, 2.1% received anticonvulsants; overall efficiency was estimated at 22%. Patients with CPN and allodynia did not respond to treatment with alpha-lipoic acid (ALA, but pregabalin was efficient. After the examination treatment composition was adjusted as follows: treatment was ceased in 23% of patients, 11.9% received ALA, 53.6% – anticonvulsants, and11.5% – antidepressants; overall efficiency was estimated at 75%.Conclusion. Prevalence of PDN is relatively low. 15.6% of patients suffer from severe pain. Neuropathic pain intensity correlates only with sensory deficit and is not dependent on any other parameters. CPN consists of two forms with higher and lower

  8. Efficacy and safety of available treatments for visceral leishmaniasis in Brazil: A multicenter, randomized, open label trial

    Science.gov (United States)

    Costa, Dorcas Lamounier; Costa, Carlos Henrique Nery; de Almeida, Roque Pacheco; de Melo, Enaldo Viera; de Carvalho, Sílvio Fernando Guimarães; Rabello, Ana; de Carvalho, Andréa Lucchesi; Sousa, Anastácio de Queiroz; Leite, Robério Dias; Lima, Simone Soares; Amaral, Thais Alves; Alves, Fabiana Piovesan; Rode, Joelle

    2017-01-01

    Background There is insufficient evidence to support visceral leishmaniasis (VL) treatment recommendations in Brazil and an urgent need to improve current treatments. Drug combinations may be an option. Methods A multicenter, randomized, open label, controlled trial was conducted in five sites in Brazil to evaluate efficacy and safety of (i) amphotericin B deoxycholate (AmphoB) (1 mg/kg/day for 14 days), (ii) liposomal amphotericin B (LAMB) (3 mg/kg/day for 7 days) and (iii) a combination of LAMB (10 mg/kg single dose) plus meglumine antimoniate (MA) (20 mg Sb+5/kg/day for 10 days), compared to (iv) standard treatment with MA (20 mg Sb+5/kg/day for 20 days). Patients, aged 6 months to 50 years, with confirmed VL and without HIV infection were enrolled in the study. Primary efficacy endpoint was clinical cure at 6 months. A planned efficacy and safety interim analysis led to trial interruption. Results 378 patients were randomized to the four treatment arms: MA (n = 112), AmphoB (n = 45), LAMB (n = 109), or LAMB plus MA (n = 112). A high toxicity of AmphoB prompted an unplanned interim safety analysis and this treatment arm was dropped. Per intention-to-treat protocol final analyses of the remaining 332 patients show cure rates at 6 months of 77.5% for MA, 87.2% for LAMB, and 83.9% for LAMB plus MA, without statistically significant differences between the experimental arms and comparator (LAMB: 9.7%; CI95% -0.28 to 19.68, p = 0.06; LAMB plus MA: 6.4%; CI95% -3.93 to 16.73; p = 0.222). LAMB monotherapy was safer than MA regarding frequency of treatment-related adverse events (AE) (p = 0.045), proportion of patients presenting at least one severe AE (p = 0.029), and the proportion of AEs resulting in definitive treatment discontinuation (p = 0.003). Conclusions Due to lower toxicity and acceptable efficacy, LAMB would be a more suitable first line treatment for VL than standard treatment. ClinicalTrials.gov identification number: NCT01310738. Trial registration

  9. Efficacy and safety of available treatments for visceral leishmaniasis in Brazil: A multicenter, randomized, open label trial.

    Directory of Open Access Journals (Sweden)

    Gustavo Adolfo Sierra Romero

    2017-06-01

    Full Text Available There is insufficient evidence to support visceral leishmaniasis (VL treatment recommendations in Brazil and an urgent need to improve current treatments. Drug combinations may be an option.A multicenter, randomized, open label, controlled trial was conducted in five sites in Brazil to evaluate efficacy and safety of (i amphotericin B deoxycholate (AmphoB (1 mg/kg/day for 14 days, (ii liposomal amphotericin B (LAMB (3 mg/kg/day for 7 days and (iii a combination of LAMB (10 mg/kg single dose plus meglumine antimoniate (MA (20 mg Sb+5/kg/day for 10 days, compared to (iv standard treatment with MA (20 mg Sb+5/kg/day for 20 days. Patients, aged 6 months to 50 years, with confirmed VL and without HIV infection were enrolled in the study. Primary efficacy endpoint was clinical cure at 6 months. A planned efficacy and safety interim analysis led to trial interruption.378 patients were randomized to the four treatment arms: MA (n = 112, AmphoB (n = 45, LAMB (n = 109, or LAMB plus MA (n = 112. A high toxicity of AmphoB prompted an unplanned interim safety analysis and this treatment arm was dropped. Per intention-to-treat protocol final analyses of the remaining 332 patients show cure rates at 6 months of 77.5% for MA, 87.2% for LAMB, and 83.9% for LAMB plus MA, without statistically significant differences between the experimental arms and comparator (LAMB: 9.7%; CI95% -0.28 to 19.68, p = 0.06; LAMB plus MA: 6.4%; CI95% -3.93 to 16.73; p = 0.222. LAMB monotherapy was safer than MA regarding frequency of treatment-related adverse events (AE (p = 0.045, proportion of patients presenting at least one severe AE (p = 0.029, and the proportion of AEs resulting in definitive treatment discontinuation (p = 0.003.Due to lower toxicity and acceptable efficacy, LAMB would be a more suitable first line treatment for VL than standard treatment. ClinicalTrials.gov identification number: NCT01310738.ClinicalTrials.gov NCT01310738.

  10. SU-E-T-626: Accuracy of Dose Calculation Algorithms in MultiPlan Treatment Planning System in Presence of Heterogeneities

    Energy Technology Data Exchange (ETDEWEB)

    Moignier, C; Huet, C [Radioprotection and Nuclear Safety Institute IRSN, Fontenay-aux-Roses (France); Barraux, V; Loiseau, C; Sebe-Mercier, K; Batalla, A [Francois Baclesse Center, Caen (France); Makovicka, L [IRMA/CE UMR 6249 CNRS, Franche-Comte University, Montbeliard (France)

    2014-06-15

    Purpose: Advanced stereotactic radiotherapy (SRT) treatments require accurate dose calculation for treatment planning especially for treatment sites involving heterogeneous patient anatomy. The purpose of this study was to evaluate the accuracy of dose calculation algorithms, Raytracing and Monte Carlo (MC), implemented in the MultiPlan treatment planning system (TPS) in presence of heterogeneities. Methods: First, the LINAC of a CyberKnife radiotherapy facility was modeled with the PENELOPE MC code. A protocol for the measurement of dose distributions with EBT3 films was established and validated thanks to comparison between experimental dose distributions and calculated dose distributions obtained with MultiPlan Raytracing and MC algorithms as well as with the PENELOPE MC model for treatments planned with the homogenous Easycube phantom. Finally, bones and lungs inserts were used to set up a heterogeneous Easycube phantom. Treatment plans with the 10, 7.5 or the 5 mm field sizes were generated in Multiplan TPS with different tumor localizations (in the lung and at the lung/bone/soft tissue interface). Experimental dose distributions were compared to the PENELOPE MC and Multiplan calculations using the gamma index method. Results: Regarding the experiment in the homogenous phantom, 100% of the points passed for the 3%/3mm tolerance criteria. These criteria include the global error of the method (CT-scan resolution, EBT3 dosimetry, LINAC positionning …), and were used afterwards to estimate the accuracy of the MultiPlan algorithms in heterogeneous media. Comparison of the dose distributions obtained in the heterogeneous phantom is in progress. Conclusion: This work has led to the development of numerical and experimental dosimetric tools for small beam dosimetry. Raytracing and MC algorithms implemented in MultiPlan TPS were evaluated in heterogeneous media.

  11. Expenditures on the treatment of osteoporosis in the elderly in Brazil (2008 - 2010: analysis of associated factors

    Directory of Open Access Journals (Sweden)

    Luci Fabiane Scheffer Moraes

    2014-09-01

    Full Text Available Objective: To analyze the expenditure of the Ministry of Health with osteoporosis treatment in the Brazilian Public Health System (SUS in 2008-2010 triennium and estimate the influence of demographic, regional and disease related variables on average expenditure per procedures performed. Methods: A cross-sectional, descriptive and analytical study based on secondary data from DATASUS related to procedures for the elderly with a diagnosis of osteoporosis and related fractures. For the statistical analysis and multivariate model, Stata 11.0 was used. Results: According to the findings, 3,252,756 procedures related to the osteoporosis treatment among the elderly were carried out in Brazil during the 2008 - 2010 period, totalizing R$ 288,986,335.15. The age group that most had procedures was 60 - 69 years (46.3%; the population of 80 years or older showed the highest spending per procedure, around R$ 106 million in three years. The women were majority in terms of quantity (95.6% and expense (76% of procedures. The average cost per procedure showed a large gap between men and women, nearly 7 times (R$ 480.14 versus R$ 70.85, respectively. The ambulatory care procedures predominated in quantity (96.4% and the hospital procedures predominated in resources (70.4%. It was found that there is no single standard for groups of procedures when these are analyzed separately. Conclusion: A disaggregated analysis of expenditure by procedures groups extracted from the SUS Management System of the Table of Procedures, Medicines, Orthotics, Prosthetics and Special Materials allowed a detailed overview of federal spending on the osteoporosis treatment in the elderly from Brazil.

  12. Treatment of nonignorable missing data when modeling unobserved heterogeneity with finite mixture models.

    Science.gov (United States)

    Lehmann, Thomas; Schlattmann, Peter

    2017-01-01

    Multiple imputation has become a widely accepted technique to deal with the problem of incomplete data. Typically, imputation of missing values and the statistical analysis are performed separately. Therefore, the imputation model has to be consistent with the analysis model. If the data are analyzed with a mixture model, the parameter estimates are usually obtained iteratively. Thus, if the data are missing not at random, parameter estimation and treatment of missingness should be combined. We solve both problems by simultaneously imputing values using the data augmentation method and estimating parameters using the EM algorithm. This iterative procedure ensures that the missing values are properly imputed given the current parameter estimates. Properties of the parameter estimates were investigated in a simulation study. The results are illustrated using data from the National Health and Nutrition Examination Survey.

  13. Highly concentrated phenolic wastewater treatment by heterogeneous and homogeneous photocatalysis: mechanism study by FTIR-ATR.

    Science.gov (United States)

    Araña, J; Tello-Rendón, E; Doña-Rodríguez, J M; Campo, C V; Herrera-Melidán, J A; González-Díaz; Pérez-Peña, J

    2001-01-01

    The degradation of high phenol concentrations (1 g/L) in water solutions by TiO2 photocatalysis and the photo-Fenton reaction has been studied. From the obtained data it may be suggested that degradation of phenol by TiO2-UV takes place onto the catalyst surface by means of peroxo-compounds formation. At low phenol concentrations other mechanism, the insertion of OH. radicals, may be favored. On the other hand, highly concentrated phenol aqueous solutions treatment by the photo-Fenton reaction gives rise to the formation of polyphenolic polymers. These seem to reduce the process rate. Degradation intermediates have been identified by HPLC and FTIR. The FTIR study of the catalyst surface has shown infrared bands attributable to different chemisorbed peroxo-compounds, formates, ortho-formates and carboxylates that can inactivate the catalyst.

  14. SU-E-T-390: Evaluation of Heterogeneity Corrections Made by RayStation Treatment Planning

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez, M; Bartolac, S; Rezaee, M; Bissonnette, J [Princess Margaret Cancer Centre, Toronto, ON (Canada)

    2015-06-15

    Purpose: To examine the agreement between absorbed doses calculated by RayStation treatment planning algorithm to those measured with gafchromic film and ion chamber when the photon beam is perturbed by attenuation or lateral scatter of lung material. Methods: A gafchromic EBT2 film was placed in the center of a 30×30×20 cm{sup 3} solid water phantom with a 5 cm lung slab placed at 10 cm depth. The film was irradiated at SSD = 100 cm with a 6 MV photon beam, 10×10 and 5×5 cm{sup 2} field sizes and with the beam parallel to the film and lung slab. A CT was performed to the phantom arrangement for RayStation dose calculation. The films were scanned in an Epson 10000X flatbed scanner and analyzed using the red channel, 16 bits, 76 dpi. PDD curves at the central axis and profiles at dmax were also measured in water using a CC13 (0.13 CC) ion chamber. Measurements and calculation of PDD curves at the central axis and profiles at dmax and 20 cm depth were compared using the criteria suggested by the AAPM Task Group # 53. Results: The PDD curves measured with gafchromic film and those measured in water with ion chamber agree with the ones calculated by RayStation within the uncertainty of the measurements which is within 3%. The passing rate values of the measured and calculated profiles for the 2 field sizes are within 94% for both at dmax and at 20 cm depth. Conclusion: Raystation dose calculation engine models inhomogeneity corrections. Differences between the calculated PDD curves and profiles and those measured with gafchromic film are within the uncertainty of the measurements and inside of the agreement tolerance suggested by TG53. Therefore, RayStation treatment planning has an acceptable algorithm to correct dose delivered by photon beams perturbed by lung tissue.

  15. A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers.

    Science.gov (United States)

    Mercado-Martinez, Francisco J; da Silva, Denise Guerreiro V; Correa-Mauricio, Mauricio E

    2017-04-01

    Renal replacement therapy is the indicated treatment for individuals with chronic kidney disease (CKD) to survive. However, not all sick people have access to the same treatment. This study compares renal care in two developing countries with different health systems. Specifically, it explores hemodialysis treatment from the perspective of low-income individuals. A qualitative, comparative study was performed in Brazil and Mexico. Using purposive sampling, the research was based on open-ended interviews with nineteen participants with kidney failure undergoing hemodialysis treatment in public hospitals and ten relatives. According to our results, Brazilian participants perceived hemodialysis care as satisfactory because of health personnel courtesy as well as free access to dialysis treatment, prescription drugs, hospitalization and transportation. However, they reported deficiencies in the care they were receiving due to shortages of specialists, prescription drugs, laboratory tests and transportation. Mexican participants, in contrast, highlighted the catastrophic costs of medical care because they had no free access to renal therapy, nor adequate financial resources. Our findings suggest that low-income Brazilian CKD sufferers experience renal care differently, as they are more satisfied and face less obstacles with hemodialysis compared with those of Mexico. More studies on the topic are needed. © 2016 John Wiley & Sons Ltd.

  16. Annual national direct and indirect cost estimates of the prevention and treatment of cervical cancer in Brazil

    Science.gov (United States)

    Novaes, Hillegonda Maria Dutilh; Itria, Alexander; Silva, Gulnar Azevedo e; Sartori, Ana Marli Christovam; Rama, Cristina Helena; de Soárez, Patrícia Coelho

    2015-01-01

    OBJECTIVE: To estimate the annual direct and indirect costs of the prevention and treatment of cervical cancer in Brazil. METHODS: This cost description study used a "gross-costing" methodology and adopted the health system and societal perspectives. The estimates were grouped into sets of procedures performed in phases of cervical cancer care: the screening, diagnosis and treatment of precancerous lesions and the treatment of cervical cancer. The costs were estimated for the public and private health systems, using data from national health information systems, population surveys, and literature reviews. The cost estimates are presented in 2006 USD. RESULTS: From the societal perspective, the estimated total costs of the prevention and treatment of cervical cancer amounted to USD $1,321,683,034, which was categorized as follows: procedures (USD $213,199,490), visits (USD $325,509,842), transportation (USD $106,521,537) and productivity losses (USD $676,452,166). Indirect costs represented 51% of the total costs, followed by direct medical costs (visits and procedures) at 41% and direct non-medical costs (transportation) at 8%. The public system represented 46% of the total costs, and the private system represented 54%. CONCLUSION: Our national cost estimates of cervical cancer prevention and treatment, indicating the economic importance of cervical cancer screening and care, will be useful in monitoring the effect of the HPV vaccine introduction and are of interest in research and health care management. PMID:26017797

  17. Lack of Cyathostomin sp. reduction after anthelmintic treatment in horses in Brazil.

    Science.gov (United States)

    Canever, Ricardo J; Braga, Pollyana R C; Boeckh, Albert; Grycajuck, Marcelly; Bier, Daniele; Molento, Marcelo B

    2013-05-01

    The increase of anthelmintic resistance in the last years in the nematode population of veterinary importance has become a major concern. The objective of the present study was to evaluate the efficacy of the main anthelmintic drugs available in the market against small strongyles of horses in Brazil. A total of 498 horses from 11 horse farms, located in the states of Paraná, São Paulo, Rio de Janeiro and Minas Gerais, in Brazil, were treated with ivermectin, moxidectin, pyrantel and fenbendazole, orally at their recommended doses. The fecal egg count reduction test (FECRT) was used to determine the product's efficacy and fecal culture was used to determine the parasite genus. Reduction on anthelmintic efficacy was found for fenbendazole in all horse farms (11/11), pyrantel in five yards (5/11) and ivermectin had low efficacy in one of the yards studied (1/11). Multidrug resistance of up to 3 drugs classes was found in one of the tested farms (1/11). Cyathostomin were the most prevalent parasite. The results showed that resistance to fenbendazole is widespread; the efficacy of pyrantel is in a critical situation. Although the macrocyclic lactones compounds still showed high efficacy on most farms, suspected resistance to macrocyclic lactones is of great concern.

  18. Clinical heterogeneity of dominant chronic mucocutaneous candidiasis disease: presenting as treatment-resistant candidiasis and chronic lung disease.

    Science.gov (United States)

    Dotta, Laura; Scomodon, Omar; Padoan, Rita; Timpano, Silviana; Plebani, Alessandro; Soresina, Annarosa; Lougaris, Vassilios; Concolino, Daniela; Nicoletti, Angela; Giardino, Giuliana; Licari, Amelia; Marseglia, Gianluigi; Pignata, Claudio; Tamassia, Nicola; Facchetti, Fabio; Vairo, Donatella; Badolato, Raffaele

    2016-03-01

    In gain-of-function STAT1 mutations, chronic mucocutaneous candidiasis disease (CMCD) represents the phenotypic manifestation of a complex immunodeficiency characterized by clinical and immunological heterogeneity. We aimed to study clinical manifestations, long-term complications, molecular basis, and immune profile of patients with dominant CMCD. We identified nine patients with heterozygous mutations in STAT1, including novel amino acid substitutions (L283M, L351F, L400V). High risk of azole-resistance was observed, particularly when intermittent regimens of antifungal treatment or use of suboptimal dosage occurs. We report a case of Cryptococcosis and various bacterial and viral infections. Risk of developing bronchiectasis in early childhood or gradually evolving to chronic lung disease in adolescent or adult ages emerges. Lymphopenia is variable, likely progressing by adulthood. We conclude that continuous antifungal prophylaxis associated to drug monitoring might prevent resistance to treatment; prompt diagnosis and therapy of lung disease might control long-term progression; careful monitoring of lymphopenia-related infections might improve prognosis.

  19. Chemical and physical transformations of aluminosilicate clay minerals due to acid treatment and consequences for heterogeneous ice nucleation.

    Science.gov (United States)

    Sihvonen, Sarah K; Schill, Gregory P; Lyktey, Nicholas A; Veghte, Daniel P; Tolbert, Margaret A; Freedman, Miriam Arak

    2014-09-25

    Mineral dust aerosol is one of the largest contributors to global ice nuclei, but physical and chemical processing of dust during atmospheric transport can alter its ice nucleation activity. In particular, several recent studies have noted that sulfuric and nitric acids inhibit heterogeneous ice nucleation in the regime below liquid water saturation in aluminosilicate clay minerals. We have exposed kaolinite, KGa-1b and KGa-2, and montmorillonite, STx-1b and SWy-2, to aqueous sulfuric and nitric acid to determine the physical and chemical changes that are responsible for the observed deactivation. To characterize the changes to the samples upon acid treatment, we use X-ray diffraction, transmission electron microscopy, and inductively coupled plasma-atomic emission spectroscopy. We find that the reaction of kaolinite and montmorillonite with aqueous sulfuric acid results in the formation of hydrated aluminum sulfate. In addition, sulfuric and nitric acids induce large structural changes in montmorillonite. We additionally report the supersaturation with respect to ice required for the onset of ice nucleation for these acid-treated species. On the basis of lattice spacing arguments, we explain how the chemical and physical changes observed upon acid treatment could lead to the observed reduction in ice nucleation activity.

  20. Environment heterogeneity and seasonal effects in ground-dwelling ant (Hymenoptera: Formicidae) assemblages in the Parque Estadual do Rio Doce, MG, Brazil.

    Science.gov (United States)

    Coelho, Igor R; Ribeiro, Sérvio P

    2006-01-01

    This work aimed to explore the response of ant species assemblage to contrasting types of forests in a semideciduous stationary rainforest, in the Parque Estadual do Rio Doce, South Eastern Brazil. We compared antropomorphic borders of this park and natural ecotones, such as lake margins continuous with forests, as well as preserved forests far from ecotones. We investigated whether ground-dwelling ant species richness, abundance and composition would change according to forest types and ecotones. We expected greater species richness in interior tall forest, compared with low forest or ecotone habitats. In addition, we tested the effect of climate seasonality on ant assemblages found in each studied vegetation type. Each forest type was surveyed based on a minimum transect sampling unit of 150 m long summing up 30 pit-falls per unit. Two sampling events, one in dry season (September of 2001) and another in the rainy season (January of 2002) were performed. For both seasons, tall forest presented greater total number of ant species, however lower mean ant species and abundance per trap than other forest types, thus corroborating the prediction that ecotones might present high alpha diversity. Mean species richness and abundance did not differ between interior low forest and lake edge, or between these habitats and reserve border. In general, species composition were not clearly defined by forest types. Results here found suggest that species loss or community dominance by generalist species, eventually due to deforestation, is probably a much greater problem than previously thought. However, to understand patterns of insect species diversity and distribution in tropical ecosystem should be taken in account much more comprehensive, spatially explicit sampling designs.

  1. TiO2-BASED HETEROGENEOUS PHOTOCATALYTIC TREATMENT COMBINED WITH OZONATION FOR CARBENDAZIM DEGRADATION

    Directory of Open Access Journals (Sweden)

    R. Rajeswari ، S. Kanmani

    2009-04-01

    Full Text Available The degradation of pesticide Carbendazim was investigated by combination of TiO2-based photocatalysis and ozonation. A batch annular photoreactor has been used for carrying out the combined process and the influence of TiO2 concentration, ozone dose and pH were investigated. The results showed that the removal rate increased with increase in ozone dosage upto 0.48 g/h and decreased above 1g/L of TiO2. At optimum pH=6, with 1g/L TiO2 and with 0.48g/h ozone dose, 88% COD removal was achieved in 3 hours by the combined photocatalytic ozonation process, where as 54% and 67% COD removal was observed with each photocatalysis and ozonation process, respectively. BOD5/COD ratio was enhanced to 0.38 and TOC removal was 80% in 180 min of combined treatment. Carbendazim was quickly degraded by the combined photocatalytic ozonation process and followed pseudo-first order kinetics. The kinetic study showed that degradation rate constant of Carbendazim with TiO2/UV/O3 to be 1.5 times higher than that & O3 with the same ozone dose and 2.2 times higher than that of TiO2/UV. A mechanism involving the formation of an ozonide radical previous to the generation of hydroxyl radicals is suggested to explain the synergistic effect between ozone and TiO2 under illumination. The laboratory study has also demonstrated that a combination of TiO2-based photocatalysis and ozonation will overcome the disadvantage of the selectivity of ozonation and the lower efficiency of TiO2 photocatalysis.

  2. Treatment of ischemic stroke with r-tPA: implementation challenges in a tertiary hospital in Brazil

    Directory of Open Access Journals (Sweden)

    Elza Dias Tosta

    2014-05-01

    Full Text Available Purpose: This paper presents the initial experience with thrombolysis for acute ischaemic stroke at Hospital de Base do Distrito Federal (HBDF, Brazil, and the difficulties associated with the implementation of this treatment. Method: A retrospective study was performed using the medical records of all patients with acute stroke who were treated with intravenous alteplase in our department, between May 2011 and April 2012. Results: The thrombolytic therapy was administered to 32 patients. The mean time between the ictus and the start of stroke therapy start was 195 (60-270 minutes. Sixteen patients demonstrated a significant clinical improvement (decrease in National Institute Health Stroke Scale [NIHSS] score≥4 points in 24 hours; 6 patients were discharged with an NIHSS score of 0 and 2 demonstrated haemorrhagic transformation. Conclusions: The results of our study are similar to those reported in the literature, although we have been dealing with difficulties, such as the lack of a stroke unit.

  3. Immunotherapy with natural killer cells: a possible approach for the treatment of Acute Myeloid Leukemia also in Brazil

    Directory of Open Access Journals (Sweden)

    Lúcia Silla

    Full Text Available SUMMARY The allogeneic hematopoietic stem cell transplantation (HSCT can cure intermediate and high-risk acute myeloid leukemia. Even with the development of strategies to reduce HSCT toxicity, this is still a complex treatment with high morbidity and mortality. Knowledge of the graft versus leukemia effect of HSCT has prepared the way for the development of Adoptive Immunotherapy or in vitro expansion of activated lymphocytes without alloreactivity, with subsequent intravenous infusion. The infusion of genetically modified T lymphocytes and haploidentical natural killer cells has been tested as an alternative to HSCT with very interesting results worldwide and in Brazil, as we not only have the technology of in vitro expansion of clinical grade lymphocytes available, but also do it according to the Good Manufacturing Practices that have been determined internationally.

  4. Greenhouse Gas (CH4, CO2 and N2O) Emission Levels by Wastewater Treatment Plant (WWTP) Ponds in Brazil

    Science.gov (United States)

    Rossete, A. L. M.; Sundefeld Junior, G.; Aparicio, C.; Baldi, G. G.; Montes, C. R.; Piveli, R. P.; Melfi, A. J.

    2015-12-01

    This study measured greenhouse gas emissions (GHG) by Facultative Ponds on Wastewater Treatment Plants. The most studied GHGs include CO2, CH4and N2O. The level of GHG (CO2, CH4 and N2O) emissions by WWTPs in Australian-type stabilization ponds was measured in the city of Lins (22º21'S, 49º50'W), state of São Paulo (SP), Brazil. GHG collection was carried outusing a collection chamber installed at the center of the facultative pond's final third. The effluent's pH and temperature (ET) were registered by probes, and meteorological information regarding air temperature (AT) and solar radiation (SR) were obtained from INMET, Brazil. GHG collection was carried out for 72 consecutive hours in June 2014, on an hourly basis, once every 5 minutes, for the first 30 minutes, and once every 10 minutes from 30 to 50 minutesand subsequently analyzed by gas chromatograph (GC).After three days of data collection, the average AT, SR, ET and pH values were, respectively, 18oC, 2583kJm-2, 23oC and 8.2. Average values for GHG emission levels (CH4, CO2 and N2O) were 79.01; 100.65 and 0.0 mg m-2 h-1, respectively. GHG emission levels were divided into light periods (morning, afternoon and evening)in order to verify the periods with the highest GHG emissions.The highest CH4 emission levels were measured between morning and early afternoon. The maximum CO2 emissions were observed from evening to early morning. N2O emissions were constant and values were close to the ones found in the atmosphere, which shows the emission of N2O by facultative ponds does not contribute to greenhouse gases emissions.The results enabled us to characterize and quantify GHG emission levels per Facultative Pond on Wastewater Treatment Plant. Acknowledgment to FAPESP and SABESP, Brazil.

  5. Investigation on application of homogeneous and heterogeneous catalysis for alkaline waste treatment

    Energy Technology Data Exchange (ETDEWEB)

    Shilov, V.P.; Bessonov, A.A.; Garnov, A.Y.; Gelis, A.V. [Russian Academy of Sciences, Moscow (Russian Federation). Institute of Physical Chemistry] [and others

    1997-09-01

    The stabilization of neptunium(IV) in alkaline solution by chemical reductants under various conditions was studied. Testing showed that neptunium(V) is slowly reduced to Np(IV) by V(IV) at room temperature in alkaline solutions. Increasing temperature accelerates reduction. Complete reduction of 2 x 10{sup -4} M Np(V) occurs in three hours at 80{degrees}C in 1 M NaOH with 0.02 M VOSO{sub 4-}. Under similar conditions, but in 5 M NaOH, only 15 to 20% of the Np(V) was reduced in 5 hours. In all cases, about 98 % of the initial neptunium was found in the precipitate. Thus V(IV) acts both as a reductant and as a precipitation carrier. Tests showed Np(V) reduction by hydrazine hydrate could be catalyzed by Pd(II). Reduction increased with temperature and catalyst concentration and decreased with hydroxide concentration. Reduction of Np(V) also takes place in 1 M NaOH solutions containing 1 M sodium formate and palladium. Increasing temperature accelerates reduction; with three hours` treatment in 5 M NaOH solution at 90{degrees}C, about 95 % of the initial 2 x 10{sup -4} M neptunium(V) is transformed to Np(IV). Organic complexants and organic acid anions hinder the decontamination of alkaline solutions from neptunium and plutonium by coprecipitation with d-element hydroxides (the Method of Appearing Reagents). It was found that ethylenediaminetetraacetate (EDTA) and N-(2-hydroxyethyl) ethylenediaminetriacetate (HEDTA) are decomposed by H{sub 2}O{sub 2} in alkaline solution in the presence of cobalt compounds with heating and by Na2S208 at moderate temperatures. Citrate, glycolate, and oxalate are decomposed by Na{sub 2}S{sub 2}O{sub 8} with heating. Oxidant amounts must be increased when NaNO{sub 2} also is present in solution. 8 refs., 25 figs., 16 tabs.

  6. Overt and occult hepatitis B virus infection among treatment-naïve HIV-infected patients in Brazil.

    Science.gov (United States)

    Oliveira, Marina Pedroso; Lemes, Pollyanne Sousa; Matos, Márcia Alves Dias; Del-Rios, Nativa Helena Alves; Carneiro, Megmar Aparecida Santos; Silva, Ágabo Macedo Costa; Lopes, Carmen Luci Rodrigues; Teles, Sheila Araújo; Aires, Rodrigo Sebba; Lago, Bárbara Vieira; Araujo, Natalia Motta; Martins, Regina Maria Bringel

    2016-07-01

    Although hepatitis B virus (HBV) and human immunodeficiency virus (HIV) co-infection is common, only few data are available on HBV among HIV patients including occult hepatitis B infection (OBI), regardless of serological markers. This study aims to determine the prevalence of OBI and overall HBV infection, associated factors, HBV genotypes, and surface (S) gene mutations in a population of treatment-naïve HIV-infected patients in Brazil. A cross-sectional study was conducted in treatment-naïve HIV-infected patients in Central Brazil. All samples were tested for HBV serological markers and HBV DNA. Sequence analysis of the S gene and overlapping polymerase gene was preformed. Overall, 25.1% (127/505) of the patients had markers of current or previous HBV infection, which was associated with age over 40 years, history of injection drug use, and homosexual sex. The hepatitis B surface antigen (HBsAg) seroprevalence was 4.9% (25/505). HBV DNA was detected in 39 out of 505 patients: 20 of them were HBsAg-positive and 19 were HBsAg-negative, resulting in an OBI prevalence of 3.8%. Patients with OBI had significantly higher HCV seropositivity rate compared to HBsAg-positive patients. Sequencing of the S gene revealed Y100C, T131N, and D144A mutations. One patient had the M204I and L180M drug-resistance mutations (polymerase). HBV genotypes A (A1, A2), D (D2, D3), and F (F2) were identified. In conclusion, OBI represented almost half of all HBV infections with detectable HBV DNA, suggesting that hepatitis B diagnosis in HIV patients should include in addition to serological markers the detection of HBV DNA. © 2016 Wiley Periodicals, Inc.

  7. Abandonment of Treatment for Latent Tuberculosis Infection and Socioeconomic Factors in Children and Adolescents: Rio De Janeiro, Brazil.

    Directory of Open Access Journals (Sweden)

    Angela Marcia Cabral Mendonça

    Full Text Available Routine data on the use of isoniazid preventive therapy (IPT in children and adolescents are scarce in high tuberculosis (TB burden countries.To describe the factors related to abandonment of IPT in children and adolescents with latent tuberculosis infection (LTBI receiving routine care.Retrospective (2005-2009 descriptive study of 286 LTBI cases with indication of IPT and serviced at a pediatric hospital in the State of Rio de Janeiro, Brazil. Survival analysis of the risk of abandonment of IPT over six months was performed, including multivariate analysis using the Cox proportional hazards model.Out of the 245 cases of LTBI included, 62 abandoned IPT (25.3%; 95% CI: 20%-31%. On multivariate analysis, the variables related to the IPT abandonment hazard ratio were the Human Development Index (HDI (hazard ratio-HR: 0.004; 0.000-0.569 of the place of residence and the contact with adults that were not undergoing anti-TB treatment (HR: 7.30; 1.00-53.3.This study reveals the relevance of the relation of abandonment of IPT to the socioeconomic conditions at the place of residence and poor adherence to the active TB treatment. Educational measures to stimulate preventive treatment of child contacts and curative treatment of index cases should target the full familial setting.

  8. Pedological Heterogeneity of Soils Developed from Lithologies of the Pirambóia, Sanga-do-Cabral, and Guará Geological Formations in Southern Brazil

    Directory of Open Access Journals (Sweden)

    Pablo Grahl dos Santos

    Full Text Available ABSTRACT The source material is one of the factors that most influence soil genesis and the mainly responsible for the nature, composition, and behavior of the soil. Given the geological complexity of the Santa Maria River basin, the objective of this study was to investigate whether the new lithologies described recently may be responsible for a greater variation in soil properties, as well as in the soil taxonomy itself. The study area is located in the municipality of Rosário do Sul, RS, Brazil at 30° 15’ 28” S and 54° 54’ 50” W, with average altitude of 132 m and climate type Cfa. This study was supported by a cartographic base composed of topographic charts, geological maps, satellite images, digital elevation models, and maps of geomorphometric variables, with the support of GPS receivers and GIS. Topolithosequences were defined from soils developed from the Pirambóia, Sanga-do-Cabral, and Guará Formations, and soil profiles were chosen based on types of source materials, variations in relief, and altitude. A classical model of slope compartmentalization was applied for correlation of the geomorphic surfaces with pedogenesis. Soil profiles were described in a general and morphological manner, and soil samples were collected for analysis. The physical and chemical properties determined were particle size, active and potential acidity, organic C content, Ca2+, Mg2+, K+, and Al3+. The sum of bases, CEC, flocculation activity and degree of flocculation of the clay fraction, and base (V, aluminum (m, and sodium saturation were calculated. Soil properties were evaluated through factor analysis and grouping, which allowed profiles to be grouped based on their variables and identification of which variables were preponderant in distinguishing them. Furthermore, multivariate analysis allowed statistical differentiation of the profiles in the same lithostratigraphic unit and in different relief positions, and also differentiation of

  9. Winery wastewater treatment by heterogeneous Photo-Fenton process and activated sludges; Depuracion de efluentes vinicolas ediante tratamientos Foto-Fenton en fase heterogenea y lodos activos

    Energy Technology Data Exchange (ETDEWEB)

    Mosteo, R.; Lalinde, N.; Ormad, Maria O. M.; Ovelleiro, J. L.

    2007-07-01

    The system composed by heterogeneous Photon-Fenton assisted by solar light and biological treatment based on activated sludge process treats adequately real winery wastewaters. the previous stage based on heterogeneous Photo-Fenton process produces a partial degradation of winery wastewaters and achieves a yield of degradation of organic matter (measured as TOC) close to 50%. The activated sludge process in simple stage doesn't present any operation problems (bulking phenomenon) and achieves a yield of degradation of organic matter of 90%. (Author) 16 refs.

  10. Efficacy of entecavir and tenofovir in chronic hepatitis B under treatment in the public health system in southern Brazil

    Directory of Open Access Journals (Sweden)

    Camila V Pereira

    2016-04-01

    Full Text Available There are about 350 million hepatitis B virus (HBV carriers worldwide and chronic HBV is considered a major public health problem. The objective of the present study was to assess the effectiveness of the nucleos(tide analogues tenofovir (TDF and entecavir (ETV in the treatment of chronic HBV. A cross-sectional study was carried out from March-December 2013, including all patients with chronic HBV, over 18 years of age, undergoing therapy through the public health system in southern Brazil. Only the data relating to the first treatments performed with TDF or ETV were considered. Retreatment, co-infection, transplanted or immunosuppressed patients were excluded. Six hundred and forty patients were evaluated, of which 336 (52.5% received TDF and 165 (25.8% ETV. The other 139 (21.7% used various combinations of nucleos(tide analogues and were excluded. The negativation of viral load was observed in 87.3% and 78.8% and the negativation of hepatitis B e antigen was achieved in 79% and 72% of those treated with ETV or TDF, respectively. Negativation of hepatitis B surface antigen was not observed. There was no occurrence of adverse effects. This is a real-life study demonstrating that long-term treatment with ETV and TDF is both safe and effective.

  11. Monte Carlo evaluation of tissue heterogeneities corrections in the treatment of head and neck cancer patients using stereotactic radiotherapy.

    Science.gov (United States)

    Pokhrel, Damodar; McClinton, Christopher; Sood, Sumit; Badkul, Rajeev; Saleh, Habeeb; Jiang, Hongyu; Lominska, Christopher

    2016-03-01

    The purpose of this study was to generate Monte Carlo computed dose distributions with the X-ray voxel Monte Carlo (XVMC) algorithm in the treatment of head and neck cancer patients using stereotactic radiotherapy (SRT) and compare to heterogeneity corrected pencil-beam (PB-hete) algorithm. This study includes 10 head and neck cancer patients who underwent SRT re-irradiation using heterogeneity corrected pencil-beam (PB-hete) algorithm for dose calculation. Prescription dose was 24-40 Gy in 3-5 fractions (treated 3-5 fractions per week) with at least 95% of the PTV volume receiving 100% of the prescription dose. A stereotactic head and neck localization box was attached to the base of the thermoplastic mask fixation for target localization. The gross tumor volume (GTV) and organs-at-risk (OARs) were contoured on the 3D CT images. The planning target volume (PTV) was generated from the GTV with 0 to 5 mm uniform expansion; PTV ranged from 10.2 to 64.3 cc (average=35.0±17.5 cc). OARs were contoured on the 3D planning CT and consisted of spinal cord, brainstem, optic structures, parotids, and skin. In the BrainLab treatment planning system (TPS), clinically optimal SRT plans were generated using hybrid planning technique (combination of 3D conformal noncoplanar arcs and nonopposing static beams) for the Novalis-Tx linear accelerator consisting of high-definition multileaf collimators (HD-MLCs: 2.5 mm leaf width at isocenter) and 6 MV-SRS (1000 MU/min) beam. For the purposes of this study, treatment plans were recomputed using XVMC algorithm utilizing identical beam geometry, multileaf positions, and monitor units and compared to the corresponding clinical PB-hete plans. The Monte Carlo calculated dose distributions show small decreases (D100 and D10 of the GTV were lower by about 2% and ranged between -0.8 and 3.1%. For the spinal cord, both the maximal dose difference and the dose to 0.35 cc of the structure were higher by an average of 4.2% (ranged 1.2 to -13

  12. Asthma treatment in children and adolescents in an urban area in southern Brazil: popular myths and features

    Directory of Open Access Journals (Sweden)

    Cristian Roncada

    2016-04-01

    Full Text Available Objective: To describe the frequency of popular myths about and features of asthma treatment in children and adolescents in an urban area in southern Brazil. Methods: The parents or legal guardians of public school students (8-16 years of age completed a specific questionnaire regarding their understanding of asthma, asthma control, and treatment characteristics. The sample included parents or legal guardians of students with asthma (n = 127 and healthy controls (n = 124. Results: The study involved 251 parents or legal guardians, of whom 127 (68.5% were the mothers and 130 (51.8% were White. The mean age of these participants was 38.47 ± 12.07 years. Of the participants in the asthma and control groups, 37 (29.1% and 26 (21.0%, respectively, reported being afraid of using asthma medications, whereas 61 (48% and 56 (45.2%, respectively, believed that using a metered dose inhaler can lead to drug dependence. However, only 17 (13.4% and 17 (13.7% of the participants in the asthma and control groups, respectively, reported being afraid of using oral corticosteroids. In the asthma group, 55 students (43.3% were diagnosed with uncontrolled asthma, only 41 (32.3% had a prescription or written treatment plan, and 38 (29.9% used asthma medications regularly. Conclusions: Popular myths about asthma treatment were common in our sample, as were uncontrolled asthma and inappropriate asthma management. Further studies in this field should be conducted in other developing countries, as should evaluations of pediatric asthma treatment programs in public health systems.

  13. Impact of aesthetic restorative treatment on anterior teeth with fluorosis among residents of an endemic area in Brazil: intervention study

    Science.gov (United States)

    2014-01-01

    Background Endemic dental fluorosis has already been described in some regions of the world. The aim of this study was to evaluate the functional and psychosocial impact of direct aesthetic restorative treatments in endemic fluorosis patients in the northern state of Minas Gerais, Brazil. Was a quasi-experimental intervention study. Methods The reference population consisted of individuals between 9 and 27 years of age that were served by a project intended to recover the smiles of patients with severe fluorosis. The questionnaires were administered on two occasions, 24 months apart (before and after dental treatment). Initially, descriptive analyses were conducted. Prevalence and severity, as well as the extent of the functional and psychosocial impact of oral disorders were estimated based on the Oral Health Impact Profile instrument (OHIP-14). Comparisons between baseline and follow-up and between treatment techniques were carried out using the McNemar, Wilcoxon, and Mann–Whitney tests. Results The study involved 53 individuals, with a mean age of 15.9 years, treated with microabrasion, dental composite, or a combination of both techniques. The treatments performed proved to be competent for reducing the functional and psychosocial impact of oral disorders as measured by the OHIP-14, pointing to the possibility of establishing protocols to be used in programs aimed at restoring the aesthetics and functionality of the anterior teeth in large populations. Conclusions After performing the direct aesthetic restorative treatments in patients with endemic fluorosis, a significant improvement was observed in the prevalence and severity, as well as the extent of the functional and psychosocial impact of oral disorders. PMID:24886223

  14. Increased intrahepatic quasispecies heterogeneity correlates with off-treatment sustained response to nucleos(t)ide analogues in e antigen-positive chronic hepatitis B patients.

    Science.gov (United States)

    Chen, L; Gan, Q R; Zhang, D Q; Yao, L F; Lin, R S; Li, Q; Lin, M H; Yu, D M; Zhang, X X; Pan, C

    2016-02-01

    Finite treatment with nucleos(t)ide analogues (NAs) remains a great challenge for chronic hepatitis B in the clinic. This study aimed to investigate the relationship between intrahepatic quasispecies heterogeneity and the NAs off-treatment outcomes in a prospective cohort. Eighteen HBeAg-positive patients with chronic hepatitis B who achieved the cessation criteria underwent liver biopsy, and stopped treatment thereafter. Patients were followed up prospectively for 1 year. The reverse transcriptase (RT) gene of intrahepatic hepatitis B virus (HBV) was cloned and sequenced. Intrahepatic quasispecies heterogeneity and specific gene mutations were analysed using bioinformatic methods. Ten patients achieved sustained response, and eight patients developed viral relapse. The intrahepatic quasispecies Shannon entropy and nucleotide diversity within either RT or the surface (S) region of patients with sustained response were significantly higher (p quasispecies Shannon entropy at the nucleotide level predicted the sustained off-treatment response (area under receiver operating characteristics curve 0.925; 95% CI 0.807-1.000; p 0.003). More positive selection sites and N-glycosylation mutations within the S region were found in patients with sustained response than in the patients with viral relapse (p quasispecies heterogeneity at the end of treatment was correlated with off-treatment outcomes in HBeAg-positive patients with chronic hepatitis B. More immune escape mutations were found within the S region in patients with sustained response. The higher intrahepatic quasispecies heterogeneity indicated a more robust immune control over HBV, which in turn maintained a sustained response after withdrawal of NAs.

  15. Tuberculosis treatment outcomes and socio-economic status: a prospective study in Duque de Caxias, Brazil.

    Science.gov (United States)

    Belo, M T C T; Luiz, R R; Teixeira, E G; Hanson, C; Trajman, A

    2011-07-01

    A prospective study was conducted to evaluate tuberculosis treatment outcomes according to socio-economic status (SES) using different classification criteria. Patients aged ≥18 years under treatment for ≤8 weeks were interviewed. Outcomes were classified as successful (cure/completed) or unsuccessful (default/failure/death). The overall treatment default ratio was 20.9% and the unsuccessful outcome rate was 24.1%. Unsuccessful treatment was associated with SES according to any criteria used, except for the definition of poverty line. Poverty seems to be hampering the achievement of the World Health Organization targeted 90% cure rate in developing settings.

  16. Heterogeneous disease progression and treatment response in a C3HeB/FeJ mouse model of tuberculosis

    Directory of Open Access Journals (Sweden)

    Jean-Philippe Lanoix

    2015-06-01

    Full Text Available Mice are the most commonly used species for non-clinical evaluations of drug efficacy against tuberculosis (TB. Unlike commonly used strains, C3HeB/FeJ mice develop caseous necrosis in the lung, which might alter the representation of drug efficacy in a way that is more like human TB. Because the development of such pathology requires time, we investigated the effect of infection incubation period on the activity of six drugs in C3HeB/FeJ and BALB/c mice. Mice were aerosol infected and held for 6, 10 or 14 weeks before receiving therapy with rifampin (RIF, rifapentine (RPT, pyrazinamide (PZA, linezolid (LZD, sutezolid (PNU or metronidazole (MTZ for 4-8 weeks. Outcomes included pathological assessments, pH measurements of liquefied caseum and assessment of colony-forming unit (CFU counts from lung cultures. Remarkable heterogeneity in the timing and extent of disease progression was observed in C3HeB/FeJ mice, largely independent of incubation period. Likewise, drug efficacy in C3HeB/FeJ mice was not affected by incubation period. However, for PZA, LZD and PNU, dichotomous treatment effects correlating with the presence or absence of large caseous lesions were observed. In the case of PZA, its poor activity in the subset of C3HeB/FeJ mice with large caseous lesions might be explained by the pH of 7.36±0.09 measured in liquefied caseum. This study highlights the potential value of C3HeB/FeJ mice for non-clinical efficacy testing, especially for investigating the interaction of lesion pathology and drug effect. Careful use of this model could enhance the bridging of non-clinical results with clinical outcomes.

  17. Who seeks public treatment for substance abuse in Brazil? Results of a multicenter study involving four Brazilian state capitals

    Directory of Open Access Journals (Sweden)

    Sibele Faller

    2014-12-01

    Full Text Available OBJECTIVE: To assess the characteristics of alcohol and drug users who seek treatment at the Brazilian Unified Health System in Brazil.METHOD:A multicenter cross-sectional study involving five clinical and research centers located in four Brazilian state capitals was conducted with 740 in- and outpatients. The only exclusion criterion was the presence of neurological or severe psychiatric symptoms at the moment of the interview. The Addiction Severity Index (ASI-6 and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST were used to assess the severity of substance use and the problems related.RESULTS: There were significantly more men than women in the sample; mean age was 36 years. The drug most frequently used at all sites was alcohol (78%, followed by cocaine/crack (51%. Alcohol was the drug that most commonly motivated treatment seeking, at all centers. ASI-6 Summary Scores for Recent Functioning (SS-Rs were quite similar among centers. SS-Rs were compared between users who had never received treatment for psychoactive substance abuse (n = 265, 36.1% and those who had already been treated at one or more occasions (n = 470, 63.9%. This analysis revealed significant differences between the groups in the drug, psychiatric symptoms, legal, and family/social problems areas (p < 0.05.CONCLUSION: Our findings confirm previous evidence suggesting that the management of patients seeking drug abuse treatment should take several different aspects into consideration, e.g., education, employment, and family relationships, which often appear as areas of concern for these individuals.

  18. Advances in methods of commercial FBR core characteristics analyses. Investigations of a treatment of the double-heterogeneity and a method to calculate homogenized control rod cross sections

    Energy Technology Data Exchange (ETDEWEB)

    Sugino, Kazuteru [Power Reactor and Nuclear Fuel Development Corp., Oarai, Ibaraki (Japan). Oarai Engineering Center; Iwai, Takehiko

    1998-07-01

    A standard data base for FBR core nuclear design is under development in order to improve the accuracy of FBR design calculation. As a part of the development, we investigated an improved treatment of double-heterogeneity and a method to calculate homogenized control rod cross sections in a commercial reactor geometry, for the betterment of the analytical accuracy of commercial FBR core characteristics. As an improvement in the treatment of double-heterogeneity, we derived a new method (the direct method) and compared both this and conventional methods with continuous energy Monte-Carlo calculations. In addition, we investigated the applicability of the reaction rate ratio preservation method as a advanced method to calculate homogenized control rod cross sections. The present studies gave the following information: (1) An improved treatment of double-heterogeneity: for criticality the conventional method showed good agreement with Monte-Carlo result within one sigma standard deviation; the direct method was consistent with conventional one. Preliminary evaluation of effects in core characteristics other than criticality showed that the effect of sodium void reactivity (coolant reactivity) due to the double-heterogeneity was large. (2) An advanced method to calculate homogenize control rod cross sections: for control rod worths the reaction rate ratio preservation method agreed with those produced by the calculations with the control rod heterogeneity included in the core geometry; in Monju control rod worth analysis, the present method overestimated control rod worths by 1 to 2% compared with the conventional method, but these differences were caused by more accurate model in the present method and it is considered that this method is more reliable than the conventional one. These two methods investigated in this study can be directly applied to core characteristics other than criticality or control rod worth. Thus it is concluded that these methods will

  19. The Importance of the Conformality, Heterogeneity, and Gradient Indices in Evaluating Gamma Knife Radiosurgery Treatment Plans for Intracranial Meningiomas

    Energy Technology Data Exchange (ETDEWEB)

    Balagamwala, Ehsan H. [Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH (United States); Suh, John H. [Department of Radiation Oncology, Rosa Ella Burkhardt Brain Tumor and Neuro-oncology Center, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH (United States); Barnett, Gene H. [Department of Neurosurgery, Rosa Ella Burkhardt Brain Tumor and Neuro-oncology Center, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH (United States); Khan, Mohammad K. [Department of Radiation Oncology, Emory University School of Medicine, Atlanta, GA (United States); Neyman, Gennady [Department of Radiation Oncology, Cleveland Clinic, Cleveland, OH (United States); Cai, Rong S. [Children' s Medical Center, Dallas, TX (United States); Vogelbaum, Michael A. [Department of Neurosurgery, Rosa Ella Burkhardt Brain Tumor and Neuro-oncology Center, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH (United States); Novak, Eric [Department of Quantitative Health Sciences Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH (United States); Chao, Samuel T., E-mail: chaos@ccf.org [Department of Radiation Oncology, Rosa Ella Burkhardt Brain Tumor and Neuro-oncology Center, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH (United States)

    2012-08-01

    Purpose: To investigate the relationship between the conformality index (CIn), heterogeneity index (HIn), and gradient index (GIn) and the development of toxicity in patients treated with Gamma Knife radiosurgery (GKRS) for intracranial meningiomas. Methods and Materials: Treatment records of patients treated from 1997 to 2009 with at least 6 months of follow-up were reviewed. The following parameters were collected: CIn, HIn, GIn (ratio of the volume receiving half the prescription isodose to the volume receiving the full prescription isodose), brainstem (BS) maximum dose (MD), BS volume receiving {>=}12 Gy (V12), optic apparatus (OA) MD, OA V8 Gy, OA V10, number of isocenters, number of isocenters outside target volume, and the occurrence of six toxicities. Univariate and multivariate logistic regression modeling were used for analysis. Results: This study included 145 patients (148 meningiomas) with a median follow-up time of 27 months (range, 6-113.9 months). The majority of meningiomas were located in the skull base (53%). The median prescription dose was 13 Gy (range, 10-24 Gy) to the 51.50% (range, 50-92%) isodose. A lower HIn was correlated with a higher GIn (p = 0.007). CIn was not associated with any toxicity. Higher HIn was associated with the development of dizziness (odds ratio [OR] 1.9; p = 0.02), whereas a lower GIn was associated with motor deficits (OR 0.38; p = 0.04) and auditory changes (OR 0.59; p = 0.04). The OA MD, V8, and V12 were not associated with visual changes, but visual changes were associated with a higher number of isocenters outside the target volume (OR 1.93; p = 0.07). BS V12 was correlated with the development of auditory changes (OR 1.05; p = 0.05), whereas patients with higher BS MD tended to have increased toxicity. Conclusions: Close attention must be paid to all three indices (CIn, HIn, GIn) when optimal treatment plans are determined. We recommend that the target CIn should be {<=}2.0, the HIn {<=}2.0, and the GIn {>=}3

  20. Chronic Hepatitis C treatment for genotype 2 or 3 in Brazil: cost effectiveness analysis of peginterferon plus ribavirin as first choice treatment

    Directory of Open Access Journals (Sweden)

    Carine Raquel Blatt

    2014-04-01

    Full Text Available Brazilian Guidelines to HCV treatment (2007 recommended that the first choice treatment for patients with chronic hepatitis C (CHC and genotype 2 or 3 is interferon alpha (IFN plus ribavirin (RBV for 24 weeks. The aim of this study is compare the cost and effectiveness to Hepatitis C treatment in patients with genotype 2 or 3 of peginterferon alpha (PEG as the first choice of treatment within PEG for those that do not respond to IFN. The target population is CHC patients with genotype 2 or 3 in Brazil. The interventions are: PEG-SEC (first IFN plus RBV for 24 weeks, after, for non-responders and relapsers subsequently PEG plus RBV for 48 weeks; PEG-FIRST24 (PEG+RBV for 24 weeks. The type of the study is cost-effectiveness analysis. The data sources are: Effectiveness data from meta-analysis conducted on the Brazilian population. Treatment cost from Brazilian micro costing study is converted into USD (2010. The perspective is the Public Health System. The outcome measurements are Sustained Viral Response (SVR and costs. PEG-FIRST24 (SVR: 87.8%, costs: USD 8,338.27 was more effective and more costly than PEG-SEC (SVR: 79.2%, costs: USD 5,852.99. The sensitivity analyses are: When SVR rates with IFN was less than 30% PEG-FIRST is dominant. On the other hand, when SVR with IFN was more then 75% PEG-SEC is dominant (SVR=88.2% and costs USD $ 3,753.00. PEG-SEC is also dominant when SVR to PEG24 weeks was less than 54%. In the Brazilian context, PEG-FIRST is more effective and more expensive than PEG-SEC. PEG-SEC could be dominant when rates of IFN therapy are higher than 75% or rates of PEG24 therapy are lower than 54%.

  1. Plants used in the treatment of leishmanial ulcers due to Leishmania (Viannia braziliensis in an endemic area of Bahia, Brazil

    Directory of Open Access Journals (Sweden)

    Flávio França

    1996-06-01

    Full Text Available This paper records the plants used in the treatment of cutaneous leishmaniasis due to Leishmania (Viannia braziliensis (L(Vb among the rural population of a cocoa- producing coastal area of Bahia state, Brazil. An enquiry conducted among a hundred patients identified 49 plant species used to treat skin ulceration caused by this Leishmania species. The principal plants used are caju-branco (Anacardium occidentale - Anacardiaceae, used by 65% of the population, folha-fogo (Clidemia hirta - Melastomataceae 39%, alfavaca-grossa (Plectranthus amboinicus - Lamiaceae 33%, mastruz (Chenopodium ambrosioides - Chenopodiaceae 31%, erva-de-santa-maria (Solatium americanum - Solanaceae (25% and transagem (Plantago major - Plantaginaceae. 2%.Este trabalho relata as plantas usadas no tratamento da leishmaniose cutânea, causada por Leishmania (Viannia braziliensis (L(Vb, na população rural da faixa litorânea produtora de cacau do estado da Bahia, Brasil. Um inquérito realizado entre 100 pacientes, identificou 49 espécies de plantas usadas para tratar úlceras de pele causadas por esta espécie de Leishmânia. As principais plantas usadas foram o cajueiro-branco (Anacardium occidentale - Anacardiaceae usado por 65% da população, a folha-fogo (Clidemia hirta - Melastomataceae 39%, a alfavaca-grossa (Plectranthus amboinicus - Lamiaceae 33%, o mastruz (Chenopodium ambrosioides - henopodiaceae 31%, a erva-de-santa-maria (Solanum americanum - Solanaceae 25% e a transagem (Plantago major - Plantaginaceae 2%.

  2. Monte Carlo evaluation of tissue heterogeneities corrections in the treatment of head and neck cancer patients using stereotactic radiotherapy.

    Science.gov (United States)

    Pokhrel, Damodar; McClinton, Christopher; Sood, Sumit; Badkul, Rajeev; Saleh, Habeeb; Jiang, Hongyu; Lominska, Christopher

    2016-03-08

    The purpose of this study was to generate Monte Carlo computed dose distributions with the X-ray voxel Monte Carlo (XVMC) algorithm in the treatment of head and neck cancer patients using stereotactic radiotherapy (SRT) and compare to heterogeneity corrected pencil-beam (PB-hete) algorithm. This study includes 10 head and neck cancer patients who underwent SRT re-irradiation using heterogeneity corrected pencil-beam (PB-hete) algorithm for dose calculation. Prescription dose was 24-40 Gy in 3-5 fractions (treated 3-5 fractions per week) with at least 95% of the PTV volume receiving 100% of the prescription dose. A stereotactic head and neck localization box was attached to the base of the thermoplastic mask fixation for target localization. The gross tumor volume (GTV) and organs-at-risk (OARs) were contoured on the 3D CT images. The planning target volume (PTV) was generated from the GTV with 0 to 5 mm uniform expansion; PTV ranged from 10.2 to 64.3 cc (average = 35.0±17.5 cc). OARs were contoured on the 3D planning CT and consisted of spinal cord, brainstem, optic structures, parotids, and skin. In the BrainLab treatment planning system (TPS), clinically optimal SRT plans were generated using hybrid planning technique (combination of 3D conformal nonco-planar arcs and nonopposing static beams) for the Novalis-Tx linear accelerator consisting of high-definition multileaf collimators (HD-MLCs: 2.5 mm leaf width at isocenter) and 6 MV-SRS (1000 MU/min) beam. For the purposes of this study, treatment plans were recomputed using XVMC algorithm utilizing identical beam geometry, multileaf positions, and monitor units and compared to the corresponding clinical PB-hete plans. The Monte Carlo calculated dose distributions show small decreases (< 1.5%) in calculated dose for D99, Dmean, and Dmax of the PTV coverage between the two algorithms. However, the average target volume encompassed by the prescribed percent dose (Vp) was about 2.5% less with XVMC vs. PB-hete and

  3. Directly observed therapy of tuberculosis in Brazil: associated determinants and impact on treatment outcome.

    Science.gov (United States)

    Reis-Santos, B; Pellacani-Posses, I; Macedo, L R; Golub, J E; Riley, L W; Maciel, E L

    2015-10-01

    All Brazilian states. To assess the determinants of tuberculosis (TB) in patients undergoing directly observed therapy (DOT) and the impact of DOT on treatment outcomes. This is a cross-sectional study among TB patients aged ⩾18 years conducted in 2011. The primary outcome was the status of DOT received, while the secondary was the outcome of anti-tuberculosis treatment. In 2011, 35 775 (38.3%) subjects received DOT. The odds of receiving DOT were higher in patients with the following characteristics: brown/mestizo patients (OR 1.18, 95%CI 1.14-1.22) and those of other ethnic groups (OR 2.01, 95%CI 1.79-2.27) compared to Whites, alcohol users (OR 1.37, 95%CI 1.28-1.47) and those with mental disorders (OR 1.88, 95%CI 1.54-2.29). The odds of receiving DOT were lower in human immunodeficiency virus positive patients (OR 0.64, 95%CI 0.60-0.68). Patients who did not receive DOT were more likely to default from anti-tuberculosis treatment (OR 0.62, 95%CI 0.57-0.66), die due to TB (OR 0.68, 95%CI 0.61-0.77) and to have unknown treatment outcomes (OR 0.71, 95%CI 0.66-0.76). The adjusted preventable fraction of DOT in the reduction of unfavorable outcomes was 25%. Sociodemographic and clinical characteristics are determinants of anti-tuberculosis treatment outcomes in patients undergoing DOT; DOT use led to a 25% reduction in unfavorable outcomes.

  4. Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis

    Science.gov (United States)

    de Siqueira, Nilton Ghiotti; de Siqueira, Cláudia Maria Villar Maziero; Rodrigues-Silva, Rosângela; Soares, Manoel do Carmo P; Póvoa, Marinete Marins

    2013-01-01

    The lack of knowledge regarding polycystic hydatid disease results in delayed or even incorrect diagnosis. The lack of systematic information regarding treatment also makes it difficult to assess the results and prognosis in patients with peritoneal and hepatic lesions caused by Echinococcus vogeli. Here we describe the clinical features of patients, propose a radiological classification protocol and describe a therapeutic option for the treatment of hydatid disease that previously had only been used for cases of cystic echinococcosis (Echinococcus granulosus). A prospective cohort study was initiated in 1999 and by 2009 the study included 60 patients. These patients were classified according to the PNM classification (parasite lesion, neighbouring organ invasion and metastases) and placed in one of three therapeutic modalities: (i) chemotherapy with albendazole at a dose of 10 mg/kg/day, (ii) surgical removal of cysts or (iii) percutaneous puncture of the cysts via puncture, aspiration, injection and re-aspiration (PAIR). The results were stratified according to therapeutic outcome: "cure", "clinical improvement", "no improvement", "death" or "no information". The PNM classification was useful in indicating the appropriate therapy in cases of polycystic hydatid disease. In conclusion, surgical therapy produced the best clinical results of all the therapies studied based on "cure" and "clinical improvement" outcomes. The use of PAIR for treatment requires additional study. PMID:23903966

  5. Immunophenotypic characterization of patients with American cutaneous leishmaniasis prior to and after treatment in Pernambuco, Brazil

    Directory of Open Access Journals (Sweden)

    AF Almeida

    2011-01-01

    Full Text Available Leishmania infections induce a specific activation of host immunological response, particularly characterized by T cell expansion. Studies indicate the importance of the balance between CD4+ and CD8+ T cells, in which the first ones would have their number reduced during the healing process. Meanwhile, CD25+ T cells have been associated with the suppression of the immune response. Since the immune response has an essential role in both healing and progression of diseases, this study aimed to identify the percentage of CD3+, CD4+, CD8+, CD16+ and CD25+ T cells in the peripheral blood of patients afflicted with American cutaneous leishmaniasis (ACL - before and after treatment - and healthy controls. Peripheral blood was collected and transferred to cytometry tubes containing monoclonal antibodies specific for cell surface markers CD3, CD4, CD8, CD16 e CD25. The immunophenotypic and morphometric parameters of cells were determined by flow cytometry and the results demonstrated a significant increase in the number of T CD8+ cells after treatment, suggesting a cytotoxic T cell response. An increase in CD25+ T cells in patients with active ACL and after treatment was also observed, suggesting the participation of these cells in the modulation of the exacerbated effector response.

  6. Preparative treatment with NaOH to selectively concentrate iron oxides of a Chilean volcanic soil material to produce effective heterogeneous Fenton catalyst

    Energy Technology Data Exchange (ETDEWEB)

    Manzo, Valentina; Pizarro, Carmen, E-mail: carmen.pizarro@usach.cl; Rubio, Maria Angelica [USACH, Facultad de Quimica y Biologia (Chile); Cavalcante, Luis Carlos Duarte [UFMG, Departamento de Quimica-ICEx (Brazil); Garg, Vijayendra Kumar [Universidade de Brasilia, Instituto de Fisica (Brazil); Fabris, Jose Domingos [UFMG, Departamento de Quimica-ICEx (Brazil)

    2011-11-15

    A Chilean volcanic Ultisol material was first size-fractionated so as to obtain the fraction with mean particle sizes {phi} < 53 {mu}m. This sample was then sequentially treated three or five times with 5 mol L{sup - 1} NaOH, in an attempt to evaluate the effectiveness of the selective chemical dissolution to concentrate iron oxides, as a preparation procedure before using the materials as heterogeneous Fenton catalysts. The effects of those treatments on the iron oxides mineralogy were monitored with Moessbauer spectroscopy. The NaOH-treated samples were tested as catalysts towards the H{sub 2}O{sub 2} decomposition. Three or five sequential NaOH treatments were found to be comparably effective, by concentrating nearly the same proportion of iron oxides in the remaining solid phase (25.1 {+-} 0.4 and 23.3 {+-} 0.2 mass%, respectively). 298 K-Moessbauer patterns were similar for both samples, with a central (super)paramagnetic Fe{sup 3 + } doublet and a broad sextet, assignable to several closely coexisting magnetically ordered forms of iron oxides. Despite of this nearly similar effect of the two treatments, the Ultisol material treated three times with NaOH presents higher heterogeneous catalytic efficiency and is more suitable to decompose H{sub 2}O{sub 2} than that with five treatments.

  7. The surgical treatment of patients with ulcerative colitis from an university hospital at Natal, Brazil

    Directory of Open Access Journals (Sweden)

    Suelene Suassuna Silvestre de Alencar

    2012-09-01

    Full Text Available INTRODUCTION: Ulcerative colitis (UC is a chronic inflammatory disease that affects the rectum and colon, involving periods of exacerbation and remission. A considerable number of patients requires surgery during the course of this disease. OBJECTIVE: The purpose of this study is to analyze the profile and therapeutic approach of patients with UC. METHODS: This is a retrospective study that analyzed medical records of patients diagnosed with UC between 1999 and 2010. We selected 45 patients and analyzed the following variables: age, gender, ethnic group, interval between onset of symptoms and diagnosis, extraintestinal manifestations, extent of colonic involvement, disease complications, pharmacological treatment, indication for surgery, time between diagnosis and indication, surgical procedures, early and late complications and pathological results of surgical specimens. Data were analyzed descriptively and compared with other studies. RESULTS: The clinical profile of the patients was consistent with the literature. Nine patients underwent surgical treatment: seven were submitted to proctocolectomy with anastomosis in the ileo-anal pouch and two were submitted to total colectomy; in addition, eight were submitted to ileostomy. Postoperative complications occurred in 55.5% of patients. CONCLUSIONS: The study confirms data from the literature regarding the profile and therapeutic approach of patients with ulcerative colitis.INTRODUÇÃO: A retocolite ulcerativa (RCU é uma doença inflamatória crônica que acomete reto e cólon, cursando com períodos de exacerbação e remissão. Uma parcela considerável de pacientes necessita de procedimento cirúrgico ao longo do curso dessa enfermidade. OBJETIVO: Este estudo objetiva analisar perfil e abordagem terapêutica de portadores de RCU. MÉTODOS: Trata-se de estudo retrospectivo realizado por meio da análise de prontuários de pacientes acompanhados com diagnóstico de RCU no período de 1999 a

  8. Technical potential of electricity production from municipal solid waste disposed in the biggest cities in Brazil: landfill gas, biogas and thermal treatment.

    Science.gov (United States)

    de Souza, Samuel Nm; Horttanainen, Mika; Antonelli, Jhonatas; Klaus, Otávia; Lindino, Cleber A; Nogueira, Carlos Ec

    2014-10-01

    This article presents an analysis of possibilities for electrical energy production by using municipal solid waste disposed in the biggest Brazilian cities. Currently, the municipal solid waste in Brazil is collected and disposed of at landfills, but there are also other technologies, which in addition to dealing with the garbage can also provide benefits in terms of energy provision. The following scenarios were studied in this work: electricity production from landfill gas (reference scenario); incineration of all municipal solid waste; anaerobic digestion of organic waste and incineration of refuse-derived fuel fractions after being separated in separation plants. According to this study, the biggest cities in Brazil generate about 18.9 million tonnes of municipal solid waste per year (2011), of which 51.5% is biogenic matter. The overall domestic consumption of electricity is 480,120 GWh y(-1) in Brazil and the municipal solid waste incineration in the 16 largest cities in the country could replace 1.8% of it using incinerators. The city of São Paulo could produce 637 GWh y(-1) with landfill gas, 2368 GWh y(-1) with incineration of municipal solid waste and 1177 GWh y(-1) with incineration of refuse-derived fuel. The latter two scenarios could replace 27% and 13.5% of the residential electrical energy consumption in the city. This shows that thermal treatment might be a viable option of waste-to-energy in Brazil. © The Author(s) 2014.

  9. Effects of Different Treatments of Pasture Restoration on Soil Trace Gas Emissions in the Cerrados of Central Brazil

    Science.gov (United States)

    Planted pastures ( mainly Brachiaria spp) are the most extensive land use in the cerrado (savannas of central Brazil) with an area of approximately 50 x 10(6) ha. The objective of the study was to assess the effects of pasture restoration on the N dynamics ( net N mineralization/...

  10. Heterogeneous Catalysts

    NARCIS (Netherlands)

    Dakka, J.; Sheldon, R.A.; Sanderson, W.A.

    1997-01-01

    Abstract of GB 2309655 (A) Heterogeneous catalysts comprising one or more metal compounds selected from the group consisting of tin, molybdenum, tungsten, zirconium and selenium compounds deposited on the surface of a silicalite are provided. Preferably Sn(IV) and/or Mo(VI) are employed. The cat

  11. Piranha attacks on humans in southeast Brazil: epidemiology, natural history, and clinical treatment, with description of a bite outbreak.

    Science.gov (United States)

    Haddad, Vidal; Sazima, Ivan

    2003-01-01

    There are many tales describing ferocious schools of piranha attacking humans, but there are few scientific data supporting such behavior. The very few documented instances of humans attacked and eaten by piranha schools include 3 that occurred after death by other causes (eg, heart failure and drowning). These predaceous fishes, however, do occasionally injure bathers and swimmers in lakes and rivers. The characteristic profile of most injuries is a single bite per victim, generally related to the fish defending its brood. This paper describes an outbreak of piranha bites in a dammed river portion in southeast Brazil. The outbreak was caused by the speckled piranha, Serrasalmus spilopleura, a widespread species which benefits from the growing tendency of damming rivers all over Brazil. This article focuses on the epidemiological and clinical aspects of the injuries, as well as on piranha biology, to gain a better understanding of the natural history of bite outbreaks.

  12. Abandonment of Treatment for Latent Tuberculosis Infection and Socioeconomic Factors in Children and Adolescents: Rio De Janeiro, Brazil

    OpenAIRE

    Angela Marcia Cabral Mendonça; Afrânio Lineu Kritski; Marcelo Gerardin Poirot Land; Clemax Couto Sant'Anna

    2016-01-01

    Background Routine data on the use of isoniazid preventive therapy (IPT) in children and adolescents are scarce in high tuberculosis (TB) burden countries. Objective To describe the factors related to abandonment of IPT in children and adolescents with latent tuberculosis infection (LTBI) receiving routine care. Methods Retrospective (2005–2009) descriptive study of 286 LTBI cases with indication of IPT and serviced at a pediatric hospital in the State of Rio de Janeiro, Brazil. Survival anal...

  13. Metabolic autofluorescence imaging of head and neck cancer organoids quantifies cellular heterogeneity and treatment response (Conference Presentation)

    Science.gov (United States)

    Shah, Amy T.; Heaster, Tiffany M.; Skala, Melissa C.

    2017-02-01

    Treatment options for head and neck cancer are limited, and can cause an impaired ability to eat, talk, and breathe. Therefore, optimized and personalized therapies could reduce unnecessary toxicities from ineffective treatments. Organoids are generated from primary tumor tissue and provide a physiologically-relevant in vitro model to measure drug response. Additionally, multiphoton fluorescence lifetime imaging (FLIM) of the metabolic cofactors NAD(P)H and FAD can resolve dynamic cellular response to anti-cancer treatment. This study applies FLIM of NAD(P)H and FAD to head and neck cancer organoids. Head and neck cancer tissue was digested and grown in culture as three-dimensional organoids. Gold standard measures of therapeutic response in vivo indicate stable disease after treatment with cetuximab (antibody therapy) or cisplatin (chemotherapy), and treatment response after combination treatment. In parallel, organoids were treated with cetuximab, cisplatin, or combination therapy for 24 hours. Treated organoids exhibit decreased NAD(P)H lifetime (pquality of life and treatment outcomes for head and neck cancer patients.

  14. Enhancement of Treatment Efficiency of Recalcitrant Wastewater Containing Textile Dyes Using a Newly Developed Iron Zeolite Socony Mobil-5 Heterogeneous Catalyst.

    Science.gov (United States)

    Ahmad, Mushtaq; Asghar, Anam; Abdul Raman, Abdul Aziz; Wan Daud, Wan Mohd Ashri

    2015-01-01

    Fenton oxidation, an advanced oxidation process, is an efficient method for the treatment of recalcitrant wastewaters. Unfortunately, it utilizes H2O2 and iron-based homogeneous catalysts, which lead to the formation of high volumes of sludge and secondary pollutants. To overcome these problems, an alternate option is the usage of heterogeneous catalyst. In this study, a heterogeneous catalyst was developed to provide an alternative solution for homogeneous Fenton oxidation. Iron Zeolite Socony Mobile-5 (Fe-ZSM-5) was synthesized using a new two-step process. Next, the catalyst was characterized by scanning electron microscopy, energy-dispersive X-ray spectroscopy, fourier transform infrared spectroscopy, and Brunauer-Emmett-Teller analysis and tested against a model wastewater containing the azo dye Acid Blue 113. Results showed that the loading of iron particles reduced the surface area of the catalyst from 293.59 to 243.93 m2/g; meanwhile, the average particle size of the loaded material was 12.29 nm. Furthermore, efficiency of the developed catalyst was evaluated by performing heterogeneous Fenton oxidation. Taguchi method was coupled with principal component analysis in order to assess and optimize mineralization efficiency. Experimental results showed that under optimized conditions, over 99.7% degradation and 77% mineralization was obtained, with a 90% reduction in the consumption of the developed catalyst. Furthermore, the developed catalyst was stable and reusable, with less than 2% leaching observed under optimized conditions. Thus, the present study proved that newly developed catalyst has enhanced the oxidation process and reduced the chemicals consumption.

  15. Synergism between anodic oxidation with diamond anodes and heterogeneous catalytic photolysis for the treatment of pharmaceutical pollutants

    Directory of Open Access Journals (Sweden)

    Juan M. Peralta-Hernández

    2016-03-01

    Full Text Available The mineralization of diclofenac and acetaminophen has been studied by single anodic oxidation with boron-doped diamond (AO-BDD using an undivided electrolysis cell, by single heterogeneous catalytic photolysis with titanium dioxide (HCP-TiO2 and by the combination of both advanced oxidation processes. The results show that mineralization can be obtained with either single technology. The type of functional groups of the pollutant does not influence the results of the single AO-BDD process, but it has a significant influence on the results obtained with HCP-TiO2. A clear synergistic effect appears when both processes are combined showing improvements in the oxidation rate of more than 50% for diclofenac and nearly 200% for acetaminophen at the highest current exerted. Results obtained are explained in terms of the production of oxidants on the surface of BDD (primarily peroxodisulfate and the later homogeneous catalytic light decomposition of these oxidants in the bulk. This mechanism is consistent with the larger improvement observed at higher current densities, for which the production of oxidants is promoted.

  16. Control of Selectivity in Heterogeneous Photocatalysis by Tuning TiO2 Morphology for Water Treatment Applications

    Directory of Open Access Journals (Sweden)

    Ahmed A. Farghali

    2016-02-01

    Full Text Available Heterogeneous photocatalysis using TiO2 is a non-selective technique used for the degradation of organic molecules. Controlling the morphology of TiO2 has recently been considered one of the important approaches for controlling the selectivity of TiO2. In this work, TiO2 nanotubes and nanosheets were synthesized from spherical TiO2 nanopar‐ ticles using the hydrothermal method. The starting and prepared samples were characterized by XRD, TEM and FESEM. The selectivity of the three morphologies towards the photocatalytic degradation of three food dyes (colours yellow sunset, red allura and red carmoisine was tested. Importantly, changes in morphology led to each dye being adsorbed preferentially by one of the three morphologies and decomposing more rapidly, where the optimum rate of degradation for sunset yellow, red allura and red carmoisine was achieved by TiO2 nanosheets, spherical TiO2 and TiO2 nanotubes, respectively.

  17. Clinical outcomes of EGFR-TKI treatment and genetic heterogeneity in lung adenocarcinoma patients with EGFR mutations on exons 19 and 21

    Institute of Scientific and Technical Information of China (English)

    Jiang-Yong Yu; Si-Fan Yu; Shu-Hang Wang; Hua Bai; Jun Zhao; Tong-Tong An; Jian-Chun Duan; Jie Wang

    2016-01-01

    Background: Epidermal growth factor receptor (EGFR) mutations, including a known exon 19 deletion (19 del) and exon 21 L858R point mutation (L858R mutation), are strong predictors of the response to EGFR tyrosine kinase inhibi‑tor (EGFR‑TKI) treatment in lung adenocarcinoma. However, whether patients carrying EGFR 19 del and L858R muta‑tions exhibit different responsiveness to EGFR‑TKIs and what are the potential mechanism for this difference remain controversial. This study aimed to investigate the clinical outcomes of EGFR‑TKI treatment in patients with EGFR 19 del and L858R mutations and explore the genetic heterogeneity of tumors with the two mutation subtypes. Methods: Of 1127 patients with advanced lung adenocarcinoma harboring EGFR 19 del or L858R mutations, 532 received EGFR‑TKI treatment and were included in this study. EGFR 19 del and L858R mutations were detected by using denaturing high‑performance liquid chromatography (DHPLC). T790M mutation, which is a common resistant mutation on exon 20 of EGFR, was detected by amplification refractory mutation system (ARMS). Next‑generation sequencing (NGS) was used to explore the genetic heterogeneity of tumors with EGFR 19 del and L858R mutations. Results: Of the 532 patients, 319 (60.0%) had EGFR 19 del, and 213 (40.0%) had L858R mutations. The patients with EGFR 19 del presented a significantly higher overall response rate (ORR) for EGFR‑TKI treatment (55.2% vs. 43.7%, P = 0.017) and had a longer progression‑free survival (PFS) after first‑line EGFR‑TKI treatment (14.4 vs. 11.4 months,P= 0.034) compared with those with L858R mutations. However, no statistically significant difference in overall survival (OS) was observed between the two groups of patients. T790M mutation status was analyzed in 88 patients before EGFR‑TKI treatment and 134 after EGFR‑TKI treatment, and there was no significant difference in the co‑exist‑ence of T790M mutation with EGFR 19 del and L858R mutations

  18. Influence of effluents from a Wastewater Treatment Plant on nutrient distribution in a coastal creek from southern Brazil

    Directory of Open Access Journals (Sweden)

    Isaac Rodrigues Santos

    2008-02-01

    Full Text Available The hypothesis that effluents treated through activated sludge process cause changes in nutrient biogeochemistry of receiving water bodies was investigated in Vieira creek, southern Brazil. Dissolved oxygen, suspended matter, and pH did not vary among the sampling stations. Nutrient, biochemical oxygen demand, and conductivity values were significantly higher downstream from the Wastewater Treatment Plant (WWTP effluents. Further downstream, nitrate concentrations were higher due to ammonium nitrification, organic matter remineralization and/or the occurrence of unidentified sources. Per capita nutrient emission factors were estimated to be 0.16 kg P.yr-1 and 4.14 kg N.yr-1. Under pristine conditions, low N:P ratios were observed, which were significantly increased downstream due to the high ammonium input. The mixing zone of the nitrogen-rich waters from Vieira creek with the phosphorus-enriched waters from Patos lagoon estuary was considered under high risk of eutrophication. The results could be useful for planning and management of WWTP-effluent receiving waters in temperate regions from developing countries.A hipótese de que efluentes urbanos tratados através de um sistema de lodo ativado causam alterações na qualidade de água de ambientes aquáticos foi investigada no Arroio Vieira, Rio Grande, RS. Amostras de água foram coletadas a montante e a jusante dos emissários de uma estação de tratamento de esgoto (ETE. Oxigênio, material em suspensão e pH não variaram espacialmente. Já os valores para os nutrientes e para a demanda bioquímica do oxigênio foram significativamente maiores a jusante dos efluentes. Mais a jusante, as concentrações de nitrato aumentam devido à nitrificação do nitrogênio amoniacal, remineralização da matéria orgânica e/ou ocorrência de outros aportes não-identificados. A emissão de nutrientes per capita após o tratamento dos efluentes domésticos (0.16 kg P ano-1 e 4.14 kg N ano-1

  19. Heterogeneidade espacial da dengue em estudos locais, Niterói, RJ Heterogeneidad espacial del dengue en estudios locales, Niteroi, Sureste de Brasil Spatial heterogeneity of dengue fever in local studies, City of Niterói, Southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Regina Fernandes Flauzino

    2009-12-01

    Information System for Notifiable Diseases (Sinan between 1998 and 2006, in the city of Niterói, Southeastern Brazil, were georeferenced according to census tracts. These tracts were classified into homogeneous areas for the occurrence of the disease: slum, shipyard and urban area. Cases were grouped into five periods - two inter-epidemic periods (1998-2000 and 2003-2005 and three epidemic periods (2001, 2002 and 2006 - and analyzed using operations between layers in a geographic information system (GIS environment. The kernel method was used to identify clusters of cases. Kulldorff's spatial scan statistic was used to confirm these clusters statistically. RESULTS: Of all cases, 57% were females. Age groups with the highest number of cases were 20-29-years (20.5% and 30-39-years (17.7%. The hill slum sector showed only 11% of households covered by garbage collection service, the highest percentage of illiterate individuals (8.7% and head of families with income lower than one monthly minimum wage (29.5%. Cases remained in the slum sectors. In the first epidemic year and in the inter-epidemic periods, the highest number of cases was found in the hill and flatland slum sectors; in the second and third epidemic years, in the flatland slum sector. CONCLUSIONS: The economically active portion of the population was that most affected in the study area. Census tracts show spatial heterogeneity in relation to life conditions. In addition, in some tracts, there are differences in spatial and temporal distribution of the risk of occurrence of dengue fever.

  20. Heterogeneity of Individuals with a History of Child Sexual Abuse: An Examination of Children Presenting to Treatment

    Science.gov (United States)

    Yancey, C. Thresa; Hansen, David J.; Naufel, Karen Z.

    2011-01-01

    The current study examined children and families who presented for treatment through Project SAFE (Sexual Abuse Family Education) following childhood sexual abuse. Pretreatment assessment data were used to develop clusters of participants with significantly differing presentation of symptom outcome following abuse. Four clusters were discovered:…

  1. Thermal analysis and FTIR studies of sewage sludge produced in treatment plants. The case of sludge in the city of Uberlandia-MG, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira Silva, Jader de [Instituto de Quimica da Universidade Federal de Uberlandia, Av. Joao Naves de Avila, 2121, CEP 38400-902, Cx. Postal 593, Uberlandia - Minas Gerais (Brazil); Departamento Municipal de Agua e Esgoto de Uberlandia (DMAE) (Brazil); Filho, Guimes Rodrigues, E-mail: guimes@ufu.br [Instituto de Quimica da Universidade Federal de Uberlandia, Av. Joao Naves de Avila, 2121, CEP 38400-902, Cx. Postal 593, Uberlandia - Minas Gerais (Brazil); Silva Meireles, Carla da; Dias Ribeiro, Sabrina; Vieira, Julia Graciele [Instituto de Quimica da Universidade Federal de Uberlandia, Av. Joao Naves de Avila, 2121, CEP 38400-902, Cx. Postal 593, Uberlandia - Minas Gerais (Brazil); Vieira da Silva, Cleuzilene [Faculdade de Engenharia Quimica da Universidade Federal de Uberlandia (Brazil); Alves Cerqueira, Daniel [Instituto de Ciencias Ambientais e Desenvolvimento Sustentavel da Universidade Federal da Bahia (Brazil)

    2012-01-20

    Highlights: Black-Right-Pointing-Pointer In this study, the sludge was characterized by thermal analyses and FTIR. Black-Right-Pointing-Pointer The superior calorific value of the sludge was 16.2 MJ kg{sup -1}. Black-Right-Pointing-Pointer The sludge showed a significant biodegradable portion of 65%. Black-Right-Pointing-Pointer The UASB sludge can be used for energy source. - Abstract: The operation of anaerobic reactors in Brazil creates a by-product, sewage sludge, for which adequate treatment is necessary to obtain a solid and stable material. The burning of sewage sludge may be an effective alternative for its management, and looking to enhance its energy potential, an environmentally friendly method of disposal is necessary. As the quantity of sludge generated has increased over the past few years, the physical chemical characterization of this waste is the first stage for its utilization as raw material. The material was characterized by thermal analyses (Thermogravimetry (TG)/Differential Thermal Analysis (DTA) and Differential Scanning Calorimetry (DSC)) and Infrared Analysis (FTIR) in order to determine the main organic groups present in sludge. The calorific power of the anaerobically digested sludge of Uberlandia-MG, Brazil was measured, and an energy content equal to 16.2 MJ kg{sup -1} was found, which is within the range of values reported in the literature.

  2. Impact of antihelminthic treatment on infection by Ascaris lumbricoides, Trichuris trichiura and hookworms in Covas, a rural community of Pernambuco, Brazil

    Directory of Open Access Journals (Sweden)

    Zani Luciana Carvalho

    2004-01-01

    Full Text Available This work aims to evaluate the impact of drug treatment on infection by Ascaris lumbricoides (Al, Trichuris trichiura (Tt and hookworms (Hook in a rural community from the sugar-cane zone of Pernambuco, Brazil. Four parasitological surveys were carried out from March 2001 to March 2002. Individual diagnosis was based on eight slides (four by the Kato-Katz method and four by the Hoffman method per survey. Infected subjects were assigned to two groups for treatment with either albendazole (n = 62 or mebendazole (n = 57. Prevalence of infection fell significantly (p < 0.05 one month after treatment: Al (from 47.7% to 6.6%; Tt (from 45.7% to 31.8% and Hook (from 47.7% to 24.5%. One year after treatment, infections by Tt and Hook remained significantly below pre-control levels. A substantial decrease in single-infection cases and multiple infections was found. Egg-negative rate was significant for Al (94.0%, Hook (68.3% but not for Tt (45.5%, and did not differ significantly between subjects treated with mebendazole or albendazole. Egg counts fell significantly in the individuals remaining positive for Tt. It is recommended that antihelminthic treatment should be selective and given at yearly intervals preferably with albendazole, due to its cost-effectiveness.

  3. Behavior and major barriers faced by non-injectable drug users with HBV/HCV seeking treatment for hepatitis and drug addiction in Rio de Janeiro, Brazil.

    Science.gov (United States)

    Malta, Monica; Cavalcanti, Sabine; Gliksman, Louis; Adlaf, Edward; Hacker, Mariana de Andrea Vilas-Boas; Bertoni, Neilane; Massard, Elize; Bastos, Francisco Inácio

    2011-12-01

    Drug users (DU) are a marginalized group and at risk for viral hepatitis, who seldom access health services. A cross-sectional survey was conducted with 111 DU with chronic HBV/HCV and 15 in-depth interviews with health professionals/policymakers in Rio de Janeiro, Brazil. Most interviewees were male, non-white, with a low educational background, unemployed and/or living on less than $245 a month (minimun wage). In the last 6 months, 61.8% of interviewees snorted cocaine, 64.7% at least once a week. Half of the interviewees had a stable partner and 38.3% of those with occasional partners never/almost never using condoms. Addiction treatment seeking was found to be associated with: being white (OR:5.5), high-school degree (OR:8.7), and employment (OR:5.7). Hepatitis treatment seeking was high (80.9%), and access to low-threshold, user-friendly health services was key for treatment seeking behaviors (OR:3.6). Missed opportunities for hepatitis treatment seem to be associated with structural (uneven political/financial support to hepatitis programs) and patient-related barriers (severe addiction and non-adherence). Those most in need were less likely to access treatment, calling for renewed strategies, in order to curb hepatitis among impoverished drug users and their sexual partners.

  4. Breast cancer: diagnosis-to-treatment waiting times for elderly women at a reference hospital of São Paulo, Brazil.

    Science.gov (United States)

    Souza, Camila Brandão; Fustinoni, Suzete Maria; Amorim, Maria Helena Costa; Zandonade, Eliana; Matos, Jéssica Carvalho; Schirmer, Janine

    2015-12-01

    This study compares waiting time from diagnosis of breast cancer to start of treatment with patients' social-demographic and clinical profiles in women aged 60 or more at the PérolaByington Hospital, São Paulo, over the years 2001-2006.It is a descriptive study based on secondary data in a sample of 1,299 cases. Social-demographic, clinical and temporal variables were collected. Patients were divided into two groups: those with period between diagnosis and start of treatment less than 60 days, and greater than 60 days. The average time between diagnosis and start of treatment was 74.7 days (SD = 212.6), and the median time was 45 days. This waiting time was lower for subjects without diagnosis and without prior treatment (p = 0.001), and also for those with tumors at Stage 0, in situ or Stage I(p = 0.001). Time was significant for the outcomes of relapse (p = 0.004) and metastasis (p = 0.038). Having established diagnosis and treatment also resulted in lower time to start of the required care. Improvement to the structuring and functioning of the health service is an essential need, for dealing with the cases of the disease in an efficient manner, an important challenge for Brazil's Unified Health System.

  5. Impact of antihelminthic treatment on infection by Ascaris lumbricoides, Trichuris trichiura and hookworms in Covas, a rural community of Pernambuco, Brazil.

    Science.gov (United States)

    Zani, Luciana Carvalho; Favre, Tereza Cristina; Pieri, Otávio Sarmento; Barbosa, Constança Simões

    2004-01-01

    This work aims to evaluate the impact of drug treatment on infection by Ascaris lumbricoides (Al), Trichuris trichiura (Tt) and hookworms (Hook) in a rural community from the sugar-cane zone of Pernambuco, Brazil. Four parasitological surveys were carried out from March 2001 to March 2002. Individual diagnosis was based on eight slides (four by the Kato-Katz method and four by the Hoffman method) per survey. Infected subjects were assigned to two groups for treatment with either albendazole (n = 62) or mebendazole (n = 57). Prevalence of infection fell significantly (p < 0.05) one month after treatment: Al (from 47.7% to 6.6%); Tt (from 45.7% to 31.8%) and Hook (from 47.7% to 24.5%). One year after treatment, infections by Tt and Hook remained significantly below pre-control levels. A substantial decrease in single-infection cases and multiple infections was found. Egg-negative rate was significant for Al (94.0%), Hook (68.3%) but not for Tt (45.5%), and did not differ significantly between subjects treated with mebendazole or albendazole. Egg counts fell significantly in the individuals remaining positive for Tt. It is recommended that antihelminthic treatment should be selective and given at yearly intervals preferably with albendazole, due to its cost-effectiveness.

  6. Spotlight: Brazil.

    Science.gov (United States)

    Carter, M

    1996-08-01

    Brazil is South America's largest country and home to nearly half of the continent's people. Despite solid economic growth, Brazil has one of the world's widest income disparities. In the early 1990s, nearly 40% of urban and 66% of rural Brazilians lived in poverty. The streets of Brazil's cities are home to a large population of street children. Although it is difficult to estimate, 10 million children and youths may be either homeless or making a meager living off of the streets. Street children may be linked to prostitution and drugs and be the targets or perpetrators of violence. Child labor is an issue in Brazil. Today an estimated 30% of rural children and 9% of urban children ages 10-13 work in the formal economy. In some rural areas, 60% of workers are ages 5-17. Child labor also contributes to Brazil's relatively low educational attainment levels. UNICEF estimates that around 1990 only 1/3 of all Brazilian children continued on to secondary school, compared to 74% and 47%, respectively, for the Latin America and Caribbean regions. Immunization rates among Brazil's children are rising but still lag slightly behind regional averages. The mortality rate for children under age 5 decreased dramatically from 181 deaths for every 1000 live births in 1960 to 61/1000 in 1994. During the same time period, the average number of children born to a woman during her lifetime dropped from 6.2 to 2.8. This fertility decline is related in part to increased access to and acceptance of family planning. Contraceptive prevalence, including traditional and modern methods, is around 66%, with female sterilization and the pill being the most popular methods. Brazil's abortion rates are high, despite laws limiting access to abortion services. One estimate suggests that about 30% of all pregnancies are terminated through abortion each year.

  7. HABITS OF PATIENTS AND IMPORTANCE OF PHYSICAL EDUCATOR IN THE TREATMENT OF DIABETES MELLITUS TYPE II IN PALMAS, TOCANTINS, BRAZIL

    Directory of Open Access Journals (Sweden)

    Maynard Noleto SALES

    2015-12-01

    Full Text Available Diabetes mellitus, a non-communicable disease that can affect men and women, can be classified as type I or type II. This disease is in the 4th position in numbers of deaths in Brazil, and therefore, involves attention, both from the government, as the patients and family. The aims of this study is describe the lifestyle in relation to diet, foot care and proper medication, and the point of view of patients with diabetes mellitus type II, on the importance of the practice of physical exercise, coordinated and programmed. We performed a study using Questionnaire of Self-Care Activities with Diabetes (QAD and a second questionnaire with questions related to the importance of exercise for patients with diabetes mellitus type II. Questionnaires were applied in 20 patients with the disease (08 men and 12 women, living in the city of Palmas, Tocantins, Brazil. Result: We noticed that even with the recommendations of healthcare professionals, most patients with diabetes mellitus type 2 has not adapted verification of blood glucose, proper nutrition and foot care. Moreover, despite the interviewees know the importance of performing regular physical activity, we noticed that these do not know how much of weekly days in which they must get physical exercise in order to control the disease. Most interviewees adopt just walk as the physical activity, and we have not verified from the answers of patients, if they know what the most beneficial exercises to control this disease.

  8. Mechanistic considerations for the advanced oxidation treatment of fluoroquinolone pharmaceutical compounds using TiO(2) heterogeneous catalysis.

    Science.gov (United States)

    An, Taicheng; Yang, Hai; Song, Weihua; Li, Guiying; Luo, Haiying; Cooper, William J

    2010-02-25

    Pharmaceutical compounds and metabolites are being found in surface and ground waters which is indicative of inefficient removal by conventional wastewater treatment technologies. Advanced oxidation processes (AOPs), which utilize free-radical reactions to degrade chemical contaminates, are an alternative to traditional water treatment. Three fluoroquinolone pharmaceutical compounds were studied and the absolute rate constants for hydroxyl radical (*OH) and hydrated electron (e(-)(aq)) are reported. For norfloxacin, levofloxacin, and lomefloxacin, the bimolecular reaction rate constants with *OH were determined as (6.18 +/- 0.18) x 10(9), (7.59 +/- 0.16) x 10(9) and (8.04 +/- 0.62) x 10(9) M(-1) s(-1), and with e(-)(aq) were (1.18 +/- 0.10) x 10(10), (2.46 +/- 0.05) x 10(10) and (2.79 +/- 0.05) x 10(10) M(-1) s(-1), respectively. To provide insights into the chemistry of destruction of these three target pharmaceuticals, transient spectra were obtained for the reaction of hydroxyl radicals with the three compounds. Photocatalysis was chosen as a representative advanced oxidation technology to degrade these three fluoroquinolones and their degradation pathways were proposed. Elimination of piperazynilic ring in fluoroquinolone molecules, addition of hydroxyl radical to quinolone ring, and ipso attack at the F atoms on the aromatic ring by hydroxyl radicals occurred. These results indicate that AOPs involving production of *OH radicals are efficiently alternative treatment technologies for degradation of fluoroquinolones in aqueous solution.

  9. I-125 seed dose estimates in heterogeneous phantom

    Energy Technology Data Exchange (ETDEWEB)

    Branco, Isabela S.L.; Antunes, Paula C.G.; Cavalieri, Tassio A.; Moura, Eduardo S.; Zeituni, Carlos A.; Yoriyaz, Helio, E-mail: isabela.slbranco@gmail.com [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2015-07-01

    Brachytherapy plays an important role in the healing process involving tumors in a variety of diseases. Several studies are currently conducted to examine the heterogeneity effects of different tissues and organs in brachytherapy clinical situations and a great effort has been made to incorporate new methodologies to estimate doses with greater accuracy. The objective of this study is to contribute to the assessment of heterogeneous effects on dose due to I-125 brachytherapy source in the presence of different materials with different densities and chemical compositions. The study was performed in heterogeneous phantoms using materials that simulate human tissues. Among these is quoted: breast, fat, muscle, lungs (exhaled and inhaled) and bones with different densities. Monte Carlo simulations for dose calculation in these phantoms were held and subsequently validated. The model 6711 I-125 seed was considered because it is widely used as a brachytherapy permanent implant and the one used in clinics and hospitals in Brazil. Thermoluminescent dosimeters TLD-700 (LiF: Mg, Ti) were simulated for dose assess. Several tissue configurations and positioning of I-125 sources were studied by simulations for future dose measurements. The methodology of this study so far shall be suitable for accurate dosimetric evaluation for different types of brachytherapy treatments, contributing to brachytherapy planning systems complementation allowing a better assessment of the dose actually delivered to the patient. (author)

  10. Cellular heterogeneity and molecular evolution in cancer.

    Science.gov (United States)

    Almendro, Vanessa; Marusyk, Andriy; Polyak, Kornelia

    2013-01-24

    Intratumor heterogeneity represents a major obstacle to effective cancer treatment and personalized medicine. However, investigators are now elucidating intratumor heterogeneity at the single-cell level due to improvements in technologies. Better understanding of the composition of tumors, and monitoring changes in cell populations during disease progression and treatment, will improve cancer diagnosis and therapeutic design. Measurements of intratumor heterogeneity may also be used as biomarkers to predict the risk of progression and therapeutic resistance. We summarize important considerations related to intratumor heterogeneity during tumor evolution. We also discuss experimental approaches that are commonly used to infer intratumor heterogeneity and describe how these methodologies can be translated into clinical practice.

  11. New Metrics for Economic Evaluation in the Presence of Heterogeneity: Focusing on Evaluating Policy Alternatives Rather than Treatment Alternatives.

    Science.gov (United States)

    Kim, David D; Basu, Anirban

    2017-11-01

    Cost-effectiveness analysis (CEA) methods fail to acknowledge that where cost-effectiveness differs across subgroups, there may be differential adoption of technology. Also, current CEA methods are not amenable to incorporating the impact of policy alternatives that potentially influence the adoption behavior. Unless CEA methods are extended to allow for a comparison of policies rather than simply treatments, their usefulness to decision makers may be limited. We conceptualize new metrics, which estimate the realized value of technology from policy alternatives, through introducing subgroup-specific adoption parameters into existing metrics, incremental cost-effectiveness ratios (ICERs) and Incremental Net Monetary Benefits (NMBs). We also provide the Loss with respect to Efficient Diffusion (LED) metrics, which link with existing value of information metrics but take a policy evaluation perspective. We illustrate these metrics using policies on treatment with combination therapy with a statin plus a fibrate v. statin monotherapy for patients with diabetes and mixed dyslipidemia. Under the traditional approach, the population-level ICER of combination v. monotherapy was $46,000/QALY. However, after accounting for differential rates of adoption of the combination therapy (7.2% among males and 4.3% among females), the modified ICER was $41,733/QALY, due to the higher rate of adoption in the more cost-effective subgroup (male). The LED metrics showed that an education program to increase the uptake of combination therapy among males would provide the largest economic returns due to the significant underutilization of the combination therapy among males under the current policy. This framework may have the potential to improve the decision-making process by producing metrics that are better aligned with the specific policy decisions under consideration for a specific technology.

  12. Validity of two occlusal indices for determining orthodontic treatment needs of patients treated in a public university in Belo Horizonte, Minas Gerais State, Brazil.

    Science.gov (United States)

    Costa, Rodrigo Norremose; Abreu, Mauro Henrique Nogueira Guimarães de; Magalhães, Claudia Silami de; Moreira, Allyson Nogueira

    2011-03-01

    The aim of the present study was to validate the dental aesthetic index (DAI) and index of complexity, outcome and need (ICON) based on the opinions of a panel of Brazilian orthodontists. A comparison of these two orthodontic treatment need indices was carried out based on the consensus of a panel of 20 experienced orthodontists. A set of 108 study casts representing the full spectrum of malocclusions was selected. A calibrated examiner scored the casts for both indices. The orthodontists individually rated the casts regarding the degree of orthodontic treatment need. The panel's mean rating of the need for treatment was used as the gold standard for evaluating the validity of the indices. The accuracy of the indices, as reflected in the area under receiver-operating characteristic curves, was high: DAI = 81.83% (95%CI: 71.21-92.44); ICON = 88.75% (95%CI: 78.57-98.92). Although the accuracy of the ICON was higher than that of the DAI, both indices are recommended for determining orthodontic treatment need in Brazil.

  13. Heterogeneity of rat FSH by chromatofocusing: studies on in-vitro bioactivity of pituitary FSH forms and effect of neuraminidase treatment.

    Science.gov (United States)

    Blum, W F; Riegelbauer, G; Gupta, D

    1985-04-01

    This study concerned the resolution of rat pituitary FSH utilizing chromatofocusing. Among the 11 components resolved and positively identified, ten had apparent isoelectric points (pI) between 3.1 and 5.1. Approximately 1% of pituitary FSH eluted at pH 9.4. Treatment with varying amounts of neuraminidase followed by refocusing generated FSH components of higher pI values. Treatment with other glycosidases did not alter the elution characteristics in chromatofocusing, while exclusion chromatography established an inverse relationship between apparent molecular weight and pI. Dose-response curves of various FSH components and of the reference preparation in the current radioimmunoassay system were parallel to each other. A study of their in-vitro bioactivity, utilizing granulosa cells which produce a plasminogen activator due to FSH in a dose-dependent manner, provided the following evidence: increased acidity of the components led to an increase of maximum response and an increase of the dose necessary for half-maximum response. Considering the observed alterations in the heterogeneity of FSH with changing physiological states of the animal, it is concluded that qualitative changes of the FSH molecule are perhaps involved in a modulatory role in the biopotencies of the hormone.

  14. PCDD/F in sewage sludges from two waste water treatment facilities in Rio de Janeiro State, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Souza Pereira, M. de [Universidade Federal Fluminense, Niteroi (Brazil). Dept. de Geoquimica - Instituto de Quimica; Kuch, B. [Stuttgart Univ. (Germany). Inst. fuer Siedlungswasserbau, Wasserguete- und Abfallwirtschaft, Abt. Hydrochemie, Fakultaet fuer Bauingenieur- und Vermessungswesen

    2004-09-15

    In Brazil, up to now, there is no specific legislation regarding the maximum equivalent concentration levels of organochlorine compounds in especial polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/PCDF) in sewage sludge/biocompost considered for agricultural use or final deposition in soils. Besides the great risk heavy metals pose to humans and environment, PCDD/PCDF are types of persistent environmental contaminants with enhanced toxicity and carcinogenic and bioaccumulating properties. To PCDD/F, the human exposure is primarily attributed to background contamination caused by diffuse contamination of these pollutants coming from different sources and subsequently biomagnification through the trophic chain. As alternative paths of the diffuse contamination with PCDD/F, the transport of these substances by air deposition, by residual waters from household, industrial processes as well as by laundry of products treated with contaminated chemicals and the microbial activity on chlorophenols are listed. Possible transference pathways of these compounds to humans would be both the uptake via contaminated crops and grazing livestock, coming from sludge-amended soils 11. Concerning PCDD/F, a tolerable daily intake (TDI) of 1-4 pg I-TEQ/kg/day is recommended, according to the WHO/EURO standard guidelines, which would be exceeded if a persons diet came solely from land treated with sewage sludge containing high concentrations of PCDD/F. This work shows the results of a first study about the heavy metal, PCDD/PCDF content of sewage sludge coming from both an urban and a semi-agricultural area in the State of Rio de Janeiro, Brazil in comparison to results found in the region of Baden-Wuerttenberg, south Germany. The potential toxicity and probably sources related to these contaminants in Brazilian sewage sludge was also investigated.

  15. PCDD/F in sewage sludges from two waste water treatment facilities in Rio de Janeiro State, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Souza Pereira, M. de [Universidade Federal Fluminense, Niteroi (Brazil). Dept. de Geoquimica - Instituto de Quimica; Kuch, B. [Stuttgart Univ. (Germany). Inst. fuer Siedlungswasserbau, Wasserguete- und Abfallwirtschaft, Abt. Hydrochemie, Fakultaet fuer Bauingenieur- und Vermessungswesen

    2004-09-15

    In Brazil, up to now, there is no specific legislation regarding the maximum equivalent concentration levels of organochlorine compounds in especial polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/PCDF) in sewage sludge/biocompost considered for agricultural use or final deposition in soils. Besides the great risk heavy metals pose to humans and environment, PCDD/PCDF are types of persistent environmental contaminants with enhanced toxicity and carcinogenic and bioaccumulating properties. To PCDD/F, the human exposure is primarily attributed to background contamination caused by diffuse contamination of these pollutants coming from different sources and subsequently biomagnification through the trophic chain. As alternative paths of the diffuse contamination with PCDD/F, the transport of these substances by air deposition, by residual waters from household, industrial processes as well as by laundry of products treated with contaminated chemicals and the microbial activity on chlorophenols are listed. Possible transference pathways of these compounds to humans would be both the uptake via contaminated crops and grazing livestock, coming from sludge-amended soils 11. Concerning PCDD/F, a tolerable daily intake (TDI) of 1-4 pg I-TEQ/kg/day is recommended, according to the WHO/EURO standard guidelines, which would be exceeded if a persons diet came solely from land treated with sewage sludge containing high concentrations of PCDD/F. This work shows the results of a first study about the heavy metal, PCDD/PCDF content of sewage sludge coming from both an urban and a semi-agricultural area in the State of Rio de Janeiro, Brazil in comparison to results found in the region of Baden-Wuerttenberg, south Germany. The potential toxicity and probably sources related to these contaminants in Brazilian sewage sludge was also investigated.

  16. Treatment of a simulated phenolic effluent by heterogeneous catalytic ozonation using Pt/Al2O3.

    Science.gov (United States)

    Fajardo, Ana S; Martins, Rui C; Quinta-Ferreira, Rosa M

    2013-01-01

    Non-catalytic and catalytic ozonation over Pt/Al2O3 were considered in the treatment of a synthetic effluent composed of six phenolic acids usually present in olive mill wastewaters. In both processes the medium pH affected the rate of ozone decomposition and the formation of hydroxyl radicals. The optimum values were achieved for the catalytic system under pH 7 with 93.0 and 47.7%, respectively, of total phenol content and chemical oxygen demand (COD) removal, after 120 minutes of reaction. For pH 3, the catalytic ozonation followed a free radical pathway perceived by the presence of radical scavengers. No significant structural differences were observed between the fresh and used solid catalyst in X-ray diffraction analysis. Aluminium leaching behaviour was also evaluated at the end of each experiment. Moreover, a sequence of feed-batch trials involving the catalyst reutilization exhibited almost constant activity during the operation time. Eco-toxicological tests were performed for both processes, revealing that the treated effluent still presents some ecological impact, although it is lower than that for the raw wastewater.

  17. The impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Sandra Scivoletto

    Full Text Available OBJECTIVE: Despite the high prevalence of substance abuse and mood disorders among victimized children and adolescents, few studies have investigated the association of these disorders with treatment adherence, represented by numbers of visits per month and treatment duration. We aimed to investigate the effects of substance abuse and mood disorders on treatment adherence and duration in a special program for victimized children in São Paulo, Brazil. METHODS: A total of 351 participants were evaluated for psychiatric disorders and classified into one of five groups: mood disorders alone; substance abuse disorders alone; mood and substance abuse disorders; other psychiatric disorders; no psychiatric disorders. The associations between diagnostic classification and adherence to treatment and the duration of program participation were tested with logistic regression and survival analysis, respectively. RESULTS: Children with mood disorders alone had the highest rate of adherence (79.5%; those with substance abuse disorders alone had the lowest (40%; and those with both disorders had an intermediate rate of adherence (50%. Those with other psychiatric disorders and no psychiatric disorders also had high rates of adherence (75.6% and 72.9%, respectively. Living with family significantly increased adherence for children with substance abuse disorders but decreased adherence for those with no psychiatric disorders. The diagnostic correlates of duration of participation were similar to those for adherence. CONCLUSIONS: Mood and substance abuse disorders were strong predictive factors for treatment adherence and duration, albeit in opposite directions. Living with family seems to have a positive effect on treatment adherence for patients with substance abuse disorders. More effective treatment is needed for victimized substance-abusing youth

  18. Heterogeneous sono-Fenton-like process using martite nanocatalyst prepared by high energy planetary ball milling for treatment of a textile dye.

    Science.gov (United States)

    Dindarsafa, Mahsa; Khataee, Alireza; Kaymak, Baris; Vahid, Behrouz; Karimi, Atefeh; Rahmani, Amir

    2017-01-01

    High energy planetary ball milling was applied to prepare sono-Fenton nanocatalyst from natural martite (NM). The NM samples were milled for 2-6h at the speed of 320rpm for production of various ball milled martite (BMM) samples. The catalytic performance of the BMMs was greater than the NM for treatment of Acid Blue 92 (AB92) in heterogeneous sono-Fenton-like process. The NM and the BMM samples were characterized by XRD, FT-IR, SEM, EDX and BET analyses. The particle size distribution of the 6h-milled martite (BMM3) was in the range of 10-90nm, which had the highest surface area compared to the other samples. Then, the impact of main operational parameters was investigated on the process. Complete removal of the dye was obtained at the desired conditions including initial pH 7, 2.5g/L BMM3 dosage, 10mg/L AB92 concentration, and 150W ultrasonic power after 30min of treatment. The treatment process followed pseudo-first order kinetic. Environmentally-friendly modification of the NM, low leached iron amount and repeated application at milder pH were the significant benefits of the BMM3. The GC-MS was successfully used to identify the generated intermediates. Eventually, an artificial neural network (ANN) was applied to predict the AB92 removal efficiency based upon the experimental data with a proper correlation coefficient (R(2)=0.9836). Copyright © 2016 Elsevier B.V. All rights reserved.

  19. Heterogeneous sono-Fenton-like process using nanostructured pyrite prepared by Ar glow discharge plasma for treatment of a textile dye.

    Science.gov (United States)

    Khataee, Alireza; Gholami, Peyman; Vahid, Behrouz

    2016-03-01

    The plasma-treated pyrite (PTP) nanostructures were prepared from natural pyrite (NP) utilizing argon plasma due to its sputtering and cleaning effects resulting in more active surface area. The NP and PTP were characterized using X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), Brunauer-Emmett-Teller (BET) and scanning electron microscopy (SEM) methods. The performance of the PTP was greater than NP for treatment of Reactive Red 84 (RR84) by the heterogeneous sono-Fenton process. The optimum amounts of main operational parameters were obtained as PTP of 4 g/L, initial dye concentration of 10 mg/L, pH of 5, and ultrasonic power of 300 W after 120 min of reaction time. Also, the effects of enhancers, and inorganic salts and t-butanol as hydroxyl radical scavengers on the degradation efficiency were investigated. Gas chromatography-mass spectroscopy analysis (GC-MS) was applied for detection of some degradation intermediates. Environmentally friendly plasma modification of the NP, in situ production of H2O2 and OH radicals, low leached iron concentration and repeated reusability at the milder pH are the significant benefits of the PTP utilization.

  20. Tuberculosis patients submitted to supervised treatment. Ribeirão Preto - São Paulo - Brazil. 1998 and 1999

    OpenAIRE

    HINO, Paula; Santos,Claudia Benedita dos; Villa, Tereza Cristina Scatena; Muniz,Jordana Nogueira; Monroe,Aline Aparecida

    2005-01-01

    This study presents a survey conducted among 132 Tuberculosis patients submitted to Supervised Treatment between 01/1998 and 12/1999, with a view to describing epidemiological aspects, according to the gender, (final) treatment result and HIV immunology result variables. The number of patients covered by Supervised Treatment rose from 19% to 30%. For each of these years, 64% and 71% of the patients were male, while 89% and 77% evolved towards cure. The rate of abandonment increased from 7% to...

  1. U-Pb ages, geochemistry, C-O-Nd-Sr-Hf isotopes and petrogenesis of the Catalão II carbonatitic complex (Alto Paranaíba Igneous Province, Brazil): implications for regional-scale heterogeneities in the Brazilian carbonatite associations

    Science.gov (United States)

    Guarino, Vincenza; Wu, Fu-Yuan; Melluso, Leone; de Barros Gomes, Celso; Tassinari, Colombo Celso Gaeta; Ruberti, Excelso; Brilli, Mauro

    2017-09-01

    The Catalão II carbonatitic complex is part of the Alto Paranaíba Igneous Province (APIP), central Brazil, close to the Catalão I complex. Drill-hole sampling and detailed mineralogical and geochemical study point out the existence of ultramafic lamprophyres (phlogopite-picrites), calciocarbonatites, ferrocarbonatites, magnetitites, apatitites, phlogopitites and fenites, most of them of cumulitic origin. U-Pb data have constrained the age of Catalão I carbonatitic complex between 78 ± 1 and 81 ± 4 Ma. The initial strontium, neodymium and hafnium isotopic data of Catalão II (87Sr/86Sri = 0.70503-0.70599; ɛNdi = -6.8 to -4.7; 176Hf/177Hf = 0.28248-0.28249; ɛHfi = -10.33 to -10.8) are similar to the isotopic composition of the Catalão I complex and fall within the field of APIP kimberlites, kamafugites and phlogopite-picrites, indicating the provenance from an old lithospheric mantle source. Carbon isotopic data for Catalão II carbonatites (δ13C = -6.35 to -5.68 ‰) confirm the mantle origin of the carbon for these rocks. The origin of Catalão II cumulitic rocks is thought to be caused by differential settling of the heavy phases (magnetite, apatite, pyrochlore and sulphides) in a magma chamber repeatedly filled by carbonatitic/ferrocarbonatitic liquids ( s.l.). The Sr-Nd isotopic composition of the Catalão II rocks matches those of APIP rocks and is markedly different from the isotopic features of alkaline-carbonatitic complexes in the southernmost Brazil. The differences are also observed in the lithologies and the magmatic affinity of the igneous rocks found in the two areas, thus demonstrating the existence of regional-scale heterogeneity in the mantle sources underneath the Brazilian platform.

  2. Experimental benznidazole treatment of Trypanosoma cruzi II strains isolated from children of the Jequitinhonha Valley, Minas Gerais, Brazil, with Chagas disease

    Directory of Open Access Journals (Sweden)

    Jaquelline Carla Valamiel de Oliveira-Silva

    2015-02-01

    Full Text Available Trypanosoma cruzi strains from distinct geographic areas show differences in drug resistance and association between parasites genetic and treatment response has been observed. Considering that benznidazole (BZ can reduce the parasite burden and tissues damage, even in not cured animals and individuals, the goal is to assess the drug response to BZ of T. cruzi II strains isolated from children of the Jequitinhonha Valley, state of Minas Gerais, Brazil, before treatment. Mice infected and treated with BZ in both phases of infection were compared with the untreated and evaluated by fresh blood examination, haemoculture, polymerase chain reaction, conventional (ELISA and non-conventional (FC-ALTA serologies. In mice treated in the acute phase, a significant decrease in parasitaemia was observed for all strains. Positive parasitological and/or serological tests in animals treated during the acute and chronic (95.1-100% phases showed that most of the strains were BZ resistant. However, beneficial effect was demonstrated because significant reduction (p < 0.05% and/or suppression of parasitaemia was observed in mice infected with all strains (acute phase, associated to reduction/elimination of inflammation and fibrosis for two/eight strains. BZ offered some benefit, even in not cured animals, what suggest that BZ use may be recommended at least for recent chronic infection of the studied region.

  3. Tuberculosis patients submitted to supervised treatment. Ribeirão Preto-São Paulo-Brazil. 1998 and 1999.

    Science.gov (United States)

    Hino, Paula; dos Santos, Claudia Benedita; Villa, Tereza Cristina Scatena; Muniz, Jordana Nogueira; Monroe, Aline Aparecida

    2005-01-01

    This study presents a survey conducted among 132 Tuberculosis patients submitted to Supervised Treatment between 01/1998 and 12/1999, with a view to describing epidemiological aspects, according to the gender, (final) treatment result and HIV immunology result variables. The number of patients covered by Supervised Treatment rose from 19% to 30%. For each of these years, 64% and 71% of the patients were male, while 89% and 77% evolved towards cure. The rate of abandonment increased from 7% to 10%, while 4% and 10% of the patients died of Tuberculosis. The Tb/HIV co-infection represented 22% and 42% of the cases. The obtained results disclosed a tendency towards the gradual amplification of Supervised Treatment and its implementation implied.

  4. Application of thermal analysis to measure the spatial heterogeneity of organic matter degradation after wildfire: implications for post-fire rehabilitation treatments

    Science.gov (United States)

    Merino, Agustin; Fonturbel, M. Teresa; Vega, Jose A.

    2015-04-01

    Severe wildfires can cause drastic changes in SOM content and quality with important implications for soil conservation and global C balance. Soil heating usually leads to loss of the most labile SOM compounds (e.g. carbohydrates, lipids and peptides) and to generation of aromatic substances. However, these fire-related damages are not uniform over large areas, because of the spatial heterogeneity of different factors such as fire type and environmental conditions. Rapid diagnosis of soil burn severity is required to enable the design of emergency post-fire rehabilitation treatments. The study was conducted in soils from NW Spain, an Atlantic-climate zone that is particularly prone to wildfires. Intact soil cores (forest floor and uppermost mineral soil layer) were taken from a soil developed under granitic rock and subjected to experimental burning (in a bench positioned at the outlet of a wind tunnel). Soil temperature during fire was monitorised and five visual levels of soil burn severity (SBS) were recorded immediately after fire. Solid-state 13C CP-MAS NMR spectroscopy analyses were performed in an Agilent (Varian) VNMRS-500-WB spectrometer. The samples were analyzed by differential scanning calorimetry and thermogravimetry (TGA/DSC, Mettler-Toledo Intl. Inc.). The analyses were performed with 4 mg of samples placed in open aluminium pans under dry air (flow rate, 50 mL-1) and at a scanning rate of 10 °C min-1. The temperature ranged between 50 and 600 °C. In the organic layer, the temperature reached during fire influenced the formation and characteristics of charred material. These materials showed an increasing degree of carbonization/aromatization in relation to the increase of temperature during burning. Burning also led to compounds of higher thermal recalcitrance (increases in T50 values -the temperature at which 50% of the energy stored in SOM is released-). However, values recorded in some samples were lower than those measured in highly

  5. Cutaneous sporotrichosis treatment with potassium iodide: a 24 year experience in São Paulo state, Brazil

    Directory of Open Access Journals (Sweden)

    Karin Yamada

    2011-04-01

    Full Text Available BACKGROUND: Sporotrichosis is a subacute or chronic disease caused by a dimorphic fungus, Sporothrix schenckii. The first and most traditional treatment is potassium iodide in satured solution (SSKI used by DE BEURMANN in 1907. For its effectiveness, it is still used for cutaneous sporotrichosis. OBJECTIVE: To evaluate the treatment of cutaneous sporotrichosis with SSKI in relation to clinical cure, side effects, length of treatment and reactivation. METHODS: We conducted a retrospective analysis of medical records over a 24-year period (1981-2005. Patients of all ages who were treated in the hospital´s division of dermatology were included in the study providing that they had a positive culture of S. schenckii. Satured solution of potassium iodide (3 to 6g per day was the treatment prescribed. For children, half of the dose was prescribed. RESULTS: The lymphocutaneous disease was prevalent, the cure rate was 94.7%, side effects were described in 5.5% of the cases, mean length of treatment was 3.5 months and possible reactivation was observed in 11.1%. CONCLUSION: SSKI is an effective drug, with many side effects, but with low frequency. Resolution was for maximum six months of treatment. SSKI has been found to be a very effective drug in this retrospective study of culture-proven cases of cutaneous and lymphocutaneous sporotrichosis. It should be used as first drug of choice especially in resource-limited settings.

  6. Coupling of acrylic dyeing wastewater treatment by heterogeneous Fenton oxidation in a continuous stirred tank reactor with biological degradation in a sequential batch reactor.

    Science.gov (United States)

    Esteves, Bruno M; Rodrigues, Carmen S D; Boaventura, Rui A R; Maldonado-Hódar, F J; Madeira, Luís M

    2016-01-15

    This work deals with the treatment of a recalcitrant effluent, from the dyeing stage of acrylic fibres, by combination of the heterogeneous Fenton's process in a continuous stirred tank reactor (CSTR) with biological degradation in a sequential batch reactor (SBR). Three different catalysts (a commercial Fe/ZSM-5 zeolite and two distinct Fe-containing activated carbons - ACs - prepared by wet impregnation of iron acetate and iron nitrate) were employed on the Fenton's process, and afterwards a parametric study was carried out to determine the effect of the main operating conditions, namely the hydrogen peroxide feed concentration, temperature and contact time. Under the best operating conditions found, using the activated carbon impregnated with iron nitrate, 62.7% of discolouration and 39.9% of total organic carbon (TOC) reduction were achieved, at steady-state. Furthermore, a considerable increase in the effluent's biodegradability was attained (BOD5:COD ratio increased from <0.001 to 0.27 and SOUR - specific oxygen uptake rate - from <0.2 to 11.1 mg O2/(gVSS·h)), alongside a major decrease in its toxicity (from 92.1 to 94.0% of Vibrio fischeri inhibition down to 6.9-9.9%). This allowed the application of the subsequent biological degradation stage. The combination of the two processes provided a treated effluent that clearly complies with the legislated discharge limits. It was also found that the iron leaching from the three catalysts tested was very small in all runs, a crucial factor for the stability and long-term use of such materials.

  7. Polymerase chain reaction and nested-PCR approaches for detecting Cryptosporidium in water catchments of water treatment plants in Curitiba, State of Paraná, Brazil

    Directory of Open Access Journals (Sweden)

    Silvia Cristina Osaki

    2013-06-01

    Full Text Available Introduction Cryptosporidium is an important protozoan cause of waterborne disease worldwide of concern to public health authorities. To prevent outbreaks of cryptosporidiosis, the monitoring of this parasite in drinking water is necessary. In the present work, the polymerase chain reaction (PCR and nested-PCR techniques were used to detect Cryptosporidium in raw water from catchment points of four water treatment plants (WTP in Curitiba, Paraná, Brazil. Methods First, DNA extraction techniques were tested in samples containing decreasing amount of oocysts in reagent water, and PCR and nested-PCR with specific primers for 18SSU rDNA of Cryptosporidium were conducted to determine their sensitivity. In reagent water, a commercial extraction kit provided the best analytical sensitivity, and PCR and nested-PCR allowed the detection of five and two oocysts, respectively, with the primers XIAOR/XIAOF and XIAO1F/XIAO2R. Results In the spiking experiments, only the PCR with the primers AWA995F/AWA1206R was successful at detecting concentrations of 0.1 oocysts/mL. Two catchments samples of raw water and/or water sludge from four WTPs were contaminated with Cryptosporidium. Conclusions The application of the techniques to monitor Cryptosporidium in water and detect contamination in water catchments of WTPs in Curitiba are discussed in the present work.

  8. Metal levels in sugar cane (Saccharum spp.) samples from an area under the influence of a municipal landfill and a medical waste treatment system in Brazil.

    Science.gov (United States)

    Segura-Muñoz, S I; da Silva Oliveira, A; Nikaido, M; Trevilato, T M B; Bocio, A; Takayanagui, A M M; Domingo, J L

    2006-01-01

    In July 2003, duplicated samples of roots, stems and leaves of sugar cane (Saccharum spp.) were collected in 25 points of an area under direct influence of the municipal landfill site (MLS) and medical waste treatment system (MWTS) of Ribeirao Preto, São Paulo, Brazil. Cadmium (Cd), chromium (Cr), copper (Cu), mercury (Hg), manganese (Mn), lead (Pb) and zinc (Zn) were determined by atomic absorption spectrophotometry. The following concentrations (mg/kg) were found in roots: Cd, 0.22+/-0.12; Cr, 64.3+/-48.7; Cu, 140.6+/-27.7; Hg, 0.04+/-0.02; Mn, 561.6+/-283.3; Pb, 7.9+/-2.1 and Zn, 177.4+/-64.9. For some metals, these levels are higher than the concentrations previously reported for different plants, reaching, in some cases, values that might be considered toxic for vegetables. Metal levels in stems were 80-90% of those found in roots, while the concentrations detected in leaves were significantly lower than those in roots. The present results suggest that MLS and MWTS activities might have been increasing metal concentrations in edible tissues of sugar cane grown in the area under their influence. Moreover, the traditional agricultural practices in the production of sugar cane could be also another determinant factor to reach the current metal levels. The results of this study indicate that sugar cane is a crop that is able to grow in areas where metals in soils are accumulated.

  9. Polymerase chain reaction and nested-PCR approaches for detecting Cryptosporidium in water catchments of water treatment plants in Curitiba, State of Paraná, Brazil.

    Science.gov (United States)

    Osaki, Silvia Cristina; Soccol, Vanete Thomaz; Costa, Adriana Oliveira; Oliveira-Silva, Márcia Benedita; Pereira, Juliana Tracz; Procópio, Antônio Eduardo

    2013-01-01

    Cryptosporidium is an important protozoan cause of waterborne disease worldwide of concern to public health authorities. To prevent outbreaks of cryptosporidiosis, the monitoring of this parasite in drinking water is necessary. In the present work, the polymerase chain reaction (PCR) and nested-PCR techniques were used to detect Cryptosporidium in raw water from catchment points of four water treatment plants (WTP) in Curitiba, Paraná, Brazil. First, DNA extraction techniques were tested in samples containing decreasing amount of oocysts in reagent water, and PCR and nested-PCR with specific primers for 18SSU rDNA of Cryptosporidium were conducted to determine their sensitivity. In reagent water, a commercial extraction kit provided the best analytical sensitivity, and PCR and nested-PCR allowed the detection of five and two oocysts, respectively, with the primers XIAOR/XIAOF and XIAO1F/XIAO2R. In the spiking experiments, only the PCR with the primers AWA995F/AWA1206R was successful at detecting concentrations of 0.1 oocysts/mL. Two catchments samples of raw water and/or water sludge from four WTPs were contaminated with Cryptosporidium. The application of the techniques to monitor Cryptosporidium in water and detect contamination in water catchments of WTPs in Curitiba are discussed in the present work.

  10. Schistosomiasis mansoni in Bananal (State of São Paulo, Brazil: I. Efficiency of diagnostic and treatment procedures

    Directory of Open Access Journals (Sweden)

    Teles Horacio Manuel Santana

    2002-01-01

    Full Text Available Bananal is an important focus of Schistosoma mansoni in the State of São Paulo. Accordingly, programmed active search for human cases, annual coproscopic surveys and treatment of infected cases were started in 1998, aiming at producing a sharp prevalence rate drop by the year 2000. S. mansoni eggs were searched for in two Kato-Katz slides per patient. Cases were followed up according to the routine of the local Family Health Program. In 1998, 130 samples out of 3,860 showed S. mansoni eggs; in 1999, 105 out of 3,550, and in 2000, 64 out of 3,528. Prevalence rates were 3.4%, 2.9%, and 1.8%, and average egg-counts 59, 64, and 79 eggs per gram of feces respectively. Prevalence rates decreased steadily after treatment, but persistently positive cases showed no significant decrease in parasite burdens. Egg count variation depended on sex and age bracket. Persistent residual cases admittedly preclude the eradication of this infection by only searching for and treating carriers. In addition, resistance to therapy and low sensitivity of fecal examinations, can not be ignored. Moderate to heavy worm burdens, frequently associated with hepatomegaly elsewhere, produced no serious cases in Bananal.

  11. Occurrence of Cryptosporidium spp. and Giardia spp. in a public water-treatment system, Paraná, Southern Brazil

    Directory of Open Access Journals (Sweden)

    Jonatas Campos Almeida

    Full Text Available The purpose of this study was to investigate the occurrence of Cryptosporidium spp. and Giardia spp. in a public water-treatment system. Samples of raw and treated water were collected and concentrated using the membrane filtration technique. Direct Immunofluorescence Test was performed on the samples. DNA extraction using a commercial kit was performed and the DNA extracted was submitted to a nested-PCR reaction (n-PCR and sequencing. In the immunofluorescence, 2/24 (8.33% samples of raw water were positive for Giardia spp.. In n-PCR and sequencing, 2/24 (8.33% samples of raw water were positive for Giardia spp., and 2/24 (8.33% samples were positive for Cryptosporidium spp.. The sequencing showed Cryptosporidium parvum and Giardia duodenalis DNA. In raw water, there was moderate correlation among turbidity, color and Cryptosporidium spp. and between turbidity and Giardia spp.. The presence of these protozoans in the water indicates the need for monitoring for water-treatment companies.

  12. Epidemiologic profile of dental condition and treatment necessities of disabled persons in the city of Caruaru, Pernambuco, Brazil

    Directory of Open Access Journals (Sweden)

    Maria Ângela Fernandes Ferreira

    2008-01-01

    Full Text Available Objective: To trace the epidemiologic profile of the dental condition and treatment necessities of disabled persons (audio-impaired, visually-impaired, physically disabled, mentally handicapped and with behavioral and social deviations registered in six institutions in the city of Caruaru, Pernambuco, in 2006. Method: This was a cross-sectional study in which 231 handicapped patients took part, irrespective of sex and age. The indexes used were dmft and DMFT – decayed, missing and filled teeth, proposed by the World Health Organization. Data were collected by a duly calibrated examiner (kappa 0,836. Results: prevalence of tooth decay in primary teeth was 71.3%; mean dmft was 3.00, the value being higher among the 4 to 10 year-old patients, confirming significant differences between the age groups and extracted/restored teeth; the DMFT in permanent teeth was 6.77, with the mean and components being higher among the physically disabled. The largest need for restorative treatment was among mentally handicapped. Conclusion: the population of the present study showed a high prevalence of caries, the decayed component being the main factor responsible for these high rates.

  13. Performance of the Sewage Treatment Plant of S˜ao Jo˜ao de Iracema (Brazil

    Directory of Open Access Journals (Sweden)

    Tsunao Matsumoto

    2016-05-01

    Full Text Available Context: Some of the most important parameters measured in the sewage treatment plant –STP- are: organic matter, solids and faecal organisms. The objective of this work was to diagnose the performance of S˜ao Jo˜ao de Iracema STP for those parameters removal. Method: A batimetric survey of the anaerobic and facultative lagoons; the STP influent and effluent monitoring in three different climate seasons of 3-month long each were conducted by dissolved oxygen, pH, temperature, BOD, filtered BOD, COD, solids and coliforms measuring. Results: Sludge accumulations of 1.3 and 6.5% in the anaerobic and facultative lagoons were registered; average BOD removal was of 73.6%, smaller than the 80% recommended by Brazilian legislation; the average faecal coliform number on final effluent was of 9.55*106/100mL, above the per-missible limit of 1000/100mL. Conclusions: The STP needs to set-up a post treatment system that guarantees additional organic matter removal and fecal coliforms in order to adjust the effluent quality to the environmental legislation standards.

  14. Isotoxic dose escalation in the treatment of lung cancer by means of heterogeneous dose distributions in the presence of respiratory motion

    DEFF Research Database (Denmark)

    Baker, Mariwan; Nielsen, Morten; Hansen, Olfred;

    2011-01-01

    To test, in the presence of intrafractional respiration movement, a margin recipe valid for a homogeneous and conformal dose distribution and to test whether the use of smaller margins combined with heterogeneous dose distributions allows an isotoxic dose escalation when respiratory motion is con...

  15. Pediatric lymphomas in Brazil

    Directory of Open Access Journals (Sweden)

    Gabriela Gualco

    2010-01-01

    Full Text Available OBJECTIVE: This study provides the clinical pathological characteristics of 1301 cases of pediatric/adolescent lymphomas in patients from different geographic regions of Brazil. METHODS: A retrospective analyses of diagnosed pediatric lymphoma cases in a 10-year period was performed. We believe that it represents the largest series of pediatric lymphomas presented from Brazil. RESULTS: Non-Hodgkin lymphomas represented 68% of the cases, including those of precursor (36% and mature (64% cell origin. Mature cell lymphomas comprised 81% of the B-cell phenotype and 19% of the T-cell phenotype. Hodgkin lymphomas represented 32% of all cases, including 87% of the classical type and 13% of nodular lymphocyte predominant type. The geographic distribution showed 38.4% of the cases in the Southeast region, 28.7% in the Northeast, 16.1% in the South, 8.8% in the North, and 8% in the Central-west region. The distribution by age groups was 15-18 years old, 33%; 11-14 years old, 26%; 6-10 years old, 24%; and 6 years old or younger, 17%. Among mature B-cell lymphomas, most of the cases were Burkitt lymphomas (65%, followed by diffuse large B-cell lymphomas (24%. In the mature T-cell group, anaplastic large cell lymphoma, ALK-positive was the most prevalent (57%, followed by peripheral T-cell lymphoma, then not otherwise specified (25%. In the group of classic Hodgkin lymphomas, the main histological subtype was nodular sclerosis (76%. Nodular lymphocyte predominance occurred more frequently than in other series. CONCLUSION: Some of the results found in this study may reflect the heterogeneous socioeconomical status and environmental factors of the Brazilian population in different regions.

  16. Limited activity and social participation after hospital discharge from leprosy treatment in a hyperendemic area in north Brazil

    Directory of Open Access Journals (Sweden)

    Lorena Dias Monteiro

    2014-03-01

    Full Text Available INTRODUCTION: Neural damages are among the main factors that contribute to physical disability in leprosy. Systematic monitoring using a broad physical, psychological and social approach is necessary. OBJECTIVE: The objective of this study was to characterize the limitation of activity and social participation and its correlation with disabilities and/or impairment in individuals after being discharged from a multidrug leprosy therapy. METHOD: A cross-sectional study conducted in Araguaína, state of Tocantins, which is a leprosy hyperendemic municipality. We included cases of patients who were discharged from treatment considered as cured from January 2004 to December 2009. We performed dermatological examination and applied the Screening Activity Limitation and Safety Awareness (SALSA and social participation scales. RESULTS: We included 282 individuals (mean age: 45.8 years old. The paucibacillary operational classification was more common (170; 60.3%. The eye-hand-foot score ranged from 0 to 12 (mean: 0.7. A total of 84 (29.8% individuals presented limited activity. A slight restriction in social participation occurred in 18 (6.3% cases. There was a statistically significant correlation between activity limitation, age (r = 0.40; p < 0.0001 and degree of functional limitation (r = 0.54; p < 0.0001, as well as of restricted social participation, activity limitation (r = 0.56, p < 0.0001 and functional limitations (r = 0.54, p < 0.0001. CONCLUSION: Functional limitation due to leprosy had an impact on the conduct of activities and social participation after the discharge from a leprosy treatment. The association between Screening of Activity Limitation and Safety Awareness and participation scales will assist in designing evidence-based assistance measures.

  17. Prevalence of lymphedema in women undergoing treatment for breast cancer in a referral center in southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Paiva Daniella MF

    2013-02-01

    Full Text Available Abstract Background Lymphedema is a highly prevalent condition in women who have undergone treatment for breast cancer. Lymphedema negatively affects the quality of life. The objective of this study was to estimate the prevalence of lymphedema and associated factors in women treated for breast cancer in the municipality of Juiz de Fora. Methods We performed a cross-sectional study that evaluated 250 women who were being treated for breast cancer. Pre-screening of the sample by analysis of medical records was performed to select women who met the inclusion criteria as follows: women who had an operation more than 6 months ago; absence of active disease, locoregional or distant; the absence of functional change in the affected limb before surgery, which could lead to swelling of the limb; and simulating or masking symptoms of lymphedema, such as bursitis, tendonitis, and work-related musculoskeletal disorders. Women with bilateral breast cancer, absence of axillary intervention (partial or complete axillary dissection and/or SLN biopsy, active disease in the region, or lympho-venous alteration of the limb before surgery were excluded. Data were collected from the medical records of the selected cases, and they subsequently underwent an interview and a physical assessment. Results The prevalence of lymphedema was 44.8%. There were medical records on the presence of this condition in 5.4% of cases. With regard to shoulder joint mobility, restrictions on abduction movements, internal and external rotation, and anterior shoulder adduction were significantly associated with lymphedema. Variables, including the presence of seroma, vascular changes, time elapsed after surgery, episodes of redness in the extremities, and cuticle removal from the hand with pliers were considered as major associated factors for lymphedema (p Conclusions The prevalence of 44.8% for lymphedema found in this study is considered to be relevant because it is a morbidity that

  18. Evaluation of dose calculation algorithms using the treatment planning system XiO with tissue heterogeneity correction turned on; Validacao dos algoritmos de calculo de dose do sistema de planejamento XiO considerando as correcoes para heterogeneidade dos tecidos

    Energy Technology Data Exchange (ETDEWEB)

    Fairbanks, L.R.; Barbi, G.L.; Silva, W.T. da; Reis, E.G.F. dos; Borges, L.F.; Bertucci, E.C.; Maciel, M.F.; Amaral, L.L. do, E-mail: lefairbanks@yahoo.com.b [Universidade de Sao Paulo (USP), Ribeirao Preto, SP (Brazil). Hospital das Clinicas. Servico de Radioterapia

    2010-07-01

    Since the cross-section for various radiation interactions is dependent upon tissue material, the presence of heterogeneities affects the final dose delivered. This paper aims to analyze how different treatment planning algorithms (Fast Fourier Transform, Convolution, Superposition, Fast Superposition and Clarkson) work when heterogeneity corrections are used. To that end, a farmer-type ionization chamber was positioned reproducibly (during the time of CT as well as irradiation) inside several phantoms made of aluminum, bone, cork and solid water slabs. The percent difference between the dose measured and calculated by the various algorithms was less than 5%; This is in accordance with the recommendation of several references.The convolution method shows better results for high density materials (difference {approx}1 %), whereas the Superposition algorithm is more accurate for low densities (around 1,1%).

  19. Evaluation of dose calculation algorithms using the treatment planning system Xi O with tissue heterogeneity correction turned on; Validacao dos algoritmos de calculo de dose do sistema de planejamento Xi O considerando as correcoes para heterogeneidade dos tecidos

    Energy Technology Data Exchange (ETDEWEB)

    Fairbanks, Leandro R.; Barbi, Gustavo L.; Silva, Wiliam T.; Reis, Eduardo G.F.; Borges, Leandro F.; Bertucci, Edenyse C.; Maciel, Marina F.; Amaral, Leonardo L., E-mail: lefairbanks@yahoo.com.b [Universidade de Sao Paulo (HCRP/USP), Ribeirao Preto, SP (Brazil). Hospital das Clinicas. Servico de Radioterapia

    2011-07-01

    Since the cross-section for various radiation interactions is dependent upon tissue material, the presence of heterogeneities affects the final dose delivered. This paper aims to analyze how different treatment planning algorithms (Fast Fourier Transform, Convolution, Superposition, Fast Superposition and Clarkson) work when heterogeneity corrections are used. To that end, a farmer-type ionization chamber was positioned reproducibly (during the time of CT as well as irradiation) inside several phantoms made of aluminum, bone, cork and solid water slabs. The percent difference between the dose measured and calculated by the various algorithms was less than 5%.The convolution method shows better results for high density materials (difference {approx}1 %), whereas the Superposition algorithm is more accurate for low densities (around 1,1%). (author)

  20. Analysis of dose in heterogeneity adjuvant radiotherapy after surgical treatment of cases of breast cancer; Analise da heterogeneidade de dose em radioterapia adjuvante apos tratamento cirurgico de casos de cancer de mama

    Energy Technology Data Exchange (ETDEWEB)

    Grechi, Bruna E.; Schwarz, Ana Paula, E-mail: anapaulaschwarz@yahoo.com.br [Centro Universitario Franciscano (UNIFRA), Santa Maria, RS (Brazil); Teston, Adriano; Rodrigues, Joanilso S. [Clinica de Radioterapia Santa Maria, Santa Maria, RS (Brazil)

    2013-12-15

    Assuming the systems planning radiotherapy recognize all body structures of the same density (d=1 g/cm³), variations in electron density within the irradiated area, as is the case of patients who undergo reconstruction mammary processes and use tissue expanders, may influence the dose distribution in the treatment and may produce heterogeneities which are not measured by changing its actual distribution into healthy tissues or in the target volume to be irradiated. Through the calculation of the algorithms' dose distribution of the XiO® planning system (Fast Fourier Transform, Convolution, Superposition, Fast Superposition e Clarkson), when using correction of heterogeneity between tissues of different densities, there was obtained a percentage ratio of dose increase in the structures of interest, and of the amount of absorbed dose by healthy organs adjacent to the target volume. (author)

  1. Efficacy and safety of entecavir treatment in a heterogeneous CHB population from a ‘real-world’ clinical practice setting in China.

    Science.gov (United States)

    Hou, J-L; Jia, J-D; Wei, L; Zhao, W; Wang, Y M; Cheng, M; Tang, X; Tan, D-M; Ren, H; Tang, H; Cohen, D; Llamoso, C

    2013-11-01

    Chronic hepatitis B infection is an important cause of liver-related mortality in China. This study assessed the efficacy and safety of entecavir in a heterogeneous patient population from a ‘real-world’ clinical practice setting in China. This prospective, observational cohort provides 48-week data on 2600 patients from 50 sites in China who received entecavir (0.5 or 1.0 mg) and were assessed for virologic, serologic and biochemical responses. Patients were nucleos(t)ide-na€ıve or -experienced and had compensated or decompensated liver function. At Week 48, 1545/2424 (64%) patients with compensated liver disease and 30/44 (68%) patients with decompensated liver disease achieved HBV DNAworld’ setting, entecavir was efficacious and well tolerated throughout 48 weeks in a heterogeneous Chinese CHB population.

  2. Gamma-rays and heat-treatment conversions of point defects in massive rose quartz from the Borborema Pegmatite Province, Northeast Brazil

    Science.gov (United States)

    Guzzo, Pedro L.; Barreto, Sandra B.; Miranda, Milena R.; Gonzaga, Raysa S. G.; Casals, Sandra A.

    2017-05-01

    An extensive characterization of trace elements and point defects in rose quartz from the Borborema Pegmatite Province (BPP) in the northeast of Brazil was carried out by complementary spectroscopic methods. The aim here was to document the change in the configuration of point defects into the quartz lattice induced by heat-treatment and ionizing radiation. The samples were extracted from the core of two granitic rare element (REL) pegmatites, Taboa (Carnaúba dos Dantas, RN) and Alto do Feio (Pedra Lavrada, PB). The contents of Al, P, Ti, Ni, Fe, Ge, Li, Be, B and K were measured by laser-ablation inductively coupled plasma mass spectrometry (LA-ICP-MS). Polished plates were heat-treated at 500 and 1000 °C and then irradiated with 50 kGy of γ rays. Point defects were characterized by optical (UV-Vis), infrared (IR), and electron paramagnetic resonance (EPR) spectroscopies. In the as-received condition, [AlO4/H]0 centers, Li- and B-dependent OH defects were observed. Point defects related to Al and Li species were significantly affected by heat-treatment at 1000 °C and/or γ radiation. Paramagnetic centers such as [AlO4]0, [GeO4/Li]0, [TiO4/Li]0 and [O2 3-/Li]0 were created by the diffusion of Li+ ions from their original diamagnetic centers related to substitutional Al3+ and OH-species. The smoky color developed after irradiation and the signal intensities of the paramagnetic centers were independent from the original rose color grade. The samples from the Taboa (TB) pegmatite showed the highest concentration of Al, Ti, Fe and Li elements as well as the highest signal intensities for [AlO4]0, [AlO4/H]0, [GeO4/Li]0 and [TiO4/Li]0 centers. Although TB also showed the higher concentration of B element, the intensity of the 3597 cm-1 IR band related to [BO4/H]0 centers was higher for Alto do Feio (AF) samples. This result suggests that the uptake of B into the quartz core of each pegmatite took place through different mechanisms. It was concluded that the change in

  3. Occlusal characteristics and orthodontic treatment need in black adolescents in Salvador/BA (Brazil: an epidemiologic study using the Dental Aesthetics Index

    Directory of Open Access Journals (Sweden)

    Arthur Costa Rodrigues Farias

    2013-02-01

    Full Text Available OBJECTIVE: The objective of this article is to evaluate the need of orthodontic treatment, prevalence and severity of the malocclusions in individuals of black ethnicity in a representative sample of schoolchildren of the city of Salvador/Brazil, as well as to verify if the malocclusion was affected by socio-demographic conditions such as age and gender. METHODS: The reference population was constituted of schoolchildren with age between 12 and 15 years, enrolled in public and private schools. The malocclusion was evaluated in 486 students of black ethnicity, with ages varying from 12 to 15 years, selected in random sample in multiple stages. The adopted significance level was 1% and the power of the test was 90%. A questionnaire registering demographic characteristics was filled out by each individual. The Dental Aesthetics Index (DAI was used by previously calibrated examiners (kappa 0.89, according to criteria of the World Health Organization. RESULTS: It was verified that most of the individuals (76% had little or any need for orthodontic treatment. About 24% showed a condition of severe malocclusion, culminating in a vital need for orthodontic treatment. The main occlusal characteristics found in the group with high need of orthodontic treatment were dental crowding and accentuated overjet. The age was positively related to the improvement of the maxillary overjet and to the presence of crowding. CONCLUSION: The development of public politics that aim the insertion of orthodontic treatment among the procedures of health programs, with the implementation and development of specialized centers, is fundamental.OBJETIVO: averiguar a necessidade de tratamento ortodôntico, prevalência e severidade das más oclusões em indivíduos negros numa amostra representativa de escolares da cidade de Salvador/BA (Brasil, além de determinar se as más oclusões eram afetadas por condições sociodemográficas como idade e sexo. MÉTODOS: o desenho

  4. A dominated and resistant subpopulation causes regrowth after response to 1,3-bis(2-chloroethyl)-1-nitrosourea treatment of a heterogeneous small cell lung cancer xenograft in nude mice

    DEFF Research Database (Denmark)

    Aabo, K; Roed, H; Vindeløv, L L

    1994-01-01

    ) and a resistant (NYH) tumor were used to produce mixed solid tumors in nude mice. Mixtures of 592/NYH (9:1 and 1:1) were inoculated s.c. After 3-4 weeks of tumor growth, the mice were stratified according to tumor size and randomized to treatment with BCNU 40 mg/kg i.p. (10% of lethal dose) or no treatment. Tumor...... growth curves were used to calculate the effect of the treatment, and changes in the relative proportions of 592 and NYH in the mixed tumors were monitored by flow cytometric DNA analysis by which the two cell lines were distinguishable due to differences in DNA content. A significant response...... was eradicated. These results indicate that resistant and undetectable (dominated) subpopulations in heterogeneous tumors may be responsible for relapse and that the fractional size and the growth characteristics of the resistant subpopulation may determine the magnitude of the clinical response to cytotoxic...

  5. Comparison of two heterogeneity correction algorithms in pituitary gland treatments with intensity-modulated radiation therapy; Comparacao de dois algoritmos de correcao de heterogeneidade em tratamentos de tumores de hipofise com radioterapia de intensidade modulada

    Energy Technology Data Exchange (ETDEWEB)

    Albino, Lucas D.; Santos, Gabriela R.; Ribeiro, Victor A.B.; Rodrigues, Laura N., E-mail: lucasdelbem1@gmail.com [Universidade de Sao Paulo (USP), Sao Paulo, SP (Brazil). Faculdade de Medicina. Instituto de Radiologia; Weltman, Eduardo; Braga, Henrique F. [Instituto do Cancer do Estado de Sao Paulo, Sao Paulo, SP (Brazil). Servico de Radioterapia

    2013-12-15

    The dose accuracy calculated by a treatment planning system is directly related to the chosen algorithm. Nowadays, several calculation doses algorithms are commercially available and they differ in calculation time and accuracy, especially when individual tissue densities are taken into account. The aim of this study was to compare two different calculation algorithms from iPlan®, BrainLAB, in the treatment of pituitary gland tumor with intensity-modulated radiation therapy (IMRT). These tumors are located in a region with variable electronic density tissues. The deviations from the plan with no heterogeneity correction were evaluated. To initial validation of the data inserted into the planning system, an IMRT plan was simulated in a anthropomorphic phantom and the dose distribution was measured with a radiochromic film. The gamma analysis was performed in the film, comparing it with dose distributions calculated with X-ray Voxel Monte Carlo (XVMC) algorithm and pencil beam convolution (PBC). Next, 33 patients plans, initially calculated by PBC algorithm, were recalculated with XVMC algorithm. The treatment volumes and organs-at-risk dose-volume histograms were compared. No relevant differences were found in dose-volume histograms between XVMC and PBC. However, differences were obtained when comparing each plan with the plan without heterogeneity correction. (author)

  6. Biochemical Education in Brazil.

    Science.gov (United States)

    Vella, F.

    1988-01-01

    Described are discussions held concerning the problems of biochemical education in Brazil at a meeting of the Sociedade Brazileira de Bioquimica in April 1988. Also discussed are other visits that were made to universities in Brazil. Three major recommendations to improve the state of biochemistry education in Brazil are presented. (CW)

  7. Biochemical Education in Brazil.

    Science.gov (United States)

    Vella, F.

    1988-01-01

    Described are discussions held concerning the problems of biochemical education in Brazil at a meeting of the Sociedade Brazileira de Bioquimica in April 1988. Also discussed are other visits that were made to universities in Brazil. Three major recommendations to improve the state of biochemistry education in Brazil are presented. (CW)

  8. Heterogeneity of malaria prevalence in alluvial gold mining areas in Northern Mato Grosso State, Brazil Heterogeneidade da prevalência de malária em garimpos do norte de Mato Grosso, Brasil

    Directory of Open Access Journals (Sweden)

    Alisson Flávio Barbieri

    2007-12-01

    Full Text Available This paper analyzes factors affecting the risk of malaria among individuals working in wildcat gold mining camps (garimpos in northern Mato Grosso State in the Brazilian Amazon. Historically, such mining camps have the locations with the highest malaria prevalence in the Brazilian Amazon. However, little attention has focused on understanding the disease from the internal perspective of the mining camps themselves, such as the mining population's characteristics and its spatial organization. This paper adopts a stepwise logistic model to identify spatial, occupational-exposure, and cultural factors that affect malaria prevalence. According to the results, differences among individuals working and/or living in the gold mining areas could produce different exposure to the disease and thus to different risk of malaria prevalence. Understanding these differences may provide an important tool for identifying risk profiles in the gold mining and related population and for informing programs for prevention and treatment of malaria in the Amazon.O artigo analisa fatores que afetam o risco de malária entre garimpeiros de ouro no norte de Mato Grosso, Brasil. Historicamente, os garimpos apresentam a maior prevalência de malária da Amazônia Legal brasileira. Entretanto, até o momento houve pouca investigação no sentido de compreender a doença desde a perspectiva interna dos próprios garimpos, ou seja, através das características da população garimpeira e da sua organização espacial. O artigo adota um modelo logístico stepwise para identificar fatores territoriais, culturais e de exposição ocupacional que afetam a prevalência da malária. Com base nos resultados, diferenças entre indivíduos que trabalham e/ou vivem nas áreas de garimpo poderiam produzir variações na exposição à doença, levando a um risco diferenciado de prevalência de malária. A compreensão dessas diferenças pode representar uma ferramenta importante para

  9. Heterogeneous genetic cows of three genetic groups in feedlot system in the state of Pernambuco, Brazil=Comportamento de vacas Girolando de três grupos genéticos em sistema de confinamento no Estado de Pernambuco, Brasil

    Directory of Open Access Journals (Sweden)

    Lúcia Helena de Albuquerque Brasil

    2012-01-01

    Full Text Available The behavior of 15 Girolando cows from three genetic groups (1/2, 5/8 and 3/4 HG in feedlots was evaluated. Experimental design was completely randomized with 3 treatment (genetic groups and 5 replicates. The animals were evaluated by the variables: food, rumination, rest, locomotion, water intake, demand and time in the shade, and other activities. Group 5/8 HG spent more time feeding (267.88 min. than groups 3/4 HG (245.55 min. and 1/2 HG (259.55 min.. Idle standing time was higher (204.66 min. for 3/4 HG when compared to the other groups. There was no statistical difference for the duration of rest in the shade. Solar radiation and THI were the factors which most influenced the animals’ behavior. Results show that the genetic groups 5/8 and 3/4 HG had a higher sensitivity to heat than 1/2 HG.Avaliou-se o comportamento de 15 vacas da raça Girolando, de três grupos genéticos (1/2, 5/8 e 3/4 HG em confinamento. O delineamento utilizado foi o inteiramente casualizado, sendo 3 tratamentos (grupo genético com 5 repetições. Os animais foram avaliados pelas variáveis: alimentação, ruminação, ócio, locomoção, ingestão de água, procura e permanência na sombra, e outras atividades. O grupo 5/8 HG apresentou maior tempo de alimentação (267,88 min. que os grupos 3/4 HG (245,55 min. e 1/2 HG (259,55 min.. O tempo de ócio em pé foi maior (204,66 min. para os animais 3/4 HG em relação aos demais grupos. Não houve diferença estatística para o tempo de permanência na sombra. A radiação solar e o ITU foram os elementos que mais influenciaram o comportamento dos animais. Os animais dos grupos genéticos 5/8 e 3/4 HG apresentaram maior sensibilidade ao calor que o 1/2 HG.

  10. Heparin pharmacovigilance in Brazil.

    Science.gov (United States)

    Junqueira, Daniela Rezende Garcia; Viana, Thércia Guedes; Peixoto, Eliane R de M; Barros, Fabiana C R de; Carvalho, Maria das Graças; Perini, Edson

    2011-01-01

    To investigate the biological origin of injectable unfractioned heparin available in Brazilian market by discussing the impact of the profile of commercial products and the changes in heparin monograph on the drug safety. The Anvisa data base for the Registered Products of Pharmaceutical Companies and the Dictionary of Pharmaceutical Specialties (DEF 2008/2009) were searched. A survey with industries having an active permission for marketing the drug in Brazil was conducted. Five companies were granted a permission to market unfractioned heparin in Brazil. Three of them are porcine in origin and two of them are bovine in origin, with only one explicitly showing this information in the package insert. The effectiveness and safety of heparin studied in non-Brazilian populations may not represent the Brazilian reality, since most countries no longer produce bovine heparin. The currently marketed heparin has approximately 10% less anticoagulant activity than that previously produced and this change may have clinical implications. Evidence about the lack of dose interchangeability between bovine and porcine heparins and the unique safety profile of these drugs indicates the need to follow the treatment and the patients' response. Events threatening the patient's safety must be reported to the pharmacovigilance system in each particular country.

  11. Iron oxide-mediated semiconductor photocatalysis vs. heterogeneous photo-Fenton treatment of viruses in wastewater. Impact of the oxide particle size.

    Science.gov (United States)

    Giannakis, Stefanos; Liu, Siting; Carratalà, Anna; Rtimi, Sami; Talebi Amiri, Masoud; Bensimon, Michaël; Pulgarin, César

    2017-10-05

    The photo-Fenton process is recognized as a promising technique towards microorganism disinfection in wastewater, but its efficiency is hampered at near-neutral pH operating values. In this work, we overcome these obstacles by using the heterogeneous photo-Fenton process as the default disinfecting technique, targeting MS2 coliphage in wastewater. The use of low concentrations of iron oxides in wastewater without H2O2 (wüstite, maghemite, magnetite) has demonstrated limited semiconductor-mediated MS2 inactivation. Changing the operational pH and the size of the oxide particles indicated that the isoelectric point of the iron oxides and the active surface area are crucial in the success of the process, and the possible underlying mechanisms are investigated. Furthermore, the addition of low amounts of Fe-oxides (1mgL(-1)) and H2O2 in the system (1, 5 and 10mgL(-1)) greatly enhanced the inactivation process, leading to heterogeneous photo-Fenton processes on the surface of the magnetically separable oxides used. Additionally, photo-dissolution of iron in the bulk, lead to homogeneous photo-Fenton, further aided by the complexation by the dissolved organic matter in the solution. Finally, we assess the impact of the presence of the bacterial host and the difference caused by the different iron sources (salts, oxides) and the Fe-oxide size (normal, nano-sized). Copyright © 2017 Elsevier B.V. All rights reserved.

  12. 多相催化臭氧氧化法处理印染废水的研究%Research on the heterogeneous catalytic ozonation for the treatment of printing and dyeing wastewater

    Institute of Scientific and Technical Information of China (English)

    董淑福

    2013-01-01

    Catalyst with Fe-Mn oxide loaded on activated carbon has been used for treating printing and dyeing wastewater by heterogeneous catalytic ozonation.When mass ratio between Fe and Mn is 1∶2,the treatment efficiency of catalyst is the best.Optimal parameters for heterogeneous catalytic ozonation process are as follows:handling time is 60 min,ozone ventilatory volume 0.2 L/min,dosage of catalyst 20 g and wastewater pH=5.Though heterogeneous catalytic ozonation treatment,the removing rates of COD,ammonia nitrogen,total phosphorus and chroma of printing and dyeing wastewater are 81.7%,90.2%,97.6% and 99.1%,respectively.The removing efficiency is pretty good.%采用浸渍法制备了活性炭负载铁锰氧化物的催化剂用于对印染废水的多相催化臭氧氧化处理,当铁锰质量比为1∶2时,催化剂处理效果最佳.多相催化臭氧氧化工艺的最佳运行参数为:处理时间60 min、臭氧通气量0.2 L/min、催化剂投加质量20 g、废水pH=5.经多相催化臭氧氧化处理后,印染废水的COD、氨氮、TP、色度去除率分别为81.7%、90.2%、97.6%、99.1%.去除效果较好.

  13. Fotocatálise heterogênea com TiO2 aplicada ao tratamento de esgoto sanitário secundário TiO2 heterogeneous photocatalysis in secondary wastewater treatment

    Directory of Open Access Journals (Sweden)

    Ivete Vasconcelos Lopes Ferreira

    2004-12-01

    Full Text Available Neste trabalho são apresentados resultados da aplicação da fotocatálise heterogênea utilizando dióxido de titânio imobilizado sobre placa de vidro, irradiado por luz solar, para desinfecção de esgoto sanitário secundário. Utilizou-se o efluente de um reator anaeróbio/aeróbio com leito expandido de carvão ativado que trata o esgoto do Campus da USP/São Carlos, e também de contribuições domésticas. Os experimentos foram do tipo batelada, com tempo de recirculação de 4 horas. As vazões estudadas foram 15, 22,5 e 30 L/h. Foram avaliadas as remoções de matéria orgânica (DQO e COT e a inativação de microrganismos indicadores de contaminação fecal (coliformes totais, E. coli, Clostridium perfringens e colifagos.The results of wastewater anaerobic-aerobic reactor effluent disinfected with heterogeneous photocatalysis using titanium dioxide fixed in a glass plate and solar radiation are presented in this work. The anaerobic-aerobic reactor has a granular activated carbon expanded bed and it receives the wastewater collected in the Campus of São Paulo University at São Carlos-SP, Brazil, and from the surrounding neighborhood of the campus. The assays were conducted in batch with recirculation time of 4 hours. The flow rate used was of 15, 22.5 and 30 L/h. The removal of organic matter (COD and TOC and inactivation of total coliforms, E. coli, Clostridium perfringens and coliphages was evaluated.

  14. Heterogeneity Underlies the Emergence of EGFRT790 Wild-Type Clones Following Treatment of T790M-Positive Cancers with a Third-Generation EGFR Inhibitor.

    Science.gov (United States)

    Piotrowska, Zofia; Niederst, Matthew J; Karlovich, Chris A; Wakelee, Heather A; Neal, Joel W; Mino-Kenudson, Mari; Fulton, Linnea; Hata, Aaron N; Lockerman, Elizabeth L; Kalsy, Anuj; Digumarthy, Subba; Muzikansky, Alona; Raponi, Mitch; Garcia, Angel R; Mulvey, Hillary E; Parks, Melissa K; DiCecca, Richard H; Dias-Santagata, Dora; Iafrate, A John; Shaw, Alice T; Allen, Andrew R; Engelman, Jeffrey A; Sequist, Lecia V

    2015-07-01

    Rociletinib is a third-generation EGFR inhibitor active in lung cancers with T790M, the gatekeeper mutation underlying most first-generation EGFR drug resistance. We biopsied patients at rociletinib progression to explore resistance mechanisms. Among 12 patients with T790M-positive cancers at rociletinib initiation, six had T790-wild-type rociletinib-resistant biopsies. Two T790-wild-type cancers underwent small cell lung cancer transformation; three T790M-positive cancers acquired EGFR amplification. We documented T790-wild-type and T790M-positive clones coexisting within a single pre-rociletinib biopsy. The pretreatment fraction of T790M-positive cells affected response to rociletinib. Longitudinal circulating tumor DNA (ctDNA) analysis revealed an increase in plasma EGFR-activating mutation, and T790M heralded rociletinib resistance in some patients, whereas in others the activating mutation increased but T790M remained suppressed. Together, these findings demonstrate the role of tumor heterogeneity when therapies targeting a singular resistance mechanism are used. To further improve outcomes, combination regimens that also target T790-wild-type clones are required. This report documents that half of T790M-positive EGFR-mutant lung cancers treated with rociletinib are T790-wild-type upon progression, suggesting that T790-wild-type clones can emerge as the dominant source of resistance. We show that tumor heterogeneity has important clinical implications and that plasma ctDNA analyses can sometimes predict emerging resistance mechanisms. ©2015 American Association for Cancer Research.

  15. Heterogeneous network architectures

    DEFF Research Database (Denmark)

    Christiansen, Henrik Lehrmann

    2006-01-01

    Future networks will be heterogeneous! Due to the sheer size of networks (e.g., the Internet) upgrades cannot be instantaneous and thus heterogeneity appears. This means that instead of trying to find the olution, networks hould be designed as being heterogeneous. One of the key equirements here...... is flexibility. This thesis investigates such heterogeneous network architectures and how to make them flexible. A survey of algorithms for network design is presented, and it is described how using heuristics can increase the speed. A hierarchical, MPLS based network architecture is described...... and it is discussed that it is advantageous to heterogeneous networks and illustrated by a number of examples. Modeling and simulation is a well-known way of doing performance evaluation. An approach to event-driven simulation of communication networks is presented and mixed complexity modeling, which can simplify...

  16. Heterogeneous recording media

    Science.gov (United States)

    Sukhanov, Vitaly I.

    1991-02-01

    The paper summarizes the results of investigations performed to obtain deep 3-D holograms with 102 i0 mkm physical thickness allowing the postexposure amplification and the a posteriori changing of the grating parameters. This aim has been achieved by developing heterogeneous systems on the basis of porous glass with light-sensitive compositions introduced into it. 1. INTRODUCTION. LIGHT-SENSITIVE MEDIA FOR 3-D HOLOGRAMS RECORDING. The 3-D holograms have many useful properties: very high diffraction efficiency angular and spectral selectivity but low level of noise. It shoud be noted that in this case deep 3-D holograms are dealt with whose physical thickness is as high as 102 -i mkm. Such hologram recording is usually done using homogeneous light-sensitive media for example dyed acid-halide and electrooptical crystals photochrome glass photostructurized polimer compositions and so on. The nature of photophisical and photochemical processes responsible for the light sensitivity of these materials exclude the possibility of post-exposure treatment. This does not allow to enhance the recorded holograms and considerably hampers their fixing or makes it practically impossible. The object of our work is to create the media which are quite suitable for two-stage processes of the deep hologram formation with post-exposure processing. Such material must satisfy the following requirements: a)they must have high permeability for the developing substances in order to make the development duration suitable for practical applications b)they must be shrinkproof to prevent deformation of the

  17. Heterogeneous cellular networks

    CERN Document Server

    Hu, Rose Qingyang

    2013-01-01

    A timely publication providing coverage of radio resource management, mobility management and standardization in heterogeneous cellular networks The topic of heterogeneous cellular networks has gained momentum in industry and the research community, attracting the attention of standardization bodies such as 3GPP LTE and IEEE 802.16j, whose objectives are looking into increasing the capacity and coverage of the cellular networks. This book focuses on recent progresses,  covering the related topics including scenarios of heterogeneous network deployment, interference management i

  18. Effect of iron-manganese-sepiolite as heterogeneous Fenton-like catalyst on the performance and microbial community of anaerobic granular sludge treatment system.

    Science.gov (United States)

    Su, Chengyuan; Li, Weiguang; Chen, Menglin; Huang, Zhi; Wu, Lei

    2016-01-01

    Both short-term and long-term exposure experiments have been carried out to investigate the influence of iron (Fe)-manganese (Mn)-sepiolite, as a heterogeneous Fenton-like catalyst, on the performance and microbial community of anaerobic granular sludge. During the short-term exposure experiments, chemical oxygen demand (COD) removal efficiency decreased from 73.1% to 64.1% with the presence of 100mg/L of catalyst. However, long-term exposure to the catalyst did not significantly affect the COD removal efficiency (81.8%) as compared to the control (83.5%). Meanwhile, the absorption peaks of coenzyme F420 in extracellular polymeric substances (EPS) of sludge samples were remarkable by excitation-emission matrix (EEM) fluorescence spectra. After long-term exposure, the presence of the catalyst increased secretions of EPS from 83.7mg/g VSS to 89.1mg/g VSS. Further investigations with high throughput sequencing indicated that the abundance of Methanosaeta increased from 57.7% to 70.4% after long-term exposure. In bacterial communities, Proteobacteria, Firmicutes, and Synergistetes were predominant.

  19. Heterogeneous photo-Fenton treatment for the reduction of pharmaceutical contamination in Madrid rivers and ecotoxicological evaluation by a miniaturized fern spores bioassay.

    Science.gov (United States)

    Rodríguez-Gil, José L; Catalá, Myriam; Alonso, Silvia González; Maroto, Raúl Romo; Valcárcel, Yolanda; Segura, Yolanda; Molina, Raúl; Melero, Juan A; Martínez, Fernando

    2010-06-01

    Fifty-six pharmaceuticals of various chemical groups, such as anti-inflammatory, antibacterial and cardiovascular drugs, were detected in four selected river waters receiving sewage effluents in the Community of Madrid (Spain). A promising approach for the degradation of those residues is the application of a photo-Fenton treatment. Several new bioassays using fern spores were employed for the evaluation of acute and chronic toxicity based on mitochondrial activity, DNA and chlorophyll quantifications of as-received river water and photo-Fenton-treated samples. photo-Fenton treatment provided a high degree of total organic carbon mineralization with up to 70% reduction for river water samples. In addition, the elimination of most of the studied pharmaceutical compounds was confirmed. A few compounds, however (salicylic acid, ofloxacin, caffeine, cotinine and nicotine), seemed more resistant, with after-treatment concentrations between 4 and 44ngL(-1). Nicotine showed the most refractory behaviour with concentrations ranging from 29 to 224ngL(-1) for treated samples. Photo-Fenton treatment yielded a significant decrease in acute and chronic toxicity, even though some residual toxicity remained after treatment. This fact seemed to be related to the presence of toxicants in the water matrix, probably of inorganic nature, rather than the toxic effect of the studied pharmaceutical compounds, as revealed by the effective removal of these compounds and high TOC mineralization of photo-Fenton treatments.

  20. Teaching Heterogeneous Classes.

    Science.gov (United States)

    Millrood, Radislav

    2002-01-01

    Discusses an approach to teaching heterogeneous English-as-a-Second/Foreign-Language classes. Draws on classroom research data to describe the features of a success-building lesson context. (Author/VWL)

  1. Media Monopoly in Brazil.

    Science.gov (United States)

    Amaral, Roberto; Guimaraes, Cesar

    1994-01-01

    Documents the process of broadcasting media development in Brazil, the failure of new technologies to produce democratization, and the barriers to democratization erected by monopolization and "metastasis." (SR)

  2. Population dynamics and evaluation of the partial selective treatment of crossbreed steers naturally infested with Rhipicephalus (Boophilus) microplus in a herd from the state of Minas Gerais in Brazil.

    Science.gov (United States)

    Gomes, Lucas Vinicius Costa; Lopes, Welber Daniel Zanetti; Teixeira, Weslen Fabricio Pires; Maciel, Willian Giquelin; Cruz, Breno Cayeiro; Felippelli, Gustavo; Buzzulini, Carolina; Soares, Vando Edésio; de Melo, Daniel Pacheco; Bichuette, Murilo Abud; Gonçalves Junior, Geraldo; da Costa, Alvimar José

    2016-04-15

    The present study aimed to evaluate the population dynamics of Rhipicephalus (Boophilus) microplus over a period of 13 months on a rural property located in the state of Minas Gerais in southeastern Brazil. Animals were treated for ticks indoors by whole body spraying when R. (B.) microplus had an average count equal or more than 30 ticks. The study also evaluated the possibility of a partial selective treatment for bovines to control R. (B.) microplus in which only a percentage of the population would be treated (specifically those bovines with tick counts of ≥20. Moreover, we examined the percentage of the population of R. (B.) microplus present on experimental bovines that did not come into contact with the chemical compounds used in the partial selective treatment. We concluded that in this particular region of Brazil, the crossbreed steers support up to five R. (B.) microplus generations per year and that the number of generations was primarily affected by the pluviometric precipitation. We sprayed the bovines with chemicals seven times during the course of the study. The results of the partial selective treatment method revealed that during the rainy and the dry periods, 42.1% to 60.0% and 61.9% to 79.2% of the animals, respectively, fulfilled the criteria to receive a chemical treatment to reduce the number of cattle ticks. In consideration of the need to slow the development of tick resistance with the chemical compounds used in the spraying treatment, the results showed that the percentage of animals that did not require treatment is not relevant. This was evidenced by the result that bovines that presented tick counts of ≥20 during the dry and rainy periods represented 91.5% and 90.6% of the total recorded R. (B.) microplus populations, respectively. Only 8.7% of the tick population remained free from exposure to acaricides during the 13 months of the study, which is an important point when considering the adoption of the partial selective treatment

  3. Implications of Heterogeneity in Multiple Myeloma

    Directory of Open Access Journals (Sweden)

    Sanjay de Mel

    2014-01-01

    Full Text Available Multiple myeloma is the second most common hematologic malignancy in the world. Despite improvement in outcome, the disease is still incurable for most patients. However, not all myeloma are the same. With the same treatment, some patients can have very long survival whereas others can have very short survival. This suggests that there is underlying heterogeneity in myeloma. Studies over the years have revealed multiple layers of heterogeneity. First, clinical parameters such as age and tumor burden could significantly affect outcome. At the genetic level, there are also significant heterogeneity ranging for chromosome numbers, genetic translocations, and genetic mutations. At the clonal level, there appears to be significant clonal heterogeneity with multiple clones coexisting in the same patient. At the cell differentiation level, there appears to be a hierarchy of clonally related cells that have different clonogenic potential and sensitivity to therapies. These levels of complexities present challenges in terms of treatment and prognostication as well as monitoring of treatment. However, if we can clearly delineate and dissect this heterogeneity, we may also be presented with unique opportunities for precision and personalized treatment of myeloma. Some proof of concepts of such approaches has been demonstrated.

  4. African histoplasmosis: report of the first case in Brazil and treatment with itraconazole Histoplasmose africana: relato do primeiro caso no Brasil e tratado pelo itraconazol

    Directory of Open Access Journals (Sweden)

    Leonardo Abrucio Neto

    1993-06-01

    Full Text Available We report the first case of African histoplasmosis diagnosed in Brazil. The patient was an immigrant from Angola who had come to Brazil six months after the appearance of the skin lesion. The skin of the right retroauricular area was the only site of involvement. The diagnosis was established by direct mycologic examination, culture and by histopathologic examination of the lesion. The patient was successfully treated with Itraconazole 100mg a day for 52 days. No recurrent skin lesions were observed during the ten month follow-up period.Relata-se o primeiro caso de histoplasmose africana diagnosticado em nosso meio, em indivíduo angolano que imigrou para o Brasil seis meses após o início das lesões. Quadro clínico de forma localizada exclusivamente na pele na região retro auricular direita. O diagnóstico foi estabelecido através do exame micológico direto, cultura e exame anátomo-patológico. Houve sucesso terapêutico com a administração de itraconazol, na dose de 100mg/dia durante 52 dias. Não houve recidiva do quadro cutâneo no seguimento clínico do doente após 10 meses de interrupção do tratamento.

  5. 89Zr-bevacizumab PET visualizes heterogeneous tracer accumulation in tumor lesions of renal cell carcinoma patients and differential effects of antiangiogenic treatment

    NARCIS (Netherlands)

    Oosting, Sjoukje F; Brouwers, Adrienne H; van Es, Suzanne C; Nagengast, Wouter B; Oude Munnink, Thijs H; Lub-de Hooge, Marjolijn N; Hollema, Harry; de Jong, Johan R; de Jong, Igle J; de Haas, Sanne; Scherer, Stefan J; Sluiter, Wim J; Dierckx, Rudi A; Bongaerts, Alfons H H; Gietema, Jourik A; de Vries, Elisabeth G E

    2015-01-01

    UNLABELLED: No validated predictive biomarkers for antiangiogenic treatment of metastatic renal cell carcinoma (mRCC) exist. Tumor vascular endothelial growth factor A (VEGF-A) level may be useful. We determined tumor uptake of (89)Zr-bevacizumab, a VEGF-A-binding PET tracer, in mRCC patients before

  6. 89Zr-bevacizumab PET visualizes heterogeneous tracer accumulation in tumor lesions of renal cell carcinoma patients and differential effects of antiangiogenic treatment

    NARCIS (Netherlands)

    Oosting, Sjoukje F; Brouwers, Adrienne H; van Es, Suzanne C; Nagengast, Wouter B; Oude Munnink, Thijs H; Lub-de Hooge, Marjolijn N; Hollema, Harry; de Jong, Johan R; de Jong, Igle J; de Haas, Sanne; Scherer, Stefan J; Sluiter, Wim J.; Dierckx, Rudi A; Bongaerts, Alfons H H; Gietema, Jourik A; de Vries, Elisabeth G E

    UNLABELLED: No validated predictive biomarkers for antiangiogenic treatment of metastatic renal cell carcinoma (mRCC) exist. Tumor vascular endothelial growth factor A (VEGF-A) level may be useful. We determined tumor uptake of (89)Zr-bevacizumab, a VEGF-A-binding PET tracer, in mRCC patients before

  7. Relação entre heterogeneidade ambiental e distribuição de espécies em uma floresta paludosa no Município de Cristais Paulista, SP, Brasil Floristic composition and relationship between environmental heterogeneity and species distribution in a swamp forest from Cristais Paulista, São Paulo State, Brazil

    Directory of Open Access Journals (Sweden)

    Aloysio de Pádua Teixeira

    2009-09-01

    Full Text Available Neste estudo foi caracterizada a composição florística e fitossociológica de uma floresta paludosa no nordeste do Estado de São Paulo, onde variações no padrão de drenagem ocorrem principalmente no sentido perpendicular ao curso d'água, em função da topografia. Nosso objetivo foi investigar a distribuição das espécies em relação ao substrato e a entrada de luz na comunidade. Foram alocadas 60 parcelas de 10×10 m, distribuídas em seis grupos de 10 parcelas cada. Em cada parcela foram medidos e identificados os indivíduos com PAP > 10 cm, avaliadas as propriedades químicas e granulometria do solo, o desnível topográfico, a drenagem e a abertura do dossel. Foram registradas 88 espécies, das quais 61 foram observadas nas parcelas. Uma análise de correspondência canônica (CCA indicou correlações entre a distribuição das 29 espécies mais abundantes e drenagem, desnível topográfico e Fe no eixo 1 e abertura do dossel no eixo 2. O coeficiente de Spearman indicou correlações significativas entre 66% das 29 espécies e profundidade do lençol freático ou abertura do dossel. Como exemplo, Calophyllum brasiliense e Xylopia emarginata prevaleceram em solos mal drenados; Siphoneugena densiflora e Virola sebifera em solos bem drenados; Myrcia laruotteana e Xylopia sericea em parcelas com maior abertura de dossel. A heterogeneidade ambiental foi um importante fator na determinação da distribuição e a coexistência de espécies, resultando em um incremento na diversidade local.In the present study, we characterized the floristic composition and tree structure of a swamp forest in northeast of São Paulo State, Brazil, where the drainage pattern changes mainly across the watercourse due to the topography. We aimed to investigate the species distribution in relation to substrate and light entrance in the community. Sixty quadrats (10×10 m were divided into six groups of 10 plots. In each quadrat, individuals with PBH > 10

  8. Heterogeneity in breast cancer.

    Science.gov (United States)

    Polyak, Kornelia

    2011-10-01

    Breast cancer is a heterogeneous disease. There is a high degree of diversity between and within tumors as well as among cancer-bearing individuals, and all of these factors together determine the risk of disease progression and therapeutic resistance. Advances in technologies such as whole-genome sequencing and functional viability screens now allow us to analyze tumors at unprecedented depths. However, translating this increasing knowledge into clinical practice remains a challenge in part due to tumor evolution driven by the diversity of cancer cell populations and their microenvironment. The articles in this Review series discuss recent advances in our understanding of breast tumor heterogeneity, therapies tailored based on this knowledge, and future ways of assessing and treating heterogeneous tumors.

  9. Green heterogeneous wireless networks

    CERN Document Server

    Ismail, Muhammad; Nee, Hans-Peter; Qaraqe, Khalid A; Serpedin, Erchin

    2016-01-01

    This book focuses on the emerging research topic "green (energy efficient) wireless networks" which has drawn huge attention recently from both academia and industry. This topic is highly motivated due to important environmental, financial, and quality-of-experience (QoE) considerations. Specifically, the high energy consumption of the wireless networks manifests in approximately 2% of all CO2 emissions worldwide. This book presents the authors’ visions and solutions for deployment of energy efficient (green) heterogeneous wireless communication networks. The book consists of three major parts. The first part provides an introduction to the "green networks" concept, the second part targets the green multi-homing resource allocation problem, and the third chapter presents a novel deployment of device-to-device (D2D) communications and its successful integration in Heterogeneous Networks (HetNets). The book is novel in that it specifically targets green networking in a heterogeneous wireless medium, which re...

  10. Post-treatment of UASB reactor effluent in waste stabilization ponds and in horizontal flow constructed wetlands: a comparative study in pilot scale in Southeast Brazil.

    Science.gov (United States)

    Bastos, R K X; Calijuri, M L; Bevilacqua, P D; Rios, E N; Dias, E H O; Capelete, B C; Magalhães, T B

    2010-01-01

    The results of a 20-month period study in Brazil were analyzed to compare horizontal-flow constructed wetlands (CW) and waste stabilization pond (WSP) systems in terms of land area requirements and performance to produce effluent qualities for surface water discharge, and for wastewater use in agriculture and/or aquaculture. Nitrogen, E. coli and helminth eggs were more effectively removed in WSP than in CW. It is indicated that CW and WSP require similar land areas to achieve a bacteriological effluent quality suitable for unrestricted irrigation (10(3) E. coli per 100 mL), but CW would require 2.6 times more land area than ponds to achieve quite relaxed ammonia effluent discharge standards (20 mg NH(3) L(-1)), and, by far, more land than WSP to produce an effluent complying with the WHO helminth guideline for agricultural use (< or =1 egg per litre).

  11. HIV/AIDS treatment and physicochemical quality control of medicines: evaluation of non-generic lamivudine + zidovudine tablets manufactured in Brazil

    Directory of Open Access Journals (Sweden)

    Ruy Carlos Ruver Beck

    Full Text Available In this work it was evaluated the physicochemical quality of lamivudine + zidovudine tablets, whose association belongs to the list of drugs distributed by the Brazil's National Program on Sexually Transmitted Diseases and AIDS. Four non-generic products (lamivudine + zidovudine tablets were analyzed. They were obtained from different Brazilian manufacturers, besides a reference product. The quality was evaluated by physicochemical tests described in the official codes. A validated reversed-phase high performance liquid chromatography (HPLC method was used for the assay of the active substances. All samples were in accordance to the requisites in relation to their physicochemical characteristics. Dissolution studies showed similar drug percentual dissolved among all samples. The results reflect the interest of the national pharmaceutical industry to ensure the delivery of safer and cheaper drugs to the Brazilian people, with particular importance in the National Program on Sexually Transmitted Diseases and AIDS.

  12. HIV/AIDS treatment and physicochemical quality control of medicines: evaluation of non-generic lamivudine + zidovudine tablets manufactured in Brazil.

    Science.gov (United States)

    Beck, Ruy Carlos Ruver; Athayde, Margareth Linde; Cardoso, Simone Gonçalves

    2007-12-01

    In this work it was evaluated the physicochemical quality of lamivudine + zidovudine tablets, whose association belongs to the list of drugs distributed by the Brazil's National Program on Sexually Transmitted Diseases and AIDS. Four non-generic products (lamivudine + zidovudine tablets) were analyzed. They were obtained from different Brazilian manufacturers, besides a reference product. The quality was evaluated by physicochemical tests described in the official codes. A validated reversed-phase high performance liquid chromatography (HPLC) method was used for the assay of the active substances. All samples were in accordance to the requisites in relation to their physicochemical characteristics. Dissolution studies showed similar drug percentual dissolved among all samples. The results reflect the interest of the national pharmaceutical industry to ensure the delivery of safer and cheaper drugs to the Brazilian people, with particular importance in the National Program on Sexually Transmitted Diseases and AIDS.

  13. Dissecting cancer evolution at the macro-heterogeneity and micro-heterogeneity scale.

    Science.gov (United States)

    Barber, Louise J; Davies, Matthew N; Gerlinger, Marco

    2015-02-01

    Intratumour heterogeneity complicates biomarker discovery and treatment personalization, and pervasive cancer evolution is a key mechanism leading to therapy failure and patient death. Thus, understanding subclonal heterogeneity architectures and cancer evolution processes is critical for the development of effective therapeutic approaches which can control or thwart cancer evolutionary plasticity. Current insights into heterogeneity are mainly limited to the macroheterogeneity level, established by cancer subclones that have undergone significant clonal expansion. Novel single cell sequencing and blood-based subclonal tracking technologies are enabling detailed insights into microheterogeneity and the dynamics of clonal evolution. We assess how this starts to delineate the rules governing cancer evolution and novel angles for more effective therapeutic intervention.

  14. Immunophenotype Heterogeneity in Nasal Glomangiopericytoma

    Directory of Open Access Journals (Sweden)

    Adriana Handra-Luca

    2015-01-01

    Full Text Available Nasal glomangiopericytoma is rare. The immunophenotype is heterogeneous, more frequently smooth-muscle-actin and CD34-positive. We report expression patterns for several vascular-related proteins such as CD99, CD146, Bcl2, and WT1 as well as for treatment-related proteins such as mTOR and EGFR in a nasal glomangiopericytoma. The patient (woman, 86 years presented with a left nasal tumefaction. The resected specimen (1.5-cm showed a glomangiopericytoma. Tumor cells expressed smooth-muscle-actin, CD31, CD34, and progesterone receptor. They also expressed the vascular-cell-related proteins Bcl2, CD99, CD146, and WT1, as well as mTOR and EGFR. Nasal glomangiopericytomas show immunohistochemical heterogeneity for vascular-related markers, suggesting a possible extensive pericytic differentiation. The expression of potential targets for drug treatments such as mTOR and EGFR may impact on the clinical follow-up of these tumors occurring at advanced ages, which may require complex surgery.

  15. Isotopes in heterogeneous catalysis

    CERN Document Server

    Hargreaves, Justin SJ

    2006-01-01

    The purpose of this book is to review the current, state-of-the-art application of isotopic methods to the field of heterogeneous catalysis. Isotopic studies are arguably the ultimate technique in in situ methods for heterogeneous catalysis. In this review volume, chapters have been contributed by experts in the field and the coverage includes both the application of specific isotopes - Deuterium, Tritium, Carbon-14, Sulfur-35 and Oxygen-18 - as well as isotopic techniques - determination of surface mobility, steady state transient isotope kinetic analysis, and positron emission profiling.

  16. FOTOCATÁLISIS HETEROGÉNEA CON TIO2 PARA EL TRATAMIENTO DE DESECHOS LÍQUIDOS CON PRESENCIA DEL INDICADOR VERDE DE BROMOCRESOL Heterogeneous Photocatalysis with TIO2 for Liquid Wastes Treatment with Presence of the Bromocresol Green Indicator

    Directory of Open Access Journals (Sweden)

    Carolay Yaneth Guarín Llanes

    2011-12-01

    Full Text Available La fotocatálisis heterogénea es un proceso avanzado de oxidación que se aplica en este trabajo para determinar la degradación y mineralización del indicador verde bromocresol, presente en desechos líquidos de laboratorios de análisis químico y ambiental, comúnmente generados en universidades. En el tratamiento se empleó dióxido de titanio Degussa P-25 como catalizador, un reactor tipo Batch, y radiación UV artificial con una longitud de onda de 360 nm. La degradación se cuantificó por espectrofotometría UV-visible, y la mineralización se evaluó por el parámetro de DQO. Las condiciones óptimas de tratamiento para los desechos son: 260 ppm de TiO2 y un tiempo de retención de 60 minutos, con las que se obtuvo una degradación de 84,10% y una mineralización de 82.5 %. Los resultados obtenidos muestran que el proceso de fotocatálisis heterogénea puede ser útil en el tratamiento de efluentes que tenga la presencia del indicador verde de bromocresol.Heterogeneous photocatalysis is an advanced oxidation process applied to this kind of work for determining degradation and mineralization of the Bromocresol Green indicator present in chemical and environmental analysis laboratory liquid wastes, commonly generated in universities. Degussa P-25 titanium dioxide is used in the treatment as a catalyzer, as well as a batch-type reactor, and artificial UV radiation with a 360 nm wavelength. Degradation was quantified by UV-visible spectrophotometry and mineralization was evaluated through the DQO parameter. Optimal conditions of treatment for wastes are: 260 ppm TiO2 and a retention time of 60 minutes; degradation was 84.10% and mineralization was 82.5%. Results obtained show that the heterogeneous photocatalysis process can be useful for treatment of effluents with presence of the Bromocresol Green indicator.

  17. The effect of rib and lung heterogeneities on the computed dose to lung in Ir-192 high-dose-rate breast brachytherapy: Monte Carlo versus a treatment planning system.

    Science.gov (United States)

    Yazdi, Hossein Salehi; Shamsaei, Mojtaba; Jaberi, Ramin; Shabani, Hamid Reza; Allahverdi, Mahmoud; Vaezzadeh, Seyed Ali

    2012-01-01

    This study investigates to what extent the dose received by lungs from a commercially available treatment planning system, Ir-192 high-dose-rate (HDR), in breast brachytherapy, is accurate, with the emphasis on tissue heterogeneities, and taking into account the presence of ribs, in dose delivery to the lung. A computed tomography (CT) scan of a breast was acquired and transferred to the 3-D treatment planning system and was also used to construct a patient-equivalent phantom. An implant involving 13 plastic catheters and 383 programmed source dwell positions were simulated, using the Monte Carlo N-Particle eXtended (MCNPX) code. The Monte Carlo calculations were compared with the corresponding commercial treatment planning system (TPS) in the form of percentage isodose and cumulative dose-volume histogram (DVH) in the breast, lungs, and ribs. The comparison of the Monte Carlo results and the TPS calculations showed that a percentage of isodose greater than 75% in the breast, which was located rather close to the implant or away from the breast curvature surface and lung boundary, were in good agreement. TPS calculations overestimated the dose to the lung for lower isodose contours that were lying near the breast surface and the boundary of breast and lung and were relatively away from the implant. Taking into account the ribs and entering the actual data for breasts, ribs, and lungs, revealed an average overestimation of the dose by a factor of 8% in the lung for TPS calculations. Therefore, the accuracy of the TPS results may be limited to regions near the implants where the treatment is planned, and is a more conservative approach for regions at boundaries with curvatures or tissues with a different material than that in the breast.

  18. Brazil : Eradicating Child Labor in Brazil

    OpenAIRE

    World Bank

    2001-01-01

    The report reviews evidence of child labor in Brazil, and the Government's efforts to eradicate its worst forms, by examining background assessments of ongoing programs for its prevention. It seeks to identify promising strategies, addressing the needs of highly vulnerable children in urban areas, engaged in activities such as drug commerce, prostitution, or other dangerous activities. One...

  19. Heterogeneous Uncertainty Management

    Science.gov (United States)

    2008-03-08

    probabilistic ( HTP ) agents, the concept of probabilistic version of XML and RDF, and probabilistic methods to reason about collections of moving objects. S...heterogeneous temporal probabilistic ( HTP ) agents, the concept of probabilistic version of XML and RDF, and probabilistic methods to reason about...temporal probabilistic ( HTP ) agent. HTP agents can build temporal probabilistic reasoning capabilities on top of multiple databases and software

  20. Heterogeneous Computing in Economics

    DEFF Research Database (Denmark)

    Dziubinski, M.P.; Grassi, S.

    2014-01-01

    This paper shows the potential of heterogeneous computing in solving dynamic equilibrium models in economics. We illustrate the power and simplicity of C++ Accelerated Massive Parallelism (C++ AMP) recently introduced by Microsoft. Starting from the same exercise as Aldrich et al. (J Econ Dyn...

  1. Heterogeneity of Intellectual Assets

    DEFF Research Database (Denmark)

    Dahlgren, Johan Henrich; Lund Jensen, Rasmus; Valentin, Finn

    2004-01-01

    This paper deals with methodological issues of assessing the composition and level ofheterogeneity of firms' intellectual assets. It develops an original metric - referred to asthe H-index - for measuring heterogeneity using data extracted from patent documents.The main purpose is to improve...

  2. Heterogeneous chromium catalysts

    NARCIS (Netherlands)

    2005-01-01

    The present invention relates to a heterogeneous chromium catalyst system for the polymerisation of ethylene and/or alpha olefins prepared by the steps of: (a) providing a silica-containing support, (b) treating the silica-containing support with a chromium compound to form a chromium-based silica-c

  3. Information and Heterogeneous Beliefs

    DEFF Research Database (Denmark)

    Christensen, Peter Ove; Qin, Zhenjiang

    2014-01-01

    In an incomplete market with heterogeneous prior beliefs, we show public information can have a substantial impact on the ex ante cost of capital, trading volume, and investor welfare. The Pareto effcient public information system is the system enjoying the maximum ex ante cost of capital and the...

  4. Heterogeneity of Dutch rainfall

    NARCIS (Netherlands)

    Witter, J.V.

    1984-01-01

    Rainfall data for the Netherlands have been used in this study to investigate aspects of heterogeneity of rainfall, in particular local differences in rainfall levels, time trends in rainfall, and local differences in rainfall trend. The possible effect of urbanization and industrialization on the

  5. Receiver Heterogeneity Helps

    DEFF Research Database (Denmark)

    Kovács, Erika R.; Pedersen, Morten Videbæk; Roetter, Daniel Enrique Lucani;

    2014-01-01

    Heterogeneity amongst devices and desired service are commonly seen as a source of additional challenges for setting up an efficient multi-layer multicast service. In particular, devices requiring only the base layer can become a key bottleneck to the performance for other devices. This paper...

  6. Treatment Efficiency by means of a Nonthermal Plasma Combined with Heterogeneous Catalysis of Odoriferous Volatile Organic Compounds Emissions from the Thermal Drying of Landfill Leachates

    Directory of Open Access Journals (Sweden)

    Daniel Almarcha

    2014-01-01

    Full Text Available The objective of the present work was to assess the odoriferous volatile organic compounds depuration efficiency of an experimental nonthermal plasma coupled to a catalytic system used for odor abatement of real emissions from a leachate thermal drying plant installed in an urban solid waste landfill. VOC screening was performed by means of HRGC-MS analysis of samples taken at the inlet and at the outlet of the nonthermal plasma system. Odor concentration by means of dynamic olfactometry, total organic carbon, mercaptans, NH3, and H2S were also determined in order to assess the performance of the system throughout several days. Three plasma frequencies (100, 150, and 200 Hz and two catalyst temperatures (150°C and 50°C were also tested. Under conditions of maximum capacity of the treatment system, the results show VOC depuration efficiencies around 69%, with average depuration efficiencies between 44 and 95% depending on the chemical family of the substance. Compounds belonging to the following families have been detected in the samples: organic acids, alcohols, ketones, aldehydes, pyrazines, and reduced sulphur compounds, among others. Average total organic carbon removal efficiency was 88%, while NH3 and H2S removal efficiencies were 88% and 87%, respectively, and odor concentration abatement was 78%.

  7. Heterogeneity of mast cells and expression of Annexin A1 protein in a second degree burn model with silver sulfadiazine treatment

    Science.gov (United States)

    Souza, Helena Ribeiro; de Azevedo, Lucas Ribeiro; Possebon, Lucas; Costa, Sara de Souza; Iyomasa-Pilon, Melina Mizusaki; Oliani, Sonia Maria; Girol, Ana Paula

    2017-01-01

    Mast cells (MCs) participate in all stages of skin healing and one of their mediators is the Annexin A1 protein (AnxA1), linked to inflammation, proliferation, migration and apoptosis processes, but not studied in thermal burns yet. Therefore, our objectives were to evaluate the behavior of MCs and AnxA1 in a second degree burn model, treated or not with silver sulfadiazine 1% (SDP 1%) and associated to macrophages quantification and cytokines dosages. MCs counts showed few cells in the early stages of repair but increased MCs in the final phases in the untreated group. The normal skin presented numerous tryptase-positive MCs that were reduced after burning in all analyzed periods. Differently, few chymase-positive MCs were observed in the early stages of healing, however, increased chymase-positive MCs were found at the final phase in the untreated group. MCs also showed high immunoreactivity for AnxA1 on day 3 in both groups. In the tissue there was a strong protein expression in the early stages of healing, but in the final phases only in the SDP treated animals. TNF-α, IL-1β, IL-6, IL-10 and MCP-1 levels and macrophages quantification were increased in inflammation and reepithelialization phases. Reduced IL-1β, IL-6 and IL-10 levels and numerous macrophages occurred in the treated animals during tissue repair. Our results indicate modulation in the profile of MCs and AnxA1expression during healing by the treatment with SDP 1%, pointing them as targets for therapeutic interventions on skin burns. PMID:28278234

  8. Limno-chemical and microbiology aspects in Uranium Pit Mine Lake (Osamu Utsumi), in Antas and Bortolan reservoirs under the influence of effluent Ore Treatment Unit, Caldas - Minas Gerais State, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Ronqui, Leilane B.; Nasciment, Marcos R.L. do; Roque, Claudio V.; Bruschi, Armando; Borba Junior, Palvo J.; Nascimento, Heliana A. F. do, E-mail: leilanebio@yahoo.com.br, E-mail: pmarcos@cnen.gov.br, E-mail: cvroque@cnen.gov.br, E-mail: abruschi@cnen.gov.br, E-mail: jouber_borba@hotmail.com, E-mail: hazevedo@cnen.gov.br [Comissao Nacional de Energia Nuclear (LAPOC/CNEN), Pocos de Caldas, MG (Brazil). Laboratorio de Pocos de Caldas; Almeida, Tito C.M. de, E-mail: titoalmeida2008@gmail.com [Universidade do Vale do Itajai (CTT-Mar/UNIVALI), SC (Brazil). Centro de Ciencias Tecnologicas da Terra e do Mar

    2013-07-01

    Due to high natural radioactivity there in Pocos de Caldas Plateau (Minas Gerais State, Brazil) and the existence of the first uranium mine in Brazil (Pit Mine Osamu Utsumi - Mineral Treatment Unit/Brazilian Nuclear Industries, MTU/BNI), which is characterized by an open-pit mine presents as increased environmental liability the formation of acid mine drainage, this study was conducted to evaluate the limno-chemicals and microbiology aspects (protozooplankton and bacterioplankton) belonging to uranium pit mine lake (PM) and evaluate the possible effects of acid effluents treated and discharged by MTU/BNI in Antas reservoir-AR and downstream of this, the Bortolan reservoir-BR. Besides the realization of abiotic and microbiology analysis of protozooplankton and bacterioplankton; was held standardization and deployment of the Fluorescence 'In Situ' Hybridization (FISH) technical using oligonucleotide probes for extremophile Archaea and Bacteria. According to the results, the PM showed the highest values for the chemical variables, lower pH values, lower protozooplankton density, however, protozooplanktonic high biomass showing the presence of tolerant species in this extreme environment. Antas and Bortolan reservoirs showed differences in the abiotic and biotic variables, AR showed suffer greater interference of acid effluents released at P41point and downstream of this at P14 point, lower protozooplankton biomass, lower bacterial density and pollution characteristics of inorganic sources. Using the FISH technique standard in this study to water bodies evaluated, it was possible to detect the presence of the extremophile bacteria of the Archaea domain in the three water bodies. The results of this study contribute to the knowledge of the pit mine lakes limnology which have become a major concern due to increased mining in the open. (author)

  9. Genetic background of novel sequence types of CTX-M-8- and CTX-M-15-producing Escherichia coli and Klebsiella pneumoniae from public wastewater treatment plants in São Paulo, Brazil.

    Science.gov (United States)

    Dropa, Milena; Lincopan, Nilton; Balsalobre, Livia C; Oliveira, Danielle E; Moura, Rodrigo A; Fernandes, Miriam Rodriguez; da Silva, Quézia Moura; Matté, Glavur R; Sato, Maria I Z; Matté, Maria H

    2016-03-01

    The release of extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae to the environment is a public health issue worldwide. The aim of this study was to investigate the genetic background of genes encoding ESBLs in wastewater treatment plants (WWTPs) in São Paulo, southeastern Brazil. In 2009, during a local surveillance study, seven ESBL-producing Enterobacteriaceae strains were recovered from five WWTPs and screened for ESBL genes and mobile genetic elements. Multilocus sequence typing (MLST) was carried out, and wild plasmids were transformed into electrocompetent Escherichia coli. S1-PFGE technique was used to verify the presence of high molecular weight plasmids in wild-type strains and in bla ESBL-containing E. coli transformants. Strains harbored bla CTX-M-8, bla CTX-M-15, and/or bla SHV-28. Sequencing results showed that bla CTX-M-8 and bla CTX-M-15 genes were associated with IS26. MLST revealed new sequence types for E. coli (ST4401, ST4402, ST4403, and ST4445) and Klebsiella pneumoniae (ST1574), except for one K. pneumoniae from ST307 and Enterobacter cloacae from ST131. PCR and S1-PFGE results showed CTX-M-producing E. coli transformants carried heavy plasmids sizing 48.5-209 kb, which belonged to IncI1, IncF, and IncM1 incompatibility groups. This is the first report of CTX-M-8 and SHV-28 enzymes in environmental samples, and the present results demonstrate the plasmid-mediated spread of CTX-M-encoding genes through five WWTPs in São Paulo, Brazil, suggesting WWTPs are hotspots for the transfer of ESBL genes and confirming the urgent need to improve the management of sewage in order to minimize the dissemination of resistance genes to the environment.

  10. Audiology in Brazil.

    Science.gov (United States)

    Bevilacqua, Maria Cecilia; Novaes, Beatriz Caiuby; Morata, Thais C

    2008-02-01

    The profession of audiology took root in Brazil nearly a half a century ago and has since blossomed into a flourishing, well-developed field. Currently, audiologists in Brazil work at private institutions, including private medical practices and dedicated speech and hearing clinics. They are also employed in a wide array of public institutions, including community clinics, elementary schools, colleges, and universities. In both the private sector and health clinics, audiologists perform diagnostic evaluations of auditory and vestibular disorders, select and fit hearing aids, and provide aural rehabilitation. At the public level, they assist with workers' health programs, dispense hearing aids, and aural rehabilitation. There is always room to grow, however, and the future of audiology in Brazil holds both challenges and opportunity. The following article will sketch the development of audiology training and practice in Brazil, provide a picture of how the field stands today, and summarize the unique challenges which the profession faces in this large and diverse nation.

  11. Heterogeneous Voter Models

    CERN Document Server

    Masuda, Naoki; Redner, S

    2010-01-01

    We introduce the heterogeneous voter model (HVM), in which each agent has its own intrinsic rate to change state, reflective of the heterogeneity of real people, and the partisan voter model (PVM), in which each agent has an innate and fixed preference for one of two possible opinion states. For the HVM, the time until consensus is reached is much longer than in the classic voter model. For the PVM in the mean-field limit, a population evolves to a "selfish" state, where each agent tends to be aligned with its internal preference. For finite populations, discrete fluctuations ultimately lead to consensus being reached in a time that scales exponentially with population size.

  12. Information and Heterogeneous Beliefs

    DEFF Research Database (Denmark)

    Christensen, Peter Ove; Qin, Zhenjiang

    2014-01-01

    In an incomplete market with heterogeneous prior beliefs, we show public information can have a substantial impact on the ex ante cost of capital, trading volume, and investor welfare. The Pareto effcient public information system is the system enjoying the maximum ex ante cost of capital...... ante risk premium is unaffected by the informativeness of the public information system. Similar results are obtained in a production economy, but the impact on the ex ante cost of capital is dampened compared to the exchange economy due to welfare improving reductions in real investments to smooth...... and the maximum expected abnormal trading volume. Imperfect public information increases the gains-to-trade based on heterogeneously updated posterior beliefs. In an exchange economy, this leads to higher growth in the investors' certainty equivalents and, thus, a higher equilibrium interest rate, whereas the ex...

  13. Heterogeneity of monoclonal antibodies.

    Science.gov (United States)

    Liu, Hongcheng; Gaza-Bulseco, Georgeen; Faldu, Dinesh; Chumsae, Chris; Sun, Joanne

    2008-07-01

    Heterogeneity of monoclonal antibodies is common due to the various modifications introduced over the lifespan of the molecules from the point of synthesis to the point of complete clearance from the subjects. The vast number of modifications presents great challenge to the thorough characterization of the molecules. This article reviews the current knowledge of enzymatic and nonenzymatic modifications of monoclonal antibodies including the common ones such as incomplete disulfide bond formation, glycosylation, N-terminal pyroglutamine cyclization, C-terminal lysine processing, deamidation, isomerization, and oxidation, and less common ones such as modification of the N-terminal amino acids by maleuric acid and amidation of the C-terminal amino acid. In addition, noncovalent associations with other molecules, conformational diversity and aggregation of monoclonal antibodies are also discussed. Through a complete understanding of the heterogeneity of monoclonal antibodies, strategies can be employed to better identify the potential modifications and thoroughly characterize the molecules.

  14. Micromechanics of heterogeneous materials

    CERN Document Server

    Buryachenko, Valeriy

    2007-01-01

    Here is an accurate and timely account of micromechanics, which spans materials science, mechanical engineering, applied mathematics, technical physics, geophysics, and biology. The book features rigorous and unified theoretical methods of applied mathematics and statistical physics in the material science of microheterogeneous media. Uniquely, it offers a useful demonstration of the systematic and fundamental research of the microstructure of the wide class of heterogeneous materials of natural and synthetic nature.

  15. Electrokinetics of heterogeneous interfaces.

    Science.gov (United States)

    Zembala, Maria

    2004-12-31

    The influence of surface heterogeneity of various types on electrokinetic parameters is reviewed. The scope of the paper covers classical electrokinetic phenomena characterized by linear dependence of electrokinetic parameters vs. related driving forces. Neither non-linear effects nor the effects of non-equilibrium electric double layer are considered. A historical description of hydrodynamic aspect of electrokinetic phenomena exploiting the slip plane idea is briefly outlined. Attempts to estimate the slip plane location by comparing the diffuse layer and zeta potential values for some model systems are presented. The surface heterogeneity was divided into three categories. Heterogeneity of the first type was related to geometrical morphology of an interfacial region characterized by a considerable surface development producing a three-dimensional interfacial region. The effects of solid roughness, hairy surface, dense polymer layers and gel-like layers are discussed here. The very high surface conductivity detected for such interfaces seems to be a good indicator of the presence of structured layers of this type. Heterogeneous interfaces of the second class cover systems exhibiting non-uniform distribution of surface charge. The non-uniform surface charge distribution can be either of a molecular (discrete charges) or of a microscale (two-dimensional micropatches or three-dimensional structures formed by polyelectrolyte multilayers). The last class of systems examined includes interfaces composed of charged substrate covered by charged bulky objects (particles). In comparison to the homogeneous surfaces, adsorbed charged particles modify both hydrodynamic flow and the electrostatic field significantly altering the electrokinetic parameters. The new description of electrokinetics of composed interfaces presented here takes into account both hydrodynamic and electric field modification and is free of the previously assumed slip plane shift caused by adsorbed

  16. Dynamic heterogeneity in life histories

    DEFF Research Database (Denmark)

    Tuljapurkar, Shripad; Steiner, Uli; Orzack, Steven Hecht

    2009-01-01

    generate dynamic heterogeneity: life-history differences produced by stochastic stratum dynamics. We characterize dynamic heterogeneity in a range of species across taxa by properties of the Markov chain: the entropy, which describes the extent of heterogeneity, and the subdominant eigenvalue, which...... distributions of lifetime reproductive success. Dynamic heterogeneity contrasts with fixed heterogeneity: unobserved differences that generate variation between life histories. We show by an example that observed distributions of lifetime reproductive success are often consistent with the claim that little...... or no fixed heterogeneity influences this trait. We propose that dynamic heterogeneity provides a 'neutral' model for assessing the possible role of unobserved 'quality' differences between individuals. We discuss fitness for dynamic life histories, and the implications of dynamic heterogeneity...

  17. Heterogeneity of liver cancer and personalized therapy.

    Science.gov (United States)

    Li, Liang; Wang, Hongyang

    2016-09-01

    Liver cancer is an extraordinarily heterogeneous malignant disease among the tumors that have so far been identified. Hepatocellular carcinoma (HCC) arises most frequently in the setting of chronic liver inflammation and fibrosis, and takes a variety of course in individual patients to process to tumor. The risk factors such as HBV and/or HCV infections, aflatoxin infection, abuse alcohol intake, metabolic syndrome, obesity and diabetes are closely related to the environmental and genetic susceptibilities to HCC. The consequent resulting genomic instability, molecular and signal transduction network disorders and microenvironmental discrepancies are characterized by the extraordinary heterogeneity of liver cancer. The histology-based definition of the morphological heterogeneity of liver cancer has been modified and refined to treat patients with targeted therapies, but this still cannot solve all the problems. Lack of consistent outcome for anticancer agents and conventional therapies in liver cancer treatment calls for assessing the benefits of new molecularly targeted drugs and combined therapy, under the heterogeneity condition of tumor. The present review article will provide the complex mechanism and phenotype of liver cancer heterogeneity, and help us to execute precision medicine in a really personalized manner.

  18. Subgroup effects despite homogeneous heterogeneity test results

    Directory of Open Access Journals (Sweden)

    Lubsen Jacobus

    2010-05-01

    Full Text Available Abstract Background Statistical tests of heterogeneity are very popular in meta-analyses, as heterogeneity might indicate subgroup effects. Lack of demonstrable statistical heterogeneity, however, might obscure clinical heterogeneity, meaning clinically relevant subgroup effects. Methods A qualitative, visual method to explore the potential for subgroup effects was provided by a modification of the forest plot, i.e., adding a vertical axis indicating the proportion of a subgroup variable in the individual trials. Such a plot was used to assess the potential for clinically relevant subgroup effects and was illustrated by a clinical example on the effects of antibiotics in children with acute otitis media. Results Statistical tests did not indicate heterogeneity in the meta-analysis on the effects of amoxicillin on acute otitis media (Q = 3.29, p = 0.51; I2 = 0%; T2 = 0. Nevertheless, in a modified forest plot, in which the individual trials were ordered by the proportion of children with bilateral otitis, a clear relation between bilaterality and treatment effects was observed (which was also found in an individual patient data meta-analysis of the included trials: p-value for interaction 0.021. Conclusions A modification of the forest plot, by including an additional (vertical axis indicating the proportion of a certain subgroup variable, is a qualitative, visual, and easy-to-interpret method to explore potential subgroup effects in studies included in meta-analyses.

  19. Heterogeneity of the intrahepatic biliary epithelium

    Institute of Scientific and Technical Information of China (English)

    Shannon Glaser; Heather Francis; Sharon DeMorrow; Gene LeSage; Giammarco Fava; Marco Marzioni; Julie Venter; Gianfranco Alpini

    2006-01-01

    The objectives of this review are to outline the recent findings related to the morphological heterogeneity of the biliary epithelium and the heterogeneous pathophysiological responses of different sized bile ducts to liver gastrointestinal hormones and peptides and liver injury/toxins with changes in apoptotic, proliferative and secretory activities. The knowledge of biliary function is rapidly increasing because of the recognition that biliary epithelial cells (cholangiocytes) are the targets of human cholangiopathies, which are characterized by proliferation/damage of bile ducts within a small range of sizes. The unique anatomy, morphology, innervation and vascularization of the biliary epithelium are consistent with function of cholangiocytes within different regions of the biliary tree. The in vivo models [e.g., bile duct ligation (BDL), partial hepatectomy, feeding of bile acids,carbon tetrachloride (CCl4) or α-naphthylisothiocyanate (ANIT)] and the in vivo experimental tools [e.g., freshly isolated small and large cholangiocytes or intrahepatic bile duct units (IBDU) and primary cultures of small and large murine cholangiocytes] have allowed us to demonstrate the morphological and functional heterogeneity of the intrahepatic biliary epithelium.These models demonstrated the differential secretory activities and the heterogeneous apoptotic and proliferative responses of different sized ducts. Similar to animal models of cholangiocyte proliferation/injury restricted to specific sized ducts, in human liver diseases bile duct damage predominates specific sized bile ducts.Future studies related to the functional heterogeneity of the intrahepatic biliary epithelium may disclose new pathophysiological treatments for patients with cholangiopathies.

  20. Quantifying lateral tissue heterogeneities in hadron therapy.

    Science.gov (United States)

    Pflugfelder, D; Wilkens, J J; Szymanowski, H; Oelfke, U

    2007-04-01

    In radiotherapy with scanned particle beams, tissue heterogeneities lateral to the beam direction are problematic in two ways: they pose a challenge to dose calculation algorithms, and they lead to a high sensitivity to setup errors. In order to quantify and avoid these problems, a heterogeneity number H(i) as a method to quantify lateral tissue heterogeneities of single beam spot i is introduced. To evaluate this new concept, two kinds of potential errors were investigated for single beam spots: First, the dose calculation error has been obtained by comparing the dose distribution computed by a simple pencil beam algorithm to more accurate Monte Carlo simulations. The resulting error is clearly correlated with H(i). Second, the analysis of the sensitivity to setup errors of single beam spots also showed a dependence on H(i). From this data it is concluded that H(i) can be used as a criterion to assess the risks of a compromised delivered dose due to lateral tissue heterogeneities. Furthermore, a method how to incorporate this information into the inverse planning process for intensity modulated proton therapy is presented. By suppressing beam spots with a high value of H(i), the unfavorable impact of lateral tissue heterogeneities can be reduced, leading to treatment plans which are more robust to dose calculation errors of the pencil beam algorithm. Additional possibilities to use the information of H(i) are outlined in the discussion.

  1. Large epidemic thresholds emerge in heterogeneous networks of heterogeneous nodes

    CERN Document Server

    Yang, Hui; Gross, Thilo

    2015-01-01

    One of the famous results of network science states that networks with heterogeneous connectivity are more susceptible to epidemic spreading than their more homogeneous counterparts. In particular, in networks of identical nodes it has been shown that heterogeneity can lower the epidemic threshold at which epidemics can invade the system. Network heterogeneity can thus allow diseases with lower transmission probabilities to persist and spread. Here, we point out that for real world applications, this result should not be regarded independently of the intra-individual heterogeneity between people. Our results show that, if heterogeneity among people is taken into account, networks that are more heterogeneous in connectivity can be more resistant to epidemic spreading. We study a susceptible-infected-susceptible model with adaptive disease avoidance. Results from this model suggest that this reversal of the effect of network heterogeneity is likely to occur in populations in which the individuals are aware of t...

  2. SBRT for the Primary Treatment of Localized Prostate Cancer: The Effect of Gleason Score, Dose and Heterogeneity of Intermediate risk on Outcome Utilizing 2.2014 NCCN Risk Stratification Guidelines

    Directory of Open Access Journals (Sweden)

    Matthew eBernetich

    2014-11-01

    Full Text Available Purpose: To report an update of our previous experience using stereotactic body radiation therapy (SBRT for the primary treatment of prostate cancer, risk stratified by the updated NCCN version 2.2014, reporting efficacy and toxicity in a community hospital setting.Methods: From 2007 to 2012, 142 localized prostate cancer patients were treated with SBRT using CyberKnife. NCCN guidelines Version 2.2014 risk groups analyzed included very low (20%, low (23%, intermediate (35%, and high (22% risk. To further explore group heterogeneity and to comply with new guidelines, we separated our prior intermediate risk group into favorable intermediate and unfavorable intermediate groups depending on how many intermediate risk factors were present (one vs. >one. The unfavorable intermediate group was further analyzed in combination with the high risk group as per NCCN guidelines Version 2.2014.Various dose levels were used over the years of treatment, and have been categorized into low dose (35 Gy, n=5 or 36.25 Gy, n=107 and high dose (37.5 Gy, n=30. All treatments were delivered in five fractions. Toxicity was assessed using Radiation Therapy Oncology Group criteria.Results: 5-year actuarial freedom from biochemical failure (FFBF was 100%, 91.7%, 95.2%, 90.0% and 86.7% for very low, low, intermediate and high risk patients, respectively (NS. A significant difference in 5 year FFBF was noted for patients with Gleason score >8 vs. 7 vs. 5/6 (p=0.03 and low vs. high dose (p=0.05. T-stage, pretreatment PSA, age, risk stratification group and use of ADT did not affect 5-year FFBF. Multivariate analysis revealed Gleason score and dose to be the most predictive factors for 5-year FFBF.Conclusion: Our experience with SBRT for the primary treatment of localized prostate cancer demonstrates favorable efficacy and toxicity comparable to the results reported for IMRT in literature. Gleason score remains the single most important pretreatment predictor of outcome.

  3. Asian genotypes of dengue virus 4 in Brazil.

    Science.gov (United States)

    Pinho, A C O; Sardi, S I; Paula, F L; Peixoto, I B; Brandão, C J; Fernandez, F M C; Campos, G S

    2015-10-01

    Dengue virus, commonly transmitted by mosquitoes, causes a human disease of significant social impact and presents a serious public health problem in Brazil. This report describes the unusual emergence of DENV-4 in northern Brazil after a nearly 30-year-long absence. DENV-4 genotype I is of Asian origin and was identified in the serum of patients receiving treatment at a hospital serving the Salvador area (Brazilian state of Bahia). The identification of dengue virus serotypes through molecular and phylogenetic analysis is essential for predicting disease severity or fatal illness, principally in endemic countries such as Brazil.

  4. Zika: Why Brazil, Why Now

    Science.gov (United States)

    ... medlineplus.gov/news/fullstory_160251.html Zika: Why Brazil, Why Now Several factors -- including economics, climate and ... 5, 2016 THURSDAY, Aug. 4, 2016 (HealthDay News) -- Brazil, by a wide margin, has been the country ...

  5. Heterogeneity of Intellectual Assets

    DEFF Research Database (Denmark)

    Dahlgren, Johan Henrich; Lund Jensen, Rasmus; Valentin, Finn

    2004-01-01

    This paper deals with methodological issues of assessing the composition and level ofheterogeneity of firms' intellectual assets. It develops an original metric - referred to asthe H-index - for measuring heterogeneity using data extracted from patent documents.The main purpose is to improve...... the characterisation of research activities within firmsin the biotechnology sector. Although the H-index grew out of research on biotechfirms, the metric carries broader relevance for all patent-intensive industries. Themeasurement and calculation of the H-index is illustrated using some empiricalexamples from our...

  6. Corporate Governance Country Assessment : Brazil

    OpenAIRE

    World Bank

    2005-01-01

    This report assesses Brazil's corporate governance policy framework. It highlights recent improvements in corporate governance regulation, makes policy recommendations, and provides investors with a benchmark against which to measure corporate governance in Brazil. It is an update of the 2005 corporate governance Report on the Observance of Standards and Codes (ROSC). Brazil's experience o...

  7. Produced water silica removal treatment in PETROBRAS Fazenda Belem fields - Brazil; Tratamento da agua produzida do Campo de Fazenda Belem (PETROBRAS, UN/RNCE) para remocao de silica

    Energy Technology Data Exchange (ETDEWEB)

    Junior, Agenor J.; Sampaio, Alberto C.; Silva, Arnaldo F. da; Christiano, Fernando P.; Freire, Norma de O.; Pereira Junior, Oswaldo de A. [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil). Centro de Pesquisas

    2008-07-01

    Extracting oil from mature fields generates huge volumes of produced water whose pollutive character requires adequate treatment to minimize environmental impact. Nevertheless, produced water may be re-used, avoiding environmental contamination and helping in water resources preservation. According to future use, produced water receives specific treatment, intending to remove critical contaminants to the application involved. In the case o UN/RNCE's Fazenda Belem Field produced water is treated for steam generation Membrane Separation Processes are currently in test for this treatment. These processes are sensitive to high water hardness and silica concentrations. To avoid scaling, caustic soda is added in the water-oil separator outlet, precipitating calcium carbonate and magnesium hydroxide. This treatment, however, helps solubilizing silica. Coagulation-flocculation laboratory tests were run with poly aluminum chloride (PAC) and magnesium chloride at constant temperature (45 deg C) and pH adjusted to 9,5, attempting to simulate the water-oil separator outlet conditions. Laboratory analysis showed good silica removal results only in samples treated with PAC, suggesting its use in produced water for steam generation pre-treatment, avoiding silica-based scaling in membranes. (author)

  8. [A better Brazil].

    Science.gov (United States)

    Lesser, Jeffrey

    2014-01-01

    Many countries in the Americas describe themselves as "nations of immigrants." In the United States, the myth of the "promised land" suggests that foreigners better themselves upon arrival because the nation is intrinsically great. In Brazil, however, the relationship between immigration and national identity is different. Many intellectuals, politicians, and cultural and economic leaders saw (and see) immigrants as improving an imperfect nation that has been tainted by the history of Portuguese colonialism and African slavery. As a result, immigrants were often hailed as saviors because they modified and improved Brazil, not because they were improved by Brazil. This "improvement" took place through absorption, mixture and with the use of increasingly flexible racial and ethnic categories.

  9. Using the Portuguese version of the Bicultural Scale in Brazil.

    Science.gov (United States)

    Zubaran, Carlos; Foresti, Katia; Persch, Karina Nunes

    2016-01-01

    Brazil has received influxes of people, mainly from Africa, Europe and Japan, forming one of the most heterogeneous populations in the world. Some groups, particularly in Southern Brazil, have retained their original cultural traditions, whilst acquiring elements of the typical local Brazilian cultural identity. This is the first study designed to formally evaluate biculturality in Brazil. To psychometrically assess and validate the Portuguese version of the Bicultural Scale (BS) in Brazil. The BS was adapted and translated to Portuguese and tested for the first time in Brazil in a sample of descendants (n = 160) from four immigrant groups and respective locations in Southern Brazil. A series of psychometric tests were conducted in order to examine the validity of the Portuguese version of the BS. Analyses of variance across scores for all subgroups were also conducted. Factor analysis revealed two main factors contributing to most of the variance in scores. The 10 items measuring affiliation with minority cultural characteristics and the typical Brazilian culture yielded Cronbach's alpha coefficients of 0.69 and 0.78 respectively, whereas the overall Cronbach's alpha for all 20 items of the BS was 0.67. There was a significant correlation between items related to the typical Brazilian culture and the generation since immigration of research participants (r = 0.23, p = 0.004). The mean time taken to complete the questionnaire was 7.4 minutes. The results indicate that the Portuguese version of the BS is a valid, reliable and easy-to-use instrument to assess biculturality experienced by descendants of immigrants in southern Brazil.

  10. Heterogeneous photonic integrated circuits

    Science.gov (United States)

    Fang, Alexander W.; Fish, Gregory; Hall, Eric

    2012-01-01

    Photonic Integrated Circuits (PICs) have been dichotomized into circuits with high passive content (silica and silicon PLCs) and high active content (InP tunable lasers and transceivers) due to the trade-off in material characteristics used within these two classes. This has led to restrictions in the adoption of PICs to systems in which only one of the two classes of circuits are required to be made on a singular chip. Much work has been done to create convergence in these two classes by either engineering the materials to achieve the functionality of both device types on a single platform, or in epitaxial growth techniques to transfer one material to the next, but have yet to demonstrate performance equal to that of components fabricated in their native substrates. Advances in waferbonding techniques have led to a new class of heterogeneously integrated photonic circuits that allow for the concurrent use of active and passive materials within a photonic circuit, realizing components on a transferred substrate that have equivalent performance as their native substrate. In this talk, we review and compare advances made in heterogeneous integration along with demonstrations of components and circuits enabled by this technology.

  11. Scientific integrity in Brazil.

    Science.gov (United States)

    Lins, Liliane; Carvalho, Fernando Martins

    2014-09-01

    This article focuses on scientific integrity and the identification of predisposing factors to scientific misconduct in Brazil. Brazilian scientific production has increased in the last ten years, but the quality of the articles has decreased. Pressure on researchers and students for increasing scientific production may contribute to scientific misconduct. Cases of misconduct in science have been recently denounced in the country. Brazil has important institutions for controlling ethical and safety aspects of human research, but there is a lack of specific offices to investigate suspected cases of misconduct and policies to deal with scientific dishonesty.

  12. Disordered hyperuniform heterogeneous materials

    Science.gov (United States)

    Torquato, Salvatore

    2016-10-01

    Disordered hyperuniform many-body systems are distinguishable states of matter that lie between a crystal and liquid: they are like perfect crystals in the way they suppress large-scale density fluctuations and yet are like liquids or glasses in that they are statistically isotropic with no Bragg peaks. These systems play a vital role in a number of fundamental and applied problems: glass formation, jamming, rigidity, photonic and electronic band structure, localization of waves and excitations, self-organization, fluid dynamics, quantum systems, and pure mathematics. Much of what we know theoretically about disordered hyperuniform states of matter involves many-particle systems. In this paper, we derive new rigorous criteria that disordered hyperuniform two-phase heterogeneous materials must obey and explore their consequences. Two-phase heterogeneous media are ubiquitous; examples include composites and porous media, biological media, foams, polymer blends, granular media, cellular solids, and colloids. We begin by obtaining some results that apply to hyperuniform two-phase media in which one phase is a sphere packing in d-dimensional Euclidean space {{{R}}d} . Among other results, we rigorously establish the requirements for packings of spheres of different sizes to be ‘multihyperuniform’. We then consider hyperuniformity for general two-phase media in {{{R}}d} . Here we apply realizability conditions for an autocovariance function and its associated spectral density of a two-phase medium, and then incorporate hyperuniformity as a constraint in order to derive new conditions. We show that some functional forms can immediately be eliminated from consideration and identify other forms that are allowable. Specific examples and counterexamples are described. Contact is made with well-known microstructural models (e.g. overlapping spheres and checkerboards) as well as irregular phase-separation and Turing-type patterns. We also ascertain a family of

  13. Dengue situation in Brazil by year 2000

    Directory of Open Access Journals (Sweden)

    Hermann G Schatzmayr

    2000-01-01

    Full Text Available Dengue virus types 1 and 2 have been isolated in Brazil by the Department of Virology, Instituto Oswaldo Cruz, in 1986 and 1990 respectively, after many decades of absence. A successful continental Aedes aegypti control program in the Americas, has been able to eradicate the vector in most countries in the 60's, but the program could not be sustained along the years. Dengue viruses were reintroduced in the American region and the infection became endemic in Brazil, like in most Central and SouthAmerican countries and in the Caribbean region, due to the weaning of the vector control programs in these countries. High demographic densities and poor housing conditions in large urban communities, made the ideal conditions for vector spreading. All four dengue types are circulating in the continent and there is a high risk of the introduction in the country of the other two dengue types in Brazil, with the development of large epidemics. After the Cuban episode in 1981, when by the first time a large epidemic of dengue hemorrhagic fever and dengue shock syndrome have been described in the Americas, both clinical presentations are observed, specially in the countries like Brazil, with circulation of more than one dengue virus type. A tetravalent potent vaccine seems to be the only possible way to control the disease in the future, besides rapid clinical and laboratory diagnosis, in order to offer supportive treatment to the more severe clinical infections.

  14. Clinical and laboratory status of patients with chronic Chagas disease living in a vector-controlled area in Minas Gerais, Brazil, before and nine years after aetiological treatment

    Directory of Open Access Journals (Sweden)

    Marta de Lana

    2009-12-01

    Full Text Available Twenty-eight Chagas disease patients (CD, 22 with the indeterminate clinical form (IND and six with the cardiac or digestive form (CARD/DIG, were treated with benznidazole and underwent clinical and laboratorial analysis before (IND and CARD/DIG and nine years after [patients after treatment (CDt, patients with the indeterminate clinical form at treatment onset (INDt and with the cardiac or digestive form at treatment onset (CARD/DIGt] treatment. The data demonstrate that 82.1% of CDt patients (23/28 remained clinically stable and 95.4% of the INDt (21/22 and 33.3% of the CARD/DIGt (2/6 patients showed unaltered physical and laboratorial examinations. The clinical evolution rate was 2%/year and was especially low in INDt patients (0.5%/year relative to CARD/DIGt patients (7.4%/year. Positive haemoculture in treated patients was observed in 7.1% of the cases. None of the INDt (0/21 and 33.3% of the CARD/DIGt (2/6 patients displayed positive cultures. The PCR presented a positive rate significantly higher (85.2%, 23/27 than haemoculture and two samples from the same patient revealed the same result 57.7% of the patients. Conventional serology-ELISA on 16 paired samples remained positive in all individuals. Semi-quantitative ELISA highlighted significant decreases in reactivity, particularly in INDt relative to IND. Non-conventional serology-FC-ALTA-IgG, after treatment, showed positive results in all sera and 22 paired samples examined at seven and nine years after treatment, demonstrated significantly lower reactivity, particularly in INDt patients. This study was retrospective in nature, had a low number of samples and lacked an intrinsic control group, but the data corroborate other results found in the literature. The data also demonstrate that, even though a cure has not been detected in the none-treated patients, the benefits for clinical evolution were selectively observed in the group of INDt patients and did not occur for CARD

  15. Phenotype heterogeneity in cancer cell populations

    Science.gov (United States)

    Almeida, Luis; Chisholm, Rebecca; Clairambault, Jean; Escargueil, Alexandre; Lorenzi, Tommaso; Lorz, Alexander; Trélat, Emmanuel

    2016-06-01

    Phenotype heterogeneity in cancer cell populations, be it of genetic, epigenetic or stochastic origin, has been identified as a main source of resistance to drug treatments and a major source of therapeutic failures in cancers. The molecular mechanisms of drug resistance are partly understood at the single cell level (e.g., overexpression of ABC transporters or of detoxication enzymes), but poorly predictable in tumours, where they are hypothesised to rely on heterogeneity at the cell population scale, which is thus the right level to describe cancer growth and optimise its control by therapeutic strategies in the clinic. We review a few results from the biological literature on the subject, and from mathematical models that have been published to predict and control evolution towards drug resistance in cancer cell populations. We propose, based on the latter, optimisation strategies of combined treatments to limit emergence of drug resistance to cytotoxic drugs in cancer cell populations, in the monoclonal situation, which limited as it is still retains consistent features of cell population heterogeneity. The polyclonal situation, that may be understood as "bet hedging" of the tumour, thus protecting itself from different sources of drug insults, may lie beyond such strategies and will need further developments. In the monoclonal situation, we have designed an optimised therapeutic strategy relying on a scheduled combination of cytotoxic and cytostatic treatments that can be adapted to different situations of cancer treatments. Finally, we review arguments for biological theoretical frameworks proposed at different time and development scales, the so-called atavistic model (diachronic view relying on Darwinian genotype selection in the coursof billions of years) and the Waddington-like epigenetic landscape endowed with evolutionary quasi-potential (synchronic view relying on Lamarckian phenotype instruction of a given genome by reversible mechanisms), to

  16. Phenotype heterogeneity in cancer cell populations

    Energy Technology Data Exchange (ETDEWEB)

    Almeida, Luis [CNRS UMR 7598, LJLL, & INRIA MAMBA team, Sorbonne Universités, UPMC Univ Paris 06, Boîte courrier 187, 4 Pl. Jussieu, 75252 Paris cedex 05, France, luis@ann.jussieu.fr (France); Chisholm, Rebecca [School of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, Australia, rebecca.chisholm@gmail.com (Australia); Clairambault, Jean [INRIA MAMBA team & LJLL, UMR 7598, Sorbonne Universités, UPMC Univ Paris 06, Boîte courrier 187, 4 Pl. Jussieu, 75252 Paris cedex 05, France, jean.clairambault@inria.fr, Corresponding author (France); Escargueil, Alexandre [INSERM “Cancer Biology and Therapeutics”, Sorbonne Universités, UPMC Univ Paris 06, UMR-S 938, CDR St Antoine, Hôpital St Antoine, 184 Fbg. St Antoine, 75571 Paris cedex 12, France, alexandre.escargueil@upmc.fr (France); Lorenzi, Tommaso [CMLA, ENS Cachan, 61, Av. du Président Wilson, 94230 Cachan cedex & INRIA MAMBA team, & LJLL, UMR 7598, UPMC Univ Paris 06, Boîte courrier 187, 4 Pl. Jussieu, 75252 Paris cedex 05, France, tommaso.lorenzi@gmail.com (France); Lorz, Alexander [Sorbonne Universités, UPMC Univ Paris 06, LJLL, UMR 7598 & INRIA Boîte courrier 187, 4 Pl. Jussieu, 75252 Paris cedex 05, France, alex.lorz@ann.jussieu.fr (France); Trélat, Emmanuel [Institut Universitaire de France, Sorbonne Universités, UPMC Univ Paris 06, LJLL, UMR 7598, Boîte courrier 187, UPMC Univ Paris 06, 4 Pl. Jussieu, 75252 Paris cedex 05, France, emmanuel.trelat@upmc.fr (France)

    2016-06-08

    Phenotype heterogeneity in cancer cell populations, be it of genetic, epigenetic or stochastic origin, has been identified as a main source of resistance to drug treatments and a major source of therapeutic failures in cancers. The molecular mechanisms of drug resistance are partly understood at the single cell level (e.g., overexpression of ABC transporters or of detoxication enzymes), but poorly predictable in tumours, where they are hypothesised to rely on heterogeneity at the cell population scale, which is thus the right level to describe cancer growth and optimise its control by therapeutic strategies in the clinic. We review a few results from the biological literature on the subject, and from mathematical models that have been published to predict and control evolution towards drug resistance in cancer cell populations. We propose, based on the latter, optimisation strategies of combined treatments to limit emergence of drug resistance to cytotoxic drugs in cancer cell populations, in the monoclonal situation, which limited as it is still retains consistent features of cell population heterogeneity. The polyclonal situation, that may be understood as “bet hedging” of the tumour, thus protecting itself from different sources of drug insults, may lie beyond such strategies and will need further developments. In the monoclonal situation, we have designed an optimised therapeutic strategy relying on a scheduled combination of cytotoxic and cytostatic treatments that can be adapted to different situations of cancer treatments. Finally, we review arguments for biological theoretical frameworks proposed at different time and development scales, the so-called atavistic model (diachronic view relying on Darwinian genotype selection in the coursof billions of years) and the Waddington-like epigenetic landscape endowed with evolutionary quasi-potential (synchronic view relying on Lamarckian phenotype instruction of a given genome by reversible mechanisms), to

  17. Heterogenous networks and services

    DEFF Research Database (Denmark)

    Tan, Su-En

    the existing generation of technology and presents new technological performance breakthroughs. It is difficult to predict which radical technologies or innovations will result in a market disruption early on in their life cycles. Based on Clayton Christensen’s (Christensen 1997) definition of a disruptive...... of the market. If mainstream technology firms do not address the disruption, it is likely they will fail and the new disruptive firm will grow in size and importance in the industry. As we move to 3G (3rd Generation Mobile Services) and beyond 3G, one of the biggest challenges is to bridge network heterogeneity...... products and services. Schumpeter described the motor of development as the innovation itself. However, business and financial aspects must also be considered as they provide the bottom line for firms in the industry. Standardisation is increasingly required due to the number of different technologies...

  18. Heterogeneous logics of competition

    DEFF Research Database (Denmark)

    Mossin, Christiane

    2015-01-01

    The purpose of the article is to demonstrate that in order to understand competition as a socially organizing phenomenon, we should not examine competition in isolation, but as constellations of heterogeneous logics. More precisely, the article is based on two main theoretical points: (1) Logics...... of competition are only realized as particular forms of social organization by virtue of interplaying with other kinds of logics, like legal logics. (2) Competition logics enjoy a peculiar status in-between constructedness and givenness; although competition depends on laws and mechanisms of socialization, we...... still experience competition as an expression of spontaneous human activities. On the basis of these perspectives, a study of fundamental rights of EU law, springing from the principle of ‘free movement of people’, is conducted. The first part of the empirical analysis seeks to detect the presence...

  19. Heterogeneous logics of competition

    DEFF Research Database (Denmark)

    Mossin, Christiane

    2015-01-01

    The purpose of the article is to demonstrate that in order to understand competition as a socially organizing phenomenon, we should not examine competition in isolation, but as constellations of heterogeneous logics. More precisely, the article is based on two main theoretical points: (1) Logics...... still experience competition as an expression of spontaneous human activities. On the basis of these perspectives, a study of fundamental rights of EU law, springing from the principle of ‘free movement of people’, is conducted. The first part of the empirical analysis seeks to detect the presence...... of a presumed logic of competition within EU law, whereas the second part focuses on particular legal logics. In this respect, the so-called ‘real link criterion’ (determining the access to transnational social rights for certain groups of unemployed people) is given special attention. What is particularly...

  20. Noise and Neuronal Heterogeneity

    CERN Document Server

    Barber, Michael J

    2010-01-01

    We consider signal transaction in a simple neuronal model featuring intrinsic noise. The presence of noise limits the precision of neural responses and impacts the quality of neural signal transduction. We assess the signal transduction quality in relation to the level of noise, and show it to be maximized by a non-zero level of noise, analogous to the stochastic resonance effect. The quality enhancement occurs for a finite range of stimuli to a single neuron; we show how to construct networks of neurons that extend the range. The range increases more rapidly with network size when we make use of heterogeneous populations of neurons with a variety of thresholds, rather than homogeneous populations of neurons all with the same threshold. The limited precision of neural responses thus can have a direct effect on the optimal network structure, with diverse functional properties of the constituent neurons supporting an economical information processing strategy that reduces the metabolic costs of handling a broad...

  1. Eand P opportunities in Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Castilho, Marcelo [National Petroleum Agency of Brasil (Brazil)

    2011-07-01

    Brazil is one of the world's largest economies and the country also has significant heavy oil reserves. This report from the National Petroleum Agency of Brazil aims at presenting the situation of the oil and gas sector in Brazil in terms of resources, production, regulatory framework and opportunities for the future. Brazil has numerous sedimentary basins at its disposal, most of them being prospected by both national and foreign companies from all over the world. Brazil has over 14 billion barrels of proven reserves, its production is 2,1 MMBbl/d and heavy oil represents almost 40% of that production. The National Petroleum Agency of Brazil is responsible for the implementation of oil sector policy with the aims of maintaining self-sufficiency, implementing good practices in terms of health and safety, and increasing local content. This paper pointed out that Brazil has an important opportunity to enhance its energy sector through the development of heavy oil.

  2. Heterogeneity in recombinant protein production

    DEFF Research Database (Denmark)

    Schalén, Martin; Johanson, Ted; Lundin, Luisa;

    2012-01-01

    contribute to make a population in a fermenter heterogeneous, resulting in cell-to-cell variation in physiological parameters of the microbial culture. Our study aims at investigating how population heterogeneity and recombinant protein production is affected by environmental gradients in bioreactors...... are simulated in small bioreactors and the population heterogeneity can be visualised by analysing single cells with flow cytometry. This can give new insights to cell physiology and recombinant protein production at the industrial scale....

  3. Heterogeneity and Scaling in Geologic Media

    Energy Technology Data Exchange (ETDEWEB)

    Gregory N. Boitnott; Gilles Y. Bussod; Paul N. Hagin; Stephen R. Brown

    2005-04-18

    The accurate characterization and remediation of contaminated subsurface environments requires the detailed knowledge of subsurface structures and flow paths. Enormous resources are invested in scoping and characterizing sites using core sampling, 3-D geophysical surveys, well tests, etc.... Unfortunately, much of the information acquired is lost to compromises and simplifications made in constructing numerical grids for the simulators used to predict flow and transport from the contaminated area to the accessible environment. In rocks and soils, the bulk geophysical and transport properties of the matrix and of fracture systems are determined by the juxtaposition of geometric features at many length scales. In the interest of computational efficiency, recognized heterogeneities are simplified, averaged out, or entirely ignored in spite of recent studies that recognize that: (1) Structural and lithologic heterogeneities exist on all scales in rocks. (2) Small heterogeneities influence, and can control the physical and chemical properties of rocks. In this work we propose a physically based approach for the description and treatment of heterogeneities, that highlights the use of laboratory equipment designed to measure the effect on physical properties of fine scale heterogeneities observed in rocks and soils. We then discuss the development of an integration methodology that uses these measurements to develop and upscale flow and transport models. Predictive simulations are 'calibrated' to the measured heterogeneity data, and subsequently upscaled in a way that is consistent with the transport physics and the efficient use of environmental geophysics. This methodology provides a more accurate interpretation and representation of the subsurface for both environmental engineering and remediation. We show through examples, (i) the important influence of even subtle heterogeneity in the interpreting of geophysical data, and (ii) how physically based upscaling

  4. Adult Education in Brazil.

    Science.gov (United States)

    Ministerio da Educacao e Cultura, Rio de Janeiro (Brazil).

    The status and goals of adult education programs in Brazil are discussed in this report. Supplemental systems such as the Brazilian Literacy Movement (Mobral) and their results are described and evaluated. Charts detailing the evolution of literacy are shown and priorities in education are suggested. The progress of other educational entities is…

  5. Scientific ballooning in Brazil

    Science.gov (United States)

    Corrêa, R.; Rinke, E.; Fernandes, J. O.; Villela, T.

    We present an overview of the scientific ballooning activities that took place in Brazil over the past 30 years as well as the current ongoing efforts in the area. We also briefly describe the balloon launching facility that exists at the Instituto Nacional de Pesquisas Espaciais (National Institute for Space Research) — INPE. Up to now, over 100 scientific balloon experiments, related to Astrophysics, Aeronomy, and Geophysics were launched from Brazil taking advantage of the country's continental dimensions, a well-defined rain season, and a low population density, which offer excellent conditions for scientific ballooning activities. Balloons with volumes up to 500,000 cubic meters can be launched from INPE's balloon launching base (latitude S 22° 4' 2″; longitude W 044° 58' 41″). The availability of good roads and several inland airports in Brazil provides the necessary structure for safe payload retrieval and its rapid return to the balloon base. There are several airports throughout Brazil that can also be used as balloon launching bases, mainly in the country's Eastern region. Overflights of more than 1,000 kilometers are possible and easily attained. Balloon flights ranging from a few hours to long duration flights can be safely verified. The constant climate monitoring through the use of weather satellites information received at INPE provides the necessary data to determine the necessary conditions for a long duration flight. INPE's Center for Weather Forecast and Climate Studies (CPTEC) provides the necessary weather forecast support for launch and payload retrieval.

  6. Chikungunya risk for Brazil

    Directory of Open Access Journals (Sweden)

    Raimunda do Socorro da Silva Azevedo

    2015-01-01

    Full Text Available This study aimed to show, based on the literature on the subject, the potential for dispersal and establishment of the chikungunya virus in Brazil. The chikungunya virus, a Togaviridae member of the genusAlphavirus, reached the Americas in 2013 and, the following year, more than a million cases were reported. In Brazil, indigenous transmission was registered in Amapa and Bahia States, even during the period of low rainfall, exposing the whole country to the risk of virus spreading. Brazil is historically infested by Ae. aegypti and Ae. albopictus, also dengue vectors. Chikungunya may spread, and it is important to take measures to prevent the virus from becoming endemic in the country. Adequate care for patients with chikungunya fever requires training general practitioners, rheumatologists, nurses, and experts in laboratory diagnosis. Up to November 2014, more than 1,000 cases of the virus were reported in Brazil. There is a need for experimental studies in animal models to understand the dynamics of infection and the pathogenesis as well as to identify pathophysiological mechanisms that may contribute to identifying effective drugs against the virus. Clinical trials are needed to identify the causal relationship between the virus and serious injuries observed in different organs and joints. In the absence of vaccines or effective drugs against the virus, currently the only way to prevent the disease is vector control, which will also reduce the number of cases of dengue fever.

  7. English Teaching Profile: Brazil.

    Science.gov (United States)

    British Council, London (England). English Language and Literature Div.

    This review of the status of English language instruction in Brazil provides an overview of the Brazilian geographic, historical, and political context and the role of English in the society in general and in the educational system. The following topics are covered: an outline of the status of English use and instruction in the educational system…

  8. Chikungunya risk for Brazil

    Science.gov (United States)

    Azevedo, Raimunda do Socorro da Silva; Oliveira, Consuelo Silva; Vasconcelos, Pedro Fernando da Costa

    2015-01-01

    This study aimed to show, based on the literature on the subject, the potential for dispersal and establishment of the chikungunya virus in Brazil. The chikungunya virus, a Togaviridae member of the genus Alphavirus, reached the Americas in 2013 and, the following year, more than a million cases were reported. In Brazil, indigenous transmission was registered in Amapa and Bahia States, even during the period of low rainfall, exposing the whole country to the risk of virus spreading. Brazil is historically infested by Ae. aegypti and Ae. albopictus, also dengue vectors. Chikungunya may spread, and it is important to take measures to prevent the virus from becoming endemic in the country. Adequate care for patients with chikungunya fever requires training general practitioners, rheumatologists, nurses, and experts in laboratory diagnosis. Up to November 2014, more than 1,000 cases of the virus were reported in Brazil. There is a need for experimental studies in animal models to understand the dynamics of infection and the pathogenesis as well as to identify pathophysiological mechanisms that may contribute to identifying effective drugs against the virus. Clinical trials are needed to identify the causal relationship between the virus and serious injuries observed in different organs and joints. In the absence of vaccines or effective drugs against the virus, currently the only way to prevent the disease is vector control, which will also reduce the number of cases of dengue fever. PMID:26398876

  9. Space Qualified Heterogeneous Processing Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Space Micro proposes to develop a radiation hardened, monolithic, heterogeneous processor for space imaging and radar systems. High performance processors are needed...

  10. Safety, efficacy and pharmacokinetic evaluations of a new coated chloroquine tablet in a single-arm open-label non-comparative trial in Brazil: a step towards a user-friendly malaria vivax treatment.

    Science.gov (United States)

    Pereira, Dhelio; Daher, André; Zanini, Graziela; Maia, Ivan; Fonseca, Lais; Pitta, Luciana; Ruffato, Rosilene; Marchesini, Paola; Fontes, Cor Jesus

    2016-09-17

    Malaria remains a major public health problem, with half the world population at risk of contracting malaria. The effects of Plasmodium vivax on prosperity and longevity have been highlighted in several recent clinical case reports. The first line of vivax treatment drugs has seen no radical innovation for more than 60 years. This study introduces a subtle incremental innovation to vivax treatment: a chloroquine and primaquine co-blister. The co-blister includes a new chloroquine formulation incorporating coated tablets to mask the drug's bitter taste and user-friendly packaging containing tablets of each drug, which may improve patient adherence and facilitate the appropriate use of the drugs. This new formulation will replace the non-coated chloroquine distributed in Brazil. Patients were orally treated with 150 mg coated chloroquine tablets for 3 days: an initial 450 mg dose, followed by two 300 mg doses. The patients were treated concomitantly with two 15 mg primaquine tablets for 7-9 days, according to their weight. The primary objective of this study was to prove parasitological and clinical cure rates above 90 % by day 28. This single-arm open-label non-comparative trial was conducted according to the WHO recommended methodology for the surveillance of anti-malarial drug efficacy in the Brazilian Amazon. On day 28, the parasitological and clinical response was adequate in 98.8 % of patients (CI 95 % 93.4-100 %). The success rate on day 3 was 100 %, and the cumulative success rate by day 28 was 98.8 % (CI 95 % 91.7-99.8 %). There were no serious adverse events, with most adverse events classified as mild. The pharmacokinetic parameters of chloroquine analysed in whole blood dry spot samples showed mean (coefficient of variation) Cmax and AUC0-t values of 374.44 (0.35) and 3700.43 (0.36) ng/mL, respectively. This study reports an appropriate safety and efficacy profile of a new formulation of coated chloroquine tablets for vivax malaria

  11. PEGYLATED INTERFERON AND RIBAVIRIN FOR TREATMENT OF RECURRENT HEPATITIS C AFTER LIVER TRANSPLANTATION: a single-liver transplant center experience in Brazil

    Directory of Open Access Journals (Sweden)

    José Huygens Parente GARCIA

    2015-09-01

    Full Text Available BackgroundTreatment of hepatitis C virus infection in post-transplantation patients is a challenge due to poor tolerance and low success rates.ObjectiveTo determine the response rate to pegylated interferon and ribavirin in post-liver transplant patients with hepatitis C recurrence.MethodsBetween 18 May 2002 and 18 December 2011, 601 patients underwent liver transplantation at our service (Hospital Universitário Walter Cantídio, University of Ceará, 176 (29.2% of whom were hepatitis C virus positive. Forty received antiviral therapy and were included in this cohort study. Twenty-eight (70% completed the treatment protocol, which consisted of pegylated interferon and ribavirin for 48 weeks.ResultsThe sustained virological response rate was 55% according to intention-to-treat analysis. Recipient age and exposure to antiviral drugs prior to liver transplantation were associated with sustained virological response in the multivariate analysis. Patients were followed for 57 months on the average. Survival at 1 and 5 years was 100% in responders, versus 100% and 78%, respectively, in non-responders.ConclusionSustained virological response rates were satisfactory in our series of liver transplantation patients, and decreased with increasing recipient age. Non-exposure to antiviral drugs prior to liver transplantation was positively associated with sustained virological response. The overall survival of responders and non-responders was similar.

  12. Access to treatment for those with alcohol, crack or other drug dependency problems--a case study in the municipality of Rio de Janeiro, Brazil.

    Science.gov (United States)

    Ribeiro, José Mendes; Moreira, Marcelo Rasga; Bastos, Francisco I; Inglez-Dias, Aline; Fernandes, Fernando Manuel Bessa

    2016-01-01

    Changes in psychiatric policies has meant more emphasis on the protection of the individual's rights, tougher regulations and disincentives regarding involuntary patient admissions, and the creation of a community network to support individuals needing help. The differing socioeconomic status of those requiring treatment coupled with guidelines issued by the Health Ministry has meant that more support and care is now being directed towards individuals and families. The rise in public awareness of the problems in these areas has aided in the changes that have taken place. Due to a lack of community public services, this has led to the proliferation of different types of services all with differing standards of care and has fueled the public debate surrounding involuntary patient admissions. Our analysis in relation to treatment for those with alcohol, crack and other drugs problems in the municipality of Rio de Janeiro, states that there are gaps related to access for all-day public services and a lack of psychiatrists in multi-disciplinary teams. There are many new and untried serviced offered by the private sector, religious bodies and public shelters which have arisen in the wake of the rise in people that need help. We took note of the development and progress of these new projects as well as the policy recommendations from the Government.

  13. The Elusive New Middle Class in Brazil

    Directory of Open Access Journals (Sweden)

    Celia Lessa Kerstenetzky

    2015-12-01

    Full Text Available Against the background of the generalized reduction of poverty in the world, and particularly in Brazil, this article intends to gauge the socio-economic profile of Brazilian households that emerged from poverty and have been identified as integrating a "new middle class". Using indicators of standards of living from the 2008-2009 Survey on Family Budgets (POF/IBGE, we found out that, in contrast to what has been assumed on the basis of average income criteria, this social stratum is markedly heterogeneous, most of it being similar in their consumption patterns to the economically vulnerable or outright poor strata. So, we conclude that, from a sociological perspective that demands additional conditions besides income levels to identify social classes, it is a category mistake to call this social stratum a new middle class. We conjecture that this may be consequential in terms of policy priorities and choices.

  14. Malaria in humait a county, state of Amazonas, Brazil. XIX - evaluation of clindamycin for the treatment of patients with Plasmodium falciparum infection

    Directory of Open Access Journals (Sweden)

    Domingos Alves Meira

    1988-09-01

    Full Text Available A total of 207 patients with malaria caused by Plasmodium falciparum were submitted to 5 different treatment schedules with clindamycin from 1981 to 1984: A - 89 patients were treated intravenously and orally, or intramuscularly and orally with 20 mg/kg/day divided into two daily applications for 5 to 7 days; B-40 patients were treated orally with 20 mg/kg/day divided into two daily doses for 5 to 7 days; C-27 patients were treated with 20 mg/kg/day intravenously or orally divided into two daily applications for 3 days; D-16 patients were treated orally and/or intravenously with a single daily dose of 20 to 40 mg/kg/day for 5 to 7 days; E-35 patients were treated orally with 5 mg/kg/day divided into two doses for 5 days. Patients were examined daily during treatment and reexamined on the 7th, 24th, 21st, 28th and 35th day both clinically and parasitologically (blood test. Eighty three (40.1% had moderate or severe malaria, and 97 (46.8% had shown resistance to chloroquine or to the combination ofsulfadoxin and pyrimethamine. The proportion of cured patients was higher than 95% among patients submitted to schedules A and B. Side effects were only occasional and of low intensity. Three deaths occurred (1.4%, two of them involving patients whose signs and symptoms were already very severe when treatment was started. Thus, clindamycin proved to be very useful in the treatment of patients with malaria caused by Plasmodium falciparum and we recommend schedule A for moderate and severe cases and Bfor initial cases.De 1981 a 1984, 207 doentes com malária, causada pelo Plasmodium falciparum, foram tratados com 5 esquemas de clindamicina: A - 89 doente tratados com 20 mg/kg/dia, pelas vias endovenosa e oral, ou intramuscular e oral, em duas aplicações diárias, durante 5 a 7 dias; B - 40 doentes tratados com 20 mg/kg/dia, por via oral, em duas tomadas diárias, durante 5 a 7 dias; C - 27 doentes tratados com 20 mg/kg/dia, por via oral ou endovenosa, em

  15. Identifying and quantifying heterogeneity in high content analysis: application of heterogeneity indices to drug discovery.

    Directory of Open Access Journals (Sweden)

    Albert H Gough

    Full Text Available One of the greatest challenges in biomedical research, drug discovery and diagnostics is understanding how seemingly identical cells can respond differently to perturbagens including drugs for disease treatment. Although heterogeneity has become an accepted characteristic of a population of cells, in drug discovery it is not routinely evaluated or reported. The standard practice for cell-based, high content assays has been to assume a normal distribution and to report a well-to-well average value with a standard deviation. To address this important issue we sought to define a method that could be readily implemented to identify, quantify and characterize heterogeneity in cellular and small organism assays to guide decisions during drug discovery and experimental cell/tissue profiling. Our study revealed that heterogeneity can be effectively identified and quantified with three indices that indicate diversity, non-normality and percent outliers. The indices were evaluated using the induction and inhibition of STAT3 activation in five cell lines where the systems response including sample preparation and instrument performance were well characterized and controlled. These heterogeneity indices provide a standardized method that can easily be integrated into small and large scale screening or profiling projects to guide interpretation of the biology, as well as the development of therapeutics and diagnostics. Understanding the heterogeneity in the response to perturbagens will become a critical factor in designing strategies for the development of therapeutics including targeted polypharmacology.

  16. Query Expansion Using Heterogeneous Thesauri.

    Science.gov (United States)

    Mandala, Rila; Tokunaga, Takenobu; Tanaka, Hozumi

    2000-01-01

    Proposes a method to improve the performance of information retrieval systems by expanding queries using heterogeneous thesauri. Experiments show that using heterogeneous thesauri with an appropriate weighting method results in better retrieval performance than using only one type of thesaurus. (Author/LRW)

  17. Fiscal Consolidations and Heterogeneous Expectations

    NARCIS (Netherlands)

    C. Hommes; J. Lustenhouwer; K. Mavromatis

    2015-01-01

    We analyze fiscal consolidations using a New Keynesian model where agents have heterogeneous expectations and are uncertain about the composition of consoidations. Heterogeneity in expectations may amplify expansions, stabilizing thus the debt-to-GDP ratio faster under tax based consolidations, in t

  18. Coordination Frictions and Job Heterogeneity

    DEFF Research Database (Denmark)

    Kennes, John; le Maire, Christian Daniel

    This paper develops and extends a dynamic, discrete time, job to worker matching model in which jobs are heterogeneous in equilibrium. The key assumptions of this economic environment are (i) matching is directed and (ii) coordination frictions lead to heterogeneous local labor markets. We de- rive...

  19. Query Expansion Using Heterogeneous Thesauri.

    Science.gov (United States)

    Mandala, Rila; Tokunaga, Takenobu; Tanaka, Hozumi

    2000-01-01

    Proposes a method to improve the performance of information retrieval systems by expanding queries using heterogeneous thesauri. Experiments show that using heterogeneous thesauri with an appropriate weighting method results in better retrieval performance than using only one type of thesaurus. (Author/LRW)

  20. The epidemic wave of influenza A (H1N1) in Brazil, 2009.

    Science.gov (United States)

    Codeço, Cláudia Torres; Cordeiro, Josiane da Silva; Lima, Arthur Weiss da Silva; Colpo, Rodrigo Amarante; Cruz, Oswaldo Gonçalves; Coelho, Flavio Codeço; Luz, Paula Mendes; Struchiner, Claudio José; Barros, Fernando Ribeiro de

    2012-07-01

    This study describes the main features of pandemic influenza A (H1N1) in Brazil during 2009. Brazil is a large country that extends roughly from latitudes 5ºN to 34ºS. Brazil has tropical and sub-tropical climates, a heterogeneous population distribution, and intense urbanization in the southern portions of the country and along its Atlantic coast. Our analysis points to a wide variation in infection rates throughout the country, and includes both latitudinal effects and strong variations in detection rates. Two states (out of a total of 23) were responsible for 73% of all cases reported. Real time reproduction numbers demonstrate that influenza transmission was sustained in the country, beginning in May of 2009. Finally, this study discusses the challenges in understanding the infection dynamics of influenza and the adequacy of Brazil's influenza monitoring system.

  1. Heterogeneity: multilingualism and democracy

    Directory of Open Access Journals (Sweden)

    Hans-Jürgen Krumm

    2004-01-01

    Full Text Available Linguistic diversity and multilingualism on the part of individuals are aprerequisite and a constitutive condition of enabling people to live togetherin a world of growing heterogeneity. Foreign language teaching plays animportant part in democratic education because it can be seen as a trainingin respecting otherness and developing an intercultural, non-ethnocentricperception and attitude. This is all the more important because of the neces-sity of integrating children from migrant families into school life.My article argues that language education policy has to take this per-spective into account, i.e., of establishing a planned diversification so thatpupils (and their parents will not feel satisfied with learning English only,but also become motivated to learn languages of their own neighbourhood,such as migrant and minority languages. However, in order to make use ofthe linguistic resources in the classroom, relating it to the democratic impetusof foreign language education, it is necessary to revise existing languagepolicies and to develop a multilingual perspective for all educational institutions.

  2. Parsing Heterogeneous Striatal Activity

    Directory of Open Access Journals (Sweden)

    Kae Nakamura

    2017-05-01

    Full Text Available The striatum is an input channel of the basal ganglia and is well known to be involved in reward-based decision making and learning. At the macroscopic level, the striatum has been postulated to contain parallel functional modules, each of which includes neurons that perform similar computations to support selection of appropriate actions for different task contexts. At the single-neuron level, however, recent studies in monkeys and rodents have revealed heterogeneity in neuronal activity even within restricted modules of the striatum. Looking for generality in the complex striatal activity patterns, here we briefly survey several types of striatal activity, focusing on their usefulness for mediating behaviors. In particular, we focus on two types of behavioral tasks: reward-based tasks that use salient sensory cues and manipulate outcomes associated with the cues; and perceptual decision tasks that manipulate the quality of noisy sensory cues and associate all correct decisions with the same outcome. Guided by previous insights on the modular organization and general selection-related functions of the basal ganglia, we relate striatal activity patterns on these tasks to two types of computations: implementation of selection and evaluation. We suggest that a parsing with the selection/evaluation categories encourages a focus on the functional commonalities revealed by studies with different animal models and behavioral tasks, instead of a focus on aspects of striatal activity that may be specific to a particular task setting. We then highlight several questions in the selection-evaluation framework for future explorations.

  3. The fallacy of "equal treatment" in Brazil's bill of rights for internet users A falácia da "igualdade de tratamento" na carta brasileira de direitos dos usuários da internet

    Directory of Open Access Journals (Sweden)

    J. Gregory Sidak

    2012-12-01

    Full Text Available The "Brazilian bill of rights for internet users," or "marco civil," has been under consideration at the brazilian congress since 2011. Marco civil's provisions for network neutrality have been particularly controversial. Proponents of network neutrality in Brazil advocate for the "equal treatment" of all data packets, including banning internet service providers from offering to content providers the option to purchase enhanced quality of service in the delivery of data packets. These network neutrality rules conflict with the other goals and principles of marco civil-particularly goals to promote internet access, to foster innovation, and to protect the constitutional right of freedom of speech and the free flow of information.A "carta Brasileira de direitos dos usuários da internet," ou "marco civil," tramita no congresso Brasileiro desde 2011. As disposições do marco civil relativas à neutralidade de rede são particularmente controversas. Os defensores da neutralidade de rede no Brasil advogam pela "igualdade de tratamento" de todos os pacotes de dados, inclusive proibindo que provedores de serviço de acesso à internet ofereçam aos provedores de conteúdo a opção de adquirir uma melhor qualidade de serviço na entrega de pacotes de dados. Essas disposições relativas à neutralidade de rede conflitam com outros objetivos e princípios do marco civil - especialmente os objetivos de promover o acesso à internet, promover a inovação, e garantir o direito constitucional de liberdade de expressão e informação.

  4. Detecção e tratamento de pacientes amblíopes na cidade de São Paulo, SP (Brasil Detection and treatment of amblyopic patients in the city of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Samir Jacob Bechara

    1987-08-01

    Full Text Available Foram estudados retrospectivamente cem pacientes amblíopes de uma clínica particular na cidade de São Paulo, SP, Brasil, escolhidos aleatoriamente, com idades variando de 3 a 48 anos. Foram pesquisados: idade de detecção, meio de detecção, idade de início do tratamento e regularidade do retorno ao consultório. A maior parte dos casos (65% foi detectada antes dos 7 anos de idade e dentre estes, somente 10,8% iniciaram tratamento após os 8 anos de idade. Entre aqueles que iniciaram antes dos 7 anos de idade, 44,8% retornaram irregularmente ou não retornaram. A ambliopia foi detectada predominantemente pelos pais ou pelo oftalmologista, e raramente pelo pediatra ou na escola. Os autores discutem estas observações e propõem recomendações para melhorar os resultados terapêuticos na ambliopia.This report presents retrospective data concerning 100 amblyopic patients in São Paulo, Brazil, including: the age of detection, means of detection, age in which therapy was started and follow-up of the patients. Even though most of the cases (65% had been detected before the age of 7 years, 10.8% of them started the therapy only after 8 years of age, when the treatment of amblyopia may not be so successful. Among the patients who started their therapy before the age of 7 years, 44.8% of them returned only irregularly or didn't return at all. The amblyopia was detected, in the majority of cases, by the parents or the ophthalmologist, and rarely by the pediatrician or at school. The authors discuss such observations, and propose some ways ot improve the therapeutic results in amblyopia.

  5. Impact of simultaneous glutamate dehydrogenase (GDH) and toxin A/B rapid immunoassay on Clostridium difficile diagnosis and treatment in hospitalized patients with antibiotic-associated diarrhea in a university hospital of Brazil.

    Science.gov (United States)

    Cançado, Guilherme Grossi Lopes; Silva, Rodrigo Otávio Silveira; Nader, Amanda Pontes; Lobato, Francisco Carlos Faria; Vilela, Eduardo Garcia

    2017-07-20

    Clostridium difficile is a major cause of health care-associated infection, but disagreement between diagnostic tests is an ongoing barrier to clinical decision making. Conventional enzyme immunoassay (EIA) for toxin detection is currently the most frequently used technique for CDI diagnosis, but its low sensitivity makes the development of an alternative strategy necessary for improving the diagnosis in developing countries. Between years 2011 and 2015, 154 stool samples from patients with antibiotic-associated diarrhea were examined by toxigenic culture (TC) and EIA for the diagnosis of CDI. In the year 2015, when glutamate dehydrogenase (GDH) test was first available in Brazil, 53 of those fecal specimens were also tested by the C. diff Quik Chek Complete® rapid immunoassay. At this time, we prospectively assessed the impact of this test on CDI treatment rates before and after it was introduced in clinical practice. The GDH component of C. diff Quik Chek Complete® test had a sensitivity of 100% and specificity of 95.1% compared to TC, with 89.8% concordance. The Tox A/B II EIA® and the toxin portion of C. diff Quik Chek Complete® yielded sensitivities between values of 50-58.3%, with 100% specificities. The introduction of GDH test increased the number of treated patients with CDI from 57.7% to 100%. GDH test is a reliable method for the diagnosis of CDI and greatly increases the number of properly treated patients with CDI. Therefore, this exam should be considered the mainstay for the laboratory diagnosis of CDI in developing countries. This article is protected by copyright. All rights reserved.

  6. The Heterogeneity of Juvenile Myositis

    Science.gov (United States)

    Rider, Lisa G.

    2007-01-01

    Juvenile myositis is a heterogeneous group of systemic autoimmune diseases, in which clinical and serologic subgroups result in subsets of patients with distinct clinical manifestations, disease courses, immunogenetic associations, responses to therapy, and prognoses. A newly identified autoantibody of unknown specificity, anti-p155, is myositis-associated and seen in up to 20 – 30% of juvenile and adult DM patients. HLA DRB1*0301 and its linked allele DQA1*0501 have been identified as the major immunogenetic risk factor for juvenile and adult DM in both European- and African- American patients, and DQA1*0301 is an additional risk factor in European American patients. Several DQA1 alleles also are protective for juvenile DM. Environmental risk factors are poorly understood, but growing evidence suggests a role for infectious agents and ultraviolet radiation. The current therapy of juvenile DM consists of corticosteroids and other immunosuppressive agents, with the adjunctive treatment of cutaneous manifestations and rehabilitation. Therapeutic trials of biologic agents, including anti-TNFα and anti-CD20, may aid in developing promising new therapies for these disorders. PMID:17317616

  7. Morphology of Parastrongylidium estevesi comb. nov. and Deviata brasiliensis sp. nov. (Ciliophora: Stichotrichia from a sewage treatment plant in Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Isabel C. V. Siqueira-Castro

    2009-12-01

    Full Text Available In samples of raw sewage collected from a sewage treatment plant in Rio de Janeiro (ETE-Penha, we found populations of two species, Deviata estevesi Paiva & Silva-Neto, 2005 and Deviata brasiliensis sp. nov. The organisms were studied in vivo under phase contrast microscopy, differential interference contrast (DIC, and after protargol-impregnation. The population of D. estevesi exhibited more extensive variation in cirral pattern than previously described. The interphasic organisms of new species D. brasiliensis sp. nov. are distinguishable from their congeners based on a series of morphometric features: cirral row R3 usually presents 1-3 cirri behind the right frontal cirrus, on average there are four macronuclear nodules, and, during morphogenesis of cell division, primordium V of the proter originates from the anterior region of cirral row R5 instead of row R6, as in the type species D. abbrevescens Eigner, 1995. In D. estevesi, the ventral cirral rows replicate by within-row primordia, which develop independently for the proter and for the opisthe, suggesting that it belongs to or is closely related to Parastrongylidium, hence the combination P. estevesi comb. nov. is established.

  8. Feasibility of UASB/trickling filter systems without final clarifiers for the treatment of domestic wastewater in small communities in Brazil.

    Science.gov (United States)

    Chernicharo, C A L; Almeida, P G S

    2011-01-01

    The paper analyses the concept and performance of different configurations of compact UASB/TF systems, without the final clarification stage, in relation to the removal of organic matter. The experiments were carried out in two sets of UASB/TF systems operating without secondary clarifiers, as follows: (i) four shallow (2.50 m height) TFs, each one filled with a different packing material; and (ii) two deep (4.20 m height) TFs, one filled with polyethylene corrugated sheets and the other with mixed polyethylene and sponge sheets. For the conditions tested (different packing material in shallow and deep TF), the UASB/TF systems had consistently complied (90 to 100% of the results) with the Brazilian discharge standards regarding to BOD, COD, and TSS parameters. The average BOD, COD and TSS effluent concentrations stayed below 40 mg BOD L(-1), 100 mg COD L(-1) and 50 mg TSS L(-1), respectively. UASB/TF systems can constitute an attractive alternative for domestic wastewater treatment in small communities in developing countries, especially considering its operational simplicity and very low running costs.

  9. IHY activities in Brazil

    Science.gov (United States)

    Dal Lago, Alisson

    The International Heliophysical Year is a program of international scientific colaboration planned to be held in the period from 2007-2009. Many brazilian institutions have shown interest in participating in the IHY activities. All of them provided information about their instrumental facilities and contact person. A list of institutions and their information is shown in the Latin-American IHY webpage (http://www.alage.org/IHYLA/ihyla.html), hosted by the Latin American Association on Space Geophysics - ALAGE. IHY Brazilian activities are being conducted in close colaboration with Latin-American Institutions. Five Coordinated Investigation programs (CIPs) have been proposed by scientists from brazilian institutions. Recentely, in February 2008, there has been the Latin American IHY School in Sao Paulo (Brazil), with the participation of 80 students from Brazil, Argentina, Peru, Mexico and Cuba. In this work, a report on the brazilian activities will be presented.

  10. Equine influenza in Brazil

    Directory of Open Access Journals (Sweden)

    Patricia Filippsen Favaro

    2016-06-01

    Full Text Available Equine influenza virus (EIV (H3N8 and H7N7 is the causative agent of equine influenza, or equine flu. The H7N7 subtype has been considered to be extinct worldwide since 1980. Affected animals have respiratory symptoms that can be worsened by secondary bacterial respiratory infection, thereby leading to great economic losses in the horse-breeding industry. In Brazil, equine influenza outbreaks were first reported in 1963 and studies on hemagglutination antibodies against viral subtypes in Brazilian horses have been conducted since then. The objective of the present review was to present the history of the emergence of EIV around the world and in Brazil and the studies that have thus far been developed on EIV in Brazilian equines.

  11. Dilemas da política de distribuição de medicamentos antirretrovirais no Brasil Policy dilemmas in providing antiretroviral treatment in Brazil

    Directory of Open Access Journals (Sweden)

    Regina Ferro do Lago

    2010-11-01

    Full Text Available Este artigo trata dos constrangimentos institucionais que têm afetado a política brasileira de provisão de medicamentos contra a Aids. É analisado o conflito normativo observado na política de Aids entre as regras internacionais da propriedade intelectual, em especial a proteção de patentes, e a orientação de acesso universal e gratuito a medicamentos, que norteia a política brasileira. Esses constrangimentos não têm tido sucesso em alterar a configuração distributiva da política pública brasileira; contudo, vêm alterando as condições de sustentabilidade da política pública. Considerando que a principal barreira para a produção de medicamentos protegidos por patente é institucional e não tecnológica, o governo brasileiro tem enfrentado o dilema da tomada de decisão entre a manutenção da regra de monopólio ou o incentivo à competitividade que permita o posicionamento eficiente dos produtores nacionais e dos países emergentes.This paper addresses institutional constraints that have affected Brazilian politics regarding provision of anti-retroviral treatment (ART to HIV/Aids patients. We analyzed the normative conflict resulting from international agreements on intellectual property rights, especially patent protection, and the constitutional rights of Brazilian patients to universal and free access to ART. These constraints have not substantially changed the Brazilian public policy yet, but they may impact the future sustainability of this policy. As the main barrier to the production of patented drugs is not technological but institutional, Brazilian government faces a dilemma. It may either abide by existing monopolistic restrictions or it may incite competitiveness of domestic industries and developing countries in the pharmaceutical market.

  12. Tumour Cell Heterogeneity [version 1; referees: 5 approved

    Directory of Open Access Journals (Sweden)

    Laura Gay

    2016-02-01

    Full Text Available The population of cells that make up a cancer are manifestly heterogeneous at the genetic, epigenetic, and phenotypic levels. In this mini-review, we summarise the extent of intra-tumour heterogeneity (ITH across human malignancies, review the mechanisms that are responsible for generating and maintaining ITH, and discuss the ramifications and opportunities that ITH presents for cancer prognostication and treatment.

  13. Heliostat tailored to Brazil

    OpenAIRE

    Pfahl, Andreas; Bezerra, Pedro; Hölle, Erwin; Liedke, Phillip; Teramoto, Erico Tadao; Hertel,Johannes; Lampkowski, Marcelo; Oliveira, L

    2015-01-01

    For Brazil it is important to realize a high local production share because of high import tax rates. The rim drive concept offers an alternative for expensive heliostat drive solutions with slew and linear drives from abroad. By (locally produced) rims the demands on the drives regarding strength and precision are reduced to a very low value and low cost drives can be used. Sandwich facets (which are usually foreseen for rim drive heliostats) are not available from Brazilian manufacturers an...

  14. Innovation Policies of Brazil

    Science.gov (United States)

    2013-09-01

    by the other BRIC countries, particularly China. 18 Discussions with experts. See the appendix. 19 Brazil can have a low actual tariff rate of...Cassiolato, J. E., M. G Podcameni, M. C. Couto Soares, M. Szapiro, P. Koeller, F. Stalivieri, and F. Geremia. 2010. “ BRICS Description and Dynamics of...the Future of Internation Order. Center for a New American Security. Koeller, P, and J. L. Gordon. 2010. “ BRICS the Role of the State in National

  15. Estimated rates of recurrence, cure, and treatment abandonment in patients with pulmonary tuberculosis treated with a -four-drug fixed-dose combination regimen at a tertiary health care facility in the city of Rio de Janeiro, Brazil.

    Science.gov (United States)

    Silva, Vangie Dias da; Mello, Fernanda Carvalho de Queiroz; Figueiredo, Sonia Catarina de Abreu

    2017-01-01

    To estimate the rates of recurrence, cure, and treatment abandonment in patients with pulmonary tuberculosis treated with a four-drug fixed-dose combination (FDC) regimen, as well as to evaluate possible associated factors. This was a retrospective observational study involving 208 patients with a confirmed diagnosis of pulmonary tuberculosis enrolled in the Hospital Tuberculosis Control Program at the Institute for Thoracic Diseases, located in the city of Rio de Janeiro, Brazil. Between January of 2007 and October of 2010, the patients were treated with the rifampin-isoniazid-pyrazinamide (RHZ) regimen, whereas, between November of 2010 and June of 2013, the patients were treated with the rifampin-isoniazid-pyrazinamide-ethambutol FDC (RHZE/FDC) regimen. Data regarding tuberculosis recurrence and mortality in the patients studied were retrieved from the Brazilian Case Registry Database and the Brazilian Mortality Database, respectively. The follow-up period comprised two years after treatment completion. The rates of cure, treatment abandonment, and death were 90.4%, 4.8%, and 4.8%, respectively. There were 7 cases of recurrence during the follow-up period. No significant differences in the recurrence rate were found between the RHZ and RHZE/FDC regimen groups (p = 0.13). We identified no factors associated with the occurrence of recurrence; nor were there any statistically significant differences between the treatment groups regarding adverse effects or rates of cure, treatment abandonment, or death. The adoption of the RHZE/FDC regimen produced no statistically significant differences in the rates of recurrence, cure, or treatment abandonment; nor did it have any effect on the occurrence of adverse effects, in comparison with the use of the RHZ regimen. Estimar as taxas de recidiva, cura e abandono de tratamento em pacientes com tuberculose pulmonar tratados com o esquema de dose fixa combinada (DFC) de quatro drogas e avaliar possíveis fatores associados

  16. Homeopatia no Sistema Único de Saúde: representações dos usuários sobre o tratamento homeopático Homeopathy in the Unified National Health System in Brazil: users' representations of homeopathic treatment

    Directory of Open Access Journals (Sweden)

    Dalva de Andrade Monteiro

    2007-08-01

    Full Text Available Apesar de ter sido oficialmente introduzida no Brasil em 1840, a homeopatia só foi reconhecida pelo Conselho Federal de Medicina como uma especialidade médica em 1980. Sua presença no Sistema Único de Saúde (SUS ainda é reduzida, existindo poucas experiências de serviços de homeopatia em não muitos municípios brasileiros. Este estudo tem como objetivo conhecer as representações dos usuários do SUS sobre a homeopatia. A metodologia da pesquisa foi qualitativa, tendo sido realizado um estudo de caso em uma unidade de saúde em Salvador, Bahia. Para a coleta de dados, foram aplicados 112 questionários aos usuários do serviço de homeopatia na unidade selecionada, com os quais foram realizadas 19 entrevistas em profundidade. Os resultados do estudo mostraram que a principal motivação para a procura da homeopatia foi o insucesso do tratamento alopático anterior. A perspectiva holística, o uso de medicamentos naturais, o tempo longo da consulta e a escuta atenta do paciente foram trazidos como características diferenciais positivas na comparação com o tratamento alopático. Os resultados apontaram para o potencial ainda pouco explorado da contribuição de alternativas terapêuticas como a homeopatia, no SUS.Homeopathy was officially introduced in Brazil in 1840 but was only recognized by the Federal Board of Medicine as a medical specialty in 1980. It still has a limited presence in the Unified National Health System (SUS, with only a few homeopathy services in a handful of Brazilian counties. The current study aimed to analyze National Health System users' representations of homeopathy. A case study was conducted in a health unit in Salvador, Bahia State, using a qualitative methodology. Data collection used 112 questionnaires and 19 in-depth interviews with users of homeopathy services. The study results showed that the main motivation for seeking homeopathic treatment was the failure of previous allopathic treatment. The

  17. Bioluminescence Microscopy as a Method to Measure Single Cell Androgen Receptor Activity Heterogeneous Responses to Antiandrogens

    Science.gov (United States)

    Jain, Pallavi; Neveu, Bertrand; Velot, Lauriane; Wu, Lily; Fradet, Yves; Pouliot, Frédéric

    2016-01-01

    Cancer cell heterogeneity is well-documented. Therefore, techniques to monitor single cell heterogeneous responses to treatment are needed. We developed a highly translational and quantitative bioluminescence microscopy method to measure single cell androgen receptor (AR) activity modulation by antiandrogens from fluid biopsies. We showed that this assay can detect heterogeneous cellular response to drug treatment and that the sum of single cell AR activity can mirror the response in the whole cell population. This method may thus be used to monitor heterogeneous dynamic treatment responses in cancer cells. PMID:27678181

  18. Treatment

    National Research Council Canada - National Science Library

    Safaa M. Raghab; Ahmed M. Abd El Meguid; Hala A. Hegazi

    2013-01-01

    .... This paper presents the results of the analyses of leachate treatment from the solid waste landfill located in Borg El Arab landfill in Alexandria using an aerobic treatment process which was applied...

  19. Homogeneous, Heterogeneous, and Enzymatic Catalysis.

    Science.gov (United States)

    Oyama, S. Ted; Somorjai, Gabor A.

    1988-01-01

    Discusses three areas of catalysis: homegeneous, heterogeneous, and enzymatic. Explains fundamentals and economic impact of catalysis. Lists and discusses common industrial catalysts. Provides a list of 107 references. (MVL)

  20. Heterogeneity, correlations and financial contagion

    OpenAIRE

    FABIO CACCIOLI; Thomas A. Catanach; J Doyne Farmer

    2011-01-01

    We consider a model of contagion in financial networks recently introduced in Gai, P. and Kapadia, S. [Contagion in financial networks, Proc. R. Soc. A 466(2120) (2010) 2401–2423], and we characterize the effect of a few features empirically observed in real networks on the stability of the system. Notably, we consider the effect of heterogeneous degree distributions, heterogeneous balance sheet size and degree correlations between banks. We study the probability of contagion conditional on t...

  1. Transmission models of tuberculosis in heterogeneous population

    Institute of Scientific and Technical Information of China (English)

    JIA Zhong-wei; LI Xiao-wen; FENG Dan; CAO Wu-chun

    2007-01-01

    Objective To review the transmission models of tuberculosis in heterogeneous population.Data sources The data used in this review were adopted mainly from the studies of models of tuberculosis reported from 1995 to 2006.Study selection Relevant literature on transmission models of tuberculosis in heterogeneous populations are referenced.Results Casual/random factors and genetic factors are the main reasons for epidemics of tuberculosis in recent years.Mass public transport is playing the primary role in casually close contact which can facilitate the transmission of tuberculosis. Genetic susceptibility not only varies endemic prevalence levels, but also drastically alters the effects of treatment for tuberculosis patients. Detailed studies further exhibit that casual contact and genetic factor are responsible for over 30%-40% of the total new cases in recent years. The prevalence of tuberculosis could double (from 33% to 60%)if a genetically susceptible phenotype is present in only 30% of the population. And some challenges have emerged along with these exciting results.Conclusions Casual/random contact, public transport and genetic susceptibility are responsible for most new tuberculosis cases and a wide variation in endemic tuberculosis levels between regions. Hence, the transmission model of tuberculosis in a heterogeneous population can provide more clues to underlying mechanism of tuberculosis transmission than in a homogeneous population. However, many challenges remain for us in understanding transmission of disease.

  2. Overcoming tumor heterogeneity in the molecular diagnosis of urological cancers.

    Science.gov (United States)

    Donovan, Michael J; Cordon-Cardo, Carlos

    2014-11-01

    Our understanding of tumor heterogeneity and impact on treatment response is still in its infancy, presenting significant challenges to the molecular pathologist, treating physician and ultimately for the patient. Given that tumor recurrence due to treatment resistance is the most common cause of cancer death, there remains a critical unmet need to change the current paradigm. The mechanisms which underlie tumor heterogeneity can be broadly divided into genomic instability and non-mutational processes, including stochastic variations in cellular responses, modulation by tumor microenvironment and or phenotypic/ functional plasticity relating to cancer stem cells. We believe that these biological mechanisms are not mutually exclusive and emphasize the need for more suitable methodologies to exploit the spatiotemporal patterns of intratumoral heterogeneity using novel approaches such as quantitative tissue-based biomarker assessment and systemic fluid analytics. Generating a comprehensive patient-centric phenotypic disease profile should generate a 'codex' which can be employed to change the current treatment decision process.

  3. Biodegradability potential of two experimental landfills in Brazil

    Directory of Open Access Journals (Sweden)

    Vazoller Rosana Filomena

    2001-01-01

    Full Text Available Solid wastes anaerobic biodegradability, methane production potential and microbiological composition of two experimental sanitary landfills in Brazil, running for one year, were evaluated. The two landfills showed a similar organic matter stabilization during the methane production phase, despite the high heterogeneity of the solid wastes. Both landfills presented the same level of methane (around 91.5 L CH4 / kg Volatile Total Solids and organic acids, mainly acetic and butyric acids, in the leachate. Bacterial isolates belonged to genera Megasphaera, Selenomonas, Methanobacterium, Methanobrevibacter and Methanosarcina.

  4. Social Psychotherapy in Brazil.

    Science.gov (United States)

    Fleury, Heloisa J; Marra, Marlene M; Knobel, Anna M

    2015-10-01

    This paper describes the practice of sociodrama, a method created by J. L. Moreno in the 1930s, and the Brazilian contemporary socio-psychodrama. In 1970, after the Fifth International Congress of Psychodrama was held in Brazil, group psychotherapy began to flourish both in private practice and hospital clinical settings. Twenty years later, the Brazilian health care system added group work as a reimbursable mental health procedure to improve social health policies. In this context, socio-psychodrama became a key resource for social health promotion within groups. Some specific conceptual contributions by Brazilians on sociodrama are also noteworthy.

  5. Surgical treatment of intracranial aneurysms: six-year experience in Belo Horizonte, MG, Brazil Tratamento cirúrgico dos aneurismas intracranianos: experiência de seis anos em Belo Horizonte, MG, Brasil

    Directory of Open Access Journals (Sweden)

    Leodante Batista da Costa Jr

    2004-06-01

    Full Text Available Spontaneous subarachnoid hemorrhage accounts for 5 to 10 % of all strokes, with a worldwide incidence of 10.5 / 100000 person/year, varying in individual reports from 1.1 to 96 /100000 person/year. Angiographic and autopsy studies suggest that between 0.5% and 5% of the population have intracranial aneurysms. Approximately 30000 people suffer aneurysmal subarachnoid hemorrhage in the United States each year, and 60% die or are left permanently disabled. We report our experience in the surgical treatment of intracranial aneurysms in a six year period, in Belo Horizonte, Minas Gerais, Brazil. We reviewed the hospital files, surgical and out-patient notes of all patients operated on for the treatment of intracranial aneurysms from January 1997 to January 2003. Four hundred and seventy-seven patients were submitted to 525 craniotomies for treatment of 630 intracranial aneurysms. The majority of patients were female (72.1% in the fourth or fifth decade of life. Anterior circulation aneurysms were more common (94.4%. The most common location for the aneurysm was the middle cerebral artery bifurcation. The patients were followed by a period from 1 month to 5 years. The outcome was measured by the Glasgow Outcome Scale (GOS. At discharge, 62.1% of the patients were classified as GOS 5, 13.9% as GOS 4, 8.7% as GOS 3, 1.7% as GOS 2 and 14.8% as GOS 1.A hemorragia subaracnóidea espontânea é responsável por cerca de 5 a 10% de todos os acidentes vasculares cerebrais, com uma incidência mundial de 10,5 / 100000 pessoas/ano, variando em estudos individuais de 1,1 a 96 / 100000 pessoas / ano, de acordo com diferenças étnicas e geográficas. Estudos angiográficos e de necropsia sugerem que a presença de aneurismas intracranianos ocorre em 0,5-5% da população mundial. De acordo com estatísticas norte-americanas, ocorrem cerca de 30000 rupturas de aneurisma cerebral por ano naquele país, com conseqüências desastrosas para grande parte dos pacientes

  6. Out-patient drug treatment of pneumonia among children under two years of age in Fortaleza, Brazil Tratamento ambulatorial das pneumonias nas crianças menores de dois anos em Fortaleza, Brasil

    Directory of Open Access Journals (Sweden)

    Chizuru Misago

    1997-01-01

    Full Text Available Results are reported from a study on drug use in treatment of children with pneumonia in a pediatric hospital in the city of Fortaleza, Northeastern Brazil. There were 171 out-patients; prescription details were obtained for 149. The most commonly prescribed antimicrobial drug was procaine penicillin, accounting for 33% of antimicrobial prescriptions, followed by benzathine penicillin (31%, ampicillin or amoxicillin (12%, and cotrimoxazole (8%. Benzathine penicillin was frequently given with other drugs, but was the sole antimicrobial agent for 31 children. Compliance with antimicrobial treatment was 52% overall and was higher for the injectables. Prescription patterns varied from child to child, and children were often prescribed more than one antimicrobial in the same or repeat prescriptions; combining this information with compliance, 81 (54% of the children were estimated to have received 5 or more days of appropriate antimicrobial treatment for pneumonia. This percentage is not high, and five days were often reached after using more than one antimicrobial and after repeat visits. The authors concluded that the need remains for simple antimicrobial regimes, attractive to comply with, that can be expected to be consistently used. Other drugs were chiefly analgesics and bronchodilators.Estudou-se a aderência ao tratamento de pneumonia em crianças, em serviço ambulatorial de hospital pediátrico em Fortaleza, Brasil. Foram investigadas 171 crianças com diagnóstico de pneumonia. Através de questionário foram coletadas informações referentes à prescrição médica e estimada a aderência ao tratamento de 149 crianças. Os antimicrobianos mais comumente prescritos foram penicilina procaína (33%, penicilina benzatina (31%, ampicilina ou amoxacilina (12% e cotrimoxazol (8%. Embora tenha sido freqüente a associação de antimicrobianos com outros medicamentos, tratamento exclusivo com penicilina procaina foi prescrito para 31 crianças. A

  7. Dealing with spatial heterogeneity

    Science.gov (United States)

    Marsily, Gh.; Delay, F.; Gonçalvès, J.; Renard, Ph.; Teles, V.; Violette, S.

    2005-03-01

    Heterogeneity can be dealt with by defining homogeneous equivalent properties, known as averaging, or by trying to describe the spatial variability of the rock properties from geologic observations and local measurements. The techniques available for these descriptions are mostly continuous Geostatistical models, or discontinuous facies models such as the Boolean, Indicator or Gaussian-Threshold models and the Markov chain model. These facies models are better suited to treating issues of rock strata connectivity, e.g. buried high permeability channels or low permeability barriers, which greatly affect flow and, above all, transport in aquifers. Genetic models provide new ways to incorporate more geology into the facies description, an approach that has been well developed in the oil industry, but not enough in hydrogeology. The conclusion is that future work should be focused on improving the facies models, comparing them, and designing new in situ testing procedures (including geophysics) that would help identify the facies geometry and properties. A world-wide catalog of aquifer facies geometry and properties, which could combine site genesis and description with methods used to assess the system, would be of great value for practical applications. On peut aborder le problème de l'hétérogénéité en s'efforçant de définir une perméabilité équivalente homogène, par prise de moyenne, ou au contraire en décrivant la variation dans l'espace des propriétés des roches à partir des observations géologiques et des mesures locales. Les techniques disponibles pour une telle description sont soit continues, comme l'approche Géostatistique, soit discontinues, comme les modèles de faciès, Booléens, ou bien par Indicatrices ou Gaussiennes Seuillées, ou enfin Markoviens. Ces modèles de faciès sont mieux capables de prendre en compte la connectivité des strates géologiques, telles que les chenaux enfouis à forte perméabilité, ou au contraire les faci

  8. An unusual new species of Guatteria (Annonaceae) from French Guiana and adjacent Brazil (Amapá)

    NARCIS (Netherlands)

    Scharf, U.; Maas, P.J.M.; Prévost, M.F.

    2008-01-01

    During a taxonomic treatment of Annonaceae for the Flora of the Guianas project, an unusual new species of Guatteria Ruiz & Pav., G. anteridifera from French Guiana and Amapá in Brazil (Northern South America) was found and described herein.

  9. Organizational heterogeneity of vertebrate genomes.

    Directory of Open Access Journals (Sweden)

    Svetlana Frenkel

    Full Text Available Genomes of higher eukaryotes are mosaics of segments with various structural, functional, and evolutionary properties. The availability of whole-genome sequences allows the investigation of their structure as "texts" using different statistical and computational methods. One such method, referred to as Compositional Spectra (CS analysis, is based on scoring the occurrences of fixed-length oligonucleotides (k-mers in the target DNA sequence. CS analysis allows generating species- or region-specific characteristics of the genome, regardless of their length and the presence of coding DNA. In this study, we consider the heterogeneity of vertebrate genomes as a joint effect of regional variation in sequence organization superimposed on the differences in nucleotide composition. We estimated compositional and organizational heterogeneity of genome and chromosome sequences separately and found that both heterogeneity types vary widely among genomes as well as among chromosomes in all investigated taxonomic groups. The high correspondence of heterogeneity scores obtained on three genome fractions, coding, repetitive, and the remaining part of the noncoding DNA (the genome dark matter--GDM allows the assumption that CS-heterogeneity may have functional relevance to genome regulation. Of special interest for such interpretation is the fact that natural GDM sequences display the highest deviation from the corresponding reshuffled sequences.

  10. Organizational heterogeneity of vertebrate genomes.

    Science.gov (United States)

    Frenkel, Svetlana; Kirzhner, Valery; Korol, Abraham

    2012-01-01

    Genomes of higher eukaryotes are mosaics of segments with various structural, functional, and evolutionary properties. The availability of whole-genome sequences allows the investigation of their structure as "texts" using different statistical and computational methods. One such method, referred to as Compositional Spectra (CS) analysis, is based on scoring the occurrences of fixed-length oligonucleotides (k-mers) in the target DNA sequence. CS analysis allows generating species- or region-specific characteristics of the genome, regardless of their length and the presence of coding DNA. In this study, we consider the heterogeneity of vertebrate genomes as a joint effect of regional variation in sequence organization superimposed on the differences in nucleotide composition. We estimated compositional and organizational heterogeneity of genome and chromosome sequences separately and found that both heterogeneity types vary widely among genomes as well as among chromosomes in all investigated taxonomic groups. The high correspondence of heterogeneity scores obtained on three genome fractions, coding, repetitive, and the remaining part of the noncoding DNA (the genome dark matter--GDM) allows the assumption that CS-heterogeneity may have functional relevance to genome regulation. Of special interest for such interpretation is the fact that natural GDM sequences display the highest deviation from the corresponding reshuffled sequences.

  11. Reaction Selectivity in Heterogeneous Catalysis

    Energy Technology Data Exchange (ETDEWEB)

    Somorjai, Gabor A.; Kliewer, Christopher J.

    2009-02-02

    The understanding of selectivity in heterogeneous catalysis is of paramount importance to our society today. In this review we outline the current state of the art in research on selectivity in heterogeneous catalysis. Current in-situ surface science techniques have revealed several important features of catalytic selectivity. Sum frequency generation vibrational spectroscopy has shown us the importance of understanding the reaction intermediates and mechanism of a heterogeneous reaction, and can readily yield information as to the effect of temperature, pressure, catalyst geometry, surface promoters, and catalyst composition on the reaction mechanism. DFT calculations are quickly approaching the ability to assist in the interpretation of observed surface spectra, thereby making surface spectroscopy an even more powerful tool. HP-STM has revealed three vitally important parameters in heterogeneous selectivity: adsorbate mobility, catalyst mobility, and selective site-blocking. The development of size controlled nanoparticles from 0.8 to 10 nm, of controlled shape, and of controlled bimetallic composition has revealed several important variables for catalytic selectivity. Lastly, DFT calculations may be paving the way to guiding the composition choice for multi-metallic heterogeneous catalysis for the intelligent design of catalysts incorporating the many factors of selectivity we have learned.

  12. The Costs of Displacement in Brazil

    OpenAIRE

    Naercio Menezes-Filho

    2004-01-01

    This paper uses new data that combines information on workers’ education and earnings trajectories with information about their firms to estimate the costs of job displacement in Brazil. We find that high-tenure workers displaced from their firms during mass lay-offs suffer a long-term loss in monthly wages of about 20% per year. We show that this result is robust to different treatment of workers that leave the formal sector of the economy and is driven by the losses suffered by more educa...

  13. Deciphering cancer heterogeneity: the biological space

    Directory of Open Access Journals (Sweden)

    Stephanie eRoessler

    2014-04-01

    Full Text Available Most lethal solid tumors including hepatocellular carcinoma (HCC are considered incurable due to extensive heterogeneity in clinical presentation and tumor biology. Tumor heterogeneity may result from different cells of origin, patient ethnicity, etiology, underlying disease and diversity of genomic and epigenomic changes which drive tumor development. Cancer genomic heterogeneity thereby impedes treatment options and poses a significant challenge to cancer management. Studies of the HCC genome have revealed that although various genomic signatures identified in different HCC subgroups share a common prognosis, each carries unique molecular changes which are linked to different sets of cancer hallmarks whose misregulation has been proposed by Hanahan and Weinberg to be essential for tumorigenesis. We hypothesize that these specific sets of cancer hallmarks collectively occupy different tumor biological space representing the misregulation of different biological processes. In principle, a combination of different cancer hallmarks can result in new convergent molecular networks that are unique to each tumor subgroup and represent ideal druggable targets. Due to the ability of the tumor to adapt to external factors such as treatment or changes in the tumor microenvironment, the tumor biological space is elastic. Our ability to identify distinct groups of cancer patients with similar tumor biology who are most likely to respond to a specific therapy would have a significant impact on improving patient outcome. It is currently a challenge to identify a particular hallmark or a newly emerged convergent molecular network for a particular tumor. Thus, it is anticipated that the integration of multiple levels of data such as genomic mutations, somatic copy number aberration, gene expression, proteomics, and metabolomics, may help us grasp the tumor biological space occupied by each individual, leading to improved therapeutic intervention and outcome.

  14. Pharmacogenomics Bias - Systematic distortion of study results by genetic heterogeneity

    Directory of Open Access Journals (Sweden)

    Zietemann, Vera

    2008-04-01

    Full Text Available Background: Decision analyses of drug treatments in chronic diseases require modeling the progression of disease and treatment response beyond the time horizon of clinical or epidemiological studies. In many such models, progression and drug effect have been applied uniformly to all patients; heterogeneity in progression, including pharmacogenomic effects, has been ignored. Objective: We sought to systematically evaluate the existence, direction and relative magnitude of a pharmacogenomics bias (PGX-Bias resulting from failure to adjust for genetic heterogeneity in both treatment response (HT and heterogeneity in progression of disease (HP in decision-analytic studies based on clinical study data. Methods: We performed a systematic literature search in electronic databases for studies regarding the effect of genetic heterogeneity on the validity of study results. Included studies have been summarized in evidence tables. In the case of lacking evidence from published studies we sought to perform our own simulation considering both HT and HP. We constructed two simple Markov models with three basic health states (early-stage disease, late-stage disease, dead, one adjusting and the other not adjusting for genetic heterogeneity. Adjustment was done by creating different disease states for presence (G+ and absence (G- of a dichotomous genetic factor. We compared the life expectancy gains attributable to treatment resulting from both models and defined pharmacogenomics bias as percent deviation of treatment-related life expectancy gains in the unadjusted model from those in the adjusted model. We calculated the bias as a function of underlying model parameters to create generic results. We then applied our model to lipid-lowering therapy with pravastatin in patients with coronary atherosclerosis, incorporating the influence of two TaqIB polymorphism variants (B1 and B2 on progression and drug efficacy as reported in the DNA substudy of the REGRESS

  15. Numerical simulation on the reduction of flow heterogeneity in the biofilter media

    Science.gov (United States)

    Yan, Weiwei; Liu, Xingli; Wu, Jie; Wei, Yikun; Xu, Peng

    2016-02-01

    The biofilters are the ideal solutions for the biological treatment of air pollutants. However, there exists strong flow heterogeneity in porous media that degrades the removal efficiency of biofilters. Thus, the effects of Darcy number, Reynolds number and porosity of porous media on the reduction of flow heterogeneity in three biofilter models were numerically studied by the lattice Boltzmann method. The simulation results lead to three conclusions: (1) The Darcy number has dominant influence on the flow heterogeneity in the biofilters. The reduction of flow heterogeneity can be realized by designing a comparatively low Darcy number. (2) The Reynolds number has obvious effect on the flow heterogeneity in the biofilters. However, the reduction of flow heterogeneity cannot be effectively established by regulating the Reynolds number. (3) The property of porous media greatly influences the flow heterogeneity in the biofilters. The present results are helpful for the optimized design of practical biofilter models.

  16. Heterogeneity in Preferences and Productivity

    DEFF Research Database (Denmark)

    Gørtz, Mette

    choices of expenditure, household production and leisure for people in and around retirement. The unobserved individual heterogeneity factor is isolated by comparing cross-sectional evidence and panel data estimates of the effects of retirement on consumption and time allocation. Based on cross......-section data, we can identify a difference in consumption due to retirement status, but when the panel nature of the data is exploited, the effect of retirement on consumption is small and insignificant. Moreover, the analyses point at a large positive effect of retirement on household production. Our results......This paper discusses the determinants of the retirement decision and the implications of retirement on economic well-being. The main contribution of the paper is to formulate the role of individual heterogeneity explicitly. We argue that individual heterogeneity in 1) productivity of market work...

  17. Brazil-U.S. Relations

    Science.gov (United States)

    2010-03-05

    and expanding ties with nontraditional partners, including India and China. Brazil-U.S. cooperation has increased during President Lula’s second...August 21, 2009. 40 Fernanda Odilla, Simone Iglesias & Johanna Nublat, “Brasil vai dobrar efetivo militar no Haiti,” Folha de São Paulo, January 21...defenderá mais regulação no G-20,” O Globo (Brazil), August 6, 2009. 53 Gaurav Singh, “China, India , Brazil Commit to Meet Copenhagen Accord Deadline

  18. Combination of sunlight irradiated oxidative processes for landfill leachate: heterogeneous catalysis (TiO2 versus homogeneous catalysis (H2O2

    Directory of Open Access Journals (Sweden)

    Oswaldo Luiz Cobra Guimarães

    2013-04-01

    Full Text Available The objective of this work was to study the treatment of landfill leachate liquid in nature, after the use of a combination of advanced oxidation processes. More specifically, it compared heterogeneous catalysis with TiO2 to homogeneous catalysis with H2O2, both under photo-irradiated sunlight. The liquid used for the study was the leachate from the landfill of the city of Cachoeira Paulista, São Paulo State, Brazil. The experiments were conducted in a semi-batch reactor open to the absorption of solar UV radiation, with 120 min reaction time. The factors and their respective levels (-1, 0 and 1 were distributed in a experimental design 24-1 with duplicate and triplicate in the central point, resulting in an array with 19 treatment trials. The studied factors in comparing the two catalytic processes were: liquid leachate dilution, TiO2 concentration on the reactor plate, the H2O2 amount and pH level. The leachate had low photo-catalytic degradability, with NOPC reductions ranging from 1% to a maximum of 24.9%. When considering each factor alone, neither homogeneous catalysis with H2O2, nor heterogeneous catalysis with TiO2, could degrade the percolated liquid without significant reductions (5% level in total NOPC. On the other hand, the combined use of homogenous catalysis with H2O2 and heterogeneous catalysis H2O2 resulted in the greatest reductions in NOPC. The optimum condition for the NOPC reduction was obtained at pH 7, dilution of percolated:water at 1:1 (v v-1 rate; excess of 12.5% H2O2 and coating plate reactor with 0.025 g cm-2 TiO2.

  19. Heterogeneous Photocatalysis: Recent Advances and Applications

    Directory of Open Access Journals (Sweden)

    Alex Omo Ibhadon

    2013-03-01

    Full Text Available Semiconductor heterogeneous photocatalysis, the subject of this review, is a versatile, low-cost and environmentally benign treatment technology for a host of pollutants. These may be of biological, organic and inorganic in origin within water and air. The efficient and successful application of photocatalysis demands that the pollutant, the catalyst and source of illumination are in close proximity or contact with each other. The ability of advanced oxidation technology to remove low levels of persistent organic pollutants as well as microorganisms in water has been widely demonstrated and, progressively, the technology is now being commercialized in many areas of the world including developing nations. This review considers recent developments in the research and application of heterogeneous semiconductor photocatalysis for the treatment of low-level concentrations of pollutants in water and air using titanium dioxide as a “model” semiconductor. The review considers charge transport characteristics on the semiconductor surface, photocatalyst reactor design and organic degradation mechanistic pathways. The effects of photoreactor operating parameters on the photocatalytic process are discussed in addition to mineralization and disinfection kinetics.

  20. Dynamic fracture of heterogeneous materials

    Energy Technology Data Exchange (ETDEWEB)

    Stout, M.G.; Liu, C.; Addessio, F.L.; Williams, T.O.; Bennett, J.G.; Haberman, K.S.; Asay, B.W.

    1998-12-31

    This is the final report of a one-year, Laboratory Directed Research and Development (LDRD) project at the Los Alamos National Laboratory (LANL). The objective of this project was to investigate the fundamental aspects of the process of dynamic fracture propagation in heterogeneous materials. The work focused on three important, but poorly understood, aspects of dynamic fracture for materials with a heterogeneous microstructure. These were: the appropriateness of using a single-parameter asymptotic analysis to describe dynamic crack-tip deformation fields, the temperature rises at the tip and on the flanks of a running crack, and the constitutive modeling of damage initiation and accumulation.

  1. Job Heterogeneity and Coordination Frictions

    DEFF Research Database (Denmark)

    Kennes, John; le Maire, Daniel

    the job ladder, how the identification of assortative matching is fundamentally different in directed and undirected search models, how our theory accounts for business cycle facts related to inter-temporal changes in job offer distributions, and how our model could also be used to identify......We develop a new directed search model of a frictional labor market with a continuum of heterogenous workers and firms. We estimate two versions of the model - auction and price posting - using Danish data on wages and productivities. Assuming heterogenous workers with no comparative advantage, we...

  2. Advanced Treatment of Coking Wastewater with a Novel Heterogeneous Electro-Fenton Technology%新型非均相电-Fenton技术深度处理焦化废水

    Institute of Scientific and Technical Information of China (English)

    李海涛; 李玉平; 张安洋; 曹宏斌; 李鑫钢; 张懿

    2011-01-01

    分别采用高效氯气还原阴极PAQ/GF和形稳性阳极IrO2-RuO2-TiO2/Ti做为阴、阳极,填充非均相催化剂,研究一种阴、阳极同时催化氧化的电化学过程,并应用于焦化废水生化出水深度处理.采用在石墨毡上电聚合蒽醌制备PAQ/GF电极,并用循环伏安进行了表征.结果表明,蒽醌在电极表面具有很好的可逆性,并对电催化还原氧气生成过氧化氢(H2O2)表现很高的电催化活性;隔膜电解槽中PAQ/GF做阴极,在-0.7 V(相对饱和甘汞电极)和pH 6下电解6 h后,H2O2浓度为13.5mmol/L,电流效率>50%.采用浸渍法制备了非均相催化剂Fe-Cu/Y350,通过结晶紫褪色反应和羟自由基探针化合物(对氯苯甲酸)氧化反应验证Fe-Cu/Y350催化H 202产生了羟基自由基(·OH);使用Fe-Cu/Y350催化次氯酸钠氧化处理焦化废水,COD去除率达到26%,远高于没有催化剂时的11%.利用组装的电催化反应器对焦化废水进行处理,COD去除率达到49.4%,远高于传统的双极氧化过程(29.8%),其中阴极与阳极催化过程对COD去除的贡献率分别为26.0%和23.4%.在优化条件下(初始COD=192 mg/L、I=10 A·m-2、pH 4~5)电解1 h后,焦化废水COD去除率>50%.反应途径可能为:氧气在PAQ/GF电极上高效电催化还原为H2O2,再经Fe-Cu/Y350催化分解产生·OH,从而将有机污染物氧化分解;氯离子在IrO2-RuO2-TiO2/Ti电极氧化产生Cl2或次氯酸,并在Fe-Cu/Y350催化作用下将有机污染物氧化或有机物在阳极直接氧化降解.%A novel electro-catalytic reactor, with oxygen-reduction cathode (PAQ/GF), dimensionally stable anode (IrO2-RuO2-TiO2/Ti) and heterogeneous catalysts, is developed for advanced treatment of coking wastewater after biological process, integrating cathodic and anodic simultaneous oxidation processes. A PAQ/GF electrode was synthesized by the electro-polymerization of 2-ethyl anthraquinone on graphite felt, which was characterized with cyclic vohametry measurements

  3. IN SEARCH OF A TEACHING SOCIOLINGUISTIC PORTUGUESE LANGUAGE IN BRAZIL

    Directory of Open Access Journals (Sweden)

    Talita de Cássia Marine

    2016-06-01

    Full Text Available One of the barriers in teaching Portuguese as mother tongue is the treatment of linguistic variation and fundamentally grammatical knowledge permeated by different linguistic norms. So in this article, we propose some reflections on the current situation of the Portuguese language teaching in Brazil, presenting a literature review on the topic, especially about the concepts of belief and linguistic attitudes studies sociolinguistic and documents the Brazilian government. Still we gather some results of previous studies on language attitudes and beliefs and we quote three factors that show that the Portuguese-speaking education in Brazil is still far from a reflective teaching and culturally sensitive pedagogy. To prove such factors mentioned, we mentioned examples of speeches and activities of students of primary and secondary schools as well as letters of course students. Thus, in this article, we point out how it is still challenging to think of a sociolinguistic conception of Portuguese language teaching in Brazil.

  4. [Generic drugs in Brazil: historical overview and legislation].

    Science.gov (United States)

    Araújo, Lorena Ulhôa; Albuquerque, Kemile Toledo de; Kato, Kelly Cristina; Silveira, Gleiciely Santos; Maciel, Náira Rezende; Spósito, Pollyanna Álvaro; Barcellos, Neila Márcia Silva; Souza, Jacqueline de; Bueno, Márcia; Storpirtis, Sílvia

    2010-12-01

    The Brazilian generic drugs policy was implemented in 1999 with the aim of stimulating competition in the market, improve the quality of drugs and improve the access of the population to drug treatment. The process of implementing this policy allowed the introduction and discussion of concepts that had never before been used in the context of drug registration in Brazil: bioavailability, bioequivalence, pharmaceutical equivalence, generic drugs, biopharmaceutical classification system, biowaiver. The present article provides definitions for these concepts in the context of Brazilian legislation as well as a historical and chronological description of the implementation of the generic drugs policy in Brazil, including a list of current generic drug legislation. This article contributes to the understanding of the Brazilian generic drugs policy and facilitates the search for information concerning the legal requirements for registration of drugs in Brazil.

  5. Tungsten resources of Brazil

    Science.gov (United States)

    White, Max Gregg

    1974-01-01

    Brazilian tungsten production, 85 percent of which is exported, comes almost entirely from scheelite-bearing tactites in northeast Brazil, and has reached an annual rate of about 2,000 metric tons (2,200 short tons) of scheelite concentrate with 70 percent WO3. Scheelite ore reserves, located principally in the State of Rio Grande do Norte, are estimated to be as high as 8,300,000 tons (9,100,000 short tons) containing 0.7 percent WO3. Minor deposits (or those about which only minimal information is available) of wolframite, with which some cassiterite is associated, are located in Sao Paulo, Santa Catarina, and Rio Grande do Sul. Both the scheelite and the wolframite deposits are considered . to be late Precambrian A (620 to 900 m.y.) or early Cambrian in age.

  6. Wireless Internet on Heterogeneous Networks

    NARCIS (Netherlands)

    Wu, G.

    2001-01-01

    The wide proliferation of wireless systems and the use of software radio technologies enable the employment of a heterogeneous network. In this concept services are delivered via the network that is most efficient for that service. The solution is based on a common core network that interconnects ac

  7. Communicating to heterogeneous target groups

    DEFF Research Database (Denmark)

    Pedersen, Karsten

    very often have to communicate to rather heterogeneous target groups that have little more in common than a certain geographical habitat. That goes against most schoolbook teaching in the field of communication, but is none the less the terms with which that kind of communication has to live...

  8. Dynamic heterogeneity and life histories

    DEFF Research Database (Denmark)

    Tuljapurkar, Shripad; Steiner, Uli

    2010-01-01

    of the variation among individual characteristics that is generated by dynamic heterogeneity. We conclude by discussing our ongoing and planned work on animals and humans. We also discuss the connections between our work and recent work on human mortality, disability and health, and life course theory....

  9. Social Capital and Community Heterogeneity

    Science.gov (United States)

    Coffe, Hilde

    2009-01-01

    Recent findings indicate that more pronounced community heterogeneity is associated with lower levels of social capital. These studies, however, concentrate on specific aspects in which people differ (such as income inequality or ethnic diversity). In the present paper, we introduce the number of parties in the local party system as a more…

  10. Social capital and community heterogeneity

    NARCIS (Netherlands)

    Coffé, Hilde R.

    2009-01-01

    Abstract Recent findings indicate that more pronounced community heterogeneity is associated with lower levels of social capital. These studies, however, concentrate on specific aspects in which people differ (such as income inequality or ethnic diversity). In the present paper, we introduce the

  11. Prices and heterogeneous search costs

    NARCIS (Netherlands)

    Luis Moraga-Gonzalez, Jose; Sandor, Zsolt; Wildenbeest, Matthijs R.

    2017-01-01

    We study price formation in a model of consumer search for differentiated products in which consumers have heterogeneous search costs. We provide conditions under which a pure-strategy symmetric Nash equilibrium exists and is unique. Search costs affect two margins-the intensive search margin (or se

  12. Floodplain heterogeneity and meander migration

    Science.gov (United States)

    The impact of horizontal heterogeneity of floodplain soils on rates and patterns of meander migration is analyzed with a Ikeda et al. (1981)-type model for hydrodynamics and bed morphodynamics, coupled with a physically-based bank erosion model according to the approach developed by Motta et al. (20...

  13. Formation of Rationally Heterogeneous Expectations

    NARCIS (Netherlands)

    Pfajfar, D.

    2012-01-01

    Abstract: This paper models expectation formation by taking into account that agents produce heterogeneous expectations due to model uncertainty, informational frictions and different capacities for processing information. We show that there are two general classes of steady states within this frame

  14. Heterogeneous catalysis through microcontact printing

    NARCIS (Netherlands)

    Spruell, Jason M.; Sheriff, Bonnie A.; Rozkiewicz, D.I.; Dichtel, William R.; Rohde, Rosemary D.; Reinhoudt, David; Stoddart, Fraser; Heath, James R.

    2008-01-01

    Minting a Stamp: The preparation of copper metal-coated elastomeric stamps and their use in catalyzing the Cu-catalyzed azide-alkyne cycloaddition reaction heterogeneously through microcontact printing is described. This StampCat process is compared to other conventional surface-functionalization te

  15. REPLIKASI UNIDIRECTIONAL PADA HETEROGEN DATABASE

    Directory of Open Access Journals (Sweden)

    Hendro Nindito

    2013-11-01

    where development can be done quickly and testing of working models of the interaction process is done through repeated. From this research it is obtained that the database replication technology using Oracle Golden Gate can be applied in heterogeneous environments in real time as well.

  16. Surface science of heterogeneous reactions.

    Science.gov (United States)

    White, J M

    1982-10-29

    Some of the present and future directions for surface science as a growing and naturally interdisciplinary subject are reviewed. Particular attention is given to surface reaction chemistry as it is related to heterogenous catalysis, a subject area where there are abundant opportunities for detailed measurements of structure and dynamics at the molecular level.

  17. Measuring and predicting heterogeneous recessions

    NARCIS (Netherlands)

    C. Cakmakli; R. Paap; D. van Dijk

    2011-01-01

    This paper conducts an empirical analysis of the heterogeneity of recessions in monthly U.S. coincident and leading indicator variables. Univariate Markovswitching models indicate that it is appropriate to allow for two distinct recession regimes, corresponding with ‘mild’ and ‘severe’ recessions. A

  18. Fotocatálisis Heterogénea y Foto-Fenton Aplicadas al Tratamiento de Aguas de Lavado de la Producción de Biodiesel Heterogeneous Photocatalysis and Photo-Fenton Applied to the Wash Water Treatment of Biodiesel Production

    Directory of Open Access Journals (Sweden)

    Gina M Hincapié-Mejía

    2011-01-01

    Full Text Available Se aplicaron las tecnologías avanzadas de oxidación, fotocatálisis heterogénea y foto-Fenton, para comprobar su viabilidad en el tratamiento de las aguas residuales provenientes del proceso de lavado de biodiesel. Las aguas presentaron altos niveles en demanda química de oxígeno, carbono orgánico total y metanol, sugiriendo la necesidad de implementar procesos posteriores de tratamiento. Los resultados muestran que la fotocatálisis heterogénea no es una tecnología adecuada debido a las altas cargas orgánicas, mientras que la foto-Fenton presenta altos valores de remoción. Se concluye que ésta es una tecnología viable que podría ser implementada a escala industrial.Advanced oxidation technologies, heterogeneous photocatalysis and photo-Fenton, were applied to verify its feasibility in the treatment of wastewater from the washing process of biodiesel production. These waters showed high levéis of chemical oxygen demand, total organic carbón and methanol, suggesting the need to implement subsequent treatment processes. The results show that heterogeneous photocatalysis is not an appropriate technology due to high organic loads, while the photo-Fenton has high valúes of removal. It is concluded that this is a viable technology that could be implemented at industrial scale.

  19. Tratamiento de agua potable por filtración inducida en una laguna costera en el sur de Brasil Bank filtration drinking water treatment in a costal lagoon in south Brazil

    Directory of Open Access Journals (Sweden)

    Luis Guillermo Romero Esquivel

    2012-12-01

    Full Text Available La filtración inducida (FI consiste en obtener agua potable de pozos situados en acuíferos de aluvión u otro tipo de depósitos no consolidados conectados hidráulicamente con una fuente de agua superficial. La posibilidad de aplicar esta técnica en las riberas de la laguna Lagoa do Peri, Brasil, se evaluó a nivel piloto. Por medio de observación y de análisis granulométricos se determinó que el fondo de la laguna y el acuífero aledaño presentan una textura arenosa. Además, ensayos de permeámetro de carga constante, de tubo de carga variable y de bombeo, mostraron que la conductividad hidráulica en las mismas zonas se encuentra cercana a 10-4 m/s, misma magnitud encontrada en otras latitudes donde la FI se aplica con éxito. El agua captada en un pozo a 20 m de la Lagoa do Peri presentó valores de turbidez y color aparente acordes con los patrones de calidad locales. Se observó un aumento en la dureza y la alcalinidad, atribuido a la erosión de los materiales del subsuelo, sin llegar a superar lo estipulado en la legislación. Finalmente, el agua producida por la FI mostró ser de mejor calidad en términos de turbidez y color aparente que el agua de la laguna tratada por filtración directa en una estación de tratamiento (ETA ubicada en el lugar. El agua producida por la FI presentó condiciones anóxicas que harían necesario el postratamiento por aireación y filtración, proceso en el cual se podría aprovechar la infraestructura de la ETA existente.Bank filtration (BF consists in obtaining drinking water from wells in alluvial aquifers or other unconsolidated deposits hydraulically connected with a surface water source. The possibility of applying this technique was evaluated in a pilot scale on the banks of the Lagoa do Peri lagoon, Brazil. Observation and grain size analysis showed that the bottom of the lagoon and the adjacent aquifer have sandy texture. In addition, tests of constant head permeameter, standpipe falling

  20. Fatores preditores para o abandono do tratamento da tuberculose pulmonar preconizado pelo Ministério da Saúde do Brasil na cidade de Porto Alegre (RS Pulmonary tuberculosis treatment regimen recommended by the Brazilian National Ministry of Health: predictors of treatment noncompliance in the city of Porto Alegre, Brazil

    Directory of Open Access Journals (Sweden)

    Simone Teresinha Aloise Campani

    2011-12-01

    Full Text Available OBJETIVO: Determinar os fatores preditores de abandono do tratamento da tuberculose pulmonar, preconizado pelo Ministério da Saúde do Brasil, em pacientes bacilíferos virgens de tratamento atendidos na cidade de Porto Alegre (RS. MÉTODOS: Estudo de caso-controle envolvendo seis unidades básicas de saúde de referência para o tratamento da tuberculose em Porto Alegre, com a revisão dos prontuários de todos os casos de abandono do tratamento por parte de pacientes com tuberculose pulmonar bacilíferos e virgens de tratamento entre 2004 e 2006. Os pacientes incluídos no estudo foram pareados com pacientes com características semelhantes e cujo desfecho foi de cura. Foram realizadas análises univariada e multivariada. RESULTADOS: Dos 2.098 pacientes incluídos no estudo, 218 (10,4% abandonaram o tratamento. De acordo com a modelo da análise multivariada utilizado, as associações mais significantes para o abandono do tratamento foram o etilismo (com ou sem a concomitância de uso de drogas ilícitas, a infecção por HIV, o fato de o paciente não residir com familiares e o baixo nível de escolaridade. Na análise univariada, indivíduos mais jovens e de etnia não branca também se revelaram significativos para o abandono do tratamento. Gênero e ocorrência de efeitos adversos da medicação não mostraram associação com o abandono. CONCLUSÕES: Na população estudada, alcoolismo, infecção por HIV e o fato de o paciente não residir com familiares foram os fatores preditores mais importantes para o abandono do primeiro tratamento da tuberculose pulmonar.OBJECTIVE: To determine the predictors of noncompliance with the pulmonary tuberculosis treatment regimen recommended by the Brazilian National Ministry of Health, in previously treatment-naïve patients with active tuberculosis treated in the city of Porto Alegre, Brazil. METHODS: This was a case-control study involving six referral primary health care clinics for tuberculosis

  1. Dental caries experience in 12-year-old schoolchildren in southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Silvia Cypriano

    2008-08-01

    Full Text Available The aim of this study was to evaluate the prevalence of caries-free children using DMFT and significant caries (SiC indexes in different caries prevalence groups in cities of the region of Campinas, São Paulo State, Brazil. The methodology proposed by the World Health Organization (1997 was used for caries diagnosis in 2,378 individuals. According to the DMFT index obtained in each evaluated city, 3 prevalence groups with representative samples were formed, being classified as low, moderate and high. SiC index was used to classify the one third of the population with the highest caries prevalence. In the low prevalence group, 32.4% of the children were caries free (DMFT=0, with mean DMFT of 2.29 and SiC index of 4.93. In the moderate prevalence group, 21.8% of the children were caries free, with mean DMFT of 3.36 and SiC of 6.74. Only 6.9% of the children in the high prevalence group were caries free and the mean DMFT was 5.54 (SiC=9.62. There was a great heterogeneity in dental caries distribution within the studied population, as well as a high caries prevalence considering the 3 classifications. Other indexes besides DMFT could be used to improve oral health assessment during establishment of the treatment plan and intervention.

  2. DNMT3A Mutations in Patients with Acute Myeloid Leukemia in South Brazil

    Directory of Open Access Journals (Sweden)

    Annelise Pezzi

    2012-01-01

    Full Text Available Acute myeloid leukemia (AML is a complex and heterogeneous hematopoietic tissue neoplasm. Several molecular markers have been described that help to classify AML patients into risk groups. DNA methyltransferase 3A (DNMT3A gene mutations have been recently identified in about 22% of AML patients and associated with poor prognosis as an independent risk factor. Our aims were to determine the frequency of somatic mutations in the gene DNMT3A and major chromosomal translocations in a sample of patients with AML. We investigated in 82 samples of bone marrow from patients with AML for somatic mutations in DNMT3A gene by sequencing and sought major fusion transcripts by RT-PCR. We found mutations in the DNMT3A gene in 6 patients (8%; 3 were type R882H. We found fusion transcripts in 19 patients, namely, AML1/ETO (n=5; 6.1%, PML/RARα (n=12; 14.6%, MLL/AF9 (0; 0%, and CBFβ/MYH11 (n=2; 2.4%. The identification of recurrent mutations in the DNMT3A gene and their possible prognostic implications can be a valuable tool for making treatment decisions. This is the first study on the presence of somatic mutations of the DNMT3A gene in patients with AML in Brazil. The frequency of these mutations suggests a possible ethnogeographic variation.

  3. Psychoeducation in an Outpatient Setting--Designing a Heterogeneous Format for a Heterogeneous Population of Juvenile Delinquents.

    Science.gov (United States)

    Carpenter, Patricia; Sugrue, Dennis P.

    1984-01-01

    Describes the G.I.T. (Getting It Together) program, a heterogeneous delinquent treatment program combining affective education and social skills training. Delinquents with immature personalities or neurotic features appeared to benefit more from the program than those with characterological disorders. (JAC)

  4. Neotectonics in northeastern Brazil

    Science.gov (United States)

    Bezerra, Francisco Hilario Rego

    The thesis describes neotectonic deformation in the continental intraplate region of northeastern Brazil and explores its links with modern seismicity. The region, which is under E-W-oriented compression and N-S-oriented extension, shows shallow earthquake swarms which last for several years and include 5.0-5.2 mb events. Remote sensing, borehole and geophysical data, in conjunction with field structural information, indicate a continuous faulting process since the Miocene which has reactivated Cretaceous faults and Precambrian shear zones or in places generated new faults which cut across existing structures. Three main sets of faults are recognised across the area: a NE-striking set, a NW-striking set and a N-striking set. The first and the second sets are pervasive and their cross-cutting relationships show that they locally form a conjugate set and display both a strike-slip and a dip-slip component of movement. They have generated troughs filled by as much as 260 m of Cainozoic sediments. Radiocarbon dating shows that some of the faults slipped as recently as 4,041-3,689 cal. yr BP. Although the elevation of coastal deposits is consistent with the predictions of glacioisostatic models for the area, tectonic influence can be detected notably near the Carnaubais fault, where rapid emergence by at least 5 m to the east of Sao Bento occurred 4,080-2,780 cal. yr BP. Secondary ground failure, which includes hydroplastic deformation, liquefaction and landslides, can be seen in Quaternary alluvial sediments and is reported in the historical record. The present data show that the potential for large earthquakes in northeastern Brazil has been underestimated. Empirical relationships using liquefaction and surface rupture point to events of at least Ms=6.8 compared to a maximum mb = 5.2 recorded instrumentally. The finding that NE- and NW-trending faults are favourably orientated for reactivation in relation to the current stress field is of potential value for seismic

  5. Asthma in childhood: a complex, heterogeneous disease

    Directory of Open Access Journals (Sweden)

    Hai Lee Chung

    2011-01-01

    Full Text Available Asthma in childhood is a heterogeneous disease with different phenotypes and variable clinical manifestations, which depend on the age, gender, genetic background, and environmental influences of the patients. Several longitudinal studies have been conducted to classify the phenotypes of childhood asthma, on the basis of the symptoms, triggers of wheezing illness, or pathophysiological features of the disease. These studies have provided us with important information about the different wheezing phenotypes in young children and about potential mechanisms and risk factors for the development of chronic asthma. The goal of these studies was to provide a better insight into the causes and natural course of childhood asthma. It is well-known that complicated interactions between genes and environmental factors contribute to the development of asthma. Because childhood is a period of rapid growth in both the lungs and the immune system, developmental factors should be considered in the pathogenesis of childhood asthma. The pulmonary system continues to grow and develop until linear growth is completed. Longitudinal studies have reported significant age-related immune development during postnatal early life. These observations suggest that the phenotypes of childhood asthma vary among children and also in an individual child over time. Improved classification of heterogeneous conditions of the disease will help determine novel strategies for primary and secondary prevention and for the development of individualized treatment for childhood asthma.

  6. Ultradeep analysis of tumor heterogeneity in regions of somatic hypermutation.

    Science.gov (United States)

    Spence, Janice M; Spence, John P; Abumoussa, Andrew; Burack, W Richard

    2015-01-01

    Tumor heterogeneity is of growing importance in the treatment of cancers. Mutational hot spots are prime locations for determining number and proportions of low variant allele frequency (VAF) tumor subclones by next generation sequencing. Low VAF detection is complicated by poor mapping efficiency in regions with high mutation density. Our Deep-Drilling with iterative Mapping (DDiMAP) method retains variant allele patterns to aid in single nucleotide variation detection and generation of additional reference alleles, with remapping increasing coverage of highly mutated regions to capture data critical to heterogeneity analysis and enhancing sensitivity. DDiMAP outputs variant patterns with frequencies, enabling rapid phylogenetic analysis of ongoing mutation.

  7. [Mathematical processing of human platelet distribution according to size for determination of cell heterogeneity].

    Science.gov (United States)

    Kosmovskiĭ, S Iu; Vasin, S L; Rozanova, I B; Sevast'ianov, V I

    1999-01-01

    The paper proposes a method for mathematical treatment of the distribution of human platelets by sizes to detect the heterogeneity of cell populations. Its use allowed the authors to identify three platelet populations that have different parameters of size distribution. The proposed method opens additional vistas for analyzing the heterogeneity of platelet populations without sophisticating experimental techniques.

  8. Stillbirth prevalence in Brazil: an exploration of regional differences.

    Science.gov (United States)

    Carvalho, Taiana Silva; Pellanda, Lucia Campos; Doyle, Pat

    2017-08-09

    Brazil is a large, heterogeneous, and diverse country, marked by social, economic, and regional inequalities. Stillbirth is a global concern, especially in low- and middle-income countries. This study investigated the prevalence and possible determinants of stillbirth in different regions of Brazil. This is a cross-sectional study including all women of reproductive age who had had a pregnancy in the last five years, enrolled in the most recent Brazilian Demographic and Health Survey (DHS/PNDS-2006/07). Logistic regression was used to assess the association between region and other maternal characteristics and stillbirth risk. The prevalence of stillbirth in Brazil was 14.82 per 1000 births, with great variation by region of the country, and a higher prevalence among the most deprived. The North and Northeast regions had the highest odds of stillbirth compared to the Center-West, which persisted after adjustment for multiple confounders - including deprivation level and ethnicity. Low maternal age and maternal obesity were also related to higher odds of stillbirth. In Brazil, the region influences stillbirth risk, with much higher risk in the North and Northeast. Variation in socioeconomic level does not explain this finding. Further research on the subject should explore other possible explanations, such as antenatal care and type of delivery, as well as the role of the private and public health systems in determining stillbirth. Preventive strategies should be directed to these historically disadvantaged regions, such as guaranteeing access and quality of care during pregnancy and around the time of birth. Copyright © 2017 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  9. Replikasi Unidirectional pada Heterogen Database

    Directory of Open Access Journals (Sweden)

    Hendro Nindito

    2013-12-01

    Full Text Available The use of diverse database technology in enterprise today can not be avoided. Thus, technology is needed to generate information in real time. The purpose of this research is to discuss a database replication technology that can be applied in heterogeneous database environments. In this study we use Windows-based MS SQL Server database to Linux-based Oracle database as the goal. The research method used is prototyping where development can be done quickly and testing of working models of the interaction process is done through repeated. From this research it is obtained that the database replication technolgy using Oracle Golden Gate can be applied in heterogeneous environments in real time as well.

  10. Seepage Anisotropy of Heterogeneous Body

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Ore dumps are heterogeneous bodies with anisotropic seepage characteristics because of the ore segregation.In an indoor experiment, a dump was constructed with three strata, where the horizontal and vertical seepage experiments were carried out.Horizontals flow are regarded as phreatic plan flows without penetration.Its seepage law satifies the Dupuit equation.With parallel lay seepage model, the equivalent seepage coefficient in the horizontal flow was obtained and was equivalent to the weighted mean of the seepage coefficient of each stratum.An unsaturated flow appeared in the vertical experiment, with a hydraulic gradient of 1.The vertical flow was equivalent to the seepage model that moved in vertical bedding; its equivalent seepage coefficient depended on the stratum with the minimum seepage coefficient.That the experiment showed clear anisotropy in a heterogeneous body was obvious with an anisotropic coefficient between 63 and 155, which is 25 to 100 times larger than that of a homogeneous body.

  11. Biodiesel production using heterogeneous catalysts.

    Science.gov (United States)

    Semwal, Surbhi; Arora, Ajay K; Badoni, Rajendra P; Tuli, Deepak K

    2011-02-01

    The production and use of biodiesel has seen a quantum jump in the recent past due to benefits associated with its ability to mitigate greenhouse gas (GHG). There are large number of commercial plants producing biodiesel by transesterification of vegetable oils and fats based on base catalyzed (caustic) homogeneous transesterification of oils. However, homogeneous process needs steps of glycerol separation, washings, very stringent and extremely low limits of Na, K, glycerides and moisture limits in biodiesel. Heterogeneous catalyzed production of biodiesel has emerged as a preferred route as it is environmentally benign needs no water washing and product separation is much easier. The present report is review of the progress made in development of heterogeneous catalysts suitable for biodiesel production. This review shall help in selection of suitable catalysts and the optimum conditions for biodiesel production.

  12. DATABASE REPLICATION IN HETEROGENOUS PLATFORM

    Directory of Open Access Journals (Sweden)

    Hendro Nindito

    2014-01-01

    Full Text Available The application of diverse database technologies in enterprises today is increasingly a common practice. To provide high availability and survavibality of real-time information, a database replication technology that has capability to replicate databases under heterogenous platforms is required. The purpose of this research is to find the technology with such capability. In this research, the data source is stored in MSSQL database server running on Windows. The data will be replicated to MySQL running on Linux as the destination. The method applied in this research is prototyping in which the processes of development and testing can be done interactively and repeatedly. The key result of this research is that the replication technology applied, which is called Oracle GoldenGate, can successfully manage to do its task in replicating data in real-time and heterogeneous platforms.

  13. Epidemiologic study on penile cancer in Brazil

    Directory of Open Access Journals (Sweden)

    Luciano A. Favorito

    2008-10-01

    Full Text Available OBJECTIVES: To assess epidemiologic characteristics of penile cancer in Brazil. MATERIALS AND METHODS: From May 2006 to June 2007, a questionnaire was distributed to all Brazilian urologists. Their patients' clinical and epidemiological data was analyzed (age, race, place of residence, history of sexually transmitted diseases, tobacco smoking, performance of circumcision, type of hospital service, as well as the time between the appearance of the symptoms and the diagnosis, the pathological characteristics of the tumor (histological type, degree, localization and size of lesion, stage of disease, the type of treatment performed and the present state of the patient. RESULTS: 283 new cases of penile cancer in Brazil were recorded. The majority of these cases occurred in the north and northeast (53.02% and southeast (45.54% regions. The majority of patients (224, or 78.96% were more than 46 years of age while only 21 patients (7.41% were less than 35 years of age. Of the 283 patients presenting penile cancer, 171 (60.42% had phimosis with the consequent impossibility to expose the glans. A prior medical history positive for HPV infection was reported in 18 of the 283 cases (6.36%. In 101 patients (35.68% tobacco smoking was reported. The vast majority of the cases (n = 207; 73.14% presented with tumors localized in the glans and prepuce. In 48 cases (16.96% the tumor affected the glans, the prepuce and the corpus penis; in 28 cases (9.89% the tumor affected the entire penis. The majority of the patients (n = 123; 75.26% presented with T1 or T2; only 9 patients (3.18% presented with T4 disease. CONCLUSION: Penile cancer is a very frequent pathology in Brazil, predominantly affecting low income, white, uncircumcised patients, living in the north and northeast regions of the country.

  14. Temperature chaos and quenched heterogeneities

    Science.gov (United States)

    Barucca, Paolo; Parisi, Giorgio; Rizzo, Tommaso

    2014-03-01

    We present a treatable generalization of the Sherrington-Kirkpatrick (SK) model which introduces correlations in the elements of the coupling matrix through multiplicative disorder on the single variables and investigate the consequences on the phase diagram. We define a generalized qEA parameter and test the structural stability of the SK results in this correlated case evaluating the de Almeida-Thouless line of the model. As a main result we demonstrate the increase of temperature chaos effects due to heterogeneities.

  15. Surface fluxes in heterogeneous landscape

    Energy Technology Data Exchange (ETDEWEB)

    Bay Hasager, C.

    1997-01-01

    The surface fluxes in homogeneous landscapes are calculated by similarity scaling principles. The methodology is well establish. In heterogeneous landscapes with spatial changes in the micro scale range, i e from 100 m to 10 km, advective effects are significant. The present work focus on these effects in an agricultural countryside typical for the midlatitudes. Meteorological and satellite data from a highly heterogeneous landscape in the Rhine Valley, Germany was collected in the large-scale field experiment TRACT (Transport of pollutants over complex terrain) in 1992. Classified satellite images, Landsat TM and ERS SAR, are used as basis for roughness maps. The roughnesses were measured at meteorological masts in the various cover classes and assigned pixel by pixel to the images. The roughness maps are aggregated, i e spatially averaged, into so-called effective roughness lengths. This calculation is performed by a micro scale aggregation model. The model solves the linearized atmospheric flow equations by a numerical (Fast Fourier Transform) method. This model also calculate maps of friction velocity and momentum flux pixel wise in heterogeneous landscapes. It is indicated how the aggregation methodology can be used to calculate the heat fluxes based on the relevant satellite data i e temperature and soil moisture information. (au) 10 tabs., 49 ills., 223 refs.

  16. Analyzing and modeling heterogeneous behavior

    Science.gov (United States)

    Lin, Zhiting; Wu, Xiaoqing; He, Dongyue; Zhu, Qiang; Ni, Jixiang

    2016-05-01

    Recently, it was pointed out that the non-Poisson statistics with heavy tail existed in many scenarios of human behaviors. But most of these studies claimed that power-law characterized diverse aspects of human mobility patterns. In this paper, we suggest that human behavior may not be driven by identical mechanisms and can be modeled as a Semi-Markov Modulated Process. To verify our suggestion and model, we analyzed a total of 1,619,934 records of library visitations (including undergraduate and graduate students). It is found that the distribution of visitation intervals is well fitted with three sections of lines instead of the traditional power law distribution in log-log scale. The results confirm that some human behaviors cannot be simply expressed as power law or any other simple functions. At the same time, we divided the data into groups and extracted period bursty events. Through careful analysis in different groups, we drew a conclusion that aggregate behavior might be composed of heterogeneous behaviors, and even the behaviors of the same type tended to be different in different period. The aggregate behavior is supposed to be formed by "heterogeneous groups". We performed a series of experiments. Simulation results showed that we just needed to set up two states Semi-Markov Modulated Process to construct proper representation of heterogeneous behavior.

  17. Country watch. Brazil.

    Science.gov (United States)

    Szterenfeld, C; Lopes, V

    1993-01-01

    A fictional story using publicity-type language was depicted in an AIDS prevention video produced by the Health in Prostitution Project in Rio de Janeiro to support its work with prostitutes. The video was produced through the volunteer efforts of a professional cast and crew who used cultural entertainment codes to raise awareness. Although both established and new actors participated, the cast was comprised of largely famous soap opera and movie artists. This approach was chosen was the understanding that Brazilians watch soap operas 4-5 hours/day and would therefore readily recognize and pay attention to messages conveyed by the protagonists. The video was shot 2 weeks before Carnival when most actors usually rest and received wide media coverage and attention from the public sector. Prostitutes participated in all stages of production, from script-writing to casting to final editing. The video, Venus Fire, describes a pleasure lottery of which the prize is a lucky condom. The video was officially released on World AIDS Day 1992, and broadcast nationwide in January 1993. It was then subsequently aired in public squares and other street worker sites with question-and-answer sessions and public debates among average audience of 200-300 people. Similar health projects elsewhere in Brazil have also show the film with very good audience response. The prostitutes are happy that their profession is being treated with respect, while clients are attracted by the sexy images.

  18. Policing violence in Brazil.

    Science.gov (United States)

    Sena, E

    1999-03-01

    This article is an excerpted summary of a speech on female police and domestic violence. The speech was given by a woman affiliated with the Association of Women Workers at an Oxfam workshop in northern Brazil. This organization successfully lobbied for female police, which resulted in more reports of domestic violence, especially rape. The organization is active in 13 counties. Female police are trained and usually given respect by police chiefs. In one city, in 1997, the appointment of female police resulted in registered reports of 387 cases of violence and hospital reports of 503 cases, of which 14% were child rape. During January-April 1998, there were 126 registered cases and 168 hospital cases. Policewomen formed a partnership over the past 2 years with the Human Rights Group and other popular political groups to train female police about laws. The compulsory course focused on four areas: legal concepts, penalties, and procedures on registration of complaints; the Brazilian Penal Code; civil law; and world judicial bureaucracies. Training includes a 1 month internship with the program's lawyer. Over 20 women have completed the course to date. Training in some cases resulted in greater expertise among the female police than their Police Chiefs. Female police have experienced harassment by local authorities.

  19. Heterogeneity in the multiple myeloma tumor clone

    NARCIS (Netherlands)

    Guikema, JEJ; Hovenga, S; Vellenga, E; Bos, NA

    2004-01-01

    Multiple Myeloma ( MM) is a plasma cell malignancy which is characterized by a very heterogeneous disease outcome. Heterogeneity in plasma cell characteristics, including morphology, maturation status, immunophenotype and genetic abnormalities partly account for the variable disease outcome. Althoug

  20. Heterogeneity in the multiple myeloma tumor clone

    NARCIS (Netherlands)

    Guikema, JEJ; Hovenga, S; Vellenga, E; Bos, NA

    Multiple Myeloma ( MM) is a plasma cell malignancy which is characterized by a very heterogeneous disease outcome. Heterogeneity in plasma cell characteristics, including morphology, maturation status, immunophenotype and genetic abnormalities partly account for the variable disease outcome.

  1. Lycopodiaceae in Brazil. Conspectus of the family

    DEFF Research Database (Denmark)

    Øllgaard, Benjamin; Windisch, Paulo G.

    2014-01-01

    A conspectus of the Lycopodiaceae in Brazil is presented, following a generic classification based on anatomy, chromosome numbers, spores and gametophytes, as well as recent molecular studies. The species of Lycopodiaceae occurring in Brazil, traditionally treated conservatively, were grouped in ...

  2. [Antidotes and medicines used to treat poisoning in Brazil: needs, availability and opportunities].

    Science.gov (United States)

    Galvão, Tais F; Bucaretchi, Fabio; De Capitani, Eduardo M; Pereira, Maurício G; Silva, Marcus T

    2013-11-01

    Antidotes and certain other drugs are essential for treating some types of poisoning. Failures in their supply can jeopardize the population's health and safety. The current study aimed to assess the availability of antidotes and other drugs used in the treatment of poisonings in Brazil. International guidelines were used as the basis for selecting 41 antidotes for analysis, none of which currently protected by patents. Of these, 27 are registered in Brazil, but 11 of these are available in inadequate forms for treating poisoning, leaving 16 commercially available antidotes. Only one-third of the drugs needed for treating poisoning are included in the country's list of essential drugs. The article also presents a proposal for supplying the demand for one of the antidotes, anti-digoxin antibody, considering Brazil's domestic capacity for manufacturing immunobiologicals. The study's results show the limitations to adequate treatment for poison victims in Brazil and reinforce the urgent need to strengthen public policies in this area.

  3. Biological responses to environmental heterogeneity under future ocean conditions.

    Science.gov (United States)

    Boyd, Philip W; Cornwall, Christopher E; Davison, Andrew; Doney, Scott C; Fourquez, Marion; Hurd, Catriona L; Lima, Ivan D; McMinn, Andrew

    2016-08-01

    Organisms are projected to face unprecedented rates of change in future ocean conditions due to anthropogenic climate-change. At present, marine life encounters a wide range of environmental heterogeneity from natural fluctuations to mean climate change. Manipulation studies suggest that biota from more variable marine environments have more phenotypic plasticity to tolerate environmental heterogeneity. Here, we consider current strategies employed by a range of representative organisms across various habitats - from short-lived phytoplankton to long-lived corals - in response to environmental heterogeneity. We then discuss how, if and when organismal responses (acclimate/migrate/adapt) may be altered by shifts in the magnitude of the mean climate-change signal relative to that for natural fluctuations projected for coming decades. The findings from both novel climate-change modelling simulations and prior biological manipulation studies, in which natural fluctuations are superimposed on those of mean change, provide valuable insights into organismal responses to environmental heterogeneity. Manipulations reveal that different experimental outcomes are evident between climate-change treatments which include natural fluctuations vs. those which do not. Modelling simulations project that the magnitude of climate variability, along with mean climate change, will increase in coming decades, and hence environmental heterogeneity will increase, illustrating the need for more realistic biological manipulation experiments that include natural fluctuations. However, simulations also strongly suggest that the timescales over which the mean climate-change signature will become dominant, relative to natural fluctuations, will vary for individual properties, being most rapid for CO2 (~10 years from present day) to 4 decades for nutrients. We conclude that the strategies used by biota to respond to shifts in environmental heterogeneity may be complex, as they will have to

  4. Heterogeneity of white adipose tissue: molecular basis and clinical implications.

    Science.gov (United States)

    Kwok, Kelvin H M; Lam, Karen S L; Xu, Aimin

    2016-03-11

    Adipose tissue is a highly heterogeneous endocrine organ. The heterogeneity among different anatomical depots stems from their intrinsic differences in cellular and physiological properties, including developmental origin, adipogenic and proliferative capacity, glucose and lipid metabolism, insulin sensitivity, hormonal control, thermogenic ability and vascularization. Additional factors that influence adipose tissue heterogeneity are genetic predisposition, environment, gender and age. Under obese condition, these depot-specific differences translate into specific fat distribution patterns, which are closely associated with differential cardiometabolic risks. For instance, individuals with central obesity are more susceptible to developing diabetes and cardiovascular complications, whereas those with peripheral obesity are more metabolically healthy. This review summarizes the clinical and mechanistic evidence for the depot-specific differences that give rise to different metabolic consequences, and provides therapeutic insights for targeted treatment of obesity.

  5. Molecular heterogeneity in glioblastoma: potential clinical implications

    Directory of Open Access Journals (Sweden)

    Nicole Renee Parker

    2015-03-01

    Full Text Available Glioblastomas, (grade 4 astrocytomas, are aggressive primary brain tumors characterized by histopathological heterogeneity. High resolution sequencing technologies have shown that these tumors also feature significant inter-tumoral molecular heterogeneity. Molecular subtyping of these tumors has revealed several predictive and prognostic biomarkers. However, intra-tumoral heterogeneity may undermine the use of single biopsy analysis for determining tumor genotype and has implications for potential targeted therapies. The clinical relevance and theories of tumoral molecular heterogeneity in glioblastoma are discussed.

  6. All about neosporosis in Brazil

    Directory of Open Access Journals (Sweden)

    Camila Koutsodontis Cerqueira-Cézar

    2017-08-01

    Full Text Available Abstract Neospora caninum is protozoan parasite with domestic and wild dogs, coyotes and grey wolves as the definitive hosts and many warm-blooded animals as intermediate hosts. It was cultivated and named in 1988. Neosporosis is a major disease of cattle and has no public health significance. Since 1990’s N. caninum has emerged as a major cause of abortion in cattle worldwide, including in Brazil. N. caninum also causes clinical infections in several other animal species. Considerable progress has been made in understanding the biology of N. caninum and there are more than 200 papers on this subject from Brazil. However, most of the reports on neosporosis from Brazil are serological surveys. Overall, little is known of clinical neosporosis in Brazil, particularly cattle. The few reports pertain to sporadic cases of abortion with no information on epidemics or storms of abortion. The objective of the present review is to summarize all reports from Brazil and suggest topic for further research, including prevalence of N. caninum oocysts in soil or in canine feces, and determining if there are additional definitive hosts, other than the domestic dog. There is need for a national survey in cattle using defined parameters. Future researches should focus on molecular characterization of N. caninum strains, possibility of vaccine production and relationship between wildlife and livestock epidemiology.

  7. Brazil, China, US: a triangular relation?

    Directory of Open Access Journals (Sweden)

    José-Augusto Guilhon-Albuquerque

    2014-01-01

    Full Text Available This article is divided in three sections. The first one explores the so-called "strategic partnership" between Brazil and China. In the second section we shall examine how US-China relations in the global system could affect both Brazil-US, and Brazil-China bilateral relations. A final section presents some recommendations for Brazil strategic orientations regarding the current systemic transition in the allotment of global power.

  8. Feedbacks between hydrological heterogeneity and bioremediation induced biogeochemical transformations

    Energy Technology Data Exchange (ETDEWEB)

    Englert, A.; Hubbard, S.S.; Williams, K.H.; Li, L.; Steefel, C.I.

    2009-04-15

    For guiding optimal design and interpretation of in-situ treatments that strongly perturb subsurface systems, knowledge about the spatial and temporal patterns of mass transport and reaction intensities are important. Here, a procedure was developed and applied to time-lapse concentrations of a conservative tracer (bromide), an injected amendment (acetate) and reactive species (iron(II), uranium(VI) and sulfate) associated with two field scale biostimulation experiments, which were conducted successively at the same field location over two years. The procedure is based on a temporal moment analysis approach that relies on a streamtube approximation. The study shows that biostimulated reactions can be considerably influenced by subsurface hydrological and geochemical heterogeneities: the delivery of bromide and acetate and the intensity of the sulfate reduction is interpreted to be predominantly driven by the hydrological heterogeneity, while the intensity of the iron reduction is interpreted to be primarily controlled by the geochemical heterogeneity. The intensity of the uranium(VI) reduction appears to be impacted by both the hydrological and geochemical heterogeneity. Finally, the study documents the existence of feedbacks between hydrological heterogeneity and remediation-induced biogeochemical transformations at the field scale, particularly the development of precipitates that may cause clogging and flow rerouting.

  9. The Araceae in Ceará, Brazil: humid forest plants in a semi-arid region

    OpenAIRE

    Andrade,Ivanilza Moreira de; Mayo,Simon Joseph; Silva, Maria Francilene Souza; Sousa,Danilo José Lima de; Matias,Lígia Queiroz; Ribeiro,Thales Alves

    2013-01-01

    The study consists of a taxonomic treatment of the Araceae of Ceará, a state lying within Brazil's semi-arid region. The aroid flora shows greater similarity to those of central Brazil and Amazonia than to the Atlantic forest. Most species occur in humid forest fragments - the "florestas serranas". Geophytes are also found in caatinga and dry forest (Taccarum ulei) and lithophytes on rock outcrops in dry forest (Philodendron acutatum). Floating aquatics occur in ponds and lakes throughout the...

  10. Transfers in heterogeneous environments; Transferts en milieux heterogenes

    Energy Technology Data Exchange (ETDEWEB)

    Flesselles, J.M. [Saint-Gobain Recherche, 93 - Aubervilliers (France); Gouesbet, G.; Mees, L.; Roze, C.; Girasole, Th.; Grehan, G. [Laboratoire d' Electromagnetisme et Systemes Particulaires (LESP), UMR CNRS 6614, CORIA. Universite de Rouen et INSA de Rouen, 76 - Saint-Etienne du Rouvray (France); Goyheneche, J.M.; Vignoles, G.; Coindreau, O. [Laboratoire des Composites Thermostructuraux (LCTS), UMR 5801, 33 - Pessac (France); Moyne, Ch. [LEMTA (UMR 7563) CNRS-INPL-UHP, 54 - Vandoeuvre les Nancy (France); Coussy, O. [Institut Navier - ENPC, 77 - Marne-la-Vallee (France); Lassabatere, Th. [Electricite de France Les Renardieres, Dept. Materiaux Mecanique des Composants, 77 - Moret sur Loing (France); Tadrist, L. [IUSTI - UMR 6595, 13 - Marseille (France)

    2004-07-01

    This document gathers the articles and transparencies of the invited talks given at the 2004 French congress of thermal engineering about transfers in heterogeneous environment. Content: transfer phenomena in industrial glass furnaces; simple and multiple scattering diagnosis by femto-second pulsed laser: application to particulate diagnoses; thermal modeling of thermo-structural composites; hybrid mixtures theory, average volumic measurement, periodical or stochastic homogenization: advance in scale change processes; thermo-hydro-chemical-mechanical coupling in porous medium: application to young concrete structures and to clay barriers of disposal facilities; transfers and flows in fluidization: recent advances and future challenges. (J.S.)

  11. Brazil: Mitigation and Adaptation to Climate Change

    OpenAIRE

    Carlos E. Ludeña; Maria Netto

    2011-01-01

    In order to understand the implications of GHG emissions reduction targets in the Brazilian economy it is important to understand the sector composition of these emissions in Brazil. According to the 2010 Second National Communications of Brazil to the UNFCCC, in 2005, the majority of Brazil's emissions (87.2%) corresponded to carbon dioxide (CO2) emissions.

  12. Paragonimiasis: first case reported in Brazil

    Directory of Open Access Journals (Sweden)

    Antônio Carlos Moreira Lemos

    2007-02-01

    Full Text Available The authors present a case from a 59 years old white female Brazilian patient, based in Salvador-Bahia, Brazil's northeastern side area, who experienced irritative cough and progressive dyspnea, and, after 18 months, was admitted to a hospital with respiratory insufficiency. The physical exam showed diffuse rales in both hemithoraces. Initial leukogram showed 14,400 cells/mL with 14% of eosinophils and chest X-ray showed peribronchovascular infiltrate, predominating in the lower half of the lung fields, and small opaque nodules. The high-resolution computed tomography scan of the chest (HRCT presented compatible pattern with airways disease, especially from the small airways, with air trapping, tree sprouting images, central lobular nodules and bronchiectasis, making the results compatible with bronchiolitis and bronchiectasis. The transbroncho biopsy unveiled granulomatous lesion with necrosis, where was noticed a structure compatible to a parasitic case, and the research of the parasite eggs in the sputum was positive to paragonimus. After the praziquantel use, the patient presented a thick ferruginous expectoration and the result for BAAR examination was positive. The PCR exam and the sputum culture confirmed M. tuberculosis, and then the treatment for M. tuberculosis was initiated. The authors warn that this infection may have been a consequence of economics globalization process, where the importation of parasitized crustaceans might be the cause. However, there is the need of an accurate examination for the possibility of paragonimus specimens in this area of Brazil.

  13. Cryptococcosis outbreak in psittacine birds in Brazil.

    Science.gov (United States)

    Raso, T F; Werther, K; Miranda, E T; Mendes-Giannini, M J S

    2004-08-01

    An outbreak of cryptococcosis occurred in a breeding aviary in São Paulo, Brazil. Seven psittacine birds (of species Charmosyna papou, Lorius lory, Trichoglossus goldiei, Psittacula krameri and Psittacus erithacus) died of disseminated cryptococcosis. Incoordination, progressive paralysis and difficulty in flying were seen in five birds, whereas superficial lesions coincident with respiratory alterations were seen in two birds. Encapsulated yeasts suggestive of Cryptococcus sp. were seen in faecal smears stained with India ink in two cases. Histological examination of the birds showed cryptococcal cells in various tissues, including the beak, choana, sinus, lungs, air sacs, heart, liver, spleen, kidneys, intestines and central nervous system. High titres of cryptococcal antigen were observed in the serum of an affected bird. In this case, titres increased during treatment and the bird eventually died. Yeasts were isolated from the nasal mass, faeces and liver of one bird. Cryptococcus neoformans var. gattii serovar B was identified based on biochemical, physiological and serological tests. These strains were resistant (minimum inhibitory concentration 64 microg/ml) to fluconazole. This is the first report of C. neoformans var. gattii occurring in psittacine birds in Brazil.

  14. The changing face of autism in Brazil.

    Science.gov (United States)

    Rios, Clarice; Costa Andrada, Barbara

    2015-06-01

    At the end of 2012, after intensive lobbying by parent activist associations, a federal law recognized autism as a "disability for all legal purposes" in Brazil. Defining autism as a disability was more than a change of legal status to guarantee social benefits. It was also a political maneuver, orchestrated by parent associations, aimed to take the responsibility for treatment away from the public mental health network of services. This article examines the controversies that have set parent associations in direct antagonism with mental health professionals in the public health system. We draw from ethnographic data and theoretical discussions in the field of disability studies to situate these controversies within the context of a larger debate on the relationship between health, rights, and citizenship. We found similarities between the ethical and political goals of parent activists and mental health professionals in Brazil, but we argue that the main cause of dissent is the role that each of these social actors assigns to identity politics in their clinical and political projects.

  15. Fludized-bed process for complex municipal sewage treatment systems using micro-organisms immobilized on heterogenous polymer structures (biocompounds); Wirbelbettverfahren zur komplexen kommunalen Abwasserreinigung unter Verwendung von auf heterogenen Polymerstrukturen (Biocompounds) immobilisierten Mikroorganismen

    Energy Technology Data Exchange (ETDEWEB)

    Ochmann, C.

    2004-07-01

    Within the context of the present work, novel carriers for immobilizing microorganisms have been developed and tested both in the laboratory and on a semi-industrial scale. It was the primary target to optimize the known processes in deep biofilms such that, besides carbon compounds decomposition and nitrification, a directed (and sufficient) denitrification would also become possible. Prerequisite for purposefully influencing denitrification processes is to realize biofilms of a definite thickness. This cannot be ensured by means of the carriers used hitherto in practice. The approach consists in the use of heterogeneous polymer structures (biocompounds) made of two differently rapidly degradable biopolymers. The biopolymer that is more slowly degradable forms a matrix into which the rapidly degradable biopolymer is inserted in form of particles arranged from one another at a distance. Based on the primary biological decomposition of the more rapidly degradable component (''biocorrosion''), porosity is generated in the substrate, releasing carbon at the same time. In this way, anoxic zones are formed based on the existent material gradient, besides protection of the biofilm forming in the pores from mechanical wear and tear. Simultaneously this ensures the supply of carbon to the anoxic zone for denitrification. In examinations (laboratory and semi-technology), it has been shown that simultaneous and continuous degradation of carbon and nitrogen compounds can be achieved in a completely and steadily aerated reaction space through the use of biocompounds. No problems arose both in carbon compounds degradation and nitrification. The removal of nitrogen compounds from wastewater was limited by the denitrification performance, which allowed to identify denitrification as the limiting process within the total process. It was possible to show that the N{sub tot} elimination rate is a function of the C/N ratio in crude wastewater. (orig.)

  16. Increasing heterosexual transmission of HIV-1 subtype C in Inland Central Western Brazil.

    Science.gov (United States)

    Alcântara, Keila Correia; Reis, Monica Nogueira Guarda; Cardoso, Ludimila Paula Vaz; Bello, Gonzalo; Stefani, Mariane Martins Araújo

    2013-03-01

    The molecular epidemiology of HIV-1 in Brazil is complex and heterogeneous because several subtypes co-circulate with some important regional differences. This study evaluated HIV-1 subtypes amongst pregnant women living in the metropolitan area and in the interior cities from central western Brazil. From June 2008 to June 2010, 86.9% of confirmed cases of HIV-1 infection amongst pregnant women (172 out of 198 cases) were recruited in Goiania/Goias state. The HIV-1 pol gene was sequenced after nested-PCR. HIV-1 subtypes were assigned by REGA, phylogenetic, and bootscan analyses. The median age of participants was 26 years (15-41 years range); 58.7% of participants were diagnosed during prenatal care and 51.7% of participants came from >50 interior cities within Goias state. Amongst the 131 HIV-1 pol sequences, 64.9% were subtype B, 13.0% were BF1 recombinant, 11.4% were subtype C, 7.6% were subtype F1, and 2.3% were BC recombinant. According to the HIV-1 diagnosis date (1994-2010), a significant increase in subtype C and a decrease of BF1 mosaics were observed over time. All subtype C patients lived in interior cities where the highest prevalence of subtype C outside southern Brazil was observed (18.4%). Phylogenetic analysis revealed multiple independent introductions of the Brazilian subtype C clade from the southern/southeastern regions of Brazil. The HIV-1 epidemic in women from central western Brazil infected by the heterosexual route is characterized by an unexpectedly high prevalence of subtype C viruses highly related to those circulating in southern/southeastern Brazil. These findings highlight the importance of molecular surveillance programs outside large metropolitan regions in Brazil.

  17. Flood model for Brazil

    Science.gov (United States)

    Palán, Ladislav; Punčochář, Petr

    2017-04-01

    Looking on the impact of flooding from the World-wide perspective, in last 50 years flooding has caused over 460,000 fatalities and caused serious material damage. Combining economic loss from ten costliest flood events (from the same period) returns a loss (in the present value) exceeding 300bn USD. Locally, in Brazil, flood is the most damaging natural peril with alarming increase of events frequencies as 5 out of the 10 biggest flood losses ever recorded have occurred after 2009. The amount of economic and insured losses particularly caused by various flood types was the key driver of the local probabilistic flood model development. Considering the area of Brazil (being 5th biggest country in the World) and the scattered distribution of insured exposure, a domain covered by the model was limited to the entire state of Sao Paolo and 53 additional regions. The model quantifies losses on approx. 90 % of exposure (for regular property lines) of key insurers. Based on detailed exposure analysis, Impact Forecasting has developed this tool using long term local hydrological data series (Agencia Nacional de Aguas) from riverine gauge stations and digital elevation model (Instituto Brasileiro de Geografia e Estatística). To provide most accurate representation of local hydrological behaviour needed for the nature of probabilistic simulation, a hydrological data processing focused on frequency analyses of seasonal peak flows - done by fitting appropriate extreme value statistical distribution and stochastic event set generation consisting of synthetically derived flood events respecting realistic spatial and frequency patterns visible in entire period of hydrological observation. Data were tested for homogeneity, consistency and for any significant breakpoint occurrence in time series so the entire observation or only its subparts were used for further analysis. The realistic spatial patterns of stochastic events are reproduced through the innovative use of d-vine copula

  18. Country watch: Brazil.

    Science.gov (United States)

    Szterenfeld, C

    1995-01-01

    The Health in Prostitution Project was launched in 1991 in Rio de Janeiro, Brazil. The project offers a multi-year training program of health education designed to both fight the stigmatization of and violence against commercial sex workers and enhance their self-esteem, self-determination, and access to civil rights. The project therefore promotes individual awareness while influencing public opinion and policies. At first, health agents were recruited among women and transvestites who work in street-based sex work. The program was then gradually expanded to include young male sex workers and other locations, such as private parlors, saunas, and escort services. People of all sexes and sexual orientation now comprise the health agent group. The program has a paid staff of five women, three young men, and three transvestites, and approximately 70 sex workers are trained annually. Basic training includes topics such as human sexuality, personal risk assessment, HIV/STD infection, negotiation of safer sex, and STD referral services. Year two training emphasizes reproductive and women's health issues, while year three courses prioritize street work methodologies. Theatrical performances, speaking English as a second language, and performing Bach flower therapy for clients take place during the fourth year. Program trainers include medical specialists, nurses, psychologists, health educators, lawyers, and university students. At least half of the 350 health agents trained thus far are estimated to be currently engaged in paid or voluntary prevention work. Two surveys with female sex workers in 1991 and 1993 found that reported regular condom use increased from 57% to 73%; the health agents are having an effect. The program is constantly evaluated and revised.

  19. Zika virus outbreak in Brazil.

    Science.gov (United States)

    Heukelbach, Jorg; Alencar, Carlos Henrique; Kelvin, Alyson Ann; de Oliveira, Wanderson Kleber; Pamplona de Góes Cavalcanti, Luciano

    2016-02-28

    Zika virus (ZIKV) infection is spreading rapidly within the Americas after originating from an outbreak in Brazil. We describe the current ZIKV infection epidemic in Brazil and the neurological symptoms arising. First cases of an acute exanthematic disease were reported in Brazil's Northeast region at the end of 2014. In March 2015, autochthonous ZIKV was determined to be the causative agent of the exanthematic disease. As cases of neurological syndromes in regions where ZIKV, dengue and/or Chikungunya viruses co-circulate were reported, ZIKV was also identified in the cerebrospinal fluid of patients with acute neurological syndromes and previous exanthematic disease. By the end of September 2015, an increasing number of infants with small head circumference or microcephaly were noted in Brazil's Northeast which was estimated to be 29 cases between August and October. ZIKV was identified in blood and tissue samples of a newborn and in mothers who had given birth to infants with microcephaly and ophthalmological anomalies. In 2015, there were an estimated 440,000 - 1,300,000 Zika cases in Brazil. There have been 4,783 suspected cases of microcephaly, most of them in the Northeast of Brazil associated with 76 deaths. The Ministry of Health is intensifying control measures against the mosquito Aedes aegypti and implemented intensive surveillance actions. Further studies are needed to confirm the suspected association between ZIKV infection and microcephaly; to identify antiviral, immunotherapy, or prophylactic vaccine; to introduce diagnostic ELISA testing. Clinical and epidemiological studies must be performed to describe viral dynamics and expansion of the outbreak.

  20. Bird communities in two fragments of Cerrado in Itirapina, Brazil.

    Science.gov (United States)

    Telles, M; Dias, M M

    2010-08-01

    The Cerrado domain is a mosaic of vegetation types at the local scale, and this environmental heterogeneity leads to high regional bird diversity. Therefore, we aimed to survey quantitative and qualitatively the bird fauna of two fragments of Cerrado and to compare them with an adjacent protected area (Estação Ecológica de Itirapina), in order to assess the heterogeneity of bird diversity in the region. The present study was conducted during 12 months from October 2006 to September 2007 in the municipality of Itirapina, Southeastern Brazil. Altogether we recorded 210 bird species. Fifty-six of them had never been detected in Estação Ecológica de Itirapina, and eleven species are new records for the whole Itirapina region. The list also includes six species that are endangered in Sao Paulo State and five endemic species of the Cerrado domain. Most species were recorded in less than 50% of the visits and exhibited low relative abundance. Primarily insectivorous species were the most common, followed by omnivores. Frugivorous birds were poorly represented. Carnivores were more abundant than usually observed in fragments. The similarity among fragments was higher than between fragments and the protected area. Considering the vegetation heterogeneity in the Cerrado domain, our results reinforce the importance of conserving fragments in order to sample this diversity.

  1. Quantum-dot-based immunofluorescent imaging of HER2 and ER provides new insights into breast cancer heterogeneity

    Science.gov (United States)

    Chen, Chuang; Peng, Jun; Xia, Heshun; Wu, Qiongshui; Zeng, Libo; Xu, Hao; Tang, Hongwu; Zhang, Zhiling; Zhu, Xiaobo; Pang, Daiwen; Li, Yan

    2010-03-01

    Breast cancer (BC) is a heterogeneous tumor, and better understanding of its heterogeneity is essential to improving treatment effect. Quantum dot (QD)-based immunofluorescent nanotechnology (QD-IHC) for molecular pathology has potential advantages in delineating tumor heterogeneity. This potential is explored in this paper by QD-IHC imaging of HER2 and ER. BC heterogeneity can be displayed more clearly and sensitively by QD-IHC than conventional IHC in BC tissue microarrays. Furthermore, the simultaneous imaging of ER and HER2 might help understand their interactions during the process of evolution of heterogeneous BC.

  2. Oral health policies in Brazil

    Directory of Open Access Journals (Sweden)

    Gilberto Alfredo Pucca Junior

    2009-06-01

    Full Text Available Since Oral Health policies in Brazil have been constructed according to circumstances and possibilities, they should be understood within a given context. The present analysis contextualizes several issues of the Brazilian Oral Health Policy, called "Smiling Brazil", and describes its present stage of development. Today it involves re-organizing basic oral health care by deploying Oral Health Teams within the Family Health strategy, setting up Centers of Dental Specialists within an Oral Health network as a secondary care measure, setting up Regional Laboratories of Dental Prosthesis and a more extensive fluoridation of the public water supply.

  3. Cognitive heterogeneity in Williams syndrome.

    Science.gov (United States)

    Porter, Melanie A; Coltheart, Max

    2005-01-01

    This study used the Woodcock-Johnson Tests of Cognitive Ability-Revised to investigate a wide range of cognitive abilities in people with Williams syndrome (WS). It involved a comparatively large sample of 31 people with WS, but took a case-series approach. The study addressed the widespread claims of a characteristic "WS cognitive profile" by looking for heterogeneity rather than homogeneity. People with WS showed a variety of preserved (significantly above mental age [MA]), expected (at MA), and significantly impaired (significantly below MA) levels of functioning. Such results provide clear evidence for heterogeneity in cognitive functions within WS. We found the most homogeneity on a test of phonological processing and a test of phonological short-term memory, with half of the WS sample performing at MA levels on these tests. Interestingly, no WS individual showed a weakness on a test of nonverbal reasoning, and only one WS individual showed a weakness on a test of verbal comprehension. In addition, we found that strengths on analysis-synthesis and verbal analogies occurred only for WS individuals with an MA less than 5.5 years (our sample median MA); people with an MA greater than 5.5 years performed at MA level on these 2 tests. Results also provided preliminary evidence for distinct subgroups of WS people based on their cognitive strengths and weaknesses on a broad range of cognitive functions. On the basis of the findings, caution should be made in declaring a single cognitive profile that is characteristic of all individuals with WS. Just as there is heterogeneity in genetic and physical anomalies within WS, not all WS individuals share the same cognitive strengths and weaknesses. Also, not all WS individuals show the profile of a strength in verbal abilities and a weakness in spatial functions.

  4. Fundamental concepts in heterogeneous catalysis

    CERN Document Server

    Norskov, Jens K; Abild-Pedersen, Frank; Bligaard, Thomas

    2014-01-01

    This book is based on a graduate course and suitable as a primer for any newcomer to the field, this book is a detailed introduction to the experimental and computational methods that are used to study how solid surfaces act as catalysts.   Features include:First comprehensive description of modern theory of heterogeneous catalysisBasis for understanding and designing experiments in the field   Allows reader to understand catalyst design principlesIntroduction to important elements of energy transformation technologyTest driven at Stanford University over several semesters

  5. Heterogeneous photocatalysts in organic synthesis

    Science.gov (United States)

    Cherevatskaya, M.; König, B.

    2014-03-01

    The review deals with the application of inorganic semiconductors in organic synthesis. Although the majority of reported reactions still aim at the photocatalytic decomposition of organic compounds, the number of examples in synthetic applications is growing. The principal mechanisms of heterogeneous semiconductor photocatalysis are considered and examples illustrating the use of inorganic semiconductors in organic synthesis are given. The discussion is arranged according to the required excitation wavelength (UV or visible light) and to the new bond that is formed (carbon-carbon or carbon-heteroatom bond). The bibliography includes 47 references.

  6. Kinetics of heterogeneous catalytic reactions

    CERN Document Server

    Boudart, Michel

    2014-01-01

    This book is a critical account of the principles of the kinetics of heterogeneous catalytic reactions in the light of recent developments in surface science and catalysis science. Originally published in 1984. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase acc

  7. Computer Aided Design Modeling for Heterogeneous Objects

    CERN Document Server

    Gupta, Vikas; Tandon, Puneet

    2010-01-01

    Heterogeneous object design is an active research area in recent years. The conventional CAD modeling approaches only provide geometry and topology of the object, but do not contain any information with regard to the materials of the object and so can not be used for the fabrication of heterogeneous objects (HO) through rapid prototyping. Current research focuses on computer-aided design issues in heterogeneous object design. A new CAD modeling approach is proposed to integrate the material information into geometric regions thus model the material distributions in the heterogeneous object. The gradient references are used to represent the complex geometry heterogeneous objects which have simultaneous geometry intricacies and accurate material distributions. The gradient references helps in flexible manipulability and control to heterogeneous objects, which guarantees the local control over gradient regions of developed heterogeneous objects. A systematic approach on data flow, processing, computer visualizat...

  8. Pharmacy refill data can be used to predict virologic failure for patients on antiretroviral therapy in Brazil

    Directory of Open Access Journals (Sweden)

    David Martin

    2017-01-01

    Conclusions: The validation and use of the pharmacy dispensing ratio using public pharmacy refill data could aid in early identification of patients with poor adherence and prevent development of treatment failure and drug resistance in Brazil.

  9. Headache research and medical practice in Brazil: an historical overview.

    Science.gov (United States)

    Valença, Marcelo Moraes; da Silva, Amanda Araújo; Bordini, Carlos Alberto

    2015-02-01

    Since the creation of the Brazilian Headache Society in 1978, substantial developments have taken place in both research and clinical practice in the field of headache medicine in Brazil. The Society now has almost 300 members throughout the country, actively working to improve the health of the general population and, in particular, diagnose and treat headache disorders. In addition, in a few large cities, such as São Paulo, Rio de Janeiro, Recife, Ribeirão Preto, Curitiba, and Porto Alegre, headache specialists have come together to promote research projects and increase knowledge in the field through MSc, PhD, and postdoctoral programs. Furthermore, scientific journals have emerged and books have been published to record and disseminate Brazilian scientific production in headache medicine. In this narrative review, we will briefly describe some important aspects of headache medicine in Brazil from prehistoric times to the present day, discuss the origin of headache medicine as a specialty in Brazil, the principal publications dealing with headache disorders, the use of plants and other unconventional forms of treatment used by faith healers, the main training centers, and the research produced to date by Brazilians. In conclusion, in recent years enormous progress has been made in headache medicine in Brazil stimulating us to review and expand our role in an increasingly international scenario.

  10. Heterogeneous Transmutation Sodium Fast Reactor

    Energy Technology Data Exchange (ETDEWEB)

    S. E. Bays

    2007-09-01

    The threshold-fission (fertile) nature of Am-241 is used to destroy this minor actinide by capitalizing upon neutron capture instead of fission within a sodium fast reactor. This neutron-capture and its subsequent decay chain leads to the breeding of even neutron number plutonium isotopes. A slightly moderated target design is proposed for breeding plutonium in an axial blanket located above the active “fast reactor” driver fuel region. A parametric study on the core height and fuel pin diameter-to-pitch ratio is used to explore the reactor and fuel cycle aspects of this design. This study resulted in both non-flattened and flattened core geometries. Both of these designs demonstrated a high capacity for removing americium from the fuel cycle. A reactivity coefficient analysis revealed that this heterogeneous design will have comparable safety aspects to a homogeneous reactor of comparable size. A mass balance analysis revealed that the heterogeneous design may reduce the number of fast reactors needed to close the current once-through light water reactor fuel cycle.

  11. The effect of rib and lung heterogeneities on the computed dose to lung in Ir-192 High-Dose-Rate breast brachytherapy: Monte Carlo versus a treatment planning system

    Directory of Open Access Journals (Sweden)

    Hossein Salehi Yazdi

    2012-01-01

    Conclusions: Taking into account the ribs and entering the actual data for breasts, ribs, and lungs, revealed an average overestimation of the dose by a factor of 8% in the lung for TPS calculations. Therefore, the accuracy of the TPS results may be limited to regions near the implants where the treatment is planned, and is a more conservative approach for regions at boundaries with curvatures or tissues with a different material than that in the breast.

  12. Spatial heterogeneity in light supply affects intraspecific competition of a stoloniferous clonal plant.

    Directory of Open Access Journals (Sweden)

    Pu Wang

    Full Text Available Spatial heterogeneity in light supply is common in nature. Many studies have examined the effects of heterogeneous light supply on growth, morphology, physiology and biomass allocation of clonal plants, but few have tested those effects on intraspecific competition. In a greenhouse experiment, we grew one (no competition or nine ramets (with intraspecific competition of a stoloniferous clonal plant, Duchesnea indica, in three homogeneous light conditions (high, medium and low light intensity and two heterogeneous ones differing in patch size (large and small patch treatments. The total light in the two heterogeneous treatments was the same as that in the homogeneous medium light treatment. Both decreasing light intensity and intraspecific competition significantly decreased the growth (biomass, number of ramets and total stolon length of D. indica. As compared with the homogeneous medium light treatment, the large patch treatment significantly increased the growth of D. indica without intraspecific competition. However, the growth of D. indica with competition did not differ among the homogeneous medium light, the large and the small patch treatments. Consequently, light heterogeneity significantly increased intraspecific competition intensity, as measured by the decreased log response ratio. These results suggest that spatial heterogeneity in light supply can alter intraspecific interactions of clonal plants.

  13. Evaluating School Facilities in Brazil

    Science.gov (United States)

    Ornstein, Sheila Walbe; Moreira, Nanci Saraiva

    2008-01-01

    Brazil's Sao Paulo Metropolitan Region is conducting a performance evaluation pilot study at three schools serving disadvantaged populations. The objective is first to test methods which can facilitate Post Occupancy Evaluations (POEs) and then to carry out the evaluations. The preliminary results are provided below.

  14. Brazil and CERN get closer

    CERN Multimedia

    2002-01-01

    The map of countries affiliated to CERN may in future include Brazil. On a visit to CERN last week, the Brazilian Minister of State for Science and Technology, Ronaldo Mota Sardenberg, expressed his country's interest in closer links to the Laboratory.   Luciano Maiani and the Brazilian Minister of State for Science and Technology Ronaldo Mota Sardenberg shake hands on CERN-Brazil co-operation. During his visit, the Minister and CERN Director General Luciano Maiani issued a joint statement for the continuation of a Co-operation Agreement first established in 1990. They also agreed to study the possibility of Brazil joining CERN-led Grid computing infrastructure projects. Brazilian physicists are already involved in the LHCb, ATLAS and CMS experiments. At the conclusion of the Minister's visit, he and Director-General Maiani agreed to establish a Working Group to examine ways of strengthening Brazil's links with CERN, and to prepare the way for a Brazilian request to CERN Council to become an Observer at th...

  15. [Nuptiality among Brazil's black population].

    Science.gov (United States)

    Berquo, E

    1987-08-01

    Data from a three percent sample of the 1980 census of Brazil are used to analyze nuptiality trends by ethnic group. The focus is on the homogamy of marriage by color and age and on the marriage patterns of the black population.

  16. Forest policy reform in Brazil

    Science.gov (United States)

    S. Bauch; E. Sills; L.C. Rodriguez Estraviz; K. McGinley; F. Cubbage

    2009-01-01

    Rapid deforestation in the Brazilian Amazon, caused by economic, social, and policy factors, has focused global and national attention on protecting this valuable forest resource. In response, Brazil reformed its federal forest laws in 2006, creating new regulatory, development, and incentive policy instruments and institutions. Federal forestry responsibilities are...

  17. Brazils Rise to Global Power

    Science.gov (United States)

    2014-06-01

    Família, Real Plan, BRIC , Export Oriented Growth, Import Substitution Industrialization, South-South cooperation. 15. NUMBER OF PAGES 113 16...61 F. CAPABILITIES COMPARED TO BRIC ..................................................62 1. India...Desenvolvimento Econômico e Social BRIC Brazil, Russia, India, China EU European Union FTA Free Trade Agreement G8 Group of Eight G20 Group of Twenty GNP

  18. Brazil well worth the wait

    Energy Technology Data Exchange (ETDEWEB)

    Duey, R.

    1999-11-01

    Oil companies weren't the only ones waiting for Brazil to make up its mind about privatizing its oil and gas industry. Seismic firms are flocking to the area in droves to work their spec magic. Exploratory activities in these large offshore blocks are described.

  19. Thermal conductivity of heterogeneous LWR MOX fuels

    Science.gov (United States)

    Staicu, D.; Barker, M.

    2013-11-01

    It is generally observed that the thermal conductivity of LWR MOX fuel is lower than that of pure UO2. For MOX, the degradation is usually only interpreted as an effect of the substitution of U atoms by Pu. This hypothesis is however in contradiction with the observations of Duriez and Philiponneau showing that the thermal conductivity of MOX is independent of the Pu content in the ranges 3-15 and 15-30 wt.% PuO2 respectively. Attributing this degradation to Pu only implies that stoichiometric heterogeneous MOX can be obtained, while we show that any heterogeneity in the plutonium distribution in the sample introduces a variation in the local stoichiometry which in turn has a strong impact on the thermal conductivity. A model quantifying this effect is obtained and a new set of experimental results for homogeneous and heterogeneous MOX fuels is presented and used to validate the proposed model. In irradiated fuels, this effect is predicted to disappear early during irradiation. The 3, 6 and 10 wt.% Pu samples have a similar thermal conductivity. Comparison of the results for this homogeneous microstructure with MIMAS (heterogeneous) fuel of the same composition showed no difference for the Pu contents of 3, 5.9, 6, 7.87 and 10 wt.%. A small increase of the thermal conductivity was obtained for 15 wt.% Pu. This increase is of about 6% when compared to the average of the values obtained for 3, 6 and 10 wt.% Pu. For comparison purposes, Duriez also measured the thermal conductivity of FBR MOX with 21.4 wt.% Pu with O/M = 1.982 and a density close to 95% TD and found a value in good agreement with the estimation obtained using the formula of Philipponneau [8] for FBR MOX, and significantly lower than his results corresponding to the range 3-15 wt.% Pu. This difference in thermal conductivity is of about 20%, i.e. higher than the measurement uncertainties.Thus, a significant difference was observed between FBR and PWR MOX fuels, but was not explained. This difference

  20. Telemedicine: challenges to dissemination in Brazil

    Directory of Open Access Journals (Sweden)

    Jose Manuel Santos de Varge Maldonado

    Full Text Available Abstract: Telemedicine has been seen as an important tool for facing the challenges of universal health systems. The goal of this article is to discuss the main challenges to its full dissemination in Brazil. Being a somewhat new area, there are not many scientific papers that systematize it. This article is an exploratory paper, as it aims to provide an overall perspective on the subject. From an economic point of view, telemedicine is a strategic area due to its an intrinsic potential of being a source for generating innovation, for requiring and incorporating technological breakthroughs from other areas, and for its interdisciplinary nature and dynamic inter-relations that drive different industries. From the social perspective, it has the potential to make access to health services democratic, by connecting remote regions with health services located in hospitals and centers of reference for prevention, diagnosis and treatment.

  1. Assessing the scale of tumor heterogeneity by complete hierarchical segmentation of MRI

    Science.gov (United States)

    Gensheimer, Michael F.; Hawkins, Douglas S.; Ermoian, Ralph P.; Trister, Andrew D.

    2015-02-01

    In many cancers, intratumoral heterogeneity has been found in histology, genetic variation and vascular structure. We developed an algorithm to interrogate different scales of heterogeneity using clinical imaging. We hypothesize that heterogeneity of perfusion at coarse scale may correlate with treatment resistance and propensity for disease recurrence. The algorithm recursively segments the tumor image into increasingly smaller regions. Each dividing line is chosen so as to maximize signal intensity difference between the two regions. This process continues until the tumor has been divided into single voxels, resulting in segments at multiple scales. For each scale, heterogeneity is measured by comparing each segmented region to the adjacent region and calculating the difference in signal intensity histograms. Using digital phantom images, we showed that the algorithm is robust to image artifacts and various tumor shapes. We then measured the primary tumor scales of contrast enhancement heterogeneity in MRI of 18 rhabdomyosarcoma patients. Using Cox proportional hazards regression, we explored the influence of heterogeneity parameters on relapse-free survival. Coarser scale of maximum signal intensity heterogeneity was prognostic of shorter survival (p = 0.05). By contrast, two fractal parameters and three Haralick texture features were not prognostic. In summary, our algorithm produces a biologically motivated segmentation of tumor regions and reports the amount of heterogeneity at various distance scales. If validated on a larger dataset, this prognostic imaging biomarker could be useful to identify patients at higher risk for recurrence and candidates for alternative treatment.

  2. Biosorption of uranium by Azolla, SP, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Vieira, Ludmila C.; Alves, Eliakim G.; Marumo, Julio T., E-mail: lcvieira@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Ferreira, Rafael V. de P., E-mail: rafael@itatijuca.com [Itatijuca Biotech, Sao Paulo, SP (Brazil); Canevesi, Rafael L.S.; Silva, Edson A., E-mail: edson.silva2@unioeste.br [Universidade Estadual do Oeste Parana (UNIOESTE), Toledo, PR (Brazil)

    2015-07-01

    Radioactive liquid waste needs special attention and requires suitable treatment before deposition. Among the potential technologies under development for the treatment of liquid radioactive wastes the biosorption has been highlighted by being an efficient and low cost technique. Biosorption process involves the exchange of ions contained in the biomass matrix by others present in solution. There are many biomasses that could be applied in treatment of radioactive wastes, for example, agricultural residues and macrophyte. The aim of this study is evaluate the ability of the Azolla sp., a floating aquatic plant, to absorb uranium in solution. Azolla sp. is a macrophyte that has been used to treat effluents containing heavy metals. The biosorption capacity of uranium by Azolla sp. was experimentally determined and modeled by isotherms. Experiments were performed to determine metal uptake, and then the solutions were analyzed by inductively coupled plasma optical emission spectrometry (ICP-OES). The isotherms applied to model the data was Langmuir, Freundlich, Sips Toth, Redlich Peternson, Two-Site-Langmuir, Radke Prausnitz to develop a technique for the treatment of radioactive liquid waste generated at the Nuclear and Energy Research Institute (IPEN-CNEN/SP), Brazil. (author)

  3. Heterogeneity of Pre-diabetes and Type 2 Diabetes

    DEFF Research Database (Denmark)

    Faerch, Kristine; Hulmán, Adam; Solomon, Thomas P J

    2016-01-01

    glycaemic markers of diabetes risk can provide additional information to the established diagnostic criteria. A better understanding of the underlying mechanisms responsible for elevated fasting versus postprandial glucose concentration, as well as knowledge about the expected responsiveness to treatment......Type 2 diabetes is a heterogeneous disease with large variation in the relative contributions of insulin resistance and beta cell dysfunction between subgroups and individuals. Some of these differences are reflected in the way people are diagnosed. However, differences in glucose regulation exist...... among individuals even in those with comparable diagnostic glucose levels. In this review we address the heterogeneity of pre-diabetes and type 2 diabetes with special emphasis on differences in the pathophysiology and treatment responses related to the diagnostic criteria. We also discuss whether novel...

  4. Heterogeneity of pre-diabetes and type 2 diabetes

    DEFF Research Database (Denmark)

    Faerch, Kristine; Hulman, Adam; Solomon, Thomas

    2016-01-01

    glycaemic markers of diabetes risk can provide additional information to the established diagnostic criteria. A better understanding of the underlying mechanisms responsible for elevated fasting versus postprandial glucose concentration, as well as knowledge about the expected responsiveness to treatment......Type 2 diabetes is a heterogeneous disease with large variation in the relative contributions of insulin resistance and beta cell dysfunction between subtypes and individuals. Some of these differences are reflected in the way people are diagnosed. However, differences in glucose regulation exist...... among individuals even in those with comparable diagnostic glucose levels. In this review we address the heterogeneity of pre-diabetes and type 2 diabetes with special emphasis on differences in the pathophysiology and treatment responses related to the diagnostic criteria. We also discuss whether novel...

  5. Finite mixture varying coefficient models for analyzing longitudinal heterogenous data.

    Science.gov (United States)

    Lu, Zhaohua; Song, Xinyuan

    2012-03-15

    This paper aims to develop a mixture model to study heterogeneous longitudinal data on the treatment effect of heroin use from a California Civil Addict Program. Each component of the mixture is characterized by a varying coefficient mixed effect model. We use the Bayesian P-splines approach to approximate the varying coefficient functions. We develop Markov chain Monte Carlo algorithms to estimate the smooth functions, unknown parameters, and latent variables in the model. We use modified deviance information criterion to determine the number of components in the mixture. A simulation study demonstrates that the modified deviance information criterion selects the correct number of components and the estimation of unknown quantities is accurate. We apply the proposed model to the heroin treatment study. Furthermore, we identify heterogeneous longitudinal patterns.

  6. Life cycle assessment of cell phones in Brazil based on two reverse logistics scenarios

    Directory of Open Access Journals (Sweden)

    Daniela da Gama e Silva Volpe Moreira de Moraes

    2014-12-01

    Full Text Available This article is a result of a cell phone collection obtained at the Center for Information Technology Renato Archer (CTI under the AMBIENTRONIC Program, an initiative that supports the Brazilian electronic sector in the development of technologies for sustainability. The objective of this article is to assess two reverse logistic scenarios of cell phones using the technique of life-cycle assessment (LCA. The first scenario reflects the current scenario in Brazil, where batteries are recycled in Brazil and the other parts of the phones are outsourced to Europe. The second scenario is a proposal of full treatment in Brazil. The results indicate that the second scenario has a lower potential impact with important reduction of acidification, photochemical oxidation, eutrophication and the use of non-renewable energy. Furthermore, fully implementing reverse logistics in Brazil will enable socioeconomic benefits from the sale of materials and the generation of employment and income.

  7. Harvesting Information from Heterogeneous Sources

    DEFF Research Database (Denmark)

    2011-01-01

    The abundance of information regarding any topic makes the Internet a very good resource. Even though searching the Internet is very easy, what remains difficult is to automate the process of information extraction from the available online information due to the lack of structure and the diversity...... in the sharing methods. Most of the times, information is stored in different proprietary formats, complying with different standards and protocols which makes tasks like data mining and information harvesting very difficult. In this paper, an information harvesting tool (heteroHarvest) is presented...... with objectives to address these problems by filtering the useful information and then normalizing the information in a singular non hypertext format. We also discuss state of the art tools along with the shortcomings and present the results of an analysis carried out over different heterogeneous formats along...

  8. Emerging heterogeneities in Italian customs

    CERN Document Server

    Agliari, Elena; Galluzzi, Andrea; Javarone, Marco Alberto; Pizzoferrato, Andrea; Tantari, Daniele

    2015-01-01

    Since its unification, more than a century ago, Italy has experienced strong social and economical diversities between its southern and northern regions. In the last decades, Italy has undergone a severe economical and political crisis reflecting corruption at various levels of social stratification as well as a poor involvement of its population in the number of elections that occurred. This might be explained by a lack of confidence, or interest in the country as a whole, as if the primary social and political focus of its citizens could still lay at smaller regional scales, possibly evidencing the persistence of different cultural heritages. In order to shed lights on the possible existence of such heterogeneities, we perform a statistical-mechanics-driven analysis focusing on key social quantifiers, namely the evolution of autochthonous marriages (as family still plays as a fundamental brick in the edification of social aggregates) and of mixed marriages, namely those involving a foreign-born and a native...

  9. Heterogeneous Reburning By Mixed Fuels

    Energy Technology Data Exchange (ETDEWEB)

    Anderson Hall

    2009-03-31

    Recent studies of heterogeneous reburning, i.e., reburning involving a coal-derived char, have elucidated its variables, kinetics and mechanisms that are valuable to the development of a highly efficient reburning process. Young lignite chars contain catalysts that not only reduce NO, but they also reduce HCN that is an important intermediate that recycles to NO in the burnout zone. Gaseous CO scavenges the surface oxides that are formed during NO reduction, regenerating the active sites on the char surface. Based on this mechanistic information, cost-effective mixed fuels containing these multiple features has been designed and tested in a simulated reburning apparatus. Remarkably high reduction of NO and HCN has been observed and it is anticipated that mixed fuel will remove 85% of NO in a three-stage reburning process.

  10. HETEROGENEOUS REBURNING BY MIXED FUELS

    Energy Technology Data Exchange (ETDEWEB)

    Wei-Yin Chen; Benson B. Gathitu

    2005-01-14

    Recent studies of heterogeneous reburning, i.e., reburning involving a coal-derived char, have elucidated its variables, kinetics and mechanisms that are valuable to the development of a highly efficient reburning process. Young lignite chars contain catalysts that not only reduce NO, but they also reduce HCN that is an important intermediate that recycles to NO in the burnout zone. Gaseous CO scavenges the surface oxides that are formed during NO reduction, regenerating the active sites on the char surface. Based on this mechanistic information, cost-effective mixed fuels containing these multiple features has been designed and tested in a simulated reburning apparatus. Remarkably high reduction of NO and HCN has been observed and it is anticipated that mixed fuel will remove 85% of NO in a three-stage reburning process.

  11. Heterogeneous fuel for hybrid rocket

    Science.gov (United States)

    Stickler, David B. (Inventor)

    1996-01-01

    Heterogeneous fuel compositions suitable for use in hybrid rocket engines and solid-fuel ramjet engines, The compositions include mixtures of a continuous phase, which forms a solid matrix, and a dispersed phase permanently distributed therein. The dispersed phase or the matrix vaporizes (or melts) and disperses into the gas flow much more rapidly than the other, creating depressions, voids and bumps within and on the surface of the remaining bulk material that continuously roughen its surface, This effect substantially enhances heat transfer from the combusting gas flow to the fuel surface, producing a correspondingly high burning rate, The dispersed phase may include solid particles, entrained liquid droplets, or gas-phase voids having dimensions roughly similar to the displacement scale height of the gas-flow boundary layer generated during combustion.

  12. Mesoscale poroelasticity of heterogeneous media

    Science.gov (United States)

    Monfared, Siavash; Laubie, Hadrien; Radjai, Farhang; Pellenq, Roland; Ulm, Franz-Josef

    Poroelastic behavior of heterogeneous media is revisited. Lattice Element Method (LEM) is used to model interaction between solid constituents due to a pressurized pore space. Exploring beyond mean-field based theories in continuum microporomechanics, local textural variations and its contribution to the global anisotropic poroelastic behavior of real multiphase porous media are captured. To this end, statistical distributions of mesoscale poroelastic coefficients from numerical simulations on X-ray microscopy scans of two different organic-rich shales with different microtextures are presented. The results are compared with predictions using mean-field based tools of continuum micromechanics. The textural dependency of strain localization and stress chain formation captured in this framework promises a powerful tool for modeling poroelastic response of complex porous composites and a path to incorporate local textural and elastic variations into a continuum description. Visiting Scientist, CNRS-MIT, MIT.

  13. Genetic heterogeneity of hepatocellular carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Unsal, H.; Isselbacher, K.J. (Massachusetts General Hospital Cancer Center, Charlestown, MA (United States)); Yakicier, C.; Marcais, C.; Ozturk, M. (Institut National de la Sante et de la Recherche Medicale, Lyon (France)); Kew, M. (Univ. of Witwatersrand, Johannesburg (South Africa)); Volkmann, M. (Univ. of Heidelberg (Germany)); Zentgraf, H. (Deutsches Krebsforschungszentrum, Heidelberg (Germany))

    1994-01-18

    The authors studied 80 hepatocellular carcinomas from three continents for p53 gene (TP53) mutations and hepatitis B virus (HBV) sequences. p53 mutations were frequent in tumors from Mozambique but not in tumors from South Africa, China, and Germany. Independent of geographic origin, most tumors were positive for HBV sequences. X gene coding sequences of HBV were detected in 78% of tumors, whereas viral sequences in the surface antigen- and core antigen-encoding regions were present in less than 35% of tumors. These observations indicate that hepatocellular carcinomas are genetically heterogeneous. Mozambican-types of hepatocellular carcinomas are characterized by a high incidence of p53 mutations related to aflatoxins. In other tumors, the rarity of p53 mutations combined with the frequent presence of viral X gene coding sequences suggests a possible interference of HBV with the wild-type p53 function.

  14. Operando research in heterogeneous catalysis

    CERN Document Server

    Groot, Irene

    2017-01-01

    This book is devoted to the emerging field of techniques for visualizing atomic-scale properties of active catalysts under actual working conditions, i.e. high gas pressures and high temperatures. It explains how to understand these observations in terms of the surface structures and dynamics and their detailed interplay with the gas phase. This provides an important new link between fundamental surface physics and chemistry, and applied catalysis. The book explains the motivation and the necessity of operando studies, and positions these with respect to the more traditional low-pressure investigations on the one hand and the reality of industrial catalysis on the other. The last decade has witnessed a rapid development of new experimental and theoretical tools for operando studies of heterogeneous catalysis. The book has a strong emphasis on the new techniques and illustrates how the challenges introduced by the harsh, operando conditions are faced for each of these new tools. Therefore, one can also read th...

  15. Heterogeneity in Preferences and Productivity

    DEFF Research Database (Denmark)

    Gørtz, Mette

    versus housework, 2) preferences for leisure compared to consumption, and 3) marginal utility of wealth, is correlated with the retirement decision. Based on US consumption and time use data for 2001 and 2003 from the Consumptions and Activities Mail Survey (CAMS), we study the patterns of individual...... choices of expenditure, household production and leisure for people in and around retirement. The unobserved individual heterogeneity factor is isolated by comparing cross-sectional evidence and panel data estimates of the effects of retirement on consumption and time allocation. Based on cross......-section data, we can identify a difference in consumption due to retirement status, but when the panel nature of the data is exploited, the effect of retirement on consumption is small and insignificant. Moreover, the analyses point at a large positive effect of retirement on household production. Our results...

  16. [Heterogenous expression of antimicrobial peptides].

    Science.gov (United States)

    Song, Shanshan; Hu, Guobin; Dong, Xianzhi

    2009-12-01

    Antimicrobial peptides (AMPs), a class of short proteins with a broad spectrum of antibacterial activities, are isolated from a wide variety of animals, both vertebrates and invertebrates, and plants as well as from bacteria and fungi. They are a key component of the innate immune response in most multicellular organisms. Owing to their potent, broad-spectrum antibacterial activities and uneasy developing of drug resistance, these peptides are of great clinical significance. However, preparation of AMPs at a large scale is a severe challenge to the development of the commercial products. Undoubtedly, construction of high-level biological expression systems for the production of AMPs is the key in its clinical application process. Herein, we summarize the progress in researches on heterogenous expression of AMPs in prokaryotic expression systems and eukaryotic expression systems.

  17. Clinical treatment outcomes of tuberculosis treated with the basic regimen recommended by the Brazilian National Ministry of Health using fixed-dose combination tablets in the greater metropolitan area of Goiânia, Brazil *

    OpenAIRE

    Ferreira, Anna Carolina Galvão; da Silva, José Laerte Rodrigues; Conde, Marcus Barreto; Rabahi, Marcelo Fouad

    2013-01-01

    OBJECTIVE: To describe the rates of cure, treatment failure, and treatment abandonment obtained with the basic regimen recommended by the Brazilian National Ministry of Health-rifampin, isoniazid, pyrazinamide, and ethambutol for two months, followed by isoniazid and rifampin for four months-involving the use of fixed-dose combination tablets (self-administered treatment), as well as to describe adverse events and their potential impact on treatment outcomes. METHODS: This was a descriptive s...

  18. Intelligent Classification in Huge Heterogeneous Data Sets

    Science.gov (United States)

    2015-06-01

    INTELLIGENT CLASSIFICATION IN HUGE HETEROGENEOUS DATA SETS JUNE 2015 FINAL TECHNICAL REPORT APPROVED FOR PUBLIC RELEASE; DISTRIBUTION UNLIMITED...To) JUL 2013 – APR 2015 4. TITLE AND SUBTITLE INTELLIGENT CLASSIFICATION IN HUGE HETEROGENEOUS DATA SETS 5a. CONTRACT NUMBER IN-HOUSE 5b. GRANT...signals and through data dimension reduction, and to develop and tailor algorithms for the extraction of intelligence from several huge heterogeneous

  19. In-situ characterization of heterogeneous catalysts

    CERN Document Server

    Rodriguez, Jose A; Chupas, Peter J

    2013-01-01

    Helps researchers develop new catalysts for sustainable fuel and chemical production Reviewing the latest developments in the field, this book explores the in-situ characterization of heterogeneous catalysts, enabling readers to take full advantage of the sophisticated techniques used to study heterogeneous catalysts and reaction mechanisms. In using these techniques, readers can learn to improve the selectivity and the performance of catalysts and how to prepare catalysts as efficiently as possible, with minimum waste. In-situ Characterization of Heterogeneous Catalysts feat

  20. Demographic heterogeneity, cohort selection, and population growth

    OpenAIRE

    Bruce E. Kendall; Fox, Gordon A.; Fujiwara, Masami; Nogeire, Theresa M.

    2011-01-01

    Demographic heterogeneity—variation among individuals in survival and reproduction—is ubiquitous in natural populations. Structured population models address heterogeneity due to age, size, or major developmental stages. However, other important sources of demographic heterogeneity, such as genetic variation, spatial heterogeneity in the environment, maternal effects, and differential exposure to stressors, are often not easily measured and hence are modeled as stochasticity. Recent research ...

  1. Fixed export cost heterogeneity, trade and welfare

    DEFF Research Database (Denmark)

    Jørgensen, Jan Guldager; Schröder, Philipp J.H.

    2008-01-01

    -country intra-industry trade model where firms are of two different marginal costs types and where fixed export costs are heterogeneous across firms. This model traces many of the stylized facts of international trade. However, we find that with heterogeneous fixed export costs there exists a positive bilateral......Recent literature on the workhorse model of intra-industry trade has explored heterogeneous cost structures at the firm level. These approaches have proven to add realism and predictive power. This paper presents a new and simple heterogeneous-firms specification. We develop a symmetric two...

  2. A heterogeneous algorithm for PDT dose optimization for prostate

    Science.gov (United States)

    Altschuler, Martin D.; Zhu, Timothy C.; Hu, Yida; Finlay, Jarod C.; Dimofte, Andreea; Wang, Ken; Li, Jun; Cengel, Keith; Malkowicz, S.B.; Hahn, Stephen M.

    2015-01-01

    The object of this study is to develop optimization procedures that account for both the optical heterogeneity as well as photosensitizer (PS) drug distribution of the patient prostate and thereby enable delivery of uniform photodynamic dose to that gland. We use the heterogeneous optical properties measured for a patient prostate to calculate a light fluence kernel (table). PS distribution is then multiplied with the light fluence kernel to form the PDT dose kernel. The Cimmino feasibility algorithm, which is fast, linear, and always converges reliably, is applied as a search tool to choose the weights of the light sources to optimize PDT dose. Maximum and minimum PDT dose limits chosen for sample points in the prostate constrain the solution for the source strengths of the cylindrical diffuser fibers (CDF). We tested the Cimmino optimization procedures using the light fluence kernel generated for heterogeneous optical properties, and compared the optimized treatment plans with those obtained using homogeneous optical properties. To study how different photosensitizer distributions in the prostate affect optimization, comparisons of light fluence rate and PDT dose distributions were made with three distributions of photosensitizer: uniform, linear spatial distribution, and the measured PS distribution. The study shows that optimization of individual light source positions and intensities are feasible for the heterogeneous prostate during PDT. PMID:25914793

  3. A heterogeneous algorithm for PDT dose optimization for prostate

    Science.gov (United States)

    Altschuler, Martin D.; Zhu, Timothy C.; Hu, Yida; Finlay, Jarod C.; Dimofte, Andreea; Wang, Ken; Li, Jun; Cengel, Keith; Malkowicz, S. B.; Hahn, Stephen M.

    2009-02-01

    The object of this study is to develop optimization procedures that account for both the optical heterogeneity as well as photosensitizer (PS) drug distribution of the patient prostate and thereby enable delivery of uniform photodynamic dose to that gland. We use the heterogeneous optical properties measured for a patient prostate to calculate a light fluence kernel (table). PS distribution is then multiplied with the light fluence kernel to form the PDT dose kernel. The Cimmino feasibility algorithm, which is fast, linear, and always converges reliably, is applied as a search tool to choose the weights of the light sources to optimize PDT dose. Maximum and minimum PDT dose limits chosen for sample points in the prostate constrain the solution for the source strengths of the cylindrical diffuser fibers (CDF). We tested the Cimmino optimization procedures using the light fluence kernel generated for heterogeneous optical properties, and compared the optimized treatment plans with those obtained using homogeneous optical properties. To study how different photosensitizer distributions in the prostate affect optimization, comparisons of light fluence rate and PDT dose distributions were made with three distributions of photosensitizer: uniform, linear spatial distribution, and the measured PS distribution. The study shows that optimization of individual light source positions and intensities are feasible for the heterogeneous prostate during PDT.

  4. Converting Homogeneous to Heterogeneous in Electrophilic Catalysis using Monodisperse Metal Nanoparticles

    Energy Technology Data Exchange (ETDEWEB)

    Witham, Cole A.; Huang, Wenyu; Tsung, Chia-Kuang; Kuhn, John N.; Somorjai, Gabor A.; Toste, F. Dean

    2009-10-15

    A continuing goal in catalysis is the transformation of processes from homogeneous to heterogeneous. To this end, nanoparticles represent a new frontier in heterogeneous catalysis, where this conversion is supplemented by the ability to obtain new or divergent reactivity and selectivity. We report a novel method for applying heterogeneous catalysts to known homogeneous catalytic reactions through the design and synthesis of electrophilic platinum nanoparticles. These nanoparticles are selectively oxidized by the hypervalent iodine species PhICl{sub 2}, and catalyze a range of {pi}-bond activation reactions previously only homogeneously catalyzed. Multiple experimental methods are utilized to unambiguously verify the heterogeneity of the catalytic process. The discovery of treatments for nanoparticles that induce the desired homogeneous catalytic activity should lead to the further development of reactions previously inaccessible in heterogeneous catalysis. Furthermore, our size and capping agent study revealed that Pt PAMAM dendrimer-capped nanoparticles demonstrate superior activity and recyclability compared to larger, polymer-capped analogues.

  5. Violência contra a criança: revelando o perfil dos atendimentos em serviços de emergência, Brasil, 2006 e 2007 Violence against children: revealing the characteristics of emergency treatment, Brazil, 2006 and 2007

    Directory of Open Access Journals (Sweden)

    Márcio Dênis Medeiros Mascarenhas

    2010-02-01

    Full Text Available O objetivo deste artigo foi descrever o perfil dos atendimentos de emergência por lesões relacionadas à violência em crianças (The aim of this article was to describe the profile of emergency care for injuries resulting from violence against children (< 10 years of age treated Surveillance System for Violence and Accidents (VIVA of the Ministry of Health, for 30 consecutive days in 2006 and 2007 in selected cities of Brazil. The 518 children in the sample were predominantly male (60.6%, aged 5-9 years (52.1%, and black (71.2%. The majority (55% of the cases occurred in the home, 34.2% involved sharp objects, and 68.7% evolved to discharge. The most frequent form of violence was physical aggression (67.4%, involving beating, sharp objects, and firearms. The other types of violence included neglect (32%, psychological abuse (9.5%, and sexual assault (3.5%. The aggressors were largely male (48.1% and family members of the victim (36.3%. The study shows children's vulnerability to situations of violence. It is necessary to develop specific strategies for inter-sector care and social mobilization to intervene in this problem.

  6. Fungal microbiota in air-conditioning installed in both adult and neonatal intensive treatment units and their impact in two university hospitals of the central western region, Mato Grosso, Brazil.

    Science.gov (United States)

    Simões, Sara de Almeida Alves; Leite Júnior, Diniz Pereira; Hahn, Rosane Christine

    2011-08-01

    To evaluate fungal microbiota in air-conditioning units installed in intensive care units in two university hospitals in Cuiaba city, Mato Grosso, central western region of Brazil, 525 solid environmental samples were collected, 285 from Hospital A and 240 from Hospital B. Collections were performed using sterile swabs on air-conditioning unit components: cooling coils, ventilators, and filters. Mycelial fungi identification was achieved by observation of the macroscopic and micromorphological characteristics in different culture mediums (maize meal, oatmeal and potato dextrose agars and malt extract) using the Ridell technique. Eleven genera and 27 distinct species belonging to the hyphomycetes and ascomycetes classes were isolated and identified. The most frequently detected genera in both hospitals were Aspergillus spp, Penicillium spp, and Cladosporium spp. Values for colony-forming units per gram were 64 and 75%, well above the limits recommended by Health Ministry resolution 176/00 at the locations selected for analysis in Hospitals A and B, respectively. In conclusion, evaluation of fungal microbiota in the air-conditioning units indirectly determined that the air quality was compromised in both university hospitals analyzed, which constitutes a risk factor for the acquisition of infection in the intensive care units.

  7. Phenotypic Heterogeneity of Breast Cancer Stem Cells

    Directory of Open Access Journals (Sweden)

    Aurelio Lorico

    2011-01-01

    Full Text Available Many types of tumors are organized in a hierarchy of heterogeneous cell populations, with only a small proportion of cancer stem cells (CSCs capable of sustaining tumor formation and growth, giving rise to differentiated cells, which form the bulk of the tumor. Proof of the existence of CSC comes from clinical experience with germ-cell cancers, where the elimination of a subset of undifferentiated cells can cure patients (Horwich et al., 2006, and from the study of leukemic cells (Bonnet and Dick, 1997; Lapidot et al., 1994; and Yilmaz et al., 2006. The discovery of CSC in leukemias as well as in many solid malignancies, including breast carcinoma (Al-Hajj et al. 2003; Fang et al., 2005; Hemmati et al., 2003; Kim et al., 2005; Lawson et al., 2007; Li et al., 2007; Ricci-Vitiani et al., 2007; Singh et al., 2003; and Xin et al., 2005, has suggested a unifying CSC theory of cancer development. The reported general insensitivity of CSC to chemotherapy and radiation treatment (Bao et al., 2006 has suggested that current anticancer drugs, which inhibit bulk replicating cancer cells, may not effectively inhibit CSC. The clinical relevance of targeting CSC-associated genes is supported by several recent studies, including CD44 targeting for treatment of acute myeloid leukemia (Jin et al., 2006, CD24 targeting for treatment of colon and pancreatic cancer (Sagiv et al., 2008, and CD133 targeting for hepatocellular and gastric cancer (Smith et al., 2008. One promising approach is to target CSC survival signaling pathways, where leukemia stem cell research has already made some progress (Mikkola et al., 2010.

  8. Spatial heterogeneity of soils of the Cerrado-Pantanal ecotone

    Directory of Open Access Journals (Sweden)

    Isabela Codolo de Lucena

    Full Text Available In areas of the Cerrado-Pantanal ecotone in Brazil, the soil displays features which are inherent to the processes of soil formation, both of the Central Plateau and the Pantanal Plain. Given this premise, the area should be noteworthy for its high level of edaphic heterogeneity. The present study aimed to determine the physical, chemical and physico-hydric attributes that best explain the heterogeneity of soils in areas of the Cerrado-Pantanal ecotone, and to assess whether these attributes differ between the studied fragments and between the Cerrado soils of the Central Plateau and of the Pantanal Plain. One hundred and sixty soil samples were collected and 11 profiles described for five areas of the Cerrado-Pantanal ecotone (15º43' S, 56º04' W. The following classes were identified: typic Concretionary Petric Plinthosol; typic Lithoplintic Petric Plinthosol; typic dystrophic Yellow Latosol; dystrophic Yellow Latosol with plinthite, the last three not yet having been described for this region. The chemical attributes CEC, M, OM, K, P, Mg, Ca and Mn explained 40.49% of the variability of the soils in the region under study, whether differing or not between the studied fragments. Spatial distribution of the attributes varied between random and aggregated, with the chemical attributes CEC, K, Ca and Mg being similar to soils of the Pantanal Plain. Whereas Al, P and Mn, as well as the hydric variables, were similar to the Plateau. On the other hand, the average organic matter content, pH, gravel and pebbles, were characteristic of both the Plateau and the Plain.

  9. Life Cycle Assessment of Lubricant Oil Plastic Containers in Brazil

    Directory of Open Access Journals (Sweden)

    Maria Clara Oliveira

    2017-04-01

    Full Text Available Brazil, like many emerging countries, has experienced a fast growth in the demand for automobiles in recent decades. This has produced a significant increase in the amount of hazardous waste to be disposed of, including used lubricant oil. Restrictive regulations are being used by many nations to deal with this problem, focusing on treatments, such as recycling, to avoid resource depletion. Specific rules for disposal of used lubricant oil already exist in various countries, including Brazil, but not for its containers. Using the life cycle assessment methodology, this article evaluates different management options for the destination of Lubricant Oil Plastic Containers (LOPCs, comparing recycling and incineration to disposal in an industrial landfill. Results show that reducing the proportion of LOPCs destined to the landfill has positive impacts in lowering the burdens caused in the life cycle of LOPCs. Incineration, which is not a technology used for destination of LOPCs in Brazil, proved to be a promising option when combined with recycling for treatment of this kind of waste. Combining different destinations is also a good option as long as economic, logistics and the environment are taken into consideration. The present paper concludes that emerging countries are able to manage hazardous waste provided that there is adequate legislation and political will along with cooperation from the private sector. This study can be helpful to the decision-making processes concerning hazardous waste, especially for industrial strategies and policy makers.

  10. Oral health in Brazil - Part II: Dental Specialty Centers (CEOs

    Directory of Open Access Journals (Sweden)

    Vinícius Pedrazzi

    2008-08-01

    Full Text Available The concepts of health promotion, self-care and community participation emerged during the 1970s and, since then, their application has grown rapidly in the developed world, showing evidence of effectiveness. In spite of this, a major part of the population in the developing countries still has no access to specialized dental care such as endodontic treatment, dental care for patients with special needs, minor oral surgery, periodontal treatment and oral diagnosis. This review focuses on a program of the Brazilian Federal Government named CEOs (Dental Specialty Centers, which is an attempt to solve the dental care deficit of a population that is suffering from oral diseases and whose oral health care needs have not been addressed by the regular programs offered by the SUS (Unified National Health System. Literature published from 2000 to the present day, using electronic searches by Medline, Scielo, Google and hand-searching was considered. The descriptors used were Brazil, Oral health, Health policy, Health programs, and Dental Specialty Centers. There are currently 640 CEOs in Brazil, distributed in 545 municipal districts, carrying out dental procedures with major complexity. Based on this data, it was possible to conclude that public actions on oral health must involve both preventive and curative procedures aiming to minimize the oral health distortions still prevailing in developing countries like Brazil.

  11. Abortion in Brazil: A Search For Rights

    OpenAIRE

    Anjos, Karla Ferraz dos; Universidade Estadual do Sudoeste da Bahia; Santos, Vanessa Cruz; Universidade Estadual do Sudoeste da Bahia; Souzas, Raquel; Universidade Federal da Bahia; Eugênio, Benedito Gonçalves; Universidade Estadual do Sudoeste da Bahia

    2013-01-01

    Discussing the abortion theme in Brazil is highly problematic since it involves ethical, moral and legal precepts. The criminalization of abortion in Brazil favors a clandestine and unsafe practice and can lead to serious consequences to women´s health. In this perspective, this research deals with the legal context in which the abortion problem is inscribed in Brazil, coupled to the specific aims in pinpointing complications caused by the criminalization of clandestine abortion besides deali...

  12. Corruption - Can Brazil win this war?

    OpenAIRE

    Washington de Queiroz, Jorge

    2015-01-01

    Corruption in Brazil is endemic and has increased since the end of the military transition regime in 1985, a year marked by an indirect presidential election, which was followed by the 1988 Constitutional Reform. The present thesis answers the research question of how corruption affects well-being in Brazil" by investigating the existing cause-effect relationships and complex dynamics and logic between corruption and related variables in Brazil, with each of the twenty-s...

  13. Perspective for the reproduction of antimalarial drugs in Brazil

    Directory of Open Access Journals (Sweden)

    Benjamin Gilbert

    1992-01-01

    Full Text Available The appears to be no chemical manufacture of antimalarial drugs is Brazil. Technology at laboratory process level has been developed for chloroquine, mefloquine, pyrimethamine and cycloquanil, but not perfected nor scaled-up, largely for economic reasons and market uncertainty. Development of primaquine has been contracted but it will run into the same difficulty. Manufacturing capacity for sulfadoxine was registred in the SDI by Roche. A project to produce artemisinine and its derivates is under way at UNICAMP-CPQBA but is hampered by low content in the plant. Proguanil could be produced easily, but apparently no attempt has been made to do so. Quinine is imported on a large scale mostly for softdrink production. Since malarial treatment falls largely within responsability of the Government health authorities, manufacture of drugs in Brazil will depend on an assured medium-term purchase order made to a potential local manufacturer, since competition in the world market is scarcelyviable at the present moment.

  14. Spherical tokamak development in Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Ludwig, G.O.; Del Bosco, E.; Ferreira, J.G.; Berni, L.A.; Oliveira, R.M.; Andrade, M.C.R.; Shibata, C.S.; Ueda, M.; Barroso, J.J.; Castro, P.J. [Instituto Nacional de Pesquisas Espaciais (INPE), Sao Jose dos Campos, SP (Brazil). Lab. Associado de Plasma; Barbosa, L.F.W. [Universidade do Vale do Paraiba (UNIVAP), Sao Jose dos Campos, SP (Brazil). Faculdade de Engenharia, Arquitetura e Urbanismo; Patire Junior, H. [Instituto Nacional de Pesquisas Espaciais (INPE), Sao Jose dos Campos, SP (Brazil). Div. de Mecanica Espacial e Controle; The high-power microwave sources group

    2003-12-01

    This paper describes the general characteristics of spherical tokamaks, or spherical tori, with a brief overview of work in this area already performed or in progress at several institutions worldwide. The paper presents also the steps in the development of the ETE (Experimento Tokamak Esferico) project, its research program, technical characteristics and operating conditions as of December, 2002 at the Associated Plasma Laboratory (LAP) of the National Space Research Institute (INPE) in Brazil. (author)

  15. Spherical tokamak development in Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Ludwig, Gerson Otto; Bosco, Edson Del; Ferreira, Julio Guimaraes [Instituto Nacional de Pesquisas Espaciais (INPE), Sao Jose dos Campos, SP (Brazil). Lab. Associado de Plasma] (and others)

    2003-07-01

    The general characteristics of spherical tokamaks, or spherical tori, with a brief view of work in this area already performed or in progress at several institutions worldwide are described. The paper presents also the steps in the development of the ETE (Experiment Tokamak spheric) project, its research program, technical characteristics and operating conditions as of December, 2002 a the Associated Plasma Laboratory (LAP) of the National Space Research Institute (INPE) in Brazil. (author)

  16. National epilepsy movement in Brazil

    OpenAIRE

    P T Fernandes; Noronha, A. L. A.; Sander, J. W.; L. M. Li

    2007-01-01

    Purpose: To establish a social network of epilepsy lay organization in Brazil to provide advocacy for people with epilepsy and eventually forma powerful National Epilepsy movement. Method.-We actively searched for any associations, support groups or organizations related to epilepsy in the country by personal contacts, internet search and by telephone search. Contact was then established with any entity found. Results: The first meeting was held in Campinas in March 2003, and was attended by ...

  17. Brazil-U.S. Relations

    Science.gov (United States)

    2009-06-03

    Currently at least ten bilateral mechanisms are in place through which U.S. and Brazilian government and business leaders interface on issues of...base, 430 kilograms of crack cocaine, 182 metric tons of marijuana, 12 kilograms of heroin, 125,706 dosage units of ecstasy , and 95,653 dosage units of...States continue to work together to address intellectual property issues, primarily through the U.S.-Brazil Bilateral Consultative Mechanism and the

  18. Brazil's Economy:Too Hot

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    @@ Brazil has a lot to be proud of.A decade of faster growth and progressive social policies has brought a prosperity that is ever more widely shared.The unemployment rate for April, at 6.4%, is the lowest on record.Credit is booming, particularly to the swelling numbers who have moved out of poverty and into the middle class.Income inequality, though still high, has fallen sharply.For most Brazilians life has never been so good.

  19. Brazil, A Potential World Power?

    Science.gov (United States)

    1966-04-22

    inadequate transportation system. Much of the difficulty in exploiting the great natural wealth of the country has been the direct result of a poor ...exploding birth rate and high infant mortality; great wealth and degrading poverty . Much of the poverty and high mortality can be attributed to a vicious...circle of poverty creating ignorance and ignorance creating poverty . Brazil’s population is about 80 million and has been increas- ing at the rate of

  20. Transferring ART research into education in Brazil

    Directory of Open Access Journals (Sweden)

    Maria Fidela de Lima Navarro

    2009-01-01

    Full Text Available The aim of this study was to evaluate the teaching of the Atraumatic Restorative Treatment (ART approach in Brazilian dental schools. MATERIALS AND METHODS: A questionnaire on this subject was sent to Pediatric Dentistry, Operative Dentistry and Public Health Dentistry professors. The questions approached the followig subjects: the method used to teach ART, the time spent on its teaching, under which discipline it is taught, for how many years ART has been taught and its effect on the DMFT index. RESULTS: A total of 70 out of 202 dental schools returned the questionnaire. The ART approach is taught in the majority of the Brazilian dental schools (96.3%, and in most of these schools it is taught both in theory and in clinical practice (62.9%. The majority (35.3% of professors teach ART for 8 hours, and most often as part of the Pediatric Dentistry discipline (67.6%. It has been taught for the last 7 to 10 years in 34.3% of dental schools. Most professors did not observe a change in the DMFT index with this approach. There is a diversity in the teaching of ART in Brazil in terms of the number of hours spent, the teaching method (theory and practice, and the disciplines involved in its teaching. CONCLUSIONS: It is necessary to address the training of professors in the ART approach for the whole country. An educational model is proposed whereby a standard ART module features as part of other preventive and restorative caries care educational modules. This will facilitate and standardize the introduction and adoption of the ART approach in undergraduate education in Brazil.

  1. The "AMA-Brazil" cooperative project: a nation-wide assessment of the clinical and epidemiological profile of AIDS-related deaths in Brazil in the antiretroviral treatment era Projeto cooperativo AMA-Brasil: um estudo nacional do perfil clinico e epidemiológico dos óbitos relacionados à AIDS na era da terapia antirretroviral

    Directory of Open Access Journals (Sweden)

    Maria Amelia de Sousa Mascena Veras

    2011-01-01

    Full Text Available The objective of this study was to assess the profile of AIDS-related deaths in the post antiretroviral therapy (ART scale up period in Brazil. A case-control study was conducted including a nationally probabilistic sample of AIDS deaths and living controls. Data were abstracted from medical records and nation-wide databases of AIDS cases, mortality, ART care, and laboratory testing. Interrupted (adjusted odds ratio - AOR 4.35, 95%CI: 3.15-6.00 or no use of ART (AOR 2.39, 95%CI: 1.57-3.65 was the strongest predictor of death, followed by late diagnosis (AOR 3.95, 95%CI: 2.68-5.82. Criterion other than CD4 Analisou-se o perfil clínico e epidemiológico dos óbitos relacionados à AIDS no período posterior à implementação da terapia antirretroviral (TARV no Brasil, em um estudo caso-controle, com amostra representativa de óbitos por AIDS e de pessoas vivendo com AIDS, utilizando dados secundários. Abandono (odds ratio ajustada - AOR = 4,35, IC95%: 3,15-6,00 ou não uso da TARV (AOR = 2,39, IC95%: 1,57-3,65 foi o mais forte preditor de morte, seguido de diagnóstico tardio (AOR = 3,95, IC95%: 2,68-5,82. Critério de definição de AIDS que não o "CD4 < 350" esteve associado a uma maior probabilidade de morte (AOR = 1,65, IC95%: 1,14-2,40. Pacientes que não receberam vacinas recomendadas (AOR = 1,76, 95%CI: 1,21-2,56, apresentando doenças associadas à AIDS (AOR = 2,19, IC95%: 1,22-3,93 e com tuberculose (AOR = 1,50, IC95%: 1,14-1,97, tiveram maior risco de morte. A categoria de exposição UDI apresentou maior chance de óbito. Apesar do sucesso com as introduções precoces da TARV, brasileiros continuaram a morrer de AIDS no período posterior à implementação da terapia, e muitas das causas subjacentes a essa mortalidade são preveníveis.

  2. Decentralization and REDD+ in Brazil

    Directory of Open Access Journals (Sweden)

    Fabiano Toni

    2011-01-01

    Full Text Available Recent discussions on REDD+ (Reducing Emissions from Deforestation and Forest Degradation, plus conservation, sustainable management of forests and enhancement of forest carbon stocks have raised optimism about reducing carbon emissions and deforestation in tropical countries. If approved under the United Nations Framework Convention on Climate Change (UNFCCC, REDD+ mechanisms may generate a substantial influx of financial resources to developing countries. Some authors argue that this money could reverse the ongoing process of decentralization of forest policies that has spread through a large number of developing countries in the past two decades. Central states will be accountable for REDD+ money, and may be compelled to control and keep a significant share of REDD+ funds. Supporters of decentralization argue that centralized implementation of REDD+ will be ineffective and inefficient. In this paper, I examine the relation between subnational governments and REDD+ in Brazil. Data show that some state governments in the Brazilian Amazon have played a key role in creating protected areas (PAs after 2003, which helped decrease deforestation rates. Governors have different stimuli for creating PAs. Some respond to the needs of their political constituency; others have expectations to boost the forest sector so as to increase fiscal revenues. Governors also have led the discussion on REDD+ in Brazil since 2008. Considering their interests and political power, REDD+ is unlikely to curb decentralization in Brazil.

  3. Increase of tourists’ length of stay in Brazil: New tourists or new behaviors?

    Directory of Open Access Journals (Sweden)

    Glauber Eduardo de Oliveira Santos

    2012-09-01

    Full Text Available The average duration of tourism trips has decreased all over the world. However, curiously, this trend has not been observed in the Brazilian inbound tourism. There are two hypotheses for explaining this uncommon Brazilian reality: changes in the behavior of tourists visiting Brazil, and changes in the composition of the Brazilian inbound tourism flow. The endorsement of the first hypothesis would show that the evolution of tourist behavior over the last years was actually different in Brazil and in the rest of the world. This would evidence the occurrence of improvements in the quality of tourist experiences offered by Brazil. The present study aims to test this hypothesis by using duration models to analyze more than 211 thousand tourist surveys. Modeling individual tourist behavior allows to control for intervenient variables and to conduct a detailed analysis of the time effect on the expected tourists’ length of stay. Thirteen duration models are tested. The model with Weibull distributed hazard and Gamma distributed individual heterogeneity is selected. The estimates show that the increasing trend of tourists’ length of stay in Brazil is partially explained by changes in tourists’ behavior.

  4. Feasibility, acceptability, and effectiveness of family-based treatment for adolescent anorexia nervosa: an observational study conducted in Brazil Viabilidade, aceitação e eficácia do tratamento familiar para anorexia nervosa em adolescentes: um estudo observacional no Brasil

    Directory of Open Access Journals (Sweden)

    Gizela Turkiewicz

    2010-06-01

    Full Text Available OBJECTIVE: There is strong evidence that family-based treatment is effective in cases of adolescent anorexia nervosa. Although family-based treatment has been studied in English-speaking countries, there is a need to examine the generalizability of this approach to non-English speaking cultures. This pilot-study aimed to examine the feasibility, acceptability, and effectiveness of family-based treatment in Brazil. METHOD: Observational study of adolescents with anorexia nervosa (excluding menstrual criteria, as determined with the Diagnostic and Well-Being Assessment, referred for treatment at a specialized center in São Paulo, Brazil. The following data were collected at baseline, at the end of treatment, and after six months of follow-up: weight; height; body mass index; menstrual status; Eating Disorder Examination Questionnaire score; and Children Global Assessment of Functioning Scale score. RESULTS: Of 11 eligible patients/families, 9 (82% enrolled in the study, and 7 (78% completed the treatment. The mean patient age was 14.64 ± 1.63 years (range, 12.33-17.00 years. The Wilcoxon signed rank test showed statistically significant improvement in weight and body mass index at the end of treatment, as well as after six months of follow-up, at which point none of the patients met the diagnostic criteria for any eating disorder. CONCLUSION: The results suggest that family-based treatment is acceptable and feasible for Brazilian families. Outcomes suggest that the approach is effective in this cultural context, leading to improvements similar to those reported in previous studies conducted in other cultures.OBJETIVO: Estudos prévios demonstram fortes evidências de eficácia do Tratamento Familiar para anorexia nervosa em adolescentes. Os estudos disponíveis a respeito do tratamento familiar foram conduzidos em países de língua inglesa. É necessário avaliar a aplicabilidade deste método em países de língua não-inglesa. Este estudo

  5. Purchasing Power Parity and Heterogeneous Mean Reversion

    NARCIS (Netherlands)

    C.G. Koedijk (Kees); B. Tims (Ben); M.A. van Dijk (Mathijs)

    2005-01-01

    textabstractThis paper analyzes the properties of multivariate tests of purchasing power parity (PPP) that fail to take heterogeneity in the speed of mean reversion across real exchange rates into account. We compare the performance of homogeneous and heterogeneous unit root testing methodologies.

  6. Fixed export cost heterogeneity, trade and welfare

    DEFF Research Database (Denmark)

    Jørgensen, Jan Guldager; Schröder, Philipp J.H.

    2008-01-01

    Recent literature on the workhorse model of intra-industry trade has explored heterogeneous cost structures at the firm level. These approaches have proven to add realism and predictive power. This paper presents a new and simple heterogeneous-firms specification. We develop a symmetric two...

  7. Hybrid Interconnect Design for Heterogeneous Hardware Accelerators

    NARCIS (Netherlands)

    Pham-Quoc Cuong, P.

    2015-01-01

    Heterogeneous multicore systems are becoming increasingly important as the need for computation power grows, especially when we are entering into the big data era. As one of the main trends in heterogeneous multicore, hardware accelerator systems provide application specific hardware circuits and

  8. Modelling income processes with lots of heterogeneity

    DEFF Research Database (Denmark)

    Browning, Martin; Ejrnæs, Mette; Alvarez, Javier

    2010-01-01

    this observable homogeneity, we find more latent heterogeneity than previous investigators. We show that allowance for heterogeneity makes substantial differences to estimates of model parameters and to outcomes of interest. Additionally, we find strong evidence against the hypothesis that any worker has a unit...

  9. Characterizing heterogeneous cellular responses to perturbations.

    Science.gov (United States)

    Slack, Michael D; Martinez, Elisabeth D; Wu, Lani F; Altschuler, Steven J

    2008-12-01

    Cellular populations have been widely observed to respond heterogeneously to perturbation. However, interpreting the observed heterogeneity is an extremely challenging problem because of the complexity of possible cellular phenotypes, the large dimension of potential perturbations, and the lack of methods for separating meaningful biological information from noise. Here, we develop an image-based approach to characterize cellular phenotypes based on patterns of signaling marker colocalization. Heterogeneous cellular populations are characterized as mixtures of phenotypically distinct subpopulations, and responses to perturbations are summarized succinctly as probabilistic redistributions of these mixtures. We apply our method to characterize the heterogeneous responses of cancer cells to a panel of drugs. We find that cells treated with drugs of (dis-)similar mechanism exhibit (dis-)similar patterns of heterogeneity. Despite the observed phenotypic diversity of cells observed within our data, low-complexity models of heterogeneity were sufficient to distinguish most classes of drug mechanism. Our approach offers a computational framework for assessing the complexity of cellular heterogeneity, investigating the degree to which perturbations induce redistributions of a limited, but nontrivial, repertoire of underlying states and revealing functional significance contained within distinct patterns of heterogeneous responses.

  10. Bandwidth sharing with heterogeneous service requirements

    NARCIS (Netherlands)

    Borst, S.C.; Núñez Queija, R.; Zwart, A.P.

    2003-01-01

    We consider a system with two heterogeneous traffic classes. The users from both classes randomly generate service requests, one class having light-tailed properties, the other one exhibiting heavy-tailed characteristics. The heterogeneity in service requirements reflects the extreme variability in

  11. The composition of heterogeneous control laws

    Science.gov (United States)

    Kuipers, Benjamin; Astrom, Karl

    1991-01-01

    The fuzzy control literature and industrial practice provide certain nonlinear methods for combining heterogeneous control laws, but these methods have been very difficult to analyze theoretically. An alternate formulation and extension of this approach is presented that has several practical and theoretical benefits. An example of heterogeneous control is given and two alternate analysis methods are presented.

  12. Surface temperature excess in heterogeneous catalysis

    NARCIS (Netherlands)

    Zhu, L.

    2005-01-01

    In this dissertation we study the surface temperature excess in heterogeneous catalysis. For heterogeneous reactions, such as gas-solid catalytic reactions, the reactions take place at the interfaces between the two phases: the gas and the solid catalyst. Large amount of reaction heats are released

  13. Optimization of Hierarchically Scheduled Heterogeneous Embedded Systems

    DEFF Research Database (Denmark)

    Pop, Traian; Pop, Paul; Eles, Petru;

    2005-01-01

    We present an approach to the analysis and optimization of heterogeneous distributed embedded systems. The systems are heterogeneous not only in terms of hardware components, but also in terms of communication protocols and scheduling policies. When several scheduling policies share a resource...

  14. Hybrid Interconnect Design for Heterogeneous Hardware Accelerators

    NARCIS (Netherlands)

    Pham-Quoc Cuong, P.

    2015-01-01

    Heterogeneous multicore systems are becoming increasingly important as the need for computation power grows, especially when we are entering into the big data era. As one of the main trends in heterogeneous multicore, hardware accelerator systems provide application specific hardware circuits and ar

  15. Heterogeneity in Health Care Computing Environments

    OpenAIRE

    Sengupta, Soumitra

    1989-01-01

    This paper discusses issues of heterogeneity in computer systems, networks, databases, and presentation techniques, and the problems it creates in developing integrated medical information systems. The need for institutional, comprehensive goals are emphasized. Using the Columbia-Presbyterian Medical Center's computing environment as the case study, various steps to solve the heterogeneity problem are presented.

  16. Understanding the Executive Functioning Heterogeneity in Schizophrenia

    Science.gov (United States)

    Raffard, Stephane; Bayard, Sophie

    2012-01-01

    Schizophrenia is characterized by heterogeneous brain abnormalities involving cerebral regions implied in the executive functioning. The dysexecutive syndrome is one of the most prominent and functionally cognitive features of schizophrenia. Nevertheless, it is not clear to what extend executive deficits are heterogeneous in schizophrenia…

  17. Towards an Organizational Economics of Heterogeneous Capabilities

    DEFF Research Database (Denmark)

    Foss, Nicolai Juul

    The notion of “capability” has long been influential in management research as an approach to address firm-level heterogeneity and heterogeneity in competitive outcomes. I discuss how recent advances in economics may allow for a more rigorous understanding and measurement of capability that take...

  18. Surface temperature excess in heterogeneous catalysis

    NARCIS (Netherlands)

    Zhu, L.

    2005-01-01

    In this dissertation we study the surface temperature excess in heterogeneous catalysis. For heterogeneous reactions, such as gas-solid catalytic reactions, the reactions take place at the interfaces between the two phases: the gas and the solid catalyst. Large amount of reaction heats are released

  19. Functional Heterogeneity and Senior Management Team Effectiveness

    Science.gov (United States)

    Benoliel, Pascale; Somech, Anit

    2016-01-01

    Purpose: There has been an increasing trend toward the creation of senior management teams (SMTs) which are characterized by a high degree of functional heterogeneity. Although such teams may create better linkages to information, along with the benefits of functional heterogeneity comes the potential for conflicts that stem from the value…

  20. Understanding the Executive Functioning Heterogeneity in Schizophrenia

    Science.gov (United States)

    Raffard, Stephane; Bayard, Sophie

    2012-01-01

    Schizophrenia is characterized by heterogeneous brain abnormalities involving cerebral regions implied in the executive functioning. The dysexecutive syndrome is one of the most prominent and functionally cognitive features of schizophrenia. Nevertheless, it is not clear to what extend executive deficits are heterogeneous in schizophrenia…

  1. Monetary policy, banking and heterogeneous agents

    NARCIS (Netherlands)

    Wolski, M.

    2012-01-01

    The influence of heterogeneous expectations on monetary policy performance has gained a lot of attention in the recent years. It proved to be an important factor that, under some circumstances, may even destabilize the economy (Massaro, 2012). This paper investigates the phenomenon of heterogeneous

  2. Monetary policy, banking and heterogeneous agents

    NARCIS (Netherlands)

    Wolski, M.

    2012-01-01

    The influence of heterogeneous expectations on monetary policy performance has gained a lot of attention in the recent years. It proved to be an important factor that, under some circumstances, may even destabilize the economy (Massaro, 2012). This paper investigates the phenomenon of heterogeneous

  3. Collective foraging in heterogeneous landscapes

    CERN Document Server

    Bhattacharya, Kunal

    2013-01-01

    Animals foraging alone are hypothesized to optimize the encounter rates with resources through L\\'evy walks. However, the issue of how the interactions between multiple foragers influence their search efficiency is still not completely understood. To address this, we consider a model to study the optimal strategy for a group of foragers searching for targets distributed heterogeneously. In our model foragers move on a square lattice containing immobile but regenerative targets. At any instant a forager is able to detect only those targets that happen to be in the same site. However, we allow the foragers to have information about the state of other foragers. A forager who has not detected any target walks towards the nearest location, where another forager has detected a target, with probability $\\exp{\\left(-\\alpha d\\right)}$, where $d$ is the distance and $\\alpha$ is a parameter. The model reveals that neither overcrowding ($\\alpha\\to 0$) nor independent searching ($\\alpha\\to\\infty$) is beneficial for the gr...

  4. Operating a heterogeneous telescope network

    Science.gov (United States)

    Allan, Alasdair; Bischoff, Karsten; Burgdorf, Martin; Cavanagh, Brad; Christian, Damien; Clay, Neil; Dickens, Rob; Economou, Frossie; Fadavi, Mehri; Frazer, Stephen; Granzer, Thomas; Grosvenor, Sandy; Hessman, Frederic V.; Jenness, Tim; Koratkar, Anuradha; Lehner, Matthew; Mottram, Chris; Naylor, Tim; Saunders, Eric S.; Solomos, Nikolaos; Steele, Iain A.; Tuparev, Georg; Vestrand, W. Thomas; White, Robert R.; Yost, Sarah

    2006-06-01

    In the last few years the ubiquitous availability of high bandwidth networks has changed the way both robotic and non-robotic telescopes operate, with single isolated telescopes being integrated into expanding "smart" telescope networks that can span continents and respond to transient events in seconds. The Heterogeneous Telescope Networks (HTN)* Consortium represents a number of major research groups in the field of robotic telescopes, and together we are proposing a standards based approach to providing interoperability between the existing proprietary telescope networks. We further propose standards for interoperability, and integration with, the emerging Virtual Observatory. We present the results of the first interoperability meeting held last year and discuss the protocol and transport standards agreed at the meeting, which deals with the complex issue of how to optimally schedule observations on geographically distributed resources. We discuss a free market approach to this scheduling problem, which must initially be based on ad-hoc agreements between the participants in the network, but which may eventually expand into a electronic market for the exchange of telescope time.

  5. Heterogeneity assessment of functional T cell avidity

    Science.gov (United States)

    Ioannidou, Kalliopi; Baumgaertner, Petra; Gannon, Philippe O.; Speiser, Michel F.; Allard, Mathilde; Hebeisen, Michael; Rufer, Nathalie; Speiser, Daniel E.

    2017-01-01

    The potency of cellular immune responses strongly depends on T cell avidity to antigen. Yet, functional avidity measurements are rarely performed in patients, mainly due to the technical challenges of characterizing heterogeneous T cells. The mean functional T cell avidity can be determined by the IFN-γ Elispot assay, with titrated amounts of peptide. Using this assay, we developed a method revealing the heterogeneity of functional avidity, represented by the steepness/hillslope of the peptide titration curve, documented by proof of principle experiments and mathematical modeling. Our data show that not only natural polyclonal CD8 T cell populations from cancer patients, but also monoclonal T cells differ strongly in their heterogeneity of functional avidity. Interestingly, clones and polyclonal cells displayed comparable ranges of heterogeneity. We conclude that besides the mean functional avidity, it is feasible and useful to determine its heterogeneity (hillslope) for characterizing T cell responses in basic research and patient investigation. PMID:28287160

  6. Design Technology for Heterogeneous Embedded Systems

    CERN Document Server

    O'Connor, Ian; Piguet, Christian

    2012-01-01

    Designing technology to address the problem of heterogeneous embedded systems, while remaining compatible with standard “More Moore” flows, i.e. capable of handling simultaneously both silicon complexity and system complexity, represents one of the most important challenges facing the semiconductor industry today. While the micro-electronics industry has built its own specific design methods to focus mainly on the management of complexity through the establishment of abstraction levels, the emergence of device heterogeneity requires new approaches enabling the satisfactory design of physically heterogeneous embedded systems for the widespread deployment of such systems. This book, compiled largely from a set of contributions from participants of past editions of the Winter School on Heterogeneous Embedded Systems Design Technology (FETCH), proposes a broad and holistic overview of design techniques used to tackle the various facets of heterogeneity in terms of technology and opportunities at the physical ...

  7. Heterogeneity in isogenic populations of microorganisms

    DEFF Research Database (Denmark)

    Pedersen, Anne Egholm

    values for quantifiable variables are used. The reproducibility of an experiment could thus be affected by the presence of subpopulations or high levels of phenotypic variations. Ole Maaløe and colleagues did in the late 1950’ties observe that the growth rate, RNA, DNA and protein synthesis and cell...... of heterogeneity was slightly higher at intermediate inducer concentrations. Additionally, the effect of thermal stress on phenotypic heterogeneity was addressed by inflicting a heat stress to the B. subtilis GFP reporter strain. The increase in incubation temperature transient increased population heterogeneity....... Heterogeneity was investigated on a population level using a quantitative analysis of phenotypic variation in methicillin-resistant Staphylococcus aureus (MRSA). The results obtained showed that the physiological state of the culture used for the analysis affected the phenotypic variation, as heterogeneity...

  8. Cancer heterogeneity determined by functional proteomics.

    Science.gov (United States)

    Szász, A Marcell; Győrffy, Balázs; Marko-Varga, György

    2016-08-26

    Current manuscript gives a synopsis of tumor heterogeneity related to patient samples analyzed by proteomics, protein expression analysis and imaging mass spectrometry. First, we discuss the pathophysiologocal background of cancer biology as a multifactorial and challenging diseases. Disease pathology forms the basis for protein target selection. Therefore, histopathological diagnostics and grading of tumors is highlighted. Pathology is the cornerstone of state-of-the-art diagnostics of tumors today both by establishing dignity and - when needed - describing molecular properties of the cancers. Drug development by the pharmaceutical industry utilizes proteomics studies to pinpoint the most relevant targets. Molecular studies profiling affinity-interactions of the protein(s) with targeted small drug molecules to reach efficacy and optimal patient safety are today requested by the FDA and other agencies for new drug development. An understading of basic mechanisms, controlling drug action and drug binding is central, as a new era of personalized medicine becomes an important milestone solution for the healthcare sector as well as the Pharma and Biotech industry. Development of further diagnostic, prognostic and predictive tests will aid current and future treatment of cancer patients. In the paper we present current status of Proteomics that we believe requires attention in order to collectively advance forward in the fight against cancer, addressing the burning opportunities and challenges.

  9. Homeopathy in Brazil: inquiry into its academic production

    Directory of Open Access Journals (Sweden)

    Rosangela Caetano

    2013-03-01

    Full Text Available Background: according to the WHO, there is an increasing demand for traditional medicines (TM that must be answered by governmental health authorities. Although homeopathy is the modality of TM best institutionalized in Brazil, it still faces some obstacles among which the controversial results of meta-analyses of homeopathic clinical trials. Aims: to map out the state of clinical research in homeopathy in the Brazilian university milieu as reflected in doctoral and master dissertations. Methods: specialized databases were searched seeking for doctoral and master dissertations related to homeopathy produced in Brazil between 1985 and 2006. Dissertations were analyzed according to institution; year; research area; type of production; regional distribution and research subject. Dissertations dealing with evaluation of the efficacy/effectiveness of homeopathic treatment were further evaluated as to their aims, methods and results. Results: in the 20 years between 1985 and 2006, 161 dissertations were defended related to homeopathy. Most academic productions dated from the 2000s, particularly 2005-6; 77% were related to master degrees; there was a dramatic concentration (92% in the Southern and South-Eastern regions of Brazil; they covered 10 different areas, the maximum being physical-biological research (20.4% and the minimum, clinical research (3.7%; from 6 dissertations dealing with the evaluation of the efficacy/effectiveness of homeopathic treatment, 3 employed qualitative methods; 1 employed quantitative methods but was in the stage of project; 1 was a standard RCT which evinced positive results of homeopathic treatment in gastroesophageal reflux not related to hiatal hernia; the sixth study was a meta-analysis of the methodological quality of 132 RCTs of homeopathy in infectious disease. Conclusions: The number of projects related to the efficacy/effectiveness of homeopathic treatment is insignificant and their methods are chiefly

  10. Prevalência da maloclusão e necessidade de tratamento ortodôntico em escolares de 10 a 14 anos de idade em Belo Horizonte, Minas Gerais, Brasil: enfoque psicossocial Malocclusion prevalence and orthodontic treatment need in 10-14-year-old schoolchildren in Belo Horizonte, Minas Gerais State, Brazil: a psychosocial focus

    Directory of Open Access Journals (Sweden)

    Leandro Silva Marques

    2005-08-01

    Full Text Available Os objetivos deste estudo transversal foram determinar a prevalência da maloclusão e verificar a associação entre necessidade normativa de tratamento ortodôntico e determinados aspectos psicossociais. A amostra (n = 333 foi representativa de todos os adolescentes de 10 a 14 anos de idade, residentes em Belo Horizonte, Minas Gerais, Brasil. A variável dependente "necessidade normativa de tratamento ortodôntico" foi avaliada por intermédio do Dental Aesthetic Index (DAI, e as variáveis independentes (gênero, idade, escolaridade da mãe, nível econômico, percepção dos pais quanto à estética bucal e necessidade de tratamento dos filhos e desejo de tratamento pelos adolescentes, mediante questionários. Foram realizadas análises descritiva, univariada e de regressão logística múltipla (Stepwise Forward Procedure, adotando-se o nível de significância p The objectives of this cross-sectional study were to assess the prevalence of malocclusion and to verify the association between normative orthodontic treatment need and certain psychosocial aspects. The sample (n = 333 was representative of the population of adolescents (10-14 years in Belo Horizonte, Minas Gerais, Brazil. The dependent variable "normative orthodontic treatment need" was evaluated through the Dental Aesthetic Index (DAI and the independent variables (gender, age, mother's schooling, economic status, parent's perception of the child's oral aesthetics, parent's perception of the child's orthodontic treatment need, and the adolescent's desire for orthodontic treatment were evaluated through questionnaires. Descriptive, bivariate, and logistic regression (stepwise forward procedure, p ¾ 0.05 analyses were performed. Malocclusion prevalence was 62.0% and normative orthodontic treatment need was 52.2%. The variables adolescent's orthodontic treatment desire and parents' perception of the child's oral aesthetics were significantly associated with normative orthodontic

  11. Heterogeneity and scale of sustainable development in cities.

    Science.gov (United States)

    Brelsford, Christa; Lobo, José; Hand, Joe; Bettencourt, Luís M A

    2017-08-22

    Rapid worldwide urbanization is at once the main cause and, potentially, the main solution to global sustainable development challenges. The growth of cities is typically associated with increases in socioeconomic productivity, but it also creates strong inequalities. Despite a growing body of evidence characterizing these heterogeneities in developed urban areas, not much is known systematically about their most extreme forms in developing cities and their consequences for sustainability. Here, we characterize the general patterns of income and access to services in a large number of developing cities, with an emphasis on an extensive, high-resolution analysis of the urban areas of Brazil and South Africa. We use detailed census data to construct sustainable development indices in hundreds of thousands of neighborhoods and show that their statistics are scale-dependent and point to the critical role of large cities in creating higher average incomes and greater access to services within their national context. We then quantify the general statistical trajectory toward universal basic service provision at different scales to show that it is characterized by varying levels of inequality, with initial increases in access being typically accompanied by growing disparities over characteristic spatial scales. These results demonstrate how extensions of these methods to other goals and data can be used over time and space to produce a simple but general quantitative assessment of progress toward internationally agreed sustainable development goals.

  12. Evidence for heterogeneous chlorine activation in the tropical UTLS

    Science.gov (United States)

    von Hobe, M.; Grooß, J.-U.; Günther, G.; Konopka, P.; Gensch, I.; Krämer, M.; Spelten, N.; Afchine, A.; Schiller, C.; Ulanovsky, A.; Sitnikov, N.; Shur, G.; Yushkov, V.; Ravegnani, F.; Cairo, F.; Roiger, A.; Voigt, C.; Schlager, H.; Weigel, R.; Frey, W.; Borrmann, S.; Müller, R.; Stroh, F.

    2011-01-01

    Airborne in-situ observations of ClO in the tropics were made during the TROCCINOX (Aracatuba, Brazil, February 2005) and SCOUT-O3 (Darwin, Australia, November/December 2005) field campaigns. While during most flights significant amounts of ClO (≈10-20 parts per trillion, ppt) were present only in aged stratospheric air, instances of enhanced ClO mixing ratios of up to 40 ppt - significantly exceeding those expected from gas phase chemistry - were observed in air masses of a more tropospheric character. Most of these observations are associated with low temperatures or with the presence of cirrus clouds (often both), suggesting that cirrus ice particles and/or liquid aerosol at low temperatures may promote significant heterogeneous chlorine activation in the tropical upper troposphere lower stratosphere (UTLS). In two case studies, particularly high levels of ClO observed were reproduced by chemistry simulations only under the assumption that significant denoxification had occurred in the observed air. However, to reproduce the ClO observations in these simulations, O3 mixing ratios higher than observed had to be assumed, and at least for one of these flights, a significant denoxification is in contrast to the observed NO levels, suggesting that the coupling of chlorine and nitrogen compounds in the tropical UTLS may not be completely understood.

  13. Evidence for heterogeneous chlorine activation in the tropical UTLS

    Directory of Open Access Journals (Sweden)

    M. von Hobe

    2011-01-01

    Full Text Available Airborne in-situ observations of ClO in the tropics were made during the TROCCINOX (Aracatuba, Brazil, February 2005 and SCOUT-O3 (Darwin, Australia, November/December 2005 field campaigns. While during most flights significant amounts of ClO (≈10–20 parts per trillion, ppt were present only in aged stratospheric air, instances of enhanced ClO mixing ratios of up to 40 ppt – significantly exceeding those expected from gas phase chemistry – were observed in air masses of a more tropospheric character. Most of these observations are associated with low temperatures or with the presence of cirrus clouds (often both, suggesting that cirrus ice particles and/or liquid aerosol at low temperatures may promote significant heterogeneous chlorine activation in the tropical upper troposphere lower stratosphere (UTLS. In two case studies, particularly high levels of ClO observed were reproduced by chemistry simulations only under the assumption that significant denoxification had occurred in the observed air. However, to reproduce the ClO observations in these simulations, O3 mixing ratios higher than observed had to be assumed, and at least for one of these flights, a significant denoxification is in contrast to the observed NO levels, suggesting that the coupling of chlorine and nitrogen compounds in the tropical UTLS may not be completely understood.

  14. Ovine leptospirosis in Brazil

    Directory of Open Access Journals (Sweden)

    SB Lucheis

    2011-01-01

    Full Text Available Leptospirosis is a zoonosis distributed worldwide, endemic mainly in humid subtropical and tropical countries, with epidemic potential. It affects a range of both wild and domestic animals, including sheep, which transport leptospires in their urine and, therefore, can infect other animals and humans who deal with them. Therefore, leptospirosis is characterized as an occupational zoonosis. In individual herds leptospirosis can cause severe economic loss due to miscarriages and outbreaks of mastitis with a significant reduction of milk production. The disease is caused by Leptospira interrogans, which was reclassified into 13 pathogenic species, and distributed into more than 260 serovars classified into 23 serogroups. The clinical signs of infection may vary depending on the serovar and host. In maintenance hosts, antibody production is generally low; there are relatively mild signs of the disease, and a prolonged carrier state with organisms in the kidneys. In incidental hosts, the disease may be more severe, with high titers of circulating antibodies and a very short or nonexistent renal carrier state. In general, young animals with renal and hepatic failure have more serious infections than adults. Several diseases may produce symptoms similar to those of leptospirosis, so that laboratory confirmation, through microscopic agglutination test, for example, is required. The effectiveness of treatment depends on early diagnosis and appropriate therapy, depending on clinical features, since leptospirosis can develop into chronic liver disease and nephropathy, progressing towards death. Improvements in habitation and sanitary conditions, rodent control, vaccination, isolation and treatment of affected animals are the main measures for the control of leptospirosis.

  15. Tuberculosis and living conditions in Salvador, Brazil: a spatial analysis.

    Science.gov (United States)

    Erazo, Carlos; Pereira, Susan M; Costa, Maria da Conceição N; Evangelista-Filho, Delsuc; Braga, José Ueleres; Barreto, Mauricio L

    2014-07-01

    To investigate spatial tuberculosis (TB) distribution patterns and the association between living conditions and incidence of the disease in Salvador, Bahia, Brazil. An ecological study with neighborhood as the unit of analysis. Data was collected from the Notifiable Diseases Information System (Sistema de Informação de Agravos de Notificação, SINAN) and the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística, IBGE). Rates of TB incidence were transformed and smoothed. Spatial analysis was applied to identify spatial auto-correlation and "hotspot" areas of high and low risk. The relationship between TB and living conditions was confirmed by spatial linear regression. The incidence of TB in Salvador displayed heterogeneous patterns, with higher rates occurring in neighborhoods with poor living conditions in 1995 - 1996. Over the study period, disease occurrence declined, particularly in less-privileged strata. In 2004 - 2005, the association between living conditions and TB was no longer observed. The heterogeneous spatial distribution of TB in Salvador previously reflected inequalities related to living conditions. Improvements in such conditions and health care for the less privileged may have contributed to observed changes.

  16. Systemic risk and heterogeneous leverage in banking networks

    Science.gov (United States)

    Kuzubaş, Tolga Umut; Saltoğlu, Burak; Sever, Can

    2016-11-01

    This study probes systemic risk implications of leverage heterogeneity in banking networks. We show that the presence of heterogeneous leverages drastically changes the systemic effects of defaults and the nature of the contagion in interbank markets. Using financial leverage data from the US banking system, through simulations, we analyze the systemic significance of different types of borrowers, the evolution of the network, the consequences of interbank market size and the impact of market segmentation. Our study is related to the recent Basel III regulations on systemic risk and the treatment of the Global Systemically Important Banks (GSIBs). We also assess the extent to which the recent capital surcharges on GSIBs may curb financial fragility. We show the effectiveness of surcharge policy for the most-levered banks vis-a-vis uniform capital injection.

  17. Quantifying the impact of between-study heterogeneity in multivariate meta-analyses

    OpenAIRE

    Jackson, Dan; White, Ian R; Riley, Richard D.

    2012-01-01

    Measures that quantify the impact of heterogeneity in univariate meta-analysis, including the very popular I 2 statistic, are now well established. Multivariate meta-analysis, where studies provide multiple outcomes that are pooled in a single analysis, is also becoming more commonly used. The question of how to quantify heterogeneity in the multivariate setting is therefore raised. It is the univariate R 2 statistic, the ratio of the variance of the estimated treatment effect under the rando...

  18. Phenotypic Heterogeneity in Cell Proliferation and Radiosensitivity in Human Laryngocarcinoma Hep-2 Cells

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    1 IntroductionRadiotherapy is one of the major clinical treatments for malignant tumors. However, tumor cells are heterogenic in response to radiation (radiosensitivity) which limits the achievement ratio of radiotherapy in many non-sensitive tumors. At the same time, radiosensitivity plays an important role in radiobiology and it is regarded as the fifth “R”- Radiosensitivity in fractionation radiotherapy. Understanding the mechanism of heterogeneity of tumor cell radiosensitivity is critical in radiation ...

  19. Molecular modeling of heterogeneous catalysis

    Science.gov (United States)

    Gislason, Jason Joseph

    A novel method for modeling heterogeneous catalysis was developed to further facilitate the understanding of catalytic reactor mechanisms. The method employs molecular dynamics simulations, statistical mechanical, and Unity Bond Index - Quadratic Exponential Potential (UBI-QEP) calculations to calculate the rate constants for reactions on metal surfaces. The primary difficulty of molecular dynamics simulations on metal surfaces has been the lack of reliable reactive potential energy surfaces. We have overcome this through the development of the Normalized Bond Index - Reactive Potential Function (NBI-RPF), which can accurately describe the reaction of adsorbates on metal surfaces. The first calculations of rate constants for a reaction on a metal surface using molecular dynamics simulations are presented. This method is applied to the determination of the mechanism for selective hydrogenation of acetylene in an ethylene rich flow. It was determined that the selectivity for acetylene hydrogenation is attributable to the higher reactivity of acetylene versus ethylene with respect to hydrogenation by molecular hydrogen. It was shown that hydrogen transfer from the carbonaceous layer to acetylene or ethylene is insignificant in the hydrogenation process. Molecular dynamics simulations and molecular mechanics calculations were used to determine the diffusion rate constants for dimethylnaphthalene isomers is mordenite. 2,6-dimethylnaphthalene and 2,7-dimethylnaphthalene were found to have similar diffusion rate constants. Grand canonical Monte Carlo calculations were performed on the competitive adsorption of 2,6-dimethylnaphthalene and 2,7-dimethylnaphthalene in type X zeolites exchanged individually with barium, calcium, potassium, and rubidium ions, calcium exchanged MCM-22, and hydrogen form mordenite (MOR), X zeolite, Y zeolite, hypBEB, ZSM- 12, and MCM-22. These calculations showed that barium exchanged X zeolite was the most selective toward 2

  20. Interoperability of heterogeneous distributed systems

    Science.gov (United States)

    Zaschke, C.; Essendorfer, B.; Kerth, C.

    2016-05-01

    To achieve knowledge superiority in today's operations interoperability is the key. Budget restrictions as well as the complexity and multiplicity of threats combined with the fact that not single nations but whole areas are subject to attacks force nations to collaborate and share information as appropriate. Multiple data and information sources produce different kinds of data, real time and non-real time, in different formats that are disseminated to the respective command and control level for further distribution. The data is most of the time highly sensitive and restricted in terms of sharing. The question is how to make this data available to the right people at the right time with the right granularity. The Coalition Shared Data concept aims to provide a solution to these questions. It has been developed within several multinational projects and evolved over time. A continuous improvement process was established and resulted in the adaptation of the architecture as well as the technical solution and the processes it supports. Coming from the idea of making use of existing standards and basing the concept on sharing of data through standardized interfaces and formats and enabling metadata based query the concept merged with a more sophisticated service based approach. The paper addresses concepts for information sharing to facilitate interoperability between heterogeneous distributed systems. It introduces the methods that were used and the challenges that had to be overcome. Furthermore, the paper gives a perspective how the concept could be used in the future and what measures have to be taken to successfully bring it into operations.