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Sample records for pleuro-pulmonares apos cirurgia

  1. Computed tomography prospective study of pleural-pulmonary changes after abdominal surgery : assessment of associated risk factors; Estudo prospectivo por tomografia computadorizada das alteracoes pleuro-pulmonares apos cirurgia abdominal: avaliacao dos fatores de risco associados

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    Rossi, Luis Antonio [Pontificia Univ. Catolica de Sao Paulo, SP (Brazil). Centro de Ciencias Medicas e Biologicas]. E-mail: luizrossimd@uol.com.br; Bromberg, Sansom Henrique [Instituto de Assistencia Medica ao Servidor Publico Estadual de Sao Paulo (IAMSPE), Sao Paulo, SP (Brazil). Curso de Pos-graduacao em Gastroenterologia Cirurgica

    2005-07-01

    Postoperative pleural-pulmonary changes (PPC) are very common following elective abdominal surgery, resolving without clinical manifestations in most patients. The incidence and risk factors associated are unknown. Objective: to determine the incidence of PPC and possible association with risk factors using computerized tomography (CT). Material and method: thirty seven patients submitted to elective abdominal surgery were prospectively analyzed using CT performed in the preoperative period and 48 hours after surgery. The PPC was scored from 0 to III. The risk factors evaluated were: age, sex, obesity, smoking history, alcoholism, comorbid conditions, cancer, ASA classification, duration of surgery, surgical incision type and number of days of hospitalization. Results: Pleura effusion was detected by CT in 70.3% (26/37) of the patients and pulmonary atelectasis in 75.5% (28/37). Grade I and II PPC was found in 59.5% (22/37) of the patients and grade III in 21.6% (8/37). Two (5.4%) of these patients developed serious pulmonary complications whereas one patient died. Surgery due to cancer, class ASA >2, longitudinal incision and > 15 cm showed statistical significance and were associated with pleural effusion. The hospitalization was over 2.4 longer for patients with PPC. Conclusion: PPC is frequently seen in patients submitted to abdominal surgery. The use of the CT for the detection of pulmonary atelectasis and pleural effusion proved to be effective. Most cases of PPC are self-limited, resolving without symptoms. (author)

  2. Cirurgia para controle de danos: estado atual

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    Rodrigo Camargo Leão Edelmuth

    Full Text Available A cirurgia de controle de danos é um conceito amplamente aceito atualmente entre os especialistas em trauma abdominal quando se trata de doentes gravemente traumatizados. Nestes pacientes a morte decorre, na maioria das vezes, da instalação da tríade letal (hipotermia, coagulopatia e acidose e não da incapacidade de reparar as graves lesões presentes. Nesta revisão, os autores abordam a tríade letal, em suas três fases, e enfatizam as medidas adotadas para preveni-las. Além de discutirem a indicação e o emprego da cirurgia para o controle de danos em seus vários estágios. A restauração dos padrões fisiológicos do doente na UTI, para que o mesmo possa ser submetido à operação definitiva e ao fechamento da cavidade abdominal, outro desafio no paciente traumatizado grave, também é discutida.

  3. Interesse e conhecimento em cirurgia refrativa entre estudantes de medicina

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    Kara José Flávio Cotait

    2002-01-01

    Full Text Available Objetivo: Realizou-se um estudo em estudantes da Faculdade de Medicina do ABC a fim de analisar e relacionar a freqüência de usuários de correção óptica, o tipo de vícios de refração, o número de pessoas submetidas à cirurgia refrativa e o conhecimento e interesse por essa operação. Métodos: realizou-se um levantamento entre estudantes de medicina da Faculdade de Medicina do ABC, no período de 19 a 21 de junho de 2000. Foi utilizado um questionário auto-aplicável como instrumento de coleta de dados. Resultados: foi relatado que 62,7% dos estudantes usavam correção óptica, sendo que 53,3% desses apresentavam, como erro de refração, miopia simples ou associada ao astigmatismo. 92,8% do total dos entrevistados já tinham ouvido falar em cirurgia refrativa, contendo apenas 34,2% conhecedores dessa técnica cirúrgica e 17,6% conhecedores dos riscos e complicações pós-operatórios. Entre os 200 estudantes amétropes, 50,5% gostariam de ser submetidos à operação, sendo que 69,0% deles esperavam, através da cirurgia, a cura definitiva. Foi coletado, também, que 51,7% dos entrevistados tiveram a última consulta oftalmológica há menos de 1 ano; 32,0% entre 1 e 3 anos e 15,7% há mais de três anos. Apenas 5 estudantes já tinham sido submetidos à cirurgia refrativa. Conclusão: A maioria dos estudantes de Medicina (62,7% é portador de vício de refração corrigido, sendo os mais freqüentes a miopia simples e a miopia associada a astigmatismo. Há pouco conhecimento e falsa expectativa em relação à cirurgia, sendo que apenas 34,2% entrevistados conhecem o procedimento cirúrgico, 17,6% sabem dos riscos e das complicações e 69,0% esperam cura total. Diante das condições desse estudo, foi constatado que apesar de muitos se interessarem pela cirurgia refrativa, poucos se submeteram a ela, devido, principalmente, em ordem decrescente, a: contra-indicação médica, falta de oportunidade, falta de conhecimento e

  4. LASIK X PRK após cirurgia de descolamento de retina

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    Rodovalho Adriano Jorge Mattoso

    2003-01-01

    Full Text Available OBJETIVO: Comparar os resultados obtidos pelas técnicas de "laser in situ keratomileusis" (LASIK e "photorefractive keratectomy" (PRK na correção de miopia e astigmatismo em olhos previamente submetidos à cirurgia de descolamento de retina (DR com "buckle" escleral. MÉTODOS: Vinte e cinco olhos de 22 pacientes com alterações refracionais significativas após a cirurgia de DR foram submetidos à cirurgia refrativa. Em 14 olhos de 13 pacientes foi realizado LASIK e em 11 olhos de 9 pacientes, PRK. O intervalo mínimo entre a cirurgia de DR e a cirurgia refrativa foi de 12 meses. O tempo de seguimento foi de, pelo menos, 12 meses. RESULTADOS: Doze meses após a cirurgia, a média do equivalente esférico (EE no grupo submetido ao LASIK diminuiu de -6,49 D antes da cirurgia para -0,17 D e a média do cilindro de -1,10 D para -0,23 D. A média do EE no grupo submetido ao PRK foi reduzida de -5,35 D para +0,02 D e a média do cilindro, de -1,38 D para -0,54D. Em ambos os grupos, 11 olhos apresentaram melhora da acuidade visual sem correção de pelo menos 4 linhas. CONCLUSÃO: Tanto o LASIK quanto o PRK foram seguros e eficazes para a correção do erro refracional induzido após a cirurgia de DR. Nossos resultados não apresentaram diferenças significativas entre os procedimentos. Estudos posteriores envolvendo maior amostragem e seguimento mais prolongado contribuirão para melhor avaliação da cirurgia refrativa em pacientes submetidos à cirurgia com "buckle" escleral.

  5. O SENTIMENTO DO PACIENTE FRENTE AO CANCELAMENTO DA CIRURGIA

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    Fernanda Aparecida Silva

    2017-02-01

    Full Text Available O paciente, frente ao cancelamento da cirurgia, pode apresentar sentimentos: tristeza, agressividade, revolta, e perder a confiança da equipe cirúrgica. Objetivo: Identificar o sentimento do paciente internado frente ao cancelamento de sua cirurgia. Método: Pesquisa descritiva e quali-quantitativa. A coleta de dados ocorreu após aprovação do Comitê de Ética sob o n0 45/11, com 20 pacientes internados em um hospital do vale do Paraíba paulista. Resultados: Predominou:80% do sexo masculino, 30% de 51 a 60 anos. Principal causa cancelamento: 35% material, 10% vaga na Unidade de Terapia Intensiva (UTI, e 55% médicos, exames, vaga no centro cirúrgico ou infecção. Os sentimentos foram agrupados em quatro categorias: tristeza; estresse; conformismo e sentimentos variados.Conclusão: O perfil predominante dos pacientes foi de homens, entre 51 a 60 anos. A principal causa do cancelamento foi a falta de material; o sentimento de maior destaque foi a tristeza.

  6. A new Job's tear cultivar ''Hatohikari''

    International Nuclear Information System (INIS)

    Ishida, M.; Chiba, I.; Kato, M.; Okuyama, Y.; Sugawara, S.; Tanosaki, S.; Shindo, K.; Ishikura, N.; Seki, K.; Endo, T.; Shibata, M.

    1997-01-01

    A new Job's tear cultivar ''Hatohikari'', developed at the Tohoku National Agricultural Experiment Station, Morioka, Japan was registered as Norin No.2 Job's tear and released by Japan's Ministry of Agriculture, Forestry and Fisheries in 1995. ''Hatohikari'' is a progeny from a gamma-ray radiated mutant of ''Okayama-zairai'' in 1980. ''Okayama-zairai'' shows high yield and good quality. However, its demerits are late maturity and long plant height. The major agronomic characteristics of the new cultivar ''Hatohikari'' are as follows: The maturity is earlier than that of ''Okayama0zairai'', yielding ability is 38% higher than that of ''Okayama-zairai , the plant height is 30 cm shorter than that of ''Okayama-zairai'' and it is suitable for combine harvest. ''Hatohikari'' has large seeds with good quality for tea processing. Shattering is easy, and resistance to leaf blight is medium. ''Hatohikari'' is adaptable to middle mountain regions in chugoku district of Japan. This cultivar has been recommended in Hiroshima prefecture since 1995

  7. Cirurgia da catarata infantil unilateral Unilateral pediatric cataract surgery

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    Adriana Maria Drummond Brandão

    2008-04-01

    Full Text Available OBJETIVO: Analisar os resultados visuais de uma série de crianças operadas de catarata unilateral. MÉTODOS: Um estudo retrospectivo foi realizado através da análise de 35 prontuários médicos do Serviço de Catarata Congênita da UNIFESP/EPM. RESULTADOS: Quanto à etiologia, a primeira causa de catarata foi idiopática, a segunda causa foi o trauma e a terceira foi a rubéola congênita. Em 51,4% dos olhos tinham acuidade visual pré-operatória de ausência de fixação. E em 42,8% dos casos operados a acuidade visual final foi igual ou melhor que 20/200. DISCUSSÃO: Embora a cirurgia em catarata unilateral seja motivo de controvérsias entre os oftalmologistas, obteve-se melhora de acuidade visual em número significativo de casos.PURPOSE: To analyze the results in a series of children submitted to unilateral cataract surgery. METHODS: A retrospective study was conducted through the analysis of 35 patient files from the Congenital Cataract Service of UNIFESP/EPM. RESULTS: The main cause of unilateral cataract was idiopathic, the second cause was ocular trauma and the third cause was congenital rubella. Initial visual acuity was very poor in 51.4% of the cases (did not fix or follow, and the best corrected final visual acuity was better than 20/200 in 42.8% of the eyes. DISCUSSION: Although controversial, the surgical treatment of unilateral cataract, in this study, showed improvement in many cases.

  8. Cirurgia bariátrica e transtornos alimentares: uma revisão integrativa

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    Novelle, Julia M.; Alvarenga, Marle S.

    2016-01-01

    RESUMO Objetivo Realizar revisão sobre transtornos alimentares e comportamentos alimentares transtornados relacionados à cirurgia bariátrica. Métodos Revisão integrativa da literatura nas bases de dados PubMed, Lilacs, Bireme, portal SciELO com descritores indexados com critérios de inclusão: oferecer dado sobre a presença ou frequência de transtorno alimentar e/ou comportamentos alimentares disfuncionais previamente e/ou após a cirurgia. Resultados Foram selecionados 150 estudos (14 na...

  9. Uso de painel de artigos cientificos no ensino da cirurgia ambulatorial

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    Kátia Sheylla Malta Purim

    Full Text Available Os autores apresentam sua abordagem do trabalho de seleção, avaliação clínica e revistas como uma ferramenta auxiliar para o ensino médico em cirurgia. O modelo de painel é descrito e discutido, como uma forma eficaz de melhorar o processo de aprendizagem em uma escola de medicina.

  10. ''Old'' locked inflation

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    Liu, Yang; Piao, Yun-Song [College of Physical Sciences, Graduate University of Chinese Academy of Sciences, Beijing 100049 (China); Si, Zong-Guo, E-mail: liuyangbyf@mail.sdu.edu.cn, E-mail: yspiao@gucas.ac.cn, E-mail: zgsi@sdu.edu.cn [Department of Physics, Shandong University, Jinan 250100 (China)

    2009-05-15

    In this paper, we revisit the idea of locked inflation, which does not require a potential satisfying the normal slow-roll condition, but suffers from the problems associated with ''saddle inflation''. We propose a scenario based on locked inflation, however, with an alternative evolution mechanism of the ''waterfall field'' {phi}. Instead of rolling down along the potential, the {phi} field will tunnel to end the inflation stage like in old inflation, by which the saddle inflation could be avoided. Further, we study a cascade of old locked inflation, which can be motivated by the string landscape. Our model is based on the consideration of making locked inflation feasible so as to give a working model without slow roll; It also can be seen as an effort to embed the old inflation in string landscape.

  11. Manobra de recrutamento alveolar e suporte ventilatorio perioperatorio em pacientes obesos submetidos a cirurgia abdominal

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    Luiz Alberto Forgiarini Junior

    2013-12-01

    Full Text Available O desenvolvimento da cirurgia abdominal proporcionou uma alternativa terapêutica para obesos mórbidos; entretanto, os pacientes submetidos a esse procedimento frequentemente apresentam complicações pulmonares pós-operatórias. Uma possível alternativa para a redução dessas complicações é a utilização da manobra de recrutamento alveolar e/ou estratégias ventilatórias perioperatórias, com foco na redução das complicações pulmonares pós-operatórias. Nesta revisão, são descritos os benefícios de estratégias ventilatórias perioperatórias, assim como a realização de manobra de recrutamento alveolar em pacientes obesos submetidos a cirurgia abdominal.

  12. Grupo de pacientes de cirurgia cardíaca: relato de experiência

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    Elisa Helena Kuhn

    1986-09-01

    Full Text Available Neste trabalho relata-se uma experiência de grupo com pacientes de cirurgia cardíaca. A atividade realiza-se no INSTITUTO DE CARDIOLOGIA DO RIO GRANDE DO SUL e tem por objetivo proporcionar aos pacientes a oportunidade de verbalizarem suas ansiedades e conversarem sobre suas experiências relacionadas com a cirurgia e anestesia. Os grupos reúnem-se duas vezes por semana sendo constituídos por pacientes adultos em pré e pós-operatório imediato. A equipe de saúde é composta por enfermeiros, psicólogo, anestesista, cardiologistas e fisioterapeutas e sua atuação é no sentido de auxiliar na compreensão dos procedimentos aos quais o paciente vai se submeter, desfazendo fantasias distorcidas da realidade.

  13. Estudo retrospectivo de um grupo de doentes submetidos a cirurgia bariátrica

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    Santos, Mariline

    2012-01-01

    Trabalho final do 6º ano médico (Medicina interna - Nutrição clínica), com vista à atribuição do Grau de Mestre no âmbito do ciclo de estudos de mestrado integrado em Medicina da Universidade de Coimbra Objectivo: Estudar retrospectivamente uma população de doentes obesos submetidos a cirurgia bariátrica. Avaliar as técnicas cirúrgicas usadas e respectivas complicações assim como avaliar a eficácia da cirurgia bariátrica a longo prazo não só como terapêutica de obesidade como também das co...

  14. Variações no posicionamento dos eixos visuais em pacientes submetidos a cirurgias de estrabismo

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    Graciela Scalco Brum

    2011-02-01

    Full Text Available OBJETIVOS: Determinar as variações no ângulo de posicionamento ocular pós-operatório em pacientes submetidos a cirurgias para correção de estrabismo e identificar possíveis fatores de risco associados a tal ocorrência. MÉTODOS: Foi realizado estudo retrospectivo de 819 pacientes portadores de estrabismo submetidos à cirurgia para correção do desvio ocular entre janeiro de 1995 e dezembro de 2005 no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo. Os pacientes foram divididos em quatro grupos quanto ao tipo de desvio pré-operatório (esotropia alternante, esotropia monocular, exotropia alternante e exotropia monocular e as variações no posicionamento ocular foram quantificadas em cada grupo. RESULTADOS: A prevalência de variações no posicionamento ocular (pós-operatório maiores que 10∆ entre o total de pacientes estudado foi de 33,5% (274 pacientes. Entre estes, foi verificada maior frequência de desvios no sentido exotrópico (178 pacientes ou 65,0% do que no sentido esotrópico (96 pacientes ou 35,0%, diferença esta que foi estatisticamente significativa (teste do qui-quadrado; p<0,001. CONCLUSÕES: Instabilidade no posicionamento ocular pode ocorrer ao longo do tempo em pacientes submetidos a cirurgias de estrabismo. Tal ocorrência reforça a necessidade do desenvolvimento de alternativas terapêuticas a fim de proporcionar maior estabilidade ao sistema oculomotor no pós-operatório de cirurgias de estrabismo.

  15. Corpos mutantes, mulheres intrigantes: transexualidade e cirurgia de redesignação sexual

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    Rafael Alves Galli

    Full Text Available Algumas definições de transexualidade incluem a questão da cirurgia de redesignação sexual como um desejo inerente aos(às transexuais. Este estudo teve por objetivo investigar os significados atribuídos à cirurgia por quatro mulheres transexuais, destacando as concepções a respeito das mudanças que a redesignação acarreta na vida da pessoa transexual. Os dados foram colhidos mediante aplicação individual de entrevista aberta na modalidade história de vida temática. O material transcrito foi organizado sob a forma de estudos de caso e analisado com base na Teoria Queer. Os resultados sugerem que os significados atribuídos à cirurgia são polissêmicos e mutáveis ao longo do processo de desenvolvimento e que o desejo de se submeter ao procedimento não deve ser um critério definidor da transexualidade.

  16. Estudo dos movimentos torcionais em cirurgia refrativa Study of torsional movements in refractive surgery

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    Guilherme José Nunes Marques Rocha

    2005-12-01

    Full Text Available OBJETIVO: Verificar a ocorrência de movimentos torcionais do globo ocular no momento da cirurgia refrativa em pacientes astigmatas e suas possíveis conseqüências no resultado da cirurgia. MÉTODOS: Estudo prospectivo de 49 olhos de 40 pacientes atendidos no Hospital de Olhos do Paraná, portadores de astigmatismo, e que seriam submetidos à cirurgia refrativa. A técnica cirúrgica utilizada em todos os pacientes foi o LASIK. Os pacientes foram divididos em dois grupos, de acordo com o poder do astigmatismo, que variou no primeiro grupo 0,25 a 2,00D; e no segundo grupo de 2,25 a 6,00D. Todos os pacientes foram examinados para avaliar a ocorrência de torção do globo ocular no momento da cirurgia, e com base nestes dados foi corrigido o eixo do tratamento por meio de programa específico do aparelho de laser. Os resultados dos dois grupos foram analisados e comparados estatisticamente. Os resultados foram relacionados com os dados existentes sobre influência da variação do eixo do tratamento com o resultado da cirurgia. RESULTADOS: Observou-se torção média de 3,5º+/- no grupo A; e de 4,5º+/- no grupo B. Não houve diferença estatística significativa entre os grupos. CONCLUSÕES: Os movimentos torcionais ocorrem de forma significativa em quase todos os pacientes submetidos à cirurgia refrativa e portanto, devem ser sempre corrigidos para se evitar redução na eficiência do tratamento. Isto é especialmente importante nos casos de cirurgia personalizada.PURPOSE: To observe torsional movements of the eye in refractive surgery, and their possible consequences in the surgery outcome. METHODS: In a prospective study, 49 eyes of 40 patients were submitted to surgical correction of astigmatism, by the LASIK technique. Patients were divided in two groups based on the cylindric power. Group A from -0.25 to -2.00D; group B from -2.25 to -6.00D. The occurrence of torsional movements was recorded in all patients, and based on this, the axis

  17. Alterações da microbiota conjuntival e palpebral após uso tópico de lomefloxacina e tobramicina na cirurgia de catarata e cirurgia refrativa

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    Höfling - Lima Ana Luisa

    2002-01-01

    Full Text Available Objetivo: Avaliar as alterações da microbiota conjuntival e palpebral após o uso tópico de colírios de lomefloxacina ou tobramicina a 0,3% no preparo de pacientes a serem submetidos à cirurgia de catarata e cirurgia refrativa e avaliar a sensibilidade das bactérias isoladas da conjuntiva e pálpebra a estes antibióticos. Métodos: Realizou-se um estudo prospectivo de análise da microbiota conjuntival e palpebral de pacientes submetidos à cirurgia de catarata e cirurgia refrativa (PRK ou LASIK. O estudo da microbiota conjuntival e palpebral foi realizado antes das cirurgias, sem uso de agentes para profilaxia, no período pós-operatório durante o uso de profilaxia, e após a suspensão dos antibióticos. Resultados: O uso tópico de tobramicina e lomefloxacina reduziu o número de colheitas positivas na conjuntiva e pálpebra nos indivíduos submetidos à cirurgia de catarata e cirurgia refrativa. Em ambos os grupos de pacientes ocorreu maior resistência dos microrganismos à tobramicina. No grupo submetido à cirurgia de catarata, pacientes tratados profilaticamente com tobramicina tiveram uma recuperação da microbiota mais lenta após a suspensão do antibiótico do que com a lomefloxacina, ocorrendo o oposto no grupo submetido à cirurgia refrativa. Conclusão: Tanto a lomefloxacina quanto a tobramicina foram eficazes em diminuir o número de culturas positivas da conjuntiva e da pálpebra enquanto estavam sendo administrados, sendo esta diminuição mais acentuada na conjuntiva. Houve maior resistência à tobramicina na maioria das colheitas realizadas. A lomefloxacina apresentou número menor de bactérias resistentes do que a tobramicina durante o uso da antibioticoterapia tópica profilática. O uso de antibiótico reduziu o número de amostras positivas.

  18. The strategic &apos;'pull'&apos; and operational &apos;'push'&apos; of total quality management in UK regional electricity service companies

    Energy Technology Data Exchange (ETDEWEB)

    McAdam, R.; McLean, J.; Henderson, J.

    2003-04-30

    The aim of this paper is to evaluate whether the UK regional electricity companies (RECs) has used total quality management (TQM) as a &apos;'push'&apos; or as a &apos;'pull'&apos; change methodology. &apos;'Push'&apos; is the operational improvement role of TQM; &apos;'pull'&apos; is the strategic or direction giving, improvement role of TQM. Following the onset of privatisation in 1990 there has been evidence of the RECs adopting TQM in both &apos;'push'&apos; and &apos;'pull'&apos; methodologies with varying degrees of success. An evaluation of the change processes involved will enable improved change models to be developed leading to increased business effectiveness in this 30 billion pounds sterling industry. Other possible benefits include the possible generalisations to other utilities such as water, roads, gas and telecoms. The research methodology includes a comparative case study analysis of five RECs, which have used TQM as their overarching approach to change. One of the cases is analysed to a more in-depth level based on the multiple case findings. The findings indicate that the &apos;'push-pull'&apos; analysis enables the full range of TQM activities to be evaluated in the RECs studied. Overall, there is a need to have a balanced portfolio of operational or &apos;'push'&apos;-based TQM activity that is driven by strategic or &apos;'pull'&apos; based TQM planning and activity. (author)

  19. Alcoolismo após cirurgia bariátrica: relato de caso

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    Juliana Garbayo dos Santos

    Full Text Available RESUMO Objetivo Discutir, a partir do relato de um caso de alcoolismo iniciado após tratamento cirúrgico de obesidade mórbida, a hipótese da “transferência de compulsão”. Segundo essa teoria, obesos submetidos à cirurgia bariátrica tendem a transferir sua “compulsão” dos alimentos para o álcool ou outras drogas, aumentando o risco de desenvolvimento de transtornos relacionados a substâncias. Evidências de que a alimentação hedônica (caracterizada pelo consumo exagerado de alimentos palatáveis na ausência de fome é regulada pelos mesmos sistemas cerebrais envolvidos no alcoolismo, aliadas a relatos anedóticos de alcoolismo após cirurgia bariátrica, alimentam essa hipótese. Métodos Relato de caso individual. O paciente concordou com a publicação do relato de caso e assinou um Termo de Consentimento Livre e Esclarecido. Resultados Homem de 25 anos, sem histórico prévio de abuso de álcool, evoluiu com alcoolismo grave quatro anos após a cirurgia bariátrica. Havia antecedentes familiares de transtornos relacionados a substâncias. Conclusão A cirurgia bariátrica (particularmente com derivação em Y de Roux pode alterar o metabolismo do etanol e implicar mudanças no estilo de vida e no nível de estresse. Somados, esses fatores podem contribuir para o surgimento de padrões nocivos de consumo de álcool; entretanto, é incontestável que a correção da obesidade traz enormes benefícios para as diversas áreas da vida do paciente. A detecção de fatores de risco para abuso e dependência alcoólica, como história familiar positiva, é essencial para identificar pacientes que necessitarão maior aconselhamento pré-operatório e seguimento pós-operatório cuidadoso.

  20. Conhecimento em cirurgia refrativa entre estudantes de medicina da Universidade Estadual de Londrina

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    Aluisio Rosa Gameiro Filho

    2013-06-01

    Full Text Available OBJETIVO: Avaliar o conhecimento de estudantes de Medicina da Universidade Estadual de Londrina (UEL, em cirurgia refrativa, assim como analisar o percentual de estudantes que são portadores de ametropias, seus métodos de correção e seu interesse ou não na realização do procedimento cirúrgico. MÉTODOS: Realizou-se um levantamento através de questionário autoaplicável, previamente testado, entre 154 estudantes do primeiro ao quarto ano de Medicina da Universidade Estadual de Londrina entre setembro e novembro de 2011. RESULTADOS: Foi relatado que 70,8% dos estudantes possuíam algum tipo de erro de refração, sendo a miopia o erro mais prevalente, com 72,5% dos estudantes amétropes apresentando-a, associada ou não a outros erros de refração. Os óculos foram o método de correção visual referido como o mais utilizado, por 80% dos pesquisados. Quanto à cirurgia refrativa, 85,7% dos estudantes já haviam ouvido falar a respeito, porém, apenas 42,9% sabiam como o procedimento é realizado, sendo o oftamologista a principal fonte de informação sobre o tema, para 23,5% dos alunos. Apenas 43,2% dos alunos têm interesse na realização da cirurgia, e apenas 3 (1,9% estudantes já foram submetidos ao procedimento. CONCLUSÃO: Apesar da importância da cirurgia refrativa na Oftalmologia verificou-se baixo conhecimento acerca do tema entre os estudantes, o que afeta o interesse dos mesmos em serem submetidos ao procedimento. Observou-se também uma taxa relativamente alta de falsa expectativa quanto ao seu resultado, principalmente entre os estudantes que querem ser submetidos ao procedimento, provavelmente pelas fontes pouco confiáveis alegadas pelos estudantes. Considerando o fato de que se tratam de futuros médicos, fica clara a necessidade de maiores esclarecimentos sobre o tema na graduação.

  1. A new soybean variety &apos;'Ichihime'&apos;

    International Nuclear Information System (INIS)

    Hajika, M.; Takahashi, M.; Igita, K.; Sakai, S.; Nakazawa, Y.

    2002-01-01

    Ichihime, a new soybean variety registered as &apos;&apos;Soybean Norin 103&apos;&apos;, was developed at Kyushu National Agricultural Experiment Station in 1995. It was selected from the progeny induced by a cross between Kankei 2 and Kankei 1 using gamma-ray irradiation. &apos;'Ichihime'&apos; is a medium-early maturing variety with determinate growth. It has broad leaflets, and purple flowers. The color of its pubescence is light tawny and its pods are dark brown. The main stem length, number of main stem nodes, and seed size are medium. It has strong resistance to the soybean mosaic virus (SMV), medium resistance to the soybean cyst nematode, and medium resistance to purple seed stain. The yield of Ichihime is slightly lower than Suzuyutaka, but classified as medium. The protein components of its seeds are medium and the firmness of the tofu (soybean curd) is the same as that of Suzuyutaka. Ichihime lacks all seed lipoxygenase isozymes and is recommended for new type of soybean food processing materials. Ichihime is suitable for growth in the southern part of the Tohoku area and the northern part of the Kanto area

  2. Vivencias emocionais de mulheres submetidas a cirurgia bariatrica no Hospital de Clinicas da Unicamp : um estudo clinico-qualitativo

    OpenAIRE

    Ronis Magdaleno Junior

    2009-01-01

    Resumo: Este estudo teve por objetivo compreender as vivências emocionais de mulheres obesas mórbidas submetidas à cirurgia bariátrica. A obesidade tornou-se, globalmente, um grave problema de saúde pública e, em função disto, tem crescido de modo expressivo o número de cirurgias bariátricas como opção de tratamento para a obesidade mórbida. Contudo, é um procedimento que implica em importantes modificações físicas e psicossociais para o paciente. Metodologia: Aplicamos o Método Clínico Quali...

  3. Suspensão de cirurgia de catarata e suas causas Reasons for cataract surgery cancelation

    Directory of Open Access Journals (Sweden)

    Rodrigo Pessoa Cavalcanti Lira

    2001-10-01

    Full Text Available Com o objetivo de verificar as causas de suspensão de cirurgia de catarata e sugerir medidas para melhorar a eficiência do serviço prestado à população, foi realizado um estudo transversal no serviço de oftalmologia de um hospital universitário do Estado de São Paulo. A amostra foi composta por 200 indivíduos. A média de idade foi de 68± 11,4 anos. As causas de suspensão de cirurgia foram: condição clínica desfavorável (23,1%; horário cirúrgico insuficiente (35,9%; e não comparecimento do paciente (41%. Os fatores causadores foram, majoritariamente, as razões sociais e o funcionamento do hospital.To study the reasons for canceling cataract surgeries, and to suggest actions to improve the efficiency of patient care. A cross-sectional study was carried out in a university hospital's ophthalmology clinic of the state of São Paulo, Brazil. Two hundred subjects were randomly selected. The mean age was 68± 11.4 years old. The reasons for canceling surgery were: unpropitious clinical condition (23.1%; tight schedule (35.9%; and patient non-attendance (41%. Most of the reasons related to social issues and the hospital's administrative aspects.

  4. Pulmonary perfusion &apos;&apos;without ventilation&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Chapman, C.N.; Sziklas, J.J.; Spencer, R.P.; Rosenberg, R.J.

    1983-12-01

    An 88-yr-old man, with prior left upper lobectomy and phrenic nerve injury, had a ventilation/perfusion lung image. Both wash-in and equilibrium ventilation images showed no radioactive gas in the left lung. Nevertheless, the left lung was perfused. A similar result was obtained on a repeat study 8 days later. Delayed images, during washout, showed some radioactive gas in the left lung. Nearly absent ventilation (but continued perfusion) of that lung might have been related to altered gas dynamics brought about by the prior lobectomy, a submucosal bronchial lesion, phrenic nerve damage, and limited motion of the left part of the diaphragm. This case raises the issue of the degree of ventilation (and the phase relationship between the lungs) required for the entry of radioactive gas into a diseased lung, and the production of a &apos;&apos;reversed ventilation/perfusion mismatch.&apos;&apos;

  5. Resultados a longo prazo da cirurgia da otosclerose Long term outcome of otosclerosis surgery

    Directory of Open Access Journals (Sweden)

    Maria Teresa Bernardo

    2012-08-01

    Full Text Available O tratamento da otosclerose é preferencialmente cirúrgico e consiste na estapedotomia/estapedectomia, cujos bons resultados imediatos estão bem documentados. OBJETIVOS: Avaliar os resultados audiométricos da cirurgia da otosclerose a longo prazo. Desenho: Estudo retrospectivo. MATERIAL E MÉTODOS: Incluíram-se os doentes submetidos à estapedotomia/estapedectomia parcial no nosso Serviço e melhoria da audição pós-operatória comprovada. Convocaram-se os doentes para reavaliação audiométrica e compareceram 41 (47 ouvidos. Compararam-se os valores obtidos com os prévios à cirurgia e do pós-operatório imediato. RESULTADOS: A mediana do seguimento tardio foi de 11 anos. Nesta data, 49% dos doentes tinham audição normal ou um grau de hipoacusia ligeira. Os valores médios dos PTA (Pure Tone Average aéreo e ósseo, pré, pós e pós-operatório tardio foram 64,4 e 27,0 dB, 35,6 e 22,3 dB e 44,1 e 29,5 dB, respectivamente. CONCLUSÃO: A cirurgia da otosclerose tem bons resultados a longo prazo porque, apesar do agravamento dos limiares, o grau de hipoacusia, 10 anos depois, é inferior ao pré-operatório.The treatment of otosclerosis is eminently surgical. Good immediate results have been well documented when stapedotomy or stapedectomy are chosen. OBJECTIVES: This study aims to assess long term audiometric performance after otosclerosis surgery. MATERIALS AND METHODS: this retrospective study enrolled stapedotomy and partial stapedectomy patients seen at our service with proven hearing improvement after surgery. Forty-one patients (47 ears accepted the invitation to be reassessed. Audiometry results before and immediately after surgery were compared. RESULTS: the median late follow-up was 11 years. To this date, 49% of the patients had normal hearing or mild dysacusis. Preoperative, postoperative, and late postoperative bone and air pure tone averages were 64.4 and 27.0 dB, 35.6 and 22.3 dB, and 44.1 and 29.5 dB respectively

  6. Potencial evocado auditivo na monitorização de 15 microlaser cirurgias do tronco cerebral

    Directory of Open Access Journals (Sweden)

    Luiz Henrique Mattos Pimenta

    1989-12-01

    Full Text Available Baseados na experiência de 15 casos, os autores salientam a importância do uso sistemático do potencial evocado auditivo do tronco cerebral na monitorização peroperatória do tronco cerebral, área das mais delicadas do cérebro, evitando que o cirurgião seja advertido pelo anestesista de que seu paciente está apresentando bradicardia ou arritmia. Apenas a cirurgia com Laser (acoplado a microscópio permite monitorização contínua, sem interferência de aparelhagem elétrica. Além disso, nos casos relatados, foi verificada a existência de alterações da fisiologia do tronco cerebral quando usados o bipolar ou micro-dissectores, o que não ocorre com o Laser a. CO2.

  7. Protocolo eletrônico multiprofissional em cirurgia bariátrica

    OpenAIRE

    Nassif,Denise Serpa Bopp; Malafaia,Osvaldo; Nassif,Paulo Afonso Nunes; Kuretzki,Carlos Henrique; Lucas,Ricardo Wallace das Chagas; Pinto,José Simão de Paula

    2011-01-01

    RACIONAL: A obesidade é doença multifatorial. A coleta de dados exerce papel fundamental para realização de pesquisas de alto grau de qualidade e, na atualidade, a cirurgia da obesidade carece de meios para realização de pesquisas prospectivas com elevado nível de confiabilidade. Os dados obtidos em protocolos eletrônicos são mais completos, têm poucos erros, são mais consistentes e apresentam baixo percentual de violação em relação aos prontuários de papel. OBJETIVO: 1) Criar base teórica de...

  8. Cirurgia para controle de danos: estado atual Damage control surgery: an update

    Directory of Open Access Journals (Sweden)

    Rodrigo Camargo Leão Edelmuth

    2013-04-01

    Full Text Available A cirurgia de controle de danos é um conceito amplamente aceito atualmente entre os especialistas em trauma abdominal quando se trata de doentes gravemente traumatizados. Nestes pacientes a morte decorre, na maioria das vezes, da instalação da tríade letal (hipotermia, coagulopatia e acidose e não da incapacidade de reparar as graves lesões presentes. Nesta revisão, os autores abordam a tríade letal, em suas três fases, e enfatizam as medidas adotadas para preveni-las. Além de discutirem a indicação e o emprego da cirurgia para o controle de danos em seus vários estágios. A restauração dos padrões fisiológicos do doente na UTI, para que o mesmo possa ser submetido à operação definitiva e ao fechamento da cavidade abdominal, outro desafio no paciente traumatizado grave, também é discutida.The damage control surgery is a widely accepted concept today among abdominal trauma specialists when it comes to the severely traumatized. In these patients, the death is due, in most cases, to the installation of the lethal triad (hypothermia, coagulopathy and acidosis and not the inability to repair the serious initial damage. In this review, the authors address the lethal triad in its three phases and emphasize the measures taken to prevent them, as well as discussing the indication and employment of damage control surgery in its various stages. Restoring the physiological status of the patient in the ICU, so that he/she can be submitted to final operation and closure of the abdominal cavity, another challenge in severe trauma patients, is also discussed.

  9. Cirurgia cardíaca na gravidez Cardiac surgery during pregnancy

    Directory of Open Access Journals (Sweden)

    Antoninho Sanfins Arnoni

    1986-08-01

    Full Text Available No Instituto Dante Pazzanese de Cardiologia, vem sendo realizado, desde 1975, um trabalho conjunto reunindo obstetras, pediatras, cardiologistas, anestesistas e cirurgiões cardiovasculares, com o intuito de melhorar os resultados da cirurgia cardíaca realizada em pacientes grávidas. Para isto, organizamos um protocolo, que inclui desde o pré-operatório até o nascimento da criança, passando por estudos ecocardiográficos, ultrassonográficos e por monitorização fetal durante a cirurgia. Vinte e seis pacientes foram operadas durante a gravidez, sendo 6 delas em 1985, após o início do estudo. Os resultados, tanto do lado materno como do fetal, são bons, não ocorrendo nenhum óbito materno nesta série e com as crianças nascendo bem e sem malformações e com crescimento e desenvolvimento normais, até o 6º mês de vida extra-uterina.At the Instituto Dante Pazzanese de Cardiologia, a team project has been carried out since 1975, including obstetricians, pediatricians, cardiologists, anesthesiologists and cardiovascular surgeons aim at getting better results of cardiac surgery in pregnant women. For this purpose, the group developed a protocol that goes from the preoperative period to the delivery of the baby, with ecocardiographic and ultrasonic studies and fetal monitoring during the cardiac surgery of the mother. Twenty six patients were submited to cardiac surgery during pregnancy, and six patients after beginning the study, in 1985. The maternal and fetal results were good, without maternal death and the children were born without malformations and having had normal development until the sixth month of life.

  10. Results of Clinical Tests of Phytopreparation &apos;&apos;Tkis Nobati&apos;&apos;

    International Nuclear Information System (INIS)

    Khositashvili, V.; Khositashvili, L.; Atuashvili, N.; Osmanova, V.; Chankseliani, Z.

    2005-01-01

    The present paper deals with the results of the study of natural vegetative extract of Folium pini. On the basis of multiple experiments it has been established that phytopreparation &apos;&apos;Tkis Nobati&apos;&apos; strengthens the leucocytoprotection of organism and improves physiological state in oncologic patients in the process of chemoradiotherapy treatment. The preparation &apos;&apos;Tkis Nobati&apos;&apos; provides the elimination of heavy metals from the organism. (author)

  11. Characterization and behavior in the environment of the crude oil &apos;'Prestige'&apos;; Caracterisation et comportement dans l&apos;environnement du fioul &apos;'Prestige'&apos;

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-03-01

    This study presents analysis realized on the crude oil of the tanker &apos;'Prestige'&apos; which sunk the 19 november 2002. The specifications on the product and its behavior in sea water are detailed. All the analysis are compared to the &apos;'Erika'&apos; crude oil. (A.L.B.)

  12. Development and deployment of a novel &apos;'yellow'&apos; demulsifier for the gullfaks &apos;'A'&apos; platform

    Energy Technology Data Exchange (ETDEWEB)

    Jackson, S.J.; Ingebrigtsen, T.; Breen, P.J.; Waage, J.; Thorstenson, T.; Melby, S.

    2006-03-15

    Oil producers are increasingly under pressure to produce their product in an environmentally sound manner. Releases to the environment are undesirable and, where permitted to make such releases, oil producers should minimise their environmental impact. The bulk of treatment chemicals designed to improve separation and provide clean water for disposal can themselves be harmful to the environment and must conform to very stringent rules to be considered environmentally acceptable, or &apos;'green'&apos;. Here we present data on the development of a green demulsifier for Statoil&apos;s Gullfaks &apos;'A'&apos; platform, which not only meets the very stringent regulations but also exhibits a significant improvement in product performance. While the&apos;&apos;bottle test&apos;&apos; remains the industry standard method for selecting demulsifiers, in recent years the &apos;&apos;mini trial&apos;&apos; method for product selection has gained favour. We describe using a combination of both methods for the development of the novel demulsifier technology described here. (Author) (tk)

  13. Emprego de sistemas robóticos na cirurgia cardiovascular Robotic systems in cardiovascular surgery

    Directory of Open Access Journals (Sweden)

    Roberto T. Sant'Anna

    2004-06-01

    Full Text Available O desenvolvimento de sistemas robóticos para cirurgia teve início na década de 80, por solicitação do exército norte-americano, que antevia a possibilidade de realizar operações em teatros de guerra, distantes do local onde estava o cirurgião. Entretanto, o primeiro uso em humanos só ocorreu anos mais tarde, numa ressecção transuretral de hiperplasia benigna de próstata. Cirurgiões cardíacos foram logo atraídos pela técnica robótica devido a possível aplicação com reduzido caráter invasivo; esperava-se menor trauma cirúrgico e redução da dor, morbidade, tempo de internação e custo do procedimento. Atualmente, de forma restrita e em casos selecionados, robôs são usados para revascularização do miocárdio e implante de marcapasso em cirurgias cardíacas totalmente endoscópicas; podendo também constituir apoio visual na retirada de artéria torácica interna, reconstrução valvar mitral e correção de defeitos congênitos. Utilizando o robô auxiliar AESOP® para controle do videotoracoscópio, com controle vocal por meio do sistema HERMES®, temos realizado dissecção da artéria torácica interna, implante de eletrodo ventricular esquerdo e abordagem de defeitos congênitos na cirurgia de correção. Apesar do entusiasmo científico inicial com a cirurgia robótica, ainda não existe evidência clara de superioridade desta técnica em relação à operação convencional, em termos de resultado. Isto se aplica também ao custo, pois o investimento inicial na aquisição de sistema cirúrgico completo (console, controle de vídeo, instrumental provavelmente é compensado após muitos procedimentos e longo intervalo. Mas é certo que a cirurgia robótica terá um lugar no futuro, possibilitando aprendizagem, telepresença e realização de procedimentos pouco invasivos, embora complexos.The development of robotic systems for surgery started in the 80's, motivated by the US army's need for surgical procedure in

  14. Computed tomography evaluation of autogenous graft in sinus lift surgery; Analise por tomografia computadorizada do enxerto autogeno na cirurgia de &apos;sinus lift&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Ajzen, Sergio Aron; Moscatiello, Rafael Andrade; Lima, Aida Maria Custodio de; Moscatiello, Vitoria Aparecida Muglia; Helio Kiitiro Yamashita [Universidade Federal de Sao Paulo (UNIFESP/EPM), SP (Brazil). Dept. de Diagnostico por Imagem; Mosacatiello, Rafael Muglia; Nishiguchi, Celso Itiro [Universidade Federal de Sao Paulo (UNIFESP/EPM), SP (Brazil). Disciplina de Tecnica Operatoria e Cirurgia Experimental; Alves, Maria Teresa de Seixas [Universidade Federal de Sao Paulo (UNIFESP/EPM), SP (Brazil). Disciplina de Anatomia Patologica

    2001-02-01

    The objective was to quantify bone formation within autogenous bone grafts and autogenous bone grafts in combination with platelet-rich plasma obtained either from apheresis or centrifugation using computed tomography. This prospective, double-blind study was conducted in 34 male and female adult patients (mean age of 28 years and 8 months), with either unilateral or bilateral pneumatization of the maxillary sinuses, requiring bone graft for dental implant. All patients were submitted to computed tomography examinations prior and six months after sinus lift surgery. Fifty-three maxillary sinuses were operated and divided into three distinct groups: autogenous bone graft, autogenous bone graft in combination with platelet-rich plasma obtained by centrifugation, and autogenous bone graft in combination with platelet-rich plasma obtained by apheresis. The results showed that computed tomography demonstrated bone growth in height and width between the initial and the follow-up computed tomography scans in all three groups. However, no statistical difference was found either for bone height or width. It was concluded that clinical evidence demonstrates the effectiveness of autogenous bone grafts, particularly when used in combination with bone growth factors such as platelet-rich plasma, which allow prosthetic and functional restoration of maxillofacial structures through fixation of dental implants. (author)

  15. &apos;&apos;de novo&apos;&apos; aneurysms following endovascular procedures

    Energy Technology Data Exchange (ETDEWEB)

    Briganti, F.; Cirillo, S.; Caranci, F. [Department of Neurological Sciences, Services of Neuroradiology, ' ' Federico II' ' University, Naples (Italy); Esposito, F.; Maiuri, F. [Department of Neurological Sciences, Services of Neurosurgery, ' ' Federico II' ' University, Naples (Italy)

    2002-07-01

    Two personal cases of &apos;&apos;de novo&apos;&apos; aneurysms of the anterior communicating artery (ACoA) occurring 9 and 4 years, respectively, after endovascular carotid occlusion are described. A review of the 30 reported cases (including our own two) of &apos;&apos;de novo&apos;&apos; aneurysms after occlusion of the major cerebral vessels has shown some features, including a rather long time interval after the endovascular procedure of up to 20-25 years (average 9.6 years), a preferential ACoA (36.3%) and internal carotid artery-posterior communicating artery (ICA-PCoA) (33.3%) location of the &apos;&apos;de novo&apos;&apos; aneurysms, and a 10% rate of multiple aneurysms. These data are compared with those of the group of reported spontaneous &apos;&apos;de novo&apos;&apos; aneurysms after SAH or previous aneurysm clipping. We agree that the frequency of &apos;&apos;de novo&apos;&apos; aneurysms after major-vessel occlusion (two among ten procedures in our series, or 20%) is higher than commonly reported (0 to 11%). For this reason, we suggest that patients who have been submitted to endovascular major-vessel occlusion be followed up for up to 20-25 years after the procedure, using non-invasive imaging studies such as MR angiography and high-resolution CT angiography. On the other hand, periodic digital angiography has a questionable risk-benefit ratio; it may be used when a &apos;&apos;de novo&apos;&apos; aneurysm is detected or suspected on non-invasive studies. The progressive enlargement of the ACoA after carotid occlusion, as described in our case 1, must be considered a radiological finding of risk for &apos;&apos;de novo&apos;&apos; aneurysm formation. (orig.)

  16. Blefaroplastia inferior: poderia a cirurgia proporcionar satisfação aos pacientes?

    Directory of Open Access Journals (Sweden)

    Giovanni André Pires Viana

    2012-12-01

    Full Text Available OBJETIVO: Foi realizado um estudo prospectivo com objetivo de avaliar os resultados de cinquenta pacientes submetidos a blefaroplastia inferior transcutânea, visando a análise do resultado clínico e a satisfação dos pacientes na Universidade Federal de São Paulo, entre abril de 2005 e maio de 2007. MÉTODOS: Os pacientes foram alocados aleatoriamente em dois grupos cirúgicos. O Grupo Cirúrgico 1 (Grupo Controle foi composto por 25 pacientes submetidos a blefaroplastia inferior tradicional e cantopexia lateral de rotina. O Grupo Cirúrgico 2 (Grupo Experimental foi composto por 25 pacientes submetidos a blefaroplastia inferior com transposição das bolsas adiposas e cantopexia lateral de rotina. Para avaliar os resultados obtidos foi utilizado a avaliação da autoestima dos pacientes, por meio da Escala de Autoestima de Rosenberg UNIFESP/EPM. O outro método utilizado foi solicitar a participação de três cirurgiões independentes que avaliaram as fotografias de pré e pós-operatório e com auxílio de uma escala topográfica, quantificaram os resultados. RESULTADOS: A média de idade foi de 48,8 anos, com predomínio do sexo feminino (96%. A análise das fotografias mostrou que 96% dos pacientes apresentaram melhora significativa. A autoestima melhorou de um escore médio no pré-operatório de 5,1 (desvio padrão = 4,1 para um valor médio de 3,6 (desvio padrão = 3,5 após 6 meses da cirurgia (p=0,001. CONCLUSÃO: Os autores concluíram que ambos os procedimentos seriam seguros e eficazes, com baixo índice de complicação, apresentando melhora da autoestima, visível após seis meses da cirurgia.

  17. Cirurgia estereotáxica guiada para angiomas cavernosos Stereotactic-guided surgery for cavernous angioma

    Directory of Open Access Journals (Sweden)

    MURILO S. MENESES

    2000-03-01

    Full Text Available Os angiomas cavernosos intracerebrais são lesões que podem causar hemorragias, crises convulsivas e déficits neurológicos. Essa patologia passou a ter diagnóstico mais precoce com o advento da ressonância magnética. A remoção radical por cirurgia é o melhor método de tratamento. Devido a frequente localização subcortical ou profunda, a utilização de métodos de localização por imagem como a estereotaxia apresentam várias vantagens como: menor incisão de pele, craniotomia e manipulação do tecido cerebral, consequentemente com menor morbidade. Apresentamos uma série de nove angiomas cavernosos tratados por ressecção cirúrgica radical guiada por estereotaxia. Em todos os casos o diagnóstico foi realizado por ressonância magnética e houve confirmação anátomo-patológica. A média de idade dos pacientes foi 30 anos, variando entre 20 e 54 anos. Como morbidade transitória, um paciente teve uma crise convulsiva no 3° dia pós-operatório e uma paciente apresentou disfasia e hemiparesia no 2° dia pós-operatório, com recuperação total na evolução. No total, a remoção foi radical em todos os casos e os pacientes permanecem sem nenhum déficit neurológico relacionado à cirurgia.Intracerebral cavernous angiomas may cause hemorrhage, epileptic seizures and neurological deficits. The diagnosis of these lesions became easier with the advent of the magnetic resonance image (MRI. Radical resection is the treatment of choice. Due to frequent subcortical or deep location, image-guided techniques, such as stereotactic-guided surgery, offer many advantages as smaller skin incision and craniotomy, less brain manipulation with consequently lower morbidity. We present a series of nine cavernous angiomas treated by stereotactic-guided radical surgical resection. The diagnosis was done by MRI and confirmed by pathologic studies in all cases. Mean age of patients was 30 years old (range 20-54 years. Postoperative morbidity

  18. Qualidade de vida em pacientes submetidos à cirurgia ortognática: saúde bucal e autoestima

    Directory of Open Access Journals (Sweden)

    Rubens Guimarães Filho

    Full Text Available A cirurgia ortognática é o ramo da cirurgia bucomaxilofacial que trata das deformidades dentofaciais, buscando a correção da oclusão e melhora articular, respiratória e fonética, que geram benefícios funcionais e harmonizam a face, o que acarreta aspectos positivos em relação à estética e ao fator psicossocial do paciente. Objetivou-se avaliar a qualidade de vida desses pacientes, através dos aspectos funcionais, estéticos e psicossociais. O presente estudo foi realizado em clínica odontológica particular, na cidade de Taubaté. Foram avaliados 33 pacientes, 12 do gênero masculino e 21 do gênero feminino, com idades entre 18 a 45 anos, com tratamento ortocirúrgico indicado ou já realizado, utilizando-se os questionários Escala de Autoestima de Rosenberg/UNIFESP-EPM, Oral Health Impact Profile-14 - OHIP14 e PIDAQ-Brasil/UNIFESP e o Teste não Paramétrico de Mann-Whitney. Os resultados evidenciaram que a cirurgia ortognática é um procedimento capaz de oferecer melhora da qualidade de vida para pacientes portadores de deformidades dentofaciais, por meio dos aspectos funcionais, estéticos e psicossociais.

  19. Vivência da obesidade e do emagrecimento em mulheres submetidas à cirurgia bariátrica

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Domingues do Nascimento

    2013-06-01

    Full Text Available O presente estudo objetivou investigar em mulheres submetidas à cirurgia bariátrica os aspectos psicológicos relacionados à sua condição de obesa e ao seu emagrecimento. O método utilizado foi o descritivoexploratório, de abordagem qualitativa. Os dados permitiram, inicialmente, constatar que a obesidade, além de comprometer a saúde física, restringe a vida afetiva e social, pois impõe um autoconceito negativo e inibidor dos vínculos interpessoais. Com o processo de emagrecimento após a cirurgia, observa-se uma acentuada melhora das condições físicas e emocionais, as quais influenciam e são influenciadas pela reformulação positiva do autoconceito. Todavia, o emagrecimento tanto pode acarretar demandas estéticas irrealizáveis como certas vivências de despersonalização, as quais favorecem a desadaptação emocional ou a ocorrência de transtornos psíquicos. Pelas mudanças identitárias que acarreta, a cirurgia exige, preventivamente, o acompanhamento e o apoio psicológico às mulheres que a realizam.

  20. Acolhimento e sintomas de ansiedade em pacientes no pré-operatório de cirurgia cardíaca

    Directory of Open Access Journals (Sweden)

    Cinthia Calsinski Assis

    2014-06-01

    Full Text Available Trata-se de ensaio clínico randomizado, em que se objetivou comparar a frequência e intensidade de sintomas de ansiedade de pacientes em pré-operatório de cirurgia cardíaca que receberam acolhimento do enfermeiro ou do familiar ou os que não receberam nenhum tipo específico de acolhimento. A amostra foi constituída de 66 pacientes em pré-operatório de cirurgia cardíaca, que foram alocados em três grupos: acolhimento pelo enfermeiro, sem acolhimento específico e acolhimento pelo familiar. A ansiedade foi avaliada em dois momentos: antes e após a intervenção. O instrumento utilizado foi o construído e validado por Suriano, composto por 19 características definidoras do diagnóstico de enfermagem ansiedade. Observou-se que a redução dos sintomas de ansiedade foi maior no grupo que recebeu acolhimento dos familiares quando comparado aos outros dois grupos. Os resultados sugerem que o incentivo à participação de familiares pode contribuir para a redução de sintomas ansiosos em pacientes no pré-operatório de cirurgias cardíacas.

  1. Aspects of the cosmological &apos;&apos;coincidence problem&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Velten, H.E.S.; Marttens, R.F. vom; Zimdahl, W. [Universidade Federal do Espirito Santo (UFES), Departamento de Fisica, Vitoria, Espirito Santo (Brazil)

    2014-11-15

    The observational fact that the present values of the densities of dark energy and dark matter are of the same order of magnitude, ρ{sub de0}/ρ{sub dm0} ∝ O(1), seems to indicate that we are currently living in a very special period of the cosmic history. Within the standard model, a density ratio of the order of one just at the present epoch can be seen as coincidental since it requires very special initial conditions in the early Universe. The corresponding &apos;&apos;why now&apos;&apos; question constitutes the cosmological &apos;&apos;coincidence problem&apos;&apos;. According to the standard model the equality ρ{sub de} = ρ{sub dm} took place &apos;'recently'&apos; at a redshift z ∼ 0.55. The meaning of &apos;'recently'&apos; is, however, parameter dependent. In terms of the cosmic time the situation looks different. We discuss several aspects of the &apos;&apos;coincidence problem&apos;&apos;, also in its relation to the cosmological constant problem, to issues of structure formation and to cosmic age considerations. (orig.)

  2. Cirurgia conservadora no câncer de mama Breast-conserving surgery for breast cancer

    Directory of Open Access Journals (Sweden)

    Daniel Guimarães Tiezzi

    2007-08-01

    Full Text Available O tratamento cirúrgico do câncer de mama sofreu expressivas mudanças nas últimas décadas. A cirurgia conservadora é o tratamento padrão para o câncer de mama em estádio inicial. Com a implementação dos programas de rastreamento e o uso emergente de tratamento sistêmico neoadjuvante, um crescente número de pacientes está sendo considerado elegível para o tratamento conservador. No entanto, uma série de fatores importantes merecem ser considerados no planejamento terapêutico destas pacientes. Esta revisão fornece uma visão geral da metodologia cirúrgica no tratamento conservador do carcinoma da mama.The surgical strategy for breast cancer treatment has changed considerably over the last decade. The breast conserving surgery (BCS is the standard treatment for early stage breast cancer nowadays. With the current population breast cancer screening programs and the emerging use of systemic neoadjuvant therapy, an increasing number of patients have been eligible to BCS. However, several specific factors must be considered for the therapeutic planning for these patients. This review provides a surgical methodology overview for the BCS in breast carcinoma.

  3. ApoE polymorphisms in narcolepsy

    Science.gov (United States)

    Gencik, Martin; Dahmen, Norbert; Wieczorek, Stefan; Kasten, Meike; Gencikova, Alexandra; Epplen, Jorg T

    2001-01-01

    Background Narcolepsy is a common neuropsychiatric disorder characterized by increased daytime sleepiness, cataplexy and hypnagogic hallucinations. Deficiency of the hypocretin neurotransmitter system was shown to be involved in the pathogenesis of narcolepsy in animals and men. There are several hints that neurodegeneration of hypocretin producing neurons in the hypothalamus is the pathological correlate of narcolepsy. The ApoE4 allele is a major contributing factor to early-onset neuronal degeneration in Alzheimer disease and other neurodegenerative diseases as well. Methods To clarify whether the ApoE4 phenotype predisposes to narcolepsy or associates with an earlier disease onset, we have genotyped the ApoE gene in 103 patients with narcolepsy and 101 healthy controls. Results The frequency of the E4 allele of the ApoE gene was 11% in the patient and 15% in the control groups. Furthermore, the mean age of onset did not differ between the ApoE4+ and ApoE4- patient groups. Conclusion Our results exclude the ApoE4 allele as a major risk factor for narcolepsy. PMID:11560764

  4. ApoE polymorphisms in narcolepsy

    Directory of Open Access Journals (Sweden)

    Kasten Meike

    2001-08-01

    Full Text Available Summary Background Narcolepsy is a common neuropsychiatric disorder characterized by increased daytime sleepiness, cataplexy and hypnagogic hallucinations. Deficiency of the hypocretin neurotransmitter system was shown to be involved in the pathogenesis of narcolepsy in animals and men. There are several hints that neurodegeneration of hypocretin producing neurons in the hypothalamus is the pathological correlate of narcolepsy. The ApoE4 allele is a major contributing factor to early-onset neuronal degeneration in Alzheimer disease and other neurodegenerative diseases as well. Methods To clarify whether the ApoE4 phenotype predisposes to narcolepsy or associates with an earlier disease onset, we have genotyped the ApoE gene in 103 patients with narcolepsy and 101 healthy controls. Results The frequency of the E4 allele of the ApoE gene was 11% in the patient and 15% in the control groups. Furthermore, the mean age of onset did not differ between the ApoE4+ and ApoE4- patient groups. Conclusion Our results exclude the ApoE4 allele as a major risk factor for narcolepsy.

  5. Case story for upgrading of a &apos;'hot'&apos; ESP; Modernisation d&apos;un precipitateur electrostatique &apos;'chaud'&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Chidambaram, T.V.S; Christensen

    2001-06-01

    The &apos;Hot&apos; Electrostatic Precipitator (ESP) equipped with COROMAX pulse system is a very attractive solution for dedusting of the &apos;Hot&apos; exhausted gases from the cement kilns especially on cement plants, where good quality of water is not available on the site. Furthermore, the Electrostatic Precipitator is still the preferred solution in the cement plants for dedusting the cement kiln. It is favored because of its high degree of reliability, its low power consumption, and its low maintenance cost. (author)

  6. Switzerland as Europe&apos;s &apos;'battery'&apos;. Wishful dream or reality?

    International Nuclear Information System (INIS)

    Kammer, Adrian; Zurmuehle, Damian; Salzmann, Michael; Baumgartner, Raphael; Mignone, Domenico

    2015-01-01

    There are plans for Swiss pumped hydrostorage systems to absorb large quantities of excess electricity from European wind and solar power generation. Model-based analyses have shown however that &apos;'Europe&apos;s battery&apos;&apos;, as Switzerland would like to see itself, will not be needed until the middle of this century. Even if all extension projects currently in progress should be completed, Switzerland will not have sufficient pump capacity or import capacity to absorb large amounts of excess electricity. Furthermore, the primary means of making storage capacity available for import electricity would be to reduce reservoir power plant capacity. In view of all this Switzerland&apos;s hopes for a role as a major European electricity storage provider appear somewhat exaggerated even in the long-term perspective.

  7. Reasons not to select patients for corneal refractive surgery Razões para recusar candidatos à cirurgia refrativa corneana

    Directory of Open Access Journals (Sweden)

    André Luiz Parolin Ribeiro

    2002-08-01

    Full Text Available Purpose: To present how the section of Refractive Surgery of the Federal University of São Paulo assesses the candidates and the reasons to indicate for corneal refractive surgery. Methods: We examined 1626 patients. Anamnesis, complete ophthalmologic examination and corneal topography were performed in all patients. The patients spontaneously seeked evaluation at the Refractive Surgery Section by telephone without a previous screening. Reasons to refuse patients for refractive surgery were previously established by the Refractive Surgery Section. Results: Based on current technology and clinical experience, 265 patients (16.29% were refused for excimer laser corneal refractive surgery. Myopia of patients who had insufficient preoperative corneal pachymetry for the laser treatment was the main cause for refusal (51 patients. Cataract (45 patients, keratoconus (31 patients, amblyopia (21 patients, hyperopia > 5 diopters and mixed astigmatism (19 patients, presbyopia (unaware ness of the need for optical correction after the procedure; 16 patients, pupillary diameter > 5mm (9 patients, single eye (9 patients, progressive myopia (8 patients, postradial keratotomy (7 patients and low ametropia (7 patients were among the reasons for the refusal. Conclusion: Candidates for excimer laser corneal refractive surgery may present risk factors that should be known in order to avoid complications.Objetivo: O objetivo deste estudo é mostrar como o setor de Cirurgia Refrativa da Escola Paulista de Medicina da Universidade Federal de São Paulo avalia seus candidatos e quais as razões para não selecioná-los para cirurgia refrativa. Métodos: Foram examinados 1626 pacientes. Anamnese, avaliação oftalmológica completa e topografia corneana foram realizadas em todos os pacientes. Os pacientes procuraram avaliação no setor de Cirurgia Refrativa espontaneamente sem triagem prévia. Resultados: Não foram selecionados 265 pacientes (16,29% para cirurgia

  8. Correlação entre dados demográficos, nutricionais e bioquímicos e consumo de serviços hospitalares em pacientes submetidos à cirurgia da obesidade

    OpenAIRE

    Silvia Yoko Hayashi

    2011-01-01

    Em decorrência do sucesso da cirurgia bariátrica para o tratamento da obesidade grau III e de suas comorbidades associadas, esta cirurgia vem se tornado cada vez mais indicada. A redução do consumo de cuidados com a saúde tem sido relatada após o tratamento cirúrgico, entretanto a utilização de serviços hospitalares não tem sido bem documentada. O conhecimento do consumo destes serviços na cirurgia bariátrica é importante para dimensionar serviços de saúde e custos resultantes desta cirurgia....

  9. Korea&apos;s 1-watt plan &apos;&apos;Standby Korea 2010&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yungrae

    2010-09-15

    Korea announced standby power of all electronics shall be reduced to below 1W by 2010. Ministry of Knowledge Economy (MKE, Korean government) and Korea Energy Management Corporation (KEMCO) established &apos;&apos;Standby Korea 2010&apos;&apos; which is a roadmap to limit standby power below 1W by 2010. Korea implemented mandatory program over a relatively short period of time, incorporating the better elements from the more established national program and adding new initiatives, such as the threat of using mandatory warning label for products that fail to meet standby power targets.

  10. &apos;&apos;When Cost Measures Contradict&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Montgomery, W. D.; Smith, A. E.; Biggar, S. L.; Bernstein, P. M.

    2003-05-09

    When regulators put forward new economic or regulatory policies, there is a need to compare the costs and benefits of these new policies to existing policies and other alternatives to determine which policy is most cost-effective. For command and control policies, it is quite difficult to compute costs, but for more market-based policies, economists have had a great deal of success employing general equilibrium models to assess a policy&apos;s costs. Not all cost measures, however, arrive at the same ranking. Furthermore, cost measures can produce contradictory results for a specific policy. These problems make it difficult for a policy-maker to determine the best policy. For a cost measures to be of value, one would like to be confident of two things. First one wants to be sure whether the policy is a winner or loser. Second, one wants to be confident that a measure produces the correct policy ranking. That is, one wants to have confidence in a policy measure&apos;s ability to correctly rank policies from most beneficial to most harmful. This paper analyzes empirically these two properties of different costs measures as they pertain to assessing the costs of the carbon abatement policies, especially the Kyoto Protocol, under alternative assumptions about implementation.

  11. &apos;'SMART'&apos; MULTIFUNCTIONAL POLYMERS FOR ENHANCED OIL RECOVERY

    Energy Technology Data Exchange (ETDEWEB)

    Charles McCormick; Andrew Lowe

    2004-10-20

    Herein we report the aqueous polymerization of acrylamide using reversible addition fragmentation chain transfer (RAFT) polymerization to perform a comprehensive study on the polymerization of acrylamide. More specifically, the effect of polymerization conditions on the polymerization kinetics, molecular weight control, and blocking ability were examined. With this in mind, it was necessary to prepare &apos;'A'&apos; block (corona of the micelle) from a hydrophilic monomer. The responsive &apos;'B'&apos; block present in the core will be disclosed in the next two reports.

  12. First monitoring report &apos;&apos;The future of the power&apos;&apos;; Erster Monitoring-Bericht &apos;&apos;Energie der Zukunft&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-12-15

    The Federal Government has initiated the reconstruction of the energy supply towards a highly efficient and renewable energy systems using the energy concept from September, 2010, and using the energy political resolutions from June, 2011. The energy policy turnaround is ambitioned in its objectives as well as broadly defined. In order to consider the energy policy turnaround as well as the development of the energy market continuously, the Federal Government initiated the monitoring process &apos;&apos;Energy of the future&apos;&apos; with the aim to review regularly the implementation of the measures of the energy concepts as well as the progress in the goal achievement with a view on a secure, economical and environmentally compatible energy supply. The first monitoring report &apos;&apos;Energy of the future&apos;&apos; under consideration is the onset of this process. This report is an important basis for the current fact-based attendance of the energy policy turnaround.

  13. Cirurgia valvar e coronária simultânea Combined coronary and valvular surgery

    Directory of Open Access Journals (Sweden)

    Pablo M. A Pomerantzeff

    1994-12-01

    Full Text Available Este trabalho analisa 172 pacientes consecutivos operados de cirurgia valvar e coronária simultânea, no período compreendido entre julho de 1980 e junho de 1989.0 número de pacientes submetidos a revascularização do miocárdio e tratamento cirúrgico da valva aórtica (RAo foi de 95, sendo que 75 foram submetidos a tratamento cirúrgico da valva mitral e revascularização do miocárdio (RMi. As lesões valvares mais freqüentes foram a estenose aórtica, 44 casos de insuficiência mitral em 40 casos. O número de anastomoses por paciente foi de 1,87 em média para os pacientes RMi e de 1,56 nos pacientes RAo. A mortalidade hospitalar foi de 9,8% sendo que a mortalidade para os pacientes RAo foi de 7,3% e para os pacientes RMi foi de 12%. Não houve diferença significativa (x²=04423 entre a mortalidade dos pacientes portadores de insuficiência mitral isquémica, operados eletivamente ou em caráter de emergência, sendo a mortalidade de 20% nos eletivos e de 37,5% nos de emergência. Não houve relação entre mortalidade e número de anastomoses por paciente. Houve tendência de melhores resultados com relação à mortalidade nos pacientes RMi com cirurgia conservadora (x²=1,6382. A curva actuarial de sobrevida mostra 82,6% em 19 semestres para os pacientes RMi, 90,4% para os pacientes RAo e 86,3% para o estudo global de pacientes. Com uma evolução de 5172 meses/pacientes, 75% apresentam-se em classe funcional I (NYHA.In the period between July 1980 and June 1989,172 consecutive patients were submitted to combined coronary and valvular surgery. There were patients with predominantly valvular indications and others with predominant coronary indications. In 95 cases, myocardial revascularization and surgical treatment of the aortic valve (RAo were simultaneously performed. Seventy five patients were submitted to myocardial revascularization and surgical treatment of the mitral valve (RMi. The more frequent valvular lesions were

  14. Pheochromocytoma treated by laparoscopic surgery Feocromocitoma tratado por cirurgia laparoscópica

    Directory of Open Access Journals (Sweden)

    Lísias Nogueira Castilho

    2000-06-01

    e avaliados retrospectivamente, com base nos diagnósticos clínico-laboratorial e anátomo-patológico. Em todos os casos havia um tumor sólido unilateral de supra-renal, cinco à direita e cinco à esquerda, cujo maior eixo variou de 7 a 80 mm (média 32. Nove dos dez pacientes eram hipertensos crônicos ou tinham história de picos hipertensivos. Um paciente era normotenso, mas apresentava alterações metabólicas sugestivas de hiperfunção adrenérgica. RESULTADOS: Nenhum óbito ocorreu na série. Houve duas (20% conversões para cirurgia aberta, uma por sangramento venoso e uma por dificuldade de dissecção junto à veia cava, cujo paciente apresentava um tumor parcialmente retrocaval. O tempo operatório nos oito casos não-convertidos foi de 70 a 215 minutos (média 136. Um paciente (10% recebeu transfusão de sangue e outro (10% apresentou duas complicações - insuficiência renal aguda e infecção de tecido celular subcutâneo. Ambos foram convertidos para cirurgia aberta. Nenhum dos casos não-convertidos recebeu transfusão ou apresentou complicação. A alta hospitalar foi concedida entre o 2º e o 11º PO (mediana 3. O exame anátomo-patológico das peças cirúrgicas confirmou o feocromocitoma em todos esses dez casos, num deles associado a um tumor cortical produtor de aldosterona. CONCLUSÕES: A supra-renalectomia laparoscópica para casos selecionados de feocromocitoma é factível e apresenta bons resultados.

  15. Cirurgia refrativa: quem precisa de tratamento personalizado? Refractive surgery: who needs customized ablation

    Directory of Open Access Journals (Sweden)

    Wallace Chamon

    2003-01-01

    Full Text Available Estamos em uma fase de ebulição para a determinação do futuro da cirurgia refrativa corneana. Dia após dia vão se tornando mais comuns os termos como: "análise de frentes de onda", "wave front", "ablação customizada" (que seria mais adequado se fosse alterado para "ablação personalizada", "supervisão", "aberrações", etc... O que será então o futuro de todas estas tecnologias? É importante que entendamos que todos estes termos convergem para alguns fatos que são inquestionáveis. Neste texto são abordados os seguintes pontos: 1. A melhora do desempenho visual com a correção das aberrações ópticas, 2. A mudança no conceito de óptica fisiológica 3. A relação entre refração e mapa refratométrico 4. O benefício visual 5. As aberrações cromáticas e as aberrações esféricasRefractive surgery is facing an important period of its evolution. Day by day we are getting used to terms such as: "wave front", "customized ablation", "supervision", "aberrations", etc. What will be the future of all these technologies? It is important to understand that all these terms are based on some unquestionable facts. In this manuscript the following subjects were considered: 1. Improvement of visual performance when correcting optical aberrations, 2. The change in the concept of physiologic optics, 3. The relationship between refraction and refractive map 4. Visual benefit, 5. Chromatic and spherical aberrations

  16. Programa de terapia miofuncional orofacial para indivíduos submetidos à cirurgia ortognática

    Directory of Open Access Journals (Sweden)

    Renata Resina Migliorucci

    Full Text Available RESUMO Objetivo: apresentar um Programa de Terapia Miofuncional Orofacial para indivíduos submetidos à cirurgia ortognática. Métodos: foram realizadas 3 etapas distintas: a primeira envolveu a elaboração do programa inicial a partir da revisão da literatura sobre o processo terapêutico após a cirurgia; a segunda a aplicação do programa inicial por duas fonoaudiólogas especialistas em motricidade orofacial em 21 indivíduos, após ortognática, que sugeriram modificações no protocolo inicial, resultando numa segunda versão; na terceira e última etapa, o mesmo foi analisado quanto ao conteúdo por três fonoaudiólogas especialistas em Motricidade Orofacial e novas modificações foram realizadas. Resultado: o programa foi elaborado com base em 38 trabalhos científicos, cuja aplicação pelas fonoaudiólogas resultou em modificações considerando a tipologia facial e as condições dento-oclusais, armazenamento do soro fisiológico; detalhamento dos objetivos das atividades propostas e alongamento do lábio superior. Após as sugestões das especialistas a versão final foi constituída de 12 sessões, sendo a primeira avaliação, 10 sessões de terapia uma vez por semana, envolvendo exercícios miofuncionais, estimulação sensorial e treino funcional, sendo a última sessão de reavaliação. Conclusão: foi possível desenvolver um Programa de Terapia Miofuncional Orofacial para indivíduos submetidos à cirurgia ortognática, sendo necessário que o mesmo seja validado.

  17. Estresse e estratégias de enfrentamento em pacientes que serão submetidos à cirurgia de colecistectomia

    Directory of Open Access Journals (Sweden)

    André Faro Santos

    2006-06-01

    Full Text Available A presente pesquisa objetivou comparar o estresse em pacientes no pré-operatório da cirurgia de colecistectomia em relação aos pacientes submetidos ao tratamento clínico de gastrite, buscando também delinear as estratégias de enfrentamento utilizadas por esses pacientes. A amostra foi composta por dois grupos, sendo 15 pacientes cirúrgicos e 10 pacientes do tratamento clínico. Para a detecção do estresse utilizou-se o Inventário de Sintomas de Stress para Adultos de Lipp e para o conhecimento das estratégias de enfrentamento, aplicou-se o Inventário de Estratégias de Coping de Folkman e Lazarus. Nos resultados, constatou-se que a maioria dos pacientes cirúrgicos teve estresse (73,3%, enquanto no grupo do tratamento clínico, somente 10% deles apresentaram. Predominaram pacientes na fase de resistência (72,7% e com sintomas físicos (63,3%. Houve relação estatisticamente significativa entre o sexo e o diagnóstico de estresse, indicando que o sexo feminino apresentou maior ocorrência de estresse na amostra pesquisada (p<0,05. Acredita-se que a cirurgia caracterizou-se como um fator estressante, ressaltando a necessidade da implementação de ações que visem o manejo adequado do estresse, em vista da redução da tensão no pré-cirúrgico e uma melhor recuperação no pós-cirúrgico.   Palavras-chave: estresse; cirurgia; enfrentamento.

  18. &apos;&apos;Die Dependance&apos;&apos; - Logistic center of the fair at Francfort; &apos;&apos;Die Dependance&apos;&apos; - Das Logistikzentrum der Messe Frankfurt

    Energy Technology Data Exchange (ETDEWEB)

    Klein, W.; Fleischer, J. [Brendel Ingenieure, Frankfurt/Main (Germany); Hummel, D. [FH Zwickau (Germany)

    2006-07-01

    In early November 2004, the logistic center &apos;&apos;Die Dependance&apos;&apos; was commissioned after a construction time of 21 months. It is the second building (after Hall 3) designed by London&apos;s star architect Nicholas Grimshow for the Frankfurt Fair. The new building will house the fairground managers and the Accente Gastronomie Service GmbH. Accente is a modern caterer for the fairground halls, Its kitchen in the new building is big enough for preparing up to 10,000 meals every day. (orig.)

  19. Bloqueio do plano transverso abdominal contínuo bilateral em doente com cirurgia abdominal prévia

    Directory of Open Access Journals (Sweden)

    Isabel Flor de Lima

    2013-10-01

    Full Text Available Os autores apresentam um caso clínico em que foi realizado um bloqueio do plano do músculo transverso abdominal, com colocação de cateter bilateral, para analgesia pós-operatória de laparotomia exploradora, em doente com cirurgia abdominal prévia, insuficiência cardíaca, renal e hepática, em opção à analgesia epidural e aos opioides endovenosos em perfusão.

  20. Deficiências de micronutrientes no pré-operatório de cirurgia bariátrica

    OpenAIRE

    Lima,Karla Vanessa Gomes de; Costa,Maria José de Carvalho; Gonçalves,Maria da Conceição Rodrigues; Sousa,Bruno Soares de

    2013-01-01

    INTRODUÇÃO: Achados epidemiológicos têm demonstrado o aumento da prevalência de obesidade em diversos segmentos da população mundial. Neste contexto, a cirurgia bariátrica é aceita, atualmente, como a ferramenta mais eficaz no tratamento e controle da obesidade mórbida. Vários estudos vêm avaliando o estado nutricional após operações bariátricas, principalmente as mistas, detectando redução no consumo alimentar de proteínas, vitaminas e minerais. No entanto, outros investigam a presença de de...

  1. Cirurgia bariátrica: como e por que suplementar Bariatric surgery: how and why to supplement

    Directory of Open Access Journals (Sweden)

    Livia Azevedo Bordalo

    2011-02-01

    Full Text Available Pacientes submetidos à cirurgia bariátrica apresentam maior risco de desenvolver deficiências nutricionais pela limitação na ingestão e absorção de diferentes nutrientes. Desta forma, realizamos uma revisão sistemática no PubMed e ISI Web of Science incluindo artigos de setembro de 1983 a abril de 2010 para identificar as principais deficiências nutricionais após a cirurgia bariátrica e de que forma ocorre o seu tratamento. As palavras-chave utilizadas individualmente ou em associação foram: cirurgia bariátrica, obesidade, deficiência de vitamina/mineral, deficiência de proteína, absorção de nutrientes e suplementação de nutrientes. A literatura sugere que para prevenir ou tratar as deficiências nutricionais decorrentes das alterações anatômicas provocadas pelas técnicas cirúrgicas é necessário o uso de suplementação nutricional. O sucesso da suplementação nutricional oral em corrigir ou prevenir as deficiências nutricionais depende de vários fatores. Assim, compreender as formas pelas quais os nutrientes podem ser administrados é muito importante na prática clínica. Essa revisão tem como objetivo auxiliar a melhor seleção de nutrientes de forma a garantir uma reposição adequada dos nutrientes em pacientes submetidos à cirurgia bariátrica.Patients who have undergone bariatric surgery are at increased risk of developing nutritional deficiencies from limited food intake and absorption of different nutrients. A systematic review of several database websites (PubMed and ISI Web of Science was conducted from September 1983 to April 2010 to identify literature related to micronutrient deficiencies occurring after bariatric surgery. Keywords used individually or in various combinations in the search were bariatric surgery, obesity, vitamin/mineral deficiencies, protein deficiency, nutrient absorption and nutrient supplementation. Literature suggests that to prevent or treat nutritional deficiencies

  2. O custo médio direto do material utilizado em cirurgia de revascularização do miocárdio

    Directory of Open Access Journals (Sweden)

    Bittar Eliana

    2003-01-01

    Full Text Available OBJETIVOS: Verificar o custo médio direto do material usado em cirurgia de revascularização do miocárdio e comparar o custo médio encontrado segundo o número de pontes de safena realizadas. MÉTODOS: Como referencial teórico para apuração dos custos utilizou-se o sistema de custeio de absorção por produto/procedimento. A pesquisa, do tipo descritiva, foi realizada no centro cirúrgico de um hospital especializado em cardiologia, no município de São Paulo. A amostra foi conformada por 104 cirurgias de revascularização do miocárdio. RESULTADOS: O levantamento do consumo possibilitou aferição do custo médio direto de material usado em cirurgia de revascularização do miocárdio que resultou em R$2.718,78. CONCLUSÕES: Houve uma variação de custos do material, em relação ao número de pontes de safena realizadas, havendo uma diferença significativa entre as cirurgias de 1, 2 e 3 pontes, o que não ocorreu entre as cirurgias de 3, 4 e 5 pontes. O custo médio direto das cirurgias foi: 1 ponte (R$2.207,71, 2 pontes (R$2.554,61, 3 pontes (R$2.768.94, 4 pontes (R$2.848,65 e 5 pontes (R$2.884,13. Os itens de material de perfusão (R$1.051,24, fios cirúrgicos (R$829,98 e material de consumo (R$442,40 foram os que apresentaram o maior custo médio.

  3. O Ensino da Cirurgia Plástica na Graduação em Medicina no Contexto da Realidade Brasileira

    Directory of Open Access Journals (Sweden)

    Julio Wilson Fernandes

    Full Text Available RESUMO Apesar do grande número de cirurgiões plásticos no Brasil, o formando egresso/médico generalista necessita conhecimentos de Cirurgia Plástica que possibilitem sua adequada atuação em situações de emergência ou eletivas, referindo pacientes ou proporcionando proteção e suporte básico da vida. Esta educação deve ainda considerar o ambiente socioeconômico brasileiro, suas necessidades e limitações na escolha das atitudes, habilidades e conhecimentos em Cirurgia Plástica que o aluno deve absorver na escola médica. O ensino da Cirurgia Plástica na graduação requer esta ótica particular, além de levar ao estudante de Medicina o espectro integral da especialidade, estimulando vocações para a adequada residência médica e posterior titulação como especialista. Este artigo apresenta o programa de Cirurgia Plástica e a metodologia de ensino que vêm sendo oferecidos aos alunos do curso de Medicina da Universidade Positivo, em Curitiba, há dez anos, por meio da integração das disciplinas Clínica Cirúrgica II e Cirurgia Ambulatorial. As avaliações institucionais discentes, relatos pedagógicos de situações extracurriculares vivenciadas por alunos e a existência de cinco especialistas/residentes em Cirurgia Plástica entre 265 ex-alunos inicialmente formados sugerem uma produtiva funcionalidade do programa apresentado.

  4. Flux quantization in &apos;autistic&apos; magnets

    Energy Technology Data Exchange (ETDEWEB)

    Costa de Beauregard, O.; Vigoureux, J.M.

    1974-03-15

    The Dirac electron theory for the evanescent wave surrounding an infinitely long cylindrical magnet with zero surface polarization and the requirement of the single valuedness of this wave are used to show that the magnetic flux is quantized in units h/2e emu. The same quantization is shown for a general &apos;'autistic'&apos; magnet (i.e. magnet completely trapping its flux), thus establishing complete external equivalence of the &apos;'autistic'&apos; magnet with the &apos;&apos;perfect solenoid&apos;&apos;. An experimental test of the predicted quantization is suggested.

  5. Radiological assessment of skull base changes in children with syndromic craniosynostosis: role of &apos;'minor'&apos; sutures

    Energy Technology Data Exchange (ETDEWEB)

    Calandrelli, Rosalinda; D' Apolito, Gabriella; Gaudino, Simona; Stefanetti, Mariangela; Colosimo, Cesare [Universita Cattolica Sacro Cuore, Institute of Radiology, Rome (Italy); Massimi, Luca; Di Rocco, Concezio [Universita Cattolica Sacro Cuore, Institute of Neurosurgery, Rome (Italy)

    2014-10-15

    This study aims to identify the premature synostosis of &apos;'major'&apos; and &apos;'minor'&apos; sutures of the four &apos;&apos;sutural arches&apos;&apos; of the skull and to perform a morphometric analysis in children with syndromic craniosynostosis in order to evaluate changes in the skull base linked with premature suture synostosis. We reviewed multiplanar high-resolution CT images, implemented with 3D reconstructions, from 18 patients with complex syndromic craniosynostosis and compared them with 18 age-matched healthy subjects. We assessed the calvarial sutures and their extension to the skull base, and then we correlated specific types of synostosis with the size, shape and symmetry of the cranial fossae. We found a marked asymmetry of the skull base growth in all patients. The synostotic involvement around the coronal ring caused a reduction in the growth of the anterior and middle fossae. The size of the posterior cranial fossa was related not only to &apos;'major'&apos; but also to &apos;'minor'&apos; suture synostosis of the lambdoid and parieto-squamosal arches. Changes in the skull base and craniofacial axis symmetry are due to structural and functional relationships between &apos;'major'&apos; and &apos;'minor'&apos; skull sutures, suggesting a structural and functional relationship between the neurocranium and basicranium. The early recognition of prematurely closed skull base sutures may help clinicians and neurosurgeons to establish correct therapeutic approaches. (orig.)

  6. Precisão do posicionamento maxilar em cirurgias bimaxilares utilizando sequência cirúrgica convencional e sequência invertida

    OpenAIRE

    Fabio Gambôa Ritto

    2012-01-01

    Resumo: O objetivo deste trabalho foi avaliar a precisão do posicionamento maxilar em cirurgias ortognáticas bimaxilares utilizando sequência cirúrgica convencional e sequência invertida, isto é, quando a mandíbula foi osteotomizada e fixada antes da maxila. Neste estudo retrospectivo, 80 telerradiografias obtidas em norma lateral de pacientes submeditos à cirurgia ortognática foram analisadas, sendo 40 obtidas no período pré-operatório e 40 no pós-operatório. A amostra foi dividida em 2 grup...

  7. &apos;&apos;Social capitalism&apos;&apos; in renewable energy generation: China and California comparisons

    Energy Technology Data Exchange (ETDEWEB)

    Clark, Woodrow W. II.; Li, Xing [Clark Strategic Partners, PO Box 17975, Beverly Hills, CA 90210 (United States)

    2010-03-15

    With a population of over 1.3 billion people, demand for renewable energy is expected to grow to a USD $12 billion market in the near term. Under Renewable Energy Law (REL) in February 2005 in the People&apos;s Republic of China (PRC) passed by the National Congress, renewable energy projects will be able to receive a range of financial incentives starting in 2006, which will more than double the PRC current renewable energy generation from 7% to 15% by 2020. Most of the increase will be in hydroelectric generated power. Nonetheless, the nation and especially the provinces are moving rapidly to develop a wide range of renewable energy generation including solar, wind, geothermal and run of the river. Because China practices &apos;&apos;social capitalism&apos;&apos; as expressed in it&apos;s recurrent Five Year National Plans since 1999, the national government and all the provinces have programs, unlike many western and industrialized nations, to &apos;'plan'&apos; and provide for infrastructures. This paper concerns only the energy infrastructure sector and renewable energy generation in particular. The planning process includes financial incentives and investments which are a major part of the Chinese law focused on &apos;&apos;encouraging foreign investment industries&apos;&apos;. The key part of the law is to guarantee long-term power purchase agreements with state owned and controlled &apos;'utilities'&apos;. In short, China may have gotten the economics of the energy sector correct in its concern for planning and finance. The paper develops these energy infrastructure ideas along with the legal and financial requirements as &apos;'lessons'&apos; learned from the USA and especially California. These lessons now apply to China and allow it to learn from the American mistakes. Empirical data will be drawn from work done in China that examine the renewable energy generation and infrastructures and hence allow the RPC and its

  8. Vaporizador artesanal de éter para cirurgia experimental em pequenos roedores

    Directory of Open Access Journals (Sweden)

    Marcus Vinicius Henriques Brito

    1998-01-01

    Full Text Available O presente trabalho descreve modelo experimental de vaporizador artesanal de éter, modificado a partir do modelo de WAYNFORTH & FLECKNELL, a fim de manter fluxo contínuo e homogêneo do anestésico em cirurgias onde se utiliza roedores de pequeno porte como animais de experimentação. O sistema é construído a partir de material encontrado em casas de materiais para aquários, sonda e tubo de ensaio de uso hospitalar, base de madeira e campânula de vidro confeccionada em vidraçaria. Como vantagens do sistema pode-se citar a manutenção do animal em plano anestésico sem que haja necessidade de contínuas "induções" com algodão embebido em éter e ofertado por via nasal, com perda do excesso para o meio ambiente e inalação do mesmo por quem conduz o experimento. Diminui-se assim quantidade de anestésico total gasto, devido manter-se níveis de oferta mais homogêneas por um fluxo contínuo de acordo com o plano anestésico do animal. Consegue-se também através do consumo aferido no tubo de ensaio, calcular aproximadamente o volume / minuto inalado, consumindo-se em média 5 ml de éter em uma hora de anestesia para ratos com 300g, obtendo com isto economia da substância, melhor controle da quantidade inalada pelo animal e redução da poluição do meio ambiente pelo mesmo.This paper described a homemade ether vaporizer, changed from WAYNFORTH & FLECKNELL model for small animals. The device is build with hospital material and products bought in aquarium’s shops. Their advantages are maintenance of anesthetic level without successive "inductions" by inhalatory nasal ether ; ether consumption of 5 ml per hour in animals with 300 g ; smaller ambient pollution and small cost. The disadvantages are a hardness and reduction of the plastic tubes after approximately 150 hour in use, by ether action and the necessity of experience acquisition in anesthetic manipulation with the device

  9. Report of working committee 4 &apos;&apos;transmission of gases&apos;&apos;; Rapport de la commission 4 &apos;&apos;transport des gaz&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Volskij, E.

    2000-07-01

    Report of the WOC 4 Transmission contains the results of works carried out during 1998-2000 by the Committee members and the three study groups. The most important is: - review of actual situation and prospects for the gas pipeline transmission system development; - report of SG-4.1 &apos;Pipeline Ageing and Rehabilitation&apos;, including analysis of pipeline steels, welding and insulation, methods of rehabilitation, the program of pipeline reconstruction; - report of SG-4.2 &apos;Emission monitoring&apos; including appraisal of gas losses and methods of lowering of methane and other emissions of the gas units in different countries; - report of SG-4.3 &apos;Pipelines Integrity Management and Safety&apos; including basic information on gas pipeline failure intensity, key elements of the Integrity Management System of the gas transmission, methods of risk evaluation and the effectiveness of the approach. (authors)

  10. &apos;&apos;House in park&apos;&apos; gold plated. Subsequent certification for the new office building; &apos;&apos;Haus im Park&apos;&apos; vergoldet. Nachtraegliche LEED-Zertifizierung fuer neues Buerogebaeude

    Energy Technology Data Exchange (ETDEWEB)

    Herzog, Kati; Wildhack, Alice [Bilfinger Berger AG, Mannheim (Germany). Abt. Nachhaltigkeit/Energieeffizienz

    2011-07-01

    In March 2011, the &apos;&apos;house in park&apos;&apos; received the signet LEED {sup registered} of the U.S. Green Building Council (Washington, North Carolina, U.S.A.) in &apos;'gold'&apos;. In general, it is the second German project that was awarded with &apos;'gold'&apos; in the certification version &apos;&apos;New Construction, version 2009&apos;&apos;. The special challenge: In the planning phase, no aspects relevant to planning and execution with regard to LEED were implemented. In total there are 15 LEED-certified buildings actually in Germany (worldwide: 7,894). 115 Projects are registered (worldwide: 23,238). The trend is increasing, both nationally as well as internationally.

  11. Função pulmonar em doentes obesos submetidos a cirurgia bariátrica

    Directory of Open Access Journals (Sweden)

    C. Guimarães

    2012-05-01

    Full Text Available Resumo: A obesidade é considerada um problema de saúde pública da atualidade. Devido ao facto de alterar a relação entre pulmões, parede torácica e diafragma, a obesidade tem sido relacionada com alterações da função pulmonar. Em Portugal, existem dados muito limitados entre a relação da obesidade com a função pulmonar.O objetivo deste estudo foi avaliar as alterações da função respiratória nos doentes obesos mórbidos e o comportamento dos parâmetros obtidos nas provas funcionais respiratórias (PFR no pré e pós cirurgia bariátrica.Realizamos um estudo retrospectivo pré e pós cirurgia bariátrica em 36 doentes obesos mórbidos, com uma média de idades de 40,6 anos sendo 64% do sexo feminino e com um índice de massa corporal (IMC médio de 49,7 kg/m2. Todos os doentes foram avaliados clínica e funcionalmente antes da cirurgia bariátrica e após estabilização do peso na sequência deste procedimento tendo-se realizado espirometria, volumes pulmonares, difusão do monóxido de carbono (DLCO, pressões máximas respiratórias e gasometria arterial. Previamente à cirurgia a maioria mostrava alterações nas PFR, 34 doentes apresentavam uma diminuição da capacidade residual funcional (CRF dos quais 6 tinham síndrome restritiva. Apenas 2 doentes não expressavam qualquer alteração funcional ou gasométrica. Após a cirurgia bariátrica o IMC médio reduziu para 34 kg/m2 e verificou-se uma melhoria significativa de quase todos os parâmetros funcionais havendo resolução dos padrões restritivos, mantendo, contudo, ainda 13 doentes a CRF diminuída.Foi apenas encontrada correlação com significado estatístico entre a redução do IMC e o aumento da CRF (r = −0,371; p = 0,028.Este estudo sugere uma relação entre obesidade e restrição pulmonar e aponta para um

  12. Fatores de risco para complicações perioperatórias em cirurgias endoscópicas com irrigação

    Directory of Open Access Journals (Sweden)

    João Manoel Silva Jr

    2013-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A medicina endoscópica está cada vez mais sendo usada atualmente, porém não é isenta de riscos. Portanto, este estudo avaliou os fatores associados com complicações perioperatórias em cirurgias endoscópicas com irrigação intraoperatória. MÉTODO: Estudo de coorte durante seis meses. Foram incluídos pacientes com > 18 anos, submetidos a cirurgias endoscópicas que usariam fluidos de irrigação no intraoperatório. Pacientes em uso de diuréticos, com insuficiência renal, distúrbios cognitivos, hiponatremia prévia a cirurgia, gestantes e moribundos foram excluídos. Foram alocados em dois grupos os pacientes que apresentaram complicações ou não no período perioperatório. As complicações avaliadas estavam relacionadas a alterações neurológicas, cardiovasculares, renais e sangramentos no perioperatório. RESULTADOS: Foram incluídos 181 pacientes e 39 excluídos, portanto 142 preencheram os critérios. Apresentaram complicações 21,8% dos pacientes, com maior ocorrência em cirurgias endoscópicas de próstata, seguidas de histeroscopias, bexiga, artroscopia de joelho e ombro, respectivamente 58,1%, 36,9%, 19,4%, 3,8% e 3,2%. Comparando os grupos, apresentaram associação com complicações na análise univariada; idade, sexo, tabagismo, cardiopatia, ASA, sódio sérico no fim da cirurgia, total de fluido de irrigação administrado, ressecção transuretral de próstata, histeroscopia. Entretanto, apenas idade (OR = 1,048, sódio sérico (OR = 0,962 e volume de fluido de irrigação administrado no intraoperatório (OR = 1,001 foram variáveis independentes para complicações na regressão múltipla. CONCLUSÃO: Graves complicações em cirurgias endoscópicas têm grande ocorrência. O sódio sérico no fim da operação, a quantidade de fluido de irrigação e a idade foram fortes fatores independentes associados ao problema. Dessa forma, tais fatores devem ser levados em considera

  13. Pumped storage project &apos;&apos;Energiespeicher Riedl&apos;&apos;; Das Projekt Energiespeicher Riedl

    Energy Technology Data Exchange (ETDEWEB)

    Mayr, Dominik [Verbund Hydro Power AG, Vienna (Austria); Schmauss, Juergen [Regierung von Niederbayern, Landshut (Germany); Neuwerth, Sabine [Grenzkraftwerke GmbH, Simbach am Inn (Germany)

    2012-07-01

    The &apos;&apos;Donaukraftwerk Jochenstein AG&apos;&apos; (DKJ) plans at the river power plant Jochenstein on the Danube in the district of Passau, Bavaria, South-east Germany, the construction of a modern pumped-storage hydropower plant with a capacity of 300 megawatts, the pumped storage &apos;&apos;Energiespeicher Riedl&apos;&apos;. The planned plant is a regionally significant project by the Regional Planning act. Therefore, the DKJ as applicant submitted the documents for the regional planning proceedings to the Government of Lower Bavaria, which completed the process with the positive regional planning assessment under provisos on 01.08.2011, which led to an optimization of the project layout. (orig.)

  14. Post-Copenhagen: the &apos;new&apos; math, legal &apos;additionality&apos; and climate warming

    Energy Technology Data Exchange (ETDEWEB)

    Ferrey, Steven

    2010-05-15

    Control of carbon emissions to the atmosphere is the environmental issue of this decade - perhaps of this entire generation. Its importance has been equated to the survival of the planet. It may all come down to the novel legal concept that sounds like second-grade math: &apos;'additionality.'&apos; However, it is the &apos;'new'&apos; math. (author)

  15. &apos;et&apos; special: &apos;&apos;E-world of energy&apos;&apos;; &apos;et&apos;-special: &apos;&apos;E-world of energy&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2001-02-01

    The &apos;et&apos; special on the conference &apos;E-world of energy&apos;, held from February 13 - 15, 2001 in Essen (Germany) presents contributions of experts who offer solutions to issues and many topical questions arising in the business of traders and utilities as participants of (international) energy markets at various stages of transition towards workable competition. The translated titles of the 15 contributions reproduced in this &apos;et&apos; special indicate the major contents of the conference papers: 1. Internet-based wholesale power trading as a competitive option to the power exchange. 2. Forward graphs in European electricity markets. 3. Portfolio management in energy trading. 4. Risk management concepts in energy trading. 5. E-commerce as a driving force of a change in the energy markets. 6. eHuman resources management - a vital aspect of corporate success. 7. A brand policy for electricity? 8. Is it really only the price that counts for the customers? 9. The City Power network: an example of successful customer loyalty strategy for local and regional utilities. 10. The Call Center, an important instrument for customer loyalty programmes. 11. eCommerce or eLlusion? 12. eBusiness as a corporate strategy. 13. Meeting the challenges of increasing IT requirements. 14. IT solutions for transmission and distribution network management. 15. Target costing - pinpointed cost planning and control for the energy supply industry. (orig./CB) [German] In dem &apos;et&apos;-Special zur Konferenz &apos;E-world of energy&apos;, die vom 13.- 15. Februar 2001 in Essen stattfand, bieten Experten Loesungsvorschlaege fuer die aktuellen Fragen und Probleme an, die sich auf dem Weg zu liberalisierten Energiemaerkten stellen. Die folgenden Titel der 15 Beitraege geben eine Uebersicht ueber den Inhalt der Konferenzbeitraege. Themen: 1. Internetbasierte Grosshandelsmaerkte als Konkurrenz zu Energieboersen 2. Forward-Kurven in europaeischen Strommaerkten 3

  16. Comparison of PCDD/Fs levels and profiles in leachates from &apos;'new'&apos; and &apos;'old'&apos; municipal landfills

    Energy Technology Data Exchange (ETDEWEB)

    Dudzinska, M.; Czerwinski, J.; Rut, B. [Lublin Univ. of Technology (Poland)

    2004-09-15

    Although the presence of PCDD/Fs in landfill leachates has been confirmed, not many experiments have been undertaken in this area, probably because of a very low solubility of PCDD/Fs in water. Modern, properly designed landfills should secure (seal) all deposited wastes and possible leakings within the damp. Leachates are collected and treated on the site or transported to a wastewater treatment plant, so they should not cause a release of any pollutants into the soil or groundwater. But PCDD/Fs as well as a number of chlorinated compounds, which may act as precursors of dioxins under aerobic or anaerobic conditions have been identified as trace contaminants in municipal wastes. The formation of dioxins during municipal waste deposition has not been studied, contrary to the formation of OCDD from precursors under aerobic conditions during composting of waste or treatment of sewage sludge5. Some information about the possible dioxin formation during landfilling might be obtained from the comparison of PCDD/F levels in the leachates from &apos;&apos;old - closed&apos;&apos; and &apos;'new'&apos; sites.

  17. Lung volume reduction surgery: an overview Cirurgia redutora de volume pulmonar: uma revisão

    Directory of Open Access Journals (Sweden)

    Rodrigo Afonso da Silva Sardenberg

    2010-01-01

    Full Text Available This study intends to review the literature on the efficacy, safety and feasibility of lung volume reduction surgery (LVRS in patients with advanced emphysema. Studies on LVRS from January 1995 to December 2009 were included by using Pubmed (MEDLINE and Cochrane Library literature in English. Search words such as lung volume reduction surgery or lung reduction surgery, pneumoplasty or reduction pneumoplasty, COPD or chronic obstructive pulmonary disease and surgery, were used. We also compared medical therapy and surgical technique. Studies consisting of randomized controlled trials, controlled clinical trials (randomized and nonrandomized, reviews and case series were analyzed. Questions regarding validity of the early clinical reports, incomplete follow-up bias, selection criteria and survival, confounded the interpretation of clinical data on LVRS. Patients with upper, lower and diffuse distribution of emphysema were included; we also analyzed as key points perioperative morbidity and mortality and lung function measurement as FEV1. Bullous emphysema was excluded from this review. Surgical approach included median sternotomy, unilateral or bilateral thoracotomy, and videothoracoscopy with stapled or laser ablation. Results of prospective randomized trials between medical management and LVRS are essential before final assessment can be established.O objetivo deste estudo é revisar a literatura acerca da eficácia, segurança e viabilidade da cirurgia redutora de volume pulmonar (CRVP em pacientes com enfisema pulmonar avançado. Estudos de CRVP de janeiro de 1995 a dezembro de 2009 foram incluídos através de pesquisa na Pubmed (MEDLINE e Cochrane Library, na literatura inglesa. Palavras de busca tais como lung volume reduction surgery ou lung reduction surgery, pneumoplasty ou reduction pneumoplasty, COPD ou chronic obstructive pulmonary disease e surgery foram utilizadas. Também realizamos comparação entre terapia médica e cir

  18. Cuidados nos pacientes com hemofilia e doença de von Willebrand na cirurgia eletiva otorrinolaringológica

    Directory of Open Access Journals (Sweden)

    Marques Marise P. C.

    2003-01-01

    Full Text Available FORMA DE ESTUDO Clínico prospectivo. MATERIAL E MÉTODO: Foi realizado um estudo prospectivo de 10 anos de 20 pacientes com hemofilias ou doença de von Willebrand (DvW com indicação de cirurgia otorrinolaringológica. Os pacientes foram submetidos a um total de 25 cirurgias otorrinolaringológicas eletivas. A idade média foi de 23,75 anos (2 a 62 anos. O grupo de estudo consistiu em 14 hemofílicos, 11 com hemofilia A grave (1 do sexo feminino, uma portadora com 30% de atividade de fator VIII (FVIII, um hemofílico B leve e uma com deficiência grave de fator X; 6 com DvW, 4 tinham o tipo 1 (3 mulheres, um o tipo 2A e um o tipo 3. Treze hemofílicos tinham síndrome de imunodeficiência adquirida. A duração média do procedimento foi de 1 hora e 37 minutos (15 minutos a 12 horas. O defeito da coagulação foi corrigido com desmopressina (DDAVP, com concentrado de FVIII de pureza intermediária 8Y, com criopreciptado ou com complexo protrombínico não ativado (PPSB, de acordo com os níveis plasmáticos do fator e da severidade da cirurgia. O ácido épsilon aminocapróico também foi usado em associação. Em 1 hemofílico A grave houve sangramento pós-operatório que se resolveu com a elevação do nível mínimo de FVIII para 80% e em 1 paciente com DvW do Tipo 3 houve sangramento pós-operatório pela dificuldade de identificação do melhor concentrado a ser reposto. Após o uso do concentrado de pureza intermediária 8Y, houve controle do sangramento. RESULTADO: Todos os outros pacientes apresentaram a hemostasia considerada normal ou excelente. CONCLUSÃO: Concluiu-se que pacientes com hemofilias ou DvW não apresentam um risco cirúrgico aumentado se for realizada uma terapia adequada.

  19. Transscleral diode laser retinopexy in retinal reattachment surgery Retinopexia com laser de diodo transescleral na cirurgia de descolamento de retina

    Directory of Open Access Journals (Sweden)

    João Carlos de Miranda Gonçalves

    2004-02-01

    Full Text Available PURPOSE: Transscleral diode retinal photocoagulation (diopexy is becoming an accepted technique in the treatment of selected retinal diseases. The objective of this study is to evaluate diopexy technique in the production of adhesive chorioretinal lesions during the surgical treatment of the rhegmatogenous retinal detachment. METHODS: 25 patients with rhegmatogenous retinal detachment were enrolled in a prospective clinical-surgical study to evaluate the technique of transscleral diode laser photocoagulation to obtain adhesive chorioretinal lesions during retinal reattachment surgery. The surgery consisted of the placement of an exoplant silicon to produce a buckle effect combined with a drainage of subretinal fluid in most cases. RESULTS: By a mean follow-up of 10 months, 21 of 25 eyes had their retinas reattached after only one surgery with diopexy used in all cases. CONCLUSION: Transscleral diode laser photocoagulation was a technically easy, controlled, effective, reproducible and safe means of obtaining chorioretinal adhesion in retinal reattachment surgery.OBJETIVO: Fotocoagulação transescleral com laser de diodo (diopexia está se tornando técnica utilizada no tratamento de algumas doenças retinianas. O objetivo deste estudo é avaliar a técnica de diopexia na produção de lesões coriorretinianas aderentes durante o tratamento cirúrgico do descolamento de retina regmatogênico. MÉTODOS: Vinte e cinco pacientes com descolamento de retina regmatogênico participaram deste estudo clínico-cirúrgico prospectivo para avaliar a técnica de fotocoagulação com laser de diodo transescleral para obter lesões coriorretinianas aderentes durante a cirurgia de descolamento de retina. A cirurgia consistiu de colocação de explante de silicone para produzir efeito de introflexão escleral combinado com drenagem do líquido subretiniano na maioria dos casos. RESULTADOS: Após um período médio de seguimento de 10 meses, em 21 dos 25 olhos

  20. XVII International Scientific Conference &apos;&apos;RESHETNEV READINGS&apos;&apos;

    International Nuclear Information System (INIS)

    2015-01-01

    The International Scientific Conference &apos;RESHETNEV READINGS&apos; is dedicated to the memory of Mikhail Reshetnev, an outstanding scientist, chief-constructor of space-rocket systems and communication satellites. The current volume represents selected proceedings of the main conference materials which were published by XVII International Scientific Conference &apos;RESHETNEV READINGS&apos; held on November 12 – 14, 2013. Plenary sessions, round tables and forums will be attended by famous scientists, developers and designers representing the space technology sector, as well as professionals and experts in the IT industry. A number of outstanding academic figures expressed their interest in an event of such a level including Jaures Alferov, Vice-president of the Russian Academy of Sciences (RAS), Academician of RAS, Nobel laureate, Dirk Bochar, General Secretary of the European Federation of National Engineering Associates (FEANI), Prof. Yuri Gulyaev, Academician of RAS, Member of the Presidium of RAS, President of the International Union of Scientific and Engineering Associations, Director of the Institute of Radio Engineering and Electronics of RAS, as well as rectors of the largest universities in Russia, chief executives of well-known research enterprises and representatives of big businesses. We would like to thank our main sponsors such as JSC &apos;&apos;Reshetnev Information Satellite Systems&apos;&apos;, JSC &apos;&apos;Krasnoyarsk Engineering Plant&apos;&apos;, Central Design Bureau &apos;'Geophysics'&apos;, Krasnoyarsk Region Authorities. These enterprises and companies are leading ones in the aerospace branch. It is a great pleasure to cooperate and train specialists for them. (preface)

  1. Development of an object oriented lattice QCD code &apos;'Bridge++'&apos;

    International Nuclear Information System (INIS)

    Ueda, S; Aoki, S; Aoyama, T; Kanaya, K; Taniguchi, Y; Matsufuru, H; Motoki, S; Namekawa, Y; Nemura, H; Ukita, N

    2014-01-01

    We are developing a new lattice QCD code set &apos;'Bridge++'&apos; aiming at extensible, readable, and portable workbench for QCD simulations, while keeping a high performance at the same time. Bridge++ covers conventional lattice actions and numerical algorithms. The code set is constructed in C++ with an object oriented programming. In this paper we describe fundamental ingredients of the code and the current status of development

  2. The German &apos;'Energiewende'&apos;. Evaluation after the Paris-agreement; Die Deutsche Energiewende. Bewertung nach dem Klima-Abkommen von Paris

    Energy Technology Data Exchange (ETDEWEB)

    Roth, Eike

    2016-08-01

    The World-Climate-Summit 2016 in Paris agreed to exacerbated goals for climate protection. This paper will scrutinize whether Germany can comply with its Paris-obligations by continuing the ongoing German &apos;'Energiewende'&apos;. The result is clear-cut: The German &apos;'Energiewende'&apos; is inadequate. Due to the cap-and-trade system of the EU the &apos;''Energiewende'&apos;.

  3. Village Power &apos;98

    Energy Technology Data Exchange (ETDEWEB)

    Cardinal, Julie; Flowers, Larry; Siegel, Judy; Taylor, Roger; Weingart, Jerome

    1999-03-24

    This is the fifth Village Power workshop sponsored by NREL. We have held these meetings every year since 1993, to focus, challenge, and provide a forum for interaction among practitioners working in the field of using renewable energy technologies as an economically viable pathway to electrification of rural populations throughout the world. Starting with a small group of 30 colleagues in 1993, this &apos;'workshop'&apos; has doubled in size every year. When the NREL staff was planning for this meeting, they were hoping for something around 400 participants. We are now looking at over 500, and we apologize for the somewhat cramped accommodations. This overwhelming response, however, shows that the use of renewable energy to solve some of the world&apos;s serious problems is coming of age. This meeting, this &apos;'conference'&apos; (it&apos;s clearly no longer a workshop) marks a transition. A transition from the viewpoint that renewables are, and forever will be a technology of the future; to the reality that renewables have come of age. We have technologies available today, at today&apos;s prices, that can make a substantive contribution to the pressing needs of environmentally sustainable development in the world. This is a collection of all the papers presented at the Village Power &apos;98 conference.

  4. Hippocampal &apos;&apos;gliosis only&apos;&apos; on MR imaging represents a distinct entity in epilepsy patients

    Energy Technology Data Exchange (ETDEWEB)

    Hattingen, Elke; Enkirch, Simon Jonas; Jurcoane, Alina; Kruse, Maximilian [University Clinics Bonn, Neuroradiology, Department of Radiology, Bonn (Germany); Delev, Daniel [University Clinics Bonn, Department of Neurosurgery, Bonn (Germany); University Clinics Freiburg, Department of Neurosurgery, Freiburg (Germany); Grote, Alexander [University Clinics Bonn, Department of Neurosurgery, Bonn (Germany); Evangelic Hospital of Bethel, Department of Neurosurgery, Bielefeld (Germany); Becker, Albert [University Clinics Bonn, Institute of Neuropathology, Bonn (Germany)

    2018-02-15

    The purpose of this study is to evaluate whether patients with drug-resistant mesial temporal lobe epilepsy (TLE) due to hippocampal &apos;&apos;gliosis only&apos;&apos; have different MRI features than those with hippocampal sclerosis (HS). Most TLE patients have HS corresponding to severe neuronal loss and gliosis, but a few have &apos;&apos;gliosis only&apos;&apos; without significant reduction of neuronal density. We analyzed the morphology of cerebral 3 T MRIs (T1, T2, and FLAIR) of 103 patients with HS and 20 with &apos;&apos;gliosis only&apos;&apos; concerning hippocampal and amygdala aspect, volumes, and signal intensity (SI) using Fisher&apos;s exact test, Student&apos;s t test, and principal component analysis. Visually, the ipsilateral hippocampus was hyperintense in both groups, but SI was markedly increased in 74% of HS and in 25% of &apos;&apos;gliosis only&apos;&apos; patients; the ipsilateral hippocampus was smaller in 92% of HS and in 50% of &apos;&apos;gliosis only&apos;&apos; patients, and its internal architecture was lost in 57% of HS and 5% of &apos;&apos;gliosis only&apos;&apos; patients; the contralateral hippocampal SI was altered in 25% of HS and in 70% of &apos;&apos;gliosis only&apos;&apos; patients (all p < 0.001). Ipsilateral hippocampus of HS patients had lower volume (mean ± SD 2.86 ± 0.87 ml) compared with that of &apos;&apos;gliosis only&apos;&apos; patients (3.4 ± 1.02 ml) and had higher SI than the contralateral hippocampus of HS patients and then the hippocampus of &apos;&apos;gliosis only&apos;&apos; patients (all p < 0.01). &apos;&apos;Gliosis only&apos;&apos; has different MRI hippocampal characteristics than HS: less volume loss, less increase of the T2-w signal intensity, preservation of internal architecture, and more contralateral affection. (orig.)

  5. Hippocampal &apos;&apos;gliosis only&apos;&apos; on MR imaging represents a distinct entity in epilepsy patients

    International Nuclear Information System (INIS)

    Hattingen, Elke; Enkirch, Simon Jonas; Jurcoane, Alina; Kruse, Maximilian; Delev, Daniel; Grote, Alexander; Becker, Albert

    2018-01-01

    The purpose of this study is to evaluate whether patients with drug-resistant mesial temporal lobe epilepsy (TLE) due to hippocampal &apos;&apos;gliosis only&apos;&apos; have different MRI features than those with hippocampal sclerosis (HS). Most TLE patients have HS corresponding to severe neuronal loss and gliosis, but a few have &apos;&apos;gliosis only&apos;&apos; without significant reduction of neuronal density. We analyzed the morphology of cerebral 3 T MRIs (T1, T2, and FLAIR) of 103 patients with HS and 20 with &apos;&apos;gliosis only&apos;&apos; concerning hippocampal and amygdala aspect, volumes, and signal intensity (SI) using Fisher&apos;s exact test, Student&apos;s t test, and principal component analysis. Visually, the ipsilateral hippocampus was hyperintense in both groups, but SI was markedly increased in 74% of HS and in 25% of &apos;&apos;gliosis only&apos;&apos; patients; the ipsilateral hippocampus was smaller in 92% of HS and in 50% of &apos;&apos;gliosis only&apos;&apos; patients, and its internal architecture was lost in 57% of HS and 5% of &apos;&apos;gliosis only&apos;&apos; patients; the contralateral hippocampal SI was altered in 25% of HS and in 70% of &apos;&apos;gliosis only&apos;&apos; patients (all p < 0.001). Ipsilateral hippocampus of HS patients had lower volume (mean ± SD 2.86 ± 0.87 ml) compared with that of &apos;&apos;gliosis only&apos;&apos; patients (3.4 ± 1.02 ml) and had higher SI than the contralateral hippocampus of HS patients and then the hippocampus of &apos;&apos;gliosis only&apos;&apos; patients (all p < 0.01). &apos;&apos;Gliosis only&apos;&apos; has different MRI hippocampal characteristics than HS: less volume loss, less increase of the T2-w signal intensity, preservation of internal architecture, and more contralateral affection. (orig.)

  6. Mohs micrographic surgery: a study of 83 cases Cirurgia micrográfica de Mohs: estudo de 83 casos

    Directory of Open Access Journals (Sweden)

    Flavianne Sobral Cardoso Chagas

    2012-04-01

    Full Text Available BACKGROUND: Mohs micrographic surgery can achieve high cure rates in the treatment of skin cancer and remove a minimum of healthy tissue. OBJECTIVES: To characterize patients undergoing Mohs micrographic surgery and study issues related to the number of surgical stages. METHODS: A descriptive, retrospective, cross-sectional study was conducted in a micrographic surgery reference center for the period of 2004 to 2010. Data was collected from medical records of 79 patients (83 surgeries. RESULTS: We studied 43 women and 36 men. The mean age was 57.5 ± 14,6 years. Skin types II and III were the most frequent, accounting for 41% and 36.1%, respectively. The most frequent tumor was the basal cell carcinoma (89.1%, and the solid subtype was the most common (44.6%, followed by sclerodermiform histological subtype (32%.The most frequent location was the nasal region (44.6%. The large majority of the operated tumors were recurrent lesions (72.7%. Half of the tumors measured 2 cm or more. In 68.7% of the cases two or more surgical stages were necessary for the removal of the tumors. The observation period was 2 or more years in 75% of the tumors. There was 01 post-Mohs recurrence and 02 patients had metastases during the observation period (both with squamous cell carcinoma. CONCLUSION: The findings coincide with those of the literature, recurrent tumors and tumors larger than 2cm needed more surgical stages for their removal, although there was no statistic difference (p=0,12 and 0,44 respectively.FUNDAMENTOS: A cirurgia micrográfica de Mohs é capaz de alcançar altas taxas de cura no tratamento do câncer de pele e remover o mínimo possível de tecido saudável. OBJETIVOS: caracterizar os pacientes submetidos à cirurgia micrográgica de Mohs e estudar aspectos relacionados ao número de fases cirúrgicas. MÉTODOS: trata-se de estudo observacional, transversal e descritivo realizado em serviço de referência para cirurgia micrográfica no per

  7. Biomecânica da córnea após laser de femtossegundo na cirurgia de catarata

    Directory of Open Access Journals (Sweden)

    Bruno Freitas Valbon

    2015-10-01

    Full Text Available RESUMO Objetivo: Avaliar as alterações da biomecânica da córnea após laser de femtosegundo na cirurgia de catarata e comparar os parâmetros biomecânicos derivados do Corvis ST (Oculus Corvis ST, Scheimpflug Technology; Wetzlar, Germany entre as técnicas do laser de femtossegundo e a facoemulsificação convencional após a cirurgia de catarata. Métodos: Estudo observacional, prospectivo envolvendo 151 olhos de 127 pacientes com diagnóstico de catarata nuclear. Setenta olhos de 65 pacientes foram submetidos à técnica do laser de femtossegundo (Alcon LenSx, Aliso Viejo,USA e 76 olhos de 62 pacientes por meio da facoemulsificação convencional (Alcon Infinit, Fort Worth, USA. O sistema de tonometria de não contato integrado com a câmera ultrarrápida de Scheimpflug (Oculus Corvis ST, Scheimpflug Technology; Wetzlar, Germany foi utilizado para avaliação da biomecânica da córnea antes e após a cirurgia de catarata pelas técnicas do laser de femtossegundo e a facoemulsificação convencional. Os parâmetros biomecânicos utilizados foram: deformidade de amplitude (DA, pressão intraocular, 1st A time, tempo de concavidade máxima, 2nd A time, 1st A Length, 2nd A Length, raio de curvatura de maior alcance, raio de curvatura normal, velocidade de entrada (Vin e de saída (Vout. A densitometria do cristalino (scattering através do PNS (Pentacam Nucleus Staging foi realizado pela tomografia de córnea e segmento anterior (Pentacam® – Oculus, Wetzlar, Germany em todos os pacientes para diagnóstico objetivo da opacidade do cristalino. Os critérios de exclusão foram: doença corneana, doenças da retina e/ou nervo óptico e cirurgia ocular prévia. O teste de Kolmogorov-Smirnov foi utilizado para avaliar a distribuição normal. O teste de Wilcoxon e o test-T foram utilizados para avaliação entre o pré-operatório e o primeiro dia de pós-operatório (D1 nos grupos do laser de femtossegundo (LFS e do faco convencional (FC

  8. Mediastinite pós-esternotomia longitudinal para cirurgia cardíaca: 10 anos de análise

    Directory of Open Access Journals (Sweden)

    Valdir Cesarino de Souza

    2002-09-01

    Full Text Available INTRODUÇÃO: mediastinites pós-esternotomia para cirurgia cardíaca não são freqüentes (0,2% a 5,0%, porém, quando surgem, se tornam potencialmente graves. Mesmo com o diagnóstico e tratamento precoces, o prognóstico não é bom, sobretudo se houver sepse e outros agravos à saúde associados. OBJETIVO: rever a casuística de casos de mediastinite. MÉTODO: foram analisados os prontuários de 2.272 pacientes submetidos à cirurgia cardíaca entre 1991 e 2000. Todas as operações foram realizadas através de esternotomia mediana longitudinal e circulação extracorpórea no Hospital João XXIII / Instituto de Cirurgia Cardiovascular da Paraíba de Campina Grande (Paraíba. RESULTADOS: a mediastinite ocorreu, em média, 10 dias após a cirurgia, num total de 37 (1,6% casos, com taxa de letalidade 21,6% (n=8. A maioria (n=19; 51,4% dos casos foi em pacientes submetidos a revascularização do miocárdio, seguidos pelos procedimentos valvares (n=13; 35,1%, correções de cardiopatias congênitas (n=4; 10,8% e aneurisma de aorta ascendente (n=1; 2,7%. Vários fatores de risco foram identificados (obesidade, tempo de permanência hospitalar prolongado, diabetes mellitus, tabagismo, reoperações e cirurgias de emergência, especialmente a permanência (por mais de 72 horas no pré-operatório em unidade de terapia intensiva. A cultura do exsudato foi positiva em 35 (94,6% dos 37 pacientes, sendo o Staphylococcus aureus o patógeno mais observado em 17 (48,6%. CONCLUSÕES: a freqüência de mediastinite pós-cirurgias cardíaca, com esternotomia associada, é semelhante à descrita na literatura, não tem diminuído no decorrer dos anos, por isto continua representando um desafio para os cirurgiões e equipes, apesar do arsenal diagnóstico e terapêutico atuais.INTRODUCTION: Mediastinitis is a rare though potentially fatal complication. The incidence is reported to be between 0.2% and 5.0% and is a major cause of postoperative morbidity

  9. Evaluatie van de smogsituatie in de winterperioden &apos;92/&apos;93, &apos;93/&apos;94 en &apos;94/&apos;95

    NARCIS (Netherlands)

    Anker IM van de; LLO

    1996-01-01

    In Nederland bestaat sinds 20 juni 1991 een nieuwe smogregeling, het zogenaamde Modeldraaiboek Smog 1991. In dit modeldraaiboek zijn procedures, maatregelen, handelingen, signaleringsschema&apos;s en aanbevelingen vastgelegd welke betrekking hebben op perioden met verhoogde luchtverontreiniging

  10. The German &apos;'Energiewende'&apos;. Evaluation after the Paris-agreement; Die Deutsche Energiewende. Bewertung nach dem Klima-Abkommen von Paris

    Energy Technology Data Exchange (ETDEWEB)

    Roth, Eike

    2016-12-15

    The World-Climate-Summit 2016 in Paris agreed to exacerbated goals for climate protection. This paper will scrutinize whether Germany can comply with its Paris-obligations by continuing the ongoing German &apos;'Energiewende'&apos;. The result is clear-cut: The German &apos;'Energiewende'&apos; is inadequate. Due to the cap-and-trade system of the EU the &apos;'Energiewende'&apos; can in no way contribute to climate protection.

  11. European day &apos;&apos;in town, without my car&apos;&apos;; Journee europeen &apos;&apos;en ville, sans ma voiture&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-10-01

    70 million inhabitants took part in the day &apos;&apos;In town, without my car&apos;&apos; on 22 September of this year. It is a great success for this European first. The objective of Energie-Cites association being to promote sustainable local energy policies, that is to say policies aimed at improving energy efficiency, increasing the use of renewable energy sources and limiting nuisance and pollution linked to energy consumption, the association is pleased that this event helped focus public attention on transport. It is indeed in this sector that uncontrolled upswings in energy consumption and greenhouse gas emissions are the most important. This report presents the evaluation of this European initiative and details the actions in some towns. (A.L.B.)

  12. Fatores de risco para mortalidade em octogenários submetidos a cirurgia de revascularização miocárdica

    Directory of Open Access Journals (Sweden)

    Isaac Newton Guimarães

    2011-02-01

    Full Text Available FUNDAMENTO: Idade maior a 80 anos não é, por si só, o único fator de risco para a mortalidade em revascularização miocárdica. OBJETIVO: Identificar fatores de risco para a mortalidade em pacientes octogenários submetidos a revascularização miocárdica. MÉTODOS: Estudamos 164 pacientes, com idade igual ou maior a 80 anos. As variáveis estudadas foram: sexo, idade (em anos, fração de ejeção do ventrículo esquerdo (FEVE, reoperação, cirurgia de emergência, número de artérias revascularizadas, uso da artéria torácica interna esquerda (ATIE, uso de circulação extracorpórea (CEC, cirurgia associada, revascularização da artéria interventricular anterior (AIVA e uso de balão intra-aórtico (BIA. A análise estatística foi feita por meio de análises descritiva, univariada e multivariada por regressão logística. Foram considerados significância estatística os valores de p < 0,05, e a análise multivariada foi realizada com variáveis cujo valor era p < 0,20. RESULTADOS: A mortalidade foi de 11%. Na análise univariada, evidenciou-se que baixa FEVE (p = 0,008, cirurgia de emergência (p < 0,001 e uso de balão intra-aórtico (p = 0,049 relacionaram-se à maior chance de mortalidade. Ao ajustar pela regressão logística, revelou-se que a idade acima de 85 anos correlacionou-se com uma chance de mortalidade 6,31 vezes maior (p = 0,012 e que a cirurgia de emergência esteve relacionada a uma chance de mortalidade 55,39 vezes maior (p < 0,001. CONCLUSÃO: Em octogenários submetidos a cirurgia de revascularização miocárdica, idade superior a 85 anos e cirurgia de emergência são fatores preditivos importantes de maior mortalidade.

  13. Fibrilação atrial no pós-operatório de cirurgia cardíaca: quem deve receber quimioprofilaxia?

    Directory of Open Access Journals (Sweden)

    Glaucylara Reis Geovanini

    2009-04-01

    Full Text Available Avaliar fatores de risco arritmogênicos associados à maior incidência de fibrilação atrial (FA no pós-operatório (PO de cirurgia cardíaca (revascularização miocárdica e/ou cirurgia valvar, com o intuito de selecionar os mais propensos ao desenvolvimento dessa arritmia para possível quimioprofilaxia. Avaliarem-se 66 pacientes submetidos à cirurgia cardíaca eletiva. Correlacionaram-se os principais fatores de risco (idade avançada, doença valvar (DV, aumento atrial esquerdo (AE, disfunção ventricular (DVE, distúrbio eletrolítico (DHE, cirurgia cardíaca prévia (CCP, uso prévio e suspensão de betabloqueador (B-Bloq e/ou digital 24 horas antes da cirurgia para o desenvolvimento de FA no PO. A incidência de FA foi elevada (47% em nossa casuística e mais freqüente no primeiro dia de PO. Dos pacientes pesquisados, 64% eram do sexo masculino com idade média de 62 anos. Entre os pacientes com dois ou menos fatores de risco para FA, apenas 24% desenvolveram a arritmia, enquanto a presença de três ou mais desses fatores esteve associada à sua maior incidência no PO (69%, (p = 0,04. Em ordem de maior freqüência, idade > 65 anos (em 58% dos pacientes foi o fator de risco mais prevalente, seguido de aumento do AE em 45% (p = 0,001 e DV em 38% (p = 0,02. A presença de três ou mais fatores de risco aumenta consideravelmente a incidência dessa arritmia no PO de cirurgia cardíaca. Entre os principais fatores, destacaram-se idade avançada, aumento do AE e doença valvar.

  14. Nuclear waste disposal. A wicked and highly conflict bearing societal problem; Nukleare Entsorgung. Ein &apos;'wicked'&apos; und hoechst konfliktbehaftetes Gesellschaftsproblem

    Energy Technology Data Exchange (ETDEWEB)

    Brunnengraeber, Achim; Mez, Lutz [Freie Univ. Berlin (Germany). Forschungszentrum fuer Umweltpolitik; Di Nucci, Maria Rosaria; Schreuers, Miranda [Freie Univ. Berlin (Germany)

    2012-12-15

    The final disposal of nuclear wastes is called &apos;'messy'&apos; or &apos;'wicked'&apos; in the political science literature. The highly complicated problems are characterized by a number of features such as intra- and inter-generational aspects and ethical questions. In the case of stakeholders the differences concern ideologies, interests, merits and preferences that cause conflicts. The search for solutions is complicated due to interacting political, social, ecologic, economic and technical aspects. The concepts &apos;&apos;wicked problems&apos;&apos; and &apos;'multi-level-governance'&apos; are promising approaches to solve the complicated situation.

  15. Jevons&apos; paradox

    Energy Technology Data Exchange (ETDEWEB)

    Alcott, Blake [Gretenweg 4, CH 8038 Zurich (Switzerland)

    2005-07-01

    Technological efficiency; Rebound; Impact; Consumption; Growth; Jevons In The Coal Question William Stanley Jevons [Jevons, W.S., 1865/1965. The Coal Question: an Inquiry Concerning the Progress of the Nation, and the Probable Exhaustion of our Coal-mines. 3rd edition 1905, Ed. A.W. Flux. Augustus M. Kelley, New York.] maintained that technological efficiency gains-specifically the more &apos;economical&apos; use of coal in engines doing mechanical work-actually increased the overall consumption of coal, iron, and other resources, rather than &apos;saving&apos; them, as many claimed. Twentieth-century economic growth theory also sees technological change as the main cause of increased production and consumption. In contrast, some ecologically-oriented economists and practically all governments, green political parties and NGOs believe that efficiency gains lower consumption and negative environmental impact. Others doubt this &apos;efficiency strategy&apos; towards sustainability, holding that efficiency gains &apos;rebound&apos; or even &apos;backfire&apos; in pursuing this goal, causing higher production and consumption. Because many environmental problems demand rapid and clear policy recommendations, this issue deserves high priority in ecological economics. If Jevons is right, efficiency policies are counter-productive, and business-as-usual efficiency gains must be compensated for with physical caps like quotas or rationing.

  16. Investigation of vertebral &apos;&apos;end plate sclerosis&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Lee, S.W. [Dept. of Rehabilitation Sciences, Hong Kong Polytechnic Univ., Hung Hom (Hong Kong); Mathie, A.G.; Jackson, J.E. [Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, London (United Kingdom); Hughes, S.P.F. [Div. of Surgery, Anaesthetics and Intensive Care, London (United Kingdom)

    2001-08-01

    To evaluate the association between vertebral &apos;&apos;end plate sclerosis&apos;&apos; and neck pain. A retrospective study was carried out of lateral cervical spine radiographs with a Picture Archive and Communication System (PACS). Two hundred patients&apos; files were randomly assessed, comprising four equal groups, A to D. The mean ages of the patients were 62{+-}7.4 years, 61{+-}7.5 years, 40{+-}5.6 years and 23{+-}5.6 years respectively. In group A, all patients had symptoms of neck pain and a radiographic diagnosis of &apos;&apos;end plate sclerosis&apos;&apos; of the cervical spine. In groups B to D, asymptomatic patients were recruited and their age groups were 50-69, 30-49 and 10-29 years respectively. Using the PACS, the radiographic density and the sagittal diameter, thickness and area of the end plates at the C5 level were measured. Results and conclusions: No significant differences were found in the radiographic density of the end plates either between the symptomatic and asymptomatic groups (groups A and B), or between different age groups (groups B, C and D). A significant increase in end plate area and thickness was found, however, in both group B (P<0.005) and group C (P<0.01) in comparison with group D. This indicates that the extent of end plate sclerosis increases with age. Our results suggest that the radiographic density of cervical vertebral end plates correlates neither with neck pain nor with increasing age. The radiological sign of &apos;&apos;end plate sclerosis&apos;&apos; may be over-reported, further limiting its value in the assessment of patients with cervical spondylosis. (orig.)

  17. Emotions, visions and communications. &apos;&apos;Heartbeats inclusive&apos;&apos;; Emotionen, Visionen und Kommunikationen. &apos;&apos;Herzklopfen inklusive&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Rinderknecht, F.M. [Rinspeed AG, Zumikom (Germany)

    2006-07-01

    Emotional aspects become more and more relevant and important in today&apos;s consumer world. It is not only the technical features or the price which influence decisions for buying or not, but non-tangible elements as brand name, image, imaginary value, personal positioning and other emotions. Products become more and more equal as well as their performance sets no differentiation. Therefore marketing and sales strategies call for emotional differentiations. One very successful example on today&apos;s market is the I-Pod - nothing simpler than a MP3-player which fetches three times the monetary revenue and has some times even a waiting list. Why? Because it is &apos;'cool'&apos; and a status symbol to own one. The same thinking needs to be applied in the marketing and sales activities of natural gas as a mobile fuel as well. Having many important functional disadvantages over gasoline such as a small number of filling stations, limited range of models offered and sometimes limited range and national offer, not only the financial aspects of saving fuel costs, but the emotional positioning of the buyer is very important: To be environment conscious, to be the first, to be different, to be responsible, to be looked at as a trend-setter, and to possibly have power equal to the equivalent in gasoline engines. (orig.)

  18. Students&apos;, Guardians&apos;, and Teachers&apos; Perceptions of Student-Led Conferences

    Science.gov (United States)

    Orso, Charlotte Lindsey

    2013-01-01

    The purpose of the study was to examine the ELL and non-ELL students&apos;, guardians&apos;, and the English as a second language (ESL) teachers&apos; perceptions of student-led conferences. Specifically, the study examined if ELL students&apos; and guardians&apos; preferences were similar to non-ELL students&apos; and guardians&apos; preferences…

  19. Robotic rectosigmoidectomy: pioneer case report in Brazil. Current scene in colorectal robotic surgery Retossigmoidectomia laparoscópica robô-assistida: relato de caso pioneiro no Brasil. Panorama atual da cirurgia robótica colorretal

    Directory of Open Access Journals (Sweden)

    Marcelo Averbach

    2010-03-01

    Full Text Available Laparoscopic colorectal surgery is believed to be technically and oncologically feasible. Robotic surgery is an attractive mode in performing minimally-invasive surgery once it has several advantages if compared to standard laparoscopic surgery. The aim of this paper is to report the first known case of colorectal resection surgery using the robotic assisted surgical device in Brazil. A 35-year-old woman with deep infiltrating endometriosis with rectal involvement was referred for colorectal resection using da Vinci® surgical system. The authors also reviewed the most current series and discussed not only the safety and feasibility but also the real benefits of robotic colorectal surgeryA cirurgia laparoscópica colorretal é considerada tecnicamente factível e segura, com resultados oncológicos comparáveis à cirurgia aberta. A cirurgia robótica é uma atraente modalidade de cirurgia minimamente invasiva, com algumas vantagens claras sobre a laparoscopia convencional. O objetivo deste trabalho é descrever a experiência pioneira da cirurgia colorretal robô-assistida no Brasil. A paciente de 35 anos operada com auxílio do sistema da Vinci® tinha endometriose profunda, com envolvimento do reto. É feita ampla revisão da literatura, discutindo não apenas a indicação e segurança da cirurgia robótica colorretal, mas também seus reais benefícios

  20. Avaliação do ganho funcional do cotovelo com a cirurgia de Steindler na lesão do plexo braquial

    OpenAIRE

    Rezende,Marcelo Rosa de; Massa,Bruno Sergio Ferreira; Furlan,Fernando Cesar; Mattar Junior,Rames; Paula,Emygdio Jose Leomil de; Santos,Simone Silva e; Freitas,Maura Cristina

    2011-01-01

    OBJETIVO: Avaliar ganho de força e amplitude de movimento do cotovelo após cirurgia de Steindler Modificada em pacientes com lesão do tronco superior do plexo braquial. MÉTODO: Foram acompanhados de 1998 a 2007 onze pacientes com lesão traumática fechada do tronco superior do plexo braquial. Todos apresentavam evolução de pelo menos 1 ano da lesão e grau de força de flexão do cotovelo que variou de M1 a M3. Os pacientes foram submetidos à cirurgia de Steindler modificada e seguidos por períod...

  1. Insuficiência renal oculta acarreta risco elevado de mortalidade após cirurgia de revascularização miocárdica

    OpenAIRE

    Volkmann,Mathias Alexandre; Behr,Paulo Eduardo Ballvé; Burmeister,Jayme Eduardo; Consoni,Paulo Roberto; Kalil,Renato Abdala Karam; Prates,Paulo Roberto; Nesralla,Ivo Abraão; Sant'Anna,João Ricardo Michelin

    2011-01-01

    INTRODUÇÃO E OBJETIVOS: Insuficiência renal crônica pré operatória é fator preditivo independente para mortalidade em cirurgia cardíaca. Como creatinina sérica normal não representa obrigatoriamente função renal normal, comparamos as taxas de mortalidade, de permanência hospitalar total e de permanência hospitalar pós-operatória em pacientes submetidos à cirurgia de revascularização miocárdica isolada com creatinina < 1,5 mg/dL, de acordo com a depuração estimada, normal ou alterada. MÉTODOS:...

  2. Evolução da massa corporal magra após 12 meses da cirurgia bariátrica

    OpenAIRE

    Cunha,Selma Freire de Carvalho da; Sanches,Maísa; Faria,Angélica; Santos,José Ernesto dos; Nonino-Borges,Carla Barbosa

    2010-01-01

    OBJETIVO: O objetivo da pesquisa foi determinar a perda de massa corporal magra em pacientes após cirurgia bariátrica. MÉTODOS: O estudo retrospectivo foi conduzido com 17 prontuários de mulheres obesas submetidas à Derivação Gástrica em Y de Roux com anel de contenção gástrica, incluindo dados obtidos no período pré-operatório imediato e no 1º, 3º, 6º e 12º meses após a cirurgia. Os dados obtidos no prontuário incluíram a idade, medidas de peso, de altura e massa corporal magra e gorda, calc...

  3. Coral bleaching and ocean &apos;&apos;hot spots&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Goreau, T.J. (Global Coral Reef Alliance, Chappaqua, NY (United States)); Hayes, R.L. (Howard Univ., Washington, DC (United States). College of Medicine)

    1994-05-01

    Global sea-surface temperature maps show that mass coral-reef bleaching episodes between 1983 and 1991 followed positive anomalies more than 1 deg C above long-term monthly averages (&apos;&apos;hot spots&apos;&apos;) during the preceding warm season. Irregular formation, movement, and disappearance of hot spots make their detailed long-term prediction impossible, but they can be tracked in real time from satellite data. Monitoring of ocean hot spots and of coral bleaching is needed if the Framework Convention of Climate Change is to meet its goal of protecting the most temperature sensitive ecosystems. 47 refs, 3 figs

  4. Criteria of transformation of object &apos;'Ukryttya'&apos; in environmentally safe system

    International Nuclear Information System (INIS)

    Batyij, V.G.; Jegorov, V.V.; Rud'ko, V.M.; Shcherbyin, V.M.

    2015-01-01

    The analysis of criteria of division of radioactive wastes (RAW) of object &apos;'Ukryttya'&apos; is executed on short-lived and long-lived, and their activity. It is shown that to short-lived RAW underactive belong and insignificant part of me-dium-activity waste. Hundreds of thousands of m3 of RAW on overhead marks belong to long-lived medium-activity wastes. Organization of burial place of such wastes in stable geological structures is an unrealistic task. It is suggested to create the special depository for such RAW, and buried in stable geological structures high-activity wastes only

  5. Chamber transport of &apos;'foot'&apos; pulses for heavy-ion fusion

    Energy Technology Data Exchange (ETDEWEB)

    Sharp, W.M.; Callahan-Miller, D.A.; Tabak, M.; Yu, S.S.; Peterson, P.F.

    2002-02-20

    Indirect-drive targets for heavy-ion fusion must initially be heated by &apos;'foot'&apos; pulses that precede the main heating pulses by tens of nanoseconds. These pulses typically have a lower energy and perveance than the main pulses, and the fusion-chamber environment is different from that seen by later pulses. The preliminary particle-in-cell simulations of foot pulses here examine the sensitivity of the beam focusing to ion-beam perveance, background-gas density, and pre-neutralization by a plasma near the chamber entry port.

  6. The role of &apos;&apos;momentum removal&apos;&apos; in divertor detachment

    Energy Technology Data Exchange (ETDEWEB)

    Kukushkin, A.S. [Kurchatov Institute, Moscow (Russian Federation); NRNU MEPhI, Moscow (Russian Federation); Pacher, H.D. [INRS-EMT, Varennes, Quebec (Canada)

    2016-08-15

    The role of &apos;&apos;momentum removal&apos;&apos; (the drag force on the plasma ion flow) in divertor detachment is considered and analysed in detail. This analysis of the 2D modelling results shows that the drag force cannot reduce the power and particle flux to the target directly. However, it is essential for creating the conditions for efficient radiation and volumetric plasma recombination, which in turn do the job. (copyright 2015 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

  7. Considerações anestésicas na cirurgia laparoscópica Anesthetic considerations in laparoscopic surgery

    Directory of Open Access Journals (Sweden)

    Carla Maria Olivetti Corrêa

    2008-09-01

    Full Text Available INTRODUÇÃO: Laparoscopias experimentais datam do início do século XX, mas somente a partir de 1960 é que começaram a ser experimentadas em humanos. Em 1985, na Alemanha, foi realizada a primeira colecistectomia e desde então a técnica teve grande divulgação e aceitação. O pneumoperitônio tem impacto em vários sistemas e tal deve ser considerado por ocasião da anestesia. OBJETIVO: Realizar revisão bibliográfica das alterações fisiológicas de interesse para o anestesiologista durante a cirurgia digestiva videolaparoscópica. MÉTODOS: Foi realizada pesquisa bibliográfica em livros de anestesia disponíveis na biblioteca da Faculdade de Ciências Médicas da UNICAMP e em artigos de interesse publicados a partir de 1990 no endereço eletrônico PubMed http://www.ncbi.nlm.nih.gov/pubmed/ usando-se os descritores: anestesia, cirurgia, laparoscopia. Vinte e seis artigos foram revisados e um capítulo de livro. CONCLUSÕES: A cirurgia digestiva laparoscópica foi grande avanço em razão do menor impacto pós-operatório com diminuição da dor pós-operatória, alta hospitalar e retorno às atividades laborativas precoces. Entretanto suas particularidades não devem ser negligenciadas e cuidados particulares devem ser tomados pelo anestesiologista em indivíduos hipovolêmicos e cardiopatas. A capnometria durante a intervenção é imperativa.INTRODUCTION: Experimental laparoscopy surgeries date of the beginning of the XX century but only in 1960 they started to be tried in humans. In 1985, in Germany, the first colecistectomy was carried through and since then the technique had large spreading and acceptance. The pneumoperitonium has impact in many systems and such must be considered during the anesthesia. AIM: To carry out a literature review of the physiological changes of interest for the anesthesiologist during the videolaparoscopy. METHODS: Bibliographical research was done in available anesthesia textbooks in the library in

  8. Water source heat pumps at the &apos;'Oceanopolis'&apos; park of Brest; Des PAC sur boucle d&apos;eau au parc &apos;'Oceanopolis'&apos; de Brest

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2000-01-01

    The creation of the new &apos;polar&apos; and &apos;tropical&apos; lodges of the &apos;Oceanopolis&apos; park (aquarium and greenhouses) of Brest (Brittany, France) has led to chose the solution of water source heat pumps for the energy production. More than 30 thermodynamic machineries are used to supply both heat and coldness to the installations. This paper describes the technical characteristics of the heating/refrigerating installations, their energy performances and the estimated cost-benefit aspects. (J.S.)

  9. Do we need a &apos;&apos;green medicine&apos;&apos;?; Brauchen wir &apos;&apos;Gruene Medizin?&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Bauer, M.; Daschner, F.; Scherrer, M. [Universitaetsklinikum Freiburg (Germany)

    2006-07-01

    Spontaneously, we do associate &apos;&apos;green medicine&apos;&apos; with terms like naturopathy, natural healing substances, herbal active agents, homeopathy, healthy food, preventive medicine and similar things, and finally we think of ecology. This is the focus of the following article. First of all, the following question arises: Are there any environment-friendly and cost-saving alternatives to the present medicine? There is an increasing number of environment-caused diseases. Therefore, a medicine not coping with the environment is not credible. In today&apos;s medicine, for example, there are too many persistent detergents, water-polluting disinfectants, and many disposable materials. Too much water ist consumed, whereas the use of renewable energies is only limited. And too little natural healing methods are applied in diagnostics and therapy. Presently, in Germany, 16,7 million in-patients are treated in Germany, 1,16 million out-patients have surgeries in 2166 hospitals by ca. 1,1 million medical staff. All this work needs energy and materials which bring various risks to environment and the patients. During the last two decades, however, many efforts were made in the field of environment protection in medicine. There is hardly a hospital left which has not taken measures of protecting the environment. In the branch-specific quality management system KTQ (=cooperation for transparency and quality in the health system). environment protection measures are interrogated and systematically assessed.

  10. Agreement &apos;&apos;power networks and environment&apos;&apos; 2001-2003; Accord &apos;&apos;reseaux electriques et environnement&apos;&apos; 2001-2003

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-01-01

    This agreement, discussed between the French government and Electricite de France (EdF) group, proposes some engagements for the 2001-2003 era for a better environmental integration of power transmission and distribution networks. The agreement is made of two parts: 1 - public distribution networks: realization of new workmanship (medium and low voltage power lines, new lines in dense urban areas), actions on existing workmanship (consequences of December 1999 storms, aesthetical aspects, burial of the main overhead lines in wooded areas, reinforcement of EdF&apos;s environmental commitment, remedial actions for environmental &apos;black points&apos;), general measures of implementation (increasing network safety, protection of birds fauna, coordination of works); 2 - public transportation network (RTE): development and safety improvement of the public transportation network (reinforced arrangement for the establishment of regional development schemes, development of international interconnections, safety improvement of the public transportation network, RTE&apos;s environmental plan); line projects (arrangements during projects elaboration, accompanying program); long lived RTE&apos;s commitment (environmental management and ISO-14001 certification, vigilance with respect to electromagnetic fields, R and D). (J.S.)

  11. Nutrição em Cirurgia: Revisão de Literatura/ Nutrition in Surgery: Literature Review

    Directory of Open Access Journals (Sweden)

    João Paulo Borges Rodrigues de Paula,

    2013-06-01

    Full Text Available Em pacientes cirúrgicos a prevalência da desnutrição está na faixade 28%-58% de todos os casos. Esse dado estatístico se assemelhatanto para países desenvolvidos como para os países emdesenvolvimento. O Inquérito Brasileiro de Nutrição(IBRANUTRI, realizados em hospitais do Sistema Único deSaúde (SUS em vários estados do país, revelou queaproximadamente 50% dos enfermos hospitalizados na rede SUSse encontram desnutridos de forma moderada a grave. Muitas dascomplicações no pós-operatório representam importante causa demorbidade e hospitalização em pacientes cronicamentedesnutridos. Com isso o estudo e o conhecimento do estadonutricional dos pacientes e o tratamento, caso esteja prejudicado, éde extrema importância para cirurgiões e nutricionistas. Medidasmultidisciplinares perioperatórias são indiscutíveis dentro darealidade de cirurgia, uma vez que, identificando e tratando adesnutrição em pacientes cirúrgicos, ocorrerá uma redução dascomplicações pós-operatórias, menor tempo de internaçãohospitalar e, consequentemente, menores gastos hospitalares, alémde proporcionar uma maior satisfação dos indivíduos.Palavras chave: Nutrição, Avaliação pré-operatória, Cirurgia. In surgical patients, the prevalence of malnutrition is in the rangeof 28% to 58% of all cases. This statistic is similar for bothdeveloped countries and for developing countries. The BrazilianNutrition Survey (IBRANUTRI, performed in hospitals of theUnified Health System (SUS in various states of the country,revealed that approximately 50% of sick hospitalized in SUS aremalnourished in a moderate to severe way. Many of postoperativecomplications are an important cause of morbidity andhospitalization in patients chronically malnourished.Multidisciplinary perioperative measures are indisputable withinreality in the surgery, once, identifying and treating malnutrition insurgical patients, will lead to a reduction of

  12. Pacientes com astigmatismo submetidos à cirurgia de catarata: LIO tórica x LIO asférica?

    Directory of Open Access Journals (Sweden)

    Emilio de Almeida Torres Netto

    2013-08-01

    Full Text Available OBJETIVOS: Comparar a acuidade visual dos pacientes que foram submetidos à facoemulsificação com implante de LIO AcrySof® tórica versus LIO AcrySof® IQ e avaliar a redução da dioptria cilíndrica (DC pós-operatória. MÉTODOS: Estudo analítico retrospectivo de 149 olhos submetidos à cirurgia de catarata por facoemulsificação, com astigmatismo ceratométrico regular, simétrico, com 1 dioptria ou mais. Foram divididos em dois grupos. O grupo tórica com 85 olhos e o grupo não tórica com 64 olhos. No pré-operatório foram avaliados dados topográficos do olho a ser operado e refração. No período pós-operatório foram revisados dados da refração e acuidades visuais com e sem correção. RESULTADOS: O astigmatismo corneano pré-operatório variou de 1,00 a 5,6 DC em ambos os grupos, sendo que no grupo tórica houve redução média de 1,37 DC (p<0,001, quando comparado ao refracional. O grupo não tórica apresentou redução média de 0,16 DC (p=0,057. Com relação a acuidade visual sem correção (AVSC, o grupo tórica apresentou 44 olhos (51,7% com AVSC de 0 logMAR (20/20 ou 0,1 logMAR (20/25, e o grupo não tórica apenas 7 olhos (10,93% com estas mesmas AVSC. DISCUSSÃO: Ficou bem evidenciado que os pacientes com astigmatismo ceratométrico significativo apresentam benefício visual com o implante de LIO tórica. A diminuição do uso de auxílios ópticos para distância pode ser possível a partir do momento que conseguimos corrigir com melhor precisão as aberrações do olho humano. Na atualidade, a facoemulsificação passou a ser além de uma cirurgia para restabelecimento funcional, um procedimento refracional.

  13. Trimetazidina e resposta inflamatória em cirurgia de revascularização do miocárdio

    Directory of Open Access Journals (Sweden)

    Gerez Fernandes Martins

    2012-08-01

    Full Text Available FUNDAMENTO: A resposta inflamatória orgânica constitui um mecanismo fisiopatológico presente em todas as cirurgias de revascularização do miocárdio com circulação extracorpórea (CRVM-CEC, e a liberação de mediadores inflamatórios constitui um de seus mecanismos de defesa. OBJETIVO: Avaliar, em estudo prospectivo duplo-cego randomizado e controlado com placebo, os efeitos da trimetazidina (Tmz sobre a resposta inflamatória, por meio da variação nas interleucinas 6 e 8; TNF-α; complementos C3 e C5, e na proteína C reativa ultrassensível (PCR-us, em dois momentos, pré e pós-operatório. MÉTODOS: Foram estudados 30 pacientes submetidos a CRVM-CEC utilizando cardioplegia hipotérmica intermitente, e com no máximo disfunção ventricular leve, divididos em dois grupos (placebo e Tmz, estratificados por ecocardiografia e recebendo medicação/placebo na dose de 60mg/dia. As amostras foram dosadas no pré-operatório sem medicação, no dia da cirurgia com 12 a 15 dias de medicação/placebo e, seguidamente, 5 min após o desclampeamento aórtico, 12 e 24h, para interleucinas e complementos, e 48h para PCR. RESULTADOS: Não ocorreram diferenças significativas entre os níveis de interleucina 8, Tnf-α, complementos C3 e C5, e PCR-us. No entanto, no grupo tratado, os níveis de interleucina 6 foram significativamente inferiores aos do grupo controle, em todos os momentos analisados. CONCLUSÃO: A trimetazidina mostrou-se eficaz apenas na redução da interleucina 6 nos pacientes submetidos à CRVM.

  14. Avaliação pré-operatória na cirurgia de catarata Preoperative evaluation and cataract surgery

    Directory of Open Access Journals (Sweden)

    Fernando Sabia Tallo

    2007-08-01

    Full Text Available OBJETIVO: Analisar a relevância da avaliação pré-operatória na prevenção de eventos clínicos adversos per e pós-operatórios na cirurgia de catarata. MÉTODOS: Foram incluídos no estudo 1.254 pacientes submetidos à cirurgia de catarata no Instituto da Catarata do Departamento Oftalmologia UNIFESP-EPM, no período de jan-dez 2004. Dados referentes à avaliação pré-operatória e à ocorrência de eventos clínicos adversos relacionados ao procedimento anestésico/cirúrgico foram retrospectivamente coletados. RESULTADOS: Dezesseis pacientes (1,2% apresentaram evento clínico adverso. Novecentos e trinta e seis pacientes (74,6% apresentaram pelo menos um exame alterado, porém este fator não mostrou associação com a ocorrência de evento clínico adverso (p=0,334. CONCLUSÃO: Na série estudada a alteração de exames laboratoriais, eletrocardiograma e/ou radiografia de tórax não se correlacionou com a ocorrência de eventos clínicos adversos relacionados ao procedimento anestésico/cirúrgico.PURPOSE: Analysis of the relevance of preoperative evaluation to prevent adverse clinical events, pre- and postoperative, on cataract surgery. METHODS: The study includes 1254 patients submitted to cataract surgery at the Instituto da Catarata do Departamento de Oftalmologia da UNIFESP - EPM, in the period of Jan - Dec 2004. Data referring to the preoperative evaluation and adverse clinical events related to anesthesia/surgical procedure were retrospectively collected. RESULTS: Sixteen patients (1.2% showed an adverse clinical event. Nine hundred thirty-six patients (74.6% showed at least one altered examination. This factor, nevertheless, did not show any relation to the adverse clinical event (p=0.334. CONCLUSION: Concerning the studied series, the altered laboratory tests, electrocardiogram and/or thorax x-ray has no correlation with the adverse clinical events related to the anesthesia/surgical procedure.

  15. Cuidado perioperatório e as estratégias de autocuidado: percepções de médicos residentes da cirurgia geral

    Directory of Open Access Journals (Sweden)

    Cinthia Bocatti

    2015-12-01

    Full Text Available Este estudo objetivou analisar o significado do cuidado perioperatório para a equipe de residentes médicos da cirurgia geral de um hospital público do Paraná, assim como, as estratégias de autocuidado utilizadas pelos mesmos. Trata-se de pesquisa descritiva, com abordagem qualitativa, que utilizou a entrevista como instrumento de coleta de dados, buscando analisar os discursos de dez médicos residentes da equipe de cirurgia geral. Após análise dos dados, identificaram-se cinco categorias do fenômeno estudado: 1. Cuidados realizados junto ao paciente de cirurgia geral; 2. Participantes do cuidado; 3. Significado de cuidado; 4. Estratégias de autocuidado; e 5. Aprendizado do cuidado. O estudo evidenciou que, para os entrevistados, o cuidado envolve sentimentos e depende tanto de uma boa interação entre os membros da equipe multiprofissional, quanto de ações realizadas em prol do paciente. Além disso, evidenciou-se que quem cuida também necessita ser cuidado. Assim, outros profissionais e pessoas como amigos e membros da família, foram considerados importantes por oferecerem apoio, compreensão e incentivo.

  16. &apos;&apos;Measuring the Costs of Climate Change Policies&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Montgomery, W. D.; Smith, A. E.; Biggar, S. L.; Bernstein, P.M.

    2003-05-09

    Studies of the costs of climate change policies have utilized a variety of measures or metrics for summarizing costs. The leading economic models have utilized GNP, GDP, the &apos;&apos;area under a marginal cost curve,&apos;&apos; the discounted present value of consumption, and a welfare measure taken directly from the utility function of the model&apos;s representative agent (the &apos;&apos;Equivalent Variation&apos;&apos;). Even when calculated using a single model, these metrics do not necessarily give similar magnitudes of costs or even rank policies consistently. This paper discusses in non-technical terms the economic concepts lying behind each concept, the theoretical basis for expecting each measure to provide a consistent ranking of policies, and the reasons why different measures provide different rankings. It identifies a method of calculating the &apos;&apos;Equivalent Variation&apos;&apos; as theoretically superior to the other cost metrics in ranking policies. When regulators put forward new economic or regulatory policies, there is a need to compare the costs and benefits of these new policies to existing policies and other alternatives to determine which policy is most cost-effective. For command and control policies, it is quite difficult to compute costs, but for more market-based policies, economists have had a great deal of success employing general equilibrium models to assess a policy&apos;s costs. Not all cost measures, however, arrive at the same ranking. Furthermore, cost measures can produce contradictory results for a specific policy. These problems make it difficult for a policy-maker to determine the best policy. For a cost measures to be of value, one would like to be confident of two things. First one wants to be sure whether the policy is a winner or loser. Second, one wants to be confident that a measure produces the correct policy ranking. That is, one wants to have confidence in a policy measure&apos;s ability to correctly rank

  17. From the &apos;PCR&apos; function to the &apos;PCR&apos; profession; de la fonction &apos;PCR&apos; au metier &apos;PCR&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Perrin, L. [CERAP, 91 - Gif sur Yvette (France)

    2008-07-01

    After having recalled the legal context concerning the appointment and training of a radiation protection expert (PCR for &apos;personne competente en radioprotection&apos;), the author outlines that the PCR&apos;s role has notably evolved: his function is now of primary importance in the company and his activity does not correspond to the legal framework any longer. Moreover, with the application of a European directive, some small establishments possessing ionizing radiation sources are disadvantaged, and the PCR is now facing an increasing number of missions and tasks. The author gives a list of them and assesses a needed time of 146 days per year: this means PCRs cannot have an other activity within their company

  18. The &apos;mini&apos; and &apos;micro&apos; energy sources and their limitations; Les &apos;'minis'&apos; et &apos;'micros'&apos; sources d&apos;energie et leurs limites

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2004-03-01

    The &apos;Science and defense 2003&apos; colloquium took place in Paris on December 2 and 3. It was organized by the general delegation of armament (DGA), the French atomic energy commission (CEA) with the participation of the national center of scientific research (CNRS) and the French ministry of research and new technologies. The main topic was the needs and the solutions implemented in the domain of energy sources both for civil and military portable applications. This article make a general summary of the content of this colloquium only in the domain of small power energy sources: emergence of new miniaturized portable devices (phones, computers, cameras, autonomous medical systems, wireless communication systems, soldiers equipments, drones etc..), improvement of batteries energy density and price, new needs linked with new functionalities, technological challenges (energy generation and recovery systems, miniaturized fuel-cells, use of recoverable energy sources, implantation of power sources in the human body etc..), new technological files (new electrode materials, micron- or sub-micron scale mechanical and electronic components, sensors, micro-motors, transfer of microelectronics technologies, hybrid systems..), international competition. (J.S.)

  19. Spherically symmetric conformal gravity and &apos;&apos;gravitational bubbles&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Berezin, V.A.; Dokuchaev, V.I.; Eroshenko, Yu.N., E-mail: berezin@inr.ac.ru, E-mail: dokuchaev@inr.ac.ru, E-mail: eroshenko@inr.ac.ru [Institute for Nuclear Research, Russian Academy of Sciences, 60th October Anniversary Prospect 7a, Moscow, 117312 (Russian Federation)

    2016-01-01

    The general structure of the spherically symmetric solutions in the Weyl conformal gravity is described. The corresponding Bach equations are derived for the special type of metrics, which can be considered as the representative of the general class. The complete set of the pure vacuum solutions is found. It consists of two classes. The first one contains the solutions with constant two-dimensional curvature scalar of our specific metrics, and the representatives are the famous Robertson-Walker metrics. One of them we called the &apos;&apos;gravitational bubbles&apos;&apos;, which is compact and with zero Weyl tensor. Thus, we obtained the pure vacuum curved space-times (without any material sources, including the cosmological constant) what is absolutely impossible in General Relativity. Such a phenomenon makes it easier to create the universe from &apos;'nothing'&apos;. The second class consists of the solutions with varying curvature scalar. We found its representative as the one-parameter family. It appears that it can be conformally covered by the thee-parameter Mannheim-Kazanas solution. We also investigated the general structure of the energy-momentum tensor in the spherical conformal gravity and constructed the vectorial equation that reveals clearly some features of non-vacuum solutions. Two of them are explicitly written, namely, the metrics à la Vaidya, and the electrovacuum space-time metrics.

  20. 66. The safety engineering at reprocessing of raw material from &apos;zero&apos; mark and &apos;slaked lime&apos;

    International Nuclear Information System (INIS)

    Ivanov, A.V.

    1993-01-01

    The safety engineering at reprocessing of raw material from &apos;zero&apos; mark and &apos;slaked lime&apos; was studied. All operational conditions at reprocessing of raw material from &apos;zero&apos; mark and &apos;slaked lime&apos; were discussed.

  1. Preparation of data relevant to &apos;&apos;Equivalent Uniform Burnup&apos;&apos; and Equivalent Initial Enrichment&apos;&apos; for burnup credit evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Nomura, Yasushi; Okuno, Hiroshi [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Murazaki, Minoru [Tokyo Nuclear Service Inc., Tokyo (Japan)

    2001-11-01

    Based on the PWR spent fuel composition data measured at JAERI, two kinds of simplified methods such as &apos;&apos;Equivalent Uniform Burnup&apos;&apos; and &apos;&apos;Equivalent Initial Enrichment&apos;&apos; have been introduced. And relevant evaluation curves have been prepared for criticality safety evaluation of spent fuel storage pool and transport casks, taking burnup of spent fuel into consideration. These simplified methods can be used to obtain an effective neutron multiplication factor for a spent fuel storage/transportation system by using the ORIGEN2.1 burnup code and the KENO-Va criticality code without considering axial burnup profile in spent fuel and other various factors introducing calculated errors. &apos;&apos;Equivalent Uniform Burnup&apos;&apos; is set up for its criticality analysis to be reactivity equivalent with the detailed analysis, in which the experimentally obtained isotopic composition together with a typical axial burnup profile and various factors such as irradiation history are considered on the conservative side. On the other hand, Equivalent Initial Enrichment&apos;&apos; is set up for its criticality analysis to be reactivity equivalent with the detailed analysis such as above when it is used in the so called fresh fuel assumption. (author)

  2. Cancelamento de cirurgias de catarata em um hospital público de referência Cancellation of cataract surgery in a public hospital

    Directory of Open Access Journals (Sweden)

    Micheli Patrícia de Fátima Magri

    2012-10-01

    Full Text Available OBJETIVO: Analisar a incidência e causas de cancelamento de cirurgias de catarata em um hospital público de referência. MÉTODOS: Trata-se de um estudo retrospectivo em que foram analisados o número de cancelamentos de facectomias durante o ano de 2009. Foram analisados sexo, idade, tipo de procedimento suspenso (facoemulsificação ou extração extracapsular do cristalino, tipo de anestesia, convênio (Sistema Único de Saúde ou convênio/particular e motivo de suspensão da cirurgia (causas clínicas, institucionais ou pessoais. RESULTADOS: Foram agendadas no período 2.965 cirurgias de catarata, havendo 650 cancelamentos (21,92%. Dentre as principais razões para a suspensão do procedimento destacaram-se as causas clínicas (86,90%. Os meses de inverno apresentaram os maiores índices de suspensão de cirurgias de catarata. CONCLUSÃO: A taxa de cancelamento de cirurgia de catarata em serviços públicos parece ser a mesma que há 10 anos. A principal causa de suspensão deve-se por condições clínicas (hipertensão, diabetes, falta de exames, etc..PURPOSE: To report the incidence and causes of cataract surgery cancellations in a public hospital. METHODS: This is a retrospective study, which examined the number of cancellations of cataract surgery during 2009. We analyzed the type of procedure suspended (phacoemulsification or extracapsular extraction, type of anesthesia, gender, age, covenant (public/private and the main reasons for suspension of the surgeries (clinical causes, institutional or personal. RESULTS: We analyzed 2,965 scheduled cataract surgeries, with 650 cancellations (21.92%. The main reason for the suspension of the procedure was clinical causes (86.90%. The winter months had the highest suspension rates of cataract surgery. CONCLUSION: The cancellation rate of cataract surgery in Brazilian public system seems to be the same as 10 years ago. The main cause of the suspension should be in clinical conditions

  3. Técnicas em cirurgia bariátrica: uma revisão da literatura = Bariatric surgery techniques: a literature review

    Directory of Open Access Journals (Sweden)

    Zeve, Jorge Luiz de Mattos

    2012-01-01

    Full Text Available Introdução: A obesidade é uma condição clínica crônica de etiologia multifatorial cujo fracasso no tratamento clínico e terapêutico levam a necessidade de uma intervenção mais eficaz, a cirúrgica. As cirurgias bariátricas podem modificar apenas o estômago, a fim de reduzir o espaço para o alimento e promover a sensação de saciedade, ou em complemento o intestino delgado, visando uma diminuição do local para absorção de nutrientes. Objetivo: Revisar as técnicas de intervenção em cirurgia bariátrica utilizadas no mundo atual, no intuito de compreender as decisões do cirurgião no que diz respeito à escolha das mesmas, tendo por base comparações dessas técnicas. Materiais e Métodos: Realizou-se estudo exploratório tipo revisão bibliográfica nas bases de dados SciELO, LILACS, PubMed, Bireme, sob os seguintes indexadores: técnicas em cirurgia bariátrica, derivação biliopancreática, gastroplastia vertical com bandagem, banda gástrica ajustável, gastrectomia vertical, cirurgia de derivação gástrica, derivações gástricas em Y de Roux, derivação biliopancreática com gastrectomia vertical e preservação pilórica. Resultados: De 66 referências relativas às técnicas em cirurgia bariátrica analisadas, 40 foram selecionadas entre capítulos de obras bibliográficas, consensos, revisões sistemáticas, meta-análises, estudos clínicos randomizados e controlados. Foram revisadas técnicas cirúrgicas para tratamento da obesidade classificadas como: restritivas, predominantemente restritivas e mal absortivas. Conclusão: Atualmente, diferentes técnicas cirúrgicas no tratamento da obesidade são reconhecidas e recomendadas no mundo inteiro. A escolha da técnica pelo cirurgião irá se basear em informações sobre seu mecanismo de funcionamento, resultados e riscos, que podem ser obtidas através de relevantes publicações científicas

  4. Resultados das cirurgias "floppy nissen rossetti" e "floppy nissen longa " realizadas por videolaparascopia em pacientes com esôfago de barrett: estudo prelimilar

    Directory of Open Access Journals (Sweden)

    Delta Madureira Filho

    Full Text Available OBJETIVO: Com base na literatura e estatística pessoal sobre os resultados da Fundoplicatura "Nissen Rossetti" sem ligadura dos vasos curtos(FNR no tratamento cirúrgico de pacientes com Doença do Refluxo Gastro-esofágico(DRGE e Esôfago de Barrett (EB, idealizou-se este trabalho com o objetivo de comparar, através de pH metria prolongada pós-operatória e dados clínicos, os resultados desta cirurgia com os alcançados com a Fundoplicatura de Nissen "Longa" com ligadura dos vasos curtos (FNL. MÉTODO: Durante o período de maio de 2000 e março de 2003, foram avaliados, no pós operatório, 28 pacientes com DRGE e EB, dos quais 12 submetidos a FNR(grupo I e 16 a FNL(grupo II. Valorizou-se os sintomas, surgimento de disfagia pós-operatória e a persistência do refluxo ácido após a cirurgia, medido através da pH metria pós-operatória. RESULTADOS: Ambas as cirurgias aliviaram os sintomas de pirose e regurgitação no segundo dia de pós-operatório. A disfagia transitória ocorreu mais frequentemente nos casos de FNR que FNL, 41%(6 e 6,25%(1 respectivamente. Disfagia permanente não foi observada em nenhum dos dois grupos. A pH metria pós- operatória seis meses após as cirurgias mostrou que os pacientes do grupo I não ficaram totalmente protegidos do refluxo, com 25% de pH metrias positivas, enquando os do grupo II ficaram quase que totalmente protegidos, com 6,25% de exames positivos. CONCLUSÕES: Embora seja um estudo preliminar e com um período curto de observação, chamamos a atenção para a lembrança do perigo que representa o refluxo persistente após a cirurgia, para um paciente com esôfago de Barrett e apresentamos uma proposta de fundoplicatura longa e frouxa, ou seja diferente da tendência atual(válvula curta e frouxa para o tratamento cirúrgico dos pacientes com esôfago de Barrett, que acreditamos merecer uma reflexão por parte dos cirurgiões e estudiosos do assunto.

  5. Fissuras labiopalatinas, ganho de peso e cirurgias: leite materno versus fórmulas lácteas

    Directory of Open Access Journals (Sweden)

    Marcos Roberto Tovani Palone

    2015-10-01

    Full Text Available As fissuras labiopalatinas são as anomalias craniofaciais mais comuns na espécie humana. Por sua vez, com o propósito de ganho de peso corporal necessário para realização das cirurgias reabilitadoras, uma alternativa rotineiramente utilizada para crianças com fissuras consiste no uso de fórmulas lácteas industrializadas, como um substituto do leite materno ou mesmo uma suplementação alimentar. Contudo, é imprescindível a conscientização das mães e demais cuidadores desse grupo de crianças sobre a importância do aleitamento materno e seus benefícios adicionais, os quais inclusive colocam em questionamento a necessidade e viabilidade da prescrição dessas fórmulas nos casos em que a amamentação natural é possível. Ademais, o tipo de alimentação, aleitamento natural ou artificial é de notória importância, com influência direta na composição da microbiota gastrintestinal e possibilidades de impactos sobre a imunomodulação destes indivíduos.

  6. Cirurgia gastrointestinal no tratamento da diabete tipo 2 Gastrointestinal surgery for the treatment of type 2 diabetes

    Directory of Open Access Journals (Sweden)

    Alexandre Coutinho Teixeira de Freitas

    2007-06-01

    Full Text Available RACIONAL: Evidências científicas demonstram o controle metabólico da diabete tipo 2 obtido com diversas intervenções sobre o sistema gastrointestinal, principalmente as operações bariátricas. OBJETIVOS: Revisar os dados da literatura referentes aos efeitos da cirurgia gastrointestinal na diabete tipo 2, especialmente os relacionados ao controle metabólico e sua fisiopatologia. MÉTODOS: Foi realizada pesquisa no Medline em páginas da internet procurando referências de artigos de maior relevância e estudos apresentados e publicados nos anais da conferência de Roma sobre os efeitos da cirurgia gastrointestinal no tratamento da diabete tipo 2 em 2007. Revisão da literatura - Entre as operações bariátricas, as derivações biliopancreáticas apresentam as mais altas taxas de controle da diabete tipo 2, seguidas pelo bypass gástrico e pela banda gástrica. Esse controle está relacionado à perda de peso e redução da ingestão de alimentos. As derivações biliopancreáticas e o bypass gástrico apresentam ainda efeito importante promovido por modificações hormonais. Os hormônios mais significativos são: o GLP-1, o GIP, o PYY, a grelina, a leptina, o IGF-1 e a adiponectina. Além dos efeitos sobre o controle do apetite no hipotálamo, os hormônios apresentam ação sobre as células β, promovem a secreção de insulina e diminuem sua resistência periférica. Duas hipóteses foram formuladas para explicar as modificações desses hormônios: a do intestino anterior, em que a exclusão do duodeno e do jejuno proximal previne a secreção de algum agente ainda não identificado que promove a resistência periférica à insulina; e a do intestino posterior, em que a derivação intestinal promove a passagem rápida do quimo até o intestino distal e induz à secreção precoce dos hormônios que promovem o controle da diabete. Além das operações bariátricas tradicionais, novos procedimentos promissores foram desenvolvidos

  7. Adaptação de lentes de contato após cirurgia refrativa Contact lens fitting after refractive surgery

    Directory of Open Access Journals (Sweden)

    Adimara da Candelária Renesto

    2005-02-01

    Full Text Available OBJETIVO: Avaliar a adaptação e o uso de lente de contato em pacientes que foram submetidos à cirurgia refrativa. MÉTODOS: Foi realizado estudo retrospectivo de 53 pacientes submetidos à cirurgia refrativa, que posteriormente passaram a usar lente de contato, no período de 1999 a 2003. Foram avaliados a ametropia prévia, tipo de cirurgia realizada, refração pós-cirúrgica, equivalente esférico pós-cirurgia, ceratometria pós-operatória, curva base da lente adaptada, tipo de lente de contato adaptada, acuidade visual com óculos no pós-operatório, acuidade visual final com lente de contato, complicações e motivo da interrupção do uso. O tempo de seguimento variou de 1 mês a 84 meses (média de 42,5 meses. RESULTADOS: Dos 53 pacientes analisados, 19 pacientes foram submetidos a LASIK (Laser Assisted in Situ Keratomileusis, 29 pacientes foram submetidos à RK (ceratotomia radial, 4 pacientes foram submetidos a PRK (ceratectomia fotoablativa e em um paciente não foi possível obter o tipo de cirurgia realizado. Em 61,29% dos pacientes, (57 olhos de um total de 93, foram adaptadas lentes de contato rígidas gás-permeáveis esféricas. Houve melhora da acuidade visual em 60,21% dos casos (AV>20/40, com poucas complicações. CONCLUSÃO: Devido ao número cada vez maior de cirurgias refrativas realizadas, espera-se que aumente o número de pacientes insatisfeitos com o resultado no pós-operatório e para os quais o uso de lentes de contato venha a ser a melhor opção. A adaptação de lentes de contato pós-cirurgia refrativa exige conhecimento e dedicação e em geral tem bons resultados principalmente pela melhora da acuidade visual.PURPOSE: To evaluate the fitting and use of contact lens in patients submitted to refractive surgery. METHODS: This was a retrospective study in 53 patients submitted to refractive surgery who later started to use contact lens, from 1999 to 2003. The parameters were: previous ametropia, refractive

  8. &apos;'VaneCAM'&apos; - the third generation of camshaft adjustment systems; &apos;'VaneCAM'&apos; - Nockenwellenversteller der dritten Generation

    Energy Technology Data Exchange (ETDEWEB)

    Knecht, A. [Hydraulik-Ring GmbH, Nuertingen (Germany). Entwicklung Motorentechnik; Stephan, W. [Hydraulik-Ring GmbH, Nuertingen (Germany); Hannibal, W. [Fachhochschule Suedwestfalen, Iserlohn (Germany). Labor fuer Konstruktion und CAE-Anwendungen

    2002-04-01

    Continuously variable camphasers are now well established for modern spark-ignition engines in high-volume production. With the latest generation of camshaft adjustment systems using the vane-type actuator principle, it is possible to move rapidly and reliably through a large adjustment angle. The layout of these adjusting systems is very simple. The production costs are low in comparison to the first generation of camphasers using spur/helical gears to vary the valve timing. The new-generation systems are mechatronic, with the function depending on the coordination and tuning of hydraulic actuation and engine electronics. The term &apos;VaneCAM&apos; is used for the continuously variable systems of this new generation supplied by Hydraulik-Ring in Nuertingen, Germany. (orig.) [German] Stufenlos wirkende Nockenwellenversteller haben sich an modernen Ottomotoren in den letzten Jahren in der Grossserie etabliert. Mit der neuesten Generation von Nockenwellenverstellern, die nach dem Schwenkmotor-Prinzip aufgebaut sind, lassen sich grosse Verdrehwinkel sehr schnell und betriebssicher verstellen. Der Aufbau dieser Versteller ist einfach, und die Herstellkosten sind gering im Vergleich zur ersten Generation von Verstellern. Bei den Systemen der neuen Generation handelt es sich um mechatronische Systeme, deren Funktion von dem Zusammenspiel und der Abstimmung von hydraulischer Ansteuerung und Motorelektronik abhaengt. Mit dem Begriff &apos;VaneCAM&apos; werden die stufenlos wirkenden Systeme dieser neuen Generation von Hydraulik-Ring aus Nuertingen bezeichnet. (orig.)

  9. Recognizing IT risks - acting with foresight or: &apos;&apos;practical reasons for comprehensive IT security&apos;&apos;; IT-Risiken erkennen, vorausschauend handeln oder: &apos;&apos;Praktische Gruende fuer umfassende IT-Security&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Schaeffer, P.A.R. [TUeV Rheinland Secure iT GmbH, Koeln (Germany)

    2006-07-01

    Comprehensive IT security expects all threats and every possible consequence to be identified in order to deduce and develop appropriate counter measures. This article describes two exemplary threats to an IT infrastructure: &apos;Hacking Internal Networks&apos; and &apos;A High Promising Target: Web Applications&apos;. (orig.)

  10. Sustainable Agriculture: enhancing the &apos;neem cake&apos;

    International Nuclear Information System (INIS)

    Mariani, Susanna

    2015-01-01

    The &apos;neem cake&apos; is the scrap processing of the industrial chain producing neem oil and azadirachtin. The ENEA Technical Unit Environment and Sustainable Development Innovation the Agro-Industrial System, developed a promising experiment to promote the use of &apos;neem cake&apos; as an insecticide, and fertilizer of low cost in sustainable agriculture. [it

  11. Parents&apos; Views of Schools&apos; Involvement Efforts

    Science.gov (United States)

    Rodriguez, Raymond J.; Blatz, Erin T.; Elbaum, Batya

    2014-01-01

    Individual and focus group interviews were conducted with 96 parents of students with disabilities in 18 schools to explore parents&apos; views of schools&apos; efforts to engage them in their child&apos;s education. A mixed-methods approach was used to identify and evaluate the relative importance of eight themes related to schools&apos; efforts…

  12. What do we mean by the word &apos;'Shock'&apos;?

    International Nuclear Information System (INIS)

    Runnels, Scott Robert

    2015-01-01

    From one vantage point, a shock is a continuous but drastic change in state variables that occurs over very small time and length scales. These scales and associated changes in state variables can be measured experimentally. From another vantage point, a shock is a mathematical singularity consisting of instantaneous changes in state variables. This more mathematical view gives rise to analytical solutions to idealized problems. And from a third vantage point, a shock is a structure in a hydrocode prediction. Its width depends on the simulation&apos;s grid resolution and artificial viscosity. These three vantage points can be in conflict when ideas from the associated fields are combined, and yet combining them is an important goal of an integrated modeling program. This presentation explores an example of how models for real materials in the presence of real shocks react to a hydrocode&apos;s numerical shocks of finite width. The presentation will include an introduction to plasticity for the novice, an historical view of plasticity algorithms, a demonstration of how pursuing the meaning of &apos;'shock'&apos; has resulted in hydrocode improvements, and will conclude by answering some of the questions that arise from that pursuit. After the technical part of the presentation, a few slides advertising LANL&apos;s Computational Physics Student Summer Workshop will be shown.

  13. &apos;&apos;Camouflage line&apos;&apos; for 380 kV; Erfahrungen mit einer 380-kV-&apos;'Tarnleitung'&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Egger, H. [FAS Berndorf GmbH and Co. KG, Berndorf (Austria); Lugschitz, H. [Verbund-Austrian Power Grid GmbH, Wien (Austria)

    2000-10-16

    Overhead transmission lines are under increased public discussion. One method to minimize their influence on the environment and therefore to increase their acceptance is to camouflage lines by coating their components. Towers, conductors and fittings of a line which was erected recently in the Austrian Alps are coated in dark green colour to make the structure less visible against the background. For further reduction of visibility the line is constructed as compact line. The smaller tower size was achieved by use of short insulator strings and by oversized conductors with special advantageous mechanical properties. This paper explains the consideration which led to the configuration as compact line and for the decision to coate the complete line. It also presents long term experience with in-factory-coating of towers. Factory-coated supports were introduced 1982 in the company&apos;s network, first with the main goal to ease maintenance and second to reduce impacts on the environment. The first complete &apos;camouflage line&apos; (coloured supports and coloured conductors) in the Austrian grid was set into operation end of the year 1995. (orig.) [German] Freileitungen stehen unter zunehmender oeffentlicher Diskussion. Eine der Methoden, ihren Einfluss auf die Umwelt zu reduzieren und damit ihre Akzeptanz zu erhoehen, ist, die Tarnung von Leitungen durch Faerbung ihrer Komponenten. Maste, Leiter, Erdseile und Armaturen einer in den Oesterreichischen Alpen errichtenden Leitungen wurden in dunkelgruener Farbe beschichtet, um die Anlage gegenueber dem Hintergrund geringer sichtbar zu machen. Zur weiteren Reduktion der Sichtbarkeit ist die Leitung als &apos;Kompaktleitung&apos; ausgefuehrt. Die geringeren Mastabmessungen wurden durch die Verwendung von kuerzeren Isolatorenketten und Leiterseilen mit besonders vorteilhaften mechanischen Eigenschaften erreicht. Die Verfasser erklaeren die Ueberlegungen, die zu der Ausfuehrung als Kompaktleitung und zur Beschichtung der

  14. Trends in Energy. &apos;The consumer decides&apos;; Trends in Energy. &apos;De consument bepaalt&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Brzezowsky-Ruys, Y.; Van der Zalm, M.; Van Zutphen, M. (eds.)

    2012-03-15

    A report is given of the Capgemini organised congress &apos;Trends in Energy 2011&apos; which has the Dutch subtitle &apos;De consument bepaalt&apos; (The consumer decides&apos;. The focus of the articles, interviews, debates and presentations is on the role of the consumer in the supply of and demand for energy. Parts of the report are in Dutch and English [Dutch] Dit rapport bestaat uit een verslag van het congres &apos;Trends in Energy 2011. De consument bepaalt&apos; en een aantal artikelen met achtergrondinformatie over onder meer de rol van de consument in vraag en aanbod van energie.

  15. APOE Genotyping, Cardiovascular Disease

    Science.gov (United States)

    ... Resources For Health Professionals Subscribe Search APOE Genotyping, Cardiovascular Disease Send Us Your Feedback Choose Topic At a ... help understand the role of genetic factors in cardiovascular disease . However, the testing is sometimes used in clinical ...

  16. Aluminum &apos;'egg-box'&apos; panel as an energy absorber for pedestrian protection

    Energy Technology Data Exchange (ETDEWEB)

    Nowpada, Sravanthi; Chirwa, Efford C.; Myler, Peter; Matsika, Emmanuel [Bolton Automotive and Aerospace Research Group (BAARG), School of Built Environment and Engineering, University of Bolton (United Kingdom)

    2010-07-15

    This paper evaluates the quasi-static performance of lightweight aluminum &apos;'egg-box'&apos; panels which have an improved architecture specifically designed to increase the energy absorption capability. In its entirety, the egg-box panel structure investigated herein is made up of arrays of positive and negative frusta. To understand the collapse mechanism and the factors influencing the energy absorption thereof, compressive tests were conducted under similar test conditions on two single frusta, one constrained in situ and the other separated from the egg-box panel exposing the free-free edges. Their load-displacement histories show characteristics that are similar, with a rise in load to a point where they plateau at a steady state load for the entire collapse time. But the energy absorbed by the in situ constrained frustum is 80% greater than that separated from the egg-box panel with free-free edges. (Abstract Copyright [2010], Wiley Periodicals, Inc.)

  17. THE LONG-LIVED UV &apos;'PLATEAU'&apos; OF SN 2012aw

    Energy Technology Data Exchange (ETDEWEB)

    Bayless, Amanda J.; Roming, Peter W. A. [Southwest Research Institute, Department of Space Science, 6220 Culebra Road, San Antonio, TX 78238 (United States); Pritchard, Tyler A. [Department of Astronomy and Astrophysics, Penn State University, 525 Davey Lab, University Park, PA 16802 (United States); Kuin, Paul [Mullard Space Science Laboratory, Holmbury St. Mary, Dorking, Surrey RH5 6NT (United Kingdom); Brown, Peter J. [Texas A and M University, Department of Physics and Astronomy, College Station, TX 77843-4242 (United States); Botticella, Maria Teresa; Dall' Ora, Massimo [INAF-Osservatorio Astronomico di Capodimonte, via Moiariello 16, I-80131 Napoli (Italy); Frey, Lucille H.; Even, Wesley; Fryer, Chris L. [Los Alamos National Laboratory, Los Alamos, NM 87545 (United States); Maund, Justyn R.; Fraser, Morgan [Astrophysics Research Center, School of Mathematics and Physics, Queen' s University Belfast, Belfast BT7 1NN (United Kingdom)

    2013-02-10

    Observations with the Swift UV Optical Telescope have unambiguously uncovered for the first time a long-lived, UV &apos;'plateau'&apos; in a Type II-P supernova (SN). Although this flattening in slope is hinted at in a few other SNe, due to its proximity and minimal line-of-sight extinction, SN 2012aw has afforded the first opportunity to clearly observe this UV plateau. The observations of SN 2012aw revealed all Swift UV and u-band light curves initially declined rapidly, but 27 days after the explosion the light curves flattened. Some possible sources of the UV plateau are the same thermal process that causes the optical plateau, heating from radioactive decay, or a combination of both processes.

  18. Porosity. &apos;&apos;The good, the bad and ugly&apos;&apos; of Radiographic Testing

    International Nuclear Information System (INIS)

    Vaughan, Hugo

    2016-01-01

    &apos;&apos;Radiographic Testing is a NDT method to detect inherent volumetric discontinuities in materials such as castings and welds&apos;&apos; A common type of discontinuity found and most often misinterpreted and evaluated is rounded indications, whether isolated, aligned or clustered. This paper addresses the acceptance criteria of rounded indications based on various codes and standards and intends to lay at rest the confusion related to this type of discontinuity. The following are important considerations: 1. Interpretation of rounded indications based on codes and standards used in the various sectors of NDT. 2. What types of discontinuities can be regarded as rounded indications? 3. What discontinuity sizes can be regarded as relevant discontinuities? 4. What are the acceptance and rejection criteria for relevant rounded indications 5. Compiling relevant student assignments to facilitate the proper understanding of this aspect.

  19. Endometriose umbilical sem cirurgia pélvica prévia Umbilical endometriosis without previous pelvic surgery

    Directory of Open Access Journals (Sweden)

    Bruno Ramalho de Carvalho

    2008-04-01

    Full Text Available OBJETIVO: apresentar série de casos de endometriose na cicatriz umbilical, em pacientes no menacme, sem cirurgias pélvicas prévias. MÉTODOS: foram incluídas no estudo quatro pacientes com idade entre 33 e 43 anos, com queixa de sangramento umbilical associado ou não a dor pélvica, com evolução de dois meses a quatro anos. A ultra-sonografia da parede abdominal foi utilizada para o diagnóstico, procedendo-se à exérese cirúrgica das lesões sugestivas de endometriose umbilical e confirmação anatomopatológica. RESULTADOS: as avaliações ultra-sonográficas das quatro pacientes evidenciaram imagens umbilicais hipoecogênicas compatíveis com a hipótese diagnóstica de endometriose e, assim, todas elas foram encaminhadas para exérese cirúrgica da lesão. A dosagem do marcador sérico CA-125 foi realizada em três das quatro pacientes, com níveis dentro da normalidade, variando de 6,8 a 10,1 U/mL. A concomitância de endometriose pélvica apenas foi confirmada em uma paciente. Durante o seguimento de um ano, as pacientes não apresentaram recidiva dos sintomas nem das lesões. CONCLUSÕES: a endometriose umbilical é uma entidade nosológica rara, mas que deve ser sempre lembrada quando da presença de nodulações ou sangramento umbilicais, ainda que não exista relato de cirurgia pélvica prévia com manipulação endometrial. Seu tratamento cirúrgico é, em geral, suficiente para a remissão total da lesão e dos sintomas.PURPOSE: to present a series of cases of umbilical endometriosis in patients in reproductive age, with no previous pelvic surgery. METHODS: four patients aged between 33 and 43 years were included in the study. They all presented umbilical bleeding associated or not with pelvic pain, and medical history varied from two months to four years. Abdominal wall ultrasound was performed for diagnosis support before surgical excision of the umbilical lesions, and histological examination was also performed. RESULTS

  20. Cirurgia de varizes: história e evolução Varicose vein surgery: history and evolution

    Directory of Open Access Journals (Sweden)

    Charles Angotti Furtado de Medeiros

    2006-12-01

    Full Text Available Como a safenectomia é uma cirurgia bem estabelecida, a utilização de um método pouco invasivo para obter os mesmos efeitos indica que os benefícios esperados a curto e médio prazo devem prevalecer sobre os riscos previstos. Entretanto, em se tratando de uma doença muito prevalente na população mundial, há grande preocupação por parte dos órgãos de saúde governamentais e das sociedades científicas correlacionadas sobre esse assunto, de tal forma que os argumentos sobre novas modalidades de tratamento devem estar bem fundamentados, inclusive para aceitação pelo público em geral.Com o intuito de se avaliar efetivamente novos dispositivos, devem ser conduzidos estudos em pacientes e com grupos controles que sejam bem delineados. É preciso submeter qualquer projeto de pesquisa sobre o assunto à apreciação do comitê de ética na instituição em que o trabalho será conduzido para aprovação prévia.Since great saphenous vein stripping is a well established surgery, the use of a minimally invasive method to obtain the same effects indicates that short and medium-term benefits should prevail over expected risks. However, because it is a very common disease in the world population, there is great concern about this subject by government health institutions and correlated scientific societies. Therefore, the arguments about new treatment modalities must be well based, including to gain acceptance by the general public.To effectively evaluate new devices, there must be well designed clinical studies with groups and controls. All projects about this matter must be submitted to the appreciation of an ethics committee at the institution where the research will be carried out for previous approval.

  1. Úlcera por pressão em pacientes submetidos à cirurgia: incidência e fatores associados

    Directory of Open Access Journals (Sweden)

    Kelly Cristina Scarlatti

    2011-12-01

    Full Text Available As úlceras por pressão constituem um dos principais indicadores da qualidade do cuidado na assistência perioperatória. Este é um estudo longitudinal, do tipo série de casos, com o objetivo de estimar a incidência de úlceras por pressão em pacientes submetidos a cirurgias de médio e grande portes; classificá-las segundo estágio e localização, verificar a associação das variáveis sexo, idade, índice de massa corpórea, comorbidades, posição cirúrgica, tempo cirúrgico, anestesia e uso de dispositivos de posicionamento com a presença ou ausência de úlceras por pressão. Os dados foram coletados em 2007, em São Paulo, com 199 pacientes, dos quais 20,6% apresentaram úlceras por pressão, 98,6% nos estágios I e II, com localização predominante no tronco frontal (35,1%. As variáveis: posição, tempo cirúrgico, anestesia geral e uso de dispositivos apresentaram associação estatística significativa. Concluiu-se que a incidência de úlceras por pressão em pacientes cirúrgicos é elevada, demandando ações que visem à redução desse tipo de lesão.

  2. Jejum inferior a oito horas em cirurgias de urgência e emergência versus complicações

    Directory of Open Access Journals (Sweden)

    Adelita de Jesus Carvalho Martins

    2016-08-01

    Full Text Available RESUMO Objetivo: verificar a ocorrência de complicações intraoperatórias e pós-operatórias em pacientes submetidos a procedimentos cirúrgicos de urgência e emergência entre janeiro e dezembro de 2012, com tempo de jejum inferior a oito horas. Método: conduziu-se um estudo quantitativo, tipo coorte retrospectivo, por meio da análise de prontuários médicos. Resultados: foram incluídos 181 prontuários de pacientes submetidos a procedimentos cirúrgicos com duração média de 59,4 minutos, destacando-se a cirurgia de correção de fraturas em 32% dos casos. Foram observadas complicações em 36 (19,9% dos pacientes, destacando-se o vômito (47,2%; seguido de náuseas (16,7%; necessidade de transfusão sanguínea (13,9%; infecção do sítio cirúrgico (11,1%; e óbito (11,1%. O tempo médio de jejum foi de 133,5 minutos. O tempo de jejum não apresentou correlação estatisticamente significante com as complicações investigadas. Conclusão: as complicações intraoperatórias e pós-operatórias estiveram associadas às condições clínicas dos pacientes e não ao tempo de jejum.

  3. Cirurgia revisional de 74 casos de estapedectomia/estapedotomia Revision surgery in 74 cases of stapedectomy/stapedotomy

    Directory of Open Access Journals (Sweden)

    Luiz Rogerio Pires de Mello

    2003-01-01

    Full Text Available OBJETIVO: O objetivo deste estudo é o de identificar as diversas causas que nos obrigam a novo procedimento cirúrgico. Apesar de várias alterações técnicas como platinectomia total, platinectomia parcial, interposição óssea, fenestra na platina e o emprego de vários tipos de próteses, os problemas continuam a existir, talvez também pelo pouco treinamento feito pelos residentes nos Centros Universitários, onde o número de cirurgias estapedianas vem caindo ano a ano, o que leva à pouca experiência destes residentes em sua vida futura. FORMA DE ESTUDO: Avaliação Retrospectiva. MATERIAL E MÉTODO: Baseou-se em 74 casos de revisões de estapedectomia, realizadas em 68 pacientes, sendo 47 ouvidos submetidos à primeira revisão e 4 ouvidos submetidos à uma segunda revisão, todos operados anteriormente pelo autor, de uma população de 725 estapedectomias realizadas na clínica privada e 282 estapedectomias realizadas no Hospital Universitário Antônio Pedro (HUAP - Universidade Federal Fluminense/Niterói-RJ, de julho de 1980 a junho de 1999. Acrescentamos mais 21 casos operados de primeira revisão e de 2 casos operados de segunda revisão oriundos de outros serviços. RESULTADOS: Considerando todos os casos de revisões cirúrgicas realizadas, os ganhos auditivos obtidos foram os seguintes: em 78,3% dos pacientes os ganhos auditivos alcançados foram de até 20dB; em 10,8% dos pacientes de 20dB a 25dB; em 8,2% dos pacientes acima de 25dB, tendo ocorrido anacusia em 2,7% dos pacientes. A avaliação auditiva incluiu o limiar aéreo-ósseo de 250 a 8000Hz com a discriminação vocal e o SRT, sendo que nas freqüências de 500, 1000 e 2000Hz os limiares das vias aérea e óssea foram calculados através dos audiogramas realizados nos pré e pós-operatórios. Os resultados auditivos pós-operatórios dependem da afecção cirúrgica encontrada, principalmente pela presença ou ausência da bigorna e pela reobliteração óssea na

  4. Resultados de Técnicas de Reprodução Assistida em Pacientes Previamente Submetidas a Cirurgia Ovariana para o Tratamento da Endometriose

    Directory of Open Access Journals (Sweden)

    Geber Selmo

    2002-01-01

    Full Text Available Objetivo: avaliar os efeitos da cirurgia ovariana prévia para o tratamento da endometriose na resposta ovariana durante ciclos de reprodução assistida e na taxa de gravidez subseqüente. Métodos: foram avaliadas 61 mulheres inférteis, com cirurgia ovariana prévia para endometriose, submetidas a 74 ciclos de fertilização in vitro/injeção intracitoplasmática de espermatozóides (FIV/ICSI (Grupo caso, e comparadas a 74 pacientes inférteis, submetidas a 77 ciclos de FIV/ICSI no mesmo período e na mesma clínica, sem cirurgia ovariana prévia ou endometriose (Grupo controle. As pacientes foram pareadas por idade e tratamento realizado. A FIV foi realizada utilizando-se o protocolo longo para dessensibilização hipofisária seguida de indução da foliculogênese, monitorizada por ultra-sonografia e dosagem de estradiol. Após punção folicular os oócitos eram inseminados ou injetados e os embriões obtidos foram transferidos entre o dia 2 e dia 5 pós-inseminação. Resultados: pacientes com menos de 35 anos previamente submetidas a cirurgia ovariana recrutaram número menor de oócitos quando comparadas às pacientes do grupo controle (p=0,049. O número de ampolas utilizadas, a duração da foliculogênese, o número de folículos, a taxa de fertilização e de gravidez (53 e 56,2%, respectivamente, para os grupos caso e controle foram semelhantes. Mulheres com idade superior a 35 anos com cirurgia ovariana prévia necessitaram de maior número de ampolas para superovulação (p=0,0017 e apresentaram um número menor de folículos e oócitos (p=0,001. Um total de 10 pacientes ficaram grávidas no grupo caso (34,5% e 14 no grupo controle (48,3% (p=0,424. Conclusão: a cirurgia ovariana para tratamento da endometriose reduz a resposta ovariana durante ciclos de FIV/ICSI em mulheres >35 anos e apresenta tendência a diminuir as taxas de gravidez. Assim, acreditamos que, para as pacientes inférteis com endometriose ovariana, o

  5. Interfaces between bariatric surgery and oral health: a longitudinal survey Interface entre cirurgia bariátrica e saúde bucal: estudo longitudinal

    Directory of Open Access Journals (Sweden)

    Juliane Avansini Marsicano

    2011-01-01

    Full Text Available PURPOSE: To evaluate oral changes, such as dental caries, periodontal disease, dental wear and salivary flow in bariatric patients. Fifty four obese patients who underwent bariatric surgery were studied before (n=54, up after 3 months (n=24 and 6 months (n=16. METHODS: Indices for evaluating oral conditions were: DMFT, CPI, DWI and salivary flow. OIDP questionnaire was used to assess the impact of oral health on quality of life. ANOVA and Spearman correlation were used (p0.05, presence of periodontal pockets in 50%, 58% and 50% of patients (p>0.05, tooth wear in dentin present in 81.5%, 87.5% and 87.5% before, 3 and 6 months after surgical treatment respectively. There were differences between the three periods for prevalence and severity of dental wear (p = 0.012. Salivary flow was 0.8±0.5 ml/min before surgery, 0.9±0.5 ml/min for 3 months and 1.1±0.5m/min for 6 months (p>0.05. The impact of oral health on quality of life decreased with time after bariatric surgery (p= 0.029. CONCLUSION: The lifestyle changes after bariatric surgery and these changes may increase the severity of pre-existing dental problems. However, these alterations in oral health did not influence the quality of life.OBJETIVO: Avaliar alterações bucais, como cárie dentária, doença periodontal, desgaste dentário e fluxo salivar, em pacientes bariátricos. MÉTODOS: Cinquenta e quatro pacientes obesos, submetidos à cirurgia bariátrica, tiveram suas condições bucais avaliadas antes (n=54, aos 3 meses (n=24 e aos 6 meses (n=16 após a cirurgia bariátrica. Os índices para avaliação das condições bucais foram: CPOD, IPC, IDD e o volume de fluxo salivar. O questionário OIDP foi utilizado para verificar o impacto da saúde bucal na qualidade de vida. ANOVA e correlação de Spearman foram utilizados para análise estatística (p0,05, bolsa periodontal foi encontrada em 50%, 58% e 50% dos pacientes (p>0,05 e o desgaste dentário em dentina em 81,5%, 87,5% e 87

  6. Experimental project with &apos;&apos;green fingers&apos;&apos;. A monitoring informs on successes and failures of Helsinki&apos;s Eco-City; Experimentelles Projekt mit &apos;&apos;gruenen Fingern&apos;&apos;. Ein Monitoring gibt Auskunft ueber Erfolge und Misserfolge von Helsinkis &apos;'Oeko-Stadt'&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Ulf [Kansas State Univ., Manhattan, KS (United States). Sustainable Architecture and Urban Design

    2012-07-01

    Of all things, at the extreme edge of Europe, the future of the European city is being rethought: with the new neighborhood &apos;'Viikki'&apos; the Finnish capital Helsinki has built their first eco-city. Eight years after its completion it is time for an evaluation. The founders draw a quite self-critical summary. The monitoring of Eco-Viikki is unusually accurate and thus gives interesting insights for other construction projects in Europe.

  7. Controle da dor no pós-operatório de cirurgia cardíaca: uma breve revisão

    Directory of Open Access Journals (Sweden)

    Luciano Ramos de Lima

    2008-06-01

    Full Text Available Este estudo teve como objetivo identificar as terapêuticas analgésicas para controle da dor no pós-operatório de pacientes submetidos à cirurgia cardíaca e os instrumentos utilizados para mensurar a experiência dolorosa. Trata-se de uma pesquisa bibliográfica realizada por meio de revisão da literatura nas bases de dados eletrônicos LILACS, revistas eletrônicas da SciELO, dissertações e teses. Foram utilizados os descritores analgesia, analgesia controlada pelo paciente, cirurgia cardíaca, avaliação e dor pós-operatória. O levantamento dos dados ocorreu em maio de 2007 e foram selecionados estudos publicados no período de maio de 1997 a maio de 2007. Na análise realizou-se síntese reflexiva dos estudos. Dos 23 estudos levantados foram utilizados 8 artigos e uma dissertação de mestrado. A técnica de analgesia mais utilizada foi a Analgesia Controlada pelo Paciente (ACP e os medicamentos mais utilizado foram os opióides, como a morfina, seguidos por antiflamatórios não esteroidais (AINEs e dipirona. Não foram encontrados estudos que utilizaram a terapêutica não farmacológica. Os instrumentos de avaliação de dor frequentemente utilizados nestes estudos incluíram as escalas unidimensionais como a escala numérica verbal e a escala analógica visual. Ficou também evidenciado que os enfermeiros estão pouco envolvidos em pesquisas que abordam o controle da dor no período pós-operatório de cirurgia cardíaca.

  8. Switzerland as Europe&apos;s &apos;'battery'&apos;. Wishful dream or reality?; Die Schweiz als &apos;&apos;Batterie Europas&apos;&apos;. Utopie oder Realitaet?

    Energy Technology Data Exchange (ETDEWEB)

    Kammer, Adrian; Zurmuehle, Damian; Salzmann, Michael; Baumgartner, Raphael; Mignone, Domenico [Bernische Kraftwerke (BKW), Bern (Switzerland). Energiewirtschaftliche Planung und Prognose

    2015-04-15

    There are plans for Swiss pumped hydrostorage systems to absorb large quantities of excess electricity from European wind and solar power generation. Model-based analyses have shown however that &apos;'Europe&apos;s battery&apos;&apos;, as Switzerland would like to see itself, will not be needed until the middle of this century. Even if all extension projects currently in progress should be completed, Switzerland will not have sufficient pump capacity or import capacity to absorb large amounts of excess electricity. Furthermore, the primary means of making storage capacity available for import electricity would be to reduce reservoir power plant capacity. In view of all this Switzerland&apos;s hopes for a role as a major European electricity storage provider appear somewhat exaggerated even in the long-term perspective.

  9. Energy expenditure after 2- to 3-hour elective surgical operations Gasto energético após 2 ou 3 horas de cirurgia eletiva

    Directory of Open Access Journals (Sweden)

    Andrea Ferreira Schuwartz Tannus

    2001-04-01

    Full Text Available Energy expenditure was measured by indirect calorimetry in 17 adult patients (8 women and 9 men before surgery, 4 hours immediately after surgery , and 24 hours late after surgery in patients undergoing elective surgery of small-to-medium scope. MATERIAL AND METHODS: The total duration of surgery ranged from 2 to 3 hours. Repeated measures were performed on the same patient, so that each patient was considered to be his/her own control. All patients received a 5% dextrose solution (2000 mL/day throughout the postoperative period. RESULTS: Men showed a reduction in CO2 production during the immediately after surgery period (257±42 mL/min compared to before surgery (306±48 mL/min and late after surgery (301±45 mL/min; this reduction was not observed in women. Energy expenditure was also lower in men during immediately after surgery (6.6 kJ/min. None of the other measurements, including substrate oxidation, showed significant differences. CONCLUSION: Therefore, elective surgery itself cannot be considered an important trauma that would result in increased energy expenditure. According to this study, it is not necessary to prescribe an energy supply exceeding basal expenditure during the immediate after-surgery period. The present results suggest that the energy supply prescribed during the postoperative period after elective surgery of small-to-medium scope should not exceed 5-7 kJ/min, so the patient does not receive a carbohydrate overload from energy supplementation.A resposta metabólica ao trauma cirúrgico ocorre imediatamente após a cirurgia e recomenda-se que a oferta calórica, nesta situação, seja igual ao metabolismo basal acrescido de 20-30%, considerado fator de injúria. No entanto, níveis elevados de glicemia e aumento na produção de CO2 são freqüentemente observados nestas ocasiões . OBJETIVO: O principal objetivo do presente estudo foi medir o gasto energético basal, o gasto energético imediatamente e 24 horas ap

  10. Efeito da suplementação de zinco em indivíduos obesos submetidos à cirurgia bariátrica

    OpenAIRE

    Erdmann, Alessandra

    2006-01-01

    Dissertação (mestrado) - Universidade Federal de Santa Catarina. Centro de Ciências da Saúde. Programa de Pós-Graduação em Nutrição A obesidade é hoje considerada um problema de saúde pública mundial. A obesidade grau III é definida por um IMC acima de 40 kg/m2 . Para este tipo de obesidade tem-se utilizado o tratamento cirúrgico, chamado de cirurgia bariátrica.

  11. Avaliação da frequência em consultas nutricionais dos pacientes após cirurgia bariátrica

    OpenAIRE

    Menegotto,Ana Luiza Savaris; Cruz,Magda Rosa Ramos; Soares,Fernando Lucas; Nunes,Mario Gilberto Jesus; Branco-Filho,Alcides José

    2013-01-01

    RACIONAL: Com o crescimento das intervenções cirúrgicas para reduzir a obesidade, há necessidade de acompanhamento nutricional periódico a longo prazo para garantir o estado nutricional dos pacientes. OBJETIVO: Avaliar a adesão ao acompanhamento nutricional periódico dos pacientes submetidos à cirurgia bariátrica. MÉTODOS: Foram coletados dados das fichas de cadastro do serviço de nutrição de pacientes que realizaram operação bariátrica entre 2001 e 2008. RESULTADOS: Foram avaliadas 469 ficha...

  12. New quality assurance program integrating &apos;&apos;modern radiotherapy&apos;&apos; within the German Hodgkin Study Group

    Energy Technology Data Exchange (ETDEWEB)

    Kriz, J.; Haverkamp, U.; Eich, H.T. [University of Muenster, Department of Radiation Oncology, Muenster (Germany); Baues, C.; Marnitz-Schulze, S. [University of Cologne, Department of Radiation Oncology, Koeln (Germany); Engenhart-Cabillic, R. [University of Marburg, Department of Radiation Oncology, Marburg (Germany); Herfarth, K. [University of Heidelberg, Department of Radiation Oncology, Heidelberg (Germany); Lukas, P. [University of Innsbruck, Department of Radiation Oncology, Innsbruck (Austria); Schmidberger, H. [University of Mainz, Department of Radiation Oncology, Mainz (Germany); Fuchs, M.; Engert, A. [University of Cologne, Department of Internal Medicine, Koeln (Germany)

    2017-02-15

    Field design changed substantially from extended-field RT (EF-RT) to involved-field RT (IF-RT) and now to involved-node RT (IN-RT) and involved-site RT (IS-RT) as well as treatment techniques in radiotherapy (RT) of Hodgkin&apos;s lymphoma (HL). The purpose of this article is to demonstrate the establishment of a quality assurance program (QAP) including modern RT techniques and field designs within the German Hodgkin Study Group (GHSG). In the era of modern conformal RT, this QAP had to be fundamentally adapted and a new evaluation process has been intensively discussed by the radiotherapeutic expert panel of the GHSG. The expert panel developed guidelines and criteria to analyse &apos;'modern'&apos; field designs and treatment techniques. This work is based on a dataset of 11 patients treated within the sixth study generation (HD16-17). To develop a QAP of &apos;&apos;modern RT&apos;&apos;, the expert panel defined criteria for analysing current RT procedures. The consensus of a modified QAP in ongoing and future trials is presented. With this schedule, the QAP of the GHSG could serve as a model for other study groups. (orig.) [German] Nicht nur die Zielvolumendefinitionen haben sich von der Extended-Field- (EF-RT) ueber die Involved-Field- (IF-RT) bis zur Involved-Node- (IN-RT) und Involved-Site-Radiotherapie (IS-RT) weiterentwickelt. Auch die Radiotherapie(RT)-Techniken in der Behandlung von Patienten mit Hodgkin-Lymphom haben Aenderungen erfahren. Wir moechten aufzeigen, wie die Arbeit des Qualitaetssicherungsprogramms (QAP) innerhalb der Deutschen Hodgkin Studiengruppe (German Hodgkin Study Group [GHSG]) in der Aera der &apos;&apos;modernen RT&apos;&apos; hinsichtlich intensitaetsmodulierter RT (IMRT) und bildgefuehrter RT (IGRT), aber auch hinsichtlich moderner Felddefinitionen wie bei der IN-RT angepasst wurde. In der Aera der &apos;&apos;modernen RT&apos;&apos; wurde das QAP vom radiotherapeutischen Expertenpanel der GHSG im Rahmen einiger

  13. Proceedings of the DGMK-conference &apos;Synthesis gas chemistry&apos;. Authors&apos; manuscripts

    Energy Technology Data Exchange (ETDEWEB)

    Hoenicke, D.; Kohlpaintner, C.; Luecke, B.; Reschetilowski, W. [eds.

    2000-07-01

    The main topics of the DGMK-Conference &apos;&apos;Synthesis Gas Chemistry&apos;&apos; were: production of synthesis gas from several educts, new catalysts, Fischer-Tropsch synthesis, hydroformylation, steam reforming and carbonylation.

  14. Bookshelf (&apos;&apos;Neutrons, Nuclei and Matter&apos;&apos;, by J. Byrne)

    International Nuclear Information System (INIS)

    Hansen, P.G.

    1994-01-01

    Time was when a neophyte wanting to do experiments with neutrons would be told first to read D.J. Hughes&apos; classic &apos;&apos;Pile Neutron Research&apos;&apos; (1952). The book by J. Byrne is in many respects a modern equivalent, although if you were to send your student away with it, you will risk not seeing him or her again for a considerable time. What is immediately striking is that the book, rich in information and quite long, is cross-disciplinary and touches essentially all the main areas of modern physics. It covers parts of particle physics, such as the internal structure of the neutron, time-reversal violation as revealed by the (still hypothetical) electric dipole moment of the neutron, and the coupling constants for the weak interaction. From the field of basic quantum physics there are chapters on neutron optics, wave phenomena with neutrons and on the applications of these in solid-state physics. Other chapters again delve deeply into nuclear structure, nuclear reaction theory, as well as their applications: nuclear reactors and nuclear energy. At a time with specialization rampant and many physicists tending to believe that venturing outside their own cloisters is uninteresting and even dangerous, it is a pleasure to come across a book that is basically just about physics. J. Byrne of Sussex has for long been active in neutron research at the British-French-German Institut Laue-Langevin (ILL) research reactor in Grenoble, where he has worked on subjects such as weak interactions and fundamental symmetries. He has clearly intended &apos;&apos;Neutrons, Nuclei and Matter&apos;&apos; as a vade-mecum that will allow the practitioner to find the necessary information and formulas. But I believe that many others not directly engaged in neutron research will gain new insight from its many examples. To take just one case, I had not been aware of the simple physical principles that permit cold neutrons to be stored in a bottle. (The main point is that a

  15. Financial and tax risks at implementation of &apos;&apos;Chayanda- Lensk&apos;&apos; section of &apos;&apos;Sila Sibiri&apos;&apos; gas transportation system construction project

    International Nuclear Information System (INIS)

    Sharf, I V; Chukhareva, N V; Kuznetsova, L P

    2014-01-01

    High social and economic importance of large-scale projects on gasification of East Siberian regions of Russia and diversifying gas exports poses the problem of complex risk analysis of the project. This article discusses the various types of risks that could significantly affect the timing of the implementation and effectiveness of the project for the construction of the first line of &apos;&apos;Sila Sibiri&apos;&apos;, the &apos;'Chayanda-Lensk'&apos; section. Special attention is paid to financial and tax aspects of the project. Graphically presented analysis of the dynamics of financial indicators reflect certain periods of effectiveness in implementing the project. Authors also discuss the possible causes and consequences of risks

  16. Gasometria arterial em dois diferentes métodos de transporte intra-hospitalar no pós-operatório imediato de cirurgia cardíaca

    OpenAIRE

    Lima Junior, Newton Almeida; Bacelar, Silvia Correa; Japiassú, André Miguel; Cader, Samária Ali; Lima, Rosane Coelho Fernandes; Dantas, Estélio Henrique Martin; Sancho, Alexandre Gomes; Caldeira, Jefferson Braga

    2012-01-01

    OBJETIVO: Avaliar as repercussões gasométricas de dois métodos de ventilação (ventilador de transporte e ressuscitador manual autoinflável) durante o transporte intra-hospitalar de pacientes submetidos à cirurgia cardíaca. MÉTODOS: Estudo observacional, longitudinal, prospectivo e randomizado. Foram coletadas gasometrias arteriais ao final da cirurgia e ao final do transporte do paciente. RESULTADOS: Foram incluídos 23 pacientes: 13 no Grupo ventilador de transporte e 10 no ressuscitador manu...

  17. The best selled car. &apos;'Twizy'&apos; leads the sales statistics of electrically powered vehicles - a test report; Der Meistverkaufte. Renaults &apos;'Twizy'&apos; fuehrt die E-Mobil-Verkaufsstatistik an - ein Fahrbericht

    Energy Technology Data Exchange (ETDEWEB)

    Welter, Philippe

    2013-02-15

    Four wheels, two seats, one steering wheel: What does it require more for a small, electrically powered city car? Nothing, says the manufacturer. Two side windows, that is our opinion. With a maximum speed of 80 kilometers per hour and a range of 100 kilometers, the vehicle is certainly ideal for many applications over short distances in the city. PHOTON now uses the &apos;'Twizy'&apos; for almost a year, and gained consistently good experiences.

  18. &apos;&apos;Is it really green?&apos;&apos; Long-term performance of monocrystalline solar modules as illustrated by the example of a photovoltaic pumping station in a natural reserve (&apos;&apos;Schwenninger Moos&apos;&apos;); &apos;&apos;Is it really green?&apos;&apos; Langzeiterfahrung mit monokristallinen Solarmodulen am Beispiel der photovoltaischen Pumpstation Schwenninger Moos

    Energy Technology Data Exchange (ETDEWEB)

    Assbeck, Franz [Hochschule Furtwangen (Germany). Fakultaet Computer und Electrical Engineering

    2010-03-15

    In 1991, a photovoltaic pumping station was commissioned in the natural reserve &apos;&apos;Schwenninger Moos&apos;&apos; in the southern Black Forest. The pumping station was dismantled when the land was used for the 2010 Baden-Wuerttemberg &apos;Landesgartenschau&apos; (garden festival). After 18 years of operation, the plant provided valuable information on the long-term performance of monocrystalline solar modules, so the author made detailed measurements and evaluations just before the plant was dismantled, in an attempt to find out about its long-term performance and cost efficiency. The results are presented here. (orig.)

  19. O papel da membrana de Descemet na patogenia do edema corneano após cirurgia de segmento anterior

    Directory of Open Access Journals (Sweden)

    Karine Feitosa Ximenes

    2014-10-01

    Full Text Available Objetivo: Encontrar fatores importantes na patogenia do edema corneano pós-cirúrgico, em casos de pós-facectomia e pósceratoplastia, por meio do estudo dos achados histopatológicos, a fim de ver o que pode ser feito para evitar sucessivas ceratoplastias. Métodos: Estudo retrospectivo descritivo das alterações histopatológicas de casos de edema corneano pós-cirúrgicos. Os tecidos foram provenientes de ceratoplastia penetrante no período compreendido entre setembro de 2009 e agosto de 2013. Foi realizada revisão de prontuários em busca principalmente de informações sobre cirurgias prévias. Resultados: Foram incluídos 70 botões corneanos, sendo 34 de pacientes do sexo masculino e 36 do sexo feminino. A média das idades foi de 63,1±17,20 (média ± DP anos. A maioria dos casos era de falência após transplante (71,43%. A rarefação celular foi a principal alteração encontrada no endotélio (58 casos, sendo também a alteração histopatológica mais frequente. Na membrana de Descemet, predominaram as alterações de integridade (53 casos, seja na forma de ruptura, de descolamento isolado ou de descolamento associado à ruptura. Foi frequente a associação de alterações endoteliais à ausência da integridade da membrana de Descemet. Conclusão: Descolamento da membrana de Descemet é um achado histopatológico frequente nos casos de edema corneano pós-cirúrgicos estudados, devendo ser considerado um fator importante na patogenia dos mesmos. Essa alteração deve ser procurada com atenção nos pós-operatórios, a fim de ser diagnosticada e tratada precocemente, vindo possivelmente a evitar muitas indicações de ceratoplastia.

  20. Cirurgia conservadora de próteses aórtica e mitral na endocardite infecciosa Conservative surgery for aortic and mitral prosthesis in infective endocarditis

    Directory of Open Access Journals (Sweden)

    Kanim Kalil KASSAB

    2001-03-01

    Full Text Available A endocardite infecciosa (EI acometendo próteses valvares é uma complicação freqüente, sendo tratada geralmente com cirurgia, devido ao seu difícil controle clínico e má resposta à antibioticoterapia. Este relato descreve o caso de uma paciente com EI, acometendo simultaneamente as biopróteses aórtica (Ao e mitral (Mi após vinte e quatro meses de cirurgia de implantes valvares, submetida a tratamento cirúrgico conservador, e com resultado favorável. Discutem-se as vantagens deste procedimento em situações específicas.Infective endocarditis is a frequent complication for valvar prosthesis currently treated with surgery, orving to its difficult control and poor response to therapy with antibiotics. Although conservative surgery for infective endocarditis of prosthesis is not a procedure of choice, this report shows a case of infective endocarditis of aortic and mitral prosthesis, after 24 months of implantation, treated by conservative surgery with favorable outcome.

  1. Métodos de aquecimento na prevenção da hipotermia no intraoperatório de cirurgia abdominal eletiva

    Directory of Open Access Journals (Sweden)

    Rutes de Fatima Terres Danczuk

    2015-12-01

    Full Text Available Resumo Objetivo: Identificar os métodos de aquecimento para prevenir hipotermia em pacientes adultos no intraoperatório de cirurgia abdominal eletiva com exposição visceral. Métodos: Estudo quantitativo, exploratório e descritivo, prospectivo, realizado num hospital público da região sul do Brasil. Constituiu a amostra 63 pacientes. Observaram-se os métodos de aquecimento utilizados e foi aferida a temperatura timpânica. Para tratamento dos dados, aplicou-se a estatística descritiva por meio do software SEstatNet. Resultados: Foram utilizados métodos de aquecimento ativo e passivo. A infusão de fluidos aquecidos para irrigação da cavidade abdominal foi a medida mais empregada (nº 63; 100% do método ativo, enquanto que a manutenção do sistema de refrigeração desligado até o início da cirurgia foi a medida mais utilizada (nº 57; 90,5% do método passivo. Conclusão: Com os métodos de aquecimento empregados não houve hipotermia grave, porém, existem métodos atuais mais eficientes que poderiam prevenir a hipotermia leve e moderada encontradas.

  2. Da transmissão hídrica a culicidiana: a febre amarela na sociedade de medicina e cirurgia de São Paulo

    Directory of Open Access Journals (Sweden)

    Luiz Antônio Teixeira

    2001-01-01

    Full Text Available Este artigo trata das discussões sobre as formas de propagação da febre amarela ocorrida entre os anos de 1896 e 1900, na Sociedade de Medicina e Cirurgia de São Paulo, concentrando-se na figura do importante médico da época, Luis Pereira Barreto. Discutimos os principais argumentos defendidos pelos esculápios envolvidos nas controvérsias e mostra a contribuição da Sociedade no processo de aceitação da teoria de transmissão culicidiana da doença no Brasil.This paper deals with the discussions about the ways of yellow fever transmission that took place between the years of 1896 and 1900 in the Sociedade de Medicina e Cirurgia de São Paulo, and centers around the figure of one of the most important physicians of the period, Luis Pereira Barreto. It discusses the main arguments defended by the physicians involved in the controversies and shows the contribution of that society in the process of the acceptance of the theory of culicidean transmission of the disease in Brazil.

  3. Network protocol &apos;EPAP&apos;; Network protokoru &apos;EPAP&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Kobori, T.; Fujita, F.; Iwamoto, S. [Fuji Electric Co. Ltd., Toyo (Japan)

    2000-10-10

    The Ethernet, a standard of information networks, has begun to be applied to the control local area network (LAN). To apply the Ethernet to the field level, Fuji Electric has newly developed the communication protocol &apos;Ethernet precision access protocol (EPAP)&apos; in which a command/response method is structured on the user datagram protocol (UDP) to realize real time and high reliability. Further, we have implemented the EPAP on the bus interface module of the open PIO. This paper outlines the EPAP and its implementation. (author)

  4. Progress Report: DE-FG03-97ER20274, &apos;&apos;Microbial Production of Isoprene&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Ray Fall

    2002-03-13

    We have discovered that microorganisms produce and emit the hydrocarbon isoprene (2-methyl-1,3-butadiene), and have suggested that if isoprene-producing enzymes and their genes can be harnessed, useful hydrocarbon-producing systems might be constructed. The main goal of the proposed work is to establish the biochemical mechanism and regulation of isoprene formation in the bacterial system, Bacillus subtilis. Specific objectives of the proposed work are the following: (A) to characterize the physiological regulation of isoprene formation in B. subtilis; (B) to characterize mutations in B. subtilis 168 that suppress isoprene formation, clone these genes, and determine how isoprene and isoprenoid carbon flow are regulated; and (C) to test &apos;'overflow'&apos; and &apos;'signaling'&apos; models for Bacillus isoprene formation. We are also pursuing the isolation and cloning of B. subtilis isoprene synthase, which we believe may be a regulatory enzyme.

  5. Design and implementation of a &apos;'cheese'&apos; phantom-based Tomotherapy TLD dose intercomparison

    Energy Technology Data Exchange (ETDEWEB)

    Schiefer, Hans; Buchauer, Konrad; Heinze, Simon [Medical Physics Group, Department of Radiation Oncology, St. Gallen (Switzerland); Henke, Guido; Plasswilm, Ludwig [Department of Radiation Oncology, St. Gallen (Switzerland)

    2015-11-15

    The unique beam-delivery technique of Tomotherapy machines (Accuray Inc., Sunnyvale, Calif.) necessitates tailored quality assurance. This requirement also applies to external dose intercomparisons. Therefore, the aim of the 2014 SSRMP (Swiss Society of Radiobiology and Medical Physics) dosimetry intercomparison was to compare two set-ups with different phantoms. A small cylindrical Perspex phantom, which is similar to the IROC phantom (Imaging and Radiation Oncology Core, Houston, Tex.), and the &apos;'cheese'&apos; phantom, which is provided by the Tomotherapy manufacturer to all institutions, were used. The standard calibration plans for the TomoHelical and TomoDirect irradiation techniques were applied. These plans are routinely used for dose output calibration in Tomotherapy institutions. We tested 20 Tomotherapy machines in Germany and Switzerland. The ratio of the measured (D{sub m}) to the calculated (D{sub c}) dose was assessed for both phantoms and irradiation techniques. The D{sub m}/D{sub c} distributions were determined to compare the suitability of the measurement set-ups investigated. The standard deviations of the TLD-measured (thermoluminescent dosimetry) D{sub m}/D{sub c} ratios for the &apos;'cheese'&apos; phantom were 1.9 % for the TomoHelical (19 measurements) and 1.2 % (11 measurements) for the TomoDirect irradiation techniques. The corresponding ratios for the Perspex phantom were 2.8 % (18 measurements) and 1.8 % (11 measurements). Compared with the Perspex phantom-based set-up, the &apos;'cheese'&apos; phantom-based set-up without individual planning was demonstrated to be more suitable for Tomotherapy dose checks. Future SSRMP dosimetry intercomparisons for Tomotherapy machines will therefore be based on the &apos;'cheese'&apos; phantom set-up. (orig.) [German] Die einzigartige Bestrahlungstechnik mit Tomotherapie-Bestrahlungsgeraeten (Accuray Inc., Sunnyvale, CA, USA) erfordert spezifische

  6. Environmental and safety aspects. The best of &apos;powder handling and processing&apos; 1989 - 1997. &apos;Bulk solids handling&apos; 1992 - 1997 (H/2000)

    Energy Technology Data Exchange (ETDEWEB)

    Woehlbier, R.H. (ed.)

    2000-07-01

    The book contains articles published either during 1992-1997 in &apos;&apos;bulk solids handling&apos;&apos; or during 1989-1997 in &apos;&apos;powder handling and processing&apos;&apos;. Main topics are aspects of safety and environmental protection in bulk solids handling: dusts, hazardous powders, prevention and mitigation of dust explosions, powdered coal handling, dedusting, filters, electrostatic precipitation, materials recovery, occupational safety.(uke)

  7. &apos;Minergie&apos; as an opportunity for trade; &apos;Minergie&apos; als Chance fuer das Gewerbe

    Energy Technology Data Exchange (ETDEWEB)

    Graf, R.; Buergi, H.; Hotz, R.

    2000-07-01

    This collection of short articles is dedicated to the promotion of the Swiss &apos;Minergie&apos; building standard, covering the following points: &apos;Minergie&apos; - a standard for the future; well-insulated and air-tight - two of the three main &apos;Minergie&apos; requirements; solar collectors as a &apos;Minergie&apos; component; radiators for low-energy-consumption buildings; hot water from the sun on six out of seven days; the &apos;Minergie&apos; module as a factor for success; the &apos;Habitus&apos; ventilation unit - a new Swiss product. The first contribution introduces the &apos;Minergie&apos; Standard. Its application in the building and building technical services trades offers from considerable advantages and opportunities for profit. The Standard, which aims to increase the comfort and reduce the energy consumption of buildings, is introduced and the basic principles involved, including energy usage figures, are discussed. A second contribution describes two of the three main requirements for reaching the &apos;Minergie&apos; Standard, air-tightness and good thermal insulation. The main advantage of the standard - a higher level of comfort - is emphasised and an example is given. The third short article takes a look at the use of thermal solar collectors as a source of heat in &apos;Minergie&apos; buildings. A solution involving a combined solar heating and hot-water supply is discussed. The fourth contribution discusses the use of low-temperature radiators in &apos;Minergie&apos; buildings. Examples are given of heat requirements calculation and the factors involved in dimensioning the radiators are discussed. A fifth article describes a commercially available compact solar hot-water system and discusses questions of solar fraction. Returning to basic aspects, the sixth contribution introduces a labelling system for the various components of a &apos;Minergie&apos; building - such as ventilation units, insulation material, radiators, boilers etc

  8. &apos;Chaos&apos; in superregenerative receivers

    Energy Technology Data Exchange (ETDEWEB)

    Commercon, Jean-Claude [INSA, Department d' Informatiques, Ba-hat t B. Pascal, 20 Avenue Albert Einsten, 69621 Villeurbaune (France)]. E-mail: jean-claude.commercon@insa-lyon.fr; Badard, Robert [INSA, Department d' Informatiques, Bat B. Pascal, 20 Avenue Albert Einsten, 69621 Villeurbaune (France)]. E-mail: robert.badard@insa-lyon.fr

    2005-02-01

    The superregenerative principle has been known since the early 1920s. The circuit is extremely simple and extremely sensitive. Today, superheterodyne receivers generally supplant superregenerative receivers in most applications because there are several undesirable characteristics: poor selectivity, reradiation, etc. Superregenerative receivers undergo a revival in recent papers for wireless systems, where low cost and very low power consumption are relevant: house/building meters (such as water, energy, gas counter), personal computer environment (keyboard, mouse), etc. Another drawback is the noise level which is higher than that of a well-designed superheterodyne receiver; without an antenna input signal, the output of the receiver hears in an earphone as a waterfall noise; this sound principally is the inherent input noise amplified and detected by the circuit; however, when the input noise is negligible with respect of an antenna input signal, we are faced to an other source of &apos;noise&apos; self-generated by the superregenerative working. The main objective of this paper concerns this self-generated noise coming from an exponential growing followed by a re-injection process for which the final state is a function of the phase of the input signal.

  9. Alterações motoras após cirurgia refrativa no paciente estrábico Motor disturbances after refractive surgery in patients with strabismus

    Directory of Open Access Journals (Sweden)

    Rosana Nogueira Pires da Cunha

    2004-06-01

    Full Text Available OBJETIVO: Estudar a evolução clínica de pacientes com estrabismo e que se submeteram à cirurgia refrativa. MÉTODOS: Foram examinados 15 pacientes de outubro de 2000 a setembro de 2001 com história de estrabismo e cirurgia fotorrefrativa, incluindo avaliação sensório-motora. O tempo de seguimento foi no mínimo de 6 meses da correção a laser. Os pacientes que já haviam sido submetidos à correção a laser constituíram o primeiro grupo, e os que foram examinados antes da correção a laser, formaram o segundo grupo. RESULTADOS: Todos os pacientes do primeiro grupo necessitaram de cirurgia corretora de estrabismo para aliviar os sintomas de visão dupla ou corrigirem o aumento do desvio ocular. A cirurgia fotorrefrativa foi realizada nesses casos em pacientes com estrabismo pré-existente e sem avaliação prévia de suas condições sensoriais.A maioria dos pacientes do segundo grupo apresentou piora da visão binocular após o procedimento a laser. Metade dos pacientes desse grupo precisou usar óculos para detalhes de perto para aliviar sintomas de astenopia. Aqueles que possuíam esotropia acomodativa foram os que apresentaram menos ou nenhuma queixa após o procedimento, e a evolução foi estável ao longo dos meses de pós-operatório. CONCLUSÕES: Os cirurgiões refrativos devem selecionar seus pacientes, evitando subestimar alterações que possam comprometer a capacidade de fusão após o laser. Recomendamos a avaliação sensório-motora detalhada, antes do laser, para todos os candidatos à cirurgia refrativa.PURPOSE: To evaluate patients with strabismus submitted to excimer laser refractive procedure. METHODS: Complete eye examination was performed, including motor and sensorial evaluation in 15 patients from October, 2000 to September, 2001. Follow-up was at least 6 months after excimer laser procedure. Patients who had been submitted to laser were named the first group and those who were seen before laser formed the

  10. Anestesia local e sedação para cirurgia de implante coclear: uma alternativa possível Local anesthesia for cochlear implant surgery: a possible alternative

    Directory of Open Access Journals (Sweden)

    Rogério Hamerschmidt

    2010-10-01

    Full Text Available Aanestesia geral sempre foi motivo de dúvida dos pacientes que vão ser submetidos a qualquer cirurgia, especialmente o implante coclear. Como já realizamos as cirurgias otológicas com anestesia local e sedação, julgamos perfeitamente possível a realização da cirurgia do implante coclear também com esse tipo de anestesia, diminuindo os riscos, a morbidade e os custos para o hospital. OBJETIVOS: Estudo prospectivo para demonstrar a técnica anestésica e cirúrgica utilizada em três casos de adultos submetidos ao implante coclear, avaliando a segurança e a eficácia de tal técnica. MATERIAL E MÉTODOS: Foram feitas três cirurgias de implante coclear, duas com implante Cochlear e uma com Med-EL, sem intercorrências transoperatórias, durante a telemetria e no pós-operatório imediato. RESULTADOS: Os três pacientes adultos tiveram alta hospitalar aproximadamente três horas após a cirurgia, deambulando, sem eventos nauseosos, relatando um pós-operatório mais fácil do que esperavam, mesmo no momento da telemetria intraoperatória. CONCLUSÃO: Anestesia local e sedação é uma alternativa para casos selecionados de pacientes para o implante coclear, principalmente naqueles de mais idade ou que apresentem contraindicação para a anestesia geral, os riscos e a morbidade são menores.The aim of this paper is to illustrate the possibility of performing a cochlear implant surgery with local anesthesia and sedation, the anesthetic technique and the advantages of that in comparison to a general anesthesia. AIMS: prospective study demonstrating the possibility of doing cochlear implant surgery under local anesthesia and sedation. MATERIALS AND METHODS: we describe three successful cases operated under local anesthesia, including neural telemetry and the conditions the patient presented after the surgery, with a very good recovery and no complications during and after the procedure. RESULTS: these three surgeries show the possibility of

  11. Glicemia perioperatória e complicações pós-operatórias em cirurgia cardíaca pediátrica

    Directory of Open Access Journals (Sweden)

    Rodrigo Leal Alves

    2011-11-01

    Full Text Available FUNDAMENTO: Anestesia para cirurgia cardíaca pediátrica é sistematicamente realizada em pacientes graves sob condições fisiológicas anormais. No intraoperatório, existem variações significativas da volemia, temperatura corporal, composição plasmática e fluxo sanguíneo tecidual, além de ativação da inflamação, com consequências importantes. Medidas seriadas da glicemia podem indicar estados de exacerbação da resposta neuroendocrinometabólica ao trauma servindo como marcadores prognóstico de morbidade nessa população. OBJETIVO: Correlacionar os níveis de glicemia do período perioperatório de crianças submetidas a cirurgia cardíaca com a ocorrência de complicações no pós-operatório e comparar os níveis intraoperatórios de glicemia de acordo com as condições perioperatórias. MÉTODOS: Informações referentes ao procedimento anestésico-cirúrgico e condições perioperatórias dos pacientes foram coletadas em prontuário. Comparações das médias dos valores perioperatórios da glicemia nos grupos de pacientes que apresentaram, ou não, complicações pós-operatórias e as frequências referentes às condições perioperatórias foram estabelecidas conforme cálculo da razão de chances e em análises univariáveis não paramétricas. RESULTADOS: Valores mais elevados de glicemia intraoperatória foram observados nos indivíduos que apresentaram complicações pós-operatórias. Prematuridade, faixa etária, tipo de anestesia e caráter do procedimento não apresentaram influência na média glicêmica do intraoperatório. O emprego de Circulação Extracorpórea (CEC esteve associado a maiores valores de glicemia durante a cirurgia. Nos procedimentos com CEC, maiores níveis glicêmicos foram observados nos indivíduos que evoluíram com infecção e complicações cardiovasculares, nas cirurgias sem CEC essa mesma associação ocorreu com complicações infecciosas e hematológicas. CONCLUSÃO: N

  12. Regulation imposed to nuclear facility operators for the elaboration of &apos;waste studies&apos; and &apos;waste statuses&apos;; Reglementation imposee aux exploitants d&apos;installations nucleaires pour l&apos;elaboration &apos;&apos;des etudes dechets&apos;&apos; et &apos;&apos;des bilans dechets&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-09-04

    This decision from the French authority of nuclear safety (ASN) aims at validating the new versions of the guidebook for the elaboration of &apos;waste studies&apos; for nuclear facilities and of the specifications for the elaboration of &apos;waste statuses&apos; for nuclear facilities. This paper includes two documents. The first one is a guidebook devoted to nuclear facility operators which fixes the rules of production of waste studies according to the articles 20 to 26 of the inter-ministry by-law from December 31, 1999 (waste zoning conditions and ASN&apos;s control modalities). The second document concerns the specifications for the establishment of annual waste statuses according to article 27 of the inter-ministry by-law from December 31, 1999 (rational management of nuclear wastes). (J.S.)

  13. Internet of &apos;'printed'&apos; Things: low-cost fabrication of autonomous sensing nodes by inkjet printing

    International Nuclear Information System (INIS)

    Kawahara, Yoshihiro

    2014-01-01

    &apos;&apos;What if electronics devices are printed using an inkjet printer even at home?&apos;&apos; &apos;&apos;What if those devices no longer need a battery?&apos;&apos; I will introduce two enabling technologies for the Internet of Things concept. 1. Instant Inkjet Circuits: A low cost, fast and accessible technology to support the rapid prototyping of electronic devices. We demonstrated that &apos;'sintering-free'&apos; silver nano particle ink with a commodity inkjet printer can be used to fabricate printed circuit board and high-frequency applications such as antennas and sensors. The technology is now commercialized by AgIC, Inc. 2. Wireless Power: Although large amounts of data can be exchanged over a wireless communication link, mobile devices are still tethered by power cables. We are trying to solve this problem by two different approaches: energy harvesting. A simple circuitry comprised of diodes and capacitor can convert ambient radio signals into DC current. Our research revealed the signals from TV tower located 6.5km apart could be used to feed 100 microwatts to power microcontrollers

  14. &apos;&apos;1/f noise&apos;&apos; in music: Music from 1/f noise

    Energy Technology Data Exchange (ETDEWEB)

    Voss, R.F.; Clarke, J.

    1978-01-01

    The spectral density of fluctuations in the audio power of many musical selections and of English speech varies approximately as 1/f (f is the frequency) down to a frequency of 5 x 10/sup -4/ Hz. This result implies that the audio-power fluctuations are correlated over all times in the same manner as &apos;&apos;1/f noise&apos;&apos; in electronic components. The frequency fluctuations of music also have a 1/f spectral density at frequencies down to the inverse of the length of the piece of music. The frequency fluctuations of English speech have a quite different behavior, with a single characteristic time of about 0.1 s, the average length of a syllable. The observations on music suggest that 1/f noise is a good choice for stochastic composition. Compositions in which the frequency and duration of each note were determined by 1/f noise sources sounded pleasing. Those generated by white-noise sources sounded too random, while those generated by 1/f/sup 2/ noise sounded too correlated.

  15. &apos;'Spin-dependent'&apos; μ → e conversion on light nuclei

    International Nuclear Information System (INIS)

    Davidson, Sacha; Saporta, Albert; Kuno, Yoshitaka

    2018-01-01

    The experimental sensitivity to μ → e conversion will improve by four or more orders of magnitude in coming years, making it interesting to consider the &apos;'spin-dependent'&apos; (SD) contribution to the rate. This process does not benefit from the atomic-number-squared enhancement of the spin-independent (SI) contribution, but probes different operators. We give details of our recent estimate of the spin-dependent rate, expressed as a function of operator coefficients at the experimental scale. Then we explore the prospects for distinguishing coefficients or models by using different targets, both in an EFT perspective, where a geometric representation of different targets as vectors in coefficient space is introduced, and also in three leptoquark models. It is found that comparing the rate on isotopes with and without spin could allow one to detect spin-dependent coefficients that are at least a factor of few larger than the spin-independent ones. Distinguishing among the axial, tensor and pseudoscalar operators that induce the SD rate would require calculating the nuclear matrix elements for the second two. Comparing the SD rate on nuclei with an odd proton vs. odd neutron could allow one to distinguish operators involving u quarks from those involving d quarks; this is interesting because the distinction is difficult to make for SI operators. (orig.)

  16. Comments on &apos;&apos;Analysis of spherical imploding shocks&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Lazarus, R.B.

    1980-04-01

    It is asserted that Fujimoto and Mishkin&apos;s article is incorrect in its claim for a pressure extremum at or behind the shock for all values of ..gamma.. and in its claim for an analytical form for the similarity exponent. (AIP)

  17. OBJECTIVE BAYESIAN ANALYSIS OF &apos;'ON/OFF'&apos; MEASUREMENTS

    Energy Technology Data Exchange (ETDEWEB)

    Casadei, Diego, E-mail: diego.casadei@fhnw.ch [Visiting Scientist, Department of Physics and Astronomy, UCL, Gower Street, London WC1E 6BT (United Kingdom)

    2015-01-01

    In high-energy astrophysics, it is common practice to account for the background overlaid with counts from the source of interest with the help of auxiliary measurements carried out by pointing off-source. In this &apos;'on/off'&apos; measurement, one knows the number of photons detected while pointing toward the source, the number of photons collected while pointing away from the source, and how to estimate the background counts in the source region from the flux observed in the auxiliary measurements. For very faint sources, the number of photons detected is so low that the approximations that hold asymptotically are not valid. On the other hand, an analytical solution exists for the Bayesian statistical inference, which is valid at low and high counts. Here we illustrate the objective Bayesian solution based on the reference posterior and compare the result with the approach very recently proposed by Knoetig, and discuss its most delicate points. In addition, we propose to compute the significance of the excess with respect to the background-only expectation with a method that is able to account for any uncertainty on the background and is valid for any photon count. This method is compared to the widely used significance formula by Li and Ma, which is based on asymptotic properties.

  18. &apos;'Spin-dependent'&apos; μ → e conversion on light nuclei

    Energy Technology Data Exchange (ETDEWEB)

    Davidson, Sacha; Saporta, Albert [IPNL, CNRS/IN2P3, Villeurbanne (France); Universite Claude Bernard Lyon 1, Villeurbanne (France); Universite de Lyon, Lyon (France); Kuno, Yoshitaka [Osaka University, Department of Physics, Toyonaka, Osaka (Japan)

    2018-02-15

    The experimental sensitivity to μ → e conversion will improve by four or more orders of magnitude in coming years, making it interesting to consider the &apos;'spin-dependent'&apos; (SD) contribution to the rate. This process does not benefit from the atomic-number-squared enhancement of the spin-independent (SI) contribution, but probes different operators. We give details of our recent estimate of the spin-dependent rate, expressed as a function of operator coefficients at the experimental scale. Then we explore the prospects for distinguishing coefficients or models by using different targets, both in an EFT perspective, where a geometric representation of different targets as vectors in coefficient space is introduced, and also in three leptoquark models. It is found that comparing the rate on isotopes with and without spin could allow one to detect spin-dependent coefficients that are at least a factor of few larger than the spin-independent ones. Distinguishing among the axial, tensor and pseudoscalar operators that induce the SD rate would require calculating the nuclear matrix elements for the second two. Comparing the SD rate on nuclei with an odd proton vs. odd neutron could allow one to distinguish operators involving u quarks from those involving d quarks; this is interesting because the distinction is difficult to make for SI operators. (orig.)

  19. Thermal management of a &apos;'BC'&apos; size molicel

    Energy Technology Data Exchange (ETDEWEB)

    Fouchard, D.; Ruggier, L.; Taylor, B.J.

    1987-05-01

    The &apos;'BC'&apos; size MOLICEL using the rechargeable system Li/MoS/sub 2/ has already been shown to have performance characteristics appropriate for use in an electric vehicle battery. The cell design, based on the results of thermal modelling studies, has been modified to provide for improved removal of waste heat resulting from planned high power discharge or from accidental electrical abuse. Experimental verification of the various interfacial thermal impedances was done and an appropriate heat sink specified to use air cooling for the final rejection stage. Fully instrumented 45 Ah test cells were built using a design in which waste heat was caused to flow axially in the aluminum foils forming the cathode current collector. The bottom ends of these foils were thermally integrated to the cell can bottom which had air cooling fins attached externally. Two fully charged cells of this special design were subjected to sustained short circuit whilst being cooled on their fins only with air at 25 km/h. Neither cell experienced any excessive heat built-up and no safety hazard occurred. The results show that thermal management of this type of battery can readily be done using a simple cell design modification and requiring minimum complexity for heat disposal to the environment. The system does not impose any extraordinary constraints on electric vehicle design and it would also be feasible to duct warm air from the battery heat exchanger to provide passenger compartment heating. 17 figs., 7 tabs.

  20. Accidents, &apos;black swans&apos; and risks

    Energy Technology Data Exchange (ETDEWEB)

    Luxat, J.C. [McMaster Univ., Dept. of Engineering Physics, Hamilton, Ontario (Canada)

    2013-06-15

    Major accidents and natural disasters with severe consequences have occurred in all sectors of industrial activity with relatively high frequency. The severe consequences of concern involve either significant loss of life or major economic loss, or both loss of life and economic loss. Such events have the last two years been referred to as &apos;black swan&apos; events following publication of Taleb&apos;s bestselling book. These events demonstrate limits to PRA application that arise from the underlying high uncertainty associated with the estimation of frequency of occurrence of such events. An approach is proposed in this paper that, consistent with the concept of defense in depth employed by the nuclear industry, augments probabilistic risk assessment with a methodology based upon &apos;threat - risk assessment&apos;. This approach shifts these very low frequency high consequence &apos;black swan&apos; events out of the probabilistic risk assessment domain into a deterministic emergency response assessment domain. (author)

  1. Facility Management journal special feature on energy. Intelligent energy supply and air conditioning concept for the &apos;&apos;Bonner Bogen&apos;&apos; buildings; Facility Management-Special &apos;'Energie'&apos;. Intelligentes Energie- und Klimakonzept fuer den &apos;&apos;Bonner Bogen&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2009-11-15

    In the &apos;&apos;Bonner Bogen&apos;&apos; construction project, the focus was on resources-saving technology and maximum user comfort, resulting in an integrated planning and implementation process. According to the investor, BonnVisio, the technical infrastructure and energy center of the building - based on groundwater geothermal energy with aquifer storage - is unique in Germany and Europe in terms of size, mode of operation, and efficiency. (orig.)

  2. The &apos;&apos;rising bubble&apos;&apos; sign: a new aid in the diagnosis of unicameral bone cysts

    Energy Technology Data Exchange (ETDEWEB)

    Jordanov, Martin I. [Vanderbilt University Medical Center, Department of Radiology and Radiological Sciences, Nashville, TN (United States)

    2009-06-15

    The observation of a bubble of gas at the most non-dependent margin of a lytic bone lesion which has sustained a pathologic fracture implies that the lesion is hollow and can assist the radiologist in making the diagnosis of a unicameral bone cyst. The imaging studies of two patients who sustained pathologic fractures through unicameral bone cysts and exhibited the &apos;&apos;rising bubble&apos;&apos; sign are shown. The sign&apos;s basis, proper utilization, and potential pitfalls are discussed. (orig.)

  3. Study and designing of the &apos;'caliprax'&apos; measurement bench; Etude et realisation du banc &apos;'caliprax'&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Barriere, J.Ch

    2001-09-01

    Probing the matter in order to check its elementary constituents, that is the goal of the particle physic. In this field, the experiments consist in colliding highly energetic particle beams and observing the new born particles. These observations are based on big particle detectors whose running is dependant on the precise knowledge of their geometry (position of the detection chambers). To achieve this, the detectors are equipped with alignment sensors, which have to be calibrated before. This document describes the study and the making of a calibration bench for the &apos;Praxial&apos; (PRoximity AXIAL) type sensors, and other works related to these sensors. In a first part, we determine and apply a method to set the tools used to fix the sensor stands on the detection chambers. These settings are made with the use of a tridimensional measuring machine. Then, we study the stands themselves. These investigations concern mechanics: positioning quality of the sensors in their stands, bending of the supports due to the tightening. In this part too, the studies are in the field of dimensional metrology. After this, the works are reoriented toward the bench, with the choice of the displacement sensors among two different technologies: optical, with the Rasnik system, and mechanical, with linear probes as LVDT (Linear Variable Differential Transformer). Following the discovery of an ambiguity on the Rasnik system, we go on the tests to understand its behaviour. We introduce the theory of the alignment sensors calibration, which is based on a minimization calculation. The computer programs are explained in a chapter, and in an other, the implementation of the quality assurance procedures. An other part describes the mechanical studies and the problems they cause. Because of a delay onset of the project, we make a model of the bench. This dummy allows us to test every single function of the final bench. With this device, we record manually the first calibration data and

  4. O impacto da obesidade na morbi-mortalidade de pacientes submetidos à cirurgia de revascularização miocárdica = Impact of obesity in morbity and mortality of patients submitted to myocardial revascularization surgery

    Directory of Open Access Journals (Sweden)

    Guaragna, Luciana Parareda

    2008-01-01

    Conclusões: neste estudo a obesidade aumentou o risco das seguintes complicações no pós-operatório de cirurgia de revascularização do miocárdio: mediastinite, tromboembolia pulmonar e síndrome da resposta inflamatória sistêmica. Não houve aumento estatisticamente significativo na mortalidade

  5. Fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica = Risk factors for weight regain in the late postoperative of bariatric surgery

    Directory of Open Access Journals (Sweden)

    Bardal, Adriane Granato

    2016-01-01

    Conclusões: Nessa amostra, a baixa assiduidade às consultas nutricionais no pré-operatório, bem como a renda familiar elevada foram fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica

  6. Carcinoma basocelular simulando tumor intranasal: tratamento com cirurgia micrográfica pelo método de Munique Basal cell carcinoma mimicking intranasal tumor: treatment by Munich method of micrographic surgery

    Directory of Open Access Journals (Sweden)

    Luis Fernando Figueiredo Kopke

    2007-12-01

    Full Text Available Relata-se caso incomum de carcinoma basocelular que simulava tumor intranasal de crescimento expansivo, na cavidade da narina esquerda. Operado com cirurgia micrográfica pelo método de Munique, foi possível demonstrar que o tumor se originava da pele aparentemente normal e suprajacente do nariz. Por ser tridimensional, esse método de cirurgia micrográfica permite estudo mais preciso da peça cirúrgica. Discutem-se também aspectos peculiares da cirurgia micrográfica pelo método de Munique, o que contribui para a ampliação do conceito das cirurgias microscopicamente controladas.A rare case of basal cell carcinoma mimicking an expansive intranasal tumor in the left nostril is reported. Through the Munich micrographic surgery method, it was possible to demonstrate that the tumor originated from the apparently normal nose skin. Since this micrographic surgery is a tri-dimensional method, it enables a more accurate study of the specimen. Some peculiar aspects of the micrographic surgery using the Munich method are discussed, thus contributing to further understanding about the concept of microscopically controlled surgeries.

  7. Relevância de exames de rotina em pacientes de baixo risco submetidos a cirurgias de pequeno e médio porte

    Directory of Open Access Journals (Sweden)

    Danielle de Sousa Soares

    2013-04-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A avaliação pré-operatória tem como objetivos diminuir a morbimortalidade do paciente cirúrgico, o custo do atendimento perioperatório e a ansiedade pré-operatória. A partir da avaliação clínica deve-se definir a necessidade de exames complementares e estratégias para reduzir o risco anestésico-cirúrgico. O objetivo deste trabalho foi avaliar o benefício de exames de rotina pré-operatório de pacientes de baixo risco em cirurgias de pequeno e médio porte. MÉTODOS: Trata-se de um estudo descritivo, transversal, com 800 pacientes atendidos no consultório de avaliação pré-anestésica do Hospital Santo Antonio, Salvador, BA. Foram incluídos pacientes de 1 a 45 anos, estado físico ASA I, que seriam submetidos a cirurgias eletivas de pequeno e médio porte. Avaliaram-se alterações no hemograma, coagulograma, eletrocardiograma, RX de tórax, glicemia, função renal e dosagem de sódio e potássio e as eventuais mudanças de conduta que ocorreram decorrentes dessas alterações. RESULTADOS: Dos 800 pacientes avaliados, 97,5% fizeram hemograma, 89% coagulograma, 74,1% eletrocardiograma, 62% RX de tórax, 68% glicemia de jejum, 55,7% dosagens séricas de ureia e creatinina e 10,1% dosagens de sódio e potássio séricos. Desses 700 pacientes, 68 (9,71% apresentaram alteração nos exames pré-operatórios de rotina e apenas 10 (14,7% dos considerados alterados tiveram conduta pré-operatória modificada, ou seja, solicitação de novos exames, interconsulta ou adiamento do procedimento. Nenhuma das cirurgias foi suspensa. CONCLUSÃO: Observou-se que excessivos exames complementares são solicitados no pré-operatório, mesmo em pacientes jovens, de baixo risco cirúrgico, com pouca ou nenhuma interferência na conduta perioperatória. Exames aboratoriais padronizados não são bons instrumentos de screening de doenças, além de gerar gastos elevados e desnecessários.

  8. &apos;'Routine'&apos; brain CT in psychiatric patients - does it make sense?; &apos;'Routine'&apos;-Schaedel-CT in der psychiatrischen Diagnostik

    Energy Technology Data Exchange (ETDEWEB)

    Pickuth, D.; Heywang-Koebrunner, S.H.; Spielmann, R.P. [Martin-Luther-Universitaet Halle-Wittenberg, Halle (Germany). Klinik und Poliklinik fuer Diagnostische Radiologie

    1999-11-01

    Purpose: To prospectively assess the spectrum of brain CT findings in psychiatric patients and to determine the number of patients that had an underlying cause for the symptoms. Patients and methods: Over a period of six months, 142 patients (78 males, 64 females; median age 61 [18-91] years) were referred for CT brain scans. Their scans were reviewed, along with the clinical information that was provided in the request form. All the hard copies were reviewed to assess areas of ischaemia, infarction, atrophy, tumours, and haematomas. The majority of requests were to exclude vascular event or space-occupying lesions. Clinical indications included mood disorders (depression, mania), schizophrenic disorders, dementia, personality and behavioural disorders. Results: 31 (22%) were normal. 111 (78%) had varying degrees of ischaemia, infarction and cerebral/cerebellar atrophy. 7 (4.9%) had space-occupying lesions which included two gliomas and five meningiomas. There were two chronic subdural haematomas and one arteriovenous malformation. Conclusion: 1. In our series, pathologic findings in &apos;routine&apos; brain CT&apos;s were encountered in 78%. 2. The incidence of brain tumours was 4.9%, compared with 0.00005% of the general population. 3. CT scanning in psychiatric patients is cost-effective and especially indicated when there is an atypical presentation, or inadequate response to standard treatment. (orig.) [German] Hintergrund: Bei psychiatrischen Patienten wird vielerorts routinemaessig eine kraniale Computertomographie (CCT) durchgefuehrt. Ob der Nutzen die Kosten rechtfertigt, wurde im Rahmen einer Prospektivstudie untersucht. Patienten und Methode: In einem Zeitraum von 6 Monaten wurde bei 142 psychiatrischen Patienten (78 Maenner, 64 Frauen, 18-91 Jahre, Median 61 Jahre) ein CCT angefertigt. Die Untersuchung erfolgt nativ in 5-mm-Schichtdicke, bei klinischem Verdacht auf eine intrakraniale Raumforderung auch kontrastverstaerkt. Ueberweisungsdiagnosen waren v

  9. The adductor magnus &apos;'mini-hamstring'&apos;: MRI appearance and potential pitfalls

    International Nuclear Information System (INIS)

    Broski, Stephen M.; Murthy, Naveen S.; Collins, Mark S.; Krych, Aaron J.; Obey, Mitchel R.

    2016-01-01

    To examine the anatomic MRI characteristics of the adductor magnus mini hamstring (AMMH) and explore its involvement in cases of hamstring avulsion. An IRB-approved retrospective review of patients undergoing &apos;&apos;hamstring protocol&apos;&apos; MRI between March 2009 and June 2014 was performed. Two musculoskeletal radiologists recorded multiple AMMH anatomic characteristics and involvement in cases of hamstring avulsion. Seventy-six AMMHs were analyzed in 66 patients [35 females and 31 males, mean age 49.3 ± 15.2 years (range 17-81)]. Eleven percent of AMMHs were poorly visualized, 51 % visualized, and 37 % well visualized. Seven percent demonstrated round, 73 % ovoid, and 21 % flat/lenticular tendon morphologies. Most (88 %) demonstrated typical origins. Average cross-sectional area (CSA) was 22.4 ± 10.6 mm 2 (range 6-56), diameter was 7.2 ± 2.5 mm (range 2.9-15), medial distance from the semimembranosus tendon was 7.5 ± 2.5 mm (range 3-14), and tendon length was 6.8 ± 3.3 cm (range 1.2-14.1). There was no gender difference in AMMH anatomic measurements or correlation between age and CSA or diameter. Of 17 complete hamstring avulsion cases, the AMMH was intact in 13, partially torn in 3, and completely torn in 1. The AMMH is a constant finding with variable anatomic characteristics. It is visualized or well visualized by MRI in 88 % of cases and is a sizable tendon located in close proximity to the semimembranosus tendon. Because it is uncommonly completely torn (6 %) in cases of complete hamstring avulsion, radiologists should be aware of its presence and appearance to avoid diagnostic confusion. (orig.)

  10. The adductor magnus &apos;'mini-hamstring'&apos;: MRI appearance and potential pitfalls

    Energy Technology Data Exchange (ETDEWEB)

    Broski, Stephen M.; Murthy, Naveen S.; Collins, Mark S. [Department of Radiology, Mayo Clinic, Rochester, MN (United States); Krych, Aaron J. [Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN (United States); Obey, Mitchel R. [Mayo School of Graduate Medical Education, Rochester, MN (United States)

    2016-02-15

    To examine the anatomic MRI characteristics of the adductor magnus mini hamstring (AMMH) and explore its involvement in cases of hamstring avulsion. An IRB-approved retrospective review of patients undergoing &apos;&apos;hamstring protocol&apos;&apos; MRI between March 2009 and June 2014 was performed. Two musculoskeletal radiologists recorded multiple AMMH anatomic characteristics and involvement in cases of hamstring avulsion. Seventy-six AMMHs were analyzed in 66 patients [35 females and 31 males, mean age 49.3 ± 15.2 years (range 17-81)]. Eleven percent of AMMHs were poorly visualized, 51 % visualized, and 37 % well visualized. Seven percent demonstrated round, 73 % ovoid, and 21 % flat/lenticular tendon morphologies. Most (88 %) demonstrated typical origins. Average cross-sectional area (CSA) was 22.4 ± 10.6 mm{sup 2} (range 6-56), diameter was 7.2 ± 2.5 mm (range 2.9-15), medial distance from the semimembranosus tendon was 7.5 ± 2.5 mm (range 3-14), and tendon length was 6.8 ± 3.3 cm (range 1.2-14.1). There was no gender difference in AMMH anatomic measurements or correlation between age and CSA or diameter. Of 17 complete hamstring avulsion cases, the AMMH was intact in 13, partially torn in 3, and completely torn in 1. The AMMH is a constant finding with variable anatomic characteristics. It is visualized or well visualized by MRI in 88 % of cases and is a sizable tendon located in close proximity to the semimembranosus tendon. Because it is uncommonly completely torn (6 %) in cases of complete hamstring avulsion, radiologists should be aware of its presence and appearance to avoid diagnostic confusion. (orig.)

  11. The trochlear cleft: the &apos;&apos;black line&apos;&apos; of the trochlear trough

    Energy Technology Data Exchange (ETDEWEB)

    Wissman, Robert D.; Nepute, Joshua; Fischer, Nathaniel von; Radhakrishnan, Rupa; Hendry, Daniel [University of Cincinnati Medical Center, Department of Radiology, Cincinnati, OH (United States); Ingalls, Jerrell [Desert Radiologists, Las Vegas, NV (United States); Kenter, Keith [University of Cincinnati Medical Center, Department of Orthopaedic Surgery, Cincinnati, OH (United States)

    2012-09-15

    The &apos;&apos;cartilage black line sign&apos;&apos; is a recently described T2 dark cartilage lesion that we have identified appearing as a cleft in the trochlear trough. The purpose of our study was to define the MR imaging characteristics of a trochlear cleft, determine its incidence, and correlate the MR findings with arthroscopy. A total of 1,300 consecutive MR examinations of the knee were retrospectively reviewed by consensus of two fellowship-trained musculoskeletal radiologists. The MR imaging characteristics and location of a trochlear cleft were determined. Imaging results were compared to arthroscopy when available. Patient age and gender were compared to 25 randomly selected control patients without trochlear clefts. A total of 25 (1.9%) individuals (11 females and 14 males; age range 19-45 years; mean age 28 years) were diagnosed with a trochlear cleft. The control group consisted of 11 females and 14 males; age range 19-83 years; mean age 46 years. Mean cleft length was 7 mm (range 6-12 mm); cleft location was consistently in the lower trochlear trough. No full-thickness cartilage defects were identified in the eight individuals in whom arthroscopic correlation was available. A grade 2 cartilage lesion was identified in a single individual; another progressed from grade 0 to a full-thickness trochlear lesion over an 8-month interval. Eight individuals were athletes. No significant difference in gender was noted between the two groups, however, the study group was significantly younger p < 0.0001. A trochlear cleft is a rare finding in young active individuals. It most likely indicates an incomplete cartilage fissure which may rarely progress to a full-thickness defect. (orig.)

  12. &apos;&apos;Atomic Optics&apos;&apos;: Nonimaging Optics on the Nanoscale

    Energy Technology Data Exchange (ETDEWEB)

    Roland Winston Joseph O' Gallagher

    2005-01-15

    This is the final report for a one year close out extension of our basic research program that was established at the University of Chicago more than sixteen years ago to explore and develop the optical sub-discipline that has come to be known as &apos;&apos;nonimaging optics&apos;&apos;. This program has been extremely fruitful, having both broadened the range of formalism available for workers in this field and led to the discovery of many new families of optical devices. These devices and techniques have applications wherever the efficient transport and transformation of light distributions are important, in particular in illumination, fiber optics, collection and concentration of sunlight, and the detection of faint light signals in physics and astrophysics. Over the past thirty years, Nonimaging Optics (Welford and Winston, 1989) has brought a fresh approach to the analysis of many problems in classical macro-scale optics. Through the application of phase-space concepts, statistical methods, thermodynamic arguments, etc., many previously established performance limits were able to be broken and many technical surprises with exciting practical applications were discovered. The most recent three-year phase of our long-term continuing program ended in late 2002 and emphasized extending our work in geometrical optics and expanding it to include some interesting questions in physical optics as well as in the new field of statistical optics. This report presents a survey of the basic history and concepts of nonimaging optics and reviews highlights and significant accomplishments over the past fifteen years. This is followed by a more detailed summary of recent research directions and accomplishments during the last three years. This most recent phase was marked by the broadening in scope to include a separate project involving a collaboration with an industrial partner, Science Applications International Corporation (SAIC). This effort was proposed and approved in

  13. Plasma rico em plaquetas e fatores de crescimento: técnica de preparo e utilização em cirurgia plástica

    OpenAIRE

    Vendramin, Fabiel Spani; Franco, Diogo; Nogueira, Carmen Martins; Pereira, Mariana Sá; Franco, Talita Romero

    2006-01-01

    OBJETIVO: Estabelecer um método barato e eficiente de preparação do plasma rico em plaquetas e fatores de crescimento para utilização em cirurgia plástica. MÉTODO: Foram realizados 20 testes através de centrifugação de sangue, variando-se a força e o tempo de centrifugação, para determinarmos o melhor método que proporcione uma maior concentração plaquetária e mais 10 testes para comprovar a reprodutibilidade do método. RESULTADOS: A utilização de uma força de centrifugação de 300 g por 10 mi...

  14. Prevalência de disfagia orofaríngea no acidente vascular cerebral após cirurgia cardíaca

    OpenAIRE

    Tatiana Magalhães de Almeida; Paula Cristina Cola; Daniel Magnoni; João Ítalo Dias França; Roberta Gonçalves da Silva

    2015-01-01

    Resumo: OBJETIVO: determinar a prevalência de disfagia orofaríngea em indivíduos submetidos à cirurgia cardíaca e que evoluíram com Acidente Vascular Cerebral em Hospital Público de Referência. MÉTODOS: estudo clínico descritivo, retrospectivo, realizado por meio da coleta de dados de protocolos de avaliação clínica da deglutição orofaríngea, no período de novembro de 2010 á novembro de 2011. Foram incluídos os 25 protocolos de avaliação clínica para disfagia orofaríngea de indivíduos que f...

  15. NECESSIDADES HUMANAS BÁSICAS AFETADAS EM UM GRUPO DE PACIENTES EM PÓS-OPERATÓRIO DE CIRURGIA CARDÍACA, NA UTI

    OpenAIRE

    Pagliuca, Lorita Marlena Freitag

    1988-01-01

    Aplicação do processo de enfermagem proposto por HORTA2 a um grupo de 50 pacientes em pós-operatório de cirurgia cardíaca, na UTI. Fo ram identificadas como afetadas, as necessidades de terapêutica, circulação, equilíbrio hidroeletrolítico, equilíbrio ácido-básico, cuidado corporal, oxigenação, integridade cutâneo-mucosa, eliminação urinaria, regulação neurológica, segurança, percepção dolorosa, sono e repouso, motilidade, integridade física, nutrição, regulação térmica, hormonal e imunológic...

  16. Falso Aneurisma Femoral Iatrogénico: Ainda uma indicação para a Cirurgia Convencional? Iatrogenic femoral pseudoaneurysm: still an indication for conventional surgery?

    Directory of Open Access Journals (Sweden)

    Nelson Oliveira

    2011-12-01

    Full Text Available Introdução: Os Falsos Aneurismas (FA são uma das complicações mais frequentemente associadas à punção femoral diagnóstica e de intervenção cardíaca. A sua abordagem terapêutica tem evoluído no sentido da preponderância das técnicas não invasivas sendo a Cirurgia Convencional cada vez menos frequentemente praticada. Objectivos: Os autores propõem a propósito de um caso clínico, e através de uma revisão da literatura discutir a abordagem terapêutica dos FA e as indicações da Cirurgia Convencional. Caso clínico: Doente de sessenta e um anos, sexo masculino, com antecedentes de hipertensão arterial, doença coronária com enfarte agudo do miocárdio prévio, miocardiopatia dilatada, fibrilhação auricular paroxística sendo portador de cardiodesfibrilhador. Foi submetido a cateterismo cardíaco por via femoral direita para ablação do Feixe de His, tendo sido referenciado ao Serviço de Angiologia e Cirurgia Vascular por desenvolvimento progressivo de massa pulsátil dolorosa acompanhada de hipostesia da face anterior da coxa. A Angiodinografia confirmou a presença de falso aneurisma da artéria femoral profunda direita com 3cm de maior diâmetro e a presença de uma fístula entre a artéria e a veia femorais superficiais direitas. Por abordagem cirúrgica aberta, foi realizada a exclusão do falso aneurisma e rafia da artéria e veia femorais superficiais. Conclusão: A abordagem de primeira linha dos falsos aneurismas iatrogénicos pós cateterismo cardíaco é não invasiva mas a Cirurgia Convencional detém ainda um lugar primordial para um grupo restrito de doentes.Introduction: Pseudoaneurysms (PAN are one of the most common complications of cardiac catheterization. Treatment has evolved towards a less invasive approach, reducing the number of Open repairs. Objectives: The authors propose to discuss the contemporary management of PAN and the remaining indications for Conventional Surgical Repair based upon a case

  17. Degenerações periféricas da retina em pacientes candidatos à cirurgia refrativa Peripheral retina degeneration in patients who are candidates for refractive surgery

    Directory of Open Access Journals (Sweden)

    Paulo Henrique de Avila Morales

    2001-02-01

    Full Text Available Objetivo: O objetivo desse estudo é verificar em indivíduos míopes candidatos à cirurgia refrativa a prevalência dos diferentes tipos de lesões retinianas periféricas degenerativas de acordo com o tipo de miopia. Métodos: De forma prospectiva, no período de um ano, foram examinados os olhos dos pacientes no Setor de Cirurgia Refrativa do Departamento de Oftalmologia da Universidade Federal de São Paulo - Escola Paulista de Medicina que durante a sua consulta inicial apresentassem refração com equivalente esférico superior ou igual a -1,00 dioptria esférica, e não tivessem antecedentes pessoais de doença ou cirurgia ocular no período. Foi investigada a existência de lesões e/ou degenerações periféricas predisponentes ao descolamento regmatogênico de retina. Resultados: O grupo foi composto, em sua maioria, por adultos jovens (média de idade de 31 anos. Foram observados olhos com miopia baixa (263 olhos, 31%, moderada (300 olhos, 36% e alta (277 olhos, 33%; em 35,4% dos pacientes (27% dos olhos foram encontradas degenerações periféricas, sendo o branco com e sem pressão a alteração mais freqüente (23,4% dos pacientes ou 17,5% dos olhos. Entre as lesões predisponentes ao descolamento regmatogênico da retina, a mais encontrada foi a degeneração em treliça (8,6% dos pacientes ou 6% dos olhos. Conclusões: As alterações periféricas predisponentes ou não ao descolamento regmatogênico de retina apresentaram aumento de prevalência de acordo com o aumento do grau de miopia, com exceção das roturas. Todos os pacientes com miopia alta e candidatos à cirurgia refrativa devem ter a periferia retiniana de ambos os olhos examinada.Purpose: To verify, in myopic individuals who are candidates for refractive surgery, the prevalence of different types of peripheral degenerative lesions of the retina, according to the type of myopia. Methods: Prospectively, during a one-year interval, we examined the eyes of patients in

  18. Os sentidos da cirurgia estética: utilidade, futilidade,   agência e/ou incorporação

    Directory of Open Access Journals (Sweden)

    Ana Lúcia de Castro

    2012-08-01

    Full Text Available Este artigo busca contribuir para a reflexão acerca do crescimento da prática da cirurgia plástica pa‐ ra fins estéticos e sua relação com a cultura de consumo contemporânea. Em outras palavras, dis‐ cute‐se a maneira como esta prática expressa valores e princípios estruturadores da cultura de con‐ sumo e ganha contornos diferenciados em contextos particulares, como as cidades de São Paulo e Londres, onde realizou‐se trabalho de campo, envolvendo a coleta de informações em material de imprensa, dados em arquivos, entrevistas e observação em clínicas estéticas.

  19. Avaliação das alterações em tecidos moles e duros de pacientes submetidos à cirurgia ortognática combinada utilizando cefalometria computadorizada

    OpenAIRE

    Becker, Otávio Emmel

    2012-01-01

    OBJETIVO: Avaliar as diferenças e verificar a correlação existente entre pontos de tecido mole e pontos de tecido duro do perfil facial e entre medidas em vias aéreas faríngeas e os movimentos nos ossos gnáticos, nos períodos pré operatório e pós operatórios, a curto e médio prazo, em pacientes com padrão facial Classe III, submetidos à cirurgia ortognática (CO) bimaxilar (combinada-avanço de maxila e recuo de mandíbula).MATERIAL E METODOS: Tele radiografias pré-operatórias (T1), pós-operatór...

  20. Cuidados imediatos no pós-operatório de cirurgia cardíaca Immediate post-operative care following cardiac surgery

    Directory of Open Access Journals (Sweden)

    Paulo Ramos David João

    2003-11-01

    Full Text Available OBJETIVO: Apresentar uma rotina de atendimento para crianças submetidas à cirurgia cardíaca. FONTES DOS DADOS: Realizada revisão bibliográfica através de bancos de dados (Medline, Mdconsult, PubMed, analisando as condutas sugeridas por diversos serviços fora do Brasil e comparando com a rotina de atendimento no Hospital Infantil Pequeno Príncipe, de Curitiba, onde foram realizadas cerca de 8.000 cirurgias cardíacas desde 1977 até abril de 2003. SÍNTESE DOS DADOS: O serviço citado é referência em cardiologia e cirurgia cardíaca no estado do Paraná e estados vizinhos. A evolução das condições de diagnóstico, preparo da equipe clínica e cirúrgica, unidade de terapia intensiva (UTI melhor equipada com monitorização mais avançada, equipe da UTI com pessoal treinado em todas as áreas para fazer pós-operatório de cirurgia cardíaca, estrutura hospitalar adequada, oferecendo atendimento avançado em todas as especialidades pediátricas e paramédicas, fazem com que o resultado das intervenções cirúrgicas realizadas em crianças com cardiopatias congênitas ou adquiridas, principalmente nos recém-nascidos e lactentes jovens com cardiopatias complexas, apresente sensível melhora quando comparado com anos anteriores. CONCLUSÃO: As crianças com cardiopatias, principalmente as complexas, devem ser encaminhadas para um local que seja centro de referência, onde haja condições para um atendimento global no pré, per e pós-operatório.OBJECTIVE: To present a care routine for children submitted to heart surgery. SOURCE OF DATA: Literature review of Medscape, MD Consult and PubMed. Analysis of the suggested conducts adopted by various services from different countries and comparison with the care routine at the Pequeno Príncipe Children's Hospital (Curitiba, state of Paraná, where approximately 8,000 heart surgeries were performed in children from 1977 to April 2003. SUMMARY OF THE FINDINGS: Our hospital is a reference

  1. NDA National Graduate Programme &apos;nucleargraduates&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Dawson, Carl

    2010-07-01

    The aim of this paper is to outline the NDA National Graduate Programme (nuclear graduates). The NDA has a remit under the Energy Act (2004) &apos;to maintain and develop the skills for decommissioning and nuclear clean-up&apos;. Although current research is now being reviewed, there is significant evidence to suggest that the age profile in the Site Licence Companies is skewed towards older workers and there is likely to be a skill shortage in 3-5 years. As nuclear clean-up is a national issue; skill shortages also become a national issue in a very real sense. In addition, evidence suggests that the industry needs to be constantly challenged in order to achieve its targets for decommissioning. The NDA has a unique position under the Act. It is both a strategic overseer and direct employer. To this end the &apos;National Graduate Programme&apos; is aligned to both the NDA&apos;s previous succession plans and the needs of the industry. Industry needs leadership that challenges the status quo and moves the UK nuclear industry to become best in class; Industry needs a dedicated to programme to address skills shortages and difficult to recruit areas such as, but not exclusively, estimators, schedulers, contract managers, site engineers, decommissioning technicians, safety monitors; The NDA has indicated a &apos;commercial and politically savvy&apos; cohort is required to meet its own internal challenges and to ensure sustainability in its own workforce, and to be sensitive to the needs of customers and suppliers alike; Need to create a more diversified workforce in the nuclear industry and also plan for new skills evolving from research and development breakthroughs; Need to ensure that Tier 1, 2, 3 and 4 contractors invest in the leadership and skills for the future. World Class - delivery will be benchmarked against UK based multinational companies who operate in a global graduate attraction and development marketplace. The graduates targeted will be from leading

  2. Outcomes in diabetic foot ulcer patients with isolated T2 marrow signal abnormality in the underlying bone: should the diagnosis of &apos;'osteitis'&apos; be changed to &apos;&apos;early osteomyelitis&apos;&apos;?

    Energy Technology Data Exchange (ETDEWEB)

    Duryea, Dennis; Bernard, Stephanie; Flemming, Donald; Walker, Eric; French, Cristy [Milton S. Hershey Medical Center, Department of Radiology, H066, 500 University Drive, PO Box 850, Hershey, PA (United States)

    2017-10-15

    To evaluate the variability of clinical treatment and outcomes based on reporting of diabetic foot ulcer MRI findings of adjacent marrow T2 hyperintensity with normal T1 signal. A retrospective review was conducted of 46 MRI examinations evaluating diabetic foot ulcers that demonstrated normal T1 marrow signal, but T2 marrow hyperintensity deep to the ulcer. The cohort was divided based on MRI report impressions into three groups; &apos;&apos;osteitis without osteomyelitis&apos;&apos; (OW), &apos;&apos;osteitis but cannot exclude early osteomyelitis&apos;&apos; (OCEO) and &apos;&apos;early osteomyelitis&apos;&apos; (EO). Patient demographics (age, gender) and accessory MRI findings of ulcer and sinus tract depth were recorded. Initial clinical assessment and medical treatment (route and duration of antibiotics), healing versus disease progression and histology or microbiology results were recorded. The isolated marrow T2 signal hyperintensity was reported as OW in 12 patients, OCEO in 18, and EO in 16. No statistical difference in clinical assessment was demonstrated between the OW, OCEO, and EO groups. Pathological condition was available in 15 patients within 0-7 days (mean 2.4 days) of the MRI examination, with 14 (93%) of these positive for osteomyelitis by histopathology or positive cultures. Initial diagnosis of or progression to osteomyelitis was shown in 28 patients (61%). Treatment of suspected osteomyelitis is heavily determined by clinical factors. Patients who initially demonstrate only T2 marrow signal abnormality under a diabetic ulcer are eventually diagnosed as osteomyelitis in 61% of cases and deserve aggressive treatment as early osteomyelitis when meeting clinical parameters. (orig.)

  3. A ética médica sob o viés da bioética: o exercício moral da cirurgia

    Directory of Open Access Journals (Sweden)

    Eliana Maria Restum Antonio

    Full Text Available O exercício profissional da medicina atual tem uma forte abordagem biológica, devido à crescente especialização da ciência médica. Com frequência, a ciência, por si só, não ajuda a enfrentar e resolver uma situação particular de um profissional médico, e este é o lugar onde as ciências humanas, sociais e, especialmente as outras disciplinas, como a Bioética, podem dar uma abordagem mais humana e socialista, ao estudar sistematicamente a conduta humana no campo das ciências da vida e da saúde, através da luz dos valores e princípios morais. Como parte deste estudo, o segmento que está limitado à análise dos conflitos éticos decorrentes da prática da medicina e da assistência ao paciente, é conhecido como Ética médica. A Ética médica, no âmbito da cirurgia, compreende a integração do paciente cirúrgico com a natureza do cirurgião, influenciada pela sua formação e pelo seu treinamento, pela sua sensibilidade em identificar o que é correto. O ético não deve estar apenas no procedimento, no ato cirúrgico propriamente dito ou no que acontece em uma sala de operação ou mesmo no exercício da cirurgia como especialidade. A ética deve estar na vida e conduta do cirurgião, de forma que todos os atos profissionais e de vida devam ser eticamente válidos.

  4. Plasma rico em plaquetas e fatores de crescimento: técnica de preparo e utilização em cirurgia plástica

    Directory of Open Access Journals (Sweden)

    Fabiel Spani Vendramin

    Full Text Available OBJETIVO: Estabelecer um método barato e eficiente de preparação do plasma rico em plaquetas e fatores de crescimento para utilização em cirurgia plástica. MÉTODO: Foram realizados 20 testes através de centrifugação de sangue, variando-se a força e o tempo de centrifugação, para determinarmos o melhor método que proporcione uma maior concentração plaquetária e mais 10 testes para comprovar a reprodutibilidade do método. RESULTADOS: A utilização de uma força de centrifugação de 300 g por 10 minutos na 1ª. centrifugação e de 640 g por 10 minutos na 2ª. centrifugação obtiveram as maiores concentrações plaquetárias, superiores a 4,5 vezes a concentração na amostra, e os testes foram reprodutíveis. CONCLUSÕES: Uma alta concentração plaquetária pode ser obtida por este protocolo de obtenção de plasma rico em plaquetas e fatores de crescimento e a formação do gel é possível através da utilização de trombina autóloga, também obtida pelo protocolo descrito, facilitando sua utilização em cirurgia plástica, onde vem mostrando bons resultados na cicatrização de feridas e na integração de enxertos ósseos e cutâneos.

  5. Cirurgia ambulatorial: identificação dos diagnósticos de enfermagem no período perioperatório

    Directory of Open Access Journals (Sweden)

    Maria Cristina Simões Flório

    Full Text Available O objetivo da presente investigação foi a identificação dos diagnósticos de enfermagem no período perioperatório do paciente cirúrgico ambulatorial. Como referencial teórico, selecionamos a teoria de Levine, na qual são propostos quatro princípios de conservação, a saber: conservação de energia, conservação da integridade estrutural, conservação da integridade pessoal e conservação da integridade social. Os dados foram coletados pela pesquisadora, no serviço de cirurgia ambulatorial de um hospital privado da cidade de Ribeirão Preto (São Paulo, nos meses de janeiro e fevereiro de 2001, utilizando um instrumento previamente validado. A amostra consistiu de trinta pacientes adultos submetidos a cirurgia de diferentes especialidades médicas, com anestesia regional ou geral. Após a coleta dos dados, procedemos a identificação dos diagnósticos de enfermagem, utilizando o processo de raciocínio diagnóstico descrito por Risner, e a construção das categorias diagnósticas teve como referência a taxonomia da NANDA e o estudo de Carpenito. No período perioperatório, foram identificados quinze diagnósticos e, neste estudo, analisamos aqueles que obtiveram uma freqüência igual ou maior que 50%, a saber: ansiedade, risco para infecção, risco para lesão por posicionamento perioperatório e dor.

  6. Experiência brasileira inicial em cirurgia da obesidade robô - assistida Brazilian experience in obesity surgery robot-assisted

    Directory of Open Access Journals (Sweden)

    Ricardo Zugaib Abdalla

    2012-03-01

    Full Text Available RACIONAL: As técnicas minimamente invasivas associaram-se à cirurgia bariátrica propiciando redução na agressão aos órgãos e sistemas. A robótica é uma nova possibilidade dentro do conceito de mínima invasão. OBJETIVOS: Avaliar a experiência inicial da robótica em cirurgia da obesidade. MÉTODOS: Foram operados 27 pacientes no mesmo hospital, pela mesma equipe, com o mesmo sistema cirúrgico que foi Da Vinci S. RESULTADOS: Foram realizadas seis colocações de banda gástrica, cinco gastrectomias verticais e 16 septações gástricas com by-pass em Y-de-Roux. Ocorreu uma complicação importante e nenhum óbito. CONCLUSÕES: A via robótica mostrou-se segura durante experiência inicial, propiciando maior facilidade durante o procedimento em pacientes obesos.BACKGROUND: Minimally invasive techniques were associated with bariatric surgery, leading to a decrease in aggression to the organs and systems. Robotic surgery is a new possibility within the concept of minimal invasion. AIM: To evaluate the initial experience of robotic surgery for obesity. METHODS: Twenty seven patients were operated in the same hospital, by the same team with the same surgical system, Da Vinci S. RESULTS: Were performed six gastric band placement , five sleeve gastrectomies and 16 gastric bypasses. There was one major complication and no death in this series. CONCLUSIONS: The robotic surgery for obesity surgery was safe during the initial experience.

  7. Report of working committee 3 &apos;&apos;liquefied gases&apos;&apos;; Rapport du comite de travail 3 &apos;&apos;gaz liquefies&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Baudino, M.

    2000-07-01

    Working Committee 3&apos;s report concerns the evolution of the liquefied gas industry: both liquefied natural gas (LNG) and liquefied petroleum gases (LPG). Given the current state of the LNG market the Committee decided to concentrate on this area in particular. A number of aspects have been identified which the Committee has been looking at, while others have been given to Study Groups set up specifically for the purpose. The first aspects regard: - the development of LNG and LPG, new installations, future chains and relevant statistical data; - the role of LNG and LPG in starting up a gas industry; - operating and technological improvements in the LNG industry; - energy savings, cold utilization and reduction of CO{sub 2} emissions. The Study Groups which were set up dealt with the following subjects: Technological and Economical Developments for cost Reduction of LNG/LPG Facilities. Small Scale LNG Projects and Modular Systems. LNG/LPG Peak Shaving and Satellite Plants. LNG versus Pipeline Infrastructure. (author)

  8. Quantifying the &apos;naturalness&apos; of the curvaton model

    Energy Technology Data Exchange (ETDEWEB)

    Lerner, Rose N. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Helsinki Institute of Physics (Finland); Melville, Scott [Helsinki Institute of Physics (Finland)

    2014-02-15

    We investigate the probability of obtaining an observable curvature perturbation, using as an example the minimal curvaton-Higgs (MCH) model. We determine &apos;probably observable&apos; and &apos;probably excluded&apos; regions of parameter space assuming generic initial conditions and applying a stochastic approach for the curvaton&apos;s evolution during inflation. Inflation is assumed to last longer than the N{sub obs}≅55 observable e-folds, and the total number of e-folds of inflation determines the particular ranges of parameters that are probable. For the MCH model, these &apos;probably observable&apos; regions always lie within the range 8 x 10{sup 4} GeV≤m{sub σ}≤2 x 10{sup 7} GeV, where m{sub σ} is the curvaton mass, and the Hubble scale at horizon exit is chosen as H{sub *}=10{sup 10} GeV. Because the &apos;probably observable&apos; region depends on the total duration of inflation, information on parameters in the Lagrangian from particle physics and from precision CMB observables can therefore provide information about the total duration of inflation, not just the last N{sub obs} e-folds. This method could also be applied to any model that contains additional scalar fields to determine the probability that these scalar fields contribute to the curvature perturbation.

  9. Thirty years ago: &apos;&apos;InterCity 79&apos;&apos; - every hour, every class; Vor 30 Jahren: IC 79 - jede Stunde - jede Klasse

    Energy Technology Data Exchange (ETDEWEB)

    Jaensch, Eberhard

    2009-05-15

    The &apos;&apos;IC 79&apos;&apos; system, which was introduced thirty years ago, has permanently moulded the shape of long-distance passenger services in Germany (with Deutsche Bundesbahn and later Deutsche Bahn). Since then, top-grade passenger trains have been running regularly every hour on several routes. They provide links with short travel times between the country&apos;s most important towns and cities. &apos;&apos;IC 79&apos;&apos; became the backbone of long-distance rail travel in Germany. The ideas underlying it and the way they were implemented are still considered exemplary today. (orig.)

  10. Irradiation as a quarantine treatment of &apos;Carabao&apos; (&apos;Manila Super&apos;) mangoes

    International Nuclear Information System (INIS)

    Manoto, E.C.; Resilva, S.S.; Del Rosario, Ma.S.; Casubha, L.C.

    1990-01-01

    Researches using gamma radiation for disinfestation of Oriental fruit fly in &apos;Carabao&apos; (&apos;Manila Super&apos;) mangoes were undertaken using the Probit 9 or 99.9968% mortality test. The results showed that the mature larvae of the fruit fly are the most tolerant stage of this insect to irradiation with the eggs as the most sensitive. On treating more than 100,000 mature larvae in mangoes, a minimum dose of 100 Gy was found to prevent emergence of adult fruit flies and maintain quarantine security or a complete elimination of the possibility of introducing this pest into the importing country. Therefore, the use of 100-Gy irradiation as a quarantine treatment against Oriental fruit fly in the mature green Philippine &apos;carabao&apos; mango fruits is recommended

  11. Radiobiological study of the radioprotective activity of a natural Iranian compound, &apos;'Shir-Khecht'&apos;; Etude radiobiologique de l&apos;activite radioprotectrice d&apos;un compose naturel Iranien: le &apos;'Shir-Khecht'&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Rouhanizadeh, N. [Commissariat a l' Energie Atomique, 92 - Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires

    1968-01-01

    After reviewing the primary mechanisms of the action of ionizing radiation, the possible mechanisms of the action of radioprotective substances, the various chemical structures having a protective effect and the methods for studying chemical radioprotection, the author presents the results he has obtained with natural Iranian product: &apos;'Shir-Khecht'&apos;. Tests with this product at lethal and sublethal doses have been carried out on the rat using various means of introduction. The effect of radiation, both with and without protection, has been studied using histological and biochemical methods. The product examined has, in effect, a protective action; it is, furthermore, non-toxic and active when taken orally. (author) [French] Apres avoir rappele les mecanismes primaires de l&apos;action des rayonnements ionisants, les mecanismes possibles de l&apos;action des substances radioprotectrices, les diverses structures chimiques possedant un effet protecteur et les methodes d&apos;etude de la radioprotection chimique, l&apos;auteur presente les resultats qu&apos;il a obtenus en utilisant un compose naturel iranien: le &apos;'Shir-Khecht'&apos;. Des essais de ce produit, chez le rat, par diverses voies d&apos;introduction, a dose letale et subletale ont ete effectues. L&apos;effet des radiations, avec et sans protection, a ete etudie a l&apos;aide de methodes histologiques et biochimiques. Le compose essaye possede un pouvoir protecteur; il est, de plus, non toxique et actif par voie orale. (auteur)

  12. Maintain levels of nicotine but reduce other smoke constituents: a formula for &apos;'less-hazardous'&apos; cigarettes

    Energy Technology Data Exchange (ETDEWEB)

    Robinson, J.C.; Young, J.C.; Rickert, W.S.

    1984-09-01

    Twenty-two volunteers who smoked more than 20 cigarettes with &apos;'high'&apos; nicotine yields (0.8 to 1.2 mg) per day participated in an 8-week study designed to test the hypothesis that smoking cigarettes with a constant level of nicotine but reduced deliveries of tar, carbon monoxide, and hydrogen cyanide leads to a decrease in smoke absorption. All subjects smoked their usual high-nicotine brand for the first 3 weeks (P1), and the absorption of smoke constituents was determined from levels of thiocyanate and cotinine in saliva and serum, levels of carbon monoxide in expired air, and levels of carboxyhemoglobin in the blood. During the final 5 weeks (P2), the treatment group (16 subjects) switched to the &apos;'light'&apos; version of their usual brands (similar yields of nicotine but with reduced yields of tar, carbon monoxide, and hydrogen cyanide); the control group (6 subjects) smoked their usual brands for the duration of the study. Average levels of cotinine for the subjects who switched during P2 were not significantly different from those of the control group as was expected. Slight reductions were noted in average expired-air carbon monoxide levels, blood carboxyhemoglobin, and saliva thiocyanate, but these reductions were smaller than anticipated based on brand characteristics. The results suggest that the ratio of smoke constituents is different when individuals, rather than machines, smoke cigarettes. Yields determined under subject-defined conditions are necessary in order to properly evaluate the role of nicotine in the design of &apos;'less-hazardous'&apos; cigarettes.

  13. Mutirão de cirurgias de adenotonsilectomias: uma solução viável? Adeno-tonsillectomy surgery in a joint aid effort: a feasible solution ?

    Directory of Open Access Journals (Sweden)

    Marcos Luiz Antunes

    2007-08-01

    Full Text Available Os hospitais públicos sofrem com a demanda reprimida de indicações de cirurgias de adenoidectomia e/ou tonsilectomia, fazendo com que haja uma fila de espera crescente. O otorrinolaringologista se acostumou com as filas de espera, talvez por entender que este é um problema exclusivo do estado. Achamos de fundamental importância a realização de mutirões dessas cirurgias. OBJETIVOS: Padronizar a organização de mutirões, sua eficácia e viabilidade para os hospitais públicos e comparar a hemorragia pós-operatória nos mutirões e em cirurgias de rotina. MATERIAL E MÉTODOS: Estudo clínico-prospectivo tipo coorte. Foram realizados mutirões de adenotonsilectomias no período de setembro de 2004 a junho de 2006, no Hospital Estadual de Diadema, analisando-se a equipe multiprofissional envolvida e comparando a complicação hemorragia no pós-operatório com um grupo controle de cirurgias realizadas na rotina. RESULTADOS: Foram realizados 22 mutirões no período (339 cirurgias, uma média de 15,4 cirurgias por mutirão. O índice de hemorragia pós-operatória que necessitou de revisão foi de 1,48% (5/339, não diferindo estatisticamente do grupo controle, 1,37% (5/364. CONCLUSÃO: Conseguimos padronizar a realização de mutirões de cirurgias de adenotonsilectomias, dentro dos parâmetros que consideramos mais seguros, diminuindo a fila de espera das cirurgias. O índice de hemorragia no pós-operatório entre as cirurgias nos mutirões e na rotina não mostrou diferença estatisticamente significante.Public hospitals in Brazil are under capacity for adenotonsillectomies, resulting in a growing waiting line. Otolaryngologists are used to these lines, since they understand that this problem is under govern responsibility. For this reason we believe that joint aid efforts to carry out adenotonsillectomies are justified. AIM: To standardize the organization of adenotonsillectomies in joint aid efforts, its effectiveness and feasibility

  14. Electrolyzed-water generator &apos;SaniBoy&apos;; Eisei jokinsuik kyokyu sochi &apos;SaniBoy&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Inoue, M.; Kakiuchi, H.; Muto, K. [Fuji Electric Co. Ltd., Tokyo (Japan)

    2000-03-10

    In the food industry, injuries due to food poisoning have been increasing. Especially the mass outbreak of food poisoning by Escherichia coli such as O-157 in 1996 gave warning on the importance of food sanitation management. Public efforts such as the Hazard Analysis and Critical Control Point (HACCP) system have been made to prevent food poisoning. Recently, disinfection made by electrolyzing water with some salt added has attracted attention. Fuji Electric has developed the generator &apos;SaniBoy&apos; that produces weak alkaline electrolyzed water without wasting water. The environment-friendly &apos;SaniBoy&apos; will contribute to sanitation in various fields. (author)

  15. The &apos;diester partners&apos; want to be movers...; Les &apos;&apos;partenaires diester&apos;&apos; se veulent moteur...

    Energy Technology Data Exchange (ETDEWEB)

    Tourneur, J.C.

    2003-09-01

    Diester is the French name given to the biofuel (methylic ester) made from vegetal oils (1 t of vegetal oil + 0.1 t of methanol leads to 1 t of diester + 0.1 t of glycerin). The French club of &apos;diester towns&apos; gathers all local authorities of towns that use up to 30% of diester in the diesel fuel of their vehicle fleets (buses, trucks, commercial vehicles). In March 2003, the association has opened to new members, in particular private companies which are diester users and become &apos;diester partners&apos;, in order to sustain the fight against the greenhouse effect. The consumption of 1 t of diester allows to save 2.5 t of CO{sub 2} thanks to the photosynthesis. In other words, a vehicle fueled with 30% of diester and 70% of diesel fuel reduces its greenhouse gas emissions of 23%. (J.S.)

  16. Stressors at modern workplaces. &apos;'Technical-stres'&apos;-investigations in power plants; Stressoren an modernen Arbeitsplaetzen. Untersuchungen zum &apos;Technikstress&apos; in Kraftwerken

    Energy Technology Data Exchange (ETDEWEB)

    Hoppe, Annette; Binkowski, Sven [Brandenburgische Technische Univ. Cottbus (DE). Lehrgebiet Arbeitswissenschaft/Arbeitspsycholgoie (AWIP); Haake, Dietmar [Vattenfall Europe Generation AG und Co. KG, Cottbus (Germany). Elektro- und Leittechnik

    2008-07-01

    The status analyses of power plant control rooms from the viewpoint of ergonomics and psychology is focussing on scientific analyses of stressors at highly complicated work places in order to gain further knowledge on the issue of &apos;technology-induced stress&apos; and to a practical assessment of work places for the estimation of stresses. A guideline is to be developed supporting design of modern control rooms. (orig.)

  17. EAGLE: &apos;EAGLE&apos;Is an&apos; Algorithmic Graph Library for Exploration

    Energy Technology Data Exchange (ETDEWEB)

    2015-01-16

    The Resource Description Framework (RDF) and SPARQL Protocol and RDF Query Language (SPARQL) were introduced about a decade ago to enable flexible schema-free data interchange on the Semantic Web. Today data scientists use the framework as a scalable graph representation for integrating, querying, exploring and analyzing data sets hosted at different sources. With increasing adoption, the need for graph mining capabilities for the Semantic Web has emerged. Today there is no tools to conduct "graph mining" on RDF standard data sets. We address that need through implementation of popular iterative Graph Mining algorithms (Triangle count, Connected component analysis, degree distribution, diversity degree, PageRank, etc.). We implement these algorithms as SPARQL queries, wrapped within Python scripts and call our software tool as EAGLE. In RDF style, EAGLE stands for "EAGLE &apos;Is an&apos; algorithmic graph library for exploration. EAGLE is like &apos;MATLAB&apos; for &apos;Linked Data.&apos;

  18. Nuclear track radiography of &apos;hot&apos; aerosol particles

    Energy Technology Data Exchange (ETDEWEB)

    Boulyga, S.F.; Kievitskaja, A.I.; Kievets, M.K.; Lomonosova, E.M.; Zhuk, I.V.; Yaroshevich, O.I.; Perelygin, V.P.; Petrova, R.; Brandt, R.; Vater, P

    1999-06-01

    Nuclear track radiography was applied to identify aerosol &apos;hot&apos; particles which contain elements of nuclear fuel and fallout after Chernobyl NPP accident. For the determination of the content of transuranium elements in radioactive aerosols the measurement of the {alpha}-activity of &apos;hot&apos; particles by SSNTD was used in this work, as well as radiography of fission fragments formed as a result of the reactions (n,f) and ({gamma},f) in the irradiation of aerosol filters by thermal neutrons and high energy gamma quanta. The technique allowed the sizes and alpha-activity of &apos;hot&apos; particles to be determined without extracting them from the filter, as well as the determination of the uranium content and its enrichment by {sup 235}U, {sup 239}Pu and {sup 241}Pu isotopes. Sensitivity of determination of alpha activity by fission method is 5x10{sup -6} Bq per particle. The software for the system of image analysis was created. It ensured the identification of track clusters on an optical image of the SSNTD surface obtained through a video camera and the determination of size and activity of &apos;hot&apos; particles00.

  19. Energy saving retrofitting of a prefabricated panel construction kinder-garden - demonstration project &apos;'Plappersnut'&apos; in Wismar.; Energetische Sanierung einer Kindertagesstaette in Plattenbauweise - Demonstrationsbauvorhaben &apos;'Plappersnut'&apos; in Wismar

    Energy Technology Data Exchange (ETDEWEB)

    Wollensak, Heidi [Institut fuer Gebaeude + Energie + Licht Planung, Alter Holzhafen 19, 23966 Wismar (Germany); Wollensak, Martin [Hochschule Wismar, FG Baukonstruktion und Baustofftechnik (Germany); Roemhild, Thomas [Hochschule Wismar, FG Entwerfen, Gebaeude- Klima- und Lichtplanung (Germany); Mainka, Georg-Wilhelm; Winkler, Heiko [Lehrstuhl fuer Baukonstruktionen und Bauphysik, Institut fuer Bauingenieurwesen, Universitaet Rostock (Germany)

    2005-12-01

    The project &apos;&apos;kindergarten Plappersnut&apos;&apos; in Wismar focuses on cutting the energy consumption of the in 1972 build prefabricated plate construction down to one third by mainly 3 means: - improving the relation between building volume and outside surface by replacing the corridor building between the two main wings with a light membrane roof, covering the whole space, - eliminating energy loss through the building structure by coating the whole building with different isolation systems, - replacing all of the technical installation under the aspects of ecological energy supply and energy retrieving systems. The project was classed as a demonstration project of the EnSan-Program, supported by the German Ministry for Economy and Technology. (Abstract Copyright [2005], Wiley Periodicals, Inc.) [German] Das Sanierungsprojekt der 1972 in Plattenbauweise errichteten Kita &apos;'Plappersnut'&apos; stand im Zeichen der Reduzierung des Energiebedarfs auf ein Drittel durch drei wesentliche Massnahmen: - Verbesserung des Verhaeltnisses Gebaeudevolumen zu Aussenwandflaeche durch Entfernung der Verbindungsgaenge zwischen beiden Gebaeudeteilen und Ueberdachung des entstehenden Hofes mit einem Membrandach, - Verminderung der Energieverluste durch die Gebaeudehuelle mit Hilfe verschiedener Waermedaemm-Massnahmen, - Ersatz der gesamten Gebaeudetechnik durch energiesparende Systeme und unter Einsatz von erneuerbaren Energien. Das Projekt wurde im Rahmen des EnSan-Programms vom Bundesministerium fuer Wirtschaft und Technologie gefoerdert. (Abstract Copyright [2005], Wiley Periodicals, Inc.)

  20. Development and utilization of a mechanical barrier for large-calibre cavern necks. The &apos;&apos;Spider Plug&apos;&apos;; Entwicklung und Einsatz einer mechanischen Absperrung fuer grosskalibrige Kavernenhaelse. Der &apos;&apos;Spider Plug&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Pfeifer, K.; Maut, D. [UGS GmbH, Mittenwalde (Germany)

    2013-08-01

    An hydraulic separation of a well and the cavern can be necessary for different workover applications, e.g. casing milling or underreaming. The separation is needed to ensure a mud circulation during such operations. In that case a barrier is set after flooding the cavern, which will then be used as a mechanical abutment for the cement bridge. If the diameter of the cavern neck has been enlarged due to e.g. unwanted leaching processes or unstabilized underreaming processes, it might get impossible to set a standard plug with the available technologies into those diameters. Therefore UGS GmbH has developed a mechanical plug, which is set hydraulically. The so called &apos;Spider Plug&apos; is used as basis for a cement bridge and can be removed by drilling after the workover has been done. Depending on the dimension of the setting tool a cavern neck up to 50&apos;&apos; diameter can be plugged by the &apos;Spider Plug&apos;. Up to now a number of successful operations on different locations has shown, that the &apos;Spider Plug&apos; is a practicable and cost-efficient solution for a mechanical abutment of large cavern necks. (orig.)

  1. &apos;'Radio-oncomics'&apos;. The potential of radiomics in radiation oncology

    Energy Technology Data Exchange (ETDEWEB)

    Peeken, Jan Caspar; Nuesslin, Fridtjof [Technische Universitaet Muenchen (TUM), Department of Radiation Oncology, Klinikum rechts der Isar, Muenchen (Germany); Combs, Stephanie E. [Technische Universitaet Muenchen (TUM), Department of Radiation Oncology, Klinikum rechts der Isar, Muenchen (Germany); Helmholtz Zentrum Muenchen, Institute of Innovative Radiotherapy (iRT), Department of Radiation Sciences (DRS), Neuherberg (Germany)

    2017-10-15

    Radiomics, a recently introduced concept, describes quantitative computerized algorithm-based feature extraction from imaging data including computer tomography (CT), magnetic resonance imaging (MRT), or positron-emission tomography (PET) images. For radiation oncology it offers the potential to significantly influence clinical decision-making and thus therapy planning and follow-up workflow. After image acquisition, image preprocessing, and defining regions of interest by structure segmentation, algorithms are applied to calculate shape, intensity, texture, and multiscale filter features. By combining multiple features and correlating them with clinical outcome, prognostic models can be created. Retrospective studies have proposed radiomics classifiers predicting, e. g., overall survival, radiation treatment response, distant metastases, or radiation-related toxicity. Besides, radiomics features can be correlated with genomic information (&apos;'radiogenomics'&apos;) and could be used for tumor characterization. Distinct patterns based on data-based as well as genomics-based features will influence radiation oncology in the future. Individualized treatments in terms of dose level adaption and target volume definition, as well as other outcome-related parameters will depend on radiomics and radiogenomics. By integration of various datasets, the prognostic power can be increased making radiomics a valuable part of future precision medicine approaches. This perspective demonstrates the evidence for the radiomics concept in radiation oncology. The necessity of further studies to integrate radiomics classifiers into clinical decision-making and the radiation therapy workflow is emphasized. (orig.) [German] Radiomics beschreibt eine algorithmusbasierte Berechnung von Merkmalen auf Basis von Bilddatensaetzen einschliesslich Computertomographie (CT), Magnetresonanztomographie (MRT) und Positronenemissionstomographie (PET). Radiomics hat das Potenzial, die

  2. Improvement in remote sensing of low vegetation cover in arid regions by correcting vegetation indices for soil &apos;'noise'&apos;

    International Nuclear Information System (INIS)

    Escadafal, R.; Huete, A.

    1991-01-01

    The variations of near-infrared red reflectance ratios of ten aridic soil samples were correlated with a &apos;&apos;redness index&apos;&apos; computed from red and green spectral bands. These variations have been shown to limit the performances of vegetation indices (NDVI and SAVI) in discriminating low vegetation covers. The redness index is used to adjust for this &apos;&apos;soil noise&apos;&apos;. Dala simulated for vegetation densities of 5 to 15% cover showed that the sensitivity of the corrected vegetation indices was significantly improved. Specifically, the &apos;'noise-corrected'&apos; SAVI was able to assess vegetation amounts with an error four times smaller than the uncorrected NDVI. These promising results should lead to a significant improvement in assessing biomass in arid lands from remotely sensed data. (author) [fr

  3. Fundamental limitations on &apos;warp drive&apos; spacetimes

    Energy Technology Data Exchange (ETDEWEB)

    Lobo, Francisco S N [Centro de Astronomia e AstrofIsica da Universidade de Lisboa, Campo Grande, Ed. C8 1749-016 Lisbon (Portugal); Visser, Matt [School of Mathematical and Computing Sciences, Victoria University of Wellington, PO Box 600, Wellington (New Zealand)

    2004-12-21

    &apos;Warp drive&apos; spacetimes are useful as &apos;gedanken-experiments&apos; that force us to confront the foundations of general relativity, and among other things, to precisely formulate the notion of &apos;superluminal&apos; communication. After carefully formulating the Alcubierre and Natario warp drive spacetimes, and verifying their non-perturbative violation of the classical energy conditions, we consider a more modest question and apply linearized gravity to the weak-field warp drive, testing the energy conditions to first and second orders of the warp-bubble velocity, v. Since we take the warp-bubble velocity to be non-relativistic, v << c, we are not primarily interested in the &apos;superluminal&apos; features of the warp drive. Instead we focus on a secondary feature of the warp drive that has not previously been remarked upon-the warp drive (if it could be built) would be an example of a &apos;reaction-less drive&apos;. For both the Alcubierre and Natario warp drives we find that the occurrence of significant energy condition violations is not just a high-speed effect, but that the violations persist even at arbitrarily low speeds. A particularly interesting feature of this construction is that it is now meaningful to think of placing a finite mass spaceship at the centre of the warp bubble, and then see how the energy in the warp field compares with the mass-energy of the spaceship. There is no hope of doing this in Alcubierre&apos;s original version of the warp field, since by definition the point at the centre of the warp bubble moves on a geodesic and is &apos;massless&apos;. That is, in Alcubierre&apos;s original formalism and in the Natario formalism the spaceship is always treated as a test particle, while in the linearized theory we can treat the spaceship as a finite mass object. For both the Alcubierre and Natario warp drives we find that even at low speeds the net (negative) energy stored in the warp fields must be a significant fraction

  4. &apos;Green Isle&apos; on the &apos;Red Isle&apos;. The gasometer in Berlin becomes a centre of the &apos;European Energy Forum&apos;; &apos;Gruene Insel&apos; auf der &apos;Roten Insel&apos;. Der Berliner Gasometer wird zum Zentrum des &apos;Europaeischen Energie Forums&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Ulf

    2013-06-01

    If the ARD political talk show with Guenther Jauch starts on Sunday night after the crime thriller, only few viewers know that they are tele-guests on the former gasometer site in Berlin-Schoeneberg. Currently, this site is being transformed into an environmentally friendly campus called the &apos;European Energy Forum&apos; (EUREF). According to the will of the owner and architect Reinhard Mueller, the campus will become the largest CO{sub 2} neutral office and business location in Europe. Totally 600 million Euro will be invested. All new buildings should be ecological &apos;green buildings&apos; and received the LEED Gold certification.

  5. Design Concept of a Seal-off Type 14 MeV Neutron Generator of 10&apos;&apos;1&apos;&apos;1n/s Range

    Energy Technology Data Exchange (ETDEWEB)

    In, S. R.; Oh, B. H. [KAERI, Daejeon (Korea, Republic of)

    2015-05-15

    The total neutron fluence during the life time is expected to be around 10MW·yr/m&apos;&apos;2 which may cause a damage of -100 dpa in materials. To estimate the adaptability of candidate materials in a few years, a 14MeV neutron source with a flux level of 3 - 5 x 10&apos;&apos;1&apos;&apos;8 n/s·m&apos;&apos;2, which is the goal of the IFMIF facility costing more than ¤1000M, is necessitated. The problem in making an intense neutron generator of beam target type is really not on the neutron production rate, but on the huge heat generated in the target, because the fusion power is only one of thousands of beam power exerted on the target. We have a plan to develop neutron generators step by step from a 10&apos;&apos;8 n/s level. The final goal is establishing a 14MeV neutron irradiation facility at 10&apos;&apos;1&apos;&apos;4 intensity level.. Up to the 10&apos;&apos;1&apos;&apos;0 n/s level, there occurs basically no critical thermal problem, because beam power density is in the range of tens W/cm&apos;&apos;2. The neutron generator designed in a sealed-off type because of tritium safety is mainly composed of an ion source, target, reaction chamber, and getter pump.. The major design concepts for the neutron generator with the neutron production rate of 10&apos;&apos;1&apos;&apos;1 n/s range were presented. The specifications of the ion source, target and getter have been determined for attaining the goal of the neutron generation rate.

  6. Estado nutricional antropométrico e comorbidades associadas à síndrome metabólica em mulheres submetidas à cirurgia bariátrica = Anthropometric nutritional status and comorbidities associated with metabolic syndrome in women submitted to bariatric surgery

    Directory of Open Access Journals (Sweden)

    Querido, Júlia de Castro

    2016-01-01

    Conclusões: Os resultados apontam para a eficácia da cirurgia bariátrica no tratamento da obesidade e controle das comorbidades associadas à síndrome metabólica nesta amostra de mulheres. A presença de inadequações no consumo de nutrientes assinala a necessidade do cuidado nutricional no pós operatório da cirurgia bariátrica

  7. Ceratectomia fotorrefrativa (PRK com mitomicina C a 0,02% para correção de grau acentuado de astigmatismo hipermetrópico composto secundário a cirurgia de ceratotomia radial (RK Photorefractive keratectomy (PRK with mitomicyn C 0,02% for the management of high degree of hyperopic astigmatism following radial keratectomy

    Directory of Open Access Journals (Sweden)

    Adamo Lui Netto

    2009-06-01

    Full Text Available Descrever o efeito da cirurgia fotorrefrativa (PRK associada ao uso de mitomicina C a 0,02% para correção de grau acentuado de astigmatismo hipermetrópico composto apresentado após cirurgia de ceratotomia radial (RK realizada há 12 anos.To describe PRK with mitomicyn C effects for the management of high-degree hyperopic astigmatism following Radial Keratectomy performed 12 years ago.

  8. Comment on &apos;&apos;Teleportation of two-mode squeezed states&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    He Guangqiang; Zhang Jingtao [State Key Lab of Advanced Optical Communication Systems and Networks Department of Electronic Engineering, Shanghai Jiaotong University, Shanghai 200030 (China)

    2011-10-15

    We investigate the teleportation scheme of two-mode squeezed states proposed by Adhikari et al.[S. Adhikari et al., Phys. Rev. A 77, 012337 (2008)]. It uses four-mode entangled states to teleport two-mode squeezed states. The fidelity between the original two-mode squeezed states and teleported ones is calculated. The maximal fidelity value of Adhikari&apos;s protocol is 0.38, which is incompatible with the fidelity definition with the maximal value 1. In our opinion, one reason is that they calculate the fidelity for multimodes Gaussian states using the fidelity formula for single-mode ones. Another reason is that the covariance matrix of output states should be what is obtained after applying the linear unitary Bogoliubov operations (two cascaded Fourier transformations) on the covariance matrix given in Eq. (12) in their paper. These two reasons result in the incomparable results. In addition, Adhikari&apos;s protocol can be simplified to be easily implemented.

  9. Technology &apos;90

    Energy Technology Data Exchange (ETDEWEB)

    1991-01-01

    The US Department of Energy (DOE) laboratories have a long history of excellence in performing research and development in a number of areas, including the basic sciences, applied-energy technology, and weapons-related technology. Although technology transfer has always been an element of DOE and laboratory activities, it has received increasing emphasis in recent years as US industrial competitiveness has eroded and efforts have increased to better utilize the research and development resources the laboratories provide. This document, Technology &apos;90, is the latest in a series that is intended to communicate some of the many opportunities available for US industry and universities to work with the DOE and its laboratories in the vital activity of improving technology transfer to meet national needs. Technology &apos;90 is divided into three sections: Overview, Technologies, and Laboratories. The Overview section describes the activities and accomplishments of the DOE research and development program offices. The Technologies section provides descriptions of new technologies developed at the DOE laboratories. The Laboratories section presents information on the missions, programs, and facilities of each laboratory, along with a name and telephone number of a technology transfer contact for additional information. Separate papers were prepared for appropriate sections of this report.

  10. The energy and monetary implications of the &apos;24/7&apos; &apos;always on&apos; society

    Energy Technology Data Exchange (ETDEWEB)

    Loveday, Dennis L. [Department of Civil and Building Engineering, Loughborough University, Loughborough, Leicestershire LE11 3TU (United Kingdom)], E-mail: d.l.loveday@lboro.ac.uk; Bhamra, T.; Tang, T. [Department of Design and Technology, Loughborough University, Loughborough, Leicestershire LE11 3TU (United Kingdom); Haines, V.J.A. [Ergonomics and Safety Research Institute (ESRI), Loughborough University, Loughborough, Leicestershire LE11 3TU (United Kingdom); Holmes, M.J. [ARUP, 13, Fitzroy Street, London W1T 4BR (United Kingdom); Green, R.J. [Institute for Energy Research and Policy, University of Birmingham, Edgbaston, Birmingham B15 2TT (United Kingdom)

    2008-12-15

    This paper reviews the trends in society, technology and energy demand of the past 30 years, together with the growth of the &apos;on-demand&apos; culture. The &apos;24/7&apos; or &apos;always on&apos; society can be defined as one where people demand-and generally receive-what they want &apos;now&apos;. It has grown up in parallel with developments in information technology, which have produced the services needed to meet that demand. Larger numbers of appliances, resulting from greater affluence and disposable income, have increased energy use, despite energy efficiencies in other areas. While monetary factors suggest that changes brought about by the 24/7 society will generally be self-correcting at the macro-economic level, there will nevertheless be effects for individuals, such as potentially severe impacts on the fuel poor as electricity prices rise. We conclude with a view of future directions. As the 24/7 culture continues to grow, there is scope for designers and for information technology to manage and reduce energy consumption. This includes buildings, their services systems, and the mix of new technologies that will be deployed over the next 20 years or so, including the possibilities for data exchange and control at the interface between energy suppliers and consumers, coupled with greater understanding of the behaviour of the consumers themselves.

  11. Vertiefungskurs 2014. Safety margins in nuclear power plants. Identify, quantify and extend; Vertiefungskurs 2014 zum Thema &apos;&apos;Sicherheitsmargen in Kernkraftwerken. Identifizieren, quantifizieren, erweitern&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Rey, Matthias

    2015-02-15

    Fifteen speakers dealt with the topic safety margins in nuclear power plants from different points of view at the &apos;&apos;Vertiefungskurs 2014&apos;&apos; of the Nuklearforum Schweiz in Olten, 4 and 5 November 2014. In the context of the &apos;&apos;Vertiefungskurs 2014&apos;&apos; the safety margins in power plants were considered and quantified and possible extensions have been discussed. The conference started with an in-depth introduction of the basis design of existing nuclear power plants. Thereafter speakers told about the main topics emergency preparedness, knowledge management and safety retrofit of nuclear power plants in operation.

  12. The &apos;electric power&apos; experience: Between nostalgia and the future. Erlebnis &apos;Strom&apos; zwischen Nostalgie und Zukunft

    Energy Technology Data Exchange (ETDEWEB)

    Moergeli, H.P. (Moergeli und Partner, Muri bei Bern (Switzerland))

    1994-03-04

    The &apos;'Muehleberg'&apos; is a concept which is mostly used in connection with the nuclear power station. But there is more to the &apos;'Muehleberg'&apos; than at first sight. A hydroelectric station, a waste dump gas plant and the brandnew works management centre of the Bernische Kraftwerke AG (BKW) constitute the framework for a host of other attractions in the field of electric power; among others, examples of technological culture in the BKW museum, which are worth seeing. (orig.)

  13. Complicações maternas decorrentes das cirurgias endoscópicas em Medicina fetal Maternal complications following endoscopic surgeries in fetal Medicine

    Directory of Open Access Journals (Sweden)

    Cleisson Fábio Andrioli Peralta

    2010-06-01

    Full Text Available OBJETIVO: descrever as complicações maternas decorrentes dos procedimentos endoscópicos terapêuticos em Medicina fetal, realizados em um centro universitário no Brasil. MÉTODOS: estudo observacional retrospectivo que incluiu gestantes atendidas no período de Abril de 2007 a Maio de 2010. Esses casos foram submetidos aos seguintes procedimentos: ablação vascular placentária com laser (AVPL por síndrome de transfusão feto-fetal (STFF grave; oclusão traqueal fetal (OTF e retirada de balão traqueal por via endoscópica por hérnia diafragmática congênita (HDC grave e AVPL, com ou sem cauterização bipolar do cordão umbilical, por síndrome da perfusão arterial reversa (SPAR em gêmeo acárdico. As principais variáveis descritas para cada condição clínica/tipo de cirurgia foram as complicações maternas e a sobrevida (alta do berçário do neonato/lactente. RESULTADOS: cinquenta e seis gestantes foram submetidas a 70 procedimentos: STFF grave (34 pacientes; 34 cirurgias; HDC grave (16 pacientes; 30 cirurgias e SPAR (6 pacientes; 6 cirurgias. Entre as 34 gestantes tratadas com AVPL por STFF, duas (2/34=5,9% apresentaram perda de líquido amniótico para a cavidade peritoneal e sete (7/34=20,6% tiveram abortamento após os procedimentos. A sobrevida de pelo menos um gêmeo foi de 64,7% (22/34. Entre as 30 intervenções realizadas para HDC, houve perda de líquido amniótico para a cavidade peritoneal materna em um caso (1/30=3,3% e rotura prematura pré-termo de membranas após três (3/30=30% fetoscopias para retirada do balão traqueal. A sobrevida com alta do berçário foi de 43,8% (7/16. Entre os seis casos de SPAR, houve sangramento materno para a cavidade peritoneal após uma cirurgia (1/6=16,7% e a sobrevida com alta do berçário foi de 50% (3/6. CONCLUSÕES: em concordância com os dados disponíveis na literatura, em nosso centro, os benefícios relacionados às intervenções endoscópicas terapêuticas em casos de

  14. Quarks: Two&apos;s company, three a crowd?

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    Last year, careful measurements by the experiments studying electron positron annihilation in CERN&apos;s new LEP ring and at Stanford&apos;s SLC linear collider showed that the conventional list of the basic constituents of matter is complete. Three types of particles (electron, muon and tau) interacting under the weak nuclear force are linked to six quarks - the constituents of nuclear matter - grouped pairwise into three distinct families (&apos;up&apos; and &apos;down&apos;, &apos;strange&apos; and &apos;charm&apos;, &apos;beauty&apos; and &apos;top&apos;). The question now is to understand why this sixquark model works

  15. Níveis séricos de vitamina D em mulheres e homens submetidos à cirurgia bariátrica : associação com atividade física e circunferência da cintura

    OpenAIRE

    Fernanda Dapper Machado

    2016-01-01

    Introdução: Níveis séricos baixos de 25-OH-vit D estão associados com a obesidade e têm sido descritos após a cirurgia bariátrica. Objetivo: O objetivo desse estudo foi avaliar a prevalência de deficiência de vitamina D em pacientes submetidos à cirurgia bariátrica no período pré e pós-operatório e buscar por possíveis associações com variáveis que estejam relacionas à deficiência de vitamina D. Métodos: Foi realizado um estudo longitudinal, retrospectivo, em 75 pacientes submetidos à cirurgi...

  16. Evolução da massa corporal magra após 12 meses da cirurgia bariátrica Lean body mass changes within 12 months of bariatric surgery

    OpenAIRE

    Selma Freire de Carvalho da Cunha; Maísa Sanches; Angélica Faria; José Ernesto dos Santos; Carla Barbosa Nonino-Borges

    2010-01-01

    OBJETIVO: O objetivo da pesquisa foi determinar a perda de massa corporal magra em pacientes após cirurgia bariátrica. MÉTODOS: O estudo retrospectivo foi conduzido com 17 prontuários de mulheres obesas submetidas à Derivação Gástrica em Y de Roux com anel de contenção gástrica, incluindo dados obtidos no período pré-operatório imediato e no 1º, 3º, 6º e 12º meses após a cirurgia. Os dados obtidos no prontuário incluíram a idade, medidas de peso, de altura e massa corporal magra e gorda, calc...

  17. Behavioral phenotype and BDNF differences related to apoE isoforms and sex in young transgenic mice

    DEFF Research Database (Denmark)

    Reverte, Ingrid; Klein, Anders Bue; Ratner, Cecilia

    2012-01-01

    , very little information is available on apoE2 genotype. In the present study, we have characterized behavioral and learning phenotypes in young transgenic mice apoE2, apoE3 and apoE4 of both sexes. We have also determined the levels of brain-derived neurotrophic factor (BDNF) and its receptor Trk...

  18. Análise laboratorial das ceratites infecciosas secundárias à cirurgia refrativa Laboratory analysis of infectious keratitis in patients following refractive surgery

    Directory of Open Access Journals (Sweden)

    Fernando Leal

    2005-06-01

    Full Text Available OBJETIVO: Descrever os resultados laboratoriais de amostras de pacientes com ceratite infecciosa pós-cirurgia refrativa. MÉTODOS: Foram avaliados pacientes do Departamento de Oftalmologia da UNIFESP, que foram submetidos a tratamento para ceratite infecciosa, entre janeiro de 1988 e junho de 2001, e que haviam sido submetidos à ceratomia radial (CR, ceratotomia fotorrefrativa (PRK ou laser in situ keratomileusis (LASIK. Previamente, as infecções foram classificadas como precoces, quando ocorreram até 30 dias após a cirurgia, e tardias quando diagnosticadas após 30 dias. RESULTADOS: Das 93 amostras, 39 eram de (42% pacientes submetidos à ceratotomia radial, sendo 14 (36% infecções precoces e 25 (64% infecções tardias; 38 (41% pacientes submetidos a LASIK, sendo 21 (55% infecções precoces e 17 (45% infecções tardias; 16 (17% eram de pacientes submetidos à ceratotomia fotorrefrativa, sendo 10 (62,5% infecções precoces e 6 (37,5% infecções tardias. Oitenta e seis amostras de córnea coletadas foram submetidas a cultivo e esfregaço para bactérias, 43 cultivos (50% e 43 esfregaços (50% foram positivos. Setenta e duas amostras foram submetidas a cultivo e esfregaço para fungos, 2 cultivos (3% e 4 esfregaços (6% foram positivos. CONCLUSÃO: Os resultados obtidos revelam uma concordância de 80,2% entre cultivo e esfregaço para bactéria. Não houve relação estatisticamente significante entre o tipo de cirurgia e o tempo de manifestação da infecção.PURPOSE: To describe the laboratory findings in patients with infectious keratitis, who underwent refractive surgery, correlating the surgical procedure and the time of infection manifestation, and the results of culture and smears. METHODS: The previous samples were obtained from patients submitted to radial keratotomy (RK, photorefractive keratectomy (PRK and laser in situ keratomileusis (LASIK at the Ophthalmology Department of UNIFESP. The infections were classified as

  19. O impacto emocional da cirurgia bariátrica em pacientes com obesidade mórbida The emotional impact of bariatric surgery in patients with morbid obesity

    Directory of Open Access Journals (Sweden)

    Cristiano Waihrich Leal

    2007-12-01

    Full Text Available A cirurgia bariátrica é um método que tem sido utilizado para o emagrecimento e resgate da saúde. Em muitos casos, porém, o emagrecimento súbito incorre em quadros psiquiátricos, tais como: sintomas depressivos, ansiedade, uso de substâncias, alterações comportamentais e ideação suicida, dentre outras situações, associadas às mudanças emocionais que o paciente vivencia com o novo estado físico e psíquico. O atual estudo teve como objetivo analisar as expectativas, fantasias, resultados, dificuldades e frustrações enfrentadas após o procedimento cirúrgico. Realizou-se um relato de caso das informações colhidas com seis pacientes em acompanhamento num hospital público de Santa Catarina e que desenvolveram sintomas de sofrimento psíquico após a cirurgia bariátrica. Cada paciente participou de duas sessões de entrevistas semi-estruturadas. A pesquisa foi submetida e aprovada pela comissão de ética da Universidade de Joinville. Os resultados obtidos demonstram que as mudanças psicológicas decorrentes da cirurgia foram marcantes. Em determinados casos, as entrevistadas expressaram expectativas além do emagrecimento, como a resolução dos conflitos interpessoais e conjugais, assim como mudanças de traços definidos de suas personalidades. Constatou-se, também, o uso de substâncias (álcool e tabaco associado a comportamentos de risco (envolvimento extraconjugal e direção perigosa. O problema da obesidade ficou evidenciado como parte de uma complexa situação que envolve o estado físico e emocional das pessoas, e sua resolução, por vezes, expõe as dificuldades e as limitações psíquicas dos pacientes.Bariatric surgery has been used for health recovery and weight loss. In many cases, however, abrupt weight loss produces psychiatric symptoms, such as depression, anxiety, use of drugs, behavioral changes and suicidal ideation, among other situations, all related to the emotional changes faced by the patient in

  20. Resultados atuais da cirurgia coronária em pacientes de alto risco Currente results for coronary artery bypass for high risk patients

    Directory of Open Access Journals (Sweden)

    Pedro R Salerno

    1988-04-01

    Full Text Available No período e 4 anos (1984 a 1987, 427 pacientes (313 homens e 114 mulheres, idade média 61,83 anos foram submetidos a cirurgia coronária de emergência. A indicação para cirurgia foi angina instável, que requeria uso intravenoso de nitroglicerina. Quanto à classe funcional, 369 (86,41% pacientes estavam em classe IV e 51,95% estavam em grau funcional III ou IV de ventrículo esquerdo, pelo estudo hemodinâmico e 30,44% tinham lesão de tronco. Foram realizadas 2,99 pontes/pacientes. A mortalidade total foi de 7,72% e 17,09% tiveram síndrome de baixo débito; déficit neurológico ocorreu em 2,85% e infarto do miocárdio, em 16,86% dos casos. Durante o mesmo período, 30 pacientes (16 do sexo masculino e 14 do feminino com idade média de 64,03 anos, com amgina instável e em choque cardiogênico, foram submetidos a revascularização de emergência. Quanto à classe funcional, 86,66% estavam em classe IV, 13,33% em classe III e 56,66% estavam em grau funcional IV de ventrículo esquerdo e 13,33% em grau III; 40% dos pacientes tinham lesão de tronco. O número médio de pontes foi de 2,76 pontes/pacientes. A mortalidade foi de 60%; déficit neurológico ocorreu em 16,66% e 43,33% sofreram infarto do miocárdio. Em conclusão, a mortalidade e a morbidade, para pacientes submetidos a cirurgia de revascularização, permanecem elevadas, principalmente, em pacientes com choque cardiogênico. Portanto, mais estudos futuros são requeridos em relação à proteção miocárdica, para melhores resultados.In a 4 year period (1984-1987 427 patients (313 males and 114 females, mean age 61.83 years underwent emergency aorto-coronary bypass procedures. Indications for surgery were unstable angina, requiring intravenous nitroglycerine. 369 patients (86.41% were class IV NYHA classification and 51.99% were grade III or IV ventricles. 30.44% had main left coronary stenosis. Mean number of grafts was 2.99%. Overall mortality was 7.72% and 17.09% had low

  1. Estratégias para redução do uso de hemoderivados em cirurgia cardiovascular Strategies to reduce the use of blood components in cardiovascular surgery

    Directory of Open Access Journals (Sweden)

    Helmgton José Brito de Souza

    2008-03-01

    Full Text Available OBJETIVO: O objetivo deste estudo é avaliar as estratégias adotadas por nossa equipe para reduzir o uso de hemoderivados em pacientes submetidos a cirurgia cardiovascular. MÉTODOS: Entre outubro de 2005 e janeiro de 2007, foram operados 101 pacientes. Destes, 51 (50,5% eram do sexo masculino e 50 (49,5% do feminino. A idade variou de 13 a 80 anos (média de 50,76 anos. A estratégia utilizada consiste em uso de antifibrinolíticos, hemodiluição normovolêmica e reposição total do perfusato. RESULTADOS: A média de utilização de hemoderivados por paciente foi de 1,45 UI de CH; 0,75 UI de PF; 0,89 UI de crioprecipitados e 1,43 UI de plaquetas. Em 59 (58,4% pacientes, não foram usados hemoderivados e somente 12 (11,9% pacientes necessitaram mais de quatro UI de CH. Dentre os 27 (26,7% pacientes cujo tempo de circulação extracorpórea (CEC excedeu os 120 minutos, 17 (63% necessitaram de hemotransfusão. Apenas três (2,97% pacientes desenvolveram coagulopatia, sendo dois (1,98% reoperados por sangramento. Dos três pacientes que desenvolveram coagulopatia, dois pertenciam ao subgrupo de idosos. CONCLUSÃO: Na série apresentada, as medidas adotadas conseguiram reduzir a necessidade de hemotransfusão no pós-operatório de cirurgia cardíaca. Pacientes com tempo de CEC maior que 120 minutos tenderam a necessitar de hemotransfusão. A associação de cirurgia em pacientes idosos e tempo de CEC superior a 120 minutos resultou em maior utilização de sangue e hemoderivados no período pós-operatório.OBJECTIVE: The aim of this study is to evaluate the strategies adopted by our team to reduce the use of bloods components in patients undergoing cardiovascular surgical procedures. METHODS: Between October 2005 and January 2007, 101 patients were operated. Fifty-one (50.5% were male and 50 (49.5% female. Patients' age ranged from 13 to 80 years (mean of 50.76 years. The strategy consisted in using antifibrinolytics and normovolemic

  2. Breeding ground: evolving the &apos;smart&apos; industry

    Energy Technology Data Exchange (ETDEWEB)

    Jaremko, G.

    2001-05-01

    This article celebrates the successes of the Canadian independent oil contractors and the oilfield service and supply sector that keep Canada in the forefront of the world&apos;s &apos;smart&apos; nations in energy stewardship, efficiency, development, diversification and utilization. It explains how small independent contractors and service and supply enterprises play a central role on all these fronts, with supply and service companies being responsible for about 80 per cent of oil companies&apos; capital budget and 70 per cent of their operational expenditures in fields ranging from construction, and camp catering, to ambulance services, safety systems, trucking, tool making, drilling services, production testing, valve manufacturing, chemical blending and environmental protection. Special attention is paid to importance on independent contractors represented by the Small Explorers and Producers Association of Canada (SEPAC), their ability to develop or adopt new technology and to accommodate the demands of constantly changing price levels and increasingly higher expectations in terms of social responsibility, productivity and competitiveness, as well as environmental performance. As an example, the article describes the career of Robert Tessari, founder and president of Tesco Corporation, a drilling company operating in some 40 countries, who aims to automate drilling to the point where rig crews are pared to teams of two or three experts directing machinery from computer consoles. That he is well on the way of achieving his objectives is illustrated by his contributions to the development of a new generation of bits, tools and procedures known as the &apos;case drilling&apos; process which simultaneously uses the same steel tubing to make the holes into oil and gas-bearing formations and line them for production, and in so doing cut 25 to 30 per cent off the time required to drill a well and bring it to production. His company&apos;s contribution to the

  3. Necessidades e expectativas do paciente em pós-operatório de cirurgia cardíaca: avaliação de uma abordagem da prática

    Directory of Open Access Journals (Sweden)

    Joséte Luzia Leite

    1985-12-01

    Full Text Available As autoras, mediante observação em trinta pacientes em pós-operatório de Cirurgia Cardíaca, procuraram identificar as expectativas e necessidades dos mesmos ao tem po em que analisaram a assistência prestada pelo enfermeiro. A partir de suas experiências como docente e enfermeiras, avaliaram a prática profissional voltadas principalmente para aquelas necessidades identificadas.

  4. Human ApoE Isoforms Differentially Modulate Glucose and Amyloid Metabolic Pathways in Female Brain: Evidence of the Mechanism of Neuroprotection by ApoE2 and Implications for Alzheimer's Disease Prevention and Early Intervention.

    Science.gov (United States)

    Keeney, Jeriel Thomas-Richard; Ibrahimi, Shaher; Zhao, Liqin

    2015-01-01

    Three major genetic isoforms of apolipoprotein E (ApoE), ApoE2, ApoE3, and ApoE4, exist in humans and lead to differences in susceptibility to Alzheimer's disease (AD). This study investigated the impact of human ApoE isoforms on brain metabolic pathways involved in glucose utilization and amyloid-β (Aβ) degradation, two major areas that are significantly perturbed in preclinical AD. Hippocampal RNA samples from middle-aged female mice with targeted human ApoE2, ApoE3, and ApoE4 gene replacement were comparatively analyzed with a qRT-PCR custom array for the expression of 85 genes involved in insulin/insulin-like growth factor (Igf) signaling. Consistent with its protective role against AD, ApoE2 brain exhibited the most metabolically robust profile among the three ApoE genotypes. When compared to ApoE2 brain, both ApoE3 and ApoE4 brains exhibited markedly reduced levels of Igf1, insulin receptor substrates (Irs), and facilitated glucose transporter 4 (Glut4), indicating reduced glucose uptake. Additionally, ApoE4 brain exhibited significantly decreased Pparg and insulin-degrading enzyme (Ide), indicating further compromised glucose metabolism and Aβ dysregulation associated with ApoE4. Protein analysis showed significantly decreased Igf1, Irs, and Glut4 in ApoE3 brain, and Igf1, Irs, Glut4, Pparg, and Ide in ApoE4 brain compared to ApoE2 brain. These data provide the first documented evidence that human ApoE isoforms differentially affect brain insulin/Igf signaling and downstream glucose and amyloid metabolic pathways, illustrating a potential mechanism for their differential risk in AD. A therapeutic strategy that enhances brain insulin/Igf1 signaling activity to a more robust ApoE2-like phenotype favoring both energy production and amyloid homeostasis holds promise for AD prevention and early intervention.

  5. Biological effect and tumor risk of diagnostic x-rays. The &apos;&apos;war of the theories&apos;&apos;; Biologische Wirkung und Tumorrisiko diagnostischer Roentgenstrahlen. Der &apos;&apos;Krieg der Modelle&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Selzer, E.; Hebar, A. [Medizinische Universitaet Wien, Abteilung fuer Strahlenbiologie, Klinik fuer Strahlentherapie, Wien (Austria)

    2012-10-15

    Since the introduction of ionizing radiation as a treatment and diagnostic tool in humans, scientists have been trying to estimate its side effects and potential health risks. There is now ample evidence for the principal existence of a direct relationship between higher doses and the risks of side effects. Most of the uncertainties lie in the field of low-dose effects especially with respect to the risk of cancer induction. Low-dose effects are usually of relevance in diagnostic medicine while high-dose radiation effects are typically observed after radiotherapeutic treatment for cancer or after nuclear accidents. The current state of the &apos;&apos;war of theories&apos;&apos; may be summarized as follows: one group of scientists and health regulatory officials favors the hypothesis that there is no threshold dose, i.e. the linear-no-threshold hypothesis (LNT) of radiation which can be regarded as safe. On the contrary, the critics of this hypothesis suggest that the risks of doses below 50 mSv are not measurable or even of clinical relevance and are not adequately described by a linear dose-response relationship. The aim of this article is to summarize the major unresolved issues in this field. Arguments are presented why the validity of the LNT model in the low-dose range should be regarded as at least inconsistent and is thus questionable. (orig.) [German] Seit der Einfuehrung ionisierender Strahlen als ein Mittel zur Behandlung und Diagnose beim Menschen haben Wissenschaftler versucht, ihre Nebenwirkungen und potenziellen Risiken fuer die Gesundheit einzuschaetzen. Es gibt nun ausreichende Evidenz fuer das grundsaetzliche Vorliegen einer direkten Beziehung zwischen hoeheren Dosen und Nebenwirkungsrisiken. Die meisten Unsicherheiten liegen auf dem Gebiet der Niedrigdosisforschung v. a. im Hinblick auf das Risiko der Induktion von Krebs. Niedrigdosiseffekte sind ueblicherweise von Bedeutung in der diagnostischen Medizin, waehrend Hochdosisbestrahlungseffekte

  6. Uso do 5-fluorouracil no intra-operatório da cirurgia do pterígio Intra-operative use of 5-fluorouracil in pterygium surgery

    Directory of Open Access Journals (Sweden)

    Silvana A. Schellini

    2000-04-01

    Full Text Available Objetivo: Avaliar a efetividade e as complicações com a aplicação do 5- fluorouracil (5-FLU no intra-operatório da cirurgia do pterígio. Método: Foram avaliados 28 olhos de 26 indivíduos quanto ao tipo e tamanho do pterígio, cirurgias prévias e a resposta ao tratamento cirúrgico (no 7º , 21º , 60º e 90º dia de pós-operatório. Logo após a exerese do pterígio, aplicou-se 5-FLU (25 mg/ml no leito cirúrgico, durante cinco minutos; a seguir, realizou-se a técnica de deslizamento de retalho conjuntival. Resultados: A maioria dos pacientes tinha mais de 50 anos de idade e apresentava pterígio primário (70,0%, grau II (60,7%, do tipo involutivo (60,7%. No pós-operatório observaram-se: isquemia (10,7%, deiscência da conjuntiva (7,1%, ceratite (3,5%, conjuntivite (3,5% e recidiva da lesão em 1 olho (3,5%.Conclusão: O 5-FLU se mostrou droga segura e efetiva na prevenção das recidivas, podendo ser usado como coadjuvante no tratamento do pterígio para prevenir recidivas.Purpose: To evaluate the effectiveness and the complications on intraoperative application of 5-fluorouracil (5FLU in pterygium surgery. Method: We studied 28 eyes of 26 patients with pterygium, evaluating the type and size of the pterygium, previous surgeries and the response to surgical treatment (on the 7th, 21st, 60th, 90th postoperative day. The application of 5-FLU (25 mg/ml was done soon after resection, for five minutes, followed by the sliding flap technique.Results: Most of the patients were more than 50 years old, presented with primary (70.0%, degree II (60.7%, involu-tionary type (60.7% pterygium. After surgery ischemic area (10.7%, conjunctival deiscence (7.1%, keratitis (3.5%, conjunctivitis (3.5% and lesion relapse (3.5% were observed.Conclusion: 5-FLU is a safe and effective drug and could be of help in the treatment of pterygium to prevent relapse.

  7. Sildenafil no tratamento da hipertensão pulmonar após cirurgia cardíaca Sildenafil for pulmonary hypertension treatment after cardiac surgery

    Directory of Open Access Journals (Sweden)

    Maria Regina Bentlin

    2005-04-01

    Full Text Available OBJETIVO: Relatar o uso do Sildenafil no tratamento da hipertensão pulmonar em recém-nascido após cirurgia cardíaca. DESCRIÇÃO: Recém-nascido de termo, feminino, com diagnóstico de dupla via de saída de ventrículo direito, hipoplasia de pulmonar e comunicação interventricular subaórtica, foi submetido à cirurgia de Blalock na primeira semana de vida. No pós-operatório, evoluiu com hipertensão pulmonar e hipoxemia persistente, não-responsiva ao óxido nítrico, porém com melhora da oxigenação após infusão endovenosa contínua de prostaglandina E1. Depois de várias tentativas malsucedidas de retirada da prostaglandina E1, optou-se pela introdução do Sildenafil via oral. Houve queda da resistência vascular pulmonar, com conseqüente melhora na oxigenação e, 48 horas após, foi possível suspender a infusão de prostaglandina E1. COMENTÁRIOS: O Sildenafil pode ser alternativa terapêutica na hipertensão pulmonar, especialmente quando não houver resposta à terapia convencional.OBJECTIVE: To report on the use of sildenafil for pulmonary hypertension treatment of a newborn patient after cardiac surgery. DESCRIPTION: A female, full term newborn infant with diagnosis of double outlet right ventricle, pulmonary hypoplasia and subaortic ventricular septal defect, was submitted to Blalock surgery in the first week of life. In postoperative the newborn had pulmonary hypertension and persistent hypoxia, without response to nitric oxide, but with improved oxygenation after continuous intravenous infusion of prostaglandin E1. After several failed attempts to discontinue prostaglandin E1, oral sildenafil was used. There was a decrease in pulmonary vascular resistance with consequent oxygenation improvement and 48 hours later it was possible to discontinue prostaglandin E1 infusion. COMMENTS: Sildenafil can be an alternative therapy for pulmonary hypertension, especially when there is no response to conventional therapy.

  8. Perdas auditivas em paralisia facial periférica após cirurgia de descompressão Hearing loss in peripheral facial palsy after decompression surgery

    Directory of Open Access Journals (Sweden)

    Alexandre Augusto Kroskinsque Palombo

    2012-06-01

    Full Text Available A paralisia facial pode resultar de uma variedade de etiologias, sendo a mais comum a idiopática. A avaliação e o tratamento são particularmente complexos. O tratamento da paralisia facial aguda pode envolver cirurgia de descompressão do nervo facial. Qualquer estrutura perto do trajeto do nervo facial está em risco durante a cirurgia de descompressão via transmastoidea. OBJETIVO: Estudo retrospectivo que irá avaliar a perda auditiva após descompressão via transmastoidea e a evolução do grau de paralisia nos casos idiopáticos dos últimos 15 anos. MATERIAL E MÉTODO: Foram selecionados prontuários de 33 pacientes submetidos à descompressão do nervo facial via transmastoidea nos últimos 15 anos e avaliou-se a perda auditiva e a paralisia facial. RESULTADOS: Observou-se alta porcentagem (61% dos pacientes com algum grau de perda auditiva após o procedimento e, em todos os casos, houve melhora da paralisia. CONCLUSÃO: O procedimento cirúrgico não é isento de riscos. Indicações, riscos e benefícios devem ser esclarecidos aos pacientes por meio de consentimento informado.Facial paralysis can result from a variety of etiologies; the most common is the idiopathic type. Evaluation and treatment are particularly complex. The treatment of acute facial paralysis may require facial nerve decompression surgery. Any structure near the path of the facial nerve is at risk during transmastoid decompression surgery. AIM: This is a retrospective study, carried out in order to evaluate hearing loss after transmastoid decompression and how idiopathic cases evolved in terms of their degree of paralysis in the last 15 years. MATERIALS AND METHODS: We selected the charts from 33 patients submitted to transmastoid facial nerve decompression in the past 15 years and we assessed their hearing loss and facial paralysis. RESULTS: There was a high percentage (61% of patients with some degree of hearing loss after the procedure and in all cases there

  9. Mapeamento da safena interna com ecocolor Doppler no pré-operatório de cirurgia de revascularização mioc��rdica

    Directory of Open Access Journals (Sweden)

    BARROS Fanilda Souto

    1999-01-01

    Full Text Available INTRODUÇÃO: O advento do ecocolor Doppler vascular tornou possível informar o estado anatômico e funcional da safena interna ao cirurgião cardiovascular, no pré-operatório da cirurgia de revascularização miocárdica, sem riscos para o paciente ou para o conduto venoso. O objetivo do estudo foi, juntamente com o cirurgião, avaliar a utilidade do mapeamento da safena interna no pré-operatório. CASUÍSTICA E MÉTODOS: Foram estudados, entre março de 1995 e maio de 1998, 208 extremidades inferiores de 104 pacientes selecionados para cirurgia de revascularização miocárdica. O critério utilizado para a seleção da safena foi a safena patente e o diâmetro maior ou igual a 3,0 mm, utilizando os aparelhos de ultra-sonografia ATL - HDI 3000 e Acuson-Sequóia 512. RESULTADOS: Dentre as 208 extremidades estudadas, 186 (89,4% das safenas preenchiam os critérios e a análise do cirurgião estava de acordo com a descrição do ecocolor Doppler. Dezessete (8,2% não preenchiam os critérios e, em 5 (2,4% ,o exame foi compatível com safenectomia radical. Das 17 safenas consideradas não apropriadas, 2 foram exploradas cirurgicamente, sendo a análise do cirurgião concordante com o ultra-som. CONCLUSÃO: Os autores concluem que o ecocolor Doppler, sendo um método diagnóstico não invasivo, pode ser útil no mapeamento da safena interna no pré-operatório de revascularização miocárdica devido à sua capacidade de identificar e selecionar com segurança o vaso a ser utilizado como conduto vascular, o que permite ao cirurgião cardíaco o planejamento cirúrgico.

  10. Monitorização intraoperatória com ecocardiografia transesofágica em cirurgia cardíaca

    Directory of Open Access Journals (Sweden)

    Carlos Galhardo Júnior

    2011-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Desde a sua introdução clínica na década de 1980, a ecocardiografia transesofágica (ETE intraoperatória tem representado um dos maiores avanços na anestesia cardíaca moderna. Trata-se de uma técnica semi-invasiva, que permite visualização direta e rápida da anatomia estrutural do coração e dos grandes vasos, além de contribuir para a avaliação hemodinâmica e funcional do sistema cardiovascular. Dessa maneira, tem-se tornado importante monitor para auxílio diagnóstico de patologias cardíacas e intervenções anestésico-cirúrgicas. O objetivo do artigo é realizar uma revisão abrangente sobre a utilização da ETE no intraoperatório de cirurgia cardíaca. CONTEÚDO: O artigo revisa alguns aspectos relacionados à física do ultrassom, as técnicas para a obtenção das imagens, os cortes ecocardiográficos mais utilizados no intraoperatório, as indicações e as principais aplicações clínicas do método, além das contraindicações e complicações. CONCLUSÕES: A ETE intraoperatória é um método de monitorização cardiovascular seguro e útil na formulação do plano cirúrgico, na orientação de intervenções hemodinâmicas e na avaliação imediata do resultado operatório. O anestesiologista, uma vez habilitado à utilização do método, amplia seu papel no contexto da medicina perioperatória, fornecendo informações clínicas imprescindíveis à condução do ato anestésico-cirúrgico em cirurgia cardíaca.

  11. Análise do tempo de ventilação mecânica e internamento em pacientes submetidos a cirurgia cardíaca

    Directory of Open Access Journals (Sweden)

    André Luiz Lisboa Cordeiro

    2017-04-01

    Full Text Available Introdução: Pacientes submetidos à cirurgia cardíaca (CC necessitam de ventilação mecânica invasiva (VMI após o procedimento cirúrgico, sendo que um tempo prolongado de VMI pode levar a um aumento do tempo de permanência na Unidade de Terapia Intensiva (UTI. Objetivo: Verificar se o tempo de VMI interfere no tempo de internação em UTI. Métodos: Foram analisados, prospectivamente, pacientes submetidos à CC e que permaneceram por um tempo inferior a 24 horas na VMI. Foram selecionados 69 pacientes, os quais foram admitidos na UTI e acompanhados até o momento da extubação. Com esse dado encontrou-se o tempo que permaneceram em VMI e, depois, quantos dias permaneceram internados na UTI até o momento da alta da unidade. Resultados: A maior parte dos pacientes submetidos à CC foi do sexo masculino (56,5%; a idade média foi de 55,93±14,29 anos; o tipo de cirurgia mais prevalente foi a revascularização miocárdica (71,0%; o tempo médio de circulação extracorpórea (CEC foi de 65,05±20,06 minutos; o tempo médio de internação na UTI foi de 2,18±1,10 dias; o tempo de VMI foi de 7,32±2,66 horas. Não se verificou significância estatística entre essas duas últimas variáveis com um p=0,43. Conclusão: Pode-se concluir que não houve correlação entre o tempo de ventilação mecânica e tempo de internação em UTI em pacientes que não apresentaram complicações pós-operatórias imediatas e que permaneceram menos de 12 horas sob ventilação mecânica.

  12. Perfil de pacientes submetidos à cirurgia bariátrica, assistidos pelo Sistema Único de Saúde do Brasil: revisão sistemática

    Directory of Open Access Journals (Sweden)

    Silvana Marcia Bruschi Kelles

    2015-08-01

    Full Text Available Em 2013, quase um milhão de brasileiros eram obesos graves. A cirurgia bariátrica é uma alternativa para a perda de peso sustentada. Até 2014 foram realizadas quase 50 mil cirurgias pelo Sistema Único de Saúde (SUS do Brasil, mas dados antropométricos e de comorbidades destes pacientes são pouco conhecidos. O objetivo do estudo foi realizar uma revisão sistemática para conhecer o perfil do paciente submetido à cirurgia bariátrica pelo SUS até 2014. Foram consultadas as bases MEDLINE, LILACS, SciELO e Scopus. A qualidade metodológica dos artigos incluídos foi avaliada por escores de Carson e Newcastle-Ottawa. Foram identificados 1.591 estudos e selecionados 39, sendo 95% observacionais. Em média, os pacientes têm 41,4 anos, índice de massa corporal 48,6kg/m2, 21% são homens, 61% hipertensos, 22% diabéticos e 31% têm apneia do sono. Comparado com pacientes incluídos em estudos internacionais, o paciente SUS apresenta perfil antropométrico e de comorbidades semelhante, exceto pela maior prevalência de hipertensão. A baixa qualidade metodológica dos estudos sugere precaução na interpretação dos resultados.

  13. Study of the migration of radioactive elements in soils &apos;'in-place'&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Bovard, P.; Grauby, A.

    The problems of medium protection against radioactive contamination hazards have led the Commissariat a l&apos;Energie Atomique--Service de Controle des Radiations et de Genie Radioactif to study the behavior of ions in soils. There are many theoretical researches and laboratory studies on the movement of radioelements in soil. But, with the difficulties for obtaining a similar result in field, we have developed a simple direct method of in place soil contamination. However, a principal drawback remains, the necessity to extrapolate from one or two reduced size samples to a large area. This is all the problem of sampling, which is not specific of our method. However, a choice justified by classical data, let us obtain a sufficient number of results and an accuracy which is suitable.

  14. Results of the Danish &apos;&apos;high efficiency motors campaign&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Malmose, K.

    2000-07-01

    In Denmark energy consultancy (demand side management activities (DSM)) took its first steps in the middle of the 80&apos;ies. The energy consultancy was built up around the Danish electric utilities on which the Danish government imposed the implementation of energy savings for funds collected through the electricity bill (approx. 0.0006 DKK/kWh corresponding to approx. 0.001 ECU). The electric utilities trained energy consultants who specialised in visiting industrial enterprises and counselling on energy consumption, primarily focusing on auxiliary systems like lighting, compressed air, ventilation and heating. Within these areas large savings could be obtained because each company was focusing on the actual production but also because the cost of energy was a fraction of the total costs. (orig.)

  15. &apos;&apos;Textural analysis of multiparametric MRI detects transition zone prostate cancer&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Sidhu, Harbir S.; Johnston, Edward W.; Taylor, Stuart A.; Halligan, Steve [Centre for Medical Imaging, University College London, London (United Kingdom); University College London Hospitals NHS Foundation Trust, London (United Kingdom); Benigno, Salvatore; Dikaios, Nikos [Centre for Medical Imaging, University College London, London (United Kingdom); Ganeshan, Balaji [Institute of Nuclear Medicine, University College London, University College Hospital, London (United Kingdom); Allen, Clare; Kirkham, Alex [University College London Hospitals NHS Foundation Trust, London (United Kingdom); Groves, Ashley M. [University College London Hospitals NHS Foundation Trust, London (United Kingdom); Institute of Nuclear Medicine, University College London, University College Hospital, London (United Kingdom); Ahmed, Hashim U.; Emberton, Mark [University College London Hospitals NHS Foundation Trust, London (United Kingdom); University College London, Research Department of Urology, London (United Kingdom); Punwani, Shonit [Centre for Medical Imaging, University College London, London (United Kingdom); University College London Hospitals NHS Foundation Trust, London (United Kingdom); Centre for Medical Imaging, University College London and University College London Hospitals NIHR Biomedical Research Centre, London (United Kingdom)

    2017-06-15

    To evaluate multiparametric-MRI (mpMRI) derived histogram textural-analysis parameters for detection of transition zone (TZ) prostatic tumour. Sixty-seven consecutive men with suspected prostate cancer underwent 1.5T mpMRI prior to template-mapping-biopsy (TPM). Twenty-six men had &apos;significant&apos; TZ tumour. Two radiologists in consensus matched TPM to the single axial slice best depicting tumour, or largest TZ diameter for those with benign histology, to define single-slice whole TZ-regions-of-interest (ROIs). Textural-parameter differences between single-slice whole TZ-ROI containing significant tumour versus benign/insignificant tumour were analysed using Mann Whitney U test. Diagnostic accuracy was assessed by receiver operating characteristic area under curve (ROC-AUC) analysis cross-validated with leave-one-out (LOO) analysis. ADC kurtosis was significantly lower (p < 0.001) in TZ containing significant tumour with ROC-AUC 0.80 (LOO-AUC 0.78); the difference became non-significant following exclusion of significant tumour from single-slice whole TZ-ROI (p = 0.23). T1-entropy was significantly lower (p = 0.004) in TZ containing significant tumour with ROC-AUC 0.70 (LOO-AUC 0.66) and was unaffected by excluding significant tumour from TZ-ROI (p = 0.004). Combining these parameters yielded ROC-AUC 0.86 (LOO-AUC 0.83). Textural features of the whole prostate TZ can discriminate significant prostatic cancer through reduced kurtosis of the ADC-histogram where significant tumour is included in TZ-ROI and reduced T1 entropy independent of tumour inclusion. (orig.)

  16. EUGRIS: &apos;&apos;European Substainable Land and Groundwater Management Information System&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Frauenstein, J. [Federal Environmental Agency (UBA), Berlin (Germany)

    2003-07-01

    The presentation outlines and Accompanying Measure with the FP 5 to develop an web based EUropean Sustainable Land and GRoundwater Management Information System information system (EUGRIS). The management of contaminated land and groundwater requires an interdisciplinary approach and a considerable amount of supporting technical information and knowledge. EUGRIS will provide a generally available comprehensive and overarching information and innovation resource, to support both research and practical contaminated land and groundwater management. EUGRI is a gateway to provide a &apos;one stop shop&apos; for information provided by research projects, legislation, standards, best practice and other technical guidance and policy/regulatory publications from the EC, participating Member and Accession States and from various international networks dealing with groundwater and land management issues. Different types of user can access information through different windows according to their needs. EUGRIS will provide its visitors with summary information (digests) and links to sources of more detailed and/or original information in a scaleable holistic and contexturally meaningful way. EUGRIS is being built in three stages: the design of the information system, the development of its software implementation, and the population of the system with information. The presentation is focussed on the concept of the development of the information system with the individual work packages. In the second part of the lecture in particular the work procedures are presented for the content wise replenishment by EUGRIS. The data collation for the proven pilot countries and the production of a European research data base, which opens contents and results of European-wide locked and current projects, form the emphasis thereby. (orig.)

  17. Documentation to the workshop &apos;Cluster in the environmental protection economy&apos;; Dokumentation zum Workshop &apos;&apos;Cluster in der Umweltschutzwirtschaft&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-12-11

    Within the workshop &apos;Cluster in the environmental protection economy&apos; at the Umweltbundesamt (Dessau-Rosslau, Federal Republic of Germany) at 27th November, 2008, the following lectures were held: (a) Which contribution can cluster and cluster politics contribute to the promotion of the environmental protection economy? (Harald Legler); (b) Cluster in the environmental protection economy: Targets and expectations (Dieter Rehfeld); (c) Demands at the management of clusters (Karin Hoerhan); (d) Demands at the cluster politics in the environmental protection economy (Bernhard Hausberg); (e) Photovoltaics in Eastern Germany (Johann Wackenbauer); (f) Automotive industry in Bergisches Land (Thomas Lemken); (g) Competence centre environment Augsburg-Schwaben (Egon Beckord).

  18. SOLAR MAGNETIZED &apos;TORNADOES&apos;: RELATION TO FILAMENTS

    Energy Technology Data Exchange (ETDEWEB)

    Su Yang; Veronig, Astrid; Temmer, Manuela [IGAM-Kanzelhoehe Observatory, Institute of Physics, University of Graz, Universitaetsplatz 5, A-8010 Graz (Austria); Wang Tongjiang [Department of Physics, Catholic University of America, Washington, DC 20064 (United States); Gan Weiqun, E-mail: yang.su@uni-graz.at [Key Laboratory of Dark Matter and Space Astronomy, Purple Mountain Observatory, Chinese Academy of Sciences, Nanjing 210008 (China)

    2012-09-10

    Solar magnetized &apos;tornadoes&apos;, a phenomenon discovered in the solar atmosphere, appear as tornado-like structures in the corona but are rooted in the photosphere. Like other solar phenomena, solar tornadoes are a feature of magnetized plasma and therefore differ distinctly from terrestrial tornadoes. Here we report the first analysis of solar &apos;tornadoes&apos; (two papers which focused on different aspects of solar tornadoes were published in the Astrophysical Journal Letters and Nature, respectively, during the revision of this Letter). A detailed case study of two events indicates that they are rotating vertical magnetic structures probably driven by underlying vortex flows in the photosphere. They usually exist as a group and are related to filaments/prominences, another important solar phenomenon whose formation and eruption are still mysteries. Solar tornadoes may play a distinct role in the supply of mass and twists to filaments. These findings could lead to a new explanation of filament formation and eruption.

  19. The implementation of the &apos;&apos;Smart Grid&apos;&apos; - preached but not practised; Die Realisierung des &apos;&apos;Smart Grids&apos;&apos;. In aller Munde, aber nicht in der Umsetzung

    Energy Technology Data Exchange (ETDEWEB)

    Augenstein, Friedrich [Duale Hochschule Baden-Wuerttemberg, Stuttgart (Germany). Bereich BWL-Dienstleistungsmanagement; Einhellig, Ludwig; Kohl, Ingmar [Deloitte, Muenchen (Germany)

    2011-07-15

    The development of smart power grids is still in its infancy in Germany, in spite of extensive pilot programmes, competition from foreign power suppliers as well as unanimous opinion among experts that there is no way around them. Although a legal obligations has existed since the beginning of this year to offer &apos;'variable-load'&apos; tariffs, and despite their being desired by the political realm and having been laid down in the Energy Concept of the Federal Government, lack of consumer demand has so far inhibited the development of intelligent grids. But is it really because of the consumer, or is it more due to other parameters that Germany is threatening to lose the race in smart grid technology.

  20. The &apos;Energy transition&apos; generation

    International Nuclear Information System (INIS)

    Bedossa, Bastien; Boutignon, Gregoire; Sivy, Corentin; Bercault, Florian; Cage, Agathe; Mahammedi-Bouzina, Mehdi; Potton, Gregoire

    2015-11-01

    The &apos;Cartes sur table&apos; think tank aims at leveraging the opinion of young French people (from 20 to 35 years old) politically leaning to the left, in order to let them become actors in French debates, such as the one on the energy transition policy for a &apos;green growth&apos;. This paper explains the origins and the context of the energy transition policy (the dangers of nuclear power, the high potential of renewable energies, etc.), how to finance the energy transition policy, how to promote energy transition in the daily life (notably in transports and through the struggle against wastage), create a Europe of energy, and so on

  1. Metrology for the radiological early warning system in Europe. The &apos;'MetroERM'&apos; project; Metrologie fuer die radiologischen Fruehwarnsysteme in Europa. Das &apos;'MetroERM'&apos;-Projekt

    Energy Technology Data Exchange (ETDEWEB)

    Neumaier, Stefan; Dombrowski, Harald [Physikalisch-Technische Bundesanstalt, Braunschweig (Germany)

    2017-10-01

    In the European radiological early warning system about 5500 stationary sensors are actually implemented that measure continuously the local dose rate. Alongside several hundred air dust collecting systems attribute to the measurement of airborne radioactivity. The local dose rates are transmitted hourly to a central data base that is operated on behalf of the EU commission. In significantly larger time intervals the measured data of the airborne radioactivity are transmitted. In case of a cross-border radiological accident these data are the basis for recommendations given by the EU commission to the member states for national counter measures. The focus of the project &apos;&apos;Metrology for radiological early warning networks in Europe&apos;&apos; is an improvement of the metrological quality and harmonization these data and the development of improved measuring systems and evaluation methods.

  2. Swiss &apos;Electricity&apos; Research Programme 2004-2007; Konzept des Forschungsprogramms &apos;Elektrizitaet&apos; 2004 - 2007

    Energy Technology Data Exchange (ETDEWEB)

    Brueniger, R.

    2004-07-01

    This report issued by the Swiss Federal Office of Energy (SFOE) provides details on Swiss research in the electricity area that is foreseen for the period 2004-2007. The report discusses the current state of electricity research and the strategic goals for the period and presents the organisations involved and their previous work. The general main areas of interest addressed by the programme are noted, such as the storage and transport of electricity as well as its use in communication technologies, motors, domestic appliances and industrial applications. Figures are presented on the programme&apos;s finances and the concept of &apos;trend-watching&apos; groups is briefly addressed.

  3. o&apos;Peer: open peer review

    International Nuclear Information System (INIS)

    Brewer, J H

    2014-01-01

    I have built a &apos;'demonstration'&apos; website at http://oPeer.org to illustrate how peer review and publication might be improved relative to the current model, which was designed and implemented in an era when scientific communication was either face-to-face or relied upon human delivery of ink marks on dead trees

  4. SAP deficiency mitigated atherosclerotic lesions in ApoE(-/-) mice.

    Science.gov (United States)

    Zheng, Lingyun; Wu, Teng; Zeng, Cuiling; Li, Xiangli; Li, Xiaoqiang; Wen, Dingwen; Ji, Tianxing; Lan, Tian; Xing, Liying; Li, Jiangchao; He, Xiaodong; Wang, Lijing

    2016-01-01

    Serum amyloid P conpoent (SAP), a member of the pentraxin family, interact with pathogens and cell debris to promote their removal by macrophages and neutrophils and is co-localized with atherosclerotic plaques in patients. However, the exact mechanism of SAP in atherogenesis is still unclear. We investigated whether SAP influence macrophage recruitment and foam cell formation and ultimately affect atherosclerotic progression. we generated apoE(-/-); SAP(-/-) (DKO) mice and fed them western diet for 4 and 8 weeks to characterize atherosclerosis development. SAP deficiency effectively reduced plaque size both in the aorta (p = 0.0006 for 4 wks; p = 0.0001 for 8 wks) and the aortic root (p = 0.0061 for 4 wks; p = 0.0079 for 8wks) compared with apoE(-/-) mice. Meanwhile, SAP deficiency inhibited oxLDL-induced foam cell formation (p = 0.0004) compared with apoE(-/-) mice and SAP treatment increases oxLDL-induced foam cell formation (p = 0.002) in RAW cells. Besides, SAP deficiency reduced macrophages recruitment (p = 0.035) in vivo and in vitro (p = 0.026). Furthermore, SAP treatment enhanced CD36 (p = 0.007) and FcγRI (p = 0.031) expression induced by oxLDL through upregulating JNK and p38 MAPK phosphorylation whereas specific JNK1/2 inhibitor reduced CD36 (p = 0.0005) and FcγRI (P = 0.0007) expression in RAW cell. SAP deficiency also significantly decreased the expression of M1 and M2 macrophage markers and inflammatory cytokines in oxLDL-induced macrophages. SAP deficiency mitigated foam cell formation and atherosclerotic development in apoE(-/-) mice, due to reduction in macrophages recruitment, polarization and pro-inflammatory cytokines and inhibition the CD36/FcγR-dependent signaling pathway. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  5. The polarized neutron reflectometer &apos;Reverans&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Radzhabov, A.K. [Petersburg Nuclear Physics Institute, Gatchina, St. Petersburg 188300 (Russian Federation)]. E-mail: akr@pnpi.spb.ru; Gordeev, G.P. [Petersburg Nuclear Physics Institute, Gatchina, St. Petersburg 188300 (Russian Federation); Lazebnik, I.M. [Petersburg Nuclear Physics Institute, Gatchina, St. Petersburg 188300 (Russian Federation); Axelrod, L.A. [Petersburg Nuclear Physics Institute, Gatchina, St. Petersburg 188300 (Russian Federation); Zabenkin, V.N. [Petersburg Nuclear Physics Institute, Gatchina, St. Petersburg 188300 (Russian Federation)

    2007-07-15

    The polarized neutron reflectometer &apos;Reverans&apos; with a vertical plane of scattering is being installed at the VVR-M reactor (Gatchina, Russia). It will be used for research on phase boundaries, interfaces and free surfaces. Systems under study can be both magnetic and nonmagnetic ones. At present the installation of the reflectometer is at the final stage. The parameters and abilities of the reflectometer are presented.

  6. Deep-sea drilling. Practical aspects of 4D seismic: what an engineer needs to know. Developments in Iran: &apos;SIRRI&apos; of the Total company and &apos;DOROOD&apos; of the Elf company. The &apos;DOROOD&apos; operating plan. The &apos;SIRRI&apos; operating plan; Le forage en eau profonde. Aspects pratiques de la sismique 4D: ce qu&apos;un ingenieur doit savoir. Developpements en Iran: &apos;SIRRI&apos; de Total et &apos;DOROOD&apos; d&apos;Elf. Le projet &apos;DOROOD&apos;. Le projet &apos;SIRRI&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Claverie, P. [Schlumberger Sedco Forex, 92 - Montrouge (France); Bauquis, P.R. [Association Francaise des Techniciens et Professionnels du Petrole, AFTP, 92 - Paris-la-Defense (France); Seiller, B.; Geronimi, X. [Elf France, (France); Barthe, D. [Total Fina, 92 - La Defense (France)

    1999-08-01

    In this &apos;Drilling-Production&apos; section, in which 7 papers are gathered, 3 main topics are developed: (1)the deep-sea drilling (2)the practical aspects of 4D seismic (3)the &apos;SIRRI&apos; and &apos;DOROOD&apos; operating plans in Iran. Concerning the first point, it can be noticed that nowadays, mobile platforms are located in great offshore where water depths are of about 2400 m. In the second point is particularly detailed what 4D is, what it can do, what the primary conditions for it works are and how it costs. The third point is the more particularly detailed in this section (15 pages). At first an introduction indicates why Iran has to call to international petroleum investors, what the current problems of Iran are, what Iran has to do to attract foreign investment and technology and what the challenges to foreign companies are. Then the two operating plans: &apos;SIRRI&apos; and &apos;DOROOD&apos; are exposed into details. A synthesis of these plans, called of &apos;Buy Back&apos;, (production, investment, refund) is given as well as their advantages and disadvantages. (O.M.)

  7. Folate targeted polymeric &apos;green&apos; nanotherapy for cancer

    Energy Technology Data Exchange (ETDEWEB)

    Narayanan, Sreeja; Binulal, N S; Mony, Ullas; Manzoor, Koyakutty; Nair, Shantikumar; Menon, Deepthy, E-mail: deepthymenon@aims.amrita.edu [Amrita Center for Nanosciences and Molecular Medicine, Amrita Vishwa Vidyapeetham, Kochi-682 041, Kerala (India)

    2010-07-16

    The concept of &apos;green&apos; chemotherapy by employing targeted nanoparticle mediated delivery to enhance the efficacy of phytomedicines is reported. Poly (lactide-co-glycolide) (PLGA) nanoparticles encapsulating a well known nutraceutical namely, grape seed extract (GSE)-&apos;NanoGSE&apos;-was prepared by a nanoprecipitation technique. The drug-loaded nanoparticles of size {approx} 100 nm exhibited high colloidal stability at physiological pH. Molecular receptor targeting of this nanophytomedicine against folate receptor over-expressing cancers was demonstrated in vitro by conjugation with a potential cancer targeting ligand, folic acid (FA). Fluorescence microscopy and flow cytometry data showed highly specific cellular uptake of FA conjugated NanoGSE on folate receptor positive cancer cells. Studies were also conducted to investigate the efficiency of targeted (FA conjugated) versus non-targeted (non-FA conjugated) nanoformulations in causing cancer cell death. The IC{sub 50} values were lowered by a factor of {approx} 3 for FA-NanoGSE compared to the free drug, indicating substantially enhanced bioavailability to the tumor cells, sparing the normal ones. Receptor targeting of FA-NanoGSE resulted in a significant increase in apoptotic index, which was also quantified by flow cytometry and fluorescence microscopy. This in vitro study provides a basis for the use of nanoparticle mediated delivery of anticancer nutraceuticals to enhance bioavailability and effectively target cancer by a &apos;green&apos; approach.

  8. Accidents, &apos;Black Swans&apos; and risk

    Energy Technology Data Exchange (ETDEWEB)

    Luxat, J.C., E-mail: luxatj@mcmaster.ca [McMaster Univ., Dept. of Engineering Physics, Hamilton, Ontario (Canada)

    2013-07-01

    Major accidents and natural disasters with severe consequences have occurred in all sectors of industrial activity with relatively high frequency. The severe consequences of concern involve either significant loss of life or major economic loss, or both loss of life and economic loss. Such events have in the last two years often been referred to as &apos;Black Swan&apos; events following publication of a best-selling book. The events demonstrate limits to the application of Probabilistic Risk Assessment (PRA) that arise from the underlying unquantifiable uncertainty associated with the estimation of the frequency of occurrence of such events. An approach is proposed in this paper that, consistent with the concept of defense in depth employed by the nuclear industry, augments probabilistic risk assessment with a methodology based upon &apos;threat -risk assessment&apos;. This approach shifts these very low frequency, high uncertainty, and high consequence &apos;Black Swan&apos; events out of the probabilistic risk assessment domain and into a deterministic emergency response assessment domain. (author)

  9. Accidents, &apos;Black Swans&apos; and risk

    International Nuclear Information System (INIS)

    Luxat, J.C.

    2013-01-01

    Major accidents and natural disasters with severe consequences have occurred in all sectors of industrial activity with relatively high frequency. The severe consequences of concern involve either significant loss of life or major economic loss, or both loss of life and economic loss. Such events have in the last two years often been referred to as &apos;Black Swan&apos; events following publication of a best-selling book. The events demonstrate limits to the application of Probabilistic Risk Assessment (PRA) that arise from the underlying unquantifiable uncertainty associated with the estimation of the frequency of occurrence of such events. An approach is proposed in this paper that, consistent with the concept of defense in depth employed by the nuclear industry, augments probabilistic risk assessment with a methodology based upon &apos;threat -risk assessment&apos;. This approach shifts these very low frequency, high uncertainty, and high consequence &apos;Black Swan&apos; events out of the probabilistic risk assessment domain and into a deterministic emergency response assessment domain. (author)

  10. 7th CNS int&apos;l steam generators to controls conference - a compliment to the remarkable CNS &apos;OM+DM utility engagement initiative&apos;

    International Nuclear Information System (INIS)

    Schneider, W.

    2012-01-01

    We learned from CANDU Maintenance-Conference of December 2011, that it is our own &apos;ways-of-working&apos; as service-providers for everything from plant-architecture to operational-support, that is holding back &apos;new-build&apos; as well as &apos;re-build&apos;. CMC2011 addressed that by focusing on &apos;Needs-and-Interests of the Operating-Utilities&apos;. SGC 2012 extends that by focusing firstly on &apos;Issue-Identification&apos; to isolate &apos;items-needing-attention&apos;; then on &apos;Issue-Definition&apos; to define the &apos;work&apos; required for &apos;Issue-Resolution&apos;. It also pursues &apos;Task Leadership&apos; as a competence, essential for ... &apos;making things happen&apos;. These events and the CNS &apos;OM+DM [Operations&Maintenance and Design&Materials Divisions] Utility Engagement Initiative&apos; are seen as complimentary initiatives toward such &apos;ways-of-working-improvement&apos; objectives. (author)

  11. Les Houches &apos;&apos;Physics at TeV Colliders 2003&apos;&apos; Beyond the Standard Model Working Group: Summary Report

    Energy Technology Data Exchange (ETDEWEB)

    Allanach, B

    2004-03-01

    The work contained herein constitutes a report of the &apos;&apos;Beyond the Standard Model&apos;&apos; working group for the Workshop &apos;&apos;Physics at TeV Colliders&apos;&apos;, Les Houches, France, 26 May-6 June, 2003. The research presented is original, and was performed specifically for the workshop. Tools for calculations in the minimal supersymmetric standard model are presented, including a comparison of the dark matter relic density predicted by public codes. Reconstruction of supersymmetric particle masses at the LHC and a future linear collider facility is examined. Less orthodox supersymmetric signals such as non-pointing photons and R-parity violating signals are studied. Features of extra dimensional models are examined next, including measurement strategies for radions and Higgs&apos;, as well as the virtual effects of Kaluza Klein modes of gluons. Finally, there is an update on LHC Z&apos; studies.

  12. A avaliação pré-anestésica para cirurgia oftalmológica em idosos é realmente necessária? A realidade de um hospital público

    Directory of Open Access Journals (Sweden)

    Flora Margarida Barra Bisinotto

    Full Text Available RESUMO Objetivos: A avaliação pré-anestésica (APA e a realização de exames laboratoriais são questionadas para cirurgias oftalmológicas ambulatoriais por acrescentarem custos e retardarem a cirurgia. Estas são de baixo risco, mas os pacientes são idosos e com várias comorbidades. O objetivo deste estudo foi determinar se a APA é realmente necessária nestes pacientes em um hospital público. Métodos: Foi conduzido um estudo retrospectivo em 297 prontuários contendo a APA de pacientes para cirurgias oftalmológicas em um hospital público. Foram avaliados através da história, exame clínico e exames complementares, a proporção de pacientes que apresentaram na APA doenças desconhecidas ou não controladas e alterações dos exames complementares. Resultados: A média de idade dos pacientes foi de 71,5 anos, com 95,28% tendo pelo menos uma doença crônica. A doença mais prevalente foi hipertensão arterial sistêmica (62,96%, que em 7,7% dos pacientes estavam sem controle adequado; 2.3% não tinham diagnóstico de HAS. O diabetes mellitus tipo 2 apareceu em segundo (22,22%, com 5,3% sem controle adequado. Glicemia acima de 100 mg.dl-1 foi encontrada em 25,92%, sem diagnóstico conhecido. Do total, 84,8% tomavam pelo menos um medicamento. Somente 73,4% dos pacientes foram liberados para a cirurgia na primeira consulta. Conclusão: A APA em oftalmologia é capaz de detectar doenças não diagnosticadas, ou condições clínicas instáveis, e exerce um papel não só de otimização do paciente para a cirurgia como de atendimento primário, desempenhando papel importante na saúde global da população e, portanto, considerada necessária nos pacientes idosos do sistema público de saúde.

  13. The Effect of a High-Fat Diet on Brain Plasticity, Inflammation and Cognition in Female ApoE4-Knockin and ApoE-Knockout Mice.

    Directory of Open Access Journals (Sweden)

    Carola I F Janssen

    Full Text Available Apolipoprotein E4 (ApoE4, one of three common isoforms of ApoE, is a major risk factor for late-onset Alzheimer disease (AD. ApoE-deficient mice, as well as mice expressing human ApoE4, display impaired learning and memory functions and signs of neurodegeneration. Moreover, ApoE protects against high-fat (HF diet induced neurodegeneration by its role in the maintenance of the integrity of the blood-brain barrier. The influence of a HF diet on the progression of AD-like cognitive and neuropathological changes was assessed in wild-type (WT, human ApoE4 and ApoE-knockout (ApoE-/- mice to evaluate the modulatory role of ApoE in this process. From 12 months of age, female WT, ApoE4, and ApoE-/- mice were fed either a standard or a HF diet (19% butter, 0.5% cholate, 1.25% cholesterol throughout life. At 15 months of age mice performed the Morris water maze, evaluating spatial learning and memory. ApoE-/- showed increased spatial learning compared to WT mice (p = 0.009. HF diet improved spatial learning in WT mice (p = 0.045, but did not affect ApoE4 and ApoE-/- mice. Immunohistochemical analyses of the hippocampus demonstrated increased neuroinflammation (CD68 in the cornu ammonis 1 (CA1 region in ApoE4 (p = 0.001 and in ApoE-/- (p = 0.032 mice on standard diet. HF diet tended to increase CD68 in the CA1 in WT mice (p = 0.052, while it decreased in ApoE4 (p = 0.009, but ApoE-/- remained unaffected. A trend towards increased neurogenesis (DCX was found in both ApoE4 (p = 0.052 and ApoE-/- mice (p = 0.068. In conclusion, these data suggest that HF intake induces different effects in WT mice compared to ApoE4 and ApoE-/- with respect to markers for cognition and neurodegeneration. We propose that HF intake inhibits the compensatory mechanisms of neuroinflammation and neurogenesis in aged female ApoE4 and ApoE-/- mice.

  14. Cirurgias de músculos retos horizontais: análise de planejamentos e resultados Surgeries of the horizontal recti muscles: analysis of plannings and results

    Directory of Open Access Journals (Sweden)

    Rosália M. Simões Antunes Foschini

    2001-11-01

    Full Text Available Objetivo: Estudo retrospectivo dos resultados de cirurgias para correção de estrabismo horizontal num hospital-escola. Métodos: Selecionados casos de eso ou exotropias aproximadamente concomitantes, sem sinais evidentes de paralisias musculares ou de processos de contenção das rotações oculares, em que se realizaram, apenas, cirurgias de recuo dos retos mediais (grupo A, ou laterais (grupo C, ou de recuo e ressecção em esotropias (grupo B, ou exotropias (grupo D, com ou sem transposições das inserções dos músculos operados. Resultados: Esotropias foram mais freqüentes que exotropias (nA = 66; nB = 28; nC = 27; nD = 22 e cirurgias com transposições (96 superaram as sem (47. A distribuição dos ângulos pré-operatórios (m = 42,49D, s = 11,68D nas esotropias; m = 35,39D; s = 9,93D nas exotropias e a das correções obtidas (m = 38,95D, s = 13,57D nas esotropias; m = 31,64D, s = 14,58D nas exotropias são praticamente equivalentes e, além disso, altas correlações foram observadas entre o ângulo pré-operatório e a quantidade da operação respectiva. Todavia, as correlações entre os ângulos pré-operatórios e os resultados proporcionais da cirurgia (em D/mm foram, todas, baixas. As quantidades de correções adequadas quando considerados ângulos residuais de desvio de ±5D, ±10D e ±15D, foram respectivamente de 31,9%, 62,8%, e 80,8% nas esotropias e 40,8%, 55,1% e 73,5% nas exotropias. Conclusões: Embora planejamentos cirúrgicos e suas execuções produzam resultados coletivos satisfatórios, os individuais mostram ainda uma imprevisibilidade muito alta.Purpose: Retrospective study of surgical results of the correction of horizontal strabismus in a University Hospital. Methods: In selected cases of comitant eso- and exotropias, without signs of oculomotor paralyses or restricted ocular rotations, surgeries of: recessions of both medial recti (group A, or both lateral recti (group C were performed, recession

  15. Cirurgia cardíaca videoassistida: resultados de um projeto pioneiro no Brasil Video-assisted cardiac surgery: results from a pioneer project in Brazil

    Directory of Open Access Journals (Sweden)

    Robinson Poffo

    2009-09-01

    Full Text Available OBJETIVO: Demonstrar as possibilidades da utilização da videotoracoscopia na cirurgia cardíaca com circulação extracorpórea (CEC. MÉTODOS: Entre fevereiro de 2006 e novembro de 2008, 102 pacientes foram submetidos consecutivamente a cirurgia cardíaca minimamente invasiva videoassistida. As doenças cardíacas abordadas foram valvopatia mitral (n=56, aórtica (n=14, comunicação interatrial (n=32, seis pacientes apresentavam insuficiência tricúspide associada e do grupo total, doze tinham fibrilação atrial. A idade variou de 18 a 68 anos, sendo 57 pacientes do sexo feminino. O método cirúrgico constou de canulação arterial e venosa femoral, incisão de quatro a seis centímetros (cm ao nível do 3º ou 4º espaço intercostal direito (EICD, dependendo da doença do paciente, entre as linhas axilar anterior e hemiclavicular direita, sulco mamário ou periareolar direita e toracoscopia. RESULTADOS: Os procedimentos cirúrgicos compreenderam: plastia (n=20 ou troca valvar mitral (n=36; troca valvar aórtica (n=14; atriosseptoplastia com remendo de pericárdio bovino (n=32; plastia valvar tricúspide com anel rígido (n=6; e correção cirúrgica da fibrilação atrial por radiofrequência (n=12. Todas as cirurgias foram realizadas sem intercorrências. Não houve conversão para toracotomia. Dois pacientes evoluíram com fibrilação atrial no pós-operatório. Houve um (0,9% episódio de acidente vascular cerebral, sete dias após a alta hospitalar, e um óbito (0,9% decorrente de síndrome da resposta inflamatória sistêmica (SIRS. CONCLUSÃO: Este trabalho demonstra a abrangência de afecções possíveis de serem abordadas pela videocirurgia cardíaca com CEC, sendo um procedimento seguro, eficaz e com baixa morbidade e mortalidade. A cirurgia cardíaca minimamente invasiva videoassistida já é uma realidade no Brasil, demonstrando excelentes resultados estéticos e funcionaisOBJECTIVE: To demonstrate the possibilities of the

  16. Estenose carotídea e cirurgia de revascularização miocárdica Carotid stenosis and coronary artery bypass grafting

    Directory of Open Access Journals (Sweden)

    Marcelo Pereira da Rosa

    2011-06-01

    Full Text Available OBJETIVO: Identificar a prevalência de estenose carotídea (EC e os possíveis preditores de mortalidade em indivíduos submetidos à cirurgia de revascularização miocárdica (CRM eletiva. MÉTODOS: Estudo de coorte que incluiu 393 candidatos à CRM. Todos os pacientes realizaram ultrassonografia com Doppler em cores de artérias carótidas antes da CRM e foram seguidos durante a internação quanto à morbidade e mortalidade. A EC foi considerada clinicamente relevante quando > 50%. Um p 50% (p = 0,001 e insuficiência renal crônica (IRC (p = 0,03 foram preditores, independentes de mortalidade. CONCLUSÃO: EC mostrou ter uma prevalência elevada na amostra estudada e, conjuntamente com a IRC, foi preditor, independente de mortalidade.OBJECTIVE: To identify carotid stenosis (CS prevalence and potential mortality predictors in individuals undergoing elective coronary artery bypass grafting (CABG. METHODS: Cohort study including 393 scheduled for CABG. All patients underwent a color Doppler ultrasound study of the carotid arteries prior to CABG and were assessed for morbidity and mortality over the hospitalization. CS was considered clinically relevant when if > 50%. Significance was set at p 50% (p = 0.001 and chronic renal failure (CRF (p = 0.03 remained as mortality independent predictors. CONCLUSION: CS showed a high prevalence in the study sample and together with CRF was a mortality independent factor.

  17. Avaliação da intensidade de dor e sinais vitais no pós-operatório de cirurgia cardíaca

    Directory of Open Access Journals (Sweden)

    Adriana de Fátima Alencar Miranda

    2011-04-01

    Full Text Available O objetivo do estudo é analisar as alterações nos sinais vitais de pacientes em pós-operatório de cirurgias cardíacas, mediante intensidade de dor referida. Trata-se de estudo descritivo-exploratório, que utilizou o método de análise quantitativa na investigação de 38 pacientes submetidos à primeira renovação de curativos. A análise dos dados, mensurados antes e após a realização do procedimento de enfermagem, indicaram que a manifestação da dor ocorreu em diferentes classificações. As principais alterações nos sinais vitais ocorreram na pressão arterial. Concluiu-se que a intensidade dolorosa mantém relações com os resultados dos sinais vitais e o cuidado prestado é imprescindível ao restabelecimento do estado de saúde do paciente no pós-operatório.

  18. Preparação psicológica para a cirurgia em pediatria: importância, técnicas e limitações

    Directory of Open Access Journals (Sweden)

    Camilla Volpato Broering

    2008-01-01

    Full Text Available Este artigo apresenta uma revisão crítica da literatura sobre os programas e técnicas de preparação psicológica para cirurgia em crianças e discute os limites da pesquisa neste campo. Os procedimentos cirúrgicos produzem elevados níveis de ansiedade para os pacientes pediátricos, podendo provocar distúrbios psicológicos. A preparação pode reduzir a ansiedade, comportamentos negativos e inadequados no pós-cirúrgico, e ser eficaz para reduzir a ansiedade dos pais. Discutem-se limitações referentes à pesquisa, além de sugerir sua importância e o desenvolvimento de trabalhos científicos na área que avaliem melhor os procedimentos, como também, salientem e justifiquem a importância dos pais no trabalho de preparação pré-cirúrgica.

  19. Resultados da cirurgia do aneurisma da aorta abdominal em pacientes jovens Outcomes after surgical repair of abdominal aortic aneurysms in young patients

    Directory of Open Access Journals (Sweden)

    Telmo P. Bonamigo

    2009-06-01

    Full Text Available CONTEXTO: A presença de aneurisma da aorta abdominal (AAA é rara em pacientes jovens. OBJETIVO: Avaliar os resultados da cirurgia do AAA em pacientes com idade BACKGROUND: Abdominal aortic aneurysms (AAA are rare in young patients. OBJECTIVE: To evaluate outcomes after AAA repair in patients aged < 50 years. METHODS: Between June 1979 and January 2008, 946 patients underwent elective repair for an infrarenal AAA performed by the first author. Of these, 13 patients (1.4% were < 50 years old at surgery. Demographic characteristics and surgical data were analyzed, as well as early and late outcomes after surgical intervention. RESULTS: Mean age was 46±3.4 years (ranging from 43 to 50 years. Most patients were men (76.9%, hypertensive (76.9% and smokers (61.5%. Perioperative morbidity and mortality rates were low (15.4% and 0%, respectively; one patient had respiratory infection and another patient had unstable angina. Median follow-up was 85.5 months, and two patients died due to ischemic cardiopathy and cerebrovascular accident during the follow-up period. CONCLUSION: AAA repair in young patients is a safe procedure, with good long-term results. In our study, there were no perioperative deaths, and a good long-term survival was observed.

  20. Computerized axial tomography of the chest for visualization of &apos;'absent'&apos; pulmonary arteries

    Energy Technology Data Exchange (ETDEWEB)

    Sondheimer, H.M. (Upstate Medical Center, Syracuse, NY); Oliphant, M.; Schneider, B.; Kavey, R.E.W.; Blackman, M.S.; Parker, F.B. Jr.

    1982-05-01

    To expand the search for central pulmonary arteries in six patients with absence of cardiac-pulmonary continuity, computerized axial tomography (CAT) of the chest was performed. The CAT scans were compared with previous arteriograms and pulmonary vein wedge angiograms. Three patients with type IV truncus arteriosus were studied, and none had a central, right or left pulmonary artery on CAT scan. However, two patients with tetralogy of Fallot with pulmonary atresia and a patent ductus arteriosus to the right lung demonstrated the presence of a left pulmonary artery. In addition, one child with truncus arteriosus with &apos;'absent'&apos; left pulmonary artery demonstrated a left pulmonary artery on the CAT scan. The CAT scan may therefore enhance our ability to search for disconnected pulmonary arteries in children with complex cyanotic congenital heart disease.

  1. Aharonov-Bohm effect for a fermion field in a planar black hole &apos;'spacetime'&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Anacleto, M.A.; Mohammadi, A. [Universidade Federal de Campina Grande, Departamento de Fisica, Caixa Postal 10071, Campina Grande, Paraiba (Brazil); Brito, F.A. [Universidade Federal de Campina Grande, Departamento de Fisica, Caixa Postal 10071, Campina Grande, Paraiba (Brazil); Universidade Federal da Paraiba, Departamento de Fisica, Caixa Postal 5008, Joao Pessoa, Paraiba (Brazil); Passos, E. [Universidade Federal de Campina Grande, Departamento de Fisica, Caixa Postal 10071, Campina Grande, Paraiba (Brazil); Universidade Federal do Rio de Janeiro, Instituto de Fisica, Caixa Postal 21945, Rio de Janeiro (Brazil)

    2017-04-15

    In this paper we consider the dynamics of a massive spinor field in the background of the acoustic black hole spacetime. Although this effective metric is acoustic and describes the propagation of sound waves, it can be considered as a toy model for the gravitational black hole. In this manner, we study the properties of the dynamics of the fermion field in this &apos;'gravitational'&apos; rotating black hole as well as the vortex background. We compute the differential cross section through the use of the partial wave approach and show that an effect similar to the gravitational Aharonov-Bohm effect occurs for the massive fermion field moving in this effective metric. We discuss the limiting cases and compare the results with the massless scalar field case. (orig.)

  2. Prospects for neutron star equation of state constraints using &apos;'recycled'&apos; millisecond pulsars

    Energy Technology Data Exchange (ETDEWEB)

    Bogdanov, Slavko [Columbia University, Columbia Astrophysics Laboratory, New York, NY (United States)

    2016-02-15

    &apos;'Recycled'&apos; millisecond pulsars are a variety of rapidly spinning neutron stars that typically show thermal X-ray radiation due to the heated surface of their magnetic polar caps. Detailed numerical modeling of the rotation-induced thermal X-ray pulsations observed from recycled millisecond pulsars, including all relevant relativistic and stellar atmospheric effects, has been identified as a promising approach towards an astrophysical determination of the true neutron star mass-radius relation, and by extension the state of cold matter at densities exceeding those of atomic nuclei. Herein, I review the basic model and methodology commonly used to extract information regarding neutron star structure from the pulsed X-ray radiation observed from millisecond pulsars. I also summarize the results of past X-ray observations of these objects and the prospects for precision neutron star mass-radius measurements with the upcoming Neutron Star Interior Composition Explorer (NICER) X-ray timing mission. (orig.)

  3. The &apos;Transnuklear affair&apos; and its consequences. Die &apos;Transnuklear-Affaere&apos; und ihre Auswirkungen

    Energy Technology Data Exchange (ETDEWEB)

    Brinkert, M.

    1992-03-01

    The &apos;Bribe&apos; and &apos;Drum&apos; Affairs and suspected proliferation in connection with Transnuklear GmbH public around the turn of 1987/88. Many members of the press wished them to speed up the process of opting out of nuclear power. However, none of the accusations specifically related to nuclear power leveled at that time turned out to be tenable. Instead, all violations of the law which had been detected could have been punished in the same way as in any other branch of industry. As a consequence, the impacts arising to regulatory structures in the nuclear sector, especially the measures taken by the Federal Government, may be considered to have been unjustified in scope. The TN Affair and the associated litigation has caused a great deal of confidence in nuclear power to be lost, which now has to be reclaimed by purposeful public relations efforts. (orig.).

  4. &apos;Bluetooth&apos; for radio-connecting short distance; Kinkyori wo musen setsuzokusuru &apos;Bluetooth&apos;

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    &apos;Bluetooth&apos; is a new connection method for radio-connecting a short distance by means of mobile equipment including a note PC, PC peripheral equipment and portable telephone, using 2.4GHz ISM (Industrial Scientific Medical) band. It is capable of making a network without a complex operation, enabling data and audio communications. In May, 1998, an operation for deciding on the specifications was started under the leadership of five companies consisting of Ericsson, Nokia, Intel, IBM and Toshiba, with the specification version 1.0 completed in July, 1999 and opened to the public. (readable on http://www.bluetooth.com). Using such features as low power consumption, low cost and small size, the &apos;Bluetooth&apos; will be mounted on various kinds of mobile equipment and developed in mobile PAN (Personal Area Network). (translated by NEDO)

  5. Hawai&apos;i&apos;s EVolution: Hawai&apos;i Powered. Technology Driven. (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2013-05-01

    This Hawaii Clean Energy Initiative (HCEI) brochure outlines Hawaii&apos;s energy and transportation goals and the implementation of electric vehicles (EV) and electric vehicle infrastructure since HCEI began in 2008. It includes information about Hawaii&apos;s role in leading the nation in available EV charging infrastructure per capita; challenges for continuing to implement EV technology; features on various successful EV users, including the Hawaiian Electric Company, Enterprise Rent-A-Car, and Senator Mike Gabbard; how EVs can integrate into and help propel Hawaii&apos;s evolving smart grid; and much more.

  6. Why Germany&apos;s &apos;Messy&apos; energy transition should be a lesson to other nations

    Energy Technology Data Exchange (ETDEWEB)

    Shepherd, John [nuclear 24, Brighton (United Kingdom)

    2015-03-15

    Germany&apos;s so-called &apos;&apos;energy transition&apos;&apos; (&apos;'Energiewende'&apos;) is increasingly drawing the intention of the international community - but it seems for all the wrong reasons. US Senator Lamar Alexander said recently that German energy policy is one of the reasons the US should not abandon nuclear, but actually encourage increased investment in nuclear power plants. Alexander&apos;s remarks were made in an article published by the US Nuclear Energy Institute, in which he outlined his reasons why the US should not follow Germany&apos;s lead. Alexander rightly pointed out that the cost of attempting to replace nuclear power with wind, solar, and accompanying infrastructure is estimated by the German government at some 1.2 trillion US dollars (about 1 trillion Euros). The senator also made the point that Germany &apos;&apos;does not produce enough reliable, baseload energy for an important manufacturing economy&apos;&apos;. He also expressed concern at Germany&apos;s reliance on buying natural gas from Russia. While Germany has been forcing the closure of nuclear power plants others, including the oil-rich United Arab Emirates (UAE), have been investing in new nuclear, Alexander said. Judging from Alexander&apos;s remarks, it seems that Germany&apos;s energy transition experience will, after all, have a long-lasting legacy. That legacy will be a valuable lesson to other major industrialised nations in why they should not follow Germany&apos;s lead in abandoning a sensible energy mix, if they wish to maintain and develop economic and industrial productivity while keeping to international commitments to tackle climate change.

  7. Iran&apos;s &apos;Risk-Taking&apos; in Perspective

    Energy Technology Data Exchange (ETDEWEB)

    Shahram, Chubin

    2008-07-01

    Assessing any state&apos;s intentions is a difficult undertaking - especially at a specific moment in time. When a state is considered hostile, its behaviour erratic, and its system opaque, what is difficult under normal circumstances becomes nearly impossible. It may thus often seem prudent to attribute the worst of intentions to such states, but this can create a self-fulfilling prophecy. Iran with its revolutionary pretensions, fiery rhetoric and nuclear ambitions, is a case in point, since it is particularly difficult to &apos;read&apos;. Located in the centre of a geo-politically sensitive and conflict-driven area, Iran is in a position to influence - positively or otherwise - the Persian Gulf, the Caucasus, the Middle East and South Asia. This influence may furthermore be expanding as a result of the weakening of Iraq and Lebanon, divisions among the Palestinians, and the more general rise of the Shi&apos;i across the broader region. Add to this the ambiguous aims of Iran&apos;s nuclear programme and the shadow this has already thrown across the region, and the need to assess Iran&apos;s intentions accurately appears crucial. Here, Iran&apos;s past behavior may provide some help, especially when it comes to Iran&apos;s proclivity for risk taking - provided the acquisition of a nuclear capability does not alter Iran&apos;s intentions or behavior so as to make the past irrelevant. Some commentators believe that Iran&apos;s ideology and past behaviour suggest that a nuclear-capable Iran will be inclined to take on a high level of risk, without concern for the potential costs of this recklessness, and that Iran may perhaps even welcome the risks involved. By contrast, the recent National Intelligence Estimate (NIE), a composite of US intelligence agency estimates, has concluded that Iran&apos;s &apos;decisions are guided by a cost-benefit approach&apos; and therefore &apos;may be more vulnerable to influence&apos; than they had previously (i.e.2005) judged. These

  8. The United States and international climate cooperation: International &apos;pull&apos; versus domestic &apos;push&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Bang, Guri [Center for International Climate and Environmental Research, Oslo (Norway); Froyn, Camilla Bretteville [Center for International Climate and Environmental Research, Oslo (Norway); Hovi, Jon [Center for International Climate and Environmental Research, Oslo (Norway) and Department of Political Science, University of Oslo, P.O. Box 1097, 0317 Oslo (Norway)]. E-mail: jon.hovi@stv.uio.no; Menz, Fredric C. [Center for International Climate and Environmental Research, Oslo (Norway); School of Business, Clarkson University, Potsdam, NY 13699 (United States)

    2007-02-15

    The US government is being pressured by both international and domestic influences to re-engage in international climate control. This paper considers whether the international &apos;pull&apos; and the domestic &apos;push&apos; will be strong enough to accomplish this. First, we discuss whether changes in the architecture of the current climate regime might induce the United States to re-engage at the international level. We argue that the United States is unlikely to rejoin any global climate regime that is based on the Kyoto architecture, even if Kyoto were to be &apos;reformed&apos;. Second, we discuss whether domestic political developments might eventually cause the United States to re-engage. We conclude that US re-engagement is likely to require the emergence of a new climate regime that basically extends US regulation to other countries. However, the forging of a unified US climate policy is still in the making. Furthermore, a new regime can gain widespread participation only if the Kyoto countries accept the idea of replacing Kyoto with some alternative architecture, which seems unlikely in the near future.

  9. Hybrid coolers allow important water saving; Les refroidisseurs &apos;'hybrides'&apos; permettent des economies d&apos;eau importantes

    Energy Technology Data Exchange (ETDEWEB)

    Bitsch, V. [Societe Jaeggi-France (France)

    2005-03-01

    Air cooling systems used with refrigerating machineries are in general highly water and electricity consuming. The use of &apos;hybrid&apos; systems having the characteristics of both close-cycle evaporative systems and dry coolers allow important water saving. This article presents the operation principle and characteristics of such cooling systems. (J.S.)

  10. Calogero&apos;s &apos;goldfish&apos; is indeed a school of free particles

    Energy Technology Data Exchange (ETDEWEB)

    Nucci, M C [Dipartimento di Matematica e Informatica, Universita di Perugia, 06123 Perugia (Italy)

    2004-11-26

    A many-body system of N nonlinear ordinary differential equations of second order which is amenable to exact treatments (a &apos;goldfish&apos;) (Calogero 2001 The neatest many-body problem amenable to exact treatments (a &apos;goldfish&apos;?) Physica D 152-153 78-84) is shown to be equivalent through an exact transformation to the equations of one-dimensional motion of (N-1) free particles (a school of free particles, indeed). The transformation is obtained by applying the reduction method and Lie group analysis as introduced in Nucci (1996 The complete Kepler group can be derived by Lie group analysis J. Math. Phys. 37 1772-5)

  11. ApoE4-specific Misfolded Intermediate Identified by Molecular Dynamics Simulations.

    Directory of Open Access Journals (Sweden)

    Benfeard Williams

    2015-10-01

    Full Text Available The increased risk of developing Alzheimer's disease (AD is associated with the APOE gene, which encodes for three variants of Apolipoprotein E, namely E2, E3, E4, differing only by two amino acids at positions 112 and 158. ApoE4 is known to be the strongest risk factor for AD onset, while ApoE3 and ApoE2 are considered to be the AD-neutral and AD-protective isoforms, respectively. It has been hypothesized that the ApoE isoforms may contribute to the development of AD by modifying the homeostasis of ApoE physiological partners and AD-related proteins in an isoform-specific fashion. Here we find that, despite the high sequence similarity among the three ApoE variants, only ApoE4 exhibits a misfolded intermediate state characterized by isoform-specific domain-domain interactions in molecular dynamics simulations. The existence of an ApoE4-specific intermediate state can contribute to the onset of AD by altering multiple cellular pathways involved in ApoE-dependent lipid transport efficiency or in AD-related protein aggregation and clearance. We present what we believe to be the first structural model of an ApoE4 misfolded intermediate state, which may serve to elucidate the molecular mechanism underlying the role of ApoE4 in AD pathogenesis. The knowledge of the structure for the ApoE4 folding intermediate provides a new platform for the rational design of alternative therapeutic strategies to fight AD.

  12. A highly luminescent dinuclear Eu(III) complex based on 4,4&apos;-bis (4&apos;&apos;,4&apos;&apos;,4&apos;&apos;-trifluoro-1&apos;&apos;,3&apos;&apos;-dioxobutyl)-o-terphenyl for light-emitting diodes

    Energy Technology Data Exchange (ETDEWEB)

    Liu Shenggui [State Key Laboratory of Optoelectronic Materials and Technologies, Ministry of Education Laboratory of Bioinorganic and Synthetic Chemistry, School of Chemistry and Chemical Engineering, Sun Yat-sen University, Guangzhou 510275 (China); School of Chemistry Science and Technology, Zhanjiang Normal University, New Materials Engineering and Technology Development Center of University in Guangdong, Zhanjiang 524048 (China); He Pei; Wang Huihui; Shi Jianxin [State Key Laboratory of Optoelectronic Materials and Technologies, Ministry of Education Laboratory of Bioinorganic and Synthetic Chemistry, School of Chemistry and Chemical Engineering, Sun Yat-sen University, Guangzhou 510275 (China); Gong Menglian, E-mail: cesgml@mail.sysu.edu.cn [State Key Laboratory of Optoelectronic Materials and Technologies, Ministry of Education Laboratory of Bioinorganic and Synthetic Chemistry, School of Chemistry and Chemical Engineering, Sun Yat-sen University, Guangzhou 510275 (China)

    2009-08-15

    A dinuclear Eu(III) complex Eu{sub 2}(btbt){sub 3}.4H{sub 2}O.CH{sub 3}CH{sub 2}OH.N(CH{sub 2}CH{sub 3}){sub 3} was synthesized, where H{sub 2}(btbt) was 4,4&apos;-bis (4&apos;&apos;,4&apos;&apos;,4&apos;&apos;,-trifluoro-1&apos;&apos;,3&apos;&apos;-dioxobutyl)-o-terphenyl. The composition and structure of the complex were characterized by elemental analysis, IR, UV-vis and FAB-MS spectroscopy. The complex emits the characteristic red luminescence of Eu{sup 3+} ion due to the {sup 5}D{sub 0} {yields} {sup 7}F{sub J} (J = 0-4) transitions under {approx}395 nm-light excitation with good luminescent quantum efficiency (32%) and exhibits high thermal stability (337 deg. C). Bright red light-emitting diodes (LEDs) were fabricated by coating the complex onto a {approx}395 nm-emitting InGaN chip. When the mass ratio of the red phosphor to the silicone is 1:30, the efficiency of the fabricated LEDs with the europium complex is 0.98 lm w{sup -1}. The CIE chromaticity coordinates of the LEDs are x = 0.6057 and y = 0.3137, which are close to the National Television Standard Committee (NTSC) standard values for red color. The results indicate that the complex may act as a red component in the fabrication of near UV InGaN-based white light-emitting diodes with high color-rendering index.

  13. Class I HDAC inhibition is a novel pathway for regulating astrocytic apoE secretion.

    Science.gov (United States)

    Dresselhaus, Erica; Duerr, James M; Vincent, Fabien; Sylvain, Emily K; Beyna, Mercedes; Lanyon, Lorraine F; LaChapelle, Erik; Pettersson, Martin; Bales, Kelly R; Ramaswamy, Gayathri

    2018-01-01

    Despite the important role of apolipoprotein E (apoE) secretion from astrocytes in brain lipid metabolism and the strong association of apoE4, one of the human apoE isoforms, with sporadic and late onset forms of Alzheimer's disease (AD) little is known about the regulation of astrocytic apoE. Utilizing annotated chemical libraries and a phenotypic screening strategy that measured apoE secretion from a human astrocytoma cell line, inhibition of pan class I histone deacetylases (HDACs) was identified as a mechanism to increase apoE secretion. Knocking down select HDAC family members alone or in combination revealed that inhibition of the class I HDAC family was responsible for enhancing apoE secretion. Knocking down LXRα and LXRβ genes revealed that the increase in astrocytic apoE in response to HDAC inhibition occurred via an LXR-independent pathway. Collectively, these data suggest that pan class I HDAC inhibition is a novel pathway for regulating astrocytic apoE secretion.

  14. Design of the fuel element &apos;snow-flake&apos; in uranium oxide, canned with aluminium, for the experimental reactor EL 3 (1960); Etude d&apos;un element combustible en oxyde d&apos;uranium gaine d&apos;aluminium, type &apos;&apos;cristal de neige&apos;&apos; pour la pile EL 3 (1960)

    Energy Technology Data Exchange (ETDEWEB)

    Gauthron, M.; Guibert, B. [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires

    1960-07-01

    This report sums up the main studies have been carried out on the fuel element &apos;Snowflake&apos; (uranium oxide, canned with aluminium), designed to replace the present element of the experimental reactor EL3 in order to increase the reactivity without modifying the neutron flux/thermal power ratio. (author) [French] Ce rapport resume les principales etudes qui ont ete faites sur l&apos;element combustible &apos;Cristal de Neige&apos; (a oxyde d&apos;uranium, gaine d&apos;aluminium) destine a remnlacer l&apos;element actuel du reacteur experimental EL3, afin d&apos;en augmenter la reactivite sans modifier le rapport flux neutronique-puissance thermique. (auteur)

  15. Energy and the new class. [Assault of &apos;&apos;new breed&apos;&apos; of American on established institutions

    Energy Technology Data Exchange (ETDEWEB)

    King, L.

    1979-03-14

    The bounty of the US is taken for granted by its population. Nowhere is this misvaluation of a society and its benefits more evident than in the energy industries. But energy represents a tool by which society can be shaped; a device by which the standared of living and the very nature of the national lifestyle can be controlled, modified, amplified, or reduced. Two examples examined to show how energy shapes social order and human life are the women&apos;s movement and the desire to live in the Sunbelt. Five phenomena are then examined to point out the desire to restrain the nation&apos;s rampant pursuit of a higher standard of living, as opposed to the more subjective and seemingly more desirable goal of a better quality of life: the civil rights movement; the environmental movement; the Vietnam War; the Watergate scandal; and the assumption that prosperity at today&apos;s level is irreducible, concrete, and not subject to diminution. The &apos;&apos;new class&apos;&apos; is essentially made up of those educated in the liberal arts, divorced from an understanding of the mechanics of free-enterprise institutions and of the sicences. The antagonistic view of the new class of corporations and its assault on established institutions are noted. Energy companies are frustrated in telling their story, but the story that must be told is not the story of how excellently the energy sector has performed, but the story of how a new breed of Americans is seeking to remake America in its own image without the rest being aware of what is going on. (MCW)

  16. Optimisation of biological reactors using the &apos;biological resonance&apos; phenomenon; Ansatz zur Optimierung biologischer Reinigungsstufen durch das Phaenomen der &apos;&apos;Biologischen Resonanz&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Schmid, A.

    2003-07-01

    The microbial catabolic activity of biological reactors can be increased by up to 75% through external stimulation with intermittent stress loads at intervals of several minutes. Under these process conditions, the &apos;&apos;biological resonance&apos;&apos; phenomenon determines the system and leads to an increased synthesis of enzymes. In addition to computer simulations, experiments with activated sludge were carried out in a 10-litre bioreactor. By modulating the stress intervals, a permanent increase in catabolic activity of about 60% was achieved during these experiments. By relying on the &apos;&apos;biological resonance&apos;&apos; phenomenon, the required reaction volume of biological treatment units can probably be reduced by up to 40%. (orig.)

  17. The Novel SCN&apos;&apos;- Ion-selective Electrode Based on the 1-Benzyl-3-(4-nitrophenyl) thio-urea Ionophore

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kyung Mi; Kang, Dong Hyeon; Choe, Ju Eun; You, Jung Min; Go, Min Jeong; Lee, Jung Seong; Jeon, Seung Won [Chungnam National University, Daejeon (Korea, Republic of)

    2014-09-15

    A potentiometric sensor based on the 1-benzyl-3-(4-nitrophenyl) thio-urea was synthesized and tested as an ionophore in PVC based membrane sensor towards SCN - ions. This membrane exhibits a linear stable response over a wide concentration range (1.0 × 10&apos;&apos;-5 to 1.0 × 10&apos;&apos;-2 M) with a slope of -59.2 mV/dec., a detection limit of log[SCN&apos;&apos;- ] = -5.05, and a selectivity coefficient for thiocyanate against perchlorate anion of logK{sub s}cn&apos;&apos;pot = -0.133. The selectivity series of the membrane is as follows: SCN&apos;&apos;- > ClO{sub 4}&apos;&apos;- > I&apos;&apos;- >NO{sub 3}&apos;&apos;- >HSO{sub 3}&apos;&apos;- > Cl&apos;&apos;-HSO{sub &apos;}'-'&apos;4 > F&apos;&apos;- > CH{sub 3}COO&apos;&apos;- > HCO&apos;'-'&apos;3 > Br&apos;&apos;- > H{sub 2}PO{sub 4}&apos;&apos;- > SO{sub 3}&apos;'-'&apos;2 > SO{sub 4}&apos;'-'&apos;2 > CO{sub 3}&apos;'-'&apos;2. The proposed electrode showed good selectivity and a good response for the SCN&apos;&apos;- ion over a wide variety of other anions in pH 6.0 buffer solutions and has a fast response time of about < 5s.. The influences of the membrane by pH, ionophore, and plasticizer were studied.

  18. Reflection group on &apos;Expert Culture&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Eggermont, G

    2000-07-01

    As part of SCK-CEN&apos;s social sciences and humanities programme, a reflection group on &apos;Expert Culture&apos; was established. The objectives of the reflection group are: (1) to clarify the role of SCK-CEN experts; (2) to clarify the new role of expertise in the evolving context of risk society; (3) to confront external views and internal SCK-CEN experiences on expert culture; (4) to improve trust building of experts and credibility of SCK-CEN as a nuclear actor in society; (5) to develop a draft for a deontological code; (6) to integrate the approach in training on assertivity and communication; (7) to create an output for a topical day on the subject of expert culture. The programme, achievements and perspectives of the refection group are summarised.

  19. Air cooling of refrigerating loops: &apos;dry-hybrid&apos; systems; Refroidissement par air des circuits frigorifiques: les systemes &apos;&apos;secs hybrides&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Becker, W. [Societe Jaggi-Gunter (Switzerland)

    2003-02-01

    Different type of cooling systems can be implemented on coldness production plants. The choice very often depends on the initial investment, but from a technical and economical point of view, this choice is not necessary the best solution. Thus, it can be useful to know the different existing systems and their exploitation costs with respect to the expected needs. A particular solution which uses a &apos;dry-hybrid&apos; cooler is presented in this study: 1 - open-loop evaporative cooler; 2 - open-loop evaporative cooler with intermediate exchanger; 3 - close-loop evaporative cooler; 4 - dry-cooler; 5 - dry cooler with spraying in the air flow way; 6 - dry cooler with counterflow spraying; 7 - hybrid dry cooler; 8 - example of a realization in Germany: technical and economical value of the project, description of compared solutions and hypotheses, interpretation of results. (J.S.)

  20. Cuts in energy and operating cost with the Swiss system &apos;Energie in ARA&apos; - practical experience in Germany; Energie- und Betriebskosteneinsparungen nach dem schweizerischen System &apos;&apos;Energie in ARA&apos;&apos; - Praxiserfahrungen in Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Christmann, B. [UmBAUwelt Partnerschaft Architekten und Ingenieure, Riedstadt (Germany)

    1999-07-01

    German sewage treatment plants, too, have potential for saving energy cost and cutting down on their operating expenditure. Following the systematy developed by the &apos;Energie in ARA&apos; concept, this potential can be harnessed. (orig.) [German] Potential fuer Energiekosteneinsparungen und dadurch initiierte Betriebskosteneinsparungen ist auch bei deutschen Klaeranlagen vorhanden. Die Systematik &apos;Energie in ARA&apos; kann fuer die Erschliessung der Einsparpotentiale verwendet werden. (orig.)

  1. 2001-2003 &apos;&apos;public utility&apos;&apos; contract between the French government and Gaz de France; Contrat de &apos;&apos;service public&apos;&apos; 2001-2003 entre l&apos;etat et Gaz de France

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    The &apos;&apos;public utility&apos;&apos; contract aims at specifying the actions of Gaz de France (GdF), the French gas utility, in terms of national development and public utility presence at the local scale. It extends and completes the &apos;contract of group&apos; established between the government and GdF in the domain of quality of the services offered to clients, development of gas infrastructures and extension of gas supplies, and sustainable development. (J.S.)

  2. Cirurgia monocular para esotropias de grande ângulo: um novo paradigma Monocular surgery for large-angle esotropias: a new paradigm

    Directory of Open Access Journals (Sweden)

    Edmilson Gigante

    2009-02-01

    Full Text Available OBJETIVO: Demonstrar a viabilidade da cirurgia monocular no tratamento das esotropias de grande ângulo, praticando-se amplos recuos do reto medial (6 a 10 mm e grandes ressecções do reto lateral (8 a 10 mm. MÉTODOS: Foram operados, com anestesia geral e sem reajustes per ou pósoperatórios, 46 pacientes com esotropias de 50δ ou mais, relativamente comitantes. Os métodos utilizados para refratometria, medida da acuidade visual e do ângulo de desvio, foram os, tradicionalmente, utilizados em estrabologia. No pós-operatório, além das medidas na posição primária do olhar, foi feita uma avaliação da motilidade do olho operado, em adução e em abdução. RESULTADOS: Foram considerados quatro grupos de estudo, correspondendo a quatro períodos de tempo: uma semana, seis meses, dois anos e quatro a sete anos. Os resultados para o ângulo de desvio pós-cirúrgico foram compatíveis com os da literatura em geral e mantiveram-se estáveis ao longo do tempo. A motilidade do olho operado apresentou pequena limitação em adução e nenhuma em abdução, contrariando o encontrado na literatura estrabológica. Comparando os resultados de adultos com os de crianças e de amblíopes com não amblíopes, não foram encontradas diferenças estatisticamente significativas entre eles. CONCLUSÃO:Em face dos resultados encontrados, entende-se ser possível afirmar que a cirurgia monocular de recuo-ressecção pode ser considerada opção viável para o tratamento das esotropias de grande ângulo, tanto para adultos quanto para crianças, bem como para amblíopes e não amblíopes.PURPOSE: To demonstrate the feasibility of monocular surgery in the treatment of large-angle esotropias through large recessions of the medial rectus (6 to 10 mm and large resections of the lateral rectus (8 to 10 mm. METHODS: 46 patients were submitted to surgery. They had esotropias of 50Δor more that were relatively comitant. The patients were operated under general

  3. Perfil ventilatório dos pacientes submetidos a cirurgia de revascularização do miocárdio Ventilatory profile of patients undergoing CABG surgery

    Directory of Open Access Journals (Sweden)

    Katiane Tremarin Morsch

    2009-06-01

    Full Text Available OBJETIVO: Avaliar o perfil ventilatório, radiológico e clínico dos pacientes submetidos a cirurgia eletiva de revascularização do miocárdio em hospital de referência em cardiologia no sul do Brasil. MÉTODOS: A amostra foi composta por 108 indivíduos submetidos a cirurgia eletiva de revascularização do miocárdio no Instituto de Cardiologia do Rio Grande do Sul (IC-FUC, no período de abril de 2006 a fevereiro de 2007. A abordagem cirúrgica realizada foi a da esternotomia mediana e os enxertos foram com ponte de safena e/ou artéria mamária interna. Os volumes e capacidades pulmonares, bem como a presença de distúrbios ventilatórios, foram avaliados por meio da espirometria e a força muscular ventilatória da manovacuometria. As avaliações foram realizadas no período pré-operatório e no sexto dia de pós-operatório. RESULTADOS: Observou-se redução significativa do VEF1 e da CVF quando comparados os valores pré-operatórios com os do sexto dia de pós-operatório (POBJECTIVE: To assess the ventilatory, radiological and clinical profile of patients undergoing elective CABG in a cardiology reference hospital in South Brazil. METHODS: This study included 108 patients undergoing elective CABG surgery, in the period between April 2006 and February 2007 at the Cardiology Institute of Rio Grande do Sul (IC-FUC. The surgical procedure involved median sternotomy, and the saphenous vein and/or internal mammary artery were used for grafting. Lung volume and capacity, as well as the possible existence of ventilatory changes, were assessed by spirometry, and the ventilatory muscle strength was assessed using a vaccum manometer. All evaluations were performed on the preoperative period and on the sixth postoperative day. RESULTS: Preoperative levels of FEV1 and FVC were significantly reduced on the 6th postoperative day (P<0.001 when compared to the preoperative levels. A significant decrease of ventilatory muscle strength, expressed

  4. Incidência de complicações pulmonares na cirurgia de revascularização do miocárdio

    Directory of Open Access Journals (Sweden)

    Leila D. N Ortiz

    2010-10-01

    Full Text Available FUNDAMENTO: No período do peri-operatório, os cuidados têm sido cada vez mais criteriosos, entretanto, as complicações pulmonares após a abordagem cirúrgica ainda são frequentes, predispondo o paciente a um maior tempo de internação ou ao óbito. OBJETIVO: Descrever a incidência de complicações pulmonares e identificar a sua associação com tempos de circulação extracorpórea (CEC; cirurgia e isquemia; número de enxertos; localização e tempo de drenos após cirurgia de revascularização do miocárdio (CRM. MÉTODOS: Nesta coorte contemporânea, foram estudados 202 pacientes em hospital universitário de referência para cardiologia no sul do Brasil, submetidos à CRM eletiva com ponte safena e artéria mamária interna com CEC, no período de abril/2006 a novembro/2007. Os desfechos considerados foram: tempo de ventilação mecânica; surgimento de pneumonia; atelectasia; derrame pleural; hora da retirada e localização dos drenos; e tempo de internação. RESULTADOS: Observou-se algum tipo de complicação pulmonar em 90 dos 202 pacientes. A frequência de derrame pleural foi de 84% e a de atelectasia foi de 65%. Apresentaram associação com complicações pulmonares os tempos de CEC (p = 0,003, cirúrgico (p = 0,040 e isquemia (p = 0,001; o tempo de permanência de drenos (p = 0,050 e a localização pleural dos drenos (p = 0,033, além de idade (p = 0,001, fração de ejeção (p = 0,010, diagnóstico de asma (p = 0,047 e exame radiológico de tórax pré-operatório anormal (p = 0,029. CONCLUSÃO: Variáveis relacionadas à complexidade do ato cirúrgico e comorbidades pré-existentes estão associadas a uma alta incidência de complicações pulmonares no pós-operatório. Esses dados reforçam a importância da avaliação clínica peri-operatória para detecção precoce de complicação respiratória após CRM.

  5. Uso do EuroSCORE como preditor de morbidade no pós-operatório de cirurgia cardíaca

    Directory of Open Access Journals (Sweden)

    Isaac Newton Guimarães Andrade

    2014-03-01

    Full Text Available Objetivo: Avaliar o uso do EuroSCORE como preditor de morbidade no pós-operatório de cirurgia cardíaca. Métodos: Foram analisados, retrospectivamente, os prontuários de 900 pacientes operados no Real Hospital Português do Recife e admitidos na unidade de terapia intensiva pós-operatória. Foram incluídos todos os pacientes com prontuários completos, sendo excluídos aqueles que foram a óbito no transoperatório, submetidos a transplante ou a correção de cardiopatia congênita. Foi avaliado o desenvolvimento de infecção respiratória, acidente vascular cerebral e insuficiência renal dialítica, sendo o EuroSCORE comparado em relação às três complicações, usando-se o teste de Mann-Whitney. A calibração do modelo para predição das morbidades estudadas foi avaliado com o teste de ajuste de bondade de Homer-Lemeshow. A acurácia do modelo foi avaliada utilizando-se a área sob a curva ROC (ASROC. Resultados: O modelo apresentou boa calibração na predição de infecção respiratória, insuficiência renal dialítica e acidente vascular cerebral (P=0,285; P=0,789; P=0,45, respectivamente, tendo boa acurácia para infecção respiratória (ASROC=0,710 e P<0,001 e insuficiência renal dialítica (ASROC=0,834 e P<0,001 e sem acurácia para acidente vascular cerebral (ASROC=0,519. Os pacientes de alto risco apresentaram maior chance de desenvolver infecção respiratória (OR=9,05; P<0,001 e insuficiência renal dialítica (OR=39,6; P<0,001. A probabilidade de desenvolver infecção respiratória e insuficiência renal dialítica foi de menos de 10% com EuroSCORE até 7 e de mais de 70% com EuroSCORE maior que 15. Conclusão: O EuroSCORE mostrou-se um bom preditor das principais morbidades pós-operatórias em cirurgia cardíaca: infecção respiratória e insuficiência renal dialítica.

  6. Cirurgia de revascularização completa do miocárdio sem circulação extracorpórea: uma realidade

    Directory of Open Access Journals (Sweden)

    J. Glauco LOBO FILHO

    1997-04-01

    Full Text Available No período de janeiro de 1995 a dezembro de 1996, nossa equipe cirúrgica procurou sintematizar a cirurgia de revascularização completa do miocárdio sem circulação extracorpórea. Foram realizadas 385 operações de revascularização do miocárdio, das quais 333 (86% sem o uso de circulação extracorpórea. O objetivo do presente estudo é analisar os resultados imediatos destes 333 pacientes, no que concerne ao tempo de permanência hospitalar, idade, sexo, número de enxertos e morbimortalidade. Todos os pacientes foram submetidos a cineangiocoronariografia prévia. Realizaram-se pontes para todas as coronárias, inclusive para as marginais da circunflexa. A idade variou de 35 a 86 anos, com média de 61 anos. O sexo masculino foi predominante com 214 (64% pacientes. O tempo médio de permanência hospitalar foi de 7 dias. O número total de pontes implantadas foi 625, variando de 1 a 4, com média de 1,9 pontes por paciente. Houve 7 casos de complicações sem óbitos, perfazendo um total de 2% de morbidade. Registraram-se 10 óbitos no pós-operatório imediato, equivalentes a 3% de mortalidade. Em face dos dados obtidos, concluímos que este método pode ser utilizado para a grande maioria dos pacientes a serem submetidos à cirurgia de revascularização do miocárdio, com baixa morbimortalidade.From January/95 to December/96 our surgical team (ICORP - Fortaleza - Ceará, has performed coronary artery surgery without cardiopulmonary bypass (CPB as a routine. During this period, 385 operations were sequencially performed, 86 per cent of them (333 without CPB. The purpose of this study is to evaluate the results of these 333 patients regarding hospitalization time, age, gender, number of grafts, functional status and morbimortality. All patients were submitted to previous coronary arteriography. All coronaies were by-passed, including the circumflex marginal artery. The age of these patients ranged from 35 to 86 years with a mean age

  7. Blefaroplastia inferior: poderia a cirurgia proporcionar satisfação aos pacientes? Lower blepharoplasty: would the surgery provide satisfaction to the patient?

    Directory of Open Access Journals (Sweden)

    Giovanni André Pires Viana

    2012-12-01

    Full Text Available OBJETIVO: Foi realizado um estudo prospectivo com objetivo de avaliar os resultados de cinquenta pacientes submetidos a blefaroplastia inferior transcutânea, visando a análise do resultado clínico e a satisfação dos pacientes na Universidade Federal de São Paulo, entre abril de 2005 e maio de 2007. MÉTODOS: Os pacientes foram alocados aleatoriamente em dois grupos cirúgicos. O Grupo Cirúrgico 1 (Grupo Controle foi composto por 25 pacientes submetidos a blefaroplastia inferior tradicional e cantopexia lateral de rotina. O Grupo Cirúrgico 2 (Grupo Experimental foi composto por 25 pacientes submetidos a blefaroplastia inferior com transposição das bolsas adiposas e cantopexia lateral de rotina. Para avaliar os resultados obtidos foi utilizado a avaliação da autoestima dos pacientes, por meio da Escala de Autoestima de Rosenberg UNIFESP/EPM. O outro método utilizado foi solicitar a participação de três cirurgiões independentes que avaliaram as fotografias de pré e pós-operatório e com auxílio de uma escala topográfica, quantificaram os resultados. RESULTADOS: A média de idade foi de 48,8 anos, com predomínio do sexo feminino (96%. A análise das fotografias mostrou que 96% dos pacientes apresentaram melhora significativa. A autoestima melhorou de um escore médio no pré-operatório de 5,1 (desvio padrão = 4,1 para um valor médio de 3,6 (desvio padrão = 3,5 após 6 meses da cirurgia (p=0,001. CONCLUSÃO: Os autores concluíram que ambos os procedimentos seriam seguros e eficazes, com baixo índice de complicação, apresentando melhora da autoestima, visível após seis meses da cirurgia.PURPOSE: The purpose of this study was to analyze prospectively fifty patients submitted to lower eyelid blepharoplasty at the Federal University of São Paulo, between April 2005 and May 2007. METHODS: Fifty patients were assigned to interventions into two surgical groups by using random allocation. The Surgical Group1 (control group

  8. &apos;Biomoleculas&apos;: cellular metabolism didactic software

    Energy Technology Data Exchange (ETDEWEB)

    Menghi, M L [Chair of Physiology and Biophysics, Facultad de Ingenieria, Universidad Nacional de Entre Rios, CC 57 Suc 3, Parana 3100, Entre Rios (Argentina); Novella, L P [Chair of Physiology and Biophysics, Facultad de Ingenieria, Universidad Nacional de Entre Rios, CC 57 Suc 3, Parana 3100, Entre Rios (Argentina); Siebenlist, M R [Chair of Physiology and Biophysics, Facultad de Ingenieria, Universidad Nacional de Entre Rios, CC 57 Suc 3, Parana 3100, Entre Rios (Argentina)

    2007-11-15

    &apos;Biomoleculas&apos; is a software that deals with topics such as the digestion, cellular metabolism and excretion of nutrients. It is a pleasant, simple and didactic guide, made by and for students. In this program, each biomolecule (carbohydrates, lipids and proteins) is accompanied until its degradation and assimilation by crossing and interrelating the different metabolic channels to finally show the destination of the different metabolites formed and the way in which these are excreted. It is used at present as a teaching-learning process tool by the chair of Physiology and Biophysics at the Facultad de Ingenieria - Universidad Nacional de Entre Rios.

  9. An exercise in &apos;anhomomorphic logic&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Sorkin, Rafael D [Perimeter Institute, 31 Caroline Street North, Waterloo ON, N2L 2Y5 (Canada); Department of Physics, Syracuse University, Syracuse, NY 13244-1130 (United States)

    2007-05-15

    A classical logic exhibits a threefold inner structure comprising an algebra of propositions U, a space of &apos;truth values&apos; V, and a distinguished family of mappings {phi} from propositions to truth values. Classically U is a Boolean algebra, V = Z{sub 2}, and the admissible maps {phi}: U Z{sub 2} are homomorphisms. If one admits a larger set of maps, one obtains an anhomomorphic logic that seems better suited to quantal reality (and the needs of quantum gravity). I explain these ideas and illustrate them with three simple examples.

  10. &apos;&apos;Rio+20 on site&apos;&apos;. Communities on their way to sustainability. Examples from Germany; &apos;&apos;Rio+20 vor Ort&apos;&apos;. Kommunen auf dem Weg zur Nachhaltigkeit. Beispiele aus Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Nolting, Katrin; Goell, Edgar

    2012-03-15

    20 years ago, the international community adopted the concept of &apos;sustainable development&apos; as a model for the 21st century adopted in order to meet the growing challenges facing the mankind. With Agenda 21, the UN presented a global action plan for the implementation of such a sustainable development. This brochure provides an insight into sustainability activities at local level in Germany. It is shown how such activities result in future-oriented and exemplary developments in some areas and selected areas of action.

  11. Intelligent marketing of electricity from decentral power sources. Project results of the research project &apos;'Massig'&apos;; Intelligente Vermarktung von Strom aus dezentralen Energiequellen. Projektergebnisse des Forschungsvorhabens &apos;'Massig'&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Erge, Thomas; Sauer, Christian [Fraunhofer-Institut fuer Solare Energiesysteme ISE, Freiburg (Germany); Barnsteiner, Martin; Preiser, Klaus [Badenova Waermeplus GmbH und Co.KG, Freiburg (Germany)

    2011-07-01

    In the European research project &apos;Market Access for Smaller Size Intelligent Electricity Generation (Massig)&apos; scientists at the Fraunhofer Institute for Solar Energy Systems (Freiburg, Federal Republic of Germany) examined together with project partners the demand-oriented supply and commercialization of electricity from decentral power generators at the liberalized electricity market. The project team selected target countries and evaluated innovative solutions of marketing especially for specific applications of practice. Such a model project is that of Badenova Waermeplus GmbH (Freiburg, Federal Republic of Germany).

  12. Estudo comparativo da eficácia do uso de prednisolona e cetorolaco de trometamina tópicos após cirurgia de estrabismo

    Directory of Open Access Journals (Sweden)

    Meireles-Teixeira Jorge

    2003-01-01

    Full Text Available OBJETIVO: Avaliar os resultados do uso de antiinflamatório não hormonal (AINH no controle da inflamação no pós-operatório de estrabismo, comparando-se com corticóide tópico. MÉTODOS: Selecionaram-se exclusivamente pacientes submetidos a recuo-ressecção em um só olho. Os dois grupos de pacientes usaram o mesmo antibiótico, sendo que para um grupo foi prescrito prednisolona 0,12% e para o outro cetorolaco de trometamina. Eles foram avaliados quanto a hiperemia, edema, conforto e variação da pressão intra-ocular, até o 21º dia de pós-operatório. RESULTADOS: Foram 27 pacientes, sendo 15 no grupo de AINH e 12 no de corticóide. Com relação a edema, conforto e PIO não houve variação entre os grupos. Porém, no grupo com AINH houve 5 (33,3% casos de hiperemia conjuntival de ++/4 no 21º dia de pós-operatório e três (20% de granuloma. Entre os pacientes com corticóide só se observou 1 (8,3% caso de hiperemia de ++/4 ao término do tratamento e nenhum de granuloma. CONCLUSÃO: Para cirurgias de recuo-ressecção, procedimentos que parecem induzir maior resposta inflamatória, o uso de AINH não é aconselhável.

  13. Estudo retrospectivo das complicações intra-operatórias na cirurgia de revascularização do miocárdio

    Directory of Open Access Journals (Sweden)

    Ariana Rodrigues Silva Carvalho

    2008-12-01

    Full Text Available As complicações intra-operatórias na cirurgia de revascularização miocárdica (CRM quando reconhecidas previamente podem guiar os cuidados prestados na sala operatória, dando continuidade na Unidade de Terapia Intensiva e durante toda internação. Quando a equipe conhece essas complicações sofridas pelo indivíduo poderá prever e prover cuidados mais específicos na seqüência de sua evolução cirúrgica. O objetivo desse estudo foi investigar a freqüência e tipos de complicações observadas no intra-operatório da CRM. Trata-se de um estudo retrospectivo, descritivo, transversal, baseado em dados secundários, com amostra intencional de 123 sujeitos. A coleta de dados realizou-se por meio do acesso ao banco de dados do Instituto de Moléstias Cardiovasculares do Oeste do Paraná, em Cascavel. Os dados foram analisados no programa computadorizado Statistic, versão 6,0. Os tipos de complicações observadas nesse período foram: cardiovasculares, pulmonares, alteração nos vasos do enxerto e sangramento. Dentre essas, a que obteve maior freqüência foi “alteração nos vasos do enxerto”, em 33 (26,8% casos. As complicações no intra-operatório podem não ser passíveis de prevenção quando consideradas as características individuais de cada sujeito, entretanto, todos os esforços precisam ser direcionados para que o evento, quando ocorrer, seja bem atendido, evitando dessa forma, complicações adicionais maiores.

  14. ATUAÇÃO FISIOTERAPÊUTICA EM PACIENTES PÓS-CIRURGIA DO CÂNCER DE MAMA: UMA REVISÃO BIBLIOGRÁFICA

    Directory of Open Access Journals (Sweden)

    Denilson de Queiroz Cerdeira

    2014-06-01

    Full Text Available O câncer de mama é a neoplasia de maior ocorrência entre as mulheres, sendo considerado um problema de saúde pública. Consequentemente é uma das causas de morbidade e mortalidade na mulher. Objetivou-se buscar informações sobre a atuação da Fisioterapia em pacientes pós-cirurgia de câncer de mama, conhecendo os aspectos desta atuação e como tem sido empregado na documentação bibliográfica. Tratou-se de uma pesquisa bibliográfica no período correspondente aos últimos 15 anos (1998 a 2013, nas bases Medline, Lilacs, Scielo, Pubmed e PEDro, utilizando-se as palavras chave: Oncologia, Fisioterapia, Reabilitação, Mastectomia. Foram incluídos na pesquisa estudos de sujeitos com idade superior a 18 anos, idioma inglês, português e espanhol. Foram excluídos artigos que não descreviam a atuação da Fisioterapia adequadamente e estudos de casos. Foram encontrados 337 artigos, dos quais 30 foram selecionados, sendo 08 artigos de revisão, 13 estudos transversais e 09 ensaios clínicos. A revisão de literatura evidenciou a importância do tratamento fisioterapêutico em pacientes no pós - operatório de câncer de mama. Os estudos demonstram que a Fisioterapia desempenha um papel fundamental na prevenção ou diminuição de possíveis sequelas advindas do pós-operatório, como complicações respiratórias, circulatórias e osteomioarticulares.

  15. Avaliação da carga de trabalho no pós-operatório de cirurgia cardíaca segundo o Nursing Activities Score

    Directory of Open Access Journals (Sweden)

    Larissa Bertacchini de Oliveira

    2015-12-01

    Full Text Available RESUMO Objetivo Identificar os fatores associados à carga de trabalho de enfermagem no cuidado a pacientes no pós-operatório de cirurgia cardíaca. Método Estudo de coorte prospectivo, conduzido com 187 pacientes da Unidade de Terapia Intensiva Cirúrgica (UTI do Instituto do Coração. Os dados foram coletados nas primeiras 24 e 72 horas do paciente na UTI. A variável dependente foi a carga de trabalho calculada por meio do Nursing Activities Score (NAS e as independentes foram de natureza demográfico-clínicas e escores de morbimortalidade. Para análise dos dados utilizou-se os testes de Wilcoxon-Mann-Whitney e de correlação de Spearman, e a regressão linear com modelo de efeitos mistos. Resultados A maioria dos pacientes era do sexo masculino (59,4%, com média de idade de 61 anos (±12,7 e 43,9% desenvolveram algum tipo de complicação no pós-operatório. Nas 24 horas, a carga de trabalho foi de 82,4% (±3,4 e foi de 58,1% (±3,4 nas 72 horas. Os fatores associados ao aumento do NAS foram: tempo de internação do paciente na UTI (p=0,036 e a presença de complicações (p<0,001. Conclusão A gravidade do paciente nas 24 horas, em oposição a inúmeros estudos, não influenciou no aumento da carga de trabalho, a qual se mostrou associada ao tempo de internação e às complicações.

  16. Avaliação da qualidade de vida em pacientes submetidos à cirurgia de catarata, com implantes de lentes monofocais bifocais e multifocais

    Directory of Open Access Journals (Sweden)

    Beogival Wagner Lucas Santos

    2014-04-01

    Full Text Available Objetivo: Fornecer uma avaliação objetiva e subjetiva da qualidade de vida e o nível de satisfação de pacientes que se submeteram à cirurgia de catarata, com implante de lentes bifocais, multifocais e monofocais. Métodos: Lentes bifocais foram implantadas em 72 pacientes; lentes multifocais asférica em 16 pacientes; lentes multifocais apodizada em 20 pacientes e lentes monofocais em 63 pacientes. Foi aplicado um questionário de 47 perguntas cujos resultados foram avaliados e analisados. Resultados: O nível de satisfação dos pacientes implantados com lentes bifocais e multifocais foi significantemente mais alto do que aqueles com lentes monofocais (teste Kruskal-Wallis p<0,01, seguido do teste Dunn, p<0,05. Quanto à comparação de lentes monofocais com lentes bifocais e multifocais, a visão para perto sem correção foi consideravelmente mais baixa em pacientes com lentes monofocais (teste Z, p<0,001. Os pacientes com lentes monofocais sem correção apresentaram uma menor capacidade de ler jornais ou livros e no que diz respeito a trabalhos manuais do que aqueles com lentes bifocais e multifocais (teste Z, p<0,001. Conclusão: Os resultados deste estudo mostram que os pacientes que receberam as lentes bifocais e multifocais tiveram uma melhora notável em sua acuidade visual para perto, estando satisfeitos com sua visão geral, sem óculos. A satisfação foi atribuída ao fato de conseguirem ler livros e jornais, preencher cheques, preencher formulários, praticar esportes, se barbear ou se maquiar sem correção.

  17. Conjunctival endogenous microbiota in patients submitted to cataract surgery Microbiota endógena conjuntival em pacientes submetidos à cirurgia de catarata

    Directory of Open Access Journals (Sweden)

    Claudete I. Locatelli

    2003-07-01

    Full Text Available Bacterial isolation, identification and antimicrobial susceptibility tests were carried out in ocular material collected with swab and polimethylmethacrylate (PMMA or silicone intraocular lenses (IOL from forty six patients submitted to cataract surgery. Seventy six isolates and seven different microorganisms were identified. Coagulase-negative staphylococci (CNS were the predominant microorganisms isolated from swabs (71.4% of cases, PMMA lenses (81.3% and silicon lenses (77.8%. Coagulase-negative staphylococci isolates revealed high resistance to penicillin G followed by tetracycline, chloramphenicol and aminoglicosides. However, these isolates displayed great susceptibility to vancomycin, cephalothin and ofloxacin. Except for penicillin G, Staphylococcus aureus was very sensitive to the antimicrobial agents including oxacillin. Among Gram-negatives, Proteus mirabilis was prevalent and presented high resistance to tetracycline and chloramphenicol. Enterococcus isolates were vancomycin sensitive.A partir de material ocular coletado de 46 pacientes submetidos à cirurgia de catarata foram realizados isolamento, identificação e teste de susceptibilidade de microrganismos frente a antimicrobianos, utilizando-se suabes e lentes intraoculares (LIO. Foram obtidos 76 isolados e identificados 7 tipos de microrganismos. Estafilococos coagulase-negativos (CNS foram os microrganismos mais freqüentemente detectados de suabes (71,4% dos casos, lentes de PMMA (81,3% e lentes de silicone (77,8%. Isolados de CNS apresentaram elevada resistência à penicilina G, seguida por tetraciclina, cloranfenicol e aminoglicosídeos. No entanto, estes isolados mostraram grande sensibilidade à vancomicina, cefalotina e ofloxacina. Com exceção da penicilina G, os isolados de Staphylococcus aureus foram bastante sensíveis aos agentes antimicrobianos, incluindo a oxacilina. Entre as gram-negativas, Proteus mirabilis foi a bactéria mais freqüente e também se mostrou

  18. Cirurgia de revascularização do miocárdio minimamente invasiva: resultados com o uso da videotoracoscopia e do estabilizador de sutura

    Directory of Open Access Journals (Sweden)

    Fabio B. JATENE

    1997-07-01

    Full Text Available Objetivo: No sentido de associar os maiores benefícios da operação de revascularização do miocárdio tradicional com a utilização da anastomose da artéria interventricular anterior, com vários dos benefícios da angioplastia, alguns grupos têm começado a realizar a cirurgia de revascularização do miocárdio minimamente invasiva. O objetivo deste trabalho é o relato de nossa experiência inicial com essa abordagem técnica, especialmente com a utilização de videotoracoscopia (VDT e do estabilizador de sutura (ES. Métodos: Foram operados 73 pacientes, sendo 51 do sexo masculino, com idades variando de 37 a 83 anos, com média de 61,2 anos, portadores de lesão isolada do ramo interventricular anterior acima de 80%. Foi utilizada intubação orotraqueal com sonda de duplo lume. O paciente foi colocado em decúbito lateral direito com 30 graus de rotação. A minitoracotomia anterior, com 8 a 10 cm de extensão, foi realizada no quarto espaço intercostal. Através dessa incisão foram colocados a ótica da videotoracoscopia e os instrumentos cirúrgicos. O pericárdio foi aberto longitudinalmente e reparado para facilitar a exposição do RIA. Não foi utilizada circulação extracorpórea e a freqüência cardíaca foi diminuída no momento da anastomose com o uso de betabloqueador endovenoso. Para a realização da anastomose ATI-RIA, foi utilizado torniquete proximal e distal, além de uso de CO2 para manter o campo operatório livre de sangue. Previamente ao fechamento dos torniquetes, foi feita a administração de 1,5 mg/kg de peso de heparina endovenosa. A anastomose da ATI com o RIA foi realizada com fio de Polipropilene 7-0. O ES, dispositivo metálico acoplado ao afastador foi utilizado na parede anterior do coração, nos últimos 15 casos, para reduzir a movimentação cardíaca, criando condições para uma anastomose mais segura. Resultados: Todos os pacientes apresentaram boa evolução pós-operatória, sem complica

  19. Crisis - Weisskopf&apos;s view

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    &apos;We are facing a crisis, not only in particle physics but in the whole of fundamental science&apos;, said Victor Weisskopf, doyen of quantum physics, during his traditional summer CERN stopover. &apos;Basic science - science for its own sake - and especially high energy physics, is really in danger.&apos; As well as explaining how this has come about, the former CERN Director General (1961-5) proposed action to reverse the trend. Rather than dividing science into the conventional &apos;big&apos; and &apos;small&apos; camps, he slices across another axis. On one hand there is obviously applicable &apos;terrestrial science&apos; - biology, medicine, solid state, much of the nuclear sector, nonlinear behaviour, chaos,....all directly connected with processes that happen on Earth. On the other there is &apos;cosmic science&apos; - astronomy, astrophysics, particle physics and some of the nuclear sector - addressing deeper issues, not attainable naturally on this planet at all, and where applications are less immediately obvious. (This classification is not completely watertight - even cosmic science can, and does, foster immediate spinoff, Weisskopf points out, citing Georges Charpak&apos;s detector work.) Tracing the evolution of science in this century, Weisskopf sees the rapid evolution of American influence in the 1930s as a turning point. Before then, the United States had not been in the front line, and it had been important for US researchers to spend some time in Europe

  20. Proliferation Resistance and Safeguards by Design: The Safeguardability Assessment Tool Provided by the INPRO Collaborative Project &apos;'INPRO'&apos; (Proliferation Resistance and Safeguardability Assessment)

    International Nuclear Information System (INIS)

    Haas, E.; Chang, H.-L.; Phillips, J.R.; Listner, C.

    2015-01-01

    Since the INPRO Collaborative Project on Proliferation Resistance and Safeguardability Assessment Tools (PROSA) was launched in 2011, Member State experts have worked with the INPRO Section and the IAEA Department of Safeguards to develop a revised methodology for self-assessment of sustainability in the area of proliferation resistance of a nuclear energy system (NES). With the common understanding that there is &apos;&apos;no proliferation resistance without safeguards&apos;&apos; the revised approach emphasizes the evaluation of a new &apos;User Requirement&apos; for &apos;'safeguardability'&apos;, that combines metrics of effective and efficient implementation of IAEA Safeguards including &apos;'Safeguards-by-Design'&apos; principles. The assessment with safeguardability as the key issue has been devised as a linear process evaluating the NES against a &apos;&apos;Basic Principle&apos;&apos; in the area of proliferation resistance, answering fundamental questions related to safeguards: 1) Do a State&apos;s legal commitments, policies and practices provide credible assurance of the exclusively peaceful use of the NES, including a legal basis for verification activities by the IAEA? 2) Does design and operation of the NES facilitate the effective and efficient implementation of IAEA safeguards? To answer those questions, a questionnaire approach has been developed that clearly identifies gaps and weaknesses. Gaps include prospects for improvements and needs for research and development. In this context, the PROSA approach assesses the safeguardability of a NES using a layered &apos;&apos;Evaluation Questionnaire&apos;&apos; that defines Evaluation Parameters (EP), EP-related questions, Illustrative Tests and Screening Questions to present and structure the evidence of findings. An integral part of the assessment process is Safeguards-by-Design, the identification of potential diversion, misuse and concealment strategies (coarse diversion path

  1. Cirurgia por orifícios naturais transcolônica: acesso NOTES peri-retal (PNA para excisão mesoretal total Transcolonic natural orifice surgery: peri-rectal NOTES access (PNA for total mesorectal excision

    Directory of Open Access Journals (Sweden)

    Ricardo Zorron

    2010-03-01

    Full Text Available OBJETIVOS: Cirurgia por orifícios naturais tem sido recentemente aplicada em series clínicas para cirurgia abdominal. Apesar de potenciais vantagens do acesso NOTES transcolônico para doenças colorretais, este ainda não havia sido utilizado clinicamente. O presente trabalho descreve a primeira aplicação bem-sucedida de NOTES transcolônico da literatura, em uma nova abordagem de excisão mesoretal total (TME para cancer de reto. MÉTODOS: Foi obtida aprovação de Comitê de Ética em Pesquisa para cirurgias por orifícios naturais, e o paciente assinou termo de consentimento informado. Em um paciente de 54 anos portador de adenocarcinoma de reto, o procedimento de retossigmoidectomia e linfadenectomia, com excisão mesoretal total foi realizada utilizando um acesso posterior transcolônico pouco acima da borda anal. A dissecção mesorretal foi conseguida utilizando um colonoscópio flexível e instrumentos endoscópicos, com assistência laparoscópica. O espécime foi retirado via transanal, e anastomose foi transorificial, com estoma proximal de proteção. RESULTADOS: O tempo operatório foi de 350 min, não ocorrendo complicações operatórias. A evolução pós-operatória foi favorável, e o paciente recebeu alta no sexto dia de pós-operatório com dieta plena. CONCLUSÃO: Este primeiro relato bem sucedido de cirurgia NOTES transcolônica traz potencialmente novas fronteiras de aplicações clínicas na cirurgia minimamente invasiva. O tratamento de doenças colorretais utilizando o novo acesso flexível PNA (Perirectal NOTES Access é uma promissora nova abordagem, paralelamente à laparoscopia e cirurgia aberta, para melhoria do tratamento dos pacientes.OBJECTIVES: Clinical natural orifice surgery has been applied for abdominal surgery in recent years. Despite potential advantages of transcolonic NOTES for colorectal diseases, it was since now not yet clinically applied. The study describes the first successful human

  2. Mortalidade hospitalar na cirurgia de reconstrução da via de saída do ventrículo direito com homeonxerto pulmonar Hospital mortality in surgery for reconstruction outflow right ventricle with pulmonary homograft

    Directory of Open Access Journals (Sweden)

    Andrea Weirich Lenzi

    2010-03-01

    Full Text Available FUNDAMENTO: Mortalidade hospitalar na cirurgia de reconstrução da via de saída do ventrículo direito com homoenxerto pulmonar é variável. OBJETIVOS: Identificar os fatores de risco associados à mortalidade hospitalar e ao perfil clínico dos pacientes. MÉTODOS: Estudo de crianças submetidas à reconstrução da via de saída do ventrículo direito com homoenxerto pulmonar. Analisados como fatores de risco as variáveis clínicas, cirúrgicas e de aspectos morfológicos da prótese. RESULTADOS: Noventa e dois pacientes foram operados entre 1998 e 2005, apresentando principalmente atresia pulmonar com comunicação interventricular e a tetralogia de Fallot. Quarenta pacientes foram atendidos no primeiro mês de vida. Necessitaram de 38 cirurgias de Blalock Taussig devido à gravidade clínica. A idade mediana na cirurgia de correção total foi de 22 meses, variando de 1 mês a 157 meses. O tamanho homoenxerto pulmonar variou de 12 a 26 mm e o tempo de extracorpórea foi 132 ± 37 minutos. Após a cirurgia houve 17 óbitos (18% casos, em média 10,5 ± 7,5 dias após. A causa predominante foi falência de múltiplos órgãos. Na análise univariada entre os tipos de cardiopatia, estas deferiram na idade, momento da cirurgia, tamanho do homoenxerto, valor Z da valva pulmonar, tempo de circulação extracorpórea, manutenção da integridade do homoenxerto e alteração da árvore pulmonar. Não houve diferença estatística com relação à mortalidade hospitalar entre as variáveis e o tipo de cardiopatia. CONCLUSÃO: As cardiopatias obstrutivas do lado direito necessitam de atendimento cirúrgico nos primeiros dias de vida. A cirurgia de correção total apresenta risco de mortalidade de 18%, mas não houve associação com nenhuma variável estudada.BACKGROUND: Hospital mortality for surgical reconstruction of the outflow of the right ventricle with pulmonary homograft is variable. OBJECTIVES: To identify risk factors associated with

  3. OPEC&apos;s strategies

    Energy Technology Data Exchange (ETDEWEB)

    Wirl, Franz [Vienna Univ. (Austria). Faculty of Business, Economics and Statistics

    2012-09-15

    This paper investigates rationale explanations of OPEC&apos;s strategies. Accounting for market characteristics in particular the sluggishness of demand and supply allows to explain price jumps as rational OPEC strategies from a narrow economic perspective (up and down) as well as from political objectives (at least up) due to the political payoff from standing up against the &apos;West&apos;. Although the temptation to accrue this political payoff was and remains high, the narrow economic profit motive coupled with an imperfect cooperation among OPEC members explains past price volatility and high prices much better than the usual reference to political events. A more specific prediction is that OPEC will switch back to setting prices since the current quantity strategy encourages oil importing countries to appropriate rents in particular in connection with the need to mitigate global warming. (orig.)

  4. Chances and perspectives of hybrid vehicles; &apos;&apos;Chancen und Perspektiven von Hybridfahrzeugen&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Taenzer, Guillem [IZES gGmbH, Saarbruecken (Germany)

    2009-07-01

    It is still a challenge for the global automotive industry to build environment friendly and sustainable cars. One of the main questions is which possibilities and prospects short- and long term can be used to maintain the mobility standard today? Hybrid cars could be a short term option (such as 10 to 20 years) to serve as temporary solution. In conjunction with bio fuel hybrid cars could be a sustainable solution - but the today&apos;s availability of bio fuel doesn&apos;t cover the current and future demand of bio fuel. In this context the foodstuff production and the cultivation of monocultures shouldn&apos;t be disregarded. The enhancements of electrical components by hybrid cars allows to get access to the potential of electro mobility (middle term perspectives), even in conjunction with a fuel cell (long term perspectives). Still unresolved are the quantitative allocation of hydrogen (by renewable energy) and the infrastructure of a hydrogen system. (orig.)

  5. Correlações entre a densitometria do cristalino através da imagem de Scheimplufg, tempo e gasto de energia na cirurgia de facoemulsificação

    Directory of Open Access Journals (Sweden)

    Bruno de Freitas Valbon

    2011-06-01

    Full Text Available OBJETIVO:Correlacionar a densitometria do cristalino(PNS - patient nuclear scorepor meio da imagem de Scheimplufgcom o tempo de facoemulsificação e o gasto de energia. MÉTODOS: Estudo observacional prospectivo, envolvendo 22 olhos de 22 pacientes que se submeteram à cirurgia de catarata por facoemulsificação com implante de lente intraocular. A densitometria do cristalino (PNS foi medida através da tomografia de segmento anterior e córnea (Pentacam no pré-operatório com a imagem de Scheimplufg. O tempo de facoemulsificação e o gasto de energia foram verificados e anotados ao término de cada cirurgia. O teste de correlação de Pearson foi utilizado para análise estatística através do programa Bioestat 5.0. Foi considerado como estatisticamente significante p < 0,05%. RESULTADOS: As correlações entre PNS x Tempo de Facoemulsificação (s e PNS x Gasto de Energia obtiveram respectivamente um p < 0,0050 e RP (Coeficiente de Pearson de 0,5757 e p < 0,0029 e RP (Coeficiente de Pearson de 0,6034. CONCLUSÃO: Observamos uma forte associação entre o método objetivo de classificação da catarata através da imagem de Scheimplufg (PNS, tempo e gasto de energia. Assim há possibilidade de realizarmos um planejamento cirúrgico pré-operatório baseado em métodos objetivos da classificação da catarata, reduzindo a fluídica, energia e tempo na cirurgia de facoemulsificação.

  6. Comparação entre nifedipina por via sublingual e clonidina por via venosa no controle de hipertensão arterial peri-operatória em cirurgias de catarata

    Directory of Open Access Journals (Sweden)

    Stocche Renato Mestriner

    2002-01-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Estudo recente mostra que a clonidina por via venosa apresenta-se eficaz e segura no tratamento de crises hipertensivas durante cirurgia de catarata. Este estudo visa comparar o uso de nifedipina, droga amplamente utilizada por via sublingual, e clonidina por via venosa no controle da hipertensão arterial em cirurgias de catarata. MÉTODO: Setenta e cinco pacientes submetidos à facectomia foram distribuídos de forma aleatória e encoberta em: Grupo A, que recebeu nifedipina e Grupos C2 e C3, que receberam, respectivamente, 2 e 3 µg.kg-1 de clonidina por via venosa. Todos os pacientes apresentavam hipertensão arterial (PAS > 170 mmHg ou PAD > 110 mmHg. As PAS, PAD e freqüência cardíaca (FC foram medidas e comparadas nos momentos: 0 (antes do tratamento e de 2 em 2 minutos até o final do procedimento. Os eventos adversos foram anotados. RESULTADOS: Após o tratamento ocorreram diminuições da PAS e PAD nos 3 grupos (p <0,001. Houve controle da pressão arterial (<160 mmHg em 32%, 64% e 72% dos pacientes nos grupos A, C2 e C3, respectivamente (p < 0,05. No grupo C3 ocorreu maior incidência de efeitos colaterais que nos grupos C2 e A (p < 0,05. CONCLUSÕES:A clonidina por via venosa é mais eficaz que a nifedipina, por via sublingual, no controle de crises hipertensivas no peri-operatório de cirurgias de catarata. Contudo, a dose de 3 µg.kg-1 pode estar relacionada a efeitos colaterais, devendo-se iniciar o tratamento com 2 µg.kg-1.

  7. Considerations that may influence the result of trials assessing tensile strength in experimental surgery Considerações que podem influir no resultado de pesquisas que avaliam a resistência tênsil em cirurgia experimental

    Directory of Open Access Journals (Sweden)

    Lucas Félix Rossi

    2007-12-01

    Full Text Available PURPOSE: To provide information gathered upon the execution of trials assessing tensile strength in experimental surgeries. METHODS: Descriptive study considering details on the execution of trials assessing tensile strength in experimental surgery. RESULTS: The analysis of the rupture force in a mechanical test machine is an adequate technique since it provides precise and quick results. It can, undoubtedly, be developed in this context of the eminently mechanical analysis of trials on experimental surgery. CONCLUSION: The utilization of a mechanical test machine is a useful tool in the assessment of materials' strength, providing accurate results. Nevertheless the trials must be well structured analyzing the multiple variables so as to attain a pattern of constant reproducibility and to provide the necessary reliability.OBJETIVO: Fornecer informações advindas da experiência com a realização de trabalhos que avaliam a resistência tênsil em cirurgia experimental. MÉTODOS: Estudo descritivo considerando detalhes da execução de trabalhos que avaliam a resistência tênsil em cirurgia experimental. RESULTADOS: A análise da força de ruptura em máquina de ensaios mecânicos é uma técnica apropriada e que fornece resultados precisos e rápidos. Pode ser desenvolvida neste contexto da análise eminentemente mecânica de estudos em cirurgia experimental. CONCLUSÃO: A utilização da máquina de ensaios mecânicos é uma ferramenta útil na avaliação da resistência de materiais fornecendo resultados precisos. Entretanto os trabalhos devem ser estruturados analisando múltiplas variáveis para alcançar um padrão de reprodutibilidade constante e trazer a confiabilidade necessária ao estudo.

  8. On the universality of the &apos;'smile'&apos;-gap in the density of states of a chaotic Josephson junction

    Energy Technology Data Exchange (ETDEWEB)

    Reutlinger, Johannes; Belzig, Wolfgang [University of Konstanz, Department of Physics (Germany); Nazarov, Yuli [Kavli Institute of Nanoscience Delft, Delft University of Technology, Delft (Netherlands); Glazman, Leonid [Department of Physics, Yale University, New Haven, CT (United States)

    2015-07-01

    The superconducting proximity effect strongly modifies the local density of states in chaotic Josephson junctions. Recently we found that besides the well-known minigap a secondary gap appears just below the superconducting gap edge Δ in the limit of a large Thouless energy E{sub Th} >or similar Δ. To check the universality of this novel gap phenomenon we study the effect of nonideal contacts and show that the &apos;'smile'&apos;-gap crucially depends on the transmission eigenvalue distribution. In a next step we use the random matrix method to investigate the &apos;'smile'&apos;-gap. This allows us to approach the statistics of Andreev levels, going beyond the quasiclassical Greens function method. It turns out that the hard gap edge softens similar to what is already known from the minigap.

  9. The &apos;'Stadtkante'&apos; building at Dusseldorf. Representative address of the Metro Group; Die Stadtkante in Duesseldorf. Repraesentative Adresse der Metro Group

    Energy Technology Data Exchange (ETDEWEB)

    Zerres, E.

    2006-07-01

    The &apos;Stadtkante&apos; building of the Metro Group was commissioned in June 2005. The building houses offices and a shopping mall. It has an aesthetically pleasing architecture and interesting technical features. (orig.)

  10. The &apos;daddy&apos; of them all

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-08-01

    Krupp Fordertechnik - acknowledged as one of the leading companies in bulk materials handling - remains a prime provider for such equipment for power station, either already built or under construction. The company was recently awarded the contract for equipment for Israel Electric Corp&apos;s Hadera power station near Tel Aviv. The article describes the operations here. 3 photos.

  11. Linoleum: a &apos;green&apos; flooring option

    Energy Technology Data Exchange (ETDEWEB)

    Anon

    2002-07-01

    &apos;Green&apos; building materials may be defined as being made of materials and by processes that have low impact on the environment. Linoleum is an example of a sustainable &apos;green&apos; building material. It is durable, easy to repair, is inherently antimicrobial, and has low-cost maintenance. Unlike most other floor coverings, linoleum has naturally occurring anti-static properties, making it easy to clean, since dust and dirt will not adhere to it. The ingredients in linoleum are linseed oil, resin, limestone, wood flour, pigments and jute, all obtainable from natural sources. Vibrant colours for the flooring are created by using organic pigments with no heavy metals such as lead or calcium which, consequently, pose no threat to the environment. Linoleum is also biodegradable. It can be put into a landfill, where it will decompose; in some parts of the world it is incinerated to produce electricity. When used as feedstock for electricity, used linoleum products have an energy content of 18.6 MJ/kg, which is equivalent to coal. As no toxic or corrosive gases are released, the need for gas purification is avoided.

  12. The &apos;&apos;Hybrid Effect&apos;&apos;. Influence of hybridisation on the durability of automatic transmissions; Der &apos;'Hybrid-Effekt'&apos;. Einfluss der Hybridisierung auf die Lebensdauer von Automatikgetrieben

    Energy Technology Data Exchange (ETDEWEB)

    Lavall, Thomas [ZF Getriebe GmbH, Friedrichshafen (Germany)

    2009-07-01

    The series development of hybrid systems in combination with the new ZF 8-speed automatic transmissions contains also for the testing several aspects of challenge the complex overall system with additional loads, components and functions requires new definitions of testing volumes and load collectives with an ideal integration of testing expertise of all parties involved. This paper describes how, already in an early development stage of the fully hybridised 8-speed transmission system, specific load collectives have been developed with the aid of simulation. So the &apos;'hybrid-effect'&apos; as an additional load and its influence on the durability compared to non hybridised applications could be identified. Also it is shown how testing collectives have been adapted in practice to the hybrid specific needs to the point of a specific assembly of a test bench. The ZF testing concept for hybridised automatic transmissions has the ability of an early and efficient verification of the production readiness also securing highest possible series production quality for prospective hybrid projects. (orig.)

  13. Resource consumption of Germany - indicators and definitions. Development of a glossary on the concept of &apos;'resources'&apos; and calculation of missing characteristic data of resources consumption for further political analysis; Ressourcenverbrauch von Deutschland - aktuelle Kennzahlen und Begriffsbestimmungen. Erstellung eines Glossars zum &apos;'Ressourcenbegriff'&apos; und Berechnung von fehlenden Kennzahlen des Ressourcenverbrauchs fuer die weitere politische Analyse

    Energy Technology Data Exchange (ETDEWEB)

    Schuetz, Helmut; Bringezu, Stefan [Wuppertal Institut fuer Klima, Umwelt, Energie GmbH, Wuppertal (Germany). Forschungsgruppe 3: Stoffstroeme und Ressourcenmanagement

    2008-02-15

    The goals of the reported study are: - to prepare a glossary on the term &apos;'Resources'&apos; in order to support communication based on a harmonised resource term and associated terms and - to provide key data on resource use in Germany in time series since 1991 up to the most recent year for which data were available (2004 in general), and to attribute results to the resource terms. Results achieved are presented and discussed below by the following sections: Provision of a glossary on the term &apos;'resource'&apos;, use of the term &apos;'resource'&apos; at different levels, and provision of data and derived indicators for resource consumption in time series. First, a list of the relevant publications in the topic field &apos;'resources'&apos; was provided and co-ordinated with the client. This publication list is given in the annex to this report. On basis of national and international sources a glossary was provided which clearly describes and comments the resource term, its sub-terms and associated terms. This glossary is in the annex to this report. (orig.)

  14. SSI&apos;s review of SKB&apos;s RD and D programme 2001

    Energy Technology Data Exchange (ETDEWEB)

    Hedberg, Bjoern; Larsson, Carl-Magnus; Wiebert, Anders [and others

    2002-08-01

    In the report SSI&apos;s review of SKB&apos;s RD and D programme 2001 is presented. In the review SSI comments, among other things, the decision making process, the need for a strategy document, SKB&apos;s safety and system analysis and SKB&apos;s biosphere studies.

  15. An alternative realization of &apos;t Hooft&apos;s quantum determinism

    Energy Technology Data Exchange (ETDEWEB)

    Sadiq, M., E-mail: sadiq@qau.edu.p [Department of Physics, Quaid-i-Azam University, Islamabad 45320 (Pakistan); Ghafoor, F. [Centre for Quantum Physics, COMSATS Institute of Information Technology, Islamabad (Pakistan)

    2010-11-15

    We present an alternative to &apos;t Hooft&apos;s mechanism relating a deterministic system to a 1D quantum oscillator. We argue that it is possible to map &apos;t Hooft&apos;s ontological space onto an irreducible representation of a 2D isotropic oscillator. A direct group contraction procedure can then be applied to achieve the correspondence.

  16. ApoE and the role of very low density lipoproteins in adipose tissue inflammation

    Science.gov (United States)

    Our goal was too identify the role of triglyceride-rich lipoproteins and apoE, a major apolipoprotein in triglyceride-rich lipoproteins, in adipose tissue inflammation with high-fat diet induced obesity. Male apoE-/- and C57BL/6J wild-type mice fed high fat diets for 12 weeks were assessed for metab...

  17. Avaliação longitudinal psicopatológica e de personalidade de pacientes submetidos à cirurgia bariátrica: implicações prognósticas

    OpenAIRE

    Pedro Caldana Gordon

    2014-01-01

    INTRODUÇÃO: Uma parcela significativa dos indivíduos submetidos à cirurgia bariátrica evolui com complicações de variada natureza no pós-operatório tardio. Dentre estas estão a redução ponderal insuficiente ou reganho de peso, assim como alterações comportamentais graves, como demonstrado pelos relatos de aumento na prevalência de abuso de substâncias e de mortes por causas não naturais. O presente estudo tem como objetivo investigar fatores pré-operatórios clínicoepidemiológicos e psicossoci...

  18. Speech resonance in orthognathic surgery in subjects with cleft lip and palate Ressonância da fala na cirurgia ortognática em indivíduos com fissura labiopalatina

    Directory of Open Access Journals (Sweden)

    Trixy Cristina Niemeyer

    2005-09-01

    Full Text Available The main purpose of this study was to investigate the impact of maxillary advancement on speech resonance in subjects with cleft lip and palate. The study sample was composed of 42 subjects aged 16 to 41 years old with operated cleft palate ± lip submitted to maxillary advancement. Resonance was evaluated before and 3 to 12 months after surgery by perceptual analysis and graduated from absent to severe. It was observed that 47.5% of the subjects presented impairment of resonance after orthognathic surgery, with a confidence interval (at 95% from 31.5% to 63.9%. These results suggest that orthognathic surgery in individuals with cleft palate may interfere in resonance, causing, or increasing the degree of hypernasality. Therefore, this highlights the importance of the orientation about the risks and benefits of maxillary advancement surgery and follow-up of these patients.O propósito deste estudo foi verificar o impacto do avanço de maxila na ressonância de fala em sujeitos com fissura labiopalatina. A amostra do presente estudo foi composta por 42 sujeitos, entre 16 e 41 anos de idade, com fissura de palato associada ou não à de lábio submetidos ao avanço da maxila. A ressonância foi avaliada entre 3 e 12 meses após a cirurgia por análise e perceptual e graduada de ausente a severa. Observou-se que 47.5% dos sujeitos apresentaram prejuízo da ressonância após a cirurgia ortognática, com um intervalo de confiança (a 95% de 31.5% a 63.9%. Esses resultados sugerem que a cirurgia ortognática, em sujeitos com fissura palatina, pode interferir na ressonância, causando ou aumentando o grau de hipernasalidade. Portanto, isso elucida a importância da orientação sobre os riscos e benefícios da cirurgia de avanço da maxila e acompanhamento desses pacientes.

  19. Imagem corporal, ansiedade e depressão em pacientes obesos submetidos à cirurgia bariátrica Body image, anxiety and depression in obese patients submitted to bariatric surgery

    Directory of Open Access Journals (Sweden)

    Sebastião Sousa Almeida

    2012-04-01

    Full Text Available Pacientes obesos mórbidos têm recorrido à cirurgia bariátrica como um recurso eficaz para perder peso. Entretanto, este procedimento pode causar alterações comportamentais significativas. O objetivo deste trabalho foi investigar os níveis de ansiedade e depressão, assim como as mudanças sofridas na percepção da imagem corporal em pacientes obesos submetidos à cirurgia bariátrica em três momentos: pré-operatório, 6 meses e 12 meses após a cirurgia. Trata-se de um estudo do tipo prospectivo longitudinal, de abordagem quantitativa. No estudo foram aplicados os Inventários de Depressão e Ansiedade de Beck e a Escala Brasileira de Figuras de Silhuetas para Adultos. A cirurgia diminuiu significativamente tanto o índice de massa corporal dos pacientes quanto a insatisfação com a sua imagem corporal. Essa perda de peso e diminuição da insatisfação com a imagem corporal foi acompanhada de redução nos níveis de ansiedade e depressão, o que sugere que estes são fatores importantes no quadro obesidade.Morbidly obese patients often have resorted to bariatric surgery as an effective resource to be used for weight loss. However, this procedure can cause significant behavioral changes. The objective of this study was to investigate levels of anxiety and depression, as well as the changes suffered in the perception of body image in obese patients undergoing bariatric surgery at three different times: preoperatively, 6 months and 12 months after surgery. This is a prospective longitudinal study of a quantitative approach. The study used the Beck Depression Inventory, the Beck Anxiety Inventory and the Brazilian Scale of Figures Silhouettes for Adults. Surgery significantly decreased both the body mass index of patients and dissatisfaction with their body image. This weight loss and decreased body image dissatisfaction was accompanied by reduced levels of anxiety and depression, suggesting that these are important factors in the

  20. Analise retrospectiva dos traumas faciais decorrentes de acidentes de transito em pacientes atendidos pela area de Cirurgia Buco-maxilo-facial da Faculdade de Odontologia de Piracicaba/UNICAMP no periodo de 1999 a 2007

    OpenAIRE

    Marcia Socorro da Costa Borba

    2010-01-01

    Resumo: O presente estudo retrospectivo teve por objetivo avaliar a complexidade dos traumatismos faciais decorrentes de acidente de trânsito considerando diagnóstico, tratamento e complicações e relacioná-los com o uso de dispositivos de segurança. Os dados foram coletados dos prontuários do arquivo da Área de Cirurgia Buco-Maxilo-Facial da Faculdade de Odontologia de Piracicaba/Unicamp no período de 1999 a 2007. A amostra foi de 657 pacientes dos quais 76,7% foram vítimas de acidente automo...

  1. Perfil nutricional e estilo de vida de pacientes pré e pós-cirurgia bariátrica = Nutritional profile and lifestyle of patients before and after bariatric surgery

    Directory of Open Access Journals (Sweden)

    Zyger, Letícia Tomicki

    2016-01-01

    Conclusões: Após a derivação gástrica em Y de Roux houve perda de peso, redução do índice de massa corporal e da circunferência abdominal e diminuição da taxa de sedentarismo. Foram detectadas algumas deficiências nutricionais, o que indica que há necessidade de acompanhamento do estado nutricional no pós operatório de cirurgia bariátrica, para garantir o sucesso do tratamento

  2. Avaliação retrospectiva de oito anos dos procedimentos implantodonticos associados ou não a procedimentos reconstrutivos realizados na area de cirurgia buco-maxilo-facial da Faculdade de Odontologia de Piracicaba

    OpenAIRE

    Galykon Alex Vitti Stabile

    2006-01-01

    Resumo: O objetivo deste estudo foi realizar por meio de um levantamento retrospectivo de oito anos um delineamento do perfil da implantodontia dentro da Área de Cirurgia Buco-Maxilo-Facial da Faculdade de Odontologia de Piracicaba (FOP-Unicamp). Foram revisados ao todo 1422 prontuários cujos pacientes deveriam ser submetidos a procedimentos reabilitadores através da instalação de implantes dentários endósseos osseointegráveis. Os pacientes em questão foram caracterizados quanto à cor, gênero...

  3. O peptídeo natriurético do tipo B é preditor de eventos em pós-operatório de cirurgia ortopédica

    Directory of Open Access Journals (Sweden)

    Humberto Villacorta Junior

    2010-12-01

    Full Text Available FUNDAMENTO: A avaliação clínica nem sempre é suficiente para predizer complicações cardíacas pós-operatórias (PO. O peptídeo natriurético do tipo B (BNP tem grande valor prognóstico em pacientes (pts com insuficiência cardíaca. Seu valor como preditor de eventos em cirurgias ortopédicas ainda não foi testado. OBJETIVO: Avaliar o valor do BNP em predizer complicações cardíacas no PO de cirurgia ortopédica. MÉTODOS: Avaliados de modo prospectivo, 208 pts submetidos à cirurgia para correção de fratura de fêmur e artroplastia de quadril ou de joelho. Foram 149 (71,6% mulheres e a idade média foi de 72,6 ± 8,8 anos. Os pacientes foram submetidos, no pré-operatório, à avaliação clínica convencional e estimativa do risco cirúrgico pela classificação da American Society of Anesthesiologists (ASA. O BNP foi dosado no pré-operatório e avaliou-se a sua capacidade de predizer eventos cardíacos (morte, infarto agudo do miocárdio, angina instável, fibrilação atrial, taquicardia ventricular ou insuficiência cardíaca no PO, através de análise multivariada por regressão logística. RESULTADOS: Dezessete (8,0% pacientes apresentaram eventos cardíacos. A mediana de BNP foi significativamente maior nesses pacientes quando comparada a dos sem eventos cardíacos (93 [variação interquartil 73-424] vs 26,6 [13,2-53,1], p = 0,0001. O BNP foi o principal preditor independente de eventos (p = 0,01. A classificação da ASA não foi preditor independente. A análise de curva ROC demonstrou que para um corte de 60 pg/ml, o BNP apresentou sensibilidade de 76,0% e especificidade de 79,0% para predizer eventos, com área sob a curva de 83,0%. CONCLUSÃO: O BNP é um preditor independente de eventos cardíacos no PO de cirurgias ortopédicas.

  4. Avaliação do Auto-Conceito no Doente Submetido a Cirurgia Bariátrica : Trabalho de Investigação : Evaluation of Self-Concept in Bariatric Patients

    OpenAIRE

    Morais, Carla Maria Roberto

    2010-01-01

    Resumo da tese: Introdução: A obesidade é um problema de saúde pública que afecta um número cada vez maior de indivíduos, sendo crescente a prevalência da obesidade mórbida. Os indivíduos obesos apresentam uma maior prevalência de morbilidade psicológica e psiquiátrica, quando comparados com indivíduos normoponderais. Actualmente, a Cirurgia Bariátrica é considerada como a forma de tratamento mais eficaz a longo prazo para esta patologia resultando em melhorias significativas na saúde física,...

  5. Zitterbewegung in Bogoliubov&apos;s System

    International Nuclear Information System (INIS)

    Li Yan; Su Hong-Yi; Chen Jing-Ling; Zhang Fu-Lin; Wu Chun-Feng; Leong-Chuan Kwek

    2015-01-01

    We show that Bogoliubov&apos;s quasiparticle in superfluid 3 He-B undergoes the Zitterbewegung, as a free relativistic Dirac&apos;s electron does. The expectation value of position, as well as spin, of the quasiparticle is obtained and compared with that of the Dirac&apos;s electron. In particular, the Zitterbewegung of Bogoliubov&apos;s quasiparticle has a frequency approximately 10 5 lower than that of an electron, rendering a more promising experimental observation. (general)

  6. Solar tank. &apos;Solar ship&apos; and solar development project at Freiburg; Sonne im Tank. &apos;Sonnenschiff&apos; und Solarsiedlung in Freiburg

    Energy Technology Data Exchange (ETDEWEB)

    Alle, N.

    2007-05-15

    In the &apos;Vauban&apos; district of the German city of Freiburg, 59 plusenergy terrace houses and one block of offices and shops were constructed during the past five years. The latter is named &apos;solar ship&apos; and has nine penthouses on its roof which generate more power than they consume. The building is 125 m long and is both a building and a power station. (orig.)

  7. Proposal of a simple screening method for a rapid preliminary evaluation of &apos;&apos;heavy metals&apos;&apos; mobility in soils of contaminated sites

    Energy Technology Data Exchange (ETDEWEB)

    Pinto, Valentina; Chiusolo, Francesca; Cremisini, Carlo [ENEA - Italian Agency for New Technologies, Energy and Environment, Rome (Italy). Section PROTCHIM

    2010-09-15

    Risks associated to &apos;&apos;heavy metals&apos;&apos; (HM) soil contamination depend not only on their total content but, mostly, on their mobility. Many extraction procedures have been developed to evaluate HM mobility in contaminated soils, but they are generally time consuming (especially the sequential extraction procedures (SEPs)) and consequently applicable on a limited number of samples. For this reason, a simple screening method, applicable even &apos;&apos;in field&apos;&apos;, has been proposed in order to obtain a rapid evaluation of HM mobility in polluted soils, mainly focused on the fraction associated to Fe and Mn oxide/hydroxides. A buffer solution of trisodium citrate and hydroxylamine hydrochloride was used as extractant for a single-step leaching test. The choice of this buffered solution was strictly related to the possibility of directly determining, via titration with dithizone (DZ), the content of Zn, Cu, Pb and Cd, which are among the most representative contaminants in highly mineralised soils. Moreover, the extraction solution is similar, aside from for the pH value, which is the one used in the BCR SEP second step. The analysis of bivalents ions through DZ titration was exploited in order to further simplify and quicken the whole procedure. The proposed method generically measures, in few minutes, the concentration of total extractable &apos;&apos;heavy metals&apos;&apos; expressed as molL{sup -1} without distinguishing between elements. The proposed screening method has been developed and applied on soil samples collected from rural, urban and mining areas, representing different situation of soil contamination. Results were compared with data obtained from the BCR procedure. The screening method demonstrated to be a reliable tool for a rapid evaluation of metals mobility. Therefore, it could be very useful, even &apos;&apos;in field&apos;&apos;, both to guide the sampling activity on site and to monitor the efficacy of the subsequent

  8. Inorganic profile of some Brazilian medicinal plants obtained from ethanolic extract and &apos;&apos;in natura&apos;&apos; samples

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, M.O.M.; de Sousa, P.T.; Salvador, V.L.R.; Sato, I.M.

    2004-10-03

    The Anadenathera macrocarpa, Schinus molle, Hymenaea courbaril, Cariniana legalis, Solidago microglossa and Stryphnodendron barbatiman, were collected &apos;&apos;in natura&apos;&apos; samples (leaves, flowers, barks and seeds) from different commercial suppliers. The pharmaco-active compounds in ethanolic extracts had been made by the Mato Grosso Federal University (UFMT). The energy-dispersive x-ray fluorescence (ED-XRF) spectrometry was used for the elemental analysis in different parts of the plants and respective ethanolic extracts. The Ca, Cl, Cu, Fe, K, Mg, Mn, Na, Ni, P, Rb, S, Sr and Zn concentrations were determined by the fundamental parameters method. Some specimens showed a similar inorganic profile for &apos;&apos;in natura&apos;&apos; and ethanolic extract samples and some ones showed a distinct inorganic profile. For example, the Anadenathera macrocarpa showed a similar concentration in Mg, P, Cu, Zn and Rb elements in &apos;&apos;in natura&apos;&apos; and ethanolic extract samples; however very different concentration in Na, S, Cl, K , Ca, Mn, Fe and Sr was observed in distinctive samples. The Solidago microglossa showed the K, Ca, Cl, S, Mg, P and Fe elements as major constituents in both samples, suggesting that the extraction process did not affect in a considerable way the &apos;&apos;in natura&apos;&apos; inorganic composition. The elemental composition of the different parts of the plants (leaves, flowers, barks and seeds) has been also determined. For example, the Schinus molle specimen showed P, K, Cl and Ca elements as major constituents in the seeds, Mg, K and Sr in the barks and Mg, S, Cl and Mn in the leaves, demonstrating a differentiated elementary distribution. These inorganic profiles will contribute to evaluate the quality control of the Brazilian herbaceous trade and also will assist to identify which parts of the medicinal plants has greater therapeutic effect.

  9. Prospects and risks for young technology companies. Chancen und Risiken junger Technologieunternehmen; Ergebnisse des Modellversuchs &apos;&apos;Foerderung technologieorientierter Unternehmensgruendungen&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Kulicke, M. (Fraunhofer-Institut fuer Systemtechnik und Innovationsforschung (ISI), Karlsruhe (Germany)); Bayer, K.; Braeunling, G.; Ewers, H.J.; Gerybadze, A.; Mayer, M.; Mueller, R.; Wein, T.; Wupperfeld, U.

    1993-01-01

    The book summarizes the insights gained from the model project &apos;&apos;Promotion of the establishment of technology-oriented companies&apos;&apos;. The manifold results on capital and consulting requirements, turnover and activity growth, factors determining success and survival and on the problems that arise during the starting phase broaden the informational basis for potential founders, their financers, and for promotion institutions. (orig.). 29 figs.

  10. Effects of nocturnal aircraft noise on sleep: results from the &apos;&apos;quiet air traffic&apos;&apos; project; Wirkungen des Nachtfluglaerms auf den Schlaf: Ergebnisse aus dem Projekt &apos;&apos;Leiser Flugverkehr&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Samel, A.; Basner, M.; Maass, H.; Mueller, U.; Quehl, J.; Wenzel, J. [Deutsches Zentrum fuer Luft- und Raumfahrt (DLR) in der Helmholtz-Gemeinschaft (HGF), Inst. fuer Luft- und Raumfahrtmedizin, Koeln (Germany)

    2005-07-01

    In 192 sleep-healthy subjects (18 to 65 y) effects of nocturnal aircraft noise on sleep, stress, performance and subjective factors were investigated in 2240 nights under laboratory and field conditions. In the sleep lab, 112 volunteers were subjected to aircraft noise events by varying numbers and noise levels during 9 nights within a period of 13 nights. 16 further subjects served as control group (i.e. without any noise). 64 subjects were studied in the vicinity of Cologne-Bonn airport during 9 nights. Polysomnographical and acoustical recordings, determination of excretion rates of stress hormones from night urines, performance tests and questionnaires were conducted during all days for the assessment of nocturnal aircraft noise effects. By simultaneous recording of electrophysiological and acoustical data the probability of noise induced awakenings was estimated. Performance and most of psychological parameters did not show significant dose-effect relationships, whereas annoyance did. Epinephrine and norepinephrine did not change under aircraft noise, cortisol did change only in the lab. In the lab, a comparison between all noisy nights and noise-free baseline nights exhibited a non-significant 2-min. reduction of sleep and a 4-min. decrease of slow-wave sleep. In the field, awakenings caused by aircraft noise were detected above a threshold of 33 dB(A) &apos;&apos;at the sleeper&apos;s ear&apos;&apos;. All effects were much less pronounced in the field than in the lab. For the first time, precise dose-effect curves between maximum aircraft noise event levels and electrophysiologically detectable awakenings, and a threshold were empirically established. The results of these studies broadens the knowledge on aircraft noise induced sleep disturbances and immediate consequences for the next day. (orig.)

  11. Photoluminescence of acupoint &apos;Waiqiu&apos; in human superficial fascia

    Energy Technology Data Exchange (ETDEWEB)

    Zhang Yuan [Synchrotron Radiation Research Center, Department of Physics, Surface Physics Laboratory (State Key Laboratory) of Fudan University, Shanghai 200433 (China); Yan Xiaohui [Synchrotron Radiation Research Center, Department of Physics, Surface Physics Laboratory (State Key Laboratory) of Fudan University, Shanghai 200433 (China); Liu Chenglin [Synchrotron Radiation Research Center, Department of Physics, Surface Physics Laboratory (State Key Laboratory) of Fudan University, Shanghai 200433 (China); Dang Ruishan [Second Military Medical University, Shanghai 200433 (China); Zhang Xinyi [Synchrotron Radiation Research Center, Department of Physics, Surface Physics Laboratory (State Key Laboratory) of Fudan University, Shanghai 200433 (China) and Shanghai Research Center of Acupuncture and Meridian, Pudong, Shanghai 201203 (China)]. E-mail: xy-zhang@fudan.edu.cn

    2006-07-15

    The spectral characters of an acupuncture point named &apos;Waiqiu&apos; in superficial fascia tissue have been studied by photoluminescence (PL) spectroscopy under the excitation of 457.9 nm. The PL around &apos;Waiqiu&apos; acupuncture point consists of two sub-bands resulting from the flavin adenine dinucleotide (FAD) and phospholipids, and the porphyrins (including purine, isoxanthopterin and tryptophan), respectively. More emission due to FAD and phospholipids is found inside the acupuncture effect area of &apos;Waiqiu&apos; than its marginal or outside acupuncture regions. The ratio of emission intensity of FAD and phospholipids to one of porphyrins gradually decreases along the direction away from the center of the acupuncture point. It implies that the component proportion changes between FAD, phospholipids and porphyrins around the &apos;Waiqiu&apos; acupuncture point. We suggest that there might be a certain relationship between redox function of FAD and &apos;Waiqiu&apos; acupuncture effect.

  12. &apos;Heat Market Campaign&apos; of the German coal mining industry

    Energy Technology Data Exchange (ETDEWEB)

    Dach, G.

    1983-12-22

    The &apos;&apos;Heat Market Campaign&apos;&apos;, presented in June &apos;83 by experts of all fields of coal mining, investigates the possibilities of coal sales promotion. The article reviews the main data of the heat market and discusses the &apos;&apos;Heat Market Campaign&apos;&apos; under the aspects of coal policy and energy policy. The campaign was started with the objectives of energy supply assurance in the Federal Republic of Germany, energy cost reduction on the consumer side, and stabilisation and development of coal markets not affected by the steel crisis. Sales goald on the household, trade and industrial sector are quantified, and obstacles preventing further expansion of the heat market are discussed. Apart from the mining industry&apos;s marketing concept for the heat market, there is also the possibility of receiving financial aid by the Federal government.

  13. &apos;Minergie&apos; modernisation - Test in practice; Praxistest Minergie-Modernisierung

    Energy Technology Data Exchange (ETDEWEB)

    Ruetter, H.; Ruetter-Fischbacher, U. [Ruetter und Partner, Soziooekonomische Forschung und Beratung, Rueschlikon (Switzerland); Haessig, W. [Haessig Sustech GmbH - Ingenieurbuero fuer Minergie und nachhaltige Gebaeudetechnik, Uster (Switzerland); Jakob, M. [TEP Energy GmbH, CEPE ETH, Zuerich (Switzerland)

    2008-07-01

    This comprehensive report for the Swiss Federal Office of Energy (SFOE) examines the results obtained in practice concerning the use of the &apos;Minergie&apos; low energy consumption standard. Experience gained with &apos;Minergie&apos; refurbishment projects is reviewed and the critical points and constraints found are discussed. Further, recommendations for improvements in the use of the &apos;Minergie&apos; standard are made. The study is based on questions posed to building owners in the German speaking part of Switzerland who have carried out refurbishment projects to meet &apos;Minergie&apos; standards as well as questions posed to those who did not adhere to &apos;Minergie&apos; standards in the refurbishment of their buildings. The reasons quoted for using / not using the standard are listed and discussed. Possible tightening of energy regulations concerning renovation work are discussed. The recommendations resulting from the survey are also noted and discussed.

  14. Scientists from all over the world attend the &apos;&apos;Frederic Joliot/Otto Hahn Summer School 2009&apos;&apos; at the Karlsruhe Institute of Technology (KIT); Wissenschaftler aus aller Welt bei der &apos;&apos;Frederic Joliot/Otto Hahn Summer School 2009&apos;&apos; am Karlsruhe Institute of Technologie (KIT)

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez Espinoza, Victor Hugo; Fischer, Ulrich [Karlsruhe Inst. of Tech. (KIT), Campus Nord/Inst. for Neutron Physics and Reactor Tech. (INR), Eggenstein-Leopoldshafen (Germany)

    2009-11-15

    The &apos;&apos;Frederic Joliot/Otto Hahn Summer School&apos;&apos; is organized each year alternately by the Karlsruhe Institute of Technology and the Commissariat a l&apos;Energie Atomique (CEA), Cadarache. This year&apos;s Summer School, the 15th since its foundation, was run at the Advanced Training Center (FTU) of KIT Campus Nord on August 26 to September 4. The key topic this year was &apos;&apos;The Challenges in Implementing Fast Reactor Technology.&apos;&apos; These are the items discussed: Principles and challenges of future fast reactor designs, Fuels, fuel cycle, and recycling of minor actinides, Innovative cladding tube and structural materials, Special aspects of coolants and the challenges they pose, Fast reactor safety. Experts from 8 leading international research establishments and universities presented and discussed with the 58 participants from 16 countries the current state of the art and the latest development trends in the topics listed above. (orig.)

  15. Three ways to storage solution. &apos;&apos;Lead or Lithium?&apos;&apos;. This is not the only basic issue in a storage system; Drei Wege zur Speicherloesung. &apos;&apos;Blei oder Lithium?&apos;&apos; Dies ist nicht die einzige Grundsatzfrage bei einem Speichersystem

    Energy Technology Data Exchange (ETDEWEB)

    Welter, Philippe; Siemer, Jochen

    2013-06-15

    The number of solar power storage systems offered is now in the hundreds, if one includes all possible product combinations. We show in the following pages a selection of examples of typical solutions, which are by the KfW program &apos;&apos;Renewable Energy - Storage&apos;&apos; eligible&apos;&apos;. With various modifications, they can be divided into three groups: battery inverter with built-in storage, external storage on the DC side of the PV system and stand-alone systems on AC power. [German] Die Zahl der angebotenen Solarstromspeichersysteme geht mittlerweile in die Hunderte, wenn man alle moeglichen Produktkombinationen einbezieht. Wir zeigen auf den folgenden Seiten eine exemplarische Auswahl an typischen Loesungen, die mittels KfW-Programm &apos;&apos;Erneuerbare Energien - Speicher&apos;&apos; foerderfaehig sind. Mit diversen Modifikationen lassen sie sich in drei Gruppen einteilen: Akkuwechselrichter mit integriertem Speicher, externe Speicher an der Gleichstromseite der Photovoltaikanlage und Stand-alone-Systeme am Wechselstromnetz.

  16. In LDL receptor-deficient mice, catabolism of remnant lipoproteins requires a high level of apoE but is inhibited by excess apoE

    NARCIS (Netherlands)

    Dijk, K.W. van; Vlijmen, B.J.M. van; Hof, H.B. van 't; Zee, A. van der; Santamarina-Fojo, S.; Berkel, T.J.C. van; Havekes, L.M.; Hofker, M.H.

    1999-01-01

    To investigate the quantitative requirement for apolipoprotein (apo) E in the clearance of lipoproteins via the non-low density lipoprotein (LDL) receptor mediated pathway, human APOE was overexpressed at various levels in the livers of mice deficient for both the endogenous Apoe and Ldlr genes

  17. Differential response of the skin in young and old rats to a combination of X-rays and &apos;wet&apos; or &apos;dry&apos; hyperthermia

    Energy Technology Data Exchange (ETDEWEB)

    Hamlet, R.; Hopewell, J.W.

    1986-11-01

    Hind feet of group of female rats aged 7, 14 and 52 weeks were X-irradiated at 20, 25 or 30 Gy. Hyperthermia (42.5/sup 0/C for 1 h) was carried out immediately following irradiation using either &apos;wet&apos; or &apos;dry&apos; heat, by immersion in water or fluorocarbon liquid. Results demonstrated that &apos;wet&apos; heat produced a consistently greater enhancement of the irradiation damage than &apos;dry&apos;. The thermal enhancement ratio for irradiation plus &apos;wet&apos; heat was approximately 1.5 and for irradiation plus &apos;dry&apos; heat 1.17 to 1.39. Immersion of the feet in fluorocarbon liquid at 37/sup 0/C did not significantly modify the irradiation response of the skin. The lower thermal enhancement ratios obtained using immersion in fluorocarbon liquid at 42.5/sup 0/C are close to those obtained in large animal studies and similar to the limited amount of data from clinical studies where microwave or ultrasound heating techniques were used. It has been demonstrated that there are large age-related differences in the response of the rat foot skin to irradiation alone. It has also been shown, using rats of the same age, that the response to irradiation plus hyperthermia was less age dependent.

  18. Jack Michael&apos;s Motivation

    Science.gov (United States)

    Miguel, Caio F.

    2013-01-01

    Among many of Jack Michael&apos;s contributions to the field of behavior analysis is his behavioral account of motivation. This paper focuses on the concept of "motivating operation" (MO) by outlining its development from Skinner&apos;s (1938) notion of "drive." Conceptually, Michael&apos;s term helped us change our focus on…

  19. &apos;Modernization property&apos; of our country is visualized / TAISEI; Wagakuni no &apos;kindaika isan&apos; wo eizoka / taiseisensetsu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-11-10

    TAISEI was about rapidly promoted from Days of the Tokugawa shogunate over Meiji and Taisho this, and the documentary film which focused on building and &apos;the modernization property&apos; which are related to industry and traffic and civil engineering which made the base of the our country development was planned and was produced. The title of the movie is &apos;travel to the Japan modernization property&apos;. The movie which really introduced such modern age property is rare, and it s as an image material precious. It tries to pick up main thing, The oldest lighthouse &apos;Mikomotojima Island lighthouse (Shizuoka Prefect.1870)&apos; and covers Shiga Prefecture and Kyoto prefecture,&apos;The Lake Biwa hydrophobic&apos;, in our country, the first gravitational concrete dam &apos;Nunobiki Gohnmatsu dam, Kobe City, 1900&apos;Length furnace for the cement baking which remains in Yamaguchi Prefect. &apos;The ONODA CEMENT (Pacific Ocean cement) sake bottle furnace&apos;. In becoming modernization property which widely remains in our country and so on the guide person, Mr. Shinbo Minami of the illustrator has introduced it. The narration is the Mr. platform step of the actress. Still, screening party of this movie is done in the following schedule (admission free). The detailed query is Japanese movie new Co. (141-0021 2-10-17 Kami-Osaki, Shinagawa ku, Tokyo), TEL 03-3442-7251 FAX 03-3442-7360. (translated by NEDO)

  20. &apos;&apos;Confession statement against the nuclear nation&apos;&apos;. The protestant church in Germany and the conflicts concerning nuclear energy 1970 - 1990; &apos;&apos;Bekennen gegen den Atomstaat&apos;&apos;. Die evangelischen Kirchen in der Bundesrepublik Deutschland und die Konflikte um die Atomenergie 1970-1990

    Energy Technology Data Exchange (ETDEWEB)

    Schuering, Michael [Florida Univ., Gainesville, FL (United States)

    2015-07-01

    The book on &apos;&apos;Confession statement against the nuclear nation&apos;&apos; discusses the conflicts of the protestant church in Germany concerning nuclear energy in 1970 - 1990. The introduction covers the state of research and the historical sources. The following chapters discuss the issues philosophic-ideological fundamentals: atomic energy and theology, the political church, the new protest culture and comparative perspectives: the catholic perspective, Three Mile Island&apos;s shadow.

  1. Re-evaluation of the criticality experiments of the &apos;&apos;Otto Hahn Nuclear Ship&apos;&apos; reactor

    Energy Technology Data Exchange (ETDEWEB)

    Lengar, I.; Snoj, L.; Rogan, P.; Ravnik, M. [Jozef Stefan Institute, Ljubljana (Slovenia)

    2008-11-15

    Several series of experiments with a FDR reactor (advanced pressurized light water reactor) were performed in 1972 in the Geesthacht critical facility ANEX. The experiments were performed to test the core prior to its usage for the propulsion of the first German nuclear merchant ship &apos;'Otto-Hahn'&apos;. In the present paper a calculational re-evaluation of the experiments is described with the use of the up-to date computer codes (Monte-Carlo code MCNP5) and nuclear data (ENDF/B-VI release 6). It is focused on the determination of uncertainties in the benchmark model of the experimental set-up, originating mainly from the limited set of information still available about the experiments. Effects of the identified uncertainties on the multiplication factor were studied. The sensitivity studies include parametric variation of material composition and geometry. The combined total uncertainty being found 0.0050 in k{sub eff}, the experiments are qualified as criticality safety benchmark experiments. (orig.)

  2. Resonant light power buildup in ALPS, a &apos;&apos;light shining through a wall&apos;&apos;-experiment

    Energy Technology Data Exchange (ETDEWEB)

    Meier, Tobias; Danzmann, Karsten; Willke, Benno [Max-Planck-Institut fuer Gravitationsphysik, Albert Einstein Institut (Germany); Institut fuer Gravitationsphysik, Leibniz Universitaet Hannover, Callinstrasse 38, D-30167 Hannover (Germany); Ehret, Klaus; Ghazaryan, Samvel; Knabbe, Axel; Lindner, Axel; List, Jenny; Meyer, Niels; Notz, Dieter; Redondo, Javier; Ringwald, Andreas [Deutsches Elektronen-Synchrotron DESY, Notkestrasse 85, D-22607 Hamburg (Germany); Frede, Maik; Hildebrandt, Matthias [Laserzentrum Hannover e.V., Hollerithallee 8, D-30419 Hannover (Germany); Wiedemann, Guenter [Hamburger Sternwarte, Gojenbergsweg 112, D-21029 Hamburg (Germany)

    2009-07-01

    We report on the first successfull application of a new experimental technique to search for weakly interacting sub-eV particles (WISPs) coupling to photons. As part of the ALPS experiment located at DESY in Hamburg, this technique uses an optical resonator to enhance the power inside a HERA dipole magnet on the production side of a typical &apos;&apos;light shining through a wall&apos;&apos;-experiment. We use a frequency doubled continuous-wave laser emitting 0.6 W of power at 532 nm that is stabilized to a linear optical resonator with 8 m length. On resonance we achieve a circulating power of 34 W within the magnet. With this we obtained sensitivities corresponding to a coupling strength of g{approx}5.10{sup -7} GeV{sup -1} for interactions of axion-like particles and photons. The experimental setup and possible improvements are described and compared with common experimental designs with pulsed lasers.

  3. Imaging of bridging vein thrombosis in infants with abusive head trauma: the &apos;&apos;Tadpole Sign&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Hahnemann, Maria L.; Kinner, Sonja; Schweiger, Bernd [University Hospital Essen, Institute of Diagnostic and Interventional Radiology and Neuroradiology, Essen (Germany); Bajanowski, Thomas [University Hospital Essen, Institute of Legal Medicine, Essen (Germany); Karger, Bernd; Pfeiffer, Heidi; Wittschieber, Daniel [University Hospital Muenster, Institute of Legal Medicine, Muenster (Germany)

    2014-10-03

    Abusive head trauma (AHT) in infants is usually diagnosed using a multi-disciplinary approach by investigating the circumstances and identifying morphological indicators, for example, subdural hematomas (SDHs), subdural hygromas (SDHys), retinal haemorrhages and encephalopathy. The present morphological study investigates the incidence, radiological characteristics and non-radiological co-factors of bridging vein thrombosis (BVT) in infants with AHT. From 2002 to 2013, computed tomography (CT) and magnetic resonance imaging (MRI) material of 628 infants aged 0-2 years were analysed retrospectively. If available, medicolegal expert opinions were additionally considered. Cases with SDHs and/or SDHys were identified and systematically evaluated as to the presence and characteristics of BVT. SDHs and/or SDHys were present in 29 of the 81 cases exhibiting morphological abnormalities in the initial CT. Among these, 11 cases (40 %) had BVT (mean age = 5.0 months). BVT could be best depicted in the T1-weighted spin echo and T2*/susceptibility-weighted MRI. In one case, BVT could be depicted indirectly using time-of-flight MR venography. The predominant (73 %) BVT shape was found to be tadpole-like (&apos;&apos;Tadpole Sign&apos;&apos;). In the absence of appropriate accidental trauma, BVT appears to be a strong indicator of AHT. Therefore, the BVT/Tadpole Sign represents compelling cause to search for other signs of AHT. (orig.)

  4. The quantum realm of the &apos;&apos;Little Sibling&apos;&apos; of the Big Rip singularity

    International Nuclear Information System (INIS)

    Albarran, Imanol; Bouhmadi-López, Mariam; Cabral, Francisco; Martín-Moruno, Prado

    2015-01-01

    We analyse the quantum behaviour of the &apos;&apos;Little Sibling&apos;&apos; of the Big Rip singularity (LSBR) [1]. The quantisation is carried within the geometrodynamical approach given by the Wheeler-DeWitt (WDW) equation. The classical model is based on a Friedmann-Lemaître-Robertson-Walker Universe filled by a perfect fluid that can be mapped to a scalar field with phantom character. We analyse the WDW equation in two setups. In the first step, we consider the scale factor as the single degree of freedom, which from a classical perspective parametrises both the geometry and the matter content given by the perfect fluid. We then solve the WDW equation within a WKB approximation, for two factor ordering choices. On the second approach, we consider the WDW equation with two degrees of freedom: the scale factor and a scalar field. We solve the WDW equation, with the Laplace-Beltrami factor-ordering, using a Born-Oppenheimer approximation. In both approaches, we impose the DeWitt (DW) condition as a potential criterion for singularity avoidance. We conclude that in all the cases analysed the DW condition can be verified, which might be an indication that the LSBR can be avoided or smoothed in the quantum approach

  5. Myxofibrosarcoma: prevalence and diagnostic value of the &apos;&apos;tail sign&apos;&apos; on magnetic resonance imaging

    Energy Technology Data Exchange (ETDEWEB)

    Lefkowitz, Robert A.; Landa, Jonathan; Hwang, Sinchun; Panicek, David M. [Memorial Sloan-Kettering Cancer Center, Department of Radiology, New York, NY (United States); Weill Medical College of Cornell University, New York, NY (United States); Zabor, Emily C.; Moskowitz, Chaya S. [Memorial Sloan-Kettering Cancer Center, Department of Epidemiology and Biostatistics, New York, NY (United States); Agaram, Narasimhan P. [Memorial Sloan-Kettering Cancer Center, Department of Pathology, New York, NY (United States)

    2013-06-15

    Myxofibrosarcoma frequently shows curvilinear extensions of high T2 signal that also enhance on magnetic resonance imaging; these &apos;'tails'&apos; represent fascial extension of tumor at histopathological examination. This study was performed to determine whether the tail sign is helpful in distinguishing myxofibrosarcoma from other myxoid-containing neoplasms. The study group consisted of 44 patients with pathologically proven myxofibrosarcoma; the control group consisted of 52 patients with a variety of other myxoid-predominant tumors. Three musculoskeletal radiologists independently evaluated T2-weighted (and/or short-tau inversion recovery) and post-contrast MR images for the presence of one or more enhancing, high-signal intensity, curvilinear projections from the primary mass. Sensitivity and specificity for the diagnosis of myxofibrosarcoma were calculated for each reader. Interobserver variability was assessed with kappa statistic and percentage agreement. A tail sign was deemed present in 28, 30, and 34 cases of myxofibrosarcoma and in 11, 9, and 5 of the controls for the three readers respectively, yielding a sensitivity of 64-77 % and a specificity of 79-90 %. The interobserver agreement was moderate-to-substantial (kappa = 0.626). The tail sign at MRI is a moderately specific and sensitive sign for the diagnosis of myxofibrosarcoma relative to other myxoid-containing tumors. (orig.)

  6. Suporte básico de vida e suporte avançado de vida em cardiologia: proposta de uma nova estratégia para abordagem e prevenção das intercorrências clínicas em cirurgia dermatológica

    OpenAIRE

    Timoner,Fábio Roismann; Ferrari,Nelson Marcos; Ribeiro,Manoel Carlos Sampaio de Almeida; Plavnik,Frida Liane; Machado Filho,Carlos d'Aparecida Santos

    2010-01-01

    Com o aumento da complexidade cirúrgica e comorbidades da população, o risco de intercorrências clínicas em cirurgia dermatológica aumentou nas últimas décadas. Para sua abordagem foi criado um fluxograma baseado na tríade decisória formada pelo estado físico do paciente, grau de sedação e porte do procedimento, indicando o tipo de suporte cardiovascular em cada procedimento. Pacientes submetidos a cirurgias de "porte pequeno" e ASA < 2 devem receber suporte básico de vida; os submetidos a ci...

  7. Functional and morphological parameters with tissue characterization of cardiovascular magnetic imaging in clinically verified &apos;&apos;infarct-like myocarditis&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Schwab, Johannes [Paracelsus Medical Univ., General Hospital Nuremberg (Germany). Dept. of Cardiology and Radiology; Rogg, H.J.; Pauschinger, M.; Fessele, K. [Paracelsus Medical Univ., General Hospital Nuremberg (Germany). Dept. of Cardiology; Bareiter, T.; Baer, I. [Paracelsus Medical Univ., General Hospital Nuremberg (Germany). Dept. of Cardiology and Neuroradiology; Loose, R. [Paracelsus Medical Univ., General Hospital Nuremberg (Germany). Dept. of Radiology

    2016-04-15

    Cardiac magnetic resonance (CMR) has increasingly proved to be a valuable diagnostic tool for evaluating patients with suspected myocarditis. The objective of this study was to evaluate the diagnostic value of functional and morphological parameters including tissue characterization in patients with &apos;&apos;infarct-like myocarditis&apos;&apos;. 43 patients with clinically verified cases of &apos;&apos;infarct-like myocarditis&apos;&apos; (median time to MRI scanning after admission for acute symptoms 3 days) and 35 control patients matched by age and sex were included in this retrospective case control study. In this study we used a 1.5 T MRI scanner conducting steady-state-free-precession sequences, T2-weighted imaging, T1-weighted imaging before and after contrast administration and late gadolinium enhancement sequences. According to the recommendations for CMR diagnosis of myocarditis (Lake Louise consensus criteria), a scan was positive for acute myocarditis if 2 of 3 CMR criteria were present. 30 % of the patients with &apos;&apos;infarct-like myocarditis&apos;&apos; had a reduced left ventricular ejection fraction, 11 % had an increased LV end-diastolic volume index and 35 % had an increased LV mass index. The sensitivity of wall motion abnormalities was 63 % with a regional distribution in 49 %. In 47 % of cases regional wall motion abnormalities were present in the lateral left ventricular segments. Pericardial effusions were discovered in 65 % of cases with a circular appearance in 21 % and focal manifestation in 44 %. The diagnostic sensitivity, specificity, and accuracy of CMR in patients with &apos;&apos;infarct-like myocarditis&apos;&apos; were 67 %, 100 % and 82 %, respectively. The LGE alone was the most sensitive test parameter with 86 %, providing a specificity of 100 % and accuracy of 92 %. Our study results can be applied to the subgroup of patients with &apos;&apos;infarct-like myocarditis&apos;&apos;, where we found that LGE alone was the

  8. Energy-related renovation in the world heritage. Retrofitting &apos;Glas-Hoffmann&apos; buildings, Berlin; Energetische Sanierung im Weltkulturerbe. Sanierung &apos;Glas-Hoffmann&apos;-Bauten, Berlin

    Energy Technology Data Exchange (ETDEWEB)

    Brensing, Christian

    2012-11-01

    Between 1955 and 1959, the housing estate at the Schiller park in Berlin-Wedding (Federal Republic in Germany) established in the 1920ies was expanded by four-storey house lines, the so-called Glas-Hoffmann buildings. Since 2008, this ensemble belongs to the Unesco World Heritage. In improving the thermal insulation of the building envelope and the adaptation of the building services to today&apos;s standards, therefore the architectural aesthetics of these buildings should not be endangered. The retrofitting was a pilot project of the research project &apos;&apos;Monument and energy - Postwar Modernism&apos;&apos;.

  9. Cirurgia de revascularização no infarto agudo do miocárdio Coronary artery bypass following acute myocardial infarction

    Directory of Open Access Journals (Sweden)

    Luiz Antônio Castilho Teno

    1990-04-01

    Full Text Available O tratamento do infarto agudo do miocárdio conta, hoje, com um leque de opções terapêuticas, sempre com o objetivo de reduzir o dano ao ventrículo esquerdo, Dentre as possibilidades, a revascularização cirúrgica encontra seu lugar, ligado, principalmente, à reperfusão após trombolíticos e às complicações da angioplastia. No Instituto do Coração da Santa Casa de Ribeirão Preto, no período de julho/87 a julho/89, foram realizadas 262 cirurgias de revascularização do miocárdio, sendo 23 (8,7% na fase aguda do infarto. Destes, 19 eram homens e quatro mulheres, com idade entre 42 e 75 anos, média de 58,5. A indicação cirúrgica compreendeu: persistência da dor em 15 (65% ocasiões, artéria reaberta após trombolítico em cinco (22%, artéria reaberta espontaneamente em dois (9% e comprometimento multiarterial em um (4%. Os fatores associados à precocidade do procedimento cirúrgico foram: ATP complicada com espasmo e oclusão arterial em oito pacientes, uso prévio de trombolítico em sete, ATP sem sucesso em quatro, arritmia cardíaca em dois e choque cardiogênico em um. A localização do IAM ao ECG foi de parede anterior em 14 (60,8% casos e parede inferior em nove (39,2%. Em 18 (78,4% havia presença de onda Q e, nos restantes, ausência. A dosagem de enzimas (CKMB variou de 15 a 104 U, média 58,7 U. A cineventriculografia demonstrou lesão isolada da artéria do IAM em nove (39,1% pacientes, lesão da artéria do IAM + lesão de outras artérias em oito (34,7%, lesão da artéria do IAM + infarto prévio de outra área em três (13% e obstrução total da artéria do IAM + lesão de outras artérias em três (13% casos. O período de tempo entre o início da dor e a cirurgia variou de duas horas a duas semanas, média 4,6 dias. O número de pontes, mamária ou safena, por paciente foi, em média, de 1,7, A proteção miocárdica foi realizada com hipotermia leve e solução cardioplégica cristalóide. A anoxia mioc

  10. InsCor: um método simples e acurado para avaliação do risco em cirurgia cardíaca

    Directory of Open Access Journals (Sweden)

    Omar A. V. Mejía

    2013-03-01

    Full Text Available FUNDAMENTO: Escores de risco apresentam dificuldades para obter o mesmo desempenho em diferentes populações. OBJETIVO: Criar um modelo simples e acurado para avaliação do risco nos pacientes operados de doença coronariana e/ou valvar no Instituto do Coração da Universidade de São Paulo (InCor-HCFMUSP. MÉTODOS: Entre 2007 e 2009, 3.000 pacientes foram operados consecutivamente de doença coronariana e/ou valvar no InCor-HCFMUSP. Desse registro, dados de 2/3 dos pacientes foram utilizados para desenvolvimento do modelo (técnica de bootstrap e de 1/3 para validação interna do modelo. O desempenho do modelo (InsCor foi comparado aos complexos 2000 Bernstein-Parsonnet (2000BP e EuroSCORE (ES. RESULTADOS: Apenas 10 variáveis foram selecionadas: Idade > 70 anos; sexo feminino; cirurgia de revascularização coronariana + valva; infarto de miocárdio < 90 dias; reoperação; tratamento cirúrgico da valva aórtica; tratamento cirúrgico da valva tricúspide; creatinina < 2mg/dL; fração de ejeção < 30%; e eventos. O teste de Hosmer Lemeshow para o InsCor foi de 0,184, indicando uma excelente calibração. A área abaixo da curva ROC foi de 0,79 para o InsCor, 0,81 para o ES e 0,82 para o 2000BP, confirmando que os modelos são bons e similares na discriminação. CONCLUSÕES: O InsCor e o ES tiveram melhor desempenho que o 2000BP em todas as fases da validação; pórem o novo modelo, além de se identificar com os fatores de risco locais, é mais simples e objetivo para a predição de mortalidade nos pacientes operados de doença coronariana e/ou valvar no InCor-HCFMUSP.

  11. The &apos;last mile&apos; of data handling: Fermilab&apos;s IFDH tools

    International Nuclear Information System (INIS)

    Lyon, Adam L; Mengel, Marc W

    2014-01-01

    IFDH (Intensity Frontier Data Handling), is a suite of tools for data movement tasks for Fermilab experiments and is an important part of the FIFE[2] (Fabric for Intensity Frontier [1] Experiments) initiative described at this conference. IFDH encompasses moving input data from caches or storage elements to compute nodes (the &apos;last mile&apos; of data movement) and moving output data potentially to those caches as part of the journey back to the user. IFDH also involves throttling and locking to ensure that large numbers of jobs do not cause data movement bottlenecks. IFDH is realized as an easy to use layer that users call in their job scripts (e.g. &apos;ifdh cp&apos;), hiding the low level data movement tools. One advantage of this layer is that the underlying low level tools can be selected or changed without the need for the user to alter their scripts. Logging and performance monitoring can also be added easily. This system will be presented in detail as well as its impact on the ease of data handling at Fermilab experiments.

  12. Conference-debate &apos;When nuclear science provides health care&apos; - Proceedings; conference debat &apos;Quand le nucleaire soigne&apos; - Recueil des presentations

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-03-15

    At the occasion of the 2. issue of the &apos;Industry week, the &apos;French society of nuclear energy (SFEN) young generation&apos; and the &apos;Women in Nuclear (WIN)&apos; associations have organised in partnership with Nucleopolis and the Cherbourg-Normandie Techno-pole, a conference day on the topic &apos;why and how nuclear energy is used for cancer therapy&apos;. Professors Jacques Foos, Jean Datchary and Denis Agostini were invited to treat this question. This document is the compilation of their 3 presentations: 1 - The discovery, principle and medical applications of radioactivity (J. Foos, CNAM); 2 - Cancer diagnosis and therapy with nuclear medicine (D. Agostini, CHU Caen); 3 - From diagnosis to therapy: the various radiotherapy methods (J. Datchary)

  13. Incidência de cirurgia cardíaca em octogenários: estudo retrospectivo Incidencia de cirugía cardíaca en octogenarios: estudio retrospectivo Incidence of cardiac surgery in octogenarian patients: retrospective study

    Directory of Open Access Journals (Sweden)

    Luciano Brandão Machado

    2003-09-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O aumento da expectativa de vida faz com que pacientes cada vez mais idosos tenham indicação de tratamento cirúrgico de cardiopatias. Este estudo tem como objetivo avaliar a incidência de pacientes com mais de 80 anos submetidos à cirurgia cardíaca no Instituto do Coração do Hospital das Clínicas da FMUSP, nos últimos 16 anos. MÉTODO: Foram analisados, no período de 1986 a 2001, o número de cirurgias de revascularização do miocárdio (RM e cirurgia valvar (CV e, em cada grupo, o número de cirurgias em pacientes com mais de 80 anos. Os dados foram analisados descritivamente. RESULTADOS: Os dados revelam aumento progressivo do número de octogenários submetidos à cirurgia cardíaca. As cirurgias de revascularização do miocárdio tiveram aumento de 0,13% em 1986 para 3,5% em 2001. As cirurgias valvares aumentaram de 0% em 1986 para 1,44% em 2001, registrando o maior valor de 3,02% em 1999. CONCLUSÕES: Os conhecimentos da fisiopatologia, da senilidade e os avanços no manuseio do trauma cirúrgico estão permitindo estender os recursos da cirurgia cardíaca no grupo de paciente mais idoso. A escolhas da técnica anestésica deve ser criteriosa, bem como a hidratação, a assistência ventilatória e a analgesia pós-operatória, permitindo redução da morbimortalidade neste grupo de maior risco cirúrgico.JUSTIFICATIVA Y OBJETIVOS: El aumento de la expectativa de vida hace con que pacientes cada vez mas edosos tengan indicación de tratamiento quirúrgico de cardiopatias. Este estudio tiene como objetivo evaluar la incidencia de pacientes con más de 80 años sometidos a cirugía cardíaca en el Instituto del Corazón del Hospital de Clínicas de la FMUSP, en los últimos 16 años. MÉTODO: Fueron analizados, en el período de 1986 a 2001, el número de cirugías de revascularización del miocardio (RM y cirugía valvar (CV y, en cada grupo, el número de cirugías en pacientes con más de 80 a

  14. Detecção de maculopatia hipotônica subclínica pelo OCT III após cirurgia filtrante Detection of subclinical hypotony maculopathy with OCT III after filtration surgery

    Directory of Open Access Journals (Sweden)

    Mônica Weyll

    2006-12-01

    Full Text Available OBJETIVO: Detectar possíveis sinais de maculopatia hipotônica subclínica por meio da OCT III em pacientes submetidos à cirurgia filtrante. MÉTODOS: Pacientes que realizaram procedimento cirúrgico filtrante com pressão intra-ocular menor que 9 mmHg submeteram-se ao exame OCT III. RESULTADOS: Sete (87,50% pacientes apresentaram diagnóstico prévio de glaucoma crônico simples e 1 (12,50% de glaucoma agudo de ângulo fechado. Apenas duas pacientes (25,00% apresentaram maculopatia hipotônica detectada pela OCT III. CONCLUSÃO: A OCT III parece ser um bom método diagnóstico de maculopatia hipotônica subclínica em pacientes submetidos à cirurgia filtrante convencional.PURPOSE: To detect nondiagnostic hypotony maculopathy by OCT III after filtration surgery. METHODS: After surgery, patients with intraocular pressure less than 9 mmHg were submitted to OCT III examination. RESULTS: Seven (87.50% patients with previous diagnosis of open angle glaucoma and one (12.50% of them with acute angle closure glaucoma. Two patients (25.00% presented hypotony maculopathy on OCT III examination. CONCLUSION: OCT III examination seems to be a good diagnostic method to detect subclinical hypotony maculopathy after filtration surgery.

  15. Suporte de cabeça para cirurgia da coluna vertebral: nota técnica Soporte de cabeza para cirúgia de columna vertebral: nota técnica Head support for spinal surgery: technical note

    Directory of Open Access Journals (Sweden)

    Guilherme Zanini Rocha

    2012-09-01

    Full Text Available Descreve-se um suporte de cabeça para cirurgia da coluna vertebral, que permite a colocação da cabeça do paciente em alinhamento neutro com o corpo e monitorização da posição de olhos, boca, nariz e tubo orotraqueal, evitando danos decorrentes de mau posicionamento durante a cirurgia.Se describe un soporte de cabeza para la cirugía de columna vertebral que permite la colocación de la cabeza del paciente en alineación neutra con el cuerpo y el control de la posición de ojos, boca, nariz y tubo oro-traqueal, evitando los daños causados por el posicionamiento incorrecto durante la cirugía.We describe a head support for spinal surgery that allows the placement of the patient's head in neutral alignment with the body and monitoring the position of the eyes, mouth, nose and orotracheal tube, preventing damages from poor positioning during surgery.

  16. The fifth international symposium &apos;&apos;atomic cluster collisions&apos;&apos;. ISACC 2011. Book of Abstracts

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-07-01

    The Fifth International Symposium &apos;&apos;Atomic Cluster Collisions&apos;&apos; (ISACC 2011) will take place in July 21-25, 2011 in Berlin, Germany. The venue of the meeting will be the St.-Michaels-Heim a lovely place located within a garden area of Berlin-Grunewald. The ISACC 2011 is organized by the Fritz-Haber-Institute of the Max- Planck Society along with the King Saud University, Rhiyadh and by the Frankfurt Institute for Advanced Studies (FIAS), Frankfurt am Main, Germany. ISACC started as the international symposium on atomic cluster collisions in St. Petersburg, Russia in 2003. The second ISACC was held at the GSI, Darmstadt, Germany in 2007. Both first and second symposia were satellites of the International Conferences on Photonic Electronic and Atomic Collisions (ICPEAC). The third ISACC has returned to St. Petersburg, Russia in 2008. The last ISACC took place in Ann Arbor, again as a satellite meeting of the ICPEAC. Initially the symposium was mainly focused on dynamics of atomic clusters, especially in atomic cluster collisions, but since then its scope has been widened significantly to include dynamics of nanosystems, biomolecules, and macromolecules with the emphasis on the similarity of numerous essential clustering phenomena arising in different branches of physics, chemistry, and biology. After the four ISACC meetings it has become clear that there is a need for an interdisciplinary conference covering a broad range of topics related to the Dynamics of Systems on a Nanoscale. Therefore in 2010 it was decided to expand upon this series of meetings with a new conference organized under the new title &apos;&apos;Dynamics of Systems on the Nanoscale&apos;&apos;, the DySoN Conference, since this title better reflects the interdisciplinary character of the earlier ISACC meetings embracing all the topics of interest under a common theme. The first DySoN Conference took place in Rome, Italy in 2010. The fifth ISACC symposium will be again a

  17. &apos;Plug-in hybrids and smart grids&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Horbaty, R.

    2008-07-01

    This presentation made at the Swiss 2008 research conference on traffic by Robert Horbaty from the ENCO Energy Consulting AG takes a look at how the amount of renewable energy in the electricity mains and the efficiency of mobility can be increased and pollution reduced at the same time. The integration of energy supply and electrically-powered mobility to help reduce the effects of intermittent power production from renewable sources of energy is discussed. The &apos;smart&apos; technologies needed for integration and management are looked at. Examples of pilot projects are quoted and the effects of the liberalisation of the electricity markets are discussed. The advantages offered by plug-in hybrid vehicles are noted and load-shifting possibilities are discussed. Trends towards mains regulation using bi-directional charging facilities are noted.

  18. Phantom inflation and the &apos;Big Trip&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez-Diaz, Pedro F. [Colina de los Chopos, Instituto de Matematicas y Fisica Fundamental, Consejo Superior de Investigaciones Cientificas, Serrano 121, 28006 Madrid (Spain)]. E-mail: p.gonzalezdiaz@imaff.cfmac.csic.es; Jimenez-Madrid, Jose A. [Colina de los Chopos, Instituto de Matematicas y Fisica Fundamental, Consejo Superior de Investigaciones Cientificas, Serrano 121, 28006 Madrid (Spain)

    2004-08-19

    Primordial inflation is regarded to be driven by a phantom field which is here implemented as a scalar field satisfying an equation of state p={omega}{rho}, with {omega}-1. Being even aggravated by the weird properties of phantom energy, this will pose a serious problem with the exit from the inflationary phase. We argue, however, in favor of the speculation that a smooth exit from the phantom inflationary phase can still be tentatively recovered by considering a multiverse scenario where the primordial phantom universe would travel in time toward a future universe filled with usual radiation, before reaching the big rip. We call this transition the &apos;Big Trip&apos; and assume it to take place with the help of some form of anthropic principle which chooses our current universe as being the final destination of the time transition.

  19. Environmental education project &apos;Mico-Estrela Track&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Vicente, Ana Paula Camargo de; Magalhaes, Milton Pinto Magalhaes; Silva, Simone Rodrigues da; Pinheiro, Roberta Vieira Nunes; Torres, Carlos Alberto Rodrigues; Silveira, Jeanete [PETROBRAS Transporte S.A. (TRANSPETRO), Rio de Janeiro, RJ (Brazil)

    2009-12-19

    Senador Canedo fuel storage terminal is situated in the Cerrado biome and implements the policy of promoting improvements in the preservation of its Green Belt by working out the Environmental Education Project &apos;Mico-Estrela7 Track&apos;, aimed at stimulating the preservation, protection, landscape beauty and defense of scientific sources of the Cerrado through environmental sensibilization and rational use of the existing natural resources. In the area of the track (1.5 ha) alone 352 plants have been identified, totaling 97 different species that are distributed in 36 families. The implementation of the project will contribute to strengthen the relations with the local community, like dwellers, teachers and pupils of the municipal network of Senador Canedo, as well as co-workers of the unit, thus reaffirming the commitment of the company to socio-environmental responsibility. (author)

  20. &apos;Dynamical Supersymmetry Breaking, with Flavor&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Craig, Nathaniel; Essig, Rouven; /Stanford U., Phys. Dept. /SLAC; Franco, Sebastian; Kachru, Shamit; /Santa Barbara, KITP /UC, Santa Barbara; Torroba, Gonzalo; /Stanford U., Phys. Dept. /SLAC /Santa Barbara, KITP /UC, Santa Barbara

    2010-08-26

    We explore calculable models with low-energy supersymmetry where the flavor hierarchy is generated by quark and lepton compositeness, and where the composites emerge from the same sector that dynamically breaks supersymmetry. The observed pattern of Standard Model fermion masses and mixings is obtained by identifying the various generations with composites of different dimension in the ultraviolet. These &apos;single-sector&apos; supersymmetry breaking models give rise to various spectra of soft masses which are, in many cases, quite distinct from what is commonly found in models of gauge or gravity mediation. In typical models which satisfy all flavor-changing neutral current constraints, both the first and second generation sparticles have masses of order 20 TeV, while the stop mass is a few TeV. In other cases, all sparticles obtain masses of order a few TeV predominantly from gauge mediation, even though the first two generations are composite.

  1. Finishing report for the &apos;SolcelleInverter&apos; project

    Energy Technology Data Exchange (ETDEWEB)

    Boekhoej Kjaer, S.

    2005-03-01

    The main objective for this research project was to develop an inverter for the AC module, where one PV module is equipped with its own dedicated inverter, and connected to the grid. A topology, among many different candidates, has been selected, based on analysis&apos;s. The inverter has been optimized in respect to cost, reliability, and efficiency, and a prototype has been build. (au)

  2. MRI of &apos;brain death&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Nishino, Shigeki; Itoh, Takahiko; Tuchida, Shohei; Kinugasa, Kazushi; Asari, Shoji; Nishimoto, Akira (Okayama Univ. (Japan). School of Medicine); Sanou, Kazuo

    1990-12-01

    Magnetic resonance imaging (MRI) was undertaken for two patients who suffered from severe cerebrovascular diseases and were clinically brain dead. The MRI system we used was Resona (Yokogawa Medical Systems, superconductive system 0.5 T) and the CT apparatus was Toshiba TCT-300. Initial CT and MRI were undertaken as soon as possible after admission, and repeated sequentially. After diagnosis of brain death, we performed angiography to determine cerebral circulatory arrest, and MRI obtained at the same time was compared with the angiogram and CT. Case 1 was a 77-year-old man who was admitted in an unconscious state. CT and MRI on the second day after hospitalization revealed cerebellar infarction. He was diagnosed as brain dead on day 4. Case 2 was a 35-year-old man. When he was transferred to our hospital, he was in cardiorespiratory arrested. Cardiac resuscitation was successful but no spontaneous respiration appeared. CT and MRI on admission revealed right intracerebral hemorrhage. Angiography revealed cessation of contrast medium in intracranial vessels in both of the patients. We found no &apos;flow signal void sign&apos; in the bilateral internal carotid and basilar arteries on MRI images in both cases after brain death. MRI, showing us the anatomical changes of the brain, clearly revealed brain herniations, even though only nuclear findings of &apos;brain tamponade&apos; were seen on CT. But in Case 1, we could not see the infarct lesions in the cerebellum on MR images obtained after brain death. This phenomenon was caused by the whole brain ischemia masking the initial ischemic lesions. We concluded that MRI was useful not only the anatomical display of lesions and brain herniation with high contrast resolution but for obtaining information on cerebral circulation of brain death. (author).

  3. Pharmaceutical induction of ApoE secretion by multipotent mesenchymal stromal cells (MSCs

    Directory of Open Access Journals (Sweden)

    Whitney Mandolin J

    2008-09-01

    Full Text Available Abstract Background Apolipoprotein E (ApoE is a molecular scavenger in the blood and brain. Aberrant function of the molecule causes formation of protein and lipid deposits or "plaques" that characterize Alzheimer's disease (AD and atherosclerosis. There are three human isoforms of ApoE designated ε2, ε3, and ε4. Each isoform differentially affects the structure and function of the protein and thus the development of disease. Homozygosity for ApoE ε4 is associated with atherosclerosis and Alzheimer's disease whereas ApoE ε2 and ε3 tend to be protective. Furthermore, the ε2 form may cause forms of hyperlipoproteinemia. Therefore, introduction of ApoE ε3 may be beneficial to patients that are susceptible to or suffering from these diseases. Mesenchymal stem cells or multipotent mesenchymal stromal cells (MSCs are adult progenitor cells found in numerous tissues. They are easily expanded in culture and engraft into host tissues when administered appropriately. Furthermore, MSCs are immunosuppressive and have been reported to engraft as allogeneic transplants. In our previous study, mouse MSCs (mMSCs were implanted into the brains of ApoE null mice, resulting in production of small amounts of ApoE in the brain and attenuation of cognitive deficits. Therefore human MSCs (hMSCs are a promising vector for the administration of ApoE ε3 in humans. Results Unlike mMSCs, hMSCs were found not to express ApoE in culture; therefore a molecular screen was performed for compounds that induce expression. PPARγ agonists, neural stem cell conditioned medium, osteo-inductive media, dexamethasone, and adipo-inductive media (AIM were tested. Of the conditions tested, only AIM or dexamethasone induced sustained secretion of ApoE in MSCs and the duration of secretion was only limited by the length of time MSCs could be sustained in culture. Upon withdrawal of the inductive stimuli, the ApoE secretion persisted for a further 14 days. Conclusion The data

  4. IPSN activity report 1999; Rapport d&apos;activite de l&apos;IPSN 1999

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-07-01

    The &apos;&apos;Institut de Protection et de Surete Nucleaire&apos;&apos; (IPSN), carries out researches and expert studies needed to manage nuclear risks and their consequences on people and environment. These activities cover the installation safety, the radioactive matter transport, the public health and environmental control, the nuclear matters safety and control and the crisis situation management. The IPSN have got also a mission of public information and participates to international actions in the domain of scientific researches or expert&apos;s report. This annual report presents the highlights of the year 1999, information on staff, budgets and geographical situation. Then technical and scientific papers gathers the activities of the year covered by the IPSN: the &apos;&apos;Free Tribune&apos;&apos;, installations and radioactive wastes safety, crisis and nuclear matter management, public health and environment control, international cooperation. (A.L.B.)

  5. &apos;Chernobyl&apos; reaches Norway: the accident, science, and the threat to cultural knowledge

    Energy Technology Data Exchange (ETDEWEB)

    Paine, R. (Memorial Univ. of Newfoundland, St. John' s, NF (Canada))

    1992-07-01

    This report is interested in the transitions that &apos;Chernobyl&apos; underwent in Norway. It &apos;arrived&apos; as a ghastly accident: important cultural routines were disturbed, apprehension ran high, and the country waited for scientists to &apos;repair&apos; the accident. The scourge of radiation, however, still covered much of the countryside of central Norway. Reindeer pastures were heavily polluted, and among Saami (Lapp) groups there arose a cognitive sense of disruption to a way of life. Ambivalent relations - at times cooperative, more often adversarial - developed among the Saami in respect to the outside experts who strove to bring the radiation problem under control. The report (with anthropological fieldwork) strives to show how much of the problem of &apos;Chernobyl&apos;, in this later phase, has to do with the different nature of the claims of two kinds of knowledge: the outside scientists&apos; and the Saami pastoralists. (author).

  6. Cerebrospinal fluid fistula after endoscopic transsphenoidal surgery: experience in a spanish center Fístula liquórica após cirurgia transesfenoidal endoscópica: experiência de um centro espanhol

    Directory of Open Access Journals (Sweden)

    Alicia Del Carmen Becerra Romero

    2010-06-01

    Full Text Available BACKGROUND: Postoperative cerebrospinal fluid (CSF fistula is the most serious complication after transsphenoidal surgery. OBJECTIVE: To analyze the incidence of CSF fistula after endoscopic transsphenoidal surgery for tumor removal in sellar region; to discuss associated factors and methods used for sellar closure. METHOD: Retrospective study of 67 patients (73 surgeries operated via transsphenoidal endoscopy at Hospital Vall D'Hebron and Hospital Clinic of the Universidad de Barcelona, Spain. The data collected included: age, sex, hospitalization stay, suprasellar extension of the lesion, type of tumor, evidence of intraoperative CSF fistula, complications of postoperative CSF fistula, previous surgery and radiotherapy. RESULTS: Six patients (8.2% had postoperative CSF fistula, and their average hospitalization was 5 days longer with resulting complications: two of whom had pneumoencephalus and two with meningitis. No association was found between the data collected and postoperative CSF fistula. CONCLUSION: The rate of CSF fistula after endoscopic transsphenoidal surgery from the present study is contained within the literature. Unlike other reports, no association between the variables and postoperative CSF fistula was found in this report.A fístula liquórica pós-operatória é a complicação mais séria após cirurgia transesfenoidal. OBJETIVO: Analisar a incidência de fístula liquórica após cirurgia endoscópica transesfenoidal para remoção de tumores selares, discutir fatores associados e método utilizado para fechamento selar. MÉTODO: Estudo retrospectivo de 67 pacientes (73 cirurgias operados via endoscopia transesfenoidal no Hospital Vall D'Hebron e Hospital Clínic da Universidad de Barcelona, Espanha. Os dados coletados foram: idade, sexo, dias de internação, extensão supra-selar da lesão, tipo de tumor, evidência de fístula liquórica intra-operatória, complicações da fístula liquórica p

  7. Scenarios for an integrated sustainability policy - using the example of the &apos;&apos;Sustainable City 2030&apos;&apos;. Vol. 2; Szenarien fuer eine integrierte Nachhaltigkeitspolitik - am Beispiel: Die nachhaltige Stadt 2030. Bd. 2. Teilbericht &apos;&apos;Kreislaufstadt 2030&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Verbuecheln, Maic; Grabow, Busso; Uttke, Angela; Schwausch, Mandy [Deutsches Inst. fuer Urbanistik (DiFu), Berlin (Germany); Gassner, Robert [Institut fuer Zukunftsstudien und Technologiebewertung gGmbH (IZT), Berlin (Germany)

    2013-04-15

    The partial report &apos;&apos;Recycling City 2030&apos;&apos; was prepared for the Federal Environment Agency (Dessau, Federal Republic of Germany) as a part of the project &apos;&apos;Scenarios for an integrated sustainability policy - the example of &apos;The Sustainable City 2030 &apos;'&apos;. This partial report is based on research activities of the German Institute of Urban Affairs (Berlin, Federal Republic of Germany) and Institute for Futures Studies and Technology Assessment (Berlin, Federal Republic of Germany). The objectives of this partial report are: (1) Description of the challenges and trends in urban regions; (2) Recycling city and its importance in the current debate on sustainability; (3) Identification and optimization of existing cycle approaches in urban habitats; (4) Analysis of the actual state as well as designation of developments and constraints; (5) Discussion on the interface between the sectors; (6) Options for action for the interaction between the actors in interdisciplinary topics; (7) Outline of ways and perspectives of the implementation of the &apos;&apos;Recycling City 2030&apos;&apos;.

  8. RNA-Seq Mouse Brain Regions Expression Data Analysis: Focus on ApoE Functional Network

    Directory of Open Access Journals (Sweden)

    Babenko Vladimir N.

    2017-09-01

    Full Text Available ApoE expression status was proved to be a highly specific marker of energy metabolism rate in the brain. Along with its neighbor, Translocase of Outer Mitochondrial Membrane 40 kDa (TOMM40 which is involved in mitochondrial metabolism, the corresponding genomic region constitutes the neuroenergetic hotspot. Using RNA-Seq data from a murine model of chronic stress a significant positive expression coordination of seven neighboring genes in ApoE locus in five brain regions was observed. ApoE maintains one of the highest absolute expression values genome-wide, implying that ApoE can be the driver of the neighboring gene expression alteration observed under stressful loads. Notably, we revealed the highly statistically significant increase of ApoE expression in the hypothalamus of chronically aggressive (FDR < 0.007 and defeated (FDR < 0.001 mice compared to the control. Correlation analysis revealed a close association of ApoE and proopiomelanocortin (Pomc gene expression profiles implying the putative neuroendocrine stress response background of ApoE expression elevation therein.

  9. The location selection act or &apos;the Emperor&apos;s new clothes&apos;; Das Standortauswahlgesetz oder &apos;Des Kaisers neue Kleider&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Feldmann, Ulrike

    2013-10-15

    As is generally known, the governing parties CDU/CSU and FDP agreed a few weeks ago in the 17{sup th} legislative period of the German Bundestag in a rare show of unanimity, together with the parties SPD and Buendnis 90/Die Gruenen, as well as with the Laender, on a &apos;law to search and select a location for a permanent disposal site for heat-generating radioactive waste products and to change other laws&apos;, in brief a location selection act also called StandAG. The law was received with animated approval from the ranks of the parties - with the exception of the (left-wing) party Die Linke. This praise is a tad bewildering, since the Bundesumweltministerium (Federal Department of the Environment) named solving the task within a single generation as one of the principles for the StandAG, and it was emphasised again and again in the debates about the StandAG that the problem of permanent disposal must not be shifted to the next generation. Conclusion: - The StandAG leads to a postponement of solving the permanent disposal site issue by a least several generations with its predictable, long-winded selection method. - The decision not to explore Gorleben conclusively could lead to the site being permanently (&apos;wasted&apos; or) &apos;burned&apos;. - The de-central, interim disposal site Gorleben is likewise &apos;burned&apos; without having a resilient alternative solution for the glass coquilles that must be taken back. - The people&apos;s protest is exponentiated by the number of the potential sites for the StandAG. - The costs for the alternative site search will not be shifted to the producers of the waste that are obliged by law to deliver the waste because of the financial provisions of the constitution. - The third party protection dogma has not been broken up, which will at least lead to delays in the procedure and will have effects on other major projects in the long run. (orig.)

  10. A neural model for transient identification in dynamic processes with &apos;don&apos;t know&apos; response

    Energy Technology Data Exchange (ETDEWEB)

    Mol, Antonio C. de A. E-mail: mol@ien.gov.br; Martinez, Aquilino S. E-mail: aquilino@lmp.ufrj.br; Schirru, Roberto E-mail: schirru@lmp.ufrj.br

    2003-09-01

    This work presents an approach for neural network based transient identification which allows either dynamic identification or a &apos;don&apos;t know&apos; response. The approach uses two &apos;jump&apos; multilayer neural networks (NN) trained with the backpropagation algorithm. The &apos;jump&apos; network is used because it is useful to dealing with very complex patterns, which is the case of the space of the state variables during some abnormal events. The first one is responsible for the dynamic identification. This NN uses, as input, a short set (in a moving time window) of recent measurements of each variable avoiding the necessity of using starting events. The other one is used to validate the instantaneous identification (from the first net) through the validation of each variable. This net is responsible for allowing the system to provide a &apos;don&apos;t know&apos; response. In order to validate the method, a Nuclear Power Plant (NPP) transient identification problem comprising 15 postulated accidents, simulated for a pressurized water reactor (PWR), was proposed in the validation process it has been considered noisy data in order to evaluate the method robustness. Obtained results reveal the ability of the method in dealing with both dynamic identification of transients and correct &apos;don&apos;t know&apos; response. Another important point studied in this work is that the system has shown to be independent of a trigger signal which indicates the beginning of the transient, thus making it robust in relation to this limitation.

  11. Ecodopplercardiografia transesofágica intra-operatória: utilidade na cirurgia da valva mitral The usefulness of intraoperative transesofageal echocardiography for mitral valve surgery

    Directory of Open Access Journals (Sweden)

    Álvaro Villela de Moraes

    1992-12-01

    Full Text Available A ecodopplercardiografia ocupa posição de destaque no diagnóstico das valvopatias, pois fornece dados sobre a anatomia valvar, a área estenótica, os gradientes pressóricos e o grau da regurgitação. Seu uso na cirurgia cardíaca, com a abordagem epicárdica, é bastante conhecido. O advento da abordagem transesofágica, por não interferir no campo operatório, facilitou a sua utilização. O objetivo deste trabalho foi estudar a utilidade da ETE nacirurgiada valva mitral. De julho de 1991 a janeiro de 1992, aecodopplercardiografia transesofágica (ETE monitorizou 198 cirurgias, das quais 65 foram sobre a valva mitral (VM. A idade variou de 8 a 62 anos e 42 pacientes eram do sexo feminino. A comissurotomia e papilarotomia (CP foi o procedimento mais freqüente em 28 pacientes (pts, seguido do implante de bioprótese (BP em 24 e da plastia (PL em 19. A ETE pré-operatória confirmou o diagnóstico da lesão mitral em todos os pts, tendo acrescentado informações quanto ao grau e direção da insuficiência mitral (IM em 8 dos 28 pts submetidos a CP. Modificou a orientação da abordagem da valva tricúspide em 9 oportunidades (3 por diagnosticar lesões não detectadas e 6 por evitar a abordagem desnecessária por melhor avaliação da lesão. Quanto aos pts submetidos a implante de BP, 6 já tinham próteses disfuncionantes, em 12 pts a BP foi implantada de imediato por decisão do cirurgião e, em 6 pts, a BP foi implantada após a detecção da presença de IM importante pós-correção. Quanto ao pts submetidos a PL, 12 tinham prolapso, 6 tinham insuficiência coronária e 1 era pós-operatório tardio de correção de defeito do septo atrioventricular. Em apenas 1 pt foi necessária nova CEC para nova plastia. A avaliação da tM pós CEC evidenciou 7 pts (10% com IM importante, sendo necessária nova CEC, e mostrou IM leve em 15 pts, moderada em 8 e importante em 1 onde não foi realizada nova CEC. A ETE é um método de grande

  12. Compulsão alimentar antes e após a cirurgia bariátrica Binge eating before and after bariatric surgery

    Directory of Open Access Journals (Sweden)

    Cristiane Evangelista Machado

    2008-12-01

    Full Text Available RACIONAL: A obesidade é distúrbio de origem multifatorial complexa que congrega aspectos de ordem psicológica, social, biológica e requer abordagem multidisciplinar. É considerada fator de risco para a compulsão alimentar, de modo que a dinâmica emocional do obeso contribuiria para desencadear o ato compulsivo. OBJETIVO: Analisar os indícios de compulsão alimentar em pacientes submetidos à cirurgia bariátrica, antes e dois anos após a operação. MÉTODOS: Foi realizado estudo prospectivo em 50 pacientes submetidos à cirurgia bariátrica pela técnica de Fobi-Capella. Os instrumentos de avaliação psicológica, aplicados antes e após dois anos, foram o teste das Pirâmides Coloridas de Max Pfister e entrevista clínica semi-estruturada. O teste foi aplicado antes e após a operação para identificar indícios de compulsão. A entrevista somente no pós-operatório. RESULTADOS: Citando somente os dados principais, os dados mostraram estabilidade e capacidade para lidar com conflitos em 16% dos pacientes antes da operação e em 10% após. Para a capacidade de controle e adaptação, 36% dos pacientes apresentavam fortes indícios de atitude de controle e rigidez antes da operação e 32% após. Quanto aos indicadores de impulsividade, agressividade e irritabilidade, houve fortes indícios de atitudes agressivas e impulsivas em 28% antes da operação e em 36% após. Quanto ao comportamento beliscador, eram presentes em 94% dos pacientes no pré-operatório e em 60% no pós. Quanto à preferência alimentar, foi a por alimentos calóricos sem menção à bebidas alcoólicas no pré-operatório, e no pós-operatório por alimentos de fácil ingestão. Quanto ao motivo atribuído aos episódios compulsivos, antes da operação 4% dos pacientes relataram estado de nervosismo, 24% afirmaram distúrbios de humor e 52% identificaram sentimentos de impotência ou submissão. No pós, foram 10%, 28% e 38%. Quanto às respostas compensat

  13. Acompanhamento psicológico tardio em pacientes submetidos à cirurgia bariátrica Late psychological follow-up on patients submitted to bariatric surgery

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    Simone Dallegrave Marchesini

    2010-06-01

    Full Text Available RACIONAL: O ser humano não se constitui só; existe sempre em relação aos seus pares e ao meio-ambiente. Toda mudança corresponde a uma reação social e a uma resposta emitida em forma de comportamento. OBJETIVO: Avaliar as condições pós-operatórias mediatas e tardias de pacientes bariátricos em contexto global e compreender sua psicologia. MÉTODO: Foram enviados questionários contendo 26 quesitos abrangendo motivação, aderência ao tratamento, mudanças de comportamento, alterações de humor, alcance das expectativas entre outros. RESULTADOS: A maioria dos pacientes bariátricos sente-se preparada para a cirurgia bariátrica na primeira entrevista psicológica, mas não conhece o método ao qual será submetida. Grande parte não tem tratamento para o aspecto psicológico/psiquiátrico que acompanha a doença e não muda o estilo de vida após a operação. A adesão às recomendações nutricionais é parcial e ocorrem alterações emocionais ligadas às deficiências dessa ordem. Em comparação com a satisfação em perder peso a recuperação de peso é considerada pequena. Quase todos os entrevistados fariam a operação novamente e metade vê necessidade de grupos de apoio. Observou-se que os pacientes desejam a operação, mas não percebem a necessidade de maior preparação para o procedimento e não conseguem mudar padrões de comportamento necessários para o sucesso em longo prazo, pois abandonam o tratamento. CONCLUSÃO: Pode-se inferir que as motivações que levam os indivíduos a procurar a cirurgia bariátrica são calcadas nos retornos sociais, nos padrões estéticos e no desejo psicológico de mudança de vida. Uma vez concretizada a mudança de vida, a motivação se acaba, mas não garante a satisfação existencial. Também é possível inferir que o preparo para o atendimento de cônjuges e familiares reclama um espaço na formação de profissionais da área do tratamento cirúrgico da obesidade, para que

  14. Resultados do registro nacional brasileiro em vídeo-cirurgia colorretal - 2007 Results of the 2007 Brazilian national registry in colorectal videosurgery

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    Rubens Valarini

    2008-06-01

    Full Text Available Este trabalho multicêntrico reúne a experiência de 28 equipes brasileiras em vídeo-cirurgia colorretal. No período de 1992 a 2007 foram operados 5259 pacientes, sendo excluídos 515 (9,8% doentes devido a dados incompletos. Foram avaliados 4744 pacientes, sendo 1994 homens (41,4% e 2750 mulheres (58,6%, cuja idade variou de 1 a 94 anos (média de 57,5 anos. Doenças benignas foram diagnosticadas em 2355 pacientes (49,6%. A maioria das afecções (50,7% localizava-se no cólon esquerdo e sigmóide, 28,2% no reto e 0,3% no canal anal, 8,0% no cólon direito e 7,0% difusa. Ocorreram 29 óbitos (1,6%. Foram operados 2389 (50,4% pacientes portados de tumores malignos, estando localizados no reto em 48,5%, cólon esquerdo e sigmóide 30,7%, cólon direito 16%, cólon transverso 3,2% e canal anal 0,6%. Os tipos histológicos foram 2347 (98% adenocarcinomas, 30 (0,6% carcinomas espinocelulares e outros tipos histológicos em 12 (0,2% pacientes. A recidiva global foi de 15,3%. Houve 180 (3,8% complicações intra-operatórias, sendo as mais comuns lesões vasculares de cavidade e lesões de alças intestinais, com incidência de 1%. Foram relatadas 261 (5,5 % conversões para laparotomia, sendo a causa mais comum a dificuldade técnica em 1,4%. Complicações pós-operatórias foram registradas em 683 (14,5 %. Em período médio de 52 meses de seguimento houve 19 (0,8% recidivas no local de inserção de trocártes. Não houve recidiva parietal em incisão utilizada para retirada da peça. CONCLUSÕES: 1 Nos últimos anos, a experiência brasileira em vídeo-cirurgia colorretal teve aumento expressivo; 2 As indicações operatórias para câncer e doenças benignas foram semelhantes, sendo que a doença diverticular representou 40 % das doenças benignas tratadas; 3 Os índices de morbi-mortalidade foram baixos e semelhantes aos relatados na literatura; 4 Os resultados oncológicos avaliados demonstram que as ressecções laparoscópicas determinam

  15. MUTIRÕES DE COLECISTECTOMIA POR VIDEOLAPAROSCOPIA EM REGIME DE CIRURGIA AMBULATORIAL INTENSIVE PROGRAM OF VIDEOLAPAROSCOPY CHOLECYSTECTOMY ON AN AMBULATORY SURGERY BASIS

    Directory of Open Access Journals (Sweden)

    J.S. Santos

    2001-01-01

    Full Text Available Introdução: As listas de espera para colecistectomia, associadas à elevada demanda dos leitos e salas cirúrgicas dos Hospitais Universitários, são incentivos para adoção de novos programas de assistência. Objetivo: Avaliar o processo de organização e os resultados clínicos dos Mutirões de Colecistectomia por Videolaparoscopia, em regime de Cirurgia Ambulatorial. Pacientes e Métodos: Dentre os 314 pacientes portadores de colelitíase sintomática que aguardavam cirurgia no HCFMRP-USP, 160 foram selecionados para tratamento em regime ambulatorial. Uma equipe multiprofissional, formada por cirurgiões, anestesistas, enfermeiros e assistentes sociais, programou 4 mutirões para serem realizados em fins de semana, em função da disponibilidade do bloco cirúrgico e da sala de recuperação pós-anestésica. Mediante avaliação retrospectiva, foram analisados 79 prontuários dos pacientes operados nos Mutirões I e II (Grupo A e 79 dos 80 operados nos Mutirões III e IV (Grupo B. Análise estatística: teste de Wilcoxon e exato de Fisher (pIntroduction: The growing list of patients awaiting cholecystectomy, together with the great demand for beds and operating rooms at University Hospitals have encouraged the adoption of different solutions. Objective: To evaluate the process of organization and the clinical results of intensive programs of cholecystectomy by videolaparoscopy on an ambulatory surgery basis. Methods: Among the 314 patients with symptomatic cholelithiasis who were waiting for surgery at HCFMRP-USP, 160 were selected for treatment on an ambulatory basis. A multiprofessional team consisting of surgeons, anesthesiologists, nurses and social workers scheduled 4 intensive programs to be performed on weekends according to the availability of the surgical block and of the post-anesthesia recovery room. In a retrospective evaluation, the authors analyzed 79 medical records of patients operated upon in the intensive programs I

  16. Telerobotic-assisted laparoscopic operation performed at a remote site: initial experience Cirurgia laparoscópica robotizada a distância: experiência inicial

    Directory of Open Access Journals (Sweden)

    Cássio Andreoni

    2004-06-01

    country.A cirurgia totalmente robotizada é uma opção à laparoscopia que pode proporcionar alguns benefícios, entre os quais a realização dos incansáveis movimentos de repetição com maior precisão e rapidez e com o cirurgião localizado em ambiente geograficamente diferente do paciente. Relatamos, em nossa instituição, a primeira cistectomia totalmente robotizada à distância em um porco (raça Landrace doméstico com o sistema robótico Zeus® (Computer Motion, EUA. A cirurgia foi realizada em duas salas geograficamente separadas, sendo que em uma delas, o porco foi posicionado na mesa cirúrgica bem como os braços do sistema Zeus® fixados de forma segura. Na seqüência, o assistente introduziu os cinco trocateres em forma de leque pela via transperitoneal após obtenção do pneumoperitônio pelo método fechado. Em outra sala, o cirurgião principal comandava os braços do robô através de controles manuais sentado dentro do console de comando do sistema Zeus ®, auxiliado por imagem de vídeo em três dimensões transmitida pelo laparoscópio, que era comandado por sistema de voz, pelo cirurgião. A distância do console de comando e da mesa cirúrgica era de 5 metros e estes estavam conectados por cabos elétricos. A cistectomia total foi realizada em 25 minutos sem intercorrências. O assistente auxiliou apenas nas manobras de troca de instrumento do sistema Zeus ®, apresentação dos tecidos e introdução do clipador, utilizando apenas dois trocartes. Os reais benefícios do sistema robótico em nosso meio ainda será determinado através da aquisição de maior experiência com o sistema e pelo início da realização deste procedimento em humanos.

  17. Search for B Meson Decays to eta&apos; eta&apos; K

    Energy Technology Data Exchange (ETDEWEB)

    Aubert, B.

    2006-05-05

    The authors describe searches for decays of B mesons to the charmless final states {eta}&apos;{eta}&apos;K. The data consist of 228 million B{bar B} pairs produced in e{sup +}e{sup -} annihilation, collected with the BABAR detector at the Stanford Linear Accelerator Center. The 90% confidence level upper limits for the branching fractions are {Beta}(B{sup 0} {yields} {eta}&apos;{eta}&apos;K{sup 0}) < 31 x 10{sup -6} and {Beta}(B{sup +} {yields} {eta}&apos;{eta}&apos;K{sup +}) < 25 x 10{sup -6}.

  18. PubliForum &apos;Electricity and Society&apos;. Citizen Panel Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-06-01

    In the Citizen Panel&apos;s Report on &apos;Electricity and Society&apos; we present the first results of three intensive week-ends. In this document, 27 Swiss citizens have recorded their opinions on the future of our electricity supply system. Solutions are sought without making claims on having found the ultimate recipe. The recommendations are the result of an assessment made by a representative cross-section of the public - one could almost say &apos;the voice of the people&apos;. They reflect not only the public&apos;s apprehensions and worries, but also their ideas and desires. (authors)

  19. The intern structure of special relativity; La &apos;&apos;structure fine&apos;&apos; de la relativite restreinte

    Energy Technology Data Exchange (ETDEWEB)

    Pierseaux, Y. [Universite Libre de Bruxelles (Belgium)

    1999-07-01

    The author presents the forgotten fact that in 1905 there were 2 restricted theories of relativity: that of Einstein and that of Poincare. These 2 theories were independently formulated, they are very close to each other but are fundamentally different when we consider their basic principles. Poincare&apos;s theory is based on a classical representation of the purely undulatory aspect of light, whereas Einstein stipulates for the quantum aspect of light. Poincare&apos;s theory implies the existence of the ether and asserts the primacy of continuity over discontinuity. The author has based his work on a thorough study of the scientific articles in which Poincare and Einstein explained their ideas. The comparison of these 2 theories sheds light on the evolution of concepts on which the whole modern physics is based. An extended bibliography of works published on special relativity or on related topics is given. (A.C.)

  20. Pipeline control support system, &apos;pipe navigation&apos;; Kanro kanri shien system &apos;kannabi&apos;

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-01-10

    &apos;Pipe navigation&apos; is a pipeline control support system which employs GIS/GPS (geographic information system/global positioning system) technology in controlling information of water pipeline and incidental facilities, using a pen note/personal computer as the operating base. These pen computers can be carried to the spot and used in displaying pipeline/incidental equipment and retrieving related information. The main features as follows:(1) Memo preparation is possible at an arbitrary place with handwriting ease. The memo data so prepared can be taken in other terminals and shared.(2) Communication with remote places is possible by transmitting drawings, prepared memo data, etc., as in facsimile (3) Confirmation of the present position and navigation are possible (GPS function), demonstrating power in a restoration work at the time of earthquake for example.(4) Inputting and maintenance of each facility information are possible through the data input support function even by general users easily. (translated by NEDO)

  1. Hill&apos;s formula

    Energy Technology Data Exchange (ETDEWEB)

    Bolotin, Sergey V [Steklov Mathematical Institute, Russian Academy of Sciences, Moscow (Russian Federation); Treschev, Dmitrii V [M. V. Lomonosov Moscow State University, Moscow (Russian Federation)

    2010-07-27

    In his study of periodic orbits of the three-body problem, Hill obtained a formula connecting the characteristic polynomial of the monodromy matrix of a periodic orbit with the infinite determinant of the Hessian of the action functional. A mathematically rigorous definition of the Hill determinant and a proof of Hill&apos;s formula were obtained later by Poincare. Here two multidimensional generalizations of Hill&apos;s formula are given: for discrete Lagrangian systems (symplectic twist maps) and for continuous Lagrangian systems. Additional aspects appearing in the presence of symmetries or reversibility are discussed. Also studied is the change of the Morse index of a periodic trajectory upon reduction of order in a system with symmetries. Applications are given to the problem of stability of periodic orbits. Bibliography: 34 titles.

  2. MILLIMETRIC AND SUBMILLIMETRIC OBSERVATIONS OF IRAS 05327+3404 &apos;'HOLOEA'&apos; IN M36

    Energy Technology Data Exchange (ETDEWEB)

    Morata, O.; Ho, P. T. P. [Institute of Astronomy and Astrophysics, Academia Sinica, P.O. Box 23-141, Taipei 106, Taiwan (China); Kuan, Y.-J.; Huang, H.-C.; Zhao-Geisler, R. [Department of Earth Sciences, National Taiwan Normal University, 88 Section 4, Ting Chou Road, Taipei 116, Taiwan (China); Magnier, E. A., E-mail: omorata@asiaa.sinica.edu.tw [Institute for Astronomy, University of Hawaii, 2680 Woodlawn Drive, Honolulu, HI 96822 (United States)

    2013-09-15

    The transition between the protostar, Class I, and the pre-main-sequence star, Class II, phases is still one of the most uncertain, and important, stages in the knowledge of the process of formation of an individual star because it is the stage that determines the final mass of the star. We observed the young stellar object &apos;'Holoea'&apos;, associated with IRAS 05327+3404, which was classified as an object in the transition between the Class I and Class II phases with several unusual properties, and appears to be surrounded by large amounts of circumstellar material. We used the SMA and BIMA telescopes at millimeter and submillimeter (submm) wavelengths to observe the dust continuum emission and the CO (1-0) and (2-1), HCO{sup +} (1-0) and (3-2), and HCN (1-0) transitions in the region around IRAS 05327+3404. We detected two continuum emission peaks at 1.1 mm: SMM 1, the submm counterpart of IRAS 05327+3404, and SMM 2, {approx}6 arcsec to the west. The emissions of the three molecules show marked differences. The CO emission near the systemic velocity is filtered out by the telescopes, and CO mostly traces the high-velocity gas. The HCO{sup +} and HCN emissions are more concentrated around the central parts of the region, and show several intensity peaks coincident with the submm continuum peaks. We identify two main molecular outflows: a bipolar outflow in an E-W direction that would be powered by SMM 1 and the other in a NE direction, which we associate with SMM 2. We propose that the SMM sources are probably Class I objects, with SMM 1 in an earlier evolutionary stage.

  3. Imaging characteristics of subcutaneous amyloid deposits in diabetic patients: the &apos;&apos;insulin ball&apos;&apos;

    International Nuclear Information System (INIS)

    Tanio, Noriko; Nozaki, Taiki; Matsusako, Masaki; Starkey, Jay; Suzuki, Koyu

    2018-01-01

    The purpose of this study was to describe the imaging characteristics of subcutaneous amyloid deposits occurring at sites of insulin injection, commonly known as &apos;&apos;insulin balls,&apos;&apos; in diabetic patients on ultrasound, CT, and MRI with pathologic correlation. We retrospectively reviewed the radiographic findings of 14 lesions in 9 patients diagnosed with subcutaneous amyloid deposits at our institution between 2005-2015. Three board-certified radiologists analyzed the following: (1) the shape, size, margin, morphologic characteristics, and blood flow on US using the color Doppler signal, (2) shape, size, margin, attenuation, and presence or absence of contrast enhancement on CT, and (3) shape, size, margin, signal intensity, and presence or absence of contrast enhancement on MRI. All lesions showed ill-defined hypovascular subcutaneous nodules with irregular margins. The median diameter of lesions was 50.4 mm on US, 46.8 mm on CT, and 51.4 mm on MRI. The internal echogenicity of subcutaneous amyloid deposits was hypoechoic and heterogeneous on US. All lesions showed isodensity compared to muscle with irregular margins and minimal contrast enhancement on CT. Both T1- and T2-weighted MR images showed low signal intensity compared with subcutaneous fat. Normal diffusion and minimal contrast enhancement were seen. Subcutaneous amyloid deposits which cause insulin resistance are typically ill-defined and heterogeneous hypovascular subcutaneous nodules with irregular margins on imaging that correspond to insulin injection sites. It is also characteristic that T2WI shows low intensity compared with fat on MRI, reflective of the amyloid content. (orig.)

  4. Imaging characteristics of subcutaneous amyloid deposits in diabetic patients: the &apos;&apos;insulin ball&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Tanio, Noriko; Nozaki, Taiki; Matsusako, Masaki; Starkey, Jay [St. Luke' s International Hospital, Department of Radiology, Tokyo (Japan); Suzuki, Koyu [St. Luke' s International Hospital, Department of Pathology, Tokyo (Japan)

    2018-01-15

    The purpose of this study was to describe the imaging characteristics of subcutaneous amyloid deposits occurring at sites of insulin injection, commonly known as &apos;&apos;insulin balls,&apos;&apos; in diabetic patients on ultrasound, CT, and MRI with pathologic correlation. We retrospectively reviewed the radiographic findings of 14 lesions in 9 patients diagnosed with subcutaneous amyloid deposits at our institution between 2005-2015. Three board-certified radiologists analyzed the following: (1) the shape, size, margin, morphologic characteristics, and blood flow on US using the color Doppler signal, (2) shape, size, margin, attenuation, and presence or absence of contrast enhancement on CT, and (3) shape, size, margin, signal intensity, and presence or absence of contrast enhancement on MRI. All lesions showed ill-defined hypovascular subcutaneous nodules with irregular margins. The median diameter of lesions was 50.4 mm on US, 46.8 mm on CT, and 51.4 mm on MRI. The internal echogenicity of subcutaneous amyloid deposits was hypoechoic and heterogeneous on US. All lesions showed isodensity compared to muscle with irregular margins and minimal contrast enhancement on CT. Both T1- and T2-weighted MR images showed low signal intensity compared with subcutaneous fat. Normal diffusion and minimal contrast enhancement were seen. Subcutaneous amyloid deposits which cause insulin resistance are typically ill-defined and heterogeneous hypovascular subcutaneous nodules with irregular margins on imaging that correspond to insulin injection sites. It is also characteristic that T2WI shows low intensity compared with fat on MRI, reflective of the amyloid content. (orig.)

  5. A New Step for &apos;&apos;State-IAEA Cooperation&apos;&apos; Based on the Enhanced Cooperation Program

    International Nuclear Information System (INIS)

    Jo, S.Y.; Kim, M.; Kim, S.

    2015-01-01

    Since joining the IAEA comprehensive safeguards agreements, the ROK has made some exemplary case of implementing the IAEA&apos;s safeguards policy in a State. It&apos;s the results of the ROK Government&apos;s persistent effort for nuclear transparency to maintain its peaceful nuclear activities which is indispensible in Korea. The history of the ROK SSAC development can be reflected on the trajectory of the evolution of the IAEA safeguards. The ROK SSAC has achieved technical capabilities required for IAEA safeguards, which was not possible without cooperation programme with the IAEA. The first memorable moment of the ROK-IAEA cooperation is the enhanced cooperation program for the ROK LWRs in 2001, introducing remote monitoring systems and some changes in interim inspections. The next chance for leveling the ROK SSAC up came with IS implementation. Two parties consulted what should be prepared for efficient implementation of IS through seven times working group meetings. The WG put out IS approaches which have been being applied for the ROK nuclear facilities since 2008. The IS implementation, which is based on the state level approach, allowed the ROK SSAC to get opportunities to improve more its technical capabilities about support for IAEA safeguards activities, developing verification devices and safeguards approaches for pyroprocessing related facilities. The IAEA and the ROK are putting strenuous efforts for strengthening safeguards cooperation based on the Enhanced Cooperation Arrangements which was signed in 2012, discussing the SSAC role in IAEA safeguards activities, joint use equipment, etc. Besides, two parties are considering introducing unannounced inspections at LWRs after several rehearsals. In this paper, the implication and importance of State-IAEA cooperation is presented based on the ROK&apos;s experience with summarizing the brief history of SSAC development and cooperation with the IAEA. (author)

  6. Development of new VOC exposure metrics and their relationship to &apos;&apos;Sick Building Syndrome&apos;&apos; symptoms

    Energy Technology Data Exchange (ETDEWEB)

    Ten Brinke, JoAnn [Univ. of California, Berkeley, CA (United States); Lawrence Berkeley National Lab., Berkeley, CA (United States)

    1995-08-01

    Volatile organic compounds (VOCs) are suspected to contribute significantly to &apos;&apos;Sick Building Syndrome&apos;&apos; (SBS), a complex of subchronic symptoms that occurs during and in general decreases away from occupancy of the building in question. A new approach takes into account individual VOC potencies, as well as the highly correlated nature of the complex VOC mixtures found indoors. The new VOC metrics are statistically significant predictors of symptom outcomes from the California Healthy Buildings Study data. Multivariate logistic regression analyses were used to test the hypothesis that a summary measure of the VOC mixture, other risk factors, and covariates for each worker will lead to better prediction of symptom outcome. VOC metrics based on animal irritancy measures and principal component analysis had the most influence in the prediction of eye, dermal, and nasal symptoms. After adjustment, a water-based paints and solvents source was found to be associated with dermal and eye irritation. The more typical VOC exposure metrics used in prior analyses were not useful in symptom prediction in the adjusted model (total VOC (TVOC), or sum of individually identified VOCs (ΣVOCi)). Also not useful were three other VOC metrics that took into account potency, but did not adjust for the highly correlated nature of the data set, or the presence of VOCs that were not measured. High TVOC values (2--7 mg m-3) due to the presence of liquid-process photocopiers observed in several study spaces significantly influenced symptoms. Analyses without the high TVOC values reduced, but did not eliminate the ability of the VOC exposure metric based on irritancy and principal component analysis to explain symptom outcome.

  7. The data assimilation method &apos;&apos;Latent Heat Nudging&apos;&apos; assessed with the Dynamic State Index

    Energy Technology Data Exchange (ETDEWEB)

    Claussnitzer, Antje [Freie Univ. Berlin (Germany). Inst. fuer Meteorologie; Deutscher Wetterdienst, Offenbach (Germany); Schartner, Thomas; Nevir, Peter; Cubasch, Ulrich [Freie Univ. Berlin (Germany). Inst. fuer Meteorologie; Stephan, Klaus [Deutscher Wetterdienst, Offenbach (Germany)

    2011-04-15

    In April 2007, the German Weather Service (DWD) added the non-hydrostatic limited area model COSMODE to its model chain. COSMO-DE covers mainly Germany and bordering countries and has a horizontal resolution of 2.8 km (0.025 ). An advantage of the COSMO-DE is that deep convection is expected to be resolved explicitly. In order to improve the initial state of COSMO-DE an assimilation of radar derived precipitation rates is applied by using &apos;&apos;Latent Heat Nudging&apos;&apos; (LHN). The aim of LHN is to adjust the model state so that the model will respond by producing a rain rate close to the observed value. In this study, the influence of LHN on diabatic processes is investigated by evaluation of the Dynamic State Index (DSI). The DSI is calculated on both isentropic (DSI{sub {theta}}) and model levels (DSI{sub {sigma}}). To analyse the influence of LHN, model analyses with and without LHN are examined for summer 2009 (June to August). The influence of LHN is also examined in more detail in a case study of a heavy rainfall event on July 18, 2009 where a strong rainfall area was developed on the front side of a trough. Results, based on a statistical investigation and the case study, show that the model with LHN can reproduce the observed rainfall better than the runs without LHN. This is also suggested by a higher correlation between DSI and observed precipitation. The release of latent heat enhances the diabatic processes associated with the formation of additional potential vorticity anomalies resulting in stronger DSI -signals. (orig.)

  8. MID-INFRARED HIGH-CONTRAST IMAGING OF HD 114174 B: AN APPARENT AGE DISCREPANCY IN A &apos;'SIRIUS-LIKE'&apos; BINARY SYSTEM

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Christopher T.; Crepp, Justin R. [Department of Physics, University of Notre Dame, 225 Nieuwland Science Hall, Notre Dame, IN 46556 (United States); Skemer, Andrew; Hinz, Philip M.; Bailey, Vanessa P.; Defrere, Denis; Leisenring, Jarron [Department of Astronomy, University of Arizona, 993 N. Cherry Ave, Tucson, AZ 85721 (United States); Gianninas, Alexandros; Kilic, Mukremin [Department of Physics and Astronomy, University of Oklahoma, Norman, OK 73019 (United States); Skrutskie, Michael [Department of Astronomy, University of Virginia, Charlottesville, VA 22904 (United States); Esposito, Simone; Puglisi, Alfio [Istituto Nazionale di Astrofisica, Osservatorio Astrofisico di Arcetri Largo E. Fermi I-550125 Firenze (Italy)

    2014-03-10

    We present new observations of the faint &apos;'Sirius-like'&apos; companion discovered to orbit HD 114174. Previous attempts to image HD 114174 B at mid-infrared wavelengths using NIRC2 at Keck have resulted in a non-detection. Our new L&apos;-band observations taken with the Large Binocular Telescope and L/M-band InfraRed Camera recover the companion (ΔL = 10.15 ± 0.15 mag, ρ = 0.&apos;&apos;675 ± 0.&apos;&apos;016) with a high signal-to-noise ratio (10σ). This measurement represents the deepest L&apos; high-contrast imaging detection at subarcsecond separations to date, including extrasolar planets. We confirm that HD 114174 B has near-infrared colors consistent with the interpretation of a cool white dwarf (WD; J – L&apos; = 0.76 ± 0.19 mag, K – L&apos; = 0.64 ± 0.20). New model fits to the object&apos;s spectral energy distribution indicate a temperature T {sub eff} = 4260 ± 360 K, surface gravity log g = 7.94 ± 0.03, a cooling age t{sub c} ≈ 7.8 Gyr, and mass M = 0.54 ± 0.01 M {sub ☉}. We find that the cooling ages given by theoretical atmospheric models do not agree with the age of HD 114174 A derived from both isochronological and gyrochronological analyses. We speculate on possible scenarios to explain the apparent age discrepancy between the primary and secondary. HD 114174 B is a nearby benchmark WD that will ultimately enable a dynamical mass estimate through continued Doppler and astrometric monitoring. Efforts to characterize its physical properties in detail will test theoretical atmospheric models and improve our understanding of WD evolution, cooling, and progenitor masses.

  9. PHS terminal &apos;TEGACKY&apos; dedicated to e-mailing; Mail senyo PHS tanmatsu &apos;TEGACKY

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    The e-mail utilization rate at mobile communication terminals is increasing at a remarkable rate, as if to grow above the rate of communication by voice. Under the circumstances, a PHS (Personal Handyphone System) terminal &apos;TEGACKY&apos; (type name: PM-T101) has been developed, designed exclusively for use for e-mailing. &apos;TEGACKY&apos; is characterized in that its icons may be activated with pen, that input may be made by handwriting, and that its large screen allows a 48-character message consisting of 4 lines of 12 characters to be displayed at one time despite its compact size. It can also perform communication directly with other terminals or e-mail via center, and is provided with an information service function. &apos;TEGACKY&apos; having such distinguished features has created a new category of terminals which are at once e-mailing tools. (translated by NEDO)

  10. Analysis of &apos;&apos;new physics&apos;&apos; in the flavor sector using effective field theory methods

    Energy Technology Data Exchange (ETDEWEB)

    Dassinger, Benjamin M.

    2010-02-05

    The enormous amount of data collected by the B factories as well as the perspective concerning the upcoming experiments at the LHC provide us with the opportunity to perform high precision tests of the standard model. This dissertation presents two model independent precision tests of the weak sector of the standard model using extensions of the weak currents which are set up using effective field theory methods in order to control the size of the different contributions. Constraints on the coefficients of the terms can then be obtained by comparison with experimental results. The first analysis incorporates a test of the lefthandedness of the weak interaction in the quark sector. By introducing additional weak couplings the differential and total decay rates of the inclusive semileptonic decay anti B {yields} X{sub c}l anti {nu}{sub l} are calculated. The calculation includes the computation of the heavy-quark expansion which describes the interaction of the decaying b quark with respect to the background field of the B meson, up to order 1/m{sub b}{sup 4}. This has been done in a new, systematic way which does not involve the calculation of gluon matrix elements. Furthermore, radiative corrections have been included up to order O({alpha}{sub s}) including renormalization group running. The second part deals with the introduction of lepton flavor violating operators in the context of leptonic {tau} decays. These operators give rise to the effective four-fermion vertex {tau}{yields}ll{sup &apos;}l'&apos; as well as the subsequent radiative decay {tau}{yields}l{gamma}{sup *}{yields}ll{sup &apos;+}l{sup &apos;-}. The resulting Dalitz distributions turn out to predict completely different signatures for the radiative and the effective four-fermion vertices and provide the opportunity to check, whether the decay is induced either by a radiative or by an effective four-fermion vertex. Since different models which contain lepton flavor violation are normally more

  11. The clock face guide to peroneal intraneural ganglia: critical &apos;'times'&apos; and sites for accurate diagnosis

    Energy Technology Data Exchange (ETDEWEB)

    Spinner, Robert J. [Mayo Clinic, Department of Neurologic Surgery, Rochester, MN (United States); Mayo Clinic, Department of Orthopedics, Rochester, MN (United States); Mayo Clinic, Department of Anatomy, Rochester, MN (United States); Luthra, Gauri [University College Cork, National University of Ireland, Cork (Ireland); Desy, Nicholas M. [McGill University School of Medicine, Department of Orthopedics, Montreal, Quebec (Canada); Anderson, Meredith L. [Mayo Clinic, Department of Radiology, Rochester, MN (United States); Amrami, Kimberly K. [Mayo Clinic, Department of Neurologic Surgery, Rochester, MN (United States); Mayo Clinic, Department of Radiology, Rochester, MN (United States)

    2008-12-15

    The aim of this study is to exploit the normal nature of peroneal nerve anatomy to identify constant magnetic resonance imaging (MRI) patterns in peroneal intraneural ganglia. This study is designed as a retrospective clinical study. MR images of 25 patients with peroneal intraneural ganglia were analyzed and were compared to those of 25 patients with extraneural ganglia and 25 individuals with normal knees. All specimens were interpreted as left-sided. Using conventional axial images, the position of the common peroneal nerve and either intraneural or extraneural cyst was determined relative to the proximal fibula and the superior tibiofibular joint using a symbolic clock face. In all patients, the common peroneal nerve could be seen between the 4 and 5 o&apos;clock position at the mid-portion of the fibular head. In patients with intraneural ganglia, a single axial image could reproducibly and reliably demonstrate both cyst within the common peroneal nerve at the mid-portion of the fibular head (signet ring sign) between 4 and 5 o&apos;clock and within the articular branch at the superior tibiofibular joint connection (tail sign) between 11 and 12 o&apos;clock; in addition, cyst within the transverse limb of the articular branch (transverse limb sign) was seen at the mid-portion of the fibular neck between the 12 and 2 o&apos;clock positions on serial images. Extraneural ganglia typically arose from more superior joint connections with the epicenter of the cyst varying around the entire clock face without a consistent pattern. There was no significant difference between the visual and template assessment of clock face position for all three groups (intraneural, extraneural, and controls). We believe that the normal anatomic and pathologic relationships of the common peroneal nerve in the vicinity of the fibular neck/head region can be established readily and reliably on single axial images. This technique can provide radiologists and surgeons with rapid and

  12. Change of radiation conditions at the &apos;'Ukryttya&apos; object after pitching of arch construction

    International Nuclear Information System (INIS)

    Jegorov, V.V.; Morozov, Yu.V.; Pavlovs'kij, L.Yi.; Kholodyuk, A.O.

    2017-01-01

    Individual measurements of dose rate (DR) capacity values were performed on the outer surfaces (roof) of object &apos;'Ukryttya'&apos;, in local zone both before and after pitching of Arch construction (Arch) as well as study the characteristics of angular distribution of gamma radiation intensity at those areas. A comparative analysis of results obtained was performed. At all measuring points after Arch pitching a reduction of DR value, depending on area of research, was observed.Measurements were being performed during the period from 16.11.2016 till 18.01.2017

  13. 3&apos;,8&apos;&apos;-biisokaempferide, a cytotoxic biflavonoid and other chemical constituents of Nanuza plicata (Velloziaceae)

    Energy Technology Data Exchange (ETDEWEB)

    Pinto, Meri Emili F.; Silva, Marcelo Sobral da; Barbosa Filho, Jose Maria; Castello-Branco, Marianna Vieira S.; Agra, Maria de Fatima; Tavares, Josean Fechine, E-mail: marcelosobral@ltf.ufpb.b [Universidade Federal da Paraiba (UFPB), Joao Pessoa, PB (Brazil). Lab. de Tecnologia Farmaceutica; Schindler, Elisabete; El-Bacha, Ramon dos Santos [Universidade Federal da Bahia (UFBA), Salvador, BA (Brazil). Inst. de Ciencias da Saude. Lab. de Neuroquimica e Biologia Celular

    2010-07-01

    A novel biflavonoid, named 3&apos;,8&apos;&apos;-biisokaempferide (1), along with the known compounds amentoflavone (2), patagonic acid (3), (4aR,5S,6R,8aR)-5-[2-(2,5-Dihydro-5-methoxy-2-oxofuran- 3-yl)ethyl]-3,4,4a,5,6,7,8,8a-octahydro-5,6,8a- trimethylnaphthalene-1-carboxylic acid (4), 5-caffeoylquinic acid methyl ester (5), 3,5-di-caffeoylquinic acid (6) and luteolin (7), were isolated of the leaves from Nanuza plicata. The compounds 3, 4, 5 and 6 are reported for the first time in Velloziaceae. The structures of the compounds were elucidated on the basis of spectroscopic methods, especially NMR and MS analyses. The cytotoxicity of 3&apos;,8&apos;&apos;-biisokaempferide was studied in cultures of human glioblastoma GL-15 cells. The effective concentration, which killed 50 % of cells after 72 h was 36.5 {mu}mol L{sup -1}. Changes in cellular morphology, including retraction and degradation of cytoplasm, were observed when cells were treated with concentrations from 20 {mu}mol L-1 of 3&apos;,8&apos;&apos;-biisokaempferide for 72 h. (author)

  14. Paciente portadora de doença de von Willebrand submetida a cirurgia da valva mitral: uma estratégia para o controle da coagulopatia Patient with von Willebrand disease undergoing mitral valve repair: a strategy for the control of the coagulopathy

    Directory of Open Access Journals (Sweden)

    Ally Nader Roquetti Saroute

    2007-01-01

    Full Text Available Relatamos o caso de uma mulher de 60 anos portadora da doença de von Willebrand tipo I, submetida a cirurgia da valva mitral. A paciente necessitou de cuidados especiais em razão da coagulopatia e foi necessária a utilização de concentrado de fator VIII (VIIIf e fator de von Willebrand (vWf antes, durante e depois da cirurgia. Não houve complicações durante e após a cirurgia. Nove meses depois, a paciente encontra-se assintomática. A correção para valores adequados de VIIIf e vWf permitiu a realização da cirurgia com segurança.We report a case of a 60 year-old woman with von Willebrand disease type I that was submitted to a mitral valve repair. The patient needed special care due coagulopathy and needed VIII factor (VIIIf and von Willebrand factor (vWf, before, during and after surgery. There was no complication during or after surgery. Patient is asymptomatic nine months postoperatively. The correction of VIIIf and vWf allowed the realization of a safety surgery.

  15. ANDRA&apos;s news; L&apos;actualite de l&apos;Andra

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    This press kit presents the three missions of the French national agency of radioactive wastes (ANDRA) and the main highlights of these three missions for the second half of 2003: 1 - industrial mission: the very low radioactive waste disposal facility of Morvilliers (543 m{sup 3} of waste packages already stored), the Aube disposal facility (exploitation data), the Manche disposal facility (adaptation to new monitoring standards); 2 - the research mission: the Meuse/Haute-Marne laboratory (progress of works and experimental program), the mobilization of competences (international expertise of ANDRA&apos;s researches about deep underground disposal, the coordination of the European program ESDRED); 3 - the information mission: national inventory of radioactive wastes, publications and events, recall of ANDRA&apos;s missions. (J.S.)

  16. Cirurgia cardíaca em uma sociedade multiétnica: a experiência do Caribbean Heart Care Cardiac surgery in a multi-ethnic low volume service: the Caribbean Heart Care Experience

    Directory of Open Access Journals (Sweden)

    Jose Burgos-Irazabal

    2005-09-01

    Full Text Available OBJETIVO: A população do Caribe constitui uma sociedade multiétnica, incluindo caucasianos, afro-caribenhos, indianos, asiáticos, hispânicos, europeus e nativos, com uma grande variabilidade de padrões socioeconômicos. A incidência e os tipos de doenças cardíacas também variam significativamente entre essas etnias. Relatamos aqui a experiência (em pacientes adultos e pediátricos em um serviço de cirurgia cardíaca de baixo volume em Trinidad e Tobago, no Caribe. MÉTODO: O programa de cirurgia cardíaca de adultos começou em novembro de 1993, são reportados os dados de 878 pacientes (629 homens, idade entre 18 e 88 anos, com média de 67 anos. Destes, 39,4% eram diabéticos e 46,5% hipertensos. Os procedimentos incluíram cirurgia de revascularização miocárdica (CRM, reparo e substituição de valvas e cirurgias da aorta. O programa de cirurgia cardíaca pediátrica (idades entre duas semanas e 21 anos começou em setembro de 1998, tendo sido realizado um total de 279 operações. RESULTADOS: Adultos - a mortalidade total foi de 3,8%. A maioria dos procedimentos foi CRM (82,3% com mortalidade total de 2,8% (0% em 2004. A técnica sem circulação extracorpórea foi empregada em 43% dos procedimentos de CRM (71,2% em 2004. A cirurgia de valva aórtica foi feita em 49 pacientes, e a substituição/reparo da valva mitral em 96 doentes. Pediátricos - a maioria dos procedimentos foi correção de comunicação interventricular (111, comunicação interatrial (57, tetralogia de Fallot (23, e 88 outros (com mortalidade de 1,5%. CONCLUSÃO: Cirurgia cardíaca em um serviço multiétnico de baixo volume pode ser realizada com excelentes resultados, comparáveis com padrões internacionais de qualidade.INTRODUCTION: The Caribbean is a multi-ethnic society, including Caucasian, Afro-Caribbean, East Indians, Asians, Hispanics, European and natives, which has a broad range of living standards. The incidence and types of heart diseases

  17. Active pollution reduction in the &apos;off-road&apos; sector. Proceedings; Aktive Schadstoffminderung im &apos;Off-road&apos; Bereich. Tagungsband

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    The state of the art and trends in off-gas purification and filters were gone into. The focus was on technical aspects, performance information and cost of diesel engines with high-efficiency exhaust purification systems as well as on sulfur-free fuels. [German] Mit der Tagung &apos;Aktive Schadstoffminderung im &apos;'Off-road'&apos; Bereich&apos; bieten wir eine besondere Gelegenheit zur Information und Auseinandersetzung mit dem derzeitigen Stand und den Entwicklungsperspektiven der Abgasreinigung und Filtertechnik bei Neubeschaffungen und in der Nachruestung. Gerade in staedtischen Ballungsgebieten, aber auch in geschlossenen Raeumen und Produktionshallen sind die Reduzierung der lokalen Emissionen und Vermeidung von Geruchsbelaestigungen unabdingbar. Im Mittelpunkt stehen Technik, Betriebserfahrungen und Kosten von Dieselmotoren mit hocheffizienter Abgasreinigung sowie schwefelfreie Kraftstoffe. (orig.)

  18. &apos;&apos;Wie alles sich zum Ganzen webt&apos;&apos;: on a new orientation for the concept of matter, based on relations between quantum physics and cosmology

    Energy Technology Data Exchange (ETDEWEB)

    Goernitz, T. [Inst. fuer Didaktik der Physik, J.W.Goethe-Univ., Frankfurt/Main (Germany)

    2007-07-01

    It is common sense between physicists that in the beginning the cosmos is in a narrow relationship to quantum phenomena. Because of the universal validity of quantum theory this relation remains significant in the whole cosmic evolution. Whereas a classical approach is sufficient for the description of many phenomena it is no more useful at last for the case of the ground state of a system. This holds also for the cosmos. The black holes are that part of physics where quantum theory and gravitational theory come into close contact. There a Gedankenexperiment becomes possible that clarifies the fundamental role of abstract quantum information. We give it a new name (Protyposis) because it must be imagined without emitter, receiver and moreover without any concrete meaning. This meaning-free abstract quantum information is defined by means of black holes and cosmology. Protyposis enables a new conception for &apos;'matter'&apos; and makes possible to overcome the problems of the &apos;'Lego-world-view'&apos;, which result from the attempt to find the &apos;&apos;simple and therefore basic concepts&apos;&apos; in the range of spatial smallness. Matter can be understood now as &apos;&apos;formed and condensed quantum information&apos;&apos;. But on a first view it is nothing to see from its character of being information, as like matter does not appear as &apos;&apos;pure motion&apos;&apos;, what it is also because of E=mc{sup 2}. (orig.)

  19. What does &apos;nuclear power village&apos; represent in the newspaper articles?

    Energy Technology Data Exchange (ETDEWEB)

    Takenaka, I., E-mail: isshin.takenaka@gmail.com [The Univ. of Tokyo, Tokyo (Japan); Kimura, H., E-mail: kimura.hiroshi.0110@gmail.com [Public Outreach, Non-Profit, Tokyo (Japan)

    2014-07-01

    Since the Fukushima Daiichi Nuclear Disaster in 2011, we have often heard the word &apos;Nuclear Power Village (Genshiryoku-Mura in Japanese)&apos; in Japan. &apos;Nuclear Power Village&apos; is used for the Japanese community related to nuclear power generation. In this paper, we analysed Japanese newspapers and clarified usages of &apos;Nuclear Power Village&apos;. As a result, we found there are two images of &apos;Nuclear Power Village&apos;. One image has a common purpose of the promotion of nuclear power. Another image has a common purpose of acquiring gain. We also clarified the characteristics of the images such as interdependence, closed community and so on. (author)

  20. Safety requirements expected to the prototype fast breeder reactor &apos;Monju&apos;

    International Nuclear Information System (INIS)

    2014-11-01

    In July 2013, Nuclear Regulation Authority (NRA) has enforced new regulatory requirements in consideration of severe accidents for the commercial light water reactors (LWR) and also prototype power generation reactors such as the sodium-cooled fast reactors (SFR) of &apos;Monju&apos; based on TEPCO Fukushima Daiichi nuclear power plant accident (hereinafter referred to as &apos;1F accident&apos;) occurred in March 2011. Although the regulatory requirements for SFR will be revised by NRA with consideration for public comments, Japan Atomic Energy Agency (JAEA) set up &apos;Advisory Committee on Monju Safety Requirements&apos; consisting of fast breeder reactor (FBR) and safety assessment experts in order to establish original safety requirements expected to the prototype FBR &apos;Monju&apos; considering severe accidents with knowledge from JAEA as well as scientific and technical insights from the experts. This report summarizes the safety requirements expected to Monju discussed by the committee. (author)

  1. The Palestinian Authority and &apos;Climate Change&apos; as an Emergent Public Problem

    International Nuclear Information System (INIS)

    Fustec, Klervi

    2014-01-01

    &apos;Climate change&apos; is an oft avowed environmental priority among cooperation and development actors. The Palestinian Territories, for their part, are one of the largest recipients of international aid. To the degree that the UNPD has played a role in promoting the question of &apos;climate change&apos;, the dependence of the Palestinian Authority on international aid has contributed to framing this emergent public problem; its construction is anchored in the context of the Israeli-Palestinian conflict and the Palestinian state&apos;s demand for recognition at the international level. In the international arenas dedicated to &apos;climate change&apos;, what&apos;s more, the Palestinian Authority discusses this question in terms of political and climatic injustice. Two questions thus merit study: what effect does the construction of the climate problem have on the Palestinian Authority and, conversely, what effect does the Palestinian Authority have on the construction of the climate problem?

  2. Those who &apos;Cry Wolf&apos; about nuclear safety damage their own credibility

    Energy Technology Data Exchange (ETDEWEB)

    Shepherd, John [nuclear 24, Redditch (United Kingdom)

    2016-06-15

    Do you recall the fable of the boy who cried wolf? I was reminded of this following the latest call by Germany&apos;s Federal Environment Minister, Barbara Hendricks, for Belgium to take two of its nuclear reactors off the grid, citing &apos;'questions'&apos; about the units&apos; safety. Those in positions of power and influence in one country should take care to be as responsible in their dealings with their neighbours as they are in handling domestic matters of state. Those who see &apos;danger&apos; where there is none are not being good neighbours. They are generating fear and alarm without good cause and should mind their own business.

  3. What does &apos;nuclear power village&apos; represent in the newspaper articles?

    International Nuclear Information System (INIS)

    Takenaka, I.; Kimura, H.

    2014-01-01

    Since the Fukushima Daiichi Nuclear Disaster in 2011, we have often heard the word &apos;Nuclear Power Village (Genshiryoku-Mura in Japanese)&apos; in Japan. &apos;Nuclear Power Village&apos; is used for the Japanese community related to nuclear power generation. In this paper, we analysed Japanese newspapers and clarified usages of &apos;Nuclear Power Village&apos;. As a result, we found there are two images of &apos;Nuclear Power Village&apos;. One image has a common purpose of the promotion of nuclear power. Another image has a common purpose of acquiring gain. We also clarified the characteristics of the images such as interdependence, closed community and so on. (author)

  4. Bookshelf (John R. Huizenga, &apos;Cold Fusion: the Scientific Fiasco of the Century&apos;)

    International Nuclear Information System (INIS)

    Morrison, Douglas R.O.

    1994-01-01

    &apos;&apos;Cold fusion is dead, isn&apos;t it?&apos;&apos; is a question I am often asked. The reply is a strange one, &apos;&apos;Yes, scientifically it is dead, but not from a media point of view or from funding&apos;&apos; In 1989 two electrochemists, Martin Fleischmann and Stanley Pons, claimed sustained nuclear fusion had been achieved in a test-tube with a palladium cathode and deuterium, observing excess heat, neutrons and tritium. A series of encouraging confirmations and successively greater excess heat claims were seized on by the world&apos;s media. The US Government set up a panel of some 20 world-class scientists from several disciplines under John Huizenga, distinguished professor of Chemistry and Physics at the University of Rochester. They concluded that there was no present evidence for the discovery of a new nuclear process termed cold fusion. It might be thought that would end cold fusion, but for interesting reasons, it did not entirely. John Huizenga has written a book describing the curious claims and evidence for cold fusion and has given an excellent explanation of the science involved. This was published as a hardback book of 236 pages, telling the story up to the end of June 1990. Again one might think it was the end of the cold fusion story. Now he has written about what happened in the next two years in a paperback book which contains an epilogue of 51 pages. If you thought the first year was extraordinary, the next two years described in the new edition were even more incredible! In the main part of the book, the basic science is simply and clearly explained. The number of &apos;'miracles'&apos; required for each results or theory is described - a &apos;'miracle'&apos; is a gross violation of previous knowledge and experimental results such as energy conservation. Thus some theories are classified as &apos;&apos;triple miracles&apos;&apos;. It might be thought that people who claimed to have observed cold fusion

  5. Embolia pulmonar na sala de cirurgia: relato de caso Embolia pulmonar en sala operatoria: relato de caso Pulmonary embolism in the operating room: case report

    Directory of Open Access Journals (Sweden)

    Karina Bernardi Pimenta

    2002-04-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Embolia pulmonar é uma complicação freqüente no período pós-operatório. O objetivo deste relato é apresentar um caso de embolia pulmonar ocorrida na sala de operação e chamar a atenção para a importância da profilaxia de trombose venosa em pacientes cirúrgicos. RELATO DO CASO: Trata-se de um paciente do sexo masculino, 55 anos e 83 kg com diagnóstico de câncer de próstata, submetido a prostatectomia supra-púbica sob anestesia geral. Ao final da cirurgia, o paciente já extubado e logo após sua passagem para a maca de transporte apresentou instabilidade hemodinâmica e diminuição da SpO2 para 80%. Foi reintubado e encaminhado para a UTI. A tomografia computadorizada mostrou imagens com aspecto de embolia pulmonar. O paciente evoluiu para óbito no 5º dia de pós-operatório. CONCLUSÕES: O elevado índice de suspeita não é suficiente para firmar o diagnóstico pois a embolia pulmonar é uma doença silenciosa e a rotina de investigação não possui elevada sensibilidade. A profilaxia precoce e adequada é a melhor estratégia.JUSTIFICATIVA Y OBJETIVOS: Embolia pulmonar es una complicación frecuente en el período pós-operatorio. El objetivo de este relato es presentar un caso de embolia pulmonar ocurrida en la sala de operación y llamar la atención para la importancia de la profilaxis de trombosis venosa en pacientes cirúrgicos. RELATO DE CASO: Se trata de un paciente del sexo masculino, 55 años y 83 kg con diagnóstico de cáncer de próstata, sometido a prostatectomia supra-púbica bajo anestesia general. Al final de la cirugía, el paciente ya entubado y luego después de pasar para la camilla de transporte presentó inestabilidad hemodinámica y diminución de la SpO2 para 80%. Fue reintubado y encaminado para la UTI. La tomografía computadorizada mostró imágenes con aspecto de embolia pulmonar. El paciente evolucionó para óbito en el 5º día de pós-operatorio. CONCLUSIONES: El

  6. Análise por tomografia computadorizada do enxerto autógeno na cirurgia de "sinus lift" Computed tomography evaluation of autogenous graft in sinus lift surgery

    Directory of Open Access Journals (Sweden)

    Sérgio Aron Ajzen

    2005-02-01

    Full Text Available OBJETIVO: Quantificar a formação óssea nos enxertos com e sem plasma rico em plaquetas, obtido pelos métodos de centrifugação e aférese, comparando os três tipos de enxertos realizados por meio de análise tomográfica. MATERIAIS E MÉTODOS: Este estudo prospectivo, duplo cego, utilizou uma amostra composta de 34 pacientes adultos, de ambos os sexos, com idade média de 48 anos e 8 meses, portadores de pneumatização unilateral ou bilateral dos seios maxilares, que necessitavam de enxertos ósseos, com a finalidade de melhorar as condições locais para a colocação dos implantes dentários. Todos os pacientes realizaram tomografia computadorizada antes da cirurgia. Foram operados 53 seios maxilares, divididos em três grupos: enxerto de plasma rico em plaquetas obtido pelos métodos de aférese, centrifugação e enxerto apenas de osso autógeno. Após seis meses do procedimento cirúrgico foram realizados novos exames de imagem. RESULTADOS: Pela avaliação tomográfica, houve crescimento em altura e em largura nos três grupos quando foram comparados os momentos inicial e final, entretanto, não houve diferença estatística para a altura e para a largura. CONCLUSÃO: Evidências clínicas demonstram a eficácia dos enxertos autógenos, principalmente os associados a fatores indutores de crescimento ósseo, como o plasma rico em plaquetas, recuperando o arcabouço maxilofacial, necessário para a reconstrução protética e funcional por meio de implantes dentários.OBJECTIVE: To quantify bone formation within autogenous bone grafts and autogenous bone grafts in combination with platelet-rich plasma obtained either from aphaeresis or centrifugation using computed tomography. MATERIALS AND METHODS: This prospective, double-blind study was conducted in 34 male and female adult patients (mean age of 28 years and 8 months, with either unilateral or bilateral pneumatization of the maxillary sinuses, requiring bone graft for dental

  7. Cirurgias conservadoras do baço para tratamento da doença de Gaucher Partial splenectomy in the treatment of Gaucher's disease

    Directory of Open Access Journals (Sweden)

    Andy Petroianu

    2004-03-01

    Full Text Available As complicações da esplenomegalia na doença de Gaucher, com repercussões de hiperesplenismo e compressões mecânicas, têm sido tratadas por meio de esplenectomia parcial. Contudo, verificou-se que o remanescente esplênico suprido pelos vasos hilares volta a crescer, com conseqüente recorrência da esplenomegalia e de todo o quadro clínico que a acompanha. Uma experiência superior a dezoito anos no tratamento da hipertensão porta, trauma esplênico, esplenomegalia mielóide, hipodesenvolvimento somático e sexual esplenomegálico, linfomas e cistoadenoma de cauda pancreática por meio de esplenectomia subtotal, preservando o pólo superior do baço irrigado apenas pelos vasos esplenogástricos, mostrou que o remanescente esplênico não aumenta as suas dimensões. Com base em evidências de que o pólo superior esplênico é suficiente para manter todas as funções do baço, realizamos em cinco pacientes com doença de Gaucher esplenectomia subtotal, mantendo o pólo superior do baço e sua vascularização esplenogástrica. O remanescente esplênico não modificou as suas dimensões durante o acompanhamento pós-operatório superior a doze anos e os parâmetros hematológicos normalizaram. Uma outra paciente, que possuía vasos esplenogástricos insuficientes para nutrir o pólo superior do baço, foi submetida a esplenectomia total, com implantes autógenos de tecido esplênico no omento maior. Os auto-implantes sobreviveram e foram funcionantes. Todos os seis pacientes tiveram evolução pós-operatória sem anormalidades relacionadas ao procedimento de conservação esplênica. Concluindo, em presença de esplenomegalia gigante, acompanhada de quadro clínico e hematológico grave, a cirurgia do baço conservadora, com destaque para a esplenectomia subtotal ou a esplenectomia total seguida de auto-implantes de tecido esplênico.Complications of splenomegaly in Gaucher's disease, such as hypersplenism and mechanical compressions

  8. Cirurgias endoscópicas para a coluna torácica: avaliação crítica Endoscopic surgery for thoracic spine: critical review

    Directory of Open Access Journals (Sweden)

    JOHNNY WESLEY GONÇALVES MARTINS

    1999-06-01

    Full Text Available Com o advento da tecnologia vídeo-assistida a endoscopia tem assumido importante papel terapêutico na cavidade torácica. Este artigo é uma avaliação crítica da literatura e tem como objetivo demonstrar o estado atual da cirurgia endoscópica direcionada para a coluna torácica. Hérnias discais, deformidades, infecções, tumores, doenças congênitas e traumatismos estão sendo tratados por técnica endoscópica. Na literatura, as vantagens sobre a toracotomia aberta são visibilidade aumentada e reduções em: tempo de recuperação, perda sanguínea, custos, índice de infecção e morbidade pós-operatória. Algumas desvantagens são: intubação seletiva, significativa curva de aprendizado, dificuldades técnicas na operação de crianças muito pequenas, reparação da dura máter e instrumentação. Embora os benefícios sejam aparentemente claros e haja pronunciado grau de entusiasmo, os autores são cautelosos em afirmar que a toracoscopia já é uma alternativa definitiva à toracotomia convencional. A comparação dos resultados entre as técnicas endoscópica e aberta é dificultada pela escassez de estudos comparativos. Os autores, embora otimistas, recomendam análises de mais estudos prospectivos, multicêntricos e randomizados para uma conclusão definitiva.After the development of video-assisted technology, endoscopic techniques have assumed an important therapeutic role into thoracic cavity. This is a literature review article to show the current state of the endoscopy for thoracic spine. Disc herniations, deformities, infections, tumors, congenital disorders and traumatic events have been treated by endoscopic techniques. On reviewing the literature, the advantages over open approaches are: enhanced visualization, shorter recovery time and decreased blood loss, costs, infection rate and post operative morbidity. Some disadvantages are: one lung anesthesia, significant learning curve, and technical problems in operating

  9. Utilização de adesivo de fibrina em cirurgias oftalmológicas Use of fibrin glue in ocular surgery

    Directory of Open Access Journals (Sweden)

    Melissa Manfroi Dal Pizzol

    2009-06-01

    Full Text Available OBJETIVO: Avaliar as diferentes técnicas cirúrgicas oftalmológicas nas quais se pode utilizar a cola biológica e possíveis complicações relacionadas ao seu uso. MÉTODOS: Estudo de série de casos retrospectivo, não-comparativo. Foram avaliados 161 olhos de pacientes com idade média de 51,8 anos em que foi utilizada cola biológica (Beriplast P® - Aventis Behring, Alemanha para fixação de tecido ou fechamento incisional. RESULTADOS: Foram avaliados 76 pacientes com pterígio, 4 com ceratoconjuntivite límbica superior, 4 com tumor limbar, 21 com conjuntivocálase, 31 com ceratopatia bolhosa, 7 com deficiência límbica, 6 com queimadura alcalina, 2 com Stevens-Johnson, 5 com catarata e 5 com glaucoma. Complicações foram relatas em 28 casos (17,4%. Descolamento do tecido fixado e granuloma foram as complicações mais frequentes. Descolamento ocorreu em 10 casos (5,6% (7 em transplante de membrana amniótica em ceratopatia bolhosa, 2 em transplante de conjuntiva autólogo após exérese de pterígio, 1 após transplante de limbo autólogo por Stevens-Johnson. Granuloma ocorreu em 9 casos (5,6% (5 em pacientes com queimadura alcalina aguda tratados com transplante de membrana amniótica, 1 em paciente com sequela de queimadura tratado com transplante de limbo autólogo e 3 em pacientes após exérese de pterígio tratados com transplante de conjuntiva autólogo. Todas as complicações ocorreram dentro da primeira semana de pós-operatório. CONCLUSÃO: Embora o presente seja retrospectivo e não-comparativo, podemos observar que a utilização do adesivo de fibrina parece ser segura e efetiva, além de apresentar baixas taxas de complicações nas cirurgias de superfície ocular e de segmento anterior.PURPOSE: To evaluate the use of fibrin glue and its complications in different ophthalmic surgeries. METHODS: A retrospective and non-comparative case series study. 161 eyes were evaluated. The mean age was 51.8 years. Fibrin glue

  10. Novo sistema de cardioplegia sangüínea em cirurgia de cardiopatia congênita New delivery system for pediatric blood cardioplegia

    Directory of Open Access Journals (Sweden)

    Pedro R Salerno

    1995-09-01

    Full Text Available O objetivo do presente estudo é apresentar um sistema de cardioplegia sangüínea para cirurgia de cardiopatia congênita. Foram analisados, prospectivamente, 71 pacientes com 10.12 kg em média, 34 eram do sexo feminino e a idade média foi de 2,1 anos. Da linha arterial, passando por um trocador de calor, aspiramos para uma seringa de 50 cc sangue a 8ºc, a qual é conectada a outra seringa de 10 cc com uma solução decimal de potássio, através de duas torneirinhas. A mistura da solução decimal (3 ml com 47 ml de sangue a 8o C origina uma solução de sangue com 15 meq/1 de potássio. Esta solução é infundida na raiz da aorta, de acordo com o peso do paciente (10 cc/kg. Em todos obtivemos parada cardioplégica. O tempo médio de extracorpórea foi de 87,2 minutos e de pinçamento aórtico, de 60,7 minutos. Treze pacientes evoluíram para óbito, 6 por falência miocárdica, 3 por síndrome de baixo débito, 2 com arritmia, 1 com falência renal e 1 com coagulopatia. Os 58 demais pacientes receberam alta hospitalar sem complicações. Em conclusão, este método mostrou ser eficiente na preservação miocárdica e com baixa morbi-mortalidadeThe purpose of this study is to present a simple Delivery System of Blood Cardioplegia for myocardial preservation during congenital cardiac operation. We prospectively analysed 71 patients (pts with 10/12 kg of body mean weight, 34 were female and mean age was 2/1 years. From the arterial line, passing through a mini heat exchanger, blood at 8 C is aspirated to a 50 cc syringe, which is conected to a 10 cc syringe with a KCL + decimal solución using 2 stopcocks. The mixture originates a cold blood with 15 mEq/l of KCL + that is infused into the aortic root, according to the pts weight (10 cc/kg. In all pts cardiac arrest was obtained. The mean extracorporeal circulation time and crossclamping was 87.2 and 60.7 min. All pts recovered sinus rhythm with good ventricular function. Thirteen patients

  11. Ganhos funcionais mensurados pelo MBGR e impacto na qualidade de vida em sujeito submetido à cirurgia ortognática: relato de caso

    Directory of Open Access Journals (Sweden)

    Jully Anne Soares de Lima

    2015-10-01

    Full Text Available Resumo: O tema proposto é Intervenção Fonoaudiológica pré e pós Cirurgia Ortognática. Foi realizada avaliação (por meio do Protocolo de Avaliação Miofuncional Orofacial MBGR com escores e intervenção fonoaudiológica em período pré-operatório (por três meses e pós-operatório iniciado no 20º dia (por três meses, após a liberação do cirurgião. Além disso, investigou-se o impacto da deformidade dentofacial na qualidade de vida do paciente, por meio do Oral Health Impact Profile - versão reduzida. Na avaliação pré-operatória, foram encontradas mastigação bilateral simultânea, presença de ruídos na Articulação Temporomandibular e fechamento labial assistemático durante a realização da função. Durante a deglutição houve contração da musculatura perioral e presença de resíduos após essa função. Encontrou-se na fala distorção no fonema /r/. Houve dor à palpação nos músculos mastigatórios e diminuição da tonicidade na musculatura perioral e mastigatória. Encontrou-se alto impacto na qualidade de vida, totalizando em 32 pontos. Na avaliação após a intervenção fonoaudiológica, observou-se melhora nas funções de mastigação (pré: 4 pontos, pós: 1 ponto, deglutição (pré:14, pós :5, respiração (pré: 3, pós: 1 e fala (pré: 7, pós: 1, na mobilidade muscular (pré: 8, pós 1, na tonicidade da musculatura (pré 5, pós: 0 e na dor à palpação (pré: 10, pós: 2. Houve melhora na postura dos lábios e melhora significante na qualidade de vida, passando de 32 para 8 pontos. Constatou-se melhora na fisiologia das funções estomatognáticas, diminuição da dor à palpação, equilíbrio no tônus, na mobilidade muscular e melhora na qualidade de vida.

  12. Aplicação do monitor Narcotrend® para avaliar a profundidade da anestesia em crianças submetidas à cirurgia cardíaca: estudo prospectivo e controlado

    Directory of Open Access Journals (Sweden)

    Yiyan Jiang

    2013-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Investigar a eficácia clínica, segurança e viabilidade do monitor Narcotrend® para avaliar a profundidade da anestesia em crianças com doença cardíaca congênita (DCC submetidas à cirurgia cardíaca. MÉTODOS: Foram randomicamente selecionadas 80 crianças submetidas à anestesia geral em cirurgia seletiva. As crianças foram divididas em dois grupos de forma aleatória (n = 40 por grupo. No grupo Narcotrend, a profundidade da anestesia foi monitorada com o Narcotrend. No grupo padrão, a profundidade da anestesia foi controlada de acordo com a experiência clínica. A pressão arterial média (PAM e a frequência cardíaca (FC foram determinadas e a dose de fentanil e relaxante muscular e os tempos de recuperação e de extubação foram registrados. RESULTADOS: Em ambos os grupos, os sinais vitais apresentaram-se estáveis durante a cirurgia. No grupo Narcotrend, a PAM e a FC foram mais estáveis, a dose total de fentanil e relaxante muscular significativamente menor e os tempos de recuperação e extubação acentuadamente mais reduzidos em comparação com o grupo padrão. CONCLUSÃO: A aplicação do monitor Narcotrend para medir a profundidade da anestesia foi útil para controlar a profundidade da anestesia em crianças com DCC que receberam anestesia intravenosa total, na qual uma pequena quantidade de narcóticos pode obter a anestesia ideal. Além disso, os tempos de recuperação e extubação foram menores e os efeitos secundários, como sensibilização intraoperatória, puderam ser evitados.

  13. Comparação entre cirurgia endoscópica e aberta em 37 pacientes com nasoangiofibroma Comparison between endoscopic and open surgery in 37 patients with nasopharyngeal angiofibroma

    Directory of Open Access Journals (Sweden)

    José Alberto Alves Oliveira

    2012-02-01

    Full Text Available O nasoangiofibroma é um tumor vascular benigno raro da nasofaringe, 0,5% de todas as neoplasias da cabeça e pescoço. Embora o tratamento de escolha seja a cirurgia, não há consenso sobre qual a melhor abordagem. OBJETIVOS: Comparar o tempo cirúrgico e a necessidade de transfusão intraoperatória em pacientes submetidos à cirurgia endoscópica versus aberta/combinada e relacionar a necessidade de transfusão intra-operatória com o tempo entre embolização e cirurgia. MATERIAL E MÉTODO: Estudo descritivo, analítico, retrospectivo, com abordagem quantitativa desenvolvido no serviço de otorrinolaringologia de um hospital-escola. Analisados 37 pacientes com nasoangiofibroma submetidos ao tratamento cirúrgico. Dados obtidos de prontuários. Analisados com os testes de Fisher-Freeman-Halton e de Games-Howell. Considerou-se significante se p Juvenile nasopharyngeal angiofibroma is a rare benign vascular tumor of the nasopharynx. Although the treatment of choice is surgery, there is no consensus on what is the best approach. AIM: To compare surgical time and intraoperative transfusion requirements in patients undergoing endoscopic surgery versus open / combined and relate the need for transfusion during surgery with the time between embolization and surgery. MATERIAL AND METHODS: Study descriptive, analytical, retrospective study with a quantitative approach developed in the Otorhinolaryngology department of a teaching hospital. Analyzed 37 patients with angiofibroma undergoing surgical treatment. Data obtained from medical records. Analyzed with tests of the Fisher-Freeman-Halton and Games-Howell. Was considered significant if p <0.05. Study design: Historical cohort study with cross-sectional. RESULTS: The endoscopic approach had a shorter operative time (p <0.0001. There is less need for transfusion during surgery when the embolization was performed on the fourth day. CONCLUSION: This suggests that the period ahead would be ideal to

  14. Administração de clonidina intravenosa e sua capacidade de reduzir a pressão da artéria pulmonar em pacientes submetidos a cirurgia cardíaca

    Directory of Open Access Journals (Sweden)

    Benedito Barbosa João

    2014-01-01

    Full Text Available Objetivo: Avaliar a capacidade da clonidina de reduzir a pressão arterial pulmonar de pacientes com hipertensão pulmonar, submetidos a cirurgia cardíaca, seja pela diminuição dos valores pressóricos a partir da aferição direta da pressão de artéria pulmonar, seja pela redução ouabolição da necessidade de dobutamina e nitroprussiato de sódio no intraoperatório. Método: Trata-se de estudo controlado, comparativo, randomizado e duplamente encoberto feito com 30 pacientes portadores de hipertensão arterial pulmonar tipo 2, submetidos a cirurgia cardíaca. Avaliaram-se a pressão média de artéria pulmonar e a posologia de dobutaminae nitroprussiato de sódio em quatro momentos: (M0 antes da administração de 2 µg/kg declonidina intravenosa ou placebo; (M1 decorridos 30 minutos do tratamento testado e antes da circulação extracorpórea; (M2 imediatamente após a circulação extracorpórea; e (M310 minutos após a injeção de protamina. Resultados: Não houve diferenças significativas em relação à pressão média de artéria pulmonarem nenhum dos momentos estudados. Entre os grupos não houve também diferença significativa entre as demais variáveis estudadas, como pressão arterial sistêmica média, frequência cardíaca, dosagem total de dobutamina, dosagem total de nitroprussiato de sódio e necessidade do hipnoanalgésico fentanil. Conclusão: A análise dos dados obtidos dos pacientes incluídos neste estudo permite concluir que a clonidina, na dose de 2 µg/kg administrada via intravenosa, não foi capaz de reduzir a pressão média de artéria pulmonar de pacientes com hipertensão pulmonar do grupo 2 (hipertensão venosa pulmonar, submetidos a cirurgia cardíaca, e nem reduzir ou abolir a necessidade da administração de dobutamina e nitroprussiato de sódio no intraoperatório.

  15. The superlative in front of the British coast. Offshore wind park &apos;&apos;London Array&apos;&apos;; Der Superlativ vor der britischen Kueste. Offshore-Windpark &apos;&apos;London Array&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Rechenbach, Baerbel

    2012-07-01

    Fossil energy is finite and is getting more expensive. In order to develop alternative energy sources, technical solutions are becoming increasingly complex. Such technical solutions usually are implementable in international cooperation. German engineering know-how is in high demand, such as the construction of the world&apos;s largest offshore wind farm London Array. This project arises 24 km east of the British coasts of Essex and Kent in the estuary of the Thames. The project cost amounts approximately 400 million Euro.

  16. OJT. make &apos;em or break &apos;em

    Energy Technology Data Exchange (ETDEWEB)

    Arner, S.A.

    1992-01-01

    On-the-job training (OJT) has been with us in varying forms for longer than perhaps any other type of training. In reality, OJT is a process for accomplishing change; change in an employee&apos;s ability to perform assigned job duties. However, bringing about that change can often be a difficult process. A clear understanding of what change really is and what it entails is essential to easing its process. this document discusses the methodology in OJT and emphasizes the importance of communications in this process.

  17. &apos;Lifecycle cost&apos; management used in ITER project

    International Nuclear Information System (INIS)

    Xing Chao; Wu Fengfeng

    2013-01-01

    &apos;Lifecycle cost&apos; management is a new kind of management. The International Nuclear Fusion Energy Program was managing by &apos;lifecycle cost&apos; method. The cost and other factors associated with cost were under control by the method. In the future, the system engineering method should be focused in engineering management, paying equal attention to both evaluation and management, and strengthening the application of information system in the cost management to effectively improve the management level. (authors)

  18. Experiences from the exercise &apos;'MERLIN'&apos; for the detection of radioactive substances with the participation of special-purpose vehicles; Erfahrungen aus der Uebung &apos;'MERLIN'&apos; zur Detektion radioaktiver Stoffe unter Beteiligung verschiedenen Einsatzfahrzeuge

    Energy Technology Data Exchange (ETDEWEB)

    Griesbach, M. [Hessisches Ministerium des Innern und fuer Sport, Wiesbaden (Germany)

    2009-08-15

    Experiences of an exercise with hazardous goods, in particular with radioactive substances (measurements and taking environmental samples) are described. Several special-purpose vehicles with equipment and specially trained crews were used together with radiation protection experts according to the concept of Hesse. It has been the greatest exercise in Hesse with regard to hazardous goods and in particular with regard to &apos;&apos;incidents with radioactive substances&apos;&apos;. (orig.)

  19. Green economy. From theory to practice; &apos;Green Economy&apos;. Von der Theorie zur Praxis

    Energy Technology Data Exchange (ETDEWEB)

    Wackerbauer, Johann [ifo Institut, Muenchen (Germany)

    2013-04-15

    The topic of &apos;&apos;green economy&apos;&apos; took centre stage at last year&apos;s UN conference on sustainable development in Rio de Janeiro. The term &apos;&apos;green economy&apos;&apos; has many interpretations to it, ranging from an emphasis on energy and resource efficiency in an otherwise ordinary economy to positions that are critical of growth as such. What can be considered as the essence of the concept of green economy, and what challenges need to be mastered on the way there? The present study shows that there is more to the term than most companies and consumers are aware of.

  20. Power supply - HVDC and facts make it sustainable and secure; Stromversorgung - nachhaltig und sicher mit HGUeund Facts. Grid Access fuer &apos;&apos;gruene Energie&apos;&apos;

    Energy Technology Data Exchange (ETDEWEB)

    Uecker, Karl; Retzmann, Dietmar [Siemens AG, Erlangen (Germany). HVDC/Facts Sales and Marketing; Schultze, Alberto [Siemens AG, Erlangen (Germany). Abt. Grid Access and Industry

    2010-09-06

    Due to the global climate change, the power industry has a lot of changes in store. For reasons of environmental protection, the reduction in CO{sub 2} emissions in power generation and loss minimization in power transmission are of particular importance. This means that the share of wind power in a lot of countries, Germany among them, must be as high as possible, for the other &apos;'green'&apos; energy resources, such as hydro or solar power, play only a subordinate part for reasons of their geographical location. Along with sustainability and efficiency of power supply, grid security must be taken into account as well. (orig.)

  1. Pythagoras&apos;s theorem on a two-dimensional lattice from a &apos;natural&apos; Dirac operator and Connes&apos;s distance formula

    Energy Technology Data Exchange (ETDEWEB)

    Dai Jian [Theory Group, Department of Physics, Peking University, Beijing (China)]. E-mail: jdai@mail.phy.pku.edu.cn; Song Xingchang [Theory Group, Department of Physics, Peking University, Beijing (China)]. E-mail: songxc@ibm320h.phy.pku.edu.cn

    2001-07-13

    One of the key ingredients of Connes&apos;s noncommutative geometry is a generalized Dirac operator which induces a metric (Connes&apos;s distance) on the pure state space. We generalize such a Dirac operator devised by Dimakis et al, whose Connes distance recovers the linear distance on an one-dimensional lattice, to the two-dimensional case. This Dirac operator has the local eigenvalue property and induces a Euclidean distance on this two-dimensional lattice, which is referred to as &apos;natural&apos;. This kind of Dirac operator can be easily generalized into any higher-dimensional lattices. (author)

  2. The &apos;&apos;Cobalt 60 Case&apos;&apos; in Taiwan. Conclusions; Das Kobalt-60 Ereignis von Taiwan. Und was ist daraus zu schliessen?

    Energy Technology Data Exchange (ETDEWEB)

    Niemann, Lutz

    2017-08-15

    The &apos;&apos;Cobalt 60 Case&apos;&apos; in Taiwan gives an opportunity for check of the thesis of radiation hormesis. Apartment residents have been exposed to cobalt-60 contaminated steel buildings. The results of a study strongly suggest that whole-body chronic irradiation, in the dose rate range that the apartment residents received, caused no symptomatic adverse health effects, such as radiation sickness, or the increased cancer or increased congenital disease that are predicted by ICRP theories. On the contrary, those who were exposed had lower incidences of cancer mortality and congenital malformations.

  3. Using the automized system &apos;'section'&apos; to forecast velocity sections using data on borehole velocity measurement and seismic field prospecting

    Energy Technology Data Exchange (ETDEWEB)

    Dorman, M.I.; Gein, F.F.; Zubairov, F.B.

    1981-01-01

    A system of automated processing of seismic data is examined which makes it possible to set up rate functions at arbitrary points of a seismic prospecting section or at points conciding with boreholes in which rate measurements have not been completed. The basis for the forecasting method is data on seismic well logging investigations, seismic prospecting and some indirect observations on sections. The bases of a procedure realizing a forecasting method are set forth, as are those requirements which satisfy the system as a whole. The results of using the &apos;'section'&apos; system in a terrestrial section of Western Siberia are set forth.

  4. IMA status seminar &apos;biotic damaging factors/epidemiology&apos;. Summaries. IMA-Statusseminar &apos;Biotische Schadfaktoren/Epidemiologie&apos;. Kurzberichte

    Energy Technology Data Exchange (ETDEWEB)

    Stuettgen, E. (ed.)

    1986-07-01

    This workshop is concerned primarily with the effects of biotic factors on forest decline. The possible involvement of viruses, mycoplasma-like organisms (MLO), rickettsia-like bacteria (RLB), fungi, insects and nematodes in diseases and pests of forest trees has to be investigated. Beside abiotic factors these agents are the cause of different die-back symptoms and damage of trees, but it is not yet known to what extent they contribute to the symptoms man associate with the forest decline &apos;'Waldsterben'&apos;.

  5. Blunt traumatic rupture of a mainstem bronchus: spiral CT demonstration of the &apos;&apos;fallen lung&apos;&apos; sign

    Energy Technology Data Exchange (ETDEWEB)

    Wintermark, M.; Schnyder, P.; Wicky, S. [Dept. of Diagnostic and Interventional Radiology, University Hospital, Lausanne (Switzerland)

    2001-03-01

    Tracheo-bronchial injuries occur in less than 1 % of blunt chest trauma patients. Indirect signs, such as pneumomediastinum, pneumothorax, and/or subcutaneous emphysema, are revealed on admission plain films and chest CT survey. In most instances, however, tracheo-bronchoscopy is mandatory in assessing the definite diagnosis of tracheo-bronchial lesion. Occasionally, an abnormal course of a mainstem bronchus or a &apos;&apos;fallen lung&apos;&apos; sign, featuring a collapsed lung in a dependent position, hanging on the hilum only by its vascular attachments, may allow for CT diagnosis of a blunt traumatic bronchial injury. (orig.)

  6. Agreements for energy and environment; Patto per l&apos;energia e l&apos;ambiente

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-01

    In this paper are reported in ambit of italian national conference of energy and environment, an agreement undersigned by deputy of political and social forces. [Italian] In questo documento e&apos; illustrato il patto per l&apos;energia e l&apos;ambiente cui hanno aderito forze sociali e politiche del paese.

  7. On the Relations between Parents&apos; Ideals and Children&apos;s Autonomy

    Science.gov (United States)

    de Ruyter, Doret J.; Schinkel, Anders

    2013-01-01

    In this article Doret J. de Ruyter and Anders Schinkel argue that parents&apos; ideals can enhance children&apos;s autonomy, but that they may also have a detrimental effect on the development of children&apos;s autonomy. After describing the concept of "ideals" and elucidating a systems theoretical conception of autonomy, de Ruyter and…

  8. Einstein-Rosen &apos;bridge&apos; revisited and lightlike thin-shell wormholes

    International Nuclear Information System (INIS)

    Guendelman, E.; Nissimov, E.; Pacheva, S.; Stoilov, M.

    2017-01-01

    We study in some detail the properties of the mathematically correct formulation of the classical Einstein-Rosen &apos;bridge&apos; as proposed in the original 1935 paper, which was shown in a series of previous papers of ours to represent the simplest example of a static spherically symmetric traversable lightlike thin-shell wormhole. Thus, the original Einstein-Rosen &apos;bridge&apos; is not equivalent to the concept of the dynamical and non-traversable Schwarzschild wormhole, also called &apos;Einstein-Rosen bridge&apos; in modern textbooks on general relativity. The original Einstein-Rosen &apos;bridge&apos; requires the presence of a special kind of &apos;exotic&apos; matter source located on its throat which was shown to be the simplest member of the previously introduced by us class of lightlike membranes. We introduce and exploit the Kruskal-Penrose description of the original Einstein-Rosen &apos;bridge&apos;. In particular, we explicitly construct closed timelike geodesics on the pertinent Kruskal-Penrose manifold.

  9. Calculus Students&apos; and Instructors&apos; Conceptualizations of Slope: A Comparison across Academic Levels

    Science.gov (United States)

    Nagle, Courtney; Moore-Russo, Deborah; Viglietti, Janine; Martin, Kristi

    2013-01-01

    This study considers tertiary calculus students&apos; and instructors&apos; conceptualizations of slope. Qualitative techniques were employed to classify responses to 5 items using conceptualizations of slope identified across various research settings. Students&apos; responses suggest that they rely on procedurally based conceptualizations of…

  10. Teaching Laura Kipnis&apos;s "Love&apos;s Labors" in "Ways of Reading"

    Science.gov (United States)

    Fike, Matthew A.

    2013-01-01

    This essay describes a method of teaching a very challenging anthology piece: Laura Kipnis&apos;s "Love&apos;s Labors" (chapter 1 of her 2003 "Against Love: A Polemic"). The method, although designed for a critical thinking course, should also provide resources for those who teach Kipnis&apos;s work in writing courses. Using…

  11. Development of complex simulation suite &apos;VEB&apos; and application area expansion - 15326

    International Nuclear Information System (INIS)

    Obraztsov, E.; Kapista, D.; Kremnev, I.; Korokhov, T.; Kukhtevich, V.; Bezlepkin, V.

    2015-01-01

    Complex simulation suite &apos;Virtual Unit of NPP&apos; (CSS &apos;VEB&apos;) is a set of connected software tools and computer codes that allow the simulation of various physical processes occurring in a power nuclear reactor (initially VVER - pressurized water reactor). A coupled computational model developed by means of CSS &apos;VEB&apos; is based on a specific design and called an NPP Virtual Power Unit (VPU). And in November 2012 a pilot version of the Leningrad NPP-2 VPU (NPP-2006 design with water-cooled power reactor) successfully passed acceptance tests. The paper presents further development of CSS &apos;VEB&apos; and application area expansion both on new tasks such as VPU calculations for the Probability Safety Analysis (PSA) and all modeling of other NPP types, like sodium-cooled reactor (that means a possibility to create a VPU not only for NPP with PWR). In the first part of this paper we will recall the basic idea and concept of CSS &apos;VEB&apos; and VPU. Then we will describe the main components of CSS &apos;VEB&apos; and their improvements. In the last part we will briefly describe the broadening of VPU uses

  12. Developing Preschool Teachers&apos; Knowledge of Students&apos; Number Conceptions

    Science.gov (United States)

    Tsamir, Pessia; Tirosh, Dina; Levenson, Esther; Tabach, Michal; Barkai, Ruthi

    2014-01-01

    This article describes a study that investigates preschool teachers&apos; knowledge of their young students&apos; number conceptions and the teachers&apos; related self-efficacy beliefs. It also presents and illustrates elements of a professional development program designed explicitly to promote this knowledge among preschool teachers. Results…

  13. Individual Differences in Children&apos;s and Parents&apos; Generic Language

    Science.gov (United States)

    Gelman, Susan A.; Ware, Elizabeth A.; Kleinberg, Felicia; Manczak, Erika M.; Stilwell, Sarah M.

    2014-01-01

    Generics ("&apos;Dogs&apos; bark") convey important information about categories and facilitate children&apos;s learning. Two studies with parents and their 2- or 4-year-old children (N = 104 dyads) examined whether individual differences in generic language use are as follows: (a) stable over time, contexts, and domains, and (b) linked…

  14. Contributions to the qualification of the &apos;'CRISTAL'&apos; criticality calculi scheme: interpretation of critical experiments. Elaboration of a characterization system of neutronic configurations; Contributions a la qualification du schema de calcul de criticite &apos;'cristal'&apos;: interpretation d&apos;experiences critiques. Elaboration d&apos;un systeme de caracterisation des configurations neutroniques

    Energy Technology Data Exchange (ETDEWEB)

    Gagnier, E

    1999-06-01

    This thesis work is about the validation of the new criticality-safety package CRISTAL and contributes to the modernization and the improvement of the computational tools. The first part presents neutronic elements, the objectives of safety criticality studies and the package CRISTAL. Then, the validation work concerned two series of experiments involving uranyl solutions (UO{sub 2}F{sub 2}) and UO{sub 2} powders. For these experiments, the differences between the computation results and the experimental results were analysed. It was highlighted interesting physical phenomena such of the compensations of errors between the approximate representation by the 99 energy group structure on the first resonance of oxygen and the anisotropy of the diffusion simulation as well as the influence of uranium 234 in high enriched solutions in uranium 235. Once the work of the experimental qualification carried out, raises the question of the use the base of qualification and the &apos;'calculation-experiment'&apos; variations which are referred to it. It is often difficult to establish the link between the &apos;&apos;studied configuration&apos;&apos; and the experiments of the base of qualification. The presented characterisation system proposes to answer in a way automatic and quantified this difficulty: - in bringing an answer on the package qualification for the studied configuration, - in giving an estimate of the package bias. To answer these points, it was defined a set of 35 characteristic neutronic parameters representing the behaviour of the medium. To process the information brought by these parameters and to use it to answer the objectives of the system, we called upon statistical methods (Principal Components Analysis and Sliced Inverse Regression). The results obtained in the feasibility studies showed the relevance of these methods for the considered objectives. (author)

  15. The role of bioenergy in the energy transition. The &apos;&apos;Smart Bioenergy&apos;&apos; concept; Die Rolle der Bioenergie in der Energiewende. Das &apos;&apos;Smart Bioenergy&apos;&apos;-Konzept

    Energy Technology Data Exchange (ETDEWEB)

    Thraen, Daniela [Helmholtz-Zentrum fuer Umweltforschung - UFZ, Leipzig (Germany). Dept. Bioenergie (BEN); DBFZ Deutsches Biomasseforschungszentrum gGmbH, Leipzig (Germany). Bereich Bioenergiesysteme; Seitz, Stefanie B.; Wirkner, Ronny; Nelles, Michael [DBFZ Deutsches Biomasseforschungszentrum gGmbH, Leipzig (Germany). Bereich Bioenergiesysteme

    2016-08-01

    The energy system&apos;s transformation away from fossil and therefore finite resources and ecological harmful use towards renewable energy sources and sustainable forms of usage proceeds. But even after 35 years, the German energy transition has yet not reached its ambitious goals. Moreover, in the recent years the progress has stagnated in certain areas. This is due to the fact that one of the central challenges of the energy system&apos;s changeover to an sole use renewable energy (RE) have not yet mastered: the reliable and stable delivery of RE for all energy dependent sectors starting form electricity via heat to mobility in the face of fluctuating energy sources like sun and wind. Bioenergy with its flexible use of innovative technologies and smart integration in the overall system is therefore vital to grant stability of energy supply. Furthermore, bioenergy can recourse on sustainable resources and may become therefore the backbone of the future bioeconomy. For this purpose an integrative approach is necessary that aligns the aforementioned building blocks in a cohesive whole: the Smart Bioenergy concept - that will be presented here with its elements but also open questions and challenges.

  16. The energy and monetary implications of the &apos;24/7 &apos;always on&apos; society

    Energy Technology Data Exchange (ETDEWEB)

    Loveday, Dennis L. [Department of Civil and Building Engineering, Loughborough University, Loughborough, Leicestershire LE11 3TU (United Kingdom); Bhamra, T.; Tang, T. [Department of Design and Technology, Loughborough University, Loughborough, Leicestershire LE11 3TU (United Kingdom); Haines, V.J.A. [Ergonomics and Safety Research Institute (ESRI), Loughborough University, Loughborough, Leicestershire LE11 3TU (United Kingdom); Holmes, M.J. [ARUP, 13, Fitzroy Street, London W1T 4BR (United Kingdom); Green, R.J. [Institute for Energy Research and Policy, University of Birmingham, Edgbaston, Birmingham B15 2TT (United Kingdom)

    2008-12-15

    This paper reviews the trends in society, technology and energy demand of the past 30 years, together with the growth of the &apos;on-demand&apos; culture. The &apos;24/7&apos; or &apos;always on&apos; society can be defined as one where people demand - and generally receive - what they want &apos;now&apos;. It has grown up in parallel with developments in information technology, which have produced the services needed to meet that demand. Larger numbers of appliances, resulting from greater affluence and disposable income, have increased energy use, despite energy efficiencies in other areas. While monetary factors suggest that changes brought about by the 24/7 society will generally be self-correcting at the macro-economic level, there will nevertheless be effects for individuals, such as potentially severe impacts on the fuel poor as electricity prices rise. We conclude with a view of future directions. As the 24/7 culture continues to grow, there is scope for designers and for information technology to manage and reduce energy consumption. This includes buildings, their services systems, and the mix of new technologies that will be deployed over the next 20 years or so, including the possibilities for data exchange and control at the interface between energy suppliers and consumers, coupled with greater understanding of the behaviour of the consumers themselves. (author)

  17. Rainbow&apos;s stars

    Energy Technology Data Exchange (ETDEWEB)

    Garattini, Remo [Universita degli Studi di Bergamo, Department of Engineering and Applied Sciences, Dalmine, Bergamo (Italy); I.N.F.N.-sezione di Milano, Milan (Italy); Mandanici, Gianluca [Universita degli Studi di Bergamo, Department of Engineering and Applied Sciences, Dalmine, Bergamo (Italy)

    2017-01-15

    In recent years, a growing interest in the equilibrium of compact astrophysical objects like white dwarf and neutron stars has been manifested. In particular, various modifications due to Planck-scale energy effects have been considered. In this paper we analyze the modification induced by gravity&apos;s rainbow on the equilibrium configurations described by the Tolman-Oppenheimer-Volkoff (TOV) equation. Our purpose is to explore the possibility that the rainbow Planck-scale deformation of space-time could support the existence of different compact stars. (orig.)

  18. MSD presents Coalsafe &apos;92

    Energy Technology Data Exchange (ETDEWEB)

    1992-03-01

    In February 1992, the Mine Safety Division of the Chamber of Mines (South Africa), conducted its 1992 coal mine safety programme at the Kriel Club. The article gives a brief account of the workshop on accidents in surface and underground transport and the main address by R.B. Jurd, Chairman of the Collieries Committee of the Chamber of Mines. Mr. Jurd&apos;s address covered aspects such as: the reportable injury rate for 1991 (4.46 per 1000 employees); the link between innovation, productivity and safety; and the need to remain competitive by reducing costs and increasing productivity. 4 photos.

  19. Highly specific &apos;'sensing'&apos; of tryptophan by a luminescent europium(III) complex

    Energy Technology Data Exchange (ETDEWEB)

    Stubenrauch, Jan A.; Mevissen, Christian; Schulte, Marie F.; Bochenek, Steffen; Albrecht, Markus [RWTH Univ. Aachen (Germany). Inst. fuer Organische Chemie; Subramanian, Palani S. [Central Salt and Marine Chemicals, Research Institute (CSRI), Gujarat (India)

    2016-07-01

    The europium(III) complex 1-Cl{sub 3} (S,S-2,2{sup &apos;}-(((1,10-phenanthroline-2,9-diyl)bis(methanylylidene))bis (azanylyliden e))bis(3-methylbutanamide)europiumtrichloride) undergoes, only in the presence of the amino acid tryptophan, a change of emission at 615 nm. In the presence of few equivalents of tryptophan, emission of the europium complex is enhanced while it disappears upon addition of large amounts. This behavior can be assigned to displacement of the sensitizing phenanthroline ligand of 1-Cl{sub 2} x Trp in the latter case.

  20. May Goedel&apos;s Ideas Be Addressed Philosophically?

    Energy Technology Data Exchange (ETDEWEB)

    Dokulil, Milos [Department of Information Technologies, Faculty of Informatics, Masaryk University, Botanicka 68a, 602 00 Brno (Czech Republic)

    2007-11-15

    Goedel emphasised philosophy as an important tool in science. Much less is known about his religious background. We should bear in mind that our evaluational perspective differs very much from the one in which Goedel lived. He was personally sure that there must be another existence after death-an afterlife (&apos;of unlimited life span&apos;). As a &apos;Baptized Lutheran&apos; he did not include &apos;Trinity&apos; in his creed. He was also certain that mind is separate from matter. This text tries to include Libet&apos;s &apos;readiness potential&apos; into the debate concerning the specificity of the mind. Neither Goedel&apos;s identification of materialism with mechanism nor his vision of the &apos;spirit&apos; are a viable solution of the problem.

  1. Measure of the e+e-{yields}bb Cross Section at the LEP Energies; Medida de la seccion eficaz e&apos;'+e'&apos;-{yields}bb a las Energias de LEP

    Energy Technology Data Exchange (ETDEWEB)

    Arce Dubois, P.

    1992-07-01

    In the present work I analyse the data collected during 1990 by the L3 detector, situated in the electron-positron collider LEP. After selecting the events e&apos;'+e'&apos;-{yields} bb through their semileptonic decays into muons, I calculate the cross section for the process e&apos;'+e'&apos;- {yields} bb at different energy points around the mass of the vectorial boson Z, and I measure some parameters of the Standard Model, namely, the Br(b{yields}{mu} ),{gamma}{sub z}n-{yields}bb/{gamma}{sub z}n{yields}had and {gamma}{sub z}n{yields}bb{gamma}{sub z}n{yields}e&apos;'+e'&apos;-. (Author) 26 refs.

  2. Análise computacional da textura de tumores de mama em imagens por ultrassom de pacientes submetidas a cirurgia conservadora Computer-assisted analysis of breast tumors texture on sonographic images of patients submitted to breast-conserving surgery

    Directory of Open Access Journals (Sweden)

    Carolina Maria de Azevedo

    2009-12-01

    Full Text Available OBJETIVO: Avaliar as características de textura de lesões de mama em imagens por ultrassom de pacientes submetidas a cirurgia conservadora que apresentaram, ou não, recidiva. MATERIAIS E MÉTODOS: As imagens de ultrassom de 36 pacientes submetidas a cirurgia conservadora, com 12 tendo apresentado recidiva local e 24 que não apresentaram recidiva no local da cirurgia, foram divididas em: 3 malignas na mama oposta, 7 nódulos benignos, 5 hiperplasias atípicas e 9 alterações fibrocísticas. A textura das lesões foi quantificada utilizando-se dez parâmetros calculados da matriz de coocorrência e da curva de complexidade. Análise discriminante linear foi aplicada aos parâmetros para discriminação de lesões de mama em pacientes submetidas a cirurgia conservadora que apresentaram, ou não, recidiva. RESULTADOS: Avaliando-se a capacidade dos parâmetros em distinguir as recidivas do grupo composto por lesões não recidivas benignas e hiperplasias atípicas, obteve-se especificidade de 100%, com valores de acurácia e sensibilidade superiores a 91%. Num segundo teste, foi possível distinguir as cinco hiperplasias, das lesões não recidivas benignas. CONCLUSÃO: Apesar do número reduzido de casos, os resultados obtidos são encorajadores, sugerindo que o uso da quantificação da textura pode auxiliar na diferenciação entre lesões benignas, hiperplasias atípicas e lesões malignas de origem recidiva.OBJECTIVE: The purpose of this study was to assess the features of breast lesion texture on sonographic images of patients submitted to breast-conserving surgery, with or without tumor recurrence. MATERIALS AND METHODS: Sonographic images of 36 patients submitted to conservative surgery for breast cancer, 12 of them with, and 24 without local recurrence, included 3 contralateral malignant lesions, 7 benign lumps (3 cysts and 4 fibroadenomas, 5 atypical hyperplasias and 9 fibrocystic changes. The quantification of features of breast

  3. Cirurgia do estapédio na residência: experiência do Hospital de Clínicas/UFPR Stapes surgery in residency: the ufpr clinical hospital experience

    Directory of Open Access Journals (Sweden)

    Adriano Ulisses Caldart

    2007-10-01

    Full Text Available A cirurgia do estapédio permanece como tratamento consagrado para a otosclerose. Recentes publicações têm demonstrado que o sucesso cirúrgico nas cirurgias realizadas por médicos residentes tem diminuído e que os resultados audiológicos tem sido piores que os obtidos por cirurgiões experientes. OBJETIVOS: Avaliar a experiência do serviço de otorrinolaringologia do Hospital de Clínicas/UFPR na realização de cirurgias do estapédio no programa de residência médica. MATERIAL E MÉTODO: Estudo retrospectivo de 114 cirurgias do estapédio realizadas nos últimos 9 anos, em 96 pacientes. Os resultados audiométricos foram analisados conforme orientação do Committee on Hearing and Equilibrium e através do Amsterdam Hearing Evaluation Plots, considerando a melhora do gap pós-operatório e de limiares da via aérea. RESULTADOS: Foram incluídos 96 pacientes, na maioria adultos, do sexo feminino (67,7% e caucasianos (93,7%. Em 50,9% dos casos foi realizada estapedectomia, sendo a grande maioria sob anestesia local e sedação (96,5% e utilizando principalmente a prótese de Teflon (37,7%. A taxa de sucesso cirúrgico foi de 50,88%, com 11,4% de complicações. CONCLUSÃO: Os ganhos de audição pós-operatórios considerados como sucesso cirúrgico foram inferiores aos publicados na literatura por cirurgiões experientes.Surgery of the stapedius remains the established treatment for otosclerosis. Recent publications have showed that success in surgeries done by residents have decreased and hearing results are worse than those obtained by experienced otologic surgeons. AIM: To evaluate the experience of the otorhinolaryngology unit, Parana University, relative to stapes surgery done in the residency training program. MATERIAL AND METHOD: A retrospective study of 114 stapes surgeries done in the past 9 years in 96 patients. Audiometric results were analysed according to the Commitee on Hearing and Equilibrium guidelines and the Amsterdam

  4. Efeitos de duas técnicas de incentivo respiratório na mobilidade toracoabdominal após cirurgia abdominal alta Effects of two respiratory incentive techniques on chest wall mobility after upper abdominal surgery

    Directory of Open Access Journals (Sweden)

    Maria Elaine Trevisan

    2010-12-01

    Full Text Available A cirurgia abdominal alta está associada a um risco elevado de complicações pulmonares que podem ser reduzidas pelo uso criterioso de manobras terapêuticas visando a expansão pulmonar. O objetivo foi comparar duas técnicas de incentivo respiratório na recuperação da dinâmica toracoabdominal em pacientes submetidos à cirurgia abdominal alta. O grupo de estudo experimental foi constituído por 16 pacientes internados na Clínica Cirúrgica do Hospital Universitário de Santa Maria distribuídos aleatoriamente em dois grupos: o grupo 1 foi constituído por dez pacientes que usaram o dispositivo Voldyne e o grupo 2, por seis pacientes submetidos ao padrão ventilatório com inspiração fracionada em três tempos. A expansibilidade toracoabdominal foi avaliada por cirtometria antes da cirurgia e no 1º, 3º¸ e 5º dias do pós-operatório (PO. Observou-se redução significativa dos valores de cirtometria no 1º PO que, gradualmente, foram sendo recuperados, não mais havendo diferença significativa no 5o PO em relação aos valores pré-operatórios em ambos os grupos. O grupo 1 obteve significativamente melhores índices de recuperação da mobilidade toracoabdominal do que o grupo 2. Também o tempo de recuperação do grupo 1 atingiu médias mais elevadas durante todo o período de PO investigado. Embora ambas as técnicas utilizadas fossem efetivas, o incentivo inspiratório por meio do Voldyne mostrou melhores resultados na recuperação da expansibilidade pulmonar após cirurgia abdominal alta.Upper abdominal surgery is associated to increased risk of pulmonary complications, which may be lessened by judicious use of therapeutic maneuvers aimed at lung expansion. The purpose here was to compare two respiratory incentive techniques on recovery of thoracic-abdominal dynamics in patients having undergone upper abdominal surgery. Sixteen patients in such condition were randomly divided into group 1 (n=10, who did respiratory training

  5. Uso do implante esférico Medpor ™: análise de 61 cirurgias orbitárias Use of Medpor ™ spherical implant: analysis of 61 orbital surgeries

    Directory of Open Access Journals (Sweden)

    Eurípedes da Mota Moura

    2007-02-01

    Full Text Available OBJETIVO: Analisar o uso do implante biointegrável Medpor™ em cirurgias de evisceração, enucleação ou implantação secundária em cavidades anoftálmicas. MÉTODOS: Em 61 cirurgias foi utilizado o implante orbitário Medpor™ . Em 18 casos de evisceração, não houve necessidade do revestimento do implante. Em 12 cirurgias de enucleação e implantação secundária o material utilizado para revestir o implante foi duramater homóloga. Nas demais 31 cirurgias, o revestimento foi de material autólogo (esclera, derme, músculo orbicular ou cartilagem auricular, utilizando-se a técnica de "solidéu", recobrindo apenas a superfície anterior do Medpor ™ . RESULTADOS: Os pacientes foram operados no período de janeiro/1998 a dezembro/2004, com tempo de seguimento médio de 30 meses. Em todos os casos houve aceitação do implante, permitindo boa adaptação da prótese. Em dois pacientes ocorreu exposição tardia do implante: o primeiro caso foi corrigido pelo reposicionamento do implante na cavidade, e no segundo caso a exposição foi coberta com um retalho de tarso. CONCLUSÕES: Na nossa experiência o implante Medpor ™ apresenta boa aceitação com taxa de exposição pequena do mesmo (apenas 2 casos, nenhum caso de infecção ou migração, e boa adaptação da prótese em todos os pacientes. O uso de tecido autólogo para revestir a superfície anterior do implante elimina o risco inerente ao uso de tecidos homólogos.PURPOSE: To analyze the use of Medpor ™ biointegrated implant in surgeries of evisceration, enucleation or secondary implantation in anophthalmic sockets. METHODS: The Medpor™ orbitary implant was used in 61 surgeries. In 18 cases of evisceration the implant's wrapping was not necessary. In 12 enucleation and secondary implantation surgeries the utilized material to wrap the implant was homologous duramater. In the other 31 surgeries, the implant wrapping was made from autologous tissue (sclera, dermis

  6. Avaliação dos fatores de risco para rabdomiólise no pós - operatório de cirurgia bariátrica.

    OpenAIRE

    SANTOS, I. M.

    2015-01-01

    Introdução: A obesidade é uma doença complexa e multifatorial, cada vez mais prevalente na população mundial. O principal tratamento hoje para essa doença é a cirurgia bariátrica, que apesar dos muitos benefícios trazidos como redução do peso e melhor controle das comorbidades, apresenta importantes riscos pós - operatórios, dentre eles vale ressaltar a rabdomiólise, uma complicação de difícil diagnóstico. Objetivo: Identificar os fatores de risco para desenvolvimento de rabdomiólise (...

  7. Nitrite exhaled breath condensate study in patients undergoing cardiopulmonary bypass cardiac surgery Estudo do nitrito do condensado do exalado pulmonar em pacientes submetidos à cirurgia cardíaca com CEC

    Directory of Open Access Journals (Sweden)

    Viviane dos Santos Augusto

    2011-03-01

    Full Text Available BACKGROUND: There is a relative lack of studies on postoperative changes in nitrite (NO2 - concentrations, a marker of injury, following cardiac surgery. In this context, investigations on how exhaled NO concentrations vary in the postoperative period of cardiac surgery will certainly contribute to new clinical findings. OBJECTIVE: The objective of this study was to compare the EBC NO levels in both the pre and postoperative (24 hours periods of cardiac surgery. METHODS: Twenty - eight individuals were divided into three groups: 1 control, 2 coronary artery bypass grafting, and 3 valve surgery. The nitrite (NO2 - levels were measured by chemiluminescence in blood samples and exhaled breath condensate (EBC. Data were analyzed by the Mann - Whitney and Wilcoxon tests. RESULTS: 1 Preoperatively, the EBC NO2 - levels from groups 2 and 3 patients were higher than control individuals; 2 The postoperative (24 hours NO2 - levels in the EBC from group 3 patients were lower compared with preoperative values; 3 The NO2 - levels in the plasma from group 2 patients were lower in the preoperative compared with the postoperative (24h values and; 4 Preoperatively, there was no difference between groups 2 and 3 in terms of plasma NO2 - concentrations. CONCLUSION: These data suggest that NO measurement in EBC is feasible in cardiac surgery patients.INTRODUÇÃO: Estudos mostrando alterações das concentrações de nitrito (NO2 - exalado, com biomarcador de lesão, são raros em pacientes submetidos à cirurgia cardíaca. Nesse contexto, o seu estudo no pré e pós - operatório de cirurgias cardíacas poderá contribuir para novos dados clínicos. OBJETIVO: O objetivo foi comparar os níveis de nitrito (NO2 - do condensado do exalado pulmonar (CEP no pré e pós - operatório de cirurgia cardíaca com circulação extracorpórea. MÉTODOS: Vinte e oito indivíduos foram alocados em três grupos: 1 controle, 2 revascularização do miocárdio e 3 corre

  8. Comprometimento do plexo braquial na cirurgia cardíaca para revascularização do miocárdio por esternotomia mediana: avaliação clínica

    OpenAIRE

    ATRA,MAURO; GABBAI,ALBERTO ALAIN

    1999-01-01

    Para avaliar o plexo braquial na cirurgia cardíaca por esternotomia mediana para revascularização do miocárdio acompanhamos clinicamente 113 pacientes (87 homens e 26 mulheres) no pré-operatório e entre o 5º e 8º dia pós-operatório. Do total dos pacientes, em 65 foi utilizada a artéria torácica interna. Não foi realizado exame de eletroneuromiografia. Encontramos lesão do plexo braquial em três pacientes, sendo que apenas em um foi utilizada a artéria torácica interna. Acreditamos que fatores...

  9. Avaliação do desempenho da tecnologia NeoSoniX TM em cirurgias de catarata Performance evaluation of NeoSoniX TM technology in cataract surgery

    Directory of Open Access Journals (Sweden)

    Leonardo Akaishi

    2006-06-01

    Full Text Available OBJETIVOS: As técnicas e resultados da cirurgia de catarata melhoraram drasticamente com o avanço tecnológico. Um dos motivos para melhoria seria a menor utilização de ultra-som com novos aparelhos de facoemulsificação. O objetivo deste estudo é confirmar na prática a vantagem teórica da caneta NeoSoniX TM. MÉTODOS: Foi realizada uma análise na qual os autores compararam resultados dos parâmetros registrados pelo aparelho de facoemulsificação Legacy durante 300 cirurgias de catarata realizadas com caneta de ultra-som (handpiece convencional e 100 com a caneta NeoSoniX TM. Todas as cirurgias foram realizadas pelo mesmo cirurgião, com a mesma técnica cirúrgica. A escolha da "handpiece" foi aleatória, sendo comparadas, em relação ao grau de dureza das cataratas, os parâmetros de tempo do ultra-som, quantidade de solução salina balanceada e porcentagem de "average power" utilizadas durante as cirurgias. RESULTADOS: Foi realizada análise retrospectiva numa série cronológica de casos, mostrando que em qualquer que seja o grau de dureza da catarata, o tempo de utilização do ultra-som com a caneta NeoSoniX foi inferior ao da caneta convencional (pPURPOSE: The techniques and results of cataract surgery have improved dramatically with technological advancements. One of the reasons for this improvement would be the reduced use of ultrasound with the new phacoemulsification devices. The objective of this study is to confirm the theoretical advantage of the NeoSoniX handpiece. METHODS: The authors compared the results of the parameters recorded by the Legacy phacoemulsification system during 300 cataract surgeries performed with the use of the conventional ultrasound handpiece and 100 performed with the innovative NeosonixTM. All surgeries were performed by the same senior surgeon, using the same surgical technique. The choice of handpiece was random. The handpieces were compared considering cataract grade of hardness, in

  10. Perfil clínico da resposta inflamatória sistêmica após cirurgia cardíaca pediátrica com circulação extracorpórea

    OpenAIRE

    Soares, Leonardo Cavadas da Costa; Ribas, Denise; Spring, Regine; Silva, Jean Marcelo Ferreira da; Miyague, Nelson Itiro

    2010-01-01

    FUNDAMENTO: O pós-operatório de correção de cardiopatias congênitas frequentemente é acompanhado por resposta inflamatória sistêmica. OBJETIVO: Avaliar a frequência e as manifestações clínicas da síndrome de resposta inflamatória sistêmica após circulação extracorpórea (SRIS-CEC) em crianças submetidas à cirurgia cardíaca. MÉTODOS: Coorte histórico incluindo pacientes com até 3 anos de idade, submetidos à correção cirúrgica eletiva de cardiopatias congênitas com utilização de circulação extra...

  11. Comparação de critérios diagnósticos de insuficiência renal aguda em cirurgia cardíaca Comparison of diagnostic criteria for acute kidney injury in cardiac surgery

    Directory of Open Access Journals (Sweden)

    Márcio Campos Sampaio

    2013-01-01

    Full Text Available FUNDAMENTO: Há grande controvérsia quanto ao diagnóstico de Insuficiência Renal Aguda (IRA, existindo mais de 30 diferentes definições. OBJETIVO: Avaliar a incidência e os fatores de risco para desenvolvimento de IRA no pós-operatório de cirurgia cardíaca de acordo com os critérios RIFLE, AKIN e KDIGO, e comparar o poder prognóstico desses critérios. MÉTODOS: Estudo de corte transversal que incluiu 321 pacientes (62 [53 - 71] anos, 140 homens consecutivamente submetidos a cirurgia cardíaca entre junho de 2011 e janeiro de 2012. Os pacientes foram acompanhados por 30 dias, com vistas ao desenvolvimento de um desfecho composto (mortalidade, necessidade de diálise e internação prolongada. RESULTADOS: A incidência de IRA variou de 15% - 51%, conforme o critério diagnóstico adotado. Enquanto a idade se associou ao risco de IRA nos três critérios, houve variação nos demais determinantes. Durante o acompanhamento, 89 pacientes apresentaram o desfecho e todos os critérios se associaram ao risco aumentado na análise Cox univariada e após o ajuste para idade, sexo, diabetes e tipo de cirurgia. Contudo, após novo ajuste para tempo de circulação extracorpórea e presença de baixo débito cardíaco, apenas o diagnóstico de IRA pelo critério KDIGO manteve esta associação significativa (HR= 1,89 [95% IC: 1,18 - 3,06]. CONCLUSÕES: A incidência e os fatores de risco para IRA pós-cirurgia cardíaca têm grande variação de acordo com os critérios diagnósticos utilizados. Em nossa análise, o critério KDIGO se mostrou superior ao AKIN e ao RIFLE quanto ao seu poder prognóstico.BACKGROUND: There is considerable controversy regarding the diagnosis of Acute Kidney Injury (AKI, and there are over 30 different definitions. OBJECTIVE: To evaluate the incidence and risk factors for the development of AKI following cardiac surgery according to the RIFLE, AKIN and KDIGO criteria, and compare the prognostic power of these criteria

  12. Caracterização da perda de peso, da ingestão dietética e implicações clínico-nutricionais decorrentes da cirurgia bariátrica

    OpenAIRE

    Costa, Mariane Oliveira

    2007-01-01

    A obesidade é considerada uma doença complexa, de múltiplas etiologias e capaz de constituir um problema de saúde pública, assim como um dilema clínico importante. A cirurgia bariátrica, apesar de sua natureza invasiva, vem apresentando taxa de sucesso no tratamento da obesidade mórbida, promovendo perda de peso significativa e facilitando sua manutenção. Um dos insucessos da manutenção da perda de peso, promovida por várias terapias de redução de peso, está relacionado com a redução do gasto...

  13. SKI&apos;s and SSI&apos;s review of SKB&apos;s safety report SR-Can

    Energy Technology Data Exchange (ETDEWEB)

    Dverstorp, Bjoern; Stroemberg, Bo (and others)

    2008-03-15

    This report summarises SKI&apos;s and SSI&apos;s joint review of the Swedish Nuclear Fuel and Waste Management Co&apos;s (SKB) safety report SR-Can (SKB TR-06-09). SR-Can is the first assessment of post-closure safety for a KBS-3 spent nuclear fuel repository at the candidate sites Forsmark and Laxemar, respectively. The analysis builds on data from the initial stage of SKB&apos;s surface-based site investigations and on data from full-scale manufacturing and testing of buffer and copper canisters. SR-Can can be regarded as a preliminary version of the safety report that will be required in connection with SKB&apos;s planned licence application for a final repository in late 2009. The main purpose of the authorities&apos; review is to provide feedback to SKB on their safety reporting as part of the pre-licensing consultation process. However, SR-Can is not part of the formal licensing process. In support of the authorities&apos; review three international peer review teams were set up to make independent reviews of SR-Can from three perspectives, namely integration of site data, repre