WorldWideScience

Sample records for tb alto comisionado

  1. Alto a la tuberculosis en mi generación: Un llamado a un mundo libre de tuberculosis. Podcast del Día Mundial de la Tuberculosis del 2013 (Stop TB in My Lifetime: A Call for a World Free of TB World TB Day 2013)

    Centers for Disease Control (CDC) Podcasts

    2012-03-12

    En este podcast el doctor Kenneth Castro, Director de la División de Eliminación de la Tuberculosis, habla sobre el Día Mundial de la Tuberculosis, así como del tema y eslogan de este año.  Created: 3/12/2012 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 3/13/2012.

  2. TB Terms

    Science.gov (United States)

    ... sputum can also be used to do a culture. TB blood test – a test that uses a blood sample to find out if you are infected with TB bacteria. The test measures the response to TB proteins when they are mixed with a small amount of blood. Examples of these TB blood tests include QuantiFERON ® -TB ...

  3. Testing for TB Infection

    Science.gov (United States)

    ... Adverse Events TB Treatment of Persons Living with HIV TB Treatment and Pregnancy TB Treatment for Children Drug-Resistant TB Research TB Epidemiologic Studies Consortium Research Projects Publications TB Trials Consortium Study ...

  4. Altos penachos de escarcha

    OpenAIRE

    Josa, Lola; Lambea, Mariano

    2008-01-01

    El documento contiene la composición titulada “Altos penachos de escarcha”, perteneciente al Manojuelo Poético-Musical de Nueva York, recopilación manuscrita de piezas poético-musicales de los siglos XVII y XVIII que se conserva en la biblioteca de The Hispanic Society of America (New York) bajo la signatura Ms. HC. 380/821a. Se ofrece la partitura con la transcripción musical a notación moderna, la edición anotada del poema y todos aquellos datos que ha sido posible averiguar sobre cada piez...

  5. y El Alto, Bolivia

    Directory of Open Access Journals (Sweden)

    León Darío Parra Bernal

    2013-01-01

    Full Text Available En el presente caso de estudio se analiza la empresarialidad informal como un reto de política pública y económica. Para ello, se efectuaron 20 entrevistas en profundidad a microempresarios y comerciantes del sector informal en las ciudades de La Paz y El Alto, en Bolivia en 2010, y a 3 funcionarios públicos de instituciones de apoyo al fomento empresarial en el mismo país. La principal reflexión giró en torno al establecimiento de que los empresarios informales poseen un elevado nivel de influencia en la efectividad de las políticas públicas implementadas para su sector, así como en los mecanismos que se han utilizado en Bolivia para incluirlos en el proceso.

  6. Treatment: Latent TB Infection (LTBI) and TB Disease

    Science.gov (United States)

    ... Adverse Events TB Treatment of Persons Living with HIV TB Treatment and Pregnancy TB Treatment for Children Drug-Resistant TB Research TB Epidemiologic Studies Consortium Research Projects Publications TB Trials Consortium Study ...

  7. Tuberculosis Facts - Exposure to TB

    Science.gov (United States)

    Tuberculosis (TB) Facts Exposure to TB What is TB? “TB” is short for a disease called tuberculosis. TB is spread through the air from one ... Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination

  8. Tuberculosis Facts - Testing for TB

    Science.gov (United States)

    Tuberculosis (TB) Facts Testing for TB What is TB? “TB” is short for a disease called tuberculosis. TB is spread through the air from one ... Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination

  9. Find TB. Treat TB. Working together to eliminate TB.

    Centers for Disease Control (CDC) Podcasts

    2014-02-26

    In this podcast, Dr. Sundari Mase, Medical Team Lead in the Field Services and Evaluation Branch in the Division of Tuberculosis Elimination, discusses World TB Day and the 2014 theme.  Created: 2/26/2014 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 2/26/2014.

  10. Mycobacteria and TB

    National Research Council Canada - National Science Library

    Kaufmann, S. H. E. (Stephan H. E.); Hahn, Helmut

    2003-01-01

    .... Scientists investigating the epidemiology, immunology and molecular biology of TB or engaged in vaccine and drug development as well as physicians and social workers treating TB patients will benefit...

  11. Multidrug-resistant pulmonary tuberculosis in Los Altos, Selva and Norte regions, Chiapas, Mexico.

    Science.gov (United States)

    Sánchez-Pérez, H J; Díaz-Vázquez, A; Nájera-Ortiz, J C; Balandrano, S; Martín-Mateo, M

    2010-01-01

    To analyse the proportion of multidrug-resistant tuberculosis (MDR-TB) in cultures performed during the period 2000-2002 in Los Altos, Selva and Norte regions, Chiapas, Mexico, and to analyse MDR-TB in terms of clinical and sociodemographic indicators. Cross-sectional study of patients with pulmonary tuberculosis (PTB) from the above regions. Drug susceptibility testing results from two research projects were analysed, as were those of routine sputum samples sent in by health personnel for processing (n = 114). MDR-TB was analysed in terms of the various variables of interest using bivariate tests of association and logistic regression. The proportion of primary MDR-TB was 4.6% (2 of 43), that of secondary MDR-TB was 29.2% (7/24), while among those whose history of treatment was unknown the proportion was 14.3% (3/21). According to the logistic regression model, the variables most highly associated with MDR-TB were as follows: having received anti-tuberculosis treatment previously, cough of >3 years' duration and not being indigenous. The high proportion of MDR cases found in the regions studied shows that it is necessary to significantly improve the control and surveillance of PTB.

  12. Questions and Answers about TB

    Science.gov (United States)

    ... disease. Introduction Testing and Treatment TB Disease Glossary Introduction Introduction What is TB? Why is TB still ... chest x-ray is made by exposing a film to x-rays that pass through the chest. ...

  13. TB in Captive Elephants

    Centers for Disease Control (CDC) Podcasts

    2017-04-27

    Dr. Barry Kreiswirth, founding director of the Public Health Research Institute, TB Center, at Rutgers University, discusses TB in three captive elephants.  Created: 4/27/2017 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 4/27/2017.

  14. Tuberculosis Facts - TB and HIV/AIDS

    Science.gov (United States)

    Tuberculosis (TB) Facts TB and HIV/AIDS What is TB? “TB” is short for a disease called tuberculosis. TB is spread through the air from one ... Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination

  15. HIV and Tuberculosis (TB)

    Science.gov (United States)

    ... AIDS Drugs Clinical Trials Apps skip to content HIV and Opportunistic Infections, Coinfections, and Conditions Home Understanding ... 4 p.m. ET) Send us an email HIV and Tuberculosis (TB) Last Reviewed: June 14, 2018 ...

  16. Tuberculosis (TB): Treatment

    Science.gov (United States)

    ... Education & Training Home Conditions Tuberculosis (TB) Tuberculosis: Treatment Tuberculosis: Treatment Make an Appointment Refer a Patient Ask ... or bones is treated longer. NEXT: Preventive Treatment Tuberculosis: Diagnosis Tuberculosis: History Clinical Trials For more than ...

  17. Tuberculosis Facts - You Can Prevent TB

    Science.gov (United States)

    Tuberculosis (TB) Facts You Can Prevent TB What is TB? “TB” is short for a disease called tuberculosis. TB is spread through the air from one ... Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination TB Facts: You Can Prevent TB What ...

  18. Tuberculosis Facts - TB Can Be Treated

    Science.gov (United States)

    Tuberculosis (TB) Facts TB Can Be Treated What is TB? “TB” is short for a disease called tuberculosis. TB is spread through the air from one ... Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination Page 1 of 2 TB Facts: TB ...

  19. TB or not TB?: a case of isolated testicular TB with scrotal involvement.

    LENUS (Irish Health Repository)

    Bhargava, A

    2009-06-01

    Despite the genitourinary tract being the most common site affected by extrapulmonary TB, isolated testicular TB remains a rare clinical entity. In patients with co-morbidities such as hepatic impairment, treatment proves a challenge, as first-line hepatotoxic pharmaceuticals are contraindicated. Here, we report a case of isolated testicular TB with scrotal involvement, on a background of hepatic dysfunction.

  20. Detectemos la TB. Tratemos la TB. Trabajemos juntos para eliminar la TB. (Find TB. Treat TB. Working together to eliminate TB.)

    Centers for Disease Control (CDC) Podcasts

    2014-02-26

    Este podcast trata sobre el Día Mundial de la Tuberculosis y el tema de los CDC para el año 2014.  Created: 2/26/2014 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 2/26/2014.

  1. Litigation as TB Rights Advocacy

    Science.gov (United States)

    2016-01-01

    Abstract One thousand people die every day in India as a result of TB, a preventable and treatable disease, even though the Constitution of India, government schemes, and international law guarantee available, accessible, acceptable, quality health care. Failure to address the spread of TB and to provide quality treatment to all affected populations constitutes a public health and human rights emergency that demands action and accountability. As part of a broader strategy, health activists in India employ Public Interest Litigation (PIL) to hold the state accountable for rights violations and to demand new legislation, standards for patient care, accountability for under-spending, improvements in services at individual facilities, and access to government entitlements in marginalized communities. Taking inspiration from right to health PIL cases (PILs), lawyers in a New Delhi-based rights organization used desk research, fact-findings, and the Right To Information Act to build a TB PIL for the Delhi High Court, Sanjai Sharma v. NCT of Delhi and Others (2015). The case argues that inadequate implementation of government TB schemes violates the Constitutional rights to life, health, food, and equality. Although PILs face substantial challenges, this paper concludes that litigation can be a crucial advocacy and accountability tool for people living with TB and their allies. PMID:27781000

  2. Biomarkers of latent TB infection

    DEFF Research Database (Denmark)

    Ruhwald, Morten; Ravn, Pernille

    2009-01-01

    For the last 100 years, the tuberculin skin test (TST) has been the only diagnostic tool available for latent TB infection (LTBI) and no biomarker per se is available to diagnose the presence of LTBI. With the introduction of M. tuberculosis-specific IFN-gamma release assays (IGRAs), a new area...... of in vitro immunodiagnostic tests for LTBI based on biomarker readout has become a reality. In this review, we discuss existing evidence on the clinical usefulness of IGRAs and the indefinite number of potential new biomarkers that can be used to improve diagnosis of latent TB infection. We also present...... early data suggesting that the monocyte-derived chemokine inducible protein-10 may be useful as a novel biomarker for the immunodiagnosis of latent TB infection....

  3. Altos custos financeiros do trauma vascular

    Directory of Open Access Journals (Sweden)

    Ricardo Costa-Val

    Full Text Available OBJETIVO: Demonstrar o custo e impacto financeiro referente à primeira abordagem cirúrgica das lesões vasculares em pacientes admitidos no Hospital João XXIII/FHEMIG, entre os anos de 2004 a 2006. MéTODOS: Trata-se de um estudo com aprovação ética, retrospectivo, de coorte e descritivo realizado a partir da auditoria de contas hospitalares referentes a 70 prontuários catalogados pelo Serviço de Trauma Cardiovascular. RESULTADOS: Cinco (7,14% prontuários foram excluídos por má qualidade técnica. O valor monetário repassado pelo Sistema Único de Saúde e pelo setor privado foram de R$ 103.614,96 (US$ 60.949,97 e de R$ 185.888,21 (US$ 109.346,0, respectivamente, implicando em defasagem potencial de 44%. Houve correlação direta entre custos e topografia anatômica das lesões e exponencial em relação às variáveis hemoderivados e próteses vasculares. CONCLUSÃO: Este estudo corrobora os altos custos do trauma vascular e fortalece a importância da auditoria de contas para as tomadas de decisões médicas.

  4. Criterios para identificar patolog?as de alto costo en Colombia

    OpenAIRE

    Cuenta de alto costo, MinSalud

    2010-01-01

    Al identificar posibles pacientes de alto costo se debe definir si existen caracter?sticas que determinan su comportamiento como pacientes de alto costo, para definir si dicha patolog?a puede considerarse como Enfermedad de Alto Costo en Colombia.

  5. TB in Children in the United States

    Science.gov (United States)

    ... Regimen for Latent TB Infection-Patient Education Brochure Posters Mantoux Tuberculin Skin Test Wall Chart World TB ... site? Adobe PDF file Microsoft PowerPoint file Microsoft Word file Microsoft Excel file Audio/Video file Apple ...

  6. Extensively Drug-Resistant TB

    Centers for Disease Control (CDC) Podcasts

    2016-12-16

    Dr. Charlotte Kvasnovsky, a surgery resident and Ph.D. candidate in biostatistics, discusses various types of drug resistance in TB patients in South Africa.  Created: 12/16/2016 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 12/16/2016.

  7. TB in Wild Asian Elephants

    Centers for Disease Control (CDC) Podcasts

    2017-05-10

    Dr. Susan Mikota, co-founder of Elephant Care International, discusses TB in wild Asian elephants.  Created: 5/10/2017 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 5/10/2017.

  8. Community Involvement in TB Research

    NARCIS (Netherlands)

    M. van der Werf (Marloes); S.G. Heumann (Silke); E.M.H. Mitchell

    2011-01-01

    textabstractWhile communities at risk have been both drivers and partners in HIV research, their important role in TB research is yet to be fully realized. Involvement of communities in tuberculosis care and prevention is currently on the international agenda. This creates opportunities and

  9. Casas de altos en Concepción

    Directory of Open Access Journals (Sweden)

    Rodrigo Fischer Pérez

    1990-06-01

    Full Text Available La casa de altos es una construcción eminentemente urbana. Pareada junto a otras construcciones, va formando bordes continuos, cuyos primeros pisos son generalmente comerciales y los superiores habitacionales.

  10. Measurement of 160Tb and 161Tb in nuclear forensics samples

    International Nuclear Information System (INIS)

    Jiang, J.; Davies, A.V.; Britton, R.E.

    2017-01-01

    160 Tb and 161 Tb are important radionuclides to measure when analysing a Nuclear Forensics sample. An analytical method for the measurement of both 160 Tb and 161 Tb was developed in this study. Terbium was separated and purified using exchange resin and TrisKem LN Resin. The purified fraction containing 160 Tb and 161 Tb was measured by gamma spectrometry and liquid scintillation counting. The counting efficiencies of 160 Tb and 161 Tb were determined using the CIEMAT/NIST efficiency tracing method. The LSC count rate ratio, R160 Tb /R161 Tb , on the reference date was determined by sequential counting and calculated using a custom script based on their half-lives. (author)

  11. Prospective use of soluble urokinase plasminogen activator receptor to screen TB co-infected with HIV patient among TB patient

    Directory of Open Access Journals (Sweden)

    Tri Yudani Mardining Raras

    2017-10-01

    Conclusion: Plasma suPAR level of TB patients co-infected with HIV showed significantly difference from that of TB-AFB(+ patients suggested its potential to screen the TB/HIV among pulmonary TB-AFB(+ patients.

  12. Diseño de una Fuente de Alto Voltaje

    Directory of Open Access Journals (Sweden)

    José Enrique Eirez Izquierdo

    2013-10-01

    Full Text Available Este documento presenta las experiencias en el diseño de una fuente de alto voltaje, basada en multiplicadores de media onda. La fuente garantizará un voltaje de salida en el orden de 102 V y una corriente en el orden de 10-3 A. Se muestran y analizan resultados experimentales encaminados a su aplicación en la alimentación de un generador de pulsos de alto voltaje.

  13. Heightened vulnerability to MDR-TB epidemics after controlling drug-susceptible TB.

    Directory of Open Access Journals (Sweden)

    Jason D Bishai

    2010-09-01

    Full Text Available Prior infection with one strain TB has been linked with diminished likelihood of re-infection by a new strain. This paper attempts to determine the role of declining prevalence of drug-susceptible TB in enabling future epidemics of MDR-TB.A computer simulation of MDR-TB epidemics was developed using an agent-based model platform programmed in NetLogo (See http://mdr.tbtools.org/. Eighty-one scenarios were created, varying levels of treatment quality, diagnostic accuracy, microbial fitness cost, and the degree of immunogenicity elicited by drug-susceptible TB. Outcome measures were the number of independent MDR-TB cases per trial and the proportion of trials resulting in MDR-TB epidemics for a 500 year period after drug therapy for TB is introduced.MDR-TB epidemics propagated more extensively after TB prevalence had fallen. At a case detection rate of 75%, improving therapeutic compliance from 50% to 75% can reduce the probability of an epidemic from 45% to 15%. Paradoxically, improving the case-detection rate from 50% to 75% when compliance with DOT is constant at 75% increases the probability of MDR-TB epidemics from 3% to 45%.The ability of MDR-TB to spread depends on the prevalence of drug-susceptible TB. Immunologic protection conferred by exposure to drug-susceptible TB can be a crucial factor that prevents MDR-TB epidemics when TB treatment is poor. Any single population that successfully reduces its burden of drug-susceptible TB will have reduced herd immunity to externally or internally introduced strains of MDR-TB and can experience heightened vulnerability to an epidemic. Since countries with good TB control may be more vulnerable, their self interest dictates greater promotion of case detection and DOTS implementation in countries with poor control to control their risk of MDR-TB.

  14. TB control programmes: the challenges for Africa.

    Science.gov (United States)

    Harries, T

    1996-11-01

    Governmental neglect of tuberculosis (TB), inadequately managed and inaccurately designed TB control programs, population growth, and the HIV epidemic account for the resurgence of TB in sub-Saharan Africa. The World Health Organization and the International Union against TB and Lung Disease have developed a TB control strategy that aims to reduce mortality, morbidity, and transmission of TB. It aims for an 85% cure rate among detected new cases of smear-positive TB and a 70% rate of detecting existing smear-positive TB cases. The strategy involves the provision of short-course chemotherapy (SCC) to all identified smear-positive TB cases through directly observed treatment (DOTS). SCC treatment regimens for smear-positive pulmonary TB recommended for sub-Saharan African countries are: initial phase = daily administration over 2 months of streptomycin, rifampicin, isoniazid, and pyrazinamide; continuation phase = 3 doses over 4 months of isoniazid and rifampicin or daily administration of thiacetazone and isoniazid or of ethambutol and isoniazid. A TB control policy must be implemented to bring about effective TB control. The essential elements of this policy include political commitment, case detection through passive case-finding, SCC, a regular supply of essential drugs, and a monitoring and evaluation system. Political commitment involves establishing a National TB Control Program to be integrated into the existing health structure. Increased awareness of TB in the community and among health workers and a reference laboratory are needed to make case finding successful. A distribution and logistics system is needed to ensure uninterrupted intake of drugs throughout treatment. These regimens have been very successful and cost-effective but pose several disadvantages (e.g., heavy workload of recommended 3 sputum smear tests). A simplified approach involves 1 initial sputum smear for 6 months; 6-months, intermittent rifampicin-based therapy, 100% DOTS throughout

  15. Colombia: Issues for Congress

    Science.gov (United States)

    2007-11-09

    information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports...Jane’s Sentinel Security Assessment, August 24, 2006; Oficina Alto Comisionado de la Paz, “Desmovilizaciones colectivas de las autodefensas,” July 28, 2006...la Oficina del Alto Comisionado por los miembros representantes de los grupos armados al margen de la ley desmovilizados colectivamente solicitados en

  16. Liderazgo servidor y equipos de alto desempeño

    OpenAIRE

    Mejía Villegas, Estefanía

    2015-01-01

    El objetivo de este ensayo es mostrar cómo el liderazgo servidor influye positivamente en el desarrollo de los equipos de alto desempeño. En el ensayo se desarrollan la temática del liderazgo servidor y su principal objetivo, a la vez que se describen las características de un equipo de alto desempeño y sus etapas de desarrollo, cómo son influenciadas por el liderazgo servidor y cómo este modelo puede cumplir con sus requerimientos. 

  17. Technical and scientific report of the Alto project; Rapport scientifique et technique du projet ALTO

    Energy Technology Data Exchange (ETDEWEB)

    Essabaa, S.; Gardes, D.; Grialou, D.; Ibrahim, F.; Le Scornet, J.C

    2002-07-01

    The Alto project means the installation of an electron linear accelerator inside the experimental area of the tandem accelerator of the nuclear physics institute of Orsay (IPNO, France). This linear accelerator comes from CERN where it was operating as a pre-injector for LEP. This equipment will allow IPNO'teams to perform fast kinetics studies in a domain different from that of ELYSE accelerator. The time resolution will not be as high as that of ELYSE (picosecond) but will be sufficient (microsecond) to produce free radicals in aqueous and gaseous media. The main expectations of this installation can be classified according 3 axis: 1) basic research (mainly the study of nuclear matter through photo-fission, 2) research and development of accelerators (by providing a test bench for new high frequency systems and superconducting components), and 3) applied research for industry concerning: biochemistry under irradiation, radiation sensibility, DNA breaking, food and drug sterilization and behaviour of electronic components under irradiation. This rapport details the research program that could be achieved with this equipment, describes its contributions in terms of economic development, cooperation with industry, student training, and specifies the needed investment and the operating and maintenance costs. (A.C.)

  18. Why healthcare workers are sick of TB

    Directory of Open Access Journals (Sweden)

    Arne von Delft

    2015-03-01

    Full Text Available Dr Thato Mosidi never expected to be diagnosed with tuberculosis (TB, despite widely prevalent exposure and very limited infection control measures. The life-threatening diagnosis of primary extensively drug-resistant TB (XDR-TB came as an even greater shock. The inconvenient truth is that, rather than being protected, Dr Mosidi and thousands of her healthcare colleagues are at an increased risk of TB and especially drug-resistant TB. In this viewpoint paper we debunk the widely held false belief that healthcare workers are somehow immune to TB disease (TB-proof and explore some of the key factors contributing to the pervasive stigmatization and subsequent non-disclosure of occupational TB. Our front-line workers are some of the first to suffer the consequences of a progressively more resistant and fatal TB epidemic, and urgent interventions are needed to ensure the safety and continued availability of these precious healthcare resources. These include the rapid development and scale-up of improved diagnostic and treatment options, strengthened infection control measures, and focused interventions to tackle stigma and discrimination in all its forms. We call our colleagues to action to protect themselves and those they care for.

  19. Promising therapy of XDR-TB/MDR-TB with thioridazine an inhibitor of bacterial efflux pumps

    DEFF Research Database (Denmark)

    Amaral, L; Martins, M; Viveiros, M

    2008-01-01

    -TB) - a M. tuberculosis organism that is resistant to the most effective second line drugs available for the treatment of TB. This review provides detailed, significant evidence that supports the use of an old neuroleptic compound, thioridazine (TZ), for the management of MDR-TB and XDR-TB infections...... therapy predictably ineffective and death is inevitable, compassionate therapy with TZ should be contemplated. The risks are small and the rewards great....

  20. Stop TB in My Lifetime: A Call for a World Free of TB - World TB Day 2013

    Centers for Disease Control (CDC) Podcasts

    2012-03-12

    In this podcast Dr. Kenneth Castro, Director of the Division of Tuberculosis Elimination, discusses World TB Day, the 2013 slogan and theme.  Created: 3/12/2012 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 3/13/2012.

  1. The association between ARV and TB drug resistance on TB treatment outcome among Kazakh TB/HIV patients.

    Science.gov (United States)

    Mishkin, Kathryn; Alaei, Kamiar; Alikeyeva, Elmira; Paynter, Christopher; Aringazina, Altyn; Alaei, Arash

    2018-02-26

    TB drug resistance poses a serious threat to the public health of Kazakhstan. This paper presents findings related to TB treatment outcome and drug resistant status among people coinfected with HIV and TB in Kazakhstan. Cohort study using data were provided by the Kazakhstan Ministry of Health's National Tuberculosis Program for 2014 and 2015. Chi-square and logistical regression were performed to understand factors associated with drug resistant TB status and TB treatment outcome. In bivariate analysis, drug resistant status was significantly associated with year of TB diagnosis (p=0.001) viral load (p=0.03). TB treatment outcome was significantly associated with age at diagnosis (p=01), ARV treatment (p <0.0001), and TB drug resistant status (p=0.02). In adjusted analysis, drug resistance was associated with increased odds of successful completion of treatment with successful result compared to treatment failure (OR 6.94, 95% CI: 1.39-34.44) CONCLUSIONS: Our results suggest that being drug resistant is associated with higher odds of completing treatment with successful outcome, even when controlling for receipt of ARV therapy. Copyright © 2018. Published by Elsevier Ltd.

  2. Extensively Drug-Resistant Tuberculosis (XDR TB)

    Science.gov (United States)

    ... TB Reference Laboratory Network, the National TB Surveillance System in the United States, the national reference laboratory of South Korea, and ... capacity in the U.S. and abroad; and Developing education, risk, and media communications ... – United States, 1993–2006 CDC. CDC’s Role in Preventing XDR ...

  3. TB Testing for People Living with HIV

    Centers for Disease Control (CDC) Podcasts

    2012-07-23

    Dr. Kenneth Castro, Director of the Division of Tuberculosis Elimination, explains why it is important for people living with HIV to be tested for TB.  Created: 7/23/2012 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 7/23/2012.

  4. Understanding social context on TB cases

    Science.gov (United States)

    Ariyanto, Y.; Wati, D. M.

    2017-01-01

    Tuberculosis (TB) nowadays still becomes one of the world’s deadliest communicable disease. More than half were in South-East Asia and Western Pacific Regions, including Indonesia. As developing country, Indonesia remains classic problems in overcoming TB, that is discontinuation on treatment. Most of discontinuation on treatment among TB patients are affected by diagnostic delay that caused by patient delay. These phenomena occur in many areas, rural to suburb, coastal to plantation, and so on, and they are related with social context among community that could be social capital for each community to deal with TB. Jember as one of county in East Java is known as plantation area. It also has a high prevalence of TB. This study focused on understanding about social context among community, especially on plantation area. This cross-sectional study involved in three districts of Jember, those are Tanggul, Pakusari, and Kalisat. The data were obtained directly from the TB patients, local community, and Primary Health Care (PHC) where the patients recorded. Spatial analysis and social network analysis (SNA) were applied to obtain health seeking behavior pattern among the TB patients coincide the community. Most of TB patients had already chosen health professionals to lead the treatment, although some of them remained to choose self-medication. Meanwhile, SNA showed that religious leader was considered as main part of countermeasures of TB. But they didn’t ever become central figures. So it can be concluded that there are other parts among community who can contribute due to combatting on TB.

  5. HIV/TB co-infection:perspectives of TB patients and providers on the integrated HIV/TB pilot program in Tamilnadu, India

    OpenAIRE

    Lakshminarayanan, Mahalakshmi

    2009-01-01

    The WHO recommends routine HIV testing among TB patients as a key strategy to combat the dual HIV/TB epidemic. India has integrated its HIV and TB control programs and is offering provider initiated HIV testing for all TB patients since 2007. Using a mixed methods approach, this study aims to understand the perspectives of TB patients and providers on the integrated HIV/TB pilot program in Tamilnadu, India. A survey conducted by the Tuberculosis Research Center, India on 300 TB patients is th...

  6. CALIFA, the Calar alto legacy integral field area survey

    DEFF Research Database (Denmark)

    Husemann, B.; Jahnke, K.; Sánchez, S. F.

    2013-01-01

    We present the first public data release (DR1) of the Calar Alto Legacy Integral Field Area (CALIFA) survey. It consists of science-grade optical datacubes for the first 100 of eventually 600 nearby (0.005 < z < 0.03) galaxies, obtained with the integral-field spectrograph PMAS/PPak mounted on th...... the available interfaces and tools that allow easy access to this first publicCALIFA data at http://califa.caha.es/DR1....

  7. Magnetic properties of ball-milled TbFe2 and TbFe2B

    Indian Academy of Sciences (India)

    Unknown

    1. Introduction. The RFe2 (R = rare earth) Laves phase compounds are known to possess large cubic anisotropy (Clark et al 1972) and highest Curie temperature (TC) of all RT2 compounds. (T = transition metal). RFe2 ... TbFe2 and TbFe2B were prepared by arc melting the high pure elements (Tb and B, 99⋅9% purity; Fe, ...

  8. Host markers in Quantiferon supernatants differentiate active TB from latent TB infection: preliminary report

    Directory of Open Access Journals (Sweden)

    Walzl Gerhard

    2009-05-01

    Full Text Available Abstract Background Interferon gamma release assays, including the QuantiFERON® TB Gold In Tube (QFT have been shown to be accurate in diagnosing Mycobacterium tuberculosis infection. These assays however, do not discriminate between latent TB infection (LTBI and active TB disease. Methods We recruited twenty-three pulmonary TB patients and 34 household contacts from Cape Town, South Africa and performed the QFT test. To investigate the ability of new host markers to differentiate between LTBI and active TB, levels of 29 biomarkers in QFT supernatants were evaluated using a Luminex multiplex cytokine assay. Results Eight out of 29 biomarkers distinguished active TB from LTBI in a pilot study. Baseline levels of epidermal growth factor (EGF soluble CD40 ligand (sCD40L, antigen stimulated levels of EGF, and the background corrected antigen stimulated levels of EGF and macrophage inflammatory protein (MIP-1β were the most informative single markers for differentiation between TB disease and LTBI, with AUCs of 0.88, 0.84, 0.87, 0.90 and 0.79 respectively. The combination of EGF and MIP-1β predicted 96% of active TB cases and 92% of LTBIs. Combinations between EGF, sCD40L, VEGF, TGF-α and IL-1α also showed potential to differentiate between TB infection states. EGF, VEGF, TGF-α and sCD40L levels were higher in TB patients. Conclusion These preliminary data suggest that active TB may be accurately differentiated from LTBI utilizing adaptations of the commercial QFT test that includes measurement of EGF, sCD40L, MIP-1β, VEGF, TGF-α or IL-1α in supernatants from QFT assays. This approach holds promise for development as a rapid diagnostic test for active TB.

  9. Metal and trace element sediment assessment from Guarapiranga reservoir, Alto Tiete Basin, Sao Paulo, SP, Brazil

    International Nuclear Information System (INIS)

    Guimaraes, Guilherme Moura

    2011-01-01

    The Guarapiranga Reservoir, located in Sao Paulo metropolitan region, Brazil, is responsible for supplying about 20% of the entire population's water needs of this region or approximately 3.7 million people. However, this system has shown significant degradation in water quality, due to untreated domestic sewage and industrial effluents. In this study sediment samples were collected at five points along the reservoir and total concentration of some major (Fe, K and Na), trace (As, Ba, Br, Co, Cr, Cs, Hf, Hg, Rb, Sb, Sc, Ta, Tb, Th, U, V and Zn) and rare earth (Ce, Eu, La, Lu, Nd, Sm, Tb and Yb) elements were determined by instrumental neutron activation analysis (INAA). By inductively coupled plasma optical emission spectrometry (ICP OES) the concentrations of Al, Ba, Be, Ca, Co, Cr, Cu, Fe, K, Li, Mg, Mn, Na, Ni, Pb, Ti, V e Zn were determined after digestion procedure following US EPA 3051 methodology. The concentrations of metals Cd and Pb were determined by graphite furnace atomic absorption spectrometry (GFAAS) and total Hg by cold vapor atomic absorption spectrometry (CVAAS). Methodology validation according to precision and accuracy was performed by reference materials analyses for the three different analytical techniques used. Multielemental results obtained by INAA were compared to NASC (North American Shale Composite), Upper Continental Crust (UCC) and soil from Guarapiranga park values. The Enrichment Factor (EF) and Geo accumulation Index (Igeo) were also evaluated for these data. Metal concentration results by ICP OES and AAS in the samples were compared to the TEL and PEL oriented values established by the Canadian Council of Ministers of the Environment and also adopted by CETESB (Environmental Protection Agency of the Sao Paulo State). The results were also compared to regional reference values (VRR) of limnic sediments from the Alto Tiete Basin. From these data an assessment of metal and trace element accumulated in the sediments from the

  10. Providing an address for delivery of nanoencapsulated TB drugs

    CSIR Research Space (South Africa)

    Lemmer, Yolandy

    2010-06-01

    Full Text Available compliance and drug resistance pose a great challenge to TB treatment programs worldwide. To improve the current inadequate therapeutic management of TB, a polymeric anti-TB nanodrug delivery system, for anti-TB drugs, was developed that could enable entry...

  11. HIV-Associated TB: Facts 2013

    Science.gov (United States)

    ... 2012 . Around 75% of these people live in sub-Saharan Africa.  TB is the leading cause of death among ... adopted by policy makers and implemented by all health facilities offering HIV care services.  The number of ...

  12. Thermally stimulated properties in ZnSe:Tb and ZnSe:(Mn, Tb) phosphors

    Science.gov (United States)

    Mishra, A. K.; Mishra, S. K.; Pandey, S. P.; Lakshmi Mishra, Kshama

    2018-02-01

    Thermoluminescence studies were performed of ZnSe:Tb and ZnSe:(Mn, Tb) phosphors. A method of preparation for ZnSe phosphors doped with Tb and (Mn, Tb) has been discussed. The thermoluminescence (TL) properties of these phosphors have been studied from 100 to 370 K temperature after exciting by UV radiation (365 nm) at three uniform heating rates 0.4, 0.6 and 0.9 K/s. The trapping parameters like trap depth, lifetime of electrons and capture cross-section have also been determined using various methods.

  13. Immunomodulation by vitamin D: implications for TB

    OpenAIRE

    Chun, Rene F; Adams, John S; Hewison, Martin

    2011-01-01

    TB remains a major cause of mortality throughout the world. Low vitamin D status has been linked to increased risk of TB and other immune disorders. These observations suggest a role for vitamin D as a modulator of normal human immune function. This article will detail the cellular and molecular mechanisms by which vitamin D regulates the immune system and how vitamin D insufficiency may lead to immune dysregulation. The importance of vitamin D bioavailability as a mechanism for defining the ...

  14. Non-adherence to anti-TB drugs among TB/HIV co-infected patients ...

    African Journals Online (AJOL)

    Non-adherence to anti-TB drugs among TB/HIV co-infected patients in Mbarara Hospital ... and its associated factors have not been studied in these patients in Uganda. ... Methods: A cross-sectional study with qualitative and quantitative data ...

  15. tb diagnostics challenges of tb diagnosis and treatment in south africa

    African Journals Online (AJOL)

    2007-06-01

    Jun 1, 2007 ... 45 currently provides treatment to 3 000 patients. Eighty-nine per cent of those accessing ART have symptomatic HIV disease. (WHO clinical stage 3 and 4) with a median CD4 cell count of. 95 cells/µl. More than 50% have a history of prior completed. TB treatment, 15% are on current TB treatment, 11% are.

  16. Integration of TB and ART services fails to improve TB treatment ...

    African Journals Online (AJOL)

    The median CD4+ count of HIV-positive patients was 152 cells/μl (interquartile range (IQR) 71 - 277) for integrated facilities and 148 cells/μl (IQR 67 - 260) for single-service facilities. There was no statistical difference in the TB treatment outcome profile between integrated and single-service facilities for all TB patients (p=0.

  17. Amplificador de Potencia de Alto Rendimiento para Transmisores EER

    OpenAIRE

    Ortega González, Francisco Javier; Gimeno Martín, Alejandro; Pardo Martin, José Manuel; Benavente Peces, César

    2008-01-01

    Se presenta un amplificador de potencia de alto rendimiento específicamente diseñado para aplicaciones EER (Envelope Elimination Restoration) en transmisores de HF. El amplificador se compone de dos subsistemas: Un amplificador clase-E de banda ancha para HF (B = 40%, POUT = 50W @ 7.5 MHz, ηOV > 90%) excitado por un driver también de banda ancha que amplifica la componente de fase de la señal y un amplificador de envolvente derivado de un amplificador clase-D de audio (o clase-S) que presenta...

  18. The role of antiretroviral therapy in reducing TB incidence and mortality in high HIV-TB burden countries

    Directory of Open Access Journals (Sweden)

    Anthony D Harries

    2016-03-01

    Full Text Available With the adoption of the new Sustainable Development Goals in 2016, all countries have committed to end the tuberculosis (TB epidemic by 2030, defined as dramatic reductions in TB incidence and mortality combined with zero TB-induced catastrophic costs for families. This paper explores how antiretroviral therapy (ART in high HIV-TB burden countries may help in reducing TB incidence and mortality and thus contribute to the ambitious goal of ending TB. ART in people living with HIV has a potent TB preventive effect, with this being most apparent in those with the most advanced immunodeficiency. Early ART also significantly reduces the risk of TB, and with new World Health Organization guidance released in 2015 about initiating ART in all persons living with HIV irrespective of CD4 count, there is the potential for enormous benefit at the population level. Already, several countries with high HIVTB burdens have seen dramatic declines in TB case notification rates since ART scale up started in 2004. In patients already diagnosed with HIV-associated TB, mortality can be significantly decreased by ART, especially if started within 2–8 weeks of anti-TB treatment. The benefits of ART on TB incidence and TB mortality can be further augmented respectively by the addition of isoniazid preventive therapy and cotrimoxazole preventive therapy. These interventions must be effectively implemented and scaled up in order to end the TB epidemic by 2030.

  19. Magnetic properties of TbTiGe

    International Nuclear Information System (INIS)

    Prokes, K.; Tegus, O.; Brueck, E.; Gortenmulder, T.J.; Boer, F.R. de; Buschow, K.H.J.

    2001-01-01

    We have studied the magnetic properties of the compound TbTiGe by means of neutron diffraction in the temperature range 1.7-310 K. We also report on magnetization measurements made at different temperatures and fields. The compound TbTiGe adopts the tetragonal CeFeSi-structure type and orders antiferromagnetically at T N =286 K. The structure is collinear antiferromagnetic in the whole temperature range below T N , with the magnetic moments aligned along the tetragonal c-axis. The uncommon shape of the temperature dependence of the magnetization observed in our sample is attributed to small amounts of the ferromagnetic low-temperature modification of TbTiGe

  20. Multi-quasiparticle excitations in 145Tb

    International Nuclear Information System (INIS)

    Zheng Yong; Zhou Xiaohong; Zhang Yuhu; Liu Minliang; Guo Yingxiang; Lei Xiangguo; Kusakari, H.; Sugawara, M.

    2004-01-01

    High-spin states in 145 Tb have been populated using the 118 Sn( 32 S, 1p4n) reaction at a beam energy of 165 MeV. The level scheme of 145 Tb has been established for the first time. The level scheme shows characteristics of spherical or slightly oblate nucleus. Based on the systematic trends of the level structure in the neighboring N=80 isotones, the level structure in 145 Tb below 2 MeV excitation is well explained by coupling an h 11/2 valence proton to the even-even 144 Gd core. Above 2 MeV excitation, most of the yrast levels are interpreted with multi-quasiparticle shell-model configurations. (authors)

  1. TB case detection in Tajikistan – analysis of existing obstacles

    Directory of Open Access Journals (Sweden)

    Alexei Korobitsyn

    2013-10-01

    Full Text Available Background: Tajikistan National TB Control ProgramObjective: (1 To identify the main obstacles to increasing TB Detection in Tajikistan. (2 To identify interventions that improve TB detection.Methods: Review of the available original research data, health normative base, health systems performance and national economic data, following WHO framework for detection of TB cases, which is based on three scenarios of why incident cases of TB may not be notified.Results: Data analysis revealed that some aspects of TB case detection are more problematic than others and that there are gaps in the knowledge of specific obstacles to TB case detection. The phenomenon of “initial default” in Tajikistan has been documented; however, it needs to be studied further. The laboratory services detect infectious TB cases effectively; however, referrals of appropriate suspects for TB diagnosis may lag behind. The knowledge about TB in the general population has improved. Yet, the problem of TB related stigma persists, thus being an obstacle for effective TB detection. High economic cost of health services driven by under-the-table payments was identified as another barrier for access to health services.Conclusion: Health system strengthening should become a primary intervention to improve case detection in Tajikistan. More research on reasons contributing to the failure to register TB cases, as well as factors underlying stigma is needed.

  2. Tuberculosis: The Connection between TB and HIV (the AIDS Virus)

    Science.gov (United States)

    ... Regimen for Latent TB Infection-Patient Education Brochure Posters Mantoux Tuberculin Skin Test Wall Chart World TB ... site? Adobe PDF file Microsoft PowerPoint file Microsoft Word file Microsoft Excel file Audio/Video file Apple ...

  3. Combination of TB lymphadenitis and metastatic LAP in breast cancer

    Directory of Open Access Journals (Sweden)

    Abdolhassan Talaiezadeh

    2015-06-01

    Full Text Available Tuberculosis (TB may present as pulmonary and extra-pulmonary. TB lymphadenitis is the most common presentation of extra-pulmonary TB. TB lymphadenitis should be taken into account in the differential diagnosis of different disorders such as metastatic lymphadenopathy. The reported patient was a 65-year-old lady with breast cancer and conglomerated and matted axillary lymphadenopathy who received chemotherapy. She presented with more extensive axillary LAP contrary to our expectation. Modified radical mastectomy was done and pathology analysis reported TB lymphadenitis associated with metastatic LAP. Under cover of anti-TB therapy adjuvant chemoradiation therapy was started. Accordingly, we recommend TB be ruled out in every patient who needs chemotherapy in the endemic region because chemotherapy may cause the extension of TB in the body.

  4. Patient satisfaction with TB care clinical consultations in Kampala: a ...

    African Journals Online (AJOL)

    ... on treatment outcome. Keywords: Patient satisfaction, TB care clinical consultations, cross sectional study. ... Background: Tuberculosis (TB) remains a major global ... Measurement of outcome: Variables considered were; how long the ... Key: ART= Antiretroviral Therapy. Characteristic. Parameter n (%). Sex. Female.

  5. Tuberculosis: Learn the Signs and Symptoms of TB Disease

    Science.gov (United States)

    ... this? Submit What's this? Submit Button Past Emails Tuberculosis (TB) Disease: Symptoms and Risk Factors Language: English ( ... Español (Spanish) Recommend on Facebook Tweet Share Compartir Tuberculosis (TB) is a disease caused by bacteria that ...

  6. Feminicidios en la frontera chilena: el caso de Alto Hospicio

    Directory of Open Access Journals (Sweden)

    Ainhoa Vásquez Mejías

    2016-01-01

    Full Text Available Entre 1999 y el 2001, varias adolescentes desaparecieron en el norte de Chile y, posteriormente, fueron encontradas muertas. La novela Alto Hospicio (2008, de Rodrigo Ramos Bañados, recrea estos feminicidios desde la visión del cómplice del único inculpado por estos crímenes. En el presente artículo se plantea que el escritor utiliza la noción de frontera como aparato crítico, con el fin de desestabilizar barreras espaciales, simbólicas y textuales que se agrupan en cuatro ejes: Bolivia-Chile, santas-putas, racionalidad-locura, ficción-realidad. Así, la novela cuestiona y deconstruye los límites para hablarnos de estos feminicidios desde un punto indeterminado, que funciona como espejo de la incertidumbre e irresolución de este caso en la justicia chilena.

  7. Technical and scientific report of the Alto project

    CERN Document Server

    Essabaa, S; Grialou, D; Ibrahim, F; Le Scornet, J C

    2002-01-01

    The Alto project means the installation of an electron linear accelerator inside the experimental area of the tandem accelerator of the nuclear physics institute of Orsay (IPNO, France). This linear accelerator comes from CERN where it was operating as a pre-injector for LEP. This equipment will allow IPNO'teams to perform fast kinetics studies in a domain different from that of ELYSE accelerator. The time resolution will not be as high as that of ELYSE (picosecond) but will be sufficient (microsecond) to produce free radicals in aqueous and gaseous media. The main expectations of this installation can be classified according 3 axis: 1) basic research (mainly the study of nuclear matter through photo-fission, 2) research and development of accelerators (by providing a test bench for new high frequency systems and superconducting components), and 3) applied research for industry concerning: biochemistry under irradiation, radiation sensibility, DNA breaking, food and drug sterilization and behaviour of electro...

  8. EL ALTO MAGDALENA- COLOMBIA DE LA MANO CON ENERGIAS ALTERNATIVAS

    Directory of Open Access Journals (Sweden)

    Barragán-Alturo, Ancízar

    2013-12-01

    Full Text Available El afán por destruir un paradigma, que mantiene encadenados a los habitantes de Girardot y la región, a una compañía de distribución de la energía eléctrica con sus altos precios para el kilowatt-hora, ha inspirado la investigación CUNDINAMARCA DE LA MANO DE LAS ENERGIAS ALTERNATIVAS, demostrando por diversos caminos que el montaje de paneles solares para generación de energía eléctrica en las cubiertas de las casas es la energía alternativa para la solución de diversos problemas, entre ellos: los costos elevados, las fluctuaciones de voltaje, los cortes de energía, los daños en los electrodomésticos

  9. The Alto Moxoto Terrain in Eastern Paraiba ('Caldas Brandao Massif')

    International Nuclear Information System (INIS)

    Neves, Benjamim Bley de Brito; Campos Neto, Mario da Costa; Souza, Solange Lucena de; Schmus, William Randall Van; Fernandes, Tania Maria Gomes

    2001-01-01

    The Alto Moxoto Terrane (TAM), at the east of Paraiba State is mostly composed of sheared ortho gneisses, porphyritic granodioritic gneisses and it bears an imbricated sheet of Al-rich (garnet-biotite-sillimanite) gneisses, deeply affected by migmatization phenomena. This litho-structural assemblage is drawing a regional asymmetric anti formal structure, with its axial zone running parallel to the B R-230 highway (E-W trending). It is limited in both, north (Alto Pajeu terrane) and south (Rio Capibaribe terrane) sides by important shear zones, which are feather faults connected with the development of the Pernambuco lineament, to the southwest. The adopted designation of 'terrane' is based upon its singular geological features, in terms of lithological and structural characteristics, Paleoproterozoic in age and sharp limits with the different confining terranes. TAM is here considered as a mega-fragment of the Atlantica Super continent, that was built up by the Paleoproterozoic Collage ('Transamazonian') and that was preserved in the framework of West Gondwana (Brasiliano/Pan African Collage) as a 'terrane'. This terrane shows conspicuous continuity to the far interior of the province, to the southwestern part of Pernambuco State, and so doing, it demonstrates that the former designation of 'Caldas Brandao Massif must be ruled out, as obsolete for many reasons. Geochronological determinations using Rb-Sr, Sm-Nd and U-Pb methods confirm the Paleoproterozoic age of this terrane, with the presence of some Archean protoliths as well as the various degrees of structural reworking and isotopic reseting promoted by the Brasiliano Cycle. This cycle was responsible for some intrusive granites, for most of the general geological features, like usual informal limits and even the present shape of the TAM, a typical reworked 'basement inlier'. (author)

  10. The Alto Tiberina Near Fault Observatory (northern Apennines, Italy

    Directory of Open Access Journals (Sweden)

    Lauro Chiaraluce

    2014-06-01

    Full Text Available The availability of multidisciplinary and high-resolution data is a fundamental requirement to understand the physics of earthquakes and faulting. We present the Alto Tiberina Near Fault Observatory (TABOO, a research infrastructure devoted to studying preparatory processes, slow and fast deformation along a fault system located in the upper Tiber Valley (northern Apennines, dominated by a 60 km long low-angle normal fault (Alto Tiberina, ATF active since the Quaternary. TABOO consists of 50 permanent seismic stations covering an area of 120 × 120 km2. The surface seismic stations are equipped with 3-components seismometers, one third of them hosting accelerometers. We instrumented three shallow (250 m boreholes with seismometers, creating a 3-dimensional antenna for studying micro-earthquakes sources (detection threshold is ML 0.5 and detecting transient signals. 24 of these sites are equipped with continuous geodetic GPS, forming two transects across the fault system. Geochemical and electromagnetic stations have been also deployed in the study area. In 36 months TABOO recorded 19,422 events with ML ≤ 3.8 corresponding to 23.36e-04 events per day per squared kilometres; one of the highest seismicity rate value observed in Italy. Seismicity distribution images the geometry of the ATF and its antithetic/synthetic structures located in the hanging-wall. TABOO can allow us to understand the seismogenic potential of the ATF and therefore contribute to the seismic hazard assessment of the area. The collected information on the geometry and deformation style of the fault will be used to elaborate ground shaking scenarios adopting diverse slip distributions and rupture directivity models.

  11. The Alto Paraguay Alkaline Province: petrographic, geochemical and geochronological characteristics

    International Nuclear Information System (INIS)

    Velazquez Fernandez, Victor

    1996-01-01

    The Alto Paraguay Province is located at the border of the State of Mato Grosso do Sul and Paraguay, between the coordinates 21 deg 10 ' to 23 deg 25 ' of Southern latitude and 57 deg 10 ' to 58 deg 00 ' , having the city of Porto Murtinho as the main reference point. The geotectonic domain of the area is governed by the precambric units of the Southern extreme of the Amazonic craton which developed a long and accentuated activity, giving rise to folds and important faults, that in several cases seem to have exerted an effective control of the magmatic manifestations. Radiometric data indicate that the emplacement of the syenitic bodies took place in the Permo-Triassic period, with a major incidence in the interval 260-240 Ma, representing thus, an important phase of alkaline magmatic affinity associated to the Parana Basin which is believed is to be unique, since the other known areas (Central, Amambay and Rio Apa Provinces, Paraguay, Velasco Province, Bolivia) are considerably younger (140-120 Ma). Syenitic rocks from the Alto Paraguay Province show wide variation in the ratio 87 Sr/ 86 Sr (0.703361 - 0.707734). Excluding the Cerro Boggiani rocks (0.703837-0.707734), values for the nepheline syenites (0.703361-0.703672) general lower than those of the other syenites types. Alkaline syenites cover the interval 0.703510- 0.703872, while quartz syenites and syenogranites are 0.704562 and 0.707076, respectively. geologic evidence, in addition to petrographic, geochemical and isotopic (Sr) data, suggest that the syenitic rocks have been derived from an unique mantelic parental liquid, by fractional crystallization and assimilation processes, which are assumed to be occurred during the emplacement of the magma in the crust. (author)

  12. Comparison of PPD test in household contacts of smear-positive and -negative tuberculosis (TB

    Directory of Open Access Journals (Sweden)

    Zohreh Azarkar

    2015-01-01

    Conclusions: The most important way to prevent TB is omission of the disease transmission sources (TB patients by anti-TB treatment. Extensive studies are needed to ensure that contacts of patients with pulmonary TB are identified and appropriately screened.

  13. Exploring workplace TB interventions with foreign-born Latino workers.

    Science.gov (United States)

    Eggerth, Donald E; Keller, Brenna M; Flynn, Michael A

    2018-05-15

    Persons born outside the United States are more likely to be diagnosed with tuberculosis disease (TB) than native-born individuals. Foreign-born Latinos at risk of TB may be difficult to reach with public health interventions due to cultural and institutional barriers. Workplaces employing large concentrations of foreign-born Latinos may be useful locations for TB interventions targeting this high-risk population. This study used a two-phase approach to investigate the feasibility of workplace TB interventions. The first phase investigated employer knowledge of TB and receptiveness to allowing TB interventions in their businesses through 5 structured interviews. The second phase investigated foreign-born workers' knowledge of TB and their receptiveness to receiving TB interventions in their places of employment through 12 focus groups stratified by gender and education. Phase 1: Only 1 of the 5 employers interviewed had a high level of knowledge about TB, and three had no knowledge other than that TB was a disease that involved coughing. They were receptive to workplace TB interventions, but were concerned about lost productivity and customers finding out if an employee had TB. Phase 2: There was no observed differences in responses between gender and between the bottom two education groups, so the final analysis took place between a gender-combined lower education group and higher education group. The higher education group tended to have knowledge that was more accurate and to view TB as a disease associated with poverty. The lower education group tended to have more misconceptions about TB and more often expressed concern that their employers would not support worksite interventions. The results from both phases indicate that more TB education is needed among both foreign-born Latino workers and their employers. Obstacles to implementing workplace TB interventions include knowledge, potential productivity loss, employer liability, and perceived customer response

  14. Diagnosis of active TB using aptamers

    CSIR Research Space (South Africa)

    Khati, M

    2013-08-01

    Full Text Available of the disease. We have shown in a proof-of-concept case-controlled study that the aptamer-based diagnostic tool was able to accurately detect all cases of active TB from sputum samples of patients, including smear-negative culture positive and samples from...

  15. Áreas de vulnerabilidade para co-infecção HIV-aids/TB em Ribeirão Preto, SP Áreas de vulnerabilidad para coinfección VIH-sida/TB en Ribeirao Preto, Sureste de Brasil Areas of vulnerability to HIV/TB co-infection in Southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Maria Eugênia Firmino Brunello

    2011-06-01

    Full Text Available OBJETIVO: Identificar áreas de vulnerabilidade para os casos novos de co-infecção HIV/tuberculose (TB. MÉTODOS: Estudo descritivo ecológico realizado por meio do georreferenciamento dos casos novos de HIV/TB notificados em Ribeirão Preto, SP, em 2006. Os dados foram obtidos do sistema de informação estadual paulista de notificação de TB. Os casos novos de co-infecção HIV/TB foram analisados conforme características sociodemográficas e clínicas e, posteriormente, georreferenciados na base cartográfica do município segundo endereço residencial. Os setores do município foram categorizados em três níveis socioeconômicos: inferior, intermediário e superior, com base na análise de componentes principais das variáveis do censo demográfico de 2000 (renda, instrução e percentagem de domicílios com cinco ou mais moradores. Foi calculada a incidência da co-infecção HIV/TB para cada nível socioeconômico. RESULTADOS: A co-infecção HIV/TB acometeu mais adultos do sexo masculino em idade economicamente ativa e a forma pulmonar da TB foi a mais comum. A distribuição espacial mostrou que as incidências nas áreas com níveis socioeconômicos intermediários e inferiores (8,3 e 11,5 casos por 100 mil habitantes, respectivamente foram superiores àquela (4,8 casos por 100 mil habitantes de nível socioeconômico superior. CONCLUSÕES: A taxa de incidência de co-infecção HIV/TB analisada por níveis socioeconômicos mostrou padraÞo espacial de distribuiçaÞo não homogêneo e apresentou valores mais altos em áreas de maior vulnerabilidade social. O estudo diagnosticou aìreas geograìficas prioritaìrias para o controle da co-infecção e a tecnologia do sistema de informação geográfica pode ser empregada no planejamento das ações em saúde pelos gestores municipais.OBJETIVO: Identificar áreas de vulnerabilidad para los casos nuevos de coinfección VIH/tuberculosis (TB. MÉTODOS: Estudio descriptivo ecol

  16. Antiretroviral treatment uptake in patients with HIV- associated TB ...

    African Journals Online (AJOL)

    ART results in a 64 - 95% reduction in mortality risk 5 and is an essential component of care. How soon to start. ART after TB treatment initiation has become clearer from randomised controlled trials. These show that integration of ART and TB treatment in all HIV-associated TB patients regardless of CD4 count significantly.

  17. Assessment of the Diagnostic Potential of Clinotech TB Screen Test ...

    African Journals Online (AJOL)

    The Clinotech TB Screen test, a 3rd generation multi-antigen rapid chromatographic immunoassay for detection of IgG antibodies in serum against recombinant protein antigens 38kDa, 16kDa and 6kDa, was assessed for its diagnostic potential for diagnosis of active pulmonary TB in routine TB control programme in Abia ...

  18. Antiretroviral treatment uptake in patients with HIV associated TB ...

    African Journals Online (AJOL)

    Background. Delivery of integrated care for patients with HIV-associated TB is challenging. We assessed the uptake and timing of antiretroviral treatment (ART) among eligible patients attending a primary care service with co-located ART and TB clinics. Methods. In a retrospective cohort study, all HIV-associated TB patients ...

  19. ¿A qué atribuyen el alto rendimiento escolar los estudiantes de buen rendimiento escolar proveniente de liceos con altos indices de vulnerabilidad?

    OpenAIRE

    Morales, Mario; Sepúlveda, Martitza

    2016-01-01

    La presente investigación tiene como finalidad comprender desde las subjetividades de los participantes egresados de secundaria, provenientes de instituciones escolares con altos índices de vulnerabilidad, los principales factores que han contribuido en la obtención de su alto rendimiento escolar. Son varios los modelos que se han utilizados para explicar el abandono de los estudiantes en los primeros años de universidad (Ethington, 1990; St. John, Cabrera y Asker, 2000; Spady, 1970; Braxton,...

  20. The Alto Paraguay Alkaline Province: petrographic, geochemical and geochronological characteristics; Provincia alcalina Alto Paraguai: caracteristicas petrograficas, geoquimicas e geocronologicas

    Energy Technology Data Exchange (ETDEWEB)

    Velazquez Fernandez, Victor

    1996-12-31

    The Alto Paraguay Province is located at the border of the State of Mato Grosso do Sul and Paraguay, between the coordinates 21 deg 10{sup `}to 23 deg 25{sup `}of Southern latitude and 57 deg 10{sup `} to 58 deg 00{sup `}, having the city of Porto Murtinho as the main reference point. The geotectonic domain of the area is governed by the precambric units of the Southern extreme of the Amazonic craton which developed a long and accentuated activity, giving rise to folds and important faults, that in several cases seem to have exerted an effective control of the magmatic manifestations. Radiometric data indicate that the emplacement of the syenitic bodies took place in the Permo-Triassic period, with a major incidence in the interval 260-240 Ma, representing thus, an important phase of alkaline magmatic affinity associated to the Parana Basin which is believed is to be unique, since the other known areas (Central, Amambay and Rio Apa Provinces, Paraguay, Velasco Province, Bolivia) are considerably younger (140-120 Ma). Syenitic rocks from the Alto Paraguay Province show wide variation in the ratio {sup 87} Sr/{sup 86} Sr (0.703361 - 0.707734). Excluding the Cerro Boggiani rocks (0.703837-0.707734), values for the nepheline syenites (0.703361-0.703672) general lower than those of the other syenites types. Alkaline syenites cover the interval 0.703510- 0.703872, while quartz syenites and syenogranites are 0.704562 and 0.707076, respectively. geologic evidence, in addition to petrographic, geochemical and isotopic (Sr) data, suggest that the syenitic rocks have been derived from an unique mantelic parental liquid, by fractional crystallization and assimilation processes, which are assumed to be occurred during the emplacement of the magma in the crust. (author) 124 refs., 52 figs., 7 tabs.

  1. The Alto Paraguay Alkaline Province: petrographic, geochemical and geochronological characteristics; Provincia alcalina Alto Paraguai: caracteristicas petrograficas, geoquimicas e geocronologicas

    Energy Technology Data Exchange (ETDEWEB)

    Velazquez Fernandez, Victor

    1997-12-31

    The Alto Paraguay Province is located at the border of the State of Mato Grosso do Sul and Paraguay, between the coordinates 21 deg 10{sup `}to 23 deg 25{sup `}of Southern latitude and 57 deg 10{sup `} to 58 deg 00{sup `}, having the city of Porto Murtinho as the main reference point. The geotectonic domain of the area is governed by the precambric units of the Southern extreme of the Amazonic craton which developed a long and accentuated activity, giving rise to folds and important faults, that in several cases seem to have exerted an effective control of the magmatic manifestations. Radiometric data indicate that the emplacement of the syenitic bodies took place in the Permo-Triassic period, with a major incidence in the interval 260-240 Ma, representing thus, an important phase of alkaline magmatic affinity associated to the Parana Basin which is believed is to be unique, since the other known areas (Central, Amambay and Rio Apa Provinces, Paraguay, Velasco Province, Bolivia) are considerably younger (140-120 Ma). Syenitic rocks from the Alto Paraguay Province show wide variation in the ratio {sup 87} Sr/{sup 86} Sr (0.703361 - 0.707734). Excluding the Cerro Boggiani rocks (0.703837-0.707734), values for the nepheline syenites (0.703361-0.703672) general lower than those of the other syenites types. Alkaline syenites cover the interval 0.703510- 0.703872, while quartz syenites and syenogranites are 0.704562 and 0.707076, respectively. geologic evidence, in addition to petrographic, geochemical and isotopic (Sr) data, suggest that the syenitic rocks have been derived from an unique mantelic parental liquid, by fractional crystallization and assimilation processes, which are assumed to be occurred during the emplacement of the magma in the crust. (author) 124 refs., 52 figs., 7 tabs.

  2. TIME Impact - a new user-friendly tuberculosis (TB) model to inform TB policy decisions.

    Science.gov (United States)

    Houben, R M G J; Lalli, M; Sumner, T; Hamilton, M; Pedrazzoli, D; Bonsu, F; Hippner, P; Pillay, Y; Kimerling, M; Ahmedov, S; Pretorius, C; White, R G

    2016-03-24

    Tuberculosis (TB) is the leading cause of death from infectious disease worldwide, predominantly affecting low- and middle-income countries (LMICs), where resources are limited. As such, countries need to be able to choose the most efficient interventions for their respective setting. Mathematical models can be valuable tools to inform rational policy decisions and improve resource allocation, but are often unavailable or inaccessible for LMICs, particularly in TB. We developed TIME Impact, a user-friendly TB model that enables local capacity building and strengthens country-specific policy discussions to inform support funding applications at the (sub-)national level (e.g. Ministry of Finance) or to international donors (e.g. the Global Fund to Fight AIDS, Tuberculosis and Malaria).TIME Impact is an epidemiological transmission model nested in TIME, a set of TB modelling tools available for free download within the widely-used Spectrum software. The TIME Impact model reflects key aspects of the natural history of TB, with additional structure for HIV/ART, drug resistance, treatment history and age. TIME Impact enables national TB programmes (NTPs) and other TB policymakers to better understand their own TB epidemic, plan their response, apply for funding and evaluate the implementation of the response.The explicit aim of TIME Impact's user-friendly interface is to enable training of local and international TB experts towards independent use. During application of TIME Impact, close involvement of the NTPs and other local partners also builds critical understanding of the modelling methods, assumptions and limitations inherent to modelling. This is essential to generate broad country-level ownership of the modelling data inputs and results. In turn, it stimulates discussions and a review of the current evidence and assumptions, strengthening the decision-making process in general.TIME Impact has been effectively applied in a variety of settings. In South Africa, it

  3. Obstructive lung disease as a complication in post pulmonary TB

    Science.gov (United States)

    Tarigan, A. P.; Pandia, P.; Eyanoer, P.; Tina, D.; Pratama, R.; Fresia, A.; Tamara; Silvanna

    2018-03-01

    The case of post TB is a problem that arises in the community. Pulmonary tuberculosis (TB) can affect lung function. Therefore, we evaluated impaired pulmonary function in subjects with diagnosed prior pulmonary TB. A Case Series study, pulmonary function test was performed in subjects with a history of pulmonary tuberculosis; aged ≥18 years were included. Exclusion criteria was a subject who had asthma, obesity, abnormal thorax and smoking history. We measured FEV1 and FVC to evaluate pulmonary function. Airflow obstruction was FEV1/FVC%pulmonary TB, 5 subjects (23%) had airflow obstruction with FEV1/FVC% value pulmonary TB.

  4. Bird diversity and conservation of Alto Balsas (Southwestern Puebla, Mexico

    Directory of Open Access Journals (Sweden)

    Jorge E Ramírez-Albores

    2007-03-01

    Full Text Available Knowledge of the composition of the bird community in Alto Balsas (southwestern Puebla, Central Mexico is needed for management programs aiming at protection and conservation of bird species and their habitats I studied sites with tropical deciduous forest. Data were obtained during 1666 hours of field work in 238 days from March 1998 to September 2000. Six permanent transect (3.5 km long and 100 m wide; 30 to 40 ha in each transect were used to determine species richness in the study sites. The Shannon-Wiener diversity index was calculated for each site and Sorensen’s index was used to assess similarity between sites. One-way analysis of variance was used to test for differences between sites in species richness and diversity values. A total of 128 species were recorded, Tepexco (n = 75, H´= 3.76 and Puente Márquez (n = 61, H´= 3.62 were the sites that showed the greatest specific richness and diversity. However, species richness and diversity seasonally patterns were similar among sites (ANOVA p > 0.05, with highest diversity during the rainy season. Most species were resident; 42 were migrants. The avifauna was represented by 30 species associated with tropical deciduous forest and 12 from open habitats or heavily altered habitats. Insectivores were the best represented trophic category, followed by carnivores and omnivores. Rev. Biol. Trop. 55 (1: 287-300. Epub 2007 March. 31.Este estudio describe la diversidad avifaunística en sitios del Alto Balsas (suroeste de Puebla en el Centro de México y examina la variación en la diversidad de las especies de aves. El estudio fue llevado a cabo en sitios con presencia de bosque tropical caducifolio. Los datos fueron obtenidos durante 1666 horas de trabajo de campo en 238 días de Marzo 1998 a Septiembre 2000. Se realizaron seis transectos permanentes (de 3.5 km de longitud y 100 m de ancho; de 30 a 40 ha en cada transecto para determinar la riqueza de especies en los sitios de estudio. Se

  5. Technology and tuberculosis control: the OUT-TB Web experience.

    Science.gov (United States)

    Guthrie, Jennifer L; Alexander, David C; Marchand-Austin, Alex; Lam, Karen; Whelan, Michael; Lee, Brenda; Furness, Colin; Rea, Elizabeth; Stuart, Rebecca; Lechner, Julia; Varia, Monali; McLean, Jennifer; Jamieson, Frances B

    2017-04-01

    Develop a tool to disseminate integrated laboratory, clinical, and demographic case data necessary for improved contact tracing and outbreak detection of tuberculosis (TB). In 2007, the Public Health Ontario Laboratories implemented a universal genotyping program to monitor the spread of TB strains within Ontario. Ontario Universal Typing of TB (OUT-TB) Web utilizes geographic information system (GIS) technology with a relational database platform, allowing TB control staff to visualize genotyping matches and microbiological data within the context of relevant epidemiological and demographic data. OUT-TB Web is currently available to the 8 health units responsible for >85% of Ontario's TB cases and is a valuable tool for TB case investigation. Users identified key features to implement for application enhancements, including an e-mail alert function, customizable heat maps for visualizing TB and drug-resistant cases, socioeconomic map layers, a dashboard providing TB surveillance metrics, and a feature for animating the geographic spread of strains over time. OUT-TB Web has proven to be an award-winning application and a useful tool. Developed and enhanced using regular user feedback, future versions will include additional data sources, enhanced map and line-list filter capabilities, and development of a mobile app. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com

  6. Lay beliefs of TB and TB/HIV co-infection in Addis Ababa, Ethiopia: a qualitative study

    Directory of Open Access Journals (Sweden)

    Frich Jan C

    2011-08-01

    Full Text Available Abstract Background Knowledge about lay beliefs of etiology, transmission and treatment of TB, and lay perceptions of the relationship between TB and HIV is important for understanding patients' health seeking behavior and adherence to treatment. We conducted a study to explore lay beliefs about TB and TB/HIV co-infection in Addis Ababa, Ethiopia. Findings We conducted a qualitative study using in-depth interviews with 15 TB/HIV co-infected patients and 9 health professionals and focus group discussions with 14 co-infected patients in Addis-Ababa, Ethiopia. We found that a predominant lay belief was that TB was caused by exposure to cold. Excessive sun exposure, exposure to mud, smoking, alcohol, khat and inadequate food intake were also reported as causes for TB. Such beliefs initially led to self-treatment. The majority of patients were aware of an association between TB and HIV. Some reported that TB could transform into HIV, while others said that the body could be weakened by HIV and become more susceptible to illnesses such as TB. Some patients classified TB as either HIV-related or non-HIV-related, and weight loss was a hallmark for HIV-related TB. The majority of patients believed that people in the community knew that there was an association between TB and HIV, and some feared that this would predispose them to HIV-related stigma. Conclusion There is a need for culturally sensitive information and educational efforts to address misperceptions about TB and HIV. Health professionals should provide information about causes and treatment of TB and HIV to co-infected patients.

  7. High Field Magnetization of Tb Single Crystals

    DEFF Research Database (Denmark)

    Roeland, L. W.; Cock, G. J.; Lindgård, Per-Anker

    1975-01-01

    Hamiltonian including isotropic exchange interactions, effective single-ion anisotropy and magnetoelastic contributions. The parameters of this Hamiltonian were determined by fitting the theoretical results for the spin wave dispersion and energy gap as a function of temperature and magnetic field to existing...... data on Tb. The conduction-electron polarization at zero field and temperature is (0.33+or-0.05) mu B/ion, and the susceptibility is greater than the Pauli susceptibility calculated from the band-structure....

  8. Radiorespirometry in TB diagnosis and drug discovery

    International Nuclear Information System (INIS)

    Ray Mukti, K.; Kulkarni, Savita; Rajan, M.G.R.

    2015-01-01

    Tuberculosis remains a major health problem worldwide and especially in India with 1.9 million new cases and 0.35 million deaths per year. Early and rapid diagnosis of pulmonary tuberculosis is mandatory for controlling the transmission of the disease. Conventional test like sputum AFB is not sensitive and gold standard culture test is time consuming. Our laboratory has standardized a Radiorespirometry technique for primary diagnosis which offers advantage of both less turnaround time and sensitivity. Radiorespirometry is a true radiotracer technique that detects the presence of live microorganism in a biological sample. In this method, bacteria (or clinical sample) is inoculated into a medium supplemented with radiolabelled ( 14 C) carbon compounds. Only metabolically active organism present in the sample will metabolize the carbon source and produce radiolabelled carbon dioxide ( 14 CO 2 ) . This 14 CO 2 can be efficiently trapped in an alkaline-scintillant matrix and counted in a liquid scintillation counter. The whole thing is suitably assembled in a regular scintillation vial. We used radiorespirometry in a retrospective study using culture positive sputum samples (which was detected positive by culture in 3-8 weeks time) and it detected presence of TB bacilli in 1 to 3 weeks. Further, series of Phenyl acrylamide derivatives synthesized against RecA of mycobacteria were evaluated for anti-TB properties using radiorespirometry. More than 90% of the compounds exhibited anti-TB properties with MIC 3.25 to 25 μg/ml. Structure activity relationship of these compound was studied to understand the anti-TB pharmacophores. Interesting results obtained using radiorespirometry will be discussed. (author)

  9. Ventaja de jugar en casa en voleibol de alto rendimiento

    Directory of Open Access Journals (Sweden)

    Rui Marcelino

    2009-01-01

    Full Text Available En este estudio se ha pretendido estudiar la ventaja en casa en el Voleibol de alto rendimiento, apoyándonos en las estadísticas de los partidos que más pueden explicar ese fenómeno. Se han analizado 65.949 acciones de juego seleccionadas de la Liga Mundial 2005. El instrumento de observación que se ha elaborado es una combinación de formato de campo con sistemas de categorías. Los datos se han obtenido mediante el "Volleyball Information System" y se han analizado mediante la prueba t de Student, y la prueba ji-cuadrado. Los resultados demuestran que hay ventaja en casa en Voleibol (57,5% de victorias jugando en casa. Las estadísticas del ataque (t= 2.49, p = 0.01, del servicio (t= -2.18, p= 0.03, de la recepción (t= 16.74, p<0.001 y de la distribución (t= 2.03, p= 0.04 muestran rendimientos superiores para los equipos que juegan en casa. No se han encontrado diferencias en el rendimiento del bloqueo (t= -0.25, p= 0.80 y la defensa (t= 0.11, p= 0.92 entre los juegos disputados en casa y los disputados fuera.

  10. Un centro ceremonial formativo en el Alto Piura

    Directory of Open Access Journals (Sweden)

    1989-01-01

    estilos diversos, cuya evolución temporal se puede seguir, tanto del punto de vista de las formas y técnicas decorativas como de la iconografía, abundante y diversificada. Estos datos, nuevos para la región, así como el análisis comparativo de los vestigios materiales, comprueban la existencia de contactos y relaciones con las demás zonas cercanas y particularmente la integración del Alto Piura a los sistemas ideológicos y religiosos más sureños. La implantación del sitio podría estar ligada a su ubicación geográfica, en el cruce de una vía de intercambio entre poblaciones costeras, andinas y selváticas, y de un camino norte-sur facilitando los contactos entre la costa norte peruana y la costa y los Andes ecuatorianos. Su ocupación parece testimoniar una situación original -caracterizada por la presencia de representantes de varias tradiciones culturales- que se mantendrá e igualmente singularizará este sector del Alto Piura durante las épocas posteriores. Research carried out since 1986 on the archaeological site of Cerro Ñañañique (Chulucanas, department of Piura has allowed the identification and description of a ceremonial complex, built and occupied between the Xth and the Vth centuries B.C.. Several phases of edification and widening of the complex have been recognized according to a general U shape plan. Several ceramic traditions of various styles and origins can be found contemporarily on the site, and their temporal evolution can be identified and followed from these points of view: forms, decorative techniques and iconography which is abundant and diverse. The data, new for this study area, and the comparative analysis of material remains demonstrate the existence of relations with nearby zones and, particularly, the integration of Alto Piura in Southern ideological and religious systems. The establishment of the site might be related to its geographic location, at the crossing of an exchange route between coastal, andean and amazonian

  11. Improved safety features in the design of Alto Lazio NPP

    International Nuclear Information System (INIS)

    Bava, G.; Cianciolo, T.; Del Nero, G.

    1988-01-01

    The ALTO LAZIO Nuclear Power Plant, two 1000Mwe units, is a BWR 6/MARK III located about 100 km north of Rome, on the Tyrrhenian Sea Coasts. The construction of the plant started in 1978, but it has recently been stopped by a Government decision following a national referendum, when the units were about 70% completed. This paper is mainly intended to illustrate the major safety features which have been implemented as result of specific requirements issued by the safety authority (ENEA DISP) during the construction permit stage or the subsequent licensing process. One of the tools used to identify the need for design modifications has been a comprehensive reliability analysis of safety system: in the paper the methods used and the major results obtained by this study are briefly presented. Also, the approach used in the investigation of severe accidents and major applications in the area of plant design and emergency procedures are briefly discussed; furthermore the trend toward a simpler mitigation concept is described

  12. Comercio e intercambio en la Hispania romana (Alto imperio

    Directory of Open Access Journals (Sweden)

    Genaro CHIC GARCÍA

    2010-02-01

    Full Text Available RESUMEN: Se muestra al Alto Imperio como una etapa de desarrollo del individualismo en relación con la formación de mercados impersonales dominados por la racionalidad económica, manifiesta en signos tales como la moneda y la escritura fonético- vocálica, que va desplazando a los sistemas de relación tradicionales basados en el prestigio social y los intercambios personalizados. La formación de un Estado burocrático centralizado, sin embargo, hará colapsar el incipiente liberalismo comercial.ABSTRACT: The Early Empire is shown as a stage of development of the individualism in relation to the formation of impersonal markets dominated by the economic rationality, wich becomes evident in signs such as the coin or the phonetic-vocalic writing, that is displacing the traditional systems of relation based on the social prestige and the personalized exchange. Nevertheless, the formation of a centralized bureaucratic state will cause the incipient commercial liberalism to collapse.

  13. TNO Photometry and Spectroscopy at ESO and Calar Alto

    Science.gov (United States)

    Boehnhardt, H.; Sekiguchi, T.; Vair, M.; Hainaut, O.; Delahodde, C.; West, R. M.; Tozzi, G. P.; Barrera, L.; Birkle, K.; Watanabe, J.; Meech, K.

    New photometry and spectroscopy of Transneptunian objects (TNO) has been obtained at ESO (VLT+FORS1, NTT+SOFI) and the Calar Alto (3.5m+MOSCA) observatory. BVRI photometry of more than 10 objects confirms the general colour-colour distribution of TNOs found previously. Quasi-simultaneous spectroscopy in the visible wavelength range of 5 TNOs did not reveal any spectral signature apart from the spetral gradients which are in agreement with the broadband colours. JHK filter photometry of 3 objects indicates that the reddening may only occur in the near-IR at least in some cases. Using new observations from the ESO VLT the lightcurve, colours and spectrum of 1996TO66 are investigated: the rotation period of 6.25h is confirmed, also the change in the lightcurve between 1997 and 1998 which indicates an exceptional behaviour in this object (temporary cometary activity ?). The 1999 photometry and spectroscopy in the visible revealed solar colours, no reddening and no spectral features. V-R colour changes over the rotation phase are not found. This works is done in colaboration with:

  14. Technical and scientific report of the Alto project

    International Nuclear Information System (INIS)

    Essabaa, S.; Gardes, D.; Grialou, D.; Ibrahim, F.; Le Scornet, J.C.

    2002-01-01

    The Alto project means the installation of an electron linear accelerator inside the experimental area of the tandem accelerator of the nuclear physics institute of Orsay (IPNO, France). This linear accelerator comes from CERN where it was operating as a pre-injector for LEP. This equipment will allow IPNO'teams to perform fast kinetics studies in a domain different from that of ELYSE accelerator. The time resolution will not be as high as that of ELYSE (picosecond) but will be sufficient (microsecond) to produce free radicals in aqueous and gaseous media. The main expectations of this installation can be classified according 3 axis: 1) basic research (mainly the study of nuclear matter through photo-fission, 2) research and development of accelerators (by providing a test bench for new high frequency systems and superconducting components), and 3) applied research for industry concerning: biochemistry under irradiation, radiation sensibility, DNA breaking, food and drug sterilization and behaviour of electronic components under irradiation. This rapport details the research program that could be achieved with this equipment, describes its contributions in terms of economic development, cooperation with industry, student training, and specifies the needed investment and the operating and maintenance costs. (A.C.)

  15. Magnetostriction of Tb-Dy-Fe crystals

    International Nuclear Information System (INIS)

    Mei Wu; Okane, T.; Umeda, T.

    1998-01-01

    left angle 111 right angle -oriented twin free Tb-Dy-Fe single crystals, left angle 112 right angle - and left angle 110 right angle -oriented twinned ''single'' Tb-Dy-Fe crystals were prepared using floating zone melting crystal growth methods. Magnetostrictive performances of the crystals were investigated. Better low-field properties were observed in the left angle 110 right angle twinned crystals than in the left angle 112 right angle crystals. The highest properties were achieved in the left angle 111 right angle twin free single crystals. Even though there were still oxidized particles in the present left angle 111 right angle single crystals, a large magnetostrictive jump of 1700 ppm and a very low saturation magnetic field of 500 Oe were obtained. To understand magnetization and magnetostriction of different Tb-Dy-Fe crystals, theoretical modeling was carried out based on a simplified domain rotation model. Magnetization moment rotation paths of different domains were simulated and hence the resultant magnetostriction was obtained, which could adequately account for the experimental results of different crystals. The limitation of the domain rotation model was also discussed. (orig.)

  16. Dislipidemias en comunidades pehuenches de Alto Biobio chileno Dyslipidemias in Pehuenche communities from Chilean Alto Bio Bio

    Directory of Open Access Journals (Sweden)

    Claudia Navarrete Briones

    2013-01-01

    Full Text Available Se realizó un estudio descriptivo y transversal de 400 habitantes (mayores de 15 años de edad de las comunidades pehuenches de Alto Biobio en Chile, de mayo a octubre del 2011, a fin de determinar la prevalencia de dislipidemias en esta población. La información necesaria se recolectó sobre la base de la normativa y los criterios del Ministerio de Salud y como resultados generales de las concentraciones plasmáticas promedio y la prevalencia de dislipidemias figuraron: colesterol total de 169,20 ±26,36 mg/dL y 8,2 %; lipoproteínas de baja densidad de 89,93 ±23,31 mg/dL y 4,5 %; triglicéridos de 145,89 ±48,96 mg/dL y 53,0 %; y lipoproteínas de alta densidad de 50 ±8,87 mg/dL y 28,3 %. Las cifras fueron inferiores en el grupo etario de 15-24 años y en personas de ascendencia pehuenche, con una pobre asociación a sobrepeso u obesidad abdominal; en general, resultaron menores a las de los citadinos.A descriptive and cross-sectional study was carried out in 400 people (over 15 years from Pehuenche communities of the Chilean Alto Biobio, from May to October 2011, in order to determine the prevalence of dyslipidemias in this population. Necessary information was collected on the basis of regulations and criteria of the Ministry of Health, and as general results of average plasma levels and prevalence of dyslipìdemia were: total cholesterol 169.20 ± 26.36 mg/dL and 8.2%; low-density lipoproteins 89.93 ± 23.31 mg/dL and 4.5%; triglycerides 145.89 ± 48.96 mg/dL and 53.0%; and high-density lipoproteins 50 ±8.87 mg/dL and 28.3%. The values were lower in the age group of 15-24 years and in Pehuenche people with poor association with abdominal obesity or overweight; in general, they were lower than those of the city people.

  17. Optimization of TB/HIV co-treatment in Ethiopian patients

    OpenAIRE

    Degu, Wondwossen Amogne

    2015-01-01

    Tuberculosis (TB) and HIV infection act with deadly synergy. HIV is the most important risk factor for latent TB reactivation and active TB progression following exposure or reinfection while TB accelerates HIV progression. TB is the most frequent cause of morbidity and mortality in HIV infection. Anti-TB therapy (ATT) must precede initiation of combination Antiretroviral Therapy (cART), TB being the most immediate threat. Undoubtedly cART benefits; however, important clinical ...

  18. Treatment Outcomes of Patients with Multidrug-Resistant Tuberculosis (MDR- TB) Compared with Non-MDR-TB Infections in Peninsular Malaysia.

    Science.gov (United States)

    Elmi, Omar Salad; Hasan, Habsah; Abdullah, Sarimah; Mat Jeab, Mat Zuki; Ba, Zilfalil; Naing, Nyi Nyi

    2016-07-01

    Treating patients with multidrug-resistant tuberculosis (MDR-TB) strains is more complicated, complex, toxic, expensive, than treating patients with susceptible TB strains. This study aims to compare the treatment outcomes and potential factors associated between patients with MDR-TB and non MDR TB infections in peninsular Malaysia. This study was a retrospective cohort study. Data were collected from the medical records of all registered MDR-TB patients and Non-MDR-TB patients at five TB hospitals in peninsular Malaysia from January 2010 to January 2014. A total of 314 subjects were studied, including 105 MDR-TB cases and 209 non-MDR-TB. After TB treatment, 24.8% of the MDR-TB patients and 17.7% of non MDR TB relapsed; 17.1% of the MDR-TB patients and 16.3% of non MDR TB defaulted from TB treatment. A significant difference seen in treatment success rate 17.1% for MDR-TB; 63.1% for non MDR TB (P history of TB treatment, and presence of HIV infection.

  19. Busca de estruturas em grandes escalas em altos redshifts

    Science.gov (United States)

    Boris, N. V.; Sodré, L., Jr.; Cypriano, E.

    2003-08-01

    A busca por estruturas em grandes escalas (aglomerados de galáxias, por exemplo) é um ativo tópico de pesquisas hoje em dia, pois a detecção de um único aglomerado em altos redshifts pode por vínculos fortes sobre os modelos cosmológicos. Neste projeto estamos fazendo uma busca de estruturas distantes em campos contendo pares de quasares próximos entre si em z Â3 0.9. Os pares de quasares foram extraídos do catálogo de Véron-Cetty & Véron (2001) e estão sendo observados com os telescópios: 2,2m da University of Hawaii (UH), 2,5m do Observatório de Las Campanas e com o GEMINI. Apresentamos aqui a análise preliminar de um par de quasares observado nos filtros i'(7800 Å) e z'(9500 Å) com o GEMINI. A cor (i'-z') mostrou-se útil para detectar objetos "early-type" em redshifts menores que 1.1. No estudo do par 131046+0006/J131055+0008, com redshift ~ 0.9, o uso deste método possibilitou a detecção de sete objetos candidatos a galáxias "early-type". Num mapa da distribuição projetada dos objetos para 22 escala. Um outro argumento em favor dessa hipótese é que eles obedecem uma relação do tipo Kormendy (raio equivalente X brilho superficial dentro desse raio), como a apresentada pelas galáxias elípticas em z = 0.

  20. Chest Radiographs for Pediatric TB Diagnosis: Interrater Agreement and Utility

    Directory of Open Access Journals (Sweden)

    G. Kaguthi

    2014-01-01

    Full Text Available The chest radiograph (CXR is considered a key diagnostic tool for pediatric tuberculosis (TB in clinical management and endpoint determination in TB vaccine trials. We set out to compare interrater agreement for TB diagnosis in western Kenya. A pediatric pulmonologist and radiologist (experts, a medical officer (M.O, and four clinical officers (C.Os with basic training in pediatric CXR reading blindly assessed CXRs of infants who were TB suspects in a cohort study. C.Os had access to clinical findings for patient management. Weighted kappa scores summarized interrater agreement on lymphadenopathy and abnormalities consistent with TB. Sensitivity and specificity of raters were determined using microbiologically confirmed TB as the gold standard (n=8. A total of 691 radiographs were reviewed. Agreement on abnormalities consistent with TB was poor; k=0.14 (95% CI: 0.10–0.18 and on lymphadenopathy moderate k=0.26 (95% CI: 0.18–0.36. M.O [75% (95% CI: 34.9%–96.8%] and C.Os [63% (95% CI: 24.5%–91.5%] had high sensitivity for culture confirmed TB. TB vaccine trials utilizing expert agreement on CXR as a nonmicrobiologically confirmed endpoint will have reduced specificity and will underestimate vaccine efficacy. C.Os detected many of the bacteriologically confirmed cases; however, this must be interpreted cautiously as they were unblinded to clinical features.

  1. Fixed Dose Combination for TB treatment

    Directory of Open Access Journals (Sweden)

    Tjandra Y. Aditama

    2003-06-01

    Full Text Available According to the World Health Organization, a third of the world’s population is infected with tuberculosis. The disease is responsible for nearly 2 million deaths each year and over 8 million were developing active diseases. Moreover, according to WHO (2000, tuberculosis deaths are estimated to increase to 35 million between 2000-2020. The majority of tuberculosis patients worldwide are still treated with single drugs, or with 2-drug fixed-dose combinations (FDCs. To improve tuberculosis treatment, 2- and 3-drug FDCs were recommended by the World Health Organization (WHO as part of the DOTS strategy. Since 1999 a 4-drug FDC was included on the WHO Model List of Essential Drugs. Today, FDCs are important tools to further improve the quality of care for people with TB, and accelerate DOTS expansion to reach the global TB control targets. Fixed dose combination TB drugs could simplifies both treatment and management of drug supply, and may prevent the emergence of drug resistance .Prevention of drug resistance is just one of the potential benefits of the use of FDCs. FDCs simplify administration of drugs by reducing the number of pills a patient takes each day and decreasing the risk of incorrect prescriptions. Most tuberculosis patients need only take 3–4 FDCs tablets per day during the intensive phase of treatment, instead of the 15–16 tablets per day that is common with single-drug formulations It is much simpler to explain to patients that they need to take four tablets of the same type and colour, rather than a mixture of tablets of different shapes, colours and sizes. Also, the chance of taking an incomplete combination of drugs is eliminated, since the four essential drugs are combined into one tablet. FDCs are also simpler for care-givers as they minimize the risk of confusion. Finally, drug procurement, in all its components (stock management, shipping, distribution, is simplified by FDCs. Adverse reactions to drugs are not more

  2. Metallogenic aspects of the feldspars and micas geochemistry in pegmatite from Alto-Ligonha (Mocambique)

    International Nuclear Information System (INIS)

    Neves, J.M.C.

    1990-01-01

    This paper deals with metallogenic aspects concerning the huge Alto Ligonha pegmatite Province. The geological setting of the pegmatites is briefly reviewed and the metamorphic grade of the country rocks of the pegmatites, ranging from granulitic to greenschist facies, has been considered. The economically most interesting pegmatites are those emplaced within rocks with lighter metamorphism. The available geochronological data allow us to link, the most interesting pegmatites from Alto Ligonha, to the Pan-African granitoid magmatism, about 500 Ma ago. (author)

  3. One of the possible mechanisms for the inhibition effect of Tb(III) on peroxidase activity in horseradish (Armoracia rusticana) treated with Tb(III).

    Science.gov (United States)

    Guo, Shaofen; Cao, Rui; Lu, Aihua; Zhou, Qing; Lu, Tianhong; Ding, Xiaolan; Li, Chaojun; Huang, Xiaohua

    2008-05-01

    One of the possible mechanisms for the inhibition effect of Tb(III) on peroxidase activity in horseradish (Armoracia rusticana) treated with Tb(III) was investigated using some biophysical and biochemical methods. Firstly, it was found that a large amount of Tb(III) can be distributed on the cell wall, that some Tb(III) can enter into the horseradish cell, indicating that peroxidase was mainly distributed on cell wall, and thus that Tb(III) would interact with horseradish peroxidase (HRP) in the plant. In addition, peroxidase bioactivity was decreased in the presence of Tb(III). Secondly, a new peroxidase-containing Tb(III) complex (Tb-HRP) was obtained from horseradish after treatment with Tb(III); the molecular mass of Tb-HRP is near 44 kDa and the pI is about 8.80. Thirdly, the electrocatalytic activity of Tb-HRP is much lower than that of HRP obtained from horseradish without treatment with Tb(III). The decrease in the activity of Tb-HRP is due to the destruction (unfolding) of the conformation in Tb-HRP. The planarity of the heme active center in the Tb-HRP molecule was increased and the extent of exposure of Fe(III) in heme was decreased, leading to inhibition of the electron transfer. The microstructure change in Tb-HRP might be the result of the inhibition effect of Tb(III) on peroxidase activity in horseradish.

  4. Fístula de alto gasto High output fistula

    Directory of Open Access Journals (Sweden)

    Ricardo Almeida Varela

    2012-06-01

    Full Text Available Se presenta a un paciente de 37 años de edad que acude a nuestro Cuerpo de Guardia politraumatizado, con lesiones torácicas y abdominales, con síntomas y signos sugestivos de fracturas costales múltiples, con hemotórax derecho y hemoperitoneo, corroborado imaginológicamente y en la punción abdominal. Se realiza pleurostomía mínima intermedia y laparotomía exploratoria. Se le encuentran lesiones hepáticas de los segmentos VI, V, VIII y IV, con una profundidad mayor de 3 cm, además, deserosamientos en las asas delgadas intestinales y colon. Se realiza hepatorrafia y empaquetamiento hepático. Posteriormente van apareciendo complicaciones, por lo que tiene que ser reintervenido en más de 60 ocasiones. Entre ellas, la aparición de una fístula de alto gasto, que lo llevó a la desnutrición y a la permanencia con el abdomen expuesto durante 7 meses hasta el egreso. Se revisa la literatura correspondiente a estas entidades.A 37 years-old multi-traumatized male patient went to our emergency service. He had many injures in the thorax and the abdomen, together with symptoms and signs suggestive of multiple costal fractures, with right hemothorax and hemoperitoneum, all of which was confirmed by imaging techniques and by abdominal puncture. Minimal intermediate pleurostomy and exploratory laparoscopy were performed. We found hepatic lesions in the 6th, 5th, 8th and 4th segments, over 3 cm deep; additionally, the loss of serosa from the intestinal ansae and from the colon. Hepatorrhaphy and hepatic packing were also performed. Later on, more complications appeared, so he had to be re-operated more than 60 times. The occurrence of a high output fistula led him to malnutrition and his abdomen remained exposed for 7 months until he was finally discharged from hospital. This paper also presented a literature review on this topic.

  5. Pollution in coastal fog at Alto Patache, Northern Chile.

    Science.gov (United States)

    Sträter, Ellen; Westbeld, Anna; Klemm, Otto

    2010-11-01

    The Atacama Desert in Northern Chile is one of the most arid places on earth. However, fog occurs regularly at the coastal mountain range and can be collected at different sites in Chile to supply settlements at the coast with freshwater. This is also planned in the fog oasis Alto Patache (20°49'S, 70°09'W). For this pilot study, we collected fog water samples in July and August 2008 for chemical analysis to find indications for its suitability for domestic use. Fog water samples were taken with a cylindrical scientific fog collector and from the net and the storage tank of a Large Fog Collector (LFC). The pHs of advective fog, originating from the stratus cloud deck over the Eastern Pacific, varied between 2.9 and 3.5. Orographic fog, which was formed locally, exhibited a pH of 2.5. About 50% of the total ionic concentration was due to sea salt. High percentages of sulfate and very high enrichment factors (versus sea salt) of heavy metals were found. Both backward trajectories and the enrichment factors indicate that the high concentrations of ions and heavy metals in fog were influenced by anthropogenic activities along the Chilean Pacific Coast such as power plants, mining, and steel industry. We found no direct indication for the importance of other sources such as the emission of dimethyl sulfide from the ocean and subsequent atmospheric oxidation for acidity and sulfate or soil erosion for heavy metal concentrations. When fog water was collected by the LFC, it apparently picked up large amounts of dry deposition which accumulated on the nets during fog-free periods. This material is rinsed off the collector shortly after the onset of a fog event with the water collected first. During the first flush, some concentrations of acidity, nitrate, As, and Se, largely exceeded the Chilean drinking water limits. Before any use of fog water for domestic purpose, its quality should be checked on a regular basis. Strategies to mitigate fog water pollution are given.

  6. camarón del Alto Golfo de California

    Directory of Open Access Journals (Sweden)

    Homero R. Cabrera M.

    2006-01-01

    Full Text Available Actualmente la pesquería del camarón en el Alto Golfo de California genera preocupaciones referentes a su impacto sobre el medio ambiente, su viabilidad biológica y rentabilidad. Con el propósito de entender el manejo de esta pesquería y su productividad física, hemos examinado el comportamiento productivo de los barcos camaroneros de San Felipe, B.C. durante el periodo 1990-1993. Para ello usamos una función de producción frontera, flexible y no restringida, respecto a la cual estimamos la eficiencia técnica de cada una de las naves observadas. Nuestros resultados indican que la eficiencia promedio de la flota observada es del 80%, un valor de eficiencia cercano al mejor uso de la tecnología productiva y de los factores de la producción. Las naves más viejas resultaron menos eficientes, un resultado esperado; sin embargo, el tamaño de la cooperativa y calidad de su administración afectó positivamente los valores de eficiencia de las naves asociadas enmascarando con ello el efecto antes mencionado y favoreciendo el desarrollo de economías de escala. Los resultados indican también que el conocimiento acumulativo sobre la pesquería del camarón entre los productores es una variable importante, en términos de su efecto sobre la eficiencia productiva de las naves, mientras que la innovación tecnológica ha sido escasa, excepto por los excluidores de tortugas incorporados a su tecnología de captura durante 1996. Concluimos de nuestro análisis que la divulgación del conocimiento sobre la pesquería, como una variable social de cambio desincorporada a la función de producción, y el fortalecimiento de la calidad de los servicios administrativos, son dos aspectos fundamentales a promover para el desarrollo de esta pesquería. También argumentamos que la semejanza tecnológica y operativa entre ambas flotas, la de San Felipe, B.C. y el resto de la flota del camarón que pesca en el Golfo de California permite que nuestro an

  7. Áreas de vulnerabilidade para co-infecção HIV-aids/TB em Ribeirão Preto, SP

    Directory of Open Access Journals (Sweden)

    Maria Eugênia Firmino Brunello

    2011-06-01

    Full Text Available OBJETIVO: Identificar áreas de vulnerabilidade para os casos novos de co-infecção HIV/tuberculose (TB. MÉTODOS: Estudo descritivo ecológico realizado por meio do georreferenciamento dos casos novos de HIV/TB notificados em Ribeirão Preto, SP, em 2006. Os dados foram obtidos do sistema de informação estadual paulista de notificação de TB. Os casos novos de co-infecção HIV/TB foram analisados conforme características sociodemográficas e clínicas e, posteriormente, georreferenciados na base cartográfica do município segundo endereço residencial. Os setores do município foram categorizados em três níveis socioeconômicos: inferior, intermediário e superior, com base na análise de componentes principais das variáveis do censo demográfico de 2000 (renda, instrução e percentagem de domicílios com cinco ou mais moradores. Foi calculada a incidência da co-infecção HIV/TB para cada nível socioeconômico. RESULTADOS: A co-infecção HIV/TB acometeu mais adultos do sexo masculino em idade economicamente ativa e a forma pulmonar da TB foi a mais comum. A distribuição espacial mostrou que as incidências nas áreas com níveis socioeconômicos intermediários e inferiores (8,3 e 11,5 casos por 100 mil habitantes, respectivamente foram superiores àquela (4,8 casos por 100 mil habitantes de nível socioeconômico superior. CONCLUSÕES: A taxa de incidência de co-infecção HIV/TB analisada por níveis socioeconômicos mostrou padraÞo espacial de distribuiçaÞo não homogêneo e apresentou valores mais altos em áreas de maior vulnerabilidade social. O estudo diagnosticou aìreas geograìficas prioritaìrias para o controle da co-infecção e a tecnologia do sistema de informação geográfica pode ser empregada no planejamento das ações em saúde pelos gestores municipais.

  8. Supporting clinical management of the difficult-to-treat TB cases: the ERS-WHO TB Consilium

    Directory of Open Access Journals (Sweden)

    Lia D’Ambrosio

    2015-03-01

    The primary objective of the ERS/WHO TB Consilium is to provide clinical consultation for drug-resistant TB and other difficult-to-treat TB cases, including co-infection with HIV and paediatric cases. Through technical guidance to clinicians managing complex TB cases, the main contribution and outcome of the initiative will be a public health response aimed at achieving correct treatment of affected patients and preventing further development of drug resistance. The Consilum's secondary objective is to ensure monitoring and evaluation of clinical practices on the ground (diagnosis, treatment and prevention.

  9. Patients direct costs to undergo TB diagnosis.

    Science.gov (United States)

    de Cuevas, Rachel M Anderson; Lawson, Lovett; Al-Sonboli, Najla; Al-Aghbari, Nasher; Arbide, Isabel; Sherchand, Jeevan B; Nnamdi, Emenyonu E; Aseffa, Abraham; Yassin, Mohammed A; Abdurrahman, Saddiq T; Obasanya, Joshua; Olanrewaju, Oladimeji; Datiko, Daniel; Theobald, Sally J; Ramsay, Andrew; Squire, S Bertel; Cuevas, Luis E

    2016-03-24

    A major impediment to the treatment of TB is a diagnostic process that requires multiple visits. Descriptions of patient costs associated with diagnosis use different protocols and are not comparable. We aimed to describe the direct costs incurred by adults attending TB diagnostic centres in four countries and factors associated with expenditure for diagnosis. Surveys of 2225 adults attending smear-microscopy centres in Nigeria, Nepal, Ethiopia and Yemen. Adults >18 years with cough >2 weeks were enrolled prospectively. Direct costs were quantified using structured questionnaires. Patients with costs >75(th) quartile were considered to have high expenditure (cases) and compared with patients with costs <75(th) quartile to identify factors associated with high expenditure. The most significant expenses were due to clinic fees and transport. Most participants attended the centres with companions. High expenditure was associated with attending with company, residing in rural areas/other towns and illiteracy. The costs incurred by patients are substantial and share common patterns across countries. Removing user fees, transparent charging policies and reimbursing clinic expenses would reduce the poverty-inducing effects of direct diagnostic costs. In locations with limited resources, support could be prioritised for those most at risk of high expenditure; those who are illiterate, attend the service with company and rural residents.

  10. The Characteristics of TB Epidemic and TB/HIV Co-Infection Epidemic: A 2007-2013 Retrospective Study in Urumqi, Xinjiang Province, China.

    Directory of Open Access Journals (Sweden)

    Wang Wei

    Full Text Available This study was aimed to find out epidemiologic characteristic of tuberculosis (TB cases, and Human Immunodeficiency Virus (HIV positive cases among TB patients (TB/HIV co-infection through demographic, temporal, and spatial study in Urumqi.Descriptive statistics and multivariate logistic regression were applied to identify the epidemiologic characteristics and risk factors of TB epidemic and TB/HIV co-infection epidemic. All addresses of each TB case, TB/HIV co-infection case, and administrative street were transformed into geographical coordinate. Subsequently, the geocoded address for 82 streets was transformed into a dot map used as the basis of spatial datasets. In addition, the paper also used quantile map and the spatial scan statistic in order to identify the spatial distribution and spatial clusters of TB epidemic and TB/HIV co-infection epidemic.There was a declining trend of the notification rates of TB epidemic from 2007 to 2009, as well as a rising trend from 2010 to 2013. However, the notification rates of TB/HIV co-infection epidemic showed a rising trend from 2007 to 2010, and a declining trend from 2011 to 2013. Moreover, a significant share of TB epidemic and TB/HIV co-infection epidemic happened between the age of 15 to 45 years old, indicating an increase in risk of TB and TB/HIV infection. It is worth noting that the risk of HIV infection for male TB patients was 2.947 times (95% CI [2.178, 3.988] than that of female patients. Han ethnicity and Uygur ethnicity in urban region accounted for a large proportion of total TB and TB/HIV co-infection cases. Most of the TB cases of minorities in Urumqi showed a statistically significant increase in risk of HIV infection than Han ethnicity in Urumqi. In addition, the spatial distribution of TB epidemic and TB/HIV co-infection epidemic was highly skewed. Most of the local clusters were located in urban area and rural-urban continuum where showed an increase in risk of TB and TB

  11. Paediatric TB/HIV co-infection – 'an uncompromising duet that ...

    African Journals Online (AJOL)

    2011-10-01

    Oct 1, 2011 ... tuberculosis (TB) in 2009, childhood TB accounted for 11% (884 000 cases).1 ... reduction in incident TB in ART-treated children compared with ..... Obesity is associated with an increased risk of miscarriage but its effect on.

  12. Prevalence and management out comes of anti TB drugs induced ...

    African Journals Online (AJOL)

    Patients and Methods: All TB patients admitted in the Hospital during the study period are the source of population, the study groups were been selected by detecting the possible confounding factors for jaundice. Base line LFT before anti TB initiation was determined before developed jaundice. Those patients, whom the ...

  13. 46 CFR 31.20-1 - Waters-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Waters-TB/ALL. 31.20-1 Section 31.20-1 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS INSPECTION AND CERTIFICATION Waters Operated Over § 31.20-1 Waters—TB/ALL. The certificate of inspection shall show the waters over which the tank vessel...

  14. EVALUATION OF DTECII AND IIEXAGO 1 TB KJTS USED FOR ...

    African Journals Online (AJOL)

    BSN

    of TB infection and the risk of TB if infection has occurred (ATS-CDC, 1990) or as a dependent on the population being tested (ATS-CDC, 1994; Bass, 1993). ... environment, a cut off point of ;::: l 5mm is positive (ATS-CDC, 1994). Although tuberculin testing is the standard method for screening asymptomatic populations for ...

  15. Antiferromagnetism in a 20% Ho-80% Tb alloy single crystal

    DEFF Research Database (Denmark)

    Lebech, Bente

    1968-01-01

    20% Ho-80% Tb exhibits two magnetic phases, similar to those of Tb. The spiral turn angle varies from 31.1° to 21.4°. A minimum effective spin for the occurrence of stable simple ferromagnetic structure at low temperatures is predicted....

  16. The social determinants of tuberculosis and their association with TB ...

    African Journals Online (AJOL)

    Progress made in TB control through the implementation of the DOTS strategy, has been retarded by factors such as poverty, the HIV pandemic and the advent of multidrug resistant tuberculosis. There is currently an increasing shift in TB control ...

  17. Not just pretty pictures: Geographical Information Systems in TB ...

    African Journals Online (AJOL)

    Geographical Information Systems (GIS) is becoming a useful tool in disease control by health planners. However little is known about its potential in tuberculosis (TB) control. In 2000 the National TB Programme (NTP) in Malawi assessed its usefulness. Routinely collected case-finding data from the 3 previous years (1997 ...

  18. 8__Aisha_Detection ofMDR-TB

    African Journals Online (AJOL)

    User

    Among the MDR-TB cases rifampicin resistance was associated with rpoB WT gene and rpoB MUT gene in 100% and 62% of the ... diagnosis of TB patients, and proper treatment and management of the infected cases to minimize the spread and ..... in an amino acid change and concluded that this is one of the reasons ...

  19. HIV/TB CO-INFECTION:THE CHALLENGES

    African Journals Online (AJOL)

    2013-12-02

    Dec 2, 2013 ... latent MTB infection to active TB disease, in which the annual risk of developing TB disease from MTB ... fresh air ventilation; exposure of highly vulnerable individuals; and reduced efficacy or failure of .... Consequently, some patients may develop acute renal failure or acute respiratory distress syndrome.

  20. 46 CFR 30.10-45 - Ocean-TB/O.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Ocean-TB/O. 30.10-45 Section 30.10-45 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS GENERAL PROVISIONS Definitions § 30.10-45 Ocean—TB/O. Under this designation shall be included all tank vessels normally navigating the waters of any ocean or...

  1. Challenges of TB diagnosis and treatment in South Africa | Wood ...

    African Journals Online (AJOL)

    It is estimated that 2 billion of the world\\'s population are latently infected with Mycobacterium tuberculosis (Mtb) with a resultant 8 - 9 million cases of active tuberculosis (TB) and 1.6 million deaths annually.1 The tools used for diagnosis of TB have remained largely unchanged since the 1880s when sputum microscopy, Mtb ...

  2. Investigation on the magnetocaloric effect in TbN compound

    Energy Technology Data Exchange (ETDEWEB)

    Ranke, P.J. von, E-mail: von.ranke@uol.com.br [Instituto de Física, Universidade do Estado do Rio de Janeiro—UERJ, Rua São Francisco Xavier, 524, 20550-013 RJ (Brazil); Alvarenga, T.S.T.; Nóbrega, E.P.; Alho, B.P.; Ribeiro, P.O. [Instituto de Física, Universidade do Estado do Rio de Janeiro—UERJ, Rua São Francisco Xavier, 524, 20550-013 RJ (Brazil); Carvalho, A. Magnus G. [Divisão de Metrologia de Materiais (DIMAT), Instituto Nacional de Metrologia, Normalização e Qualidade Industrial (INMETRO), Duque de Caxias, RJ 25250-020 (Brazil); Sousa, V.S.R. de; Caldas, A.; Oliveira, N.A. de [Instituto de Física, Universidade do Estado do Rio de Janeiro—UERJ, Rua São Francisco Xavier, 524, 20550-013 RJ (Brazil)

    2013-09-15

    One of the biggest challenges in materials science is to understand the microscopic mechanisms responsible in storage and release material entropy. TbN compound, which presents non-degeneracy in ground state, was studied and the calculated magnetocaloric effect is in good agreement with the recent experimental data. Also inverse magnetocaloric effect and spin reorientation transition were predicted in TbN. The theoretical investigations were carried out using a Hamiltonian, which includes the crystalline electrical field, Zeeman and exchange interactions. - Highlights: • Theoretical description of the magnetocaloric effect in TbN. • Influence of the crystalline electrical field anisotropy on TbN. • Predictions of inverse and anomalous magnetocaloric effect in TbN.

  3. Application Values of T-SPOT.TB in Clinical Rapid Diagnosis of Tuberculosis.

    Science.gov (United States)

    Zhu, Feng; Ou, Qinfang; Zheng, Jian

    2018-01-01

    This paper aims to explore the application value of tuberculosis-specific enzyme-linked immunospot assay (T-SPOT.TB) in the diagnosis of tuberculosis. Fifty one patients with tuberculosis (TB) admitted to Wuxi No.5 People's Hospital, Wuxi, China from June 2015 to June 2017 were selected as the TB group, and 40 patients without tuberculosis admitted in the same period were randomly selected as the non-TB group. Patients in the two groups received T-SPOT.TB, TB antibody (TB-Ab) test and mycobacterium TB deoxyribonucleic acid (TB-DNA) test, and the results were compared. Comparisons of the sensitivity of the three methods showed that the sensitivity of T-SPOT.TB was the highest, followed by TB-DNA from sputum samples, and that of TB-Ab was the lowest. The specificity of TB-Ab was the highest, followed by T-SPOT.TB, and that of TB-DNA from sputum samples was the lowest. In the receiver operating characteristic (ROC) curve analysis, the area under curve (AUC) of T-SPOT.TB (0.896) was the highest, followed by TB-DNA from sputum samples (0.772), and that of sputum smears (0.698) was the lowest. T-SPOT.TB can quickly and accurately determine the presence of tuberculosis infection, and it is a non-invasive examination, which can further assist in the diagnosis and guide the treatment.

  4. Association between smoking, tuberculosis and diabetes-TB: an analysis on Indian TB patients

    Directory of Open Access Journals (Sweden)

    Ashok Bhardwaj

    2018-03-01

    400 (100 P value Non Smoker 20 (10.5 170 (89.5 190 (100 0.03 Current 17 (12.5 119 (87.5 136 (100 Ex -Smoker 17 (33.0 57 (77.0 74 (100 Median duration of smoking (IQR in years 20 (30 0.5 (25 3 (65 0.03 [Prevalence of Smoking with TB DM

  5. Prevalence of pulmonary TB and spoligotype pattern of Mycobacterium tuberculosis among TB suspects in a rural community in Southwest Ethiopia

    Directory of Open Access Journals (Sweden)

    Deribew Amare

    2012-03-01

    Full Text Available Abstract Background In Ethiopia where there is no strong surveillance system and state of the art diagnostic facilities are limited, the real burden of tuberculosis (TB is not well known. We conducted a community based survey to estimate the prevalence of pulmonary TB and spoligotype pattern of the Mycobacterium tuberculosis isolates in Southwest Ethiopia. Methods A total of 30040 adults in 10882 households were screened for pulmonary TB in Gilgel Gibe field research centre in Southwest Ethiopia. A total of 482 TB suspects were identified and smear microscopy and culture was done for 428 TB suspects. Counseling and testing for HIV/AIDS was done for all TB suspects. Spoligotyping was done to characterize the Mycobacterium tuberculosis isolates. Results Majority of the TB suspects were females (60.7% and non-literates (83.6%. Using smear microscopy, a total of 5 new and 4 old cases of pulmonary TB cases were identified making the prevalence of TB 30 per 100,000. However, using the culture method, we identified 17 new cases with a prevalence of 76.1 per 100,000. There were 4.3 undiagnosed pulmonary TB cases for every TB case who was diagnosed through the passive case detection mechanism in the health facility. Eleven isolates (64.7% belonged to the six previously known spoligotypes: T, Haarlem and Central-Asian (CAS. Six new spoligotype patterns of Mycobacterium tuberculosis, not present in the international database (SpolDB4 were identified. None of the rural residents was HIV infected and only 5 (5.5% of the urban TB suspects were positive for HIV. Conclusion The prevalence of TB in the rural community of Southwest Ethiopia is low. There are large numbers of undiagnosed TB cases in the community. However, the number of sputum smear-positive cases was very low and therefore the risk of transmitting the infection to others may be limited. Active case finding through health extension workers in the community can improve the low case detection rate

  6. AtriplaR/anti-TB combination in TB/HIV patients. Drug in focus

    Directory of Open Access Journals (Sweden)

    Semvua Hadija H

    2011-11-01

    Full Text Available Abstract Background Co-administration of anti-tuberculosis and antiretroviral therapy is often inevitable in high-burden countries where tuberculosis is the most common opportunistic infection associated with HIV/AIDS. Concurrent use of rifampicin and several antiretroviral drugs is complicated by pharmacokinetic drug-drug interaction. Method Pubmed and Google search following the key words tuberculosis, HIV, emtricitabine, tenofovir efavirenz, interaction were used to find relevant information on each drug of the fixed dose combination AtriplaR Results Information on generic name, trade name, pharmacokinetic parameter, metabolism and the pharmacokinetic interaction with Anti-TB drugs of emtricitabine, tenofovir, and efavirenz was obtained. Conclusion Fixed dose combination of emtricitabine/tenofovir/efavirenz (ATRIPLAR which has been approved by Food and Drug Administration shows promising results as far as safety and efficacy is concerned in TB/HIV co-infection patients, hence can be considered effective and safe antiretroviral drug in TB/HIV management for adult and children above 3 years of age.

  7. Integration of childhood TB into guidelines for the management of acute malnutrition in high burden countries.

    Science.gov (United States)

    Patel, L N; Detjen, A K

    2017-06-21

    Introduction: Childhood tuberculosis (TB) and undernutrition are major global public health challenges. In 2015, although an estimated 1 million children aged malnutrition from 17 high TB burden countries were reviewed to gather information on TB symptom screening, exposure history, and treatment. Results: Seven (41%) countries recommend routine TB screening among children with acute malnutrition, and six (35%) recommend obtaining a TB exposure history. Conclusion: TB screening is not consistently included in guidelines for acute malnutrition in high TB burden countries. Routine TB risk assessment, especially history of TB exposure, among acutely malnourished children, combined with improved linkages with TB services, would help increase TB case finding and could impact outcomes. Operational research on how best to integrate services at different levels of the health care system is needed.

  8. Predictors of Prolonged TB Treatment in a Dutch Outpatient Setting.

    Directory of Open Access Journals (Sweden)

    Natasha Van't Boveneind-Vrubleuskaya

    Full Text Available Standard treatment duration for drug-susceptible tuberculosis (TB treatment is 6 months. Treatment duration is often extended-and for various different reasons. The aim of this study was to determine the prevalence and to assess risk factors associated with extended TB treatment.A cross-sectional study was conducted. Data including demographic, clinical, radiological and microbiological information from the Netherlands TB Register (NTR of 90 patients with smear and culture positive pulmonary TB of the region Haaglanden, The Netherlands, was eligible for analysis.Treatment was extended to ≥ 200 days by 46 (51% patients. Extended TB treatment was associated with a higher frequency of symptoms, presumed to be due to adverse drug reactions (ADR; OR 2.39 95% CI: 1.01-5.69, drug-induced liver injury (DILI (OR: 13.51; 95% CI: 1.66-109.82 and longer than 2 month smear and culture conversion rate (OR: 11.00; 95% CI: 1.24-97.96 and OR: 8.56; 95% CI: 1.53-47.96. In the multivariable logistic analysis, development of DILI emerged as the single statistically strong risk factor necessitating extension of TB treatment.This finding will need further confirmation in a prospective study, exploring the possible mutual role of pharmacokinetic and pharmacogenetic determinants of DILI among TB patients.

  9. Immigrants and health system challenges to TB control in Oman

    Directory of Open Access Journals (Sweden)

    Fochsen Grethe

    2010-07-01

    Full Text Available Abstract Background During the past three decades, Oman has made significant progress in controlling TB within it's borders. However, the national TB control program elimination target has yet to be reached. This study aims to explore the perceived roles played by the immigrant population and the private health sector in relation to TB control in Oman. Methods We conducted seventeen interviews with different health care providers. The verbatim transcripts were processed using content analysis. Results Three main themes emerged. Firstly the threat of repatriation faced by underprivileged expatriates, secondly the criticized and forgotten private health sector as a key player and thirdly the user and provider barriers faced by Omani patients in the Omani public health system. Conclusions The study has identified some of the challenges and barriers to TB control in Oman. These challenges are mainly related to unintended negative consequences arising from the current repatriation policy of immigrants and to and the lack of involvement of the private sector in TB control. TB control strategies designed to address these challenges are needed, for Oman to reach its TB elimination targets.

  10. Integration of HIV and TB services results in improved TB treatment outcomes and earlier prioritized ART initiation in a large urban HIV clinic in Uganda.

    Science.gov (United States)

    Hermans, Sabine M; Castelnuovo, Barbara; Katabira, Catherine; Mbidde, Peter; Lange, Joep M A; Hoepelman, Andy I M; Coutinho, Alex; Manabe, Yukari C

    2012-06-01

    The World Health Organization recommends that treatment of tuberculosis (TB) in HIV-infected patients should be integrated with HIV care. In December 2008, a separate outdoor-integrated TB/HIV clinic was instituted for attendees of a large urban HIV clinic in Uganda. We sought to evaluate associated TB and HIV treatment outcomes. Routinely collected clinical, pharmacy, and laboratory data were merged with TB clinic data for patients initiating TB treatment in 2009 and with TB register data for patients in 2007. TB treatment outcomes and (timing of) antiretroviral therapy (ART) initiation in ART-naive patients [overall and stratified by CD4+ T cell (CD4) count] in 2007 and 2009 were compared. Nosocomial transmission rates could not be assessed. Three hundred forty-six patients were initiated on TB treatment in 2007 and 366 in 2009. Median CD4 counts at TB diagnosis did not differ. TB treatment cure or completion increased from 62% to 68%, death or default decreased from 33% to 25% (P ART-naive TB patients were initiated on ART in 2009 versus 2007 (57% and 66%, P = 0.031), but this decrease was only in patients with CD4 counts >250 cells per cubic millimeter (19% vs. 48%, P = 0.003). More patients were started on ART during TB treatment (94% vs. 78%, P ART initiation. This supports rollout of a fully integrated TB/HIV service delivery model throughout high-prevalence TB and HIV settings.

  11. Antigen-Specific Interferon-Gamma Responses and Innate Cytokine Balance in TB-IRIS

    Science.gov (United States)

    Goovaerts, Odin; Jennes, Wim; Massinga-Loembé, Marguerite; Ceulemans, Ann; Worodria, William; Mayanja-Kizza, Harriet; Colebunders, Robert; Kestens, Luc

    2014-01-01

    Background Tuberculosis-associated immune reconstitution inflammatory syndrome (TB-IRIS) remains a poorly understood complication in HIV-TB patients receiving antiretroviral therapy (ART). TB-IRIS could be associated with an exaggerated immune response to TB-antigens. We compared the recovery of IFNγ responses to recall and TB-antigens and explored in vitro innate cytokine production in TB-IRIS patients. Methods In a prospective cohort study of HIV-TB co-infected patients treated for TB before ART initiation, we compared 18 patients who developed TB-IRIS with 18 non-IRIS controls matched for age, sex and CD4 count. We analyzed IFNγ ELISpot responses to CMV, influenza, TB and LPS before ART and during TB-IRIS. CMV and LPS stimulated ELISpot supernatants were subsequently evaluated for production of IL-12p70, IL-6, TNFα and IL-10 by Luminex. Results Before ART, all responses were similar between TB-IRIS patients and non-IRIS controls. During TB-IRIS, IFNγ responses to TB and influenza antigens were comparable between TB-IRIS patients and non-IRIS controls, but responses to CMV and LPS remained significantly lower in TB-IRIS patients. Production of innate cytokines was similar between TB-IRIS patients and non-IRIS controls. However, upon LPS stimulation, IL-6/IL-10 and TNFα/IL-10 ratios were increased in TB-IRIS patients compared to non-IRIS controls. Conclusion TB-IRIS patients did not display excessive IFNγ responses to TB-antigens. In contrast, the reconstitution of CMV and LPS responses was delayed in the TB-IRIS group. For LPS, this was linked with a pro-inflammatory shift in the innate cytokine balance. These data are in support of a prominent role of the innate immune system in TB-IRIS. PMID:25415590

  12. Processamento da rede neocognitron para reconhecimento facial em ambiente de alto desempenho GPU

    OpenAIRE

    Gustavo Poli Lameirão da Silva

    2007-01-01

    Neste trabalho é apresentada a implementação da Rede Neural Neocognitron, usando uma arquitetura de computação de alto desempenho baseada em GPU (Graphics Processing Unit). O Neocognitron é uma rede neural artificial, proposta por Fukushima e colaboradores, constituída de vários estágios de camadas de neurônios, organizados em matrizes bidimensionais denominadas planos celulares. Para o processamento de alto desempenho da aplicação de reconhecimento facial usando neocognitron foi utilizado o ...

  13. Effect of calcinations temperature on the luminescence intensity and fluorescent lifetime of Tb3+-doped hydroxyapatite (Tb-HA nanocrystallines

    Directory of Open Access Journals (Sweden)

    Hairong Yin

    2017-06-01

    Full Text Available Hydroxyapatite luminescent nanocrystallines doped with 6 mol.% Tb3+ (Tb-HA were prepared via chemical deposition method and calcined at different temperature, and the effects of calcinations temperature on the luminescence intensity and fluorescent lifetime were studied. TEM image of Tb-HA revealed that the shape of nanocrystallines changed from needle-like to short rod-like and sphere-like with the increase of calcinations temperature; while the particles sizes decreased from 190 nm to 110 nm. The crystallinity degree increased. The typical emission peaks attributed to Tb3+ ions were observed in emission spectra of 6 mol.% Tb-HA under 378 nm excitation. The luminescent intensity of Tb-HA, which showed the fluorescence quenching, firstly enhanced and then decreased at 700 °C; while the fluorescent lifetime increased firstly and then decreased after 600 °C. Furthermore, the ratio of intensity between 545 nm and 490 nm corresponding to electric-dipole and magnetic-dipole transition (IR: IO increases firstly and then decreases, which revealed that the proportion of substitute type and site of Ca2+ ions by Tb3+ ions were helpful to realize the substitute process and functional structure design.

  14. Immune TB Antibody Phage Display Library as a Tool To Study B Cell Immunity in TB Infections.

    Science.gov (United States)

    Hamidon, Nurul Hamizah; Suraiya, Siti; Sarmiento, Maria E; Acosta, Armando; Norazmi, Mohd Nor; Lim, Theam Soon

    2018-03-01

    B cells and in particular antibodies has always played second fiddle to cellular immunity in regard to tuberculosis (TB). However, recent studies has helped position humoral immunity especially antibodies back into the foray in relation to TB immunity. Therefore, the ability to correlate the natural antibody responses of infected individuals toward TB antigens would help strengthen this concept. Phage display is an intriguing approach that can be utilized to study antibody-mediated responses against a particular infection via harvesting the B cell repertoire from infected individuals. The development of disease-specific antibody libraries or immune libraries is useful to better understand antibody-mediated immune responses against specific disease antigens. This study describes the generation of an immune single-chain variable fragment (scFv) library derived from TB-infected individuals. The immune library with an estimated diversity of 10 9 independent clones was then applied for the identification of monoclonal antibodies against Mycobacterium tuberculosis α-crystalline as a model antigen. Biopanning of the library isolated three monoclonal antibodies with unique gene usage. This strengthens the role of antibodies in TB immunity in addition to the role played by cellular immunity. The developed library can be applied against other TB antigens and aid antibody-derived TB immunity studies in the future.

  15. Accelerating TB notification from the private health sector in Delhi, India.

    Science.gov (United States)

    Kundu, Debashish; Chopra, Kamal; Khanna, Ashwani; Babbar, Neeti; Padmini, T J

    2016-01-01

    In India, almost half of all patients with tuberculosis (TB) seek care in the private sector as the first point of care. The national programme is unable to support such TB patients and facilitate effective treatment, as there is no information on TB and Multi or Extensively Drug Resistant TB (M/XDR-TB) diagnosis and treatment in private sector. To improve this situation, Government of India declared TB a notifiable disease for establishing TB surveillance system, to extend supportive mechanism for TB treatment adherence and standardised practices in the private sector. But TB notification from the private sector is a challenge and still a lot needs to be done to accelerate TB notification. Delhi State TB Control Programme had taken initiatives for improving notification of TB cases from the private sector in 2014. Key steps taken were to constitute a state level TB notification committee to oversee the progress of TB notification efforts in the state and direct 'one to one' sensitisation of private practitioners (PPs) (in single PP's clinic, corporate hospitals and laboratories) by the state notification teams with the help of available tools for sensitising the PP on TB notification - TB Notification Government Order, Guidance Tool for TB Notification and Standards of TB Care in India. As a result of focussed state level interventions, without much external support, there was an accelerated notification of TB cases from the private sector. TB notification cases from the private sector rose from 341 (in 2013) to 4049 (by the end of March 2015). Active state level initiatives have led to increase in TB case notification. Copyright © 2016 Tuberculosis Association of India. Published by Elsevier B.V. All rights reserved.

  16. Antigen-Specific Interferon-Gamma Responses and Innate Cytokine Balance in TB-IRIS

    NARCIS (Netherlands)

    Goovaerts, Odin; Jennes, Wim; Massinga-Loembé, Marguerite; Ceulemans, Ann; Worodria, William; Mayanja-Kizza, Harriet; Colebunders, Robert; Kestens, Luc; Loembé, Marguerite Massinga; Mayanja, Harriet; Mascart, Francoise; van den Bergh, Rafael; Locht, Camille; Reiss, Peter; Cobelens, Frank; Ondoa, Pascale; Pakker, Nadine; Mugerwa, Roy

    2014-01-01

    Background: Tuberculosis-associated immune reconstitution inflammatory syndrome (TB-IRIS) remains a poorly understood complication in HIV-TB patients receiving antiretroviral therapy (ART). TB-IRIS could be associated with an exaggerated immune response to TB-antigens. We compared the recovery of

  17. Magnetic properties of the Tb4 + ion in Li2TbF6

    Science.gov (United States)

    Guillot, M.; El-Ghozzi, M.; Avignant, D.; Ferey, G.

    1993-05-01

    Both oxygen and fluorine have a partiality towards the stabilization of high oxidation states of rare earths such as Ce, Pr, and Tb. During the study of the MF-M'F4 (M=alkaline metal; M' rare ion) the compound Li2TbF6 was found to constitute the only representative obtained under ambient pressure of a structural type, namely α-Li2ZrF6, known until now only through the high pressure form. Magnetic measurements were carried out over the 1.4-300 K temperature range in continuous magnetic fields up to 20 T produced by a Bitter magnet. At low temperature and in H higher than 15 T, the magnetization M was observed to be field independent and very close to the calculated Tb4+ free ion value, i.e., 7μB; on the other hand, the data do not present any departure from the Brillouin function of the pure 8S7/2 state. The reciprocal magnetic susceptibility obeys a Curie-Weiss law leading to an effective moment of 7.86μB. A very unusual behavior of the terbium ion which presents a 4+ oxidation state is concluded: to the best of our knowledge, it is the first observation of this form. The so-found spherical 4f7 electronic configuration is the most compatible with the high coordination number of eight. Finally, the discussion within the series Li2MIVF6 compounds to understand the influence of both electronic configuration and size effects is presented.

  18. Dextran solution optical activity in Tb (III) ion presence

    International Nuclear Information System (INIS)

    Vasconcellos, Sandra S.; Rodrigues, J.F.; Faljoni-Alario, A.

    1984-01-01

    Optical activity studies of aqueous solutions of dextrana in presence of Tb (III) or without it shows the complex with the hidroxyl groups of C 2 and C 3 of monomeric unit participation is formed. (L.M.J.) [pt

  19. management of pulmonary tb in nurse-based cape town

    African Journals Online (AJOL)

    Kurt

    a recording and reporting system enabling assessment of the outcomes of each patient ... scopically at the regional laboratory. (NHLS) for .... auditing of aspects of clinical and resource management. ... and information systems. The TB nurs-.

  20. Health Inequities and HIV, Viral Hepatitis, TB, and STDs

    Centers for Disease Control (CDC) Podcasts

    Dr. Kevin A. Fenton, Director of CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), discusses health inequities in the United States and how NCHHSTP research, policies, and programs can address them.

  1. Disparities in HIV/AIDS, Viral Hepatitis, STDs, and TB

    Science.gov (United States)

    ... Search The CDC Health Disparities in HIV/AIDS, Viral Hepatitis, STDs, and TB Note: Javascript is disabled or ... Other Pacific Islanders MMWR Publications HIV and AIDS Viral Hepatitis STDs Tuberculosis Training and Networking Resources Call for ...

  2. Luminescence properties of Tb implanted ZnO

    International Nuclear Information System (INIS)

    Cetin, A.; Kibar, R.; Selvi, S.; Townsend, P.D.; Can, N.

    2009-01-01

    ZnO [0 0 0 1] crystals were irradiated at room temperature with Tb + ions of 400 keV with fluences from 1x10 16 to 2x10 17 cm -2 . The implanted layer was examined by several methods, including radioluminescence (RL), Rutherford backscattering spectrometry (RBS) and optical spectroscopy. The optical extinction spectra were simulated using Mie scattering theory. Absorption spectra predicted by Mie theory for particles of decreasing diameter were compared with those obtained experimentally. Some qualitative agreement between theoretical and experimental data was achieved. It was also shown that the intensities of the characteristic green emission bands associated with Tb produced by 5 D 4 → 7 F j=5,4 transitions have increased about 8 times after annealing. Optical spectroscopy and radioluminescence data have revealed that the ion implantation is a promising tool for synthesizing Tb nanoparticles in the ZnO surface. The Tb nanoparticles exhibit a rather weak plasma resonance.

  3. 46 CFR 32.75-1 - Application-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... REQUIREMENTS Hull Requirements for Wood Hull Tank Vessels Constructed Prior to November 10, 1936 § 32.75-1 Application—TB/ALL. All wood hull tank vessels, the construction or conversion of which was started prior to...

  4. Thermomagnetically written domains in TbFeCo thin films

    International Nuclear Information System (INIS)

    Reim, W.; Weller, D.

    1988-01-01

    Characteristic features of thermomagnetically written domains in amorphous Tb x (Fe 90 Co 10 ) 100-x alloy thin films having different magnetic properties are reported. In particular, the writing process in materials with low Tb content chi ≤ 21 dominated by the demagnetizing field is compared to the bias field dominated process in Tb rich samples 22 ≤ chi ≤ 25. Domain wall movement over lateral dimensions of the bit size is found for Tb poor materials while for chi ≥ 22 domain boundaries are primarily determined by the area heated up to the Curie-temperature. The importance of mechanical stress on domain formation and irreversible changes of the storage medium due to overheating in the writing process are reported

  5. TB and HIV Therapeutics: Pharmacology Research Priorities

    Directory of Open Access Journals (Sweden)

    Kelly E. Dooley

    2012-01-01

    Full Text Available An unprecedented number of investigational drugs are in the development pipeline for the treatment of tuberculosis. Among patients with tuberculosis, co-infection with HIV is common, and concurrent treatment of tuberculosis and HIV is now the standard of care. To ensure that combinations of anti-tuberculosis drugs and antiretrovirals are safe and are tested at doses most likely to be effective, selected pharmacokinetic studies based on knowledge of their metabolic pathways and their capacity to induce or inhibit metabolizing enzymes of companion drugs must be conducted. Drug interaction studies should be followed up by evaluations in larger populations to evaluate safety and pharmacodynamics more fully. Involving patients with HIV in trials of TB drugs early in development enhances the knowledge gained from the trials and will ensure that promising new tuberculosis treatments are available to patients with HIV as early as possible. In this review, we summarize current and planned pharmacokinetic and drug interaction studies involving investigational and licensed tuberculosis drugs and antiretrovirals and suggest priorities for tuberculosis-HIV pharmacokinetic, pharmacodynamic, and drug-drug interaction studies for the future. Priority studies for children and pregnant women with HIV and tuberculosis co-infection are briefly discussed.

  6. HUBUNGAN FAKTOR LINGKUNGAN RUMAH DENGAN PENULARAN TB PARU KONTAK SERUMAH

    Directory of Open Access Journals (Sweden)

    Anwar Musadad

    2012-11-01

    Full Text Available Environmental Factor Relation of House With Infection of TB Paru through Housing Contact.Tuberculosis of the Lung (Lung TB still become health problem for world, including Indonesia in the third sequence after India And China. If cannot overcome each and everyone with Active Lung TB with mean infection 10-15 people/year. This research aim to know environmental factor relation of house with infection of Lung TB through contact house. The research population consist of entire household which inside there is 1 (one or more patient of Adult Lung TB with the result of positive bacteria inspection by public health center in 2002, while as sample is entire household which inside there is 1 (one or more patient of Adult Lung TB and have under 5 years baby. Inclusion criteria is patient of Lung TB paru noted by public health center and reside in region of Tangerang District in 2002. The collection of data was conducted with interview using questionnaire, enviromental perception, and tuberculine test. Uji Tuberculin test done by Mantoux (inoculation intracutane for 5 years baby use PPD RT 23 strength 2 TU with tuberkulin 1 cc needle with number 26. Criteria of Lung TB infection if diameter transversal from period that happened as a result of tuberculine test >10 mm and have clinical history of such as coughing more than 3 weeks, pain and recuring or old fever without clear cause, body weight descend or not go up in 1 month; moon without clear cause, or have specific clinical symptom. Result showed that from 254 households there are 33 (13.0% occurence of infection Lung TB. Environmental factor of house which deal with infection TB as an entry of the indoor direct sunlight with value OR=3,50; CI 95% 1,19-10,34 (p=0,015. The conclusion stated that direct sunlight play important role for infection of Lung TB in the same house.Keywords: Tuberculosis, infection through housing ccontact, tuberculine test, sunlight

  7. Magnetic and crystallographic properties of TbCo4B

    International Nuclear Information System (INIS)

    Caspi, E.N.; Dubman, M.; Ettedgui, H.; Shaked, H.; Melamud, M.; Keller, L.; Avdeev, M.

    2006-01-01

    The compound TbCo 4 B was studied using measurements of AC magnetic susceptibility, magnetization and neutron powder diffraction. It is found that this compound orders at T C ∼450 K. Each of the two Tb and two Co sublattices orders ferromagnetically. The coupling is ferromagnetic within each pair and ferrimagnetic between pairs. A compensation point at ∼300 K and a spin reorientation between 400 and 430 K were found

  8. Health Inequities and HIV, Viral Hepatitis, TB, and STDs

    Centers for Disease Control (CDC) Podcasts

    2010-09-15

    Dr. Kevin A. Fenton, Director of CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), discusses health inequities in the United States and how NCHHSTP research, policies, and programs can address them.  Created: 9/15/2010 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.   Date Released: 9/15/2010.

  9. HIV screening among TB patients and co-trimoxazole preventive therapy for TB/HIV patients in Addis Ababa: facility based descriptive study.

    Science.gov (United States)

    Denegetu, Amenu Wesen; Dolamo, Bethabile Lovely

    2014-01-01

    Collaborative TB/HIV management is essential to ensure that HIV positive TB patients are identified and treated appropriately, and to prevent tuberculosis (TB) in HIV positive patients. The purpose of this study was to assess HIV case finding among TB patients and Co-trimoxazole Preventive Therapy (CPT) for HIV/TB patients in Addis Ababa. A descriptive cross-sectional, facility-based survey was conducted between June and July 2011. Data was collected by interviewing 834 TB patients from ten health facilities in Addis Ababa. Both descriptive and inferential statistics were used to summarize and analyze findings. The proportion of TB patients who (self reported) were offered for HIV test, tested for HIV and tested HIV positive during their anti-TB treatment follow-up were; 87.4%, 69.4% and 20.2%; respectively. Eighty seven HIV positive patients were identified, who knew their status before diagnosed for the current TB disease, bringing the cumulative prevalence of HIV among TB patients to 24.5%. Hence, the proportion of TB patients who knew their HIV status becomes 79.9%. The study revealed that 43.6% of those newly identified HIV positives during anti-TB treatment follow-up were actually treated with CPT. However, the commutative proportion of HIV positive TB patients who were ever treated with CPT was 54.4%; both those treated before the current TB disease and during anti-TB treatment follow-up. HIV case finding among TB patients and provision of CPT for TB/HIV co-infected patients needs boosting. Hence, routine offering of HIV test and provision of CPT for PLHIV should be strengthened in-line with the national guidelines.

  10. Magnetic structure of Tb-Fe films with an artificially layered structure

    International Nuclear Information System (INIS)

    Yamauchi, K.; Habu, K.; Sato, N.

    1988-01-01

    The magnetic structure of Tb-Fe films with an artificially layered structure has been investigated by measuring the temperature dependence of the magnetization of the films. Ferrimagnetic coupling between Tb and Fe through the interface was explicitly observed up to about 9-A Tb and 10-A Fe layers. Films with thinner Tb and Fe layers than these thicknesses are composed of only ferrimagnetically coupled Tb-Fe regions. Films with thicker layers of Tb and Fe are composed of ferrimagnetically coupled Tb-Fe, ferromagnetic Fe, ferromagnetic Tb, and/or magnetically compensated Tb regions. The Tb-Fe films exhibit various temperature dependencies of the magnetization corresponding to these magnetic structures

  11. Los tambos Inca: el caso de Camata Tambo valle alto de Moquegua

    OpenAIRE

    Chacaltana Cortez, Sofía; Ministerio de Cultura

    2013-01-01

    Camata Tambo está ubicado en la parte alta del valle alto de Moquegua. Por este tambo pasa un camino Inca que viene del altiplano y continúa hacia el centro provincial de Sabaya ubicado a 1 km valle abajo.

  12. Motivación y equipos de alto desempeño

    OpenAIRE

    Olaya Gómez, Audrey Yazmin

    2015-01-01

    “Yo hago lo que usted no puede, y usted hace lo que yo no puedo. Juntos podemos hacer grandes cosas” (Teresa de Calcuta).El objetivo de este ensayo es reconocer que en un equipo de alto desempeño se requiere tanta motivación a nivel personal. 

  13. Schooling and Critical Citizenship: Pedagogies of Political Agency in El Alto, Bolivia

    Science.gov (United States)

    Lazar, Sian

    2010-01-01

    This article explores the formation of citizenship as social practice in a school in El Alto, Bolivia. I examine interactions between "banking" forms of education, students' responses, and embodied practices of belonging and political agency, and argue that the seemingly passive forms of knowledge transmission so criticized by critical…

  14. Esporte de alto rendimento: reflexões psicanalíticas e utópicas

    Directory of Open Access Journals (Sweden)

    Mariana Hollweg Dias

    2012-01-01

    Full Text Available Este artigo busca fazer uma análise a respeito do esporte de alto rendimento a partir dos referenciais teóricos da Psicanálise e dos Estudos Utópicos, partindo do princípio de que a lógica do esporte de alto rendimento na contemporaneidade reverbera a lógica do laço social. A exigência da "alta performance" sempre é uma das características de nossa época que estão fortemente presentes no discurso do esporte de alto rendimento e que muitas vezes são fonte de padecimento para os sujeitos, atletas ou não. Apesar disso, o esporte ainda tem muito a contribuir na nossa sociedade, e a aposta deste trabalho é no que foi chamado utopia esportiva, que preconiza o acento na busca da superação mais do que o resultado final necessariamente no lugar mais alto do pódio.

  15. Changes without changes: the Puebla's Alto Atoyac sub-basin case in Mexico

    NARCIS (Netherlands)

    Bressers, Johannes T.A.; Casiano Flores, Cesar Augusto

    2015-01-01

    Since the year 2000, actions at the three governmental levels have taken place to improve water quality in Mexico’s Puebla Alto Atoyac sub-basin. This paper reports a situation in which several policy actors have been striving for water quality improvement in that polluted sub-basin. However, when

  16. Temperature-dependent structure of Tb-doped magnetite nanoparticles

    International Nuclear Information System (INIS)

    Rice, Katherine P.; Russek, Stephen E.; Shaw, Justin M.; Usselman, Robert J.; Evarts, Eric R.; Silva, Thomas J.; Nembach, Hans T.; Geiss, Roy H.; Arenholz, Elke; Idzerda, Yves U.

    2015-01-01

    High quality 5 nm cubic Tb-doped magnetite nanoparticles have been synthesized by a wet-chemical method to investigate tailoring of magnetic properties for imaging and biomedical applications. We show that the Tb is incorporated into the octahedral 3+ sites. High-angle annular dark-field microscopy shows that the dopant is well-distributed throughout the particle, and x-ray diffraction measurements show a small lattice parameter shift with the inclusion of a rare-earth dopant. Magnetization and x-ray magnetic circular dichroism data indicate that the Tb spins are unpolarized and weakly coupled to the iron spin lattice at room temperature, and begin to polarize and couple to the iron oxide lattice at temperatures below 50 K. Broadband ferromagnetic resonance measurements show no increase in magnetic damping at room temperature for Tb-doped nanoparticles relative to undoped nanoparticles, further confirming weak coupling between Fe and Tb spins at room temperature. The Gilbert damping constant, α, is remarkably low for the Tb-doped nanoparticles, with α = 0.024 ± 0.003. These nanoparticles, which have a large fixed moment, a large fluctuating moment and optically active rare-earth elements, are potential high-relaxivity T1 and T2 MRI agents with integrated optical signatures

  17. Temperature-dependent structure of Tb-doped magnetite nanoparticles

    Energy Technology Data Exchange (ETDEWEB)

    Rice, Katherine P.; Russek, Stephen E., E-mail: stephen.russek@nist.gov; Shaw, Justin M.; Usselman, Robert J.; Evarts, Eric R.; Silva, Thomas J.; Nembach, Hans T. [National Institute of Standards and Technology, Boulder, Colorado 80305 (United States); Geiss, Roy H. [Colorado State University, Fort Collins, Colorado 80523 (United States); Arenholz, Elke [Lawrence Berkeley National Laboratory, Advanced Light Source, Berkeley, California 94720 (United States); Idzerda, Yves U. [Department of Physics, Montana State University, Bozeman, Montana 59717 (United States)

    2015-02-09

    High quality 5 nm cubic Tb-doped magnetite nanoparticles have been synthesized by a wet-chemical method to investigate tailoring of magnetic properties for imaging and biomedical applications. We show that the Tb is incorporated into the octahedral 3+ sites. High-angle annular dark-field microscopy shows that the dopant is well-distributed throughout the particle, and x-ray diffraction measurements show a small lattice parameter shift with the inclusion of a rare-earth dopant. Magnetization and x-ray magnetic circular dichroism data indicate that the Tb spins are unpolarized and weakly coupled to the iron spin lattice at room temperature, and begin to polarize and couple to the iron oxide lattice at temperatures below 50 K. Broadband ferromagnetic resonance measurements show no increase in magnetic damping at room temperature for Tb-doped nanoparticles relative to undoped nanoparticles, further confirming weak coupling between Fe and Tb spins at room temperature. The Gilbert damping constant, α, is remarkably low for the Tb-doped nanoparticles, with α = 0.024 ± 0.003. These nanoparticles, which have a large fixed moment, a large fluctuating moment and optically active rare-earth elements, are potential high-relaxivity T1 and T2 MRI agents with integrated optical signatures.

  18. On the role of the ground state Tb(3)/acetylacetone complex in sensitized emission of Tb(3) in ethanol solution

    International Nuclear Information System (INIS)

    Lis, S.; Elbanowski, M.; Marciniak, B.

    1989-01-01

    The Tb(3)-acetylacetone system in ethanol solution has been studied by spectroscopic methods. The formation of a Tb(3)/acetylacetone (1:1) complex in the ground state has been proved and its stability constant determined, K = (0,97 ± 0,06).10 4 dm 3 mol -1 . The role of this complex in the spectrofluorimetric determination of Ln(3) ions in the presence of acetylacetone has been discussed. (Authors)

  19. ASSESSMENT OF EFFECT OF MDR - TB/TB ON SOCIAL, FUNCTIONAL AND ECONOMIC WELL BEING OF PATIENTS – A CROSS SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Shiv Kumar

    2015-06-01

    Full Text Available CONTEXT : Tuberculosis is a contagious disease with social stigma attached to it. Various problems which are social and economic in nature are faced by TB patient. Therefore , it is essential to explore the overall effect of MDR - TB/TB on health and patients perception of Well - being. AIMS : To Document the effect of MDR - TB/TB on social , functional and economic well - being of patients. SETTINGS AND DESIGN : A Cross - sectional study , Conveniently Recruited 68 MDR - TB Patients and 136 non - MDR - TB Patients (from Rural as well as urban Area of Surat District diagnosed by CBNAAT were interviewed for investigating the effect of Tuberculosis. METHODS AND MATERIAL : A pre - tested standardized semi - structured questionnaire was used. Data was collected about socio - demographic profile of patients and interpreted in table. Data about effect of MDR - TB/TB was collected on Likert Scale and Frequency was calculated and Data wa s plotted on multiple bar charts. RESULTS : As compared to healthy status in the past , 93% MDR - TB and 82% TB patients have decreased ability to do work , about half of MDR - TB Patients and TB Patients have detiorated relations with family members , 67% of stud y participants have developed disharmonious relations with neighbor’s , 55% of Study participants have decreased income , 88% of study participants have decreased performance in day to day activities and 78% of study participants have faced discordial and di srespectful behavior from co - workers. CONCLUSION : Working ability more detiorated in MDR - TB patients while rest of the effect on social , functional and economic well - being is same in both TB and Multi Drug Resistant TB patients. This study emphasizes very clearly that social stigma still persist in community about Tuberculosis which needs to be eliminated in community by behavior change communication by health workers at all levels of health care.

  20. Tracking and Treating Mobile Populations. The TB Net System. Migrant Clinicians Network Monograph Series. = El Sistema de Red para la TB.

    Science.gov (United States)

    Migrant Clinicians Network, Inc., Austin, TX.

    A comprehensive tracking and referral network that helps provide continuity of care for mobile populations with active tuberculosis (TB) or TB infection is considered essential for effective treatment of TB. However, the interstate referral system that exists between state health departments has been highly inefficient for serving migrant…

  1. Production and study of fission fragments, from Lohengrin to Alto; Production et etude des fragments de fission, de Lohengrin a Alto

    Energy Technology Data Exchange (ETDEWEB)

    Ibrahim, F

    2005-06-15

    The study of nuclei far from stability is constitutive of the history of nuclear physics at its very beginning and has been making considerable great strides since then. The study of these nuclei give the opportunity to reach new information on the nuclear structure and thus to measure the solidity of our knowledge on nuclear matter and its validity when it is pushed to its limits. The reaction selected for the production of exotic nuclei in the framework of the PARRNe program is the fission of uranium 238. The nuclei produced have an intermediate mass and are very rich in neutrons. The technique to recover them in order to accelerate them is the thick target method called also the Isol technique. The installation of the ancient Lep injector at the Tandem line in Orsay (IPN) is expected to increase by a factor 100 the production rate of exotic nuclei in the PARRNe program, it is the Alto project. The work presented here concerns studies carried out at the Lohengrin spectrometer installed at the ILL in Grenoble, and at the Tandem installation in Orsay. This document is divided into 4 parts: 1) in flight techniques at Lohengrin, 2) the Isol technique, 3) magic numbers in the domain N=50, and 4) the Alto project.

  2. Management of MDR-TB in HIV co-infected patients in Eastern Europe

    DEFF Research Database (Denmark)

    Efsen, A M W; Schultze, A; Miller, R F

    2018-01-01

    below the target of 90%, reflecting the challenging patient population and the environment in which health care is provided. Urgent improvement of management of patients with TB/HIV in EE, in particular for those with MDR-TB, is needed and includes widespread access to rapid TB diagnostics, better......OBJECTIVES: Mortality among HIV patients with tuberculosis (TB) remains high in Eastern Europe (EE), but details of TB and HIV management remain scarce. METHODS: In this prospective study, we describe the TB treatment regimens of patients with multi-drug resistant (MDR) TB and use of antiretroviral...... access to and use of second-line TB drugs, timely ART initiation with viral load monitoring, and integration of TB/HIV care....

  3. Energy transfer mechanism between Ce and Tb ions in sol–gel synthesized YSO crystals

    International Nuclear Information System (INIS)

    Chiriu, Daniele; Stagi, Luigi; Carbonaro, Carlo Maria; Corpino, Riccardo; Ricci, Pier Carlo

    2016-01-01

    The luminescence properties of Tb and Ce in Rare Earth Doped crystalline oxides largely depend on their relative concentrations: by increasing the dopant concentration, the luminescence profile changes from blue to green because of the energy transfer among centers. The kinetic properties of the luminescence of optically excited Terbium–Cerium co-doped Y_2SiO_5 sol–gel synthesized crystal powders have been investigated as a function of the Tb dopant concentration (Ce content fixed at 1% atomic). The interaction among different Tb emitting centers and their relation with Ce centers was explained within the Inokuti-Hirayama model for a dipole–dipole energy transfer mechanism in the low-middle Tb concentration range whilst the Forster–Dexter model was applied in the middle-high Tb concentration range. The kinetic model allows elucidating the role of sensitizer and activator ion as a function of Tb concentration, successfully estimating the energy transfer mechanism efficiency and calculating the critical Tb concentration. - Highlights: • The kinetic properties of Ce, Tb recombination in YSO matrix were studied. • The Inokuti-Hirayama and Forster–Dexter models were applied. • At high Tb content, the Ce to Tb energy transfer acts through the dipole−quadrupole. • At low Tb content, the Ce to Tb energy transfer acts through the dipole−dipole. • The presence of Ce reduces the critical Tb concentration (at low Tb content).

  4. Energy transfer mechanism between Ce and Tb ions in sol–gel synthesized YSO crystals

    Energy Technology Data Exchange (ETDEWEB)

    Chiriu, Daniele; Stagi, Luigi; Carbonaro, Carlo Maria; Corpino, Riccardo; Ricci, Pier Carlo, E-mail: carlo.ricci@dsf.unica.it

    2016-03-01

    The luminescence properties of Tb and Ce in Rare Earth Doped crystalline oxides largely depend on their relative concentrations: by increasing the dopant concentration, the luminescence profile changes from blue to green because of the energy transfer among centers. The kinetic properties of the luminescence of optically excited Terbium–Cerium co-doped Y{sub 2}SiO{sub 5} sol–gel synthesized crystal powders have been investigated as a function of the Tb dopant concentration (Ce content fixed at 1% atomic). The interaction among different Tb emitting centers and their relation with Ce centers was explained within the Inokuti-Hirayama model for a dipole–dipole energy transfer mechanism in the low-middle Tb concentration range whilst the Forster–Dexter model was applied in the middle-high Tb concentration range. The kinetic model allows elucidating the role of sensitizer and activator ion as a function of Tb concentration, successfully estimating the energy transfer mechanism efficiency and calculating the critical Tb concentration. - Highlights: • The kinetic properties of Ce, Tb recombination in YSO matrix were studied. • The Inokuti-Hirayama and Forster–Dexter models were applied. • At high Tb content, the Ce to Tb energy transfer acts through the dipole−quadrupole. • At low Tb content, the Ce to Tb energy transfer acts through the dipole−dipole. • The presence of Ce reduces the critical Tb concentration (at low Tb content).

  5. Litigation as TB Rights Advocacy: A New Delhi Case Study.

    Science.gov (United States)

    McBroom, Kerry

    2016-06-01

    One thousand people die every day in India as a result of TB, a preventable and treatable disease, even though the Constitution of India, government schemes, and international law guarantee available, accessible, acceptable, quality health care. Failure to address the spread of TB and to provide quality treatment to all affected populations constitutes a public health and human rights emergency that demands action and accountability. As part of a broader strategy, health activists in India employ Public Interest Litigation (PIL) to hold the state accountable for rights violations and to demand new legislation, standards for patient care, accountability for under-spending, improvements in services at individual facilities, and access to government entitlements in marginalized communities. Taking inspiration from right to health PIL cases (PILs), lawyers in a New Delhi-based rights organization used desk research, fact-findings, and the Right To Information Act to build a TB PIL for the Delhi High Court, Sanjai Sharma v. NCT of Delhi and Others (2015). The case argues that inadequate implementation of government TB schemes violates the Constitutional rights to life, health, food, and equality. Although PILs face substantial challenges, this paper concludes that litigation can be a crucial advocacy and accountability tool for people living with TB and their allies.

  6. Solution growth of Tb doped Gd_2O_3 film

    International Nuclear Information System (INIS)

    Ghosh, M.; Pitale, S.; Desai, D.G.; Patra, G.D.; Sen, S.; Gadkari, S.C.

    2016-01-01

    Nanomaterials of Gd_2O_3 have proven applications in medical imaging and cancer therapy due to the presence of element Gd. Also Gd_2O_3 films have been grown by vapor phase method as well as self assembly in solution and studied as a high-k dielectric and efficient luminescence material. Here, we report a method to obtain Tb doped Gd_2O_3 film by solution growth method followed by suitable heat treatment. Uniform films of Tb doped Gadolinium hydroxycarbonate have been deposited on fused quartz substrates kept inside a solution containing gadolinium nitrate, terbium nitrate and Urea maintained at 90°C. Gadolinium hydroxy-carbonate films are then treated at 800°C for 2 hour to obtain Tb doped cubic Gd_2O_3 as confirmed by X-ray diffraction measurement. The photoluminescence spectra display characteristic Tb emission at 544 nm when excited at 285 nm. The lifetime of Tb emission is found to be of the order of few microseconds. (author)

  7. EXAFS study of Tb-doped silica xerogels

    International Nuclear Information System (INIS)

    Rocca, F.; Monti, F.; Kuzmin, A.; Dalmaso, A.; Pasqualini, D.

    1999-01-01

    The modification of the local environment of Tb 3+ ions in optically active silica xerogels as a function of concentration (from 400 ppm to 40000 ppm) and thermal treatment (which induces densification) was studied by x-ray absorption spectroscopy at the Tb L 3 edge. Quantitative analysis of the first Tb-O coordination shell was performed using the experimental signal from Tb 3+ ions in water solution as a reference. The radial distribution functions (RDF) of the non-thermally treated (NT) gels are characterised by a nearly gaussian shape, as for the reference sample. On the contrary, the RDF of the densified gels (T) are asymmetric having the main peak at a shorter distance, with a reduced coordination number (N=4-5) and a secondary peak, with N=1-2, at a longer distance. The local environment of Tb in the low concentration sample (400 ppm) is different from that at higher concentrations, both in the NT- and in the T-gels. (au)

  8. EXAFS study of Tb-doped silica xerogels

    Energy Technology Data Exchange (ETDEWEB)

    Rocca, F. [CeFsa - Centro CNR-ITC de Fisica degli Stati Aggregati, Povo (Italy); Monti, F. [Univ. de Verona, Facolta di Scienze (Italy); Kuzmin, A. [Inst. of Solid State Physics, Riga (Latvia); Dalmaso, A.; Pasqualini, D. [Univ. di Trento, INFM - Dipartimento di Fisica (Italy)

    1999-11-01

    The modification of the local environment of Tb{sup 3+} ions in optically active silica xerogels as a function of concentration (from 400 ppm to 40000 ppm) and thermal treatment (which induces densification) was studied by x-ray absorption spectroscopy at the Tb L{sub 3} edge. Quantitative analysis of the first Tb-O coordination shell was performed using the experimental signal from Tb{sup 3+} ions in water solution as a reference. The radial distribution functions (RDF) of the non-thermally treated (NT) gels are characterised by a nearly gaussian shape, as for the reference sample. On the contrary, the RDF of the densified gels (T) are asymmetric having the main peak at a shorter distance, with a reduced coordination number (N=4-5) and a secondary peak, with N=1-2, at a longer distance. The local environment of Tb in the low concentration sample (400 ppm) is different from that at higher concentrations, both in the NT- and in the T-gels. (au) 15 refs.

  9. EXAFS study of Tb-doped silica xerogels

    CERN Document Server

    Rocca, F; Kuzmin, A; Dalmaso, A; Pasqualini, D

    1999-01-01

    The modification of the local environment of Tb/sup 3+/ ions in optically active silica xerogels as a function of concentration (from 400 ppm to 40000 ppm) and thermal treatment (which induces densification) was studied by X-ray absorption spectroscopy at the Tb L/sub 3/ edge. Quantitative analysis of the first Tb-O coordination shell was performed using the experimental signal from Tb/sup 3+/ ions in water solution as a reference. The radial distribution functions (RDF) of the non-thermally treated (NT) gels are characterized by a nearly Gaussian shape, as for the reference sample. On the contrary, the RDF of the densified gels (T) are asymmetric having the main peak at a shorter distance, with a reduced coordination number (N=4-5) and a secondary peak, with N=1-2, at a longer distance. The local environment of Tb in the low concentration sample (400 ppm) is different from that at higher concentrations, both in the NT- and in the T-gels. (15 refs).

  10. A tuberculosis biomarker database: the key to novel TB diagnostics

    Directory of Open Access Journals (Sweden)

    Seda Yerlikaya

    2017-03-01

    Full Text Available New diagnostic innovations for tuberculosis (TB, including point-of-care solutions, are critical to reach the goals of the End TB Strategy. However, despite decades of research, numerous reports on new biomarker candidates, and significant investment, no well-performing, simple and rapid TB diagnostic test is yet available on the market, and the search for accurate, non-DNA biomarkers remains a priority. To help overcome this ‘biomarker pipeline problem’, FIND and partners are working on the development of a well-curated and user-friendly TB biomarker database. The web-based database will enable the dynamic tracking of evidence surrounding biomarker candidates in relation to target product profiles (TPPs for needed TB diagnostics. It will be able to accommodate raw datasets and facilitate the verification of promising biomarker candidates and the identification of novel biomarker combinations. As such, the database will simplify data and knowledge sharing, empower collaboration, help in the coordination of efforts and allocation of resources, streamline the verification and validation of biomarker candidates, and ultimately lead to an accelerated translation into clinically useful tools.

  11. Magnetic Interactions in Tb and Tb-10% Ho from Inelastic Neutron Scattering

    DEFF Research Database (Denmark)

    Bjerrum Møller, Hans; Houmann, Jens Christian Gylden; Mackintosh, A.R.

    1968-01-01

    The magnon dispersion relations and lifetimes have been measured in Tb and a Tb‐10% Ho alloy by inelastic neutron scattering, in regions of both ferromagnetic and spiral ordering. In the ferromagnetic phase, the magnon energy is generally finite at zero wavevector and rises quadratically at low q....... The magnon energies scale approximately with the magnetization. In the spiral phase the magnon energy rises linearly from zero at low q. The Fourier‐transformed exchange parameter J(q) has pronounced peaks in the c direction, which are ascribed to transitions between states close to the Fermi surface....... These peaks are less pronounced in the ferromagnetic phase. The primary mechanism limiting the magnon lifetimes appears to be interaction with the conduction electrons. In the alloy, the lifetime for magnons propagating in the c direction in the ferromagnetic phase falls abruptly at about q  =  0.35 Å−1...

  12. State of affairs of tuberculosis in prison facilities: a systematic review of screening practices and recommendations for best TB control

    NARCIS (Netherlands)

    Vinkeles Melchers, Natalie V. S.; van Elsland, Sabine L.; Lange, Joep M. A.; Borgdorff, Martien W.; van den Hombergh, Jan

    2013-01-01

    Prisoners are at high risk of developing tuberculosis (TB), causing morbidity and mortality. Prison facilities encounter many challenges in TB screening procedures and TB control. This review explores screening practices for detection of TB and describes limitations of TB control in prison

  13. Interferon gamma release assays for the diagnosis of latent TB infection in HIV-infected individuals in a low TB burden country.

    LENUS (Irish Health Repository)

    Cheallaigh, Clíona Ní

    2013-01-01

    Interferon gamma release assays (IGRAs) are used to diagnose latent tuberculosis infection. Two IGRAs are commercially available: the Quantiferon TB Gold In Tube (QFT-IT) and the T-SPOT.TB. There is debate as to which test to use in HIV+ individuals. Previous publications from high TB burden countries have raised concerns that the sensitivity of the QFT-IT assay, but not the T-SPOT.TB, may be impaired in HIV+ individuals with low CD4+ T-cell counts. We sought to compare the tests in a low TB burden setting.

  14. Tromboembolismo pulmonar masivo de alto riesgo asociado a foramen oval permeable

    Directory of Open Access Journals (Sweden)

    Antonio Miranda

    2012-04-01

    Full Text Available La alta mortalidad de los pacientes con tromboembolismo pulmonar masivo de alto riesgo amerita un enfoque terapéutico enérgico e invasivo que incluya la embolectomía pulmonar quirúrgica en aquellos pacientes con contraindicación para trombolisis o trombolisis fallida. Describimos un caso de tromboembolismo pulmonar masivo de alto riesgo que recibió tratamiento quirúrgico en vez de trombolisis debido a que al momento del diagnóstico presentaba un trombo móvil a través de un foramen oval permeable con altísima posibilidad de embolismo paradójico arterial.

  15. Metodologia de avaliação e desenvolvimento de grupos de alto desempenho

    Directory of Open Access Journals (Sweden)

    Ana Cristina Carneiro

    2008-11-01

    Full Text Available Este artigo discute a fundamentação teórica do Projeto de Avaliação e Desenvolvimento de Grupos de Alto Desempenho, concebido com base na metodologia da Meta-aprendizagem, e no Modelo Evolutivo, estendido à luz da Teoria da Complexidade. Visa ao desenvolvimento e aplicação de uma metodologia de avaliação/constituição de grupos de alto desempenho no ambiente de pesquisa e pós-graduação. A metodologia proposta validada empiricamente teve base no aproveitamento das virtudes e potencialidades das teorias que lhe deram origem. É destinado aos docentes e pesquisadores de vários campos do conhecimento, bem como aos dirigentes de instituições de educação superior e de pesquisa.

  16. Event review: International Knapping Workshop, with Bruce Bradley, Fazenda Monte Alto, Dourado, SP (Brazil

    Directory of Open Access Journals (Sweden)

    Elisa Theodora Adriana van Veldhuizen

    2016-07-01

    Full Text Available The event took place from 3 till 8 July 2016 at Fazenda Monte Alto, Dourado, SP, Brazil. The aim of the course was to provide intensive knapping training in order to enhance analytical methods and procedures. This training was not only for students, but also professionals who were interested in the course. The course was given by Bruce Bradley (University of Exeter, who has extensive experience with Stone Age technologies and experimental archaeology. Mercedes Okumura (PPGArq, National Museum, Federal University of Rio de Janeiro and Astolfo G. M. Araujo (Museum of Archaeology and Ethnology, University of São Paulo organized the course, which was sponsored by Fazenda Monte Alto, Café Helena, and the British Academy, Newton Mobility Grants Scheme (NG140077. The workshop had 15 participants from Brazil, Uruguay, the Netherlands and Canada.

  17. El 'ayllu' reterritorializado, y su 'taypi'. La ciudad de El Alto.

    Directory of Open Access Journals (Sweden)

    Orlando Augusto Yépez Mariaca

    2010-05-01

    Twenty-five years a suburb of La Paz, now the city of El Alto, the heat of the capital's neoliberal policies, implodes in the urban area provided by flat topography as opposed to La Paz, to become today in a city with larger population and greater extent than its parent. With a population of mostly Aymara-Indian-moving and rich in its live, old traditions of the Andean Community institution like Ayllu and Aini, among others. On October 2003, the city of El Alto, the epicenter of a massive social upheaval, becoming the leader of the anti-globalization social movements. Will the 'pachakuti' "return" of the ancient traditions originate? The shop is above all 'live together', and perhaps a light at the end of the tunnel, a tunnel that big business has been built so arrogant and conceited, leaving cities now fragmented, unbalanced territories and a planet on the brink of collapse.

  18. Sonido espacial para una inmersión audiovisual de alto realismo

    Directory of Open Access Journals (Sweden)

    Basilio Pueo Ortega

    2012-04-01

    Full Text Available Los sistemas de vídeo y audio de alta inmersión tienen un auge impor-tante en entornos audiovisuales realistas. Las sensaciones visuales y sonoras que crean en el público se aproximan con un alto grado de similitud a lo percibido en el entorno real que pretenden recrear. Para ello, los estímulos deben contener toda la información necesaria, tanto espacial como temporal, que permita crear la ilusión de que el objeto audiovisual es real. En este artículo, se realiza un repaso de los sistemas audiovisuales que permiten esta recreación, con especial atención en los sistemas de audio envolvente. Se describe la técnica de audio 3D más prometedora, Wave Field Synthesis, junto con diversos campos de aplicación de entornos audiovisuales de alto realismo.

  19. Difference in TB10.4 T-cell epitope recognition following immunization with recombinant TB10.4, BCG or infection with Mycobacterium tuberculosis

    DEFF Research Database (Denmark)

    Billeskov, Rolf; Grandal, Michael V; Poulsen, Christian

    2010-01-01

    vaccine Ag, TB10.4, in a recombinant form, or when expressed by the pathogen Mycobacterium tuberculosis (M.tb), or by the current anti-tuberculosis vaccine, Mycobacterium bovis BCG. We showed that BCG and M.tb induced a similar CD4(+) T-cell specific TB10.4 epitope-pattern, which differed completely from...... that induced by recombinant TB10.4. This difference was not due to post-translational modifications of TB10.4 or because TB10.4 is secreted from BCG and M.tb as a complex with Rv0287. In addition, BCG and TB10.4/CAF01 were both taken up by DC and macrophages in vivo, and in vitro uptake experiments revealed...... that both TB10.4 and BCG were transported to Lamp(+)-compartments. BCG and TB10.4 however, were directed to different types of Lamp(+)-compartments in the same APC, which may lead to different epitope recognition patterns. In conclusion, we show that different vectors can induce completely different...

  20. Preparation and characterization of Tb3+ and Tb(sal)3.nH2O doped PC:PMMA blend

    International Nuclear Information System (INIS)

    Dwivedi, Y.; Singh, A.K.; Prakash, Rajiv; Rai, S.B.

    2011-01-01

    Tb doped polycarbonate:poly(methyl methacrylate) (Tb-PC:PMMA) blend was prepared with varying proportions of PC and PMMA. Thermal and spectroscopic properties of the doped polymer have been investigated employing Fourier Transform Infrared (FTIR) absorption and differential scanning calorimetric (DSC) techniques. PC:PMMA blend (with 10 wt% PC and 90 wt% PMMA) shows better miscibility. Optical properties of the dopant Tb 3+ ions have been investigated using UV-vis absorption and fluorescence excited by 355 nm radiation. It is seen that luminescence intensity of Tb 3+ ion depends on PC:PMMA ratio and on Tb 3+ ion concentration. Concentration quenching is seen for TbCl 3 .6H 2 O concentration larger than 4 wt%. Addition of salicylic acid to the polymer blend increases the luminescence from Tb 3+ ions. Luminescence decay curve analysis affirms the non-radiative energy transfer from salicylic acid to Tb 3+ ions, which is identified as the reason behind this enhancement. - Highlights: → Blend formation is confirmed at PC/90PMMA, using FTIR and DSC techniques. → Absorption and bandgap studies of blend and parent components were studied. → Optical properties of Tb and Tb(sal) 3 .nH 2 O complex have been studied in PC/PMMA blend. → Luminescence decay curves confirm non-radiative energy transfer from Sal to Tb 3+ ions.

  1. KEMANDIRIAN MASYARAKAT DALAM PERILAKU PENCEGAHAN PENULARAN PENYAKIT TB PARU

    Directory of Open Access Journals (Sweden)

    Niniek Lely Pratiwi

    2013-03-01

    Full Text Available ABSTRACT Background: Prevention of tuberculosis, particularly pulmonary tuberculosis in lndonesia was started in 1969, but the number of pulmonary TB patients is increasing. Methods:Ethnographic qualitative study aims to assess the independence of the community effort in preventing pulmonary TB disease transmission. Methods: of data collection participatory observation, in-depth interviews with informants pulmonary TB patients and families. Research sites in the city of Pariaman, West Lombok district and the district Rote Ndao NTT. Results:The analysis of four independent indicators of the knowledge society is stilllow considering that most of the informants consider pulmonary TB disease as a hereditary disease, and infectious diseases as the people in the district Hossa Rote Ndao. Illness perceptions of people in the city of Pariaman, pulmonary TB disease as a disease because "ismeken", due to use-for others who are not happy ln the town of West Lombok fear of stigma, shame as people with TB, so there are many people who call it the perception of illness as a disease of old cough, dry cough of 40 days, and asthma. Confidence/trust society still depends on health workers, yet there are cadres who provide direct counseling on prevention of transmission. Capability community is lacking, people still believe in the health care workers to provide counseling. Selection of the PMO staff (Supervisors taking medication were not appropriate to the social structures that exist in society Lobar districts with 'sasak' social structure, then the host teacher, 'Kyai' can be as social support surrounding communities. 'Kyai' expected to affect the mindset of people, motivate people to air PHBs. Rote Ndao district as a social support from church leaders as well as the city of Pariaman, a descendant of the king, can motivate people. Participatory community by providing prevention counseling in a variety of pulmonary TB disease or group of containers carried on a

  2. CD4 cell count recovery in HIV/TB co-infected patients versus TB uninfected HIV patients

    Directory of Open Access Journals (Sweden)

    Wanchu A

    2010-10-01

    Full Text Available Background: There is lack of data comparing the improvement in CD4 count following antitubercular (ATT and antiretroviral therapy (ART in patients presenting with Human Immunodeficiency Virus/Tuberculosis (HIV/TB dual infection compared with CD4 matched cohort of TB uninfected HIV patients initiated on ART. We sought to test the hypothesis; TB additionally contributes to reduction in CD4 count in HIV/TB co-infected patients and this would result in greater improvement in count following treatment compared with CD4 matched TB uninfected individuals. Materials and Methods: In a retrospective cohort study design we studied the change in CD4 cell counts in two groups of patients - those with CD4 cell count >100 cells / mm 3 (Group 1 and <100/mm 3 (Group 2 at presentation. In each group the change in CD4 cell count in dually infected patients following six-month ATT and ART was compared to cohorts of CD4 matched TB uninfected patients initiated on ART. Results: In Group 1 (52 patients dually infected subjects′ CD4 count improved from 150 cells/ mm 3 to 345 cells/mm 3 (P=0.001. In the control TB uninfected patients, the change was from 159 cells/mm 3 to 317 cells/mm 3 (P=0.001. Additional improvement in dually infected patients compared to the control group was not statistically significant (P=0.24. In Group 2 (65 patients dually infected subjects count improved from 49 cells/mm3 to 249 cells/mm 3 (P=0.001 where as in control TB uninfected patients improvement was from 50 cells/ mm 3 to 205 cells/mm 3 (P=0.001, there being statistically significant additional improvement in dually infected subjects (P=0.01. Conclusion: Greater increment in CD4 counts with ATT and ART in dually infected patients suggests that TB additionally influences the reduction of CD4 counts in HIV patients.

  3. The Interactive Dimension of Communication: The Pragmatics of the Palo Alto Group

    OpenAIRE

    Codruţa Porcar; Cristian Hainic

    2011-01-01

    Our paper proposes to analyze from a semiotic perspective the process of communication as conceived within the Palo Alto Group. We will firstly show that, as a result of the Group's critiques and revisions of the linear or mechanistic theories of communication, new perspectives are brought about for the essential axes of transformation within communication: we do not communicate as from a distinct atom to another, through an isolated channel, but through parts which are equal to the whole, th...

  4. Fusion cross sections measurement for 6Li + 159Tb

    International Nuclear Information System (INIS)

    Pradhan, M.K.; Mukherjee, A.; Kshetri, R.; Roy, Subinit; Basu, P.; Goswami, A.; Saha Sarkar, M.; Ray, M.; Parkar, V.; Santra, S.; Kailas, S.; Palit, R.

    2009-01-01

    In order to investigate the effect of projectile breakup threshold energy on fusion in mass region around A∼170, we have carried out a systematic investigation of the fusion (both CF and ICF) cross sections for the systems 11 B, 10 B + 159 Tb and 7 Li + 159 Tb at energies near and close to the barrier where 11 B was considered to be a strongly bound nucleus. The nucleus 10 B has a α-separation energy of 4.5 MeV. The measurements show that the extent of suppression of CF cross sections is correlated with the α-separation energies of the projectiles. As a further continuation of this work, we have recently carried out fusion excitation function measurement for the system 6 Li + 159 Tb (Coulomb barrier 27 MeV) at energies near and close to the barrier

  5. Inhibition of placenta growth factor with TB-403

    DEFF Research Database (Denmark)

    Nielsen, Dorte Lisbet; Sengeløv, Lisa

    2012-01-01

    INTRODUCTION: There is clinical evidence that therapies targeting the vascular endothelial growth factor pathway are effective in delaying cancer progression. However, tumors may be either intrinsically resistant or evolve resistance to such therapies. Hence, there is a need for new therapies...... targeting angiogenesis. AREAS COVERED: The data are obtained by searching in the PubMed database. The search terms used included antiangiogenic therapy, TB-403 (RO5323441), placenta growth factor (PlGF) and VEGFR-1 (Flt-1). We review preclinical data concerning the function and inhibition of Pl......GF and summarize data on expression of PlGF in cancer patients. Data from early-phase clinical trials of TB-403 (RO5323441), a monoclonal antibody inhibiting PlGF, are discussed. Future development strategies, therapeutic potentials and limitations of TB-403 are further evaluated. EXPERT OPINION: There are some...

  6. TB-IRIS and remodelling of the T cell compartment in highly immunosuppressed HIV+ patients with TB: the CAPRI T (ANRS-12614) study

    Science.gov (United States)

    Haridas, V.; Pean, P.; Jasenosky, L.D.; Madec, Y.; Laureillard, D.; Sok, T.; Sath, S.; Borand, L.; Marcy, O.; Chan, S.; Tsitsikov, E.; Delfraissy, J.-F.; Blanc, F.-X.; Goldfeld, A.E.

    2015-01-01

    Objective To investigate the impact of tuberculosis (TB)-associated immune reconstitution syndrome (IRIS) upon immunological recovery and the T cell compartment after initiation of TB and antiretroviral therapy (ART). Design and methods We prospectively evaluated T cell immunophenotypes by flow cytometry and cytokines by Luminex assays in a subset (n=154) of highly immunosuppressed HIV+ patients with TB from the CAMELIA randomized clinical trial. We compared findings from patients who developed TB-IRIS to findings from patients who did not develop TB-IRIS. Data were evaluated with mixed effect linear regression, Kaplan-Meier estimates, and Wilcoxon rank sum tests, and q-values were calculated to control for multiple comparisons. Results Development of TB-IRIS was associated with significantly greater pre-ART frequencies of HLA-DR+CD45RO+CD4+, CCR5+CD4+, OX40+CD4+, and Fas+ effector memory (EM) CD8+ T cells, and significantly elevated levels of plasma IL-6, IL-1β, IL-8, and IL-10 and viral load. Post-ART initiation, EM CD4+ and Fas+ EM CD4+ T cell frequencies significantly expanded, and central memory (CM) CD4+ T cell frequencies significantly contracted in patients who experienced TB-IRIS. By week 34 post-TB treatment initiation, EM/CM CD4+ T cell ratios were markedly higher in TB-IRIS versus non-TB-IRIS patients. Conclusions A distinct pattern of pre-ART T cell and cytokine markers appear to poise the immune response to develop TB-IRIS. Experience of TB-IRIS is then associated with long-term remodeling of the CD4+ T cell memory compartment towards an EM-dominated phenotype. We speculate that these pre- and post-ART TB-IRIS-associated immune parameters may contribute to superior immune control of TB/HIV co-infection and better clinical outcome. PMID:25486415

  7. Reaching out to take on TB in Somalia.

    Science.gov (United States)

    Moore, David A J; Granat, Simo M

    2014-01-01

    Among the many challenges facing populations disrupted by complex emergencies, personal security and food security rank much higher than access to healthcare. However, over time health needs assume increasing importance. Many complex crises occur in settings where the background incidence of TB is already high; social and economic conditions in crises are then highly conducive to amplification of the existing TB problem. Innovative approaches to delivery of diagnostic and treatment services, transition planning and integration with other healthcare providers and services are vital. In the extremely challenging environment of Somalia, multiple partners are making headway though collaboration and innovation.

  8. Analysis of the fourth spectrum of terbium (Tb IV)

    International Nuclear Information System (INIS)

    Spector, N.; Sugar, J.

    1976-01-01

    The low-energy level structure of Tb 3+ has been derived from spectra obtained with a sliding spark light source. The 7 F ground term of the 4f 8 configuration was found as well as all levels of the configurations 4f 7 5d, 6s, and 6p built on the 8 S 7 / 2 core state of 4f 7 . Of the possible 51 lines connecting these levels, 48 were observed. Optimized radial parameters are given for the observed configurations. A value for the ionization energy of 39.37(0.10) eV is derived for Tb 3+

  9. Optimal treatment interruptions control of TB transmission model

    Science.gov (United States)

    Nainggolan, Jonner; Suparwati, Titik; Kawuwung, Westy B.

    2018-03-01

    A tuberculosis model which incorporates treatment interruptions of infectives is established. Optimal control of individuals infected with active TB is given in the model. It is obtained that the control reproduction numbers is smaller than the reproduction number, this means treatment controls could optimize the decrease in the spread of active TB. For this model, controls on treatment of infection individuals to reduce the actively infected individual populations, by application the Pontryagins Maximum Principle for optimal control. The result further emphasized the importance of controlling disease relapse in reducing the number of actively infected and treatment interruptions individuals with tuberculosis.

  10. Random anisotropy studies in amorphous Co-Tb ribbons

    International Nuclear Information System (INIS)

    Hassanain, N.; Berrada, A.; Lassri, H.; Krishnan, R.

    1995-01-01

    Amorphous Co 1-x Tb x ribbons with x=0.45, 0.55 and 0.65 have been prepared by melt spinning technique. Magnetization measurements were carried out at 4.2 K, under magnetic fields up to 150 kOe. The Co moment is found to be very small and the Tb moment is 7.15μ B at 4.2 K, which indicates a speromagnetic spin structure. Using Chudnovsky's theory we have extracted some fundamental magnetic parameters. ((orig.))

  11. Random anisotropy studies in amorphous CoTb ribbons

    Science.gov (United States)

    Hassanain, N.; Berrada, A.; Lassri, H.; Krishnan, R.

    1995-02-01

    Amorphous Co 1- xTb x ribbons with x = 0.45, 0.55 and 0.65 have been prepared by melt spinning technique. Magnetization measurements were carried out at 4.2 K, under magnetic fields up to 150 kOe. The Co moment is found to be very small and the Tb moment is 7.15 μB at 4.2 K, which indicates a speromagnetic spin structure. Using Chudnovsky's theory we have extracted some fundamental magnetic parameters.

  12. Decay out of superdeformed bands in Tb isotopes

    International Nuclear Information System (INIS)

    Petrache, C.M.; Beck, F.A.; Flibotte, S.; France, G. de; Theisen, C.; Vivien, J.P.

    1995-01-01

    Excited states in the 150,151,152 Tb isotopes have been investigated using the 130 Te( 27 Al, xn) reaction and the EUROGAM array. The theoretical interpretation of the level schemes has been performed in the framework of the deformed independent particle model. The feeding patterns of the normal-deformed states by the superdeformed bands in 150,151 Tb istopes have also been established. The results indicate that the decay-out mechanism of the bands is not of purely statistical nature, but depends on the configurations of both normal- and superdeformed states. (orig.)

  13. Divergent Small Tim Homologues Are Associated with TbTim17 and Critical for the Biogenesis of TbTim17 Protein Complexes in Trypanosoma brucei

    Science.gov (United States)

    Smith, Joseph T.; Singha, Ujjal K.; Misra, Smita

    2018-01-01

    ABSTRACT The small Tim proteins belong to a group of mitochondrial intermembrane space chaperones that aid in the import of mitochondrial inner membrane proteins with internal targeting signals. Trypanosoma brucei, the protozoan parasite that causes African trypanosomiasis, possesses multiple small Tim proteins that include homologues of T. brucei Tim9 (TbTim9) and Tim10 (TbTim10) and a unique small Tim that shares homology with both Tim8 and Tim13 (TbTim8/13). Here, we found that these three small TbTims are expressed as soluble mitochondrial intermembrane space proteins. Coimmunoprecipitation and mass spectrometry analysis showed that the small TbTims stably associated with each other and with TbTim17, the major component of the mitochondrial inner membrane translocase in T. brucei. Yeast two-hybrid analysis indicated direct interactions among the small TbTims; however, their interaction patterns appeared to be different from those of their counterparts in yeast and humans. Knockdown of the small TbTims reduced cell growth and decreased the steady-state level of TbTim17 and T. brucei ADP/ATP carrier (TbAAC), two polytopic mitochondrial inner membrane proteins. Knockdown of small TbTims also reduced the matured complexes of TbTim17 in mitochondria. Depletion of any of the small TbTims reduced TbTim17 import moderately but greatly hampered the stability of the TbTim17 complexes in T. brucei. Altogether, our results revealed that TbTim9, TbTim10, and TbTim8/13 interact with each other, associate with TbTim17, and play a crucial role in the integrity and maintenance of the levels of TbTim17 complexes. IMPORTANCE Trypanosoma brucei is the causative agent of African sleeping sickness. The parasite’s mitochondrion represents a useful source for potential chemotherapeutic targets. Similarly to yeast and humans, mitochondrial functions depend on the import of proteins that are encoded in the nucleus and made in the cytosol. Even though the machinery involved in this

  14. Oxidative Stress Markers in Tuberculosis and HIV/TB Co-Infection.

    Science.gov (United States)

    Rajopadhye, Shreewardhan Haribhau; Mukherjee, Sandeepan R; Chowdhary, Abhay S; Dandekar, Sucheta P

    2017-08-01

    Dysfunction of redox homeostasis has been implicated in many pathological conditions. An imbalance of pro- and anti-oxidants have been observed in Tuberculosis (TB) and its co-morbidities especially HIV/AIDS. The pro inflammatory milieu in either condition aggravates the physiological balance of the redox mechanisms. The present study therefore focuses on assessing the redox status of patients suffering from TB and HIV-TB co-infection. To assess the oxidative stress markers in the HIV-TB and TB study cohort. The current prospective study was conducted in Haffkine Institute, Parel, Maharashtra, India, during January 2013 to December 2015. Blood samples from 50 patients each suffering from active TB and HIV-TB co-infection were collected from Seth G.S.Medical College and KEM Hospital Mumbai and Group of Tuberculosis Hospital, Sewree Mumbai. Samples were processed and the experiments were carried out at the Department of Biochemistry, Haffkine Institute. Samples from 50 healthy volunteers were used as controls. Serum was assessed for pro-oxidant markers such as Nitric Oxide (NO), Thiobarbituric Acid Reactive Species (TBARS), C-Reactive Protein (CRP), superoxide anion. Antioxidant markers such as catalase and Superoxide Dismutase (SOD) were assessed. Total serum protein, was also assessed. Among the pro-oxidants, serum NO levels were decreased in TB group while no change was seen in HIV-TB group. TBARS and CRP levels showed significant increase in both groups; superoxide anion increased significantly in HIV-TB group. Catalase levels showed decreased activities in TB group. SOD activity significantly increased in HIV-TB but not in TB group. The total serum proteins were significantly increased in HIV-TB and TB groups. The values of Control cohort were with the normal reference ranges. In the present study, we found the presence of oxidative stress to be profound in the TB and HIV-TB co-infection population.

  15. Usefulness of the mycobacterium tuberculosis direct assay in early diagnosis of extrapulmonary TB

    Directory of Open Access Journals (Sweden)

    Zhang Hui-Zhang

    2014-01-01

    Full Text Available The aim of this study was to evaluate the in situ detection of living mycobacterium TB rRNA by the mycobacterium TB direct assay (MTD and its clinical significance in the early diagnosis of extrapulmonary TB. Eighty-six patients were recruited from the Shanghai Public Health Clinical Center from June to November in 2010, having been diagnosed with extrapulmonary TB, including tuberculous peritonitis (n=22, lymphatic TB (n=21, tuberculous meningitis (n=15, HIV-associated TB (n=13, nephroTB (n=9, spinal TB (n=2, cutaneous TB (n=13, parotid TB (n=1, chest wall TB (n=1, intestinal TB (n=1. One hundred and five extrapulmonary specimens, including CSF, puncture fluid, drainage, pleural fluid, urine, secretion, ascites, lymphatic tissue and marrow were collected from the patients. The samples were examined using acid-fast stain, solid culture, liquid culture and MTD in parallel. In MTD, the target segments of MTB rRNA in either cultures or clinical specimens were amplified prior to being qualitatively detected with the hybridization protection assay (HPA. The sensitivities of MTD and acid-fast staining in liquid and solid cultures were 48.6%, 41.9%, 20.0% and 14.3%, respectively. MTD sensitivity was higher than that of the others and its specificity was 100%. We concluded that MTD rRNA detection is an effective, rapid, convenient, sensitive and reliable method for the early diagnosis of extrapulmonary TB.

  16. The isothermal section at 500 deg. C of the Gd-Tb-Ga ternary system

    International Nuclear Information System (INIS)

    Li, J.Q.; Jian, Y.X.; Ao, W.Q.; Zhuang, Y.H.; He, W.

    2006-01-01

    Phase equilibria in the Gd-Tb-Ga ternary system at 500 deg. C were investigated by X-ray powder diffraction and differential scanning calorimetry. The binary compounds, Gd 5 Ga 3 , Gd 3 Ga 2 , GdGa, GdGa 2 , Tb 5 Ga 3 , TbGa, TbGa 2 and TbGa 3 have been confirmed at 500 deg. C. No ternary compound was found in this system. The isothermal section of this system at 500 deg. C was constructed. It is composed of 7 single-phase regions, 8 two-phase regions and 2 three-phase regions. Four ternary continuous solid solutions (Gd, Tb), (Gd, Tb) 5 Ga 3 , (Gd, Tb)Ga, (Gd, Tb)Ga 2 were formed in this isothermal section. The maximum solid solubilities of Ga in (Gd, Tb) at 500 deg. C is 5.0 at.%. The homogeneity range of (Gd, Tb)Ga 2 is from 20 to 33.3 at.% Ga in Gd-Ga side but limited in Tb-Ga side. The solid solubilities of Ga in the other phases cannot be detected. The Curie temperatures of the Gd 0.6 Tb 0.4-x Ga x alloys increase from 270 to 298 K as x increases from 0 to 0.03

  17. Operational challenges in diagnosing multi-drug resistant TB and initiating treatment in Andhra Pradesh, India.

    Directory of Open Access Journals (Sweden)

    Sarabjit S Chadha

    Full Text Available BACKGROUND: Revised National TB Control Programme (RNTCP, Andhra Pradesh, India. There is limited information on whether MDR-TB suspects are identified, undergo diagnostic assessment and are initiated on treatment according to the programme guidelines. OBJECTIVES: To assess i using the programme definition, the number and proportion of MDR-TB suspects in a large cohort of TB patients on first-line treatment under RNTCP ii the proportion of these MDR-TB suspects who underwent diagnosis for MDR-TB and iii the number and proportion of those diagnosed as MDR-TB who were successfully initiated on treatment. METHODS: A retrospective cohort analysis, by reviewing RNTCP records and reports, was conducted in four districts of Andhra Pradesh, India, among patients registered for first line treatment during October 2008 to December 2009. RESULTS: Among 23,999 TB patients registered for treatment there were 559 (2% MDR-TB suspects (according to programme definition of which 307 (55% underwent diagnosis and amongst these 169 (55% were found to be MDR-TB. Of the MDR-TB patients, 112 (66% were successfully initiated on treatment. Amongst those eligible for MDR-TB services, significant proportions are lost during the diagnostic and treatment initiation pathway due to a variety of operational challenges. The programme needs to urgently address these challenges for effective delivery and utilisation of the MDR-TB services.

  18. Calidad de los servicios de anticoncepción en El Alto, Bolivia The quality of contraception services in El Alto, Bolivia

    Directory of Open Access Journals (Sweden)

    Carmen Velasco

    1999-06-01

    Full Text Available El presente estudio tuvo por objetivo evaluar la calidad de los servicios de anticoncepción en la ciudad de El Alto, Bolivia. En su diseño se han contemplado cuatro elementos: 1 las relaciones entre los proveedores de servicios y sus clientes, 2 la disponibilidad de métodos anticonceptivos, 3 las condiciones de los servicios, y 4 la satisfacción de las usuarias. También se han tenido en cuenta las opiniones de los proveedores y de las usuarias y no usuarias de estos servicios, quienes se clasificaron como gubernamentales o no gubernamentales, de acuerdo con la administración de la institución a la que pertenecían. Los datos provinieron de un análisis de la situación de dichos servicios y de testimonios obtenidos de las participantes durante 1995. En cuanto a las relaciones interpersonales, se encontró que los proveedores percibían el trato del médico más favorablemente que las clientas, en tanto que las no usuarias lo percibían desfavorablemente. La percepción de un trato igualitario se correlacionó positivamente con la vestimenta que usaban las clientas. En cuanto a la disponibilidad de los métodos anticonceptivos, 15 de las 36 instituciones encuestadas no disponían de métodos modernos, a pesar de la existencia de una política nacional para proveerlos a la población. La oferta de estos servicios a parejas y a adolescentes es escasa, principalmente en las instituciones gubernamentales. El análisis de las condiciones de los servicios demostró que en algunas instituciones había problemas graves en la provisión de una atención de mínima calidad. Finalmente, este trabajo describe cómo la mayoría de estas limitaciones en la prestación de servicios de anticoncepción en El Alto pueden subsanarse mediante estrategias de costo moderado.The objective of this study was to evaluate the quality of contraception services in the city of El Alto, Bolivia. In the study design, four components were considered: 1 interpersonal

  19. Direct two-photon excitation of Sm3+, Eu3+, Tb3+, Tb.DOTA-, and Tb.propargylDO3A in solution

    Science.gov (United States)

    Sørensen, Thomas Just; Blackburn, Octavia A.; Tropiano, Manuel; Faulkner, Stephen

    2012-07-01

    We have observed direct two-photon excitation of samarium, europium and terbium ions in solution upon near IR excitation using a tuneable pulsed light source, and have also studied two-photon processes in a pair of related terbium complexes, namely [Tb.DOTA]- and Tb.propargylDO3A. Direct two-photon excitation of lanthanides is observed in simple systems in the absence of sensitizing chromophores. Where even simple chromophores such as a triple bond are present in the complex, then single and two-photon excitation of chromophore excited states competes with direct two-photon excitation of the ions and is the dominant pathway for sensitizing formation of the lanthanide excited state.

  20. Investigation of luminescence properties in SiO2: Tb, Yb upconversion inverse opal

    International Nuclear Information System (INIS)

    Yang Zhengwen; Yan Dong; Song Zhiguo; Zhou Dacheng; Yu Xue; Yang Yong; Yin Zhaoyi; Yan Lei; Wang Rongfei; Wu Hangjun; Qiu Jianbei

    2012-01-01

    The SiO 2 : Tb, Yb inverse opals with photonic band gap at 465 or 543 nm were prepared, and an effect of photonic band gap on upconversion spontaneous emission from Tb 3+ was investigated. The results show that the photonic band gap has a significant influence on the upconversion emission of the SiO 2 : Tb, Yb inverse opals. The upconversion luminescence of the Tb 3+ ions is suppressed in the inverse opal compared with the luminescence of that of the reference sample. - Highlights: ► Upconversion emission from Tb 3+ was observed in the SiO 2 : Tb, Yb inverse opal. ► UC emission of Tb 3+ was modulated by controlling the structure of inverse opal. ► UC emission of Tb 3+ was depressed in the inverse opal.

  1. What are the reasons for patients not adhering to their anti-TB ...

    African Journals Online (AJOL)

    2008-11-13

    Nov 13, 2008 ... patients started their anti-TB treatment, according to the known factors that influence TB adherence. The patients .... Inadequate relationship between health care provider and patient ..... on the Internet] [cited 2009 Jan. 12].

  2. Molecular detection of multi drug resistant tuberculosis (mdr-tb) in mdr-tb patients' attendant in north western pakistan

    International Nuclear Information System (INIS)

    Shah, T.; Hayat, A.; Shah, Z.; Hayat, A.; Khan, S.B.

    2017-01-01

    Objective: To determine the drugs susceptibility pattern of mycobacterium tuberculosis (M.TB) in multi-drug resistant tuberculosis (MDR-TB) patients' attendants in North Western, Pakistan. Study Design: Cross sectional study. Place and Duration of Study: This study was conducted at Peshawar Tuberculosis Research Laboratory (PTRL), Provincial TB Control Program Hayatabad Medical Complex Peshawar, (KP) from August 2013 to March 2014. Material and Methods: A cross sectional study in which four hundred and eighty sputum samples from MDR-TB patients' attendants were processed for the detection of M.TB through Ziehl-Neelsen staining, Lowenstein-Jensen, BACTEC MGIT-960 culture and line probe assay. Results: Out of 480 samples, 06 (2.1%) were found positive for M.TB through Ziehl-Neelsen staining while 10 (2.8%) were positive through LJ and BACTEC MGIT-960 culture. The 10 positive samples were further subjected to drugs susceptibility testing and line probes assay test to find out rifampicin, isoniazid, streptomycin and ethambutol resistant and it was found that 6 M.TB isolates were resistant while 4 were sensitive to rifampicin and isoniazid. Among the 6 resistant M.TB strains, 4 showed mutation in rpoB gene at 531, 516 and 526 codons. Conclusion: Majority of MDR-TB patients' attendants had drug-resistant tuberculosis and the rate of drug susceptible TB was low. (author)

  3. Utility of urine lipoarabinomannan (LAM) in diagnosing tuberculosis and predicting mortality with and without HIV: prospective TB cohort from the Thailand Big City TB Research Network.

    Science.gov (United States)

    Suwanpimolkul, Gompol; Kawkitinarong, Kamon; Manosuthi, Weerawat; Sophonphan, Jiratchaya; Gatechompol, Sivaporn; Ohata, Pirapon June; Ubolyam, Sasiwimol; Iampornsin, Thatri; Katerattanakul, Pairaj; Avihingsanon, Anchalee; Ruxrungtham, Kiat

    2017-06-01

    To evaluate the applicability and accuracy of the urine lipoarabinomannan (LAM) test in tuberculosis (TB)/HIV co-infected patients and HIV-negative patients with disseminated TB. Frozen urine samples obtained at baseline from patients in the TB research cohort with proven culture-positive TB were selected for blinded urine LAM testing. One hundred and nine patients were categorized into four groups: (1) HIV-positive patients with TB; (2) HIV-negative patients with disseminated TB; (3) HIV-negative immunocompromised patients with TB; and (4) patients with diseases other than TB. The sensitivity of urine LAM testing for culture-positive TB, specificity of urine LAM testing for patients without TB, positive predictive value (PPV), and negative predictive value (NPV) were assessed. The sensitivity of the urine LAM test in group 1 patients with a CD4 T-cell count of >100, ≤100, and ≤50 cells/mm 3 was 38.5%, 40.6%, and 45%, respectively. The specificity and PPV of the urine LAM test were >80%. The sensitivity of the test was 20% in group 2 and 12.5% in group 3, and the specificity and PPV were 100% for both groups. A positive urine LAM test result was significantly associated with death. This promising diagnostic tool could increase the yield of TB diagnosis and may predict the mortality rate of TB infection, particularly in TB/HIV co-infected patients. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  4. A model of population dynamics of TB in a prison system and application to South Africa

    OpenAIRE

    Witbooi, Peter; Vyambwera, Sibaliwe Maku

    2017-01-01

    Background Tuberculosis (TB) continues to spread in South African prisons in particular, as prisons are over-capacitated and have poor ventilation. The awaiting trial detainees are not screened on admission and are at high risk of getting infected with TB. Results We propose a compartmental model to describe the population dynamics of TB disease in prisons. Our model considers the inflow of susceptible, exposed and TB infectives into the prison population. Removal of individuals out of the pr...

  5. Tb3+ and Eu3+ luminescence in imidazolium ionic liquids

    International Nuclear Information System (INIS)

    Hopkins, Todd; Goldey, Matt

    2009-01-01

    The luminescence properties of Tb 3+ and Eu 3+ dissolved in ionic liquids are studied. Solutes in this study include simple lanthanide compounds (e.g., EuBr 3 , TbCl 3 ) and lanthanide complexes (e.g., Eu(dpa) 3 3- where dpa = 2,6 pyridine dicarboxylate dianion) dissolved in a 1-butyl-3-methylimidazolium bromide(BMIBr)/water mixture. Emission, excitation, and time-resolved emission measurements are utilized to characterize the spectroscopic properties. It is well established in the literature that the solubility and spectroscopic properties of lanthanides in ionic liquids are highly dependent upon environmental factors including purity, and water content [K. Binnemans, Chemical Reviews (2007); I. Billard, S. Mekki, C. Gaillard, P. Hesemann, C. Mariet, G. Moutiers, A. Labet, J.-C.G. Buenzli, European Journal of Inorganic Chemistry 6 (2004) 1190-1197; S. Samikkanu, K. Mellem, M. Berry, P.S. May, Inorganic Chemistry 46 (2007) 7121-7128]. The water in this ionic liquid system acts as a co-solvent to facilitate solubility of Tb 3+ and Eu 3+ compounds. The observed spectroscopic properties of Eu 3+ and Tb 3+ salts are expectedly impacted by the high water content, but unexpectedly impacted by the BMIBr ionic liquid. However, the spectroscopy of Eu(dpa) 3 3- is unaffected by the presence of BMIBr.

  6. When students become patients: TB disease among medical ...

    African Journals Online (AJOL)

    A self-administered questionnaire was distributed via email and social media to current medical students and recently graduated ... of stigma will be reported in a separate article. ... help was 3.2 weeks (range 0 - 16 weeks, SD 4.6); the mean diagnostic ... students' health-seeking behaviour and delayed TB diagnosis:.

  7. The effects of Tb 3+ doping concentration on luminescence ...

    Indian Academy of Sciences (India)

    BaF2 phosphor; crystal structure; luminescence properties; X-ray diffraction; concentration quenching. 1. Introduction ... reported that the particle size, shape, crystallinity, etc., sig- nificantly ... Figure 3 shows the excitation and emission spectra of sam- ple with 4 ... gies obtained earlier.9,10 The ground term of the Tb3+ ion is.

  8. EDITORIAL South Africa and national TB control: Are we making ...

    African Journals Online (AJOL)

    accounting for 7.2% of deaths, followed by diabetes mellitus with 5.4% of deaths. Although tuberculosis has maintained its position ... and indirect costs before, during, and after a TB diagnosis. The largest costs these patients incur are for hospitalization, medication, transportation, and treatment or care in the private sector.

  9. Design of a 1 Tb/s superchannel coherent receiver

    NARCIS (Netherlands)

    Millar, D.S.; Maher, R.; Lavery, D.; Koike-Akino, T.; Pajovic, M.; Alvarado, A.; Paskov, M.; Kojima, K.; Parsons, K.; Thomsen, B.C.; Savory, S.J.; Bayvel, P.

    2016-01-01

    We describe the design of a trained and pilot-aided digital coherent receiver, capable of detecting a 1 Tb/s superchannel with a single optical front-end. Algorithms for receiver training are described, which calculate the equalizer coefficients, subchannel SNRs, and centroids of the transmitted

  10. Deexcitation of superdeformed bands in the nucleus Tb-151

    NARCIS (Netherlands)

    Finck, C; Appelbe, D; Beck, FA; Byrski, T; Cullen, D; Curien, D; deFrance, G; Duchene, G; Erturk, S; Haas, B; Khadiri, N; Kharraja, B; Prevost, D; Rigollet, C; Stezowski, O; Twin, P; Vivien, JP; Zuber, K

    1997-01-01

    The aim of this work is to get more informations about the decay-out of superdeformed bands. One of the best candidates in the mass A similar or equal to 150 region for that kind of research is the nucleus Tb-151. From previous works, it has been established that the first excited band goes lower in

  11. RESEARCH Diagnosing Xpert MTB/RIF-negative TB: Impact and ...

    African Journals Online (AJOL)

    Health Economics and Epidemiology Research O ce, Department of Internal ... have a positive culture result, accounting for only 10% of all TB ... information and patient follow-up systems, results may only reach ..... Raviglione M, Zumla A, Marais B, Horton R, Motsoaledi A. A sustainable agenda for tuberculosis control.

  12. Spin dynamics in Tb studied by critical neutron scattering

    DEFF Research Database (Denmark)

    Dietrich, O. W.; Als-Nielsen, Jens Aage

    1971-01-01

    The inelasticity of the critical neutron scattering in Tb was measured at and above the Neel temperature. In the hydrodynamic region the line width Gamma (q=0, kappa 1)=C kappa z1, with z=1.4+or-0.1 and c=4.3+or-0.3 meVAAz. This result deviates from the conventional theory, which predicts...

  13. Predicting Efficient Antenna Ligands for Tb(III) Emission

    Energy Technology Data Exchange (ETDEWEB)

    Samuel, Amanda P.S.; Xu, Jide; Raymond, Kenneth

    2008-10-06

    A series of highly luminescent Tb(III) complexes of para-substituted 2-hydroxyisophthalamide ligands (5LI-IAM-X) has been prepared (X = H, CH{sub 3}, (C=O)NHCH{sub 3}, SO{sub 3}{sup -}, NO{sub 2}, OCH{sub 3}, F, Cl, Br) to probe the effect of substituting the isophthalamide ring on ligand and Tb(III) emission in order to establish a method for predicting the effects of chromophore modification on Tb(III) luminescence. The energies of the ligand singlet and triplet excited states are found to increase linearly with the {pi}-withdrawing ability of the substituent. The experimental results are supported by time-dependent density functional theory (TD-DFT) calculations performed on model systems, which predict ligand singlet and triplet energies within {approx}5% of the experimental values. The quantum yield ({Phi}) values of the Tb(III) complex increases with the triplet energy of the ligand, which is in part due to the decreased non-radiative deactivation caused by thermal repopulation of the triplet. Together, the experimental and theoretical results serve as a predictive tool that can be used to guide the synthesis of ligands used to sensitize lanthanide luminescence.

  14. EDITORIAL Multi-drug-resistant tuberculosis (MDR-TB): Current ...

    African Journals Online (AJOL)

    A South African Health Systems Trust report indicated that despite a global ... less financial resources performed better. ... Healthcare providers need to be better trained at our various nursing colleges and medical schools on how to manage TB, with regular and intense follow-up in-service training sessions. In addition ...

  15. H+ searches in ATLAS (II): H+ to tb

    CERN Document Server

    Mir, Lluisa-Maria; The ATLAS collaboration

    2016-01-01

    A search for charged Higgs bosons heavier than the top quark and decaying via to tb is presented. The analysis uses 13.2 ifb of pp collision data at a centre-of-mass energy of sqrt(s) = 13 TeV collected with the ATLAS detector at the Large Hadron Collider. The production of a charged Higgs boson in association with a top quark and a bottom quark, pp to tbH+-, is explored in the mass range 300 to 1000 GeV using multi-jet final states with one electron or muon from the top-quark decay. Events are categorised according to the multiplicity of jets and b-tagged jets. Multivariate techniques are used to discriminate between signal and background events. No significant excess above the background-only hypothesis is observed and upper limits are set on the tbH+- production cross section times the branching fraction BR(H+- to tb), together with their interpretation in benchmark scenarios of the Minimal Supersymmetric Standard Model.

  16. Autopsy case of pulmonary aspergilloma. [After long chemotherapy for TB

    Energy Technology Data Exchange (ETDEWEB)

    II, Yohei; Akizuki, S

    1973-01-01

    A 73-year-old female received anti-TB chemotherapy for pulmonary tuberculosis for a long period and died from severe hemoptysis which suddenly developed after recovery from the disease. Autopsy showed a large aspergilloma in the upper lobe of the right lung. This case is reported along with a review of the literature on aspergillosis. (30 refs) (DLC)

  17. Five years retrospective cohort analysis of treatment outcomes of TB ...

    African Journals Online (AJOL)

    Background: Human immunodeficiency virus (HIV) associated tuberculosis (TB) remains a major global public health chal- lenge, with an estimated 1.4 .... completed treatment and who is smear negative at the end of 6th or 7th month of treat- ..... the course of management of the dual disease entity. Conclusion. This study ...

  18. Five years retrospective cohort analysis of treatment outcomes of TB ...

    African Journals Online (AJOL)

    Background: Human immunodeficiency virus (HIV) associated tuberculosis (TB) remains a major global public health challenge, with an estimated 1.4 million patients worldwide. Co-infection with HIV leads to challenges in the diagnosis and treatment of patients. Objectives: The aim of this study was to assess treatment ...

  19. Enhancing TB case detection: experience in offering upfront Xpert MTB/RIF testing to pediatric presumptive TB and DR TB cases for early rapid diagnosis of drug sensitive and drug resistant TB.

    Directory of Open Access Journals (Sweden)

    Neeraj Raizada

    Full Text Available Diagnosis of pulmonary tuberculosis (PTB in children is challenging due to difficulties in obtaining good quality sputum specimens as well as the paucibacillary nature of disease. Globally a large proportion of pediatric tuberculosis (TB cases are diagnosed based only on clinical findings. Xpert MTB/RIF, a highly sensitive and specific rapid tool, offers a promising solution in addressing these challenges. This study presents the results from pediatric groups taking part in a large demonstration study wherein Xpert MTB/RIF testing replaced smear microscopy for all presumptive PTB cases in public health facilities across India.The study covered a population of 8.8 million across 18 programmatic sub-district level tuberculosis units (TU, with one Xpert MTB/RIF platform established at each study TU. Pediatric presumptive PTB cases (both TB and Drug Resistant TB (DR-TB accessing any public health facilities in study area were prospectively enrolled and tested on Xpert MTB/RIF following a standardized diagnostic algorithm.4,600 pediatric presumptive pulmonary TB cases were enrolled. 590 (12.8%, CI 11.8-13.8 pediatric PTB were diagnosed. Overall 10.4% (CI 9.5-11.2 of presumptive PTB cases had positive results by Xpert MTB/RIF, compared with 4.8% (CI 4.2-5.4 who had smear-positive results. Upfront Xpert MTB/RIF testing of presumptive PTB and presumptive DR-TB cases resulted in diagnosis of 79 and 12 rifampicin resistance cases, respectively. Positive predictive value (PPV for rifampicin resistance detection was high (98%, CI 90.1-99.9, with no statistically significant variation with respect to past history of treatment.Upfront access to Xpert MTB/RIF testing in pediatric presumptive PTB cases was associated with a two-fold increase in bacteriologically-confirmed PTB, and increased detection of rifampicin-resistant TB cases under routine operational conditions across India. These results suggest that routine Xpert MTB/RIF testing is a promising

  20. Microstructural and photoluminescence properties of sol–gel derived Tb3+ doped ZnO nanocrystals

    CSIR Research Space (South Africa)

    Kabongo, GL

    2014-04-01

    Full Text Available Un-doped and Tb(Sup3+) doped ZnO nanocrystals with different concentrations of Tb(Sup3+) were synthesized by a sol–gel method and their photoluminescence (PL) properties were investigated. The successful incorporation of Tb(sup3+) ions...

  1. RESEARCH Improving access and quality of care in a TB control ...

    African Journals Online (AJOL)

    or treatment. Improving access and quality of care in a. TB control programme. Vera Scott, Virginia Azevedo, Judy Caldwell. Objectives. To use a quality improvement approach to improve access to and quality of tuberculosis (TB) diagnosis and care in. Cape Town. Methods. Five HIV/AIDS/sexually transmitted infections/TB.

  2. A review of the literature on the economics of vaccination against TB

    NARCIS (Netherlands)

    Tu, H.A.; Vu, H.D.; Rozenbaum, M.H.; Woerdenbag, H.J.; Postma, M.J.

    The BCG vaccine was introduced in 1921 and remains the only licensed vaccine for the prevention of TB worldwide. Despite its extensive use, the BCG vaccine lacks the ability to fully control the TB-endemic and -pandemic situations. The BCG vaccine is most effective in preventing pediatric TB, in

  3. The progression of tb diagnosis in the hiv era: from microscopes to ...

    African Journals Online (AJOL)

    smear-negative pulmonary TB, hospitalised. HIV-infected patients with advanced and disseminated disease, young children and patients with extrapulmonary forms of TB, clinical case definitions and algorithms can be beneficial for guiding the empiric use of anti-TB treatment. Multiple clinical case definitions and algorithms ...

  4. Provider-initiated HIV testing and counselling for TB patients and suspects in Nairobi, Kenya.

    Science.gov (United States)

    Odhiambo, J; Kizito, W; Njoroge, A; Wambua, N; Nganga, L; Mburu, M; Mansoer, J; Marum, L; Phillips, E; Chakaya, J; De Cock, K M

    2008-03-01

    Integrated tuberculosis (TB) and human immunodeficiency virus (HIV) services in a resource-constrained setting. Pilot provider-initiated HIV testing and counselling (PITC) for TB patients and suspects. Through partnerships, resources were mobilised to establish and support services. After community sensitisation and staff training, PITC was introduced to TB patients and then to TB suspects from December 2003 to December 2005. Of 5457 TB suspects who received PITC, 89% underwent HIV testing. Although not statistically significant, TB suspects with TB disease had an HIV prevalence of 61% compared to 63% for those without. Of the 614 suspects who declined HIV testing, 402 (65%) had TB disease. Of 2283 patients referred for cotrimoxazole prophylaxis, 1951 (86%) were enrolled, and of 1727 patients assessed for antiretroviral treatment (ART), 1618 (94%) were eligible and 1441 (83%) started treatment. PITC represents a paradigm shift and is feasible and acceptable to TB patients and TB suspects. Clear directives are nevertheless required to change practice. When offered to TB suspects, PITC identifies large numbers of persons requiring HIV care. Community sensitisation, staff training, multitasking and access to HIV care contributed to a high acceptance of HIV testing. Kenya is using this experience to inform national response and advocate wide PITC implementation in settings faced with the TB-HIV epidemic.

  5. TB truths : Patients’ experience with tuberculosis and healthcare in sub-Saharan Africa

    NARCIS (Netherlands)

    Cremers, A.L.

    2018-01-01

    TB remains one of the most alarming global health threats of this age. Despite the often available TB medication for free, rates are not being significantly reduced or in some areas even going up. TB epidemiology have become more complex, due to the HIV epidemic and development of drug-resistance.

  6. The time delay of patients presenting with symptoms of TB at TC ...

    African Journals Online (AJOL)

    Tuberculosis (TB) is a major health problem in South Africa. The early detection and treatment of TB cases are essential. The impression of senior staff working at the TC Newman Community Health Centre (TCN), Paarl was that there often is an unnecessary time delay between the presentation of TB symptoms and the ...

  7. Medicinal plants used to treat TB in Ghana.

    Science.gov (United States)

    Nguta, Joseph Mwanzia; Appiah-Opong, Regina; Nyarko, Alexander K; Yeboah-Manu, Dorothy; Addo, Phyllis G A

    2015-06-01

    The current study was designed to document medicinal plant species that are traditionally used to treat tuberculosis (TB) by Ghanaian communities. The medicinal plants used against TB or its signs and symptoms were selected using library and online published data searches. A guided questionnaire interview was also conducted with a botanist involved in plant collection at the Centre for Scientific Research into Plant Medicine (CSRPM) at Mampong. Data obtained were entered in Excel and summarized into means and frequencies using SPSS 12.0.1 for windows, and expressed as tables and bar graphs. A total of 15 medicinal plant species distributed between 13 genera and 13 families were documented. The following medicinal plant species were found to be used against TB in Greater Accra and Eastern parts of Ghana: Azadirachta indica A. Juss. Stem bark (Meliaceae), Hygrophila auriculata Heine, whole plant (Acanthaceae), Chenopodium ambrosioides L. leaves (Amaranthaceae), Coix lacryma-jobi L. glumes (Poaceae), Solanum torvum Sw. unripe fruits (Solanaceae), Solanum torvum Sw. leaves (Solanaceae), Bidens pilosa L. whole plant (Asteraceae), Phyllanthus fraternus G.L. Webster leaves (Phyllanthaceae), Dissotis rotundifolia (Sm.) Triana, leaves (Melastomataceae), Cymbopogon giganteus Chiov. Leaves (Poaceae), Cyperus articulatus L. roots (Cyperaceae), Allium sativum L. bulb (Amaryllidaceae), Zingiber officinale Roscoe, rhizomes (Zingiberaceae), Allium cepa L. bulbs (Amaryllidaceae), Allium cepa L. leaves (Amaryllidaceae), Aloe vera var. barbadensis aqueous extract from leaves (Xanthorrhoeaceae), Aloe vera var. barbadensis organic extract from leaves (Xanthorrhoeaceae), Cocos nucifera Linn, water (Arecaceae) and Cocos nucifera Linn. Husk (Arecaceae). The collected plant species could be a source of a new class of drugs against TB. Bioactivity guided fractionation is recommended to identify lead compounds for antimycobacterial activity. The current paper documents for the first time

  8. Luminescence and Tb3+-Ce3+-Eu3+ ion energy transfer in single-crystalline films of Tb3Al5O12:Ce,Eu garnet

    International Nuclear Information System (INIS)

    Zorenko, Y.; Gorbenko, V.; Voznyak, T.; Batentschuk, M.; Osvet, A.; Winnacker, A.

    2008-01-01

    The paper is devoted to investigation of the processes of excitation energy transfer between the host cations (Tb 3+ ions) and the activators (Ce 3+ and Eu 3+ ions) in single-crystalline films of Tb 3 Al 5 O 12 :Ce,Eu (TbAG:Ce,Eu) garnet which is considered as a promising luminescent material for the conversion of LED's radiation. The cascade process of excitation energy transfer is shown to be realized in TbAG:Ce,Eu: (i) from Tb 3+ ions to Ce 3+ and Eu 3+ ions; (ii) from Ce 3+ ions to Eu 3+ ions by means of dipole-dipole interaction and through Tb 3+ ion sublattice

  9. Community-based MDR-TB care project improves treatment initiation in patients diagnosed with MDR-TB in Myanmar.

    Science.gov (United States)

    Wai, Pyae Phyo; Shewade, Hemant Deepak; Kyaw, Nang Thu Thu; Thein, Saw; Si Thu, Aung; Kyaw, Khine Wut Yee; Aye, Nyein Nyein; Phyo, Aye Mon; Maung, Htet Myet Win; Soe, Kyaw Thu; Aung, Si Thu

    2018-01-01

    The Union in collaboration with national TB programme (NTP) started the community-based MDR-TB care (CBMDR-TBC) project in 33 townships of upper Myanmar to improve treatment initiation and treatment adherence. Patients with MDR-TB diagnosed/registered under NTP received support through the project staff, in addition to the routine domiciliary care provided by NTP staff. Each township had a project nurse exclusively for MDR-TB and 30 USD per month (max. for 4 months) were provided to the patient as a pre-treatment support. To assess whether CBMDR-TBC project's support improved treatment initiation. In this cohort study (involving record review) of all diagnosed MDR-TB between January 2015 and June 2016 in project townships, CBMDR-TBC status was categorized as "receiving support" if date of project initiation in patient's township was before the date of diagnosis and "not receiving support", if otherwise. Cox proportional hazards regression (censored on 31 Dec 2016) was done to identify predictors of treatment initiation. Of 456 patients, 57% initiated treatment: 64% and 56% among patients "receiving support (n = 208)" and "not receiving support (n = 228)" respectively (CBMDR-TBC status was not known in 20 (4%) patients due to missing diagnosis dates). Among those initiated on treatment (n = 261), median (IQR) time to initiate treatment was 38 (20, 76) days: 31 (18, 50) among patients "receiving support" and 50 (26,101) among patients "not receiving support". After adjusting other potential confounders (age, sex, region, HIV, past history of TB treatment), patients "receiving support" had 80% higher chance of initiating treatment [aHR (0.95 CI): 1.8 (1.3, 2.3)] when compared to patients "not receiving support". In addition, age 15-54 years, previous history of TB and being HIV negative were independent predictors of treatment initiation. Receiving support under CBMDR-TBC project improved treatment initiation: it not only improved the proportion initiated but also

  10. Calidad del coque de Horno Alto en la Unión Europea

    Directory of Open Access Journals (Sweden)

    Alvarez, R.

    2002-10-01

    Full Text Available After a brief review of the coking technology at the beginning of the new millennium, blast furnace coke quality criteria of most of EU countries, presented by the European Blast Furnace Committee in the 4th European Coke and Ironmaking Congress, are compared with those used by the Spanish Steel Industry at Aceralia. Blast furnace coke quality is very high in EU's countries in order to meet the requirements of bigger blast furnaces commissioned in the last years. CSR index is the most important parameter in the control of coke quality in Europe.

    En el presente trabajo se ha llevado a cabo una breve revisión de las tecnologías de coquización existentes al comienzo del nuevo milenio. Los criterios de calidad del coque de Horno Alto de la mayoría de los países de la Unión Europea, recogidos por el European Blast Furnace Committee, y que fueron presentados en el 4th European Coke and Ironmaking Congress en París durante el año 2000, se comparan con los utilizados por la industria siderúrgica española Aceralia. Como consecuencia del sensible aumento experimentado en el tamaño de los modernos Hornos Altos durante los últimos años, se ha podido comprobar que, en la UE, los valores de los diversos parámetros de control de calidad del coque son bastante similares y con unos requerimientos muy elevados. Asimismo, en la UE el parámetro CSR se ha convertido en el más importante para el control de la calidad del coque de Horno Alto.

  11. Estudio microbiológico de los alimentos elaborados en comedores colectivos de alto riesgo

    Directory of Open Access Journals (Sweden)

    Pérez-Silva García Mª del Carmen

    1998-01-01

    Full Text Available FUNDAMENTO: Valorar los resultados del análisis microbiológico de los alimentos preparados en comedores colectivos de alto riesgo, con el fin de conocer el grado de contaminación de los alimentos, analizar las causas de dicha contaminación y mejorar la situación sanitaria de estos establecimientos. MÉTODOS: Estudio observacional descriptivo con los datos obtenidos de la inspección sanitaria en 44 comedores colectivos de alto riesgo, que incluyó el análisis microbiológico de 90 alimentos, así como la inspección sanitaria de los establecimientos. RESULTADOS: En los colegios los microorganismos mesófilos fueron los contaminantes más frecuentes; en las guarderías y residencias de ancianos predominaron los indicadores de higiene deficiente en la manipulación de alimentos. Los microorganismos mesófilos se encontraron durante los meses fríos en mayor proporción que durante los meses cálidos. Los indicadores de higiene deficiente aparecieron generalmente en los alimentos preparados en establecimientos en los que se observaron deficiencias. Los microorganismos psicrótrofos no se encontraron en ninguno de los alimentos recogidos en guarderías y sí en colegios y residencias de ancianos. CONCLUSIONES: Este estudio indica qué problemas predominan en cada tipo de comedor colectivo de alto riesgo. Los mesófilos aparecen en los alimentos elaborados en cocinas de tamaño grande, los indicadores de higiene deficiente se encontraron asociados a una manipulación de alimentos por personal no profesional y a establecimientos con deficiencias, y los psicrótrofos se detectaron en aquellos establecimientos que guardan la comida sobrante. Se sugieren recomendaciones para la eliminación de los problemas detectados.

  12. Rb-Sr measurements on metamorphic rocks from the Barro Alto Complex, Goias, Brazil

    International Nuclear Information System (INIS)

    Fuck, R.A.; Neves, B.B.B.; Cordani, U.G.; Kawashita, K.

    1988-01-01

    The Barro Alto Complex comprises a highly deformed and metamorphosed association of plutonic, volcanic, and sedimentary rocks exposed in a 150 x 25 Km boomerang-like strip in Central Goias, Brazil. It is the southernmost tip of an extensive yet discontinuous belt of granulite and amphibolite facies metamorphic rocks which include the Niquelandia and Cana Brava complexes to the north. Two rock associations are distinguished within the granulite belt. The first one comprises a sequence of fine-grained mafic granulite, hypersthene-quartz-feldspar granulite, garnet quartzite, sillimanite-garnet-cordierite gneiss, calc-silicate rock, and magnetite-rich iron formation. The second association comprises medium-to coarse-grained mafic rocks. The medium-grade rocks of the western/northern portion (Barro Alto Complex) comprise both layered mafic rocks and a volcanic-sedimentary sequence, deformed and metamorphosed under amphibolite facies conditions. The fine-grained amphibolite form the basal part of the Juscelandia meta volcanic-sedimentary sequence. A geochronologic investigation by the Rb-Sr method has been carried out mainly on felsic rocks from the granulite belt and gneisses of the Juscelandia sequence. The analytical results for the Juscelandia sequence are presented. Isotope results for rocks from different outcrops along the gneiss layer near Juscelandia are also presented. In conclusion, Rb-Sr isotope measurements suggest that the Barro Alto rocks have undergone at least one important metamorphic event during Middle Proterozoic times, around 1300 Ma ago. During that event volcanic and sedimentary rocks of the Juscelandia sequence, as well as the underlying gabbro-anorthosite layered complex, underwent deformation and recrystallization under amphibolite facies conditions. (author)

  13. Simulación clínica de alto realismo: una experiencia en el pregrado

    Directory of Open Access Journals (Sweden)

    Javier Riancho

    Full Text Available Introducción. La simulación con modelos de alto realismo se utiliza a menudo en la formación de los profesionales sanitarios. Sin embargo, son escasas las experiencias en el pregrado. El objetivo de este trabajo fue conocer la factibilidad y la aceptación de su aplicación con estudiantes de sexto curso de la licenciatura de Medicina. Materiales y métodos. Se diseñaron ocho escenarios que simulaban problemas clínicos frecuentes para su desarrollo con maniquíes de alto realismo. Los estudiantes se dividieron en grupos de 6-8 sujetos, cada uno de los cuales atendió dos casos durante 30 minutos. Posteriormente se llevó a cabo un análisis reflexivo durante 25-40 minutos. La actividad se repitió en dos años consecutivos. Al final se recabó la opinión de los estudiantes mediante encuestas anónimas. Resultados. La actividad fue valorada muy positivamente por los estudiantes, quienes la consideraron como "útil" (4,8 y 4,9 puntos sobre 5 e "interesante" (4,9 y 4,9 puntos. El tiempo preciso para preparar cada escenario fue de unas 3 horas. Fueron necesarias una jornada completa de un profesor, un técnico y un enfermero para que un colectivo de unos 40 estudiantes se expusiera a dos casos clínicos. Conclusiones. Esta experiencia piloto sugiere que la simulación de alto realismo es factible en el pregrado, supone un consumo razonable de recursos y tiene una elevada aceptación por parte de los estudiantes. No obstante, se necesitan otros estudios que confirmen la impresión subjetiva de que resulta útil para potenciar el aprendizaje de los alumnos y su competencia clínica.

  14. Thermoelectric properties of TbFe{sub 2} and TbCo{sub 2} in C15- laves phase: Spin-polarized DFT+U approach

    Energy Technology Data Exchange (ETDEWEB)

    Reshak, A.H., E-mail: maalidph@yahoo.co.uk [New Technologies - Research Centre, University of West Bohemia, Univerzitni 8, Pilsen 306 14 (Czech Republic); School of Material Engineering, University Malaysia Perlis, Kangar, Perlis 01007 (Malaysia)

    2017-01-15

    Thermoelectric properties of materials are intimately related to their electronic band structure. Combining first- and second-principles calculations, we have obtained the transport properties for the spin-up and spin-down electrons of the laves phase TbFe{sub 2} and TbCo{sub 2} compounds. The unique band structure feature and the density of states at Fermi level (E{sub F}) promote the E{sub F} to a point where carriers are in energetic proximity to these features. The non-zero density of states at E{sub F} for the spin-up (↑) and spin-down (↓) electrons leads to unusual transport properties because both the (↑) and (↓) densities contributes to the states at E{sub F}. The parabolic bands in the vicinity of E{sub F} enhance the carriers mobility and hence the transport properties of TbFe{sub 2} and TbCo{sub 2}. Calculations show that the spin-up/down transport coefficients are temperature-dependent. It has been found that TbCo{sub 2} possess larger Seebeck coefficient than that of TbFe{sub 2} and hence the power factor. The calculated Seebeck coefficient of TbCo{sub 2} agree well with the available experimental data. - Highlights: • The transport properties of TbFe{sub 2} and TbCo{sub 2} are obtained. • The non-zero density of states at E{sub F} leads to unusual transport properties. • Spin-up/down transport coefficients are temperature-dependent. • The calculated Seebeck coefficient of TbCo{sub 2} agree with the experimental data. • TbCo{sub 2} possesses larger Seebeck coefficient than that of TbFe{sub 2}.

  15. When students become patients: TB disease among medical undergraduates in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Helene-Mari van der Westhuizen

    2017-06-01

    Full Text Available Background. Medical students acquire latent tuberculosis (TB infection at a rate of 23 cases/100 person-years. The frequency and impact of occupational TB disease in this population are unknown. Methods. A self-administered questionnaire was distributed via email and social media to current medical students and recently graduated doctors (2010 - 2015 at two medical schools in Cape Town. Individuals who had developed TB disease as undergraduate students were eligible to participate. Quantitative and qualitative data collected from the questionnaire and semi-structured interviews were analysed with descriptive statistics and a framework approach to identify emerging themes. Results. Twelve individuals (10 female reported a diagnosis of TB: pulmonary TB (n=6, pleural TB (n=3, TB lymphadenitis (n=2 and TB spine (n=1; 2/12 (17% had drug-resistant disease (DR-TB. Mean diagnostic delay post consultation was 8.1 weeks, with only 42% of initial diagnoses being correct. Most consulted private healthcare providers (general practitioners (n=7; pulmonologists (n=4, and nine underwent invasive procedures (bronchoscopy, pleural fluid aspiration and tissue biopsy. Substantial healthcare costs were incurred (mean ZAR25 000 for drug-sensitive TB, up to ZAR104 000 for DR-TB. Students struggled to obtain treatment, incurred high transport costs and missed academic time. Students with DR-TB interrupted their studies and experienced severe side-effects (hepatotoxicity, depression and permanent ototoxicity. Most participants cited poor TB infection-control practices at their training hospitals as a major risk factor for occupational TB. Conclusions. Undergraduate medical students in Cape Town are at high risk of occupationally acquired TB, with an unmet need for comprehensive occupational health services and support.

  16. Estudio del balance energético en velocistas de alto rendimiento

    OpenAIRE

    Lorente Gutiérrez, Jesús

    2015-01-01

    El objetivo de este estudio fue evaluar el balance energético en tres atletas de alto rendimiento durante 28 días, que coincidieron con el periodo competitivo de pista cubierta. La ingesta energética fue estudiada a partir de registros alimentarios durante los 28 días. Del mismo modo, el gasto energético fue estimado por tres métodos, mediante registros de actividad durante 28 días, mediante el estudio del ritmo metabólico basal estudiado por calorimetría indirecta, aplicándole el fa...

  17. Manual de auditoría interna para Instituto de Altos Estudios Nacionales

    OpenAIRE

    Bungacho Lamar, Fredy, Dr.

    2010-01-01

    La Ley Orgánica de Administración Financiera y Control responsabiliza a cada institución del Estado la implementación y aplicación del Sistema de Control Interno con la finalidad de precautelar los recursos públicos. Este trabajo investigativo sirve como guía para unificar los procedimientos, en la ejecución de las Auditoría de los profesionales que integren la Unidad de auditoría Interna del Instituto de altos Estudios Nacionales. Este Manual de Auditoría Interna, se compone de 6 capí...

  18. Assessing impact of hunting mammals in Alto Itaya river basin, Peruvian Amazon

    OpenAIRE

    Aquino, Rolando; Terrones, C.; Navarro, R.; Terrones, Wagner

    2013-01-01

    En el presente trabajo se informa sobre la abundancia, presión de caza y el impacto de la caza en mamíferos que habitan los bosques de la cuenca del río Alto Itaya. La información procede de censos por transectos y registros de caza llevados a cabo en seis comunidades. Entre los mamíferos de caza, el choro (Lagothrix poeppigii Schinz) fue el más abundante con 15,4 individuos/km², mientras que el mono aullador (Alouatta seniculus Linnaeus) y el venado colorado (Mazama americana Erxleben) fuero...

  19. PARSJAD, il Parco Archeologico dell’Alto Adriatico: un luogo diffuso, unito dalla tecnologia

    Directory of Open Access Journals (Sweden)

    Emilia Buniotto

    2014-05-01

    Full Text Available Eight partners, coordinated by the Veneto Region, are working on an ambitious project with an innovative approach and tools, and with the ability to conserve content and exploit the immense archaeological heritage of the area concerned.This was the birth of the Parco Archeologico dell’Alto Adriatico (Upper Adriatic Archaeological Park, a project funded by the Italy‐Slovenia 2007-2013 Cooperation Programme, with the aim of tracing a unified and cross-border pathof knowledge running from the coast of Emilia to the one in Slovenia.

  20. Panstrongylus megistus em ecótopos artificiais de ilhas do Alto Rio Paraná

    Directory of Open Access Journals (Sweden)

    Guilherme Ana Lucia Falavigna

    2001-01-01

    Full Text Available Em resposta a denúncias de triatomíneos em ilhas do Alto Rio Paraná foram investigados 145 ecótopos artificiais e 4 (2,8% deles encontravam-se infestados: residência, "clube", ex-escola e monte de madeira. Foram analisados 17 de 35 P. megistus coletados; 12 (70,6% apresentavam-se infectados por Trypanosoma cruzi. Ave e roedor constituíram as fontes alimentares mais comuns. Todos os exames sorológicos (56 de humanos, 18 de cães e 10 de gatos foram negativos.

  1. Sentidos de Vitória/Derrota para os Pais Segundo Atletas do Alto Rendimento

    OpenAIRE

    Amblard, Isabela; Cruz, Fatima Leite

    2015-01-01

    Este estudo compreendeu as representações sociais da vitória/derrota para os pais segundo atletas-adolescentes do esporte de alto rendimento, na cidade do Recife. A adolescência é compreendida a partir da Psicologia Social-histórica, e o embasamento teórico-metodológico da Teoria das Representações Sociais abordou os sujeitos em diferentes contextos socioculturais, lugares de pertencimento, experiências, crenças, saberes e sentimentos compartilhados. Adotou-se a perspectiva pluri metodológica...

  2. Projeto : Plano de promoção para os roteiros municipais do Alto Alentejo

    OpenAIRE

    Dimas, Alicia

    2012-01-01

    Dissertação de Mestrado em Marketing e Promoção Turística apresentada à ESTM - Escola Superior de Turismo e Tecnologia do Mar do Instituto Politécnico de Leiria O presente projeto pretende delinear as linhas mestras de um plano de promoção para o produto Roteiros Municipais. O produto, cujo objetivo é auxiliar a atividade turística na região do Alto Alentejo (Portugal), foi colocado recentemente no mercado sem qualquer estratégia de marketing associada – este projeto pretende preencher ess...

  3. Invernaderos sostenibles para la producción de hortalizas en zonas alto andinas del Cusco

    OpenAIRE

    Zanabria Pacheco, Pedro Fortunato

    2015-01-01

    La investigación tiene como objetivo determinar la importancia en el uso de los invernaderos sostenibles para la producción de hortalizas en las zonas alto andinas del Curso. Para ello, se han diseñado y construido dos prototipos de invernaderos a 3330 msnm, variando la orientación y forma del techo, permitiendo la producción de hortalizas en la estación fría. A la vez está investigación servirá como base para aplicar el proyecto sobre la tecnología de producción sostenible de hortalizas bajo...

  4. Trastorno de espectro autista de alto funcionamiento y su relación con la familia

    OpenAIRE

    González Villafáñez, María Felisa

    2014-01-01

    El objetivo de este trabajo consiste en analizar las dificultades que tienen los adolescentes con Trastorno del Espectro Autista de Alto Funcionamiento (TEA-AF), en sus relaciones sociales y familiares. Este análisis ha requerido la revisión de las diversas definiciones y teorías explicativas del citado trastorno. A su vez también se describen las terapias conocidas hasta hoy para crear un programa de apoyo a los familiares (padres, hermanos, abuelos…) que se relacionan con dicho adolescente....

  5. Prevalencia de trastornos psicológicos en deportistas españoles de alto rendimiento

    OpenAIRE

    Marí Cortés, Josep; Pérez Recio, Guillermo

    1997-01-01

    El artículo compara la prevalencia de psicopatologías en una muestra de 1376 deportistas españoles de alto rendimiento con la incidencia de las mismas alteraciones psicológicas en la población general. Para explicar la prevalencia hallada en la muestra de deportistas, se sugieren y analizan tres hipótesis (la autoselección, el efecto psicológico beneficioso la práctica de actividad física y la generalización, a los conflictos personales, de las pautas de enfrentamiento que han resultado previ...

  6. Conservation and public presentation of the argaric site of Castellón Alto (Galera, Granada

    Directory of Open Access Journals (Sweden)

    Rodríguez-Ariza, M. Oliva

    2000-12-01

    Full Text Available The magnificent preservation of the archaeological site of Castellón Alto permitted reconstruction of the urbanism of this settlement and the life of its inhabitants. In addition to the necessary conservation, two interventions have been carried out with the principal objective of facilitating access, visiting, and the understanding of the site by the majority of the public. The first intervention happened in 1989 and the main task was centered on the consolidation, restoration, and delimiting of the archaeological bed. The second one happened in 1997 and was centered in the consolidation and reconstruction of both a hut and two tombs. With the opening of the Archaeological Museum of Galera, the cultural and touristic contribution of Castellón Alto will be complete. It will provide an interpretation of this prehistoric village, as well as the Argaric culture in general and all the other archaeological sites of the area.

    La magnífica conservación del registro arqueológico del Castellón Alto permitía reconstruir el urbanismo del poblado y la vida de estas poblaciones. Se han efectuado dos actuaciones con el objetivo principal de facilitar, además de la necesaria conservación, el acceso, la visita y la comprensión del poblado prehistórico por parte de un público mayoritario. La primera actuación se realizó en 1989 y los trabajos se centraron principalmente en la consolidación, restauración y cerramiento del área del yacimiento. La segunda se realizó en 1997 y se centró en el acondicionamiento y reconstrucción de una cabaña y dos sepulturas. La oferta turística y cultural que ofrece el Castellón Alto se completará con la próxima apertura del Museo Arqueológico de Galera, donde se efectuará una interpretación de este poblado y de la cultura argárica, así como del resto de yacimientos de la zona.

  7. Does the integration of TB medical services in the general hospital improve the quality of TB care? Evidence from a case study in China.

    Science.gov (United States)

    Sun, Qiang; Yin, Jia; Yin, Xiao; Zou, Guanyang; Liang, Mingli; Zhong, Jieming; Walley, John; Wei, Xiaolin

    2013-06-01

    Moving the clinical services from tuberculosis (TB) dispensary to the integrated county hospital (called integrated approach) has been practiced in China; however, it is unknown the quality of TB care in the integrated approach and in the dispensary approach. A total of 202 new TB patients were investigated using structured questionnaires in three counties implementing the integrated approach and one county implementing the dispensary approach. The quality of TB care is measured based on success rate of treatment, medical expenditure, health system delay and second-line drug use. The integrated approach showed a high success treatment rate. The medical expenditure in the integrated approach was USD 432, significantly lower than that in the dispensary approach (Z = -5.771, P < 0.001). The integrated approach had a shorter health system delay (5 days) than the dispensary approach (32 days). Twenty-six percent of patients in integrated hospitals were prescribed with second-line TB drugs, significantly lower than that in the TB dispensary (47%, χ(2) = 7.452, P = 0.006). However, the medical expenditure, use of second-line anti-TB drug and liver-protection drugs indeed varied greatly across the three integrated hospitals. The integrated approach showed better quality of TB care, but the performance of the integrated hospitals varied greatly. A method to standardize TB treatment and management of this approach is urgent.

  8. Fabrication and properties of highly luminescent materials from Tb(OH)3-SiO2 and Tb(OH)3-SiO2:Eu3+ nanotubes

    International Nuclear Information System (INIS)

    Tran Thu Huong; Tran Kim Anh; Le Quoc Minh

    2009-01-01

    Luminescent nanomaterials with one-dimensional (1D) structures have attracted much attention due to their unique properties and potential applications in nanophotonics and nanobiophotonics. In this paper, we report a synthesis of terbium - hydroxide - at - silica Tb(OH) 3 -SiO 2 and Tb(OH) 3 -SiO 2 :Eu 3+ nanotubes. Terbium - hydroxide tubes were synthesized by soft template method. The size of the tubes can be controlled precisely and have outer diameters ranging from 80 to 120 nm, wall thickness of about 30 nm, and lengths ranging from 300 to 800 nm. To fabricate core/shell materials, the seed growth method is used. FESEM, X-ray diffraction, Raman spectra of Tb(OH) 3 and Tb(OH) 3 -SiO 2 nanotubes were investigated. The photoluminescence (PL) spectrum of Tb(OH) 3 under 325 nm excitation consists of four main peaks at 488, 542, 582, and 618 nm. Furthermore, a preliminary suggestion for the mechanism of growth of the Tb(OH) 3 nanotubes using the soft - template synthesis technique has been proposed. The PL intensity from Tb(OH) 3 -SiO 2 or Tb(OH) 3 -SiO 2 :Eu 3+ nanotubes is much stronger than that of Tb(OH) 3 .

  9. TB Risk Perceptions among Medical Residents at a Tertiary Care Center in India

    Directory of Open Access Journals (Sweden)

    Geeta S. Pardeshi

    2017-01-01

    Full Text Available Setting. Government tertiary health care center in India. Objective. To understand the perceptions of medical residents about their risk of developing TB in the workplace. Design. Cross-sectional study in which a semistructured questionnaire which included an open-ended question to assess their main concerns regarding TB in workplace was used to collect data. Results. Out of 305 resident doctors approached, 263 (94% completed a structured questionnaire and 200 of these responded to an open-ended question. Daily exposure to TB was reported by 141 (64% residents, 13 (5% reported a prior history of TB, and 175 (69% respondents were aware of TB infection control guidelines. A majority reported concerns about acquiring TB (78% and drug-resistant TB (88%. The key themes identified were concerns about developing drug-resistant TB (n=100; 50%; disease and its clinical consequences (n=39; 20%; social and professional consequences (n=37; 19%; exposure to TB patients (n=32; 16%; poor infection control measures (n=27; 14%; and high workload and its health consequences (n=16; 8%. Conclusion. Though many resident doctors were aware of TB infection control guidelines, only few expressed concern about lack of TB infection control measures. Doctors need to be convinced of the importance of these measures which should be implemented urgently.

  10. Access to and affordability of healthcare for TB patients in China: issues and challenges.

    Science.gov (United States)

    Tang, Shenglan; Wang, Lixia; Wang, Hong; Chin, Daniel P

    2016-01-29

    This paper introduces the background, aim and objectives of the project entitled "China-the Gates Foundation Collaboration on TB Control in China" that has been underway for many years. It also summarizes the key findings of the nine papers included in this special issue, which used data from the baseline survey of Phase II of the project. Data were collected from the survey of TB and MDR-TB patients, from designated hospitals, health insurance agencies and the routine health information systems, as well as key informant interviews and focus group discussions with relevant key stakeholders. Key issues discussed in this series of papers include the uses of TB services and anti-TB medicines and their determining factors related to socio-economic and health systems development; expenditures on TB care and the financial burden incurred on TB patients; and the impact of health insurance schemes implemented in China on financial protection.

  11. Screening for TB by sputum culture in high-risk groups in Copenhagen, Denmark

    DEFF Research Database (Denmark)

    Jensen, Sidse Graff; Wrona Olsen, Nete; Seersholm, Niels

    2015-01-01

    . METHODS: On seven occasions, from September 2012 through June 2014, we offered TB screening to all persons present at 11 locations where socially marginalised people gather in Copenhagen. Spot sputum samples from participants were examined by smear microscopy and culture. Genotype, nucleic acid......INTRODUCTION: Evidence on screening high-risk groups for TB by mobile X-ray in low-incidence countries is building, but knowledge on other possible screening methods is limited. In this retrospective study we report results from a community based programme screening for TB by spot sputum culture...... amplification test and chest X-ray were done if TB was found. RESULTS: Among 1075 participants, we identified 36 cases of TB. Twenty-four cases (66.7%) were identified at the first screening of each participant, that is, the prevalence of TB was 2233/100 000. Thirty-five (97%) of the TB cases were culture...

  12. Grave number 121 of the argaric site of Castellón Alto (Galera, Granada

    Directory of Open Access Journals (Sweden)

    Molina, Fernando

    2003-06-01

    Full Text Available A new grave with partly mummified bodies was discovered during fieldwork to prepare the argaric site of Castellón Alto for public visits. Timber slabs and a dry stone wall seal the artificial cave preserving the interior. The human bones belong to one adult and one infant, both with preserved hair and skin fragments. The grave goods comprise several pottery vessels, one dagger, one ax with wooden handle, metal ornaments and fragments of flax and possibly wool.

    Recientes excavaciones en el yacimiento argárico de Castellón Alto con motivo de los trabajos de acondicionamiento para su visita publica han permitido descubrir una sepultura con restos humanos momificados en su interior. La sepultura de tipo covacha se encontraba sellada por tablones de madera y un muro de mampostería. En el interior aparecieron un individuo adulto y un infantil que conservan restos de pelo y piel. El ajuar se compone de varias vasijas cerámicas, un puñal, una azuela con mango de madera y adornos en metal, así como restos de lino y posiblemente lana.

  13. Litho-structural and geophysics features of the Alto Paranaiba Uplift

    International Nuclear Information System (INIS)

    Hasui, Y.

    1991-01-01

    The Alto Paranaiba Uplift (APU) is an almost elliptical tectonic feature of the Western Minas Gerais/Southern Goias region, which was active mostly during the Cretaceous. It separated the Parana Basin, during the formation of the Sao Bento, Uberaba and Bauru sequences, from the Alto-Sanfranciscana Basin, at the time of formation of the Areado, Patos, Capacete and Urucuia sequences. The Bouguer anomaly data indicate that the APU developed at the southwestern border of the ancient Brasilia crustal block and is represented by an almost elliptical gravity high of 15 mgal, locally disturbed by positive and negative the presence of important lineaments of a NW-SE set, mostly crossing the southwestern half of the APU. The APU development, the magmatism and the lateral basin formation involved reactivation of preexisting discontinuities and are related to a mantle plume. The tectonic development was aborted at the uplift stage during Cretaceous, after the deposition of the Bauru and Urucuia sequences, as is indicated by the Pratinha peneplane, now elevated at about 1.100 m altitude, which sculpture ended at the beginning of the Tertiary. The APU is one tectonic feature like other similar anomalies also aborted in the uplift stage or in the rift stage, which developed in Southern Brazil during the time of Atlantic Ocean opening. (author)

  14. Control Neuroborroso en Red. Aplicación al Proceso de Taladrado de Alto Rendimiento

    Directory of Open Access Journals (Sweden)

    Agustín Gajate

    2009-01-01

    Full Text Available Resumen: Este trabajo muestra el diseño y la implementación de un sistema neuroborroso para el modelado y control en red de un proceso de taladrado de alto rendimiento. El sistema neuroborroso considerado en este estudio es el conocido como Adaptive Network based Fuzzy Inference System (ANFIS, en el que las reglas borrosas se obtienen a partir de datos entrada/salida. Para el diseño del sistema de control se ha elegido el paradigma del control por modelo interno. Los resultados obtenidos son positivos tanto en la simulación como en la aplicación al control en red de la fuerza de corte. Desde el punto de vista técnico, se aumenta la tasa de arranque de material y al mismo tiempo se garantiza un aprovechamiento efectivo de la vida útil de la herramienta de corte. Este buen comportamiento del sistema de control neuroborroso basado en control por modelo interno se ha verificado por medio de varias cifras de mérito. Palabras clave: sistemas neuroborrosos, control por modelo interno, control en red, taladrado de alto rendimiento

  15. Structure of neutron rich nuclei of Germanium and Gallium beyond N equals 50 at Alto

    International Nuclear Information System (INIS)

    Lebois, M.

    2008-09-01

    The gamma rays following the beta decay of the following very neutron-rich isotopes: 82,83,84 Ga produced by photo-fission, have been studied at the newly built ISOL facility in Orsay: ALTO. In ALTO the interaction of an electron beam with U 238 target generates a continuous spectra of Bremsstrahlung gamma radiation that triggers U 238 fission. The fission fragments are then ionized, extracted and mass-separated. The analysis of the data has shown the existence of an isomer in 31 84 Ga 53 and has enabled us to confirm known results on 32 83 Ge 51 energy levels including the gamma transition between the 1/2+ state at 247,7 KeV and the fundamental state. We have also proposed the first energy level scheme for 33 84 As 51 . In order to understand the structure of the nucleus we have used the Thankappan and True model that gives a description of the coupling between the pair-pair core (half-magical) and the single nucleon. This model applied to the N=51 chain ( 38 89 Sr 51 , 36 87 Kr 51 , 34 85 Se 51 , 32 83 Ge 51 and 30 81 Zn 51 ) has allowed us to see the main features of odd isotope structure. We have also confirmed previous results concerning the nature of the states in the following decay 31 83 Ga 52 → 32 83 Ge 51

  16. A model of Alto Lazio boiling water reactor using the LEGO code balance of plant simulation

    International Nuclear Information System (INIS)

    Spelta, S.; Garbossa, G.B.

    1989-01-01

    An extensive effort has been made at the Italian National Electricity Board (ENEL) to construct and validate a LEGO model capable of simulating the operational transients of the Alto Lazio Nuclear Station, a two twin-units site with BWR/6 class reactors, rated at 2894 MWt and with Mark III containment. LEGO is a modular package developed at the Research and development Department of the Italian National Electricity Board (CRA-ENEL) for computer aided modeling of fossil-fired and nuclear steam power plants. In this paper a system analysis model capable of describing steady-state and transient performance of the Balance of Plant (BOP) of the Alto Lazio Power Station is presented. This is one of two companion papers devoted to the description of the overall plant model including both the Nuclear Steam Supply System (NSSS) and the BOP. In the paper, after a brief summary of the main LEGO characteristics, a description of the BOP lay-out is presented. The overall model, which has been set-up, including control systems and automation, is very detailed and consists of almost 2000 differential or algebraic equations. After a brief description of the mathematical model, two significant transients obtained using the overall model are presented and discussed

  17. Conservation and valorisation of Giovanni Boccaccio’s house museum in Certaldo Alto

    Directory of Open Access Journals (Sweden)

    Massimo Gennari

    2012-04-01

    Full Text Available The architectural restoration and functional redevelopment of Boccacio’s house in Certaldo Alto (Florence, has been carried out between 2006 and 2007 and finalized in 2011, including the reconstruction of the garden next to the house. The program which has been characterized by a strong civic, social and cultural involvement, is lead by the Ente Nazionale G. Boccaccio in partnership whit the local administration and aims at contributing to the valorization of the historical, architectural and cultural heritage of the historic center of Certaldo Alto. Valorization here is intended as a functional integration and synergy between predominantly cultural activities. The aim is to achieve the best results in terms of social development as well as intellectual growth within a virtuous economy, and therefore the construction of a complementary model for cultural assets in general. A model where the single cultural elements (museums, libraries, workrooms, exhibitions, auditorium, etc.. represent only the intersections of a wider net system established through the process of communication and exchange with the institutions, publics or privates, that operate in the sectors of research, experimentation, education and information. This means that the management of cultural assets will now aim mainly at the interaction between its components and nationals as well as international structures of education and research, institutes for the social and economical development and innovative business structures in the fields of communication and cultural and sustainable tourism. This establishes an additional value of his still underestimated significance.

  18. Saúde reprodutiva e mulheres indígenas do Alto Rio Negro

    Directory of Open Access Journals (Sweden)

    Marta Azevedo

    Full Text Available O presente artigo descreve e analisa as concepções próprias das mulheres indígenas do Alto Rio Negro sobre saúde reprodutiva, relacionando-as a indicadores de fecundidade. As informações qualitativas apontam para um conhecimento detalhado e complexo que as mulheres indígenas dessa região possuem sobre seu corpo e os cuidados com sua saúde. Os níveis e padrões etários da fecundidade estão relacionados com a etnia das mulheres, portanto, aos sistemas tradicionais de cuidados com a saúde desses povos. A pesquisa foi desenvolvida entre 1997 e 2003, na região de Iauaretê, Terra Indígena Alto Rio Negro (AM, e teve como primeira fonte de dados o Censo Indígena Autônomo do Rio Negro - CIARN-, levado a efeito pela Federação das Organizações Indígenas do Rio Negro - FOIRN - em 1992.

  19. Numerical modelling of Alto Verde landslide using the material point method

    Directory of Open Access Journals (Sweden)

    Marcelo Alejandro Llano-Serna

    2015-01-01

    Full Text Available Finalizando el año 2008 en la ciudad de Medellín, Colombia, ocurrió un deslizamiento de tierra en la urbanización Alto Verde provocando la muerte de doce personas y la destrucción de seis viviendas. Los deslizamientos se destacan por el elevado nivel de deformaciones en una masa de suelo. El presente trabajo utilizó el método del punto material (MPM, método basado en partículas que utiliza una doble discretización Lagrangiano-Euleriana. La doble discretización genera un marco numérico robusto que permite la simulación de grandes distorsiones. El modelo numérico planteó una simplificación de las condiciones geotécnicas, morfológicas y estructurales de las edificaciones envueltas en Alto Verde. El estado de deformación final de la simulación se acomodó satisfactoriamente a las características geométricas finales observadas en campo. Los resultados obtenidos generan aplicaciones como el diseño de barreras, análisis de riesgo o la determinación de la distancia mínima de retiro a una ladera susceptible de deslizamiento.

  20. A deadly combination of AIDS, TB and cardiac tumour.

    Science.gov (United States)

    Sahasrabudhe, Tushar Ramesh

    2013-05-22

    Immunocompromised status in AIDS makes differential diagnosis of any symptom very difficult for a clinician. Sharp clinical judgement and plenty of investigations may be needed to reach the diagnosis, as in this case. We hereby present a case of AIDS and active tuberculosis (TB) under treatment. The patient developed acute onset multifocal neurological symptoms following an episode of fever and diarrhoea. The MRI scan revealed numerous large cerebral infarcts. On investigations to evaluate brain infarcts, we made a diagnosis of left atrial cardiac tumour. Association of cardiac tumours with AIDS has only been rarely reported. It is uncertain if these can be opportunistic tumours in AIDS. The patient successfully came out of this deadly combination of diseases, viz AIDS, TB and large brain infarcts due to atrial tumour; with almost complete recovery.

  1. Synchrotron diffraction characterization of nanostructured KY3F10:Tb

    International Nuclear Information System (INIS)

    Ichikawa, Rodrigo U.; Teixeira, Maria I.; Ranieri, Izilda M.; Martinez, Luis G.; Linhares, Horacio M.S.M.D.; Turrillas, Xavier

    2015-01-01

    Nanostructured rare-earth fluorides materials are being intensively studied recently due to their potential applications in high-dose dosimetry. Particularly, nanostructured Tb-doped KY 3 F 10 has shown satisfactory results to be used in this area. In the present work, the structure and microstructure of KY 3 F 10 :Tb was investigated by means of X-ray synchrotron diffraction. One of the samples was analyzed as synthesized and another after a heat treatment. Rietveld refinement of synchrotron diffraction data was applied to obtain cell parameters, atomic positions and atomic displacement factors and the results were compared to values found in literature. X-ray line profile analysis methods were applied to determine mean crystallite sizes and their distribution. (author)

  2. Advocacy, partnership and political commitment for TB vaccine research.

    Science.gov (United States)

    Olesen, Ole F; Chan, Sharon; Chappell, Janice; Guo, Yan; Leite, Luciana C C

    2016-08-01

    The 4th Global Forum on TB Vaccines, convened in Shanghai, China, from 21 - 24 April 2015, brought together a wide and diverse community involved in tuberculosis vaccine research and development to discuss the current status of, and future directions for this critical effort. This paper summarizes the sessions on Advancing the Pipeline: A Vision for the Next Decade, Engaging the BRICS: Basic Research to Manufacturing, and Regulatory and Access Issues for New TB Vaccines. Summaries of all sessions from the 4th Global Forum are compiled in a special supplement of Tuberculosis. [August 2016, Vol 99, Supp S1, S1-S30]. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  3. Aesthetic Communication and Intercultural Perspective. A Qualitative Analysis of Aesthetic Perceptions of the Brand "Südtirol/Alto Adige"

    Directory of Open Access Journals (Sweden)

    Vincenzo Bua

    2009-01-01

    Full Text Available In the qualitative study of mental associations with the brand picture "Südtirol/Alto Adige" different images of the region among German speaking, Italian speaking and bilingually grown up South Tyroleans were analysed. The research interest was focused on the communalities and differences in these associations in order to identify potentially conflicting positions between the two major language groups in Südtirol/Alto Adige. In this paper the method is demonstrated which was used to display and investigate the emotional and cognitive contents of the images to Südtirol/Alto Adige from the point of view of different socio-cultural groups. Additionally selected results connected to the perception of the brand in the multilingual province Südtirol/Alto Adige are shown. Against the background of the outlined study the following questions are dealt with in this article: How is the special design of the brand picture perceived among the different socio-cultural groups in Alto Adige/Südtirol with respect to intercultural communication processes? Which meaning can be attributed to the historical heritage of the language groups in the analysis? URN: urn:nbn:de:0114-fqs0901323

  4. Toward a Generation Free of Tuberculosis: TB Disease and Infection in Individuals of College Age in the United States

    Science.gov (United States)

    Shah, N. S.; Flood-Bryzman, A.; Jeffries, C.; Scott, J.

    2018-01-01

    Objectives: To assess the magnitude of active TB disease and latent TB infection (LTBI) in young adults of college age. Participants: Individuals who were aged 18-24 years in 2011 were used as a proxy for college students. Methods: Active TB cases reported to the 2011 US National TB Surveillance System (NTSS) were included. LTBI prevalence was…

  5. Evaluation of three refurbished Guralp CMG-3TB seismometers.

    Energy Technology Data Exchange (ETDEWEB)

    Hart, Darren M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Merchant, Bion J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2014-05-01

    The overall objective of testing the Guralp CMG-3TB refurbished seismometers is to determine whether or not the refurbished sensors exhibit better data quality and require less maintenance when deployed than the original Guralp CMG-3TBs. SNL will test these 3 refurbished Guralps to verify performance specifications. The specifications that will be evaluated are sensitivity, bandwidth, self-noise, output impedance, clip-level, dynamic range over application passband, verify mathematical response and calibration response parameters for amplitude and phase.

  6. A deadly combination of AIDS, TB and cardiac tumour

    OpenAIRE

    Sahasrabudhe, Tushar Ramesh

    2013-01-01

    Immunocompromised status in AIDS makes differential diagnosis of any symptom very difficult for a clinician. Sharp clinical judgement and plenty of investigations may be needed to reach the diagnosis, as in this case. We hereby present a case of AIDS and active tuberculosis (TB) under treatment. The patient developed acute onset multifocal neurological symptoms following an episode of fever and diarrhoea. The MRI scan revealed numerous large cerebral infarcts. On investigations to evaluate br...

  7. Index-TB Guidelines: Guidelines on extrapulmonary tuberculosis for India

    Science.gov (United States)

    Sharma, Surendra K.; Ryan, H.; Khaparde, Sunil; Sachdeva, K. S.; Singh, Achintya D.; Mohan, Alladi; Sarin, Rohit; Paramasivan, C N; Kumar, Prahlad; Nischal, Neeraj; Khatiwada, Saurav; Garner, Paul; Tharyan, Prathap

    2017-01-01

    Extrapulmonary tuberculosis (EPTB) is frequently a diagnostic and therapeutic challenge. It is a common opportunistic infection in people living with HIV/AIDS and other immunocompromised states such as diabetes mellitus and malnutrition. There is a paucity of data from clinical trials in EPTB and most of the information regarding diagnosis and management is extrapolated from pulmonary TB. Further, there are no formal national or international guidelines on EPTB. To address these concerns, Indian EPTB guidelines were developed under the auspices of Central TB Division and Directorate of Health Services, Ministry of Health and Family Welfare, Government of India. The objective was to provide guidance on uniform, evidence-informed practices for suspecting, diagnosing and managing EPTB at all levels of healthcare delivery. The guidelines describe agreed principles relevant to 10 key areas of EPTB which are complementary to the existing country standards of TB care and technical operational guidelines for pulmonary TB. These guidelines provide recommendations on three priority areas for EPTB: (i) use of Xpert MTB/RIF in diagnosis, (ii) use of adjunct corticosteroids in treatment, and (iii) duration of treatment. The guidelines were developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria, which were evidence based, and due consideration was given to various healthcare settings across India. Further, for those forms of EPTB in which evidence regarding best practice was lacking, clinical practice points were developed by consensus on accumulated knowledge and experience of specialists who participated in the working groups. This would also reflect the needs of healthcare providers and develop a platform for future research. PMID:28862176

  8. Index-TB guidelines: Guidelines on extrapulmonary tuberculosis for India

    Directory of Open Access Journals (Sweden)

    Surendra K Sharma

    2017-01-01

    Full Text Available Extrapulmonary tuberculosis (EPTB is frequently a diagnostic and therapeutic challenge. It is a common opportunistic infection in people living with HIV/AIDS and other immunocompromised states such as diabetes mellitus and malnutrition. There is a paucity of data from clinical trials in EPTB and most of the information regarding diagnosis and management is extrapolated from pulmonary TB. Further, there are no formal national or international guidelines on EPTB. To address these concerns, Indian EPTB guidelines were developed under the auspices of Central TB Division and Directorate of Health Services, Ministry of Health and Family Welfare, Government of India. The objective was to provide guidance on uniform, evidence-informed practices for suspecting, diagnosing and managing EPTB at all levels of healthcare delivery. The guidelines describe agreed principles relevant to 10 key areas of EPTB which are complementary to the existing country standards of TB care and technical operational guidelines for pulmonary TB. These guidelines provide recommendations on three priority areas for EPTB: (i use of Xpert MTB/RIF in diagnosis, (ii use of adjunct corticosteroids in treatment, and (iii duration of treatment. The guidelines were developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE criteria, which were evidence based, and due consideration was given to various healthcare settings across India. Further, for those forms of EPTB in which evidence regarding best practice was lacking, clinical practice points were developed by consensus on accumulated knowledge and experience of specialists who participated in the working groups. This would also reflect the needs of healthcare providers and develop a platform for future research.

  9. Major Challenges in Clinical Management of TB/HIV Coinfected Patients in Eastern Europe Compared with Western Europe and Latin America

    DEFF Research Database (Denmark)

    Efsen, Anne Marie W; Schultze, Anna; Post, Frank A

    2015-01-01

    OBJECTIVES: Rates of TB/HIV coinfection and multi-drug resistant (MDR)-TB are increasing in Eastern Europe (EE). We aimed to study clinical characteristics, factors associated with MDR-TB and predicted activity of empiric anti-TB treatment at time of TB diagnosis among TB/HIV coinfected patients......% of participants in EE compared with 90-96% in other regions (pmanagement of TB/HIV patients in EE requires...... better access to TB diagnostics including DSTs, empiric anti-TB therapy directed at both susceptible and MDR-TB, and more widespread use of cART....

  10. PolyTB: A genomic variation map for Mycobacterium tuberculosis

    KAUST Repository

    Coll, Francesc

    2014-02-15

    Tuberculosis (TB) caused by Mycobacterium tuberculosis (Mtb) is the second major cause of death from an infectious disease worldwide. Recent advances in DNA sequencing are leading to the ability to generate whole genome information in clinical isolates of M. tuberculosis complex (MTBC). The identification of informative genetic variants such as phylogenetic markers and those associated with drug resistance or virulence will help barcode Mtb in the context of epidemiological, diagnostic and clinical studies. Mtb genomic datasets are increasingly available as raw sequences, which are potentially difficult and computer intensive to process, and compare across studies. Here we have processed the raw sequence data (>1500 isolates, eight studies) to compile a catalogue of SNPs (n = 74,039, 63% non-synonymous, 51.1% in more than one isolate, i.e. non-private), small indels (n = 4810) and larger structural variants (n = 800). We have developed the PolyTB web-based tool (http://pathogenseq.lshtm.ac.uk/polytb) to visualise the resulting variation and important meta-data (e.g. in silico inferred strain-types, location) within geographical map and phylogenetic views. This resource will allow researchers to identify polymorphisms within candidate genes of interest, as well as examine the genomic diversity and distribution of strains. PolyTB source code is freely available to researchers wishing to develop similar tools for their pathogen of interest. 2014 Elsevier Ltd. All rights reserved.

  11. HIV-associated TB syndemic: A growing clinical challenge worldwide

    Directory of Open Access Journals (Sweden)

    Maria Theresa Montales

    2015-12-01

    Full Text Available The association of tuberculosis (TB with human immunodeficiency virus (HIV infection and acquired immune deficiency syndrome (AIDS over the past several years has become an emerging syndemic. Approximately 10% of people living with HIV (PLHIV with latent TB infection will develop active TB disease each year. In this review, we highlight that this phenomenon is not limited to high endemic regions like Afro-Asian nations, but globalization/migration is causing increased case detection even in developed nations such as the United States (US. Active screening should be performed for tuberculosis in PLHIV. A high degree of clinical suspicion for tuberculosis is warranted in PLHIV presenting with fever, cough and unintentional weight loss. HIV-Mycobacterium tuberculosis (MTB coinfection is often paucibacillary, precluding diagnosis by conventional diagnostics and/or smear-microscopy/culture. Improved detection of pulmonary and extrapulmonary tuberculosis is now possible by incorporation of the GeneXPERT MTB/RIF assay (Cepheid Inc, Sunnyvale, USA. The World Health Organization (WHO recommends instituting immediate therapy for Mycobacterium tuberculosis, in conjunction with ongoing or newly introduced antiretroviral therapy (ART. Vigilance is required to detect drug-induced organ injuries, and early-treatment induced immune reconstitution inflammatory syndrome (IRIS. Collaborating MTB and HIV activities in concentrated HIV epidemic settings should become a high public health priority.

  12. Magnetoelastic coupling in TbFe2 (110) thin films

    International Nuclear Information System (INIS)

    Ciria, M.; Arnaudas, J.I.; Dufour, C.; Oderno, V.; Dumesnil, K.; del Moral, A.

    1997-01-01

    We have determined the rhombohedral magnetoelastic stress of a Laves phase TbFe 2 (110) single-crystal film, grown by molecular-beam epitaxy. The film thickness was 1300 Angstrom. The magnetoelastic stress was directly measured by using a low-temperature cantilever capacitive method, between 300 and 10 K. The isotherms clearly display the coercive field but, unlike bulk alloy behavior, do not saturate even at the maximum field of 12 T. The determined rhombohedral magnetoelastic parameter of the film is B ε,2 =-0.43 GPa, at 0 K and 12 T, which is 0.67 times the value for bulk TbFe 2 . B ε,2 follows a power m 3 of the reduced magnetization m, indicating a single-ion volume origin for the rhombohedral magnetoelastic stress of this film. Measurements performed in a 300 Angstrom TbFe 2 (110) film deposited onto a YFe 2 buffer show that the coercive field is drastically lowered and that the magnetoelastic distortion is negligible. copyright 1997 American Institute of Physics

  13. Impact of ART on TB case fatality stratified by CD4 count for HIV-positive TB patients in Cape Town, South Africa (2009-2011).

    Science.gov (United States)

    Kaplan, Richard; Caldwell, Judy; Middelkoop, Keren; Bekker, Linda-Gail; Wood, Robin

    2014-08-15

    To identify determinants of tuberculosis (TB) case fatality including the impact of antiretroviral therapy (ART) at different CD4 thresholds for HIV-positive adult and adolescent TB patients. Through a retrospective analysis of the electronic TB database, we identified the HIV status of newly registered patients aged ≥15 years. Multivariable Cox proportional hazard models were used to determine the risk factors for TB case fatality in these patients. In 2009, 2010, and 2011, 25,841, 26,104, and 25,554 newly registered adult TB patients were treated in primary health care clinics in Cape Town, of whom 49.7%, 50.4%, and 50.9% were HIV positive. ART uptake increased over 3 years from 43% to 64.9%, and case fatality of the HIV-positive patients decreased from 7.0% to 5.8% (P ART had a substantial decrease in case fatality. The difference in case fatality between patients on ART and not on ART was most pronounced at low CD4 counts with the positive influence of ART noted up to a CD4 count threshold of 350 cells per cubic millimeter (P ART uptake, in 2011, 21% of the patients with CD4 counts ART during TB treatment. This study showed a relatively poor uptake of ART among severely immune-compromised TB patients. Patients with CD4 counts ART during TB treatment, and ART initiation should be prioritized for this category of patients.

  14. Understanding Market Size and Reporting Gaps for Paediatric TB in Indonesia, Nigeria and Pakistan: Supporting Improved Treatment of Childhood TB in the Advent of New Medicines.

    Science.gov (United States)

    Coghlan, Renia; Gardiner, Elizabeth; Amanullah, Farhana; Ihekweazu, Chikwe; Triasih, Rina; Grzemska, Malgorzata; Sismanidis, Charalambos

    2015-01-01

    We sought to understand gaps in reporting childhood TB cases among public and private sector health facilities (dubbed "non-NTP" facilities) outside the network of national TB control programmes, and the resulting impact of under-reporting on estimates of paediatric disease burden and market demand for new medicines. Exploratory assessments were carried out in Indonesia, Nigeria and Pakistan, reaching a range of facility types in two selected areas of each country. Record reviews and interviews of healthcare providers were carried out to assess numbers of unreported paediatric TB cases, diagnostic pathways followed and treatment regimens prescribed. A total of 985 unreported diagnosed paediatric TB cases were identified over a three month period in 2013 in Indonesia from 64 facilities, 463 in Pakistan from 35 facilities and 24 in Nigeria from 20 facilities. These represent an absolute additional annualised yield to 2013 notifications reported to WHO of 15% for Indonesia, 2% for Nigeria and 7% for Pakistan. Only 12% of all facilities provided age and sex-disaggregated data. Findings highlight the challenges of confirming childhood TB. Diagnosis patterns in Nigeria highlight a very low suspicion for childhood TB. Providers note the need for paediatric medicines aligned to WHO recommendations. This study emphasises the impact of incomplete reporting on the estimation of disease burden and potential market size of paediatric TB medicines. Further studies on "hubs" (facilities treating large numbers of childhood TB cases) will improve our understanding of the epidemic, support introduction efforts for new treatments and better measure markets for new paediatric medicines.

  15. Integration of HIV and TB Services Results in Improved TB Treatment Outcomes and Earlier Prioritized ART Initiation in a Large Urban HIV Clinic in Uganda

    NARCIS (Netherlands)

    Hermans, Sabine M.; Castelnuovo, Barbara; Katabira, Catherine; Mbidde, Peter; Lange, Joep M. A.; Hoepelman, Andy I. M.; Coutinho, Alex; Manabe, Yukari C.

    2012-01-01

    Background: The World Health Organization recommends that treatment of tuberculosis (TB) in HIV-infected patients should be integrated with HIV care. In December 2008, a separate outdoor-integrated TB/HIV clinic was instituted for attendees of a large urban HIV clinic in Uganda. We sought to

  16. Lithium-aluminum-zinc phosphate glasses activated with Tb3+ and Tb3+/Eu3+ for green laser medium, reddish-orange and white phosphor applications

    Science.gov (United States)

    Francisco-Rodriguez, H. I.; Lira, A.; Soriano-Romero, O.; Meza-Rocha, A. N.; Bordignon, S.; Speghini, A.; Lozada-Morales, R.; Caldiño, U.

    2018-05-01

    A spectroscopic analysis of Tb3+ and Tb3+/Eu3+ doped lithium-aluminum-zinc phosphate glasses is performed through their absorbance and photoluminescence spectra, and decay time profiles. Laser parameter values (stimulated emission cross section, effective bandwidth, gain bandwidth and optical gain) were obtained for the terbium 5D4 → 7F5 green emission from the Tb3+ singly-doped glass (LAZT) excited at 350 nm to judge the suitability of the glass phosphor for fiber lasers. A quantum yield of (47.68 ± 0.49)% was measured for the 5D4 level luminescence. Upon 350 nm excitation the LAZT glass phosphor emits green light with a color purity of 65.6% and chromaticity coordinates (0.285, 0.585) very close to those (0.29, 0.60) of European Broadcasting Union illuminant green. The Tb3+/Eu3+codoped glass emission color can be tuned from reddish-orange of 1865 K upon 318 nm excitation to warm white of 3599 K and neutral white of 4049 K upon 359 and 340 nm excitations, respectively. Upon Tb3+ excitation at 340 nm Eu3+ is sensitized by Tb3+ through a non-radiative energy transfer with an efficiency of 0.23-0.26. An electric dipole-dipole interaction might be the dominant mechanism in the Tb3+ to Eu3+ energy transfer taking place into Tb3+ - Eu3+ clusters.

  17. Estimating the effect of lay knowledge and prior contact with pulmonary TB patients, on health-belief model in a high-risk pulmonary TB transmission population.

    Science.gov (United States)

    Zein, Rizqy Amelia; Suhariadi, Fendy; Hendriani, Wiwin

    2017-01-01

    The research aimed to investigate the effect of lay knowledge of pulmonary tuberculosis (TB) and prior contact with pulmonary TB patients on a health-belief model (HBM) as well as to identify the social determinants that affect lay knowledge. Survey research design was conducted, where participants were required to fill in a questionnaire, which measured HBM and lay knowledge of pulmonary TB. Research participants were 500 residents of Semampir, Asemrowo, Bubutan, Pabean Cantian, and Simokerto districts, where the risk of pulmonary TB transmission is higher than other districts in Surabaya. Being a female, older in age, and having prior contact with pulmonary TB patients significantly increase the likelihood of having a higher level of lay knowledge. Lay knowledge is a substantial determinant to estimate belief in the effectiveness of health behavior and personal health threat. Prior contact with pulmonary TB patients is able to explain the belief in the effectiveness of a health behavior, yet fails to estimate participants' belief in the personal health threat. Health authorities should prioritize males and young people as their main target groups in a pulmonary TB awareness campaign. The campaign should be able to reconstruct people's misconception about pulmonary TB, thereby bringing around the health-risk perception so that it is not solely focused on improving lay knowledge.

  18. El deslizamiento de Palo Alto, Turrialba, Costa Rica : apuntes para su estudio

    Directory of Open Access Journals (Sweden)

    Peraldo Huertas, Giovanni

    2015-12-01

    Full Text Available En este trabajo se busca caracterizar, desde un punto de vista geomorfológico y geológico, el deslizamiento de Palo Alto, en el contexto de los megaprocesos de inestabilidad de laderas presentes en las laderas del río Reventazón. El corredor del río Reventazón, entre Turrialba y Siquirres, muestra una serie de procesos complejos de remoción en masa, que generan morfologías típicas de procesos de deslizamiento, tan continuas que dan una apariencia morfológica caótica, donde es difícil definir patrones de movimiento del terreno. El área de inestabilidad de Palo Alto se reconoce fácilmente incluso en el mapa topográfico correspondiente a escala 1:50 000, pues muestra una típica forma en herradura. Los límites del deslizamiento están bien marcados mediante escarpes bien definidos en campo, pero los extremos de las coronas laterales hacia el oeste se desdibujan debido, entre otras cosas, a que en esos sectores queda indefinido el límite al norte con el área de inestabilidad compleja de Bonilla y al sur con el área similar de Guayabo - Lajas. Se efectuó una fotointerpretación del área de estudio, mediante la revisión de fotos aéreas de la línea de vuelo Orosi-Pejibaye, escala 1:20 000 del año 1988, así como fotografías aéreas del proyecto Terra 1998, con el fin de observar posibles cambios en los procesos erosivos, así como en la forma del deslizamiento. Posteriormente, se realizó trabajo de campo para revisar la morfología fotointerpretada, analizar la conformación geológica a nivel de litología y estructura y así afinar la interpretación final de la geomorfología del área inestable de Palo Alto. Desde un punto de vista geológico, el área de estudio está compuesta por rocas sedimentarias del Neógeno, tales como la Fm. Uscari (Mioceno y las formaciones Suretka y Fm. Doán (Plioceno; además de aglomerados que posiblemente se relacionan al volcanismo holoceno de la cordillera volcánica Central. Mediante an

  19. First reported case of fulminant TB with progression of infection from lungs to the genitourinary region

    Directory of Open Access Journals (Sweden)

    Tatjana Adzic-Vukicevic

    Full Text Available ABSTRACT Although tuberculosis (TB is a curable disease, it continues to be one of the leading infections associated with death in the world. Extra-pulmonary TB (EPTB occurs in approximately 10% of the total cases, presenting with lymph nodes, pleura, bone and genitourinary tract as the most common locations. Genitourinary tuberculosis, the second most common EPTB, is very difficult to diagnose unless there is a high index of suspicion. Isolated TB orchitis or prostatitis without clinical evidence of renal involvement is a rare entity among genitourinary tuberculosis. We presented the first reported case of TB prostatitis and orchitis associated with pulmonary TB and the presence of an acute massive caseous pneumonia in an immunocompetent man. Despite the anti-TB therapy, the patient presented a rapid progression of disease and deterioration of general conditions taking to death, which occurred four days after TB treatment had started. Disseminated TB is a relatively uncommon cause of acute massive caseous pneumonia; however, there should always be suspicion of the disease, since it is a potentially treatable cause. This rare case supports the assertion that TB should be considered as an important differential diagnosis of genitourinary tumors irrespective of evidence of active TB elsewhere in the body.

  20. Factors Associated with Mortality among Patients on TB Treatment in the Southern Region of Zimbabwe, 2013

    Science.gov (United States)

    Sandy, Charles; Masuka, Nyasha; Hazangwe, Patrick; Choto, Regis C.; Mutasa-Apollo, Tsitsi; Nkomo, Brilliant; Sibanda, Edwin; Mugurungi, Owen; Siziba, Nicholas

    2017-01-01

    Background. In 2013, the tuberculosis (TB) mortality rate was highest in southern Zimbabwe at 16%. We therefore sought to determine factors associated with mortality among registered TB patients in this region. Methodology. This was a retrospective record review of registered patients receiving anti-TB treatment in 2013. Results. Of 1,971 registered TB patients, 1,653 (84%) were new cases compared with 314 (16%) retreatment cases. There were 1,538 (78%) TB/human immunodeficiency virus (HIV) coinfected patients, of whom 1,399 (91%) were on antiretroviral therapy (ART) with median pre-ART CD4 count of 133 cells/uL (IQR, 46–282). Overall, 428 (22%) TB patients died. Factors associated with increased mortality included being ≥65 years old [adjusted relative risk (ARR) = 2.48 (95% CI 1.35–4.55)], a retreatment TB case [ARR = 1.34 (95% CI, 1.10–1.63)], and being HIV-positive [ARR = 1.87 (95% CI, 1.44–2.42)] whilst ART initiation was protective [ARR = 0.25 (95% CI, 0.22–0.29)]. Cumulative mortality rates were 10%, 14%, and 21% at one, two, and six months, respectively, after starting TB treatment. Conclusion. There was high mortality especially in the first two months of anti-TB treatment, with risk factors being recurrent TB and being HIV-infected, despite a high uptake of ART. PMID:28352474

  1. Factors Associated with Mortality among Patients on TB Treatment in the Southern Region of Zimbabwe, 2013

    Directory of Open Access Journals (Sweden)

    Kudakwashe C. Takarinda

    2017-01-01

    Full Text Available Background. In 2013, the tuberculosis (TB mortality rate was highest in southern Zimbabwe at 16%. We therefore sought to determine factors associated with mortality among registered TB patients in this region. Methodology. This was a retrospective record review of registered patients receiving anti-TB treatment in 2013. Results. Of 1,971 registered TB patients, 1,653 (84% were new cases compared with 314 (16% retreatment cases. There were 1,538 (78% TB/human immunodeficiency virus (HIV coinfected patients, of whom 1,399 (91% were on antiretroviral therapy (ART with median pre-ART CD4 count of 133 cells/uL (IQR, 46–282. Overall, 428 (22% TB patients died. Factors associated with increased mortality included being ≥65 years old [adjusted relative risk (ARR = 2.48 (95% CI 1.35–4.55], a retreatment TB case [ARR = 1.34 (95% CI, 1.10–1.63], and being HIV-positive [ARR = 1.87 (95% CI, 1.44–2.42] whilst ART initiation was protective [ARR = 0.25 (95% CI, 0.22–0.29]. Cumulative mortality rates were 10%, 14%, and 21% at one, two, and six months, respectively, after starting TB treatment. Conclusion. There was high mortality especially in the first two months of anti-TB treatment, with risk factors being recurrent TB and being HIV-infected, despite a high uptake of ART.

  2. The 500 deg. C isothermal section of the Gd-Tb-Co ternary system

    International Nuclear Information System (INIS)

    Zhou, K.W.; Zhuang, Y.H.; Li, J.Q.; Zhu, Q.M.; Deng, J.Q.

    2006-01-01

    The isothermal section of the phase diagram of the Gd-Tb-Co ternary system at 500 deg. C was investigated by X-ray powder diffraction, differential thermal analysis and metallographic analysis techniques. In this isothermal section, there are nine single-phase regions, eight two-phase regions and none three-phase region. No ternary compound was found. The compounds Gd 2 Co 17 and Tb 2 Co 17 , Gd 2 Co 7 and Tb 2 Co 7 , GdCo 3 and TbCo 3 , GdCo 2 and TbCo 2 , Gd 4 Co 3 and Tb 4 Co 3 , Gd 12 Co 7 and Tb 12 Co 7 , Gd 3 Co and Tb 3 Co, Gd and Tb form a continuous series of solid solutions. In addition, we experimentally determined the vertical section of pseudobinary system and the Curie temperature of Gd 1-x Tb x Co 2 (x from 0 to 1) series alloys

  3. Changing markets - Medicinal plants in the markets of La Paz and El Alto, Bolivia.

    Science.gov (United States)

    Bussmann, Rainer W; Paniagua Zambrana, Narel Y; Moya Huanca, Laura Araseli; Hart, Robbie

    2016-12-04

    Given the importance of local markets as a source of medicinal plants for both healers and the population, literature on market flows and the value of the plant material traded is rather scarce. This stands in contrast to wealth of available information for other components of Bolivian ethnobotany. The present study attempts to remedy this situation by providing a detailed inventory of medicinal plant markets in the La Paz-El Alto metropolitan area, hypothesizing that both species composition, and medicinal applications, have changed considerably over time. From October 2013-October 2015 semi-structured interviews were conducted with 39 plant vendors between October 2013 and October 2015 in the Mercado Rodriguez, Mercado Calle Santa Cruz, Mercado Cohoni, Mercado Cota Cota, and Mercado Seguencoma and Mercado El Alto in order to elucidate more details on plant usage and provenance. The results of the present study were then compared to previous inventories of medicinal plants in La Paz and El Alto studies to elucidate changes over time and impact of interview techniques. In this study we encountered 163 plant species belonging to 127 genera and 58 families. In addition, 17 species could not be identified. This species richness is considerably higher than that reported in previous studies (2005, 129 species of 55 families; 2015, 94 identified species). While the overall distribution of illness categories is in line with older reports the number of species used per application, as well as the applications per species, were much higher in the present study. Overall, informant consensus was relatively low, which might be explained by the large number of new species that have entered the local pharmacopoeia in the last decade, although some species might simply have been missed by previous studies. In course of the present study it became apparent that even well known species might often be replaced by other apparently similar but botanically unrelated species due to

  4. CALIFA, the Calar Alto Legacy Integral Field Area survey. IV. Third public data release

    Science.gov (United States)

    Sánchez, S. F.; García-Benito, R.; Zibetti, S.; Walcher, C. J.; Husemann, B.; Mendoza, M. A.; Galbany, L.; Falcón-Barroso, J.; Mast, D.; Aceituno, J.; Aguerri, J. A. L.; Alves, J.; Amorim, A. L.; Ascasibar, Y.; Barrado-Navascues, D.; Barrera-Ballesteros, J.; Bekeraitè, S.; Bland-Hawthorn, J.; Cano Díaz, M.; Cid Fernandes, R.; Cavichia, O.; Cortijo, C.; Dannerbauer, H.; Demleitner, M.; Díaz, A.; Dettmar, R. J.; de Lorenzo-Cáceres, A.; del Olmo, A.; Galazzi, A.; García-Lorenzo, B.; Gil de Paz, A.; González Delgado, R.; Holmes, L.; Iglésias-Páramo, J.; Kehrig, C.; Kelz, A.; Kennicutt, R. C.; Kleemann, B.; Lacerda, E. A. D.; López Fernández, R.; López Sánchez, A. R.; Lyubenova, M.; Marino, R.; Márquez, I.; Mendez-Abreu, J.; Mollá, M.; Monreal-Ibero, A.; Ortega Minakata, R.; Torres-Papaqui, J. P.; Pérez, E.; Rosales-Ortega, F. F.; Roth, M. M.; Sánchez-Blázquez, P.; Schilling, U.; Spekkens, K.; Vale Asari, N.; van den Bosch, R. C. E.; van de Ven, G.; Vilchez, J. M.; Wild, V.; Wisotzki, L.; Yıldırım, A.; Ziegler, B.

    2016-10-01

    This paper describes the third public data release (DR3) of the Calar Alto Legacy Integral Field Area (CALIFA) survey. Science-grade quality data for 667 galaxies are made public, including the 200 galaxies of the second public data release (DR2). Data were obtained with the integral-field spectrograph PMAS/PPak mounted on the 3.5 m telescope at the Calar Alto Observatory. Three different spectral setups are available: I) a low-resolution V500 setup covering the wavelength range 3745-7500 Å (4240-7140 Å unvignetted) with a spectral resolution of 6.0 Å (FWHM) for 646 galaxies, II) a medium-resolution V1200 setup covering the wavelength range 3650-4840 Å (3650-4620 Å unvignetted) with a spectral resolution of 2.3 Å (FWHM) for 484 galaxies, and III) the combination of the cubes from both setups (called COMBO) with a spectral resolution of 6.0 Å and a wavelength range between 3700-7500 Å (3700-7140 Å unvignetted) for 446 galaxies. The Main Sample, selected and observed according to the CALIFA survey strategy covers a redshift range between 0.005 and 0.03, spans the color-magnitude diagram and probes a wide range of stellar masses, ionization conditions, and morphological types. The Extension Sample covers several types of galaxies that are rare in the overall galaxy population and are therefore not numerous or absent in the CALIFA Main Sample. All the cubes in the data release were processed using the latest pipeline, which includes improved versions of the calibration frames and an even further improved image reconstruction quality. In total, the third data release contains 1576 datacubes, including ~1.5 million independent spectra. Based on observations collected at the Centro Astronómico Hispano Alemán (CAHA) at Calar Alto, operated jointly by the Max-Planck-Institut für Astronomie (MPIA) and the Instituto de Astrofísica de Andalucía (CSIC).The spectra are available at http://califa.caha.es/DR3

  5. Development of a new surface ion-source and ion guide in the ALTO project

    International Nuclear Information System (INIS)

    Cuong, P.V.

    2009-12-01

    The present work is dedicated to the ALTO project which is the production of neutron-rich gallium isotopes by the ISOL thick-target technique using photo-fission and a surface ion source. We aim at the study of the structure of 82 Ge, 83 Ge, 84 Ge via the β decay of 82 Ga, 83 Ga, and 84 Ga. We focus on the development of a new surface ion source made from materials with a high work function φ which can give high ionisation efficiencies for elements with low ionisation potentials, like alkaline as well as gallium and indium. Tungsten, rhenium and iridium are considered as good candidates for a surface ionizer because the Saha-Langmuir equation indicates high surface ionisation efficiencies for these materials. This has motivated us to equip the surface ion source at ALTO with rhenium and iridium-coated rhenium ionizer tubes of the same dimensions as the surface ion source at ISOLDE. We performed a test experiment to measure the ionisation efficiency for gallium. We also built a simulation code for the ionisation efficiency of the different surface ionisation sources (different materials and dimensions). On the other hand, for future nuclear structure studies of refractory elements such as cobalt or nickel, the ISOL technique with a thick target is no longer suitable. Indeed, the high melting point of these elements makes it difficult to volatilize and release them from a thick target. For such a situation, a technique based on thin targets is needed and the laser ion guide based on a gas cell to slow down, neutralize and stop the recoiling nuclear reaction products combined with a laser beam to re-ionize them selectively, seems a good choice. A code based on the Geant-4 tool-kit has been built to simulate the ionisation of the buffer gas. In this work, we also briefly show the results of the photo-fission yield measurements at ALTO. The fission fragments were ionized in a hot plasma ion source, mass separated and detected by germanium and scintillator detectors

  6. Fuel dynamics by using Landscape Ecology Indices in the Alto Mijares, Spain

    Science.gov (United States)

    Iqbal, J.; Garcia, C. V.

    2009-04-01

    Land abandonment in Mediterranean regions has brought about a number of management problems, being an increased wildfire activity prevalent among them. Agricultural neglect in highlands resulted in reduced anthropogenic disturbances and greater landscape homogeneity in areas such as the Alto Mijares in Spain. It is widely accepted that processes like forest fires, influence structure of the landscape and vice versa. Fire-prone Mediterranean flora is well adapted to this disturbance, exhibiting excellent succession capabilities; but higher fuel loads and homogeneous conditions may ally to promote vegetation recession when the fire regime is altered by land abandonment. Both succession and recession make changes to the landscape structure and configuration. However, these changes are difficult to quantify and characterize. If landscape restoration of these forests is a management objective, then developing a quantitative knowledge base for landscape fuel dynamics is a prerequisite. Four classified LandsatTM satellite images were compared to quantify changes in landscape structure between 1984 and 1998. An attempt is made to define landscape level dynamics for fuel development after reduced disturbance and fuel accumulation that leads to catastrophic fires by using landscape ecology indices. By doing so, indices that best describe the fuel dynamics are pointed. The results indicate that low-level disturbance increases heterogeneity, thus lowers fire hazard. No disturbance or severe disturbance increases homogeneity because of vegetation succession and may lead to devastating fires. These fires could be avoided by human induced disturbance like controlled burning, harvesting, mechanical works for fuel reduction and other silviculture measures; thus bringing in more heterogeneity in the region. The Alto Mijares landscape appears to be in an unstable equilibrium where succession and recession are at tug of war. The effects are evident in the general absence of the climax

  7. El chile poblano criollo en la cultura alimentaria del Alto Atoyac

    Directory of Open Access Journals (Sweden)

    Luis Joaquín Pérez Carrasco

    2017-01-01

    Full Text Available El chile poblano criollo producido en la re-gión Alto Atoyac en Puebla, forma parte de la cultura alimenticia de la población, junto con el maíz y el frijol. Ya sea en fresco o en seco es un componente fundamental en muy diver-sos platillos como: el mole poblano, los chiles en nogada, las rajas con huevo, por mencio-nar algunos. El objetivo del trabajo fue el en-tender las razones sociales y culturales de lo planteado e identificar la problemática del cultivo de chile poblano criollo y los factores que favorecen que los productores persistan en su cultivo en la región. Metodología. Se realizaron entrevistas estructuradas, siguien-do el método de muestreo por “bola de nieve” (Snowball, empleado frecuentemente en es-tudios con poblaciones marginales. Resulta-dos. El sistema de producción predominante en el Alto Atoyac, es el chile poblano criollo intercalado en árboles frutales, con superficies de siembra igual o menor a 100 m2, estrategia usada por los productores para diversificar el riesgo de las enfermedades del cultivo y con ello asegurar la sobrevivencia de sus tradicio-nes culinarias y la permanencia de su semilla con sus propias características. Limitaciones. El trabajo de investigación no pudo abarcar el rendimiento de chile poblano en la región y del perfil del productor. Conclusiones. El chi-le poblano criollo en el Alto Atoyac, se siem-bra en superficies pequeñas y condiciones de temporal, intercalado en árboles frutales y es afectado por la enfermedad pudrición radical o secadera. El productor continúa sembrando su semilla de chile poblano criollo, como estra-tegia para conservar sus tradiciones en la elabo-ración de los alimentos y mitigar en lo posible los daños ocasionados por las enfermedades.

  8. TbRGG2 facilitates kinetoplastid RNA editing initiation and progression past intrinsic pause sites.

    Science.gov (United States)

    Ammerman, Michelle L; Presnyak, Vladimir; Fisk, John C; Foda, Bardees M; Read, Laurie K

    2010-11-01

    TbRGG2 is an essential kinetoplastid RNA editing accessory factor that acts specifically on pan-edited RNAs. To understand the mechanism of TbRGG2 action, we undertook an in-depth analysis of edited RNA populations in TbRGG2 knockdown cells and an in vitro examination of the biochemical activities of the protein. We demonstrate that TbRGG2 down-regulation more severely impacts editing at the 5' ends of pan-edited RNAs than at their 3' ends. The initiation of editing is reduced to some extent in TbRGG2 knockdown cells. In addition, TbRGG2 plays a post-initiation role as editing becomes stalled in TbRGG2-depleted cells, resulting in an overall decrease in the 3' to 5' progression of editing. Detailed analyses of edited RNAs from wild-type and TbRGG2-depleted cells reveal that TbRGG2 facilitates progression of editing past intrinsic pause sites that often correspond to the 3' ends of cognate guide RNAs (gRNAs). In addition, noncanonically edited junction regions are either absent or significantly shortened in TbRGG2-depleted cells, consistent with impaired gRNA transitions. Sequence analysis further suggests that TbRGG2 facilitates complete utilization of certain gRNAs. In vitro RNA annealing and in vivo RNA unwinding assays demonstrate that TbRGG2 can modulate RNA-RNA interactions. Collectively, these data are consistent with a model in which TbRGG2 facilitates initiation and 3' to 5' progression of editing through its ability to affect gRNA utilization, both during the transition between specific gRNAs and during usage of certain gRNAs.

  9. Processing of metacaspase 2 from Trypanosoma brucei (TbMCA2) broadens its substrate specificity.

    Science.gov (United States)

    Gilio, Joyce M; Marcondes, Marcelo F; Ferrari, Débora; Juliano, Maria A; Juliano, Luiz; Oliveira, Vitor; Machado, Maurício F M

    2017-04-01

    Metacaspases are members of the cysteine peptidase family and may be implicated in programmed cell death in plants and lower eukaryotes. These proteases exhibit calcium-dependent activity and specificity for arginine residues at P 1 . In contrast to caspases, they do not require processing or dimerization for activity. Indeed, unprocessed metacaspase-2 of Trypanosoma brucei (TbMCA2) is active; however, it has been shown that cleavages at Lys 55 and Lys 268 increase TbMCA2 hydrolytic activity on synthetic substrates. The processed TbMCA2 comprises 3 polypeptide chains that remain attached by non-covalent bonds. Replacement of Lys 55 and Lys 268 with Gly via site-directed mutagenesis results in non-processed but enzymatically active mutant, TbMCA2 K55/268G. To investigate the importance of this processing for the activity and specificity of TbMCA2, we performed activity assays comparing the non-processed mutant (TbMCA2 K55/268G) with the processed TbMCA2 form. Significant differences between TbMCA2 WT (processed form) and TbMCA2 K55/268G (non-processed form) were observed. Specifically, we verified that although non-processed TbMCA2 is active when assayed with small synthetic substrates, the TbMCA2 form does not exhibit hydrolytic activity on large substrates such as azocasein, while processed TbMCA2 is able to readily digest this protein. Such differences can be relevant for understanding the physiological regulation and function of TbMCA2. Copyright © 2017 Elsevier B.V. All rights reserved.

  10. TB infection prevention and control experiences of South African nurses - a phenomenological study

    Science.gov (United States)

    2011-01-01

    Background The tuberculosis (TB) epidemic in South Africa is characterised by one of the highest levels of TB/HIV co-infection and growing multidrug-resistant TB worldwide. Hospitals play a central role in the management of TB. We investigated nurses' experiences of factors influencing TB infection prevention and control (IPC) practices to identify risks associated with potential nosocomial transmission. Methods The qualitative study employed a phenomenological approach, using semi-structured interviews with a quota sample of 20 nurses in a large tertiary academic hospital in Cape Town, South Africa. The data was subjected to thematic analysis. Results Nurses expressed concerns about the possible risk of TB transmission to both patients and staff. Factors influencing TB-IPC, and increasing the potential risk of nosocomial transmission, emerged in interconnected overarching themes. Influences related to the healthcare system included suboptimal IPC provision such as the lack of isolation facilities and personal protective equipment, and the lack of a TB-IPC policy. Further influences included inadequate TB training for staff and patients, communication barriers owing to cultural and linguistic differences between staff and patients, the excessive workload of nurses, and a sense of duty of care. Influences related to wider contextual conditions included TB concerns and stigma, and the role of traditional healers. Influences related to patient behaviour included late uptake of hospital care owing to poverty and the use of traditional medicine, and poor adherence to IPC measures by patients, family members and carers. Conclusions Several interconnected influences related to the healthcare system, wider contextual conditions and patient behavior could increase the potential risk of nosocomial TB transmission at hospital level. There is an urgent need for the implementation and evaluation of a comprehensive contextually appropriate TB IPC policy with the setting and

  11. Patient reported delays in seeking treatment for Tuberculosis (TB among adult and pediatric TB patients and TB patients co-infected with HIV in Lima, Peru: a qualitative study

    Directory of Open Access Journals (Sweden)

    Valerie A Paz-Soldan

    2014-12-01

    Full Text Available Abstract: Tuberculosis (TB remains a significant public health challenge worldwide, and particularly in Peru with one of the highest incidence rates in Latin America. TB patient behavior has a direct influence on whether a patient will receive timely diagnosis and successful treatment of their illness. Objectives: The objective was to understand the complex factors that can impact TB patient health seeking behavior. Methods: In-depth interviews were conducted with adult and parents of pediatric patients receiving TB treatment (n=43, within that group a sub-group was also co-infected with HIV (n=11. Results: Almost all of the study participants recognized delays in seeking either their child’s or their own diagnosis of their TB symptoms. The principal reasons for treatment-seeking delays were lack of knowledge and confusion of tuberculosis symptoms, fear and embarrassment of receiving a TB diagnosis, and a patient tendency to self-medicate prior to seeking formal medical attention.Conclusions: Health promotion activities that target patient delays have the potential to improve individual patient outcomes and mitigate the spread of TB at a community level.

  12. Valoración del deporte de alto rendimiento (gimnasia rítmica) en edades tempranas

    OpenAIRE

    Usero Gómez, Alba

    2014-01-01

    Comenzando por una introducción, en la cual se contextualiza el deporte y especialmente el de alto rendimiento, nos introduciremos en la cuestión de estudio, el deportista de élite y la preocupación por el comienzo en edades tempranas. Llevaremos a cabo este estudio, por medio de un análisis reflexivo de diversos autores y estudios que se sumergen en el deporte de alto rendimiento, especialmente en la infancia. Trataremos el objeto de estudio en relación a un deporte, la Gimnasia Rítmic...

  13. Eventos adversos relacionados à terapia ventilatória em recém-nascidos de alto risco

    OpenAIRE

    França, Débora Feitosa de

    2016-01-01

    Objetivou-se analisar os eventos adversos relacionados à terapia respiratória em recém-nascidos de alto risco de uma unidade neonatal. Trata-se de um estudo observacional, longitudinal e prospectivo, realizado em uma maternidade, unidade de referencia no Estado do Rio Grande do Norte para gravidez e nascimento de alto risco. Os dados foram coletados no período de abril a setembro 2016, após aprovação do projeto no Comitê de Ética em Pesquisa da UFRN com CAAE nº 51832415.0.0000.5537. A amostra...

  14. Prevalence of post-traumatic stress symptoms and associated factors in tuberculosis (TB), TB retreatment and/or TB-HIV co-infected primary public health-care patients in three districts in South Africa.

    Science.gov (United States)

    Peltzer, Karl; Naidoo, Pamela; Matseke, Gladys; Louw, Julia; McHunu, Gugu; Tutshana, Bomkazi

    2013-01-01

    High rates of tuberculosis (TB) and TB/HIV co-infection is often linked with mental health issues such as post-traumatic stress disorder (PTSD) symptoms, which is further associated with poor health outcomes. In a country such as South Africa where rates of these infectious diseases are high, it is concerning that there is limited/no data on prevalence rates of mental disorders such as PTSD and its associated factors. Therefore, the aim of this study was to establish the prevalence of PTSD symptoms and associated factors in TB, TB retreatment and/or TB-HIV co-infected primary public health-care patients in three districts in South Africa. Brief screening self-report tools were used to measure: PTSD symptoms, psychological distress (anxiety and depression) and alcohol misuse. Other relevant measures, such as adherence to medication, stressful life events and sexual risk-taking behaviours, were obtained through structured questions. A total of 4900 public primary care adult patients from clinics in high TB burden districts from three provinces in South Africa participated. All the patients screened positive for TB (either new or retreatment cases). The prevalence of PTSD symptoms was 29.6%. Patients who screened positive for PTSD symptoms and psychological distress were more likely to be on antidepressant medication. Factors that predicted PTSD symptoms were poverty, residing in an urban area, psychological distress, suicide attempt, alcohol and/or drug use before sex, unprotected sex, TB-HIV co-infected and the number of other chronic conditions. Health-care systems should be strengthened to improve delivery of mental health care, by focusing on existing programmes and activities, such as those which address the prevention and treatment of TB and HIV.

  15. La fiesta xita: patrimonio biocultural mazahua de San Pedro el Alto, México

    Directory of Open Access Journals (Sweden)

    Alicia Y. Vásquez González

    2016-01-01

    Full Text Available Ante la crisis ambiental y de la modernidad, se propone conservar la riqueza cultural y biológica de la humanidad como patrimonio. Así, se valora y revalora el patrimonio vivo, como es la relación entre culturas y biodiversidad, que se manifiestan en paisajes y territorios de los pueblos originarios. Se propone la fiesta xita (viejos como patrimonio biocultural de la milpa mazahua. El estudio etnográfico se realizó en San Pedro el Alto, México. La fiesta xita es parte del patrimonio biocultural mazahua, mediante la cual se entretejen agrobiodiversidad y cultura, lo que permite que los mazahuas mantengan y desarrollen sus actividades sociales y culturales que han sido heredadas de generación en generación.

  16. Niveles subjetivos de estrés-recuperación en deportistas Costarricenses de alto rendimiento

    OpenAIRE

    Sánchez Ureña, M.Sc. Braulio; Ureña Bonilla, Pedro; Calleja González, Julio

    2014-01-01

    El objetivo del presente estudio fue determinar los niveles estrés-recuperación en deportistas costarricenses de alto rendimiento. Metodología: participaron un total de 239 sujetos, con una media de edad de 25,4 ± 4,8 años y con un promedio de 6,4 ± 4,6 años de entrenamiento en la primera división de su disciplina deportiva. Se utilizó la versión española del Cuestionario de Estrés-Recuperación para deportistas Resultados: los valores promedio para las variables relacionadas a la recuperación...

  17. Estudio preliminar de la fauna Amphibia del valle de Sibundoy, Alto Putumayo, Colombia

    Directory of Open Access Journals (Sweden)

    Jonh Jairo Mueses-Cisneros

    2004-07-01

    (Valle de Sibundoy y por localidades muestreadas, se hace una comparación con las faunas realizadas en el transecto Napo en Ecuador y en el transecto Montañita-Alto Gabinete en Caquetá y se presenta una clave taxonómica y una serie de fotografías para facilitar su  reconocimiento. El estudio además aporta cinco especies nuevas para la ciencia, amplía el rango altitudinal de otras ocho y presenta tres más para ser incluidas al listado general de las especies de anfibios de Colombia, las cuales habían sido ya anteriormente reportadas para el país por otros autores, pero no habían sido tenidas en cuenta en el último listado.

  18. Textiles para turistas: tejedoras y comerciantes en los Altos de Chiapas

    Directory of Open Access Journals (Sweden)

    Eugenia Bayona Escat

    2013-01-01

    Full Text Available El presente trabajo indaga en el papel que ocupan las mujeres indígenas como productoras y vendedoras de piezas textiles, consideradas artesanales y de tradición indígena, con alta demanda en el mercado turístico de la región de los Altos de Chiapas, México. La presencia del turismo en la zona ha provocado la consolidación de un complejo mercado local de textiles en el que se entrelazan tejedoras, distribuidoras y comerciantes, cadenas mercantiles y múltiples espacios de venta. A través de este protagonismo femenino y de la comercialización de lo “indígena”, el trabajo indaga en un contexto local que permite a las mujeres indígenas tomar nuevas posiciones sociales a la vez que integra aspectos globales sobre mercancías e imaginarios sociales.

  19. Fragilidade ambiental na bacia hidrográfica do Alto Parnaíba

    OpenAIRE

    Alves de Melo, Nivaneide

    2007-01-01

    Esta pesquisa desenvolveu estudos integrados sobre a bacia hidrográfica do Alto Parnaíba, no Piauí, considerando a atuação das atividades humanas sobre o ambiente natural, a fim de determinar o grau de alteração desse ambiente, a partir da presença antrópica neste local, além de propor ações para restabelecimento de uma situação de equilíbrio ambiental. Pois, quando os eventos sobre a paisagem são de origem antrópica e de orientação econômica, os impactos poderão causar dano...

  20. Local level epidemiological analysis of TB in people from a high incidence country of birth

    Directory of Open Access Journals (Sweden)

    Massey Peter D

    2013-01-01

    Full Text Available Abstract Background The setting for this analysis is the low tuberculosis (TB incidence state of New South Wales (NSW, Australia. Local level analysis of TB epidemiology in people from high incidence countries-of-birth (HIC in a low incidence setting has not been conducted in Australia and has not been widely reported. Local level analysis could inform measures such as active case finding and targeted earlier diagnosis. The aim of this study was to use a novel approach to identify local areas in an Australian state that have higher TB rates given the local areas’ country of birth profiles. Methods TB notification data for the three year period 2006–2008 were analysed by grouping the population into those from a high-incidence country-of-birth and the remainder. Results During the study period there were 1401 notified TB cases in the state of NSW. Of these TB cases 76.5% were born in a high-incidence country. The annualised TB notification rate for the high-incidence country-of-birth group was 61.2/100,000 population and for the remainder of the population was 1.8/100,000. Of the 152 Local Government Areas (LGA in NSW, nine had higher and four had lower TB notification rates in their high-incidence country-of-birth populations when compared with the high-incidence country-of-birth population for the rest of NSW. The nine areas had a higher proportion of the population with a country of birth where TB notification rates are >100/100,000. Those notified with TB in the nine areas also had a shorter length of stay in Australia than the rest of the state. The areas with higher TB notification rates were all in the capital city, Sydney. Among LGAs with higher TB notification rates, four had higher rates in both people with a high-incidence country of birth and people not born in a high-incidence country. The age distribution of the HIC population was similar across all areas, and the highest differential in TB rates across areas was in the 5–19

  1. Local level epidemiological analysis of TB in people from a high incidence country of birth.

    Science.gov (United States)

    Massey, Peter D; Durrheim, David N; Stephens, Nicola; Christensen, Amanda

    2013-01-22

    The setting for this analysis is the low tuberculosis (TB) incidence state of New South Wales (NSW), Australia. Local level analysis of TB epidemiology in people from high incidence countries-of-birth (HIC) in a low incidence setting has not been conducted in Australia and has not been widely reported. Local level analysis could inform measures such as active case finding and targeted earlier diagnosis. The aim of this study was to use a novel approach to identify local areas in an Australian state that have higher TB rates given the local areas' country of birth profiles. TB notification data for the three year period 2006-2008 were analysed by grouping the population into those from a high-incidence country-of-birth and the remainder. During the study period there were 1401 notified TB cases in the state of NSW. Of these TB cases 76.5% were born in a high-incidence country. The annualised TB notification rate for the high-incidence country-of-birth group was 61.2/100,000 population and for the remainder of the population was 1.8/100,000. Of the 152 Local Government Areas (LGA) in NSW, nine had higher and four had lower TB notification rates in their high-incidence country-of-birth populations when compared with the high-incidence country-of-birth population for the rest of NSW. The nine areas had a higher proportion of the population with a country of birth where TB notification rates are >100/100,000. Those notified with TB in the nine areas also had a shorter length of stay in Australia than the rest of the state. The areas with higher TB notification rates were all in the capital city, Sydney. Among LGAs with higher TB notification rates, four had higher rates in both people with a high-incidence country of birth and people not born in a high-incidence country. The age distribution of the HIC population was similar across all areas, and the highest differential in TB rates across areas was in the 5-19 years age group. Analysing local area TB rates and possible

  2. PANIC: A General-purpose Panoramic Near-infrared Camera for the Calar Alto Observatory

    Science.gov (United States)

    Cárdenas Vázquez, M.-C.; Dorner, B.; Huber, A.; Sánchez-Blanco, E.; Alter, M.; Rodríguez Gómez, J. F.; Bizenberger, P.; Naranjo, V.; Ibáñez Mengual, J.-M.; Panduro, J.; García Segura, A. J.; Mall, U.; Fernández, M.; Laun, W.; Ferro Rodríguez, I. M.; Helmling, J.; Terrón, V.; Meisenheimer, K.; Fried, J. W.; Mathar, R. J.; Baumeister, H.; Rohloff, R.-R.; Storz, C.; Verdes-Montenegro, L.; Bouy, H.; Ubierna, M.; Fopp, P.; Funke, B.

    2018-02-01

    PANIC7 is the new PAnoramic Near-Infrared Camera for Calar Alto and is a project jointly developed by the MPIA in Heidelberg, Germany, and the IAA in Granada, Spain, for the German-Spanish Astronomical Center at Calar Alto Observatory (CAHA; Almería, Spain). This new instrument works with the 2.2 m and 3.5 m CAHA telescopes covering a field of view of 30 × 30 arcmin and 15 × 15 arcmin, respectively, with a sampling of 4096 × 4096 pixels. It is designed for the spectral bands from Z to K S , and can also be equipped with narrowband filters. The instrument was delivered to the observatory in 2014 October and was commissioned at both telescopes between 2014 November and 2015 June. Science verification at the 2.2 m telescope was carried out during the second semester of 2015 and the instrument is now at full operation. We describe the design, assembly, integration, and verification process, the final laboratory tests and the PANIC instrument performance. We also present first-light data obtained during the commissioning and preliminary results of the scientific verification. The final optical model and the theoretical performance of the camera were updated according to the as-built data. The laboratory tests were made with a star simulator. Finally, the commissioning phase was done at both telescopes to validate the camera real performance on sky. The final laboratory test confirmed the expected camera performances, complying with the scientific requirements. The commissioning phase on sky has been accomplished.

  3. Sentidos de Vitória/Derrota para os Pais Segundo Atletas do Alto Rendimento

    Directory of Open Access Journals (Sweden)

    Isabela Amblard

    Full Text Available Este estudo compreendeu as representações sociais da vitória/derrota para os pais segundo atletas-adolescentes do esporte de alto rendimento, na cidade do Recife. A adolescência é compreendida a partir da Psicologia Social-histórica, e o embasamento teórico-metodológico da Teoria das Representações Sociais abordou os sujeitos em diferentes contextos socioculturais, lugares de pertencimento, experiências, crenças, saberes e sentimentos compartilhados. Adotou-se a perspectiva pluri metodológica com variados recursos de coleta e análise progressiva de dados. Participaram 101 atletas-adolescentes do esporte de alto rendimento, nas modalidades natação e vôlei. Os instrumentos utilizados foram questionários de associação livre e entrevistas semidirigidas. Na análise dos dados, o software EVOC e as técnicas de análise temática de conteúdo de Bardin. Identificamos as representações de vitória para os pais, nas dimensões: pessoal e motivacional, e afetivo-emocional e, nas representações sociais da derrota para os pais, além destas, a dimensão técnica. O sentido de vitória para os pais apareceu ampliado: o contexto esportivo, a escolarização, e o crescimento pessoal e profissional na vida. A derrota para os pais é representada como oportunidade de aprendizado e superação para o atleta-adolescente, porém, eles mostraram que necessitam do apoio afetivo de sua família para lidar com a autoculpabilização nas situações de fracasso.

  4. Adesão ao Tratamento em Gestação de Alto Risco

    Directory of Open Access Journals (Sweden)

    Fabíola Langaro

    Full Text Available No Brasil, aproximadamente 15% das gestações são de alto risco, sendo os diagnósticos de diabetes gestacional e hipertensão as causas mais frequentes dessa condição. Para a efetividade dos tratamentos indicados nesses casos, bem como alcance de desfechos favoráveis, é essencial a adesão da paciente às recomendações fornecidas pelas equipes de saúde, o que torna fundamental a avaliação desse indicador. A pesquisa apresentada avaliou a adesão de participantes de um programa de atendimento interdisciplinar a gestantes de alto risco desenvolvido em um hospital geral privado por meio de três instrumentos: Questionário Morisky-Green de adesão ao uso de medicação, Questionário de Adesão ao Tratamento e Pergunta descritiva de avaliação qualitativa. Durante oito meses, 83 gestantes responderam aos questionários, que possibilitaram identificar níveis de adesão ao longo do tempo de participação no programa, situações de não adesão mais frequentes, bem como variáveis que interferem nas medidas de adesão ao uso de medicação e ao tratamento global. Considera-se que os índices levantados são passíveis de uso como indicadores clínicos e gerenciais, possibilitando a comprovação da efetividade e melhoria constante das rotinas de saúde. Tais mecanismos são úteis para definição de protocolos, discussão de casos clínicos e mesmo para feedbackàs próprias pacientes.

  5. Catching the missing million: experiences in enhancing TB & DR-TB detection by providing upfront Xpert MTB/RIF testing for people living with HIV in India.

    Directory of Open Access Journals (Sweden)

    Neeraj Raizada

    Full Text Available A critical challenge in providing TB care to People Living with HIV (PLHIV is establishing an accurate bacteriological diagnosis. Xpert MTB/RIF, a highly sensitive and specific rapid tool, offers a promising solution in addressing these challenges. This study presents results from PLHIV taking part in a large demonstration study across India wherein upfront Xpert MTB/RIF testing was offered to all presumptive PTB cases in public health facilities.The study covered a population of 8.8 million across 18 sub-district level tuberculosis units (TU, with one Xpert MTB/RIF platform established at each TU. All HIV-infected patients suspected of TB (both TB and Drug Resistant TB (DR-TB accessing public health facilities in study area were prospectively enrolled and provided upfront Xpert MTB/RIF testing.2,787 HIV-infected presumptive pulmonary TB cases were enrolled and 867 (31.1%, 95% Confidence Interval (CI 29.4‒32.8 HIV-infected TB cases were diagnosed under the study. Overall 27.6% (CI 25.9-29.3 of HIV-infected presumptive PTB cases were positive by Xpert MTB/RIF, compared with 12.9% (CI 11.6-14.1 who had positive sputum smears. Upfront Xpert MTB/RIF testing of presumptive PTB and DR-TB cases resulted in diagnosis of 73 (9.5%, CI 7.6‒11.8 and 16 (11.2%, CI 6.7‒17.1 rifampicin resistance cases, respectively. Positive predictive value (PPV for rifampicin resistance detection was high 97.7% (CI 89.3‒99.8, with no significant difference with or without prior history of TB treatment.The study results strongly demonstrate limitations of using smear microscopy for TB diagnosis in PLHIV, leading to low TB and DR-TB detection which can potentially lead to either delayed or sub-optimal TB treatment. Our findings demonstrate the usefulness and feasibility of addressing this diagnostic gap with upfront of Xpert MTB/RIF testing, leading to overall strengthening of care and support package for PLHIV.

  6. Global evidence directing regional preventive strategies in Southeast Asia for fighting TB/HIV.

    Science.gov (United States)

    Aung, Myo Nyein; Moolphate, Saiyud; Paudel, Damodar; Jayathunge Ph, Mangalasiri; Duangrithi, Duangjai; Wangdi, Kinley; Aung, Thin Nyein Nyein; Lorga, Thaworn; Higuchi, Kazue

    2013-03-14

    Tuberculosis (TB) and human immunodeficiency virus (HIV) co-epidemics form a huge burden of disease in the Southeast Asia region. Five out of eleven nations in this region are high TB/HIV burden countries: Myanmar, Thailand, India, Indonesia and Nepal. The trends of TB incidence in these countries have been rising in recent years, in contrast to a falling global trend. Experts in the field of TB control and health service providers have been perplexed by the association of TB and HIV infections which causes a mosaic clinical presentation, a unique course with poor treatment outcomes including death. We conducted a review of contemporary evidence relating to TB/HIV control with the aims of assisting integrated health system responses in Southeast Asia and demystifying current evidence to facilitate translating it into practice.

  7. Dr Mario Raviglione, director of the Stop TB Department World Health Organization. Interview by Christo Hall.

    Science.gov (United States)

    Raviglione, Mario

    2012-03-01

    Tuberculosis (TB) is a very global disease; there are over 9 million new incidences of TB every year with the vast majority of cases emerging in the developing world. As one of three major diseases associated with poverty it affects the areas where poverty is most prevalent, notably Asia and Africa. While the incidence rate has been slowly declining in the developed world it continues to pose a major health threat to even the most developed nations. To demonstrate the global, and persistent, nature of TB we asked Dr Mario Raviglione, Director of the World Health Organization's Stop TB Department to provide an analysis on the current TB situation in the United Kingdom and comment on what measures should be taken to alleviate the issue of TB in one of the world's richest countries.

  8. Immunoendocrine Interactions during HIV-TB Coinfection: Implications for the Design of New Adjuvant Therapies

    Directory of Open Access Journals (Sweden)

    Guadalupe Veronica Suarez

    2015-01-01

    Full Text Available Worldwide, around 14 million individuals are coinfected with both tuberculosis (TB and human immunodeficiency virus (HIV. In coinfected individuals, both pathogens weaken immunological system synergistically through mechanisms that are not fully understood. During both HIV and TB infections, there is a chronic state of inflammation associated to dramatic changes in immune cytokine and endocrine hormone levels. Despite this, the relevance of immunoendocrine interaction on both the orchestration of an effective immune response against both pathogens and the control of the chronic inflammation induced during HIV, TB, or both infections is still controversial. The present study reviews immunoendocrine interactions occurring during HIV and TB infections. We also expose our own findings on immunoendocrine cross talk in HIV-TB coinfection. Finally, we evaluate the use of adrenal hormones and their derivatives in immune-therapy and discuss the use of some of these compounds like the adjuvant for the prevention and treatment of TB in HIV patients.

  9. Identidades en movimiento: familias chilenas en la fruticultura del Alto Valle de Río Negro, Argentina Identities in movement: chilean families in the fruit production of the Alto Valle de Río Negro, Argentina

    Directory of Open Access Journals (Sweden)

    Verónica Trpin

    2007-12-01

    Full Text Available Este artículo, basado en el trabajo de campo realizado en áreas rurales del Alto Valle de Río Negro, Argentina, desde el año 1999, tiene como propósito presentar las relaciones en las cuales se insertan hombres y mujeres chilenas que residen y trabajan en "chacras" destinadas a la producción frutícola. Las diferentes actividades en las chacras se organizan según el sexo y la edad, definiéndose una segmentación del mercado de trabajo en la que se ven involucrados los diferentes miembros de la familia. Como desarrollaré, ser trabajadores chilenos en la fruticultura del Alto Valle de Río Negro reproduce una identidad étnica y nacional en el seno de la cotidianeidad familiar y laboral.This article, based on field work conducted in rural areas of the Alto Valle de Río Negro, Argentina, from 1999 on, analyzes the relations in which Chilean men and women who reside and work in small farms destined to fruit production are inserted. The different activities in the small farms are organized according to sex and age, circumscribing a segment of the labor market in which different members of the family are involved. As I will demonstrate, to be a Chilean worker in the fruit growing region of the Alto Valle is to reproduce an ethnic and national identity through work routines mediated by family relations.

  10. HIV and intestinal parasites in adult TB patients in a teaching hospital in Northwest Ethiopia.

    Science.gov (United States)

    Kassu, Afework; Mengistu, Getahun; Ayele, Belete; Diro, Ermias; Mekonnen, Firew; Ketema, Dereje; Moges, Feleke; Mesfin, Tsehay; Getachew, Assefa; Ergicho, Bahiru; Elias, Daniel; Wondmikun, Yared; Aseffa, Abraham; Ota, Fusao

    2007-10-01

    The level of HIV infection and intestinal parasitoses among TB patients was assessed in a hospital-based cross-sectional study involving 257 patients in Gondar, Ethiopia. In TB patients, our study reported co-infection with HIV (52.1%) and intestinal parasites (40.9%) The high prevalence of HIV and intestinal parasites indicates an increased morbidity inTB patients and emphasized the importance of continued HIV sero-surveillance, stool analysis and treatment.

  11. Age-specific mortality among TB patients in Denmark 1998-2010

    DEFF Research Database (Denmark)

    Fløe, Andreas; Løkke, Anders; Ibsen, Rikke

    Objective: To evaluate the age-specific mortality in a national TB cohort, and to estimate relative age-specific mortality compared with matched controls, in a retrospective case-control study. Methods: Using Danish National Patient Registry, we retrospectively identified TB-patients between 1998...... to matched controls. While the difference in survival is substantial among elderly patients, a high relative risk of dying is particularly of concern among young and middle-aged adult TB patients....

  12. Team approach to manage difficult-to-treat TB cases: Experiences in Europe and beyond

    Directory of Open Access Journals (Sweden)

    L. D’Ambrosio

    2018-03-01

    Full Text Available As recommended by the World Health Organization (WHO, optimal management of MDR-TB cases can be ensured by a multi-speciality consultation body known as ‘TB Consilium’. This body usually includes different medical specialities, competences and perspectives (e.g., clinical expertise both for adults and children; surgical, radiological and public health expertise; psychological background and nursing experience, among others, thus lowering the risk of making mistakes – or managing the patients inappropriately, in order to improve their clinical outcomes.At present, several high MDR-TB burden countries in the different WHO regions (and beyond have introduced TB Consilium-like bodies at the national or subnational level to reach consensus on the best treatment approach for their patients affected by TB.In addition, in countries/settings where a formal system of consultation does not exist, specialized staff from MDR-TB reference centres or international organizations usually spend a considerable amount of their working time responding to phone or e-mail clinical queries on how to manage M/XDR-TB cases.The aim of this manuscript is to describe the different experiences with the TB Consilia both at the international level (European Respiratory Society – ERS/WHO TB Consilium and in some of the countries where this experience operates successfully in Europe and beyond. The Consilium experiences are described around the following topics: (1 history, aims and focus; (2 management and funding; (3 technical functioning and structure; (4 results achieved.In addition a comparative analysis of the TB Consilia in the different countries has been performed. Keywords: MDR-TB, XDR-TB, Clinical management, Drug resistance, Prevention, Consilium

  13. HoTbTi2O7, the mixtures of spin ice and spin liquid

    International Nuclear Information System (INIS)

    Chang, L.J.; Terashita, H.; Schweika, W.; Chen, Y.Y.; Gardner, J.S.

    2007-01-01

    Polycrystalline samples of Ho 2- x Tb x Ti 2 O 7 (x=0.5, 1, and 1.5) have been prepared and characterized. No long-range order is observed for HoTbTi 2 O 7 in magnetization and specific heat measurements down to 2 K. The low-energy magnetic excitation measurements suggests that HoTbTi 2 O 7 possesses both characteristics of spin ice and spin liquid in the ground state

  14. Intraclonal genome diversity of Pseudomonas aeruginosa clones CHA and TB

    Science.gov (United States)

    2013-01-01

    Background Adaptation of Pseudomonas aeruginosa to different living conditions is accompanied by microevolution resulting in genomic diversity between strains of the same clonal lineage. In order to detect the impact of colonized habitats on P. aeruginosa microevolution we determined the genomic diversity between the highly virulent cystic fibrosis (CF) isolate CHA and two temporally and geographically unrelated clonal variants. The outcome was compared with the intraclonal genome diversity between three more closely related isolates of another clonal complex. Results The three clone CHA isolates differed in their core genome in several dozen strain specific nucleotide exchanges and small deletions from each other. Loss of function mutations and non-conservative amino acid replacements affected several habitat- and lifestyle-associated traits, for example, the key regulator GacS of the switch between acute and chronic disease phenotypes was disrupted in strain CHA. Intraclonal genome diversity manifested in an individual composition of the respective accessory genome whereby the highest number of accessory DNA elements was observed for isolate PT22 from a polluted aquatic habitat. Little intraclonal diversity was observed between three spatiotemporally related outbreak isolates of clone TB. Although phenotypically different, only a few individual SNPs and deletions were detected in the clone TB isolates. Their accessory genome mainly differed in prophage-like DNA elements taken up by one of the strains. Conclusions The higher geographical and temporal distance of the clone CHA isolates was associated with an increased intraclonal genome diversity compared to the more closely related clone TB isolates derived from a common source demonstrating the impact of habitat adaptation on the microevolution of P. aeruginosa. However, even short-term habitat differentiation can cause major phenotypic diversification driven by single genomic variation events and uptake of phage

  15. El período intermedio temprano en el Alto Piura: avances del proyecto arqueológico 'Alto Piura' (1987-1990

    Directory of Open Access Journals (Sweden)

    1991-01-01

    Full Text Available LA PERIODE DE L’INTERMEDIAIRE RECENT DANS LE HAUT PIURA : RESULTATS PRELIMINAIRES DU PROJET ARQUEOLOGIQUE “HAUT PIURA” (1987-1990. Ce travail présente les résultats préliminaires du projet arquéologique “Haut Piura” avec le concours de l’Université Catholique du Pérou et dirigé par l’auteur. L’accent est mis sur les informations concernant les séquences stratigraphiques et l’architecture. Les informations obtenues pour les analyses encore incomplètes du matériel céramique, métallurgique, osseux et végétal permettent d’établir la relation avec la problématique sur les styles Vicús et Vicús-Moche. Se presentan los resultados preliminares del Proyecto Arqueológico “Alto Piura”, auspiciado por la Pontificia Universidad Católica del Perú y dirigido por el autor. Se enfatizan los datos referentes a las secuencias estratigráficas y la arquitectura. Los datos obtenidos por análisis aún incompletos del material cerámico, metalúrgico, óseo y vegetal permiten la vinculación con la problemática referente a los estilos Vicús y Vicús-Moche. EARLY INTERMEDIATE PERIOD IN UPPER PIURA: “UPPER PIURA' ARCHAEOLOGICAL PROJECT (1987-1990. Preliminary results of the “Upper Piura” archaeological Project are introduced under the promotion of the Pontificia Universidad Católica del Perú, and the direction of the author. All data referred to stratigraphy sequences and architecture is enhanced on the just mencioned. The outcome obtained from the analysis, still uncompleted of pottery, metallurgy, osseous and botanical materials, allows the relationship when focusing the problematic regarding the Vicus and Vicus-Moche styles.

  16. Current integration of tuberculosis (TB and HIV services in South Africa, 2011.

    Directory of Open Access Journals (Sweden)

    Joel C Chehab

    Full Text Available SETTING: Public Health Facilities in South Africa. OBJECTIVE: To assess the current integration of TB and HIV services in South Africa, 2011. DESIGN: Cross-sectional study of 49 randomly selected health facilities in South Africa. Trained interviewers administered a standardized questionnaire to one staff member responsible for TB and HIV in each facility on aspects of TB/HIV policy, integration and recording and reporting. We calculated and compared descriptive statistics by province and facility type. RESULTS: Of the 49 health facilities 35 (71% provided isoniazid preventive therapy (IPT and 35 (71% offered antiretroviral therapy (ART. Among assessed sites in February 2011, 2,512 patients were newly diagnosed with HIV infection, of whom 1,913 (76% were screened for TB symptoms, and 616 of 1,332 (46% of those screened negative for TB were initiated on IPT. Of 1,072 patients newly registered with TB in February 2011, 144 (13% were already on ART prior to Tb clinical diagnosis, and 451 (42% were newly diagnosed with HIV infection. Of those, 84 (19% were initiated on ART. Primary health clinics were less likely to offer ART compared to district hospitals or community health centers (p<0.001. CONCLUSION: As of February 2011, integration of TB and HIV services is taking place in public medical facilities in South Africa. Among these services, IPT in people living with HIV and ART in TB patients are the least available.

  17. Community referral for presumptive TB in Nigeria: a comparison of four models of active case finding

    Directory of Open Access Journals (Sweden)

    A. O. Adejumo

    2016-02-01

    Full Text Available Abstract Background Engagement of communities and civil society organizations is a critical part of the Post-2015 End TB Strategy. Since 2007, many models of community referral have been implemented to boost TB case detection in Nigeria. Yet clear insights into the comparative TB yield from particular approaches have been limited. Methods We compared four models of active case finding in three Nigerian states. Data on presumptive TB case referral by community workers (CWs, TB diagnoses among referred clients, active case finding model characteristics, and CWs compensation details for 2012 were obtained from implementers and CWs via interviews and log book review. Self-reported performance data were triangulated against routine surveillance data to assess concordance. Analysis focused on assessing the predictors of presumptive TB referral. Results CWs referred 4–22 % of presumptive TB clients tested, and 4–24 % of the total TB cases detected. The annual median referral per CW ranged widely among the models from 1 to 48 clients, with an overall average of 13.4 referrals per CW. The highest median referrals (48 per CW/yr and mean TB diagnoses (7.1/yr per CW (H =70.850, p < 0.001 was obtained by the model with training supervision, and $80/quarterly payments (Comprehensive Quotas-Oriented model. The model with irregularly supervised, trained, and compensated CWs contributed the least to TB case detection with a median of 13 referrals per CW/yr and mean of 0.53 TB diagnoses per CW/yr. Hours spent weekly on presumptive TB referral made the strongest unique contribution (Beta = 0.514, p < 0.001 to explaining presumptive TB referral after controlling for other variables. Conclusion All community based TB case-finding projects studied referred a relative low number of symptomatic individuals. The study shows that incentivized referral, appropriate selection of CWs, supportive supervision, leveraged treatment support roles, and a

  18. Digital health for the End TB Strategy: developing priority products and making them work.

    Science.gov (United States)

    Falzon, Dennis; Timimi, Hazim; Kurosinski, Pascal; Migliori, Giovanni Battista; Van Gemert, Wayne; Denkinger, Claudia; Isaacs, Chris; Story, Alistair; Garfein, Richard S; do Valle Bastos, Luis Gustavo; Yassin, Mohammed A; Rusovich, Valiantsin; Skrahina, Alena; Van Hoi, Le; Broger, Tobias; Abubakar, Ibrahim; Hayward, Andrew; Thomas, Bruce V; Temesgen, Zelalem; Quraishi, Subhi; von Delft, Dalene; Jaramillo, Ernesto; Weyer, Karin; Raviglione, Mario C

    2016-07-01

    In 2014, the World Health Organization (WHO) developed the End TB Strategy in response to a World Health Assembly Resolution requesting Member States to end the worldwide epidemic of tuberculosis (TB) by 2035. For the strategy's objectives to be realised, the next 20 years will need novel solutions to address the challenges posed by TB to health professionals, and to affected people and communities. Information and communication technology presents opportunities for innovative approaches to support TB efforts in patient care, surveillance, programme management and electronic learning. The effective application of digital health products at a large scale and their continued development need the engagement of TB patients and their caregivers, innovators, funders, policy-makers, advocacy groups, and affected communities.In April 2015, WHO established its Global Task Force on Digital Health for TB to advocate and support the development of digital health innovations in global efforts to improve TB care and prevention. We outline the group's approach to stewarding this process in alignment with the three pillars of the End TB Strategy. The supplementary material of this article includes target product profiles, as developed by early 2016, defining nine priority digital health concepts and products that are strategically positioned to enhance TB action at the country level. The content of this work is ©the authors or their employers. Design and branding are ©ERS 2016.

  19. The WHO's new End TB Strategy in the post-2015 era of the Sustainable Development Goals.

    Science.gov (United States)

    Lönnroth, Knut; Raviglione, Mario

    2016-03-01

    The WHO's new End TB Strategy 2016-2035 has evolved from previous global strategies to respond to old and new challenges and take advantage of new opportunities. It frames the global fight against TB as a development, social justice and human rights issue, while re-emphasizing the public health and clinical fundaments of TB care and prevention. In this commentary, we outline how TB prevention, care and control will both benefit from and contribute to the achievement of the new Sustainable Development Goals that were recently adopted at the United Nations. © The author 2016. The World Health Organization has granted Oxford University Press permission for the reproduction of this article.

  20. Evaluation of TB Case Finding through Systematic Contact Investigation, Chhattisgarh, India

    Directory of Open Access Journals (Sweden)

    Kshitij Khaparde

    2015-01-01

    Full Text Available Rationale. Contact investigation is an established tool for early case detection of tuberculosis (TB. In India, contact investigation is not often conducted, despite national policy, and the yield of contact investigation is not well described. Objective. To determine the yield of evaluating household contacts of sputum smear-positive TB cases in Rajnandgaon district, Chhattisgarh, India. Methods. Among 14 public health care facilities with sputum smear microscopy services, home visits were conducted to identify household contacts of all registered sputum smear-positive TB cases. We used a standardized protocol to screen for clinical symptoms suggestive of active TB with additional referral for chest radiograph and sputa collection. Results. From December 2010 to May 2011, 1,556 household contacts of 312 sputum smear-positive TB cases were identified, of which 148 (9.5% were symptomatic. Among these, 109 (73.6% were evaluated by sputum examination resulting in 11 cases (10.1% of sputum smear-positive TB and 4 cases (3.6% of smear-negative TB. Household visits contributed additional 63% TB cases compared to passive case detection alone. Conclusion. A standard procedure for conducting household contact investigation identified additional TB cases in the community and offered an opportunity to initiate isoniazid chemoprophylaxis among children.

  1. Sharing the spotlight in Durban: A report from IAS TB2016 at AIDS2016

    Directory of Open Access Journals (Sweden)

    J.A. Whitaker

    2017-05-01

    Full Text Available Tuberculosis (TB is now recognized as the number one cause of death worldwide due to a single infectious pathogen and is the cause of death in one-third of people living with HIV worldwide. An inaugural pre-conference focused on TB (TB2016 was held at the International AIDS Society Conference AIDS2016. This report focuses on key messages from the TB2016 conference that are important for the medical, public health, activist, and scientific communities. Keywords: Tuberculosis, HIV, Epidemiology, Public health, Treatment, Prevention

  2. Hindered El Transitions in Eu155 and Tb161

    International Nuclear Information System (INIS)

    Malmskog, Sven G.

    1965-02-01

    The absolute E1 transition probabilities from the 3/2 + (411), 5/2 - (532) and 7/2 - (523) single particle levels in Eu 155 and Tb 161 have been measured by the method of delayed coincidences. This gave half lives of T 1/2 1/2 = (1.38 ± 0.06) ns for the 104.4 and 246 keV levels in Eu 155 . T 1/2 = (0.84 ± 0.04) ns and T 1/2 161 . The result has been compared with the calculations of a single particle in a deformed potential made by Nilsson

  3. Polarized neutron study of TbNi2

    International Nuclear Information System (INIS)

    Givord, D.; Givord, F.; Gignoux, D.; Koehler, W.C.; Moon, R.M.

    1976-01-01

    Neutron diffraction experiments have been carried out on a TbNi 2 single crystal. Below the Curie temperature, 42 K, a magnetic contribution is observed only on nuclear scattering peaks. Therefore, the terbium atoms form a ferromagnetic structure. Polarized neutron measurements performed in the paramagnetic state, in an applied magnetic field of 57 kOe, reveal a non-uniform polarization of the conduction band. Within the experimental accuracy, no 3d magnetic moment is observed on nickel atoms. This result is consistent with the assumption of rare earth magnetic ordering occurring through the polarization of conduction electrons. (author)

  4. A superconducting magnet: Tb2Mo3Si4

    International Nuclear Information System (INIS)

    Aliev, F.G.; Pryadun, V.V.; Vieira, S.; Villar, R.; Paredes, J.; Levanyuk, A.P.; Yarovets, V.I.

    1994-01-01

    Measurements of transport properties (resistivity, Seebeck coefficient, thermal conductivity), thermal expansion, heat capacity and magnetic susceptibility of Tb 2 Mo 3 Si 4 samples with different annealing conditions show that in this superconductor (with T c between 0.5 and 1.2 K) a complex magnetic structure exists in the normal state, characterized by transitions at 2.3 K and 19 K. The expected magnetic structures are discussed taking into account the absence of experimental evidence of spontaneous magnetization and the possibility of an antiferromagnetic-structure formation without change of translational geometry. (orig.)

  5. 77 FR 58203 - AER Energy Resources, Inc.; Alto Group Holdings, Inc.; Bizrocket.Com Inc.; Fox Petroleum, Inc...

    Science.gov (United States)

    2012-09-19

    ... SECURITIES AND EXCHANGE COMMISSION [File No. 500-1] AER Energy Resources, Inc.; Alto Group Holdings, Inc.; Bizrocket.Com Inc.; Fox Petroleum, Inc.; Geopulse Explorations Inc.; Global Technologies... accuracy of press releases concerning the company's revenues. 4. Fox Petroleum, Inc. is a Nevada...

  6. Entre aromas de incienso y pólvora : Los Altos de Jalisco, México, 1917-1940

    NARCIS (Netherlands)

    López Ulloa, José Luis

    2008-01-01

    This thesis focuses on the Mexican Revolution and on the opposition strategies followed by the opponents of the revolutionary regime who lived in the region known as Los Altos de Jalisco. In this particular region, the Catholic population, supported by the Clergy, was in constant conflict with the

  7. Effectiveness of TB sensitization initiatives in improving the involvement of self help group members in rural TB control in south India.

    Science.gov (United States)

    Thomas, Beena; Priscilla Rebecca, B; Dhanalakshmi, A; Rani, S; Deepa Lakshmi, A; Watson, Basilea; Vijayalakshmi, R; Muniyandi, M; Karikalan, N

    2016-12-01

    The 'End TB strategy' has highlighted the importance of inter-sectoral collaboration and community mobilization for achieving zero TB deaths by 2020. The aim of the study was to develop and test a model TB sensitization programme involving self help groups (SHGs). This experimental study was conducted in two blocks (intervention and control), in Tiruvallur district. The intervention content included short-lecture, musical story telling activity, role play, short film on TB. The impact was compared at baseline, third and sixth months in terms of SHGs' awareness, promotion of awareness, identification and referral of presumptive TB cases and provision of TB treatment. A total of 764 vs 796 SHGs were enrolled in control and intervention groups, respectively. The knowledge attitude, and practice score (lower score indicated a better attitude and practice), from baseline to 6 months was significantly reduced (29 to 24) in the intervention group. Similarly, a significant difference was observed in identification and referral of chest symptomatics in the intervention group at 3 and 6 months. During the 3 month follow-up a significantly higher proportion of SHG members were involved in TB awareness activities in the intervention (623/748 [83.3%]) vs control group (471/728 [64.7%]; p<0.001). Findings from this study highlight the feasibility of involving SHGs through a model TB sensitization program for strengthening TB prevention and control activities. © The Author 2017. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  8. Risk factors for inadequate TB case finding in Rural Western Kenya: a comparison of actively and passively identified TB patients.

    Directory of Open Access Journals (Sweden)

    Anna H Van't Hoog

    Full Text Available The findings of a prevalence survey conducted in western Kenya, in a population with 14.9% HIV prevalence suggested inadequate case finding. We found a high burden of infectious and largely undiagnosed pulmonary tuberculosis (PTB, that a quarter of the prevalent cases had not yet sought care, and a low case detection rate.We aimed to identify factors associated with inadequate case finding among adults with PTB in this population by comparing characteristics of 194 PTB patients diagnosed in a health facility after self-report, i.e., through passive case detection, with 88 patients identified through active case detection during the prevalence survey. We examined associations between method of case detection and patient characteristics, including HIV-status, socio-demographic variables and disease severity in univariable and multivariable logistic regression analyses.HIV-infection was associated with faster passive case detection in univariable analysis (crude OR 3.5, 95% confidence interval (CI 2.0-5.9, but in multivariable logistic regression this was largely explained by the presence of cough, illness and clinically diagnosed smear-negative TB (adjusted OR (aOR HIV 1.8, 95% CI 0.85-3.7. Among the HIV-uninfected passive case detection was less successful in older patients aOR 0.76, 95%CI 0.60-0.97 per 10 years increase, and women (aOR 0.27, 95%CI 0.10-0.73. Reported current or past alcohol use reduced passive case detection in both groups (0.42, 95% CI 0.23-0.79. Among smear-positive patients median durations of cough were 4.0 and 6.9 months in HIV-infected and uninfected patients, respectively.HIV-uninfected patients with infectious TB who were older, female, relatively less ill, or had a cough of a shorter duration were less likely found through passive case detection. In addition to intensified case finding in HIV-infected persons, increasing the suspicion of TB among HIV-uninfected women and the elderly are needed to improve TB case

  9. Simulation of the magnetocaloric effect in Tb nanofilms

    Energy Technology Data Exchange (ETDEWEB)

    Anselmo, Dory Hélio A. L., E-mail: doryh@dfte.ufrn.br [Departamento de Física Teórica e Experimental (DFTE), Universidade Federal do Rio Grande do Norte (UFRN), Natal-RN (Brazil); Mello, Vamberto D. [Departamento de Física,Universidade do Estado do Rio Grande do Norte (UERN), Mossoró-RN (Brazil); Vasconcelos, Manoel S. [Escola de Ciência e Tecnologia (ECT), Universidade Federal do Rio Grande do Norte (UFRN), Natal-RN (Brazil)

    2014-03-31

    Rare-earth (RE) metals have different magnetic structures resulting from the competition between the crystal-field and exchange interactions. When a magnetic field is applied it creates a third interaction and the magnetic structures are more complicated. In thin films, it is expected that even the magnetic arrangement itself can be strongly modified. Rare-earth helimagnets such as Terbium (Tb), Holmium (Ho) and Dysprosium (Dy) represent the best candidates to evidence such finite-size effects. This finite-size effect is caused by the reduced number of atoms in the direction perpendicular to the film plane that leads to a decrease of the total magnetic exchange energy. We report this contribution to the investigation of magnetocaloric effect (MCE) of thin Terbium films in the helimagnetic temperature range, from T{sub C} = 219 K to T{sub N} = 231 K, for external fields of the order of 1 kOe. We find that for strong fields, H = 50 kOe, the adiabatic temperature change ΔT near the Néel temperature is around 15 K for any thickness of Tb films. However large thickness effects are found for small values of the magnetic field. For field strength of the order of a few kOe, the thermocaloric efficiency increases significantly for ultrathin (nanomagnetic) films.

  10. The TT, TB, EB and BB correlations in anisotropic inflation

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Xingang [Department of Physics, The University of Texas at Dallas, Richardson, TX 75083 (United States); Emami, Razieh [School of Physics, Institute for Research in Fundamental Sciences (IPM), P. O. Box 19395-5531, Tehran (Iran, Islamic Republic of); Firouzjahi, Hassan [School of Astronomy, Institute for Research in Fundamental Sciences (IPM), P. O. Box 19395-5531, Tehran (Iran, Islamic Republic of); Wang, Yi, E-mail: Xingang.Chen@utdallas.edu, E-mail: emami@ipm.ir, E-mail: firouz@ipm.ir, E-mail: yw366@cam.ac.uk [Centre for Theoretical Cosmology, DAMTP, University of Cambridge, Cambridge CB3 0WA (United Kingdom)

    2014-08-01

    The ongoing and future experiments will measure the B-mode from different sky coverage and frequency bands, with the potential to reveal non-trivial features in polarization map. In this work we study the TT, TB, EB and BB correlations associated with the B-mode polarization of CMB map in models of charged anisotropic inflation. The model contains a chaotic-type large field complex inflaton which is charged under the U(1) gauge field. We calculate the statistical anisotropies generated in the power spectra of the curvature perturbation, the tensor perturbation and their cross-correlation. It is shown that the asymmetry in tensor power spectrum is a very sensitive probe of the gauge coupling. While the level of statistical anisotropy in temperature power spectrum can be small and satisfy the observational bounds, the interactions from the gauge coupling can induce large directional dependence in tensor modes. This will leave interesting anisotropic fingerprints in various correlations involving the B-mode polarization such as the TB cross-correlation which may be detected in upcoming Planck polarization data. In addition, the TT correlation receives an anisotropic contribution from the tensor sector which naturally decays after l ∼> 100. We expect that the mechanism of using tensor sector to induce asymmetry at low l to be generic which can also be applied to address other low l CMB anomalies.

  11. Research training needs in Peruvian national TB/HIV programs

    Directory of Open Access Journals (Sweden)

    Gonzalez Elsa

    2010-09-01

    Full Text Available Abstract Background There are few published reports of research training needs assessments and research training programs. In an effort to expand this nascent field of study and to bridge the gap between research and practice, we sought to systematically assess the research training needs of health care professionals working at Peruvian governmental institutions leading HIV and tuberculosis (TB control and among senior stakeholders in the field. Methods Six institutional workshops were conducted with the participation of 161 mid-level health professionals from agencies involved in national HIV and TB control. At each workshop informants completed a structured questionnaire and participated in small and large group discussions. Additional data and institutional commitment was obtained through in-depth interviews from 32 senior managers and researchers from the Ministry of Health, academia and NGOs. Results Participants exhibited an overwhelming receptivity for additional research training, observing a gap between current levels of research training and their perceived importance. Specialized skills in obtaining funding, developing research protocols, particularly in operational, behavioral and prevention research were considered in greatest need. Beyond research training, participants identified broader social, economic and political factors as influential in infectious disease control. Conclusions The needs assessment suggests that future training should focus on operational research techniques, rather than on clinical skill building or program implementation only. Strengthening health systems not only requires additional research training, but also adequate financial resources to implement research findings.

  12. Research training needs in Peruvian national TB/HIV programs.

    Science.gov (United States)

    Garcia, Patricia J; Cotrina, Armando; Gotuzzo, Eduardo; Gonzalez, Elsa; Buffardi, Anne L

    2010-09-28

    There are few published reports of research training needs assessments and research training programs. In an effort to expand this nascent field of study and to bridge the gap between research and practice, we sought to systematically assess the research training needs of health care professionals working at Peruvian governmental institutions leading HIV and tuberculosis (TB) control and among senior stakeholders in the field. Six institutional workshops were conducted with the participation of 161 mid-level health professionals from agencies involved in national HIV and TB control. At each workshop informants completed a structured questionnaire and participated in small and large group discussions. Additional data and institutional commitment was obtained through in-depth interviews from 32 senior managers and researchers from the Ministry of Health, academia and NGOs. Participants exhibited an overwhelming receptivity for additional research training, observing a gap between current levels of research training and their perceived importance. Specialized skills in obtaining funding, developing research protocols, particularly in operational, behavioral and prevention research were considered in greatest need. Beyond research training, participants identified broader social, economic and political factors as influential in infectious disease control. The needs assessment suggests that future training should focus on operational research techniques, rather than on clinical skill building or program implementation only. Strengthening health systems not only requires additional research training, but also adequate financial resources to implement research findings.

  13. Research training needs in Peruvian national TB/HIV programs

    Science.gov (United States)

    2010-01-01

    Background There are few published reports of research training needs assessments and research training programs. In an effort to expand this nascent field of study and to bridge the gap between research and practice, we sought to systematically assess the research training needs of health care professionals working at Peruvian governmental institutions leading HIV and tuberculosis (TB) control and among senior stakeholders in the field. Methods Six institutional workshops were conducted with the participation of 161 mid-level health professionals from agencies involved in national HIV and TB control. At each workshop informants completed a structured questionnaire and participated in small and large group discussions. Additional data and institutional commitment was obtained through in-depth interviews from 32 senior managers and researchers from the Ministry of Health, academia and NGOs. Results Participants exhibited an overwhelming receptivity for additional research training, observing a gap between current levels of research training and their perceived importance. Specialized skills in obtaining funding, developing research protocols, particularly in operational, behavioral and prevention research were considered in greatest need. Beyond research training, participants identified broader social, economic and political factors as influential in infectious disease control. Conclusions The needs assessment suggests that future training should focus on operational research techniques, rather than on clinical skill building or program implementation only. Strengthening health systems not only requires additional research training, but also adequate financial resources to implement research findings. PMID:20875140

  14. Zoneamento ambiental do polo de desenvolvimento agroindustrial do Alto Piranhas, Estado da Paraíba

    Directory of Open Access Journals (Sweden)

    J. S. Almeida

    2015-12-01

    Full Text Available Este trabalho teve como objetivo zonear os níveis de deterioração ambiental na paisagem entre os anos de 2001 e 2012, adotando os critérios da ecodinâmica nos municípios que compõe o polo de desenvolvimento agroindustrial do Alto Piranhas. Foram realizadas análises envolvendo a dinâmica da paisagem e da vulnerabilidade ambiental. A metodologia utilizada na pesquisa foi baseada em localizações pontuais, que inclui o processo de selecionar e combinar, através de procedimento de álgebra de mapas disponíveis em um SIG, cada variável geográfica contém diferenciação espacial e a combinação entre elas promove a subdivisão do espaço geográfico em regiões equiproblemáticas. Tomando-se por base as superposições dos mapas geológico, geomorfológico e pedológico foi efetuado o mapa de zoneamento ambiental, com informações que permitiram identificar as condições do meio natural e suas aptidões. Esses fatores foram comparados entre si, conforme a importância atribuída a elas. Os resultados indicaram que as áreas centrais concentram as classes com maiores riscos ambientais, como as instáveis (risco ambiental entre 60 e 80%, e as de instabilidade emergente (risco maior que 80. Já nas áreas distribuídas em toda a área de estudo encontra-se as áreas com risco ambiental entre 40 e 60% (instabilidade moderada. Com base na análise, percebe-se que a área de estudo possui um tênue equilíbrio por estar localizado em ambiente semiárido que pode ser rompido com facilidade com a intensificação das atividades agroindustriais.Environmental zoning polo agro industry development of Alto Piranhas, Paraíba StateAbstract: This study aimed to zone the levels of environmental deterioration in the landscape between the years 2001 and 2012, adopting the criteria of ecodynamics municipalities that make up the hub of agro-industrial development of the Alto Piranhas. Analyzes involving the dynamics of landscape and environmental

  15. Lu{sub 2}O{sub 3}:Tb,Hf storage phosphor

    Energy Technology Data Exchange (ETDEWEB)

    Kulesza, Dagmara; Trojan-Piegza, Joanna [Faculty of Chemistry, University of Wroclaw, 14 F. Joliot-Curie Street, 50-383 Wroclaw (Poland); Zych, Eugeniusz, E-mail: zych@wchuwr.p [Faculty of Chemistry, University of Wroclaw, 14 F. Joliot-Curie Street, 50-383 Wroclaw (Poland)

    2010-03-15

    Lu{sub 2}O{sub 3}:Tb,Hf ceramics containing 0.1% of Tb and 0-1.5% of Hf were prepared in reducing atmosphere at 1700 {sup o}C and their thermoluminescence properties were systematically studied. For comparison Tb,Ca co-doped specimen was also fabricated and investigated. The Tb,Hf ceramics shows basically a single TL band located around 180 {sup o}C as found with heating rate of 15 {sup o}C/min. Ceramics singly doped with Tb show complex TL glow curves indicating the presence of traps of very different depths. On the other hand Tb,Ca co-doping is beneficial for the development of shallow traps with the main TL band around 70 {sup o}C. Hence, the aliovalent impurities, Ca{sup 2+} and Hf{sup 4+}, strongly influenced the traps structure in Lu{sub 2}O{sub 3}:Tb ceramics, each of them in its own specific way. Isothermal decay of Lu{sub 2}O{sub 3}:Tb,Hf at 185 {sup o}C was recorded and its shape suggest that multiple hole trapping occurs in the Lu{sub 2}O{sub 3}:Tb,Hf ceramics. Due to the different traps depths the Lu{sub 2}O{sub 3}:Tb,Hf ceramics possess properties typical for storage phosphors, while Lu{sub 2}O{sub 3}:Tb,Ca is a persistent luminescent material rather.

  16. Convergence of a diabetes mellitus, protein energy malnutrition, and TB epidemic: the neglected elderly population.

    Science.gov (United States)

    Menon, Sonia; Rossi, Rodolfo; Nshimyumukiza, Leon; Wusiman, Aibibula; Zdraveska, Natasha; Eldin, Manal Shams

    2016-07-26

    On a global scale, nearly two billion persons are infected with Mycobacterium tuberculosis. From this vast reservoir of latent tuberculosis (TB) infection, a substantial number will develop active TB during their lifetime, with some being able to transmit TB or Multi-drug- resistant (MDR) TB to others. There is clinical evidence pointing to a higher prevalence of infectious diseases including TB among individuals with Diabetes Mellitus (DM). Furthermore, ageing and diabetes mellitus may further aggravate protein-energy malnutrition (PEM), which in turn impairs T-lymphocyte mediated immunologic defenses, thereby increasing the risk of developing active TB and compromising TB treatment. This article aims to a) highlight synergistic mechanisms associated with immunosenescence, DM and PEM in relation to the development of active TB and b) identify nutritional, clinical and epidemiological research gaps. To explore the synergistic relationship between ageing, DM, tuberculosis and PEM, a comprehensive review was undertaken. The MEDLINE and the Google Scholar databases were searched for articles published from 1990 to March 2015, using different MESH keywords in various combinations. Ageing and DM act synergistically to reduce levels of interferon gamma (IFN- γ), thereby increasing susceptibility to TB, for which cell mediated immunity (CMI) plays an instrumental role. These processes can set in motion a vicious nutritional cycle which can predispose to PEM, further impairing the CMI and consequently limiting host defenses. This ultimately transforms the latent TB infection into active disease. A clinical diagnostic algorithm and clinical guidelines need to be established for this population. Given the increase in ageing population with DM and PEM, especially in resource-poor settings, these synergistic tripartite interactions must be examined if a burgeoning TB epidemic is to be averted. Implementation of a comprehensive, all-encompassing approach to curb transmission

  17. System Tb-Fe-O: thermodynamic properties of ternary oxides using solid-state electrochemical cells

    International Nuclear Information System (INIS)

    Rakshit, S.K.; Parida, S.C.; Dash, S.; Singh, Ziley; Prasad, R.; Venugopal, V.

    2003-01-01

    The standard molar Gibbs free energies of formation of TbFeO 3 (s) and Tb 3 Fe 5 O 12 (s) have been determined using solid-state electrochemical cell employing different solid electrolytes. The reversible emfs of the following solid-state electrochemical cells have been measured in the temperature range 1050≤T/K≤1250. Cell (I):(-)Pt/{TbFeO 3 (s)+Tb 2 O 3 (s)+Fe(s)}//YDT/CSZ//{Fe(s)+Fe 0.95 O(s)}/Pt(+))) (Cell (II):(-)Pt/{Fe(s)+Fe 0.95 O(s)}//CSZ//{TbFeO 3 (s)+Tb 3 Fe 5 O 12 (s)+Fe 3 O 4 (s)}/Pt(+) The oxygen chemical potentials corresponding to the three-phase equilibria involving the ternary oxides have been computed from the emf data. The standard molar Gibbs free energies of formation of solid TbFeO 3 and Tb 3 Fe 5 O 12 calculated by the least-squares regression analysis of the data obtained in the present study are given by {Δ f G compfn m (TbFeO 3 ,s)/(kJ·mol -1 )±3.2}=-1357.5+0.2531·(T/K); (1050≤T/K≤1548);))and({Δ f G compfn m (Tb 3 Fe 5 O 12 ,s)/(kJ·mol -1 )±3.5}=-4901.7+ 0.9997·(T/K); (1050≤T/K≤1250).)) The uncertainty estimates for Δ f G compfn m include the standard deviation in the emf and uncertainty in the data taken from the literature. Based on the thermodynamic information, oxygen potential diagram and chemical potential diagrams were computed for the system Tb-Fe-O at T=1250 K

  18. The association between alcohol use, alcohol use disorders and tuberculosis (TB. A systematic review

    Directory of Open Access Journals (Sweden)

    Room Robin

    2009-12-01

    Full Text Available Abstract Background In 2004, tuberculosis (TB was responsible for 2.5% of global mortality (among men 3.1%; among women 1.8% and 2.2% of global burden of disease (men 2.7%; women 1.7%. The present work portrays accumulated evidence on the association between alcohol consumption and TB with the aim to clarify the nature of the relationship. Methods A systematic review of existing scientific data on the association between alcohol consumption and TB, and on studies relevant for clarification of causality was undertaken. Results There is a strong association between heavy alcohol use/alcohol use disorders (AUD and TB. A meta-analysis on the risk of TB for these factors yielded a pooled relative risk of 2.94 (95% CI: 1.89-4.59. Numerous studies show pathogenic impact of alcohol on the immune system causing susceptibility to TB among heavy drinkers. In addition, there are potential social pathways linking AUD and TB. Heavy alcohol use strongly influences both the incidence and the outcome of the disease and was found to be linked to altered pharmacokinetics of medicines used in treatment of TB, social marginalization and drift, higher rate of re-infection, higher rate of treatment defaults and development of drug-resistant forms of TB. Based on the available data, about 10% of the TB cases globally were estimated to be attributable to alcohol. Conclusion The epidemiological and other evidence presented indicates that heavy alcohol use/AUD constitute a risk factor for incidence and re-infection of TB. Consequences for prevention and clinical interventions are discussed.

  19. Adsorción de metales pesados sobre lodos de horno alto

    Directory of Open Access Journals (Sweden)

    López-Delgado, A.

    1998-05-01

    Full Text Available Most of industrial liquid effluents have high contents of heavy metals. The recovery of these metals is environmental and economically interesting. In this work we study the use of sludge, a by-product of the steel industry, as an adsorbent for the removal of heavy metals from liquid effluents. The adsorption of Pb2+, Zn2+, Cd2+, Cu2+ and Cr3+ on the sludge was investigated by determination of adsorption isotherms. The effect of time, equilibrium temperature and concentration of metal solution on sludge adsorption efficiency was evaluated. The adsorption process was analysed using the theories of Freundlich and Langmuir and the thermodynamic values ΔG, ΔH and ΔS corresponding to each adsorption process were calculated. Blast furnace sludge was found to be an effective sorbent for Pb, Zn, Cd, Cu and Cr-ions within the range of ion concentrations employed.

    Los efluentes líquidos de la mayoría de los procesos industriales contienen una carga importante de metales pesados que, por motivos tanto económicos como medioambientales interesa recuperar. En este trabajo, se estudia la utilización de lodos procedentes de la depuración por vía húmeda de los gases de horno alto como soporte para la retención de metales pesados contenidos en efluentes líquidos. La adsorción de Pb2+, Zn2+, Cd2+, Cu2+ y Cr3+ sobre el lodo de horno alto se determina mediante la obtención de las isotermas de adsorción, variando la concentración de las soluciones metálicas y analizando la influencia del tiempo y de la temperatura de equilibrio en la capacidad de adsorción del lodo. Para describir el proceso de adsorción se consideraron las teorías de Freundlich y Langmuir y, posteriormente, se calcularon los valores termodinámicos ΔG, ΔH y ΔS, correspondientes a cada proceso de adsorción. Para todos

  20. Syntheses and crystal structures of BaAgTbS{sub 3}, BaCuGdTe{sub 3}, BaCuTbTe{sub 3}, BaAgTbTe{sub 3}, and CsAgUTe{sub 3}

    Energy Technology Data Exchange (ETDEWEB)

    Prakash, Jai; Beard, Jessica C.; Ibers, James A. [Department of Chemistry, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208-3113 (United States); Mesbah, Adel [Department of Chemistry, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208-3113 (United States); ICSM-UMR 5257 CNRS/CEA/UM2/ENSCM, Bat 426, BP 17171, 30207 Bagnols/Ceze (France)

    2015-06-15

    Five new quaternary chalcogenides of the 1113 family, namely BaAgTbS{sub 3}, BaCuGdTe{sub 3}, BaCuTbTe{sub 3}, BaAgTbTe{sub 3}, and CsAgUTe{sub 3}, were synthesized by the reactions of the elements at 1173-1273 K. For CsAgUTe{sub 3} CsCl flux was used. Their crystal structures were determined by single-crystal X-ray diffraction studies. The sulfide BaAgTbS{sub 3} crystallizes in the BaAgErS{sub 3} structure type in the monoclinic space group C{sup 3},{sub 2h}-C2/m, whereas the tellurides BaCuGdTe{sub 3}, BaCuTbTe{sub 3}, BaAgTbTe{sub 3}, and CsAgUTe{sub 3} crystallize in the KCuZrS{sub 3} structure type in the orthorhombic space group D{sup 1},{sub 2}{sup 7},{sub h}-Cmcm. The BaAgTbS{sub 3} structure consists of edge-sharing [TbS{sub 6}{sup 9-}] octahedra and [AgS{sub 5}{sup 9-}] trigonal pyramids. The connectivity of these polyhedra creates channels that are occupied by Ba atoms. The telluride structure features {sup 2}{sub ∞}[MLnTe{sub 3}{sup 2-}] layers for BaCuGdTe{sub 3}, BaCuTbTe{sub 3}, BaAgTbTe{sub 3}, and {sup 2}{sub ∞}[AgUTe{sub 3}{sup 1-}] layers for CsAgUTe{sub 3}. These layers comprise [MTe{sub 4}] tetrahedra and [LnTe{sub 6}] or [UTe{sub 6}] octahedra. Ba or Cs atoms separate these layers. As there are no short Q..Q (Q = S or Te) interactions these compounds achieve charge balance as Ba{sup 2+}M{sup +}Ln{sup 3+}(Q{sup 2-}){sub 3} (Q = S and Te) and Cs{sup +}Ag{sup +}U{sup 4+}(Te{sup 2-}){sub 3}. (Copyright copyright 2015 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

  1. Initiation and adherence to TB treatment in a Pakistani community influenced more by perceptions than by knowledge of tuberculosis

    Directory of Open Access Journals (Sweden)

    Mubashir Zafar

    2013-01-01

    Full Text Available Background: The tuberculosis (TB literature is written almost entirely from a biomedical perspective, while recent studies show that it is imperative to understand lay perception to determine why people seek treatment and may stop taking treatment. Aims: To investigate knowledge about TB, perceptions of (access to TB treatment, and adherence to treatment among a Pakistani population. Setting and Design: Descriptive cross-sectional study. Materials and Methods: A total of 175 participants were selected nonrandomly, 100 were TB patient and 75 were non-TB patient in proportion to the total number of participants in each ward of hospital. Statistical Analysis: Analysis of attitudes and perceptions toward TB, adherence to TB treatment, health seeking behavior, and TB treatment types done by frequency counts and percentages. Regression analysis and logistic regression analysis were performed to test whether differences in age, gender, and education level led to different knowledge scores and different attitudes and preferences toward TB, adherence to TB treatment, health seeking behavior, and TB treatment types. All statistical analyses were performed using Statistical Package for Social Sciences (SPSS 16.0. Result: TB knowledge can be considered fairly well among this community. Respondents′ perceptions suggest that stigma may influence TB patients′ decision in health seeking behavior and adherence to TB treatment. A full 95% of those interviewed believe people with TB tend to hide their TB status out of fear of what others may say. Conclusion: Most of the subjects were unaware of TB that seems to be due to their illiteracy and those who knew had got the knowledge from media, but the majority of the patients who were on directly observed treatment, short-course (DOTS were found to be satisfied.

  2. Antiretroviral Treatment Scale-Up and Tuberculosis Mortality in High TB/HIV Burden Countries: An Econometric Analysis.

    Science.gov (United States)

    Yan, Isabel; Bendavid, Eran; Korenromp, Eline L

    2016-01-01

    Antiretroviral therapy (ART) reduces mortality in patients with active tuberculosis (TB), but the population-level relationship between ART coverage and TB mortality is untested. We estimated the reduction in population-level TB mortality that can be attributed to increasing ART coverage across 41 high HIV-TB burden countries. We compiled TB mortality trends between 1996 and 2011 from two sources: (1) national program-reported TB death notifications, adjusted for annual TB case detection rates, and (2) WHO TB mortality estimates. National coverage with ART, as proportion of HIV-infected people in need, was obtained from UNAIDS. We applied panel linear regressions controlling for HIV prevalence (5-year lagged), coverage of TB interventions (estimated by WHO and UNAIDS), gross domestic product per capita, health spending from domestic sources, urbanization, and country fixed effects. Models suggest that that increasing ART coverage was followed by reduced TB mortality, across multiple specifications. For death notifications at 2 to 5 years following a given ART scale-up, a 1% increase in ART coverage predicted 0.95% faster mortality rate decline (p = 0.002); resulting in 27% fewer TB deaths in 2011 alone than would have occurred without ART. Based on WHO death estimates, a 1% increase in ART predicted a 1.0% reduced TB death rate (peconometric analysis supports a substantial impact of ART on population-level TB mortality realized already within the first decade of ART scale-up, that is apparent despite variable-quality mortality data.

  3. Role of oral candidiasis in TB and HIV co-infection: AIDS Clinical Trial Group Protocol A5253.

    Science.gov (United States)

    Shiboski, C H; Chen, H; Ghannoum, M A; Komarow, L; Evans, S; Mukherjee, P K; Isham, N; Katzenstein, D; Asmelash, A; Omozoarhe, A E; Gengiah, S; Allen, R; Tripathy, S; Swindells, S

    2014-06-01

    To evaluate the association between oral candidiasis and tuberculosis (TB) in human immunodeficiency virus (HIV) infected individuals in sub-Saharan Africa, and to investigate oral candidiasis as a potential tool for TB case finding. Protocol A5253 was a cross-sectional study designed to improve the diagnosis of pulmonary TB in HIV-infected adults in high TB prevalence countries. Participants received an oral examination to detect oral candidiasis. We estimated the association between TB disease and oral candidiasis using logistic regression, and sensitivity, specificity and predictive values. Of 454 participants with TB culture results enrolled in African sites, the median age was 33 years, 71% were female and the median CD4 count was 257 cells/mm(3). Fifty-four (12%) had TB disease; the prevalence of oral candidiasis was significantly higher among TB cases (35%) than among non-TB cases (16%, P oral candidiasis when controlling for CD4 count and antifungals (95%CI 1.2-4.7, P = 0.01). The sensitivity of oral candidiasis as a predictor of TB was 35% (95%CI 22-48) and the specificity 85% (95%CI 81-88). We found a strong association between oral candidiasis and TB disease, independent of CD4 count, suggesting that in resource-limited settings, oral candidiasis may provide clinical evidence for increased risk of TB and contribute to TB case finding.

  4. Cost-effectiveness of initiating antiretroviral therapy at different points in TB treatment in HIV-TB co-infected ambulatory patients in South Africa

    Science.gov (United States)

    Naidoo, Kogieleum; Grobler, Anneke C; Deghaye, Nicola; Reddy, Tarylee; Gengiah, Santhanalakshmi; Gray, Andrew; Karim, Salim Abdool

    2015-01-01

    Objective Initiation of antiretroviral therapy (ART) during tuberculosis (TB) treatment improves survival in TB-HIV co-infected patients. In patients with CD4+ counts benefit of early ART initiation. The purpose of this study was to assess the costs and cost effectiveness of starting ART at various time points during TB treatment in patients with CD4+ counts ≥50cells/mm3. Methods In the SAPiT trial, 642 HIV-TB co-infected patients were randomized to three arms, either receiving ART within 4 weeks of starting TB treatment (early treatment arm; Arm-1), after the intensive phase of TB treatment (late treatment arm; Arm-2), or after completing TB treatment (sequential arm; Arm-3). Direct healthcare costs were measured from a provider perspective using a micro-costing approach. The incremental cost per death averted was calculated using the trial outcomes. Results For patients with CD4+ count≥50cells/mm3, median monthly variable costs per patient were $116, $113 and $102 in Arms-1, -2 and -3, respectively. There were 12 deaths in 177 patients in Arm-1, 8 deaths in 180 patients in the Arm-2 and 19 deaths in 172 patients in Arm-3. While the costs were lower in Arm-3, it had a substantially higher mortality rate. The incremental cost per death averted associated with moving from Arm-3 to Arm-2 was $4199. There was no difference in mortality between Arm-1 and Arm-2, but Arm-1 was slightly more expensive. Conclusions Initiation of ART after the completion of the intensive phase of TB treatment is cost effective for patients with CD4+ counts≥50cells/mm3. PMID:26167618

  5. 46 CFR 35.05-25 - Illness, alcohol, drugs-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Illness, alcohol, drugs-TB/ALL. 35.05-25 Section 35.05-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS Officers and Crews § 35.05-25 Illness, alcohol, drugs—TB/ALL. (a) No person, known by the individual in charge of a tank...

  6. Is Chemoprophylaxis for Child Contacts of Drug-Resistant TB Patients Beneficial? A Systematic Review

    Directory of Open Access Journals (Sweden)

    C. Padmapriyadarsini

    2018-01-01

    Full Text Available Background. Preventive therapy for child contacts of multidrug-resistant tuberculosis (MDR-TB patients is poorly studied, and no consensus about the role and the rationale of chemoprophylaxis has been reached. Objective. To conduct systematic review with an aim to determine the effectiveness of TB preventive therapy in reducing the incidence of TB disease in pediatric contacts of MDR-TB patients. Methods. We conducted a literature search for randomized control trials, cohort studies, and case reports of chemoprophylaxis for pediatric contacts of MDR-TB patients in PubMed, EMBASE, Cochrane Databases of Systematic Reviews, metaRegister of Controlled Trials, and other clinical registries through March 2017, using appropriate search strategy. In addition we searched abstracts from international conferences and references of published articles and reviews. Results. Of the 153 references assessed from various databases, seven studies were identified as relevant after adaption of eligibility criteria and assessed for systematic review. Of these, only two studies contributed data for the pooled meta-analysis. Conclusions. Though the available evidences suggest that the chemoprophylaxis for child contacts of MDR-TB patients is beneficial, data to support or reject preventive therapy is very limited. Further clinical research, in Tb endemic settings like India, needs to be performed to prove the beneficial effect of chemoprophylaxis for pediatric contacts of MDR-TB.

  7. Risk factors for bovine tuberculosis (bTB) in cattle in Ethiopia

    NARCIS (Netherlands)

    Dejene, Sintayehu W.; Heitkonig, Ignas; Prins, Herbert H.T.; Lemma, Fitsum A.; Mekonnen, Daniel A.; Alemu, Zelalem E.; Kelkay, Tessema Z.; Boer, de Fred

    2016-01-01

    Bovine tuberculosis (bTB) infection is generally correlated with individual cattle's age, sex, body condition, and with husbandry practices such as herd composition, cattle movement, herd size, production system and proximity to wildlife - including bTB maintenance hosts. We tested the

  8. XDR TB in South Africa - What lies ahead? | Thaver | South African ...

    African Journals Online (AJOL)

    The emergence of XDR TB coupled with the high prevalence of HIV/AIDS has intensified the need to identify new treatment strategies and accelerate research into antibiotics against XDR TB before the world is faced with a global public health crisis. This article gives a short overview on the important health implications of ...

  9. TB and HIV co-infection: when to start antiretroviral therapy

    African Journals Online (AJOL)

    2011-10-02

    Oct 2, 2011 ... HIV and TB treatment in co-infected patients is a critical one. Previously, TB ... Indications for ART are based on an assessment of individual risk- benefit analysis of ..... An HIV test was positive, a lumbar puncture was acellular ...

  10. 46 CFR 32.35-1 - Boilers and machinery-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Boilers and machinery-TB/ALL. 32.35-1 Section 32.35-1 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS SPECIAL EQUIPMENT, MACHINERY, AND HULL REQUIREMENTS Main and Auxiliary Machinery § 32.35-1 Boilers and machinery—TB/ALL. Boilers, main and auxiliary...

  11. 46 CFR 32.75-5 - Hull requirements; general-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Hull requirements; general-TB/ALL. 32.75-5 Section 32.75..., AND HULL REQUIREMENTS Hull Requirements for Wood Hull Tank Vessels Constructed Prior to November 10, 1936 § 32.75-5 Hull requirements; general—TB/ALL. The scantlings, material, and workmanship, and the...

  12. 46 CFR 32.70-5 - Hull requirements; general-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Hull requirements; general-TB/ALL. 32.70-5 Section 32.70..., AND HULL REQUIREMENTS Hull Requirements for Steel Hull Tank Vessels Constructed Prior to November 10, 1936 § 32.70-5 Hull requirements; general—TB/ALL. The scantlings, material, and workmanship, the...

  13. Dipolar and Non-Dipolar Interactions in LiTbF4

    DEFF Research Database (Denmark)

    Holmes, L. M.; Als-Nielsen, Jens Aage; Guggenheim, H. J.

    1975-01-01

    The magnetic interactions in LiTbF4 have been studied in measurements of the quasielastic scattering of neutrons from the paramagnetic crystal. Scattering data have been collected at a temperature T=18.6 K, which is 6.5 times the Curie temperature of LiTbF4, and have been least-squares fitted...

  14. Management of TB/HIV Co-Infection in the Context of the DOTS ...

    African Journals Online (AJOL)

    The reason for this deterioration in both developed and developing countries are mainly due to improper diagnosis and treatment, poor drug compliance, increase travel and migration, multi-resistant TB, increase number of refugee from wars and famine and lately to the pandemic of HIV/AIDS(4). Key Words: TB/HIV, ...

  15. Profile of HIV-1 RNA viral load among HIV-TB co-infected patients in ...

    African Journals Online (AJOL)

    Profile of HIV-1 RNA viral load among HIV-TB co-infected patients in a tertiary health facility in Maiduguri, Northeastern Nigeria. ... This study aims to estimate the HIV-1 RNA viral load and impact of anti TB therapy (ATT) ... HOW TO USE AJOL.

  16. HIV and TB co-infection in South Sudan: a three year retrospective ...

    African Journals Online (AJOL)

    dual HIV/TB co-infection is in Africa in which one-third ... HIV and TB rates. A high commercial sex workers presence in the towns. •. [10]. .... but lower than prevalences found in studies conducted .... A retrospective cohort study in South African.

  17. Assessing the effect of TB-HIV collaborative activities on knowledge ...

    African Journals Online (AJOL)

    Assessing the effect of TB-HIV collaborative activities on knowledge and perception of TB patients ... Tanzania Journal of Health Research ... which requires to be corrected as soon as possible so as to enable patients to undertake active steps ...

  18. Treatment outcome of tb/hiv positive and negative smear positive ...

    African Journals Online (AJOL)

    Background: In our previous study we found that half of the patients treated at the Nylon District Hospital tuberculosis (TB) treatment centre were seropositive. HIV does not only fuel the number of tuberculosis (TB) cases worldwide but it is also at least in part, responsible for the non-achievement of the 85% cure rate target.

  19. Photoluminescence properties of X5SiO4Cl6:Tb (X = Sr, Ba) green ...

    Indian Academy of Sciences (India)

    attracted more attention due to their potential applications ... materials were thoroughly mixed and ground in an agate mortar. ... Figure 2. Excitation spectra of Ba5SiO4Cl6:Tb3+ phosphor. spectrum of Tb3+ singly doped phosphor Ba5SiO4Cl6,.

  20. The normal and inverse magnetocaloric effect in RCu2 (R=Tb, Dy, Ho, Er) compounds

    International Nuclear Information System (INIS)

    Zheng, X.Q.; Xu, Z.Y.; Zhang, B.; Hu, F.X.; Shen, B.G.

    2017-01-01

    Orthorhombic polycrystalline RCu 2 (R=Tb, Dy, Ho and Er) compounds were synthesized and the magnetic properties and magnetocaloric effect (MCE) were investigated in detail. All of the RCu 2 compounds are antiferromagnetic (AFM) ordered. As temperature increases, RCu 2 compounds undergo an AFM to AFM transition at T t and an AFM to paramagnetic (PM) transition at T N . Besides of the normal MCE around T N , large inverse MCE around T t was found in TbCu 2 compound. Under a field change of 0–7 T, the maximal value of inverse MCE is even larger than the value of normal MCE around T N for TbCu 2 compound. Considering of the normal and inverse MCE, TbCu 2 shows the largest refrigerant capacity among the RCu 2 (R=Tb, Dy, Ho and Er) compounds indicating its potential applications in low temperature multistage refrigeration. - Highlights: • Large inverse magnetocaloric effect is observed in TbCu 2 compound. • The AFM to AFM transition is observed in RCu 2 (R=Tb, Dy, Ho, Er) compounds. • The MCE performance of TbCu 2 compound is evaluated in a more comprehensively way.

  1. Diagnosing Xpert MTB/RIF-negative TB: Impact and cost of ...

    African Journals Online (AJOL)

    Background. Use of Xpert MTB/RIF is being scaled up throughout South Africa for improved diagnosis of tuberculosis (TB). A large proportion of HIV-infected patients with possible TB are Xpert-negative on their initial test, and the existing diagnostic algorithm calls for these patients to have sputum culture (Xpert followed by ...

  2. TB/HIV integration at primary care level: A quantitative assessment ...

    African Journals Online (AJOL)

    2012-09-02

    Sep 2, 2012 ... Public Health Leadership Program, University of North Carolina, Chapel Hill, NC, USA. L Evarts, MPH. WitkoppenHealth ..... for TB symptoms. • 10% of TB suspects assessed by smear microscopy. Percentage of new HIV-positive patients starting. IPT (indicator B.2.1). 100%. 124 059 (12%). • 0% at 2 clinics.

  3. HUBUNGAN ANTARA PERILAKU PENCEGAHAN DAN KEPATUHAN BEROBAT PENDERITA TB DI INDONESIA

    Directory of Open Access Journals (Sweden)

    Noor Edi Widya Sukoco

    2012-11-01

    Full Text Available Background: Indonesia constitutes the third highest of Tuberculosis (TB cases after India and China. One of the problem in TB control is still low of drug treatment compliance of TB patients. The objective of this study was to know the relationship between TB disease prevention behaviors with treatment compliance of TB patients in Indonesia. Methods: Data explored from National Basic Health Survey (Riskesdas 2010. The data is designed to represent provinces. Design of study is cross sectional. The population is all respondents of Riskesdas 2010, while samples were chosen aged > 5 years with Pulmonary TB, particularly the TB patients who was received medication and treated by health facilities. The number of samples are all 968 patients. Interviews were conducted by skilled interviewers. Data were processed by SPSS 15 version. Results: The behavior of respondents drying the wrong mattress have risk non-compliant treatment about 1. 64 compared with the behavior of respondents drying the right mattress (OR = 1. 64; P = 0.001; confidence interval (CI=1. 21-2.22. Likewise, low education has risk non-compliant treatment in the amount of 1.62 compared with highly educated respondents (OR= 1.62; P = 0.005; confidence interval (CI = 1.15-2.27. Conclusion: The updated data signify that analysis of drug adherence TB patients will show significantly in correlation between drug adherence with level of education, and behaviour of dry mattress. Key words: drug compliance, preventive behavior. tuberculosis

  4. History of TB in the Sudan | Zaki | Sudan Journal of Medical Sciences

    African Journals Online (AJOL)

    Introduction: Medical history in Sudan is far from being complete. There are no reliable records. Attempt to write on the projects and development of history of TB in the Sudan is a difficult task. Objective: To study and trace the progress of TB in Sudan during the last century through their historical development. Design: A ...

  5. 46 CFR 30.10-33 - Great Lakes-TB/L.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Great Lakes-TB/L. 30.10-33 Section 30.10-33 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS GENERAL PROVISIONS Definitions § 30.10-33 Great Lakes—TB/L. Under this designation shall be included all tank vessels navigating the Great Lakes. ...

  6. 46 CFR 32.35-5 - Installation of internal combustion engines-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Installation of internal combustion engines-TB/ALL. 32... EQUIPMENT, MACHINERY, AND HULL REQUIREMENTS Main and Auxiliary Machinery § 32.35-5 Installation of internal combustion engines—TB/ALL. Each internal combustion engine located on the weather deck shall be provided with...

  7. 46 CFR 31.36-1 - Lifesaving appliances and arrangements-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Lifesaving appliances and arrangements-TB/ALL. 31.36-1... CERTIFICATION Lifesaving Appliances and Arrangements § 31.36-1 Lifesaving appliances and arrangements—TB/ALL. All lifesaving appliances and arrangements on tank vessels must be in accordance with subchapter W...

  8. The crust role at Paramillos Altos intrusive belt: Sr and Pb isotope evidence

    International Nuclear Information System (INIS)

    Ostera, H.A.; Linares, E; Haller, M.J; Cagnoni, M.C

    2001-01-01

    Paramillos Altos Intrusive Belt (PAIB) (Ostera, 1996) is located in the thick skinned folded-thrust belt of Malargue, southwestern Mendoza, Argentina. Geochemical, geochronologic and isotopic studies were carried out in it (Ostera 1996, 1997, Ostera et al. 1999; Ostera et al. 2000) and these previous papers suggested a minor involvement of the crust in the genesis of the PAIB. According with Ostera et al. (2000) it is composed by stocks, laccoliths, dykes and sills which range in composition from diorites to granodiorites, and from andesites to rhyolites, and divided in five Members, which range in age from Middle Miocene to Early Miocene: a- Calle del Yeso Dyke Complex (CYDC), with sills and dykes of andesitic composition (age: 20±2 Ma). b- Puchenque-Atravesadas Intrusive Complex (PAIC), composed by dykes and stocks ranging from diorites to granodiorites (age: 12.5±1 Ma). c- Arroyo Serrucho Stock (SAS), an epizonal and zoned stock, with four facies, with K/Ar and Ar/Ar dates of 10±1 and 9.5±0.5 Ma. d- Portezuelo de los Cerros Bayos (PCB), that includes porphyritic rocks of rhyolitic composition, of 7.5±0.5 Ma. e- Cerro Bayo Vitrophyres (CBV), with andesitic sills and dykes (age: 4.8±0.2 Ma). We present in this paper new Sr and Pb isotopes data that constrain the evolution of the PAIB (au)

  9. Contribution for geochronological evolution study of the Pianco-Alto Brigida fold belt system

    International Nuclear Information System (INIS)

    Brito Neves, B.B. de; Basei, M.A.S.; Van Schmus, W.R.

    1990-01-01

    The Proterozoic Painco-Alto Fold Belt is situated in the central portion of the Borborema Province and it probably is just a segment of a longer structural development encompassed between the Patos (N) and Pernambuco (S) lineaments. The geochronological study was carried out along a cross section in the central part of the belt (Paraiba State) where biotite-muscovite quartz schists are the predominating rock types, including intercalations of bi-modal volcanics, marbles and quartzites. These rocks were metamorphosed in the amphibolite facies, and they display a complex history of folding. Zircons of the acid volcanics (meta-rhyolytes where analysed through U/Pb method and they plot in a discordia diagram with superior intercept indicating ages around 1100 Ma. Whole rocks Rb/Sr analyses on the same meta-volcanics are indicating isochrons of 950Ma. These data are being respectively interpreted as ages of sedimentation (and volcanism) and regional metamorphism associated to the main (D sub(2)) phase of folding. One of the main purpose of this paper is to stress the importance of the ages around 950Ma, in the central domain of the Borborema Province, as result of regional folding and metamorphism. Some other occurence of ages in the 1000-900Ma range will be discussed as support for this interpretation from now on adopted. (author)

  10. Earth-based construction material field tests characterization in the Alto Douro Wine Region

    Science.gov (United States)

    Cardoso, Rui; Pinto, Jorge; Paiva, Anabela; Lanzinha, João Carlos

    2017-12-01

    The Alto Douro Wine Region, located in the northeast of Portugal, a UNESCO World Heritage Site, presents an abundant vernacular building heritage. This building technology is based on a timber framed structure filled with a composite earth-based material. A lack of scientific studies related to this technology is evident, furthermore, principally in rural areas, this traditional building stock is highly deteriorated and damaged because of the rareness of conservation and strengthening works, which is partly related to the non-engineered character of this technology and to the knowledge loosed on that technique. Those aspects motivated the writing of this paper, whose main purpose is the physical and chemical characterization of the earth-based material applied in the tabique buildings of that region through field tests. Consequently, experimental work was conducted and the results obtained allowed, among others, the proposal of a series of adequate field tests. At our knowledge, this is the first time field tests are undertaken for tabique technology. This information will provide the means to assess the suitability of a given earth-based material with regards to this technology. The knowledge from this study could also be very useful for the development of future normative documents and as a reference for architects and engineers that work with this technology to guide and regulate future conservation, rehabilitation or construction processes helping to preserve this important legacy.

  11. Aristocracias y dependientes en el Alto Ebro (siglos V-VIII

    Directory of Open Access Journals (Sweden)

    Santiago CASTELLANOS

    2009-12-01

    Full Text Available RESUMEN: El estudio de la documentación tardoantigua supone un avance en el conocimiento histórico y el debate historiográfico acerca de los múltiples problemas que presenta la Alta Edad Media en el Norte de la Península Ibérica. El autor profundiza en fuentes sobre la zona del Alto Ebro durante la Antigüedad tardía, al tiempo que proporciona un panorama social de tal ámbito, a fin de entender mejor el posterior mundo altomedieval, lejos de algunos modelos basados exclusivamente en fuentes altomedievales.ABSTRACT: The study of documents from late antiquity has led to progress in the historical knowledge and the historiographical debate surrounding the many problems presented by the Early Middle Ages in the north of the Iberian Peninsula. The author makes an in-depth study of sources from the Upper Ebro area during Late Antiquity, at the same time giving a social panorama of this same area, in order to better understand the subsequent early mediaeval world. This scene has turned out to be very different from models based exclusively on early mediaeval sources.

  12. Tabique walls composite earth-based material characterization in the Alto Douro wine region, Portugal

    Directory of Open Access Journals (Sweden)

    Rui CARDOSO

    2015-12-01

    Full Text Available The Alto Douro Wine Region, located in the northeast of Portugal, a UNESCO World Heritage Site, presents a relevant tabique building stock, a traditional vernacular building technology. A technology based on a timber framed structure filled with a composite earth-based material. Meanwhile, previous research works have revealed that, principally in rural areas, this Portuguese heritage is highly deteriorated and damaged because of the rareness of conservation and strengthening works, which is partly related to the non-engineered character of this technology and to the growing phenomenon of rural to urban migration. Those aspects associated with the lack of scientific studies related to this technology motivated the writing of this paper, whose main purpose is the physical and chemical characterization of the earth-based material applied in the tabique buildings of that region. Consequently, an experimental work was conducted and the results obtained allowed, among others, the proposal of a particle size distribution envelope in respect to this material. This information will provide the means to assess the suitability of a given earth-based material in regard to this technology. The knowledge from this study could be very useful for the development of future normative documents and as a reference for architects and engineers that work with earth to guide and regulate future conservation, rehabilitation or construction processes helping to preserve this fabulous legacy.

  13. Earth-based construction material field tests characterization in the Alto Douro Wine Region

    Directory of Open Access Journals (Sweden)

    Cardoso Rui

    2017-12-01

    Full Text Available The Alto Douro Wine Region, located in the northeast of Portugal, a UNESCO World Heritage Site, presents an abundant vernacular building heritage. This building technology is based on a timber framed structure filled with a composite earth-based material. A lack of scientific studies related to this technology is evident, furthermore, principally in rural areas, this traditional building stock is highly deteriorated and damaged because of the rareness of conservation and strengthening works, which is partly related to the non-engineered character of this technology and to the knowledge loosed on that technique. Those aspects motivated the writing of this paper, whose main purpose is the physical and chemical characterization of the earth-based material applied in the tabique buildings of that region through field tests. Consequently, experimental work was conducted and the results obtained allowed, among others, the proposal of a series of adequate field tests. At our knowledge, this is the first time field tests are undertaken for tabique technology. This information will provide the means to assess the suitability of a given earth-based material with regards to this technology. The knowledge from this study could also be very useful for the development of future normative documents and as a reference for architects and engineers that work with this technology to guide and regulate future conservation, rehabilitation or construction processes helping to preserve this important legacy.

  14. Trends in linguistic, scholastic and educational policies in trentino and Alto Adige (1919-1939

    Directory of Open Access Journals (Sweden)

    Elisa Gori

    2016-01-01

    Full Text Available The text proposes the examination of school and educational policy choices made in the territories of Trentino and Alto Adige, for German and Ladin speaking minorities in the time period between the end of the first major world conflict and the beginning of the second. During the historical period under consideration, the territories of the new provinces were headquarters and object of multiple political, economic and cultural operations, marked by different and opposite strategies: referrals of implicit nationalist trend which attributed extensive legislative powers to central authorities, were replaced by more democratic guidelines, that embraced local autonomies and recognized the rights of the minorities. Search for a political balance between the two instances, which was initially pursued, left the field with the arrival of the first fascist government to a new scenario with the aim of Italianize, even with the use of violence, the kind and organization of the new provinces. The same contradictory scenario will mark the evolution of educational policies in the new territories; the attempt to extend the Italian scholastic regulations to new provinces, first gradually and respectfully on the linguistic minorities, their schools and traditions, with the fascist government will suffer a significant change in behavior and reasoning. The theme of this research, which is little studied and analyzed in detail, assumes its relevance, whether in terms of historical and educational research linked to particular historic moment and geographical context, whether in terms of the consequences that it had in the construction of the Italian Republic.

  15. ALGUNAS HERRAMIENTAS PARA LA TOMA DE DECISIONES DE INVERSIÓN EN PROYECTOS DE ALTO RIESGO

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    Julio Villarreal

    2007-01-01

    Full Text Available En este trabajo se presenta un posible aplicación metodológica para la toma de decisiones de inversión en proyectos de alto riesgo como las que típicamente son apoyados por los llamados fondos de capital de riesgo. El objetivo final es mostrar como es posible a través de esta metodología, reducir las asimetrías de información típicas en la relación entre inversionistas de riesgo (accionistas de capital y gestores de proyectos (accionistas industriales. La metodología propuesta se aplica a un plan de negocios real, pero de igual manera se puede aplicar a otros proyectos riesgosos, y muestra cómo una adecuada estructuración de un proceso de decisión, usando los modelos y herramientas adecuadas puede ser muy útil tanto en decisiones de fondos de inversión como en la estructuración de procesos de evaluación de alternativas de decisión estratégicas en las que el riesgo hace inapropiado el tradicional análisis determinístico.

  16. Las galerías filtrantes del Alto Lerma: usos y manejos sociales

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    Roberto Montes-Hernández

    2011-01-01

    Full Text Available La ubicación y estudio del manejo social del agua de las galerías filtrantes en el Estado de México no se ha realizado porque se ignora la existencia de este sistema hidráulico. En el presente artículo se informa por primera vez la georreferenciación y descripción del uso y manejo social del agua de las galerías filtrantes del Alto Lerma. Con base en trabajo de campo, revisión de archivos y etnografía, se verifica y describe la existencia de dicho sistema en esta región. El desarrollo de este trabajo es parte de una investigación más amplia, denominada "Caracterización del uso y manejo social del agua de las galerías filtrantes en el Estado de México", bajo la supervisión de Tonatiuh Romero.

  17. El poblamiento humano antiguo en el valle alto del Lozoya (Madrid

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    Belén Márquez

    2008-01-01

    Full Text Available La localización en superficie en el término municipal de Lozoya (Madrid de un conjunto de piezas de industria lítica achelense permite retrotraer el primer poblamiento de esta zona al Pleistoceno medio, cuando hasta la fecha las evidencias más antiguas en el valle alto del río Lozoya se remontaban a inicios del Pleistoceno superior. El nuevo hallazgo sitúa al río Lozoya en relación cultural con el poblamiento humano antiguo de los ríos Jarama y Manzanares.The discovery of a surface sample of Acheulean lithic industry at the Lozoya district (Madrid takes back to the Middle Pleistocene the first human peopling of this area. Until now themost ancient evidences at the Upper Lozoya Valley went back to the initial Upper Pleistocene. The new findings place the Lozoya River in cultural relation with the ancient human population of Jarama and Manzanares Rivers.

  18. COMPREENSÃO DA PAISAGEM DO ALTO CAMAQUÃ: debate ambiental sobre o Bioma Pampa

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    Adriano Severo Figueiró

    2011-01-01

    Full Text Available El presente articulo trata de la confi guración del paisaje de la subcuenca del Alto Camaquã/RS, bien como la evolución de determinados elementos naturales y la historia de las culturas que tornaran esta una de las más bellas e intrigantes paisajes que componen el territorio gaucho y el denominado Bioma Pampa. Este recorte de estudio fue determinado en función de su importancia para la conservación y protección de este bioma brasilero amenazado por la introducción de formas de "desarrollo exógeno" actualmente aprobadasy que no están de acuerdo con las particularidades socioeconómicas, culturales y ambientales de la región.En este sentido, el documento analiza las particularidades existentes y condicionamiento que los elementos naturales de este paisaje representan para el proceso de propiedad y planifi cación territorial del Pampa.

  19. Hyphessobrycon ocasoensis sp. n. (Teleostei, Characidae una nueva especie para el Alto Cauca, Colombia

    Directory of Open Access Journals (Sweden)

    García-Alzate, C. A.

    2008-12-01

    Full Text Available Hyphessobrycon ocasoensis n. sp. (Teleostei, Characidae a new species from the Alto Cauca, Colombia Hyphessobrycon ocasoensis n. sp. (Characiformes, Characidae from heterorhabdus group (Gery, 1977 is described from the upper Cauca River in Colombia. The new species is distinguished from all other known species by the following combination of characters: three unbranched and eight branched fins in the dorsal fin; short maxillary bone with one or no teeth; four small foramens in the maxillary bone, and five in the premaxillary; 5-17 scales with pores in the lateral line, six between the lateral line and anal-fin origin, six between the lateral line and pelvic-fin origin, and nine predorsals; depth of the caudal peduncle has a mean of 16.7% in standard length; interorbital width 50.6% in head; a dark spot on caudal peduncle and a dark lateral band that extends vertically from the dorsal–fin origin to the tips of the middle caudal fin rays. Physical and chemical data of their habitat are included.

  20. The staging and performativity of ethnic tourism in Los Altos de Chiapas

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    Eugenia Bayona Escat

    2018-05-01

    Full Text Available This paper reflects on the ethnic tourism and the selective and particular visions that tourists have about the indigenous population, described as different and exotic. The constructive look of the tourist is combined with the need to experiment with the otherness to authenticate the travel. This implies deepening the processes that make up the ethnic imaginary within the global leisure market, but also in analyzing the role that performance activities acquire as a tourist attraction. The work wants to explore the exhibition of the indigenous body in the tourist market from two visions: on the one hand, the interest of the body as cultural heritage; on the other, the moving body on the tourist stage. For the analysis I will use the ethnographic data of the region Altos Tzotzil Tzeltal of Chiapas (Mexico with great influx of ethnic tourists. The purpose is to observe how in these tourist spaces, built as exotic and outside the world economic and cultural system, they become precisely transnational places of exchange of glances, and in places where it is exhibited, observes and commodified a body qualified as ethnic.

  1. Reporte de cuatro casos clínicos de filariasis en Alto Nanay, Loreto

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    Javier Vargas-Herrera

    Full Text Available El presente estudio describe los hallazgos clínicos, parasitológicos y de laboratorio de cuatro pacientes residentes en el distrito de Alto Nanay, Maynas, Loreto, Perú; infectados con microfilarias de Mansonella ozzardi. La evaluación clínica incluyó las especialidades de oftalmología, cardiología y nefrología. En el caso 1, destaca la presencia de dos tumoraciones subcutáneas, una a nivel dorsal y la otra en el tercio inferior de la pierna izquierda; en el caso 2, la sensación de “hormigueo o frío en las piernas”; en el caso 3 se encontró asociada una infección crónica por hepatitis B y en el caso 4 una tumoración de gran tamaño en región lumbar izquierda. En los cuatro pacientes se encontró Mansonella ozzardi y eosinofilia, tres presentaron valores mayores a 20%. La tumoración en el caso 4 correspondió a una hernia de contenido intestinal. Es necesario ejecutar más estudios clínicos y evaluar su verdadero efecto patógeno, es también pertinente estudiar la diversidad genética de filarias de la Amazonia peruana.

  2. Farmers typology and crops sustainability in Alto Urubamba, La Convencion – Cusco

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    Isaías Merma

    2012-06-01

    Full Text Available The research was conducted in the geographical region of Alto Urubamba, province of La Convencion, Cusco - Peru. The objective was to identify types of farmers and evaluate crops sustainability on farms of high forest. Surveys were applied to a sample of 106 farmers in both biophysical and socio-economic terms in order to identify typology; this information was analyzed through descriptive statistics. Multivariate analysis using preselected variables was performed to identify types of farmers. In addition, sustainability of eight tropical crops was evaluated; for this purpose, three farms for each crop were selected from 24 evaluated farms. Practical indicators of soil quality and crop health with a valuation from 0 to 10 were used; farmers participated during this evaluation. The results show that there are three types of farmers according to their efficiency in resources management and their economic logic. The crops of tea (6.65 and mango (6.50 obtained the highest values of sustainability, followed by coffee (6.25, cocoa (6.25, citrus (5.50, banana (5.45 and coca (5.10. Papaya (4.60 shows a value less than five; therefore, is considered as unsustainable according to local conditions.

  3. Pulmonary Immune-Compartment-Specific Interferon Gamma Responses in HIV-Infected Individuals with Active Tuberculosis (TB in an Area of High TB Prevalence

    Directory of Open Access Journals (Sweden)

    S. Buldeo

    2012-01-01

    Full Text Available There is a paucity of data on the pulmonary immune-compartment interferon gamma (IFNγ response to M. tuberculosis, particularly in settings of high tuberculosis (TB prevalence and in HIV-coinfected individuals. This data is necessary to understand the diagnostic potential of commercially available interferon gamma release assays (IGRAs in both the pulmonary immune-compartment and peripheral blood. We used intracellular cytokine staining by flow cytometry to assess the IFNγ response to purified protein derivative (PPD and early secretory antigen 6 (ESAT6 in induced sputa (ISp and blood samples from HIV-infected, smear-negative, TB suspects. We found that individuals with active TB disease produced significantly less IFNγ in response to PPD in their induced sputa samples than individuals with non-active TB (control group. This difference was not reflected in the peripheral blood, even within the CD27− CD4+ memory T lymphocyte population. These findings suggest that progression to active TB disease may be associated with the loss of IFNγ secretion at the site of primary infection. Our findings highlight the importance of studying pulmonary immune-compartment M. tuberculosis specific responses to elucidate IFNγ secretion across the spectrum of TB disease.

  4. Effects of Green - Emitting Phosphor (La,Ce,TbPO_4:Ce:Tb on Luminous Flux and Color Quality of White LED Lamps

    Directory of Open Access Journals (Sweden)

    Nguyen Thi Phuong Thao

    2017-01-01

    Full Text Available In this paper, we present and analyze the influence of (La,Ce,TbPO_4:Ce:Tb green phosphor (LaTb toward the performance of the multi-chip white LED (MCW-LEDs lamps including color uniformity, lumen output, Color Rendering Index (CRI, and Color Quality Scale (CQS. By mixing the LaTb green phosphor and the YAG:Ce yellow phosphor compounding under condition of 7000 K MCW-LEDs, this new approach can produce a huge meaningful change in lumen output and the angular color distribution of MCW-LEDs. We also study the interaction between the concentration and size of the LaTb particles with output flux, color uniformity, CRI, and CQS. The obtained results demonstrate that the higher lumen output, the higher color uniformity enhancement could be attained by adding the LaTb particles with a size range around 6-8 µm and the concentration around 1.5% in phosphor layer. Meanwhile, the decrease of the color rendering value (CRI and the Color Quality Scale (CQS tend to be stable and insignificant. In other words, the obtained results provide a prospective method which plays an important role in the development of MCW-LED manufacturing technology.

  5. Structural and optical properties of Tb and Na-Tb co-doped Ca3V2O8 phosphors prepared by sol-gel process

    Science.gov (United States)

    Parab, Shambhu S.; Salker, A. V.

    2018-01-01

    A malic acid assisted sol-gel route was successfully employed to prepare two distinct series of green emitting Ca3V2O8 phosphors. In the first series, Tb was solely doped whereas in the second series Na and Tb were doped simultaneously in the Ca3V2O8 crystal lattice. X-ray diffraction studies proved the utility of adopted preparative method by confirming the monophasic formation of all compounds from both the series. Spectral analysis like Raman spectroscopy, UV-DRS were undertaken to analyse the local structure, crystallinity and absorptive characteristics. XPS validated the presence of desired oxidation states of all the elements present. Finally, photoluminescence studies were done to elucidate the scope of prepared compounds as green emitting phosphors and also to understand the effect of both doping schemes on the luminescence. Intense green emission was observed in both the cases. Tb concentration of 0.08 was found to be optimum in case of Tb singly doped compounds whereas Tb = 0.12 showed highest intensity among the Na-Tb co-doped samples. Moreover, a red shift in the excitation wavelength was observed after Na doping signifying a change in the local electronic environment which in turn has affected the luminescence pattern. Local crystallinity and vacancy concentrations were found to have a major say on the emission intensities.

  6. Sensitivity and specificity of QuantiFERON-TB Gold Plus compared with QuantiFERON-TB Gold In-Tube and T-SPOT.TB on active tuberculosis in Japan.

    Science.gov (United States)

    Takasaki, Jin; Manabe, Toshie; Morino, Eriko; Muto, Yoshikazu; Hashimoto, Masao; Iikura, Motoyasu; Izumi, Shinyu; Sugiyama, Haruhito; Kudo, Koichiro

    2018-03-01

    The QuantiFERON-TB Gold Plus (QFT-Plus) was introduced in 2015 as a new generation of interferon-gamma release assays (IGRAs) designed to detect Mycobacterium tuberculosis infection (TB). Examination of its diagnostic accuracy is crucial before it is launched in Japan. We examined 99 patients with laboratory-confirmed active TB (patients) and 117 healthy volunteers with no risk of TB infection (controls) at a medical center in Tokyo, Japan. Blood samples were collected from both the patients and controls and tested using three types of IGRAs: the QFT-Plus, the QuantiFERON-TB Gold In-Tube (QFT-GIT), and the T-SPOT.TB (T-SPOT). The sensitivity and specificity of each IGRA were examined and compared. The sensitivity of the QFT-Plus was 98.9% (95% confidence interval [CI], 0.934-0.998) and similar to that of the QFT-GIT (97.9%; 95% CI, 0.929-0.998) and T-SPOT (96.9%; 95% CI, 0.914-0.994). The specificity of the QFT-Plus was the same as that of the QFT-GIT and T-SPOT (98.1%; 95% CI, 0.934-0.998). One patient with uncontrolled diabetes mellitus showed negative results on all three IGRAs. The QFT-Plus showed a high degree of agreement with the QFT-GIT and T-SPOT, with high sensitivity and specificity. Severe diabetes mellitus may influence the results of IGRAs. Larger studies are needed to validate the accuracy of the GFT-Plus and determine whether it can contribute as adjunctive method for the early diagnosis of active TB in Japan. Copyright © 2017 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  7. Tracing contacts of TB patients in Malaysia: costs and practicality.

    Science.gov (United States)

    Atif, Muhammad; Sulaiman, Syed Azhar Syed; Shafie, Asrul Akmal; Ali, Irfhan; Asif, Muhammad

    2012-01-01

    Tuberculin skin testing (TST) and chest X-ray are the conventional methods used for tracing suspected tuberculosis (TB) patients. The purpose of the study was to calculate the cost incurred by Penang General Hospital on performing one contact tracing procedure using an activity based costing approach. Contact tracing records (including the demographic profile of contacts and outcome of the contact tracing procedure) from March 2010 until February 2011 were retrospectively obtained from the TB contact tracing record book. The human resource cost was calculated by multiplying the mean time spent (in minutes) by employees doing a specific activity by their per-minute salaries. The costs of consumables, Purified Protein Derivative vials and clinical equipment were obtained from the procurement section of the Pharmacy and Radiology Departments. The cost of the building was calculated by multiplying the area of space used by the facility with the unit cost of the public building department. Straight-line deprecation with a discount rate of 3% was assumed for the calculation of equivalent annual costs for the building and machines. Out of 1024 contact tracing procedures, TST was positive (≥10 mm) in 38 suspects. However, chemoprophylaxis was started in none. Yield of contact tracing (active tuberculosis) was as low as 0.5%. The total unit cost of chest X-ray and TST was MYR 9.23 (2.90 USD) & MYR 11.80 (USD 3.70), respectively. The total cost incurred on a single contact tracing procedure was MYR 21.03 (USD 6.60). Our findings suggest that the yield of contact tracing was very low which may be attributed to an inappropriate prioritization process. TST may be replaced with more accurate and specific methods (interferon gamma release assay) in highly prioritized contacts; or TST-positive contacts should be administered 6H therapy (provided that the chest radiography excludes TB) in accordance with standard protocols. The unit cost of contact tracing can be significantly

  8. Structural and magnetic properties of Tb implanted ZnO single crystals

    International Nuclear Information System (INIS)

    Zhou Shengqiang; Potzger, K.; Muecklich, A.; Eichhorn, F.; Helm, M.; Skorupa, W.; Fassbender, J.

    2008-01-01

    ZnO single crystals have been implanted with Tb ions. For an atomic concentration of 1.5%, annealing at 823 K leads to an increase of the saturation magnetization per implanted Tb ion up to 1.8 μ B at room temperature. Structural investigations revealed no secondary phase formation, but the out-diffusion of Tb. No significant evidence is found for Tb substituting Zn sites either in the as-implanted or annealed samples. However, indications for the existence of a small amount of Tb nanoclusters however have been found using magnetization versus temperature measurements. The ferromagnetic properties disappear completely upon annealing at 1023 K. This behavior is related to the formation of oxide complexes or nanoparticles

  9. Fusion of 6Li with 159Tb at near-barrier energies

    International Nuclear Information System (INIS)

    Pradhan, M. K.; Mukherjee, A.; Basu, P.; Goswami, A.; Kshetri, R.; Roy, Subinit; Chowdhury, P. Roy; Sarkar, M. Saha; Palit, R.; Parkar, V. V.; Santra, S.; Ray, M.

    2011-01-01

    Complete and incomplete fusion cross sections for 6 Li + 159 Tb have been measured at energies around the Coulomb barrier by the γ-ray method. The measurements show that the complete fusion cross sections at above-barrier energies are suppressed by ∼34% compared to coupled-channel calculations. A comparison of the complete fusion cross sections at above-barrier energies with the existing data for 11,10 B + 159 Tb and 7 Li + 159 Tb shows that the extent of suppression is correlated with the α separation energies of the projectiles. It has been argued that the Dy isotopes produced in the reaction 6 Li + 159 Tb at below-barrier energies are primarily due to the d transfer to unbound states of 159 Tb, while both transfer and incomplete fusion processes contribute at above-barrier energies.

  10. Continuous production of phosphor YAG:Tb nanoparticles by hydrothermal synthesis in supercritical water

    International Nuclear Information System (INIS)

    Hakuta, Yukiya; Haganuma, Tsukasa; Sue, Kiwamu; Adschiri, Tadafumi; Arai, Kunio

    2003-01-01

    Phosphor YAG:Tb ((Y 2.7 Tb 0.3 )Al 5 O 12 ) nano particles were synthesized by a hydrothermal method at supercritical conditions (400 deg. C and 30 MPa) using a flow reactor. Hydroxide sol solutions formed by stoichiometric aluminum nitrate, yttrium nitrate, terbium nitrate and potassium hydroxide solutions. The relationship between particle size and experimental variables including pH, concentration of coexistent ions and hydroxide sol were investigated. Particles were characterized by XRD, TEM and photo-luminescence measurements. Particle size of YAG:Tb became finer as pH was increased or potassium nitrate concentration of the starting metal salt solution was increased. By removing the coexisting ions (NO 3 - , K + ) from the metal salt solution, single phase YAG:Tb particles with 20 nm particle size were obtained. The emission spectra of YAG:Tb particles of 14 nm shows a blue shift

  11. High pressure behaviour of TbN: an X-ray diffraction and computational study

    DEFF Research Database (Denmark)

    Jakobsen, J.M.; Madsen, G.K.H.; Jorgensen, J.E.

    2002-01-01

    In the present work, we report an X-ray powder diffraction study of TbN up to an applied hydrostatic pressure of 43 GPa. TbN was found to be stable in the 131 (NaCl structure) within the examined pressure interval, and the zero pressure bulk modulus was determined to be 176(7) GPa. The electronic...... is greatly improved by introducing an orbital dependent U term into the energy-functional. The 4f electrons in TbN-B1 are atomic like and highly correlated, and ferro-magnetic TbN-B1 is found to be a magnetic half-metal. Calculations find the spindown f-electrons in a hypothetical TbN-B2 (CsCl) structure...

  12. Eu-, Tb-, and Dy-Doped Oxyfluoride Silicate Glasses for LED Applications

    DEFF Research Database (Denmark)

    Zhu, C.F.; Wang, J.; Zhang, M.M.

    2014-01-01

    Luminescence glass is a potential candidate for the light-emitting diodes (LEDs) applications. Here, we study the structural and optical properties of the Eu-, Tb-, and Dy-doped oxyfluoride silicate glasses for LEDs by means of X-ray diffraction, photoluminescence spectra, Commission Internationale...... de L’Eclairage (CIE) chromaticity coordinates, and correlated color temperatures (CCTs). The results show that the white light emission can be achieved in Eu/Tb/Dy codoped oxyfluoride silicate glasses under excitation by near-ultraviolet light due to the simultaneous generation of blue, green, yellow......, and red-light wavelengths from Tb, Dy, and Eu ions. The optical performances can be tuned by varying the glass composition and excitation wavelength. Furthermore, we observed a remarkable emission spectral change for the Tb3+ single-doped oxyfluoride silicate glasses. The 5D3 emission of Tb3+ can...

  13. Na3Tb(PO4)2: Synthesis, crystal structure and greenish emitting properties

    Science.gov (United States)

    Zhao, Dan; Ma, Zhao; Liu, Bao-Zhong; Zhang, Rui-Juan; Wu, Zhi-Qiang; Wang, Jian; Duan, Pei-Gao

    2018-03-01

    A anhydrous orthoborate Na3Tb(PO4)2 has been prepared and its crystal structure was determined by X-Ray diffraction of a non-merohedral twinned single crystal. The results show that the compound crystallizes in monoclinic space group C2/c and the structure features a 3D framework containing PO4, NaO6, NaO7, NaO8 and TbO8 polyhedra. Under near-UV excitation (370 nm), Na3Tb(PO4)2 shows intense characteristic emission bands of Tb3+ (490 nm, 543 nm, 585 nm and 620 nm) with the CIE coordinate of (0.3062, 0.5901), corresponding to greenish color. The excitation spectrum covers a wide range from 340 nm to 390 nm, which indicates that phosphor Na3Tb(PO4)2 can be efficiently activated by near-UV LED ship.

  14. X-ray magnetic absorption in Fe-Tb amorphous thin films

    CERN Document Server

    Kim, Chan Wook; Watanabe, Yasuhiro

    1999-01-01

    In order to investigate the magnetic structure of Fe-Tb amorphous thin films, we have performed magnetic circular dichroism (MCD) measurements by using the circularly polarized X-ray at the Fe K- and the Tb L2,3-edges in Fe sub 8 sub 8 Tb sub 1 sub 2 , Fe sub 8 sub 0 Tb sub 2 sub 0 , and Fe sub 6 sub 2 Tb sub 3 sub 8. In all samples, the spin-dependent absorption effects, DELTA mu t, were observed. Also, elementary information was obtained on the spin polarizations of the p- and the d-projected electrons lying in the unoccupied states near the Fermi levels in the samples.

  15. Solid oxide galvanic cell for determination of Gibbs energy of formation of Tb6UO12(s)

    International Nuclear Information System (INIS)

    Sahu, Manjulata; Dash, Smruti

    2013-01-01

    Citrate-nitrate combustion method was used to synthesise Tb 6 UO 12 (s). Gibbs energy of formation of Tb 6 UO 12 (s) was measured using solid oxide galvanic cell in the temperature range 957-1175 K. (author)

  16. A review of the literature on the economics of vaccination against TB.

    Science.gov (United States)

    Tu, Hong-Anh T; Vu, Hoa D; Rozenbaum, Mark H; Woerdenbag, Herman J; Postma, Maarten J

    2012-03-01

    The BCG vaccine was introduced in 1921 and remains the only licensed vaccine for the prevention of TB worldwide. Despite its extensive use, the BCG vaccine lacks the ability to fully control the TB-endemic and -pandemic situations. The BCG vaccine is most effective in preventing pediatric TB, in particular, miliary TB and tuberculous meningitis. However, it has a limited effect in preventing pulmonary TB, which occurs more frequently in adults. BCG vaccination has now been implemented in more than 157 countries worldwide. For various countries, the benefits of vaccination are only limited and potentially not cost effective. The International Union Against Tuberculosis and Lung Diseases had set the criteria for discontinuation of BCG vaccination in 1994. This decision, however, was not based on economic considerations. Many developed countries have met the criteria set by the International Union Against Tuberculosis and Lung Disease and stopped universal BCG vaccination. For developing countries, the BCG vaccine is still an effective intervention in protecting young children from TB infection. A lot of effort has been spent on R&D of new TB vaccines, the first of which are expected to be available within 5-7 years from now. Novel TB vaccines are expected to be better and more effective than the current BCG vaccine and should provide a viable strategy in controlling TB morbidity and mortality. In this review, the aim is to explore economic evaluations that have been carried out for vaccination against TB worldwide. In addition to epidemiological evidence, economic evidence can play a crucial role in supporting the governments of countries in making proper public health decisions on BCG vaccination policies, in particular, to implement, continue, or discontinue.

  17. Alternative medicine: an ethnographic study of how practitioners of Indian medical systems manage TB in Mumbai.

    Science.gov (United States)

    McDowell, Andrew; Pai, Madhukar

    2016-03-01

    Mumbai is a hot spot for drug-resistant TB, and private practitioners trained in AYUSH systems (Ayurveda, yoga, Unani, Siddha and homeopathy) are major healthcare providers. It is important to understand how AYUSH practitioners manage patients with TB or presumptive TB. We conducted semi-structured interviews of 175 Mumbai slum-based practitioners holding degrees in Ayurveda, homeopathy and Unani. Most providers gave multiple interviews. We observed 10 providers in clinical interactions, documenting: clinical examinations, symptoms, history taking, prescriptions and diagnostic tests. No practitioners exclusively used his or her system of training. The practice of biomedicine is frequent, with practitioners often using biomedical disease categories and diagnostics. The use of homeopathy was rare (only 4% of consultations with homeopaths resulted in homeopathic remedies) and Ayurveda rarer (3% of consultations). For TB, all mentioned chest x-ray while 31 (17.7%) mentioned sputum smear as a TB test. One hundred and sixty-four practitioners (93.7%) reported referring TB patients to a public hospital or chest physician. Eleven practitioners (6.3%) reported treating patients with TB. Nine (5.1%) reported treating patients with drug-susceptible TB with at least one second-line drug. Important sources of health care in Mumbai's slums, AYUSH physicians frequently use biomedical therapies and most refer patients with TB to chest physicians or the public sector. They are integral to TB care and control. © The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  18. The QuantiFERON-TB Gold In-Tube Assay in Neuro-Ophthalmology.

    Science.gov (United States)

    Little, Leanne M; Rigi, Mohammed; Suleiman, Ayman; Smith, Stacy V; Graviss, Edward A; Foroozan, Rod; Lee, Andrew G

    2017-09-01

    Although QuantiFERON-TB Gold In-Tube (QFT-GIT) testing is regularly used to detect infection with Mycobacterium tuberculosis, its utility in a patient population with a low risk for tuberculosis (TB) has been questioned. The following is a cohort study analyzing the efficacy of QFT-GIT testing as a method for detection of active TB disease in low-risk individuals in a neuro-ophthalmologic setting. Ninety-nine patients from 2 neuro-ophthalmology centers were identified as having undergone QFT-GIT testing between January 2012 and February 2016. Patients were divided into groups of negative, indeterminate, and positive QFT-GIT results. Records of patients with positive QFT-GIT results were reviewed for development of latent or active TB, as determined by clinical, bacteriologic, and/or radiographic evidence. Of the 99 cases reviewed, 18 patients had positive QFT-GIT tests. Of these 18 cases, 12 had documentation of chest radiographs or computed tomography which showed no evidence for either active TB or pulmonary latent TB infection (LTBI). Four had chest imaging which was indicative of possible LTBI. None of these 18 patients had symptoms of active TB and none developed active TB within the follow-up period. Based on our results, we conclude that routine testing with QFT-GIT in a low-risk cohort did not diagnose active TB infection. We do not recommend routine QFT-GIT testing for TB low-risk individuals, as discerned through patient and exposure history, ocular examination, and clinical judgment, in neuro-ophthalmology practice.

  19. FEATURES OF ADOLESCENTS TUBERCULOSIS AT A REFERRAL TB'S HOSPITAL IN TEHRAN, IRAN

    Directory of Open Access Journals (Sweden)

    Ferial Lotfian

    2016-01-01

    Full Text Available Abstract OBJECTIVE: To identify the pattern of the clinical, radiological, diagnostic procedures and loss to follow -up of the diagnosed cases of active tuberculosis (TB adolescents. METHODS: This study was a retrospective analysis of the medical records of 143 adolescents aged 10 to 18 years with tuberculosis who were admitted TB wards of National Research Institute of Tuberculosis and Lung Disease (NRITLD in Tehran, Iran, between March 2006 and March2011. RESULTS: Of the 143 patients identified, 62.9% were females. Median age of the patients was 16 years. The contact source was identified in 47.5%.The most common presenting symptom was cough (86%.Isolated pulmonary TB (PTB was detected in 113 patients (79%, 21 patients (14.7% had extrapulmonary TB(EPTB, and 9 patients (6.3% had PTB and EP TB .The most common site of  EPTB was pleural (14% .The most common radiographic finding was infiltration (61%.Positive acid fast smears were seen in 67.8%.Positive cultures for Mycobacterium tuberculosis(M. TB were seen in 31.6%. Positive PCR results were seen in 60%.The adolescents aged 15 to 18 years were more likely to lose weight (p=0.001, smear positive (p=0.002and have positive PCR results (p=0.009. The type of TB (p=0.017 was a significant factor influencing loss to follow-up. CONCLUSIONS: Adolescents with the high rate of positive sputum smear results and the high treatment default rate are more likely to increase risk for TB transmission to the community. The TB control programs should pay more attention to prevention and treatment of TB in adolescents.     Key words: adolescents, tuberculosis, Lost to follow-up, prevention

  20. Tunable emission and concentration quenching of Tb{sup 3+} in magnesium phosphate lithium

    Energy Technology Data Exchange (ETDEWEB)

    Shi, Mingming; Zhang, Dongyun, E-mail: dyz@sit.edu.cn; Chang, Chengkang

    2015-04-05

    Highlights: • It is very likely the first time to realize tunable emission using Tb{sup 3+} as emitting centers. • Tb{sup 3+}:LiMgPO{sub 4} with colorful emissions are obtained by simply adjusting the Tb concentration. • The energy transfer method is implied by calculating the index of electric multipole interaction. • Either the dipole–dipole or exchange interaction method is proposed for each emission. - Abstract: Tunable photoluminescence of Tb{sup 3+}-doped LiMgPO{sub 4} (Tb{sup 3+}:LiMgPO{sub 4}) phosphors with different Tb{sup 3+} concentrations are successfully synthesized by a high temperature solid-state reaction routine. X-ray diffraction (XRD) and photoluminescent spectroscope (PLS) are employed to characterize the phosphors. It is found that a suitable firing temperature is important for the synthesis of the phosphors, and pure phase material can only be obtained around 900 °C. PL spectra reveals typical {sup 5}D{sub 4} to {sup 7}F{sub j} energy transition of Tb{sup 3+} ions, and the emission colors varied from red to green with Tb{sup 3+} concentration increasing, which is caused by the concentration quenching of Tb{sup 3+} emission centers in the LiMgPO{sub 4} matrix. The emissions peaking at 591, 619 and 695 nm are quenched at concentration of 1.5%, while the emissions at 489 nm and 543 nm are quenched at concentration of 8%. Further analysis of the data reveals two different energy transfer mechanisms for the five emission bands. The dipole–dipole model is proposed for the energy transfer of the red bands peaking at 694 nm, 619 nm and 591 nm, while the exchange interaction model is suggested for that of the green bands (543 nm and 489 nm), due to the different ion separations caused by different Tb concentrations.

  1. Energy and quality of life: a case study in HPP Tijuco Alto, Ribeira, SP; Energia e qualidade de vida: estudo de caso da Uhe Tijuco Alto no Municipio de Ribeira, SP

    Energy Technology Data Exchange (ETDEWEB)

    Conceicao, Andre Luiz da [Universidade Estadual de Campinas (FEM/UNICAMP), SP (BRazil). Fac. de Engenharia Mecanica], email: conceicao.andreluiz@yahoo.com.br; Seixas, Sonia Regina da Cal [Universidade Estadual de Campinas (NEPAM/UNICAMP), SP (BRazil). Nucleo de Estudos e Pesquisas Ambientais], email: srcal@unicamp.br

    2010-07-01

    This paper deals with a critical and reflexive that the issue involving the possibility of construction and operation of Hydroelectric Power (HEP) Tijuco Alto, the upper course of the Ribeira Valley between Sao Paulo and Parana, in the Vale do Ribeira. This project will directly affect the towns of Ribeira-SP, Itapirapua Paulista-SP, Cerro Azul-PR, Dr. Ulysses-PR and Adrianopolis-PR. Thus, we defined the main objective of the research examines the quality of life in the city of Ribeira-SP, at the possibility of deployment of the dam. Thus, field research was conducted in the city and interviews with residents, where it was possible to observe, among other things the precarious economic conditions, social, urban and cultural community. Another aspect noted was the fact that most respondents to position themselves for the construction of the HPP Tijuco Alto, citing primarily the need for local development and increased job opportunities. Those opposing the plant, highlighted environmental issues, mainly, reasons related to loss of peace and security site. Regardless of those who are for or against, a technical opinion issued by IBAMA in 2008 points to the likely deployment of the HPP Tijuco Alto. (author)

  2. Luminescent properties of Al2O3: Tb powders

    International Nuclear Information System (INIS)

    Esparza G, A.E.; Garcia, M.; Falcony, C.; Azorin N, J.

    2000-01-01

    In this work the photo luminescent and cathode luminescent characteristics of aluminium oxide (Al 2 O 3 ) powders impurified with terbium (Tb) were studied for their use in dosimetry. The optical, structural, morphological characteristics of the powders as function of variation in the impurity concentration and the annealing temperature will be presented. As regards the optical properties of powders (photoluminescence and cathode luminescence) it was observed a characteristic emission associated with radiative transitions between electron energy levels of terbium, the spectra associated with this emission consists of several peaks associated with such transitions. In the structural and morphological characterization (X-ray diffraction and scanning electron microscopy) it was appreciated that in accordance the annealing temperature of powders is augmented it is evident the apparition of certain crystalline phases. The results show that this is a promissory material for radiation dosimetry. (Author)

  3. Radiochemical separation of Tb-149 after tandem accelerator production

    International Nuclear Information System (INIS)

    Sarkar, S.R.

    1996-01-01

    Full text: Terbium-149 is produced by the heavy ion induced reaction of the type 142 Nd( 12 C,5n) 149 Dy→ 149 Tb. This work concerns the separation of terbium from neodymium target, and other lanthanides produced by secondary reactions on neodymium target. Firstly, anion-exchange separation is carried out at room temperature using acid-alcohol media (90% methanol-10% 5M nitric acid) as eluent. But the separation is not satisfactory. To achieve satisfactory separation, cation exchange separation is performed under pressure at room temperature using 0.1 6M α-hydroxyisobutyric acid of pH 5 as eluent. The pressure is exerted from a nitrogen gas cylinder. The simplicity and efficacy of this method for the separation of terbium are discussed in comparison with the commercially available high performance liquid chromatography system

  4. Dosimetric characterization of KMgF3:Tb+PTFE

    International Nuclear Information System (INIS)

    Ramirez R, M. I.; Garcia S, L.; Villicana M, M.; Huirache A, R.; Apolinar C, J.; Gonzalez M, P. R.

    2017-10-01

    In this work the results obtained from the dosimetric characterization of the new radiation detectors of KMgF 3 :Tb+PTFE are presented. The host salt was obtained by means of the microwave technique, with the polycrystalline powder obtained, dosimeters were made in tablet form, using as Ptfe binder. The thermoluminescent response of these new detectors presented a linear behavior, in the dose range between 1 and 1000 Gy of 60 Co gamma radiation, the reproducibility test in the measurements, during ten cycles of heat treatment, irradiation and reading presented ± 3.7% Ds, in the stability test of thermoluminescent signal, during two months showed that the fading is practically null. Due to the results obtained, this new detector could be very useful for the dosimetry of ionizing radiation in different clinical applications. (Author)

  5. Microscopic study of superdeformed rotational bands in {sup 151} Tb

    Energy Technology Data Exchange (ETDEWEB)

    El Aouad, N.; Dudek, J.; Li, X.; Luo, W.D.; Molique, H.; Bouguettoucha, A.; Byrski, TH.; Beck, F.; Finck, C.; Kharraja, B. [Strasbourg-1 Univ., 67 (France). Centre de Recherches Nucleaires; Dobaczewski, J. [Warsaw Univ. (Poland); Kharraja, B. [Notre Dame Univ., IN (United States). Dept. of Physics

    1996-12-31

    Structure of eight superdeformed bands in the nucleus {sup 151}Tb is analyzed using the results of the Hartree-Fock and Woods-Saxon cranking approaches. It is demonstrated that far going similarities between the two approaches exit and predictions related to the structure of rotational bands calculated within the two models are nearly parallel. An interpretation scenario for the structure of the superdeformed bands is presented and predictions related to the exit spins are made. Small but systematic discrepancies between experiment and theory, analyzed in terms of the dynamical moments, J{sup (2)}, are shown to exist. The pairing correlations taken into account by using the particle-number-projection technique are shown to increase the disagreement. Sources of these systematic discrepancies are discussed - they are most likely related to the yet not optimal parametrization of the nuclear interactions used. (authors). 60 refs.

  6. Isomer spectroscopy of neutron-rich 168 Tb 103

    Energy Technology Data Exchange (ETDEWEB)

    Gurgi, L. A.; Regan, P. H.; Söderström, P. -A.; Watanabe, H.; Walker, P. M.; Podolyák, Zs.; Nishimura, S.; Berry, T. A.; Doornenbal, P.; Lorusso, G.; Isobe, T.; Baba, H.; Xu, Z. Y.; Sakurai, H.; Sumikama, T.; Catford, W. N.; Bruce, A. M.; Browne, F.; Lane, G. J.; Kondev, F. G.; Odahara, A.; Wu, J.; Liu, H. L.; Xu, F. R.; Korkulu, Z.; Lee, P.; Liu, J. J.; Phong, V. H.; Yag, A.; Zhang, G. X.; Alharbi, T.; Carroll, R. J.; Chae, K. Y.; Dombradi, Zs.; Estrade, A.; Fukuda, N.; Griffin, C.; Ideguchi, E.; Inabe, N.; Kanaoka, H.; Kojouharov, I.; Kubo, T.; Kubono, S.; Kurz, N.; Kuti, I.; Lalkovski, S.; Lee, E. J.; Lee, C. S.; Lotay, G.; Moon, C. -B.; Nishizuka, I.; Nita, C. R.; Patel, Z.; Roberts, O. J.; Schaffner, H.; Shand, C. M.; Suzuki, H.; Takeda, H.; Terashima, S.; Vajta, Zs.; Yoshida, S.; Valiente-Dòbon, J. J.

    2017-11-01

    In-flight fission of a 345 MeV per nucleon 238U primary beam on a 2 mm thick 9Be target has been used to produce and study the decays of a range of neutron-rich nuclei centred around the doubly mid-shell nucleus 170Dy at the RIBF Facility, RIKEN, Japan. The produced secondary fragments of interest were identified event-by-event using the BigRIPS separator. The fragments were implanted into the WAS3ABI position sensitive silicon active stopper which allowed pixelated correlations between implants and their subsequent β-decay. Discrete γ-ray transitions emitted following decays from either metastable states or excited states populated following beta decay were identified using the 84 coaxial high-purity germanium (HPGe) detectors of the EURICA spectrometer, which was complemented by 18 additional cerium-doped lanthanum bromide (LaBr3) fast-timing scintillation detectors from the FATIMA collaboration. This paper presents the internal decay of a metastable isomeric excited state in the odd-odd nucleus 168Tb, which corresponds to a single proton-neutron hole configuration in the valence maximum nucleus 170Dy. These data represent the first information on excited states in this nucleus, which is the most neutron-rich odd-odd isotope of terbium (Z=65) studied to date. Nilsson configurations associated with an axially symmetric, prolate-deformed nucleus are proposed for the 168Tb ground state the observed isomeric state by comparison with Blocked BCS-Nilsson calculations.

  7. Superdeformation studies in {sup 150}Tb and {sup 153}Ho

    Energy Technology Data Exchange (ETDEWEB)

    Nisius, D.; Janssens, R.V.F.; Crowell, B. [and others

    1995-08-01

    There are now over 40 superdeformed (SD) bands known in the A {approximately} 150 region and in most cases the properties of these bands are understood in terms of single-particle excitations in the absence of pairing. By continuing the search for new SD bands we hope to gain insight into (1) the ordering of the proton and neutron orbitals near the Fermi surface in the SD well, (2) the effects that the alignment of those orbitals has on the moments of inertia, and (3) the collective excitations in the SD well. For {sup 150}Tb, which is one proton and one neutron away from the SD doubly-magic nucleus {sup 152}Dy, it should be possible to study SD bands based on both proton and neutron hole excitations. By adding one proton to the {sup 152}Dy nucleus (i.e. {sup 153}Ho) proton excitations above the Z = 66 shell gap can be studied. These excitations are important as calculations suggested that the proton intruder orbital N = 7 might become occupied. Interactions between this orbital and a N = 5 level may result in softness towards octupole vibrations. High spin states in {sup 150}Th and {sup 153}Ho were populated using the {sup 124}Sn({sup 31}P,5n) and {sup 120}Sn({sup 37}Cl,4n) reactions, respectively. In both cases the early implementation phase of Gammasphere was used to detect the decay gamma rays and over 1 x 10{sup 9} triple and higher fold coincidence events were recorded. In {sup 150}Tb, the data analysis is complete and two new SD bands were identified. The fact that Im{sup (2)} moments of inertia are sensitive to the specific high-N intruder content of the SD bands was used to suggest configurations for the two new bands. A paper reporting these results is being prepared. For {sup 153}Ho, data analysis is still in its early stages.

  8. Adverse Events among HIV/MDR-TB Co-Infected Patients Receiving Antiretroviral and Second Line Anti-TB Treatment in Mumbai, India

    Science.gov (United States)

    Isaakidis, Petros; Varghese, Bhanumati; Mansoor, Homa; Cox, Helen S.; Ladomirska, Joanna; Saranchuk, Peter; Da Silva, Esdras; Khan, Samsuddin; Paryani, Roma; Udwadia, Zarir; Migliori, Giovanni Battista; Sotgiu, Giovanni; Reid, Tony

    2012-01-01

    Background Significant adverse events (AE) have been reported in patients receiving medications for multidrug- and extensively-drug-resistant tuberculosis (MDR-TB & XDR-TB). However, there is little prospective data on AE in MDR- or XDR-TB/HIV co-infected patients on antituberculosis and antiretroviral therapy (ART) in programmatic settings. Methods Médecins Sans Frontières (MSF) is supporting a community-based treatment program for drug-resistant tuberculosis in HIV-infected patients in a slum setting in Mumbai, India since 2007. Patients are being treated for both diseases and the management of AE is done on an outpatient basis whenever possible. Prospective data were analysed to determine the occurrence and nature of AE. Results Between May 2007 and September 2011, 67 HIV/MDR-TB co-infected patients were being treated with anti-TB treatment and ART; 43.3% were female, median age was 35.5 years (Interquartile Range: 30.5–42) and the median duration of anti-TB treatment was 10 months (range 0.5–30). Overall, AE were common in this cohort: 71%, 63% and 40% of patients experienced one or more mild, moderate or severe AE, respectively. However, they were rarely life-threatening or debilitating. AE occurring most frequently included gastrointestinal symptoms (45% of patients), peripheral neuropathy (38%), hypothyroidism (32%), psychiatric symptoms (29%) and hypokalaemia (23%). Eleven patients were hospitalized for AE and one or more suspect drugs had to be permanently discontinued in 27 (40%). No AE led to indefinite suspension of an entire MDR-TB or ART regimen. Conclusions AE occurred frequently in this Mumbai HIV/MDR-TB cohort but not more frequently than in non-HIV patients on similar anti-TB treatment. Most AE can be successfully managed on an outpatient basis through a community-based treatment program, even in a resource-limited setting. Concerns about severe AE in the management of co-infected patients are justified, however, they should not cause delays

  9. HTLV-I en población de alto riesgo sexual de Pisco, Ica, Perú.

    Directory of Open Access Journals (Sweden)

    Patricia GARRIDO

    1997-07-01

    Full Text Available Objetivo: Se estudiaron 141 personas con alto riesgo sexual en la ciudad de Pisco para detectar infección por HTLV-I. Material y Métodos: Se encuestaron y se tomaron muestras de sangre a 141 personas que involucró a trabajadoras sexuales (32, varones homosexuales (54, y varones bisexuales(55. Resultados: Tres de treintidós (10.4% trabajadoras sexuales fueron positivas; uno de cincuenticuatro (1.9% de varones homosexuales y ninguno de 55 bisexuales. Hubo una elevada frecuencia de parejas, así como el antecedente de enfermedades de transmisión sexual (ETS en estos grupos con comportamiento de riesgo. Conclusiones: El HTLV-I es una infección frecuente en grupos de alto riesgo sexual de Pisco-Perú. (Rev Med Hered 1997; 8:104-107.

  10. Sobre la determinación de la calidad de las escorias de horno alto y de las puzolanas

    Directory of Open Access Journals (Sweden)

    Wittekindt, W.

    1964-06-01

    Full Text Available Not availableEn la molienda de clínker portland con escoria de horno alto para obtener cemento portland de hierro y cemento de horno alto, uno está más seguro de la calidad del clínker que de la escoria. El análisis del clínker y el cálculo de los minerales de clínker, facilitado por este análisis, nos dice ya, en gran parte, si se puede fabricar con este clínker un cemento portland de mayor o menor resistencia, si pueden esperarse buenas resistencias iniciales o si hay que contar más bien con mayores resistencias finales, cual es la resistencia del cemento a los sulfatos, etc.

  11. Temporal trends in TB notification rates during ART scale-up in Cape Town: an ecological analysis

    NARCIS (Netherlands)

    Hermans, Sabine; Boulle, Andrew; Caldwell, Judy; Pienaar, David; Wood, Robin

    2015-01-01

    Although antiretroviral therapy (ART) reduces individual tuberculosis (TB) risk by two-thirds, the population-level impact remains uncertain. Cape Town reports high TB notification rates associated with endemic HIV. We examined population trends in TB notification rates during a 10-year period of

  12. Relación entre el estilo de vida de una joven deportista de alto rendimiento y los patrones funcionales de salud de Marjory Gordon

    OpenAIRE

    Fabra Heredia, Juan Manuel; Casadó Marín, Lina

    2014-01-01

    Estudio de caso que busca conocer y comprender la relación que hay entre el estilo de vida de una joven deportista de alto rendimiento y los patrones funcionales de salud, a través de la valoración realizada a una joven deportista de alto rendimiento, desde una perspectiva holística, para adentrarse en las peculiaridades propias de este estilo de vida y crear un punto de partida para los cuidados de enfermería dirigidos a deportistas de alto rendimiento. En este caso, se observaron factores p...

  13. Evaluation of some energy options for the replacement of wood in cooking food in the Region Alto Patia

    International Nuclear Information System (INIS)

    Santacruz, Carlos A; Macia, Andres F

    2006-01-01

    In the present article an environmental evaluation appears financier and social of the different power solutions for the substitution from the wood in the food baking. First begins to describe the region of the Alto Patia, soon the objective population defines, this is village the San Juanito, in addition and they define the evaluation criteria the propose technologies that are: Solar, Electric, coal, gas and finally it is selected most suitable for this region.

  14. Lípidos séricos en escolares y adolescentes sanos chilenos de estrato socioeconómico alto

    Directory of Open Access Journals (Sweden)

    Zacarías S. José, Dr.

    2012-11-01

    Conclusiones: En niños y adolescentes chilenos sanos de estratos socioeconómicos altos, hay una alta proporción con colesterol total y colesterol LDL en zonas de riesgo o aumentadas. Las concentraciones de colesterol de adolescentes mujeres son significativamente mayores que las de varones. No se observó una asociación de lípidos séricos con perímetro abdominal o con IMC.

  15. The Risk of Depressive Disorder Among Contacts of Tuberculosis Patients in a TB-endemic Area

    Science.gov (United States)

    Pan, Sheng-Wei; Yen, Yung-Feng; Feng, Jia-Yih; Su, Vincent Yi-Fong; Kou, Yu Ru; Su, Wei-Juin

    2015-01-01

    Abstract Tuberculosis (TB) disease may be transmitted to close contacts of index cases, causing physical illness. No studies have investigated the risk of developing depressive disorder among TB contacts in a TB-endemic area. Adult participants with a new diagnosis of TB contact (ICD-9-CM codes V01.1 plus chest radiographic order) since January 1, 2008, were identified from the National Health Insurance Research Database in Taiwan. A control cohort matched for age (±5 y), sex, enrolled years, and income level was selected. These 2 cohorts were followed until December 31, 2012, and observed for the development of depressive disorder. The Kaplan-Meier method and the log-rank test were used to examine the difference in cumulative incidences of depressive disorder between groups. Cox proportional-hazard models were used to calculate adjusted hazard ratios (aHRs) for depressive disorder. The TB contact cohort consisted of 9046 patients and matched controls of 36,184 ones. The mean age of TB contacts was 44.7 years, and 56.0% of them were women. During a mean follow-up period of 2.5 years, 127 (1.40%) TB contacts and 521 (1.44%) matched controls developed depressive disorder. TB exposure was found to be an independent risk factor of depressive disorder in women (aHR 1.34, 95% confidence interval [CI] 1.07–1.68), but not in men (aHR 0.71, 95% CI 0.48–1.06) after adjusting for age, comorbidities, and income levels. The risk of depression was significantly higher for female TB contacts than for matched controls in the first and second years (aHR 1.49, 95% CI 1.03–2.14; and aHR 1.53, 95% CI 1.05–2.23, respectively), but not thereafter. Of note, 67 (0.74%) TB contacts and 88 (0.24%) matched controls developed active TB, but none of them had subsequent depressive disorder during follow-up periods. Female TB contacts had an increased risk of depression within the first 2 years after exposure. Clinicians should consider conducting depression evaluations in addition to

  16. Viral hepatitis and HIV-associated tuberculosis: Risk factors and TB treatment outcomes in Thailand

    Directory of Open Access Journals (Sweden)

    Likanonsakul Sirirat

    2008-07-01

    Full Text Available Abstract Background The occurrence of tuberculosis (TB, human immunodeficiency virus (HIV, and viral hepatitis infections in the same patient poses unique clinical and public health challenges, because medications to treat TB and HIV are hepatotoxic. We conducted an observational study to evaluate risk factors for HBsAg and/or anti-HCV reactivity and to assess differences in adverse events and TB treatment outcomes among HIV-infected TB patients. Methods Patients were evaluated at the beginning, during, and at the end of TB treatment. Blood samples were tested for aspartate aminotransferase (AST, alanine aminotransferase (ALT, total bilirubin (BR, complete blood count, and CD4+ T lymphocyte cell count. TB treatment outcomes were assessed at the end of TB treatment according to international guidelines. Results Of 769 enrolled patients, 752 (98% had serologic testing performed for viral hepatitis: 70 (9% were reactive for HBsAg, 237 (31% for anti-HCV, and 472 (63% non-reactive for both markers. At the beginning of TB treatment, 18 (26% patients with HBsAg reactivity had elevated liver function tests compared with 69 (15% patients non-reactive to any viral marker (p = 0.02. At the end of TB treatment, 493 (64% were successfully treated. Factors independently associated with HBsAg reactivity included being a man who had sex with men (adjusted odds ratio [AOR], 2.1; 95% confidence interval [CI], 1.1–4.3 and having low TB knowledge (AOR, 1.8; CI, 1.0–3.0. Factors most strongly associated with anti-HCV reactivity were having injection drug use history (AOR, 12.8; CI, 7.0–23.2 and living in Bangkok (AOR, 15.8; CI, 9.4–26.5. The rate of clinical hepatitis and death during TB treatment was similar in patients HBsAg reactive, anti-HCV reactive, both HBsAg and anti-HCV reactive, and non-reactive to any viral marker. Conclusion Among HIV-infected TB patients living in Thailand, markers of viral hepatitis infection, particularly hepatitis C virus

  17. Differential cellular recognition pattern to M. tuberculosis targets defined by IFN-γ and IL-17 production in blood from TB + patients from Honduras as compared to health care workers: TB and immune responses in patients from Honduras.

    Science.gov (United States)

    Alvarez-Corrales, Nancy; Ahmed, Raija K; Rodriguez, Carol A; Balaji, Kithiganahalli N; Rivera, Rebeca; Sompallae, Ramakrishna; Vudattu, Nalini K; Hoffner, Sven E; Zumla, Alimuddin; Pineda-Garcia, Lelany; Maeurer, Markus

    2013-03-06

    A better understanding of the quality of cellular immune responses directed against molecularly defined targets will guide the development of TB diagnostics and identification of molecularly defined, clinically relevant M.tb vaccine candidates. Recombinant proteins (n = 8) and peptide pools (n = 14) from M. tuberculosis (M.tb) targets were used to compare cellular immune responses defined by IFN-γ and IL-17 production using a Whole Blood Assay (WBA) in a cohort of 148 individuals, i.e. patients with TB + (n = 38), TB- individuals with other pulmonary diseases (n = 81) and individuals exposed to TB without evidence of clinical TB (health care workers, n = 29). M.tb antigens Rv2958c (glycosyltransferase), Rv2962c (mycolyltransferase), Rv1886c (Ag85B), Rv3804c (Ag85A), and the PPE family member Rv3347c were frequently recognized, defined by IFN-γ production, in blood from healthy individuals exposed to M.tb (health care workers). A different recognition pattern was found for IL-17 production in blood from M.tb exposed individuals responding to TB10.4 (Rv0288), Ag85B (Rv1886c) and the PPE family members Rv0978c and Rv1917c. The pattern of immune target recognition is different in regard to IFN-γ and IL-17 production to defined molecular M.tb targets in PBMCs from individuals frequently exposed to M.tb. The data represent the first mapping of cellular immune responses against M.tb targets in TB patients from Honduras.

  18. Sedimentation survey of Lago Loíza, Trujillo Alto, Puerto Rico, July 2009

    Science.gov (United States)

    Soler-López, Luis R.; Licha-Soler, N.A.

    2014-01-01

    Lago Loíza is a reservoir formed at the confluence of Río Gurabo and Río Grande de Loíza in the municipality of Trujillo Alto in central Puerto Rico, about 10 kilometers (km) north of the town of Caguas, about 9 km northwest of Gurabo, and about 3 km south of Trujillo Alto (fig. 1). The Carraizo Dam is owned and operated by the Puerto Rico Aqueduct and Sewer Authority (PRASA), and was constructed in 1953 as a water-supply reservoir for the San Juan Metropolitan area. The dam is a concrete gravity structure that is located in a shallow valley and has a gently sloping left abutment and steep right abutment. Non-overflow sections flank the spillway section. Waterways include an intake structure for the pumping station and power plant, sluiceways, a trash sluice, and a spillway. The reservoir was built to provide a storage capacity of 26.8 million cubic meters (Mm3) of water at the maximum pool elevation of 41.14 meters (m) above mean sea level (msl) for the Sergio Cuevas Filtration Plant that serves the San Juan metropolitan area. The reservoir has a drainage area of 538 square kilometers (km2) and receives an annual mean rainfall that ranges from 1,600 to 5,000 millimeters per year (mm/yr). The principal streams that drain into Lago Loíza are the Río Grande de Loíza, Río Gurabo, and Río Cañas. Two other rivers, the Río Bairoa and Río Cagüitas, discharge into the Río Grande de Loíza just before it enters the reservoir. The combined mean annual runoff of the Río Grande de Loíza and the Río Gurabo for the 1960–2009 period of record is 323 Mm3. Flow from these streams constitutes about 89 percent of the total mean annual inflow of 364 Mm3 to the reservoir (U.S. Geological Survey, 2009). Detailed information about Lago Loíza reservoir structures, historical sediment accumulation, and a dredge conducted in 1999 are available in Soler-López and Gómez-Gómez (2005). During July 8–15, 2009, the U.S. Geological Survey (USGS) Caribbean Water Science

  19. 222 Rn exposure assessment in the caves of Parque Estadual Turistico do Alto Ribeira (PETAR)

    International Nuclear Information System (INIS)

    Alberigi, Simone

    2006-01-01

    In the present work, radon concentrations in six caves of PETAR - Parque Estadual Turistico do Alto Ribeira (High Ribeira River Touristic State Park) were carried out with Makrofol E solid state nuclear track detectors (SSNTD) and used to assess the annual effective dose received by regional tour guides. The park has four visitation centers: Santana, Ouro Grosso, Caboclos e Casa de Pedra and receives nearly 40,000 people annually. The caves evaluated were Couto, Agua Suja, Laje Branca, Morro Preto and Santana, from Santana center and Alambari de Baixo from Ouro Grosso center, for being the most frequently visited caves. The exposure period of the SSNTD was, at least, three months, over a period of 26 months, from October 2003 to November 2005.The 222 Rn concentrations lay in a range from 153 Bq.m -3 to 6607 Bq.m -3 and we observed that, in general, for chilly weather, the radon levels decrease. The annual effective dose, considering the most realistic scenario, with geometric mean concentrations, an equilibrium factor of 0.5 and annual exposure time for each cave, varied from 0.2 mSv.a -1 for the Couto cave, strongly ventilated, to 4.0 mSv.a -1 for the Santana cave, the most frequently visited and no external communication. For the worst scenario, with arithmetic mean concentrations, equilibrium factor 1 and annual exposure time for all caves, the annual effective dose was 16.1 mSv.a -1 . All assessed effective doses received by the tour guides are bellow 20 mSv.a -1 suggested as an annual effective dose limit for occupational exposure by the International Commission of Radiological Protection (ICRP 60, 1990). (author)

  20. Fish mercury concentration in the Alto Pantanal, Brazil: influence of season and water parameters.

    Science.gov (United States)

    Hylander, L D; Pinto, F N; Guimarães, J R; Meili, M; Oliveira, L J; de Castro e Silva, E

    2000-10-16

    The tropical flood plain Pantanal is one of the world's largest wetlands and a wildlife sanctuary. Mercury (Hg) emissions from some upstream gold mining areas and recent findings of high natural Hg levels in tropical oxisols motivated studies on the Hg cycle in the Pantanal. A survey was made on total Hg in the most consumed piscivorous fish species from rivers and floodplain lakes in the north (Cáceres and Barão de Melgaço) and in the south part of Alto Pantanal (around the confluence of the Cuiabá and Paraguai rivers). Samples were collected in both the rainy and dry seasons (March and August 1998) and included piranha (Serrasalmus spp.), and catfish (Pseudoplatystoma coruscans, pintado, and Pseudoplatystoma fasciatum, cachara or surubim). There was only a small spatial variation in Hg concentration of the 185 analyzed fish samples from the 200 x 200 km large investigation area, and 90% contained total Hg concentration below the safety limit for regular fish consumption (500 ng g(-1)). Concentration above this limit was found in both Pseudoplatystoma and Serrasalmus samples from the Baia Siá Mariana, the only acid soft-water lake included in this study, during both the rainy and dry seasons. Concentration above this limit was also found in fish outside Baia Siá Mariana during the dry season, especially in Rio Cuiabá in the region of Barão de Melgaço. The seasonal effect may be connected with decreasing water volumes and changing habitat during the dry season. The results indicate that fertile women should restrict their consumption of piscivorous fishes from the Rio Cuiabá basin during the dry season. Measures should be implanted to avoid a further deterioration of fish Hg levels.

  1. NUEVAS TERAPIAS EN EL MANEJO DE LOS GLIOMAS DE ALTO GRADO

    Directory of Open Access Journals (Sweden)

    Dr. Raúl Valenzuela

    2017-05-01

    Full Text Available El reto de mejorar el tratamiento actual de los gliomas de alto grado ha sido abordado con inmensa creatividad, desarrollándose una gran variedad de estrategias para este fin. El análisis interino de un estudio fase III mostró que el beneficio de la terapia standard mejora al complementarla con terapia de campos eléctricos alternantes (Novo TTF-100 A; dadas las limitaciones de un análisis interino, queda por establecer la real magnitud y relevancia clínica de esta mejoría. El presunto beneficio de usar tratamiento antiviral contra citomegalovirus es muy controvertido y su utilidad no se ha demostrado en forma fehaciente. Las terapias antiangiogénicas han mostrado ser útiles para el manejo de las recurrencias, al menos como tratamiento sintomático, pero no han demostrado mejorar la sobrevida en pacientes de novo. La terapia dirigida contra señales intracelulares de crecimiento, conceptualmente muy atractiva, todavía no ha logrado resultados clínicos exitosos. Hay datos preliminares promisorios respecto al uso clínico de vacunas antitumorales y de inmunomodulación con inhibidores de “checkpoints”; también hay algunos datos preliminares a favor del uso de virus oncolíticos. La terapia genética parece estar en etapas aún muy tempranas de su desarrollo y probablemente demore más tiempo en llegar a demostrar utilidad clínica.

  2. Diversidad de peces en la cuenca del Alto Yuruá (Ucayali, Perú

    Directory of Open Access Journals (Sweden)

    Blanca Rengifo

    2013-05-01

    Full Text Available El presente estudio compara los patrones de diversidad de peces en la Cuenca del Alto Yurúa. El área de estudio comprendió tres sub cuencas: Beu, Breu y Yurúa, todas sin impacto antropogénico. Mediante pesca con redes de arrastre a orilla, se colectaron 10564 individuos y se identificaron 185 especies de peces. En escala regional, el promedio del índice de diversidad Shannon (H’ para Beu fue de 2,02; para Breu 1,84 y para Yuruá 1,75. Según el análisis de rarefacción, Yurúa tuvo la riqueza de especies esperada más alta (91 spp. en comparación con Beu (87 y Breu (68. En la escala local, los ambientes lóticos presentaron mayor riqueza y diversidad que los lénticos. La diversidad promedio (H’ fue mayor en lóticos (Beu 2,04; Breu 1,90; y Yurúa 1,86, comparados con lénticos de los mismos (Beu 1,66; Breu 1,86; y Yurúa 1,82. La mayor diversidad de peces observada en ambiente lóticos podría explicarse por que la mayoría de peces amazónicos tienen el comportamiento de desplazarse por los canales principales de los ríos, mientras que los lagos pueden presentar condiciones de estrés estacional (alta presión de depredación y bajas concentraciones de oxígeno disuelto.

  3. Tratamento do paciente com mielodisplasia de alto risco Treatment of myelodysplastic syndrome in high risk patients

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    Evandro M. Fagundes

    2006-09-01

    Full Text Available O tratamento do paciente com mielodisplasia deve ser feito considerando o risco biológico da doença, a idade e as condições clínicas do paciente. De um modo geral, uma doença de alto risco necessitaria de um tratamento mais agressivo. Porém, devido à elevada idade mediana no diagnóstico, a maioria dos pacientes não tolera tratamentos intensivos. O transplante de células-tronco hematopoiéticas é a única opção para aqueles que objetivam a cura da doença. Para aqueles que não podem se submeter a um transplante, as opções incluem o uso de quimioterapia intensiva, agentes hipometilantes, tratamento suportivo e/ou inclusão em estudos clínicos. A quimioterapia intensiva semelhante à utilizada para leucemia mielóide aguda é uma boa opção para pacientes em boas condições clínicas e com menos de 65 anos de idade.To initiate a treatment for myelodysplastic syndrome, the physician should consider the patient's age, status performance and the risk of transformation to acute myeloid leukemia (AML and death. In theory, a high risk disease should be approached with intense treatment however most patients are not healthy enough to receive aggressive treatment with chemotherapy or stem cell transplantation. For those who are not able to receive a transplantation, the treatment options include AML-like chemotherapy, hypomethylating agents, supportive care alone or participation in a clinical trial. AML-like chemotherapy is still a reasonable choice for those patients who are in good clinical conditions and are younger than 65 years of age.

  4. Occupational safety and health practices among flower greenhouses workers from Alto Tietê region (Brazil)

    International Nuclear Information System (INIS)

    Ribeiro, Marcela G.; Colasso, Camilla G.; Monteiro, Paula P.; Filho, Walter R. Pedreira; Yonamine, Maurício

    2012-01-01

    In this preliminary study the occupational safety and health practices among flower greenhouses workers were evaluated. The study was carried out in the alto Tietê region, located at the Sao Paulo State, Brazil. Inadequate welfare facilities; poor pesticide storage, use and disposal conditions; use of highly toxic pesticides; lack of adequate data regarding pesticide use; and incorrect use and maintenance of PPE were observed in most of the visited greenhouses. These results suggest that, in greenhouses, workers may be at higher risk of pesticide exposure, due to many factors that can intensify the exposure such as the lack of control on reentry intervals after pesticide application. Specific regulations are needed to ensure better OSH practices on pesticide use and to improve working conditions in greenhouses, in order to deal with the peculiarities of greenhouse working environment. Some of the special requirements for greenhouses workers' protection are the establishment of ventilation criteria for restricted entry interval; clear reentry restrictions; and EPI for workers other than applicators that need to enter the greenhouse before expiring REI interval. Another important way to improve OSH practices among workers includes the distribution of simple guidelines on the dos and don'ts regarding OSH practices in greenhouses and extensively training interventions to change the perception of hazards and the behavior towards risk. - Highlights: ► Occupational safety and health practices among flower greenhouses workers were evaluated. ► Lack of clear reentry restrictions can intensify the exposure in greenhouses. ► Specific regulations dealing with the peculiarities of greenhouse working environment are needed. ► Distribution of simple guidelines relying on greenhouse working can improve OSH practices. ► Training interventions are important to change the workers' perception of hazards and behavior towards risk.

  5. Ethnobotanical notes about some uses of medicinal plants in Alto Tirreno Cosentino area (Calabria, Southern Italy

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    Impieri Massimo

    2007-11-01

    Full Text Available Abstract Background The present paper contributes to enrich the ethnobotanical knowledge of Calabria region (Southern Italy. Research was carried out in Alto Tirreno Cosentino, a small area lying between the Tyrrhenian coast and the Pollino National Park. In the area studied medicinal plants still play a small role among farmers, shepherds and other people who live far from villages and built-up areas. Methods Information was collected by interviewing native people, mainly elderly – engaged in farming and stock-raising activities – and housewives. The plants collected, indicated by the locals, have been identified according to "Flora d'Italia". The exsiccata vouchers are preserved in the authors' own herbaria. Results 52 medicinal species belonging to 35 families are listed in this article. The family, botanical and vernacular name, part of the plant used and respective manipulation are reported there and, when present, similar or identical uses in different parts of Calabria or other Italian regions are also indicated. Conclusion Labiatae, Rosaceae and Leguminosae are the families most frequently present, whilst Compositae and Brassicaceae are almost absent. The uses of the recorded species relate to minor ailments, mainly those of the skin (15 species, respiratory apparatus diseases (11, toothache, decay etc. (10 and rheumatic pains (8. The easy availability of these remedies provides a quick way of curing various minor complaints such as tooth-ache, belly and rheumatic pain and headaches and can also serve as first aid as cicatrizing, lenitive, haemostatic agents etc. The role in veterinary medicine is, on the contrary, more important: sores, ulcers, tinea, dermatitis, gangrenous wounds of cattle, and even respiratory ailments are usually cured by resort to plants.

  6. CONSIDERATIONS FOR THE ADJUSTMENT OF SWINE PRODUCTION CONDUCT IN THE ALTO URUGUAI CATARINENSE

    Directory of Open Access Journals (Sweden)

    Cláudio Rocha de Miranda

    2011-07-01

    Full Text Available This paper presents a partial survey of the SPC evaluation, conducted in 2010, with swine signatory to the properties of the SPC in the microregion of Alto Uruguai Catarinense, in order to evaluate the effective implementation of corrective measures established in the Term. The survey was conducted through visits in September 2010 in 58 farmers, selected from representative sampling. For the sampling plan two basic conditions should be followed: 1 in all municipalities nineteen producers should be visited, 2 the type of contractual relationship of the pig farmers should be considered. For the average pig farmer environmental adaptations such expenses are considered significant, given remuneration of the activity is considered small. The SPC was considered of great importance for about 70% of respondents. For some pig farmers, the SPC is serving as a sort of extension of time in which the pig farmers are taking advantage to make the maximum depreciation of facilities. In the farms visited, there was being done isolation of the areas of riparian and annotation of the legal reserve, but it appears that such practice is being conducted in a bureaucratic way. The aging of pig farmers is an indisputable fact, perceiving few properties where there are possible successors. Considering the actions that are being implemented, it appears that term led to the development of numerous environmental improvements on farms. Furthermore, provided the necessary security for the pig farmers continue producing. However, it can be perceived the need for the measures envisaged are associated with effective monitoring and technical education, since some measures are being met, as merely bureaucratic, given that many producers do not understand the environmental importance of compliance with these legal requirements.

  7. Synthesis and crystal structure of terbium(III) meta-oxoborate Tb(BO{sub 2}){sub 3} ({identical_to} TbB{sub 3}O{sub 6}); Synthese und Kristallstruktur von Terbium(III)-meta-Oxoborat Tb(BO{sub 2}){sub 3} ({identical_to} TbB{sub 3}O{sub 6})

    Energy Technology Data Exchange (ETDEWEB)

    Nikelski, Tanja; Schleid, Thomas [Institut fuer Anorganische Chemie der Universitaet Stuttgart (Germany)

    2003-06-01

    The terbium meta-oxoborate Tb(BO{sub 2}){sub 3} ({identical_to} TbB{sub 3}O{sub 6}) is obtained as single crystals by the reaction of terbium, Tb{sub 4}O{sub 7} and TbCl{sub 3} with an excess of B{sub 2}O{sub 3} in gastight sealed platinum ampoules at 950 C after three weeks. The compound appears to be air- and water-resistant and crystallizes as long, thin, colourless needles which tend to growth-twinning due to their marked fibrous habit. The crystal structure of Tb(BO{sub 2}){sub 3} (orthorhombic, Pnma; a = 1598.97(9), b = 741.39(4), c = 1229.58(7) pm; Z = 16) contains strongly corrugated oxoborate layers {sub {infinity}}{sup 2}{l_brace}(BO{sub 2}){sup -}{r_brace} built of vertex-linked [BO{sub 4}]{sup 5-} tetrahedra (d(B-O) = 143 - 154 pm, and angsph;(O-B-O) = 102-115 ) which spread out parallel (100). The four crystallographically different Tb{sup 3+} cations all exhibit coordination numbers of eight towards the oxygen atoms (d(Tb-O) = 228-287 pm). The corresponding metal cation polyhedra [TbO{sub 8}]{sup 13+} too convene to layers (composition: {sub {infinity}}{sup 2}{l_brace}(Tb{sub 2}O{sub 11}){sup 16-}{r_brace}) which are likewise oriented parallel to the (100) plane. (Abstract Copyright [2003], Wiley Periodicals, Inc.) [German] Das Terbium-meta-Oxoborat Tb(BO{sub 2}){sub 3} ({identical_to} TbB{sub 3}O{sub 6}) entsteht einkristallin bei der Reaktion von Terbium, Tb{sub 4}O{sub 7} und TbCl{sub 3} mit einem Ueberschuss von B{sub 2}O{sub 3} in gasdicht verschlossenen Platinampullen nach drei Wochen bei 950 C. Die Verbindung ist luft- und wasserstabil und faellt in langen, duennen, farblosen Nadeln an, die aufgrund ihres ausgepraegt faserigen Habitus zur Wachstumsverzwillingung neigen. Die Kristallstruktur von Tb(BO{sub 2}){sub 3} (orthorhombisch, Pnma; a = 1598, 97(9), b = 741, 39(4), c = 1229, 58(7) pm; Z = 16) enthaelt parallel (100) verlaufende, stark gewellte Oxoborat-Schichten {sub {infinity}}{sup 2}{l_brace}(BO{sub 2}){sup -}{r_brace} aus

  8. Magnetic properties of amorphous Tb-Fe thin films with an artificially layered structure

    International Nuclear Information System (INIS)

    Sato, N.

    1986-01-01

    An alternating terbium-iron (Tb-Fe) multilayer structure artificially made in amorphous Tb-Fe thin films gives rise to excellent magnetic properties of large perpendicular uniaxial anisotropy, large saturation magnetization, and large coercivity over a wide range of Tb composition in the films. The films are superior to amorphous Tb-Fe alloy thin films, especially when they are piled up with a monatomic layer of Tb and several atomic layers of Fe in an alternating fashion. Small-angle x-ray diffraction analysis confirmed the layering of monatomic layers of Tb and Fe, where the periodicity of the layers was found to be about 5.9 A. Direct evidence for an artificially layered structure was obtained by transmission electron microscopic and Auger electron spectroscopic observations. Together with magnetic measurements of hysteresis loops and torque curves, it has been concluded that the most important origin of the large magnetic uniaxial anisotropy can be attributed to the Tb-Fe pairs aligned perpendicular to the films

  9. Expanded polyfunctional T cell response to mycobacterial antigens in TB disease and contraction post-treatment.

    Directory of Open Access Journals (Sweden)

    James M Young

    2010-06-01

    Full Text Available T cells producing multiple factors have been shown to be required for protection from disease progression in HIV but we have recently shown this not to be the case in TB. Subjects with active disease had a greater proportion of polyfunctional cells responding to ESAT-6/CFP-10 stimulation than their infected but non-diseased household contacts (HHC. We therefore wanted to assess this profile in subjects who had successfully completed standard TB chemotherapy.We performed a cross-sectional study using PBMC from TB cases (pre- and post-treatment and HHC. Samples were stimulated overnight with TB antigens (ESAT-6/CFP-10 and PPD and their CD4+ and CD8+ T cells were assessed for production of CD107a, IFN-gamma, IL-2 and TNF-alpha and the complexity of the responses was determined using SPICE and PESTLE software.We found that an increase in complexity (i.e., production of more than 1 factor simultaneously of the T cell profile was associated with TB disease and that this was significantly reduced following TB treatment. This implies that T cells are able to respond adequately to TB antigens with active disease (at least initially but the ability of this response to protect the host from disease progression is hampered, presumably due to immune evasion strategies by the bacteria. These findings have implications for the development of new diagnostics and vaccine strategies.

  10. Fabrication, magnetostriction properties and applications of Tb-Dy-Fe alloys: a review

    Directory of Open Access Journals (Sweden)

    Nai-juan Wang

    2016-03-01

    Full Text Available As an excellent giant-magnetostrictive material, Tb-Dy-Fe alloys (based on Tb0.27-0.30Dy0.73-0.70Fe1.9-2 Laves compound can be applied in many engineering fields, such as sonar transducer systems, sensors, and micro-actuators. However, the cost of the rare earth elements Tb and Dy is too high to be widely applied for the materials. Nowadays, there are two different ways to substitute for these alloying elements. One is to partially replace Tb or Dy by cheaper rare earth elements, such as Pr, Nd, Sm and Ho; and the other is to use non-rare earth elements, such as Co, Al, Mn, Si, Ce, B, Be and C, to substitute Fe to form single MgCu2-type Laves phase and a certain amount of Re-rich phase, which can reduce the brittleness and improve the corrosion resistance of the alloy. This paper systemically introduces the development, the fabrication methods and the corresponding preferred growth directions of Tb-Dy-Fe alloys. In addition, the effects of alloying elements and heat treatment on magnetostrictive and mechanical properties of Tb-Dy-Fe alloys are also reviewed, respectively. Finally, some possible applications of Tb-Dy-Fe alloys are presented.

  11. Social, economic, and psychological impacts of MDR-TB treatment in Tijuana, Mexico: a patient's perspective.

    Science.gov (United States)

    Morris, M D; Quezada, L; Bhat, P; Moser, K; Smith, J; Perez, H; Laniado-Laborin, R; Estrada-Guzman, J; Rodwell, T C

    2013-07-01

    The State of Baja California, Mexico, had the highest prevalence of multidrug-resistant tuberculosis (MDR-TB) in Mexico in 2009. To understand the socio-economic burden of MDR-TB disease and its treatment on patients in Tijuana and Mexicali, Mexico. From July to November 2009, qualitative interviews were conducted with 12 patients enrolled in a US-Mexico binational MDR-TB treatment program, Puentes de Esperanza (Bridges of Hope), which was designed to support MDR-TB patients. In-depth interviews were coded to identify major themes in patient experiences of MDR-TB diagnosis and care. While some patients were able to maintain their pre-MDR-TB lives to a limited extent, most patients reported losing their sense of identity due to their inability to work, social isolation, and stigmatization from family and friends. The majority of participants expressed appreciation for Puentes' role in 'saving their lives'. Being diagnosed with MDR-TB and undergoing treatment imposes significant psychological, social and economic stress on patients. Strong social support elements within Puentes helped alleviate these burdens. Improvements to the program might include peer-support groups for patients undergoing treatment and transitioning back into the community after treatment.

  12. Perception of stigma towards TB among patients on DOTS & patients attending general OPD in Delhi.

    Science.gov (United States)

    Anand, Tanu; Kumar, D Arun; Sharma, Nandini; Saha, Renuka; Krishnamurthy, Laxmi; Singh, S V; Ingle, G K

    2014-01-01

    In India, Tuberculosis (TB) continues to be a public health problem. One of the key reasons for it is the stigma associated with the disease which affects the treatment seeking behaviour and hence the outcome. To assess the perceived and enacted stigma among TB patients and perceptions of other patients related to TB in Central Delhi. A cross-sectional study conducted in urban field practice area of a medical college of Delhi, using a pre-designed questionnaire containing items for assessment of stigma being faced by a TB patient in family, social life and workplace. It also contained questions pertaining to reaction of patients from general OPD to a family member who develops TB. A total of 100 patients on DOTS and 200 patients from general OPD were interviewed. There were 21 patients who reported to have delayed treatment seeking due to stigma. Nearly one third patients (n=34; 34%) noted negative changes in the behaviour of their family members towards them while 40% were isolated on being diagnosed with the disease. Out of the 36 employed TB patients, 65.5% (n=23) experienced negative change in the behaviour of their colleagues. In general OPD patients, significantly higher proportion of female patients said that they would not disclose the disease status of a family member suffering from TB to their neighbours (pstigma like delayed treatment seeking.

  13. Management and treatment outcomes of patients enrolled in MDR-TB treatment in Viet Nam.

    Science.gov (United States)

    Phuong, N T M; Nhung, N V; Hoa, N B; Thuy, H T; Takarinda, K C; Tayler-Smith, K; Harries, A D

    2016-03-21

    The programmatic management of drug-resistant tuberculosis (TB) in Viet Nam has been rapidly scaled up since 2009. To document the annual numbers of patients enrolled for multidrug-resistant tuberculosis (MDR-TB) treatment during 2010-2014 and to determine characteristics and treatment outcomes of patients initiating treatment during 2010-2012. A retrospective cohort study using national reports and data from the national electronic data system for drug-resistant TB. The number of patients enrolled annually for MDR-TB treatment increased from 97 in 2010 to 1522 in 2014. The majority of patients were middle-aged men who had pulmonary disease and had failed a retreatment regimen; 77% had received ⩾2 courses of TB treatment. Favourable outcomes (cured and treatment completed) were attained in 73% of patients. Unfavourable outcomes included loss to follow-up (12.5%), death (8%) and failure (6.3%). Having had ⩾2 previous treatment courses and being human immunodeficiency virus-positive were associated with unfavourable outcomes. Increasing numbers of patients are being treated for MDR-TB each year with good treatment outcomes under national programme management in Viet Nam. However, there is a need to increase case detection-currently at 30% of the estimated 5100 MDR-TB cases per year, reduce adverse outcomes and improve monitoring and evaluation.

  14. Effects of magnetic and structural properties on magnetoresistance in amorphous TbFeCo

    International Nuclear Information System (INIS)

    Yumoto, S.; Hidaka, Y.; Okada, O.

    1990-01-01

    An extraordinary magnetoresistance effect, linearly dependent on the external magnetic field, is observed in amorphous TbFeCo films. The electrical resistance jumps by δρ at magnetization reversal. δρ depends on Tb concentration and it becomes nearly zero at about Tb 26 at. % concentration. To clarify the Tb concentration dependence of δρ, the magnetic properties and the heat treatment effect are examined. It is found that the magnetic anisotropy field (H k ) is maximum at about Tb 26 at. % and the gradient of linear magnetoresistance, δρ/(ρ 0 H c ), is proportional to the -H k + const, where ρ 0 is the electric resistance in zero field, H c is the coercive force, and the constant is about 100 kOe. The structural relaxation, a coercive force change by the heat treatment up to 200 degree C, is examined. It is found that as δρ/(ρ 0 H c ) in the as-sputtered state decreases, the coercive force change by the heat treatment decreases. The coercive force change is minimum at about Tb 26 at. %, where δρ/(ρ 0 H c ) becomes zero. These results mean that linear magnetoresistance is related to structure relaxation by heat treatment. The δρ disappearance at about Tb 26 at. % is based on the stable structure against heat treatment and the largest magnetic anisotropy field

  15. Double Standards in Global Health: Medicine, Human Rights Law and Multidrug-Resistant TB Treatment Policy.

    Science.gov (United States)

    Nicholson, Thomas; Admay, Catherine; Shakow, Aaron; Keshavjee, Salmaan

    2016-06-01

    The human rights arguments that underpinned the fight against HIV over the last three decades were poised, but ultimately failed, to provide a similar foundation for success against multidrug-resistant TB (MDR-TB) and other diseases of the poor. With more than 1.5 million deaths since 2000 attributed to strains of MDR-TB, and with half a million new, and mostly untreated, MDR-TB cases in the world each year, the stakes could not be higher. The World Health Organization (WHO), whose mandate is to champion the attainment by all peoples of the highest possible level of health, recommended unsound medical treatment for MDR-TB patients in resource-poor settings from 1993-2002. Citing cost considerations, WHO did not recommend the available standard of care that had been successfully used to contain and defeat MDR-TB in rich countries. By acting as a strategic gatekeeper in its technical advisory role to donor agencies and countries, it also facilitated the global implementation of a double standard for TB care in low- and middle-income countries (LMICs), upending important legal and scientific priorities. This raises serious questions about whether the organization violated international human rights standards and those established in its own constitution. While calling for additional analysis and discussion on this topic, the authors propose that policymakers should reject double standards of this kind and instead embrace the challenge of implementing the highest standard of care on a global level.

  16. Integrated nanophotonic hubs based on ZnO-Tb(OH3/SiO2 nanocomposites

    Directory of Open Access Journals (Sweden)

    Lin Yu

    2011-01-01

    Full Text Available Abstract Optical integration is essential for practical application, but it remains unexplored for nanoscale devices. A newly designed nanocomposite based on ZnO semiconductor nanowires and Tb(OH3/SiO2 core/shell nanospheres has been synthesized and studied. The unique sea urchin-type morphology, bright and sharply visible emission bands of lanthanide, and large aspect ratio of ZnO crystalline nanotips make this novel composite an excellent signal receiver, waveguide, and emitter. The multifunctional composite of ZnO nanotips and Tb(OH3/SiO2 nanoparticles therefore can serve as an integrated nanophotonics hub. Moreover, the composite of ZnO nanotips deposited on a Tb(OH3/SiO2 photonic crystal can act as a directional light fountain, in which the confined radiation from Tb ions inside the photonic crystal can be well guided and escape through the ZnO nanotips. Therefore, the output emission arising from Tb ions is truly directional, and its intensity can be greatly enhanced. With highly enhanced lasing emissions in ZnO-Tb(OH3/SiO2 as well as SnO2-Tb(OH3/SiO2 nanocomposites, we demonstrate that our approach is extremely beneficial for the creation of low threshold and high-power nanolaser.

  17. Metal and trace element sediment assessment from Guarapiranga reservoir, Alto Tiete Basin, Sao Paulo, SP, Brazil; Avaliacao da concentracao de metais e elementos traco em amostras de sedimento do reservatorio Guarapiranga, Sao Paulo, SP, Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Guimaraes, Guilherme Moura

    2011-07-01

    The Guarapiranga Reservoir, located in Sao Paulo metropolitan region, Brazil, is responsible for supplying about 20% of the entire population's water needs of this region or approximately 3.7 million people. However, this system has shown significant degradation in water quality, due to untreated domestic sewage and industrial effluents. In this study sediment samples were collected at five points along the reservoir and total concentration of some major (Fe, K and Na), trace (As, Ba, Br, Co, Cr, Cs, Hf, Hg, Rb, Sb, Sc, Ta, Tb, Th, U, V and Zn) and rare earth (Ce, Eu, La, Lu, Nd, Sm, Tb and Yb) elements were determined by instrumental neutron activation analysis (INAA). By inductively coupled plasma optical emission spectrometry (ICP OES) the concentrations of Al, Ba, Be, Ca, Co, Cr, Cu, Fe, K, Li, Mg, Mn, Na, Ni, Pb, Ti, V e Zn were determined after digestion procedure following US EPA 3051 methodology. The concentrations of metals Cd and Pb were determined by graphite furnace atomic absorption spectrometry (GFAAS) and total Hg by cold vapor atomic absorption spectrometry (CVAAS). Methodology validation according to precision and accuracy was performed by reference materials analyses for the three different analytical techniques used. Multielemental results obtained by INAA were compared to NASC (North American Shale Composite), Upper Continental Crust (UCC) and soil from Guarapiranga park values. The Enrichment Factor (EF) and Geo accumulation Index (Igeo) were also evaluated for these data. Metal concentration results by ICP OES and AAS in the samples were compared to the TEL and PEL oriented values established by the Canadian Council of Ministers of the Environment and also adopted by CETESB (Environmental Protection Agency of the Sao Paulo State). The results were also compared to regional reference values (VRR) of limnic sediments from the Alto Tiete Basin. From these data an assessment of metal and trace element accumulated in the sediments from the

  18. Metal and trace element sediment assessment from Guarapiranga reservoir, Alto Tiete Basin, Sao Paulo, SP, Brazil; Avaliacao da concentracao de metais e elementos traco em amostras de sedimento do reservatorio Guarapiranga, Sao Paulo, SP, Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Guimaraes, Guilherme Moura

    2011-07-01

    The Guarapiranga Reservoir, located in Sao Paulo metropolitan region, Brazil, is responsible for supplying about 20% of the entire population's water needs of this region or approximately 3.7 million people. However, this system has shown significant degradation in water quality, due to untreated domestic sewage and industrial effluents. In this study sediment samples were collected at five points along the reservoir and total concentration of some major (Fe, K and Na), trace (As, Ba, Br, Co, Cr, Cs, Hf, Hg, Rb, Sb, Sc, Ta, Tb, Th, U, V and Zn) and rare earth (Ce, Eu, La, Lu, Nd, Sm, Tb and Yb) elements were determined by instrumental neutron activation analysis (INAA). By inductively coupled plasma optical emission spectrometry (ICP OES) the concentrations of Al, Ba, Be, Ca, Co, Cr, Cu, Fe, K, Li, Mg, Mn, Na, Ni, Pb, Ti, V e Zn were determined after digestion procedure following US EPA 3051 methodology. The concentrations of metals Cd and Pb were determined by graphite furnace atomic absorption spectrometry (GFAAS) and total Hg by cold vapor atomic absorption spectrometry (CVAAS). Methodology validation according to precision and accuracy was performed by reference materials analyses for the three different analytical techniques used. Multielemental results obtained by INAA were compared to NASC (North American Shale Composite), Upper Continental Crust (UCC) and soil from Guarapiranga park values. The Enrichment Factor (EF) and Geo accumulation Index (Igeo) were also evaluated for these data. Metal concentration results by ICP OES and AAS in the samples were compared to the TEL and PEL oriented values established by the Canadian Council of Ministers of the Environment and also adopted by CETESB (Environmental Protection Agency of the Sao Paulo State). The results were also compared to regional reference values (VRR) of limnic sediments from the Alto Tiete Basin. From these data an assessment of metal and trace element accumulated in the sediments from the

  19. HIV, multidrug-resistant TB and depressive symptoms: when three conditions collide.

    Science.gov (United States)

    Das, Mrinalini; Isaakidis, Petros; Van den Bergh, Rafael; Kumar, Ajay M V; Nagaraja, Sharath Burugina; Valikayath, Asmaa; Jha, Santosh; Jadhav, Bindoo; Ladomirska, Joanna

    2014-01-01

    Management of multidrug-resistant TB (MDR-TB) patients co-infected with human immunodeficiency virus (HIV) is highly challenging. Such patients are subject to long and potentially toxic treatments and may develop a number of different psychiatric illnesses such as anxiety and depressive disorders. A mental health assessment before MDR-TB treatment initiation may assist in early diagnosis and better management of psychiatric illnesses in patients already having two stigmatising and debilitating diseases. To address limited evidence on the baseline psychiatric conditions of HIV-infected MDR-TB patients, we aimed to document the levels of depressive symptoms at baseline, and any alteration following individualized clinical and psychological support during MDR-TB therapy, using the Patient Health Questionnaire-9 (PHQ-9) tool, among HIV-infected patients. This was a retrospective review of the medical records of an adult (aged >15 years) HIV/MDR-TB cohort registered for care during the period of August 2012 through to March 2014. A total of 45 HIV/MDR-TB patients underwent baseline assessment using the PHQ-9 tool, and seven (16%) were found to have depressive symptoms. Of these, four patients had moderate to severe depressive symptoms. Individualized psychological and clinical support was administered to these patients. Reassessments were carried out for all patients after 3 months of follow-up, except one, who died during the period. Among these 44 patients, three with baseline depressive symptoms still had depressive symptoms. However, improvements were observed in all but one after 3 months of follow-up. Psychiatric illnesses, including depressive symptoms, during MDR-TB treatment demand attention. Routine administration of baseline mental health assessments by trained staff has the potential to assist in determining appropriate measures for the management of depressive symptoms during MDR-TB treatment, and help in improving overall treatment outcomes. We recommend

  20. Molecular epidemiology of TB – Its impact on multidrug-resistant tuberculosis control in China☆

    Directory of Open Access Journals (Sweden)

    Biao Xu

    2015-01-01

    Results: In total, 238 bacteriologic confirmed pulmonary TB patients from DQ and 393 from GY diagnosed between 2008 and 2011 were recruited in the study. Of the 631 isolates, 220 (34.9% were resistant to at least one anti-TB drug, including 95 (15.1% simultaneously resistant to isoniazid and rifampicin or MDR, albeit with the similar distribution between DQ and GY (32/238 vs. 63/393; p, 0.378. The MIRU-VNTR genotyping revealed 35 isolates from DQ and 86 from GY exhibited 15 and 32 clustering patterns with four patterns shared between two counties. Compared with GY county, DQ had a significantly lower clustering proportion in MTB isolates susceptible to first-line drugs (25/167 vs. 46/198; p, 0.047 and total drug resistant TB isolates (12/71 vs. 44/149; p, 0.044, but a similar clustering proportion in MDR-TB isolates (8/32 vs. 18/63; p, 0.712. A significant higher clustering proportion was observed in the previously treated patients in both counties, but in the sputum smear-positive patients with cavitaries only in GY. Comparing the previously treated patients between the two counties, the proportion of MDR-TB and clustering proportion exhibited a similar distribution, while the average age of previously treated patients in DQ is significantly older than that in GY. Conclusions: A lower proportion of recent transmissions was observed in the county with long-term DOTS implementation. However, DOTS itself might not have worked enough on blocking the recent transmission of MDR-TB. This observation suggests the urgent needs of implementing the Stop-TB strategies; in particular, accelerating the use of rapid molecularbasedTBdiagnosisand drug susceptibility testing, providing active case findings in a high risk population of MDR-TB and enhancing infection control in high MDR-TB burden countries.

  1. A model of population dynamics of TB in a prison system and application to South Africa.

    Science.gov (United States)

    Witbooi, Peter; Vyambwera, Sibaliwe Maku

    2017-11-29

    Tuberculosis (TB) continues to spread in South African prisons in particular, as prisons are over-capacitated and have poor ventilation. The awaiting trial detainees are not screened on admission and are at high risk of getting infected with TB. We propose a compartmental model to describe the population dynamics of TB disease in prisons. Our model considers the inflow of susceptible, exposed and TB infectives into the prison population. Removal of individuals out of the prison population can be either by death or by being released from prison, as compared to a general population in which removal is only by death. We describe conditions, including non-inflow of infectives into the prison, which will ensure that TB can be eradicated from the prison population. The model is calibrated for the South African prison system, by using data in existing literature. The model can be used to make quantitative projections of TB prevalence and to measure the effect of interventions. Illustrative simulations in this regard are presented. The model can be used for other prison populations too, if data is available to calculate the model parameters. Various simulations generated with our model serve to illustrate how it can be utilized in making future projections of the levels of prevalence of TB, and to quantify the effect of interventions such as screening, treatment or reduction of transmission parameter values through improved living conditions for inmates. This makes it particularly useful as there are various targets set by the World Health Organization and by governments, for reduction of TB prevalence and ultimately its eradication. Towards eradication of TB from a prison system, the theorem on global stability of the disease-free state is a useful indicator.

  2. Is TB Testing Associated With Increased Blood Interferon-Gamma Levels?

    Directory of Open Access Journals (Sweden)

    Aideen E. Kennedy

    2017-10-01

    Full Text Available The Republic of Ireland reports a relatively low prevalence of Johne’s disease (JD compared to international counterparts. Postulated reasons for this include a lower average herd size and a grass-based production system. Ireland also engages in high levels of bovine tuberculosis (bTB testing. As interferon-gamma (IFN-γ is believed to play a key role in protecting against JD, it is our hypothesis that administration of purified protein derivative (PPD, as part of the bTB test, is associated with a systemic increase in IFN-γ production, which may potentially limit clinical progression of the disease. We studied 265 cows (202 Friesian and 63 “Non-Friesian,” e.g., JerseyX, Norwegian Red to assess IFN-γ levels and Mycobacterium avium subspecies paratuberculosis (MAP antibody response before and after the bTB test. As part of the compulsory annual bTB test, avian and bovine PPD were administered at two separate cervical sites. To assess IFN-γ production, blood samples were taken before and 72 h after PPD administration. MAP antibody response was assessed before and 10 days post-PPD administration. A significant increase in MAP antibody response was identified post-bTB compared to pre-bTB response (p < 0.001. Additionally, IFN-γ production significantly increased at the post-bTB time point (p < 0.001 compared to the pre-bTB test readings. This may indicate a beneficial effect of bTB testing in controlling JD.

  3. Eu/Tb ions co-doped white light luminescence Y2O3 phosphors

    International Nuclear Information System (INIS)

    Tu Dong; Liang Yujun; Liu Rong; Li Daoyi

    2011-01-01

    Y 2 O 3 :Eu 3+ , Tb 3+ phosphors with white emission are prepared with different doping concentration of Eu 3+ and Tb 3+ ions and synthesizing temperatures from 750 to 950 deg. C by the co-precipitation method. The resulted phosphors were characterized by X-ray diffraction (XRD) and photoluminescence (PL) spectroscopy. The results of XRD indicate that the crystallinity of the synthesized samples increases with enhancing the firing temperature. The photoluminescence spectra indicate the Eu 3+ and Tb 3+ co-doped Y 2 O 3 phosphors show five main emission peaks: three at 590, 611 and 629 nm originate from Eu 3+ and two at 481 and 541 nm originate from Tb 3+ , under excitation of 250-320 nm irradition. The white light luminescence color could be changed by varying the excitation wavelength. Different concentrations of Eu 3+ and Tb 3+ ions were induced into the Y 2 O 3 lattice and the energy transfer from Tb 3+ →Eu 3+ ions in these phosphors was found. The Commission International de l'Eclairage (CIE) chromaticity shows that the Y 2 O 3 :Eu 3+ , Tb 3+ phosphors can obtain an intense white emission. - Highlights: → Novel phosphors Y 2 O 3 :Eu 3+ , Tb 3+ have been synthesized by co-precipitation method. → Samples emit white light with excellent color coordinates under UV excitation. → Luminescence color could be changed by varying the excitation wavelength. → Energy transfer from Tb 3+ →Eu 3+ ions in these phosphors was found.

  4. Effect of structure, particle size and relative concentration of Eu3+ and Tb3+ ions on the luminescence properties of Eu3+ co-doped Y2O3:Tb nanoparticles

    International Nuclear Information System (INIS)

    Mukherjee, S; Sudarsan, V; Vatsa, R K; Tyagi, A K; Godbole, S V; Kadam, R M; Bhatta, U M

    2008-01-01

    Eu 3+ co-doped Y 2 O 3 :Tb nanoparticles were prepared by the combustion method and characterized for their structural and luminescence properties as a function of annealing temperatures and relative concentration of Eu 3+ and Tb 3+ ions. For Y 2 O 3 :Eu,Tb nanoparticles annealed at 600 and 1200 deg. C, variation in the relative intensity of excitation transitions between the 7 F 6 ground state and low spin and high spin 4f 7 5d 1 excited states of Tb 3+ is explained due to the combined effect of distortion around Y 3+ /Tb 3+ in YO 6 /TbO 6 polyhedra and the size of the nanoparticles. Increase in relative intensity of the 285 nm peak (spin-allowed transition denoted as peak B) with respect to the 310 nm peak (spin-forbidden transition denoted as peak A) with decrease of Tb 3+ concentration in the Y 2 O 3 :Eu,Tb nanoparticles heated at 1200 deg. C is explained based on two competing effects, namely energy transfer from Tb 3+ to Eu 3+ ions and quenching among the Tb 3+ ions. Back energy transfer from Tb 3+ to Eu 3+ in these nanoparticles is found to be very poor

  5. Analysis of multi drug resistant tuberculosis (MDR-TB) financial protection policy: MDR-TB health insurance schemes, in Chhattisgarh state, India.

    Science.gov (United States)

    Kundu, Debashish; Sharma, Nandini; Chadha, Sarabjit; Laokri, Samia; Awungafac, George; Jiang, Lai; Asaria, Miqdad

    2018-01-27

    There are significant financial barriers to access treatment for multi drug resistant tuberculosis (MDR-TB) in India. To address these challenges, Chhattisgarh state in India has established a MDR-TB financial protection policy by creating MDR-TB benefit packages as part of the universal health insurance scheme that the state has rolled out in their effort towards attaining Universal Health Coverage for all its residents. In these schemes the state purchases health insurance against set packages of services from third party health insurance agencies on behalf of all its residents. Provider payment reform by strategic purchasing through output based payments (lump sum fee is reimbursed as per the MDR-TB benefit package rates) to the providers - both public and private health facilities empanelled under the insurance scheme was the key intervention. To understand the implementation gap between policy and practice of the benefit packages with respect to equity in utilization of package claims by the poor patients in public and private sector. Data from primary health insurance claims from January 2013 to December 2015, were analysed using an extension of 'Kingdon's multiple streams for policy implementation framework' to explain the implementation gap between policy and practice of the MDR-TB benefit packages. The total number of claims for MDR-TB benefit packages increased over the study period mainly from poor patients treated in public facilities, particularly for the pre-treatment evaluation and hospital stay packages. Variations and inequities in utilizing the packages were observed between poor and non-poor beneficiaries in public and private sector. Private providers participation in the new MDR-TB financial protection mechanism through the universal health insurance scheme was observed to be much lower than might be expected given their share of healthcare provision overall in India. Our findings suggest that there may be an implementation gap due to weak

  6. Prognostic value of interferon-γ release assays, a population-based study from a TB low-incidence country

    DEFF Research Database (Denmark)

    Hermansen, Thomas Stig; Lillebaek, Troels; Langholz Kristensen, Kristina

    2016-01-01

    individuals and data on all TB cases in Denmark from 2005 to 2012 and determined the predictive value of the QFT for coprevalent TB (0-90 days after testing) and incident TB (>90 days). RESULTS: Coprevalent TB was diagnosed in 10.7% (183/1703) and 0.3% (38/13 463) cases with a positive and negative QFT......, respectively. For the QFT-positive cases, coprevalent TB was more frequent among persons 35  years (19.3% vs 7.2%, pvalues (PPV...

  7. Mortality among MDR-TB cases: comparison with drug-susceptible tuberculosis and associated factors.

    Directory of Open Access Journals (Sweden)

    Kocfa Chung-Delgado

    Full Text Available An increase in multidrug-resistant tuberculosis (MDR-TB cases is evident worldwide. Its management implies a complex treatment, high costs, more toxic anti-tuberculosis drug use, longer treatment time and increased treatment failure and mortality. The aims of this study were to compare mortality between MDR and drug-susceptible cases of tuberculosis, and to determine risk factors associated with mortality among MDR-TB cases.A retrospective cohort study was performed using data from clinical records of the National Strategy for Prevention and Control of Tuberculosis in Lima, Peru. In the first objective, MDR-TB, compared to drug-susceptible cases, was the main exposure variable and time to death, censored at 180 days, the outcome of interest. For the second objective, different variables obtained from clinical records were assessed as potential risk factors for death among MDR-TB cases. Cox regression analysis was used to determine hazard ratios (HR and 95% confidence intervals (95%CI. A total of 1,232 patients were analyzed: mean age 30.9 ±14.0 years, 60.0% were males. 61 patients (5.0% died during treatment, whereas the MDR-TB prevalence was 19.2%. MDR-TB increased the risk of death during treatment (HR = 7.5; IC95%: 4.1-13.4 when compared to presumed drug-susceptible cases after controlling for potential confounders. Education level (p = 0.01, previous TB episodes (p<0.001, diabetes history (p<0.001 and HIV infection (p = 0.04 were factors associated with mortality among MDR-TB cases.MDR-TB is associated with an increased risk of death during treatment. Lower education, greater number of previous TB episodes, diabetes history, and HIV infection were independently associated with mortality among MDR-TB cases. New strategies for appropriate MDR-TB detection and management should be implemented, including drug sensitivity tests, diabetes and HIV screening, as well as guarantee for a complete adherence to therapy.

  8. Spin-wave excitation and Moessbauer spectrometry of amorphous interface in Tb/Fe multilayer

    International Nuclear Information System (INIS)

    El Khiraoui, S.; Sajieddine, M.; Lassri, H.; Sahlaoui, M.

    2009-01-01

    Magnetic properties of Tb(48 A)/Fe(26 A) multilayer were studied with Moessbauer spectrometry at different temperatures before and after isothermal annealing at 673 K. For this last case, a significant perpendicular magnetic anisotropy is induced. This phenomenon is related to the existence of an amorphous and homogenous Tb-Fe alloy, located at the interfaces, which is produced by interdiffusion during the heat processing. The thermal evolution of hyperfine field deduced for interfacial Tb-Fe alloy is found to obey the Bloch law. The spin-wave stiffness constant, the distance between nearest magnetic atoms and the exchange parameter A were calculated from the experimental results

  9. Uncertainty of determination of 158Tb in the RBMK nuclear reactor waste.

    Science.gov (United States)

    Plukis, Artūras; Barkauskas, Vytenis; Druteikienė, Rūta; Duškesas, Grigorijus; Germanas, Darius; Gudelis, Arūnas; Juodis, Laurynas; Lagzdina, Elena; Plukienė, Rita; Remeikis, Vidmantas

    2018-04-01

    The activity of 158 Tb was measured in waste samples from the Ignalina NPP Unit I RBMK-1500 reactor using gamma-ray spectrometry. The origin of 158 Tb and the other observed gamma-ray emitters has been studied by using SCALE 6.1 modeling and comparing radionuclide ratios in the RBMK-1500 radioactive waste. The results of the calculation of the massic activity of gamma-ray emitters were used for interpretation of the total gamma-ray spectrum and the determination of 158 Tb massic activity uncertainty in the waste of RBMK-1500. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Nilai Diagnostik Metode “Real Time” PCR GeneXpert pada TB Paru BTA Negatif

    Directory of Open Access Journals (Sweden)

    Eka Kurniawan

    2016-09-01

    Full Text Available  AbstrakTuberkulosis (TB paru adalah penyakit menular yang disebabkan oleh kuman Mycobacterium tuberkulosis. TB masih tetap menjadi masalah kesehatan dunia karena lebih kurang 1/3 penduduk dunia terinfeksi oleh kuman ini dan sumber penularannya berasal dari Basil Tahan Asam (BTA positif maupun negatif. TB paru BTA negatif didiagnosis berdasarkan gambaran klinis dan rontgen torak yang sesuai TB serta pertimbangan dokter sehingga hal ini dapat menimbulkan under atau over diagnosis TB. GeneXpert merupakan pemeriksaan molekuler dengan metode “real time“ PCR dan merupakan penemuan terobosan untuk mendiagnosis TB secara cepat. Tujuan penelitiian ini adalah melakukan penilaian validitas GeneXpert pada TB paru BTA negatif dibandingkan dengan kultur Loweinstein Jensen. Desain penelitian uji diagnostik ini adalah cross sectional study. Penelitian dilakukan terhadap 40 orang pasien TB paru BTA negatif di Puskesmas sekitar kota Padang dan pasien yang dirawat di Bagian Penyakit Dalam RS dr. M. Djamil Padang. Dilakukan pemeriksaan sputum dengan GeneXpert dan dibandingkan dengan kultur Loweinstein Jensen. Hasil uji diagnostik dengan GeneXpert untuk mendiagnosis TB paru BTA negatif didapatkan sensitivitas 83.33%, spesifisitas 95.46%, nilai prediksi positif 93.75%, nilai prediksi negatif 87.5% dan akurasi 90% serta hasil uji kappa didapatkan 0.796. Disimpulkan GeneXpert memiliki sensitivitas, spesifisitas, nilai prediksi positif, nilai prediksi negatif dan akurasi yang tinggi pada TB paru BTA negatif.Kata kunci: nilai diagnostik, TB paru BTA negatif, GeneXpert AbstractPulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. TB is still a global health problem. Approximately one third of the world population is infected by Mycobacterium tuberculosis and the source of infection came from smear positive and negative patient. Smear negative pulmonary TB can be considered based on clinical symptom and chest x-ray as well as

  11. New greenish-yellow and yellowish-green emitting glass phosphors: Tb{sup 3+}/Eu{sup 3+} and Ce{sup 3+}/Tb{sup 3+}/Eu{sup 3+} in zinc phosphate glasses

    Energy Technology Data Exchange (ETDEWEB)

    Caldino, U., E-mail: cald@xanum.uam.mx [Departamento de Fisica, Universidad Autonoma Metropolitana-Iztapalapa, P.O. Box 55-534, 09340 Mexico D.F. (Mexico); Alvarez, E. [Departamento de Fisica, Universidad de Sonora (UNISON), Boulevard Luis Encinas y Rosales s/n, Hermosillo, Sonora 83000, Mexico (Mexico); Speghini, A. [Dipartimento di Biotecnologie, Universita di Verona, and INSTM, UdR Verona, Strada Le Grazie 15, I-37314 Verona (Italy); IFAC CNR, Nello Carrara Institute of Applied Physics, MDF Lab, I-50019 Sesto Fiorentino, FI (Italy); Bettinelli, M. [Dipartimento di Biotecnologie, Universita di Verona, and INSTM, UdR Verona, Strada Le Grazie 15, I-37314 Verona (Italy)

    2013-03-15

    A spectroscopic investigation of zinc phosphate glasses activated with Eu{sup 3+}, Tb{sup 3+}/Eu{sup 3+} and Ce{sup 3+}/Tb{sup 3+}/Eu{sup 3+} ions is performed through photoluminescence spectra and decay time measurements. Greenish-yellow light emission, with x=0.42 and y=0.50 CIE1931 chromaticity coordinates, is obtained in the 5.0% Tb(PO{sub 3}){sub 3}-2.0% Eu(PO{sub 3}){sub 3} codoped zinc phosphate glass upon Tb{sup 3+} excitation at 340 nm. Such greenish-yellow luminescence is generated mainly by the {sup 5}D{sub 4}{yields}{sup 7}F{sub 6,5} and {sup 5}D{sub 0}{yields}{sup 7}F{sub 1,2} emissions of Tb{sup 3+} and Eu{sup 3+}, respectively, europium being sensitized by terbium through a non-radiative energy transfer. By codoping with 0.1 Ce(PO{sub 3}){sub 3} in addition to Tb{sup 3+}/Eu{sup 3+} yellowish-green light emission with CIE1931 chromaticity coordinates, x=0.33 and y=0.48, is achieved through non-radiative energy transfer from Ce{sup 3+} to Tb{sup 3+} and from Ce{sup 3+} via Tb{sup 3+} to Eu{sup 3+} upon 280 nm excitation (peak emission wavelength of AlGaN-based LEDs). - Highlights: Black-Right-Pointing-Pointer Zn(PO{sub 3}){sub 2} glasses are optically activated with Tb{sup 3+}/Eu{sup 3+} (ZPO5Tb2Eu) and Ce{sup 3+}/Eu{sup 3+}/Tb{sup 3+} (ZPOCe5Tb2Eu). Black-Right-Pointing-Pointer Non-radiative energy transfer Tb{sup 3+}{yields}Eu{sup 3+} takes place in ZPO5Tb2Eu. Black-Right-Pointing-Pointer Greenish-yellow light is generated by ZPO5Tb2Eu pumped with 340 nm-UV light. Black-Right-Pointing-Pointer Non-radiative energy transfer Ce{sup 3+}{yields}Tb{sup 3+} and Ce{sup 3+}{yields}Eu{sup 3+} via Tb{sup 3+} takes place in ZPOCe5Tb2Eu. Black-Right-Pointing-Pointer Yellowish-green light is generated by ZPOCe5Tb2Eu pumped with 280 nm-UV light (AlGaN-LEDs).

  12. Natural ventilation reduces high TB transmission risk in traditional homes in rural KwaZulu-Natal, South Africa.

    Science.gov (United States)

    Lygizos, Melissa; Shenoi, Sheela V; Brooks, Ralph P; Bhushan, Ambika; Brust, James C M; Zelterman, Daniel; Deng, Yanhong; Northrup, Veronika; Moll, Anthony P; Friedland, Gerald H

    2013-07-01

    Transmission of drug susceptible and drug resistant TB occurs in health care facilities, and community and households settings, particularly in highly prevalent TB and HIV areas. There is a paucity of data regarding factors that may affect TB transmission risk in household settings. We evaluated air exchange and the impact of natural ventilation on estimated TB transmission risk in traditional Zulu homes in rural South Africa. We utilized a carbon dioxide decay technique to measure ventilation in air changes per hour (ACH). We evaluated predominant home types to determine factors affecting ACH and used the Wells-Riley equation to estimate TB transmission risk. Two hundred eighteen ventilation measurements were taken in 24 traditional homes. All had low ventilation at baseline when windows were closed (mean ACH = 3, SD = 3.0), with estimated TB transmission risk of 55.4% over a ten hour period of exposure to an infectious TB patient. There was significant improvement with opening windows and door, reaching a mean ACH of 20 (SD = 13.1, p ventilation conditions (windows/doors open) and window to volume ratio. Expanding ventilation increased the odds of achieving ≥12 ACH by 60-fold. There is high estimated risk of TB transmission in traditional homes of infectious TB patients in rural South Africa. Improving natural ventilation may decrease household TB transmission risk and, combined with other strategies, may enhance TB control efforts.

  13. The TbBr3–LiBr binary system: Experimental thermodynamic investigation and assessment of phase diagram

    International Nuclear Information System (INIS)

    Rycerz, L.; Gong, W.; Gaune-Escard, M.

    2013-01-01

    Highlights: ► DSC measurements for the (LiBr + TbBr 3 ) system. ► congruently Li3TbBr 6 and incongruently melting Li5TbBr 8 compounds. ► Thermodynamic description of the liquid phase in the (LiBr + TbBr 3 ) system. ► Assessment with a two-sublattice ionic solution model. - Abstract: DSC was used to study the phase equilibrium in the TbBr 3 –LiBr binary system. The results obtained provided a basis for constructing the phase diagram of this system. It exhibits two compounds: Li 5 TbBr 8 , which decomposes in the solid state at 611 K, and Li 3 TbBr 6 , which melts congruently at 785 K with the related enthalpy 59.1 kJ·mol −1 . The binary LiBr–TbBr 3 system was then optimized using the available experimental information on phase diagram and thermodynamic properties. A two-sub-lattice ionic solution model (Li + ) P :(Br − , TbBr 6 −3 , TbBr 3 ) Q was adopted to describe the liquid phase. The present assessment of the binary LiBr–TbBr 3 system was in good agreement with the corresponding experimental data and confirmed their consistency.

  14. Spectroscopic analyses on interaction of bovine serum albumin (BSA) with toluidine blue (TB) and its sonodynamic damage under ultrasonic irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Wang Jun, E-mail: wangjun890@126.co [Department of Chemistry, Liaoning University, Shenyang 110036 (China); Guo Yuwei [Department of Chemistry, Liaoning University, Shenyang 110036 (China); Department of Chemistry, Baotou Normal College, Baotou 014030 (China); Liu Bin [Department of Pharmacy, Liaoning University, Shenyang 110036 (China); Cheng Chunping [Department of Chemistry, Baotou Normal College, Baotou 014030 (China); Wang Zhiqiu; Han Guangxi; Gao Jingqun; Zhang Xiangdong [Department of Chemistry, Liaoning University, Shenyang 110036 (China)

    2011-02-15

    In this paper, the toluidine blue (TB) with tricyclic quinone imide plane structure is used as sonosensitizer to study the interaction and sonodynamic damage to bovine serum albumin (BSA) by UV-vis and fluorescence spectroscopy. The results show that the TB can bind to BSA molecules, obviously, and the synergetic effects of TB and ultrasonic irradiation can efficiently damage the BSA molecules. Otherwise, some influencing factors such as ultrasonic irradiation time, TB concentration, pH value and ionic strength on the damage of BSA molecules were also considered by the numbers. Synchronous fluorescence spectroscopy indicates that the tyrosine (Tyr) residues of BSA molecules are damaged more seriously than the tryptophan (Trp) residues under ultrasonic irradiation. - Research Highlights: TB is used as quencher to study interaction to BSA. TB is used as sonosensitizer to study the sonodynamic damage to BSA. Synchronous fluorescence spectroscopy is used to study TB binding site to BSA.

  15. Spectroscopic analyses on interaction of bovine serum albumin (BSA) with toluidine blue (TB) and its sonodynamic damage under ultrasonic irradiation

    International Nuclear Information System (INIS)

    Wang Jun; Guo Yuwei; Liu Bin; Cheng Chunping; Wang Zhiqiu; Han Guangxi; Gao Jingqun; Zhang Xiangdong

    2011-01-01

    In this paper, the toluidine blue (TB) with tricyclic quinone imide plane structure is used as sonosensitizer to study the interaction and sonodynamic damage to bovine serum albumin (BSA) by UV-vis and fluorescence spectroscopy. The results show that the TB can bind to BSA molecules, obviously, and the synergetic effects of TB and ultrasonic irradiation can efficiently damage the BSA molecules. Otherwise, some influencing factors such as ultrasonic irradiation time, TB concentration, pH value and ionic strength on the damage of BSA molecules were also considered by the numbers. Synchronous fluorescence spectroscopy indicates that the tyrosine (Tyr) residues of BSA molecules are damaged more seriously than the tryptophan (Trp) residues under ultrasonic irradiation. - Research Highlights: → TB is used as quencher to study interaction to BSA. → TB is used as sonosensitizer to study the sonodynamic damage to BSA. → Synchronous fluorescence spectroscopy is used to study TB binding site to BSA.

  16. Tb3O2Cl[SeO3]2 and Tb5O4Cl3[SeO3]2: Oxide Chloride Oxoselenates(IV) of Trivalent Terbium with ''Lone-Pair'' Channel or Layer Structures

    International Nuclear Information System (INIS)

    Wontcheu, Joseph; Schleid, Thomas

    2005-01-01

    Orthorhombic Tb 3 O 2 Cl[SeO 3 ] 2 (Pnma; a = 535.16(4), b = 1530.51(9), c = 1081.72(7) pm; Z = 4) is formed by reacting a stoichiometric mixture of Tb 4 O 7 , Tb, TbCl 3 , and SeO 2 in a suitable molar ratio (12: 8: 7: 42) within seven days in an evacuated sealed silica tube at 850 C. The needle-shaped, colourless single crystals (light, water and air stable) exhibit one-dimensional strands [(Tb1) 3/3 (Tb2) 2/1 O 4/2 ] 5+ [O 2 Tb 3 ] 5+ along [100] formed by two parallel chains [OTb 4/2 ] 4+ of trans-edge connected [OTb 4 ] 10+ tetrahedra (d(O-Tb) = 220 - 231 pm) which share an extra edge per chain link. The crystal structure contains two crystallographically different Tb 3+ cations: Tb1 is coordinated as bicapped trigonal prism, while Tb2 resides in square antiprismatic coordination. The Se 4+ coordination is best described as Ψ 1 tetrahedral ([SeO 3 E] 2- ; E: non-binding electron pair). The non-binding ''lone-pair'' electrons of four [SeO 3 ] 2- groups and two Cl - anions form pseudo-hexagonal empty channels along [100] between four cationic double chains. Tb 5 O 4 Cl 3 [SeO 3 ] 2 was prepared likewise as plate-like, colourless single crystals by solid-state reaction of an admixture of Tb 4 O 7 , Tb, TbOCl, TbCl 3 , and SeO 2 (molar ratio: 9: 6: 21: 7: 28) in an evacuated sealed silica tube during seven days at 850 C. This compound crystallizes in the monoclinic system (C2/m; a = 1229.13(9), b = 546.17(4), c = 978.79(7) pm, β = 90.485(6) ; Z = 2) and contains three crystallographically different Tb 3+ cations in seven- and eightfold coordination of O 2- and Cl - anions, respectively. The crystal structure of Tb 5 O 4 Cl 3 [SeO 3 ] 2 is layered and built up of corrugated terbium-oxygen sheets [O 4 Tb 5 ] 7+ formed by edge- and vertex-shared [OTb 4 ] 10+ tetrahedra (d(O-Tb) = 226-232 pm) spreading parallel (001). The structure is strongly related to the ''lone-pair'' channel structures of Tb 2 O[SeO 3 ] 2 and Tb 3 O 2 Cl[SeO 3 ] 2 , where single ([OTb 2 ] 4

  17. Pimelodus paranaensis, sp. n., um novo Pimelodidae (Pisces, Siluriformes do Alto Paraná, Brasil

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    Heraldo A. Britski

    1988-01-01

    Full Text Available Descreve-se Pimelodus paranaensis, sp. n., da bacia do Alto Paraná, Brasil, com base em 20 exemplares. A nova espécie pode ser assim diagnosticada: (i dentes presentes e formando duas áreas isoladas no vômer; (ii faixa pré-maxilar de dentes com um ângulo projetado para trás; (iii teto do crânio coberto por pele fina; (iv comprimento da nadadeira adiposa 3,9 a 4,3 vezes no comprimento padrão; (v a maior altura da nadadeira adiposa 3,1 a 4.3 vezes no seu comprimento; (vi região dorsal do corpo de cor castanha com pequenas manchas arredondadas, castanho-escuras. Apesar de possuir dentes vomerianos como em Pimelodus albicans, e como em certos exemplares de P. clarias (sensu Eigenmann & Eigenmann, 1890, achamos que as verdadeiras relações desta nova espécie e sua situação genérica só poderão ser estabelecidas após uma nova boa revisão do grupo.Pimelodus paranaensis, n. sp., from the Upper Paraná basin, is described on the basis of 20 specimens. The new species can be diagnosed as follows: (1 teeth present and forming two isolated on the vomer; (2 premaxillary band of teeth with a backward projecting angle; (3 top of head covered with thin layer of skin; (4 adipose fin basis 3,9 to 4.6 in standard length; (5 greatest depth of adipose fin 3.1 to 4.3 in its length, (6 dark spots along the dorsum. In spite of having teeth on the vomer as Pimelodus albicans, and as some specimens of P. clarias (sensu Eigenmann & Eigenmann, 1890 and in being similar to Bagropsis reinhardti in many respects, we feel that the true relationships and the generic status of the new species can be established only after a thorough revision of the group.

  18. Social perception of the forest landscape in Trentino-Alto Adige (Italy: comparison of case studies

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    Pastorella F

    2016-12-01

    Full Text Available The landscape is the product of human activities and nature as developed during the centuries. However, the landscape has a symbolic value because it can be considered the identity and culture of a territory that includes the values and beliefs of local population. The Alpine landscape is a unicum in the world due to its geomorphologic, climatic and vegetation characteristics and socio-economic conditions of local population. Over the centuries the social perception of Alps has changed: in a first phase the Alps were considered “horrible and scary mountains”, later Alps were perceived as “beautiful and fascinating places”, and currently the Alpine mountains are considered a place of relaxation and recreation. The analysis of landscape perception aimed to investigate the visitors’ opinions about landscape is an important instrument to support the decision concerning the land planning and management. This study focuses on the analysis of the aesthetic perception of visitors on Alpine landscapes following two perspectives: a first overall perspective considering the landscape as a mosaic of different land uses and a second perspective of detail observing the individual components that characterize the forest landscape. The aim of the study is to identify the most appreciated elements of landscape from the aesthetic point of view and the influence of socio-demographic characteristics of respondents on individual perception. In order to investigate the perception about the Alpine landscapes 358 visitors of two sites of Trentino-Alto Adige (Val di Genova and Santa Maria lake were interviewed using a structured questionnaire. The results show that the most appreciated elements of the landscape by the visitors are water (lakes and rivers and forests. These preferences are also conditioned by the site where the interviews were made. In addition, the results show that for the respondents of this survey the forest with the highest attractiveness

  19. Conduta na lesão intraepitelial de alto grau em mulheres adultas

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    Pauliana Sousa Oliveira

    Full Text Available O câncer cervical é a segunda causa mais comum de câncer entre as mulheres no mundo, apesar de apresentar grande potencial de prevenção e cura quando diagnosticado e tratado precocemente, o que pode reduzir a taxa de mortalidade entre as acometidas. Como não há consenso entre as medidas terapêuticas nas lesões intraepiteliais escamosas cervicais de alto grau (HSIL, buscamos discutir a conduta frente às mulheres adultas que apresentam HSIL e o seguimento após o procedimento adotado. Foi realizada pesquisa eletrônica no Medline (através do PubMed, National Guidelines Clearinghouse, Google Acadêmico e Lilacs. Os consensos identificados foram avaliados segundo sua validade e recomendações. Em relação ao acompanhamento após o tratamento, o Europeu acompanha por citologia de 6/6 meses; o Australiano, citologia e colposcopia de 6/6 meses; o Americano preconiza a realização da captura híbrida em seis a 12 meses ou citologia em seis meses. Já o Projeto Diretrizes do Brasil recomenda que reavaliações clínicas e colpocitológicas devam ser realizadas a cada três ou quatro meses nos primeiros dois anos de seguimento. Estudos comparando o método "Ver e Tratar" com os três passos (histologia, colposcopia, biópsia concluíram que este último é indicado em mulheres LSIL/ASCUS antes de se submeterem à exérese da zona de transformação (EZT, enquanto que o "Ver e Tratar" é indicado em mulheres com HSIL comprovada na citologia e sugestiva na colposcopia, pois apresenta como vantagens, o baixo custo e a resolução imediata. Todos os consensos são unânimes ao afirmar que frente à HSIL comprovada, retira-se a lesão por meio de ablação ou conização ou EZT.

  20. Alto Patache fog oasis in the Atacama Desert: Geographical basis for a sustainable development program

    Science.gov (United States)

    Calderón, M.; Cereceda, P.; Larrain, H.; Osses, P.; Pérez, L.; Ibáñez, M.

    2010-07-01

    Alto Patache coastal fog oasis is a protected area located south of Iquique, Northern Chile, being presently in charge of the Atacama Desert Center (ADC) research group of the Pontificia Universidad Católica de Chile, since 1997. On 2007, the Chilean Government bestowed a piece of land stretch covering 1,114 hectares to ADC scientific group for scientific research, ecosystem protection and environmental education. This oasis has been recently studied from different points of view: climate, biogeography, fog collection, geomorphology, soil survey and land use planning, plant distribution, conservation and archaeology. During 2009, a study of the geographical basis to elaborate a general management plan was undertaken to collect information to fulfill our planned out objectives. Through this study, georreferenciated strategic information was compiled to evaluate future actions conducting to a sustainable development within the protected area. This information was translated into thematic maps showing the spatial distribution of variables like: climate, geology, geomorphology, soils, vegetation, fauna, archaeological sites and management zones. The methodology used is the analysis of satellite imagery, using GPS by creating a cartographic Data Base incorporated in GIS. Results show that the area starts at the littoral plain, ranging from 500 m to 2.000 m, being continued in parts by a piedmont intercepted by a very abrupt mega-cliff, or hectares of climbing sand dunes leading to a short high plateau limited by a soft hilly area to the East. Two soil types are characteristic: Entisols (Torriorthent) covering the coastal beach sediments, and Aridisols along the cliff and adjacent hills. Vegetation consists not only of a very rich lichen cover, but also of endangered vascular species associations constituting a very fragile sub-tropical coastal desert community, such as Eulychnia, Cumulopuntia, Eriosyce cacti, and Lycium - Nolana- Ephedra communities. Fog oasis

  1. FORMAS DE LEITO E TRANSPORTE DE CARGA DE FUNDO DO ALTO RIO PARANÁ

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    Débora Pinto Martins

    2005-12-01

    Full Text Available O presente trabalho estima o transporte de carga de fundo no alto rio Paraná em Porto São José, PR (22º45’52”S e 53°10’34”W, num trecho de aproximadamente 2 km a jusante da Usina Hidrelétrica Engenheiro Sérgio Motta (Porto Primavera, onde o rio Paraná apresenta canal único com largura média de 1.200m e vazão média anual é de 8.912 m³/s. O cálculo da carga de fundo do canal foi baseado na determinação do tamanho das formas de leito e de sua velocidade de deslocamento linear, obtidos a partir de sucessivos levantamentos batimétricos. Foram realizadas três campanhas de levantamentos ecobatimétricos em diferentes momentos do ciclo hidrológico do rio, sendo cada campanha constituída por dois levantamentos separados em intervalos de 16 a 20 dias. O cálculo da carga de fundo baseou-se equação: Cf = (1-pH k Ud onde p é a porosidade (adimensional, H a altura média das formas de leito (m, k o coeficiente morfométrico das formas de leito (adimensional e Ud a velocidade de deslocamento das formas de leito (m/dia. As dunas são as formas de leito predominantes neste trecho do rio Paraná, com comprimento entre 50 e 100 m (média de 70,68 m e altura de 0,80 a 2,20 m (média de 1,30 m. A velocidade média de deslocamento linear das formas de fundo foi de 56,8 m/mês, para o período de maior vazão; e 45,0 m/mês para o período de menor vazão. O transporte médio de carga e fundo no rio Paraná foi estimado em 2.820,6 ton/dia, o que corresponde a 1.029.300 ton/ano. Comparando com dados anteriores, os autores sugerem que o transporte hidrossedimentar de fundo no trecho de canal estudado está sofrendo interferência da barragem de Porto Primavera.

  2. Guanaco traces and hunting strategies at Alto Patache North Chilean fog oasis

    Science.gov (United States)

    Larrain, H.; Cereceda, P.; Pérez, L.

    2010-07-01

    1. In foregoing Fog Conferences, some of us have made explicit the rich botanic and faunistic inventory to be found at this Chilean Fog site. This was specially apparent under strong ENSO conditions, as it happened in 1997/98 in the area. Among the mammal biggest species represented, the guanaco (Lama guanicoe Müller) merits special mention. Clear traces of their presence and eventual hunting and slaughtering by primitive populations have survived until present times. Among them, the myriads of guanaco trails still covering practically all the slopes along the foggy area, close to the sea, and their wollowing and defecating places are found. Also, although less studied, plant eating traces left behind by roaming camelids can be seen. 2. Guanaco hunting traces still visible at Alto Patache can be portrayed differently through : A) Analysis of lithic artifacts used as arms in hunting operations; B) Botanic response to animal attack; C) Examination of topographic traits used by primitive man in guanaco hunting strategies. A. Hundreds of lithic instruments made of stone, were abandoned by hunters in situ, some of them were intact, some fragmented, which would demonstrate a direct relationship with hunting and slaughtering, and also their elaboration in workshops at place. Lithic points, scrapers and knives were found at places specially apt for hunting or slaughtering activities. Total isolation of the mountain fog site previous to our arrival in 1996, favoured their conservation at place. B. Careful observation of some local plants showed clear traces of guanaco feeding habits. As a proof thereof, old cactus of the species Eulychnia iquiquensis show in their basal portions clear signals in the forms of scars, caused by the eating by guanacos. Guanaco faeces were found at the foot of Ephedra plants. Many dead Stipa ichu plants (Gramineae), in different areas of the oasis provide evidence of cutting close to their basis, caused by sharp guanaco tooth under severe food

  3. Arsenic in drinking water in the Los Altos de Jalisco region of Mexico.

    Science.gov (United States)

    Hurtado-Jiménez, Roberto; Gardea-Torresdey, Jorge L

    2006-10-01

    To establish the degree of contamination by arsenic in drinking water in the Los Altos de Jalisco (LAJ) region of west-central Mexico, and to estimate the levels of exposure that residents of the area face. Total arsenic concentration (the sum of all arsenic forms, organic and inorganic) was determined for 129 public water wells in 17 municipal capitals (cabeceras municipales) of the LAJ region, using inductively coupled plasma-optical emission spectroscopy. For most of the wells, water samples were taken in both November 2002 and October 2003. The levels of exposure to arsenic were estimated for babies (10 kg), children (20 kg), and adults (70 kg). Mean concentrations of arsenic higher than the Mexican national guideline value of 25 micro g/L were found in 44 (34%) of the 129 wells. The mean concentration of total arsenic for the 129 wells ranged from 14.7 micro g/L to 101.9 micro g/L. The highest concentrations were found in well water samples collected in the cities of Mexticacán (262.9 micro g/L), Teocaltiche (157.7 micro g/L), and San Juan de los Lagos (113.8 micro g/L). Considering the global mean concentration for all the wells in each of the 17 cities, the mean concentration of arsenic exceeded the Mexican guideline value in 7 of the cities. However, the global mean concentration in all 17 cities was higher than the World Health Organization guideline value of 10 micro g/L for arsenic. The range of the estimated exposure doses to arsenic in drinking water was 1.1-7.6 micro g/kg/d for babies, 0.7-5.1 micro g/kg/d for children, and 0.4-2.7 micro g/kg/d for adults. At the exposure doses estimated in the LAJ region, the potential health effects from chronic arsenic ingestion include skin diseases, gastrointestinal effects, neurological damage, cardiovascular problems, and hematological effects. While all the residents may not be affected, an important fraction of the total population of the LAJ region is under potential health risk due to the ingestion of high

  4. Fiscalidad tributaria y post-tributaria en el Alto Imperio Romano

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    José Carlos Jordán Reyes

    2010-01-01

    Full Text Available Con el tránsito de la República al Imperio, el sistema impositivo romano experimenta una profunda transformación. La fiscalidad cívica, regulada minuciosamente en el tributum, tiene su continuidad en las reformas fiscales emprendidas por Augusto, principalmente en el nuevo impuesto de sucesiones, la vicesima hereditatum y en la capitatio terrena. Se trata de un modelo tributario basado en la tradición republicana y con un fuerte sentido legal. A este modelo tributario se superpuso, como consecuencia de las necesidades de un Imperio en expansión, una fiscalidad ecléctica, con aportaciones de tributos de origen oriental, ajenas por completo al universo jurídico romano. Destinados en un principio a las provincias, fueron contaminando el sistema tributario romano en su conjunto. Estos tributos foráneos fueron a su vez contaminados por normas de Derecho romano, que les aportaron una naturaleza jurídica de la que solían carecer. En resumen, a lo largo del alto Imperio se va configurando un sistema tributario híbrido, complejo, de raíces romanas y orientales, con rasgos de fuerte juridicidad y al mismo tiempo con anomalías en su naturaleza jurídica y procedimental.The shift from the Roman Republic to the Roman Empire brought about a profound transformation of the Roman tax system. The tax reforms set forth by Augustus, most particularly, the new heritage tax, the vicesima hereditatum, and the capitatio terrena, did not mean a complete break from the civic fiscality which the tributum carefully regulated. Augustus’s system of taxation was based on the republican tradition and it had a strong sense of legality. Because of the needs of an expanding Empire, they added to this system of taxation an eclectic fiscality which included oriental taxes which had nothing to do with the Roman legal tradition. Originally designed for the provinces, these oriental taxes pervaded and corrupted the entire Roman system of taxation. In the same way, they

  5. Sustentabilidad: Liderar Organizaciones Migrantes en el Uruguay- Aspectos Asociados al Alto Desempeño Empresarial

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    Alberto González

    2016-04-01

    Full Text Available Las empresas son organizaciones cuya actividad principal son los negocios y se suele confundir ambos aspectos: el negocio y la organi-zación. La experiencia muestra que las empresas que permaecen en el tiempo se caracterizan por gestionar y evolucionar la relación organización-negocio en principalmente tres modalidades: mejorando su modelo de negocio, integrando nuevos negocios y migrando a otros negocios. Es cada vez más necesario para la supervivencia de una organización, el fortalecer dicha competencia específica de “migrar”: capacidad de desvin-cularse de un (modelo de negocio y asumir otro (modelo de negocio. Esta realidad impacta diferente a cada stakeholder. Los propietarios pueden migrar con mayor facilidad si deciden retirar su capital, vender el negocio, etc. El costo para los trabajadores es superior, afecta su fuente de trabajo y las condiciones de vida familiar, hasta su inclusión o exclusión social. Para la comunidad, la caída o reconversión de una organización puede implicar un costo colectivo enorme. El pensamiento económico y administrativo ha tendido a focalizar el problema en la sustentabilidad del negocio, pero desde la mirada ética y pasando por la Doctrina Social de la Iglesia, la sustentabilidad de la organización resulta más importante que la sustentabilidad del negocio. Se entrevistaron 55 empresas uruguayas que han perdurado más de 30 años, soportando radicales cambios del entorno, manteniendo posiciones de primera línea en sus áreas de acción. Un análisis cuantitativo de sus respuestas ilustra los factores de alto desempeño de su gestión, y un análisis cuali-tativo identifica características asociadas a su sustentabilidad organizacional, las cuales se presentan mediante el concepto de organizaciones migrantes. Los resultados muestran que además de las competencias de gestión, importan los valores y las actitudes de la dirección, confirmando la relevancia que tiene para las escuelas de

  6. Infrequent detection of Pneumocystis jirovecii by PCR in oral wash specimens from TB patients with or without HIV and healthy contacts in Tanzania

    DEFF Research Database (Denmark)

    Jensen, Lotte; Jensen, Andreas V; Praygod, George

    2010-01-01

    In tuberculosis (TB) endemic parts of the world, patients with pulmonary symptoms are managed as "smear-negative TB patients" if they do not improve on a two-week presumptive, broad-spectrum course of antibiotic treatment even if they are TB microscopy smear negative. These patients are frequentl......- and TB-endemic area of sub-Saharan Africa....

  7. Concordant or discordant results by the tuberculin skin test and the quantiFERON-TB test in children reflect immune biomarker profiles

    DEFF Research Database (Denmark)

    Dhanasekaran, S; Jenum, S; Stavrum, R

    2014-01-01

    The tuberculin skin test (TST) and QuantiFERON-TB-Gold-In-tube (QFTGIT) are adjunctive tests used in the diagnosis of pediatric tuberculosis (TB). Neither test can rule out TB; however, a positive test usually triggers preventive treatment in TB contacts aged <5 years. TST and QFTGIT can give div...

  8. Energy transfer processes in Tb(III)-dibenzoylmethanate complexes with phosphine oxide ligands

    International Nuclear Information System (INIS)

    Silva Junior, Francisco A.; Nascimento, Helenise A.; Pereira, Dariston K.S.; Teotonio, Ercules E.S.; Espinola, Jose Geraldo P.; Faustino, Wagner M.; Sa, Gilberto F.

    2013-01-01

    The Tb 3+ -β-diketonate complexes [Tb(DBM) 3 L], [Tb(DBM) 2 (NO 3 )L 2 ] and [Tb(DBM)(NO 3 ) 2 (HMPA) 2 ] (DBM = dibenzoylmethanate; L: TPPO triphenylphosphine oxide or HMPA=hexamethylphosphine oxide) were prepared and characterized by elemental analysis (CHN), complexometric titration with EDTA and Fourier transform infrared (FTIR) spectroscopy, and the photoluminescence properties evaluated. The triplet state energies of the coordinated DBM ligands were determined using time-resolved phosphorescence spectra of analogous Gd 3+ complexes. The results show that the energies increase along with the number of coordinated nitrate anions replacing the DBM ligand in the complexes. The luminescence spectra and emission lifetime measurements revealed that the ligand-to-metal energy transfer efficiency follows the same tendency. Unlike the tris-DBM complexes, bis- and mono-DBM presented high luminescence, and may act as promising candidates for preparation of the emitting layer of light converting molecular devices (LCMDs). (author)

  9. Challenges and solutions for a rational vaccine design for TB-endemic regions.

    Science.gov (United States)

    Gowthaman, Uthaman; Mushtaq, Khurram; Tan, Amabel C; Rai, Pradeep K; Jackson, David C; Agrewala, Javed N

    2015-01-01

    Vaccines have been successful for global eradication or control of dreaded diseases such as smallpox, diphtheria, tetanus, yellow fever, whooping cough, polio, and measles. Unfortunately, this success has not been achieved for controlling tuberculosis (TB) worldwide. Bacillus Calmette Guérin (BCG) is the only available vaccine against TB. Paradoxically, BCG has deciphered success in the Western world but has failed in TB-endemic areas. In this article, we highlight and discuss the aspects of immunity responsible for controlling Mycobacterium tuberculosis infection and factors responsible for the failure of BCG in TB-endemic countries. In addition, we also suggest strategies that contribute toward the development of successful vaccine in protecting populations where BCG has failed.

  10. Optical and magneto-optical characterization of TbFeCo thin films in trilayer structures

    International Nuclear Information System (INIS)

    McGahan, W.A.; He, P.; Chen, L.; Bonafede, S.; Woollam, J.A.; Sequeda, F.; McDaniel, T.; Do, H.

    1991-01-01

    A series of TbFeCo films ranging in thickness from 100 to 800 A have been deposited in trilayer structures on silicon wafer substrates, with Si 3 N 4 being employed as the dielectric material. These films have been characterized both optically and magneto-optically by variable angle of incidence spectroscopic ellipsometry, normal angle of incidence reflectometry, and normal angle of incidence Kerr spectroscopy. From these measurements, the optical constants n and k have been determined for the TbFeCo films, as well as the magneto-optical constants Q1 and Q2. Results are presented that demonstrate the lack of dependence of these constants on the thickness of the TbFeCo film, and which can be used for calculating the expected optical and magneto-optical response of any multilayer structure containing similar TbFeCo films

  11. Use of bactec 460 TB system in the diagnosis of tuberculosis

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    Rodrigues C

    2007-01-01

    Full Text Available Purpose : To evaluate, the efficacy of BACTEC 460 TB system for the diagnosis of tuberculosis in a tertiary care hospital in Mumbai, India. Methods : We compared 12,726 clinical specimens using BACTEC 460 TB system and conventional method for detection of Mycobacterium tuberculosis over a period of six years. Result: The overall recovery rate was 39% by BACTEC technique and 29% using Lowenstein-Jensen (LJ medium. An average detection time for B actec0 460 TB system was found to be 13.3 days and 15.3 days as against 31.2 days and 35.3 days by LJ method for respiratory and nonrespiratory specimens respectively. The average reporting time for drug susceptibility results ranged from 6-10 days for the BACTEC 460 TB system. Conclusions: The BACTEC system is a good system for level II laboratories, especially in the diagnosis of extrapulmonary and smear negative tuberculosis.

  12. Energy transfer and cross-relaxation in Tb3+-doped borosilicate glasses

    International Nuclear Information System (INIS)

    Kim, Jung Hwan; Sol, Jung Sik

    1990-01-01

    Energy transfer in Tb 3+ -doped borosilicate glasses has been studied by the analysis of fluorescence intensities and lifetimes of 5 D 3 and 5 D 4 states as a function of Tb 3+ concentration. It is shown that as the Tb 3+ concentration is increased the cross-relaxation produces high population of the 5 D 4 state at the expense of 5 D 3 . It is also found that this interaction is predominantly dipole-dipole transition with critical distance of 13 A. The critical distance for energy transfer 5 D 4 5 D 3 which is responsible for the quenching of 5 D 4 emission at high concentration of Tb 3+ ions is 4.5 A. (Author)

  13. Institutional factors and HIV/AIDS, TB and Malaria.

    Science.gov (United States)

    Simmonds, Stephanie

    2008-01-01

    This paper outlines the principal institutional factors affecting the slow progress in reaching agreed targets in Africa regarding the prevention and control of HIV/AIDS, TB and Malaria. It focuses on three key factors: political analysis, strategic business approach and international inputs. Most of the analyses tend to look at the technical aspects of disease prevention and control, of political analysis there is a marked absence. Yet, we know that wider contextual or macro factors such as power and political decision making can make or break a programme. Many senior managers in public sector institutions are preoccupied with day-to-day work. Successful businesses in the private sector have some things in common with each other. Outstanding leadership, a strategic and action orientated culture, highly focused on comparative strengths on priorities and quality being some of the key ones. Adopting such successful business characteristics might make the difference to public institutions. The move to results based institutions by focussing on outputs and outcomes is for the better. However, we still need to rigorously examine the quality of inputs that the increasing availability of funds is being used on. This is especially so in relation to needing a better balance between aid for health services and that for institutional and health systems development. In addition, technical advisers from development partners need to work more across a ministry of health on institutional and management change to have a greater impact on achieving targets. 2007 John Wiley & Sons, Ltd

  14. Risk Factors for Bovine Tuberculosis (bTB in Cattle in Ethiopia.

    Directory of Open Access Journals (Sweden)

    Sintayehu W Dejene

    Full Text Available Bovine tuberculosis (bTB infection is generally correlated with individual cattle's age, sex, body condition, and with husbandry practices such as herd composition, cattle movement, herd size, production system and proximity to wildlife-including bTB maintenance hosts. We tested the correlation between those factors and the prevalence of bTB, which is endemic in Ethiopia's highland cattle, in the Afar Region and Awash National Park between November 2013 and April 2015. A total of 2550 cattle from 102 herds were tested for bTB presence using the comparative intradermal tuberculin test (CITT. Data on herd structure, herd movement, management and production system, livestock transfer, and contact with wildlife were collected using semi-structured interviews with cattle herders and herd owners. The individual overall prevalence of cattle bTB was 5.5%, with a herd prevalence of 46%. Generalized Linear Mixed Models with a random herd-effect were used to analyse risk factors of cattle reactors within each herd. The older the age of the cattle and the lower the body condition the higher the chance of a positive bTB test result, but sex, lactation status and reproductive status were not correlated with bTB status. At herd level, General Linear Models showed that pastoral production systems with transhumant herds had a higher bTB prevalence than sedentary herds. A model averaging analysis identified herd size, contact with wildlife, and the interaction of herd size and contact with wildlife as significant risk factors for bTB prevalence in cattle. A subsequent Structural Equation Model showed that the probability of contact with wildlife was influenced by herd size, through herd movement. Larger herds moved more and grazed in larger areas, hence the probability of grazing in an area with wildlife and contact with either infected cattle or infected wildlife hosts increased, enhancing the chances for bTB infection. Therefore, future bTB control strategies

  15. HGV&TB: a comprehensive online resource on human genes and genetic variants associated with tuberculosis

    OpenAIRE

    Sahajpal, Ruchika; Kandoi, Gaurav; Dhiman, Heena; Raj, Sweety; Scaria, Vinod; Bhartiya, Deeksha; Hasija, Yasha

    2014-01-01

    Abstract Tuberculosis (TB) is an infectious disease caused by fastidious pathogen Mycobacterium tuberculosis. TB has emerged as one of the major causes of mortality in the developing world. Role of host genetic factors that modulate disease susceptibility have not been studied widely. Recent studies have reported few genetic loci that provide impetus to this area of research. The availability of tools has enabled genome-wide scans for disease susceptibility loci associated with infectious dis...

  16. Neutron resonance spins of 159Tb from experiments with polarized neutrons and polarized nuclei

    International Nuclear Information System (INIS)

    Alfimenkov, V.P.; Ivanenko, A.I.; Lason', L.; Mareev, Yu.D.; Ovchinnikov, O.N.; Pikel'ner, L.B.; Sharapov, Eh.I.

    1976-01-01

    Spins of 27 neutron resonances of 159 Tb with energies up to 114 eV have been measured using polarized neutrons and nuclei beams in the modernized time-of-flight spectrometer of the IBR-30 pulse reator. The direct measurements of the terbium resonances spins performed using polarized neutrons reaffirm the conclusion that there are no unstationary effects in the behaviour of 159 Tb neutron resonances in the energy range

  17. Anisotropy of the Mechanical Properties of TbF3 Crystals

    Science.gov (United States)

    Karimov, D. N.; Lisovenko, D. S.; Sizova, N. L.; Sobolev, B. P.

    2018-01-01

    TbF3 (sp. gr. Pnma) crystals up to 40 mm in diameter have been grown from melt by a Bridgman technique. The anisotropy of their mechanical properties is studied for the first time. the technical elasticity constants are calculated, and room-temperature values of Vickers microhardness for the (010) and (100) planes are measured. The shape of indentation impressions is found to correlate with Young's modulus anisotropy for TbF3 crystals.

  18. 46 CFR 35.01-10 - Shipping papers-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Shipping papers-TB/ALL. 35.01-10 Section 35.01-10... Requirements § 35.01-10 Shipping papers—TB/ALL. Each loaded tank vessel shall have on board a bill of lading... agent of the owner: Provided, however, That in the case of unmanned barges where shipping papers are not...

  19. 46 CFR 35.25-15 - Carrying of excess steam-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Carrying of excess steam-TB/ALL. 35.25-15 Section 35.25... § 35.25-15 Carrying of excess steam—TB/ALL. It shall be the duty of the chief engineer of any tank vessel to see that a steam pressure is not carried in excess of that allowed by the certificate of...

  20. Laboratory quality stepwise implementation tool: National reference TB laboratory of Iran

    OpenAIRE

    Ali Naghi Kebriaee; Donya Malekshahian; Mojtaba Ahmadi; Parissa Farnia

    2015-01-01

    Background and objective: During recent years, the World Health Organization (WHO) proposed new software for improving the tuberculosis (TB) laboratory services. The protocol is known as “quality stepwise implementation tool” and is based on enforcement of quality assurance services through accreditation by the International Organization for Standardization (ISO) 15189. As a national reference TB laboratory (NRL) of Iran, the benefit and challenges of implementing this standard were analyzed....

  1. CT screening before treatment of latent tuberculous infection for the diagnosis of clinical TB among contacts

    International Nuclear Information System (INIS)

    Yoshiyama, Takashi; Ogata, Hideo

    2008-01-01

    The objective of this study was to evaluate the value of CT scan for the detection of tuberculous diseases among persons who are suspected to be infected at the contact examination. The settings of this study was to Fukujuji Hospital, Japan. Retrospective review of the medical records of 22 persons who were normal with plain chest X-ray at an outbreak at a private school, with which total 46 tuberculosis (TB) cases and 93 infected persons were detected by either symptomatic visits or contact examinations done mainly at public health centers. Among the 44 persons who visited Fukujuji Hospital, 4 persons were symptomatic visits, 3 persons were detected as TB cases by the contact examination at public health centers and 3 persons visited Fukujuji Hospital for the purpose of contact examination before examinations at the public health centers. Eight of these 10 persons were with abnormal chest plain X-ray findings and the remaining two persons were normal with plain chest X-ray findings (group A). Among the 34 persons who were referred to Fukujuji Hospital from public health centers as the infected person without diseases, one person showed abnormal chest plain X-ray and 33 persons showed normal chest plain X-ray (group B). Group A persons were examined in June and Group B persons were examined in July. The 2 persons in the group A were with abnormal CT findings. They were not diagnosed as TB by the CT findings but followed up after sputum examinations. Both of them were diagnosed as TB by the positive TB culture. Among the 33 persons in the group B, 20 persons were tested with CT scan at the examination done before starting treatment of latent tuberuclous infection and six of these 20 persons were with abnormal findings and were judged as TB diseases. In the case of outbreak with many TB cases and infected persons, CT should be considered for the detection of TB cases among contacts. (author)

  2. Local level epidemiological analysis of TB in people from a high incidence country of birth

    OpenAIRE

    Massey Peter D; Durrheim David N; Stephens Nicola; Christensen Amanda

    2013-01-01

    Abstract Background The setting for this analysis is the low tuberculosis (TB) incidence state of New South Wales (NSW), Australia. Local level analysis of TB epidemiology in people from high incidence countries-of-birth (HIC) in a low incidence setting has not been conducted in Australia and has not been widely reported. Local level analysis could inform measures such as active case finding and targeted earlier diagnosis. The aim of this study was to use a novel approach to identify local ar...

  3. Evolution of the structural and magnetic properties of sputtered Tb{sub x}Fe{sub 73}Ga{sub 27-x} (7 at.% ≤ x ≤ 11 at.%) thin films upon the increase of Tb content

    Energy Technology Data Exchange (ETDEWEB)

    Ranchal, R., E-mail: rociran@fis.ucm.es [Dpto. Física de Materiales, Facultad de Ciencias Físicas, Universidad Complutense de Madrid, Ciudad Universitaria s/n, Madrid 28040 (Spain); Fin, S. [Dipartimento di Fisica, Università di Ferrara, Via Saragat 1, 44122 Ferrara (Italy); Bisero, D. [CNISM and Dipartimento di Fisica, Università di Ferrara, Via Saragat 1, 44122 Ferrara (Italy)

    2016-05-15

    Tb{sub x}Fe{sub 73}Ga{sub 27-x} (7 at.% ≤ x ≤ 11 at.%) ternary alloys have been obtained by cosputtering from Tb{sub 33}Fe{sub 67} and Fe{sub 72}Ga{sub 28} targets. In contrast with other Tb–Fe–Ga compounds that consist of just one structural phase, the diffraction pattern of the Tb{sub 7}Fe{sub 73}Ga{sub 20} shows the presence of two different phases related to binary Tb–Fe and Fe–Ga alloys. This microstructure evolves as the Tb content is increased, and for a Tb of 11 at.% X-ray diffractometry only evidences the presence of a phase close to the TbFe{sub 2}. Although none of the studied samples show perpendicular magnetic anisotropy, there is a significant component of the magnetization perpendicular to the sample plane. The increase of the Tb content on the compounds from 7 at.% to 11 at.% enhances this component most probably due to the shift of the microstructure towards one similar to the TbFe{sub 2}. - Highlights: • Tb{sub x}Fe{sub 73}Ga{sub 27-x} (7 at.% ≤ x ≤ 11 at.%) thin films grown by cosputtering. • Evolution of the microstructure upon the increase of Tb. • Out of plane component of the magnetization stable up to 800 Oe.

  4. Diagnostic Value of Cerebrospinal Fluid T-SPOT.TB for Tuberculousis Meningitis in China.

    Science.gov (United States)

    Li, Xue Lian; Xie, Na; Wang, Song Wang; Wu, Qian Hong; Ma, Yan; Shu, Wei; Chen, Hong Mei; Zhang, Li Qun; Wu, Xiao Guang; Ma, Li Ping; Che, Nan Ying; Gao, Meng Qiu

    2017-09-01

    The aim of this study was to evaluate the diagnostic value of the cerebrospinal fluid (CSF) T-SPOT.TB test for the diagnosis of TB meningitis (TBM). A retrospective analysis of 96 patients with manifested meningitis was conducted; T-SPOT.TB test was performed for diagnosing TBM to determine the diagnostic sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). A receiver operating characteristic (ROC) curve was also drawn to assess the diagnostic accuracy. The sensitivity, specificity, PPV, and NPV of CSF T-SPOT.TB test were 97.8%, 78.0%, 80.3%, and 97.5%, respectively, for 52 patients (54.2%) of the 96 enrolled patients. The area under the curve (AUC) was 0.910, and the sensitivities of CSF T-SPOT.TB for patients with stages I, II, and III of TBM were 96.7%, 97.2%, and 98.9%, respectively. CSF T-SPOT.TB test is a rapid and accurate diagnostic method with higher sensitivity and specificity for diagnosing TBM. Copyright © 2017 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved.

  5. Magnetic and thermal properties of amorphous TbFeCo alloy films

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Ke, E-mail: K.Wang@hqu.edu.cn; Dong, Shuo; Huang, Ya; Qiu, Yuzhen

    2017-07-15

    Highlights: • Significant increase in magnetization is observed in TbFeCo upon crystallization. • The crystallization temperature is determined in the range between 400 and 450 °C. • The activation barriers for structural changes are obtained successfully. • Better thermal stability against crystallization and oxidation is demonstrated in FeCo-rich sample than Tb-rich type. - Abstract: Amorphous TbFeCo material with perpendicular magnetic anisotropy is currently attracting more attention for potential applications in spintronic devices and logic memories. We systematically investigate magnetic, structural, thermal, optical and electrical properties of TbFeCo alloy films. It shows out-of-plane easy axis of the films turns into in-plane orientation after annealing. Significant increase in saturation magnetization in the temperature range between 400 and 450 °C is revealed by thermomagnetic measurements. The occurrence of crystallization and oxidation at high temperatures is confirmed by X-ray diffraction measurements. Pronounced changes in optical reflectance and sheet resistance are observed with temperature, in line with structural relaxation and change. The activation barriers for crystallization and oxidation are determined to be 1.01 eV and 0.83 eV, respectively, for FeCo-rich and Tb-rich samples. Better thermal stability against crystallization and oxidation is demonstrated in the FeCo-rich sample than the Tb-rich type. Our results provide some useful information for the alloy used in device fabrication.

  6. Structural properties of the geometrically frustrated pyrochlore Tb2Ti2O7

    International Nuclear Information System (INIS)

    Han, Sang-Wook; Gardner, Jason S.; Booth, Corwin H.

    2004-01-01

    Although materials that exhibit nearest-neighbor-only antiferromagnetic interactions and geometrical frustration theoretically should not magnetically order in the absence of disorder, few such systems have been observed experimentally. One such system appears to be the pyrochlore Tb 2 Ti 2 O 7 . However, previous structural studies indicated that Tb 2 Ti 2 O 7 is an imperfect pyrochlore. To clarify the situation, we performed neutron powder diffraction (NPD) and x-ray absorption fine structure (XAFS) measurements on samples that were prepared identically to those that show no magnetic order. The NPD measurements show that the long-range structure of Tb 2 Ti 2 O 7 is well ordered with no structural transitions between 4.5 and 600 K. In particular, mean-squared displacements (u 2 's) for each site follow a Debye model with no offsets. No evidence for Tb/Ti site interchange was observed within an upper limit of 2%. Likewise, no excess or deficiency in the oxygen stoichiometry was observed, within an upper limit of 2% of the nominal pyrochlore value. Tb L III and Ti K-edge XAFS measurements from 20-300 K similarly indicate a well-ordered local structure. Other aspects of the structure are considered. We conclude that Tb 2 Ti 2 O 7 has, within experimental error, an ideal, disorder-free pyrochlore lattice, thereby allowing the system to remain in a dynamic, frustrated spin state to the lowest observed temperatures

  7. Investing to end epidemics: the role of the Global Fund to control TB by 2030.

    Science.gov (United States)

    Kunii, Osamu; Yassin, Mohammed A; Wandwalo, Eliud

    2016-03-01

    The Global Fund to fight AIDS, Tuberculosis and Malaria provides over three-quarters of all international financing towards TB programs with US$4.7 billion disbursed, supporting provision of treatment for 13.2 million patients with smear-positive TB and 210 000 patients with multidrug-resistant TB in over 100 countries since 2002. In 2013, the Global Fund launched a new funding model that, among others, is advancing strategic investments to maximize impact, addressing 'missing' TB cases, enhancing a synergistic response to TB/HIV dual epidemics, and building resilient and sustainable systems for health. A new Global Fund Strategy is under development through consultation with various stakeholders, with which the Global Fund will work to play a more catalytic role and foster innovations to end the TB epidemic. © The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  8. Crystal structure of CsTb(PO3)4 compound

    International Nuclear Information System (INIS)

    Palkina, K.K.; Maksimova, S.I.; Kuznetsov, V.G.; Chibiskova, N.T.

    1978-01-01

    The X-ray structural study of compounds of the CsLn(PO 3 ) 4 series has been made. Found is the presence of two structural types for CsPr(PO 3 ) 4 (cubic and monoclinic modifications), one type for CsNd(PO 3 ) 4 (cubic modification) and for CsTb(PO 3 ) 4 (monoclinic modification). For the CsTb(PO 3 ) 4 monocrystal the lattice parameters are determined: a=7.032 +- 0.001; b=8.705 +- 0.001; c=9.051 +- 0.001 A; α=90 deg, β=90 deg, γ=100 deg, Z=2, V=545.68 A 3 , dsub(exp)=3.70 g/cm 3 . The structure character is presented as infinite chains of (PO 4 ) tetrahedrons, stretched along the ''C'' period. Tb and Cs atoms are rounded by 8 atoms of oxygen. Tb polyhedron are irregular octaapexes or strongly deformed tetragonal antiprisms. Tb-Tb shortest distance is 6.59 A

  9. Variación antropométrica y nutricional en Susques y Alto Comedero entre 2002-2007

    Directory of Open Access Journals (Sweden)

    Bejarano, Ignacio

    2007-01-01

    Full Text Available Las poblaciones humanas experimentan variaciones de los parámetros antropométricos como expresión de los cambios socioambientales. El objetivo de este trabajo fue analizar la variación temporal de talla, peso y estado nutricional en dos poblaciones jujeñas situadas a distintos niveles altitudinales. Los datos procedieron de mediciones realizadas en 2002 y 2007 en poblaciones de 6 a 17 años de Susques (3500 m y Alto Comedero (1200 m. Se calcularon las categorías nutricionales de Waterlow y las diferencias entre talla y peso y categorías nutricionales se establecieron con ANOVA y prueba de comparación de proporciones (χ2 respectivamente. Para ambas poblaciones se observaron diferencias interanuales estadísticamente significativas de los promedios de talla y peso, siendo menores en Susques en el 2007, lo contrario sucede en Alto Comedero. Las diferencias interanuales de la categorías nutricionales no fueron estadísticamente significativas en Alto Comedero, pero si en Susques para normonutridos y obesos que disminuyeron y aumentaron respectivamente entre 2002 y 2007. En el contexto de las modificaciones socioeconómicas experimentadas por la población susqueña en los últimos años, debido a su mayor conexión e integración con poblaciones vecinas por la apertura del Paso de Jama, los resultados indicarían un empeoramiento de las condiciones nutricionales de su población infanto juvenil.

  10. Estructura temporal, interacción táctica y eficacia en asaltos de esgrima de alto nivel

    OpenAIRE

    Tarragó Garcia, Rafael

    2017-01-01

    [spa] El objetivo general de esta tesis doctoral fue caracterizar las acciones técnico-tácticas en los asaltos de esgrima de competición de alto nivel en sus seis modalidades. Para ello se determinó la estructura temporal de los asaltos, analizando la eficacia de las acciones y la efectividad bilateral de las frases de armas en función del periodo del asalto, de la zona de la pista en que se realizaron y del tiempo que restaba de asalto, y efectuando un análisis del diálogo táctico. Se estru...

  11. HTLV-I en población de alto riesgo sexual de Pisco, Ica, Perú.

    OpenAIRE

    GARRIDO, Patricia; ANICAMA, Rolando; GOTUZZO, Eduardo; CHAUCA, Gloria; WATTS, Douglas

    2013-01-01

    Objetivo: Se estudiaron 141 personas con alto riesgo sexual en la ciudad de Pisco para detectar infección por HTLV-I. Material y Métodos: Se encuestaron y se tomaron muestras de sangre a 141 personas que involucró a trabajadoras sexuales (32), varones homosexuales (54), y varones bisexuales(55). Resultados: Tres de treintidós (10.4%) trabajadoras sexuales fueron positivas; uno de cincuenticuatro (1.9%) de varones homosexuales y ninguno de 55 bisexuales. Hubo una elevada frecuencia de parejas,...

  12. Operações motivadoras condicionadas transitivas em atletas de alto rendimento : da replicação ao conceito

    OpenAIRE

    Figueiredo, Luiz Eduardo de

    2013-01-01

    O presente estudo investigou o efeito das operações motivadoras condicionadas transitivas sobre a primeira resposta de uma cadeia comportamental de dois elos em uma tarefa de computador com participantes atletas de alto rendimento. Na cadeia comportamental, o comportamento de pressionar a tecla vermelha sob um esquema de razão variável 14, produzia a apresentação de 5 segundos do reforçador condicionado maçã, na presença do qual, pressionar a tecla azul resultava em 1 ponto verde trocável pel...

  13. Agroindustria y extractivismo en el Alto Cauca. Impactos sobre los sistemas de subsistencia Afrocampesinos y resistencias (1950-2011)

    OpenAIRE

    Irene Vélez Torres; Daniel Varela; Sandra Rátiva; Andrés Salcedo

    2013-01-01

    La agroindustria y el extractivismo han generado un profundo cambio en las prácticaseconómicas tradicionales del Alto Cauca en Colombia en detrimento de los sistemas socio-económicos de subsistencia de la población local Afro-campesina. El intenso conflictoarmado y la migración forzada han acompañado la instauración de estos modelos de acumulaciónpor despojo. Utilizando una metodología de investigación participativa, este artículoanaliza críticamente la disputa por el acceso y la propiedad so...

  14. Carga viral de seis tipos de Virus del Papiloma Humano de alto riesgo y su asociacion con lesiones cervicales

    OpenAIRE

    Del Río Ospina, Luisa Fernanda

    2015-01-01

    Introducción: La infección por un tipo de Virus del Papiloma Humano de alto riesgo (VPH-AR), es el factor principal en el desarrollo de Cáncer de Cérvix (CC). La carga viral puede modular esta asociación, por lo que resulta importante su cuantificación y el establecimiento de su relación con lesiones precursoras de CC. Metodología: 60 mujeres con lesiones escamosas intraepiteliales (LEI) y 120 mujeres sin LEI, confirmadas por colposcopia, fueron incluidas en el estudio. Se determinó la car...

  15. Análisis económico y ambiental de la agricultura alternativa. Caso: Alto Ricaurte - Boyacá

    OpenAIRE

    González A., Carolina; Gutiérrez B., Patricia

    1992-01-01

    El trabajo: Análisis económico y ambiental de la agricultura alternativa, caso: Alto Ricaurte Boyacá, aborda un tema de trascendencia como es la propuesta de un modelo de agricultura alternativa como base para un desarrollo sustentable, lo cual es, precisamente una de las principales preocupaciones de la comunidad internacional que motivó la convocatoria de la llamada Cumbre de la tierra que por estos días se reúne en Río de Janeiro.

  16. Inteligencia fluida y cristalizada en el autismo de alto funcionamiento y el síndrome de Asperger

    OpenAIRE

    Pérez, P.F.

    2016-01-01

    La inteligencia en los trastornos del espectro autista, especialmente en el autismo de alto funcionamiento y el síndrome de Asperger, ha sido tema de numerosas investigaciones que pretenden establecer la capacidad intelectual que se observa en estos sujetos. Algunos de los resultados más sobresalientes señalan que la inteligencia fluida es uno de los aspectos de desempeño superior en esta población, en comparación con el desempeño en las pruebas que miden inteligencia cristalizada como la esc...

  17. Prescrição de terapias baseadas em evidências para pacientes de alto risco cardiovascular: estudo REACT

    Directory of Open Access Journals (Sweden)

    Otávio Berwanger

    2013-03-01

    Full Text Available FUNDAMENTO: Dados de atendimento ambulatorial ao paciente de alto risco cardiovascular no Brasil são insuficientes. OBJETIVO: Descrever o perfil e documentar a prática clínica do atendimento ambulatorial de pacientes de alto risco cardiovascular no Brasil, no que diz respeito à prescrição de terapias baseadas em evidências. MÉTODOS: Registro prospectivo que documentou a prática clínica ambulatorial de indivíduos de alto risco cardiovascular, que foi definido como a presença de um dos seguintes fatores: doença arterial coronariana, cerebrovascular e vascular periférica; diabetes; ou aqueles com pelo menos três dos seguintes fatores: hipertensão arterial, tabagismo, dislipidemia, maiores 70 anos, histórico familiar de doença arterial coronariana, nefropatia crônica ou doença carotídea assintomática. Foram avaliadas características basais e a taxa de prescrição das intervenções medicamentosas e não medicamentosas. RESULTADOS: Foram incluídos 2.364 pacientes consecutivos, sendo 52,2% do gênero masculino, idade média de 66,0 anos (± 10,1. Dentre os pacientes incluídos, 78,3% utilizavam antiplaquetários, 77,0% estatinas e, dos pacientes com história de infarto do miocárdio, 58,0% receberam betabloqueadores. O uso concomitante destas três classes foi de 34%. Não atingiram as metas preconizadas pelas diretrizes 50,9% dos hipertensos, 67% dos diabéticos e 25,7% dos dislipidêmicos. Os principais preditores de prescrição de terapias com benefício comprovado foram centro com cardiologista e histórico de doença arterial coronariana. CONCLUSÃO: Este registro nacional e representativo identificou hiatos importantes na incorporação de terapias com benefício comprovado, oferecendo um panorama real dos pacientes de alto risco cardiovascular.

  18. PROFIL PENDERITA TB PARU KLINIS YANG TIDAK BEROBAT DI PELAYANAN KESEHATAN, DI INDONESIA TAHUN 2010

    Directory of Open Access Journals (Sweden)

    Gurendro Putro

    2013-03-01

    Full Text Available ABSTRACT Background: Further analysis of the results of health research foundation in 2010 in this report on the profile penderira clinical pulmonary TB disease is not treated in the health service. The data analyzed is the result of basic health research in clinical pulmonary TB patients who do not seek treatment in health care. Methods: This analysis is the deepening of research on the basic health questionnaire B18 RKD1 ORT question by finding that respondent characteristics of age, gender, education level and job type, and location of residen ce and social situation eskonomi. It is also seen in disease prevention behavior Pulmonary TB and state family room and bedroom sufferers. Results: Having done the analysis, there are 4966 clinical pulmonary TB patients and who do not seek treatment at health care as many as 2842 patients (57.7%. So th at the data analyzed is as much as 2842 people. From the test results of Chi sqaure analysis variables associated with pulmonary TB prevention behaviors are age (p = 0.001, education level (p = 0.001, occupation (p = 0.001, residence ofrespondents (p = 0.001, socioeconomic (p = 0.001, and housing conditions (p = 0.001. Conclusions: Health workers are health care workers provide counseling on the importance of treatment for patients with pulmonary tuberculosis clinical and laboratory examinations do know the existence of BTA +. Also expected clinical pulmonary TB patients do not spit everywhere. Key words: profile, clinic TB case, don't therapy in health services ABSTRAK Latar Belakang: Analisis lanjut hasil riset kesehatan dasar 201 0 dalam laporan ini tentang profil penderira penyakit TB Paru klinis yang tidak berobat di pelayanan kesehatan. Data yang dianalisis merupakan hasil dari riset kesehatan dasar pada penderita TB Paru klinis yang tidak berobat di pelayanan kesehatan. Metode: Analisis ini merupakan pendalaman dari hasil riset kesehatan dasar pada kuesioner RKD 1 O. RT pertanyaan B 18 dengan

  19. Evaluation of immune responses in HIV infected patients with pleural tuberculosis by the QuantiFERON® TB-Gold interferon-gamma assay

    Directory of Open Access Journals (Sweden)

    Lekabe Jacob M

    2008-03-01

    Full Text Available Abstract Background Diagnosis of tuberculous (TB pleuritis is difficult and better diagnostic tools are needed. New blood based interferon-gamma (IFN-γ tests are promising, but sensitivity could be low in HIV positive patients. The IFN-γ tests have not yet been validated for use in pleural fluid, a compartment with higher level of immune activation than in blood. Methods The QuantiFERON TB®-Gold (QFT-TB test was analysed in blood and pleural fluid from 34 patients presenting with clinically suspected pleural TB. Clinical data, HIV status and CD4 cell counts were recorded. Adenosine deaminase activity (ADA analysis and TB culture were performed on pleural fluid. Results The patients were categorised as 'confirmed TB' (n = 12, 'probable TB' (n = 16 and 'non-TB' pleuritis (n = 6 based on TB culture results and clinical and biochemical criteria. The majority of the TB patients were HIV infected (82%. The QFT-TB in pleural fluid was positive in 27% and 56% of the 'confirmed TB' and 'probable TB' cases, respectively, whereas the corresponding sensitivities in blood were 58% and 83%. Indeterminate results in blood (25% were caused by low phytohemagglutinin (PHA = positive control IFN-γ responses, significantly lower in the TB patients as compared to the 'non-TB' cases (p = 0.02. Blood PHA responses correlated with CD4 cell count (r = 0.600, p = 0.028. In contrast, in pleural fluid indeterminate results (52% were caused by high Nil (negative control IFN-γ responses in both TB groups. Still, the Nil IFN-γ responses were lower than the TB antigen responses (p Conclusion The QFT-TB test in blood could contribute to the diagnosis of TB pleuritis in the HIV positive population. Still, the number of inconclusive results is too high to recommend the commercial QFT-TB test for routine use in pleural fluid in a TB/HIV endemic resource-limited setting.

  20. The risk factor of false-negative and false-positive for T-SPOT.TB in active tuberculosis.

    Science.gov (United States)

    Di, Li; Li, Yan

    2018-02-01

    T-SPOT.TB is a promising diagnosis tool to identify both pulmonary tuberculosis and extrapulmonary tuberculosis, as well as latent tuberculosis; however, the factors that affect the results of T-SPOT.TB remains unclear. In this study, we aim to figure out the risk factor of T-SPOT.TB for active TB. A total of 349 patients were recruited between January 1st, 2016 and January 22st, 2017 at Renmin Hospital of Wuhan University, including 98 subjects with TB and 251 subjects with non-TB disease, and received T-SPOT.TB (Oxford Immunotec Ltd). Statistics were analyzed by SPSS 19.0 using logistic regression. The overall specificity and sensitivity of the T-SPOT.TB was 92.83% (233/251; 95%CI 0.8872-0.9557) and 83.67% (82/98; 95%CI 0.7454-0.9010), respectively. Patients with tuberculous meningitis were more likely to have false-negative results (OR 17.4, 95%CI 3.068-98.671; P.05). Tuberculous meningitis was a risk factor of false-negative for T-SPOT.TB, while cured TB was a risk factor of false-positive. © 2017 Wiley Periodicals, Inc.