27 resultados para K Current
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Glauconite K-Ar ages (6.880.4; 7.030.4 MY) confirm earlier reports to Upper Tortonian of silt beds near Morgadinho, Luz de Tavira and Tavira. Taking stratigraphical position and age into account it is possible now to correlate these beds with similar ones at Quelfes and Cacela (Formao de Cacela, lower member, ascribed to the upper part of N16 or to NI7 Blow's zone, Globorotalia humerosa - G. dutertrei; Tortonian to Messinian, according to the ostracod fauna). Limit between the above quoted zones is thus placed at about 7 MY. New K-Ar ages greatly improve the knowledge about Upper Miocene in eastern Algarve, and on regional tectonic evolution. This is particulary so in what concerns an intra-Tortonian phase.
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In the southern part of Tagus basin, North of paleozoic rocks of Valverde-Senhor das Chagas (near Alccer do Sal) horst, a marine transgression has been recognized, Upper Serravallian, and maybe Lower Tortonian in age. There are no earlier marine deposits, and no younger ones are known either. Paleozoic behaved as a barrier separating two basins, distinct at least since Middle Miocene until Upper Pleistocene. Until now, both were regarded as a single entity, the so-called Sado basin Southwards (Alvalade basin) there has been a single transgression. It was assummed that it was the same one as the former. Indeed it is not definitely so. Later transgression accounts for Esbarrondadoiro Formation, whose deposits have been ascribed to Tortonian or even to Middle Miocene. However they are Upper Messinian to Lower Zanclean. Esbarrondadoiro Formation is younger than Lower Member of Cacela Formation in Algarve and, with even stronger reason, than the upper-most well dated marine levels in Tagus basin. Age of Miocene units dealt with here has been based on small mammals found in marine sands.
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Renders are an important item in historical buildings and the need for their periodical re-application is a basic conservation procedure. In modern times there has been a trend towards the replacement of traditional pure lime mortars by new formulations including Portland cement or hydraulic lime. Apart from those interventions on specific and very important monuments, in which the use oftraditional non-hydraulic mortars can be enforced, in most of the projects involving less than first order magnitude heritage the use of some sort of hydraulic components is becoming the rule rather than the exception. The present paper describes and analyses the results of an experimental study with ten formulations of current mortars - including some that can hardly be considered as adequate conservation procedures - allowing a direct comparison in terms of some of the most relevant characteristics.
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Based on the paper presented at the International Conference Autonomous Systems: inter-relations of technical and societal issues, organized by IET with the support of the Portuguese-German collaboration project on Technology Assessment of Autonomous Robotics (DAAD/CRUP) at FCT-UNL, Biblioteca da UNL, Campus de Caparica on 5-6 November 2009.
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Dissertao apresentada na Faculdade de Cincias e Tecnologia da Universidade Nova de Lisboa para obteno do grau de Mestre em Engenharia Electrotcnica e Computadores
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RESMO: Introduo: A anemia de clulas falciformes doena hereditria, com repercusso multi-orgnica, tem grande variabilidade na sua expresso clnica. Da o interesse do estudo de indicadores de prognstico. A investigao realizada foi precedida de um resumo histrico incidindo sobre a compreenso de aspectos fundamentais da doena ao longo dos tempos. Na primeira parte do estudo e aps reviso bibliogrfica, foram referidos dados da fisiopatologia como base para os estudos que integram a presente dissertao. Abordou-se o estado da arte relativamente s complicaes, aos indicadores de prognstico e teraputica utilizada. Objectivos: Constituram objectivos deste estudo realizado numa amostra populacional representativa: identificar as leses a nvel dos sistemas cardio-respiratrio e nervoso central, avaliando-se as respectivas repercusses; avaliar a presena de indicadores de prognstico entre as variveis seleccionadas; estudar a eficcia e toxicidade da HU nos doentes com as formas graves da ACF. Para a prossecuo destes objectivos foram delineados para alm do estudo global trs estudos especficos: Estudo 1- repercusso no sistema cardio-respiratrio; Estudo 2- repercusso no sistema nervoso central; Estudo 3- teraputica com hidroxiureia. Doentes e mtodos: Procedeu-se a um estudo prospectivo e multi-institucional durante um perodo de trs anos tendo-se seleccionado para a amostra, e de acordo com critrios pr-definidos, 30 doentes com ACF na fase estvel da doena, com idades compreendidas entre os sete e os 18 anos, todos de origem africana excepo de um caucasiano. O diagnstico baseou-se em tcnicas de electroforese e estudo molecular que definiu o genotipo da doena e a presena da deleco da -talassmia assim como os haplotipos da amostra populacional. Foram utilizadas diferentes metodologias para avaliar a existncia de leso pulmonar e cerebral. Atravs do estudo estatstico foram seleccionadas diversas variveis como hipotticos indicadores de prognstico. Estudo 1. Para determinar a existncia de leso a nvel pulmonar usaram-se duas metodologias diferentes, a avaliao da funo pulmonar com estudo da saturao da Hb em O2 no sangue arterial e a tomografia computadorizada de alta resoluo. Estudou-se tambm a possvel disfuno cardaca como repercusso da leso pulmonar, atravs do ecocardiograma, e os indicadores de prognstico com significado estatstico para a leso encontrada. Estudo 2. O desenho deste estudo foi sobreponvel ao anterior, mas com metodologia adequada para o SNC. Procedeu-se ao estudo das leses cerebrais por meio de exames imagiolgicos, (RMN-CE e DTC) e de testes psicolgicos. Correlacionaram-se as trs metodologias utilizadas e a importncia de cada uma para a deciso de atitudes teraputicas preventivas. Estudo 3. Consistiu num estudo aberto prospectivo no controlado com nove crianas e adolescentes com formas graves de ACF, com o objectivo de avaliar a eficcia da teraputica com hidroxiureia, durante um perodo de 24 meses. Todos os doentes completaram no mnimo 15 meses de teraputica, com uma dose final mdia de 194 mg/K/dia. Resultados globais: Durante o perodo anterior investigao caracterizou-se a amostra populacional estudada quanto ao fenotipo gentico, clnico e hematolgico de acordo com os critrios utilizados por outros investigadores. Verificou-se: predomnio do haplotipo Bantu na forma homozigtica em 53% dos doentes; nmero total de EVO 3/ano em 87,5% dos doentes; crises de sequestrao em 18,75%; dactilites no primeiro ano de vida em 31,2%; quadro de spsis grave apenas num doente; crises de hiper-hemlise em 50%; e STA em 59,38% dos doentes. Quanto ao fenotipo hematolgico evidenciaram-se como factores de risco reticulocitose (13,1x103/l) e hiperbilirrubinmia (2,5 mg/dl) e como factores de bom prognstico a presena de deleco de um gene da -talassmia em 46,9% dos doentes e valor mdio de Hb 8,1 g/dl. Resultados dos estudos parcelares: Estudo 1. Deste estudo infere-se que a DPR ligeira foi diagnosticada em 70% dos doentes, uma vez que as alteraes da difuso no foram estatisticamente significativas, o estudo dos gases no sangue no evidenciaram resultados anormais e a TCAR evidenciou alteraes em 43,3% dos doentes. Apenas num doente se verificou doena pulmonar obstrutiva relacionada com maior nmero da STA.O estudo da disfuno cardaca encontrada em 86,7% dos doentes no reflecte a repercusso da DPR a nvel cardaco, podendo estar associada s alteraes fisiopatolgicas da prpria anemia crnica. Encontraram-se indicadores de prognstico hematolgicos e clnicos. Entre os primeiros, valores de Hb 8,5 g/dl e de HbF 13% foram considerados indicadores de bom prognstico para a leso pulmonar. Em relao aos parmetros clnicos, as STA no foram consideradas indicadoras de prognstico para a DPR ao contrrio do que se verificou com o nmero de EVO. Pela anlise dos parmetros genticos e socio-econmicos provou-se a ausncia de relao estatisticamente significativa com leso pulmonar. Estudo 2. Pela RMN-CE foram diagnosticados ES em 33,3% com uma localizao preferencial na substncia branca profunda em 26,6% dos doentes. Relativamente aos parmetros hematolgicos seleccionados, o valor mdio da HbF 8,6% constituu um indicador de bom prognstico para o aparecimento de ES, enquanto o valor mdio de leuccitos 12.39x103/l foi considerado um indicador de mau prognstico. No estudo do DTC apenas um doente apresentou aumento da velocidade do fluxo cerebral na ACM igual a 196 cm/segundos, associado a vasculopatia grave. Os testes psicolgicos alterados em 80% dos doentes mostraram ser o mtodo mais sensvel para detectar alteraes do neurodesenvolvimento, mas sem correlao com os ES em 10% dos doentes. Reala-se a baixa percentagem de DTC patolgicos encontrados neste estudo em relao ao nmero elevado de ES e de testes psicolgicos alterados, no se verificando concordncia entre os trs exames. Dos indicadores de prognstico estudados a -talassmia foi considerada um factor de proteco para o coeficiente de inteligncia da escala de Wechsler. Em relao a parmetros clnicos estudados os doentes com maior nmero de EVO, tem em mdia valores inferiores nos testes psicolgicos. Estudo 3. Neste estudo verificou-se que o valor mdio da HbF aumentou significativamente de 7,04% para 13,75,3% (p=0,028) ao fim de 15 meses de teraputica com hidroxiureia. Clinicamente todos os doentes responderam significativamente com uma reduo de 80% no nmero de EVO, 69% no nmero de internamentos, 76% no nmero de dias de hospitalizao e 67% no nmero de transfuses. Deste modo comprovou-se no s a eficcia desta teraputica neste grupo peditrico como tambm a falta de efeitos secundrios significativos. Considera-se a necessidade de estudos mais prolongados e em grande sries, para com segurana se usar a HU antes que a leso orgnica se estabelea, portanto logo nos primeiros anos de vida. Concluso: Na amostra populacional estudada foram evidenciadas leses pulmonares e cerebrais na grande maioria dos doentes que condicionaram a sua qualidade de vida. Foram identificados indicadores de prognstico que podero eventualmente ditar medidas teraputicas precoces com o objectivo de diminuir a morbilidade e a mortalidade neste grupo etrio. Demonstrou-se que a teraputica com a HU foi eficaz e bem tolerada----------ABSTRACT: Background: Sickle cell anemia (SCA), a hereditary disease characterized by pain and lifetime multi-organic lesion, is a challenge for all that work with carriers of this disease. The clinical expression variability of SCA is a constant reality and a problem to be solved in the current world of investigation, for which the knowledge of prognostic indicators responsible for the different aspects of clinical evolution diversity wiil be an added value. The study is preceded by a historical summary of the most important factors in the evolution of SCA, which are in themselves, an incentive for future research. In the first part of the study, after an extensive bibliographical revision, physiopathology data is referred to in general and specifically regarding the target organs, that constituted the base for the studies presented in the dissertation. The state of the art for the complications to be studied, the choice of prognostic indicators and the therapeutics application, were approached for the renewed interest in the theme. Aims: In regard to the investigation, the objective was to study the lesions in the most affected organs of a chosen pediatric group, to investigate prognostic indicators for lung and cerebral lesions and to evaluate the protective effect of hydroxyurea in children with severe outcomes. Patients and methods: A prospective and multi-institutional study was carried out during a three-year period, February 1998 to March 2001, with children and adolescents followed up at a Immunohematology Outpatient Clinic of Dona Estefnia's Hospital, Lisbon. Based in predefined criteria, 30 children with SCA were selected in a stable phase of the disease, aged from seven to 18 years old, all of whom were of African origin with exception of one who was Caucasian. The diagnosis was based on electrophoresis techniques and molecular study that allowed to define the genotype, the presence of deletional alpha-thalassemia as well as haplotypes in the population. Different methodologies were used to evaluate the existence of lung and cerebral lesion. Statistical study of the different variables selected the prognostic indicators. In Study 1, to determine the existence of lung lesion two different methodologies were used: pulmonar function study with arterial blood gases determination; and high resolution computerized tomography. Heart dysfunction as a repercussion of lung lesion was also studied through echocardiography, and prognostic indicators were statistically significant for lesions found. The design of Study 2 was similar to Study 1, but with the appropriate methodology for CNS. After neurological examination, which was normal in all patients (control group), cerebral lesions were studied with imagiologic exams (MRN-CE and TCD) and psychological tests. These three methodologies were correlated and the importance of each one in the decision of the therapeutic profilactic attitudes. Study 3 consisted of a controlled prospective open study in children with severe forms of SCA, with the aim of the evaluating therapeutic effectiveness of hydroxyurea, during a period of 24 months. Results: In the global overall study preceding the Studies 1,2 and 3, there were a prevalence of haplotype Bantu (53%) and other risk factors, namely the number of VOC (87,5%), sequestration crisis (18,75%), dactilytis in first year of life(31,2%), hyperhemolysis crisis (50%) and ATC in more than half of the patients (59,38%). This group of bad prognostic indicators, associated with the population of the lower class according to the Graffar scale, demonstrates the importance of primary health care services, information provided to the children and their relatives, as well as the interest in prophylactic therapeutics, specific screening and prenatal diagnosis. Study 1. It was evident from this study that slight RPD was diagnosed in 70% of the patients, because alterations of the diffusion had no statistical significance and arterial blood gases determinations were normal. Only one patient had restrictive lung disease related with numerous ACS. However ACS was not considered a prognostic indicator for RPD, contrary to the number of EVO. HRTC revealed discreet fibrotic lines that could be related with slight RPD, but the lack of correlation of these two exams (33%) supports the value of lung function tests for precocious diagnosis of RPD. Heart dysfunction was found in 86,7% of patients, does not reflect the repercussion of RPD, but with the physiopathology of chronic anemia. Hematologic and clinical prognostic indicators were found. Good prognostic indicators for the non-evolution of RPD with average Hb values of 8,5 g/dl and average HbF values of 13%, respectively. The genetic and social-economic factors had no statistical significance; nevertheless, they were more prevalent among Bantu haplotype (53,3%) in patients with RPD. Study 2. RMN-CE detected SI in 33,3% of the patients, with preferential location in deep white substance in 26,6% and in front lobe in 20%. This distribution can be related to structural aspects of the brain and with the high sensibility of this organ to hypoxia. From the hematological parameters selected, average HbF value 8,6% and average leucocyte count 12.39x103/l were prognostic indicators with different meaning to SI. The increase in the total bilirubin related to hyperhemolysis clinically explains the genesis of SI In the TCD study, only one patient had increased cerebral flow speed >196 cm/sec in CMA, which corresponded to serious vasculopathy in AngioMR. This patient never present previously neurological symptoms and had several hyperhemolysis crisis and VOC as risk factors. Low percentage of pathological TCD in this study, in relation to the high number of SI and altered tests, although without correlation among the three exams, is probably attributed to factors related to the methodology, aspects of cerebral physiopathology or perhaps a sign of good prognostic if the duration of study had not been so short. TCD should be used as a screening method in the age groups with higher risk of AVC and should never be considered separately in prophylactic therapeutics indication. Psychological tests were the most sensitive method to detect neurodevelopment impairment; in 80% of patients the neuropsychologics tests were altered, but without correlation with SI (10%). Since SI can become evident during the first two years of life and develop with time, the first psychological tests should be carried out between 3 and 5 years of age to timely be referred to special education and stimulation programs. Prognostic indicators to psychological tests were also found: alpha-thalassemia was found to be a protection factor of the IQ, just as other hematologic factors (hematocrit, MGCV and erythrocytes count). In relation to clinical parameters, although without statistical significance, patients with larger number of VOC had average lower scores versus the average in tests, except in TP. Results from different studies were conclusive as to the type of lesion found and the importance of prognostic indicators. Study 3. All the patients completed a minimum of 15 months therapeutic treatment with the final average daily dose of 194 mg/kg/day. The average value of the fetal hemoglobin increased significantly from 7,03,9% to 13,75,3% (p=0.028). The HbF average values increased from 6% to 15% after 15 months of therapeutic treatment. Clinically there was a reduction of 80% in the number of VOE , 69% in the number of hospitalization, 76% in the number of days of hospitalization and 67% in the number of transfusions. Once again the effectiveness of this treatment in this pediatric group, as well as the lack of any significant secondary effects, was evident. The study confirms the need for further detailed research in order to safely effect the appropriate treatment prior to the development of organic lesions, which ideally should be in the first year of life. Conclusions: These results allow us to clarify the importance of either pulmonary lesions or either nervous central system impairment among patients, children and adolescents, with sickle cell anemia. These lesions were demonstrated in most of the patients studied compromising their quality of life and the mortality. The treatment with HU is proved to be effective and having low toxicity.
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Dissertao para obteno do grau de Doutor em Cincias da Comunicao Especialidade de Comunicao e Cultura
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Dissertao apresentada para a obteno do grau de Mestre em Engenharia Electrotcnica e de Computadores
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Dissertao para obteno do grau de Mestre em Engenharia Electrotcnica e de Computadores
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Ligand K-edge XAS of an [Fe3S4]0 model complex is reported. The pre-edge can be resolved into contributions from the 2Ssulfide, 3Ssulfide, and Sthiolate ligands. The average ligand-metal bond covalencies obtained from these pre-edges are further distributed between Fe3+ and Fe2.5+ components using DFT calculations. The bridging ligand covalency in the [Fe2S2]+ subsite of the [Fe3S4]0 cluster is found to be significantly lower than its value in a reduced [Fe2S2] cluster (38% vs 61%, respectively). This lowered bridging ligand covalency reduces the superexchange coupling parameter J relative to its value in a reduced [Fe2S2]+ site (-146 cm-1 vs -360 cm-1, respectively). This decrease in J, along with estimates of the double exchange parameter B and vibronic coupling parameter 2/k-, leads to an S ) 2 delocalized ground state in the [Fe3S4]0 cluster. The S K-edge XAS of the protein ferredoxin II (Fd II) from the D. gigas active site shows a decrease in covalency compared to the model complex, in the same oxidation state, which correlates with the number of H-bonding interactions to specific sulfur ligands present in the active site. The changes in ligand-metal bond covalencies upon redox compared with DFT calculations indicate that the redox reaction involves a two-electron change (one-electron ionization plus a spin change of a second electron) with significant electronic relaxation. The presence of the redox inactive Fe3+ center is found to decrease the barrier of the redox process in the [Fe3S4] cluster due to its strong antiferromagnetic coupling with the redox active Fe2S2 subsite.
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Dissertao para obteno do Grau de Mestre em Engenharia Civil (Perfil de Estruturas e Geotecnia)
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Inorg. Chem., 2003, 42 (4), pp 938940 DOI: 10.1021/ic0262886
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Dissertao para obteno do Grau de Mestre em Biotecnologia
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RESUMO: Em 2006, foi aprovada uma nova poltica governamental para a sade mental intitulada Uma Viso para a Mudana, a qual est neste momento no stimo ano de implementao. A poltica descreve um enquadramento para o desenvolvimento e promoo da sade mental positiva para toda a Comunidade e para a prestao de servios acessveis, baseados na comunidade, servios especializados para pessoas com doena mental. A implementao da poltica e o tornar a Vision for Change uma realidade tm sido problemticos, com crticas considerveis por parte dos intervenientes, relativas lenta e desconexa implementao. Este estudo fornece informao sobre as caractersticas dos servios de trs importantes tipos de instituies de sade mental comunitria a nvel nacional, nomeadamente Hospitais de Dia, Centros de Dia e residncias comunitrias operantes 24 horas. A pesquisa analisa objetivos e funes, perfis dos pacientes, atividades teraputicas, a eficcia das redes de comunicao e beneficia da perspectiva dos funcionrios sobre o que mudou no terreno ao longo dos ltimos sete anos. As questes identificadas a partir das caractersticas dos trs servios dizem respeito a todos. Os participantes indicaram que o ethos da recuperao parece ter alcanado um papel mais central no tratamento do paciente na comunidade mas reconheceram que o desafio de integrar os princpios de recuperao na prtica clnica se mantm presente. Parece ser reconhecida a importncia da planificao do cuidado individual nos servios comunitrios e os entrevistados indicaram que existe um empenho para garantir o envolvimento do usurio do servio. H diferenas entre os pontos de vista do pessoal e os pontos de vista dos representantes sobre uma srie de aspetos da prestao de servios. Este o primeiro estudo irlands deste gnero a examinar a prestao de servios das trs principais instituies comunitrias de sade mental num s estudo. Estes servios representam um enorme investimento em recursos, quer a nvel monetrio, quer humano. O estudo examinou os desafios e as questes fundamentais que lhe so aplicveis e que tm impacto nestes trs tipos de prestao de servios. Tambm forneceu informaes sobre os elementos de mudana positiva, os quais se comeam a focar lentamente na prestao do servio, assim como na importncia da centralidade do utilizador do servio e na promoo de um ethos da recuperao.----------ABSTRACT: In 2006, a new Government policy for mental health A Vision for Change was endorsed and is currently in the seventh year of implementation. The policy describes a comprehensive framework for building and fostering positive mental health across the entire community and for providing accessible, community based, specialist services for people with mental illness. The implementation of the policy and turning Vision for Change into reality has been problematic with considerable criticism from stakeholders concerning slow and disjointed implementation. This study provides information on three key community mental health service settings, namely Day Hospitals, Day Centres and 24 Hour Community Residences at a national level. The research looks at aims and functions, patient profiles, therapeutic activities, effectiveness of key communication networks and gains an insight from staff on what has changed on the ground over the past seven years. Issues identified from the three service settings pertain to all. Participants indicated that the recovery ethos appears to have moved to a more central role in patient care in the community but acknowledged that the challenge of integrating recovery principles in clinical practice remains present. The importance of individual care planning appears to be recognised in community services and respondents indicated that efforts are being made to ensure service user involvement. There were differences between staff views and advocate views on a number of aspects of service provision. This is the first Irish study of its kind to examine service provision across the three main community mental health settings in one study. These services represent a huge investment in resources both on a monetary and human level. This study has examined the challenges and key issues which are applicable and impacting on all three types of service provision. It has also provided information on the elements of positive change, which are slowly embedding themselves in service provision such as the importance of the centricity of the service user and the promotion of a recovery ethos.
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It is important to have better evaluation and understanding of the motor neuron physiology, with the goal to early and objectively diagnose and treat patients with neurodegenerative pathologies. The Compound Muscle Action Potential (CMAP) scan is a non-invasive diagnosis technique for neurodegenerative pathologies, such as ALS, and enables a quick analysis of the muscle action potentials in response to motor nerve stimulation. This work aims to study the influence of different pulse modulated waveforms in peripheral nerve excitability by CMAP scan technique on healthy subjects. A total of 13 healthy subjects were submitted to the same test. The stimuli were applied in the medium nerve on the right wrist and electromyography signal collected on the Abductor Pollicis Brevis (APB) muscle surface on the right thumb. Stimulation was performed with an increasing intensities range from 4 to 30 mA, with varying steps, 3 stimuli per step. The procedure was repeated 4 times per subject, each repetition using a different single pulse stimulation waveform: monophasic square, monophasic triangular, monophasic quadratic and biphasic square. Results were retrieved from the averaging of the stimuli on each current intensity step. The square pulse needs less current intensity to generate the same response amplitude regarding the other waves and presents a more steep curve slope and this effect is gradually decreasing for the triangular and quadratic pulse,respectively, being the difference even more evident regarding the biphasic pulse. The control of the waveform stimulation pulse allows varying the stimulusresponse curve slope.