140 resultados para Medically Undeserved Areas


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Selecting a suitable place to install a new landfill is a hard work. Bauru is a Brazilian municipality where the local landfill currently in use has a life span that is almost over, and the selection of a new area for a future landfill is crucial and urgent. Here we use a geographic information system (GIS) approach to indicate possible suitable areas for installing the landfill. The considered criteria were: river network and the respective buffer zone, relief, urban areas and their respective buffer zone, existence of Areas for Environmental Protection (AEPs), occurrence of wells and their respective buffer zones, existence of airports and their buffer zones, wind direction, and the road network and its respective buffer zone. Due the facts that (1) Bauru has an urban area relatively large in relation to whole municipal area, (2) Bauru has two airports, and (3) this area encompasses parts of three AEPs, the model showed that there are few areas suitable and moderately suitable in Bauru, and the greater part of the municipality is unsuitable to install a new landfill. Due to this important finding reported here, the local policymakers should consider the suitable or even moderately suitable areas for analysis in situ or look for other creative solutions for destination of the solid waste. We highly encourage the use of GIS in studies that seek suitable areas for future landfills, having found that SIG was a tool that allowed fast and precise work and generated an outcome sufficiently clear of interpretation.Implications: Solid waste (SW) management is one of the main environmental concerns nowadays. Landfilling SW is still the main practice to disposal of such material. However, for many regions, suitable places for landfilling are getting scarce. This study proved this situation for a populous place in a southeastern Brazilian region. This study also showed how the decision makers should manage the problem in order to minimize the amount of SW generated and delivered for the landfill. Massive investment in education is a critical issue to reach the proposed aim.

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Hepatocellular carcinoma (HCC) is a primary tumor of the liver. After local therapies, the tumor evaluation is based on the mRECIST criteria, which involves the measurement of the maximum diameter of the viable lesion. This paper describes a computed methodology to measure through the contrasted area of the lesions the maximum diameter of the tumor by a computational algorithm 63 computed tomography (CT) slices from 23 patients were assessed. Non-contrasted liver and HCC typical nodules were evaluated, and a virtual phantom was developed for this purpose. Optimization of the algorithm detection and quantification was made using the virtual phantom. After that, we compared the algorithm findings of maximum diameter of the target lesions against radiologist measures. Computed results of the maximum diameter are in good agreement with the results obtained by radiologist evaluation, indicating that the algorithm was able to detect properly the tumor limits A comparison of the estimated maximum diameter by radiologist versus the algorithm revealed differences on the order of 0.25 cm for large-sized tumors (diameter > 5 cm), whereas agreement lesser than 1.0cm was found for small-sized tumors. Differences between algorithm and radiologist measures were accurate for small-sized tumors with a trend to a small increase for tumors greater than 5 cm. Therefore, traditional methods for measuring lesion diameter should be complemented with non-subjective measurement methods, which would allow a more correct evaluation of the contrast-enhanced areas of HCC according to the mRECIST criteria.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)