Roughness and morphology of composites: influence of type of material, fluoride solution, and time

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Peritoneal dialysis in acute kidney injury: trends in the outcome across time periods

Peritoneal dialysis (PD) should be considered a suitable method of renal replacement therapy in acute kidney injury (AKI) patients. This study is the largest cohort providing patient characteristics, clinical practice, patterns and their relationship to outcomes in a developing country. Its objective was to describe the main determinants of patient and technique survival, including trends over time of PD treatment in AKI patients. This was a Brazilian prospective cohort study in which all adult AKI patients on PD were studied from January/2004 to January/2014. For comparison purposes, patients were divided into 2 groups according to the year of treatment: 2004-2008 and 2009-2014. Patient survival and technique failure (TF) were analyzed using the competing risk model of Fine and Gray. A total of 301 patients were included, 51 were transferred to hemodialysis (16.9%) during the study period. The main cause of TF was mechanical complication (47%) followed by peritonitis (41.2%). There was change in TF during the study period: compared to 2004-2008, patients treated at 2009-2014 had relative risk (RR) reduction of 0.86 (95% CI 0.77-0.96) and three independent risk factors were identified: period of treatment at 2009 and 2014, sepsis and age>65 years. There were 180 deaths (59.8%) during the study. Death was the leading cause of dropout (77.9% of all cases) mainly by sepsis (58.3%), followed cardiovascular disease (36.1%). The overall patient survival was 41% at 30 days. Patient survival improved along study periods: compared to 2004-2008, patients treated at 2009-2014 had a RR reduction of 0.87 (95% CI 0.79-0.98). The independent risk factors for mortality were sepsis, age>70 years, ATN-ISS > 0.65 and positive fluid balance. As conclusion, we observed an improvement in patient survival and TF along the years even after correction for several confounders and using a competing risk approach.

An investigation into the effects of resonances on the time delay estimate for leak detection in buried plastic water distribution pipes

In water distribution systems, old metallic pipes have been replaced by plastic pipes due to their deterioration over time. Although acoustic methods are effective in finding leaks in metallic pipes, they have been found to be problematic when applied to plastic pipes due to the high damping within the pipe wall and the surrounding medium. This is responsible for the leak signal not traveling long distances. Moreover, the leak energy in plastic pipes is generally located at a narrow frequency range located at low frequencies. However, the presence of resonances can narrow even more this frequency range. In order to minimise the influence of background noise and resonances on the calculation of the time delay estimate, band-pass filters are often used to supress undesirable frequency components of the noise. The objective of this paper is to investigate the influence of resonances in the pipe system (pipe, valves, connections and hydrants), on the time delay estimate calculated using acoustic signals. Analytical models and actual leak data collected in a bespoke rig located in the United Kingdom are used to investigate this feature.