Monitoring asthma in children.

The goal of asthma treatment is to obtain clinical control and reduce future risks to the patient. To reach this goal in children with asthma, ongoing monitoring is essential. While all components of asthma, such as symptoms, lung function, bronchial hyperresponsiveness and inflammation, may exist in various combinations in different individuals, to date there is limited evidence on how to integrate these for optimal monitoring of children with asthma. The aims of this ERS Task Force were to describe the current practise and give an overview of the best available evidence on how to monitor children with asthma. 22 clinical and research experts reviewed the literature. A modified Delphi method and four Task Force meetings were used to reach a consensus. This statement summarises the literature on monitoring children with asthma. Available tools for monitoring children with asthma, such as clinical tools, lung function, bronchial responsiveness and inflammatory markers, are described as are the ways in which they may be used in children with asthma. Management-related issues, comorbidities and environmental factors are summarised. Despite considerable interest in monitoring asthma in children, for many aspects of monitoring asthma in children there is a substantial lack of evidence.

Cardiovascular-renal axis disorders in the domestic dog and cat: a veterinary consensus statement.

OBJECTIVES There is a growing understanding of the complexity of interplay between renal and cardiovascular systems in both health and disease. The medical profession has adopted the term "cardiorenal syndrome" (CRS) to describe the pathophysiological relationship between the kidney and heart in disease. CRS has yet to be formally defined and described by the veterinary profession and its existence and importance in dogs and cats warrant investigation. The CRS Consensus Group, comprising nine veterinary cardiologists and seven nephrologists from Europe and North America, sought to achieve consensus around the definition, pathophysiology, diagnosis and management of dogs and cats with "cardiovascular-renal disorders" (CvRD). To this end, the Delphi formal methodology for defining/building consensus and defining guidelines was utilised. METHODS Following a literature review, 13 candidate statements regarding CvRD in dogs and cats were tested for consensus, using a modified Delphi method. As a new area of interest, well-designed studies, specific to CRS/CvRD, are lacking, particularly in dogs and cats. Hence, while scientific justification of all the recommendations was sought and used when available, recommendations were largely reliant on theory, expert opinion, small clinical studies and extrapolation from data derived from other species. RESULTS Of the 13 statements, 11 achieved consensus and 2 did not. The modified Delphi approach worked well to achieve consensus in an objective manner and to develop initial guidelines for CvRD. DISCUSSION The resultant manuscript describes consensus statements for the definition, classification, diagnosis and management strategies for veterinary patients with CvRD, with an emphasis on the pathological interplay between the two organ systems. By formulating consensus statements regarding CvRD in veterinary medicine, the authors hope to stimulate interest in and advancement of the understanding and management of CvRD in dogs and cats. The use of a formalised method for consensus and guideline development should be considered for other topics in veterinary medicine.

Expert Opinion on the Perceived Effectiveness and Importance of On-Farm Biosecurity Measures for Cattle and Swine Farms in Switzerland.

Biosecurity is crucial for safeguarding livestock from infectious diseases. Despite the plethora of biosecurity recommendations, published scientific evidence on the effectiveness of individual biosecurity measures is limited. The objective of this study was to assess the perception of Swiss experts about the effectiveness and importance of individual on-farm biosecurity measures for cattle and swine farms (31 and 30 measures, respectively). Using a modified Delphi method, 16 Swiss livestock disease specialists (8 for each species) were interviewed. The experts were asked to rank biosecurity measures that were written on cards, by allocating a score from 0 (lowest) to 5 (highest). Experts ranked biosecurity measures based on their importance related to Swiss legislation, feasibility, as well as the effort required for implementation and the benefit of each biosecurity measure. The experts also ranked biosecurity measures based on their effectiveness in preventing an infectious agent from entering and spreading on a farm, solely based on transmission characteristics of specific pathogens. The pathogens considered by cattle experts were those causing Bluetongue (BT), Bovine Viral Diarrhea (BVD), Foot and Mouth Disease (FMD) and Infectious Bovine Rhinotracheitis (IBR). Swine experts expressed their opinion on the pathogens causing African Swine Fever (ASF), Enzootic Pneumonia (EP), Porcine Reproductive and Respiratory Syndrome (PRRS), as well as FMD. For cattle farms, biosecurity measures that improve disease awareness of farmers were ranked as both most important and most effective. For swine farms, the most important and effective measures identified were those related to animal movements. Among all single measures evaluated, education of farmers was perceived by the experts to be the most important and effective for protecting both Swiss cattle and swine farms from disease. The findings of this study provide an important basis for recommendation to farmers and policy makers.

Determinación de nitratos en vegetales : comparación de cuatro métodos analíticos

Para la cuantificación de nitratos hay numerosas técnicas y no existe entre los analistas unanimidad en la selección de la más adecuada. Por tal motivo, se compararon cuatro métodos para la determinación de nitratos en muestras vegetales con el fin de evaluar la correlación entre los mismos y establecer pautas para su utilización. Se utilizaron 690 muestras de lechuga (Lactuca sativa L. var. capitata), pertenecientes a los tipos arrepollado y mantecoso, recolectadas a lo largo de un año en el Mercado Cooperativo de Guaymallén (Mendoza, Argentina). Según los tenores de nitratos encontrados en la población estudiada se efectuó un sub-muestreo aleatorio estratificado proporcional para lograr un número de muestras que representaran la variabilidad del total de la población. Se utilizaron cuatro métodos para la determinación de nitratos: 1. destilación por arrastre con vapor, considerado como método de referencia 2. colorimetría por nitración con ácido salicílico 3. colorimetría modificada 4. potenciometría con electrodo selectivo Se probaron diferentes modelos de regresión entre el método de referencia y los otros tres, siendo el lineal el que mejor se ajustó en todos los casos. Los métodos estudiados tuvieron comportamiento semejante. La mayor correlación (r2 = 93 %) se observó entre la destilación por arrastre con vapor y la potenciometría; no obstante, los restantes también presentaron alta correlación. Consecuentemente, la elección del procedimiento analítico dependerá principalmente del número de muestras a analizar, del tiempo requerido por el análisis y del costo del mismo.

(Table 1) Activity of alkali phosphatase in suspended matter at 20°C and environmental temperatures, and recycling time of organic phosphorus in the Barents and Norwegian seas

Alkali phosphatase activity and hydrochemical structure of waters in the Barents and Norwegian seas were investigated. In a sea with the seasonal bioproduction cycle alkali phosphatase activity is also seasonal, rising with trophic level of waters. At the end of hydrological and biological winter activity is practically zero. Alkali phosphatase activity is especially important in summer, when plankton has consumed winter supply of phosphate in the euphotic layer and nutrient limitation of primary production begins. In summer production and destruction cycle, apparent time for recycling of phosphorus by phosphatase in suspended matter in the euphotic layer of the Barents Sea and Norwegian Sea averages from 7 to 30 hours.

Determination of Dipyrone in pharmaceutical preparations based on the chemiluminescent reaction of the quinolinic hydrazide-H2O2-vanadium (IV) system and flow injection analysis

A rapid, economic and sensitive chemiluminescent method involving flow-injection analysis was developed for the determination of dipyrone in pharmaceutical preparations. The method is based on the chemiluminescent reaction between quinolinic hydrazide and hydrogen peroxide in a strongly alkaline medium, in which vanadium(IV) acts as a catalyst. Principal chemical and physical variables involved in the flow-injection system were optimized using a modified simplex method. The variations in the quantum yield observed when dipyrone was present in the reaction medium were used to determine the concentration of this compound. The proposed method requires no preconcentration steps and reliably quantifies dipyrone over the linear range 1–50 µg/mL. In addition, a sample throughput of 85 samples/h is possible. Copyright © 2011 John Wiley & Sons, Ltd.

Regret theory-based scenario building using an interacttive process

This paper is an introduction of the regret theory-based scenario building approach combining with a modified Delphi method that uses an interactive process to design and assess four different TDM measures (i.e., cordon toll, parking charge, increased bus frequency and decreased bus fare). The case study of Madrid is used to present the analysis and provide policy recommendations. The new scenario building approach incorporates expert judgement and transport models in an interactive process. It consists of a two-round modified Delphi survey, which was answeared by a group of Spanish transport experts who were the participants of the Transport Engineering Congress (CIT 2012), and an integrated land-use and transport model (LUTI) for Madrid that is called MARS (Metropolitan Activity Relocation Simulator).

Limit load instabilities in structural elements

Este trabajo analiza distintas inestabilidades en estructuras formadas por distintos materiales. En particular, se capturan y se modelan las inestabilidades usando el método de Riks. Inicialmente, se analiza la bifurcación en depósitos cilíndricos formados por material anisótropo sometidos a carga axial y presión interna. El análisis de bifurcación y post-bifurcación asociados con cilindros de pared gruesa se formula para un material incompresible reforzado con dos fibras que son mecánicamente equivalentes y están dispuestas simétricamente. Consideramos dos casos en la naturaleza de la anisotropía: (i) Fibras refuerzo que tienen una influencia particular sobre la respuesta a cortante del material y (ii) Fibras refuerzo que influyen sólo si la fibra cambia de longitud con la deformación. Se analiza la propagación de las inestabilidades. En concreto, se diferencia en el abultamiento (bulging) entre la propagación axial y la propagación radial de la inestabilidad. Distintos modelos sufren una u otra propagación. Por último, distintas inestabilidades asociadas al mecanismo de ablandamiento del material (material softening) en contraposición al de endurecimiento (hardening) en una estructura (viga) de a: hormigón y b: hormigón reforzado son modeladas utilizando una metodología paralela a la desarrollada en el análisis de inestabilidades en tubos sometidos a presión interna. This present work deals with the instability of structures made of various materials. It captures and models different types of instabilities using numerical analysis. Firstly, we consider bifurcation for anisotropic cylindrical shells subject to axial loading and internal pressure. Analysis of bifurcation and post bifurcation of inflated hyperelastic thick-walled cylinder is formulated using a numerical procedure based on the modified Riks method for an incompressible material with two preferred directions which are mechanically equivalent and are symmetrically disposed. Secondly, bulging/necking motion in doubly fiber-reinforced incompressible nonlinearly elastic cylindrical shells is captured and we consider two cases for the nature of the anisotropy: (i) reinforcing models that have a particular influence on the shear response of the material and (ii) reinforcing models that depend only on the stretch in the fiber direction. The different instability motions are considered. Axial propagation of the bulging instability mode in thin-walled cylinders under inflation is analyzed. We present the analytical solution for this particular motion as well as for radial expansion during bulging evolution. For illustration, cylinders that are made of either isotropic incompressible non-linearly elastic materials or doubly fiber reinforced incompressible non-linearly elastic materials are considered. Finally, strain-softening constitutive models are considered to analyze two concrete structures: a reinforced concrete beam and an unreinforced notch beam. The bifurcation point is captured using the Riks method used previously to analyze bifurcation of a pressurized cylinder.

Multiresidue Analysis of Insecticides and Other Selected Environmental Contaminants in Poultry Manure by Gas Chromatography/Mass Spectrometry

An analytical method was developed for the simultaneous determination in poultry manure of 41 organic contaminants belonging to different chemical classes: pesticides, polycyclic aromatic hydrocarbons, polychlorinated biphenyls, and polybrominated diphenyl ethers. Poultry manure was extracted with a modified QuEChERS method, and the extracts were analyzed by isotope dilution GC/MS. Recovery of these contaminants from samples spiked at levels ranging from 25 to 100 ng/g was satisfactory for all the compounds. The developed procedure provided LODs from 0.8 to 9.6 ng/g. The analysis of poultry manure samples collected on different farms confirmed the presence of some of the studied contaminants. Pyrethroids and polycyclic aromatic hydrocarbons were the main contaminants detected.

Fatores abióticos condicionantes da distribuição de espécies arbóreas em quatro formações florestais do Estado de São Paulo

No estudo das comunidades florestais, estabelecer a importância relativa dos fatores que definem a composição e a distribuição das espécies é um desafio. Em termos de gradientes ambientais o estudo das respostas das espécies arbóreas são essenciais para a compreensão dos processos ecológicos e decisões de conservação. Neste sentido, para contribuir com a elucidação dos processos ecológicos nas principais formações florestais do Estado de São Paulo (Floresta Ombrófila Densa de Terras Baixas, Floresta Ombrófila Densa Submontana, Floresta Estacional Semidecidual e Savana Florestada) este trabalho objetivou responder as seguintes questões: (I) a composição florística e a abundância das espécies arbóreas, em cada unidade fitogeográfica, variam conforme o gradiente edáfico e topográfico?; (II) características do solo e topografia podem influenciar na previsibilidade de ocorrência de espécies arbóreas de ampla distribuição em diferentes tipos vegetacionais? (III) existe relação entre o padrão de distribuição espacial de espécies arbóreas e os parâmetros do solo e topografia? O trabalho foi realizado em parcelas alocadas em unidades de conservação (UC) que apresentaram trechos representativos, em termos de conservação e tamanho, das quatro principais formações florestais presentes no Estado de São Paulo. Em cada UC foram contabilizados os indivíduos arbóreos (CAP ≥ 15 cm), topografia, dados de textura e atributos químicos dos solos em uma parcela de 10,24 ha, subdividida em 256 subparcelas. Análises de correspodência canônica foram aplicadas para estabelecer a correspondência entre a abundância das espécies e o gradiente ambiental (solo e topografia). O método TWINSPAN modificado foi aplicado ao diagrama de ordenação da CCA para avaliar a influência das variáveis ambientais (solo e topografia) na composição de espécies. Árvores de regressão \"ampliadas\" (BRT) foram ajustadas para a predição da ocorrência das espécies segundo as variáveis de solo e topografia. O índice de Getis-Ord (G) foi utilizado para determinar a autocorrelação espacial das variáveis ambientais utilizadas nos modelos de predição da ocorrência das espécies. Nas unidades fitogeográficas analisadas, a correspondência entre o gradiente ambiental (solo e topografia) e a abundância das espécies foi significativa, especialmente na Savana Florestada onde observou-se a maior relação. O solo e a topografia também se relacionaram com a semelhança na composição florística das subparcelas, com exceção da Floresta Estacional Semicidual (EEC). As principais variáveis de solo e topografia relacionadas a flora em cada UC foram: (1) Na Floresta Ombrófila Densa de Terras Baixas (PEIC) - teor de alumínio na camada profunda (Al (80-100 cm)) que pode refletir os teor de Al na superfície, acidez do solo (pH(H2O) (5-25 cm)) e altitude, que delimitou as áreas alagadas; (2) Na Floresta Ombrófila Densa Submontana (PECB) - altitude, fator que, devido ao relevo acidentado, influencia a temperatura e incidência de sol no sub-bosque; (3) Na Savana Florestada (EEA) - fertilidade, tolerância ao alumínio e acidez do solo. Nos modelos de predição BRT, as variáveis químicas dos solos foram mais importantes do que a textura, devido à pequena variação deste atributo no solo nas áreas amostradas. Dentre as variáveis químicas dos solos, a capacidade de troca catiônica foi utilizada para prever a ocorrência das espécies nas quatro formações florestais, sendo particularmente importante na camada mais profunda do solo da Floresta Ombrófila Densa de Terras Baixas (PEIC). Quanto à topografia, a altitude foi inserida na maioria dos modelos e apresentou diferentes influências sobre as áreas de estudo. De modo geral, para presença das espécies de ampla distribuição observou-se uma mesma tendência quando à associação com os atributos dos solos, porém com amplitudes dos descritores edáficos que variaram de acordo com a área de estudo. A ocorrência de Guapira opposita e Syagrus romanzoffiana, cujo padrão variou conforme a escala, foi explicada por variáveis com padrões espaciais agregados que somaram entre 30% e 50% de importância relativa no modelo BRT. A presença de A. anthelmia, cujo padrão também apresentou certo nível de agregação, foi associada apenas a uma variável com padrão agregado, a altitude (21%), que pode ter exercido grande influência na distribuição da espécie ao delimitar áreas alagadas. T. guianensis se associou a variáveis ambientais preditoras com padrão espacial agregado que somaram cerca de 70% de importância relativa, o que deve ter sido suficiente para estabelecer o padrão agregado em todas as escalas. No entanto, a influência dos fatores ambientais no padrão de distribuição da espécie não depende apenas do ótimo ambiental da espécie, mas um resultado da interação espécie-ambiente. Concluiu-se que: (I) características edáficas e topográficas explicaram uma pequena parcela da composição florística, em cada unidade fitogeográfica, embora a ocorrência de algumas espécies tenha se associado ao gradiente edáfico e topográfico; (II) a partir de características dos solos e da topografia foi possível prever a presença de espécies arbóreas, que apresentaram particularidades em relação a sua associação com o solo de cada fitofisionomia; (III) a partir de associações descritivas o solo e a topografia influenciam o padrão de distribuição espacial das espécies, na proporção em que contribuem para a presença das mesmas.

Cistatina C : um marcador de função renal promissor em doentes com lúpus eritematoso sistémico?

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Artificial pumping errors in the Kool-Parker scaling model of soil moisture hysteresis

Hysteresis models that eliminate the artificial pumping errors associated with the Kool-Parker (KP) soil moisture hysteresis model, such as the Parker-Lenhard (PL) method, can be computationally demanding in unsaturated transport models since they need to retain the wetting-drying history of the system. The pumping errors in these models need to be eliminated for correct simulation of cyclical systems (e.g. transport above a tidally forced watertable, infiltration and redistribution under periodic irrigation) if the soils exhibit significant hysteresis. A modification is made here to the PL method that allows it to be more readily applied to numerical models by eliminating the need to store a large number of soil moisture reversal points. The modified-PL method largely eliminates any artificial pumping error and so essentially retains the accuracy of the original PL approach. The modified-PL method is implemented in HYDRUS-1D (version 2.0), which is then used to simulate cyclic capillary fringe dynamics to show the influence of removing artificial pumping errors and to demonstrate the ease of implementation. Artificial pumping errors are shown to be significant for the soils and system characteristics used here in numerical experiments of transport above a fluctuating watertable. (c) 2005 Elsevier B.V. All rights reserved.

Some aspects of the analytical chemistry of malathion

A thorough investigation of the recommended colorimetric method for the determination of malathion (an organophosphorus pesticide) has led to the identification of the major cause of all the problems with which the method suffers. The method, which involves the extraction of the copper (II) complex or the hydrolysis product of malathion from aqueous solution into immiscible organic solvents, has many drawbacks. For example, the colour of the organic extract fades very quickly and a slight increase in the contact time of the hydrolysis product and the copper reagent within the aqueous solution, results in a decrease in the ab-solute absorbance. Also, the presence of any reducing agents can be a significant source of error. In the present work, it has been shown that the basic cause of all these problems is the ability of copper (II) ion to be reduced to copper (I) ion. It has further been shown that these problems can be resolved by re-placing copper (II) by bismuth (III). This has led to the development of a modified colorimetric method for the determination. of malathion, which has distinct advantages over all other existing methods in terms of reagents required, ease in application, avoidance of interferences and stability of colour for extended periods of time. The modified colorimetric method described above has been further improved by making use of a ligand exchange reaction involving dithizone. The resulting final organic extract in this case is bright orange in colour, the absorbance of which can be measured even with simple photometers. The usefulness of the modified colorimetric method has been demonstrated by determining malathion in technical products, and in aqueous solution containing the compound down to sub ppm levels. The scope and applicability of atomic absorption spectrophotometry has been extended by demonstrating for the first time that the technique can be used for the indirect determination of malathion. Almost all of the work described above has been accepted for publication by international journals and considerable interest in the work has been shown by chemists working in the field of pesticide analysis and research.

On the Various Bisection Methods Derived from Vincent’s Theorem

In 2000 A. Alesina and M. Galuzzi presented Vincent’s theorem “from a modern point of view” along with two new bisection methods derived from it, B and C. Their profound understanding of Vincent’s theorem is responsible for simplicity — the characteristic property of these two methods. In this paper we compare the performance of these two new bisection methods — i.e. the time they take, as well as the number of intervals they examine in order to isolate the real roots of polynomials — against that of the well-known Vincent-Collins-Akritas method, which is the first bisection method derived from Vincent’s theorem back in 1976. Experimental results indicate that REL, the fastest implementation of the Vincent-Collins-Akritas method, is still the fastest of the three bisection methods, but the number of intervals it examines is almost the same as that of B. Therefore, further research on speeding up B while preserving its simplicity looks promising.

Desenvolvimento e calibração de fotômetro solar para medições da profundidade óptica por aerossóis e coluna de água precipitável

Instrumentation is a tool of fundamental importance for research in several areas of human knowledge. Research projects are often unfeasible when data cannot be obtained due to lack of instruments, especially due to impor ting difficulties and the high costs there associated. Thus, in order to collaborate with the enhancement of a national technology, a multiband hand - held sun p hotometer (FSM - 4) was developed to operate in the 500 nm, 670 nm, 870 nm and 940 nm bands. In the 500 nm, 670 nm and 870 nm bands aerosols are monitored for evaluation of the AOD (Aerosol Optical Depth), and the PWC (Precipitable Water Column) is evaluated in the 940 nm band. For the development of the mech anical and electronic parts for the FSM - 4, th e materials and componen ts should combine low cost and quality of the data collected. The calibration process utilized the Langley method (ML) and Modified Langley Method (MLM). These methods are usually applied at high altitudes in order to provide atmosp heric optical stability. This condition however can be found in low height sites as shown in the research by Liu et al. (2010). Thus, for calibration of the FSM - 4, we investigated the atmospher ic optical stability utilizing the ML and MLM at a site in the cit y of Caicó / RN, located in the s emiarid region in northeastern Brazil. This site lies in a region far aw ay from large urban centers and activities generating anthropogenic atmospheric pollution. Data for calibration of the prototype were collected usin g the FSM - 4 in two separate operations during the dry season, one in December 2012 and another in September 2013. The methodologies showed optical atmospheric instability in the studied region through the dispersion of the values obtained for the calibrati on constant. This dispersion is affected by the variability of AOD and PWC during the appl ication of the above mentioned methods . As an alternative to the descr ibed sun photometer calibration , a short study was performed using the sun photometer worldwide network AERONET/NASA (AERsol RObotic NETwork – US Space Agency), installed in Petrolina / PE in Brazil. Data were collected for three days utilizing the AERONET instruments and the FSM - 4, operating simultaneously on the same site. By way of the ML and MLM techniques, convergent test values were obtained for the calibration constants, despite the low amount of data collected. This calibration transfer methodology proved to be a viable alternative to the FSM - 4 calibration .