Biomimetismo entre los endemismos arquitectónicos y taxones en Cantabria

Es notoria la importancia de la naturaleza en la evolución de la arquitectura. Hasta la gran eclosión de la industria manufacturera y la mejora en las infraestructuras de comunicación, se podría decir que ambas corrían paralelas, para a partir de ahí dejar “congelada” la sabiduría popular y dar un salto a la globalidad, generando una situación de libertad arquitectónica prácticamente total, que independiza la construcción de su ubicación. "El biomimetismo es esencialmente un campo de investigación interdisciplinar, una serie de colaboraciones entre botánicos, físicos, matemáticos, ingenieros y zoólogos; donde la rígida división entre disciplinas «puras» cede lugar a un área de investigación que apunta a generar tecnología inteligente (smarttechnologies), utilizando materiales o procesos que sean de alguna manera sensibles al medio ambiente." (M. Weinstock, 1998). “La morfología de las plantas en los diferentes climas parece tener cierta analogía con la edificación, ya que algunas de las tensiones que inciden en su forma (tales como las variaciones de temperatura) corresponden de manera similar a las necesidades humanas.” (V. Olgyay 1963). En el presente trabajo se han estudiado las especies endémicas que nos rodean, para poder leer a través de ellas millones de años de supervivencia en este entorno, con el fin de mimetizar sus respuestas. También se han estudiado diferentes tipologías de arquitectura vernácula y su simulación energética, con el propósito de evaluar la demanda energética optima exigible. A partir de una ubicación específica, la orientación, compacidad, perforación y las características de la envolvente son los elementos que más influyen en la demanda energética de una edificación. Tanto la forma como los materiales pueden ser mimetizados con la naturaleza. En esta Tesis se han cuantificado los parámetros de diseño formales tomando como referencia las especies vegetales o la arquitectura vernácula, sin perder de vista los objetivos buscados por normativas o institutos en la reducción del consumo energético vinculado a la calefacción y ventilación. ABSTRACT The importance of the nature in the evolution of the architecture is well-known. Until the great burst of the manufacturing industry and the improvement in communication infrastructures, it would be possible to be said that both ran parallel, stops there from leaving “frozen” the popular wisdom and jump to the globalization, creating a situation almost complete architectural freedom, that it frees the construction of its location. "Biomimicry is essentially an interdisciplinary field of research, a series of collaborations among botanists, physicists, mathematicians, engineers and zoologists; where the rigid division between "pure" disciplines gives way to an area of research that aims to generate intelligent technology (smarttechnologies), using materials and processes that are in some environmentally sensitive manner. "(M. Weinstock, 1998). “The morphology of the plants in different climates seems to have some analogy with the building, as some of the tensions that affect their form (such as the temperature variations) are similar to the human necessities.” (V. Olgyay 1963). In the present work, the endemic species that surround to us have been studied, to be able to read through them millions of years of survival in this environment, in order to mimic their answers. Also different types or popular architecture and their energy simulation have been studied, in order to evaluate the rate of energy optimum demand. Orientation, compactness, perforation and characteristics of the envelope are the elements that influence more in the energy demand of a building. The shape and materials can be mimic with nature. Each of them has been quantified in this work by reference plant species or popular architecture, without losing sight of the objectives sought by regulations or institutes about reduction in energy consumption.

Physically-sound simulation of low-velocity impact on fiber reinforced laminates

A high-fidelity virtual tool for the numerical simulation of low-velocity impact damage in unidirectional composite laminates is proposed. A continuum material model for the simulation of intraply damage phenomena is implemented in a numerical scheme as a user subroutine of the commercially available Abaqus finite element package. Delaminations are simulated using of cohesive surfaces. The use of structured meshes, aligned with fiber directions allows the physically-sound simulation of matrix cracks parallel to fiber directions, and their interaction with the development of delaminations. The implementation of element erosion criteria and the application of intraply and interlaminar friction allow for the simulation of fiber splits and their entanglement, which in turn results in permanent indentation in the impacted laminate. It is shown that this simulation strategy gives sound results for impact energies bellow and above the Barely Visible Impact Damage threshold, up to laminate perforation conditions

Características físicas e químicas das águas superficiais e subterrâneas (nas proximidades do canal), dos ribeirões do Moquém e Água Clara (Médio Tietê Superior - SP), em função das variações hidrológicas

As teorias sobre o funcionamento dos sistemas lóticos evoluíram nos últimos anos, os condicionantes geológicos/geomorfológicos como também as regiões de transição têm recebido importância crescente. As regiões de transição merecem destaque uma vez que os sistemas lóticos estabelecem interações de fluxo com os ambientes vizinhos (atmosféricos, terrestres e subterrâneos) e a troca de materiais estabelecida entre esses sistemas é importante para a definição de suas características. As bacias hidrográficas dos ribeirões do Moquém e Água Clara, estudadas no presente trabalho, apresentam: proximidade geográfica além de semelhanças morfológicas e climáticas, porém diferem quanto aos aspectos geológicos e geomorfológicos. A partir desses aspectos, a presente pesquisa investigou as flutuações sazonais nas relações físicas, química e hidrológicas entre águas superficiais e subterrâneas (adjacências do canal), na região do baixo curso dos ribeirões já citados. Foram escolhidos dois trechos em cada ribeirão para a realização de: (1) inventário hidrológico mensal, a partir de medidas de velocidade de escoamento, vazão e do nível de água em poços instalados na região marginal dos rios nos trechos de estudo; (2) caracterização física e química de testemunhos da região marginal dos rios, onde foram utilizadas amostras obtidas durante a perfuração dos poços; (3) amostragens das águas superficiais subterrâneas no mesmo período do inventário para a determinação das características físicas e químicas das mesmas. Os resultados destacaram os seguintes itens. O fluxo de base garantiu vazões regulares e elevadas ao ribeirão Água Clara, ao mesmo tempo que as vazões foram quase insignificantes no ribeirão do Moquém, fato esse que apresenta importância ecológica. A química das águas dos ribeirões estudados é distinta, possivelmente, como resposta às características naturais das bacias. Nos dois trechos de estudo, as águas superficiais e subterrâneas apresentaram diferenças físicas e químicas, o que pode indicar que as trocas entre o canal do rio e suas adjacências são pequenas e/ou lentas. Com base nas observações desta pesquisa, recomenda-se que as características quantitativas e qualitativas, distintas, entre as águas dos ribeirões do Moquém e Água Clara devem ser avaliadas durante a tomada de decisões em processos de gestão de recursos hídricos.

Cellular slabs with and without insulation submitted to fire conditions

The wooden cellular slabs are lightweight structures, easy to assemble, and with excellent architectural features, as good thermal and acoustic conditions. The wooden cellular slabs with perforations are typical and very common engineering solutions, used in the ceiling or flooring to improve the acoustic absorption of compartments, and also have a good insulation and relevant architectonic characteristics. However, the high vulnerability of wooden elements submitted to fire conditions requires the evaluation of its structural behaviour with accuracy. The main objective of this work is to present a numerical model to assess the fire resistance of wooden cellular slabs with different perforations. Also the thermal behaviour of the wooden slabs will be compared considering material insulation inside the cavities. The time-temperature history and the residual cross-section of wooden slabs were numerically measured and analysed.

Wooden cellular slabs with and without insulation submitted to fire conditions

The wooden cellular slabs are lightweight structures, easy to assemble, and with excellent architectural features, as thermal and acoustic conditions. The wooden cellular slabs with perforations are typical and very common engineering solutions, used in the ceiling or flooring plates to improve the acoustic absorption of compartments, and also have a good insulation and relevant architectonic characteristics. However, the high vulnerability of wooden elements submitted to fire conditions requires the evaluation of its structural behavior with accurately. The main objective of this work is to present a numerical model to assess the fire resistance of wooden cellular slabs with different perforations. Also the thermal behavior of the wooden slabs will be compared considering material insulation inside the cavities

Gun-shot wounds of the small intestines /

Printed wrappers.

Controlled trial of hyperbaric oxygen treatment for alkali corneal burn in the rabbit

Purpose: To evaluate the efficacy of hyperbaric oxygen therapy in the treatment of alkali-induced corneal burns in an animal model. Methods: Twenty-four rabbits were randomized into a control group (n = 12) and hyperbaric oxygen treatment group (n = 12). After induction of anaesthesia, the alkali burn model was established by application of 1 N sodium hydroxide to one eye of each rabbit. The hyperbaric oxygen treatment group was treated each day for 21 days with hyperbaric oxygen at 2.4 Atmospheres Absolute (ATA) for 1 h. The eyes of the animals were examined daily for 2 weeks and then weekly until the end of the trial. The principal endpoint was that of perforation of the cornea at which time the animals were killed with a lethal dose of either intravenous or intraperitoneal barbiturate and the eyes immediately enucleated and fixed in 10% neutral buffered formalin. All animals in which complete healing took placed were also killed, the eyes removed, fixed and examined histologically. Photographs were taken of the rabbit's eyes at weekly intervals and the area of vascularization and epithelial defects in the hyperbaric and control groups were compared. Results: Equal numbers (seven) of the control and hyperbaric oxygen treated groups had perforated corneas and there was no statistical difference in the mean time to perforation (control 30.1 days; treated 30 days). There was also no statistical difference between the two groups with respect to epithelial defect size. Conclusion: Treatment with hyperbaric oxygen for 1 h daily for 21 days had no beneficial effect on alkali-induced corneal burns.

Perforated corneal hydrops treated with sulfur hexafluoride (SF6) gas and tissue adhesive

Purpose: To report a case of a perforated acute hydrops in a mentally retarded patient that was successfully managed with intracameral sulfur hexafluoride gas and cyanoacrylate tissue adhesive. Methods: Interventional case report. Results: A 14-year-old mentally retarded male patient with keratoconus presented with a perforated acute hydrops. A bandage contact lens was applied. However, following a large emesis 2 days later, the aqueous leak worsened with shallowing of the anterior chamber. Under general anesthesia, sulfur hexafluoride was injected to reform the anterior chamber and cyanoacrylate tissue adhesive was applied to the perforated site and covered by a bandage contact lens and temporary tarsorrhaphy. A follow-up examination at 1 month showed a formed anterior chamber with tissue adhesive in situ and no aqueous leak. Conclusions: The successful use of intracameral sulfur hexafluoride and tissue adhesive in the management of perforated acute hydrops may avoid emergency tectonic penetrating keratoplasty and reduce potential complications in the poorly cooperative patient.

Development and deployment of an autonomous micro-drilling system for cochleostomy

This thesis describes the design and development of an autonomous micro-drilling system capable of accurately controlling the penetration of complaint tissues and its application to the drilling of the cochleostomy; a key stage in the cochlea implant procedure. The drilling of the cochleostomy is a precision micro-surgical task in which the control of the burr penetration through the outer bone tissue of the cochlea is vital to prevent damage to the structures within and requires a high degree of skill to perform successfully. The micro-drilling system demonstrates that the penetration of the cochlea can be achieved consistently and accurately. Breakthrough can be detected and controlled to within 20µm of the distal surface and the hole completed without perforation of the underlying endosteal membrane, leaving the membranous cochlea intact. This device is the first autonomous surgical tool successfully deployed in the operating theatre. The system is unique due to the way in which it uses real-time data from the cutting tool to derive the state of the tool-tissue interaction. Being a smart tool it uses this state information to actively control the way in which the drilling process progresses. This sensor guided strategy enables the tool to self-reference to the deforming tissue and navigate without the need for pre-operative scan data. It is this capability that enables the system to operate in circumstances where the tissue properties and boundary conditions are unknown, without the need to restrain the patient.

Rapid emergence of multidrug resistant, H58-lineage Salmonella typhi in Blantyre, Malawi

INTRODUCTION: Between 1998 and 2010, S. Typhi was an uncommon cause of bloodstream infection (BSI) in Blantyre, Malawi and it was usually susceptible to first-line antimicrobial therapy. In 2011 an increase in a multidrug resistant (MDR) strain was detected through routine bacteriological surveillance conducted at Queen Elizabeth Central Hospital (QECH).

METHODS: Longitudinal trends in culture-confirmed Typhoid admissions at QECH were described between 1998-2014. A retrospective review of patient cases notes was conducted, focusing on clinical presentation, prevalence of HIV and case-fatality. Isolates of S. Typhi were sequenced and the phylogeny of Typhoid in Blantyre was reconstructed and placed in a global context.

RESULTS: Between 1998-2010, there were a mean of 14 microbiological diagnoses of Typhoid/year at QECH, of which 6.8% were MDR. This increased to 67 in 2011 and 782 in 2014 at which time 97% were MDR. The disease predominantly affected children and young adults (median age 11 [IQR 6-21] in 2014). The prevalence of HIV in adult patients was 16.7% [8/48], similar to that of the general population (17.8%). Overall, the case fatality rate was 2.5% (3/94). Complications included anaemia, myocarditis, pneumonia and intestinal perforation. 112 isolates were sequenced and the phylogeny demonstrated the introduction and clonal expansion of the H58 lineage of S. Typhi.

CONCLUSIONS: Since 2011, there has been a rapid increase in the incidence of multidrug resistant, H58-lineage Typhoid in Blantyre. This is one of a number of reports of the re-emergence of Typhoid in Southern and Eastern Africa. There is an urgent need to understand the reservoirs and transmission of disease and how to arrest this regional increase.

The effectiveness of community-based interventions to improve maternal and infant health in the Northeast of Brazil

EMOND, Alan et al. The effectiveness of community-based interventions to improve maternal and infant health in the Northeast of Brazil. Revista Panamericana de Salud Pública/ Pan American Journal of Public Health , v.12, n.2, p.101-110, 2002

A cocaína e suas manifestações orofaciais

A cocaína é uma droga com ação estimulante no sistema nervoso central, extraída e refinada a partir da planta de coca (Erythroxylum coca). É característica por induzir o consumidor a um estado de hipervigilância reduzindo ao mesmo tempo, o cansaço e a fadiga. Este pó branco, cristalino, de sabor amargo, possui também um efeito anestésico local e vasoconstritor. As formas de apresentação mais comuns da droga são o cloridrato de cocaína e a cocaína crack. Esta droga destaca-se por ser o estimulante mais consumido na Europa com cerca de 3,4 milhões de consumidores estimados no ano de 2014. A prevalência do consumo desta droga em Portugal aumentou 0,3% de 2001, para 2012 na população geral (15-64 anos). Os estudos mais recentes em populações escolares (entre 2010 e 2011) evidenciaram, de um modo geral, o aumento da prevalência de consumo nesta população. Os efeitos adversos resultantes, tanto a nível físico como psíquico, são vários, sendo as manifestações orofaciais as que mais interferem na Qualidade de vida do toxicómano. As manifestações mais frequentes são as perfurações do septo nasal e palatino, bruxismo, gengivite, erosão dentária, xerostomia, cárie, lesões brancas atípicas e cefaleias em salva, tendo o Médico Dentista um papel importante no diagnóstico e tratamento destas lesões. A legislação, ao nível Europeu, sobre drogas procura uma uniformização das medidas aplicadas nos países membros, baseando-se no equilíbrio entre as sanções e o tratamento. Apesar das convenções das Nações Unidas sobre drogas limitarem o consumo de estupefacientes e substâncias psicotrópicas exclusivamente para fins médicos e científicos, cabe aos países signatários a liberdade de decisão das políticas a adoptar em matérias de infrações penais como a posse e o consumo ilegal.

Agrandissement des feuillets mitraux en insuffisance aortique : un mécanisme actif pouvant prévenir l’insuffisance mitrale dans le ventricule dilaté

L’insuffisance mitrale (IM) fonctionnelle est une complication fréquente des cardiopathies, causée par la dilatation du ventricule gauche (VG) qui empêche la valve de se fermer. L’insuffisance aortique (IA) est une condition associée à des valves mitrales (VM) inhabituellement grandes, et relativement peu d’IM malgré des VG très dilatés. Cet élargissement de la VM a le potentiel de prévenir l’IM dans les VG dilatés. Les mécanismes sont cependant peu compris : il n’est pas clair s’il s’agit d’une croissance active ou d’un étirement passif des feuillets. Également, le timing de l’adaptation valvulaire n’est pas connu. Notre hypothèse est que l’agrandissement de la valve mitrale en IA est un phénomène actif avec réactivation des mécanismes de croissance embryonnaire. Cent-onze rats ont été divisés en deux groupes : IA (perforation aortique) et contrôle. Les animaux ont été sacrifiés à 48 h, 1 semaine et 3 mois après la création du modèle. Des échocardiographies ont évalué la sévérité de l’IA, la présence d’IM et les dimensions du VG. Les valves ont été prélevées pour analyses microscopiques et moléculaires. La création de l’insuffisance aortique a entrainé une dilatation et une hypertrophie du VG. Malgré cette dilatation rapide du VG, aucun animal n’a développé de l’IM fonctionnelle. À l’échographie, le feuillet antérieur mitral était significativement plus long dans les groupes IA. Par microscopie, les feuillets étaient plus épais dés la première semaine. L’IA était associée à une surexpression de collagène α-SMA (un marqueur de myofibroblastes), TGF-β1 et MMP-2 dans le tissu valvulaire dès la première semaine. Les valves exposées à l’IA étaient également positives pour ces différents facteurs dés les premiers jours. L’agrandissement de la VM est un phénomène actif qui survient rapidement après la création de l’IA, en parallèle de la dilatation du VG. La stimulation de cette croissance dans d’autres pathologies pourrait contribuer à prévenir l’IM fonctionnelle.

The effectiveness of community-based interventions to improve maternal and infant health in the Northeast of Brazil

EMOND, Alan et al. The effectiveness of community-based interventions to improve maternal and infant health in the Northeast of Brazil. Revista Panamericana de Salud Pública/ Pan American Journal of Public Health , v.12, n.2, p.101-110, 2002

Laparoscopic approach in abdominal emergencies: a 5-year experience at a single center

Background. Laparoscopy is ever more common in both elective and emergency surgery. In fact, in abdominal emergencies it enables the resolution of preoperative diagnostic doubts as well as treatment of the underlying disease. We present a retrospective study of the results of a 5-year experience at a single center. Patients and methods. Between September 2006 and August 2011, 961 patients were treated via laparoscopy, including 486 emergency cases (15 gastroduodenal perforation; 165 acute cholecystitis; 255 acute appendicitis; 15 pelvic inflammatory disease and non-specific abdominal pain [NSAP]; 36 small bowel obstruction). All procedures were conducted by a team trained in laparoscopic surgery. Results. The conversion rate was 22/486 patients (4.53%). A definitive laparoscopic diagnosis was possible in over 96% of cases, and definitive treatment via laparoscopy was possible in most of these. Conclusions Our own experience confirms the literature evidence that laparoscopy is a valid option in the surgical treatment of abdominal emergencies. In any case, it must be performed by a dedicated and highly experienced team. Correct patient selection is also important, to enable the most suitable approach for each given situation.