794 resultados para 0011-4545
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This paper aims to analyze dual-purpose systems focusing the total cost optimization; a superstructure is proposed to present cogeneration systems and desalination technologies alternatives for the synthesis process. The superstructure consists of excluding components, gas turbines or conventional steam generators with excluding alternatives of supplying fuel for each combustion system. Also, backpressure or condensing/extraction steam turbine for supplying process steam could be selected. Finally one desalination unit chosen between electrically-driven or steam-driven reverse osmosis. multi-effect and multistage flash should be included. The analysis herein performed is based on energy and mass conservation equations, as well as the technological limiting equation of equipment. The results for ten different commercial gas turbines revealed that electrically-driven reverse osmosis was always chosen together with both natural gas and gasified biomass gas turbines. (C) 2009 Elsevier B.V. All rights reserved.
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Dans cet article, on examine comment les conflits ethniques atteignent de façon négative les droits de l'homme et comment a lieu l'intervention internationale en vue de la défense de ces droits. Pour cela, on oppose la structure qui déclenche des conflits ethniques et un cadre idéal où l'État serait capable d'assurer l'exercice des droits humains, selon l optique soutenue par les Nations Unies. Ainsi, à mesure qu'on dénonce les points où ce genre de conflit mine les fondements de ces droits, on construit un deuxième cadre où ils ne sont pas assurés, et c'est là que se pose la question de l'intervention humanitaire. Enfin, on observe que, malgré l'importance des droits humains dans l'après-Guerre Froide, ils ne forment pas une association d'objectifs. Il faut donc, pour comprendre les critères de sélection qui commandent les interventions humanitaires, prendre en compte d'autres intérêts.
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Dans cet article, on cherche la viabilité analytique du Jeu à Deux Niveaux - JDN pour examiner la situation brésilienne dans l'Organisation Mondiale du Commerce - OMC. on cherche à voir, en même temps, si le perfectionnement des institutions démocratiques brésiliennes en ce qui concerne le processus de formulation de la politique extérieure sera capable d'améliorer la réponse aux demandes des groupes d'intérêt et d'élargir la compétence technique de la diplomatie brésilienne dans les négociations commerciales internationales. on cherche aussi à savoir si ce perfectionnement peut faire monter la crédibilité et la légitimité internationale des démarches brésiliennes au sein de l'OMC, dans le sens de tourner en leur faveur les régimes internationaux. Pour cela, on analyse le contentieux des brevets pharmaceutiques mené contre les États-Unis au sein de l'OMC.
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Background Venous ulcer is the most serious consequence of chronic venous insufficiency and is responsible for almost 70% of chronic leg ulcers. The main purpose of this research was to describe social, demographic and clinical characteristics of patients with venous ulcers and to identify some professional repercussions of this pathology.Subjects and methods We evaluated patients with a clinical picture compatible with venous ulcer. The sociodemographic characteristics of the patients, and the clinical characteristics and professional repercussions of the pathology were studied. We used the ankle-brachial index to identify associated arterial disease. The body mass index (BMI) was used for the classification of the nutritional condition of the patients.Results A total of 120 patients were included in the study (90 females and 30 males; 80.8% White; 44.2% > 60 years old). Ninety-one per cent of the patients had been in education for less than 4 years, and 89.7% were on the poverty line. Thirty-five per cent were retired, 2.5% were receiving government help due to disease and 4.2% were unemployed. About 16% of patients were out of work due to the disease, and 49.2% presented some degree of disability in terms of work tasks. The ulcer area was less than 30 cm(2) in 69.1% of patients. The first ulcer episode occurred in 13.4 years on average, and 64.2% of patients had recurrent episodes. Females presented on average 5.65 pregnancies, and 75.4% of patients were overweight.Conclusion Venous ulcer occurred mainly in the low-income population, who presented with little formal education. Generally, the ulcers were present for a long time and were recurrent, with repercussions for the capabilities of patients to work.
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This review discusses the epidemiology, pathogenesis, diagnosis and current therapeutic options for venous ulcer. Venous ulcer is a severe clinical manifestation of chronic venous insufficiency (CVI). It is responsible for about 70% of chronic ulcers of the lower limbs. The high prevalence of venous ulcer has a significant socioeconomic impact in terms of medical care, days off work and reduced quality of life. Long-term therapeutics are needed to heal venous ulcers and recurrence is quite common, ranging from 54 to 78%. Thrombophlebitis and trauma with long-term immobilization predisposing to deep venous thrombosis are important risk factors for CVI and venous ulcer. The most recent theories about pathogenesis of venous ulcer have associated it with microcirculatory abnormalities and generation of an inflammatory response. Management of venous leg ulcers is based on understanding the pathogenesis. In recent years novel therapeutic approaches for venous ulcers have offered valuable tools for the management of patients with this disorder.
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Background Primary cutaneous cryptococcosis is an uncommon infectious disease caused by Cryptococcus neoformans or Cryptococcus gattii affecting immunosuppressed as well as immunocompetent patients. It is often misdiagnosed as it may mimic other cutaneous diseases. Materials and methods We report a series of cases diagnosed from 2005 to 2010 in two general hospitals. The diagnosis in all patients was made on the basis of histopathology and culture. Phenoloxidase and canavanine-glycine-bromothymol blue tests were used in order to identify the Cryptococcus species. Systematic investigation ruled out the systemic involvement in every case. Results Eleven patients, 81.8% male, were diagnosed during this study. The immunosuppression status was identified in 54.5% of patients, and all of them were under corticosteroid therapy due to a variable set of diseases. All patients presented with circumscribed lesions on their upper limbs. Most lesions showed an infiltrative or tumoral aspect with up to 40 cm diameter. Fluconazole, up to 400 mg/daily, was the main therapeutic regimen and proved to be efficient. Conclusions Primary cutaneous cryptococcosis has been diagnosed in both immunosuppressed and immunocompetent patients. Its peculiar clinical aspect could facilitate early diagnosis. Culture and biochemical tests should be performed in order to define the species involved.
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BackgroundLower limb venous ulceration ranks among the 10 most common medical problems in Western countries and has significant socioeconomic impact. The aim of this study was to identify the risk factors for unhealed, recurrent, and large ulcers and to characterize patients with active or recently healed venous ulcers.MethodsWe identified 97 patients and assessed 103 ulcerated limbs in 90 patients. All patients underwent clinical examination, arterial and venous system evaluation, ankle-brachial index determination, and ultrasound of the affected limb. Clinical characteristics included age, gender, race, ulcer duration, time since first episode, history of recurrence, localization of ulcer, ulcer area, eczema, ochre dermatitis, lipodermatosclerosis, pain, body mass index, and medical history data. Risk factors were identified by univariate analysis and estimated odds ratios.ResultsWe assessed 90 patients (103 limbs) with active or healed venous leg ulcers, of whom 84.4% were Caucasian and 68.9% were female. Mean age was 56.0 +/- 13.3 years. Ulcers had remained unhealed for < 1 year in 40.7%. Lipodermatosclerosis, lower limb hyperpigmentation, edema, and eczema were seen in 96.7%, 95.6%, 94.4%, and 51.1% of patients, respectively. Pain was a frequent symptom in 74.4%. Body mass index was assessed in 85 patients: 30.6% were slightly, 36.5% moderately, and 7% severely obese. Patient age > 60 years (odds ratio [OR] 4.0), extensive lipodermatosclerosis (OR 8.7), and previous history of ulceration (OR 19.9) were risk factors for unhealed ulcers. Time since first ulcer episode >= 2 years (OR 29.2) and incompetence of venous systems (OR 1.6) were risk factors for recurrence.ConclusionsLongstanding and large ulcers and recurrences are the main problems encountered by venous ulcer patients. Severe lipodermatosclerosis, previous ulcer history, and time since first ulcer episode >= 2 years are significant risk factors.
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The synaptonemal complex (SC) of specimens of Sos taurus taurus from the Holstein-Friesian, Piemontese, and Simmental breeds, was analysed. The analysis included quantification of the frequency of various types of abnormalities in the SC, and the frequency of calls with SC abnormalities. All animals had 29 autosomal bivalents and one sexual bivalent and the most frequently recorded abnormality was pairing failure. The number of cells with abnormalities in the Holstein-Friesian breed was 29.41%, in the Piemontese breed was 30.00% and in the Simmental breed it was 29.54%. The subspecies Bos taurus taurus had 29.63% of cells showing abnormalities with 57.33% of these abnormalities occurring in zygotene and 42.67% occurring in pachytene. Statistical analyses showed that there were no significant differences in the number of cells with SC abnormalities among the breeds studied. The frequency of cells with abnormalities, and the efect on the fertility of the Holstein-Friesian, Piemontese and Simmental breeds are discussed.
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The mitotic chromosomes, nucleolus organizer regions (NORs), C-banding pattern and nuclear DNA content of Mastacembelus armatus were studied. The karyotype (2n = 48; 10m + 6sm + 4st + 28a) was characterized by the presence of one chromosome pair with NORs and a small quantity of heterochromatin. The DNA content observed in erythrocyte nuclei of M. armatus was 1.39 +/- 0.08 pg. Comparison of this karyotype with those of other Synbranchiformes revealed a strong similarity, suggesting that small chromosome rearrangements may have been maintained during its evolutionary history.
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Background Head lice constitute a problem in children. Each year, numerous cases of pediculosis occur worldwide. Little work has been performed to evaluate the understanding, opinions, and actions of populations regarding head lice. These areas are important as they enable clinicians and educators to alert parents on how to avoid treatments that are innocuous or of high risk to patients.Methods A cross-sectional study was performed by interviewing the heads of households of 100 randomly chosen residences within the study area.Results The results obtained showed that 13% were infested during the first week of the survey, and 86% in the 24 weeks prior to the study. The number of positive cases increased with increasing resident number, and decreased in families with parents with a higher educational level. Itching was the principal clinical manifestation and caused sleep compromise in 65% of respondents. Innocuous and unhealthy practices to combat infestation, such as the use of inflammables and home insecticides, were common.Conclusion The results showed that certain beliefs generated worry and confusion in parents, who blamed head lice as the cause of various health problems which were not due to this insect.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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This study provides information concerning the feeding behaviour of Goniopsis cruentata (Latreille, 1803), through analysis of stomach contents according to demographic categories. Collections were carried out monthly from May 2005 through April 2006 in a subtropical estuary on the southeastern Brazilian coast (23 degrees 29'24 '' S 45 degrees 10'12 '' W). The crabs were collected by hand, with a 2-hour sampling effort by three people. In the laboratory, the crabs were sexed and measured for greatest carapace width, and grouped into demographic categories: adult males, juvenile males, adult females, juvenile females, and ovigerous females. For the fullness analysis, the stomachs were grouped into two categories: (1) E = Empty, with no food; and (2) F = Full, whether partially filled or totally. The frequency-of-occurrence method was used to characterize feeding behaviour, and the demographic categories recognired were compared. We obtained stomachs from 171 adult males, 69 juvenile males, 136 adult females, 72 juvenile females, and 41 ovigerous females, of which 85.6% were full. of the eight food items recorded, sediment was the most frequent, and unidentified material was the least. Goniopsis cruentata can be characterized as a generalist feeder, exploiting most of the food items available in the mangrove swamps. In spite of this generalist behaviour, the dominant presence of sediment suggests that G. cruentata is primarily a detritivore that exploits particulate organic matter from microbial biodegradation, one of the most important mangrove functions. The trophic role of this crab in the ecosystem showed no significant differences among the demographic categories, and seems to be wider than those observed for sesarmid and ocypodid mangrove crabs. These ecosystem engineers may occupy different positions in the trophic chains of estuarine environments.
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The population biology of Uca thayeri was studied in a subtropical mangrove in Ubatuba, State of São Paulo, Brazil. Two sampling techniques were used: transect sampling and catch-per-unit-effort. Size frequency distribution, sex-ratio, and reproductive period were analysed. For juvenile crabs (CW < 4.6 mm), the transect procedure was most efficient, while ovigerous females were most collected during the capture effort. Males were most numerous in the transect technique, while in the catch-per-unit-effort there was no difference between sexes. The species showed a different size frequency distribution for each sampling procedure. The reproduction of U. thayeri is seasonal, being more pronounced in the warmer months of the year. However, juveniles occurred all over the year, although more numerous in the colder months. The success of the species in reproductive activity and the constant colonization of the area can be attributed to the availability of food resources and differential occupation of the habitat by ovigerous females.
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Crab fecundity is widely known to vary proportionally to female size, but the female's nutritional state also has an important effect on egg production. This study evaluates intraspecific variability of reproductive output by monthly sampling Uca vocator populations from the Itapanhau, Indaia, and Itamambuca mangroves on the southeastern coast of Brazil. The presence of ovigerous crabs, their carapace width (CW) and their number of eggs were recorded. Additionally, the productivity of the mangroves and the content of organic matter of the sediments were analysed in order to estimate food availability in each locality. Size-specific fecundity relationships were obtained for each population and compared among the three populations. Ovigerous females from Itamambuca are the largest and their fecundities are also the highest among the populations studied. These results probably are associated with the favourable environmental conditions in Itamambuca, as this is a young mangrove with a high productivity level.
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Megalopae were reared in the laboratory to the 7(th) crab stage. The megalopa and 1(st) crab stage are described and juvenile development was studied with emphasis on pleopodal differentiation. The megalopal phase, is easily identified, and shares with those of other Grapsinae and Plagusiinae big size, the presence of many natatory setae, and a series of conspicuous teeth on the inner margin of the dactyli from the 2(nd) to 4(th) walking leg. These features are regarded as adaptive for settlement in a wave-swept environment, such as the rocky marine intertidal where most of those species live. Fast development of juvenile pleopods is another characteristic of these subfamilies. In Pachygrapsus transversus, the sexes can be distinguished from the 2(nd) crab stage. Gonopod differentiation in males and the basic segmentation of all four pleopod pairs in females are already concluded at the 5(th) instar. A review of the available information indicated that settlement of large megalopae and fast juvenile development, preceding a precocious sexual maturity, are trends in Grapsinae and Plagusiinae. on the other hand, the Sesarminae pass through a more extensive juvenile instar sequence and presumably a delayed maturity.