715 resultados para updates


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London Wall is a physical manifestation of the invisible city all around us; a poetic snapshot of social networking traffic from within a three-mile radius of the Museum of London. Over a ten-day period, publicly available status updates from popular websites like twitter and facebook will be selected then published as a vast array of A3 posters pasted onto a wall in the museum's foyer, revealing the idle mutterings of ourselves to ourselves as a form of concrete poetry. This commission is in the foyer and is part of relaunch the museums new galleries.

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Projeto para obtenção do grau de Mestre em Engenharia Informática e de Computadores

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This study addresses to the optimization of pultrusion manufacturing process from the energy-consumption point of view. The die heating system of external platen heaters commonly used in the pultrusion machines is one of the components that contribute the most to the high consumption of energy of pultrusion process. Hence, instead of the conventional multi-planar heaters, a new internal die heating system that leads to minor heat losses is proposed. The effect of the number and relative position of the embedded heaters along the die is also analysed towards the setting up of the optimum arrangement that minimizes both the energy rate and consumption. Simulation and optimization processes were greatly supported by Finite Element Analysis (FEA) and calibrated with basis on the temperature profile computed through thermography imaging techniques. The main outputs of this study allow to conclude that the use of embedded cylindrical resistances instead of external planar heaters leads to drastic reductions of both the power consumption and the warm-up periods of the die heating system. For the analysed die tool and process, savings on energy consumption up to 60% and warm-up period stages less than an half hour were attained with the new internal heating system. The improvements achieved allow reducing the power requirements on pultrusion process, and thus minimize industrial costs and contribute to a more sustainable pultrusion manufacturing industry.

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Trabalho Final de Mestrado para obtenção do grau de Mestre em Engenharia Mecânica

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In recent years, vehicular cloud computing (VCC) has emerged as a new technology which is being used in wide range of applications in the area of multimedia-based healthcare applications. In VCC, vehicles act as the intelligent machines which can be used to collect and transfer the healthcare data to the local, or global sites for storage, and computation purposes, as vehicles are having comparatively limited storage and computation power for handling the multimedia files. However, due to the dynamic changes in topology, and lack of centralized monitoring points, this information can be altered, or misused. These security breaches can result in disastrous consequences such as-loss of life or financial frauds. Therefore, to address these issues, a learning automata-assisted distributive intrusion detection system is designed based on clustering. Although there exist a number of applications where the proposed scheme can be applied but, we have taken multimedia-based healthcare application for illustration of the proposed scheme. In the proposed scheme, learning automata (LA) are assumed to be stationed on the vehicles which take clustering decisions intelligently and select one of the members of the group as a cluster-head. The cluster-heads then assist in efficient storage and dissemination of information through a cloud-based infrastructure. To secure the proposed scheme from malicious activities, standard cryptographic technique is used in which the auotmaton learns from the environment and takes adaptive decisions for identification of any malicious activity in the network. A reward and penalty is given by the stochastic environment where an automaton performs its actions so that it updates its action probability vector after getting the reinforcement signal from the environment. The proposed scheme was evaluated using extensive simulations on ns-2 with SUMO. The results obtained indicate that the proposed scheme yields an improvement of 10 % in detection rate of malicious nodes when compared with the existing schemes.

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The use of buffers to maintain the pH within a desired range is a very common practice in chemical, biochemical and biological studies. Among them, zwitterionic N-substituted aminosulfonic acids, usually known as Good’s buffers, although widely used, can complex metals and interact with biological systems. The present work reviews, discusses and updates the metal complexation characteristics of thirty one commercially available buffers. In addition, their impact on biological systems is also presented. The influences of these buffers on the results obtained in biological, biochemical and environmental studies, with special focus on their interaction with metal ions, are highlighted and critically reviewed. Using chemical speciation simulations, based on the current knowledge of the metal–buffer stability constants, a proposal of the most adequate buffer to employ for a given metal ion is presented.

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A liberalização dos mercados de energia elétrica e a crescente integração dos recursos energéticos distribuídos nas redes de distribuição, nomeadamente as unidades de produção distribuída, os sistemas de controlo de cargas através dos programas de demand response, os sistemas de armazenamento e os veículos elétricos, representaram uma evolução no paradigma de operação e gestão dos sistemas elétricos. Este novo paradigma de operação impõe o desenvolvimento de novas metodologias de gestão e controlo que permitam a integração de todas as novas tecnologias de forma eficiente e sustentável. O principal contributo deste trabalho reside no desenvolvimento de metodologias para a gestão de recursos energéticos no contexto de redes inteligentes, que contemplam três horizontes temporais distintos (24 horas, 1 hora e 5 minutos). As metodologias consideram os escalonamentos anteriores assim como as previsões atualizadas de forma a melhorar o desempenho total do sistema e consequentemente aumentar a rentabilidade dos agentes agregadores. As metodologias propostas foram integradas numa ferramenta de simulação, que servirá de apoio à decisão de uma entidade agregadora designada por virtual power player. Ao nível das metodologias desenvolvidas são propostos três algoritmos de gestão distintos, nomeadamente para a segunda (1 hora) e terceira fase (5 minutos) da ferramenta de gestão, diferenciados pela influência que os períodos antecedentes e seguintes têm no período em escalonamento. Outro aspeto relevante apresentado neste documento é o teste e a validação dos modelos propostos numa plataforma de simulação comercial. Para além das metodologias propostas, a aplicação permitiu validar os modelos dos equipamentos considerados, nomeadamente, ao nível das redes de distribuição e dos recursos energéticos distribuidos. Nesta dissertação são apresentados três casos de estudos, cada um com diferentes cenários referentes a cenários de operação futuros. Estes casos de estudos são importantes para verificar a viabilidade da implementação das metodologias e algoritmos propostos. Adicionalmente são apresentadas comparações das metodologias propostas relativamente aos resultados obtidos, complexidade de gestão em ambiente de simulação para as diferentes fases da ferramenta proposta e os benefícios e inconvenientes no uso da ferramenta proposta.

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RESUMO - Prestar cuidados a um doente que além da patologia de base apresenta úlceras por pressão (UPP) implica um esforço acrescido por parte da Instituição de saúde e equipa multidisciplinar, custos acrescidos no tratamento e reactualizações frequentes, para que se prestem cuidados que primem pela excelência. OBJETIVOS: caracterizar o impacto clinico e económico das UPP e relacioná-los com as temáticas da Segurança do Doente e Qualidade em Saúde. METODOLOGIA: estudo observacional retrospetivo longitudinal, com uma população do estudo constituída por 164 adultos que estiveram internados entre 1 de janeiro a 31 de dezembro de 2012 no CHMT e que desenvolveram UPP durante o internamento. RESULTADOS: com uma população do estudo maioritariamente masculina (57,3%), e uma média de idades de 81 anos, a taxa de incidência de UPP foi de 1,4%. A maior parte de UPP desenvolvidas durante o internamento foram as de categoria II e a localização anatómica mais frequente os membros inferiores. Em termos de impacto económico, 842.609 euros foi o montante estimado correspondente aos custos totais associados às UPP. CONCLUSÃO: o contínuo investimento na Segurança do Doente e na Qualidade em Saúde e, em especial, na prevenção das UPP devem ser mantidos para que se continuem a mobilizar esforços que minimizem a frequência da ocorrência das últimas. Mais do que tratar pretende-se prevenir tendo em conta que as consequências, quer para a díade doente-família como para as Instituições de saúde, são significativas.

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The advent of effective combination antiretroviral therapy (ART) in 1996 resulted in fewer patients experiencing clinical events, so that some prognostic analyses of individual cohort studies of human immunodeficiency virus-infected individuals had low statistical power. Because of this, the Antiretroviral Therapy Cohort Collaboration (ART-CC) of HIV cohort studies in Europe and North America was established in 2000, with the aim of studying the prognosis for clinical events in acquired immune deficiency syndrome (AIDS) and the mortality of adult patients treated for HIV-1 infection. In 2002, the ART-CC collected data on more than 12,000 patients in 13 cohorts who had begun combination ART between 1995 and 2001. Subsequent updates took place in 2004, 2006, 2008, and 2010. The ART-CC data base now includes data on more than 70,000 patients participating in 19 cohorts who began treatment before the end of 2009. Data are collected on patient demographics (e.g. sex, age, assumed transmission group, race/ethnicity, geographical origin), HIV biomarkers (e.g. CD4 cell count, plasma viral load of HIV-1), ART regimen, dates and types of AIDS events, and dates and causes of death. In recent years, additional data on co-infections such as hepatitis C; risk factors such as smoking, alcohol and drug use; non-HIV biomarkers such as haemoglobin and liver enzymes; and adherence to ART have been collected whenever available. The data remain the property of the contributing cohorts, whose representatives manage the ART-CC via the steering committee of the Collaboration. External collaboration is welcomed. Details of contacts are given on the ART-CC website (www.art-cohort-collaboration.org).

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PRINCIPLES: Advance directives are seen as an important tool for documenting the wishes of patients who are no longer competent to make decisions in regards to their medical care. Due to their nature, approaching the subject of advance directives with a patient can be difficult for both the medical care provider and the patient. This paper focuses on general practitioners' perspectives regarding the timing at which this discussion should take place, as well as the advantages and disadvantages of the different moments. METHODS: In 2013, 23 semi-structured face-to-face interviews were performed with Swiss general practitioners. Interviews were analysed using qualitative content analysis. RESULTS: In our sample, 23 general practitioners provided different options that they felt were appropriate moments: either (a) when the patient is still healthy, (b) when illness becomes predominant, or (c) when a patient has been transferred to a long-term care facility. Furthermore, general practitioners reported uncertainty and discomfort regarding initiating the discussion. CONCLUSION: The distinct approaches, perspectives and rationales show that there is no well-defined or "right" moment. However, participants often associated advance directives with death. This link caused discomfort and uncertainty, which led to hesitation and delay on the part of general practitioners. Therefore we recommend further training on how to professionally initiate a conversation about advance directives. Furthermore, based on our results and experience, we recommend an early approach with healthy patients paired with later regular updates as it seems to be the most effective way to inform patients about their end-of-life care options.

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BACKGROUND: Healthcare professionals regularly read the summary of product characteristics (SmPC) as one of the various sources of information on the risks of drug use in women of childbearing age and during pregnancy. The aim of this article is to present an overview of the teratogenic potential of various antiepileptic drugs and to compare these data with the information provided by the SmPCs. METHODS: A literature search on the teratogenic risks of 19 antiepileptic agents was conducted and the results were compared with the information on the use in women of childbearing age and during pregnancy provided by the SmPCs of 38 commercial products available in Switzerland and Germany. RESULTS: The teratogenic risk is discussed in all available SmPCs. Quantification of the risk for birth defects and the numbers of documented pregnancies are mostly missing. Reproductive safety information in SmPCs showed poor concordance with risk levels reported in the literature. Recommendations concerning the need to monitor plasma levels and possibly perform dose adjustments during pregnancy to prevent treatment failure were missing in five Swiss and two German SmPCs. DISCUSSION: The information regarding use in women of childbearing age and during pregnancy provided by the SmPCs is heterogeneous and poorly reflects the current state of knowledge. Regular updates of SmPCs are warranted in order for these documents to be of reliable use for health care professionals.

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Survey map and description of Philip Carrol's land created by The Welland Canal Company. Included are three written descriptions of the lands along the Northern Reservoir, Southern Reservoir as well as the Canal and Reservoir with a drawing of the aforementioned lands. Noteable features for the Northern Reservoir include; line between Philip Carrol's land and Widow McAlpine's land. The land contains 9 acres, 2 roads and 24 perches of wood land. The survey is dated 1830. Noteable features for the Southern Reservoir include; Road to shorthills, side line North, and Watson's land. This survey is not dated. Noteable features for the Canal and Reservoir include; West line of lot, lot.213. The land contains 9 acres and 5 perches. The surveyor's updates for this survey are dated 1846. Surveyor notes are seen in pencil on the map.See also Pp 109-113

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Eleanore Celeste mentions that she may soon receive letters from Arthur since her friend received some after twelve days apart. She mentions some friends and gives updates about them. She is also planning on doing Red Cross work that evening. This letter is labelled number 9.

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"Mémoire présenté à la Faculté des études supérieures en vue de l'obtention du grade de Maîtrise en droit (LL.M.)"

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Dans le contexte d’urbanisation fulgurante de l’Asie du sud-est, les zones périurbaines agricoles vietnamiennes subissent des pressions environnementales croissantes et sont loin d’être équipées en infrastructures. L’assainissement présente un important manque d’investissement. La thèse s’est intéressée aux stratégies et aux mécanismes de financement qui aideront à réduire l’écart entre l’offre et la demande d’assainissement. Deux hypothèses principales ont été posées. D’abord, des fonds supplémentaires doivent provenir des ressources nationales, locales et celles des utilisateurs. La seconde hypothèse pose qu’il faudra investir avantage dans des activités qui augmenteront la durabilité des services d’assainissement, comme l’éducation et la promotion, qui en plus favorisent les contributions locales. La thèse a tenté de répondre à la question suivante : Dans le contexte périurbain d’Hanoi, comment mettre à contribution les ressources locales pour améliorer l’accès et la durabilité de l’assainissement? L’étude de cas est un projet communautaire pilote de gestion des eaux usées en banlieue d’Hanoi. Les facteurs de demande pour de l’assainissement et leurs effets sur la durabilité du projet ont été analysés auprès des ménages, des acteurs du village et des acteurs nationaux liés à l’assainissement. La thèse a d’abord permis d’actualiser les connaissances sur deux aspects importants : le cadre institutionnel qui encadre le financement de l’assainissement et les coûts et bénéfices de l’assainissement alternatif au Vietnam. Ces deux sujets présentaient une lacune sérieuse au niveau de la documentation. Puis, malgré de faibles capacités au niveau local, la demande réelle pour de l’assainissement était beaucoup plus importante que celle relevée dans la littérature. La recherche a permis de conclure que les institutions gouvernementales pourraient compter sur une plus grande contribution du milieu local si la planification ciblait ces facteurs : l’éducation et promotion, une grande part de décision et de gestion au niveau local et des technologies plus simples.