121 resultados para Assesment


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Escola de Direito do Rio de Janeiro da Fundação Getulio Vargas

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The development of a dose-dependent cardiomyopathy is the main limitation for the use of doxorubicin in chemotherapy protocols in both humans and animals. In this setting, the global myocardial function may be compromised resulting in signs of congestive heart failure. In this study, we investigated the ability of the Tei index of myocardial performance to identify myocardial dysfunction in healthy dogs receiving doxorubicin to a cumulative dose of 210 mg/m(2) over 147 days, comparing it with other standard echocardiographic indicators of systolic and diastolic function. Our results indicated that the Tei index, the isovolumic relaxation time, pre-ejection period and the pre-ejection period-to-left ventricular ejection time ratio were able to identify the cardiotoxic effects of doxorubicin on cardiac function when only 60 mg/m(2) had been administered, while the standard systolic and diastolic parameters, including left ventricular diameter at systole, ejection fraction, and fractional shortening needed at least 120 mg/mg(2) to deteriorate. We concluded that prolonged anthracycline therapy compromises both systolic and diastolic functions, which may be documented earlier by including the Tel index evaluation to the standard echocardiographic assessment of animals receiving doxorubicin.

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Trabajo realizado por: Garijo, J. C., Hernández León, S.

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Lo studio che la candidata ha elaborato nel progetto del Dottorato di ricerca si inserisce nel complesso percorso di soluzione del problema energetico che coinvolge necessariamente diverse variabili: economiche, tecniche, politiche e sociali L’obiettivo è di esprimere una valutazione in merito alla concreta “convenienza” dello sfruttamento delle risorse rinnovabili. Il percorso scelto è stato quello di analizzare alcuni impianti di sfruttamento, studiare il loro impatto sull’ambiente ed infine metterli a confronto. Questo ha consentito di trovare elementi oggettivi da poter valutare. In particolare la candidata ha approfondito il tema dello sfruttamento delle risorse “biomasse” analizzando nel dettaglio alcuni impianti in essere nel Territorio della Regione Emilia-Romagna: impianti a micro filiera, filiera corta e filiera lunga. Con la collaborazione di Arpa Emilia-Romagna, Centro CISA e dell’Associazione Prof. Ciancabilla, è stata fatta una scelta degli impianti da analizzare: a micro filiera: impianto a cippato di Castel d’Aiano, a filiera corta: impianto a biogas da biomassa agricola “Mengoli” di Castenaso, a filiera lunga: impianto a biomasse solide “Tampieri Energie” di Faenza. Per quanto riguarda la metodologia di studio utilizzata è stato effettuato uno studio di Life Cycle Assesment (LCA) considerando il ciclo di vita degli impianti. Tramite l’utilizzo del software “SimaPro 6.0” si sono ottenuti i risultati relativi alle categorie di impatto degli impianti considerando i metodi “Eco Indicator 99” ed “Edip Umip 96”. Il confronto fra i risultati dell’analisi dei diversi impianti non ha portato a conclusioni di carattere generale, ma ad approfondite valutazioni specifiche per ogni impianto analizzato, considerata la molteplicità delle variabili di ogni realtà, sia per quanto riguarda la dimensione/scala (microfiliera, filiera corta e filiera lunga) che per quanto riguarda le biomasse utilizzate.

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This study focused on the effects of socioeconomic exclusivity indicators on college students¿ attitudes toward a hypothetical private liberal arts university. Students enrolled in two undergraduate courses in Education at an elite private liberal arts university in the northeast were randomly presented with one of three versions of an admissions brochure describing a fictitious university. The three versions of the brochure varied in their portrayals of the institution¿s financial exclusivity, ranging from high exclusivity to low exclusivity. Each student was asked to review the brochure and respond to a questionnaire, containing items pertaining to the overall desirability of the institution, as well as its student culture, academic program, campus traditions, and alumni network. Based on Thorstein Veblen¿s theory of the leisure class and Pierre Bourdieu¿s theory of social reproduction, it was hypothesized that students would judge the institution most favorably in all areas under the high exclusivity condition and least favorably under the low exclusivity condition. It was further hypothesized that differences in students¿ ratings of institutional desirability would be mediated by their own financial aid statuses. Results of a two-way multivariate analysis of variance (MANOVA) revealed significant (p < .05) interactive effects of institutional exclusivity and student aid status on the perceived desirability of the academic program and campus traditions of the institution. While recipients of need-based financial aid tended to rate more socioeconomically exclusive institutions more favorably on these two variables, those who were not receiving need-based financial aid tended to rate such institutions less favorably. Implications of the findings for student affairs practice are discussed and recommendations for further research are presented.

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Objective: The primary objective of this project was to describe the efficacy of the Levonorgestrel Intrauterine Device (LIUD) for treatment of Complex Endometrial Cancer (CAH) and Grade 1 Endometrial Cancer (G1EEC) in terms of rate of Complete Response (CR) and Partial Response (PR) after 6 months of therapy. Finally, we assessed if any clinical or pathologic features were associated with response to the LIUD. ^ Methods: This study was a retrospective case series designed to report the response rate of patients with CAH or G1EEC treated with LIUD therapy. In addition, this study has a laboratory component to assess molecular predictors of response to LIUD therapy. Retrospective data already collected from patients diagnosed with CAH or EEC grade 1 and treated with LIUD therapy at MD Anderson Cancer Center (MDACC) were used for this study. Patients from all ethnic and race groups were included. A Complete Response (CR) was defined in patients diagnosed with CAH if pathologic report at 6 months demonstrated either no evidence of hyperplasia or no atypia in the setting of simple or complex hyperplasia. Partial Response (PR) was recorded if disease downgraded to only CAH from G1EEC. No Response (NR) was recorded if pathologic report demonstrates no change (Stable Disease, SD) or progression to cancer (Progressive Disease, PD). We calculated the proportion of patients with complete response to LIUD therapy with 95% confidence interval. We compared the response rates (CR/PR vs NR) by obesity status (Obese if BMI > 40 kg/m2 vs non-obese if BMI <= 40 kg/m2) as well as other clinical and pathologic factors, such as age, uterine size (median size), and presence of exogenous progesterone effect. ^ Results: There were 39 patients diagnosed with either CAH or G1EEC treated with the LIUD. Of 39 patients, 12 did not have pathological results of biopsy at 6months time period. Of 27 evaluable patients, 17 were diagnosed with CAH and 10 with G1EEC. Overall response rate (RR) was 78% (95% CI = 62-94%) at 6 months, 18 patients had CR (4 in G1EEC; 14 in CAH), 3 patients had PR (3 in G1EEC), 3 had SD (1 in CAH; 2 in G1EEC), 3 had PD (2 in CAH; 1 in G1EEC). After histology stratification, RR at 6 months was 82.35% (14/17; 95%CI = 67.4-97.3%) in CAH and 70% (7/10; 95% CI = 41-98.4%) in G1EEC. ^ There was no difference in response (R) and no response (NR) based on BMI (p=0.56). He observed a trend showing association between age with response (p=0.1). There was no association between uterine size and response to therapy (p=0.17). We recorded strong association between exogenous progesterone effect and response. ^ Conclusion: LIUD therapy for the treatment of CAH and G1EEC may be effective and safe. Presence of exogenous progesterone effect may predict the response to LIUD therapy at earlier time points. There is need of further studies with larger sample size to explore the relationship of response with other clinical and pathologic factors^

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In the last years, vulnerability assessment has emerged as a need for policy making instead of being a pure academic exercise (Hinkel, 2010). In the current context of changing climate, increasing water scarcity threatens economic activities in many arid or semi-arid regions of the World. Climate change (CC) science and policy debates have traditionally focused on CC mitigation and impact assessment (Krysanova et al., 2010). However, even if mitigation policies are successfully enforced some climate change is still expected. Then, adaptation is strongly necessary and, for that, improved knowledge on vulnerability and adaptive capacity is required.

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Wear is the phenomenon that determines the lifetime of the collector strips. Since wear is an inevitable effect on pantograph-catenary systems, it is necessary to determine optimal operating conditions that can mitigate its effects. In this study we have performed a simulation model of the pantograph-overhead conductor rail system which allows the evaluation of the dynamic conditions of the system through the contact force. With these results we have made an evaluation of the quality of current collection, a calculation of the pantograph wear and a definition of the optimal operation conditions of the pantograph-overhead conductor rail system.

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A Probabilistic Safety Assessment (PSA) is being developed for a steam-methane reforming hydrogen production plant linked to a High-Temperature Gas Cooled Nuclear Reactor (HTGR). This work is based on the Japan Atomic Energy Research Institute’s (JAERI) High Temperature Test Reactor (HTTR) prototype in Japan. This study has two major objectives: calculate the risk to onsite and offsite individuals, and calculate the frequency of different types of damage to the complex. A simplified HAZOP study was performed to identify initiating events, based on existing studies. The initiating events presented here are methane pipe break, helium pipe break, and PPWC heat exchanger pipe break. Generic data was used for the fault tree analysis and the initiating event frequency. Saphire was used for the PSA analysis. The results show that the average frequency of an accident at this complex is 2.5E-06, which is divided into the various end states. The dominant sequences result in graphite oxidation which does not pose a health risk to the population. The dominant sequences that could affect the population are those that result in a methane explosion and occur 6.6E-8/year, while the other sequences are much less frequent. The health risk presents itself if there are people in the vicinity who could be affected by the explosion. This analysis also demonstrates that an accident in one of the plants has little effect on the other. This is true given the design base distance between the plants, the fact that the reactor is underground, as well as other safety characteristics of the HTGR. Sensitivity studies are being performed in order to determine where additional and improved data is needed.

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In the last years many studies have been developed to analyze the seismic behavior throug the damage concept. In fact, the evaluation of the structural damage is important in order to quantify the safety of new and existing structures and, also, to establish a framework for seismic retrofitting decision making of structures. Most proposed models are based on a post-earthquake evaluation in such a way they uncouple the computation of the structural response from that of damage. However, there are other models which include explicity the existing coupling between the degradation and the structural mechanical beaviour. Those models are closer to the physical reality and its formulation is based on the principles of Continuum Damage Mechanics. In the present work, a coupled model is formulated using a simplified application of the Continuum Damage Mechanics to the analysis of frames and allows its representation in standard finite element programs. This work is part of the activities developed by the Structural Mechanics Department (UPM) within ICONS (European Research Project on Innovative Seismic Design Concepts for New and Existing Structures).