Exposición a monóxido de carbono en trabajadores de control vehicular-Cuenca: estudio exploratorio

El presente estudio exploratorio evalúa la exposición al monóxido de carbono (CO), expresado en porcentaje de carboxihemoglobina (%COHb), entre los trabajadores de los centros de control vehicular (CRV) DANTON-Cuenca. Todos los trabajadores (n=55) de los CRVs de Capulispamba y Mayancela participaron en este estudio. El %COHb se determinó a partir de muestras de sangre tomadas al inicio y final de un día laboral de febrero, abril y julio de 2013. Los resultados muestran que el %COHb se incrementó del inicio al final de la jornada laboral en ambos CRVs tanto en el grupo de trabajadores que fuman y no fumadores (P<0.001). Entre los no fumadores (N=42), el %COHb al final de la jornada sobrepasó el valor límite biológico (VLB) para COHb (3.5%) únicamente en el CRV de Mayancela (4.12%, P<0.05). Entre los fumadores (N=13), los promedios de %COHb al final de la jornada sobrepasaron los VLB en ambos CRVs. Se concluye, que los trabajadores de los CRVs de Mayancela y aquellos que fuman presentan %COHb mayores al VLB.

Development and Verification of Control and Protection Strategies in Hybrid AC/DC Power Systems for Smart Grid Applications

Modern power networks incorporate communications and information technology infrastructure into the electrical power system to create a smart grid in terms of control and operation. The smart grid enables real-time communication and control between consumers and utility companies allowing suppliers to optimize energy usage based on price preference and system technical issues. The smart grid design aims to provide overall power system monitoring, create protection and control strategies to maintain system performance, stability and security. This dissertation contributed to the development of a unique and novel smart grid test-bed laboratory with integrated monitoring, protection and control systems. This test-bed was used as a platform to test the smart grid operational ideas developed here. The implementation of this system in the real-time software creates an environment for studying, implementing and verifying novel control and protection schemes developed in this dissertation. Phasor measurement techniques were developed using the available Data Acquisition (DAQ) devices in order to monitor all points in the power system in real time. This provides a practical view of system parameter changes, system abnormal conditions and its stability and security information system. These developments provide valuable measurements for technical power system operators in the energy control centers. Phasor Measurement technology is an excellent solution for improving system planning, operation and energy trading in addition to enabling advanced applications in Wide Area Monitoring, Protection and Control (WAMPAC). Moreover, a virtual protection system was developed and implemented in the smart grid laboratory with integrated functionality for wide area applications. Experiments and procedures were developed in the system in order to detect the system abnormal conditions and apply proper remedies to heal the system. A design for DC microgrid was developed to integrate it to the AC system with appropriate control capability. This system represents realistic hybrid AC/DC microgrids connectivity to the AC side to study the use of such architecture in system operation to help remedy system abnormal conditions. In addition, this dissertation explored the challenges and feasibility of the implementation of real-time system analysis features in order to monitor the system security and stability measures. These indices are measured experimentally during the operation of the developed hybrid AC/DC microgrids. Furthermore, a real-time optimal power flow system was implemented to optimally manage the power sharing between AC generators and DC side resources. A study relating to real-time energy management algorithm in hybrid microgrids was performed to evaluate the effects of using energy storage resources and their use in mitigating heavy load impacts on system stability and operational security.

Utilisation de la coronarographie en Suisse: une étude de population. [The use of coronary vessel radiography in Switzerland: a population study].

All patients having undergone a coronarography during 1984 have been surveyed in Switzerland. This retrospective study has used existing data in the 13 centers practicing this diagnostic procedure. 4921 coronarographies were carried out in 1984, amongst 4359 patients. In terms of population-based rates, the national figures are 77 procedures/100,000 residents, and 68 patients/100,000 residents. Female rates are one fourth of the male rates (27/100,000 versus 112/100,000). For both sexes, the highest utilization rates are for the age groups 60-64. Swiss figures are relatively low when compared with other developed countries. However, patterns of utilization are very different within the country: according to the Canton of residence of the patient, the utilization rates (standardized for age and sex) vary from 8/100,000 to 160/100,000. There is a distinct gradient from south-west to north-east, which closely corresponds to the distribution of centers practicing the procedure. More intriguing is the fact that cardiovascular mortality shows an inverse geographical gradient, with the highest mortality in Cantons having the lowest rate of coronarography. Various reasons for the observed variations are discussed, in relation with differences in supply of diagnostic and therapeutic equipments, but also in relation with various patterns of demand related to differential morbidity rates and/or differential patterns of clinical decision.

Impact of a Nurse Vaccination Program on Hepatitis B Immunity in a Swiss HIV Clinic.

ABSTRACT: We evaluated the impact of a nurse program for hepatitis B virus vaccination in a center from the Swiss HIV Cohort Study. Immunity (anti-HBs >10 IU/mL) increased from 32% to 76% in the intervention center (n = 238) where vaccine management was endorsed by nurses, but only from 33% to 39% in control centers (n = 2712, P < 0.001) where management remained in charge of physicians. Immunity against HBV in the HIV population is insufficient in Switzerland. Specific nurse vaccination program may efficiently improve health care.

Coronary arteriography rates in Switzerland: how do they vary?

Coronary heart disease is a leading cause of death for both sexes in developed countries. Controversy has arisen about the health benefits and risks of coronary surgery and, more recently of coronary angioplasty. As a clinical prerequisite to these interventions, coronary arteriography can be considered an indicator of invasive services offered to coronary heart disease patients. We collected data on characteristics of all patients subjected to coronary arteriography during 1984 in Switzerland. A total of 4921 coronary arteriographies were performed among 4359 patients; this corresponds to 77 procedures/100,000 residents and 68 patients/100,000 residents. Rates for men are 4.2 times women's rates, and the highest utilization rate for both sexes are observed in the group aged 40-64. Large variations characterize cantonal and regional coronary arteriography rates. Similarly, the distribution of centers practising this procedure is not uniform. These observations are placed in the context of the general practice of coronary angiography, changes expected in the face of by-pass surgery and angioplasty expansion, and coronary heart disease data.

Brain energy consumption induced by electrical stimulation promotes systemic glucose uptake.

BACKGROUND: Controlled transcranial stimulation of the brain is part of clinical treatment strategies in neuropsychiatric diseases such as depression, stroke, or Parkinson's disease. Manipulating brain activity by transcranial stimulation, however, inevitably influences other control centers of various neuronal and neurohormonal feedback loops and therefore may concomitantly affect systemic metabolic regulation. Because hypothalamic adenosine triphosphate-sensitive potassium channels, which function as local energy sensors, are centrally involved in the regulation of glucose homeostasis, we tested whether transcranial direct current stimulation (tDCS) causes an excitation-induced transient neuronal energy depletion and thus influences systemic glucose homeostasis and related neuroendocrine mediators.METHODS: In a crossover design testing 15 healthy male volunteers, we increased neuronal excitation by anodal tDCS versus sham and examined cerebral energy consumption with (31)phosphorus magnetic resonance spectroscopy. Systemic glucose uptake was determined by euglycemic-hyperinsulinemic glucose clamp, and neurohormonal measurements comprised the parameters of the stress systems.RESULTS: We found that anodic tDCS-induced neuronal excitation causes an energetic depletion, as quantified by (31)phosphorus magnetic resonance spectroscopy. Moreover, tDCS-induced cerebral energy consumption promotes systemic glucose tolerance in a standardized euglycemic-hyperinsulinemic glucose clamp procedure and reduces neurohormonal stress axes activity.CONCLUSIONS: Our data demonstrate that transcranial brain stimulation not only evokes alterations in local neuronal processes but also clearly influences downstream metabolic systems regulated by the brain. The beneficial effects of tDCS on metabolic features may thus qualify brain stimulation as a promising nonpharmacologic therapy option for drug-induced or comorbid metabolic disturbances in various neuropsychiatric diseases.

Distribuição geográfica, ambiente preferencial e centros de diversidade dos membros da tribo Swartzieae na região sudeste do Brasil

A tribo Swartzieae pertence à subfamília Papilionoideae de Leguminosae e consiste do gênero tipo (com 143 espécies) e de outros 11 gêneros (com um total de cerca de 50 espécies), todos de regiões paleo ou neotropicais. O sudeste do Brasil possui uma considerável representatividade de espécies desta tribo, principalmente do gênero Zollernia, que compreende 70% do total de suas espécies ocorrentes nesta área. Os objetivos do presente trabalho são estudar a distribuição geográfica, o ambiente preferencial e localizar os centros de diversidade dos componentes de Swartzieae na região sudeste do Brasil. Para tanto foram obtidos dados de coletas próprias e os contidos nas etiquetas de material herborizado. Foi verificada a ocorrência de quatro gêneros, Bocoa na caatinga, Exostyles, Swartzia e Zollernia com forte associação com a Mata Atlântica. Rio de Janeiro é o estado que apresenta o maior número de espécies, 15, seguido pelo Espírito Santo com 13, Minas Gerais com 12 e São Paulo com sete. Seis espécies apresentam ampla distribuição na região sudeste, sendo que algumas delas ultrapassam este limite em direção ao norte do Brasil. Em contraste, Swartzia alternifoliolata e S.capixabensis são endêmicas do estado do Espírito Santo, Zollernia cowanii de Minas Gerais e S.glazioviana, Z. glabra e Z. glaziovii são endêmicas do estado do Rio de Janeiro. Os centros de diversidade da tribo Swartzieae na região sudeste do Brasil e dos gêneros Swartzia e Zollernia localizam-se principalmente no norte do Espírito Santo e na região da capital do estado do Rio de Janeiro.

Assessment of the quality of cottage cheese produced from standard and protein-fortified skim milk

The effects of milk protein fortification on the texture and microstructure of cottage cheese curd were evaluated. Protein powder (92.6% protein) was added to the skim milk at a level of 0.4% (w/w) to produce curds. Control curds with no protein powder addition were also produced. These curds were analysed for differences in yield, total solids, curd size, texture and structure. It was found that the addition of protein powder contributed to a significant yield increase, which can be attributed to increased water retention, with better curd size distribution. Control curds were firmer than the fortified curds and the structure showed less open-pore structure as revealed by electron microscopy. However, the addition of dressing masked the textural differences, and a sensory panel was unable to distinguish between cheeses produced from fortified milk and controls.

Configuração da gestão da educação a distância: entendendo os resultados do ENADE para o curso piloto da universidade aberta do Brasil

A educação a distância tem tido expressivo crescimento no Brasil nos últimos anos e com essa expansão aumentam também os desafios relacionados à sua gestão. Este trabalho focaliza as diversas concepções e fundamentos teóricos acerca das abordagens sobre estrutura organizacional e sistemas de educação a distância, para concepção do que denominou-se configuração da gestão da EAD. Como delineamento de pesquisa analisou-se a relação entre as configurações das gestões dos cursos a distância de Administração, projeto piloto da Universidade Aberta do Brasil e os seus conceitos definidos pelo Exame Nacional de Desempenho de Estudantes, identificando-se as teorias e modelos manifestos em seu contexto. O trabalho parte de uma descrição da estrutura organizacional da área responsável pela educação a distância na Universidade Estadual do Maranhão, na Universidade Estadual da Paraíba e na Universidade Federal do Ceará, realizando uma análise comparativa das dimensões complexidade, centralização e coordenação nessas três instituições. Também foram analisados e comparados os sistemas de EAD do curso piloto da UAB, a partir dos referenciais de qualidade para educação superior a distância do MEC, especificamente concentrados nos componentes interdisciplinaridade, materiais didáticos, avaliação, equipe multidisciplinar, comunicação e infraestrutura de polos. Com base nessas análises, discute-se os diferentes conceitos atribuídos pelo Enade aos referidos cursos e explicam-se as correspondências das estruturas organizacionais e dos sistemas de EAD descritos, em relação a esses resultados. Trata-se de uma pesquisa predominantemente qualitativa, descritiva, explicativa e multicaso, cuja coleta de dados foi feita a partir de entrevistas, grupos focais, questionários online e documentos. Os dados primários foram tratados mediante análise de conteúdo categorial e os dados secundários, por meio da análise documental. As observações elaboradas, dentro de uma perspectiva descritivo-interpretativa e de um corte seccional permitem induções acerca das configurações das gestões em cada universidade. Evidencia-se relação forte e direta entre as configurações das gestões do curso piloto e os respectivos resultados no Enade. Constata-se que a teoria da industrialização de Otto Peters e o modelo de educação a distância baseado na distribuição em polos podem explicar a estruturação traduzida no modus operandi da Universidade Aberta do Brasil. Assim, conclui-se que as diferenças nos resultados no Enade dos estudantes da Uema, UEPB e UFC têm relação direta com o modo de estruturação dos setores responsáveis pela intermediação da EAD nessas universidades. Constata-se que o curso piloto da UAB na UEPB não demonstrou ter a aderência necessária aos referenciais de qualidade do MEC, enquanto a Uema e a UFC demonstraram grande adequação aos critérios estabelecidos, o que confirma a relação entre tais referenciais de qualidade e o resultado no Enade. Conclui-se, ainda, que os componentes avaliação e equipe multidisciplinar foram os que mais sugestionaram relação com os desempenhos dos estudantes no Enade. Os resultados encontrados foram discutidos à luz do referencial teórico revisado e foram apresentadas recomendações derivadas dos achados desta pesquisa.

Nota científica: padrão de distribuição de alguns bicos hidráulicos

O conhecimento sobre o padrão de deposição de bicos pulverizados é essencial para uma boa seleção e posicionamento dos mesmos em um equipamento pulverizador. O presente trabalho foi conduzido com o objetivo de se conhecer os padrões de deposição de alguns bicos pulverizadores disponíveis no mercado brasileiro. Dois ou três exemplares de cada tipo de bico foram testados em uma mesa de prova, constituída de uma chapa inclinada corrugada, construída segundo as especificações da Organização Mundial da Saúde para testes de bicos pulverizadores. Todos os bicos foram testados à pressão de 276 kN/m2 (40 libras/p ol2), com exceção dos bicos de impacto (Polijet) que foram testado s à pressão de 97 kN/m2 (14 libras/ pol 2). Ressalvando-se o pequeno número de exemplares testados por cada tipo, os resultados indicaram que: a) - existem diferenças entre a vazão estipulada pelos fabricantes e a vazão real, sendo esta diferença, acentuada para alguns casos; b) - foram observadas diferenças apreciáveis nos padrões de deposição entre as repetições nos bicos Polijet azul e Polijet vermelho (ICI) e no bico JD 14 -2 (Jacto) ; c) - os bicos 80 02 e 11003 (Spraying Systems), 80-03 e X3 (Hatsuta), JD 14-1 (Jacto) e Albuz verde (Albuz) apresentaram padrão de deposição uniforme entre as repetições; d) - considerando as variações observadas recomendam-se cuidadosos testes dos bicos, principalmente naqueles empregados nos trabalhos de experimentação, para possibilitar a escolha de um lote uniforme, para melhor controle da distribuição e dosagem dos produtos pulverizados.

Efeito da crioterapia e da laserterapia na resposta ao dano muscular induzido pelo exercício excêntrico: ensaio clínico e randomizado

Exercise-induced muscle damage mainly affects individuals who returned to physical activity after a time without practicing it or had some kind of exhaustive exercise, particularly eccentric exercise. To evaluate the effect of cryotherapy and laser therapy in response to muscle damage induced by eccentric exercise on the biceps muscle. This was a randomized clinical trial consisting of 60 female subjects. All subjects initially underwent an evaluation consisting of perimetry, measurement of pain sensation (via algometry and visual analogue scale), electromyography and dynamometry. Then the subjects performed an exercise protocol on the isokinetic dynamometer consisting of 2 sets of 10 eccentric elbow flexors contraction at 60 °/s. Completed this protocol, an intervention was held according to a previously random group distribution: control group (no intervention), cryotherapy group and laser therapy group. Finally, subjects were re-evaluated immediately and 48 hours after the intervention protocol, except for Visual Analogue Scale (VAS), which was also evaluated 24 hours after exercise. The circumference of the limb, the pain sensation (VAS and algometry), the muscle activation amplitude (via Root Mean Square - RMS), median frequency, peak torque normalized per body weight, average peak torque, power and work were analyzed. The median frequency immediately after the intervention protocol on the cryotherapy group was the only variable that showed inter and intra-group differences; the remaining variables showed only intragroup differences. The perimetry values did not change immediately after the protocol on the groups which underwent cryotherapy and laser therapy, however, there was an increase after 48 hours; algometry values decreased in all groups for 48 hours and the VAS values increased 24 and 48 hours also for all groups. Regarding RMS no significant change was observed. For dynamometry, peak torque normalized per body weight and average peak torque had a similar behavior, with a reduction in the post protocol that has remained after 48 hours. For the power and work, a decrease was observed immediately after the protocol with a further reduction after 48 hours. Cryotherapy and laser therapy does not alter the muscle damage response, except for the perimetry values immediately after exercise.

Fault section estimation in electric power systems using an optimization immune algorithm

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Intelligent alarm processing

This paper presents the analysis that have been carried out in the alarm system of the DCRanger EMS. The intention of this study is to present the problem of alarm processing in electric energy control centers, its various aspects and operational difficulties due to operator needs. Some tests are produced in order to identify the desirable features an alarm system should possess in order to be of effective help in the operative duty. © 2006 IEEE.

Red Light Stimulates Feeding Motivation in Fish but Does Not Improve Growth

Nile tilapia fish were individually reared under similar light levels for 8 weeks under five colored light spectra (maximum wavelength absorbance): white (full light spectrum), blue (~452 nm), green (~516 nm), yellow (~520 nm) or red (~628 nm). The effects of light on feeding, latency to begin feeding, growth and feed conversion were measured during the last 4 weeks of the study (i.e., after acclimation). We found that red light stimulates feeding, as in humans, most likely by affecting central control centers, but the extra feeding is not converted into growth. © 2013 Volpato et al.

Impact of a nurse vaccination program on hepatitis B immunity in a Swiss HIV clinic

We evaluated the impact of a nurse program for hepatitis B virus vaccination in a center from the Swiss HIV Cohort Study. Immunity (anti-HBs >10 IU/mL) increased from 32% to 76% in the intervention center (n = 238) where vaccine management was endorsed by nurses, but only from 33% to 39% in control centers (n = 2712, P < 0.001) where management remained in charge of physicians. Immunity against HBV in the HIV population is insufficient in Switzerland. Specific nurse vaccination program may efficiently improve health care.