Oral Bisphosphonate Exposure and the Risk of Upper Gastrointestinal Cancers

The association between oral bisphosphonate use and upper gastrointestinal cancer has been controversial. Therefore, we examined the association with esophageal and gastric cancer within the Kaiser Permanente, Northern California population. A total of 1,011 cases of esophageal (squamous cell carcinoma and adenocarcinoma) and 1,923 cases of gastric adenocarcinoma (cardia, non-cardia and other) diagnosed between 1997 and 2011 from the Kaiser Permanente, Northern California cancer registry were matched to 49,886 and 93,747 controls, respectively. Oral bisphosphonate prescription fills at least one year prior to the index date were extracted. Conditional logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (95% CI) for the associations between prospectively evaluated oral bisphosphonate use with incident esophageal and gastric cancer diagnoses with adjustment for potential confounders. After adjustment for potential confounders, no significant associations were found for esophageal squamous cell carcinoma (OR 0.88; 95% CI: 0.51, 1.52), esophageal adenocarcinoma (OR 0.68; 95% CI: 0.37, 1.24), or gastric non-cardia adenocarcinoma (OR 0.83, 95% CI: 0.59, 1.18), but we observed an adverse association with gastric cardia adenocarcinoma (OR 1.64; 95% CI: 1.07, 2.50). In conclusion, we observed no association between oral bisphosphonate use and esophageal cancer risk within a large community-based population. A significant association was detected with gastric cardia and other adenocarcinoma risk, although this needs to be replicated.

Upper palaeozoic stratigraphy and palynology of OMZ, NW and SW Portugal

Neste trabalho descreve-se e interpreta-se a estratigrafia e palinologia de rochas sedimentares e metassedimentos de idade devónica e carbónica aflorantes ao longo da zona de cisalhamento Porto-Tomar, a Sul na Bacia de Santa Susana e em vários locais onde afloram os Calcários de Odivelas. Existe um registo de sedimentação descontínuo possivelmente associado a esta zona de cisalhamento desde o Devónico Superior até ao Pennsylvaniano. Desde o Devónico Superior até ao Mississippiano esta sedimentação é marinha, de carácter essencialmente turbiditico com uma tendência geral para se tornar mais proximal. A maturação térmica atingida por estas rochas (Unidade de Albergaria-a-Velha) é alta e a unidade é considerada pós-madura em termos de potencial gerador de hidrocarbonetos. O metamorfismo incipiente é acompanhado por intensa deformação. A bacia do Buçaco é inteiramente terrestre e tem a sua idade restrita ao Gjeliano (Pennsylvaniano superior). O controlo da sedimentação pela actividade da zona de cisalhamento Porto-Tomar é evidente. A sua maturação térmica é relativamente baixa (dentro da catagénese) e a deformação menos intensa, contrastando com a Unidade de Albergaria-a-Velha com a qual parece ter uma relação geométrica complexa, de origem tectónica. As relações de campo e dados da maturação térmica permitem inferir um evento térmico e de deformação à escala regional entre o Serpukoviano e o Gjeliano e outro, essencialmente de deformação, entre o Gjeliano e o Carniano (Triássico Superior). A bacia de Santa Susana tem características semelhantes à do Buçaco, visto estar enquadrada também numa zona de cisalhamento importante que neste caso separa a Zona de Ossa-Morena da Zona Sul Portuguesa. A sua idade é kasimoviana, possivelmente também moscoviana (Pennsylvaniano médio). A evolução térmica da bacia e a relação estrutural com as unidades circundantes permite inferir um evento térmico e de deformação regionalmente importante entre o Viseano e o (?)Moscoviano-Kasimoviano. O estudo detalhado de vários locais onde afloram os Calcários de Odivelas permite desenhar uma paleogeografia regional durante o intervalo Emsiano terminal-Givetiano (fim do Devónico Inferior – Devónico Médio) para o sector Oeste da Zona de Ossa-Morena: Actividade vulcânica em regime marinho (e talvez subaéreo), formando edifícios vulcânicos no topo dos quais (e possivelmente também em altos fundos estruturais) se instalaram recifes, tendo a comunidade recifal, em termos de diversidade, persistido durante todo ou grande parte deste intervalo de tempo. O evento Choteč basal é observável num destes locais.

A generalization of the Hoffman-Lovász upper bound on the independence number of a regular graph

A family of quadratic programming problems whose optimal values are upper bounds on the independence number of a graph is introduced. Among this family, the quadratic programming problem which gives the best upper bound is identified. Also the proof that the upper bound introduced by Hoffman and Lovász for regular graphs is a particular case of this family is given. In addition, some new results characterizing the class of graphs for which the independence number attains the optimal value of the above best upper bound are given. Finally a polynomial-time algorithm for approximating the size of the maximum independent set of an arbitrary graph is described and the computational experiments carried out on 36 DIMACS clique benchmark instances are reported.

The extinction of Neanderthals and the emergence of the Upper Paleolithic in Portugal

Este trabalho foi apresentado no âmbito de Provas de Agregação na área de Arqueologia. Estas provas académicas, constituídas por 3 fases, são de carácter público. Para cada fase existe um arguente, sendo as fases, respectivamente, a discussão do currículo do candidato, a análise de um relatório de uma disciplina do ensino universitário e uma lição-síntese, seguida de discussão. Esta última prova consiste numa apresentação de uma hora de um tema à escolha e, como parte constituinte das Provas de Agregação, pode ser pensada de duas formas essencialmente opostas: uma de entre as várias lições do programa da disciplina apresentado no relatório acima mencionado, fazendo por isso a descrição de uma qualquer parte do conteúdo desse mesmo programa; ou, pelo contrário, respeitar o título da prova e fazer-se uma verdadeira lição síntese, de carácter inédito.

An improved preemption delay upper bound for floating non-preemptive region

In embedded systems, the timing behaviour of the control mechanisms are sometimes of critical importance for the operational safety. These high criticality systems require strict compliance with the offline predicted task execution time. The execution of a task when subject to preemption may vary significantly in comparison to its non-preemptive execution. Hence, when preemptive scheduling is required to operate the workload, preemption delay estimation is of paramount importance. In this paper a preemption delay estimation method for floating non-preemptive scheduling policies is presented. This work builds on [1], extending the model and optimising it considerably. The preemption delay function is subject to a major tightness improvement, considering the WCET analysis context. Moreover more information is provided as well in the form of an extrinsic cache misses function, which enables the method to provide a solution in situations where the non-preemptive regions sizes are small. Finally experimental results from the implementation of the proposed solutions in Heptane are provided for real benchmarks which validate the significance of this work.

Finding an upper bound on the increase in execution time due to contention on the memory bus in COTS-based multicore systems

Contention on the memory bus in COTS based multicore systems is becoming a major determining factor of the execution time of a task. Analyzing this extra execution time is non-trivial because (i) bus arbitration protocols in such systems are often undocumented and (ii) the times when the memory bus is requested to be used are not explicitly controlled by the operating system scheduler; they are instead a result of cache misses. We present a method for finding an upper bound on the extra execution time of a task due to contention on the memory bus in COTS based multicore systems. This method makes no assumptions on the bus arbitration protocol (other than assuming that it is work-conserving).

Is mental practice an effective adjunct therapeutic strategy for upper limb motor restoration after stroke? A systematic review and meta- analysis

Stroke is one of the most common conditions requiring rehabilitation, and its motor impairments are a major cause of permanent disability. Hemiparesis is observed by 80% of the patients after acute stroke. Neuroimaging studies showed that real and imagined movements have similarities regarding brain activation, supplying evidence that those similarities are based on the same process. Within this context, the combination of mental practice (MP) with physical and occupational therapy appears to be a natural complement based on neurorehabilitation concepts. Our study seeks to investigate if MP for stroke rehabilitation of upper limbs is an effective adjunct therapy. PubMed (Medline), ISI knowledge (Institute for Scientific Information) and SciELO (Scientific Electronic Library) were terminated on 20 February 2015. Data were collected on variables as follows: sample size, type of supervision, configuration of mental practice, setting the physical practice (intensity, number of sets and repetitions, duration of contractions, rest interval between sets, weekly and total duration), measures of sensorimotor deficits used in the main studies and significant results. Random effects models were used that take into account the variance within and between studies. Seven articles were selected. As there was no statistically significant difference between the two groups (MP vs control), showed a - 0.6 (95% CI: -1.27 to 0.04), for upper limb motor restoration after stroke. The present meta-analysis concluded that MP is not effective as adjunct therapeutic strategy for upper limb motor restoration after stroke.

Acute Upper Limb Ischemia, a Rare Presentation of Giant Cell Arteritis

Giant cell arteritis (GCA) is a systemic large vessel vasculitis, with extracranial arterial involvement described in 10-15% of cases, usually affecting the aorta and its branches. Patients with GCA are more likely to develop aortic aneurysms, but these are rarely present at the time of the diagnosis. We report the case of an 80-year-old Caucasian woman, who reported proximal muscle pain in the arms with morning stiffness of the shoulders for eight months. In the previous two months, she had developed worsening bilateral arm claudication, severe pain, cold extremities and digital necrosis. She had no palpable radial pulses and no measurable blood pressure. The patient had normochromic anemia, erythrocyte sedimentation rate of 120 mm/h, and a negative infectious and autoimmune workup. Computed tomography angiography revealed concentric wall thickening of the aorta extending to the aortic arch branches, particularly the subclavian and axillary arteries, which were severely stenotic, with areas of bilateral occlusion and an aneurysm of the ascending aorta (47 mm). Despite corticosteroid therapy there was progression to acute critical ischemia. She accordingly underwent surgical revascularization using a bilateral carotid-humeral bypass. After surgery, corticosteroid therapy was maintained and at six-month follow-up she was clinically stable with reduced inflammatory markers. GCA, usually a chronic benign vasculitis, presented exceptionally in this case as acute critical upper limb ischemia, resulting from a massive inflammatory process of the subclavian and axillary arteries, treated with salvage surgical revascularization.