Arterial Therapies of Non-Colorectal Liver Metastases.

BACKGROUND: The unique situation of the liver with arterial and venous blood supply and the dependency of the tumor on the arterial blood flow make this organ an ideal target for intrahepatic catheter-based therapies. Main forms of treatment are classical bland embolization (TAE) cutting the blood flow to the tumors, chemoembolization (TACE) inducing high chemotherapy concentration in tumors, and radioembolization (TARE) without embolizing effect but very high local radiation. These different forms of therapies are used in different centers with different protocols. This overview summarizes the different forms of treatment, their indications and protocols, possible side effects, and available data in patients with non-colorectal liver tumors. METHODS: A research in PubMed was performed. Mainly clinical controlled trials were reviewed. The search terms were 'embolization liver', 'TAE', 'chemoembolization liver', 'TACE', 'radioembolization liver', and 'TARE' as well as 'chemosaturation' and 'TACP' in the indications 'breast cancer', 'neuroendocrine', and 'melanoma'. All reported studies were analyzed for impact and reported according to their clinical relevance. RESULTS: The main search criteria revealed the following results: 'embolization liver + breast cancer', 122 results, subgroup clinical trials 16; 'chemoembolization liver + breast cancer', 62 results, subgroup clinical trials 11; 'radioembolization liver + breast cancer', 37 results, subgroup clinical trials 3; 'embolization liver + neuroendocrine', 283 results, subgroup clinical trials 20; 'chemoembolization liver + neuroendocrine', 202 results, subgroup clinical trials 9; 'radioembolization liver + neuroendocrine', 64 results, subgroup clinical trials 9; 'embolization liver + melanoma', 79 results, subgroup clinical trials 15; 'chemoembolization liver + melanoma', 60 results, subgroup clinical trials 14; 'radioembolization liver + melanoma', 18 results, subgroup clinical trials 3. The term 'chemosaturation liver' was tested without indication since only few publications exist and provided us with five results and only one clinical trial. CONCLUSION: Despite many years of clinical use and documented efficacy on intra-arterial treatments of the liver, there are still only a few prospective multicenter trials with many different protocols. To guarantee the future use of these efficacious therapies, especially in the light of many systemic or surgical therapies in the treatment of non-colorectal liver metastases, further large randomized trials and transparent guidelines need to be established.

Performance of diagnostic centers in the classification of opportunistic screening mammograms from the Brazilian public health system (SUS)

Objective To evaluate the performance of diagnostic centers in the classification of mammography reports from an opportunistic screening undertaken by the Brazilian public health system (SUS) in the municipality of Goiânia, GO, Brazil in 2010. Materials and Methods The present ecological study analyzed data reported to the Sistema de Informação do Controle do Câncer de Mama (SISMAMA) (Breast Cancer Management Information System) by diagnostic centers involved in the mammographic screening developed by the SUS. Based on the frequency of mammograms per BI-RADS® category and on the limits established for the present study, the authors have calculated the rate of conformity for each diagnostic center. Diagnostic centers with equal rates of conformity were considered as having equal performance. Results Fifteen diagnostic centers performed mammographic studies for SUS and reported 31,198 screening mammograms. The performance of the diagnostic centers concerning BI-RADS classification has demonstrated that none of them was in conformity for all categories, one center presented conformity in five categories, two centers, in four categories, three centers, in three categories, two centers, in two categories, four centers, in one category, and three centers with no conformity. Conclusion The results of the present study demonstrate unevenness in the diagnostic centers performance in the classification of mammograms reported to SISMAMA from the opportunistic screening undertaken by SUS.

The situation of rural women in Spain: the case of small-scale artisan food producers

La discriminación de las mujeres rurales y la falta de una aplicación efectiva de la legislación sobre la igualdad de género es un fenómeno extendido alrededor del mundo. Las mujeres han sido tradicionalmente las responsables del cuidado y alimentación familiar, en consecuencia han desarrollado tareas productivas que facilitan la combinación de actividades productivas y reproductivas en la explotación agraria. La transformación alimentaria es una de esas actividades que permite a las mujeres tener un trabajo remunerado o complementar la renta agraria en un contexto dónde la mayoría de los trabajos agrícolas están vetados para ellas. Sin embargo, las mujeres suelen estar vinculadas a proyectos que priorizan la producción local y de calidad, y la expansión de la producción industrial de alimentos ha empeorado la situación de las mujeres artesanas alimentarias. En el presente estudio se pretende, mediante el uso de metodologías cualitativas, abordar un diagnóstico de la situación de las mujeres que llevan a cabo proyectos de transformación alimentaria a pequeña escala en España mostrando sus principales dificultades, necesidades y propuestas.

Estat actual i necessitats de les infraestructures culturals a la ciutat de Barcelona: anàlisis de 3 casos

En aquest treball es realitza una anàlisi per a conèixer la situació dels museus i dels centres d’exposició de la ciutat de Barcelona. En la metodologia d’aquest treball podem distingir tres fases: la fase de recol·lecció de dades i informació, l’anàlisi i processament de la informació obtinguda i la redacció i presentació de resultats

The Current Situation of Sewage Sludge and Manure Treatment in Livestock Enterprises in the Leningrad Region

The problem concerning livestock waste handling in the Leningrad region has been subjected to a number of research works. However, the requirements for use of manure and sewage sludge as well as for treatment processes are not certain. So, this problem remains relevant and, therefore, further investigation ought to be made. Currently a large amount of sewage sludge and manure is generated in the Leningrad region. These livestock wastes have to be obligatory treated. The most common methods for treatment in the region, such as anaerobic digestion, composting and aging as well as the most potential methods are described in the thesis. The most potential methods for the Leningrad region are anaerobic digestion, composting and combustion. Each method has strengths and weaknesses, which are also considered in the paper. Aging was not considered as potential treatment method because it does not meet the sanitary and epidemiological requirements. Furthermore, the work gives an overview and comparison of Finnish and Russian legislative and normative acts concerning livestock wastes handling. On the whole the requirements of the Russian Federation concerning sewage sludge and manure are not much different from the Finnish ones.

Consultoria del procés de logística interna del laboratori d'anàlisis clíniques a l'Hospital General de Vic

Com a resultat de les politiques i estratègies de col·laboració entre la universitat de Vic i de l’hospital i de la voluntat de realitzar activitats formatives conjuntes , s’estableix un línia de treball orientada a l’estudi i anàlisi de la situació logística interna actual del laboratori d’anàlisis clíniques de l’Hospital General de Vic. El treball es centra en el procés intern del laboratori i l’abast de l’estudi es troba limitat a les àrees especifiques d’hematologia i coagulació i bioquí… [+]mica. D’aquestes dues àrees el treball realitza un estudi exhaustiu del seu procés intern, identifica les seves activitats i la seva metodologia de treball amb l’objectiu d’elaborar el Value Stream Map de cadascuna de les àrees. Les àrees de Microbiologia, Banc de Sang i Urgències resten fora d’aquest estudi exhaustiu tot i que són presents en el treball per la inevitable interacció que tenen en la globalitat del procés. El treball es centra bàsicament en els processos automatitzats tot i que els processos que es duen a terme en el laboratori són tant automatitzats com manuals. També es limita al sistema productiu intern del laboratori tot i la interacció que té aquest sistema intern amb altres centres productius del sistema com ara són els centres d’atenció primària, els diversos hospitals i centres d’atenció sociosanitària. El laboratori es troba immers en el moment de l’elaboració d’aquest treball en un situació de canvi i millora del seus processos interns que consisteixen principalment en la substitució de part la maquinària actual que obliguen a la definició d’un nou layout i d’una nova distribució de la producció a cada màquina. A nivell extern també s’estan produint millores en el sistema informàtic de gestió que afecten a part del seu procés. L’objectiu del treball és donar visibilitat total al procés de logística interna actual del laboratori, identificant clarament com són i quina seqüència tenen els processos logístics interns i els mètodes de treball actuals, tant de recursos màquina com recursos persona, per poder identificar sota una perspectiva de generació de valor, aquells punts concrets de la logística interna que poden ser millorats en quant a eficiència i productivitat amb l’objectiu que un cop identificats es puguin emprendre accions i/o projectes de millora. El treball finalitza amb un anàlisis final del procés logística interna des d’una òptica Lean. Per fer-ho, identifica aquelles activitats que no aporten valor al procés o MUDA i les classifica en set categories i es realitzen diverses propostes de millora com són la implantació d’un flux continu , anivellat i basat en un concepte pull , identifica activitats que poden ser estandarditzades i/o simplificades i proposa modificacions en les infraestructures físiques per donar major visibilitat al procés. L’aspecte humà del procés es planteja des d’un punt de vist de metodologia, formació, comunicació i aplicació de les 5S.

Noctuidae-induced plant volatiles: current situation and prospects

Noctuids are phytophagous lepidopterans with some species causing significant damage to agriculture. The host plants, in turn, have developed defense mechanisms to cope with them, for instance chemical defenses. In this study we review the literature on plant volatiles induced by noctuids, and discuss the methodologies used to induce the production of volatiles that are usually employed in plant defense mechanisms. Future prospects involving this line of research in pest control are also discussed.

Tiedon hajautus johtamisjärjestelmässä ja DDS-teknologia

Verkostokeskeisessä sodankäynnissä tietojärjestelmien suurimpana haasteena on oikean tiedon hajauttaminen oikeaan paikkaan ja aikaan. Tietojärjestelmissä esitettävän ilmatilannekuvan tulee vastata reaalimaailman tilannetta parhaalla mahdollisella tavalla. Ilmatorjunnassa reaaliaikaisuus nousee erityisen suureen rooliin nopeasti liikkuvien kohteiden takia. Tämä diplomityö on tehty Insta DefSec Oy:ssä liittyen johtamisjärjestelmän uudistamishankkeeseen. Työn vaatimuksina olivat standardeihin perustuvat ratkaisut, joista keskeisimmäksi nousi Data Distribution Service -standardi (DDS) ja sen hyödyntäminen osana johtamisjärjestelmän tiedon hajautusta. Työssä esitellään johtamisjärjestelmien tiedon hajautukseen liittyviä haasteita sekä paikallisessa että maantieteellisesti hajautetussa toimintaympäristössä. Työssä toteutettiin liityntäohjelmisto nykyisen ja uuden johtamisjärjestelmän välille. Liityntäohjelmiston tehtävänä on tuottaa reaaliaikaista ilmatilannekuvaa nykyisestä johtamisjärjestelmästä uuteen johtamisjärjestelmään. DDS-standardin toteuttavana välikerrosarkkitehtuurina käytettiin OpenSplice DDS -tuotetta. Valittu teknologia tarjoaa edistykselliset julkaisija–tilaaja-mallin mukaiset menetelmät tiedon reaaliaikaiseen hajauttamiseen. DDS:n arkkitehtuuri ja palvelun laadun mekanismit mahdollistavat tiedon hajautuksen sodanajan johtamisjärjestelmille.

Harmonized performance measurement system for basic industry's service centers

The objective of this study is to create measurement system that is capable to measure performance in basic industry’s service centers. First it is examined what is performance and how it can be measured. The study also introduces commonly known measurement frameworks. After theory the study investigates how companies in the field of basic industry measure their operations in practise. The investigation is done examining three case examples and by analyzing survey results from basic industry companies. On the survey results focus is on what meters and measurement systems companies use. It is also viewed what measurement problems companies have faced. In the applied part of the study harmonized performance measurement system is created. The framework of the measurement system is introduced and measurement system for the target company is created. The target company felt that the harmonized performance measurement system has good potential and continues to develop it further.

Keskitetyn lämmöntuotannon kehittämismahdollisuudet Lahden seudulla ilmastonmuutoksen näkökulmasta

Tämä diplomityö on tehty Aalto yliopiston Teknillisen korkeakoulun Lahden keskuksen IMMU-hankkeeseen. Teoriaosassa tarkastellaan kaukolämmityksen nykytilannetta ja sen tulevai-suuteen vaikuttavia tekijöitä. Työssä on tarkasteltu Lahti Energia Oy:n Kymijärven voimalaitosalueen kehittämismahdollisuuksia vuosina 2012 ja 2016. Vertailukohtana käytetään nykytilannetta vuoden 2009 tiedoilla. Työssä on selvitetty voimalaitosalueen elinkaaren aikaisia kasvihuonekaasupäästöjä ja niiden muutoksia mahdollisten uusien voimalaitosinvestointien myötä. Vuonna 2012 alueelle rakennetaan kiinteää polttoainetta käyttävä kaasutusvoimalaitos jolloin nykyisen laitoksen käyttö ja samalla kivihiilen käyttö vähenee huomattavasti. Tässä työssä vuoden 2016 skenaariossa alueelle ajatellaan rakennettavan kolmas voimalaitos, maakaasukäyttöinen kaasukombiturbiini. Tarkasteluissa energiantuotantomäärien oletetaan pysyvän nykytilanteen suuruisina. Työssä tarkasteltujen skenaarioiden perusteella alueen yhdistetyn kaukolämmön- ja sähköntuotannon (CHP) päästöjä voitaisiin vähentää vuonna 2012 noin 20 % ja vuonna 2016 noin 30 % nykytilanteesta. Esitettyjen investointien riskinä on sopivan polttoaineen saatavuus ja riittävyys. Lisäksi työssä tarkasteltiin kaasutusvoimalaitoksen ja kaasukombiturbiinin takaisinmaksuaikoja. Kierrätyspolttoaineen hinnan kallistuminen hinnasta 5 €/MWh hintaan 15 €/MWh vaikutti kaasutusvoimalaitoksen takaisinmaksuaikaan yhdeksällä vuodella. Kaasukombiturbiinin takaisinmaksuaika piteni tämän hetkiseen maakaasun hintaan 27 €/MWh verrattuna päästöoikeuden lisäkustannus 6 €/MWh huomioiden kahdeksan vuotta. Takaisinmaksuaikaan vaikuttaa muun muassa polttoaineen hinta ja laitoksen huipunkäyttöaika.

The Li+, Na+ and K+ ion exchange reaction process on the surface of mixed oxide SiO2/TiO2/Sb2O5 surface prepared by the sol-gel processing method

The porous mixed oxide SiO2/TiO2/Sb2O5 obtained by the sol-gel processing method presented a good ion exchange property and a high exchange capacity towards the Li+, Na+ and K+ ions. In the H+/M+ ion exchange process, the H+ / Na+ could be described as presenting an ideal character. The ion exchange equilibria of Li+ and K+ were quantitatively described with the help of the model of fixed tetradentate centers. The results of simulation evidence that for the H+ / Li+ exchange the usual situation takes place: the affinity of the material to the Li+ ions is decreased with increasing the degree of ion exchange. On the contrary, for K+ the effects of positive cooperativity, that facilitate the H+ / K+ exchange, were revealed.