Predictors of fluid intravasation during operative hysteroscopy: a preplanned prospective observational study with 200 cases

PURPOSE: To verify the predictors of intravasation rate during hysteroscopy.METHODS: Prospective observational study (Canadian Task Force classification II-1). All cases (n=200 women; 22 to 86 years old) were treated in an operating room setting. Considering respective bag overfill to calculate water balance, we tested two multiple linear regression models: one for total intravasation (mL) and the other for absorption rate (mL.min-1). The predictors tested (independent variables) were energy (mono/bipolar), tube patency (with/without tubal ligation), hysterometry (cm), age≤50 years, body surface area (m2), surgical complexity (with/without myomectomy) and duration (min).RESULTS: Mean intravasation was significantly higher when myomectomy was performed (442±616 versus 223±332 mL; p<0.01). In the proposed multiple linear regression models for total intravasation (adjusted R2=0.44; p<0.01), the only significant predictors were myomectomy and duration (p<0.01).In the proposed model for intravasation rate (R2=0.39; p<0.01), only myomectomy and hysterometry were significant predictors (p=0.02 and p<0.01, respectively).CONCLUSIONS: Not only myomectomy but also hysterometry were significant predictors of intravasation rate during operative hysteroscopy.

Talousveden tuotannon ja jakelun tietohuollon kehittäminen julkisomisteisessa vesilaitoksessa

Vesilaitokset kuluttavat merkittäviä määriä energiaa, johon on alettu kiinnittää huomiota viime vuosina. Energiatehokkuuden edistämisen hidasteeksi on noussut puutteellinen tietohuolto sekä vesilaitosten yhteisten tunnuslukujen ja kriteerien puuttuminen. Diplomityön tavoitteena on selvittää tietohuollon ongelmia Tampereen Vedellä. Työn tavoitteena on myös tutkia veden tuotannon ja jakelun energiatehokkaiden ohjaustapojen löytämistä tietohuollon ja tunnuslukujen avulla. Työssä käytetyt metodologiat ovat Tampereen Veden työntekijöiden haastattelut, prototyypin analysointi sekä vedenottamoiden ominaisenergiaan liittyvien mittauspisteiden läpikäynti. Diplomityön tuloksena saatiin laaja kuva Tampereen Veden tietohuoltoon liittyvistä ongelmista. Merkittävimmät tietohuollon haasteet liittyvät työntekijöihin, järjestelmiin sekä mittauspisteiden puuttumiseen. Mittauspisteet ja niiden tallentuminen ovat edellytys tunnuslukujen luomiselle. Tunnuslukuja voidaan hyödyntää energiatehokkaiden ohjaustapojen löytämiseksi, mutta vesilaitosten yhteiset kriteerit tunnusluvuille puuttuvat. Energiatehokkuustunnuslukuja on tarve tutkia lisää ja kehittää yhteistyötä vesilaitosten välillä tunnuslukujen luomiseksi sekä vertailutietojen saamiseksi.

An update on the physiology of two- and three-toed sloths

Physiological and pharmacological research undertaken on sloths during the past 30 years is comprehensively reviewed. This includes the numerous studies carried out upon the respiratory and cardiovascular systems, anesthesia, blood chemistry, neuromuscular responses, the brain and spinal cord, vision, sleeping and waking, water balance and kidney function and reproduction. Similarities and differences between the physiology of sloths and that of other mammals are discussed in detail.

Potential for synthetic gas in Finnish industry

Finland, other Nordic countries and European Union aim to decarbonize their energy production by 2050. Decarbonization requires large scale implementation of non-emission energy sources, i.e. renewable energy and nuclear power. Stochastic renewable energy sources present a challenge to balance the supply and demand for energy. Energy storages, non-emissions fuels in mobility and industrial processes are required whenever electrification is not possible. Neo-Carbon project studies the decarbonizing the energy production and the role of synthetic gas in it. This thesis studies the industrial processes in steel production, oil refining, cement manufacturing and glass manufacturing, where natural gas is already used or fuel switch to SNG is possible. The technical potential for fuel switching is assessed, and economic potential is necessary after this. All studied processes have potential for fuel switching, but total decarbonization of steel production, oil refining requires implementation of other zero-emission technologies.

The reciprocal interaction between sleep and type 2 diabetes mellitus: facts and perspectives

Type 2 diabetes mellitus is a systemic disease characterized by intolerance to glucose and peripheral resistance to insulin. This endocrine disease affects fundamental mechanisms of the central nervous system and jeopardizes the balance of vital functions such as the cardiovascular and circadian rhythm. The increased prevalence of metabolic disorders in our society is aggravated by endemic voluntary postponement of bedtime and by the current sedentary lifestyle, leading to epidemic proportions of obese people. Diabetes and chronic loss of sleep share the fact that both affect millions and one is detrimental to the other. Indeed, sleep deficits have marked modulatory effects on glucose metabolism and insulin sensitivity and foster metabolic syndrome that culminates in sleep disorders like restless syndrome and sleep apnea, which in turn lead to poor sleep quality. We examine the hypothesis that these two worldwide emerging disorders are due to two interlinked cycles. In our paradigm, we establish an intimate relationship between diabetes and sleep disturbances and postulate possible mechanisms that provide support for this conjecture. In addition, we propose some perspectives about the development of the reciprocal interaction between predictor components of metabolic syndrome and sleep disturbances that lead to poor sleep quality. The ability to predict the development and identify or associate a given mode of sleep disturbance to diabetes would be a valuable asset in the assessment of both. Furthermore, major advances in care coupled with healthy lifestyles can ensure a higher quality of life for people with diabetes.

Role of α2-adrenoceptors in the lateral parabrachial nucleus in the control of body fluid homeostasis

Central α2-adrenoceptors and the pontine lateral parabrachial nucleus (LPBN) are involved in the control of sodium and water intake. Bilateral injections of moxonidine (α2-adrenergic/imidazoline receptor agonist) or noradrenaline into the LPBN strongly increases 0.3 M NaCl intake induced by a combined treatment of furosemide plus captopril. Injection of moxonidine into the LPBN also increases hypertonic NaCl and water intake and reduces oxytocin secretion, urinary sodium, and water excreted by cell-dehydrated rats, causing a positive sodium and water balance, which suggests that moxonidine injected into the LPBN deactivates mechanisms that restrain body fluid volume expansion. Pretreatment with specific α2-adrenoceptor antagonists injected into the LPBN abolishes the behavioral and renal effects of moxonidine or noradrenaline injected into the same area, suggesting that these effects depend on activation of LPBN α2-adrenoceptors. In fluid-depleted rats, the palatability of sodium is reduced by ingestion of hypertonic NaCl, limiting intake. However, in rats treated with moxonidine injected into the LPBN, the NaCl palatability remains high, even after ingestion of significant amounts of 0.3 M NaCl. The changes in behavioral and renal responses produced by activation of α2-adrenoceptors in the LPBN are probably a consequence of reduction of oxytocin secretion and blockade of inhibitory signals that affect sodium palatability. In this review, a model is proposed to show how activation of α2-adrenoceptors in the LPBN may affect palatability and, consequently, ingestion of sodium as well as renal sodium excretion.

From Escherichia coli heat-stable enterotoxin to mammalian endogenous guanylin hormones

The isolation of heat-stable enterotoxin (STa) from Escherichia coli and cholera toxin from Vibrio cholerae has increased our knowledge of specific mechanisms of action that could be used as pharmacological tools to understand the guanylyl cyclase-C and the adenylyl cyclase enzymatic systems. These discoveries have also been instrumental in increasing our understanding of the basic mechanisms that control the electrolyte and water balance in the gut, kidney, and urinary tracts under normal conditions and in disease. Herein, we review the evolution of genes of the guanylin family and STa genes from bacteria to fish and mammals. We also describe new developments and perspectives regarding these novel bacterial compounds and peptide hormones that act in electrolyte and water balance. The available data point toward new therapeutic perspectives for pathological features such as functional gastrointestinal disorders associated with constipation, colorectal cancer, cystic fibrosis, asthma, hypertension, gastrointestinal barrier function damage associated with enteropathy, enteric infection, malnutrition, satiety, food preferences, obesity, metabolic syndrome, and effects on behavior and brain disorders such as attention deficit, hyperactivity disorder, and schizophrenia.

Kartonkikoneen tuoreveden käytön vähentäminen kemiallisesti puhdistettua jätevesikirkastetta hyödyntäen

Tämän diplomityön tarkoituksena oli tutkia mahdollisuutta hyödyntää kemiallisesti puh-distettua jätevettä prosessivetenä. Vedensäästöpotentiaalin perusteella tutkimuskohteeksi valittiin kartonkikone 4. Tutkimuksen tavoite oli tuoreveden käytön ja jätevesipäästöjen vähentäminen Stora Enso Imatran tehtailla. Työn kirjallisuusosa keskittyy kemialliseen jätevedenkäsittelyyn, kartonkikoneen veden käyttöön ja prosessiveden laatuun vaikuttaviin tekijöihin. Työn kokeellisessa osassa laa-dittiin vesitase tuoreveden käyttökohteiden ja veden tarpeen määrittämiseksi. Kemialli-sesti puhdistetun jäteveden ja prosessiveden ominaisuudet määritettiin, jotta saatiin sel-ville ne ominaisuudet, jotka voisivat estää jätevesikirkasteen hyötykäytön. Laboratoriomääritykset osoittivat, että hyötykäytön esteenä ovat jätevesikirkasteen kiin-toaine-, sulfaatti- ja karbonaattipitoisuus sekä mikrobitaso ja väri. Metallien ja suolaionien haittavaikutusten selvittäminen vaatii lisätutkimusta. Lisäpuhdistusmenetelmien avulla, kuten käänteisosmoosi, jätevesikirkasteen laatu saataisiin vastaamaan prosessiveden tasoa ja hyötykäyttö olisi mahdollista myös kartonkikone 4:n ulkopuolella.

Design, synthèse et application en catalyse verte d’un ligand alkyl imidazolium β-cyclodextrine

Le 21e siècle est le berceau d’une conscientisation grandissante sur les impacts environnementaux des processus utilisés pour synthétiser des molécules cibles. Parmi les avancées qui ont marqué ces dernières décennies, il est également question de réduction de déchets, de conservation de l’énergie et de durabilité des innovations. Ces aspects constituent les lignes directrices de la chimie verte. De ce fait, il est impératif de développer des stratégies de synthèse dont les impacts environnementaux sont bénins. Dans ce mémoire nous présentons la synthèse, la caractérisation et l’étude des propriétés catalytiques en milieu aqueux d’un ligand composé d’une unité -cyclodextrine native, d’une unité imidazolium et d’une chaine alkyle à 12 carbones. Ce ligand hybride s’auto-assemble dans l’eau sous forme de micelles, permettant ainsi d’effectuer en sa présence des couplages de Suzuki-Miyaura dans l’eau, avec de bons rendements. La fonctionnalisation de la face primaire de la -cyclodextrine par un noyau alkyl-imidazolium, précurseur de ligand de type carbène N-hétérocyclique, a permis le développement d’un système catalytique vert et hautement recyclable. Dans un deuxième temps, nous présentons l’utilisation du même ligand hybride dans des couplages de Heck dans l’eau, démontrant ainsi la versatilité du ligand.

Solvent Effect on Absolute Fluorescence Quantum Yield of Rhodamine 6G Determined Using Transient Thermal Lens Technique

Dual beam thermal lens tecbnique is successfully employed for the determination of absolute Fluorescence quantum yield of rhodamine 6G lnser dye in different solvents. A 532 nm radiation from a Q-switched Nd:YAG laser was used for the excitation purpose. The fluorescence quantum yield values are found to be strongly influenced by environmental effects. It has been observed that fluorescence yield is greater for rhodamine 6G in ethylene glycol system than in water or in methanol. Our results also indicate that parameters like concentration of the dye solution, aggregate formation and excited state absorption affect the absolute values of fluorescence yield significantly.

Influence of short term climatic fluctuations on the agricultural land use in Kerala

In the present study, the land use over Kerala State and its spatial and temporal variations, spatio-temporal variations of water budget elements, climatic shifts, incidence of droughts and the influence of inter-annual fluctuations of rainfall on area. production and yield of selected crops, have been studied in detail. The thesis consists of seven chapters including the introduction. The first section of the Second Chapter deals with the importance of agrocliinatological studies in general and its application in agricultural land use in particular. It also gives an overview of the short term climatic fluctuations, water balance studies, crop weather relationships, land use patterns and various agricultural indices. This includes a detailed review of available literature in this field. The basic concepts. data used and the methodology adopted in the study forms, the second section of this Chapter. The Third Chapter gives the details of the physical features of the State such as the relief, geology, geomorphologysoils, drainage, and vegetation. The agroclimatology of the State is discussed in detail in Chapter Four. The first Section presents annual and seasonal variations of temperature and rainfall of the State along with a discussion on the water balance of the State. The secondSection of this Chapter deals with the influence of rainfall and water balance elements on various crops. The district-wise general land use pattern of theState and its spatio-temporal variations are discussed in Chapter Five. The first Section of Chapter Six gives an overview of the agricultural land use pattern of the State, cropping patterns, cropping intensity, crop combination and their spatio-temporal variations. The inter-annual variability of water balances of various stations of the State computed using the method of Thornthwaite (1948) and Thornthwaite & Mather (1955) is presented in the second Section of Chapter Six. This also includes a discussion of how the climatic shifts have occurred over the State and the influence of variations of climatic and water balance elements on the crops. The Seventh Chapter gives the summary of the work carried out and the results obtained from the study. Interpretations of the results, conclusions and suggestions made,based on the observations of the study are incorporated in this Chapter.

Hydrometeorological Studies of Kerala state in relation to the Western Ghats

Study of Kerala State in relation to the western Ghats, using The present thesis envisages a hydrometeorological various statistical techniques and the water balance concepts first developed by Thornthwaite. The first chapter of the thesis gives general introduction where the purpose and scope of the study have been given. Chapter II discusses the importance of hydrometeorological studies in general and of water balance in particular, in planning for the overall development of any region. Chapter III consists of the presentation of various geographical features of Kerala. An introduction to the physiography of the western Ghats and detailed hydroclimatic studies of the Western Ghats region which includes analysis of rainfall and the study of water balance elements form Chapter IV. In Chapter V, a detailed hydrometeorological study of Kerala State is made. Discussion of the results of the study and suggestions for optimum utilization of the available water resources for the overall development of the western Ghats region in general and Kerala in particular are made in Chapter VI.

Tide And River Runoff Interactions In The Cochin Estuary

Hydrodynamic characteristics of an estuary resulting from interaction of tide and river runoff are important since problems regarding flood, salinity intrusion, water quality, ecosystem and sedimentation are ubiquitous. The present study focuses on such hydrodynamic aspects in the Cochin estuary. Most of the estuaries that come under the influence of Indian Summer Monsoon and for which the salinity is never in a steady state at any time of the year are generally shallow and convergent, i.e. the width decreases rapidly from mouth to head. In contrast, Cochin estuary is wider towards the upstream and has no typical river mouth, where the rivers are joining the estuary along the length of its channel .Adding to the complexity it has dual inlets and the tidal range is 1 m which is lower than other Indian estuaries along west coast. These typical physical features lead to its unique hydrodynamic characteristics. Therefore the thesis objectives are: I) to study the influence of river runoff on tidal propagation using observations and a numerical model ii) to study stratification and property distributions in Cochin estuary iii) to understand salinity distributions and flushing characteristics iv) to understand the influence of saltwater barrage on tides and salinity v) To evaluate several classification schemes for the estuary

El concepto de seguridad ambiental aplicado a las cuencas hidrográficas compartidas por Colombia y Venezuela y su incidencia en las Relaciones Internacionales de estos dos países en el periodo de 1998 a 2005

Colombia y Venezuela conforman un sistema hidrográfico de agua dulce en el que comparten cuatro cuencas: Guajira, Catatumbo, Orinoco y Amazonas, que representan el 79% del territorio nacional venezolano y el 61% del territorio nacional colombiano y aproximadamente el 70% de los límites terrestres entre ambos países. Estos espacios de gran importancia geoestratégica en diferentes épocas funcionan como desestabilizadores parciales de las Relaciones Bilaterales de estos dos países y se convierten en factor primordial para el tema de la seguridad ambiental ya pueden ser manejados bajo la perspectiva de la cooperación o del conflicto.

Aprovechamiento del espacio interior de las estaciones de transporte masivo, a partir del ofrecimiento de servicios agregados al transporte: perspectivas de su implementación en los portales del Sistema Transmilenio

El presente trabajo de grado está relacionado con el aprovechamiento del espacio interior de los portales del sistema de transporte público masivo en Bogotá (Transmilenio), a partir de la oferta de servicios de valor agregado al transporte público.