Tratamento da Tinea Unguium dos pododáctilos com terbinafina oral administrada de forma intermitente associada à onicoabrasão

A onicomicose é responsável por mais da metade das alterações ungueais, com prevalência em torno de 2-8%. As unhas dos pés são as mais afetadas, devido, principalmente a fungos dermatófitos (tinea unguium). A terbinafina é o único antimicótico fungicida oral e o mais potente agente contra dermatófitos in vitro. Entretanto, existem poucos estudos controlados, randomizados usando a terbinafina não-continua. Nosso objetivo foi comparar a efetividade e a segurança do tratamento da tinea unguium dos pododáctilos utilizando terbinafina oral em dois esquemas posológicos intermitentes diferentes, associado à onicoabrasão. Foram selecionados 41 pacientes com diagnóstico de onicomicose por dermatófitos, divididos em dois grupos (20 e 21 pacientes em cada), recebendo um dos seguintes tratamentos, além da onicoabrasão: Grupo I: Terbinafina oral 250mg/dia, 7 dias a cada mês; Grupo II: Terbinafina oral 500mg/dia, 7 dias a cada dois meses. Ambos os grupos tiveram duração de seis meses. Os parâmetros de avaliação da efetividade foram clínico e micológico ao término do tratamento, após seis meses e após um ano. Foram utilizados os critérios de cura total, cura parcial, melhora clínica, falha terapêutica e recidiva. Trinta e seis pacientes completaram o estudo. Não houve diferença estatística entre os grupos nos diversos parâmetros utilizados para avaliação da resposta terapêutica. A avaliação do resultado terapêutico mostra que ao final de 18 meses de acompanhamento, oito pacientes (44,4%) de cada grupo alcançaram a cura total, e que 5 (27,8%) pacientes do grupo I e 4 (22,2%) do grupo II apresentaram cura parcial. Apenas um paciente de cada grupo permaneceu com a lesão clínica inalterada durante todo o estudo. A presença dos fungos na lâmina ungueal foi sendo reduzida com o passar do estudo, ao final deste, todos os pacientes de ambos os grupos apresentaram a cultura negativa para dermatófitos. Embora o número de pacientes do estudo fosse pequeno, não houve diferença estatisticamente significativa entre os resultados de cada grupo considerando-se os parâmetros clínicos e micológicos analisados. Ambas as posologias foram consideradas seguras, sem efeitos colaterais graves, nem alterações significativas nos exames laboratoriais. Foram alcançadas taxas de cura (total e parcial) significativas nos Grupos I e II (66,6% e 72,2%, respectivamente, aos 18 meses). A cura total (disease free nail) foi obtida em 8 pacientes (44,4%) de cada grupo. O uso intermitente da terbinafina associado à onicoabrasão foi uma alternativa estatisticamente efetiva, segura e de melhor custo-benefício para o tratamento da tinea unguium dos pododáctilos, independente da posologia.

Number of Players and Relative Pitch Area per Player: Comparing Their Influence on Heart Rate and Physical Demands in Under-12 and Under-13 Football Players

The aim of the present study is to analyse the influence of different large-sided games (LSGs) on the physical and physiological variables in under-12s (U12) and -13s (U13) soccer players. The effects of the combination of different number of players per team, 7, 9, and 11 (P7, P9, and P11, respectively) with three relative pitch areas, 100, 200, and 300 m(2) (A100, A200, and A300, respectively), were analysed in this study. The variables analysed were: 1) global indicator such as total distance (TD); work:rest ratio (W:R); player-load (PL) and maximal speed (V-max); 2) heart rate (HR) mean and time spent in different intensity zones of HR (<75%, 75-84%, 84-90% and >90%), and; 3) five absolute (<8, 8-13, 13-16 and >16 Km h(-1)) and three relative speed categories (<40%, 40-60% and >60% V-max). The results support the theory that a change in format (player number and pitch dimensions) affects no similarly in the two players categories. Although it can seem that U13 players are more demanded in this kind of LSG, when the work load is assessed from a relative point of view, great pitch dimensions and/or high number of player per team are involved in the training task to the U12 players. The results of this study could alert to the coaches to avoid some types of LSGs for the U12 players such as:P11 played in A100, A200 or A300, P9 played in A200 or A300 and P7 played in A300 due to that U13>U12 in several physical and physiological variables (W:R, time spent in 84-90% HRmax, distance in 8-13 and 13-16 Km h(-1) and time spent in 40-60% V-max). These results may help youth soccer coaches to plan the progressive introduction of LSGs so that task demands are adapted to the physiological and physical development of participants.

Distribuição das assembleias de girinos associadas a riachos da Reserva Ecológica de Guapiaçu, Cachoeiras de Macacú, Rio de Janeiro, Brasil

Os girinos são organismos diversos e abundantes nos pequenos riachos de cabeceira de florestas tropicais e constituem importantes componentes da diversidade biológica, da trófica e funcional dos sistemas aquáticos. Diferentes características estruturais e limnológicas dos ambientes aquáticos influenciam a organização das assembleias de girinos. Embora o estágio larvar dos anuros seja o mais vulnerável de seu ciclo de vida, sujeito a elevadas taxas de mortalidade, as pesquisas sobre girinos na região neotropical ainda são pouco representativas diante da elevada diversidade de anfíbios desta região e ferramentas que permitam a sua identificação ainda são escassas. Nesta tese, dividida em três capítulos, apresento uma compilação das informações relacionadas aos principais fatores que afetam as assembleias de girinos na região tropical (Capítulo 1), a caracterização morfológica dos girinos encontrados nos riachos durante o estudo e uma proposta de chave dicotômica de identificação (Capítulo 2) e avalio a importância relativa da posição geográfica e da variação temporal de fatores ambientais locais sobre as assembleias de girinos, assim como a correlação entre as espécies de girinos e as variáveis ambientais de 10 riachos, ao longo de 15 meses, nas florestas da REGUA (Capítulo 3). Há pelo menos oito tendências relacionadas à distribuição das assembleias de girinos: (1) o tamanho dos riachos e a diversidade de microhabitats são importantes características abióticas influenciando a riqueza e a composição de espécies; (2) em poças, o gradiente de permanência (e.g., hidroperíodo) e a heterogeneidade do habitat são os principais fatores moldando as assembleias de girinos; (3) a composição de espécies parece ser um parâmetro das assembleias mais relevante do que a riqueza de espécies e deve ser primeiramente considerado durante o planejamento de ações conservacionistas de anuros associados a poças e riachos; (4) a predação parece ser a interação biótica mais importante na estruturação das assembleias de girinos, com predadores vertebrados (e.g. peixes) sendo mais vorazes em habitats permanentes e predadores invertebrados (e.g. larvas de odonata) sendo mais vorazes em ambientes temporários; (5) os girinos podem exercer um efeito regulatório, predando ovos e girinos recém eclodidos; (6) o uso do microhabitat varia em função da escolha do habitat reprodutivo pelos adultos, presença de predadores, filogenia, estágio de desenvolvimento e heterogeneidade do habitat; (7) os fatores históricos restringem os habitats reprodutivos que uma espécie utiliza, impondo restrições comportamentais e fisiológicas; (8) a variação temporal nos fatores bióticos (e.g., fatores de risco), abióticos (e.g., distribuição de chuvas), e no padrão de reprodução das espécies pode interferir na estrutura das assembleias de girinos tropicais. A variação temporal na heterogeneidade ambiental dos riachos da REGUA resultou na previsibilidade das assembleias locais de girinos, sendo que os parâmetros ambientais explicaram 23% da variação na sua composição. Os parâmetros espaciais explicaram uma porção menor da variação nas assembleias (16%), enquanto uma porção relativamente elevada da variação temporal da heterogeneidade ambiental foi espacialmente estruturada (18%). As variáveis abióticas que apresentaram as maiores correlação com a composição das assembleias de girinos foram a proporção de folhiço e de rochas no fundo do riacho, e secundariamente a profundidade, a condutividade e a temperatura. O gradiente gerado pela proporção de folhiço e de rochas representou a transição entre riachos permanentes e intermitentes. Este gradiente proporcionou o turnover de espécies, o qual também seguiu um gradiente de condutividade, temperatura, profundidade, e em menor extensão, de hidroperíodo e largura, que estiveram fortemente associado ao grau de permanência dos riachos. Estes resultados corroboram tanto a hipótese do controle ambiental, como do controle biótico de comunidades e indicam que a variação temporal da heterogeneidade ambiental e a variação na posição geográfica são importantes para a estruturação local de assembleias de girinos da REGUA. Os resultados também permitiram distinguir entre assembleias de girinos exclusivas de riachos permanentes, exclusivas de riachos intermitentes e aquelas registradas nos dois tipos de riachos. Os resultados deste capítulo são relevantes para compreender em que extensão os efeitos da variação temporal na heterogeneidade ambiental e de processos espaciais afetam localmente a estruturação de assembleias de girinos.

Time-resolved volumetric measurement of fine-scale coherent structures in turbulence.

We present full volumetric (three-dimensional) time-resolved (+one-dimensional) measurements of the velocity field in a large water mixing tank, allowing us to assess spatial and temporal rotational energy (enstrophy) and turbulent energy dissipation intermittency. In agreement with previous studies, highly intermittent behavior is observed, with intense coherent flow structures clustering in the periphery of larger vortices. However, further to previous work the full volumetric measurements allow us to separate out the effects of advection from other effects, elucidating not only their topology but also the evolution of these intense events, through the local balance of stretching and diffusion. These findings contribute toward a better understanding of the intermittency phenomenon, which should pave the way for more accurate models of the small-scale motions based on an understanding of the underlying flow physics.

Intermittency transport modeling of separated flow transition

An intermittency transport model is proposed for modeling separated-flow transition. The model is based on earlier work on prediction of attached flow bypass transition and is applied for the first time to model transition in a separation bubble at various degrees of free-stream turbulence. The model has been developed so that it takes into account the entrainment of the surrounding fluid. Experimental investigations suggest that it is this phenomena which ultimately determines the extent of the separation bubble. Transition onset is determined via a boundary layer correlation based on momentum thickness at the point of separation. The intermittent flow characteristic of the transition process is modeled via an intermittency transport equation. This accounts for both normal and streamwise variation of intermittency and hence models the entrainment of surrounding flow in a more accurate manner than alternative prescribed intermittency models. The model has been validated against the well established T3L semicircular leading edge flat plate test case for three different degrees of free-stream turbulence characteristic of turbomachinery blade applications.

Synchronization in climate dynamics and other extended systems

Synchronization is now well established as representing coherent behaviour between two or more otherwise autonomous nonlinear systems subject to some degree of coupling. Such behaviour has mainly been studied to date, however, in relatively low-dimensional discrete systems or networks. But the possibility of similar kinds of behaviour in continuous or extended spatiotemporal systems has many potential practical implications, especially in various areas of geophysics. We review here a range of cyclically varying phenomena within the Earth's climate system for which there may be some evidence or indication of the possibility of synchronized behaviour, albeit perhaps imperfect or highly intermittent. The exploitation of this approach is still at a relatively early stage within climate science and dynamics, in which the climate system is regarded as a hierarchy of many coupled sub-systems with complex nonlinear feedbacks and forcings. The possibility of synchronization between climate oscillations (global or local) and a predictable external forcing raises important questions of how models of such phenomena can be validated and verified, since the resulting response may be relatively insensitive to the details of the model being synchronized. The use of laboratory analogues may therefore have an important role to play in the study of natural systems that can only be observed and for which controlled experiments are impossible. We go on to demonstrate that synchronization can be observed in the laboratory, even in weakly coupled fluid dynamical systems that may serve as direct analogues of the behaviour of major components of the Earth's climate system. The potential implications and observability of these effects in the long-term climate variability of the Earth is further discussed. © 2010 Springer-Verlag Berlin Heidelberg.

Electricity Storage Using a Thermal Storage Scheme

The increasing use of renewable energy technologies for electricity generation, many of which have an unpredictably intermittent nature, will inevitably lead to a greater demand for large-scale electricity storage schemes. For example, the expanding fraction of electricity produced by wind turbines will require either backup or storage capacity to cover extended periods of wind lull. This paper describes a recently proposed storage scheme, referred to here as Pumped Thermal Storage (PTS), and which is based on "sensible heat" storage in large thermal reservoirs. During the charging phase, the system effectively operates as a high temperature-ratio heat pump, extracting heat from a cold reservoir and delivering heat to a hot one. In the discharge phase the processes are reversed and it operates as a heat engine. The round- trip efficiency is limited only by process irreversibilities (as opposed to Second Law limitations on the coefficient of performance and the thermal efficiency of the heat pump and heat engine respectively). PTS is currently being developed in both France and England. In both cases, the schemes operate on the Joule-Brayton (gas turbine) cycle, using argon as the working fluid. However, the French scheme proposes the use of turbomachinery for compression and expansion, whereas for that being developed in England reciprocating devices are proposed. The current paper focuses on the impact of the various process irreversibilities on the thermodynamic round-trip efficiency of the scheme. Consideration is given to compression and expansion losses and pressure losses (in pipe-work, valves and thermal reservoirs); heat transfer related irreversibility in the thermal reservoirs is discussed but not included in the analysis. Results are presented demonstrating how the various loss parameters and operating conditions influence the overall performance.

Thermodynamic analysis of pumped thermal electricity storage

The increasing use of renewable energy technologies for electricity generation, many of which have an unpredictably intermittent nature, will inevitably lead to a greater need for electricity storage. Although there are many existing and emerging storage technologies, most have limitations in terms of geographical constraints, high capital cost or low cycle life, and few are of sufficient scale (in terms of both power and storage capacity) for integration at the transmission and distribution levels. This paper is concerned with a relatively new concept which will be referred to here as Pumped Thermal Electricity Storage (PTES), and which may be able to make a significant contribution towards future storage needs. During charge, PTES makes use of a high temperature-ratio heat pump to convert electrical energy into thermal energy which is stored as ‘sensible heat’ in two thermal reservoirs, one hot and one cold. When required, the thermal energy is then converted back to electricity by effectively running the heat pump backwards as a heat engine. The paper focuses on thermodynamic aspects of PTES, including energy and power density, and the various sources of irreversibility and their impact on round-trip efficiency.

X-ray observation of micro-failures in granular piles approaching an avalanche

An X-ray imaging technique is used to probe the stability of 3-dimensional granular packs in a slowly rotating drum. Well before the surface reaches the avalanche angle, we observe intermittent plastic events associated with collective rearrangements of the grains located in the vicinity of the free surface. The energy released by these discrete events grows as the system approaches the avalanche threshold. By testing various preparation methods, we show that the pre-avalanche dynamics is not solely controlled by the difference between the free surface inclination and the avalanche angle. As a consequence, the measure of the pre-avalanche dynamics is unlikely to serve as a tool for predicting macroscopic avalanches.

Probing the location of displayed cytochrome b562 on amyloid by scanning tunnelling microscopy.

Amyloid fibres displaying cytochrome b562 were probed using scanning tunnelling microscopy (STM) in vacuo. The cytochromes are electron transfer proteins containing a haem cofactor and could, in principle, mediate electron transfer between the tip and the gold substrate. If the core fibres were insulating and electron transfer within the 3D haem network was detected, then the electron transport properties of the fibre could be controlled by genetic engineering. Three kinds of STM images were obtained. At a low bias (<1.5 V) the fibres appeared as regions of low conductivity with no evidence of cytochrome mediated electron transfer. At a high bias, stable peaks in tunnelling current were observed for all three fibre species containing haem and one species of fibre that did not contain haem. In images of this kind, some of the current peaks were collinear and spaced around 10 nm apart over ranges longer than 100 nm, but background monomers complicate interpretation. Images of the third kind were rare (1 in 150 fibres); in these, fully conducting structures with the approximate dimensions of fibres were observed, suggesting the possibility of an intermittent conduction mechanism, for which a precedent exists in DNA. To test the conductivity, some fibres were immobilized with sputtered gold, and no evidence of conduction between the grains of gold was seen. In control experiments, a variation of monomeric cytochrome b562 was not detected by STM, which was attributed to low adhesion, whereas a monomeric multi-haem protein, GSU1996, was readily imaged. We conclude that the fibre superstructure may be intermittently conducting, that the cytochromes have been seen within the fibres and that they are too far apart for detectable current flow between sites to occur. We predict that GSU1996, being 10 nm long, is more likely to mediate successful electron transfer along the fibre as well as being more readily detectable when displayed from amyloid.

Androgen receptor targets NFKB and TSPI to suppress prostate tumor growth in vivo

The androgen role in the maintenance of prostate epithelium is subject to conflicting opinions. While androgen ablation drives the regression of normal and cancerous prostate, testosterone may cause both proliferation and apoptosis. Several investigators note decreased proliferation and stronger response to chemotherapy of the prostate cancer cells stably expressing androgen receptor (AR), however no mechanistic explanation was offered. In this paper we demonstrate in vivo anti-tumor effect of the AR on prostate cancer growth and identify its molecular mediators. We analyzed the effect of AR on the tumorigenicity of prostate cancer cells. Unexpectedly, the AR-expressing cells formed tumors in male mice at a much lower rate than the AR-negative controls. Moreover, the AR-expressing tumors showed decreased vascularity and massive apoptosis. AR expression lowered the angiogenic potential of cancer cells, by increasing secretion of an anti-angiogenic protein, thrombospondin-1. AR activation caused a decrease in RelA, a subunit of the pro-survival transcription factor NF kappa B, reduced its nuclear localization and transcriptional activity. This, in turn, diminished the expression of its anti-apoptotic targets, Bcl-2 and IL-6. Increased apoptosis within AR-expressing tumors was likely due to the NF kappa B suppression, since it was restricted to the cells lacking nuclear (active) NF kappa B. Thus we for the first time identified combined decrease of NF kappa B and increased TSP1 as molecular events underlying the AR anti-tumor activity in vivo. Our data indicate that intermittent androgen ablation is preferable to continuous withdrawal, a standard treatment for early-stage prostate cancer. (C) 2007 Wiley-Liss, Inc.

Decadal persistence of cycles in lava lake motion at Erebus volcano, Antarctica

Studies of Erebus volcano's active lava lake have shown that many of its observable properties (gas composition, surface motion and radiant heat output) exhibit cyclic behaviour with a period of ~10 min. We investigate the multi-year progression of the cycles in surface motion of the lake using an extended (but intermittent) dataset of thermal infrared images collected by the Mount Erebus Volcano Observatory between 2004 and 2011. Cycles with a period of ~5-18 min are found to be a persistent feature of the lake's behaviour and no obvious long-term change is observed despite variations in lake level and surface area. The times at which gas bubbles arrive at the lake's surface are found to be random with respect to the phase of the motion cycles, suggesting that the remarkable behaviour of the lake is governed by magma exchange rather than an intermittent flux of gases from the underlying magma reservoir. © 2014 The Authors.

SR型野外人工模拟降雨装置

SR型人工降雨装置是一种多喷头、多单元组合式的间歇降雨装置。选用目前国内外较理想的喷头 ,在喷头处辅以可改变喷头降水方式的机械传动装置 ,以间歇方式降雨来满足其降雨强度 ,雨滴直径大小及其分布与自然降雨相似。每个单元的有效降雨面积为 2 m× 5 m;如果 4个单元组合成 ,其长度可增加 4倍 ,有效降雨面积即 2 m× 2 0 m。装置采用轻型铝合金材料制成 ,结构简单 ,易于安装拆卸 ,适用于野外工作。