907 resultados para Mixed model under selection
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The global social and economic burden of HIV/AIDS is great, with over forty million people reported to be living with HIV/AIDS at the end of 2005; two million of these are children from birth to 15 years of age. Antiretroviral therapy has been shown to improve growth and survival of HIV-infected individuals. The purpose of this study is to describe a cohort of HIV-infected pediatric patients and assess the association between clinical factors, with growth and mortality outcomes. ^ This was a historical cohort study. Medical records of infants and children receiving HIV care at Mulago Pediatric Infectious Disease Clinic (PIDC) in Uganda between July 2003 and March 2006 were analyzed. Height and weight measurements were age and sex standardized to Centers for Disease Control and prevention (CDC) 2000 reference. Descriptive and logistic regression analyses were performed to identify covariates associated with risk of stunting or being underweight, and mortality. Longitudinal regression analysis with a mixed model using autoregressive covariance structure was used to compare change in height and weight before and after initiation of highly active antiretroviral therapy (HAART). ^ The study population was comprised of 1059 patients 0-20 years of age, the majority of whom were aged thirteen years and below (74.6%). Mean height-for-age before initiation of HAART was in the 10th percentile, mean weight-for-age was in the 8th percentile, and the mean weight-for-height was in the 23rd percentile. Initiation of HAART resulted in improvement in both the mean standardized weight-for-age Z score and weight-for-age percentiles (p <0.001). Baseline age, and weight-for-age Z score were associated with stunting (p <0.001). A negative weight-for-age Z score was associated with stunting (OR 4.60, CI 3.04-5.49). Risk of death decreased from 84% in the >2-8 years age category to 21% in the >13 years age category respectively, compared to the 0-2 years of age (p <0.05). ^ This pediatric population gained weight significantly more rapidly than height after starting HAART. A low weight-for-age Z score was associated with poor survival in children. These findings suggest that age, weight, and height measurements be monitored closely at Mulago PIDC. ^
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Purpose of the study. This study had two components. The first component of the study was the development and implementation of an infrastructure that integrated Promotores who teach diabetes self-management into a community clinic. The second component was a six-month randomized clinical trial (RCT) designed to test the effectiveness of the Promotores in changing knowledge, beliefs, and HbA1c levels among Mexican American patients with type 2 diabetes. ^ Methods. Starfield's adaptation of the Donbedian structure, process, and outcome methodology was used to develop a clinic infrastructure that allowed the integration of Promotores as diabetes educators. The RCT of the culturally sensitive Promotores-led 10-week diabetes self-management program compared the outcomes of 63 patients in the intervention group with 68 patients in a wait-list, usual care control group. Participants were Mexican Americans, at least 18 years of age, with type 2 diabetes, who were patients at a Federally Qualified Health Center on the Texas-Mexico border. At baseline, three months, and six months, data were collected using the Diabetes Knowledge Questionnaire (DKQ, the Health Beliefs Questionnaire (HBQ, and HbA1c levels were drawn by the clinic laboratory. A mixed model methodology was used to analyze the data. ^ Results. The infrastructure to support a Promotores-led diabetes self-management course designed in concert with administration, the physicians, and the CDE, resulted in (1) employment of Promotores to teach diabetes self-management courses; (2) integration of provider and nurse oversight of course design and implementation; (3) management of Promotora training, and the development of teaching competencies and skills; (4) coordination of care through communication and documentation policies and procedures; (5) utilization of quality control mechanisms to maintain patient safety; and (6) promotion of a culturally competent approach to the educational process. The RCT resulted in a significant improvement in the intervention group's DKQ scores over time (F [1, 129] = 4.77, p = 0.0308), and in treatment by time (F [2, 168] = 5.85, p = 0.0035). Neither the HBQ scores nor the HbA1c changed over time. However, the baseline HbA1c was 7.49, almost at the therapeutic level. The DKQ, HBQ, and HbA1c results were significantly affected by age; the DKQ and HbA1c by years with diabetes. ^ Conclusions. The clinic model provides a systematic approach to safely address the educational needs of large numbers of patients with type 2 diabetes who live in communities that suffer from a lack of health care professionals. The Promotores-led diabetes self-management course improved the knowledge of patients with diabetes and may be a culturally sensitive strategy for meeting patient educational needs. The low baseline HbA1c levels in this border community suggested that patients in this Federally Qualified Health Center on the Texas-Mexico border were experiencing good medical management of their diabetes. ^
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Background. Ambulatory blood pressure (ABP) measurement is a means of monitoring cardiac function in a noninvasive way, but little is known about ABP in heart failure (HF) patients. Blood pressure (BP) declines during sleep as protection from consistent BP load, a phenomenon termed "dipping." The aims of this study were (1) to compare BP dipping and physical activity between two groups of HF patients with different functional statuses and (2) to determine whether the strength of the association between ambulatory BP and PA is different between these two different functional statuses of HF. ^ Methods. This observational study used repeated measures of ABP and PA over a 24-hour period to investigate the profiles of BP and PA in community-based individuals with HF. ABP was measured every 30 minutes by using a SpaceLabs 90207, and a Basic Motionlogger actigraph was used to measure PA minute by minute. Fifty-six participants completed both BP and physical activity for a 24-hour monitoring period. Functional status was based on New York Heart Association (NYHA) ratings. There were 27 patients with no limitation of PA (NYHA class I HF) and 29 with some limitation of PA but no discomfort at rest (NYHA class II or III HF). The sample consisted of 26 men and 30 women, aged 45 to 91 years (66.96 ± 12.35). ^ Results. Patients with NYHA class I HF had significantly greater dipping percent than those with NYHA class II/III HF after controlling their left ventricular ejection fraction (LVEF). In a mixed model analysis (PROC MIXED, SAS Institute, v 9.1), PA was significantly related to ambulatory systolic and diastolic BP and mean arterial pressure. The strength of the association between PA and ABP readings was not significantly different for the two groups of patients. ^ Conclusions. These preliminary findings demonstrate differences between NYHA class I and class II/III of HF in BP dipping status and ABP but not PA. Longitudinal research is recommended to improve understanding of the influence of disease progression on changes in 24-hour physical activity and BP profiles of this patient population. ^ Key Words. Ambulatory Blood Pressure; Blood Pressure Dipping; Heart Failure; Physical Activity. ^
New methods for quantification and analysis of quantitative real-time polymerase chain reaction data
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Quantitative real-time polymerase chain reaction (qPCR) is a sensitive gene quantitation method that has been widely used in the biological and biomedical fields. The currently used methods for PCR data analysis, including the threshold cycle (CT) method, linear and non-linear model fitting methods, all require subtracting background fluorescence. However, the removal of background fluorescence is usually inaccurate, and therefore can distort results. Here, we propose a new method, the taking-difference linear regression method, to overcome this limitation. Briefly, for each two consecutive PCR cycles, we subtracted the fluorescence in the former cycle from that in the later cycle, transforming the n cycle raw data into n-1 cycle data. Then linear regression was applied to the natural logarithm of the transformed data. Finally, amplification efficiencies and the initial DNA molecular numbers were calculated for each PCR run. To evaluate this new method, we compared it in terms of accuracy and precision with the original linear regression method with three background corrections, being the mean of cycles 1-3, the mean of cycles 3-7, and the minimum. Three criteria, including threshold identification, max R2, and max slope, were employed to search for target data points. Considering that PCR data are time series data, we also applied linear mixed models. Collectively, when the threshold identification criterion was applied and when the linear mixed model was adopted, the taking-difference linear regression method was superior as it gave an accurate estimation of initial DNA amount and a reasonable estimation of PCR amplification efficiencies. When the criteria of max R2 and max slope were used, the original linear regression method gave an accurate estimation of initial DNA amount. Overall, the taking-difference linear regression method avoids the error in subtracting an unknown background and thus it is theoretically more accurate and reliable. This method is easy to perform and the taking-difference strategy can be extended to all current methods for qPCR data analysis.^
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La mosca blanca del fresno, Siphoninus phillyreae (Haliday) , es una especie polífaga invasiva que causa graves daños en sus hospedadores, entre ellos el olivo (Olea europaea L.). El uso del hospedador por parte de S. phillyreae fue observado en tres cultivares de olivo (Arauco, Arbequina y Aloreña) en el norte de la provincia de La Rioja (Argentina) durante 2007 y 2008. De cada cultivar se muestrearon seis plantas infestadas y de cada planta se tomaron ocho hojas. De cada hoja se registró la abundancia de adultos y estados inmaduros de la mosca blanca que fueron comparadas entre los cultivares mediante modelos lineales generales y mixtos. Los resultados obtenidos mostraron diferencias significativas entre las densidades de adultos y ninfas de S. phillyreae en los distintos cultivares de olivo analizados. Dichos resultados indican que este insecto realiza un uso diferente de los cultivares de olivo, siendo Arauco y Arbequina las variedades hospedadoras más utilizadas en la zona de estudio.
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The aim of this study was to assess genetic diversity among 40 alfalfa (Medicago sativa L.) genotypes of different non-dormant (FD=8) cultivars. Biomass yield, regrowth speed and reaction to spring black stem, lepto leaf spot, and rust were evaluated. Analyses of variances were performed using a mixed model to examine the agronomic variation among individuals. A principal component analysis on standardized agronomic data was performed. Agronomic data were also used to calculate Gower's distance and UPGMA algorithm. For the molecular analysis, six SSR markers were evaluated and 84 alleles were identified. The genetic distance was estimated using standard Nei's distance. Average standard genetic diversity was 0.843, indicating a high degree of variability among genotypes. Finally, a generalized procrustes analysis was performed to calculate the correlation between molecular and agronomic distance, indicating a 65.4% of consensus. This value is likely related to the low number of individuals included in the study, which might have underestimated the real phenotypic variability among genotypes. Despite the low number of individuals and SSR markers analyzed, this study provides a baseline for future diversity studies to identify genetically distant alfalfa individuals or cultivars.
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The vegetation of a small fjord and its adjacent open shore was documented by subaquatic video. The distribution of individual species of macroalgae and the composition of assemblages were compared with gradients of light availability, hydrography, slope inclination, substratum, and exposition to turbulence and ice. The sublittoral fringe is usually abraded by winterly ice floes and devoid of large, perennial algae. Below this zone, the upper sublittoral is dominated by Desmarestia menziesii on steep rock faces, where water movements become irregular, or by Ascoseira mirabilis and Palmaria decipiens on weakly inclined slopes with steady rolling water movements. In the central sublittoral above 15 m, where turbulence is still active, Desmarestia anceps is outcompeting all other species on solid substratum, However, the species is not able to persist on loose material under these conditions. Instead, Himantothallus grandifolius may occur. Deeper, where turbulence usually is negligible, Desmarestia anceps also covers loose material. The change of dominance to Himantothallus grandifolius in the deep sublittoral cannot completely be explained at present. Himantothallus grandifolius also prevails in a mixed assemblage under the influence of grounding icebergs. Most of the smaller algae are opportunists with different degrees of tolerance for turbulence, but some apparently need more stable microhabitats and thus are dependent from continuing suppression of competitive large phaeophytes.
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In this study we investigate benthic phosphorus cycling in recent continental margin sediments at three sites off the Namibian coastal upwelling area. Examination of the sediments reveals that organic and biogenic phosphorus are the major P-containing phases preserved. High Corg/Porg ratios just at the sediment surface suggest that the preferential regeneration of phosphorus relative to that of organic carbon has either already occurred on the suspension load or that the organic matter deposited at these sites is already rather refractory. Release of phosphate in the course of benthic microbial organic matter degradation cannot be identified as the dominating process within the observed internal benthic phosphorus cycle. Dissolved phosphate and iron in the pore water are closely coupled, showing high concentrations below the oxygenated surface layer of the sediments and low concentrations at the sediment-water interface. The abundant presence of Fe(III)-bound phosphorus in the sediments document the co-precipitation of both constituents as P-containing iron (oxyhydr)oxides. However, highly dissolved phosphate concentrations in pore waters cannot be explained, neither by simple mass balance calculations nor by the application of an established computer model. Under the assumption of steady state conditions, phosphate release rates are too high as to be balanced with a solid phase reservoir. This discrepancy points to an apparent lack of solid phase phosphorus at sediment depth were suboxic conditions prevail. We assume that the known, active, fast and episodic particle mixing by burrowing macrobenthic organisms could repeatedly provide the microbially catalyzed processes of iron reduction with authigenic iron (oxyhydro)oxides from the oxic surface sediments. Accordingly, a multiple internal cycling of phosphate and iron would result before both elements are buried below the iron reduction zone.
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We describe the habitat use of 22 male southern elephant seals (Mirounga leonina) satellite tagged at Marion Island between 2004 and 2008. While a few areas of increased utilization appeared to be associated with areas of shallower bathymetry (such as sea-floor ridges and fracture zones), seals in our study did not target other areas of shallow bathymetry within close proximity to Marion Island. Rather, most elephant seals foraged pelagically over very deep water where much variation was evident in diel vertical migration strategies. These strategies resulted in generally deeper and longer dives than what has been reported for male elephant seals from other colonies. No significant differences were recorded for dive durations or dive depths between adults and sub-adults. However, younger animals displayed a positive relationship between dive durations and age, as well as between dive depths and age, while these relationships became negative for older animals. Mixed model outputs suggested that seals increased their aerobic fitness as migrations progressed, enabling them to undertake longer dives. We conclude that Marion Island male elephant seals exhibit much variability in dive strategy and are seemingly capable of exploiting a range of different prey types occurring in various depth layers.
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Understanding the distribution and foraging ecology of major consumers within pelagic systems, specifically in relation to physical parameters, can be important for the management of bentho-pelagic systems undergoing rapid change associated with global climate change and other anthropogenic disturbances such as fishing (i.e., the Antarctic Peninsula and Scotia Sea). We tracked 11 adult male southern elephant seals (Mirounga leonina), during their five-month post-moult foraging migrations from King George Island (Isla 25 de Mayo), northern Antarctic Peninsula, using tags capable of recording and transmitting behavioural data and in situ temperature and salinity data. Seals foraged mostly within the Weddell-Scotia Confluence, while a few foraged along the western Antarctic Peninsula shelf of the Bellingshausen Sea. Mixed model outputs suggest that the at-sea behaviour of seals was associated with a number of environmental parameters, especially seafloor depth, sea-ice concentrations and the temperature structure of the water column. Seals increased dive bottom times and travelled at slower speeds in shallower areas and areas with increased sea-ice concentrations. Changes in dive depth and durations, as well as relative amount of time spent during the bottom phases of dives, were observed in relation to differences in overall temperature gradient, likely as a response to vertical changes in prey distribution associated with temperature stratification in the water column. Our results illustrate the likely complex influences of bathymetry, hydrography and sea ice on the behaviour of male southern elephant seals in a changing environment and highlight the need for region-specific approaches to studying environmental influences on behaviour.
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El tema central de investigación en esta Tesis es el estudio del comportamientodinámico de una estructura mediante modelos que describen la distribución deenergía entre los componentes de la misma y la aplicación de estos modelos parala detección de daños incipientes.Los ensayos dinámicos son un modo de extraer información sobre las propiedadesde una estructura. Si tenemos un modelo de la estructura se podría ajustar éstepara que, con determinado grado de precisión, tenga la misma respuesta que elsistema real ensayado. Después de que se produjese un daño en la estructura,la respuesta al mismo ensayo variará en cierta medida; actualizando el modelo alas nuevas condiciones podemos detectar cambios en la configuración del modeloestructural que nos condujeran a la conclusión de que en la estructura se haproducido un daño.De este modo, la detección de un daño incipiente es posible si somos capacesde distinguir una pequeña variación en los parámetros que definen el modelo. Unrégimen muy apropiado para realizar este tipo de detección es a altas frecuencias,ya que la respuesta es muy dependiente de los pequeños detalles geométricos,dado que el tamaño característico en la estructura asociado a la respuesta esdirectamente proporcional a la velocidad de propagación de las ondas acústicas enel sólido, que para una estructura dada es inalterable, e inversamente proporcionala la frecuencia de la excitación. Al mismo tiempo, esta característica de la respuestaa altas frecuencias hace que un modelo de Elementos Finitos no sea aplicable enla práctica, debido al alto coste computacional.Un modelo ampliamente utilizado en el cálculo de la respuesta de estructurasa altas frecuencias en ingeniería es el SEA (Statistical Energy Analysis). El SEAaplica el balance energético a cada componente estructural, relacionando la energíade vibración de estos con la potencia disipada por cada uno de ellos y la potenciatransmitida entre ellos, cuya suma debe ser igual a la potencia inyectada a cadacomponente estructural. Esta relación es lineal y viene caracterizada por los factoresde pérdidas. Las magnitudes que intervienen en la respuesta se consideranpromediadas en la geometría, la frecuencia y el tiempo.Actualizar el modelo SEA a datos de ensayo es, por lo tanto, calcular losfactores de pérdidas que reproduzcan la respuesta obtenida en éste. Esta actualización,si se hace de manera directa, supone la resolución de un problema inversoque tiene la característica de estar mal condicionado. En la Tesis se propone actualizarel modelo SEA, no en término de los factores de pérdidas, sino en términos deparámetros estructurales que tienen sentido físico cuando se trata de la respuestaa altas frecuencias, como son los factores de disipación de cada componente, susdensidades modales y las rigideces características de los elementos de acoplamiento.Los factores de pérdidas se calculan como función de estos parámetros. Estaformulación es desarrollada de manera original en esta Tesis y principalmente sefunda en la hipótesis de alta densidad modal, es decir, que en la respuesta participanun gran número de modos de cada componente estructural.La teoría general del método SEA, establece que el modelo es válido bajounas hipótesis sobre la naturaleza de las excitaciones externas muy restrictivas,como que éstas deben ser de tipo ruido blanco local. Este tipo de carga es difícil dereproducir en condiciones de ensayo. En la Tesis mostramos con casos prácticos queesta restricción se puede relajar y, en particular, los resultados son suficientementebuenos cuando la estructura se somete a una carga armónica en escalón.Bajo estas aproximaciones se desarrolla un algoritmo de optimización por pasosque permite actualizar un modelo SEA a un ensayo transitorio cuando la carga esde tipo armónica en escalón. Este algoritmo actualiza el modelo no solamente parauna banda de frecuencia en particular sino para diversas bandas de frecuencia demanera simultánea, con el objetivo de plantear un problema mejor condicionado.Por último, se define un índice de daño que mide el cambio en la matriz depérdidas cuando se produce un daño estructural en una localización concreta deun componente. Se simula numéricamente la respuesta de una estructura formadapor vigas donde producimos un daño en la sección de una de ellas; como se tratade un cálculo a altas frecuencias, la simulación se hace mediante el Método delos Elementos Espectrales para lo que ha sido necesario desarrollar dentro de laTesis un elemento espectral de tipo viga dañada en una sección determinada. Losresultados obtenidos permiten localizar el componente estructural en que se haproducido el daño y la sección en que éste se encuentra con determinado grado deconfianza.AbstractThe main subject under research in this Thesis is the study of the dynamic behaviourof a structure using models that describe the energy distribution betweenthe components of the structure and the applicability of these models to incipientdamage detection.Dynamic tests are a way to extract information about the properties of astructure. If we have a model of the structure, it can be updated in order toreproduce the same response as in experimental tests, within a certain degree ofaccuracy. After damage occurs, the response will change to some extent; modelupdating to the new test conditions can help to detect changes in the structuralmodel leading to the conclusión that damage has occurred.In this way incipient damage detection is possible if we are able to detect srnallvariations in the model parameters. It turns out that the high frequency regimeis highly relevant for incipient damage detection, because the response is verysensitive to small structural geometric details. The characteristic length associatedwith the response is proportional to the propagation speed of acoustic waves insidethe solid, but inversely proportional to the excitation frequency. At the same time,this fact makes the application of a Finite Element Method impractical due to thehigh computational cost.A widely used model in engineering when dealing with the high frequencyresponse is SEA (Statistical Energy Analysis). SEA applies the energy balance toeach structural component, relating their vibrational energy with the dissipatedpower and the transmitted power between the different components; their summust be equal to the input power to each of them. This relationship is linear andcharacterized by loss factors. The magnitudes considered in the response shouldbe averaged in geometry, frequency and time.SEA model updating to test data is equivalent to calculating the loss factorsthat provide a better fit to the experimental response. This is formulated as an illconditionedinverse problem. In this Thesis a new updating algorithm is proposedfor the study of the high frequency response regime in terms of parameters withphysical meaning such as the internal dissipation factors, modal densities andcharacteristic coupling stiffness. The loss factors are then calculated from theseparameters. The approach is developed entirely in this Thesis and is mainlybased on a high modal density asumption, that is to say, a large number of modescontributes to the response.General SEA theory establishes the validity of the model under the asumptionof very restrictive external excitations. These should behave as a local white noise.This kind of excitation is difficult to reproduce in an experimental environment.In this Thesis we show that in practical cases this assumption can be relaxed, inparticular, results are good enough when the structure is excited with a harmonicstep function.Under these assumptions an optimization algorithm is developed for SEAmodel updating to a transient test when external loads are harmonic step functions.This algorithm considers the response not only in a single frequency band,but also for several of them simultaneously.A damage index is defined that measures the change in the loss factor matrixwhen a damage has occurred at a certain location in the structure. The structuresconsidered in this study are built with damaged beam elements; as we are dealingwith the high frequency response, the numerical simulation is implemented witha Spectral Element Method. It has therefore been necessary to develop a spectralbeam damaged element as well. The reported results show that damage detectionis possible with this algorithm, moreover, damage location is also possible withina certain degree of accuracy.
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This research investigates the ultimate earthquake resistance of typical RC moment resisting frames designed accordingly to current standards, in terms of ultimate energy absorption/dissipation capacity. Shake table test of a 2/5 scale model, under several intensities of ground motion, are carried out. The loading effect of the earthquake is expressed as the total energy that the quake inputs to the structure, and the seismic resistance is interpreted as the amount of energy that the structure dissipates in terms of cumulative inelastic strain energy.
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A disruption predictor based on support vector machines (SVM) has been developed to be used in JET. The training process uses thousands of discharges and, therefore, high performance computing has been necessary to obtain the models. To this respect, several models have been generated with data from different JET campaigns. In addition, various kernels (mainly linear and RBF) and parameters have been tested. The main objective of this work has been the implementation of the predictor model under real-time constraints. A “C-code” software application has been developed to simulate the real-time behavior of the predictor. The application reads the signals from the JET database and simulates the real-time data processing, in particular, the specific data hold method to be developed when reading data from the JET ATM real time network. The simulator is fully configurable by means of text files to select models, signal thresholds, sampling rates, etc. Results with data between campaigns C23and C28 will be shown.
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En esta comunicación se presenta el método para obtener modelos equivalentes eléctricos de materiales piezoeléctricos utilizados en entornos con tráfico vial para aplicaciones "Energy Harvesting". Los resultados experimentales se procesan para determinar la estructura topológica óptima y la tecnología de los elementos semiconductores utilizados en la etapa de entrada del sistema de alimentación "harvesting". Asimismo se presenta el modelo de la fuente de alimentación no regulada bajo demanda variable de corriente. Abstract: The method to obtain electrical equivalent models of piezoelectric materials used in energy harvesting road traffic environment is presented in this paper. The experimental results are processed in order to determine the optimal topological structure and technology of the semiconductor elements used in the input stage of the power harvesting system. The non regulated power supply model under variable current demand is also presented.
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En los modelos promovidos por las normativas internacionales de análisis de riesgos en los sistemas de información, los activos están interrelacionados entre sí, de modo que un ataque sobre uno de ellos se puede transmitir a lo largo de toda la red, llegando a alcanzar a los activos más valiosos para la organización. Es necesario entonces asignar el valor de todos los activos, así como las relaciones de dependencia directas e indirectas entre estos, o la probabilidad de materialización de una amenaza y la degradación que ésta puede provocar sobre los activos. Sin embargo, los expertos encargados de asignar tales valores, a menudo aportan información vaga e incierta, de modo que las técnicas difusas pueden ser muy útiles en este ámbito. Pero estas técnicas no están libres de ciertas dificultades, como la necesidad de uso de una aritmética adecuada al modelo o el establecimiento de medidas de similitud apropiadas. En este documento proponemos un tratamiento difuso para los modelos de análisis de riesgos promovidos por las metodologías internacionales, mediante el establecimiento de tales elementos.Abstract— Assets are interrelated in risk analysis methodologies for information systems promoted by international standards. This means that an attack on one asset can be propagated through the network and threaten an organization’s most valuable assets. It is necessary to valuate all assets, the direct and indirect asset dependencies, as well as the probability of threats and the resulting asset degradation. However, the experts in charge to assign such values often provide only vague and uncertain information. Fuzzy logic can be very helpful in such situation, but it is not free of some difficulties, such as the need of a proper arithmetic to the model under consideration or the establishment of appropriate similarity measures. Throughout this paper we propose a fuzzy treatment for risk analysis models promoted by international methodologies through the establishment of such elements.