Avaliação da maturidade pulmonar fetal pela contagem dos corpos lamelares no líquido amniótico

OBJETIVO: comparar o teste de contagem de corpos lamelares (CCL) no líquido amniótico com o teste da polarização fluorescente (PF) como parâmetro diagnóstico para avaliação da maturidade pulmonar fetal. MÉTODO: estudo transversal, analítico e controlado realizado com 60 gestantes atendidas no período de março de 2002 a dezembro de 2007. Foram colhidas amostras de líquido amniótico e realizados os testes de CCL e PF (TDxFLM II), considerados de referência, e comparados à presença ou ausência da Síndrome do Desconforto Respiratório (SDR). Foram estabelecidos valores de corte para maturidade de 30 mil corpos lamelares/µL para o teste da CCL e 55 mg/g de albumina para o PF. Foram avaliadas as características maternas e perinatais, a evolução neonatal e o desempenho dos testes diagnósticos para predição da maturidade pulmonar fetal. Na análise estatística, foram utilizadas medidas descritivas e calculados os valores referentes à sensibilidade, especificidade, valor preditivo positivo e negativo dos testes, considerando-se significativos valores de p<0,05. RESULTADOS: a idade materna variou entre 15 e 43 anos, com média de 26,6 anos. A idade gestacional variou entre 24,3 e 41,6 semanas, com média de 35,1 semanas. A Síndrome do Desconforto Respiratório foi diagnosticada em 13,3% dos neonatos. As características perinatais, como peso, índice de Apgar, incidência de SDR, foram comparadas aos resultados dos testes de CCL e PF, sendo observada uma correspondência, estatisticamente significativa (p<0,05), entre os grupos de neonatos clinicamente classificados como imaturos e maduros em ambos os testes. Os testes foram concordantes em 68,3% dos casos. Quando se comparou o teste da PF com o teste da CCL, a sensibilidade foi de 100% para ambos, e a especificidade do teste da CCL foi superior (73,1%), quando comparado com o teste de PF (51,9%). O padrão-ouro para determinação da maturidade fetal é a ocorrência da SDR. O valor preditivo positivo do teste da CCL foi superior (36,4%) quando comparado ao teste da PF (24,2%) (p<0,05), sendo que o valor preditivo negativo foi de 100% para ambos os testes. CONCLUSÕES: este estudo demonstrou que o teste da CCL apresenta 100% de sensibilidade e especificidade superior ao teste de referência (PF). Além disso, a CCL é considerada um teste rápido, acessível, barato e factível em nossa realidade, podendo ser utilizado como teste confiável na predição da maturidade pulmonar fetal.

From library repository to university-wide service: Stanford Digital Repository as a case study

Presentation at Open Repositories 2014, Helsinki, Finland, June 9-13, 2014

Self-deposit, discovery, and delivery of scientific GIS datasets using GeoHydra

Presentation at Open Repositories 2014, Helsinki, Finland, June 9-13, 2014

Structural and functional Studies of angucycline tailoring enzymes

Polyketides are a diverse group of natural products produced in many bacteria, fungi and plants. These metabolites have diverse biological activities and several members of this group are in clinical use as antibiotics, anticancer agents, antifungals and immunosuppressants. The different polyketides are produced by polyketide synthases, which catalyze the condensation of extender units into various polyketide scaffolds. After the biosynthesis of the polyketide backbone, more versatility is created to the molecule by tailoring enzymes catalyzing for instance hydroxylations, methylations and glycosylations. Flavoprotein monooxygenases (FPMO) and short-chain alcohol dehydrogenases/reductases (SDR) are two enzyme families that catalyze unusual tailoring reactions in the biosynthesis of natural products. In the experimental section, functions of homologous FPMO and SDR tailoring enzymes from five different angucycline pathways were studied in vitro. The results revealed how different angucyclinones are produced from a common intermediate and that FPMO JadH and SDR LanV are responsible for the divergence of jadomycins and landomycins, respectively, from other angucyclines. Structural studies of these tailoring enzymes revealed differences between homologous enzymes and enabled the use of structure-based protein engineering. Mutagenesis experiments gave important information about the enzymes behind the evolution of distinct angucycline metabolites. These experiments revealed a correlation between the substrate inhibition and bi-functionality in JadH homologue PgaE. In the case of LanV, analysis of mutagenesis results revealed that the difference between the stereospecificities of LanV and its homologues CabV and UrdMred is unexpectedly related to the conformation of the substrate rather than to the structure of the enzyme. Altogether, the results presented here have improved our knowledge about different steps of angucycline biosynthesis and the reaction mechanisms used by the tailoring enzymes behind these steps. This information can hopefully be used to modify these enzymes to produce novel metabolites, which have new biological targets or possess novel modes-of-action. The understanding of these unusual enzyme mechanisms is also interesting to enzymologists outside the field of natural product research.

Virtual Radio Engine

Software Defined Radio (SDR) hardware platforms use parallel architectures. Current concepts of developing applications (such as WLAN) for these platforms are complex, because developers describe an application with hardware-specifics that are relevant to parallelism such as mapping and scheduling. To reduce this complexity, we have developed a new programming approach for SDR applications, called Virtual Radio Engine (VRE). VRE defines a language for describing applications, and a tool chain that consists of a compiler kernel and other tools (such as a code generator) to generate executables. The thesis presents this concept, as well as describes the language and the compiler kernel that have been developed by the author. The language is hardware-independent, i.e., developers describe tasks and dependencies between them. The compiler kernel performs automatic parallelization, i.e., it is capable of transforming a hardware-independent program into a hardware-specific program by solving hardware-specifics, in particular mapping, scheduling and synchronizations. Thus, VRE simplifies programming tasks as developers do not solve hardware-specifics manually.

Lokalisation und Funktion von Mitgliedern der Familie der short-chain Dehydrogenasen/Reduktasen in Dictyostelium discoideum

Dictyostelium discoideum wird als Modellorganismus für diverse Krankheitsbilder benutzt. Darunter zählen lysosomale, neurodegenerative Störungen sowie Stoffwechselerkrankungen. Werden diese Amöben mit einer Fettsäure gefüttert, so wird die Biogenese von lipid droplets (LDs) initiiert. Diese dynamischen Organellen dienen der Neutrallipidspeicherung. Das Proteom der LDs konnte für D. discoideum entschlüsselt werden. Unter den rund 70 Proteinen, befinden sich ca. 15, die eine Funktion im Lipidstoffwechsel haben. Darunter befinden sich auch Mitglieder der Enzymklasse der short-shain Dehydrogenasen/Reduktasen. Diese zeigen, wie viele andere LD-Proteine auch, eine duale Lokalisation im Endoplasmatischen Retikulum (ER) und auf LDs. In dieser Arbeit konnten die Sequenzen, die den Wechsel von einer doppelte Phospholipidschicht (ER) auf eine einfache Membran (LDs) möglich machen, entschlüsselt werden. Im Fall der Proteine SdrB/C/D/E/F handelt es sich dabei um ein membranständiges N-terminales Peptid gefolgt von einer Membrandomäne. Helix-brechende Aminosäuren wie Prolin und Glycin in diesen Domänen erzeugen einen Knick, sodass sowohl die C- als auch N-Termini fusioniert an ein Reporterprotein cytoplasmatisch lokalisieren können. Direkt nach der Membrandomäne befindet sich ein kurzer Abschnitt mit basischen, positiv geladenen Aminosäuren, die mit der negativ geladenen Oberfläche der LDs interagieren. Die Membrandomäne allein ist zwar für eine ER-Lokalisation ausreichend, eine LD-Verteilung kann jedoch nur in Kombination mit dem basischen Abschnitt erfolgen. Des Weiteren konnte die Lokalisation von SdrG aufgeklärt werden. Dieses Protein lokalisiert sowohl im ER, als auch auf LDs und den Peroxisomen. Die knockouts einzelner Sdr-Gene zeigten keinen Phänotyp. Auch der Doppel-knockout von SdrB und SdrC blieb Phänotyp-frei. Aus diesem Grund wurden die tandemartig im Genom vorliegenden Gene SdrD-F in einem Triple-knockout untersucht, ebenso wie ein Penta-knockout der Gene SdrB-F. Weiterhin konnten keine Auswirkungen auf die Phagocytose bzw. auf die Verwertung von Fettsäuren und die Mitoserate festgestellt werden. Ebenfalls verläuft der Aufbau und die Degradation von lipid droplets wildtypisch. Mittels Gaschromatographie gekoppelter Massenspektrometrie konnte jedoch ein geringer Unterschied in der Fettsäurekomposition der LDs festgestellt werden. Sobald diese fünf Proteine nicht mehr vorhanden sind, werden 5% weniger 18:1 Δ11 Fettsäuren gebildet und es verbleiben mehr 16:0 Fettsäuren in den LDs. Eine Übernahme der Funktion als Δ9 Desaturase, nach dem Abschnüren der LDs vom Endoplasmatischen Retikulum ist wahrscheinlich.

Exploring behavioural change through an agent-oriented system dynamics model: the use of personal protective equipment among pesticide applicators in Colombia

The misuse of Personal Protective Equipment results in health risk among smallholders in developing countries, and education is often proposed to promote safer practices. However, evidence point to limited effects of education. This paper presents a System Dynamics model which allows the identification of risk-minimizing policies for behavioural change. The model is based on the IAC framework and survey data. It represents farmers' decision-making from an agent-oriented standpoint. The most successful intervention strategy was the one which intervened in the long term, targeted key stocks in the systems and was diversified. However, the results suggest that, under these conditions, no policy is able to trigger a self sustaining behavioural change. Two implementation approaches were suggested by experts. One, based on constant social control, corresponds to a change of the current model's parameters. The other, based on participation, would lead farmers to new thinking, i.e. changes in their decision-making structure.

Steering without Circe : attending to reinforcing loops in social systems

Relating system dynamics to the broad systems movement, the key notion is that reinforcing loops deserve no less attention than balancing loops. Three specific propositions follow. First, since reinforcing loops arise in surprising places, investigations of complex systems must consider their possible existence and potential impact. Second, because the strength of reinforcing loops can be misinferred - we include an example from the field of servomechanisms - computer simulation can be essential. Be it project management, corporate growth or inventory oscillation, simulation helps to assess consequences of reinforcing loops and options for interventions. Third, in social systems the consequences of reinforcing loops are not inevitable. Examples concerning globalization illustrate how difficult it might be to challenge such assumptions. However, system dynamics and ideas from contemporary social theory help to show that even the most complex social systems are, in principle, subject to human influence. In conclusion, by employing these ideas, by attending to reinforcing as well as balancing loops, system dynamics work can improve the understanding of social systems and illuminate our choices when attempting to steer them.

With a little help from our friends: how system dynamics and soft OR can learn from each other

At its inception, the paradigm of system dynamics was deliberately made distinct from that of OR. Yet developments in soft OR now have much in common with current system dynamics modeling practice. This article briefly traces the parallel development of system dynamics and soft OR, and argues that a dialogue between the two would be mutually rewarding. to support this claim, examples of soft OR tools are described along with some of the field’s philosophical grounding and current issues. Potential benefits resulting from a dialogue are explored, with particular emphasis on the methodological framework of system dynamics and the need for a complementarist approach. The article closes with some suggestions on how to begin learning from.

Packing triangles in low degree graphs and indifference graphs

We consider the problems of finding the maximum number of vertex-disjoint triangles (VTP) and edge-disjoint triangles (ETP) in a simple graph. Both problems are NP-hard. The algorithm with the best approximation ratio known so far for these problems has ratio 3/2 + epsilon, a result that follows from a more general algorithm for set packing obtained by Hurkens and Schrijver [On the size of systems of sets every t of which have an SDR, with an application to the worst-case ratio of heuristics for packing problems, SIAM J. Discrete Math. 2(1) (1989) 68-72]. We present improvements on the approximation ratio for restricted cases of VTP and ETP that are known to be APX-hard: we give an approximation algorithm for VTP on graphs with maximum degree 4 with ratio slightly less than 1.2, and for ETP on graphs with maximum degree 5 with ratio 4/3. We also present an exact linear-time algorithm for VTP on the class of indifference graphs. (C) 2007 Elsevier B.V. All rights reserved.

Calibração cega de receptores cinco-portas baseada em separação cega de fontes

The exponential growth in the applications of radio frequency (RF) is accompanied by great challenges as more efficient use of spectrum as in the design of new architectures for multi-standard receivers or software defined radio (SDR) . The key challenge in designing architecture of the software defined radio is the implementation of a wide-band receiver, reconfigurable, low cost, low power consumption, higher level of integration and flexibility. As a new solution of SDR design, a direct demodulator architecture, based on fiveport technology, or multi-port demodulator, has been proposed. However, the use of the five-port as a direct-conversion receiver requires an I/Q calibration (or regeneration) procedure in order to generate the in-phase (I) and quadrature (Q) components of the transmitted baseband signal. In this work, we propose to evaluate the performance of a blind calibration technique without additional knowledge about training or pilot sequences of the transmitted signal based on independent component analysis for the regeneration of I/Q five-port downconversion, by exploiting the information on the statistical properties of the three output signals

Exploring S-type orbits in the Pluto-Charon binary system

This work generates, through a sample of numerical simulations of the restricted three-body problem, diagrams of semimajor axis and eccentricity which defines stable and unstable zones for particles in S-type orbits around Pluto and Charon. Since we consider initial conditions with 0 <= e <= 0.99, we found several new stable regions. We also identified the nature of each one of these newly found stable regions. They are all associated to families of periodic orbits derived from the planar circular restricted three-body problem. We have shown that a possible eccentricity of the Pluto-Charon system slightly reduces, but does not destroy, any of the stable regions.

Gravitational effects of Nix and Hydra in the external region of the Pluto-Charon system

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Efeitos da fisioterapia respiratória convencional versus aumento do fluxo expiratório na saturação de O2, freqüência cardíaca e freqüência respiratória, em prematuros no período pós-extubação

INTRODUÇÃO: Recém-nascidos (RN) prematuros apresentam elevada morbidade respiratória e necessidade de ventilação mecânica, assim, a fisioterapia respiratória é parte integrante da assistência neonatal. Objetivo: Comparar os efeitos da fisioterapia respiratória convencional (FRC) versus aumento do fluxo expiratório (AFE), na saturação de O2 (SpO2), freqüência cardíaca (FC) e na freqüência respiratória (FR) em prematuros no período pós-extubação. Método: Ensaio clínico randomizado realizado na UTI Neonatal do Hospital das Clínicas de BotucatuUNESP, comparando duas técnicas fisioterapêuticas, aplicadas em recém-nascidos prematuros, nas primeiras 48 horas pós-extubação. Para a análise estatística foram utilizados o teste t Student, Mann-Whitney, Qui-quadrado e o teste exato de Fisher, com nível de significância em 5%. Resultados: Os dois grupos de estudo: Grupo FRC (n= 20) e grupo AFE (n= 20), não diferiram quanto à idade gestacional (média de 28 semanas) e peso de nascimento (média de 1100 gramas). em ambos os grupos a síndrome do desconforto respiratório (SDR) foi o principal diagnóstico. A mediana da idade no início da fisioterapia foi de sete dias no grupo AFE e 11 dias na FRC. Ambas as técnicas produziram aumento significativo da SpO2 aos 10 e 30 minutos, sem alterações na FR. A FC aumentou significativamente após a FRC e não se alterou após o AFE. Conclusão: Os resultados sugerem que o AFE é menos estressante que a FRC e pode ser aplicado em prematuros no período pós-extubação. Nestes recém-nascidos o AFE parece ser seguro e benéfico a curto prazo.