Survival of adult AIDS patients in a reference hospital of a metropolitan area in Brazil

OBJECTIVE: To evaluate the influence of sociodemographic, clinical, and epidemiological factors in AIDS patients survival in a reference hospital. METHODS: A sample of 502 adult AIDS patients out of 1,494 AIDS cases registered in a hospital in Fortaleza, Brazil, was investigated between 1986 and 1998. Sixteen cases were excluded due to death at the moment of the AIDS diagnosis and 486 were analyzed in the study. Socioeconomic and clinical epidemiological were the variables studied. Statistical analysis was conducted using the Kaplan-Meier survival analysis and the Cox proportional hazards model. RESULTS: Three hundred and sixty two out of the 486 patients studied took at least one antiretroviral drug and their survival was ten times longer than those who did not take any drug (746 and 79 days, respectively, p <0.001). Patients who took two nucleoside reverse transcriptase inhibitors (NRTI) plus protease inhibitor were found to have higher survival rates (p <0.001). The risk of dying in the first year was significantly lower for patients who took NRTI and a protease inhibitor compared to those who took only NRTI. In addition, this risk was much lower from the second year on (0.10; 95%CI: 0.42-0.23). The risk of dying in the first year was significantly higher for less educated patients (15.58; 95%CI: 6.64-36.58) and those who had two or more systemic diseases (3.03; 95%CI: 1.74-5.25). After the first year post-diagnosis, there was no risk difference for these factors. CONCLUSIONS: Higher education revealed to exert a significant influence in the first-year survival. Antiretroviral drugs had a greater impact in the survival from the second year on. A more aggressive antiretroviral therapy started earlier could benefit those patients.

Porto: cidade amiga das pessoas idosas. Um estudo centrado na perspectiva de idosos das freguesias de S. Nicolau e Sé

Uma cidade amiga das pessoas idosas é um meio urbano onde são proporcionadas condições de saúde, segurança e participação que permitem às pessoas mais velhas envelhecerem activamente e viverem com dignidade. A nossa investigação, de natureza qualitativa e exploratória, teve como objectivo verificar se a cidade do Porto possui características de uma cidade amiga das pessoas idosas, na perspectiva de idosos residentes neste meio urbano. Para tal, realizamos dois focus groups com idosos habitantes nas Freguesias de S. Nicolau e Sé, seleccionados a partir de uma amostragem por conveniência, tendo sido utilizado um guião de entrevista constituído pelas categorias: espaços exteriores e edifícios; transportes; habitação; respeito e inclusão social; participação social; participação cívica e emprego; comunicação e informação; apoio comunitário e serviços de saúde. No nosso estudo, foi possível constatar que os participantes, apesar de se manifestarem genericamente satisfeitos com a sua vida na cidade do Porto e identificarem algumas características desse meio urbano que podem ser consideradas como amigas das pessoas idosas, descreveram um vasto conjunto de condições da cidade que limitam o seu quotidiano. Neste sentido, relativamente aos espaços exteriores, para além de os caracterizarem como inseguros quanto ao crime, reconheceram essencialmente limitações à sua mobilidade e segurança física, tais como os declives acentuados e as irregularidades do terreno de certos passeios, o curto período de tempo proporcionado para que sejam atravessadas algumas passadeiras e o aglomerar de lixo e estacionamento de veículos em locais destinados a peões. Adicionalmente, os participantes manifestaram-se insatisfeitos com o número de autocarros e paragens disponíveis na sua freguesia e identificaram nas habitações existentes na cidade do Porto um elevado nível de degradação estrutural e uma falta generalizada de condições de conforto, acessibilidade e protecção face a condições atmosféricas. Em oposição, foi possível verificar que a maior parte dos participantes se sente respeitado e incluído nas actividades e eventos realizados na sua comunidade. Da mesma forma, mostraram-se satisfeitos com a variedade de actividades em que têm oportunidade de participar, incluindo actividades de voluntariado e trabalho não remunerado. Aspectos característicos de uma cidade amiga do idoso, tais como a aglomeração geográfica dos edifícios públicos e lojas e a existência de serviços de apoio comunitário foram também identificados.

Optimal scheduling of a renewable micro-grid in an isolated load area using mixed-integer linear programming

In the energy management of the isolated operation of small power system, the economic scheduling of the generation units is a crucial problem. Applying right timing can maximize the performance of the supply. The optimal operation of a wind turbine, a solar unit, a fuel cell and a storage battery is searched by a mixed-integer linear programming implemented in General Algebraic Modeling Systems (GAMS). A Virtual Power Producer (VPP) can optimal operate the generation units, assured the good functioning of equipment, including the maintenance, operation cost and the generation measurement and control. A central control at system allows a VPP to manage the optimal generation and their load control. The application of methodology to a real case study in Budapest Tech, demonstrates the effectiveness of this method to solve the optimal isolated dispatch of the DC micro-grid renewable energy park. The problem has been converged in 0.09 s and 30 iterations.

A probabilistic methodology for distributed generation location in isolated electrical service area

Distributed generation unlike centralized electrical generation aims to generate electrical energy on small scale as near as possible to load centers, interchanging electric power with the network. This work presents a probabilistic methodology conceived to assist the electric system planning engineers in the selection of the distributed generation location, taking into account the hourly load changes or the daily load cycle. The hourly load centers, for each of the different hourly load scenarios, are calculated deterministically. These location points, properly weighted according to their load magnitude, are used to calculate the best fit probability distribution. This distribution is used to determine the maximum likelihood perimeter of the area where each source distributed generation point should preferably be located by the planning engineers. This takes into account, for example, the availability and the cost of the land lots, which are factors of special relevance in urban areas, as well as several obstacles important for the final selection of the candidates of the distributed generation points. The proposed methodology has been applied to a real case, assuming three different bivariate probability distributions: the Gaussian distribution, a bivariate version of Freund’s exponential distribution and the Weibull probability distribution. The methodology algorithm has been programmed in MATLAB. Results are presented and discussed for the application of the methodology to a realistic case and demonstrate the ability of the proposed methodology for efficiently handling the determination of the best location of the distributed generation and their corresponding distribution networks.

Phlebotomine fauna in a rural area of the Brazilian Pantanal

The aim of the study was to identify among the phlebotomine fauna potential leishmaniasis vectors. The study was carried out in Corumbá county, State of Mato Grosso do Sul, Mid-West Brazil (18º59'S, 56º39'W). Sand fly captures were undertaken fortnightly with automatic light traps at 11 sites in forested environments and anthropic areas from April 2001 to July 2003. A total of only 41 specimens were captured. Thirty-one percent of the specimens were captured in forests and 68.3% in anthropic areas. The predominance of non-anthropophilic groups and the low density of N. whitmani, a known cutaneous leishmaniasis vector, does not seem to indicate any actual risk of the transmission of this disease in the study area.

Planeamento espacial marinho das áreas marinhas protegidas: o caso de estudo da ára protegida de gestão de recursos: Caloura - ilhéu de Vila Franca do Campo

Tese de Doutoramento, Ciências do Mar (Ecologia Marinha), 26 de Novembro de 2013, Universidade dos Açores.

Integration of biomonitoring and instrumental techniques to assess the air quality in an industrial area located in the coastal of Central Asturias, Spain

Throughout the world, epidemiological studies were established to examine the relationship between air pollution and mortality rates and adverse respiratory health effects. However, despite the years of discussion the correlation between adverse health effects and atmospheric pollution remains controversial, partly because these studies are frequently restricted to small and well-monitored areas. Monitoring air pollution is complex due to the large spatial and temporal variations of pollution phenomena, the high costs of recording instruments, and the low sampling density of a purely instrumental approach. Therefore, together with the traditional instrumental monitoring, bioindication techniques allow for the mapping of pollution effects over wide areas with a high sampling density. In this study, instrumental and biomonitoring techniques were integrated to support an epidemiological study that will be developed in an industrial area located in Gijon in the coastal of central Asturias, Spain. Three main objectives were proposed to (i) analyze temporal patterns of PM10 concentrations in order to apportion emissions sources, (ii) investigate spatial patterns of lichen conductivity to identify the impact of the studied industrial area in air quality, and (iii) establish relationships amongst lichen conductivity with some site-specific characteristics. Samples of the epiphytic lichen Parmelia sulcata were transplanted in a grid of 18 by 20 km with an industrial area in the center. Lichens were exposed for a 5-mo period starting in April 2010. After exposure, lichen samples were soaked in 18-MΩ water aimed at determination of water electrical conductivity and, consequently, lichen vitality and cell damage. A marked decreasing gradient of lichens conductivity relative to distance from the emitting sources was observed. Transplants from a sampling site proximal to the industrial area reached values 10-fold higher than levels far from it. This finding showed that lichens reacted physiologically in the polluted industrial area as evidenced by increased conductivity correlated to contamination level. The integration of temporal PM10 measurements and analysis of wind direction corroborated the importance of this industrialized region for air quality measurements and identified the relevance of traffic for the urban area.

Outermost european regions of the atlantic area network

This paper is part of the results from the project "Implementation Strategies and Development of an Open and Distance Education System for the University of the Azores" funded by the European Social Fund. http://hdl.handle.net/10400.3/2327

Spatial analysis of urban violence based on emergency room data

OBJECTIVE: To estimate the spatial intensity of urban violence events using wavelet-based methods and emergency room data. METHODS: Information on victims attended at the emergency room of a public hospital in the city of São Paulo, Southeastern Brazil, from January 1, 2002 to January 11, 2003 were obtained from hospital records. The spatial distribution of 3,540 events was recorded and a uniform random procedure was used to allocate records with incomplete addresses. Point processes and wavelet analysis technique were used to estimate the spatial intensity, defined as the expected number of events by unit area. RESULTS: Of all georeferenced points, 59% were accidents and 40% were assaults. There is a non-homogeneous spatial distribution of the events with high concentration in two districts and three large avenues in the southern area of the city of São Paulo. CONCLUSIONS: Hospital records combined with methodological tools to estimate intensity of events are useful to study urban violence. The wavelet analysis is useful in the computation of the expected number of events and their respective confidence bands for any sub-region and, consequently, in the specification of risk estimates that could be used in decision-making processes for public policies.

Desenvolvimento de uma plataforma SIG para apoio ao estudo da sismicidade em Portugal

Trabalho Final de Mestrado elaborado no Laboratório Nacional de Engenharia Civil (LNEC) para a obtenção do grau de Mestre em Engenharia Civil pelo Instituto Superior de Engenharia de Lisboa no âmbito do protocolo de cooperação entre o ISEL e o LNEC

Incorporação de resíduos cerâmicos em argamassas de cal aérea sujeitas a condições severas de humidade e salinidade

Trabalho Final de Mestrado para obtenção do grau de Mestre em Engenharia Civil na Área de Especialização de Edificações

Presumed unconstrained dispersal of Aedes aegypti in the city of Rio de Janeiro, Brazil

OBJECTIVE: To evaluate dispersal of Aedes aegypti females in an area with no container manipulation and no geographic barriers to constrain mosquito flight. METHODS: A mark-release-recapture experiment was conducted in December 2006, in the dengue endemic urban district of Olaria in Rio de Janeiro, Southeastern Brazil, where there is no evident obstacle to the dispersal of Ae. aegypti females. Mosquito traps were installed in 192 houses (96 Adultraps and 96 MosquiTRAPs). RESULTS: A total of 725 dust-marked gravid females were released and recapture rate was 6.3%. Ae. aegypti females traveled a mean distance of 288.12 m and their maximum displacement was 690 m; 50% and 90% of females flew up to 350 m and 500.2 m, respectively. CONCLUSIONS: Dispersal of Ae. aegypti females in Olaria was higher than in areas with physical and geographical barriers. There was no evidence of a preferred direction during mosquito flight, which was considered random or uniform from the release point.

Geotecnia urbana da zona ribeirinha de Vila Nova de Gaia: criação de uma base de dados SIG geotécnica

O presente trabalho apresenta os resultados dos estudos geotécnicos e de uma base de dados da zona ribeirinha de Vila Nova de Gaia, com o objectivo de compreender melhor os aspectos geotécnicos em ambiente urbano numa área sensível com um registo histórico de instabilidade de taludes rochosos. Além disso, os escassos estudos científicos recentes de natureza geológica e geotécnica em Vila Nova de Gaia justificam o estudo exploratório da geotecnia urbana da zona ribeirinha de Vila Nova de Gaia. A importância de Vila Nova de Gaia como a terceira maior cidade portuguesa e como centro de intensa actividade económica e cultural despoleta uma constante necessidade de expansão. O aumento da densidade populacional acarreta a realização de projectos complexos de engenharia, utilizando o subsolo para a construção e, com frequência, em terrenos com características geotécnicas desfavoráveis. As cidades de Vila Nova de Gaia e do Porto foram sendo edificadas ao longo de encostas numa plataforma litoral caracterizada por uma vasta área aplanada, inclinando ligeiramente para Oeste. Esta plataforma foi cortada pelo Rio Douro num vale encaixado de vertentes abruptas, nas quais se localizam as zonas ribeirinhas das duas cidades. Este trabalho envolveu, inicialmente, uma caracterização topográfica, morfoestrutural, geotectónica e geomecânica da área de estudo e, numa fase posterior, o desenvolvimento duma base de dados geotécnica. Todos os dados geológicos e geotécnicos locais e os estudos geotécnicos levados a cabo in situ pelas diversas empresas e instituições foram representados cartograficamente numa base apoiada pelos Sistemas de Informação Geográfica (SIG). Esta metodologia inter‐disciplinar foi de grande valor para um melhor conhecimento dos riscos geológico‐geotécnicos ao longo das margens do Rio Douro. De facto, a cartografia geotécnica da zona ribeirinha de Vila Nova de Gaia deve constituir uma ferramenta importante para uma previsão mais rigorosa de futuras instabilidades de taludes e um bom instrumento para a gestão do espaço urbano.

Monitorization of alveolar deposited surface area of nanoparticles and ultrafine particles in different environments

Nanotechnology is an important emerging industry with a projected annual market of around one trillion dollars by 2015. It involves the control of atoms and molecules to create new materials with a variety of useful functions. Although there are advantages on the utilization of these nano-scale materials, questions related with its impact over the environment and human health must be addressed too, so that potential risks can be limited at early stages of development. At this time, occupational health risks associated with manufacturing and use of nanoparticles are not yet clearly understood. However, workers may be exposed to nanoparticles through inhalation at levels that can greatly exceed ambient concentrations. Current workplace exposure limits are based on particle mass, but this criteria could not be adequate in this case as nanoparticles are characterized by very large surface area, which has been pointed out as the distinctive characteristic that could even turn out an inert substance into another substance exhibiting very different interactions with biological fluids and cells. Therefore, it seems that, when assessing human exposure based on the mass concentration of particles, which is widely adopted for particles over 1 μm, would not work in this particular case. In fact, nanoparticles have far more surface area for the equivalent mass of larger particles, which increases the chance they may react with body tissues. Thus, it has been claimed that surface area should be used for nanoparticle exposure and dosing. As a result, assessing exposure based on the measurement of particle surface area is of increasing interest. It is well known that lung deposition is the most efficient way for airborne particles to enter the body and cause adverse health effects. If nanoparticles can deposit in the lung and remain there, have an active surface chemistry and interact with the body, then, there is potential for exposure. It was showed that surface area plays an important role in the toxicity of nanoparticles and this is the metric that best correlates with particle-induced adverse health effects. The potential for adverse health effects seems to be directly proportional to particle surface area. The objective of the study is to identify and validate methods and tools for measuring nanoparticles during production, manipulation and use of nanomaterials.

Avaliação geológica e geotécnica do maciço da Pedreira de S. Domingos n.º 2 (Armamar)

Neste trabalho, apresentam-se e discutem-se os resultados da aplicação da técnica de amostragem linear de descontinuidades em faces expostas do maciço rochoso da pedreira granítica de S. Domingos Nº 2 (Fontelo, Armamar; N de Portugal). É, igualmente, utilizada informação sobre a rede de fracturação regional, obtida através da análise morfoestrutural de mapas topográficos e mapas geológicos. São ainda referidos os métodos utilizados no tratamento dos dados de terreno com o objectivo de definir as famílias de descontinuidades e de caracterizar estatísticamente a sua atitude, espaçamento e extensão. Os resultados obtidos são comparados, à mega escala e macro-escala, no sentido de averiguar a presença de um padrão de fracturação com dimensão multiescala. Esta abordagem foi refinada através da aplicação de Sistemas de Informação Geográfica. A aplicação desta técnica para a caracterização da compartimentação do maciço poderá contribuir para aperfeiçoar a gestão sustentável do georrecurso da pedreira de S. Domingos Nº 2 (Fontelo). O controlo geomecânico do desmonte do maciço rochoso é salientado com o intuito de uma abordagem de geo-engenharia integrada dos maciços rochosos.