Targeted vs. standard treatment against Helicobacter pylori: safety assessment clinical trial

Helicobacter pylori (H. pylori) is a gram negative bacteria that represents a considerable global burden in the world and is related to many gastrointestinal diseases (peptic ulcer, gastric MALT lymphoma or gastric cancer). Currently the triple standard therapy is less used as there is an increase of the clarithromycin resistance. Therefore patients have to receive several lines of treatment with the consequence of adverse events and the possibility to interrupt the treatment. This is why the main objective is to determine if making a culture and antibiogram to do a targeted treatment cause less adverse events with the same eradication than making an empirical treatment to eradicate H. pylori. The secondary objective is to determine the prevalence of resistance to clarithromycin in the province of GironaThis is a multicentre clinical trial without blinding; patients are selected by non-probabilistic sampling, with a total sample of 868 patients randomized in two equal groups of 434 patients in each group. The study will last 2 years. The endpoints will be to evaluate the adverse events and eradication of each group of patients. Also it will be evaluated the resistance to clarithromycin

Determinação voltamétrica do herbicida glifosato em águas naturais utilizando eletrodo de cobre

The aim of this work was to investigate the copper electrode behavior in the voltammetric determination of glyphosate. The best conditions for this determination are phosphate buffer 0.05 mol L-1 and pH 7.3, and the peak potential is observed at 187 mV. LD and LQ values are 59 µg L-1 e 196 µg L-1, respectively. A water sample was analysed for glyphosate and identical results were obtained by using the analytical curve and the standard addition method. The comparison with a voltammetric method with Hg electrode, after a reaction with nitrite, showed quite concordant results for the analysis of the surface water sample. Therefore, the proposed method can be applied to direct determinations of the herbicide in waters, decreasing the time of analysis; besides, the method is in agreement with the "green chemistry" concept.

Percutaneous access versus standard femoral exposure for endovascular abdominal aortic aneurysm repair: a randomized, controlled trial

The treatment of abdominal aortic aneurysm (AAA) has shifted from the exposure of the aorta artery in an open repair technique to a small groin cut in an endovascular repair. Recently, a percutaneous access for endovascular repair has appeared. This new technique aims to minimize the complications of the common femoral artery exposure, the patient discomfort and the length of hospitalizationObjectives: To compare the proportion of discharged patients within the first 48 postoperative hours of two common femoral artery accesses for endovascular repair of AAA: the open exposure technique and the percutaneous technique. Secondary objectives include to evaluate the total procedure time, the femoral access complications, the need for extra analgesia and the patient satisfaction and groin discomfort of the two techniquesDesign: Randomized controlled trial conducted between 2014 and 2017Participants: Patients diagnosed with abdominal aortic aneurysm with elective endovascular repair indication

Letkuventtiilin mitoitus säätökäyttöön

Tässä diplomityössä käydään läpi IEC-60534 -standardin mukainen säätöventtiilin mitoitus kokoonpuristumattomille ja –puristuville virtauksille laskennassa tarvittavine yhtälöineen. Teoreettisessa osassa esitellään RF-letkuventtiilien rakennetta ja ominaisuuksia. Lisäksi käydään läpi putkivirtauksen perusperiaatteita. Koska letkuventtiilissä virtaavana fluidina on usein jokin liete, on työssä esitelty menetelmä lietevirtauksen aiheuttaman paine-eron laskentaan. Työssä on käsitelty myös kavitaation syntyä, laskennalliset mahdollisuudet kavitaation ennustamiseen sekä keinoja kavitaation estämiseksi. Kokeellisessa osassa suoritettiin mittauksia kolmella erikokoisella RF-letkuventtiilillä, joissa kussakin käytettiin kolmea erityyppistä letkua. Mittausten perusteella pystyttiin laskemaan kapasiteettikertoimet sekä määrittämään säätökäyrät mitatuille venttiileille ja letkutyypeille. Näistä tuloksista säätökäyrille sovitettiin yhtälöt, joiden perusteella saatiin laskettua kapasiteettikertoimien arvot myös muille venttiilikoille.

Patson Approach versus the Standard Approach for increasing breast reconstruction rates in women undergoing mastectomy. A randomized, controlled, open-label clinical trial

Breast cancer is the most prevalent neoplasm among women in the majority of countries worldwide. Breast cancer treatment include mastectomy which is associated to strong impact in women. Breast reconstruction is an option for many women to re-establish their body image and also to decrease psychological impact. However, breast reconstruction rates are low and many factors are involved in not undergoing breast reconstruction. Patient involvement in the decision-making process increases breast reconstruction rates and is associated to higher satisfaction and less anxiety and depression symptoms. More physician-patient relation and more education in terms of breast reconstruction are needed to achieve our objective. A new approach of medical care, called Patson Approach, is created in order to meet our goal with more patient involvement, as well as, physician and psychological counsellingObjective: to increase breast reconstruction rates in women who are candidates for breast reconstruction after mastectomy and are included in the Patson Approach compared to women included in the Standard ApproachMethods: the study design will be a randomized, controlled, open-label clinical trial. 62 patients will be recruited during two years and randomly divided in two groups, 31 will be included in the Standard Approach and 31 will be included in the Patson Approach. Preoperative and postoperative appointments are established in order to do a follow-up of the patients and collect all the data

Determinação turbidimétrica do antidepressivo amitriptilina em sistema fia explorando a formação do par iônico com lauril sulfato de sódio

The present work purposes the development of an analytical method for amitriptyline determination in pharmaceutical formulations using FIA system. It was based on interaction of amitriplyline with sodium lauryl sulphate in acid medium (pH 2.5) resulting in the ion-pair formation turbidimetrically detected at 410 nm. The fitting regression equation for range curve from 2.0 x 10-3 up to 3.2 x 10-3 mol L-1 was found to be analytical signal = -2.7417 + 0.1538 [amitriptyline] (r = 0.99991) with a detection limit of 1.8 x 10-3 mol L-1. The precision assessed as relative standard deviation (n = 10) was found to be 2.40 and 1.94%, for the respective concentration of amitriplyline 2.0 x 10-3 and 3.2 x 10-3 mol L-1 and the sample throughout was 60 h-1. The accuracy of method was successfully assessed in pharmaceutical formulation after comparison with a reference analytical method.

A systematic review of Twitter’s hashtags in public health: an example of a globally adopted standard

The objective is to find evidence and make recommendations on the use of Twitter in public health,particularly through the study of hashtags(#). This systematic review shows the use of Twitter in different areas of public health: epidemiological surveillance, health promotion, health protection and disease prevention. Articles on this subject published in indexed journals with impact factor show the importance of conversations to engage the attention of Twitter users by using citations (@ user) and retweets(RT); however, not much importance seems to be given to the use of hashtags(#), which are often assimilated to the concept of keywords. Although tracking recurring hashtagsshould be less expensive than computing Twitter content, the potential of hashtaggeddata has not been properly exploited or recognized over the past years, probably due to the lack of efficient tools.

Internal standard versus external standard calibration: an uncertainty case study of a liquid chromatography analysis

Traditionally, in the cigarettes industry, the determination of ammonium ion in the mainstream smoke is performed by ion chromatography. This work studies this determination and compares the results of this technique with the use of external and internal standard calibration. A reference cigarette sample presented measurement uncertainty of 2.0 μg/cigarette and 1.5 μg/cigarette, with external and internal standard, respectively. It is observed that the greatest source of uncertainty is the bias correction factor and that it is even more significant when using external standard, confirming thus the importance of internal standardization for this correction.

Determinação espectrofotométrica de cloreto em cimento após preparo de amostra por piroidrólise

A method based on pyrohydrolysis was proposed for cement sample preparation and further chloride determination by spectrophotometry using flow injection analysis. Analytical parameters were evaluated and, under the selected conditions, the calibration curve was linear in the range of 0.2 to 10.0 µg mL-1 with r2 = 0.998. The limit of detection was5 µg g-1 of chloride and the relative standard deviation was less than 7%. The proposed pyrohydrolysis method is relatively simple and can be used for sample preparation for further spectrophotometric determination of low concentrations of chloride in cement.

Straightforward synthesis of 2,2,4,4,5,7,7-d7-cholestane: a new deuterated standard in petroleum analysis

A short and efficient synthesis of heptadeuterated 2,2,4,4,5,7,7-d7-cholestane (1) from cholesterol (3) is described. The deuterated material will be useful for the analysis of different sources of petroleum in analytical geochemistry laboratories as internal standard for quantification of steranes via gas chromatography-mass spectrometry (GC-MS).

Polymeeripinnoitteen aiheuttamat itseherätteiset värähtelyt nipillisessä telasysteemissä

Lukuisissa teollisuussovelluksissa materiaalien, kuten paperin ja teräslevyjen, muokkaamiseen käytettävät pyörivät nippitelat kärsivät aina erilaisten herätteiden synnyttämistä mekaanisista värähtelyistä, jotka voivat aiheuttaa virheitä valmistettaviin tuotteisiin. Tässä työssä tutkittiin viskoelastisia polymeerejä ja polymeeripinnoitteen nipilliseen telasysteemiin synnyttämiä haitallisia itseherätteisiä värähtelyjä. Työn polymeerejä käsittelevässä kirjallisuusosassa luotiin katsaus amorfisten polymeerien fysikaalisiin ominaisuuksiin. Kokeellisessa osuudessa tutkittiin tarkemmin kahden amorfisen telapinnoitepolymeerin termoreologisia ja mekaanisia ominaisuuksia suoritettujen DMTA-mittausten perusteella. Sovittamalla toisen polymeerin master-käyrään yleistetty lineaarisen standardiaineen malli saatiin selville polymeerin mekaaniset parametrit ja approksimaatio sen relaksaatiospektrille. Telapinnoitteen nipilliseen systeemiin synnyttämiä itseherätteisiä värähtelyjä ja niiden seurauksia tarkasteltiin kahdelle telalle ja polymeeripinnoitteelle kehitetyn analyyttisen mallin ja numeeristen laskujen avulla. Pinnoite mallinnettiin lineaarisen standardiaineen mukaisesti. Telasysteemin parametrit määritettiin DMTA-mittaustuloksista ja systeemiä vastaavasta koelaitteesta kokeellisella moodianalyysillä ja elementtimenetelmällä. Numeerisesta stabiilisuusanalyysistä ja liikeyhtälöiden integroinneista saadut tulokset kertovat telapinnoitteen aaltomaisista deformaatiomuodoista ja niiden synnyttämistä taajuusalueittain esiintyvistä epästabiileista värähtelyistä. Telasysteemi on epästabiili pinnoitedeformaatiokuvion systeemiin aiheuttaman herätevoiman taajuuden ollessa lähellä systeemin korkeampaa ominaistaajuutta. Numeerisista tuloksista voitiin ennustaa nopean ja hitaan barringin olemassaolo.

Reaktoreiden termisen tehon laskennan epävarmuuksien kartoitus

Diplomityössä selvitettiin Fortum Power and Heat Oy:n Loviisan VVER-440 painevesireaktorilaitosten termisen tehon laskentaan liittyviä epävarmuuksia. Laitoksen turvallisuusteknisissä käyttöehdoissa (TTKE) määrätään reaktorin suurimmaksi sallituksi lämpötehoksi 1500 MW. Tähän perustuen haluttiin selvittää nykyiseen RT1 laskentaan liittyvät epävarmuudet tarkastamalla nykyinen laskenta ja siinä käytetyt termohydrauliset laskentasovitteet. Työn alussa selostetaan lyhyesti Loviisan voimalaitoksen toimintaperiaate, jonka jälkeen esitellään laskentaan osallistuvat prosessimittaukset ja niihin liittyvät epävarmuustekijät. Mittauksille määritettiin epävarmuudet käyttäen hyödyksi komponenttivalmistajien tietoja sekä laitoksen kalibrointitodistuksia ja näiden lisäksi laskettiin standardin mukainen virhe virtauslaipoille. Edellä mainittujen virheiden perusteella voitiin laskea tehon epävarmuudet yksittäiselle höyrystimelle, josta edelleen varianssien summamenetelmällä saatiin reaktorin termiselle teholle 0,78 %:n epävarmuus 95 % luottamustasolla. Laskettua tehon epävarmuutta verrattiin Monte Carlo -menetelmällä suoritettuun tarkistuslaskentaan, jolla termisen tehon epävarmuudeksi saatiin 0,53 %, luottamustason ollessa 95 %. Työssä tarkasteltiin keskiarvotuksen vaikutusta mittausdataan. Näissä tarkasteluissa havaittiin pinnansäädöstä aiheutuva reaktoritehon huojunta, joka oli työn merkittävin havainto.

Spectrophotometric flow injection procedure to indirect determination of paracetamol in pharmaceutical formulations using o-tolidine as reagent

A spectrophotometric flow injection method for the determination of paracetamol in pharmaceutical formulations is proposed. The procedure was based on the oxidation of paracetamol by sodium hypochloride and the determination of the excess of this oxidant using o-tolidine dichloride as chromogenic reagent at 430 nm. The analytical curve was linear in the paracetamol concentration range from 8.50 x 10-6 to 2.51 x 10-4 mol L-1 with a detection limit of 5.0 x 10-6 mol L-1. The relative standard deviation was smaller than 1.2% for 1.20 x 10-4 mol L-1 paracetamol solution (n = 10). The results obtained for paracetamol in pharmaceutical formulations using the proposed flow injection method and those obtained using a USP Pharmacopoeia method are in agreement at the 95% confidence level.

Flow-batch analyser for preparation of calibration standard mixtures in simultaneous multicomponent spectrometric analysis

The application of multivariate calibration techniques to multicomponent analysis by UV-VIS molecular absorption spectrometry is a powerful tool for simultaneous determination of several chemical species. However, when this methodology is accomplished manually, it is slow and laborious, consumes high amounts of reagents and samples, is susceptible to contaminations and presents a high operational cost. To overcome these drawbacks, a flow-batch analyser is proposed in this work. This analyser was developed for automatic preparation of standard calibration and test (or validation) mixtures. It was applied to the simultaneous determination of Cu2+, Mn2+ and Zn2+ in polyvitaminic and polymineral pharmaceutical formulations, using 4-(2-piridilazo) resorcinol as reagent and a UV-VIS spectrophotometer with a photodiode array detector. The results obtained with the proposed system are in good agreement with those obtained by flame atomic absorption spectrometry, which was employed as reference method. With the proposed analyser, the preparation of calibration and test mixtures can be accomplished about four hours, while the manual procedure requires at least two days. Moreover, it consumes smaller amounts of reagents and samples than the manual procedure. After the preparation of calibration and test mixtures, 60 samples h-1 can be carried out with the proposed flow-batch analyser.