Long diagnostic delay in Crohn's disease is associated with complicated disease course and increased operation rate

Background: We have recently shown that the median diagnostic delay to establish Crohn's disease (CD) diagnosis in the Swiss IBD Cohort (SIBDC) was 9 months. Seventy five percent of all CD patients were diagnosed within 24 months. The clinical impact of a long diagnostic delay on the natural history of CD is unknown. Aim: To compare the frequency and type of CD-related complications in the patient groups with long diagnostic delay (>24 months) vs. the ones diagnosed within 24 months. Methods: Retrospective analysis of data from the SIBDCS, comprising a large sample of CD patients followed in hospitals and private practices across Switzerland. Results: Two hundred CD patients (121 female, mean age 44.9 ± 15.0 years, 38% smokers, 71% ever treated with immunomodulators and 35% with anti-TNF) with long diagnostic delay were compared to 697 CD patients (358 female, mean age 39.1 ± 14.9 years, 33% smokers, 74% ever treated with immunomodulators and 33% with anti-TNF) diagnosed within 24 months. No differences in the outcomes were observed between the two patient groups within year one after CD diagnosis. Among those diagnosed 2-5 years ago, CD patients with long diagnostic delay (n = 45) presented more frequently with internal fistulas (11.1% vs. 3.1%, p = 0.03) and bowel stenoses (28.9% vs. 15.7%, p = 0.05), and they more frequently underwent CD-related operations (15.6% vs. 5.0%, p = 0.02) compared to the patients diagnosed within 24 months (n = 159). Among those diagnosed 6-10 years ago, CD patients with long diagnostic delay (n = 48) presented more frequently with extraintestinal manifestations (60.4% vs. 34.6%, p = 0.001) than those diagnosed within 24 months (n = 182). For the patients diagnosed 11-15 years ago, no differences in outcomes were found between the long diagnostic delay group (n = 106) and the one diagnosed within 24 months (n = 32). Among those diagnosed >= 16 years ago, the group with long diagnostic delay (n = 71) more frequently underwent CD-related operations (63.4% vs. 46.5%, p = 0.01) compared to the group diagnosed with CD within 24 months (n = 241). Conclusions: A long diagnostic delay in CD patients is associated with a more complicated disease course and higher number of CD-related operations in the years following the diagnosis. Our results indicate that efforts should be undertaken to shorten the diagnostic delay in CD patients in order to reduce the risk for progression towards a complicated disease phenotype.

Oliorelaatiotietokannan käyttö energianhallintajärjestelmässä

Empower Oy on energia-alan palveluja tarjoava yritys. Energianhallintajärjestelmää käytetään energiatietojen hallintaan ja ylläpitoon sekä tietojen esittämiseen loppukäyttäjille. Palvelun näytöt ja raportit on toteutettu web-pohjaisen käyttöliittymän kautta. Yhtiössä käynnistyi suurprojekti vanhan energianhallintajärjestelmän korvaamiseksi. Vanha järjestelmä otettiin käyttöön vuonna 1995 ja EMS-projekti käynnistettiin vuonna 2001. Diplomityö tehtiin osana EMS-projektia ja työn tavoitteina oli selvittää perusjärjestelmän käyttämän tietokantaratkaisun toimivuutta ja soveltuvuutta tehtävään sekä tutkailla eri tietokantamalleja teoreettisesti. Lisäksi työhön kuului erillisten haku- ja muutoskomponenttien ja rajapintojen toteuttaminen. Näiden avulla voidaan hakea ja muuttaa tietoa perusjärjestelmän pohjalla toimivasta oliorelaatiotietokannasta. Perusjärjestelmän DOR-tietokannaksi (Domain Object Repository) kutsuttu kokonaisuus on olioläheinen tietovarasto, josta tietoa haetaan ilmoittamalla haettavan olion tyyppi ja siihen liitoksissa olevat tyypit. Hakutulokseen mukaan haluttavat ominaisuudet ilmoitetaan kultakin tyypiltä erikseen. Haettaessa ja muutettaessa oliopohjaista DOR-tietoa, tulee noudattaa järjestelmän käyttämiä tietomalleja. Haku- ja muutoskomponentit toteutettiin Microsoftin kehittämällä .NET-teknologialla. Tietokantamallien teoreettinen tarkastelu auttoi ymmärtämään järjestelmän pohjalla toimivaa tietokantaratkaisua. Työssä selvisi, että perusjärjestelmän hyödyntämä oliorelaatiotietokanta soveltuu varsin hyvin tarkoitukseensa. Haku- ja muutoskomponenttien toteutus onnistui ja ne toimivat helppokäyttöisenä rajapintana energianhallintajärjestelmän tietokantaan.

Sähköisen liiketoiminnan vaikutukset suurten energiayhtiöiden myyntitoimintaan

Työn tavoitteena oli selvittää tutkimukseen valittujen energiayhtiöiden TXU Europen, Centrican, RWE:n, Vattenfallin, Royal Dutch/Shellin ja Statoilin sähköisen liiketoiminnan tavoitteita ja tarkoitusta. Ensin käytiin läpi sähköisen liiketoiminnan käsitteitä ja Internetin merkitystä. Seuraavaksi selvitettiin energiamarkkinoilla tapahtuneita muutoksia, joiden puitteissa sähköinen liiketoiminta energiamarkkinoilla tulisi ymmärtää. Lopuksi energiayhtiöiden sähköiset palvelut analysoitiin perusteellisesti tutkimuksessa rakennettua viitekehystä apuna käyttämällä. Tutkimus perustuu täysin julkiseen informaatioon.Tällä hetkellä koko energianmyyntiprosessin suorittaminen alusta loppuun on energiayhtiöiden verkkosivuilla mahdollista. Sivut ovat kehittyneet pelkistä kotisivuista tarjous-, sopimus- ja laskutusprosessitoiminnot sisältäviksi sähköisiksi kauppapaikoiksi. Palveluita on myös vähitellen alettu integroimaan yritysten operatiivisiin järjestelmiin ja räätälöityjen palveluiden kehitys korostuu tulevaisuudessa. Asiakkaan itsepalvelumahdollisuudet lisääntyvät. Lisäarvoa tuovia palveluita kehitetään asiakassuhdetta vähitellen uusilla tuotteilla vahvistaen, laajaan energiayhtiöpohjaan perustuen tai viemällä useita uusia energiaan liittyviä tuotteita ja myös uusia energiatuotteita kerralla markkinoille. Yhteistyön merkitys tuotepakettien kehittämisessä korostuu.

Alteração do comportamento eletroquímico do eletrodo de níquel, em ácido sulfúrico diluído, sob diferentes condições de iluminação

In this paper is presented electrochemical evidences of the influence of the light on the electrochemical behavior of nickel electrode in diluted sulfuric acid. The current densities related with the electrooxidation of the metal decreases when the electrode is under illumination. The corrosion potential, Ecorr , shift to a more positive value in this condition. This effect was observed with polychromatic light and with different wavelength glass filters such as 700 nm and 520 nm. It was observed that increasing the temperature of the solution, the current densities related with cathodic and anodic processes, increases instead of decreases. The activation energy related with the electrooxidation of the electrode was higher under illumination than in the dark. It is suggested that this behavior may be related or with a photo-inhibition effect either with dessorption of adsorbed water involved in the electrooxidation mechanism.

Identifying strategies for mitigating the global warming impact of the EU-25 economy using a multi-objective input-output approach

Global warming mitigation has recently become a priority worldwide. A large body of literature dealing with energy related problems has focused on reducing greenhouse gases emissions at an engineering scale. In contrast, the minimization of climate change at a wider macroeconomic level has so far received much less attention. We investigate here the issue of how to mitigate global warming by performing changes in an economy. To this end, we make use of a systematic tool that combines three methods: linear programming, environmentally extended input output models, and life cycle assessment principles. The problem of identifying key economic sectors that contribute significantly to global warming is posed in mathematical terms as a bi criteria linear program that seeks to optimize simultaneously the total economic output and the total life cycle CO2 emissions. We have applied this approach to the European Union economy, finding that significant reductions in global warming potential can be attained by regulating specific economic sectors. Our tool is intended to aid policymakers in the design of more effective public policies for achieving the environmental and economic targets sought.

Energiatehokkuuden parantaminen teollisuushalleissa - Etelä-Karjalan pienten ja keskisuurten konepaja- ja kunnossapitoyritysten energiaohjelma

Työn tarkoituksena on lisätä Etelä-Karjalan pienten ja keskisuurten konepaja- ja kunnossapitoyritysten tietoisuutta energiatehokkuudesta sekä muista niitä koskettavista energia-asioista. Tietoisuuden lisäämiseksi tutkittiin yritysten energiankulutusta ja kulutustapoja. Tutkimusten pohjalta on kehitetty työkalu, energiaohjelma, jonka avulla tutkimuksen kohteena olleet yritykset voivat itse tarkastella omaa energiankulutustaan ja –tehokkuuttaan. Energiaohjelmaa lähdettiin kehittelemään tutkimuksessa mukana olevan yritysryhmään kuuluvien yritysten haastattelujen pohjalta. Lisäksi muutamiin kohteisiin käytiin tutustumassa energiatehokkuuden mahdollisiin parannuskohtiin paikan päällä. Ohjelma muodostettiin näissä tapahtumissa havainnoitujen tarpeiden pohjalta. Haastattelujen lisäksi tutkimuksessa on käytetty lähteenä myös kirjallisuutta, tärkeimpinä Suomen rakentamismääräyskokoelmat. Ohjelman testausta varten toteutettiin pilottiprojekti, josta saatiin laskennallisesti lupaavia tuloksia. Lämmöntalteenoton lisääminen teollisuushallin poistoilmaan osoittautui hyväksi tavaksi lisätä pilottiprojektissa mukana olleen yrityksen energiatehokkuutta ja hankkeen takaisinmaksuaika jäi alhaiseksi. Jatkoa ajatellen olisi hyvä, jos ohjelmaa voitaisiin kehittää edelleen samankaltaisten kohteiden avulla enemmän yrityksiä palvelevaksi kokonaisuudeksi.

The Present State and Future Prospects of a Manpower Pool as Part of Project Business

This research focused on operation of a manpower pool within a service business unit in Company X and aimed to identify how the operation should be improved in order to get most out of it concerning the future prospects of the service business unit. This was done by analyzing the current state of the manpower pool related operations in means of project business, project management and business models. The objective was to deepen the understanding and to highlight possible areas of improvement. The research was conducted as a qualitative single-case study utilizing also an action research method; the research approach was a combination of conceptual, action-oriented and constructive approaches. The primary data was collected with executing a comprehensive literature review and semi-structured theme interviews. The main results described how the manpower pool operates as part of the service business unit in project business by participating in different types of delivery projects; process flows for the project types were mapped. Project management was analyzed especially from the resource management point of view, and an Excel-based skills analysis model was constructed for this purpose. Utilization of operational business models was also studied to define strategic direction for development activities. The results were benchmarked against two competitors in order to specify lessons to be learnt from their use of operational business models.

Viability of part cargoes in tramp shipping company’s routing and scheduling decisions

Operational excellence of individual tramp shipping companies is important in today’s market, where competition is intense, freight revenues are modest and capital costs high due to global financial crisis, and tighter regulatory framework is generating additional costs and challenges to the industry. This thesis concentrates on tramp shipping, where a tramp operator in a form of an individual case company, specialized in short-sea shipping activities in the Baltic Sea region, is searching ways to map their current fleet operations and better understand potential ways to improve the overall routing and scheduling decisions. The research problem is related to tramp fleet planning where several cargoes are carried on board at the same time, which are here systematically referred to as part cargoes. The purpose is to determine the pivotal dimensions and characteristics of these part cargo operations in tramp shipping, and offer both the individual case company and wider research community better understanding of potential risks and benefits related to utilization of part cargo operations. A mixed method research approach is utilized in this research, as the objectives are related to complex, real-life business practices in the field of supply chain management and more specifically, maritime logistics. A quantitative analysis of different voyage scenarios is executed, including alternative voyage legs with varying cost structure and customer involvement. An on-line-based questionnaire designed and prepared by case company’s decision group again provides desired data of predominant attitudes and views of most important industrial customers regarding the part cargo-related operations and potential future utilization of this business model. The results gained from these quantitative methods are complied with qualitative data collection tools, along with suitable secondary data sources. Based on results and logical analysis of different data sources, a framework for characterizing the different aspects of part cargo operations is developed, utilizing both existing research and empirical investigation of the phenomenon. As conclusions, part cargoes have the ability to be part of viable fleet operations, and even increase flexibility among the fleet to a certain extent. Naturally, several hinderers for this development is recognized as well, such as potential issues with information gathering and sharing, inefficient port activities, and increased transit times.

Évaluation de l'intégration de l'énergie de fonctionnement dans la pratique patrimoniale au Québec

Problèmes d'approvisionnement et de consommation d'énergie, de démographie et d’urbanisation, la conservation du patrimoine bâti se trouve, en ce début de 21e siècle, face à de nombreux défis. Cela d'autant plus que la façon de percevoir le patrimoine bâti a considérablement évolué depuis le début du 20e siècle (chapitre 1) changeant ainsi les raisons qui mènent à l'appropriation d'un bâtiment patrimonial. Face à l'importance accordée aujourd'hui à l'énergie en général et plus particulièrement à celle consommée par les bâtiments (chapitre 2), comment les enjeux liés à la conservation patrimoniale et ceux liés à l'énergie - via son utilisation et sa production - se confrontent-ils ? Si selon les principes du développement durable (chapitre 3) la conservation du patrimoine bâti associée à une gestion efficace de ses besoins énergétiques semble apparaître comme une évidence, qu’en est-il dans la pratique ? Comment les professionnels du patrimoine bâti intègrent-ils les aspects de l'énergie consommée par les bâtiments ? Comment envisagent-ils l'installation et l'utilisation d'énergies renouvelables dans les bâtiments patrimoniaux ? Afin de trouver des réponses issues de la réalité de la pratique patrimoniale québécoise, ce mémoire - en se limitant à des professionnels avec une formation d'architecte (chapitre 4) - cherche à évaluer, d'une part, dans quelle mesure les chartes et lois appliquées au Québec considèrent les questions énergétiques (chapitre 5) et, d'autre part, à définir l'état d'esprit avec lequel les professionnels de la conservation du patrimoine bâti au Québec approchent, dans leur pratique, les questions liées à l'énergie consommée ainsi que l'utilisation d'énergies renouvelables (chapitre 6).

Investigations on TiO2 Based Nanocomposites as Potential Photonic Materials

This Study overviews the basics of TiO2with respect to its structure, properties and applications. A brief account of its structural, electronic and optical properties is provided. Various emerging technological applications utilising TiO2 is also discussed.Till now, exceptionally large number of fundamental studies and application-oriented research and developments has been carried out by many researchers worldwide in TiO2 with its low-dimensional nanomaterial form due to its various novel properties. These nanostructured materials have shown many favourable properties for potential applications, including pollutant photocatalytic decomposition, photovoltaic cells, sensors and so on. This thesis aims to make an in-depth investigation on different linear and nonlinear optical and structural characteristics of different phases of TiO2. Correspondingly, extensive challenges to synthesise different high quality TiO2 nanostructure derivatives such as nanotubes, nanospheres, nanoflowers etc. are continuing. Here, different nanostructures of anatase TiO2 were synthesised and analysed. Morphologically different nanostructures were found to have different impact on their physical and electronic properties such as varied surface area, dissimilar quantum confinement and hence diverged suitability for different applications. In view of the advantages of TiO2, it can act as an excellent matrix for nanoparticle composite films. These composite films may lead to several advantageous functional optical characteristics. Detailed investigations of these kinds of nanocomposites were also performed, only to find that these nanocomposites showed higher adeptness than their parent material. Fine tuning of these parameters helps researchers to achieve high proficiency in their respective applications. These innumerable opportunities aims to encompass the new progress in studies related to TiO2 for an efficient utilization in photo-catalytic or photo-voltaic applications under visible light, accentuate the future trends of TiO2-research in the environment as well as energy related fields serving promising applications benefitting the mankind. The last section of the thesis discusses the applicability of analysed nanomaterials for dye sensitised solar cells followed by future suggestions.

Bounding the role of black carbon in the climate system: a scientific assessment

Black carbon aerosol plays a unique and important role in Earth’s climate system. Black carbon is a type of carbonaceous material with a unique combination of physical properties. This assessment provides an evaluation of black-carbon climate forcing that is comprehensive in its inclusion of all known and relevant processes and that is quantitative in providing best estimates and uncertainties of the main forcing terms: direct solar absorption; influence on liquid, mixed phase, and ice clouds; and deposition on snow and ice. These effects are calculated with climate models, but when possible, they are evaluated with both microphysical measurements and field observations. Predominant sources are combustion related, namely, fossil fuels for transportation, solid fuels for industrial and residential uses, and open burning of biomass. Total global emissions of black carbon using bottom-up inventory methods are 7500 Gg yr�-1 in the year 2000 with an uncertainty range of 2000 to 29000. However, global atmospheric absorption attributable to black carbon is too low in many models and should be increased by a factor of almost 3. After this scaling, the best estimate for the industrial-era (1750 to 2005) direct radiative forcing of atmospheric black carbon is +0.71 W m�-2 with 90% uncertainty bounds of (+0.08, +1.27)Wm�-2. Total direct forcing by all black carbon sources, without subtracting the preindustrial background, is estimated as +0.88 (+0.17, +1.48) W m�-2. Direct radiative forcing alone does not capture important rapid adjustment mechanisms. A framework is described and used for quantifying climate forcings, including rapid adjustments. The best estimate of industrial-era climate forcing of black carbon through all forcing mechanisms, including clouds and cryosphere forcing, is +1.1 W m�-2 with 90% uncertainty bounds of +0.17 to +2.1 W m�-2. Thus, there is a very high probability that black carbon emissions, independent of co-emitted species, have a positive forcing and warm the climate. We estimate that black carbon, with a total climate forcing of +1.1 W m�-2, is the second most important human emission in terms of its climate forcing in the present-day atmosphere; only carbon dioxide is estimated to have a greater forcing. Sources that emit black carbon also emit other short-lived species that may either cool or warm climate. Climate forcings from co-emitted species are estimated and used in the framework described herein. When the principal effects of short-lived co-emissions, including cooling agents such as sulfur dioxide, are included in net forcing, energy-related sources (fossil fuel and biofuel) have an industrial-era climate forcing of +0.22 (�-0.50 to +1.08) W m-�2 during the first year after emission. For a few of these sources, such as diesel engines and possibly residential biofuels, warming is strong enough that eliminating all short-lived emissions from these sources would reduce net climate forcing (i.e., produce cooling). When open burning emissions, which emit high levels of organic matter, are included in the total, the best estimate of net industrial-era climate forcing by all short-lived species from black-carbon-rich sources becomes slightly negative (�-0.06 W m�-2 with 90% uncertainty bounds of �-1.45 to +1.29 W m�-2). The uncertainties in net climate forcing from black-carbon-rich sources are substantial, largely due to lack of knowledge about cloud interactions with both black carbon and co-emitted organic carbon. In prioritizing potential black-carbon mitigation actions, non-science factors, such as technical feasibility, costs, policy design, and implementation feasibility play important roles. The major sources of black carbon are presently in different stages with regard to the feasibility for near-term mitigation. This assessment, by evaluating the large number and complexity of the associated physical and radiative processes in black-carbon climate forcing, sets a baseline from which to improve future climate forcing estimates.

Nasalance and nasality at experimental velopharyngeal openings in palatal prosthesis: a case study

The use of prosthetic devices for correction of velopharyngeal insufficiency (VPI) is an alternative treatment for patients with conditions that preclude surgery and for those individuals with a hypofunctional velopharynx (HV) with a poor prognosis for the surgical repair of VPI. Understanding the role and measuring the outcome of prosthetic treatment of velopharyngeal dysfunction requires the use of tools that allow for documenting pre- and post-treatment outcomes. Experimental openings in speech bulbs have been used for simulating VPI in studies documenting changes in aerodynamic, acoustic and kinematics aspects of speech associated with the use of palatal prosthetic devices. The use of nasometry to document changes in speech associated with experimental openings in speech bulbs, however, has not been described in the literature. Objective: This single-subject study investigated nasalance and nasality at the presence of experimental openings drilled through the speech bulb of a patient with HV. Material and Methods: Nasometric recordings of the word "pato" were obtained under 4 velopharyngeal conditions: no-opening (control condition), no speech bulb, speech bulb with a 20 mm(2) opening, and speech bulb with 30 mm(2) opening. Five speech-language pathologists performed auditory-perceptual ratings while the subject read an oral passage under all conditions. Results: Kruskal-Wallis test showed significant difference among conditions (p=0.0002), with Scheffe post hoc test indicating difference from the no-opening condition. Conclusion: The changes in nasalance observed after drilling holes of known sizes in a speech bulb suggest that nasometry reflect changes in transfer of sound energy related to different sizes of velopharyngeal opening.

Análise energética na produção de feno de Cynodon dactylon (L.) Pers

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Kinetic parameters of polymer degradation by SAPO-37

High density poly(ethylene) has been submitted to thermal degradation alone, and in the presence of silicoaluminophosphate SAPO-37. The processes were carried out in a reactor connected on line to a gas chromatograph/mass spectrometer in order to analyze the evolved products. Polymer degradation was also evaluated by thermogravimetry, from room temperature until 800 degreesC, under nitrogen dynamic atmosphere, with multiple heating rates. From TG curves, the activation energy related to degradation process was calculated using the Flynn and Wall multiple heating rate kinetic model for pure polymer (PE) and for polymer in the presence of catalyst (PE/S37). SAPO-37 showed good selectivity for low molecular mass hydrocarbons in PE catalytic degradation.

CeO2 nanoparticles synthesized by a microwave-assisted hydrothermal method: evolution from nanospheres to nanorods

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