Low dose gemcitabine-loaded lipid nanocapsules target monocytic myeloid-derived suppressor cells and potentiate cancer immunotherapy

International audience

Denominações de origem e indicações geográficas na tradução vitivinícola: problemas terminológicos

O objetivo desta dissertação é examinar problemas terminológicos e a importância da preparação e pesquisa terminológica na tradução especializada. O tema escolhido é a tradução de documentação sobre as Denominações de Origem e Indicações Geográficas dos vinhos portugueses, nomeadamente dos vinhos da Região do Dão. Começa-se por apresentar no Capítulo I uma introdução às Denominações de Origem e as classificações utilizadas para vinhos portugueses. No Capítulo II estudamos os problemas mais comuns dos recursos tradutológicos, contemplando a preparação e a pesquisa terminológica que devem anteceder o processo de tradução, discutindo a bibliografia relevante e caraterizando o corpus de análise. No Capítulo III discutimos os recursos para a tradução vitivinícola. No Capítulo IV contemplamos os problemas de tradução nos documentos escolhidos para a tradução e as suas soluções. Finalmente, apresentamos as conclusões e sugerimos vias para investigações posteriores; Designations of Origin and Geographical Indications in Translating Wine- Related Documents: Terminological Problems ABSTRACT: The purpose of this dissertation is to examine terminological problems and the importance of preparation and terminology work in the field of specialized translation. The chosen topic is the translation of documents containing terminology about Designations of Origin and Geographical Indications of Portuguese wines, namely wines from the Dão region. Chapter I provides an introduction to Designations of Origin in general and then specifically for Portuguese wines. Chapter II examines common translation resource problems and the importance of documentation and terminology work prior to the translation process; then, it discusses the relevant bibliography. Chapter III provides a translation of two documents about Designations of Origin, namely Labelling Regulations and Guide for Technical Procedures of Management and Control for the wines of the Dão. Chapter IV discusses the difficulties and solutions for the translation problems encountered during the process. Finally, the conclusions are shown and suggestions for future research are given.

Fachada flexível para casa padronizada em condomínios

The employment of flexibility in the design of façades makes them adaptable to adverse weather conditions, resulting in both minimization of environmental discomfort and improvement of energy efficiency. The present study highlights the potential of flexible façades as a resource to reduce rigidity and form repetition, which are usually employed in condominiums of standardized houses; as such, the work presented herein contributes to field of study of architectural projects strategies for adapting and integrating buildings within the local climate context. Two façade options were designed using as reference the bionics and the kinetics, as well as their applications to architectural constructions. This resulted in two lightweight and dynamic structures, which cater to constraints of comfort through combinations of movements, which control the impact of solar radiation and of cooling in the environment. The efficacy and technical functionality of the façades were tested with comfort analysis and graphic computation software, as well as with physical models. Thus, the current research contributes to the improvement of architectural solutions aimed at using passive energy strategies in order to offer both better quality for the users and for the sustainability of the planet

Prevalence of chronic diseases in private healthcare sector of South Africa: A threat to public health

Purpose: To evaluate the prevalence of patients suffering from registered chronic disease list (CDL) conditions in a section of the South African private health sector from 2008 - 2012. Methods: This study was a retrospective analysis of the medicine claims database of a nationally (South African) representative Pharmacy Benefit Management (PBM) company data between 2008 and 2012. Statistical analysis was used to analyse the data. Descriptive analysis was performed to calculate the prevalence of CDL conditions for the entire population, and stratified by age and gender. However, MIXED linear modelling was used to determine changes in the average number of CDL conditions per patient, adjusted for age and gender from 2008 - 2012. Results: An increase of 0.20 in chronic diseases was observed from 2008 - 2012 in patients having any CDL condition, with an average of 1.57 (1.57 - 1.58, 95 % CI) co-morbid CDL conditions in 2008 and 1.77 (1.77 - 1.78, 95 % CI) in 2012. This increase in average number of CDL conditions per patient between 2008 and 2012 was statistically significant (p < 0.05), but with no large practical significance (d < 0.8). Conclusion: Prevalence of patients with CDL conditions along with risk of co-morbidity has been increasing with time in the private health sector of South Africa. Risk of increased co-morbidity with age and among different genders was prevalent.

Ickefarmakologiska interventioner vid cancerrelaterad smärta : En litteraturstudie ur ett patientperspektiv

Introduktion: Ett av huvudmålen med omvårdnad är att lindra lidande hos patienter, vilket kan uppnås genom att möta patienten med värdighet och genom att stötta i lidandet. Cancer är en snabbt växande sjukdom där smärta är ett vanligt symtom som orsakar lidande. Smärtan är ofta svårbehandlad och patienter kan uppleva den farmakologiska smärtlindringen som otillräcklig, vilket kan vara anledning till ickefarmakologiska interventioner. Syfte: Syftet med litteraturstudien var att belysa den upplevda effekten av ickefarmakologiska interventioner vid cancerrelaterad smärta. Metod: En litteraturstudie med systematiskt arbetssätt baserat på en nio-stegsmodell av Polit och Beck (2012). Granskning av artiklar utgick från en induktiv process där sammanlagt 10 artiklar kategoriserats. Resultatet delades in i tre kategorier; Lokalstimulerande interventioner, Punktstimulerande interventioner samt Stimuli utan eller med mycket lätt hudkontakt. Resultat: Lokalstimulerande interventioner visade varierande effekter. Vid Punktstimulerande interventioner upplevde majoriteten av patienterna en god effekt. Även Stimuli utan eller med mycket lätt hudkontakt gav en upplevelse av god effekt på smärtan hos deltagarna. Slutsats: De ickefarmakologiska interventioner som gav god effekt på cancerrelaterad smärta var de som administrerades utanför smärtområdet istället för direkt på smärtpunkterna. Genom att integrera resultatet i omvårdnadsarbetet kan patienter smärtlindras till en högre grad och vården kan förbättras.

What Are Effective Program Characteristics of Self-Management Interventions in Patients With Heart Failure? : An Individual Patient Data Meta-analysis

Background To identify those characteristics of self-management interventions in patients with heart failure (HF) that are effective in influencing health-related quality of life, mortality, and hospitalizations. Methods and Results Randomized trials on self-management interventions conducted between January 1985 and June 2013 were identified and individual patient data were requested for meta-analysis. Generalized mixed effects models and Cox proportional hazard models including frailty terms were used to assess the relation between characteristics of interventions and health-related outcomes. Twenty randomized trials (5624 patients) were included. Longer intervention duration reduced mortality risk (hazard ratio 0.99, 95% confidence interval [CI] 0.97–0.999 per month increase in duration), risk of HF-related hospitalization (hazard ratio 0.98, 95% CI 0.96–0.99), and HF-related hospitalization at 6 months (risk ratio 0.96, 95% CI 0.92–0.995). Although results were not consistent across outcomes, interventions comprising standardized training of interventionists, peer contact, log keeping, or goal-setting skills appeared less effective than interventions without these characteristics. Conclusion No specific program characteristics were consistently associated with better effects of self-management interventions, but longer duration seemed to improve the effect of self-management interventions on several outcomes. Future research using factorial trial designs and process evaluations is needed to understand the working mechanism of specific program characteristics of self-management interventions in HF patients.

The quality of the physical environment and its association with activities and well-being among older people in residential care facilities

The physical environment can influence older people’s health and well-being, and is often mentioned as being an important factor for person-centred care. Due to high levels of frail health, many older people spend a majority of their time within care facilities and depend on the physical environment for support in their daily life. However, the quality of the physical environment is rarely evaluated, and knowledge is sparse in terms of how well the environment meets the needs of older people. This is partly due to the lack of valid and reliable instruments that could provide important information on environmental quality. Aim: The aim of this thesis was to study the quality of the physical environment in Swedish care facilities for older people, and how it relates to residents’ activities and well-being. Methods: The thesis comprises four papers where both qualitative and quantitative methods were used. Study I involved the translation and adaptation of the Sheffield Care Environment Assessment Matrix (SCEAM) into a Swedish version (S-SCEAM). Several methods were used including forward and backward translation, test of validity via expert consultation and reliability tests. In Study II, S-SCEAM was used to assess the quality of the environment, and descriptive data were collected from 20 purposively sampled residential care facilities (RCFs). Study III was a comparative case study conducted at two RCFs using observations, interviews and S-SCEAM to examine how the physical environment relates to older people’s activities and interactions. In study IV, multilevel modeling was used to determine the association between the quality of the physical environment and the psychological and social well-being of older people living in RCFs. The data in the thesis were analysed using qualitative content analysis, and descriptive, bivariate and multilevel statistics. Results: A specific result was the production of the Swedish version of SCEAM. The instrument contains 210 items structured into eight domains reflecting the needs of older people. When using S-SCEAM, the results showed a substantial variation in the quality of the physical environment between and within RCFs. In general, private apartments and dining areas had high quality, whereas overall building layout and outdoor areas had lower quality. Also, older people’s safety was supported in the majority of facilities, whereas cognitive support and privacy had lower quality. Further, the results showed that environmental quality in terms of cognitive support was associated with residents’ social well-being. Specific environmental features, such as building design and space size, were also noted, through observation, as influencing residents’ activities, and several barriers were found that seemed to restrict residents’ full use of the environment. Conclusions: This thesis contributes to the growing evidence-based design field. The S-SCEAM can be used in future research on the association between the environment and people’s health and well-being. The instrument could also serve as a guide in the planning and design process of new RCFs.

Les Femmes Fortes de la Scene Medievale : Martyres entre Ciel et Terre Etude comparative des heroines du theatre francais des XIVe-XVIe siecles

Le travail offre une vision d’ensemble des représentations du Moyen Âge tardif (XIVe-XVIe siècles), consacrées à des héroïnes féminines, en vue d’une étude de synthèse encore manquante sur le sujet. Le domaine culturel examiné est français, mais le panorama est élargi aux représentations provençales et toscanes quand on a de traces de représentation en France, même si le texte original est perdu. Les protagonistes des drames conservés sont des héroïnes de la foi : l’étude se focalise en particulier sur les drames qui mettent en scène des martyres. En outre, sont analysés d’un côté deux dialogues dramatiques latins de Hrotsvita (Xe siècle), qui constituent l’exemple le plus ancien d’un drame médiéval consacré à une sainte martyre, dans une perspective comparatiste qui prend aussi en compte la diachronie ; de l’autre côté, sont proposés des excursus sur le culte et l’iconographie ainsi qu’une comparaison avec les légendes hagiographiques. Le commentaire des textes du corpus révèle non seulement leurs qualités poétiques et leurs potentialités performatives, mais il présente aussi les constantes dramaturgiques qui les relient ainsi que les singularités qui les distinguent. Enfin, la comparaison avec deux exemples de drames européens de la même époque qui mettent en scène respectivement une héroïne historique et une figure légendaire, placées dans un horizon mondain et non saint, vient enrichir la lecture de l’héroïne martyre. La thèse se donne pour perspective de montrer que les problèmes posés par les textes (la stigmatisation du sujet féminin libre, la répression de la résistance au pouvoir, la contradiction entre un corps vulnérable et une parole puissante) sont d’un intérêt considérable non seulement pour le lecteur expert, mais aussi pour un spectateur et un metteur en scène potentiels, de sorte que se trouve justifiée la redécouverte de ces représentations médiévales par et sur les scènes d’aujourd’hui.

Long-period oscillations in GPS Up time series. Study over the European/Mediterranean area

The surface of the Earth is subjected to vertical deformations caused by geophysical and geological processes which can be monitored by Global Positioning System (GPS) observations. The purpose of this work is to investigate GPS height time series to identify interannual signals affecting the Earth’s surface over the European and Mediterranean area, during the period 2001-2019. Thirty-six homogeneously distributed GPS stations were selected from the online dataset made available by the Nevada Geodetic Laboratory (NGL) on the basis of the length and quality of the data series. The Principal Component Analysis (PCA) is the technique applied to extract the main patterns of the space and time variability of the GPS Up coordinate. The time series were studied by means of a frequency analysis using a periodogram and the real-valued Morlet wavelet. The periodogram is used to identify the dominant frequencies and the spectral density of the investigated signals; the second one is applied to identify the signals in the time domain and the relevant periodicities. This study has identified, over European and Mediterranean area, the presence of interannual non-linear signals with a period of 2-to-4 years, possibly related to atmospheric and hydrological loading displacements and to climate phenomena, such as El Niño Southern Oscillation (ENSO). A clear signal with a period of about six years is present in the vertical component of the GPS time series, likely explainable by the gravitational coupling between the Earth’s mantle and the inner core. Moreover, signals with a period in the order of 8-9 years, might be explained by mantle-inner core gravity coupling and the cycle of the lunar perigee, and a signal of 18.6 years, likely associated to lunar nodal cycle, were identified through the wavelet spectrum. However, these last two signals need further confirmation because the present length of the GPS time series is still too short when compared to the periods involved.

Models and Simulations of Diamond-like Carbon for large-area high voltage power diodes

Silicon-based discrete high-power devices need to be designed with optimal performance up to several thousand volts and amperes to reach power ratings ranging from few kWs to beyond the 1 GW mark. To this purpose, a key element is the improvement of the junction termination (JT) since it allows to drastically reduce surface electric field peaks which may lead to an earlier device failure. This thesis will be mostly focused on the negative bevel termination which from several years constitutes a standard processing step in bipolar production lines. A simple methodology to realize its counterpart, a planar JT with variation of the lateral doping concentration (VLD) will be also described. On the JT a thin layer of a semi insulating material is usually deposited, which acts as passivation layer reducing the interface defects and contributing to increase the device reliability. A thorough understanding of how the passivation layer properties affect the breakdown voltage and the leakage current of a fast-recovery diode is fundamental to preserve the ideal termination effect and provide a stable blocking capability. More recently, amorphous carbon, also called diamond-like carbon (DLC), has been used as a robust surface passivation material. By using a commercial TCAD tool, a detailed physical explanation of DLC electrostatic and transport properties has been provided. The proposed approach is able to predict the breakdown voltage and the leakage current of a negative beveled power diode passivated with DLC as confirmed by the successfully validation against the available experiments. In addition, the VLD JT proposed to overcome the limitation of the negative bevel architecture has been simulated showing a breakdown voltage very close to the ideal one with a much smaller area consumption. Finally, the effect of a low junction depth on the formation of current filaments has been analyzed by performing reverse-recovery simulations.

The role of the Rocky Mountains in shaping the atmospheric mean state and the response to tropical forcing in idealised simulations.

Understanding the natural and forced variability of the atmospheric general circulation and its drivers is one of the grand challenges in climate science. It is of paramount importance to understand to what extent the systematic error of climate models affects the processes driving such variability. This is done by performing a set of simulations (ROCK experiments) with an intermediate complexity atmospheric model (SPEEDY), in which the Rocky Mountains orography is increased or decreased to influence the structure of the North Pacific jet stream. For each of these modified-orography experiments, the climatic response to idealized sea surface temperature anomalies of varying intensity in the El Niño Southern Oscillation (ENSO) region is studied. ROCK experiments are characterized by variations in the Pacific jet stream intensity whose extension encompasses the spread of the systematic error found in Coupled Model Intercomparison Project (CMIP6) models. When forced with ENSO-like idealised anomalies, they exhibit a non-negligible sensitivity in the response pattern over the Pacific North American region, indicating that the model mean state can affect the model response to ENSO. It is found that the classical Rossby wave train response to ENSO is more meridionally oriented when the Pacific jet stream is weaker and more zonally oriented with a stronger jet. Rossby wave linear theory suggests that a stronger jet implies a stronger waveguide, which traps Rossby waves at a lower latitude, favouring a zonal propagation of Rossby waves. The shape of the dynamical response to ENSO affects the ENSO impacts on surface temperature and precipitation over Central and North America. A comparison of the SPEEDY results with CMIP6 models suggests a wider applicability of the results to more resources-demanding climate general circulation models (GCMs), opening up to future works focusing on the relationship between Pacific jet misrepresentation and response to external forcing in fully-fledged GCMs.

Physical modeling and numerical simulations of degradation mechanisms in devices and insulators for power applications

In this thesis, a TCAD approach for the investigation of charge transport in amorphous silicon dioxide is presented for the first time. The proposed approach is used to investigate high-voltage silicon oxide thick TEOS capacitors embedded in the back-end inter-level dielectric layers for galvanic insulation applications. In the first part of this thesis, a detailed review of the main physical and chemical properties of silicon dioxide and the main physical models for the description of charge transport in insulators are presented. In the second part, the characterization of high-voltage MIM structures at different high-field stress conditions up to the breakdown is presented. The main physical mechanisms responsible of the observed results are then discussed in details. The third part is dedicated to the implementation of a TCAD approach capable of describing charge transport in silicon dioxide layers in order to gain insight into the microscopic physical mechanisms responsible of the leakage current in MIM structures. In particular, I investigated and modeled the role of charge injection at contacts and charge build-up due to trapping and de-trapping mechanisms in the oxide layer to the purpose of understanding its behavior under DC and AC stress conditions. In addition, oxide breakdown due to impact-ionization of carriers has been taken into account in order to have a complete representation of the oxide behavior at very high fields. Numerical simulations have been compared against experiments to quantitatively validate the proposed approach. In the last part of the thesis, the proposed approach has been applied to simulate the breakdown in realistic structures under different stress conditions. The TCAD tool has been used to carry out a detailed analysis of the most relevant physical quantities, in order to gain a detailed understanding on the main mechanisms responsible for breakdown and guide design optimization.

Comparative constitutional design for divided societies: a model to explain vonstitutional asymmetries

Comparative studies on constitutional design for divided societies indicate that there is no magic formula to the challenges that these societies pose, as lots of factors influence constitutional design. In the literature on asymmetric federalism, the introduction of constitutional asymmetries is considered a flexible instrument of ethnic conflict resolution, as it provides a mixture of the two main theoretical approaches to constitutional design for divided societies (i.e., integration and accommodation). Indeed, constitutional asymmetries are a complex and multifaceted phenomenon, as their degree of intensity can vary across constitutional systems, and there are both legal and extra-legal factors that may explain such differences. This thesis argues that constitutional asymmetries provide a flexible model of constitutional design and aims to explore the legal factors that are most likely to explain the different degrees of constitutional asymmetry in divided multi-tiered systems. To this end, the research adopts a qualitative methodology, i.e., Qualitative Comparative Analysis (QCA), which allows an understanding of whether a condition or combination of conditions (i.e., the legal factors) determine the outcome (i.e., high, medium, low degree of constitutional asymmetry, or constitutional symmetry). The QCA is conducted on 16 divided multi-tiered systems, and for each case, the degree of constitutional asymmetry was analyzed by employing standardized indexes on subnational autonomy, allowing for a more precise measure of constitutional asymmetry than has previously been provided in the literature. Overall, the research confirms the complex nature of constitutional asymmetries, as the degrees of asymmetries vary substantially not only across systems but also within cases among the dimensions of subnational autonomy. The outcome of the Qualitative Comparative Analysis also confirms a path of complex causality since the different degrees of constitutional asymmetry always depend on several legal factors, that combined produce a low, medium, or high degree of constitutional asymmetry or, conversely, constitutional symmetry.

Monitoring of macro- and microlitter in the Venice lagoon and coastal area

Marine litter and plastics are a significant and growing marine contaminant that has become a global problem. Macrolitter is subject to fragmentation and degradation due to physical, chemical and biological processes, leading to the formation of micro-litter, the so-called microplastics. The purpose of this research is to assess marine litter pollution by using remote sensing tools to identify areas of macrolitter accumulation and to evaluate the concentrations of microplastics in different environmental matrices: water, sediment and biota (i.e. mussels and fish) and to contribute to the European project MAELSTROM (Smart technology for MArinE Litter SusTainable RemOval and Management). The aim is to monitor the presence of macro- and microlitter at two sites of the Venice coastal area: an abandoned mussel farm at sea and a lagoon site near the artificial Island of Sacca Fisola; The results showed that both study areas are characterised by high amounts of marine litter, but the type of observed litter is different. In fact, in the mussel farm area, most of the litter is linked to aquaculture activities (ropes, nets, mooring blocks and floating buoys). In the Venice lagoon site, the litter comes more from urban activities and from the city of Venice (car tyres, crates, wrecks, etc.). Microplastics is present in both sites and in all the analysed matrices. Generally, higher microplastics concentrations were found at Sacca Fisola (i.e., in surface waters, mussels and fish). Moreover, some differences were also observed in shapes and colours comparing the two sites. At Sacca Fisola, white irregular fragments predominate in water samples, blue filaments in sediment and mussels, and transparent irregular fragments in fish. At the Mussel Farm, blue filaments predominate in water, sediment and mussels, while flat black fragments predominate in fish. These differences are related to the different types of macrolitter that characterised the two areas.