Diagnóstico diferencial entre Doença de Crohn e Hidradenite Supurativa: relato de caso

Crohn’s disease is a chronic infl ammatory bowel disease with segmental transmural infl ammation, which complicate with formation of fi stulas and abscesses. The hidradenitis suppurativa (HS) is characterized by recurrent abscesses, with a predilection for areas rich in apocrine glands such as the axillary, inguinal and perineal. The differential diagnosis between these diseases is diffi cult and may compromise treatment. Report case: C.R.M.A., 40 year-old, female, white, ileal and colonic Crohn’s disease complicated with perianal and rectovaginal fi stula for 12 years, treated with biological therapy since May 2010. In Sep/2010 presented with an abscess in the buttock D with purulent discharge refractory to the use of ciprofl oxacin and metronidazole. USG: collection of 30 cm3 in buttock D. The diagnosis was HS and the patient underwent extensive surgical removal of the affected areas (10 x 2 cm) with healing by secondary intention. Skin graft performed unsuccessfully in Dec/2010. The patient returned in jan/2011 with a new fi stula at the site of resection, consistent with Crohn’s disease. In fev/2011 underwent drainage of abscesses and placement of setons in perianal fi stulas. Currently in therapy with good biological evolution of fi stulas. The prevalence of HS varies from 0.3 to 4% of the population in general. The axilla is the region most affected and perianal lesions are associated with greater weakness. There are published reports of association between HS and Crohn’s disease sporadically and further studies are needed to assess a common pathogenesis. The differential diagnosis should be performed in all cases planning immediate treatment, avoiding complications and worsening of the patient’s quality of life.

Análise morfométrica e simulação das áreas de preservação permanente de uma bacia hidrográfica

The morphometric characterization of watersheds is of great importance in assisting the planning of these areas to preserve the environment and maintain the quantity and quality of water production. The aim of this study was to characterize the morphology and simulate the areas of permanent preservation according to the Brazilian Forest Code of watershed of the Água-Fria stream. The studied area is located in the municipality of Bofete-SP, between the geographic coordinates: 48° 09' 30" to 48° 18' 30" longitude (WGr) and 22° 58' 30" to 23° 04' 30" latitude S. The results showed a 5th order micro watershed with an area of 152.43 km2 and low drainage density of 1.04 km/km2. Circularity was 0.51 and form factor was 0.41, which is considered low, and therefore with an oblong/oval shape. The sinuosity index of 1.29 revealed a tendency of rectilinear channels with compactness coefficient value of 1.38 and distance of runoff flow of 520m. Simulation of areas of permanent preservation shows an ideal model as the way springs and watercourses should be protected according to the Brazilian Forest Code, amounting to an area of 10.02 km2.

Recomposição florestal visando à conservação de recursos hídricos na bacia do Rio Pardo, SP

The Pardo River Basin represents the situation of disorderly process of use and occupation of land, where forest fragmentation is one of the results. This study evaluated the use of Multicriteria Evaluation in a GIS, specifically through method Weighted Linear Combination, the generation of map of priority areas for forest restoration in the initial part of Rio Pardo Basin, SP, aiming the conservation of water resources. It can be concluded that, the Multicriteria Evaluation in a GIS is appropriate to the mapping of priority areas for forest restoration. The map of suitability for forest recovery may be useful in the environment planning, providing public and environmental agents making decision, based on a method that takes into account the landscape as a whole and the priority is the conservation of water resources.

Simulação para a otimização da colheita da cana-de-açúcar

Pós-graduação em Agronomia (Energia na Agricultura) - FCA

Minimun Riparian Buffer Width for Maintaining Water Quality and Habitat Along Stevens Creek

ABSTRACT Riparian buffer zones are important sites of biodiversity, sediment trapping, pollutant removal, and hydrologic regulation that have significant implications for both people and wildlife. Urbanization’s influence on and need for adequate water quality increases the need for careful planning in regards to riparian areas. Wildlife are key components in the ecosystem functions of riparian zones and require consideration in peri-urban planning as well. This study reviews relevant literature to determine the recommended minimum riparian buffer width for maintaining water quality and habitat along Stevens Creek in Lincoln, Nebraska. Only sources that listed a specific purpose related to water quality and habitat for their buffer width recommendations were considered. The study found that the baseline buffer width recommended for Stevens Creek that would be adequate for both water quality maintenance and basic habitat is 50 ft (15 m) per side. This number may be modified based on other factors such as slope, soil particle size, adjacent land use, the presence of certain wildlife communities, stream size, and stream order.

Optical properties of boron carbide (B5C) thin films fabricated by plasma-enhanced chemical-vapor deposition

Variable angle of incidence spectroscopic ellipsometry was used to determine the optical constants near the band edge of boron carbide (B5C) thin films deposited on glass and n-type Si(111) via plasma-enhanced chemical-vapor deposition. The index of refraction n, the extinction coefficient k, and the absorption coefficient are reported in the photon energy spectrum between 1.24 and 4 eV. Ellipsometry analysis of B5C films on silicon indicates a graded material, while the optical constants of B5C on glass are homogeneous. Line shape analyses of absorption data for the films on glass indicate an indirect transition at approximately 0.75 eV and a direct transition at about 1.5 eV. ©1996 American Institute of Physics.

Simulação para a otimização da colheita da cana-de-açúcar

Pós-graduação em Agronomia (Energia na Agricultura) - FCA

Periocular basal cell carcinoma: cost of topical immunotherapy versus estimated cost of surgical treatment

Purpose: The objective of this study was to compare the estimated cost of clinical and surgical treatment for basl cell carcinoma of the eyelid. Methods: This was a pilot study of 12 patients with basal cell carcinoma receiving treatment with 5% imiquimod cream at the ocular plastic surgery center, medical school University of Sao Paulo (HC-FMUSP, Brazil). The cost of clinical treatment was estimated based on the time of treatment and amount of medication consumed by patients in the home setting. The cost of surgical treatment was estimated by ophthalmologists with experience in reconstructive plastic surgery based on analysis of images of the same patients. Surgeons responded to a questionnaire with four questions about surgical technique, surgical materials required, estimated duration of surgery and type of anesthesia. Results: Immunotherapy lasted from 8 to 12 weeks. All patients reported each cold-stored sachet with 5% imiquimod cream lasted 3 days. According to the institution, a box with 12 sachets costs BRL 480.00. Patients required 1.58-3.11 boxes for complete treatment, corresponding to a total cost of BRL 758.40-1,492.80. Based on image analysis, surgeons evaluated surgery would require 1-3 hours. The estimated cost of surgery room and staff was BRL 263.00, to which the cost of supplies was added. Thus, the total cost of surgical treatment was BRL 272.61-864.82. On the average, immunotherapy was 57,64% more costly than surgical treatment. Conclusions: Malignant eyelid tumors are a common finding in clinical ophthalmology. Surgery is still the treatment of choice at our institution, but immunotherapy with 5% imiquimod cream may be indicated for patients with multiple lesions or high surgical risk and for patients declining surgery for reasons of fear or esthetic concerns. The ability to estimate costs related to the treatment of malignant eyelid tumors is an important aid in the financial planning of health care institutions. Further studies should evaluate the possibility of institutions equating the cost of immunotherapy and surgical treatment by acquiring similar but less expensive medications.

Monte Carlo Semi-Empirical Model for Si(Li) X-Ray Detector: Differences between Nominal and Fitted Parameters.

A detailed characterization of a X-ray Si(Li) detector was performed to obtain the energy dependence of efficiency in the photon energy range of 6.4 - 59.5 keV. which was measured and reproduced by Monte Carlo (MC) simulations. Significant discrepancies between MC and experimental values were found when lhe manufacturer parameters of lhe detector were used in lhe simulation. A complete Computerized Tomagraphy (CT) detector scan allowed to find the correct crystal dimensions and position inside the capsule. The computed efficiencies with the resulting detector model differed with the measured values no more than 10% in most of the energy range.

Estudio e implementación de un algoritmo para la programación óptima de proyectos

Máster Universitario en Sistemas Inteligentes y Aplicaciones Numéricas en Ingeniería (SIANI)

MCAO for Extremely Large Telescopes: the cases of LBT and E-ELT

Several MCAO systems are under study to improve the angular resolution of the current and of the future generation large ground-based telescopes (diameters in the 8-40 m range). The subject of this PhD Thesis is embedded in this context. Two MCAO systems, in dierent realization phases, are addressed in this Thesis: NIRVANA, the 'double' MCAO system designed for one of the interferometric instruments of LBT, is in the integration and testing phase; MAORY, the future E-ELT MCAO module, is under preliminary study. These two systems takle the sky coverage problem in two dierent ways. The layer oriented approach of NIRVANA, coupled with multi-pyramids wavefront sensors, takes advantage of the optical co-addition of the signal coming from up to 12 NGS in a annular 2' to 6' technical FoV and up to 8 in the central 2' FoV. Summing the light coming from many natural sources permits to increase the limiting magnitude of the single NGS and to improve considerably the sky coverage. One of the two Wavefront Sensors for the mid- high altitude atmosphere analysis has been integrated and tested as a stand- alone unit in the laboratory at INAF-Osservatorio Astronomico di Bologna and afterwards delivered to the MPIA laboratories in Heidelberg, where was integrated and aligned to the post-focal optical relay of one LINC-NIRVANA arm. A number of tests were performed in order to characterize and optimize the system functionalities and performance. A report about this work is presented in Chapter 2. In the MAORY case, to ensure correction uniformity and sky coverage, the LGS-based approach is the current baseline. However, since the Sodium layer is approximately 10 km thick, the articial reference source looks elongated, especially when observed from the edge of a large aperture. On a 30-40 m class telescope, for instance, the maximum elongation varies between few arcsec and 10 arcsec, depending on the actual telescope diameter, on the Sodium layer properties and on the laser launcher position. The centroiding error in a Shack-Hartmann WFS increases proportionally to the elongation (in a photon noise dominated regime), strongly limiting the performance. To compensate for this effect a straightforward solution is to increase the laser power, i.e. to increase the number of detected photons per subaperture. The scope of Chapter 3 is twofold: an analysis of the performance of three dierent algorithms (Weighted Center of Gravity, Correlation and Quad-cell) for the instantaneous LGS image position measurement in presence of elongated spots and the determination of the required number of photons to achieve a certain average wavefront error over the telescope aperture. An alternative optical solution to the spot elongation problem is proposed in Section 3.4. Starting from the considerations presented in Chapter 3, a first order analysis of the LGS WFS for MAORY (number of subapertures, number of detected photons per subaperture, RON, focal plane sampling, subaperture FoV) is the subject of Chapter 4. An LGS WFS laboratory prototype was designed to reproduce the relevant aspects of an LGS SH WFS for the E-ELT and to evaluate the performance of different centroid algorithms in presence of elongated spots as investigated numerically and analytically in Chapter 3. This prototype permits to simulate realistic Sodium proles. A full testing plan for the prototype is set in Chapter 4.

Messung der Polarisierbarkeiten des Pions am MAMI

Die elektromagnetischen Polarisierbarkeiten sindfundamentale Strukturkonstanten des Pions, wie die Masse unddie Ladung, und ihre genaue Messung erlaubt, theoretischeModelle zu ueberpruefen, da sie grosse Diskrepanzen in ihrenVorhersagen zeigen. Ein Pilot-Experiment zur Messung dieser Konstanten mit Hilfeder strahlungsbegleiteten Pion-Photoproduktion in der Photon-Nukleon Streuung photon + proton --> photon + pion+ + neutron wurde durchgefuehrt. Es wurde gezeigt, dass diese Reaktioneffizient von Untergrundprozessen getrennt werden kann, undein Auswerteverfahren fuer das endgueltige Experiment wurdevorbereitet. Das Experiment wurde am MAMI-Beschleuniger mitmarkierten Photonen im Energiebereich zwischen 525 und 792MeV durchgefuehrt. In diesem Intervall ist dieEmpfindlichkeit auf die Polarisierbarkeiten am groesstenDie gestreuten Pionen wurden mit Hilfe einer Vieldrahtkammernachgewiesen, waehrend die Photonen- und Neutronenimpulse imTAPS Photon-Spektrometer bzw. in einem Flugzeit-Detektorgemessen wurden. Mit 985 Ereignissen in etwa 200 Strahlstunden wurden dieZiele dieses Pilot-Experiments erfuellt. Ausserdem wurdegezeigt, dass das endgueltige Experiment den im TechnicalProposal vorgesehenen statistischen Fehler erreichen wird.Vorlaeufige differentielle Wirkungsquerschnitte wurden miteinem Model von L. Fil'kov verglichen.

La sostenibilità ambientale dal Progetto Edilizio al Piano Urbano: L'integrazione della variabile energetica nella pianificazione del territorio

La questione energetica ha assunto, negli ultimi anni, un ruolo centrale nel dibattito mondiale in relazione a quattro fattori principali: la non riproducibilità delle risorse naturali, l’aumento esponenziale dei consumi, gli interessi economici e la salvaguardia dell'equilibrio ambientale e climatico del nostro Pianeta. E’ necessario, dunque, cambiare il modello di produzione e consumo dell’energia soprattutto nelle città, dove si ha la massima concentrazione dei consumi energetici. Per queste ragioni, il ricorso alle Fonti Energetiche Rinnovabili (FER) si configura ormai come una misura necessaria, opportuna ed urgente anche nella pianificazione urbanistica. Per migliorare la prestazione energetica complessiva del sistema città bisogna implementare politiche di governo delle trasformazioni che escano da una logica operativa “edificio-centrica” e ricomprendano, oltre al singolo manufatto, le aggregazioni di manufatti e le loro relazioni/ interazioni in termini di input e output materico-energetiche. La sostituzione generalizzata del patrimonio edilizio esistente con nuovi edifici iper-tecnologici, è improponibile. In che modo quindi, è possibile ridefinire la normativa e la prassi urbanistica per generare tessuti edilizi energeticamente efficienti? La presente ricerca propone l’integrazione tra la nascente pianificazione energetica del territorio e le più consolidate norme urbanistiche, nella generazione di tessuti urbani “energy saving” che aggiungano alle prestazioni energetico-ambientali dei singoli manufatti quelle del contesto, in un bilancio energetico complessivo. Questo studio, dopo aver descritto e confrontato le principali FER oggi disponibili, suggerisce una metodologia per una valutazione preliminare del mix di tecnologie e di FER più adatto per ciascun sito configurato come “distretto energetico”. I risultati di tale processo forniscono gli elementi basilari per predisporre le azioni necessarie all’integrazione della materia energetica nei Piani Urbanistici attraverso l’applicazione dei principi della perequazione nella definizione di requisiti prestazionali alla scala insediativa, indispensabili per un corretto passaggio alla progettazione degli “oggetti” e dei “sistemi” urbani.

Infrastrutture per la mobilità, interventi di trasformazione territoriale e valorizzazione immobiliare: una proposta metodologica di approccio integrato

In una situazione caratterizzata dalla scarsità delle risorse finanziare a disposizione degli enti locali, che rende necessario il contributo dei privati alla realizzazione delle opere pubbliche, e dalla scarsità delle risorse ambientali, che impone di perseguire la sostenibilità degli interventi, la tesi si pone l’obiettivo di rendere le realizzazioni di nuove infrastrutture viarie “attive” rispetto al contesto in cui si collocano, garantendo l’impegno di tutte parti coinvolte. Si tratta di ottenere il contributo dei privati oltre che per le opere di urbanizzazione primaria, funzionali all’insediamento stesso, anche per la realizzazione di infrastrutture viarie non esclusivamente dedicate a questo, ma che sono necessarie per garantirne la sostenibilità. Tale principio, che viene anche denominato “contributo di sostenibilità”, comincia oggi a trovare un’applicazione nelle pratiche urbanistiche, sconta ancora alcune criticità, in quanto i casi sviluppati si basano spesso su considerazioni che si prestano a contenziosi tra operatori privati e pubblica amministrazione. Ponendosi come obiettivo la definizione di una metodologia di supporto alla negoziazione per la determinazione univoca e oggettiva del contributo da chiedere agli attuatori delle trasformazioni per la realizzazione di nuove infrastrutture viarie, ci si è concentrati sullo sviluppo di un metodo operativo basato sull’adozione dei modelli di simulazione del traffico a 4 stadi. La metodologia proposta è stata verificata attraverso l’applicazione ad un caso di studio, che riguarda la realizzazione di un nuovo asse viario al confine tra i comuni di Castel Maggiore ed Argelato. L’asse, indispensabile per garantire l’accessibilità alle nuove aree di trasformazione che interessano quel quadrante, permette anche di risolvere alcune criticità viabilistiche attualmente presenti. Il tema affrontato quindi è quello della determinazione del contributo che ciascuno degli utilizzatori del nuovo asse dovrà versare al fine di consentirne la realizzazione. In conclusione, si formulano alcune considerazioni sull’utilità della metodologia proposta e sulla sua applicabilità a casi analoghi.

Riconversione degli impianti saccariferi per la valorizzazione della filiera agro-energetica: analisi di impatto sul comprensorio agricolo

Il presente lavoro trae origine dagli obiettivi e dalle relative misure applicative della riforma dell’OCM zucchero del 2006 e nello specifico dal Piano nazionale per la razionalizzazione e riconversione della produzione bieticolo-saccarifera approvato dal MIPAF nel 2007. Lo studio riguarda la riconversione dello zuccherificio di Finale Emilia (MO), di appartenenza del Gruppo bieticolo-saccarifero Co.Pro.B, in un impianto di generazione di energia elettrica e termica che utilizza biomassa di origine agricola per la combustione diretta. L'alimentazione avviene principalmente dalla coltivazione dedicata del sorgo da fibra (Sorghum bicolor), integrata con risorse agro-forestali. Lo studio mostra la necessità di coltivazione di 4.400 ettari di sorgo da fibra con una produzione annua di circa 97.000 t di prodotto al 75% di sostanza secca necessari per l’alimentazione della centrale a biomassa. L’obiettivo é quello di valutare l’impatto della nuova coltura energetica sul comprensorio agricolo e sulla economia dell’impresa agricola. La metodologia adottata si basa sulla simulazione di modelli aziendali di programmazione lineare che prevedono l’inserimento del sorgo da fibra come coltura energetica nel piano ottimo delle aziende considerate. I modelli predisposti sono stati calibrati su aziende RICA al fine di riprodurre riparti medi reali su tre tipologie dimensionali rappresentative: azienda piccola entro i 20 ha, media da 20 a 50 ha e grande oltre i 50 ha. La superficie di entrata a livello aziendale, se rapportata alla rappresentatività delle aziende dell’area di studio, risulta insufficiente per soddisfare la richiesta di approvvigionamento dell’impianto a biomassa. Infatti con tale incremento la superficie di coltivazione nel comprensorio si attesta sui 2.500 ettari circa contro i 4.400 necessari alla centrale. Lo studio mostra pertanto che occorre un incentivo superiore, di circa 80-90 €/ha, per soddisfare la richiesta della superficie colturale a livello di territorio. A questi livelli, la disponibilità della coltura energetica sul comprensorio risulta circa 9.500 ettari.