Seasonal variation of haemoglobin A1c in a Portuguese adult population

Haemoglobin A1c (Hb A1c) is routinely used for monitoring glycemic control in patients with diabetes. Hb A1c seasonal fluctuations can be directly related to different biological, geographical and cultural influences. Our purpose was to evaluate seasonal variation of Hb A1c in a hospital-based adult population over a period of 5 years.

Cardiac T2-mapping using a fast gradient echo spin echo sequence - first in vitro and in vivo experience

Background: The aim of this study was the evaluation of a fast Gradient Spin Echo Technique (GraSE) for cardiac T2-mapping, combining a robust estimation of T2 relaxation times with short acquisition times. The sequence was compared against two previously introduced T2-mapping techniques in a phantom and in vivo. Methods: Phantom experiments were performed at 1.5 T using a commercially available cylindrical gel phantom. Three different T2-mapping techniques were compared: a Multi Echo Spin Echo (MESE; serving as a reference), a T2-prepared balanced Steady State Free Precession (T2prep) and a Gradient Spin Echo sequence. For the subsequent in vivo study, 12 healthy volunteers were examined on a clinical 1.5 T scanner. The three T2-mapping sequences were performed at three short-axis slices. Global myocardial T2 relaxation times were calculated and statistical analysis was performed. For assessment of pixel-by-pixel homogeneity, the number of segments showing an inhomogeneous T2 value distribution, as defined by a pixel SD exceeding 20 % of the corresponding observed T2 time, was counted. Results: Phantom experiments showed a greater difference of measured T2 values between T2prep and MESE than between GraSE and MESE, especially for species with low T1 values. Both, GraSE and T2prep resulted in an overestimation of T2 times compared to MESE. In vivo, significant differences between mean T2 times were observed. In general, T2prep resulted in lowest (52.4 +/- 2.8 ms) and GraSE in highest T2 estimates (59.3 +/- 4.0 ms). Analysis of pixel-by-pixel homogeneity revealed the least number of segments with inhomogeneous T2 distribution for GraSE-derived T2 maps. Conclusions: The GraSE sequence is a fast and robust sequence, combining advantages of both MESE and T2prep techniques, which promises to enable improved clinical applicability of T2-mapping in the future. Our study revealed significant differences of derived mean T2 values when applying different sequence designs. Therefore, a systematic comparison of different cardiac T2-mapping sequences and the establishment of dedicated reference values should be the goal of future studies.

Indoor air quality in Portuguese schools: levels and sources of pollutants

Indoor air quality (IAQ) parameters in 73 primary classrooms in Porto were examined for the purpose of assessing levels of volatile organic compounds (VOCs), aldehydes, particulate matter, ventilation rates and bioaerosols within and between schools, and potential sources. Levels of VOCs, aldehydes, PM2.5 , PM10 , bacteria and fungi, carbon dioxide (CO2 ), carbon monoxide, temperature and relative humidity were measured indoors and outdoors and a walkthrough survey was performed concurrently. Ventilation rates were derived from CO2 and occupancy data. Concentrations of CO2 exceeding 1000 ppm were often encountered, indicating poor ventilation. Most VOCs had low concentrations (median of individual species <5 μg/m(3) ) and were below the respective WHO guidelines. Concentrations of particulate matter and culturable bacteria were frequently higher than guidelines/reference values. The variability of VOCs, aldehydes, bioaerosol concentrations, and CO2 levels between schools exceeded the variability within schools. These findings indicate that IAQ problems may persist in classrooms where pollutant sources exist and classrooms are poorly ventilated; source control strategies (related to building location, occupant behavior, maintenance/cleaning activities) are deemed to be the most reliable for the prevention of adverse health consequences in children in schools.

Desenvolvimento de método empregando DLLME para extração e pré-concentração de ferro em amostras de água com diferentes salinidades

Neste trabalho foi desenvolvido e validado um método analítico para a determinação de Fe total em amostras de água com diferentes salinidades empregando a microextração líquido-líquido dispersiva (DLLME), seguido de determinação espectrofotométrica na região do ultravioleta-visível. Nas extrações por DLLME, o Fe foi complexado com pirrolidina ditiocarbamato de amônio (APDC) e extraído após a injeção de uma mistura composta de 1,2-diclorobenzeno (solvente extrator) e etanol (solvente dispersor). Os fatores que influenciam a eficiência de extração (tipo e volume de solvente extrator e dispersor, concentração de APDC e tempo de extração) e subsequente determinação espectrofotométrica foram otimizados. Após otimização das condições, a curva de calibração foi linear entre 0,02 e 2,0 mg L-1 (r 2 = 0,9998) e os limites de detecção e quantificação do método foram de 6,1 e 18,3 µg L-1 , respectivamente. O fator de pré-concentração foi de 3,3. A exatidão foi avaliada em termos de recuperação, com variação entre 90 e 102% e desvio padrão relativo (RSD) inferiores a 12%. A exatidão do método também foi avaliada utilizando um material de referência certificado (SRM 1643e, Elementos Traço em Água), o qual apresentou concordância de 104% e RSD de 5%. O método foi aplicado para amostras de água com diferentes salinidades, como água mineral, estuarina e de alto mar. Além disso, o método proposto apresentou concordância da ordem de 95%, quando comparado com o método 1,10-fenantrolina para a determinação de Fe total.

Análise elementar de águas e sumos

A concentração de seis elementos: Cd, Cr, Pb, Ni, Zn e Fe foi medida em sessenta e sete amostras de sumos de fruta 100 %, duas amostras de refrigerantes, dez amostras de concentrados de sumos e sete amostras de águas de diluição utilizadas no processamento dos sumos. As amostras de sumos representam numa prespectiva bastante abrangente o mercado Português de sumos de fruta 100 %. Os refrigerantes concentrados e águas de diluição foram cedidos por duas empresas fabricantes de sumos Portuguesas. As concentrações elementares foram medidas pelas técnicas de FAAS e GFAAS e foi medido também o grau Brix dos sumos. Os factores: fruta, percentagem de fruta, origem, agricultura, tratamento, embalagem, conservação e processo foram obtidos por informação do fabricante nos rótulos dos produtos e por contacto directo. Caracterizou-se o mercado em termos da concentração desses elementos e caracterizou-se a sua diluição comparando-a com valores de referência do mercado Europeu. Mediu-se o grau de associação entre os diversos parâmetros e a concentração final elementar dos sumos e utilizou-se a análise de agrupamentos, a análise de correspondência múltipla e a análise factorial para reestruturar a matriz de dados. Dos resultados obtidos, os sumos de fruta apresentam a seguinte ordem de grandeza nas suas concentrações elementares: Cd

Avaliação de parâmetros respiratórios por espirometria em trabalhadores da panificação da Cidade de Portimão

Desde os tempos da Roma Antiga que se associam problemas respiratórios a trabalhadores da panificação, em parte, provocados pela inalação de substâncias de alto peso molecular como farinhas. A espirometria é uma forma simples de estudar a ventilação pulmonar na qual se obtêm informações acerca de uma possível obstrução, restrição ou situação mista. Pretendeu-se avaliar a Capacidade Vital Forçada, o Volume Expiratório Máximo no Primeiro Segundo e a respectiva razão entre eles, recorrendo à espirometria em trabalhadores da panificação da cidade de Portimão, que aceitaram participar voluntariamente no estudo. A amostra final contemplou 48 trabalhadores. Através da análise dos resultados ficou patente que os trabalhadores com mais de 1O anos de serviço sofrem alterações na função respiratória estatisticamente significativa em relação aos valores de referência (p<0,05). Pode-se, por isso, afirmar que na cidade de Portimão, existe uma relação directa, numa perspectiva a longo prazo, entre a exposição à farinha e a obstrução respiratória. ABSTRACT; Since Rome Ancient times there has been an association between respiratory problems and bakery employees, in part because of the inhalation of substances of high molecular weight such as flours. Spirometry is a simple way to study pulmonary ventilation, through which one can obtain information about a possible obstruction, restriction or mixed situation. The aim of this study is to evaluate the Forced Vital Capacity, Forced Expiratory Volume in One Second and the ratio between them, using spirometry with volunteering bakery workers in the city of Portimão. The final sample compromised 48 workers. lt was evident that individuals working more than 1O years have statistically significant changes in respiratory function (p<0,05), when compared with reference values leading to the conclusion that in the city of Portimão, there is a direct relationship, in a long-term perspective, between exposure to flour and respiratory obstruction.

Avaliação de megadoses de retinol palmitato no pós-parto imediato sobre o retinol do leite de puérperas atendidas no Hospital José Pedro Bezerra, Natal-RN

Vitamin A deficiency (VAD) is a serious public health problem in developing countries, and as a therapeutic and prophylactic measure retinil palmitate is being supplemented. Nevertheless its efficacy has been questioned. The objective of the study was to evaluate the supplementation of two retinil palmitate megadosis on the serum retinol levels of post partum healthy mothers from Dr. José Pedro Bezerra (Hospital Santa Catarina) hospital, Natal - RN. The enrolled women (n=199) were randomly distributed into three studied groups and supplemented with retinil palmitate immediately after delivery with a single 200,000 IU dose (group S1), two 200,000 IU dose (group S2) with 24h difference between the doses, or no supplementation (group C). Among women selected, 143 remained until the end of the study. The influence of vitamin A dietary intake was evaluated during pregnancy and after 30 days of delivery. The average intake of the population was reasonable, but a high prevalence of inadequate intake was found. Retinol in colostrums and mature milk was determined by high performance liquid chromatography (HPLC). The retinol average in colostrums and mature milk in the supplemented and control groups were adequate according to the reference values. In colostrums, women from groups C, S1 and S2 presented retinol averages by milk volume of 94.8 ± 40.2 µg/dL, 92.2 ± 50.0 µg/dL and 91.8 ± 53.7 µg/dL, respectively. No difference was found between these averages (p=0.965), this was also seen when the values where expressed as µg/g of fat (p=0.905). After 30 days of delivery, retinol per milk volume differed between the control group (36.6 ± 17.5 µg/dL) and groups supplemented with 200,000 IU (51.0 ± 28.8 µg/dL) or 400,000 IU (55.2 ± 31.6 µg/dL) of retinil palmitate (p<0,05). Nevertheless, when S1 and S2 groups where compared, no significant difference was found (p=0.97). Considering retinol/g of fat, the means were 12.7 ± 6.7 µg/g, 15.6 ± 8.3 µg/g and 17.2 ± 8.9 µg/g for groups C, S1 and S2, respectively, with significant difference between groups S2 and C (p=0,01). Subclinical VAD prevalence showed a serious public health problem in the study population (32% in colostrums and 31.5% in mature milk). When analyzing the groups separately, the group which received two doses (200,000 IU + 200,000 IU) presented the lowest VAD prevalence (20.7%). Retinil palmitate supplementations of 200,000 IU and 400,000 IU (divided in two doses) in the immediate post partum showed no significant difference. Nevertheless, the 400,000 IU (divided in two doses) supplementation showed a reduction in VAD

Auditoria Energética à Escola Secundária Padre Benjamim Salgado - Vila Nova de Famalicão

A dependência energética das grandes economias mundiais alertou o mundo para a necessidade de mudar o comportamento relativo ao consumo de energia. O aumento dos custos energéticos tem induzido ao uso racional da energia por parte das organizações, implicando uma monitorização permanente nas instalações. A eficiência energética é um tema que tem vindo a assumir grande importância nos dias de hoje na nossa sociedade, não só pelos compromissos internacionais assumidos, como também pelo combate ao desperdício energético. Esta dissertação relata o estágio curricular na Agência de Energia do Ave, que inclui uma auditoria energética à escola Padre Benjamim Salgado. O estágio visou essencialmente a contribuição para um modelo de desenvolvimento sustentável, na procura de alternativas com menor impacto ambiental, introduzindo conceitos de eficiência energética e ambiental nos processos de planeamento. Acções de sensibilização e auditorias energéticas foram os projetos que, durante o período curricular, tiveram maior intervenção por parte do autor desta dissertação, tendo em vista a mudança de hábitos de consumo energético na sociedade. A auditoria energética à escola Padre Benjamim Salgado, Joane Vila Nova de Famalicão, apresenta uma abordagem para a determinação da redução dos custos de energia, mantendo o conforto para os seus ocupantes. A escola em análise configura um Grande Edifício de Serviços (GES) à luz de uma análise térmica feita ao edifício escolar, com os valores de eferência atualizados, com entrada em vigor a 31 de dezembro de 2015, ao abrigo da nova regulamentação (decreto-lei n.º118/2013, 20 de Agosto) verificando-se o cumprimento dos requisitos mínimos definidos na Portaria n.º 349/2013 do atual decreto. Foi ainda efetuada, após um levantamento exaustivo, uma análise detalhada das faturas de energia, gás e água, e de todos os equipamentos consumidores de energia que se encontram instalados na instituição.

Simulação em uso dos pisos de madeira de Eucalyptus sp e Corymbia maculata

A caracterização anatômica, física, mecânica e química da madeira fornece informações importantes para sua melhor utilização. Contudo, para que madeiras se tornem boa opção para o mercado de pisos, adicionalmente é necessária a realização de ensaios que simulem suas reais condições em serviço. Esses ensaios simulam o pisoteio executado pelos sapatos de salto com pequenas áreas de pressão, o arraste e a queda de objetos, a resistência à abrasão da superfície e o atrito oferecido durante o deslocamento de pessoas que caminham sobre ele. Grande dificuldade da seleção de novas madeiras para pisos está na ausência de valores de referência físico-mecânicos. O presente trabalho visou a caracterizar as madeiras de Eucalyptus clöeziana F. Muell, de Eucalyptus microcorys F. Muell e de Corymbia maculata Hook, para as propriedades de densidade básica, retratibilidade, aplicação de carga rolante, de atrito estático e dinâmico, endentação causada por cargas aplicadas em pequenas áreas, impacto da esfera de aço cadente e resistência à abrasão. Foi observado que as madeiras estudadas podem ser utilizadas para a confecção de pisos, de acordo com seus resultados obtidos e por meio de comparações com resultados de literatura.

Management and development of enterprise

The research work is devoted to actual problems of development management of industrial enterprises. The general purpose of this work is the choice and justification of rational enterprise development evaluation model and subsequent application of it for assessment of enterprise development level and also forming of recommendations for enterprise management. Theoretical aspects of development management of enterprises were generalized. The approaches to understanding the essence of development enterprise category and its types were considered. It was investigated the evaluation models of enterprise development, their advantages and disadvantages and the difficulties of their implementation. The requirements for formation of the evaluation system of the enterprise development were summarized. It was determined the features of the formation and application of an Index of Enterprise Development. In the empirical part, data about investigated enterprises was collected from their official websites and also complemented with further data from other statistical websites. The analysis was based on the annual financial statements of companies. To assess the level of enterprise development were chosen model proposed by Feshchur and Samulyak (2010). This model involves the calculation of the Index of Enterprise Development using partial indicators, their reference values and weight. It was conducted an analysis of the development of Ukrainian enterprises that produce sauces. OJSC “LZHK” had the highest value of Index of Enterprise Development, in 2013 and 2015, that consisted 0,78 and 0,76 respectively. In 2014 the highest value for the Index belonged to PJSC “Volynholdinh” and amounted 0,74. OJSC “LZHK” had the highest average value of Index of Enterprise Development by the result of 2013-2015 years, and it consisted 0,70. PJSC “Chumak” had the lowest average value of Index of Enterprise Development obtained the result 0,59. In order to raise the enterprise development level, it was suggested to reduce production costs and staff turnover, increase the involvement of employees.

Rutting performance of asphalt pavements

Cold in-place recycling (CIR) and cold central plant recycling (CCPR) of asphalt concrete (AC) and/or full-depth reclamation (FDR) of AC and aggregate base are faster and less costly rehabilitation alternatives to conventional reconstruction for structurally distressed pavements. This study examines 26 different rehabilitation projects across the USA and Canada. Field cores from these projects were tested for dynamic modulus and repeated load permanent deformation. These structural characteristics are compared to reference values for hot mix asphalt (HMA). A rutting sensitivity analysis was performed on two rehabilitation scenarios with recycled and conventional HMA structural overlays in different climatic conditions using the Mechanistic Empirical Pavement Design (MEPDG). The cold-recycled scenarios exhibited performance similar to that of HMA overlays for most cases. The exceptions were the cases with thin HMA wearing courses and/or very poor cold-recycled material quality. The overall conclusion is that properly designed CIR/FDR/CCPR cold-recycled materials are a viable alternative to virgin HMA materials.

Uso do bivalve límnico Anodontites tenebricosus (LEA, 1834) no biomonitoramento de metais do Rio Ribeira de Iguape

This study investigated the contamination of the Ribeira de Iguape River - RIR by Cd, Zn, Cr and Pb, using the bivalve Anodontites tenebricosus as a biomonitor. Metal concentrations in tissue samples were measured by HR-ICPMS. Bivalve tissues exhibited mean levels of 1.00 µg/g Cd; 152.89 µg/g Zn; 14.79 µg/g Cr and 4.40 µg/g Pb. Lead concentrations were comparable to those reported for moderately contaminated sites. The results showed that Pb is bioavailable to the bivalves, exhibiting high concentrations and exceeding both natural and reference values for human consumption. The freshwater bivalve Anodontites tenebricosus is a suitable biomonitor of contamination by metals.

Harmonised framework for ecological risk assessment of sediments from ports and estuarine zones of North and South Atlantic

This paper presents a harmonised framework of sediment quality assessment and dredging material characterisation for estuaries and port zones of North and South Atlantic. This framework, based on the weight-of-evidence approach, provides a structure and a process for conducting sediment/dredging material assessment that leads to a decision. The main structure consists of step 1 (examination of available data); step 2 (chemical characterisation and toxicity assessment); decision 1 (any chemical level higher than reference values? are sediments toxic?); step 3 (assessment of benthic community structure); step 4 (integration of the results); decision 2 (are sediments toxic or benthic community impaired?); step 5 (construction of the decision matrix) and decision 3 (is there environmental risk?). The sequence of assessments may be interrupted when the information obtained is judged to be sufficient for a correct characterisation of the risk posed by the sediments/dredging material. This framework brought novel features compared to other sediment/dredging material risk assessment frameworks: data integration through multivariate analysis allows the identification of which samples are toxic and/or related to impaired benthic communities; it also discriminates the chemicals responsible for negative biological effects; and the framework dispenses the use of a reference area. We demonstrated the successful application of this framework in different port and estuarine zones of the North (Gulf of Cadiz) and South Atlantic (Santos and Paranagua Estuarine Systems).

As orientações educacionais dos professores, o currículo e a promoção de estilos de vida ativos em educação física

O objetivo do estudo foi analisar e interpretar o currículo que é proporcionado nas escolas secundárias da Região de Lisboa e de como o currículo operacional está relacionado com as orientações educacionais (OE) dos professores. Assim, por um lado quisemos saber como as OE se relacionam com os diferentes níveis de currículo e por outro como é que a finalidade curricular de promover estilos de vida ativos nos alunos é percecionada pelos professores. Este objetivo geral deu origem a cinco objetivos específicos de pesquisa que foram estudados em diferentes etapas da investigação numa abordagem quantitativa/qualitativa com a utilização de diferentes técnicas estatísticas. Na etapa extensiva estudou-se as OE de 352 professores de EF de 79 escolas com o ensino secundário geral através do VOI-SF (value orientation inventory – short form) validado através de uma técnica transcultural permitindo encontrar valores de referência das OE para Portugal. Os professores revelaram alta prioridade em Integração ecológica e Auto-realização e baixa prioridade nas restantes OE. O currículo operacional de EF revelou-se essencialmente desportivo e existiram diferenças estatisticamente significativas em relação às variáveis independentes estudadas (idade e experiência profissional). Através de regressões lineares múltiplas comprovou-se que existe uma relação entre as OE e a oferta curricular. Na etapa intensiva estudou-se 14 professores com perfis representativos das suas OE, examinando-se dez dimensões de análise representativas da interpretação e operacionalização do CNEF (análise de conteúdo). Constata-se que as OE influenciam a leitura, interpretação e operacionalização do currículo (e.g., a coeducação no ensino da EF). Dos 14 professores investigados foram selecionados dois professores com perfis de OE opostos para percebermos o comportamento das OE em contexto de sala de aula. Depois das entrevistas, observação e análise do planeamento constatou-se que os dois professores operacionalizam o conhecimento e o ensino/aprendizagem de forma diferenciada e de acordo com as suas OE.

Estudo da substituição de agregados miúdos naturais por pó de pedra em concreto de cimento portland

The sharp consumption of natural resources by the construction industry has motivated numerous studies concerning the application of waste to replace partially or fully, some materials, such as aggregates, thereby reducing the environmental impact caused by the extraction of sand and crushing process. The application of stone dust from crushing process arising as an aggregate for the production of Portland cement concrete is a viable alternative in view of the high cost of natural sands, in addition to the environmental damage which causes its operation to the environment. The stone dust has reduced cost compared to natural sand because it is produced in the beds of their own quarries, which are usually located close to major urban centers. This study examined the feasibility of using stone dust from the crushing of rock gneisses in the state of Bahia, replacing natural quartz sand. In the development of scientific study was conducted to characterize physical and chemical raw materials applied and molded cylindrical specimens , using as reference values Fck 20, Fck 25 and Fck 30 MPa ( resistance characteristic of the concrete after 28 days) in following compositions stone powder: 10%, 30%, 50 %, 100% and 100% with additive. The specimens were cured and subjected to the tests of compressive strength and water absorption, then the samples were subjected to the tests of X-ray diffraction and scanning electron microscopy. The results obtained showed that the composition with 10% stone powder showed the best results regarding the physical and mechanical tests performed, confirming the reduction in compressive strength and increased water uptake increased as the content of the powder stone in the concrete composition