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Análise do desempenho hidroenergético de Sistemas de Abastecimento de Água do Município de Marabá/PA, gerenciados pela Unidade de Negócios Tocantins (UNITO), da Companhia de Saneamento do Pará – COSANPA. O estudo foi realizado em 3 fases, tendo informações do Sistema Nacional de Informações sobre Saneamento (SNIS) e da COSANPA. Na fase 1 foi analisada a rotina operacional de abastecimento de água do sistema Nova Marabá - Cidade Nova (16.738 ligações) e do sistema Marabá Pioneira (2.093 ligações) no ano 2010, com ênfase nos volumes produzidos de água e no consumo e custo de energia elétrica; na Fase 2 foram determinados indicadores de desempenho hidroenergético; finalizando, na fase 3 é proposto procedimentos para a melhoria da gestão hidroenergética. Na pesquisa foi verificado que o volume total produzido de água de 15,8 milhões m³/ano requereu 8.817 MWh/ano, resultando em despesa de R$ 2 milhões/ano de energia elétrica, que foi o segundo maior item das despesas de exploração (32,2%) da COSANPA no município de Marabá. A despesa de energia elétrica por ligação foi de R$ 9,32/lig. ano e R$ 7,66/lig. ano nos sistemas da Nova Marabá – Cidade Nova e da Marabá Pioneira, respectivamente, com preço médio global do kWh consumido e despesa média de energia elétrica por metro cúbico de água produzido na Nova Marabá - Cidade Nova (0,23 R$/kWh e 0,14 R$ /m³) e da Marabá Pioneira (0,21 R$/kWh e 0,07 R$/m³), ocorrendo variação dos índices de intensidade energética (kWh/m³) nos SAA. Com o trabalho é proposto procedimentos para aumentar a eficiência do controle hidroenergético na operação dos sistemas, como setorização, macromedição, micromedição, automação, o que trará reflexos positivos na redução dos custos para o abastecimento de água no município de Marabá/PA.

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O trabalho foi realizado na Embrapa Amazônia Oriental, em Belém, Pará, (1º28´ S 48º27´ W de Greenwich), com o objetivo de avaliar a influência da adição da torta de dendê (Elaeis guineensis) como alternativa para suplementação alimentar de ruminantes, em períodos críticos de produção de forragem na Amazônia Oriental. Foram determinadas as características nutricionais da torta de dendê, durante um período de 21 dias, com 16 ovinos, em gaiolas metabólicas individuais, distribuídas em delineamento inteiramente casualizado, em quatro tratamentos e quatro repetições, onde os tratamentos (T1, T2, T3 e T4) continham quicuio-da-amazônia (Brachiaria humidicola) e níveis crescentes de 10%, 20%, 30% e 40% de inclusão de torta de dendê. Os consumos de matéria seca, em g/dia e % do peso vivo, foram de 666,6 e 2,5; 686.9 e 2,4; 649,4 e 2,4; e 540,9 e 2,0, de matéria orgânica 706,5; 710,8; 708,1 e 632,3 g/dia, e de proteína bruta 37,3; 42,9; 58,7 e 56,4 g/dia. O consumo de FDN, em g/dia, foi de 584,7; 583,5; 565,2; 527,0. Os coeficientes de digestibilidade da matéria seca foram de 50,3; 47,8; 52,2; e 55,2%, da matéria orgânica de 50,8; 49,6; 53,5; e 56,3% e de proteína bruta de 48,0; 38,7; 66,8; 69,4%, em T1, T2, T3 e T4, respectivamente. A torta de dendê possui potencial produtivo, com elevada disponibilidade de matéria seca e bom valor nutritivo, constituindo-se em alternativa para ser utilizada como suplemento alimentar para ruminantes, principalmente em períodos críticos de estiagem, em níveis em torno de 30%, e possibilita maior consumo e digestibilidade de matéria seca, matéria orgânica, proteína bruta, com suprimento adequado de energia.

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OBJECTIVE: To analyze the clinical outcome of horizontal ridge augmentation using autogenous block grafts covered with an organic bovine bone mineral (ABBM) and a bioabsorbable collagen membrane. MATERIAL AND METHODS: In 42 patients with severe horizontal bone atrophy, a staged approach was chosen for implant placement following horizontal ridge augmentation. A block graft was harvested from the symphysis or retromolar area, and secured to the recipient site with fixation screws. The width of the ridge was measured before and after horizontal ridge augmentation. The block graft was subsequently covered with ABBM and a collagen membrane. Following a tension-free primary wound closure and a mean healing period of 5.8 months, the sites were re-entered, and the crest width was re-assessed prior to implant placement. RESULTS: Fifty-eight sites were augmented, including 41 sites located in the anterior maxilla. The mean initial crest width measured 3.06 mm. At re-entry, the mean width of the ridge was 7.66 mm, with a calculated mean gain of horizontal bone thickness of 4.6 mm (range 2-7 mm). Only minor surface resorption of 0.36 mm was observed from augmentation to re-entry. CONCLUSIONS: The presented technique of ridge augmentation using autogenous block grafts with ABBM filler and collagen membrane coverage demonstrated successful horizontal ridge augmentation with high predictability. The surgical method has been further simplified by using a resorbable membrane. The hydrophilic membrane was easy to apply, and did not cause wound infection in the rare instance of membrane exposure.

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Objective: The aim of this literature review, performed within the framework of the Swiss governmental Program of Evaluation of Complementary Medicine (PEK), was to investigate costs of complementary and alternative medicine (CAM). Materials and Methods: A systematic literature search was conducted in 11 electronic databases. All retrieved titles and reference lists were also hand-searched. Results: 38 publications were found: 23 on CAM of various definitions (medical and non-medical practitioners, over-the-counter products), 13 on homeopathy, 2 on phytotherapy. Studies investigated different kinds of costs (direct or indirect) and used different methods (prospective or retrospective questionnaires, data analyses, cost-effectiveness models). Most studies report 'out of pocket' costs, because CAM is usually not covered by health insurance. Costs per CAM-treatment / patient / month were AUD 7-66, CAD 250 and GBP 13.62 +/- 1.61. Costs per treatment were EUR 205 (range: 15-1,278), USD 414 +/- 269 and USD 1,127. In two analyses phytotherapy proved to be cost-effective. One study revealed a reduction of 1.5 days of absenteeism from work in the CAM group compared to conventionally treated patients. Another study, performed by a health insurance company reported a slight increase in direct costs for CAM. Costs for CAM covered by insurance companies amounted to approximately 0.2-0.5% of the total healthcare budget (Switzerland, 2003). Publications had several limitations, e.g. efficacy of therapies was rarely reported. As compared to conventional patients, CAM patients tend to cause lower costs. Conclusion: Results suggest lower costs for CAM than for conventional patients, but the limited methodological quality lowers the significance of the available data. Further well-designed studies and models are required.

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BACKGROUND: Aim of this study was to analyse the relationship between popliteal artery aneurysm (PAA) and generalized arteriomegaly. PATIENTS AND METHODS: In this consecutive serie, thirty-three patients (1 woman, mean age 69.7 +/- 9.6 years) undergoing PAA repair between 1996 and 2000 agreed to participate in a duplex screening program to assess the diameters of the infrarenal abdominal aorta, common and external iliac, common and superficial femoral and contralateral popliteal arteries as well as common carotid and brachial arteries. RESULTS: The prevalence of arteriomegaly and aneurysmal disease, respectively, was as follows: abdominal aorta 15/33 (45.5%) and 8/33 (24.2%), common iliac artery 34/66 (51.5%) and 23/66 (34.8%), common femoral artery 55/66 (83.3%) and 7/66 (10.6%) as well as contralateral popliteal artery 7/33 (21.2%) 15/33 (45.5%). Significantly larger carotid artery diameters were found comparing PAA patients with age- and body surface adjusted healthy controls (p < 0.001). Furthermore, patients with multiple peripheral arterial aneurysms had significantly larger diameters of the brachial (p < 0.02) and external iliac (p < 0.005). CONCLUSIONS: Our findings support the hypothesis of a diathesis for a generalized arteriomegaly with a predilection for further aneurysms of the abdominal aorta, iliac arteries, femoral and contralateral popliteal arteries in patients with PAA.

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We investigated whether the human growth hormone (HGH) response to catecholamine depletion differs between fully remitted patients with major depressive disorder and healthy control subjects. Fourteen unmedicated subjects with remitted major depressive disorder (RMDD) and 11 healthy control subjects underwent catecholamine depletion with oral α-methylparatyrosine (AMPT) in a randomized, placebo-controlled, double-blind crossover study. The main outcome measure was the serum level of HGH. The diagnosis × drug interaction for HGH serum concentration was significant (F₁,₂₃ = 7.66, P < 0.02). This interaction was attributable to the HGH level increasing after AMPT administration in the RMDD subjects but not in the healthy subjects. In the RMDD sample, the AMPT-induced increase in HGH concentration correlated inversely with AMPT-induced anxiety symptoms as assessed using the Beck Anxiety Inventory (r = -0.63, P < 0.02). There was a trend toward an inverse correlation of the AMPT-induced HGH concentration changes with AMPT-induced depressive symptoms as measured by the BDI (r = -0.53, P = 0.05). Following catecholamine depletion, the RMDD subjects were differentiated from control subjects by their HGH responses. This finding, together with the negative correlation between HGH response and AMPT-induced anxiety symptoms in RMDD subjects, suggests that AMPT administration results in a deeper nadir in central catecholaminergic transmission, as reflected by a greater disinhibition of HGH secretion, in RMDD subjects versus control subjects.

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The objective of this survey was to determine herd level risk factors for mortality, unwanted early slaughter, and metaphylactic application of antimicrobial group therapy in Swiss veal calves in 2013. A questionnaire regarding farm structure, farm management, mortality and antimicrobial use was sent to all farmers registered in a Swiss label program setting requirements for improved animal welfare and sustainability. Risk factors were determined by multivariable logistic regression. A total of 619 veal producers returned a useable questionnaire (response rate=28.5%), of which 40.9% only fattened their own calves (group O), 56.9% their own calves and additional purchased calves (group O&P), and 2.3% only purchased calves for fattening (group P). A total number of 19,077 calves entered the fattening units in 2013, of which 21.7%, 66.7%, and 11.6% belonged to groups O, O&P, and P, respectively. Mortality was 0% in 322 herds (52.0%), between 0% and 3% in 47 herds (7.6%), and ≥3% in 250 herds (40.4%). Significant risk factors for mortality were purchasing calves, herd size, higher incidence of BRD, and access to an outside pen. Metaphylaxis was used on 13.4% of the farms (7.9% only upon arrival, 4.4% only later in the fattening period, 1.1% upon arrival and later), in 3.2% of the herds of group O, 17.9% of those in group O&P, and 92.9% of those of group P. Application of metaphylaxis upon arrival was positively associated with purchase (OR=8.9) and herd size (OR=1.2 per 10 calves). Metaphylaxis later in the production cycle was positively associated with group size (OR=2.9) and risk of respiratory disease (OR=1.2 per 10% higher risk) and negatively with the use of individual antimicrobial treatment (OR=0.3). In many countries, purchase and a large herd size are inherently connected to veal production. The Swiss situation with large commercial but also smaller herds with little or no purchase of calves made it possible to investigate the effect of these factors on mortality and antimicrobial drug use. The results of this study show that a system where small farms raise the calves from their own herds has a substantial potential to improve animal health and reduce antimicrobial drug use.

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Compressional (Vp) and shear (Vs) wave velocities have been measured to 10 kb in 32 cores of basalt from 14 Pacific sites of the Deep Sea Drilling Project. Both Vp and V s show wide ranges (3.70 to 6.38 km/sec for Vp and 1.77 to 3.40 km/sec for V s at 0.5 kb) which are linearly related to density and sea floor age, confirming earlier findings by Christensen and Salisbury of decreasing velocity with progressive submarine weathering based on studies of basalts from five sites in the Atlantic. Combined Pacific and Atlantic data give rates of decreasing velocity of -1.89 and -1.35 km/sec per 100 my for Vp and Vs respectively. New analyses of oceanic seismic refraction data indicate a decrease in layer 2 velocities with age similar to that observed in the laboratory, suggesting that weathering penetrates to several hundred meters in many regions and is largely responsible for the extreme range and variability of layer 2 refraction velocities.

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Evidence for the dissolution of biogenic silica at the base of pelagic sections supports the hypothesis that much of the chert formed in the Pacific derives from the dissolution and reprecipitation of this silica by hydrothermal waters. As ocean bottom waters flow into and through the crust, they become warmer. Initially they remain less saturated with respect to dissolved silica than pore water in the overlying sediments. With the diffusion of heat, dissolved ions, and to some extent the advection of water itself, biogenic silica in the basal part of the sedimentary section is dissolved. Upon conductively cooling, these pore waters precipitate chert layers. The most common thickness for the basal silica-free zone (20 m) lies below the most common height of the top of the chert interval above basement (50 m). This mode of chert formation explains the frequent occurrence of chert layers at very shallow subbottom depths in pelagic sections of the Pacific. It is also consistent with the common occurrence of cherts

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Fil: Palacios, Analía Mirta. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

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Neogene stratigraphy of the tropical and subtropical Pacific on radiolaria is studied in the book. A detailed comparison of coeval systems from tropics and subtropics is given. A possibility of use of a uniform zonal scale in these areas is proved. Magnitude of changes of complexes on borders of Neogene zones is studied in detail. Six stages in development of radiolarians are identified in the tropics in Neogene. Stratigraphic levels, where the greatest changes of fauna occurred, are natural boundaries of these stages. 72 species of radiolarians (two of which are new) are described in the book.