The impact of exercise training on liver transplanted familial amyloidotic polyneuropathy (FAP) patients

Liver transplantation is nowadays the only effective answer to adjourn the outcome of functional limitations associated with familial amyloidotic polyneuropathy (FAP), a neurodegenerative disease characterized by sensory and motor polyneuropathies. Nevertheless, there is a detrimental impact associated with the after-surgery period on the fragile physical condition of these patients. Exercise training has been proven to be effective on reconditioning patients after transplantation. However, the effects of exercise training in liver transplanted FAP patients have not been scrutinized yet.

Market impact of international sporting and cultural events

We study market reaction to the announcements of the selected country hosting the Summer and Winter Olympic Games, the World Football Cup, the European Football Cup and World and Specialized Exhibitions. We generalize previous results analyzing a large number and different types of mega-events, evaluate the effects for winning and losing countries, investigate the determinants of the observed market reaction and control for the ex ante probability of a country being a successful bidder. Average abnormal returns measured at the announcement date and around the event are not significantly different from zero. Further, we find no evidence supporting that industries, that a priori were more likely to extract direct benefits from the event, observe positive significant effects. Yet, when we control for anticipation, the stock price reactions around the announcements are significant.

Post-surgical wound infections involving Enterobacteriaceae with reduced susceptibility to ß-lactams in two Portuguese hospitals

The post-surgical period is often critical for infection acquisition. The combination of patient injury and environmental exposure through breached skin add risk to pre-existing conditions such as drug or depressed immunity. Several factors such as the period of hospital staying after surgery, base disease, age, immune system condition, hygiene policies, careless prophylactic drug administration and physical conditions of the healthcare centre may contribute to the acquisition of a nosocomial infection. A purulent wound can become complicated whenever antimicrobial therapy becomes compromised. In this pilot study, we analysed Enterobacteriaceae strains, the most significant gram-negative rods that may occur in post-surgical skin and soft tissue infections (SSTI) presenting reduced β-lactam susceptibility and those presenting extended-spectrum β-lactamases (ESBL). There is little information in our country regarding the relationship between β-lactam susceptibility, ESBL and development of resistant strains of microorganisms in SSTI. Our main results indicate Escherichia coli and Klebsiella spp. are among the most frequent enterobacteria (46% and 30% respectively) with ESBL production in 72% of Enterobacteriaceae isolates from SSTI. Moreover, coinfection occurred extensively, mainly with Pseudomonas aeruginosa and Methicillin-resistant Staphylococcus aureus (18% and 13%, respectively). These results suggest future research to explore if and how these associations are involved in the development of antibiotic resistance.

Contribuição para o planeamento de emergência no concelho da Praia da Vitória: caso de estudo na freguesia da Agualva (Terceira, Açores)

Dissertação de Mestrado, Vulcanologia e Riscos Geológicos, 25 de Novembro de 2013, Universidade dos Açores.

The electric vehicle integration into the power system: an application to the portuguese case

Electric vehicles (EV) offer a great potential to address the integration of renewable energy sources (RES) in the power grid, and thus reduce the dependence on oil as well as the greenhouse gases (GHG) emissions. The high share of wind energy in the Portuguese energy mix expected for 2020 can led to eventual curtailment, especially during the winter when high levels of hydro generation occur. In this paper a methodology based on a unit commitment and economic dispatch is implemented, and a hydro-thermal dispatch is performed in order to evaluate the impact of the EVs integration into the grid. Results show that the considered 10 % penetration of EVs in the Portuguese fleet would increase load in 3 % and would not integrate a significant amount of wind energy because curtailment is already reduced in the absence of EVs. According to the results, the EV is charged mostly with thermal generation and the associated emissions are much higher than if they were calculated based on the generation mix.

Building the «true evolutionism»: Darwin's impact on Henri Bergson's thought

The paper focuses on the importance of Darwin’s work for the shaping of Henri Bergson’s philosophy, bearing on mind that the two authors first intercepted symbolically in 1859, when On the Origin of Species was published and Bergson was born. Bergson studied the biological sciences of his time, whose results were integrated in a metaphysical thought. He belonged to spiritualistic positivism, a philosophy that goes from the positive data of sciences and finds the ultimate explanation of reality in a spiritual principle. He was interested in the positive evolution of the natural world and in the works of naturalists such as Lamarck, De Vries or Eimer. Darwin was among these authors, being responsible for a vision of evolution that went from the scientific level to other domains. Bergson defends the “insufficiency of pure Darwinism” by pointing out the necessity to compensate scientific evolution with an internal metaphysical reading of the real, which he considered to be “true evolutionism”. This criticism is the most visible aspect of the relations between both works. However, an attentive look verifies that Darwin’s influence overcomes the divergence of positions concerning the extent of “evolution”. The French philosopher knew not only the 1859’s bestseller, but also studies by Darwin about ethology, entomology and botany, which contributed to the fact that the naturalist’s impact gained fundamental importance in Bergson’s philosophical perspective.

As duas margens do rio: contrastes urbanos e regulação da violência na escola

o objeto deste artigo é analisar as respostas da escola ao fenômeno da violência em meio escolar e qual a influência das características dos contextos urbanos nesse processo. A identificação de escolas situadas em contextos urbanos fortemente degradados e com elevada conflitualidade e desigualdade social, mas que apresentavam níveis reduzidos de violência no seu interior e, inversamente, escolas com uma frequência elevada de ocorrências que se situavam em contextos urbanos mais estruturados e maioritariamente de classe média, levou- nos a questionar as concepções largamente aceitas e difundidas sobre o aparente contágio de conflitualidade em escolas situadas em meios sociais desfavorecidos. As evidências encontradas na análise dessa relação entre as escolas e o contexto social local permitiram- nos refutar o determinismo das características do meio social sobre as escolas, bem como a consequente incapacidade dessas na regulação e prevenção da violência. o centramento da pesquisa na dimensão organizacional, em concreto nas estratégias definidas e desenvolvidas pelas escolas no combate ao problema da violência, permitiu-nos compreender e demonstrar que as orientações, as práticas e os processos organizacionais têm um papel decisivo na pacificação dos quotidianos escolares.

Impact of socioeconomic status on Brazilian elderly health

OBJECTIVE: To investigate the impact of socioeconomic status on elderly health. METHODS: The study was based on cross-sectional data from Survey on Health, Well-Being, and Aging in Latin America and the Caribbean. The sample comprised 2,143 non-institutionalized elderly aged 60 years and older living in the urban area of São Paulo, southeastern Brazil. Linear regression models estimated the effect of socioeconomic status indicators (years of schooling completed, occupation and purchasing power) on each one of the following health indicators: depression, self-rated health, morbidity and memory capacity. A 5% significance level was set. RESULTS: There was a significant effect of years of education and purchasing power on self-rated health and memory capacity when controlled for the variables number of diseases during childhood, bed rest for at least a month due to health problems during childhood, self-rated health during childhood, living arrangements, sex, age, marital status, category of health insurance, intake of medicines. Only purchasing power had an effect on depression. Despite the bivariate association between socioeconomic status indicators and number of diseases (morbidity), this effect was no longer seen after including the controls in the model. CONCLUSIONS: The study results confirm the association between socioeconomic status indicators and health among Brazilian elderly, but only for some dimensions of socioeconomic status and certain health outcomes.

Edible Azorean macroalgae as source of rich nutrients with impact on human health

Copyright © 2014 Elsevier Ltd. All rights reserved.

Comparison of different breast planning techniques and algorithms for radiation therapy treatment

This work aims at investigating the impact of treating breast cancer using different radiation therapy (RT) techniques – forwardly-planned intensity-modulated, f-IMRT, inversely-planned IMRT and dynamic conformal arc (DCART) RT – and their effects on the whole-breast irradiation and in the undesirable irradiation of the surrounding healthy tissues. Two algorithms of iPlan BrainLAB treatment planning system were compared: Pencil Beam Convolution (PBC) and commercial Monte Carlo (iMC). Seven left-sided breast patients submitted to breast-conserving surgery were enrolled in the study. For each patient, four RT techniques – f-IMRT, IMRT using 2-fields and 5-fields (IMRT2 and IMRT5, respectively) and DCART – were applied. The dose distributions in the planned target volume (PTV) and the dose to the organs at risk (OAR) were compared analyzing dose–volume histograms; further statistical analysis was performed using IBM SPSS v20 software. For PBC, all techniques provided adequate coverage of the PTV. However, statistically significant dose differences were observed between the techniques, in the PTV, OAR and also in the pattern of dose distribution spreading into normal tissues. IMRT5 and DCART spread low doses into greater volumes of normal tissue, right breast, right lung and heart than tangential techniques. However, IMRT5 plans improved distributions for the PTV, exhibiting better conformity and homogeneity in target and reduced high dose percentages in ipsilateral OAR. DCART did not present advantages over any of the techniques investigated. Differences were also found comparing the calculation algorithms: PBC estimated higher doses for the PTV, ipsilateral lung and heart than the iMC algorithm predicted.

Convergência para NZEB de um edifício classificado

Dissertação para obtenção do grau de Mestre em Engenharia Civil na Área de Edificações

Modelo de data mining para detecção de tumores em exames de rastreio

Dissertação para obtenção do grau de Mestre em Engenharia Informática

Management of agricultural waste on a sample of farms on the island of São Miguel (Açores)

Dissertação de Mestrado em Ambiente, Saúde e Segurança.

Valorização energética do biogás de um aterro de resíduos sólidos urbanos

Actualmente, a sociedade depara-se com um enorme desafio: a gestão dos resíduos sólidos urbanos. A sua produção tem vindo a aumentar devido à intensificação das actividades humanas nas últimas décadas. A criação de um sistema de gestão dos resíduos é fundamental para definir prioridades nas acções e metas para que haja uma prevenção na produção de resíduos. Os resíduos sólidos urbanos quando dispostos de forma inadequada podem provocar graves impactos ambientais, tendo sido neste trabalho demonstrado que através de uma gestão eficiente destes é possível aproveitar o potencial energético do biogás e consequentemente diminuir o consumo de combustíveis fósseis reduzindo o impacto ambiental. Os aterros sanitários devem funcionar como a ultima etapa do sistema de tratamento dos resíduos sólidos urbanos e são uma alternativa a ter em conta se forem tomadas todas as medidas necessárias. Estima-se que os aterros sejam responsáveis pela produção de 6-20% do metano existente e que contribuam com 3-4% da produção anual de gases efeito de estufa provenientes de actividades antropogénicas1. É, portanto, fundamental proceder a uma impermeabilização do solo e à criação de condições para recolha do biogás produzido durante a decomposição dos resíduos. Foi estimada a produção de biogás, de acordo com o modelo “LandGEM”, no entanto comparando esta produção com a produção medida pelo explorador, constatou-se uma diferença significativa que pode ser justificada pelo: modo de funcionamento do aterro (longos períodos de paragem); desvio dos resíduos rapidamente biodegradáveis para valorização; a existência de uma percentagem superior ao normal de oxigénio no biogás; a utilização de escórias e cinzas, e a correspondente redução da humidade devido ao compactamento exercido sobre os resíduos durante a sua deposição. Visto tratar-se de um estudo de viabilidade económica da valorização do biogás, foram propostos três cenários para a valorização do biogás. O 1º cenário contempla a instalação de um sistema gerador de energia para comercialização junto da Rede Eléctrica Nacional. O 2º Cenário contempla a instalação de um sistema alternativo de alimentação à caldeira da central de valorização energética de forma a substituir o combustível utilizado actualmente. E o 3º Cenário vem de encontro com os resultados observados actualmente onde se verifica uma reduzida produção/recolha de biogás no aterro. Assim é proposto um sistema gerador de energia que garanta o auto-consumo da exploração do aterro (26 MWh/ano). Qualquer um dos cenários apresenta uma VAL negativa o que leva a concluir que não são viáveis. No entanto, através da análise de sensibilidade, verificamos que estes são claramente afectados por factores como o benefício e o investimento anual, concluindo-se que com alterações nos factores de cálculo, como por exemplo, um aumento no consumo de combustível auxiliar da caldeira (2º cenário), ou com um aumento da factura eléctrica (3º cenário), ou com o aumento do tempo de retorno do investimento inicial(1º cenário), os projectos podem-se tornar viáveis. Por fim importa referir que independentemente da valorização é fundamental continuar a eliminar a máxima quantidade de metano produzida para tentar diminuir o impacto que este tem sobre o ambiente.