927 resultados para English as an additional language
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Esta dissertação teve como objetivo fundamental a otimização energética do sistema de refrigeração da máquina de impregnar tela ZELL e, como objetivo adicional, a avaliação da qualidade da água do circuito, justificada pela acentuada degradação dos rolos devido à corrosão provocada pela recirculação da água de arrefecimento. Inicialmente fez-se o levantamento de informações do processo produtivo para caracterizar o funcionamento do sistema de refrigeração, tendo-se selecionado duas telas de poliéster designadas neste estudo por P1 e P2 e, também, uma tela de nylon designada por N. Foram efetuados ensaios, um para cada tela, para a atual temperatura de setpoint da água à saída da torre de arrefecimento (30ºC). Realizou-se outro ensaio para a tela N mas com uma temperatura de setpoint de 37ºC, ao qual se chamou N37. Deste modo, determinou-se as potências térmicas removidas pela água de refrigeração e as potências térmicas perdidas por radiação e por convecção, tendo-se verificado que na generalidade dos rolos as referências P1 e P2 apresentam valores mais elevados. Em termos percentuais, a potência térmica removida pela água de refrigeração nos grupos tratores 1 e 3 e no conjunto de rolos de R1 a R29 corresponde a 48%, 10% e 70%, respetivamente. Com a avaliação às necessidades de arrefecimento da máquina ZELL, confirmou-se que os caudais atuais de refrigeração dos rolos garantem condições, mais que suficientes, de funcionamento dos rolamentos. Assim sendo, fez-se uma análise no sentido da diminuição do caudal total que passou de 10,25 L/s para 7,65 L/s. Considerando esta redução, determinou-se o caudal de ar húmido a ser introduzido na torre de arrefecimento. O valor determinado foi de 4,6 m3ar húmido/s, o que corresponde a uma redução de cerca de 32% em relação ao caudal atual que é de 6,8 m3ar húmido/s. Com os resultados das análises efetuadas à água do circuito de refrigeração, concluiu-se que a água de reposição e a água de recirculação possuem má qualidade para uso na generalidade dos sistemas de refrigeração, principalmente devido aos elevados valores de concentração de ferro e condutividade elétrica, responsáveis pela intensificação da corrosão no interior dos rolos.
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We demonstrated through several immunochemical tests the presence of GP-43 from P. brasiliensis in extracts of cutaneous lesions from Jorge Lobo's disease. This glicoprotein is one of the immunodominant antigens in this species, and is used to identify it. The demonstration of GP-43 tissues infected by the agent of Jorge Lobo's disease is an additional evidence for classifying it in the genera Paracoccidioides, species loboi
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A presente dissertação tem como principal propósito avaliar o desempenho energético e a qualidade do ar interior do edifício principal do Parque Biológico de Vila Nova de Gaia (PBG). Para esse efeito, este estudo relaciona os termos definidos na legislação nacional em vigor até à presente data, e referentes a esta área de atuação, em particular, os presentes no SCE, RSECE, RCCTE e RSECE-QAI. Para avaliar o desempenho energético, procedeu-se numa primeira fase ao processo de auditoria no local e posteriormente à realização de uma simulação dinâmica detalhada, cuja modelação do edifício foi feita com recurso ao software DesignBuilder. Após a validação do modelo simulado, por verificação do desvio entre os consumos energéticos registados nas faturas e os calculados na simulação, igual a 5,97%, foi possível efetuar a desagregação dos consumos em percentagem pelos diferentes tipos de utilizações. Foi também possível determinar os IEE real e nominal, correspondendo a 29,9 e 41.3 kgep/m2.ano, respetivamente, constatando-se através dos mesmos que o edifício ficaria dispensado de implementar um plano de racionalização energética (PRE) e que a classe energética a atribuir é a C. Contudo, foram apresentadas algumas medidas de poupança de energia, de modo a melhorar a eficiência energética do edifício e reduzir a fatura associada. Destas destacam-se duas propostas, a primeira propõe a alteração do sistema de iluminação interior e exterior do edifício, conduzindo a uma redução no consumo de eletricidade de 47,5 MWh/ano, com um período de retorno de investimento de 3,5 anos. A segunda está relacionada com a alteração do sistema de produção de água quente para o aquecimento central, através do incremento de uma caldeira a lenha ao sistema atual, que prevê uma redução de 50 MWh no consumo de gás natural e um período de retorno de investimento de cerca de 4 anos. Na análise realizada à qualidade do ar interior (QAI), os parâmetros quantificados foram os exigidos legalmente, excetuando os microbiológicos. Deste modo, para os parâmetros físicos, temperatura e humidade relativa, obtiveram-se os resultados médios de 19,7ºC e 66,9%, respetivamente, ligeiramente abaixo do previsto na legislação (20,0ºC no período em que foi feita a medição, inverno). No que diz respeito aos parâmetros químicos, os valores médios registados para as concentrações de dióxido de carbono (CO2), monóxido de carbono (CO), ozono (O3), formaldeído (HCHO), partículas em suspensão (PM10) e radão, foram iguais a 580 ppm, 0,2 ppm, 0,06 ppm, 0,01 ppm, 0,07 mg/m3 e 196 Bq/m3, respetivamente, verificando-se que estão abaixo dos valores máximos de referência presentes no regulamento (984 ppm, 10,7 ppm, 0,10 ppm, 0,08 ppm, 0,15 mg/m3 e 400 Bq/m3). No entanto, o parâmetro relativo aos compostos orgânicos voláteis (COV) teve um valor médio igual a 0,84 ppm, bastante acima do valor máximo de referência (0,26 ppm). Neste caso, terá que ser realizada uma nova série de medições utilizando meios cromatográficos, para avaliar qual(ais) são o(s) agente(s) poluidor(es), de modo a eliminar ou atenuar as fontes de emissão.
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The possibility of detecting acute infection and immunity using body fluids that are easier to collect than blood, mainly in children, would facilitate the investigation and follow-up of outbreaks of hepatitis A (HAV). Our study was carried out to evaluate the detection of anti-HAV IgM, IgA and total antibodies in saliva using serum samples as reference. Forty three paired serum and saliva samples were analyzed. From this total, 24 samples were obtained from children and 1 from one adult during the course of acute hepatitis A; an additional 18 samples were obtained from health professionals from Adolfo Lutz Institute. The sensitivity to detect anti-HAV IgM was 100% (95%CI: 79.1 to 100.0%), employing saliva as clinical samples. In detecting anti-HAV IgA, the sensitivity was 80.8% (95%CI: 60.0 to 92.7%) and for the total antibodies was 82.1% (95%CI: 62.4 to 93.2%). The specificity was 100% for each. The rate of agreement was high comparing the results of serum and saliva samples for detecting HAV antibodies. We conclude that saliva is an acceptable alternative specimen for diagnosing acute hepatitis A infection, and for screening individuals to receive hepatitis A vaccine or immunoglobulin.
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Dissertação apresentada ao Instituto Politécnico do Porto - Instituto Superior de Contabilidade e Administração do Porto, para obtenção do Grau de Mestre em Assessoria e Administração de Organizações, sob orientação de Anabela Mesquita, PhD
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This article describes a study that investigated the main strategic drivers that influence the implementation of sustainability/social responsibility programs. An online survey was administered to managers of Portuguese organizations with certified management systems. The findings suggest that the implementation of such programs is mainly correlated to: 1.) the approach to understanding and working toward the satisfaction of the community’s needs (in the broad sense of social responsibility); 2.) how systematically sustainability within the organization is identified and managed (e.g., pollution prevention, improved environmental performance, and compliance with the applicable environmental laws); and 3.) the degree to which the organization tries to understand the needs of the employees and works toward satisfying them. In addition to the survey, five interviews with top managers of the surveyed organizations provided some useful insights. There was no consensus on the meaning of sustainability and social responsibility: some described it as an instrumental approach for obtaining better organizational results, while others regarded it as the right thing to do (i.e., it is values driven). In all cases, however, the managers supported a kind of umbrella construct under which different size corporations use different models (for example, the Dow Jones Sustainability Index (DJSI), Global Reporting Initiative (GRI), ISO 14001 environmental management systems), although some managers reported that they simply do not know what to do. All of those surveyed agreed that the lack of a systematic approach could represent a major threat to their organization, making them willing to pay more attention and take more action on the issue of sustainability. An additional suggestion made by managers was to change from a triple bottom line (economic dimension, environmental dimension, social equity dimension) to a quadruple bottom line by adding another dimension: personal and family happiness. This fourth dimension was recognized by the Greek philosopher/thinker Aristotle (384-322 BCE) who thought of happiness as the highest good (virtue) and ultimate goal and purpose of life, achieved through living well, in harmony. Such harmony suggests a balance and a lack of excess—in other words a sustainable existence.
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Rhinoentomophthoramycosis caused by Conidiobolus coronatus in a 61-year old woman was unsuccessfully treated during 8 years with all the antifungals available in the Brazilian market, including potassium iodide for 1 month, sulfamethoxazole plus trimethoprim for 2 months, amphotericin B, total dose of 1130 mg, cetoconazole, 400 mg/day for 6 months, fluconazole, 200 mg/day, for at least 2 months and, itraconazole, 400 mg/day for 2 months, followed by 200 mg/day for 4 more months. Complete clinical and mycological cure was achieved using itraconazol 400 mg/day in association with fluconazol 200 mg/day during 24 months. After cure she was submitted to plastic surgery to repair her facial deformation. Today she remains clinically and mycologically cured after 59/60 months (5 years!) without any specific antifungal. We thus suggest the use of the combination of itraconazole and fluconazole as an additional option for the treatment of this mycosis.
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Simple and rapid latex-based diagnostic tests have been used for detecting specific antigens or antibodies in several diseases. In this article, we present the preliminary results obtained with a latex agglutination test (LAT) for diagnosing neurocysticercosis by detection of antibodies in CSF. A total of 43 CSF samples were assayed by the LAT: 19 CSF samples from patients with neurocysticercosis and 24 CSF samples from patients with other neurologic disorders (neurosyphilis, n = 8; neurotoxoplasmosis, n = 3; viral meningitis, n = 4, chronic headache, n = 9). The LAT exhibited 89.5% sensitivity and 75% specificity. The use of LAT seems to be an additional approach for the screening of neurocysticercosis with advantage of simplicity and rapidity. Further studies could be performed using purified antigens and serum samples.
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INTRODUCTION: Chylothorax is a rare but serious postoperative condition in children with congenital heart disease. Conventional medical treatment consists of specific long-term dietary modification, and surgical reintervention, such as lymphatic duct ligation, may be indicated in refractory cases. In recent years, an additional conservative treatment, octreotide, a synthetic analog of somatostatin, has been used in management of congenital and postoperative chylothorax. METHODS: The objective of this work was to analyze the efficacy and safety of this treatment for chylothorax after congenital heart surgery. We reviewed the records of sixteen patients with chylothorax after surgery for congenital heart disease between January 1999 and December 2007, and collected the following data: demographic information; type of surgical procedure; onset, duration and management of chylothorax and treatment; and duration of hospital stay. To analyze efficacy we compared these parameters in children receiving conventional treatment only with those receiving octreotide. To analyze safety we compared the adverse effects of both treatments. Octreotide was administered at a dose of 4 to 10 microg/kg/hour, with monitoring of side effects. RESULTS: The incidence of chylothorax in our population was 1.6%. It occurred more often after Glenn and Fontan procedures (8 patients). Octreotide was begun three days after diagnosis of chylothorax and continued for a median of seventeen days (ranging from 4 to 26 days), until complete resolution. Side effects were frequent (in 3 of the 8 patients) but of no clinical relevance. All patients responded to the therapy and there was no indication for further surgical intervention. DISCUSSION AND CONCLUSIONS: Octreotide is safe and effective in the treatment of postoperative chylothorax in children with congenital heart disease. It is a useful adjunctive therapy to the conventional treatment of this complication.
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This study aimed to examine the differences in standing balance between individuals with Parkinson's disease (PD) and subjects without PD (control group), under single and dual-task conditions. A cross-sectional study was designed using a non-probabilistic sample of 110 individuals (50 participants with PD and 60 controls) aged 50 years old and over. The individuals with PD were in the early or middle stages of the disease (characterized by Hoehn and Yahr as stages 1-3). The standing balance was assessed by measuring the centre of pressure (CoP) displacement in single-task (eyes-open/eyes-closed) and dual-task (while performing two different verbal fluency tasks). No significant differences were found between the groups regarding sociodemographic variables. In general, the standing balance of the individuals with PD was worse than the controls, as the CoP displacement across tasks was significantly higher for the individuals with PD (p<0.01), both in anteroposterior and mediolateral directions. Moreover, there were significant differences in the CoP displacement based parameters between the conditions, mainly between the eyes-open condition and the remaining conditions. However, there was no significant interaction found between group and condition, which suggests that changes in the CoP displacement between tasks were not influenced by having PD. In conclusion, this study shows that, although individuals with PD had a worse overall standing balance than individuals without the disease, the impact of performing an additional task on the CoP displacement is similar for both groups.
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Leg ulcers constitute a highly prevalent pathology in society, and are particularly common in the Angiology and Vascular Surgery outpatient clinic. The prevalence of these patients in this Department result from the fact that 70% of them display superficial and/or deep venous insufficiency of the lower limbs. To address this problem and optimize the therapeutic approaches available to the Chronic Leg Ulcer (CLU) patients, the Department of Angiology and Vascular Surgery has created, in March 2005, an appointment specific to CLU patients. An evaluation protocol was developed, including ulcer characterization, standardization of the conservative treatment, followed by surgical intervention, whenever required. The results obtained were evaluated 18 months after the onset of this protocol. Analysis of the results revealed that the majority of the patients responded positively to the new therapeutic approach, with closure of the ulcer in 43% of the patients and a significant improvement detected for an additional 30%. Furthermore, it was observed that a detailed evaluation of these patients should be regarded as a whole, followed by a standardized and targeted approach, resulting in a particularly successful approach on the treatment of this pathology.
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É de conhecimento do meio, que os Sistemas de Gestão Técnica Centralizada (SGTC) são uma mais-valia para a redução de utilização de energia associados principalmente aos sistemas de Aquecimento, Ventilação e Ar Condicionado (AVAC) apesar das potencialidades serem abrangentes a outras áreas. No entanto, existe alguma lacuna quanto à quantificação dessa mais-valia, facto importante sobretudo para a alteração de mentalidades dos promotores e proprietários dos edifícios, que por falta de prova, normalmente apenas associam o SGTC a um investimento num serviço desnecessário. As potencialidades dos SGTC são muitas, a título de exemplo, redução na utilização de fontes de energia, gestão da manutenção de sistemas e equipamentos, análise de eficiências de equipamentos, entre muitas outras, sendo nesta dissertação estudado com mais profundidade a questão associada à diferença dos custos de exploração resultantes da utilização de energia num edifício por parte dos sistemas de AVAC, isto é, quais serão os ganhos na utilização da energia, associados ao sistema AVAC, que podem ser obtidos com a implementação de um SGTC. Para o efeito, utilizou-se os sistemas e equipamentos existentes no edifício ECOTERMOLAB, pertencente ao Instituto de Soldadura e Qualidade (ISQ), com o objetivo de verificar as diferenças de utilização de energia resultantes do funcionamento do edifício em normal atividade, isto é, o edifício com todos os seus sistemas operacionais, incluindo o SGTC, e o edifício em funcionamento sem o auxílio do SGTC, ou seja, todos os sistemas associados ao sistema AVAC em funcionamento em modo manual e sem recurso a variação de caudal na rede aeráulica e hidráulica. Em termos anuais, o ECOTERMOLAB consome, aproximadamente, cerca de 38,1 MWh de energia elétrica e 39,2 MWh de gás natural, o que representa uma utilização de energia primária de 14,4 tep/ano. Esta energia, representa um encargo financeiro anual de, aproximadamente, 9500€/ano, correspondente a 7000€/ano de energia elétrica e 2500€/ano de gás natural. Após a análise desenvolvida neste trabalho, conclui-se que o funcionamento do edifício sem controlo do sistema de AVAC por SGTC representaria em termos anuais a um aumento de, aproximadamente, 25,2 MWh e 6,2 MWh de energia elétrica e de gás natural, respetivamente. Em termos de energia primária, a diferença entre soluções origina um acréscimo na utilização de energia de 7,8 tep/ano o que representa um aumento de emissão de CO2 na ordem das 9,4 ton/ano. A avaliação económica, recaiu sobre a determinação de indicadores para avaliação da viabilidade de implementação de um SGTC, nomeadamente, o período de retorno simples, o valor atual líquido e a taxa interna de rentabilidade. Todos estes indicadores se revelaram positivos, apresentando um período de retorno ligeiramente superior a oito anos, um valor atual líquido positivo (8864,1€) e uma taxa interna de rentabilidade superior à taxa de custo de capital (11,2%).
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Although several tendon sources are available for reconstructive surgical procedures, all have one or more shortcomings. The aim of this work was to evaluate if the extensor tendons of the hallux showed anatomical characteristics that could make them an additional source for tendon grafting procedures.The authors performed a detailed morphometric analysis of the extensor tendons of the hallux in 26 lower limbs in order to evaluate the putative association of anatomical variants with hallux valgus, and to attempt to assess the feasibility of using part of the extensor apparatus of the hallux as a source of tendon for grafting procedures.An accessory extensor hallucis longus ten-don was found in 92.3% of cases. The extensor hallucis brevis tendon length was 10.5 ± 0.6 cm; its width was 0.5 ± 0.1 cm, and its thickness varied between 1-2 mm, making it a potentially good candidate as a source of ten-don grafts. Several anatomical variations were observed, namely the fusion of the tendons of the extensor hallucis brevis and the accessory extensor hallucis longus muscles in the distal part of the foot.This new therapeutic option, if implemented, would possibly increase the supply of autogenous donor tissue for reconstructive procedures, thereby enhancing the reconstructive surgeon’s armamentarium.
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Presented at Work in Progress Session, IEEE Real-Time Systems Symposium (RTSS 2015). 1 to 4, Dec, 2015. San Antonio, U.S.A..
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Introduction: Uncontrolled studies suggest that twins conceived by in vitro fertilization have increased rates of preterm birth and low birth weight and would warrant increased antenatal monitoring. The objective of this study was to compare the obstetric outcome of twin pregnancies conceived by in vitro fertilization or intracytoplasmic sperm injection (IVF/ICSI) and ovulation induction with those conceived spontaneously. Methods: All twin deliveries achieved by IVF/ICSI (n=235) and ovulation induction (n=68) from September 1994 through December 2010 were evaluated. Both groups and an additional control group who conceived spontaneously (n=997) and was delivered during the same time period were compared with each other. Results: In univariate analysis, patients who conceived with the assistance of IVF/ICSI had a significantly higher risk of being older (p=0.01), nulliparous (p=0.01), having hypertensive disorders (p=0.012), gestational diabetes mellitus (p=0.031), cesarean section (p=0.008) and lower gestational age at birth, compared with the control group. Newborns had similar birthweights in all groups (2229±544g; 2102±619g; 2251±553g). Spontaneous pregnancies had a higher risk of being monochorionic 38.4% versus 16.2% and 10.2% (p=0.01). Multivariate analysis however showed that patients who conceived with the assistance of IVF/ICSI only had a higher risk of gestational diabetes (OR=1.91,95%CI 1.168-3.120; p=0.01). Conclusions: Our study shows that twin pregnancies conceived with the assistance of IVF/ICSI had a higher risk of gestacional diabetes and a lower gestacional age at birth. Birthweights were similar, as was the incidence of perinatal death, low birth weight infants, and congenital malformations.