Endomyocardial fibrosis associated with massive calcification of the left ventricle

This is the report of a rare case of endomyocardial fibrosis associated with massive calcification of the left ventricle in a male patient with dyspnea on great exertion, which began 5 years earlier and rapidly evolved. Due to lack of information and the absence of clinical signs that could characterize impairment of other organs, the case was initially managed as a disease with a pulmonary origin. With the evolution of the disease and in the presence of radiological images of heterogeneous opacification in the projection of the left ventricle, the diagnostic hypothesis of endomyocardial disease was established. This hypothesis was later confirmed on chest computed tomography. The patient died on the 16th day of the hospital stay, probably because of lack of myocardial reserve, with clinical findings of refractory heart failure, possibly aggravated by pulmonary infection. This shows that a rare disease such as endomyocardial fibrosis associated with massive calcification of the left ventricle may be suspected on a simple chest X-ray and confirmed by computed tomography.

Dissipative contact force models

"Series: Solid mechanics and its applications, vol. 226"

Avaliação de desempenho das organizações desportivas sem fins lucrativos através do Balanced Scorecard : estudo de caso do Conselho de Arbitragem da Federação Portuguesa de Futebol

A realização deste estudo junta duas áreas distintas: a arbitragem de futsal e o Balanced Scorecard (BSC). Nos últimos anos, devido ao crescimento acentuado da modalidade de Futsal, a mesma tem sido alvo de várias mudanças, nomeadamente no número de competições realizadas ao longo de uma época desportiva. Inerente ao elevado nível de competitividade alcançado, surge a necessidade de melhorar a gestão de uma área fundamental do jogo de futsal, a arbitragem. A arbitragem de futsal a nível nacional é gerida pelo Conselho de Arbitragem da Federação Portuguesa de Futebol (FPF). O Balanced Scorecard é uma metodologia de gestão estratégica, desenvolvida por Robert Kaplan e David Norton em 1992, que pode ser aplicada quer em organizações com fins lucrativos quer em organizações sem fins lucrativos, como é o caso do Conselho de Arbitragem da FPF. Desta forma, para colmatar a necessidade de melhorar a gestão da arbitragem de futsal, o presente estudo propõem-se aplicar a metodologia Balanced Scorecar ao Conselho de Arbitragem da Federação Portuguesa de Futebol na vertente futsal. Assim, irá ser apresentada uma análise do ambiente externo e interno, a definição de posicionamento e planeamento estratégico, o mapa estratégico e os objetivos definidos para cada perspetiva. Por fim, será feita uma reflexão quanto ao problema e aos objetivos do estudo, bem como, uma apresentação de algumas recomendações para futuros estudos.

Ireland's biodegradable municipal waste

This project focuses on the EU Landfill Directive targets for Biodegradable Municipal Waste (BMW) specifically focusing on how the targets will affect Ireland and its waste management infrastructure. Research will consist of reviewing relevant literature, legislation and policies that will provide a comparable between Ireland and other nations. Planning processes which govern both the building structure and running capacities of treatment facilities is also necessary in order to predict amounts of waste diverted from landfill. The efficiency of these treatment plants also requires investigation. Another objective is to research further information on Irelands organic ‘brown’ bin service, this will involve discovering the roll out of bins in the future over a defined time scale as well as the potential amounts of waste that will be collected. Figures received from waste management and waste treatment companies will be combined with figures from the Environmental Protection Agency’s (EPA) annual reports. This will give an indication to past trends and shed light on possible future trends. With this information annul waste volumes consigned to landfill can be calculated and used to determine whether or not Ireland can achieve the EU Landfill Directive targets. Without significant investment in Irelands waste management infrastructure it is unlikely that the targets will be met. Existing waste treatment facilities need to be managed as efficiently as possible. Waste streams must also be managed so waste is shared appropriately between companies and not create a monopolising waste treatment facility. The driving forces behind an efficient waste management infrastructure are government policy and legislation. An overall and efficient waste management strategy must be in place, along with disincentives for landfilling of waste such as the landfill levy. Encouragement and education of the population is the fundamental and first step to achieving the landfill directive targets.

Data for the sustainable management of an emerging fishery: Age, growth and stock structure of Atlantic saury Scomberesox saurus saurus (Walbaum), in the Northeastern Atlantic Ocean

Almost half of Ireland’s commercial stocks face overexploitation. As traditional species decrease in abundance and become less profitable, the industry is increasingly turning to alternate species. Atlantic saury (Scomberesox saurus saurus (Walbaum)) has been identified as a potential species for exploitation. Very little information is available on its biology or population dynamics, especially for Irish waters. This thesis aims to obtain sound scientific data, which will help to ensure that a future Atlantic saury fishery can be sustainably managed. The research has produced valuable data, some of which contradicts previous studies. Growth of Atlantic saury measured using otolith microstructure is found to be more than twice that previously calculated from annual structures on scales and otoliths. This results in a significant reduction of the expected life span from five to about two years. Investigation of maturity stage at age indicates that Atlantic saury will reproduce for the first time at age one and will survive for one or at most two reproduction seasons. It is concluded that a future Irish fishery will target mostly fish prior to their first reproduction. Finally the thesis gives some insights into the population structure of Atlantic saury, by analysis of otolith morphometric. Significant differences are detected between Northeastern Atlantic and western Mediterranean Sea specimens of the 0+ age class (less than one year old). The implications of these results for the management of an emerging fishery are discussed.

On the choice of an exchange rate regime: target zones revisited

From the classical gold standard up to the current ERM2 arrangement of the European Union, target zones have been a widely used exchange regime in contemporary history. This paper presents a benchmark model that rationalizes the choice of target zones over the rest of regimes: the fixed rate, the free float and the managed float. It is shown that the monetary authority may gain efficiency by reducing volatility of both the exchange rate and the interest rate at the same time. Furthermore, the model is consistent with some known stylized facts in the empirical literature that previous models were not able to produce, namely, the positive relation between the exchange rate and the interest rate differential, the degree of non-linearity of the function linking the exchage rate to fundamentals and the shape of the exchange rate stochastic distribution.

Disseny i aplicació del protocol d'instal·lació d'energia fotovoltaica en edificis aïllats de la xarxa elèctrica al PNAP

En el perímetre del parc es troben gran nombre d’edificacions amb mancances de subministrament elèctric per la gran dispersió de la població de la comarca. L’objectiu d’aquest estudi és desenvolupar un protocol per determinar la viabilitat de l’energia fotovoltaica en edificis aïllats i aplicar-la de forma pilot a dos edificis gestionats pels responsables del Parc Natural de l’Alt Pirineu: el Centre de Logística i Manteniment (CLM) i el Refugi del Fornet. Aquests han estat escollits per la seva representativitat com a edificis aïllats de la xarxa elèctrica convencional. S’ha elaborat una metodologia pròpia, el Protocol d’instal·lació d’energia fotovoltaica en edificis aïllats de la xarxa elèctrica. S’ha realitzat una anàlisi de sensibilitats del dimensionat fotovoltaic davant la modificació de diversos paràmetres rellevants. Això ha permès determinar les característiques òptimes de viabilitat per als dos edificis en estudi i el cost de la instal·lació fotovoltaica (17.183€ el CLM i 164.815 € el Refugi del Fornet). Els resultats obtinguts en els dos edificis pilot han mostrat el gran cost relatiu entre l’energia fotovoltaica i l’energia elèctrica produïda a partir de combustibles fòssils.

Disseny i implementació d'un web modular amb gestió de continguts

Aquest projecte té com a objectiu el desenvolupament d'un site web amb la possibilitat que la gestió del seu contingut fos administrat per persones alienes a la implementació de la web. Aquesta fita ha estat duta a terme en una web d'una entitat esportiva, la Unió Esportiva Sant Cugat, des d'on durant 2 anys i mig s'ha gestionat la informació i comunicació a través de la xarxa amb aquest mitjà. L'estructuració del projecte ha estat totalment modular, per d'aquesta manera facilitar el dinamisme de canvis de possibles continguts que es poden incorporar a la web de manera molt ràpida i senzilla.

Sistema de control remot d'una màquina de rajos X via web

El projecte desenvolupat té com a objectiu la millora en la gestió de la configuració de les màquines de rajos X de l'empresa Varpe. La principal funció d’aquestes màquines és la inspecció d'envasos de productes alimentaris, amb l'objectiu de detectar anomalies produïdes durant l'envasat. En l'actualitat la resolució d'incidències d'aquestes màquines requereix el desplaçament físic d'operaris a les localitzacions on estan situades les màquines. El projecte proporciona una nova forma de treball a partir de l'ús de bases de dades distribuïdes en les màquines de rajos X i que són gestionades per un servidor central. Entre d'altres, la principal avantatge d'aquesta gestió és que la reconfiguració i resolució d'indecències es pot realitzar fàcilment a través d'una aplicació web.

Response of bat species to sylvo-pastoral abandonment

We assessed the effect of abandonment of sylvo-pastoral practices in chestnut orchards (Castanea sativa) on bats in southern Switzerland to determine practical recommendations for bat conservation. We compared bat species richness and foraging activities between traditionally managed and unmanaged chestnut orchards, testing the hypothesis that managed orchards provide better foraging opportunities and harbour more bat species. Echolocation calls of foraging bats were sampled simultaneously at paired sites of managed and unmanaged orchards using custom made recorders. Vegetation structure and aerial insect availability were sampled at the recording sites and used as explanatory variables in the model. In a paired sampling design, we found twice the number of bat species (12) and five times higher total foraging activity in the managed chestnut orchards compared to the unmanaged ones. Bat species with low flight manoeuvrability were 14 times more common in managed orchards, whereas bats with medium to high manoeuvrability were only 5 times more common than in abandoned orchards. The vegetation structure was less dense in managed orchards. However, management did not affect relative insect abundance. Bats primarily visited the most open orchards, free of undergrowth. As a result of restricted access into the overgrown forests, the abandonment of chestnut orchards leads to a decline in bat species richness and foraging activities. Continued management of chestnut orchards to maintain an open structure is important for the conservation of endangered bat species in the southern Swiss Alps.

Análisis de viabilidad para la centralización de entornos distribuidos

Cada vez es más habitual encontrar tanto el software como el hardware común de las empresas distribuido y gestionado en diferentes servidores que se encargan de servir al usuario aquello que necesita sólo cuando éste lo pide. Este sistema de distribución de la información se llama centralización. Este sistema de distribución requiere un mantenimiento constante para así poder atender todas las demandas de los usuarios. El mantenimiento se convierte, gracias a la centralización en algo relativamente sencillo puesto que sólo es en el servidor donde se tienen que realizar los cambios, actualizaciones o instalación de nuevo software. Es importante entonces comprobar que estas nuevas actualizaciones del servidor responderán correctamente cuando los usuarios las requieran remotamente. En este proyecto nos hemos encargado de analizar cómo se realizan las comprobaciones necesarias para asegurar el correcto funcionamiento de los servidores remotos considerando tanto el entorno en el que se realizan como las herramientas necesarias para llevarlo a cabo. Para completar la información nos hemos centrado en un ejemplo particular de test de carga.

Scheduling of straddle carriers in a container terminal

Report for the scientific sojourn at the University of California at Berkeley between September 2007 to February 2008. The globalization combined with the success of containerization has brought about tremendous increases in the transportation of containers across the world. This leads to an increasing size of container ships which causes higher demands on seaport container terminals and their equipment. In this situation, the success of container terminals resides in a fast transhipment process with reduced costs. For these reasons it is necessary to optimize the terminal’s processes. There are three main logistic processes in a seaport container terminal: loading and unloading of containerships, storage, and reception/deliver of containers from/to the hinterland. Moreover there is an additional process that ensures the interconnection between previous logistic activities: the internal transport subsystem. The aim of this paper is to optimize the internal transport cycle in a marine container terminal managed by straddle carriers, one of the most used container transfer technologies. Three sub-systems are analyzed in detail: the landside transportation, the storage of containers in the yard, and the quayside transportation. The conflicts and decisions that arise from these three subsystems are analytically investigated, and optimization algorithms are proposed. Moreover, simulation has been applied to TCB (Barcelona Container Terminal) to test these algorithms and compare different straddle carrier’s operation strategies, such as single cycle versus double cycle, and different sizes of the handling equipment fleet. The simulation model is explained in detail and the main decision-making algorithms from the model are presented and formulated.

Perry Syndrome

Disease characteristics. Perry syndrome is characterized by parkinsonism, hypoventilation, depression, and weight loss. The mean age at onset is 48 years; the mean disease duration is five years. Parkinsonism and psychiatric changes (depression, apathy, character changes, and withdrawal) tend to occur early; severe weight loss and hypoventilation manifest later. Diagnosis/testing. The diagnosis is based on clinical findings and molecular genetic testing of DCTN1, the only gene known to be associated with Perry syndrome. Management. Treatment of manifestations: Dopaminergic therapy (particularly levodopa/carbidopa) should be considered in all individuals with significant parkinsonism. Although response to levodopa is often poor, some individuals may have long-term benefit. Noninvasive or invasive ventilation support may improve quality of life and prolong life expectancy. Those patients with psychiatric manifestations may benefit from antidepressants and psychiatric care. Weight loss is managed with appropriate dietary changes. Surveillance: routine evaluation of weight and calorie intake, respiratory function (particularly at night or during sleep), strength; and mood. Agents/circumstances to avoid: Central respiratory depressants (e.g., benzodiazepines, alcohol). Genetic counseling. Perry syndrome is inherited in an autosomal dominant manner. The proportion of cases attributed to de novo mutations is unknown. Each child of an individual with Perry syndrome has a 50% chance of inheriting the mutation. No laboratories offering molecular genetic testing for prenatal diagnosis are listed in the GeneTests Laboratory Directory; however, prenatal testing may be available through laboratories offering custom prenatal testing for families in which the disease-causing mutation has been identified.

Prise en charge par le praticien des infections après transplantation d'organes solides [Management of infection after organ transplantation by the primary care physician]

The primary care physician is frequently consulted in first line for infectious complications in organ transplant recipients. Many infections without signs of severity can nowadays be managed on an outpatient basis. However, a number of clinical situations specific to transplant recipients may require special attention and knowledge. In particular, the general practitioner must be aware of the potential interactions between immunosuppressive and antimicrobial therapies, the risk of renal dysfunction as a consequence of diarrhea or urinary tract infection, and the diagnostic of CMV disease as a cause of fever without obvious source occurring several months after transplantation. Collaboration with the transplantation specialists is recommended in order to assure an optimal management of these patients.

Stent retriever use for retrieval of displaced microcoils: a consecutive case series.

SUMMARY: Coil displacement during endovascular coiling procedures may require coil retrieval in the context of flow limitation or thromboembolic risk. No standard recommended method of coil retrieval exists. We present a consecutive series of 14 patients with displaced coil during aneurysm coiling in whom the complication was effectively managed with the use of a stent retriever system. Two illustrative cases from the 14 are described, and technical notes are detailed regarding use of the technique. The use of stent retrievers presents a simple, safe, and effective choice for removal of prolapsed coils during aneurysm coiling.