995 resultados para Mandible deviation


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Variation in queen number alters the genetic structure of social insect colonies, which in turn affects patterns of kin-selected conflict and cooperation. Theory suggests that shifts from single- to multiple-queen colonies are often associated with other changes in the breeding system, such as higher queen turnover, more local mating, and restricted dispersal. These changes may restrict gene flow between the two types of colonies and it has been suggested that this might ultimately lead to sympatric speciation. We performed a detailed microsatellite analysis of a large population of the ant Formica selysi, which revealed extensive variation in social structure, with 71 colonies headed by a single queen and 41 by multiple queens. This polymorphism in social structure appeared stable over time, since little change in the number of queens per colony was detected over a five-year period. Apart from queen number, single- and multiple-queen colonies had very similar breeding systems. Queen turnover was absent or very low in both types of colonies. Single- and multiple-queen colonies exhibited very small but significant levels of inbreeding, which indicates a slight deviation from random mating at a local scale and suggests that a small proportion of queens mate with related males. For both types of colonies, there was very little genetic structuring above the level of the nest, with no sign of isolation by distance. These similarities in the breeding systems were associated with a complete lack of genetic differentiation between single- and multiple-queen colonies, which provides no support for the hypothesis that change in queen number leads to restricted gene flow between social forms. Overall, this study suggests that the higher rates of queen turnover, local mating, and population structuring that are often associated with multiple-queen colonies do not appear when single- and multiple-queen colonies still coexist within the same population, but build up over time in populations consisting mostly of multiple-queen colonies.

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OBJECTIVE: To determine the characteristics of asthma (A) and allergic rhinitis (AR) among asthma patients in primary care practice. RESEARCH DESIGN AND METHODS: Primary care physicians, pulmonologists, and allergologists were asked to recruit consecutive asthma patients with or without allergic rhinitis from their daily practice. Cross-sectional data on symptoms, severity, treatment and impact on quality of life of A and AR were recorded and examined using descriptive statistics. Patients with and without AR were then compared. RESULTS: 1244 asthma patients were included by 211 physicians. Asthma was controlled in 19%, partially controlled in 27% and not controlled in 54%. Asthma treatment was generally based on inhaled corticosteroids (ICS) with or without long acting beta 2 agonists (78%). A leukotriene receptor antagonist (LTRA) was used by 46% of the patients. Overall, 950 (76%) asthma patients had AR (A + AR) and 294 (24%) did not (A - AR). Compared to patients with A - AR, A + AR patients were generally younger (mean age +/- standard deviation: 42 +/- 16 vs. 50 +/- 19 years, p < 0.001) and fewer used ICS (75% vs. 88%, p < 0.001). LTRA usage was similar in both groups (46% vs. 48%). Asthma was uncontrolled in 53% of A + AR and 57% of A - AR patients. Allergic rhinitis was treated with a mean of 1.9 specific AR medications: antihistamines (77%), nasal steroids (66%) and/or vasoconstrictors (38%), and/or LTRA (42%). Rhinorrhoea, nasal obstruction, or nasal itching were the most frequently reported AR symptoms and the greatest reported degree of impairment was in daily activities/sports (55%). CONCLUSIONS: Allergic rhinitis was more common among younger asthma patients, increased the burden of symptoms and the need for additional medication but was associated with improved asthma control. However, most asthma patients remained suboptimally controlled regardl-ess of concomitant AR.

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Professional cleaning is a basic service occupation with a wide variety of tasks carried out in all kind of different sectors and workplaces by a large workforce. One important risk for cleaning workers is the exposure to chemical substances that are present in cleaning products.Monoethanolamine was found to be often present in cleaning products such as general purpose cleaners, bathroom cleaners, floor cleaners and kitchen cleaners. Monoethanolamine can injure the skin, and exposure to monoethanolamine was associated to asthma even when the air concentrations were low. It is a strong irritant and known to be involved in sensitizing mechanisms. It is very likely that the use of cleaning products containing monoethanolamine gives rise to respiratory and dermal exposures. Therefore there is a need to further investigate the exposures to monoethanolamine for both, respiratory and dermal exposure.The determination of monoethanolamine has traditionally been difficult and analytical methods available are little adapted for occupational exposure assessments. For monoethanolamine air concentrations, a sampling and analytical method was already available and could be used. However, a method to analyses samples for skin exposure assessments as well as samples of skin permeation experiments was missing. Therefore one main objective of this master thesis was to search an already developed and described analytical method for the measurement of monoethanolamine in water solutions, and to set it up in the laboratory. Monoethanolamine was analyzed after a derivatisation reaction with o-pthtaldialdehyde. The derivated fluorescing monoethanolamine was then separated with high performance liquid chromatography and detection took place with a fluorescent detector. The method was found to be suitable for qualitative and quantitative analysis of monoethanolamine. An exposure assessment was conducted in the cleaning sector to measure the respiratory and dermal exposures to monoethanolamine during floor cleaning. Stationary air samples (n=36) were collected in 8 companies and samples for dermal exposures (n=12) were collected in two companies. Air concentrations (Mean = 0.18 mg/m3, Standard Deviation = 0.23 mg/m3, geometric Mean = 0.09 mg/m3, Geometric Standard Deviation = 3.50) detected were mostly below 1/10 of the Swiss 8h time weighted average occupational exposure limit. Factors that influenced the measured monoethanolamine air concentrations were room size, ventilation system and the concentration of monoethanolamine in the cleaning product and amount of monoethanolamine used. Measured skin exposures ranged from 0.6 to 128.4 mg/sample. Some cleaning workers that participated in the skin exposure assessment did not use gloves and had direct contact with the solutions containing the cleaning product and monoethanolamine. During the entire sampling campaign, cleaning workers mostly did not use gloves. Cleaning workers are at risk to be regularly exposed to low air concentrations of monoethanolamine. This exposure may be problematic if a worker suffers from allergic reactions (e.g. Asthma). In that case a substitution of the cleaning product may be a good prevention measure as several different cleaning products are available for similar cleaning tasks. Currently there are no occupational exposure limits to compare the skin exposures that were found. To prevent skin exposures, adaptations of the cleaning techniques and the use of gloves should be considered. The simultaneous skin and airborne exposures might accelerate adverse health effects. Overall the risks caused by exposures to monoethanolamine are considered as low to moderate when the cleaning products are used correctly. Whenever possible, skin exposures should be avoided. Further research should consider especially the dermal exposure routes, as very high exposures might occur by skin contact with cleaning products. Dermatitis but also sensitization might be caused by skin exposures. In addition, new biomedical insights are needed to better understand the risks of the dermal exposure. Therefore skin permeability experiments should be considered.

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This paper aims to examine changes in common longevity and variability of the adult life span, and attempts to answer whether or not the compression of mortality continues in Switzerland in the years 1876-2005. The results show that the negative relationships between the large increase in the adult modal age at death, observed at least from the 1920s, and the decrease in the standard deviation of the ages at deaths occurring above it, illustrate a significant compression of adult mortality. Typical adult longevity increased by about 10% during the last fifty years in Switzerland, and adult heterogeneity in the age at death decreased in the same proportion. This analysis has not found any evidence suggesting that we are approaching longevity limits in term of modal or even maximum life spans. It ascertains a slowdown in the reduction of adult heterogeneity in longevity, already observed in Japan and other low mortality countries.

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The objective of this work was to evaluate a generalized response function to the atmospheric CO2 concentration [f(CO2)] by the radiation use efficiency (RUE) in rice. Experimental data on RUE at different CO2 concentrations were collected from rice trials performed in several locations around the world. RUE data were then normalized, so that all RUE at current CO2 concentration were equal to 1. The response function was obtained by fitting normalized RUE versus CO2 concentration to a Morgan-Mercer-Flodin (MMF) function, and by using Marquardt's method to estimate the model coefficients. Goodness of fit was measured by the standard deviation of the estimated coefficients, the coefficient of determination (R²), and the root mean square error (RMSE). The f(CO2) describes a nonlinear sigmoidal response of RUE in rice, in function of the atmospheric CO2 concentration, which has an ecophysiological background, and, therefore, renders a robust function that can be easily coupled to rice simulation models, besides covering the range of CO2 emissions for the next generation of climate scenarios for the 21st century.

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Diagnostic reference levels (DRLs) were established for 21 indication-based CT examinations for adults in Switzerland. One hundred and seventy-nine of 225 computed tomography (CT) scanners operated in hospitals and private radiology institutes were audited on-site and patient doses were collected. For each CT scanner, a correction factor was calculated expressing the deviation of the measured weighted computed tomography dose index (CTDI) to the nominal weighted CTDI as displayed on the workstation. Patient doses were corrected by this factor providing a realistic basis for establishing national DRLs. Results showed large variations in doses between different radiology departments in Switzerland, especially for examinations of the petrous bone, pelvis, lower limbs and heart. This indicates that the concept of DRLs has not yet been correctly applied for CT examinations in clinical routine. A close collaboration of all stakeholders is mandatory to assure an effective radiation protection of patients. On-site audits will be intensified to further establish the concept of DRLs in Switzerland.

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Voltage fluctuations caused by parasitic impedances in the power supply rails of modern ICs are a major concern in nowadays ICs. The voltage fluctuations are spread out to the diverse nodes of the internal sections causing two effects: a degradation of performances mainly impacting gate delays anda noisy contamination of the quiescent levels of the logic that drives the node. Both effects are presented together, in thispaper, showing than both are a cause of errors in modern and future digital circuits. The paper groups both error mechanismsand shows how the global error rate is related with the voltage deviation and the period of the clock of the digital system.

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Objectives: Quantitative ultrasound (QUS) is an attractive method for assessing fracture risk because it is portable, inexpensive, without ionizing radiation, and available in areas of the world where DXA is not readily accessible or affordable. However, the diversity of QUS scanners and variability of fracture outcomes measured in different studies is an important obstacle to widespread utilisation of QUS for fracture risk assessment. We aimed in this review to assess the predictive power of heel QUS for fractures considering different characteristics of the association (QUS parameters and fracture outcomes measured, QUS devices, study populations, and independence from DXA-measured bone density).Materials/Methods : We conducted an inverse-variance randomeffects meta-analysis of prospective studies with heel QUS measures at baseline and fracture outcomes in their follow-up. Relative risks (RR) per standard deviation (SD) of different QUS parameters (broadband ultrasound attenuation [BUA], speed of sound &SOS;, stiffness index &SI;, and quantitative ultrasound index [QUI]) for various fracture outcomes (hip, vertebral, any clinical, any osteoporotic, and major osteoporotic fractures) were reported based on study questions.Results : 21 studies including 55,164 women and 13,742 men were included with a total follow-up of 279,124 person-years. All four QUS parameters were associated with risk of different fractures. For instance, RR of hip fracture for 1 SD decrease of BUA was 1.69 (95% CI 1.43-2.00), SOS was 1.96 (95% CI 1.64-2.34), SI was 2.26 (95%CI 1.71-2.99), and QUI was 1.99 (95% CI 1.49-2.67). Validated devices from different manufacturers predicted fracture risks with a similar performance (meta-regression p-values>0.05 for difference of devices). There was no sign of publication bias among the studies. QUS measures predicted fracture with a similar performance in men and women. Meta-analysis of studies with QUS measures adjusted for hip DXA showed a significant and independent association with fracture risk (RR/SD for BUA =1.34 [95%CI 1.22-1.49]).Conclusions : This study confirms that QUS of the heel using validated devices predicts risk of different fracture outcomes in elderly men and women. Further research and international collaborations are needed for standardisation of QUS parameters across various manufacturers and inclusion of QUS in fracture risk assessment tools. Disclosure of Interest : None declared.

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Diplomityö tehtiin Stora Enson Kiteen sahalla, tuotantokäytössä olevaa sormijatkoslinjaa tutkien. Tutkimuksen tavoitteena oli selvittää raaka-aineen keskikosteuden, kosteusgradientin, mitallistamishöyläyksen ja liitettävien aihioiden pituuden vaikutus jatketun tuotteen laatuun. Koekappaleita valmistettiin viisi höylättyä ja viisi sahapintaista luokkaa. Luokat valmistettiin eripituisista aihioista, puolen metrin jaolla. Koekappaleiden taivutuslujuus mitattiin nelipistetaivutuksella, standardin EN 408 mukaan. Taivutuskokeen jälkeen kappaleista mitattiin keskikosteus ja sahattiin koepalat kosteusgradientin mittaamiseksi. Koekappaleita valmistettiin yhteensä 37.8 m3. Tutkimuksissa selvisi, että kappaleiden keskikosteuden ja taivutuslujuuden välillä vallitsee heikko positiivinen riippuvuus. Kosteusgradientin ja taivutuslujuuden välillä riippuvuus on selkeämpi, kosteusgradientin kasvaessa myös taivutuslujuus lisääntyy. Tämä selittyy kappaleiden tiheyden vaihtelulla. Tiheämpiin kappaleisiin jää kuivauksessa suurempi kosteusgradientti. Aihioiden mitallistaminen pienentää taivutuslujuuden hajontaa ja vähentää raaka-aineen mittaheittojen aiheuttamia häiriöitä tuotannossa. Aihionpituus vaikuttaa murtumatyyppien jakaumiin ja aihioiden kierouteen. Sopivin aihionpituus on tässä tapauksessa 0.8-1.0 m. Puolet kappaleista murtui liitoksen ulkopuolelta, useimmiten oksan kohdalta. Paras tapa parantaa kappaleiden lujuutta on lujuuslajitella raaka-aine.

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Diplomityön tavoitteena oli kehittää Andritzin Kuitulinja-divisioonalle tunnuslukuja, työkaluja sekä menetelmiä projektin johdon jasuunnittelun eri osa-alueiden arviointiin, hinnoitteluun ja seurantaan Työn teoriaosuudessa käsiteltiin projektiliiketoimintaa, suunnitteluaja sen hankintaa, tunnuslukuja sekä mittaamista projektiympäristössä. Työn pääpaino oli kuitenkin empiriaosuudella, jossa aluksi tutustuttiin yksityiskohtaisesti työssä tutkittaviin osa-alueisiin. Tiedonkeruuvaiheessa kerättiin suuri määrätunnuslukujen laskemiseksi tarvittavaa tietoa toteutetuista tai vielä hieman keskeneräisistä projekteista. Työn kirjallinen osuus ja kerätty numeerinen tieto yhdistettiin tunnuslukujen analysointivaiheessa, jossa tutkittiin eri tunnuslukujen soveltuvuutta mittaamiseen. Tunnusluvut soveltuivat hyvin joidenkin osa-alueiden kuten prosessi- ja putkistosuunnittelun mittaamiseen. Joidenkin osa-alueiden, kuten rakennussuunnittelun mittaaminen tunnuslukujen avulla oli vaikeampaa tunnuslukujen suuresta hajonnasta johtuen. Eri osa-alueille saatiin kuitenkin määritettyä parhaat tunnusluvut, projektien luokitteluperusteet ja standardiarvot. Työn lopputuloksina saatiin päätavoitteena ollut tunnuslukumittaristo sekä mittaamisen yhtenäistämiseksi luotu tiedonkeruulomake. Mittaamisen tehostamiseksi ja kehittämiseksi tehtiin useita jatkotutkimus- ja kehitysehdotuksia. Lisäksi työssä esitettiin uusi menetelmä projektinohjauksen ja resurssisuunnittelun tueksi.

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Tämän diplomityön tarkoituksena oli arvioida UPM-Kymmene Oyj, Kaukaan sellutehtaan havukuitulinjan uuden valkaisusäätömenetelmän, kompensoidun kappakerroinsäädön, ja vaaleusanalysaattoreiden käyttöönoton vaikutukset klooridioksidikulutukseen ja sellun laatuun. Kirjallisuusosassa esitelläänvalkaisun tärkeimpiä on-line ja in-line mittalaitteita sekä niitä hyödyntäviä säätöratkaisuja. Tiettävästi paras saatavilla oleva säätömenetelmä, kompensoitu kappakerroinsäätö määrittää klooridioksidiannoksen vaiheeseen tulevan massan kappaluvun tai vaaleuden perusteella. Valkaisukemikaaliannos optimoidaan jatkuvatoimisten vaaleus- ja jäännösmittausten sekä vaiheen jälkeisen saavutetun kappaluvuntai vaaleuden takaisinkytkennällä. Kokeellisessa osassa arvioitiin havulinjan valkaisusäätömenetelmän käyttöönoton vaikutukset klooridioksidikulutuksiin ja sellun laatuun vertailemalla uuden ja vanhan säätömenetelmän aikaisia kemikaalikulutuksia sekä välikappaluvun ja loppuvaaleuden itseisarvopoikkeamia tavoitteistaan. Lisäksi selvitettiin annossäätöön ja kompensoituun vaaleussäätöön perustuvan vanhan sekä kompensoitua kappakerroinsäätöä soveltavan uuden säätömenetelmän toimintaperiaatteet. Työssä kartoitettiin myös valkaisulinjan tarpeet uusille mittalaitteille sekä analysaattorin mittausten vertailukelpoisuus laboratorioanalyysien kanssa. Edelleen työssä arvioitiin tehtaan X koivuvalkaisulinjan uuden säätömenetelmän toimivuus. Kompensoidun kappakerroinsäädön käyttöönoton myötä valkaisun klooridioksidikulutukset pienenivät sekä välikappaluku ja loppuvaaleus saatiin pidettyä lähempänä tavoitteittaan. Säätömenetelmän toimivuuttaedisti vaaleusanalysaattoreiden mittausten korreloivuus laboratorioanalyysien kanssa. Vastaavat vaikutukset kemikaalikulutuksiin ja sellun laatuun havaittiin myös tehtaan X valkaisusäädön käyttöönotosta.

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Verkkovaihtosuuntaajalla pystytään muuntamaan tasajännite vaihtojännitteeksi ja päinvastoin. Verkkovaihtosuuntaajan toiminta perustuu tehokytkinten ohjaukseen ja sopivan modulointimenetelmän käyttöön. Vektorisäädössä vaihtosuuntaajanvirrat ja jännitteet esitetään kompleksitasossa, jolloin virta- ja jännitekomponentit voidaan esittää vektoreina. Vektorisäädössä verkkovaihtosuuntaajan ohjaustoteutetaan laskemalla kompleksitasossa vektoreille arvot, jotka tuottavat vaihtosuuntaajan lähtöön halutun vektorin. Koska FPGA-piirit mahdollistavat nopean rinnakkaisen laskennan, soveltuvat ne hyvin vektorisäädön toteuttamiseen. FPGA-piirien rakenteesta johtuen on säätöjärjestelmän suunnittelussa huomioitava kiinteän pilkun lukujen riittävä bittileveys ja järjestelmän diskretointiaika. Työssä suunnitellaan verkkovaihtosuuntaajan vektorisäätö ja tutkitaan bittileveyden vaikutusta säädön toteuttamiseen FPGA-piirillä. Bittileveyden tarkasteluun esitetään käytettäväksi tilastollisia menetelmiä. Työssä tarkastellaan kiinteän pilkun järjestelmän ja liukulukujärjestelmän erosuureen tilastollisia tunnusmerkkejä sekä histogrammia. Tarkasteluissa huomattiin, että maksimivirhe itsessään ei tarjoa riittävästi tietoa erosuureen jakautumisesta. Näin ollen maksimivirhe ei ole kaikissa tilanteissa sovelias menetelmä riittävän bittitarkkuuden määrittämiseen. Työssä esitetään riittävän bittitarkkuuden määrittelemiseen käytettäväksi otossuureista otosvarianssia, keskipoikkeamaa ja vaihteluväliä.

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Background: Human immunodeficiency virus (HIV) prevalence in Switzerland is 0.4% and 30% of HIV patients are diagnosed with CD4 counts <200 cells/microliter. In 2010, the Swiss Federal Office of Public Health (SFOP) published updated guidelines regarding Physician- Initiated Counseling and Testing (PICT) for HIV. In the new guidelines, when acute HIV infection is suspected or HIV is among the differential diagnoses, an HIV test is performed without risk assessment nor prior counseling, unless the patient specifically refuses it. Counseling and verbal consent are still required when the patient asks for an HIV test or belongs to a high risk group. Whist HIV testing in the emergency departments (ED) is recommended, only 1% of patients are currently screened. Lack of awareness among physicians has been cited in the literature as the first barrier to guideline implementation. Objectives: To test if physicians working in EDs of 5 large teaching hospitals in western Switzerland, admitting 175,000 patients / year, were aware of the updated SFOP guidelines. Methods: A survey was delivered to 167 ED physicians in the summer of 2011. The survey consisted of 26 vignettes designed to test whether physicians would request an HIV test according to the new guidelines and if they knew when the PICT strategy was allowed or counseling required. Finally, physicians were asked the number of HIV tests they had requested in the previous 4 weeks, and if they were aware of the new HIV guidelines. Results are presented as mean and standard deviation, median and interquartile range (IQR), or as proportions; Student's t test was used to compare continuous variables; Results: 143 physicians returned the survey (86%); mean age was 32 ± 8 years, and median postgraduate experience of 6 years (IQR 3-12); 52% were male and 17% were attendings. The percentage of correct responses was 60 ± 13% with no difference between attendings and residents (p = 0.31); 2 of the 3 questions with the lowest scores were failure to recognize situations in which HIV testing was indicated, and the third one a failure to recognize acute HIV infection. 82% of physicians were not aware of the new guidelines. The median number of test requests was 1 (IQR 0-2, range 1-10). Conclusion: ED physicians are not aware of current HIV screening guidelines published by the SFOP, and rarely perform HIV tests. An information campaign is required if ED physicians are expected to play a significant role in the reduction of undiagnosed HIV patients.

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The purpose of this study was to prospectively use a whole-heart three-dimensional (3D) coronary magnetic resonance (MR) angiography technique specifically adapted for use at 3 T and a parallel imaging technique (sensitivity encoding) to evaluate coronary arterial anomalies and variants (CAAV). This HIPAA-compliant study was approved by the local institutional review board, and informed consent was obtained from all participants. Twenty-two participants (11 men, 11 women; age range, 18-62 years) were included. Ten participants were healthy volunteers, whereas 12 participants were patients suspected of having CAAV. Coronary MR angiography was performed with a 3-T MR imager. A 3D free-breathing navigator-gated and vector electrocardiographically-gated segmented k-space gradient-echo sequence with adiabatic T2 preparation pulse and parallel imaging (sensitivity encoding) was used. Whole-heart acquisitions (repetition time msec/echo time msec, 4/1.35; 20 degrees flip angle; 1 x 1 x 2-mm acquired voxel size) lasted 10-12 minutes. Mean examination time was 41 minutes +/- 14 (standard deviation). Findings included aneurysms, ectasia, arteriovenous fistulas, and anomalous origins. The 3D whole-heart acquisitions developed for use with 3 T are feasible for use in the assessment of CAAV.