Risk factors, microbiological findings and outcomes of necrotizing fasciitis in New Zealand: a retrospective chart review

Background
The incidence and mortality from necrotizing fasciitis (NF) are increasing in New Zealand (NZ). Triggered by a media report that traditional Samoan tattooing was causing NF, we conducted a chart review to investigate the role of this and other predisposing and precipitating factors and to document NF microbiology, complications and interventions in NZ.

Methods
We conducted a retrospective review of 299 hospital charts of patients discharged with NF diagnosis codes in eight hospitals in NZ between 2000 and 2006. We documented and compared by ethnicity the prevalence of predisposing and precipitating conditions, bacteria isolated, complications and interventions used.

Results
Out of 299 charts, 247 fulfilled the case definition. NF was most common in elderly males. Diabetes was the most frequent co-morbid condition, followed by obesity. Nearly a quarter of patients were taking non-steroidal anti-inflammatory drugs (NSAID). Traditional Samoan tattooing was an uncommon cause. Streptococcus pyogenes and Staphylococcus aureus were the two commonly isolated bacteria. Methicillin-resistant Staphylococcus aureus was implicated in a relatively small number of cases. Shock, renal failure, coagulation abnormality and multi-organ dysfunction were common complications. More than 90% of patients underwent surgical debridement, 56% were admitted to an intensive care unit (ICU) and slightly less than half of all patients had blood product transfusion. One in six NF cases had amputations and 23.5% died.

Conclusion
This chart review found that the highest proportion of NF cases was elderly males with co-morbidities, particularly diabetes and obesity. Tattooing was an uncommon precipitating event. The role of NSAID needs further exploration. NF is a serious disease with severe complications, high case fatality and considerable use of health care resources.

Laboratory studies on the coupled oscillations between an internal density interface and a shear layer

The results from experiments conducted in a 2m high flow compartment at large Reynolds numbers are reported in this paper. Flow entered the compartment through an opening at the base on one side of the compartment and exited from an opening at the bottom of the opposite wall of the compartment. A shear layer is formed at the boundary between the incoming flow and the ambient fluid in the compartment. The impingement of the shear layer on the opposite wall of the compartment gives rise to periodic vortex formation and highly organized oscillations in the shear layer. When a density interface is present inside the compartment, resonance conditions were set up when the oscillations of the internal standing waves were “locked in” with the shear layer oscillations. Under resonance conditions, internal standing waves with amplitudes of up to 0.1m were observed. The formation of the internal standing waves is linked to the shear layer oscillations. Resonance conditions result when the shear layer is oscillating close to the natural frequency of the stratified fluid system in the compartment. The results of this investigation are applicable for fresh water storage in floating bottom-opened tanks in the sea, where under resonance conditions, entrainment rates could be significantly increased.

Are racist attitudes related to experiences of racial discrimination? Within sample testing utilising nationally representative survey data

Although the relationship between an individual's racist attitudes and discriminatory behaviours has been widely studied, the association between racist attitudes among perpetrators and experiences of racism among targets has been under-examined. Based on data from the 2001-8 Australian Challenging Racism Project survey, this paper details a novel method to investigate the link between racist attitudes and experiences of discrimination utilising two separate models linked by nomination of cultural or ethnic groups who do not fit into Australian society (i.e., out-groups). Those identified as out-groups were more likely to report experiences of discrimination than those who were not nominated as out-groups. Overall, out-group nomination by those with racist attitudes strongly predict experiences of discrimination among these same target out-groups, OR=2.2, F(6, 12,348)=78.61, p<.001. Racist attitudes are related to racist behaviours among perpetrators that are, in turn, related to experiences of racial discrimination among targets. This study demonstrates that attitudes not only affect majority group behaviour but also drive the resulting experiences of discrimination for minority group members.

Using adaptive automata in a multi-paradigm programming environment

In this paper the architecture of an experimental multiparadigmatic programming environment is sketched, showing how its parts combine together with application modules in order to perform the integration of program modules written in different programming languages and paradigms. Adaptive automata are special self-modifying formal state machines used as a design and implementation tool in the representation of complex systems. Adaptive automata have been proven to have the same formal power as Turing Machines. Therefore, at least in theory, arbitrarily complex systems may be modeled with adaptive automata. The present work briefly introduces such formal tool and presents case studies showing how to use them in two very different situations: the first one, in the name management module of a multi-paradigmatic and multi-language programming environment, and the second one, in an application program implementing an adaptive automaton that accepts a context-sensitive language.

A verdade recriada: códigos deontológicos da prática jornalística no cinema

Dissertação apresentada ao Programa de Pós-Graduação em Comunicação da Universidade Municipal de São Caetano do Sul

Um estudo sobre os modelos operacionais dos bancos centrais autônomos no mundo

O projeto de lei do Senado de Nº 317 de 2003, que estabelece a autonomia operacional do Banco Central do Brasil, é um grande passo em direção a uma modernização institucional do país. Sendo essa autonomia aprovada, uma questão crucial que se segue é como será o desenho institucional do Banco Central do Brasil. Quais áreas estarão ligadas ao BACEN e quais áreas estarão fora? Quem determinará a meta? Quem serão os membros do COPOM? Essas são apenas algumas questões que surgem quando se fala em autonomia do canco central. Existem diversos exemplos de bancos centrais autônomos no mundo e esse estudo irá analisar como esses cancos centrais operam, para que futuramente se possa tentar desenhar um arranjo institucional que se adapte as necessidades brasileiras.

Endogenous time-dependent rules and inflation inertia: preliminary version

When policy rules are changed, the effect of nominal rigidities should be modelled through endogenous pricing rules. We endogenize Taylor (1979) type pricing rule to examine the output effects of monetary disinflations. We derive optimal fixed-price time-dependent rules in inflationary steady states and during disinflations. We also develop a methodology to aggregate individual pricing rules which vary through disinflation. This allows us to reevaluate the output costs of monetary disinflation, including aspects as the role of the initial leveI of inflation and the importance of the degree of credibility of the policy change.

O ambiente socio-econômico como fator preditivo nas chances de classificação no vestibular e no êxito acadêmico na universidade: (um estudo da clientela da Fundação CESGRANRIO, Rio de Janeiro - 1975)

o presente trabalho teve como objetivo estudar a influência que o ambiente sócio-econômico poderia exercer sob re as chances do candidato no vestibular e sobre o êxito acadêmico do universitário. Para tanto re alizaram-se duas pesquisas: uma com os candidatos do vestibular unificado da Fundação CESGRANRIO. do Rio de Ja neira, de 1975: outra, com uma amostra de universitários classificados p~ 10 mesmo vest i bular. O pri meiro estudo abrangeu 75.348 candidatos e o segundo 1.608 universitários, de sete instituições e nove carreiras diferentes. Uti lizou-se como instrumentos de pesquisa: um I questionário de informação sócio-cultural. o total de pontos obtidos pelos candidatos no vestibular e a méd ia das notas obtidas no curso superior p~ lo estudante, nos deis primeiros semestres de 1975. A anãlise dos resultados permitiu concluir o se guinte: - Tiveram maior chance de classificação no vest i bular os candidatos que: cursaram o clássico; f reqüentaram tanto escola / particu lar como oficial; cursaram o período diurno, obtiveram concei to "E~ ce lente" no 2? grau; não trabalhavam; possuíam pai com nível de ins trução superior e renda mensal familiar acima de 8.000 cruzei ros. - Exercem influência na classificação do vestibu lar os seguintes indicadores do amb iente sócio-econôm ico: renda mensal fa miliar, nível de instrução e profissão do pai. ativ idade ocupac ional do / candidato e período da escola de 2? grau. Obtiveram bom rendimento na universidade os estudantes que: freqüentaram o período diurno; obtiveram bom rendimento no 2? grau; não exerciam atividade ocupac ional: possuiam pais com profissão / liberal e renda familiar alta. - São os segu intes os indicadores do ambiente sac io-econôm ico do univers i tário que têm valor preditivo no êxito acadêmico: período da escola de 2? grau, at ividade ocupacional. profissão do pai. ren dimento escolar no 2~ grau e renda mensal fami l iar. Vale assinalar que esses resultados se referem aos candidatos do vestibular unificado da Fundação CESGRANRIO.

Exchange rate misalignments, interdependence, crises, and currency wars: an empirical assessment

Este trabalho tem por objetivo comparar metodologias distintas para cálculo de desalinhamento cambial além de testar a hipótese se as taxas de câmbio dos diversos países sofrem influencia apenas dos seus próprios fundamentos ou também da taxa de câmbio e dos fundamentos de outros países. Estas hipóteses consistem, respectivamente, na ausência ou na existência de interdependência entre os diversos países. Para realizar tal tarefa utilizam-se duas estratégias empíricas. A primeira baseia-se em avaliar se um modelo multivariado de séries de tempo usualmente utilizada na literatura de desalinhamento cambial com dados apenas do próprio país em análise pode ser melhorado através da adição de variáveis relacionadas a outros países usando o algoritmo proposto por David Hendry e co-autores. A segunda estratégia consiste em estimar um panel longo com as variáveis utilizadas para estimar desalinhamento cambial e testar formalmente a hipótese de ausência de interdependências. Os resultados sugerem que em ambas estratégias existe evidência de existência de interdependência. Esta ocorreria mais por conta de fatores ligados ao curto prazo, ou seja, o que explicaria o valor da taxa de câmbio de um país no longo prazo seriam seus próprios fundamentos enquanto no curto prazo fatores externos poderiam causar desvios

Tutorial Moodle: E-mail

Este tutorial é para a versão Moodle 1.9.17.

Combating shoulder-surfing: a hidden button gesture based scheme

This project describes an authentication technique that is shoulder-surfing resistant. Shoulder surfing is an attack in which an attacker can get access to private information by observing the user’s interaction with a terminal, or by using recording tools to record the user interaction and study the obtained data, with the objective of obtaining unauthorized access to a target user’s personal information. The technique described here relies on gestural analysis coupled with a secondary channel of authentication that uses button pressing. The thesis presents and evaluates multiple alternative algorithms for gesture analysis, and furthermore assesses the effectiveness of the technique.

A importância de oportunidades de participação na formação de jovens futebolistas: a influência da data de nascimento e decisões do treinador nas oportunidades de participação do jovem futebolista

O treino com jovens é desafiante, pois estes são orientados para a prática desportiva como se fossem profissionais, começando desde muito cedo a seleção de jogadores. Agrupados em escalões consoante a sua idade cronológica, os jovens mais desenvolvidos têm mais oportunidades de participar e competir, impedindo os restantes de fazer aquilo que mais gostam: jogar futebol. O estudo apresenta os seguintes objetivos: 1º avaliar a influência da idade cronológica nas oportunidades oferecidas para a participação dos jovens na prática desportiva, mais concretamente no Futebol; 2º conhecer o pensamento dos treinadores sob a organização e quadros de atividades para crianças e jovens no Futebol; 3º avaliar o tempo de participação desportiva dos jovens. Para este estudo optou-se por uma metodologia qualitativa-quantitativa aplicando-se um questionário aos treinadores de Futebol da Região Autónoma da Madeira. A amostra foi constituída por um total de 30 treinadores de Futebol Jovem masculino dos escalões de Infantis, Iniciados e Juvenis. Recorreu-se também à observação das datas de nascimento e fichas de jogo em que participaram 1173 jovens jogadores inscritos em equipas pertencentes à A.F.M. do escalão de Infantis (428 jogadores), Iniciados (397 jogadores) e Juvenis (348). Para analisar os dados recorreu-se à estatística descritiva (média, percentagem e desvio padrão) e ainda aos testes qui-2; Kruskal-Wallis, Jonckheere-Terpstra e Mann-Whitney: para obter resultados relativos à data de nascimento; titularidade e tempo de jogo. Considerando os objetivos do estudo, os resultados demonstram que: os jovens nascidos numa data mais próxima do início do ano são beneficiados em relação aos que nascem numa data próxima do fim do ano; os treinadores afirmam ser importante a rotatividade dos jogadores na convocatória; o tempo de participação desportiva dos jovens é desequilibrado, visto os nascidos no 1º trimestre jogarem mais tempo do que os nascidos no 4º trimestre.

Uma cidade para pessoas: funcionalidade, racionalidade e emotividade nas relações mobiliário urbano, espaço público e cidadãos

This research investigates how functionality, rationality, and emotionality applied to urban furniture design contribute to the organization, legibility, and qualification of public spaces, according to different layouts, physical and visual qualities of the urban furniture as well as the quality of urban infrastructure that may influence the uses and appropriation of urban spaces by pedestrians, turning those spaces into socially centripetal or centrifugal places. The work consists of two parts. First refers to a bibliographical review concerning two main issues of the investigation: product design and legibility of public space, defining the conceptual and theoretical bases, linked to methodological strategies aimed at systemic planning and integrated management of urban furniture design and legibility of public spaces (sidewalks), that are necessary to define the existing relationships among the user s interface (pedestrians); product (urban artifacts); built environment (sidewalks). The second part refers to the achievement of empirical approach throughout visual analysis of public spaces and the functional and qualitative evaluation of the existing urban furniture in the central neighborhood of Cidade Alta, Natal, RN, according to the theoretical researched concepts and methodological procedures. The results expose the weaknesses and levels of intensity arising from the relations among public space, urban furniture, and users, revealing the need for theoretical and practical approaches which would help the decision-making in planning, designing and integrating innovative, sustainable, and ethical solutions in order to design attractive public spaces that could provide sociability and citizenship throughout integrated public management, city systemic thinking and urban identity. The suggested guidelines at the end of this research will provide the necessary strategies to design suitable urban furniture systems according to aesthetic and practical urban infrastructure and city context, aiming to ease visual and physical conflicts that may negatively interfere with the appropriation of public spaces by the citizens

Contamination of port zone sediments by metals from Large Marine Ecosystems of Brazil

Sediment contamination by metals poses risks to coastal ecosystems and is considered to be problematic to dredging operations. In Brazil, there are differences in sedimentology along the Large Marine Ecosystems in relation to the metal distributions. We aimed to assess the extent of Al, Fe, Hg, Cd, Cr, Cu, Ni, Pb and Zn contamination in sediments from port zones in northeast (Mucuripe and Pecem) and southeast (Santos) Brazil through geochemical analyses and sediment quality ratings. The metal concentrations found in these port zones were higher than those observed in the continental shelf or the background values in both regions. In the northeast, metals were associated with carbonate, while in Santos, they were associated with mud. Geochemical analyses showed enrichments in Hg, Cd, Cu, Ni and Zn, and a simple application of international sediment quality guidelines failed to predict their impacts, whereas the use of site-specific values that were derived by geochemical and ecotoxicological approaches seemed to be more appropriate in the management of the dredged sediments. (C) 2012 Elsevier Ltd. All rights reserved.