A dor no período pós-cirúrgico abdominal em doentes geriátricos

A dor é uma das principais causas do sofrimento humano, comprometendo a qualidade de vida dos indivíduos, em especial o idoso que, devido aos problemas cognitivos e à elevada medicação os torna mais suscetíveis aos efeitos adversos dos medicamentos utilizados para o alívio da dor. Neste contexto, o objetivo deste estudo é avaliar a dor na pós-cirurgia abdominal em doentes geriátricos; identificar a localização e a intensidade dolorosa utilizando a Escala Numérica; analisar a dor nas dimensões sensorial, afetiva e cognitiva, utilizando o Questionário para Dor de McGill; relacionar o processo álgico com a idade, sexo, religião e tipo de abordagem cirúrgica; saber se as intervenções autónomas de enfermagem contribuem para o alívio da dor pós-operatória. Trata-se de um estudo descritivo correlacional longitudinal, com abordagem quantitativa, desenvolvido entre 14 de fevereiro e 30 de março de 2012 num Hospital no Serviço de Cirurgia Geral. A amostra constou de 30 pacientes submetidos a cirurgias abdominais. Os dados que serviram de base a este estudo foram recolhidos através da aplicação da Escala Numérica e do Questionário de Dor de McGill. Os resultados mostraram que 60% eram homens, 50% dos doentes tinham 65 e 69 anos e todos (100%), eram católicos romanos. Na primeira avaliação, 60% apresentaram dor pós-operatória moderada, 30% severa e 10% leve. Os descritores escolhidos com maior frequência foram: fisgada (90%); fina, agulhada e pontada (70%); beliscão (60%); sensível (50%); cansativa (60%) e que incomoda (50%). Nas três avaliações seguintes houve diminuição da dor severa e moderada que, aos 180 minutos era de 0% e 3% respetivamente, aumentando a percentagem de pacientes com dor leve (7%). Não encontramos relação significativa entre a variável dor pós-operatória e o sexo mas, pelo contrário, a intensidade da dor pós-operatória e a idade. O índice de dor total e sensitiva é influenciado pelo sexo. A localização da dor é influenciada pelo tipo de cirurgia, pela idade e pelo sexo. A dor pós-operatória era, principalmente, de intensidade moderada. Mesmo nos doentes a quem não foi administrado fármaco (50%), a dor foi aliviada ao longo das quatro avaliações. Desta forma, podemos inferir que as que as intervenções autónomas de enfermagem contribuem para o alívio da dor. A informação/atualização permanente dos profissionais de saúde é indispensável para que seja possível evitar ou minimizar a ocorrência de dor.

Asistencia técnica de ingeniería y diseño industrial. Adecuación de equipos y herramientas.

27 hojas : ilustraciones, planos.

Muestras de tejidos con fibras de fique e hilo de algodón natural o industrial con las técnicas del crochet y de bordados, y sombrereras y coronas ornamentales utilizadas por las mujeres Wayúu Guajira.

15 hojas : ilustraciones, fotografías a color.

Characterisation of bacteriophage-host interactions in Lactococcus lactis

Lactococcus lactis is used extensively world-wide for the production of fermented dairy products. Bacteriophages (phages) infecting L. lactis can result in slow or incomplete fermentations, or may even cause total fermentation failure. Therefore, bacteriophages disrupting L. lactis fermentation are of economic concern. This thesis employed a multifaceted approach to investigate various molecular aspects of phage-host interaction in L. lactis. The genome sequence of an Irish dairy starter strain, the prophage-cured L. lactis subsp. cremoris UC509.9, was studied. The 2,250,427 bp circular chromosome represents the smallest among its sequenced lactococcal equivalents. The genome displays clear genetic adaptation to the dairy niche in the form of extensive reductive evolution. Gene prediction identified 2066 protein-encoding genes, including 104 which showed significant homology to transposase-specifying genes. Over 9 % of the identified genes appear to be inactivated through stop codons or frame shift mutations. Many pseudogenes were found in genes that are assigned to carbohydrate and amino acid transport and metabolism orthologous groups, reflecting L. lactis UC509.9’s adaptation to the lactose and casein-rich dairy environment. Sequence analysis of the eight plasmids of L. lactis revealed extensive adaptation to the dairy environment. Key industrial phenotypes were mapped and novel lactococcal plasmid-associated genes highlighted. In addition to chromosomally-encoded bacteriophage resistance systems, six functional such systems were identified, including two abortive infection systems, AbiB and AbiD1, explaining the observed phage resistance of L. lactis UC509.9 Molecular analysis suggests that the constitutive expression of AbiB is not lethal to cells, suggesting the protein is expressed in an un/inactivated form. Analysis of 936 species phage sk1-escape mutants of AbiB revealed that all such mutants harbour mutations in orf6, which encodes the major capsid protein. Results suggest that the major capsid protein is required for activation of the AbiB system, although this requires furrther investigations. Temporal transcriptomes of L. lactis UC509.9 undergoing lytic infection with either one of two distinct bacteriophages, Tuc2009 and c2, was determined and compared to the transcriptome of uninfected UC509.9 cells. Whole genome microarrays performed at various time-points post-infection demonstrated a rather modest impact on host transcription. Alterations in the UC509.9 transcriptome during lytic infection appear phage-specific, with a relatively small number of differentially transcribed genes shared between infection with either Tuc2009 or c2. Transcriptional profiles of both bacteriophages during lytic infection was shown to generally correlate with previous studies and allowed the confirmation of previously predicted promoter sequences. Bioinformatic analysis of genomic regions encoding the presumed cell wall polysaccharide (CW PS) biosynthesis gene cluster of several strains of L. lactis was performed. Results demonstrate the presence of three dominant genetic types of this gene cluster, termed type A, B and C. These regions were used for the development of a multiplex PCR to identify CW PS genotype of various lactococcal strains. Analysis of 936 species phage receptor binding protein phylogeny (RBP) and CW PS genotype revealed an apparent correlation between RBP phylogeny and CW PS type, thereby providing a partial explanation for the observed narrow host range of 936 phages. Further analysis of the genetic locus encompassing the presumed CW PS biosynthesis operon of eight strains identified as belonging to the CW PS C (geno)type, revealed the presence of a variable region among the examined strains. The obtained comparative analysis allowed for the identification of five subgroups of the C type, named C1 to C5. We purified an acidic polysaccharide from the cell wall of L. lactis 3107 (C2 subtype) and confirmed that it is structurally different from the CW PS of the C1 subtype L. lactis MG1363. Combinations of genes from the variable region of C2 subtype were amplified from L. lactis 3107 and introduced into a mutant of the C1 subtype L. lactis NZ9000 (a direct derivative of MG1363) deficient in CW PS biosynthesis. The resulting recombinant mutant synthesized a CW PS with a composition characteristic for that of the C2 subtype L. lactis 3107 and not the wildtype C1 L. lactis NZ9000. The recombinant mutant exhibited a changed phage resistance/sensitivity profile consistent with that of L. lactis 3107, which unambiguously demonstrated that L. lactis 3107 CW PS is the host cell surface receptor of two bacteriophages belonging to the P335 species as well as phages that are member of the 936 species. The research presented in this thesis has significantly advanced our understanding of L. lactis bacteriophage-host interactions in several ways. Firstly, the examination of plasmidencoded bacteriophage resistance systems has allowed inferences to be made regarding the mode of action of AbiB, thereby providing a platform for further elucidation of the molecular trigger of this system. Secondly, the phage infection transcriptome data presented, in addition to previous work, has made L. lactis a model organism in terms of transcriptomic studies of bacteriophage-host interactions. And finally, the research described in this thesis has for the first time explicitly revealed the nature of a carbohydrate bacteriophage receptor in L. lactis, while also providing a logical explanation for the observed narrow host ranges exhibited by 936 and P335 phages. Future research in discerning the structures of other L. lactis CW PS, combined with the determination of the molecular interplay between receptor binding proteins of these phages and CW PS will allow an in depth understanding of the mechanism by which the most prevalent lactococcal phages identify and adsorb to their specific host.

NAFTA and the apparel commodity chain: Corporate strategies, interfirm networks, and industrial upgrading

The apparel industry is one of the oldest and largest export industries in the world, with global trade and production networks that connect firms and workers in countries at all levels of economic development. This chapter examines the impact of the North American Free Trade Agreement (NAFTA) as one of the most recent and significant developments to affect patterns of international trade and production in the apparel and textile industries. Tr ade policies are changing the institutional environment in which firms in this industry operate, and companies are responding to these changes with new strategies designed to increase their profitability and strengthen their control over the apparel commodity chain. Our hypothesis is that lead firms are establishing qualitatively different kinds of regional production networks in North America from those that existed prior to NAFTA, and that these networks have important consequences for industrial upgrading in the Mexican textile and apparel industries. Post-NAFTA crossborder production arrangements include full-package networks that link lead firms in the United States with apparel and textile manufacturers, contractors, and suppliers in Mexico. Full-package production is increasing the local value added provided by the apparel commodity chain in Mexico and creating new opportunities for Mexican firms and workers. The chapter is divided into four main sections. The first section uses trade and production data to analyze shifts in global apparel flows, highlighting the emergence and consolidation of a regional trade bloc in North America. The second section discusses the process of industrial upgrading in the apparel industry and introduces a distinction between assembly and full-package production networks. The third section includes case studies based on published industry sources and strategic interviews with several lead companies whose strategies are largely responsible for the shifting trade patterns and NAFTA-inspired cross-border production networks discussed in the previous section. The fourth section considers the implications of these changes for employment in the North American apparel industry. © 2009 by Temple University Press. All rights reserved.

Economic and Social Upgrading in Global Value Chains and Industrial Clusters: Why Governance Matters

© 2014, Springer Science+Business Media Dordrecht.The burgeoning literature on global value chains (GVCs) has recast our understanding of how industrial clusters are shaped by their ties to the international economy, but within this context, the role played by corporate social responsibility (CSR) continues to evolve. New research in the past decade allows us to better understand how CSR is linked to industrial clusters and GVCs. With geographic production and trade patterns in many industries becoming concentrated in the global South, lead firms in GVCs have been under growing pressure to link economic and social upgrading in more integrated forms of CSR. This is leading to a confluence of “private governance” (corporate codes of conduct and monitoring), “social governance” (civil society pressure on business from labor organizations and non-governmental organizations), and “public governance” (government policies to support gains by labor groups and environmental activists). This new form of “synergistic governance” is illustrated with evidence from recent studies of GVCs and industrial clusters, as well as advances in theorizing about new patterns of governance in GVCs and clusters.

White-Light Supercontinuum Generation with 60-ps Pump Pulses in a Photonic Crystal Fiber

The generation of a spatially single-mode white-light supercontinuum has been observed in a photonic crystal fiber pumped with 60-ps pulses of subkilowatt peak power. The spectral broadening is identified as being due to the combined action of stimulated Raman scattering and parametric four-wave-mixing generation, with a negligible contribution from the self-phase modulation of the pump pulses. The experimental results are in good agreement with detailed numerical simulations. These findings demonstrate that ultrafast femtosecond pulses are not needed for efficient supercontinuum generation in photonic crystal fibers. © 2001 Optical Society of America.

Single-mode white-light supercontinuum with 60 ps pump pulses in a photonic crystal fiber

info:eu-repo/semantics/published

Interacción genotipo por ambiente sobre caracteres de calidad comercial e industrial en trigo pan (Triticum aestivum L.)

El genotipo (G), el ambiente (A) y la interacción G x A pueden influir de manera diferente sobre las característica que definen la calidad comercial e industrial de trigo pan. Los objetivos de esta tesis fueron: 1) Caracterizar el rendimiento y a sus componentes en cultivares de trigo pertenecientes a diferentes grupos de calidad, expuestos a ofertas de nitrógeno contrastantes. 2) Estudiar el impacto de distinta disponibilidad de nitrógeno sobre los componentes fisiológicos del llenado de los granos (i.e tasa y duración) en distintaas variedades de trigo pan y su posible efecto sobre los parámetros de calidad. 3) Caracterizar y cuantificar la interacción genotipo por ambiente sobre la expresión de los parámetros que determinan el rendimiento y la calidad comercial e industrial del trigo pan en ambientes con diferentes disponibilidades de nitrógeno. Se realizaron ensayos en dos localidades, durante dos años, utilizando seis variedades de distinta aptitud panadera (2 de cada grupo de clasificación por grupo de calidad -GC-), aplicando cuatro tratamientos de fertilización nitrogenadas. Se evaluó el efecto genético, ambiental y la interacción G x A, sobre el rendimiento y sus componentes, el peso de los granos y sus componentes y sobre los parámetros de calidad comercial e industrial. Los resultados mostraron que el rendimiento y sus componentes (número de granos, biomasa aérea, eficiencia de uso de la radiación interceptada acumulada) fueron afectados principalmente por el ambiente y el manejo nutricional dentro de de cada ambiente. Para el peso de los granos y sus componentes (tasa y duración) el efecto del manejo del nitrógeno no fue importante, aunque sí lo fue el efecto genotipo. Para los parámetros de calidad el efecto genotipo fue más importante solo para la tenacidad, mientras que el peso hectolítrico, gluten húmedo, fuerza panadera, la relación de equilibrio (P/L) y volumen de pan fueron modificados principalmente por el efecto ambiente no manejable como son el año y la localidad, en tanto la proteína fue afectada principalmente por el factor ambiental asociado al manejo nutricional. La interacción GxA fue el efecto que explicó en mayor medida las variaciones de rendimiento de harina, absorción de agua y tiempo de amasado. La fuerte interacción GxA observada para la mayoría de los parámetros de calidad determinó que variedades de un determinado GC cambien de grupo asociado principalmente a factores ambientales como la localidad y el año, mientras que el manejo nutricional tuvo un impacto menor

Momento de ocurrencia, magnitud y reiteración de lluvias como determinante del lavado del grano de trigo y su efecto en la calidad comercial e industrial

p.45-53

Interacción genotipo por ambiente sobre caracteres de calidad comercial e industrial en trigo pan (Triticum aestivum L.)

El genotipo (G), el ambiente (A)y la interacción G x A pueden influir de manera diferente sobre las característica que definen la calidad comercial e industrial de trigo pan. Los objetivos de esta tesis fueron: 1)Caracterizar el rendimiento y a sus componentes en cultivares de trigo pertenecientes a diferentes grupos de calidad, expuestos a ofertas de nitrógeno contrastantes. 2)Estudiar el impacto de distinta disponibilidad de nitrógeno sobre los componentes fisiológicos del llenado de los granos (i.e tasa y duración)en distintaas variedades de trigo pan y su posible efecto sobre los parámetros de calidad. 3)Caracterizar y cuantificar la interacción genotipo por ambiente sobre la expresión de los parámetros que determinan el rendimiento y la calidad comercial e industrial del trigo pan en ambientes con diferentes disponibilidades de nitrógeno. Se realizaron ensayos en dos localidades, durante dos años, utilizando seis variedades de distinta aptitud panadera (2 de cada grupo de clasificación por grupo de calidad -GC-), aplicando cuatro tratamientos de fertilización nitrogenadas. Se evaluó el efecto genético, ambiental y la interacción G x A, sobre el rendimiento y sus componentes, el peso de los granos y sus componentes y sobre los parámetros de calidad comercial e industrial. Los resultados mostraron que el rendimiento y sus componentes (número de granos, biomasa aérea, eficiencia de uso de la radiación interceptada acumulada)fueron afectados principalmente por el ambiente y el manejo nutricional dentro de de cada ambiente. Para el peso de los granos y sus componentes (tasa y duración)el efecto del manejo del nitrógeno no fue importante, aunque sí lo fue el efecto genotipo. Para los parámetros de calidad el efecto genotipo fue más importante solo para la tenacidad, mientras que el peso hectolítrico, gluten húmedo, fuerza panadera, la relación de equilibrio (P/L)y volumen de pan fueron modificados principalmente por el efecto ambiente no manejable como son el año y la localidad, en tanto la proteína fue afectada principalmente por el factor ambiental asociado al manejo nutricional. La interacción GxA fue el efecto que explicó en mayor medida las variaciones de rendimiento de harina, absorción de agua y tiempo de amasado. La fuerte interacción GxA observada para la mayoría de los parámetros de calidad determinó que variedades de un determinado GC cambien de grupo asociado principalmente a factores ambientales como la localidad y el año, mientras que el manejo nutricional tuvo un impacto menor

Efecto del pastoreo del trigo sobre el rendimiento y la calidad industrial del grano

p.93-102

Modelling of industrial multi-physics processes—a key role for computational mechanics.

In the analysis of industrial processes, there is an increasing emphasis on systems governed by interacting continuum phenomena. Mathematical models of such multi-physics processes can only be achieved for practical simulations through computational solution procedures—computational mechanics. Examples of such multi-physics systems in the context of metals processing are used to explore some of the key issues. Finite-volume methods on unstructured meshes are proposed as a means to achieve efficient rapid solutions to such systems. Issues associated with the software design, the exploitation of high performance computers, and the concept of the virtual computational-mechanics modelling laboratory are also addressed in this context.

Bulk synchronous parallelization of industrial electromagentic software

The parallelization of existing/industrial electromagnetic software using the bulk synchronous parallel (BSP) computation model is presented. The software employs the finite element method with a preconditioned conjugate gradient-type solution for the resulting linear systems of equations. A geometric mesh-partitioning approach is applied within the BSP framework for the assembly and solution phases of the finite element computation. This is combined with a nongeometric, data-driven parallel quadrature procedure for the evaluation of right-hand-side terms in applications involving coil fields. A similar parallel decomposition is applied to the parallel calculation of electron beam trajectories required for the design of tube devices. The BSP parallelization approach adopted is fully portable, conceptually simple, and cost-effective, and it can be applied to a wide range of finite element applications not necessarily related to electromagnetics.