Sensitive Troponin Assays: Diagnostic and Prognostic Use in Cardiology

Cardiac troponins (cTns) are the recommended biochemical markers in the diagnosis of myocardial infarction (MI). They are very sensitive and tissue-specific but are limited by their delayed appearance in the circulation. Biochemical markers with more rapid release kinetics, e.g. myoglobin and especially heart-type fatty acid-binding protein (H-FABP), have been used to enhance the early identification of MI. The implementation of cTns into clinical practice has shown that cardiomyocyte injury occurs in many other clinical conditions than MI. The aim of this study was to evaluate the impact of modern and highly sensitive cTnI assays on the early diagnosis of MI. In a patient cohort with suspected MI, such a sensitive cTnI assay enhanced the early diagnostic accuracy when compared to a less sensitive cTnI assay and to myoglobin. When compared to H-FABP during the early hours after symptom onset, the sensitive cTnI assay showed at least similar and, after 6 hours, superior diagnostic accuracy. A positive cTnI test result had superior prognostic value when compared to H-FABP, even among early presenters. The prognostic value of cTn in acute heart failure (AHF) was evaluated in 364 patients who participated in the FINN-AKVA study. The patients presented with AHF but no acute coronary syndrome (ACS). Up to half of the patients had elevated cTn levels which were associated with higher 6-month mortality. The magnitude of cTn elevation was directly proportional to mortality. Finally, the clinical spectrum of cTnI elevations was evaluated in 991 cTnI positive emergency department (ED) patients. 83% of the patients had MI and 17% had cTnI elevation due to other clinical conditions. The latter patient group was characterized by lower absolute cTnI levels and – importantly – higher in-hospital mortality when compared to the MI patients. In conclusion, the use of a highly sensitive cTnI assay enhances the early diagnostic accuracy and risk stratification in suspected MI patients. Cardiac troponin elevations are highly prevalent also in other acute clinical conditions and indicate an adverse outcome of these patients.

A Semi-Selective agar medium to detect the presence of Xanthomonas axonopodis pv. malvacearum in naturally infected cotton seed

A semi-selective agar medium was developed for detection of Xanthomonas axonopodis pv. malvacearum (Xam) in cotton (Gossypium hirsutum) seed. The basic medium was peptone-sucrose-agar (PSA). Criteria for the semi-selective medium were the typical colony characters of Xam and its pathogenicity on cotton. Several systemic fungicides and antibiotics in different concentrations were tested alone or in combination with others. The final composition of the semi-selective agar medium was established after several attempts in order to inhibit most of the fungal and bacterial saprophytes and favour the development of Xam. It contained PSA + cyclohexamide, cephalexin, pencycuron, triadimenol and tolylfluanid. The bacteria were recovered from naturally infected seeds by the direct plating of 2,000 surface disinfected seeds on the semi-selective medium. The recovery of the pathogen from naturally infected leaf tissues and in dilution plating, on semi-selective medium and on nutrient agar, were comparable. Among the three detection methods tested, the semi-selective medium was found to be the most reliable and quantifiable. Degree of severity of angular leaf spot in the field was not always correlated with the level of infection in the seed. This is the first report of a semi-selective agar medium to detect the presence of Xam in naturally infected cotton seed.

Photoinhibition of Photosystem II. Kinetics, Photoprotection and Mechanism

Photosystem II (PSII) is susceptible to light-induced damage defined as photoinhibition. In natural conditions, plants are capable of repairing the photoinhibited PSII by on-going degradation and re-synthesis of the D1 reaction centre protein of PSII. Photoinhibition is induced by both visible and ultraviolet light and photoinhibition occurs under all light intensities with the same efficiency per photon. In my thesis work, I studied the reaction kinetics and mechanism of photoinhibition of PSII, as well as photoprotection in leaves of higher plants. Action spectroscopy was used to identify photoreceptors of photoinhibition. I found that the action spectrum of photoinhibition in vivo shows resemblance to the absorption spectra of manganese model compounds of the oxygen evolving complex (OEC) suggesting a role for manganese as a photoreceptor of photoinhibition under UV and visible light. In order to study the protective effect of non-photochemical quenching, the action spectrum was measured from leaves of wild type Arabidopsis thaliana and two mutants impaired in nonphotochemical quenching of chlorophyll a excitations. The findings of action spectroscopy and simulations of chlorophyll-based photoinhibition mechanisms suggested that quenching of antenna excitations protects less efficiently than would be expected if antenna chlorophylls were the only photoreceptors of photoinhibition. The reaction kinetics of prolonged photoinhibition was studied in leaves of Cucurbita maxima and Capsicum annuum. The results indicated that photoinhibitory decrease in both the oxygen evolution activity and ratio of variable to maximum fluorescence follows firstorder kinetics in vivo. The persistence of first-order kinetics suggests that already photoinhibited reaction centres do not protect against photoinhibition and that the mechanism of photoinhibition does not have a reversible intermediate. When Cucurbita maxima leaves were photoinhibited with saturating single-turnover flashes and continuous light, the light response curve of photoinhibition was found to be essentially a straight line with both types of illumination, suggesting that similar photoinhibition mechanisms might function during illumination with continuous light and during illumination with short flashes.

Coaching agile methods in research and development projects

Agile coaching of a project team is one way to aid learning of the agile methods. The objective of this thesis is to present the agile coaching plan and to follow how complying the plan affects to the project teams. Furthermore, the agile methods are followed how they work in the projects. Two projects are used to help the research. From the thesis point of view, the task for the first project is to coach the project team and two new coaches. The task for the second project is also to coach the project team, but this time so that one of the new coaches acts as the coach. The agile methods Scrum process and Extreme programming are utilized by the projects. In the latter, the test driven development, continuous integration and pair programming are concentrated more precisely. The results of the work are based on the observations from the projects and the analysis derived from the observations. The results are divided to the effects of the coaching and to functionality of the agile methods in the projects. Because of the small sample set, the results are directional. The presented plan, to coach the agile methods, needs developing, but the results of the functionality of the agile methods are encouraging.

Cuticular and Suberin Polymers of Edible Plants. Analysis by Gas Chromatographic-Mass Spectrometric and Solid State Spectroscopic Methods

Cutin and suberin are structural and protective polymers of plant surfaces. The epidermal cells of the aerial parts of plants are covered with an extracellular cuticular layer, which consists of polyester cutin, highly resistant cutan, cuticular waxes and polysaccharides which link the layer to the epidermal cells. A similar protective layer is formed by a polyaromatic-polyaliphatic biopolymer suberin, which is present particularly in the cell walls of the phellem layer of periderm of the underground parts of plants (e.g. roots and tubers) and the bark of trees. In addition, suberization is also a major factor in wound healing and wound periderm formation regardless of the plants’ tissue. Knowledge of the composition and functions of cuticular and suberin polymers is important for understanding the physiological properties for the plants and for nutritional quality when these plants are consumed as foods. The aims of the practical work were to assess the chemical composition of cuticular polymers of several northern berries and seeds and suberin of two varieties of potatoes. Cutin and suberin were studied as isolated polymers and further after depolymerization as soluble monomers and solid residues. Chemical and enzymatic depolymerization techniques were compared and a new chemical depolymerization method was developed. Gas chromatographic analysis with mass spectrometric detection (GC-MS) was used to assess the monomer compositions. Polymer investigations were conducted with solid state carbon-13 cross polarization magic angle spinning nuclear magnetic resonance spectroscopy (13C CP-MAS NMR), Fourier transform infrared spectroscopy (FTIR) and microscopic analysis. Furthermore, the development of suberin over one year of post-harvest storage was investigated and the cuticular layers from berries grown in the North and South of Finland were compared. The results show that the amounts of isolated cuticular layers and cutin monomers, as well as monomeric compositions vary greatly between the berries. The monomer composition of seeds was found to differ from the corresponding berry peel monomers. The berry cutin monomers were composed mostly of long-chain aliphatic ω-hydroxy acids, with various mid-chain functionalities (double-bonds, epoxy, hydroxy and keto groups). Substituted α,ω-diacids predominated over ω-hydroxy acids in potato suberin monomers and slight differences were found between the varieties. The newly-developed closed tube chemical method was found to be suitable for cutin and suberin analysis and preferred over the solvent-consuming and laborious reflux method. Enzymatic hydrolysis with cutinase was less effective than chemical methanolysis and showed specificity towards α,ω-diacid bonds. According to ₁₃C CP-MAS NMR and FTIR, the depolymerization residues contained significant amounts of aromatic structures, polysaccharides and possible cutan-type aliphatic moieties. Cultivation location seems to have effect on cuticular composition. The materials studied contained significant amounts of different types of biopolymers that could be utilized for several purposes with or without further processing. The importance of the so-called waste material from industrial processes of berries and potatoes as a source of either dietary fiber or specialty chemicals should be further investigated in detail. The evident impact of cuticular and suberin polymers, among other fiber components, on human health should be investigated in clinical trials. These by-product materials may be used as value-added fiber fractions in the food industry and as raw materials for specialty chemicals such as lubricants and emulsifiers, or as building blocks for novel polymers.

Semi-selective culture medium for Exserohilum turcicum isolation from corn seeds

Northern corn leaf blight, caused by Exserohilum turcicum (Et), is a disease of widespread occurrence in regions where corn, sweetcorn and popcorn are grown. This disease has great potential to cause damage and has been studied for years, but the association of its causal agent with seeds remains unconfirmed. Thus, the availability of a sensitive method to detect and quantify the inoculum in seeds, even at low incidence, is essential. The aim of this study was to develop a method to detect and quantify the presence of the fungus infecting and infesting corn and popcorn seeds. Artificially and naturally infected seeds were employed to develop the medium. The semi-selective medium was composed of carbendazim (active ingredient) (60 mg/L), captan (30 mg/L), streptomycin sulfate (500 mg/L) and neomycin sulfate (600 mg/L) aggregated to the medium lactose casein hydrolysate agar medium. By using this, Et was detected in naturally infected corn seeds, showing 0.124% incidence, in four out of ten analyzed samples. In addition, 1.04 conidia were detected per infested seed. By means of isolation, pathogenicity test, morphological characterization and comparison with descriptions of the species in the literature, the fungus isolated from the seeds was confirmed to be Et. Both infection and infestation were considered low; thus, for studies of Et detection in corn seeds, the use of semi-selective medium and more than 1,200 seeds/sample is suggested.

Adherence and perceptions regarding simulation training in undergraduate health Sciences

BACKGROUND: Simulation techniques are spreading rapidly in medicine. Suc h resources are increasingly concentrated in Simulation Laboratories. The MSRP-USP is structuring such a laboratory and is interested in the prevalence of individual initiatives that could be centralized there. The MSRP-USP currently has five full-curriculum courses in the health sciences: Medicine, Speech Therapy, Physical Therapy, Nutrition, and Occupational Therapy, all consisting of core disciplines. GOAL: To determine the prevalence of simulation techniques in the regular courses at MSRP-USP. METHODS: Coordinators of disciplines in the various courses were interviewed using a specifically designed semi-structured questionnaire, and all the collected data were stored in a dedicated database. The disciplines were grouped according to whether they used (GI) or did not use (GII) simulation resources. RESULTS AND DISCUSSION: 256 disciplines were analyzed, of which only 18.3% used simulation techniques, varying according to course: Medicine (24.7.3%), Occupational Therapy (23.0%), Nutrition (15.9%), Physical Therapy (9.8%), and Speech Therapy (9.1%). Computer simulation programs predominated (42.5%) in all five courses. The resources were provided mainly by MSRP-USP (56.3%), with additional funding coming from other sources based on individual initiatives. The same pattern was observed for maintenance. There was great interest in centralizing the resources in the new Simulation Laboratory in order to facilitate maintenance, but there was concern about training and access to the material. CONCLUSIONS: 1) The MSRP-USP simulation resources show low complexity and are mainly limited to computer programs; 2) Use of simulation varies according to course, and is most prevalent in Medicine; 3) Resources are scattered across several locations, and their acquisition and maintenance depend on individual initiatives rather than central coordination or curricular guidelines

Toiminnan kehittäminen joukko-osastossa

Tutkimuksen päätavoite on tuottaa toiminnan kehittämismalli Kaartin Jääkärirykmentille, joka on yksi maavoimien joukko-osastoista. Tutkimuksen osatavoitteina on luoda yleinen malli joukko-osaston toiminnan kehittämisen osa-alueista, muodostaa luodun mallin perusteella kyselylomake kehityskohteiden kartoittamiseksi sekä laaditulla lomakkeella selvittää joukko-osaston toiminnan kehitystarpeita. Toiminnan kehittäminen nähdään tutkimuksessa toimintojen tai toimintatapojen kehittämisenä, ja sitä tarkastellaan laatujohtamisen näkökulmasta. Tutkimus on luonteeltaan laadullinen empiirinen tutkimus, jolla pyritään uuden mallin luomiseen. Tiedonkeruumenetelminä olivat kirjallisuuskatsaus, puolistrukturoidut haastattelut ja kyselytutkimus. Kirjallisuuskatsausta edusti perehtyminen laatujohtamisen teoriaan. Laatujohtamisen teoriaa täydennettiin kahdella asiantuntijahaastattelulla, joista toinen tehtiin laatujohtamisen teorian asiantuntijalle ja toinen käytännön asiantuntijalle. Lisäksi tutkimuksessa perehdyttiin puolustusvoimien laadunhallinnan ja toiminnan kehittämisen ohjeistukseen. Puolustusvoimien ohjeistusta edustivat Pääesikunnan ja Maavoimien Esikunnan ohjeasiakirjat sekä yhden esimerkkijoukko-osaston ohjeistus. Laatujohtamisen teorian ja puolustusvoimien ohjeistuksen perusteella muodostettiin yleinen malli joukko-osaston toiminnan kehittämisen osa-alueista. Malli oli samalla tutkimuksen ensimmäinen osatavoite. Mallin perusteella toiminnan kehittäminen koostuu: toiminnan vakioinnista, toiminnan arvioinnista, toiminnan jatkuvasta parantamisesta ja innovatiivisuudesta. Näiden neljän kokonaisuuden perusteella luotiin kyselylomake, siten, että samalla kyselylomakkeella pystyttiin kartoittamaan Kaartin Jääkärirykmentin nykyisen toiminnan mahdollisia kehitystarpeita ja myöhemmässä vaiheessa mittamaan toiminnan kehittymistä. Kyselylomakkeen muodostaminen oli samalla tutkimuksen toinen osatavoite. Kyselylomakkeen avulla toteutettiin kyselytutkimus kehitystarpeiden selvittämiseksi. Tämä oli tutkimuksen kolmas osatavoite. Kyselytutkimuksen tulosten perusteella eniten kehitettävää oli toiminnan jatkuvassa parantamisessa. Tulosten perusteella muodostettiin vuosisuunnittelurytmiin sidottu, itsearviointiin ja yhteen jatkuvan parantamisen malliin pohjautuva, toiminnan kehittämisen malli Kaartin Jääkärirykmentille.

Diameter structure of stratum and ecological groups of a Semideciduous Forest area in Dionísio-MG

The objective of this study was to obtain homogeneous groups of species and information on their density, dominance and volume, in terms of ecological group and diameter structure of an area of Submontane Semideciduous forest (Mata do Mumbaça) in Dionísio, MG. This work was conducted with data of the diameter distribution per species from floristic and phytosociological (Mata do Mumbaça) survey of 120 plots with 10 x 10 m each one. The 120 plots were contiguous and corresponding to a total sample area of 12,000 m² distributed over the topographic units (Low Ramp, Lower Slope, Upper Slope and Hill Top). The topographic units Low Ramp, Lower Slope and Upper Slope were in the middle stage of succession as they presented incipient stratification into two strata (canopy and understory) i.e. canopy ranging from 5 to 12 m high. However, the stratum Hill Top was classified as intermediate/advanced succession because it had a total height equal to or greater than 12 m. The distribution of individual trees of the four strata on diameter classes showed a typical J-inverted pattern that is, high concentration of individuals in smaller diameter classes and a sharp reduction towards the larger classes. In relation to absolute dominance and total volume of species, the ecological group that stood out in the four strata (Low Ramp, Lower Slope, Upper Slope and Hill Top) was the initial secondary, which were in the intermediate stage of secondary, rapidly developing into the mature phase.

Simulation and optimization of IGCC technique for power generation and hydrogen production by using lignite Thar coal and cotton stalk

The purpose of this study was to simulate and to optimize integrated gasification for combine cycle (IGCC) for power generation and hydrogen (H2) production by using low grade Thar lignite coal and cotton stalk. Lignite coal is abundant of moisture and ash content, the idea of addition of cotton stalk is to increase the mass of combustible material per mass of feed use for the process, to reduce the consumption of coal and to increase the cotton stalk efficiently for IGCC process. Aspen plus software is used to simulate the process with different mass ratios of coal to cotton stalk and for optimization: process efficiencies, net power generation and H2 production etc. are considered while environmental hazard emissions are optimized to acceptance level. With the addition of cotton stalk in feed, process efficiencies started to decline along with the net power production. But for H2 production, it gave positive result at start but after 40% cotton stalk addition, H2 production also started to decline. It also affects negatively on environmental hazard emissions and mass of emissions/ net power production increases linearly with the addition of cotton stalk in feed mixture. In summation with the addition of cotton stalk, overall affects seemed to negative. But the effect is more negative after 40% cotton stalk addition so it is concluded that to get maximum process efficiencies and high production less amount of cotton stalk addition in feed is preferable and the maximum level of addition is estimated to 40%. Gasification temperature should keep lower around 1140 °C and prefer technique for studied feed in IGCC is fluidized bed (ash in dry form) rather than ash slagging gasifier

Role of Capabilities in Purchasing and Supply Management Performance

The objective of this thesis was to study the role of capabilities in purchasing and supply management. For the pre-understanding of the research topic, purchasing and supply management development and the multidimensional, unstructured and complex nature of purchasing and supply management performance was studied in literature review. In addition, a capability-based purchasing and supply management performance framework were researched and structured for the empirical research. Due to the unstructured nature of the research topic, the empirical research is three-pronged in this study including three different research methods: the Delphi method, semi-structured interview, and case research. As a result, the purchasing and supply management capability assessment tool was structured to measure current level of capabilities and impact of capabilities on purchasing and supply management performance. The final results indicate that capabilities are enablers of purchasing and supply management performance, and therefore critical to purchasing and supply performance.

Soil chiseling and fertilizer location in sugarcane ratoon cultivation

While the pre-harvest sugarcane burning is a disused practice, green harvest requires changes concerning ratoon cultivation due to the presence of a thick layer of straw. The experiment, conducted in a mechanical green harvesting area cultivated with sugarcane, consisted of two stages: in the first stage, the mechanical straw cutting performance of flat disks with different geometry edges was evaluated, considering two types of disks and 10 replications in a completely randomized design; in the second stage, the effect of soil chiseling on both sides of planting lines, using shanks with straw cutting flat disks, was assessed, as well as fertilizer deposition form. The experimental design in the second stage was completely randomized, with seven treatments and five replications. Treatments consisted of a combination of two straw cutting disks (smooth or toothed edge), chiseling presence or absence, and fertilizer deposition forms (broadcast, on the planting line, and incorporated into chiseling furrows). The toothed disk differed from the smooth one, presenting lower values of horizontal and vertical forces, and torque. The agroindustrial variables pol (%), brix (%), fiber (%), and ATR (kg Mg-1) were not influenced by the fertilizer deposition form and soil chiseling. However, the localized fertilizer deposition increased crop yield when compared with broadcast fertilization.

Physical attributes of a pasture soil in southeast Goiás determined by geostatistics

ABSTRACT This study aimed to evaluate the spatial dependence of physical attributes in a soil cultivated with Brachiaria grass. A 12-m regular sampling grid was established within an area of 3.500 m2. Thirty-five soil samples were collected at 0-30 cm depth for particle density, bulk density, texture and total porosity analysis. These data were evaluated using statistical methods of indicator kriging and the GS+ software. The GS+ software was used to develop three-dimensional maps and evaluate semivariograms. The spatial dependence was evaluated using experimental semivariograms. The analyzed attributes indicated the occurrence of spatial dependence when fit to the exponential model. Areas with higher porosity occurred in the regions with lower bulk densities and higher particle densities.

Sisäinen tarkastus organisaation riskienhallinnan tukena - empiirinen analyysi

Tutkimuksen tavoitteena on selvittää, millainen rooli sisäisellä tarkastuksella on määritelmänsä mukaisesti organisaation riskienhallinnassa ja kuinka tässä roolissa sisäinen tarkastus säilyttää riippumattoman ja objektiivisen asemansa. Aihepiirin tutkimuksessa on aiemmin nostettu esille huoli objektiivisuuden ja riippumattomuuden toteutumisesta sisäisen tarkastuksen tehtävien laajentuessa perinteisten arviointi- ja varmennustehtävien ulkopuolelle. Sisäinen tarkastus on ottamassa merkittävämpää roolia riskienhallinnassa, jossa konsultointiluonteisten tehtävien osuus jatkaa kasvuaan suhteessa perinteisiin tehtäviin. Tutkimuksen empirialla haetaan vahvistusta lähdeaineiston keskeisille havainnoille ja selvitetään samalla sisäisen tarkastajan riippumatonta ja objektiivista asemaa turvaavia toimia. Empiirinen osio toteutetaan sähköpostihaastatteluna valituille yksityisellä puolella toimiville sisäisen tarkastuksen päälliköille. Haastattelun kysymykset ovat muodoltaan sekä strukturoituja että vapaampia kysymyksiä. Sisäisen tarkastuksen roolia selvitetään deskriptiivisellä lähestymistavalla, jolla kuvaillaan asemaa lähdemateriaalin sekä empiiristen havaintojen puitteissa. Tutkimus luokitellaan kvalitatiiviseksi tutkimukseksi. Kahdeksalle sisäiselle tarkastajalle lähetetystä haastattelulomakkeesta vastaukset saatiin lopulta kahdelta sisäisen tarkastuksen päälliköltä. Tutkimuksen keskeiset havainnot osoittavat, että sisäisellä tarkastuksella on aktiivinen rooli riskien arvioinnissa ja riskeistä konsultoinnissa. Tarkastuksen riippumaton ja objektiivinen toiminta varmennetaan sisäisen tarkastuksen suoralla raportointiyhteydellä ylimpään johtoon sekä sisäisesti että ulkoisesti tapahtuvalla laadun varmennuksella. Tutkimuksessa tehdyt havainnot lisäävät tietoa ja ymmärrystä sisäisen tarkastuksen riippumattomuuden ja objektiivisuuden varmentamisesta riskienhallinnan tukena.

The Evolution of Securities Lending and Risk Mitigation: A Finnish Market Case Study

Although securities lending is an important function of the financial markets, it has not received that much academic attention. This study examines the evolution of European securities lending and risk management with an emphasis on the development of collateral management, the function responsible for reducing credit risk. The effects of the recent financial instabilities are also considered. The evolution of the Finnish securities lending market is examined in more detail through a case-study. This study can be classified as a constructive qualitative case study. The initial practical knowledge comes from the author's own experience and additional insight and theoretical background is acquired through a literature review. The case study is based on research, semi-structured interviews and a brief analysis of numerical data. The main observation of this study was that securities lending is now recognized as more of an investment management discipline than an operational support function. The recent financial instabilities have resulted in an increased focus on risk and transparency. In securities lending this is directly reflected in collateral management guidelines and procedures. Collateral management has become increasingly technologically developed and automated. Collateral optimization initiatives have been started to make the process more efficient, liquid, and cost effective. Although securities lending is generally an OTC-market with no standard market place, centralized exchange-like models have been introduced. Finnish securities lending has now shifted towards the more common global OTC model. Although the Finnish securities lending industry has developed, and the main laws governing it (tax legislation) have changed, there is still need for development. There are still not many Finnish participants involved and due to legal issues most securities loans are collateralized with cash and not securities (e.g. government bonds).