Photosynthetic responses of four tropical tree species grown under gap and understorey conditions in a semi-deciduous forest

Leaf CO2 assimilation (A) as a function of photosynthetic photon flux density (Q) or intercellular CO2 concentration (Ci) and chlorophyll fluorescence measurements were carried out on four tropical woody species growing in forest gap and understorey (Bauhinia forficata Link. and Guazuma ulmifolia Lam. as pioneers, and Hymenaea courbaril L. and Esenbeckia leiocarpa Engl. as non-pioneers). Chlorophyll fluorescence indicated similar acclimation capacities of photochemical apparatus to contrasting light environments irrespective to plant species. Maximum CO2 assimilation and quantum yield derived from A/Q curves indicated higher photosynthetic capacity in pioneer than in non-pioneer species in forest gap. However, the differences among species did not show a straightforward relation with their successional status regarding data derived from A/Q curves under understorey conditions. Both successional groups are able to sustain positive carbon balance under contrasting natural light availabilities, modifying photochemical and biochemical photosynthetic traits with similar phenotypic plasticity capacity.

Floristic diversity of two crystalline rocky outcrops in the Brazilian northeast semi-arid region

Floristic composition and structure of vegetation were studied in two rocky outcrop areas in the semi-arid region of northeastern Brazil. From April 2007 to September 2008, 18 monthly field trips were carried out. Vascular plants were randomly collected throughout the outcrop areas. For structural analysis, 30 plots of 1 × 1 m were set in the vegetation islands. The checklist presented combines 211 species (69 families and 168 genera), although only 56 species were collected in the plots. Fabaceae (18 spp.; 8.5%), Asteraceae (17 spp.; 8%), Orchidaceae (13 spp.; 6.1%), Euphorbiaceae (13 spp.; 6.1%), Bromeliaceae (10 spp.; 4.7%), and Poaceae (eight spp.; 3.8%) are the richest families. Overall, 1,792 shrub and herbaceous specimens were counted in the plots. The Shannon-Wiener (H) diversity index values were 2.572 and 2.547 nats individual-1. The species that presented the highest absolute abundance values (number of plants) had low frequencies in the plots and vice-versa. The biological spectrum had a high proportion of phanerophytes and therophytes, followed by cryptophytes, chamaephytes, and hemicryptophytes. The studied flora shares floristic components similar to other rocky outcrop areas of the semi-arid region in northeastern Brazil, including in relation to dominant groups in the vegetation structure.

Sistemas de polinização e de reprodução de três espécies de Jatropha (Euphorbiaceae) na Caatinga, semi-árido do Brasil

São apresentados a biologia floral, a dinâmica de produção de néctar, visitantes florais e sistemas reprodutivos de Jatropha ribifolia (Pohl) Baill. (Euphorbiaceae) e uma comparação dos dados obtidos para J. mollissima (Pohl) Baill. e J. mutabilis (Pohl) Baill. O estudo foi desenvolvido em uma área de caatinga hiperxerófila, na Estação Biológica de Canudos, Bahia, Brasil, de maio de 2005 a junho de 2007. As flores das três espécies estão organizadas em dicásios protogínicos. Em J. ribifolia as flores estaminadas e pistiladas duram cerca de 48 horas e a abertura é diurna, enquanto em J. mollissima e J. mutabilis as estaminadas duram entre 12 e 15 horas e as pistiladas entre 36 e 48 horas e a abertura é crepuscular. A produção de néctar, a viabilidade polínica e a receptividade estigmática iniciaram-se logo após a abertura total das flores e se sobrepuseram até sua senescência. A produção de néctar variou ao longo do dia e as flores pistiladas produziram maiores volumes que as estaminadas. A viabilidade polínica e a receptividade estigmática foram observadas nas três espécies durante toda a vida da flor. Houve diferença significativa entre os tratamentos dos sistemas reprodutivos para J. mollissima (KW = 59,796), J. mutabilis (KW = 59,058) e J. ribifolia (KW = 63,660). As três espécies produziram frutos por geitonogamia manual e xenogamia manual e apenas J. ribifolia produziu frutos por geitonogamia espontânea. As abelhas Apis mellifera, Xylocopa frontalis e X. grisescens e os beija-flores Chlorostilbon lucidus e Anopetia gounellei são os polinizadores potenciais de J. mollissima e J. mutabilis. Já para J. ribifolia, os potenciais polinizadores são A. mellifera e X. grisescens. A utilização de uma gama variada de vetores de pólen permite o fluxo polínico e a formação de frutos nas três espécies. Por sua vez, o sequenciamento no período da floração e diferenças nas dimensões das flores e nos horários da antese ajudam a manter o isolamento reprodutivo das três espécies e evitam a perda de pólen interespecífico, que poderia ser alta devido à partilha de alguns dos polinizadores.

PK-yrityksen omistajanvaihdos tietojohtamisen näkökulmasta – tiedon jakaminen ja absorptiivinen kapasiteetti

PK-yritysten omistajanvaihdokset koskettavat vuoteen 2020 mennessä Suomessa noin 250000 ihmistä. Yhteiskunnan kannalta on tärkeää, että vaihdokset onnistuvat ja yritykset säilyttävät kilpailukykynsä, pystyvät kehittymään, kasvamaan kannattavasti ja työllistämään lisää henkilökuntaa. Työn tavoitteena on ymmärtää ja selittää PK-yrityksen omistajanvaihdosta tietojohtamisen näkökulmasta. Tutkimus toteutettiin vertailevana tapaustutkimuksena. Aineisto kerättiin puolistrukturoiduilla teemahaastatteluilla. Luopujan hiljaisen tiedon ja jatkajan yritykseen tuoman uuden tiedon onnistunut hyödyntäminen on oleellista PK-yritysten omistajanvaihdosten onnistumisessa. Luopujan hiljaisen tiedon siirtäminen jatkajalle ylläpitää yrityksen kilpailukykyä. Jatkajan yritykseen tuoma uusi tieto puolestaan voi laukaista tiedon hankinnan, sulattamisen, muokkaamisen ja hyödyntämisen prosessin, jonka kautta yrityksen kilpailukykyä voidaan parantaa tehostamalla prosesseja tai parantamalla tuotteita ja palveluita. Yksilöiden välinen tiedon jakaminen, siirtäminen ja rakentaminen ovat prosesseja, jotka kasvattavat yrityksen absorptiivistä kapasiteettiä tehostamalla tiedon sulattamista ja muuntamista. Tätä kautta voidaan osaltaan selittää omistajanvaihdokseen liittyviä riskejä ja mahdollisuuksia.

The requirements of a feasible plastic packaging material for cultured dairy products

The objective of this Master´s Thesis was to conduct a wide scale preliminary survey regarding the package requirements of a cultured dairy package, and to compare the currently used material polystyrene to other suitable packaging materials. Polystyrene has a long history of use in dairy cups, but in recent years its price has increased significantly compared to other common packaging materials. The overall environmental effects of a package and a package material are today a part of designing a sustainable product life cycle. In addition, in certain contexts there has been discussion of the risks posed by styrene polymer for the environment and for humans. These risks are also discussed in this thesis. Polystyrene (PS) is still the most widely used material in dairy cups. In recent years, polypropylene (PP) cups have appeared in increasing numbers on market shelves. This study focuses on the differences of the suitable polymers and examines the suitability of alternative “suitable” polymers with regards to dairy packaging. Aside from focusing on the cup manufacturer, this thesis also examines its subject matter from the viewpoint of the dairy customer, as well as observing the concrete implications of material changes in the overall value chain. It was known in advance that material permeability would be one of the determining factors and that gas transmission testing would be a significant part of the thesis. Mechanical tests were the second part of the testing process, providing information regarding package strength and protectiveness during the package’s life cycle. Production efficiency, along with uninterrupted stable production, was another important factor that was taken into consideration. These two issues are sometimes neglected in similar contexts due to their self-evident nature. In addition, materials used in production may have a surprising significance to the production and efficiency. Consistent high quality is also partly based on material selection. All of the aforementioned factors have been documented and the results have been analyzed by the development team at Coveris Rigid Finland. Coveris is now calculating the total finance effects and capacities should the material changes be implemented in practice. There are many factors in favor of switching to polypropylene at the moment. The overall production costs, as well as the environmental effects of resin production are the primary influences for said switch from the converters’ perspective.

Tapahtumamarkkinointi osana yrityksen markkinointiviestintää

Tämän tutkimuksen tarkoituksena oli laadullisia tutkimusmenetelmiä yhdistelemällä ja relevanttia tieteellistä kirjallisuutta hyödyntämällä selvittää, miten tutkimuksen kohdeyrityksen toteuttamaa tapahtumamarkkinointia voitaisiin kehittää vastaamaan paremmin yrityksen muuttuvia tarpeita. Tähän liittyen tutkittiin kohdeyrityksen näkökulmasta, miten tapahtumamarkkinointi nähdään, ja miten sitä hyödynnetään tällä hetkellä osana yrityksen markkinointiviestintää. Kuluttajan näkökulmaa hyödyntäen pyrittiin selvittämään, mitä vaikutuksia toteutetulla tapahtumamarkkinoinnilla on tapahtumiin osallistuvien yksilöiden kuluttajakäyttäytymiseen ja heidän kokemaansa brändiin. Lopuksi tutkittiin, missä rooleissa tapahtumiin osallistuvat yksilöt ovat kohdeyrityksen tuotteiden kuluttamiseen liittyvässä päätöksentekoprosessissa, ja mitä muita vaikuttajia prosessiin sisältyy. Empiirisiä tutkimustuloksia ja tieteellisessä kirjallisuudessa määriteltyjä parhaita toimintatapoja vertailemalla pyrittiin tunnistamaan eroavaisuuksia ja mahdollisia kehityskohteita. Työ toteutettiin tapaustutkimuksena, jossa tutkittavaa ilmiötä lähestyttiin sekä yrityksen että kuluttajan näkökulmasta. Tutkimuksen laadullinen aineisto kerättiin puolistrukturoitujen haastattelujen avulla, jonka lisäksi tukevana menetelmänä hyödynnettiin havainnointia. Haastattelujen kohteena oli kohdeyrityksen markkinointivastaavan lisäksi 19 järjestettyyn case-tapahtumaan osallistunutta yksilöä. Tulokset paljastivat tiettyjä eroavaisuuksia kohdeyrityksen toteuttaman tapahtumamarkkinoinnin ja alan tieteellisessä kirjallisuudessa määriteltyjen parhaiden toimintatapojen välillä. Tutkimustulokset kohdistivat huomiota myös tapahtumamarkkinoilla saavutettaviin hyötyihin lyhyellä ja pitkällä aikavälillä. Lisäksi tuloksiin perustuen muodostettiin uutta tietoa toiminnan kohteena olevien yksilöiden ku-luttamiseen liittyvästä päätöksentekoprosessista ja siihen sisältyvistä rooleista.

Stability of Natural Colorants of Plant Origin

In recent years, there have been studies that show a correlation between the hyperactivity of children and use of artificial food additives, including colorants. This has, in part, led to preference of natural products over products with artificial additives. Consumers have also become more aware of health issues. Natural food colorants have many bioactive functions, mainly vitamin A activity of carotenoids and antioxidativity, and therefore they could be more easily accepted by the consumers. However, natural colorant compounds are usually unstable, which restricts their usage. Microencapsulation could be one way to enhance the stability of natural colorant compounds and thus enable better usage for them as food colorants. Microencapsulation is a term used for processes in which the active material is totally enveloped in a coating or capsule, and thus it is separated and protected from the surrounding environment. In addition to protection by the capsule, microencapsulation can also be used to modify solubility and other properties of the encapsulated material, for example, to incorporate fat-soluble compounds into aqueous matrices. The aim of this thesis work was to study the stability of two natural pigments, lutein (carotenoid) and betanin (betalain), and to determine possible ways to enhance their stability with different microencapsulation techniques. Another aim was the extraction of pigments without the use of organic solvents and the development of previously used extraction methods. Stability of pigments in microencapsulated pigment preparations and model foods containing these were studied by measuring the pigment content after storage in different conditions. Preliminary studies on the bioavailability of microencapsulated pigments and sensory evaluation for consumer acceptance of model foods containing microencapsulated pigments were also carried out. Enzyme-assisted oil extraction was used to extract lutein from marigold (Tagetes erecta) flower without organic solvents, and the yield was comparable to solvent extraction of lutein from the same flowers. The effects of temperature, extraction time, and beet:water ratio on extraction efficiency of betanin from red beet (Beta vulgaris) were studied and the optimal conditions for maximum yield and maximum betanin concentration were determined. In both cases, extraction at 40 °C was better than extraction at 80 °C and the extraction for five minutes was as efficient as 15 or 30 minutes. For maximum betanin yield, the beet:water ratio of 1:2 was better, with possibly repeated extraction, but for maximum betanin concentration, a ratio of 1:1 was better. Lutein was incorporated into oil-in-water (o/w) emulsions with a polar oil fraction from oat (Avena sativa) as an emulsifier and mixtures of guar gum and xanthan gum or locust bean gum and xanthan gum as stabilizers to retard creaming. The stability of lutein in these emulsions was quite good, with 77 to 91 percent of lutein being left after storage in the dark at 20 to 22°C for 10 weeks whereas in spray dried emulsions the retention of lutein was 67 to 75 percent. The retention of lutein in oil was also good at 85 percent. Betanin was incorporated into the inner w1 water phase of a water1-in-oil-inwater2 (w1/o/w2) double emulsion with primary w1/o emulsion droplet size of 0.34 μm and secondary w1/o/w2 emulsion droplet size of 5.5 μm and encapsulation efficiency of betanin of 89 percent. In vitro intestinal lipid digestion was performed on the double emulsion, and during the first two hours, coalescence of the inner water phase droplets was observed, and the sizes of the double emulsion droplets increased quickly because of aggregation. This period also corresponded to gradual release of betanin, with a final release of 35 percent. The double emulsion structure was retained throughout the three-hour experiment. Betanin was also spray dried and incorporated into model juices with different pH and dry matter content. Model juices were stored in the dark at -20, 4, 20–24 or 60 °C (accelerated test) for several months. Betanin degraded quite rapidly in all of the samples and higher temperature and a lower pH accelerated degradation. Stability of betanin was much better in the spray dried powder, with practically no degradation during six months of storage in the dark at 20 to 24 °C and good stability also for six months in the dark at 60 °C with 60 percent retention. Consumer acceptance of model juices colored with spray dried betanin was compared with similar model juices colored with anthocyanins or beet extract. Consumers preferred beet extract and anthocyanin colored model juices over juices colored with spray dried betanin. However, spray dried betanin did not impart any off-odors or off-flavors into the model juices contrary to the beet extract. In conclusion, this thesis describes novel solvent-free extraction and encapsulation processes for lutein and betanin from plant sources. Lutein showed good stability in oil and in o/w emulsions, but slightly inferior in spray dried emulsions. In vitro intestinal lipid digestion showed a good stability of w1/o/w2 double emulsion and quite high retention of betanin during digestion. Consumer acceptance of model juices colored with spray dried betanin was not as good as model juices colored with anthocyanins, but addition of betanin to real berry juice could produce better results with mixture of added betanin and natural berry anthocyanins could produce a more acceptable color. Overall, further studies are needed to obtain natural colorants with good stability for the use in food products.

A direct contact between astrocyte and vitreous body is possible in the rabbit eye due to discontinuities in the basement membrane of the retinal inner limiting membrane

Different from most mammalian species, the optic nerve of the rabbit eye is initially formed inside the retina where myelination of the axons of the ganglion cells starts and vascularization occurs. Astrocytes are confined to these regions. The aforementioned nerve fibers known as medullated nerve fibers form two bundles that may be identified with the naked eye. The blood vessels run on the inner surface of these nerve fiber bundles (epivascularization) and, accordingly, the accompanying astrocytes lie mostly facing the vitreous body from which they are separated only by the inner limiting membrane of the retina. The arrangement of the astrocytes around blood vessels leads to the formation of structures known as glial tufts. Fragments (N = 3) or whole pieces (N = 3) of the medullated nerve fiber region of three-month-old male rabbits (Orictolagus cuniculus) were fixed in glutaraldehyde followed by osmium tetroxide, and their thin sections were examined with a transmission electron microscope. Randomly located discontinuities (up to a few micrometers long) of the basement membrane of the inner limiting membrane of the retina were observed in the glial tufts. As a consequence, a direct contact between the astrocyte plasma membrane and vitreous elements was demonstrated, making possible functional interactions such as macromolecular exchanges between this glial cell type and the components of the vitreous body.

Fuzzy tolerance/equivalence relations from intersection, union and complement operators and their application to a clustering method

This master thesis work introduces the fuzzy tolerance/equivalence relation and its application in cluster analysis. The work presents about the construction of fuzzy equivalence relations using increasing generators. Here, we investigate and research on the role of increasing generators for the creation of intersection, union and complement operators. The objective is to develop different varieties of fuzzy tolerance/equivalence relations using different varieties of increasing generators. At last, we perform a comparative study with these developed varieties of fuzzy tolerance/equivalence relations in their application to a clustering method.

Biological evaluation of recombinant human erythropoietin in pharmaceutical products

The potencies of mammalian cell-derived recombinant human erythropoietin pharmaceutical preparations, from a total of five manufacturers, were assessed by in vivo bioassay using standardized protocols. Eight-week-old normocythemic mice received a single subcutaneous injection followed by blood sampling 96 h later or multiple daily injections with blood sampling 24 h after the last injection. Reticulocyte counting by microscopic examination was employed as the end-point using the brilliant cresyl blue or selective hemolysis methods, together with automated flow cytometry. Different injection schedules were investigated and dose-response curves for the European Pharmacopoeia Biological Reference Preparation of erythropoietin were compared. Manual and automated methods of reticulocyte counting were correlated with respect to assay validity and precision. Using 8 mice per treatment group, intra-assay precision determined for all of the assays in the study showed coefficients of variation of 12.1-28.4% for the brilliant cresyl blue method, 14.1-30.8% for the selective hemolysis method and 8.5-19.7% for the flow cytometry method. Applying the single injection protocol, a combination of at least two independent assays was required to achieve the precision potency and confidence limits indicated by the manufacturers, while the multiple daily injection protocol yielded the same acceptable results within a single assay. Although the latter protocol using flow cytometry for reticulocyte counting gave more precise and reproducible results (intra-assay coefficients of variation: 5.9-14.2%), the well-characterized manual methods provide equally valid alternatives for the quality control of recombinant human erythropoietin therapeutic products.

Semantic and fuzzy modelling for human behaviour recognition in smart spaces : a case study on ambient assisted living.

Human activity recognition in everyday environments is a critical, but challenging task in Ambient Intelligence applications to achieve proper Ambient Assisted Living, and key challenges still remain to be dealt with to realize robust methods. One of the major limitations of the Ambient Intelligence systems today is the lack of semantic models of those activities on the environment, so that the system can recognize the speci c activity being performed by the user(s) and act accordingly. In this context, this thesis addresses the general problem of knowledge representation in Smart Spaces. The main objective is to develop knowledge-based models, equipped with semantics to learn, infer and monitor human behaviours in Smart Spaces. Moreover, it is easy to recognize that some aspects of this problem have a high degree of uncertainty, and therefore, the developed models must be equipped with mechanisms to manage this type of information. A fuzzy ontology and a semantic hybrid system are presented to allow modelling and recognition of a set of complex real-life scenarios where vagueness and uncertainty are inherent to the human nature of the users that perform it. The handling of uncertain, incomplete and vague data (i.e., missing sensor readings and activity execution variations, since human behaviour is non-deterministic) is approached for the rst time through a fuzzy ontology validated on real-time settings within a hybrid data-driven and knowledgebased architecture. The semantics of activities, sub-activities and real-time object interaction are taken into consideration. The proposed framework consists of two main modules: the low-level sub-activity recognizer and the high-level activity recognizer. The rst module detects sub-activities (i.e., actions or basic activities) that take input data directly from a depth sensor (Kinect). The main contribution of this thesis tackles the second component of the hybrid system, which lays on top of the previous one, in a superior level of abstraction, and acquires the input data from the rst module's output, and executes ontological inference to provide users, activities and their in uence in the environment, with semantics. This component is thus knowledge-based, and a fuzzy ontology was designed to model the high-level activities. Since activity recognition requires context-awareness and the ability to discriminate among activities in di erent environments, the semantic framework allows for modelling common-sense knowledge in the form of a rule-based system that supports expressions close to natural language in the form of fuzzy linguistic labels. The framework advantages have been evaluated with a challenging and new public dataset, CAD-120, achieving an accuracy of 90.1% and 91.1% respectively for low and high-level activities. This entails an improvement over both, entirely data-driven approaches, and merely ontology-based approaches. As an added value, for the system to be su ciently simple and exible to be managed by non-expert users, and thus, facilitate the transfer of research to industry, a development framework composed by a programming toolbox, a hybrid crisp and fuzzy architecture, and graphical models to represent and con gure human behaviour in Smart Spaces, were developed in order to provide the framework with more usability in the nal application. As a result, human behaviour recognition can help assisting people with special needs such as in healthcare, independent elderly living, in remote rehabilitation monitoring, industrial process guideline control, and many other cases. This thesis shows use cases in these areas.

Y-sukupolven johtaminen – odotukset esimiestyöltä

Y-sukupolven oikeantyylinen johtaminen sekä osaamisen hyödyntäminen ja kehittäminen ovat johtamisen haasteena organisaatioissa, jotka toimivat digitaalista osaamista vaativien tuotteiden ja palvelujen parissa. Tämän tutkimuksen tarkoituksena oli tutkia, minkälaisia odotuksia Y-sukupolvella on esimiestyötä ja johtamista kohtaan. Tutkimuksen tavoitteena oli tuottaa tutkimuksen kohdeyrityksen johtamisen kehittämistä varten nuorten työntekijöiden odotukset heihin kohdistuvasta esimiestyöstä. Tutkimuksen tavoitteena oli myös tuottaa tutkittua tietoa Y-sukupolven johtamista koskevaan keskusteluun. Tutkimus oli laadullinen tutkimus, joka toteutettiin haastattelemalla kohdeyrityksen nimeämästä joukosta 12 Y-sukupolven edustajaa. Tutkimusmenetelmänä oli puolistrukturoitu teemahaastattelu. Haastatteluissa kohderyhmään kuuluvat kertoivat omiin mielipiteisiinsä perustuen ajatuksiaan ja odotuksiaan tutkijan määrittämiin teemoihin. Haastatteluteemat olivat: työ ja työn merkitys, kokemukset ja odotukset esimieheen liittyen sekä heidän oman osaamisen hyödyntäminen ja kehittäminen. Tutkimuksen tuloksena havaittiin, että Y-sukupolvi odottaa esimiestyöltä ensisijaisesti johtamista. Esimiehen täytyy pitää organisaatiossa langat käsissään; toimia suunnannäyttäjänä, organisoida ja olla jämäkkä. Esimiehen tulee olla ominaisuuksiltaan kyvyiltään sellainen, jonka johtaminen on selkeää, oikeudenmukaista ja vuorovaikutteista. Y-sukupolvi odottaa selkeitä tavoitteita, oikeudenmukaista ja tasapuolista kohtelua ja palkkaa sekä jatkuvaa palautteeseen ja sparraamiseen liittyvää vuorovaikutusta esimiehen kanssa. Y-sukupolvi odottaa myös, että esimies hyödyntää ja kehittää heidän osaamistaan.

Clinical signs of pneumonia in children: association with and prediction of diagnosis by fuzzy sets theory

The present study compares the performance of stochastic and fuzzy models for the analysis of the relationship between clinical signs and diagnosis. Data obtained for 153 children concerning diagnosis (pneumonia, other non-pneumonia diseases, absence of disease) and seven clinical signs were divided into two samples, one for analysis and other for validation. The former was used to derive relations by multi-discriminant analysis (MDA) and by fuzzy max-min compositions (fuzzy), and the latter was used to assess the predictions drawn from each type of relation. MDA and fuzzy were closely similar in terms of prediction, with correct allocation of 75.7 to 78.3% of patients in the validation sample, and displaying only a single instance of disagreement: a patient with low level of toxemia was mistaken as not diseased by MDA and correctly taken as somehow ill by fuzzy. Concerning relations, each method provided different information, each revealing different aspects of the relations between clinical signs and diagnoses. Both methods agreed on pointing X-ray, dyspnea, and auscultation as better related with pneumonia, but only fuzzy was able to detect relations of heart rate, body temperature, toxemia and respiratory rate with pneumonia. Moreover, only fuzzy was able to detect a relationship between heart rate and absence of disease, which allowed the detection of six malnourished children whose diagnoses as healthy are, indeed, disputable. The conclusion is that even though fuzzy sets theory might not improve prediction, it certainly does enhance clinical knowledge since it detects relationships not visible to stochastic models.

Fuzzy expert system in the prediction of neonatal resuscitation

In view of the importance of anticipating the occurrence of critical situations in medicine, we propose the use of a fuzzy expert system to predict the need for advanced neonatal resuscitation efforts in the delivery room. This system relates the maternal medical, obstetric and neonatal characteristics to the clinical conditions of the newborn, providing a risk measurement of need of advanced neonatal resuscitation measures. It is structured as a fuzzy composition developed on the basis of the subjective perception of danger of nine neonatologists facing 61 antenatal and intrapartum clinical situations which provide a degree of association with the risk of occurrence of perinatal asphyxia. The resulting relational matrix describes the association between clinical factors and risk of perinatal asphyxia. Analyzing the inputs of the presence or absence of all 61 clinical factors, the system returns the rate of risk of perinatal asphyxia as output. A prospectively collected series of 304 cases of perinatal care was analyzed to ascertain system performance. The fuzzy expert system presented a sensitivity of 76.5% and specificity of 94.8% in the identification of the need for advanced neonatal resuscitation measures, considering a cut-off value of 5 on a scale ranging from 0 to 10. The area under the receiver operating characteristic curve was 0.93. The identification of risk situations plays an important role in the planning of health care. These preliminary results encourage us to develop further studies and to refine this model, which is intended to implement an auxiliary system able to help health care staff to make decisions in perinatal care.

A semi-automatic computerized method to measure baroreflex-mediated heart rate responses that reduces interobserver variability

Arterial baroreflex sensitivity estimated by pharmacological impulse stimuli depends on intrinsic signal variability and usually a subjective choice of blood pressure (BP) and heart rate (HR) values. We propose a semi-automatic method to estimate cardiovascular reflex sensitivity to bolus infusions of phenylephrine and nitroprusside. Beat-to-beat BP and HR time series for male Wistar rats (N = 13) were obtained from the digitized signal (sample frequency = 2 kHz) and analyzed by the proposed method (PRM) developed in Matlab language. In the PRM, time series were low-pass filtered with zero-phase distortion (3rd order Butterworth used in the forward and reverse direction) and presented graphically, and parameters were selected interactively. Differences between basal mean values and peak BP (deltaBP) and HR (deltaHR) values after drug infusions were used to calculate baroreflex sensitivity indexes, defined as the deltaHR/deltaBP ratio. The PRM was compared to the method traditionally (TDM) employed by seven independent observers using files for reflex bradycardia (N = 43) and tachycardia (N = 61). Agreement was assessed by Bland and Altman plots. Dispersion among users, measured as the standard deviation, was higher for TDM for reflex bradycardia (0.60 ± 0.46 vs 0.21 ± 0.26 bpm/mmHg for PRM, P < 0.001) and tachycardia (0.83 ± 0.62 vs 0.28 ± 0.28 bpm/mmHg for PRM, P < 0.001). The advantage of the present method is related to its objectivity, since the routine automatically calculates the desired parameters according to previous software instructions. This is an objective, robust and easy-to-use tool for cardiovascular reflex studies.