Diabetes care: opinions, needs and proposed solutions of Swiss patients and healthcare professionals: a qualitative study.

AIMS: To explore, both among patients with diabetes and healthcare professionals, opinions on current diabetes care and the development of the "Regional Diabetes Program". METHODS: We employed qualitative methods (focus groups - FG) and used purposive sampling strategy to recruit patients with diabetes and healthcare professionals. We conducted one diabetic and one professional FG in each of the four health regions of the canton of Vaud/Switzerland. The eight FGs were audio-taped and transcribed verbatim. Thematic analysis was then undertaken. RESULTS: Results showed variability in the perception of the quality of diabetes care, pointed to insufficient information regarding diabetes, and lack of collaboration. Participants also evoked patients' difficulties for self-management, as well as professionals' and patients' financial concerns. Proposed solutions included reinforcing existing structures, developing self-management education, and focusing on comprehensive and coordinated care, communication and teamwork. Patients and professionals were in favour of a "Regional Diabetes Program" tailored to the actors' needs, and viewed it as a means to reinforce existing care delivery. CONCLUSIONS: Patients and professionals pointed out similar problems and solutions but explored them differently. Combined with coming quantitative data, these results should help to further develop, adapt and implement the "Regional Diabetes Program".

Avaliação agronômica de um biossólido industrial para a cultura do milho

O objetivo deste trabalho foi avaliar a viabilidade agronômica de um biossólido industrial para a cultura do milho. O experimento foi realizado no campo, em um Cambissolo distrófico, nos anos agrícolas 1999/2000 e 2000/2001. A aplicação de 0, 6, 12, 18 e 24 Mg ha-1 de biossólido base seca, suplementado com K2O nos dois anos e 30% do P2O5 recomendado no segundo ano, foi comparada à adubação mineral completa. O biossólido melhorou a fertilidade do solo, o estado nutricional e a produtividade do milho, que apresentou resposta quadrática às doses aplicadas, atingindo a máxima de 9.992 kg ha-1 de grãos com 22,5 Mg ha-1 de biossólido, superando em 21% a adubação mineral e em 74% o controle. Mesmo na maior dose aplicada, os teores de nutrientes, Na e metais pesados no biossólido não causaram fitotoxicidade. A equivalência em produtividade à adubação mineral (7.895 kg ha-1) foi obtida com 10 Mg ha-1 de biossólido. Com base na equivalência ao NPK, o valor do biossólido foi estimado em R$ 43,70 Mg-1 base seca e R$ 8,74 Mg-1 base úmida. Considerando-se o custo de transporte, a aplicação deste biossólido é economicamente viável numa distância de até 66 km da fonte geradora.

Freqüência de irrigação por gotejamento durante o estádio vegetativo do tomateiro para processamento industrial

Objetivo deste trabalho foi o de estabelecer critério para o manejo de água, durante o estádio vegetativo do tomateiro para processamento industrial, nas condições de cerrado do Brasil Central. Foram avaliados seis turnos de rega entre 0,5 e 16 dias. O estande final e a produtividade de frutos, maximizados em regas a cada 2 dias, apresentaram resposta quadrática com a freqüência de irrigação, enquanto a produção de biomassa foi maximizada em regas diárias. A massa média de fruto e o número de frutos por planta não foram influenciados pelos tratamentos; isto indica que as diferenças de produção foram causadas, principalmente, pela variação do estande final. A profundidade efetiva de raízes apresentou resposta linear positiva com o turno de rega. As plantas irrigadas a cada 8 e 16 dias apresentaram um sistema radicular cerca de 10 cm mais profundo do que aquelas irrigadas duas vezes por dia. O teor de sólidos solúveis totais, a acidez titulável e a taxa de fruto podre não foram influenciados pelos turnos de rega. Observou-se que para melhor desempenho do tomateiro, durante o estádio vegetativo as irrigações devem ser realizadas a cada 2 dias, ou seja, quando a tensão de água no solo atingir cerca de 17 kPa.

EEG signal analysis via a cleaning procedure based on multivariate empirical mode decomposition

Artifacts are present in most of the electroencephalography (EEG) recordings, making it difficult to interpret or analyze the data. In this paper a cleaning procedure based on a multivariate extension of empirical mode decomposition is used to improve the quality of the data. This is achieved by applying the cleaning method to raw EEG data. Then, a synchrony measure is applied on the raw and the clean data in order to compare the improvement of the classification rate. Two classifiers are used, linear discriminant analysis and neural networks. For both cases, the classification rate is improved about 20%.

Implantación de microcogeneración en el equipamiento municipal : "Centro de Historia de Zaragoza"

A raíz de la evolución del precio de la energía y de las medidas adoptadas a nivel mundial para el llamado “desarrollo sostenible”, la legislación europea ha liderado las correcciones a efectuar en los procesos protagonistas del consumo de recursos y de contaminación del medio ambiente. En la última década el proceso viene acelerándose para cumplir con los objetivos marcados, amparándose en unas ya consolidadas estadísticas sobre las repercusiones prácticas de cada una de las iniciativas proyectadas. Una de las tecnologías a emplear es la cogeneración, es decir, la producción simultánea de calor y electricidad. A diferencia de otras soluciones más ambiciosas, y por tanto con mayor incertidumbre en su aplicación práctica, la cogeneración es una respuesta ya madura y viable, directamente aplicable a industrias y con un claro apoyo institucional. El objetivo principal de este trabajo es demostrar mediante un estudio técnico – económico, la viabilidad de la solución planteada en este tipo de edificios, mediante la aportación de datos reales y contrastados. Así como establecer los parámetros e indicadores de medición que permitan elegir dicha tecnología como la solución óptima para el ahorro y eficiencia económica en su sector de aplicación. Entre las conclusiones más destacadas de este proyecto están los beneficios que aporta tanto al usuario del sistema como al conjunto de la sociedad, siendo este último aspecto fundamental en su financiación y subvención. Por otra parte, son instalaciones desconocidas en ciertos edificios por lo que este trabajo debe contribuir a su desarrollo y adopción por parte de las empresas de servicios energéticos.

On periodic solutions of 2-periodic Lyness difference equations

We study the existence of periodic solutions of the non--autonomous periodic Lyness' recurrence u_{n+2}=(a_n+u_{n+1})/u_n, where {a_n} is a cycle with positive values a,b and with positive initial conditions. It is known that for a=b=1 all the sequences generated by this recurrence are 5-periodic. We prove that for each pair (a,b) different from (1,1) there are infinitely many initial conditions giving rise to periodic sequences, and that the family of recurrences have almost all the even periods. If a is not equal to b, then any odd period, except 1, appears.

Airborne exposures to monoethanolamine, glycol ethers, and benzyl alcohol during professional cleaning: a pilot study

A growing body of epidemiologic evidence suggests an association between exposure to cleaning products and respiratory dysfunction. Due to the lack of quantitative assessments of respiratory exposures to airborne irritants and sensitizers among professional cleaners, the culpable substances have yet to be identified.Purpose: Focusing on previously identified irritants, our aims were to determine (i) airborne concentrations of monoethanolamine (MEA), glycol ethers, and benzyl alcohol (BA) during different cleaning tasks performed by professional cleaning workers and assess their determinants; and (ii) air concentrations of formaldehyde, a known indoor air contaminant. METHODS: Personal air samples were collected in 12 cleaning companies, and analyzed by conventional methods. RESULTS: Nearly all air concentrations [MEA (n = 68), glycol ethers (n = 79), BA (n = 15), and formaldehyde (n = 45)] were far below (<1/10) of the corresponding Swiss occupational exposure limits (OEL), except for ethylene glycol mono-n-butyl ether (EGBE). For butoxypropanol and BA, no OELs exist. Although only detected once, EGBE air concentrations (n = 4) were high (49.48-58.72mg m(-3)), and close to the Swiss OEL (49mg m(-3)). When substances were not noted as present in safety data sheets of cleaning products used but were measured, air concentrations showed no presence of MEA, while the glycol ethers were often present, and formaldehyde was universally detected. Exposure to MEA was affected by its amount used (P = 0.036), and spraying (P = 0.000) and exposure to butoxypropanol was affected by spraying (P = 0.007) and cross-ventilation (P = 0.000). CONCLUSIONS: Professional cleaners were found to be exposed to multiple airborne irritants at low concentrations, thus these substances should be considered in investigations of respiratory dysfunctions in the cleaning industry; especially in specialized cleaning tasks such as intensive floor cleaning.

Audit report on America’s Agricultural Industrial Heritage Landscape, Inc., d/b/a Silos and Smokestacks National Heritage Area and Silos and Smokestacks Natural Heritage Area Foundation in Waterloo, Iowa for the years ended December 31, 2014 and 2013

Audit report on America’s Agricultural Industrial Heritage Landscape, Inc., d/b/a Silos and Smokestacks National Heritage Area and Silos and Smokestacks Natural Heritage Area Foundation in Waterloo, Iowa for the years ended December 31, 2014 and 2013

Automatització d'un sistema de neteja Cleaning In Place

El projecte es realitza en una empresa embotelladora d'aigua, on el procés d'embotellat estàautomatitzat. En canvi les tasques de sanitització de les línies es realitzen de maneramanual.Actualment, l'empresa es troba en fase de llançament de nous productes (refrescos) i pertant serà necessària una nova línia de producció. Es vol que la tasca de neteja dels equipsinstal•lats per a la realització dels nous productes sigui totalment automatitzada.El sistema de neteja automatitzat escollit és del tipus Cleaning In Place (CIP), que consisteixa netejar sense haver de desmuntar cap part del procés, garantint la correcta sanitització detotes les parts que estan en contacte amb el producte durant el procés de producció. Esdissenya el mòdul mesclador on es faran els xarops que formen part de les noves begudes.El disseny s'ha d'adaptar a les necessitats productives i a les exigències pròpies d'unasanitització.Es realitza la selecció dels actuadors, pre-actuadors i sensors necessaris per al'automatització del procés de neteja i preparació de xarops. Aquests elements esgovernaran a través d'un autòmat, on es carregaran els programes de neteja i preparació dexarops amb llenguatge de programació grafcet. Finalment, també es crea l'SCADA devisualització i control dels processos a través d'un panell tàctil

Projecte d'adequació d'una nau industrial per a la implantació d'una indústria de processat d'ametlles

El projecte se situa en una explotació agrícola de 20 ha, 18 de les quals estan destinades al cultiu d’ametllers de la varietat Vairo. L’explotació pertany al municipi de l’Albi, a la comarca de Les Garrigues, província de Lleida. Actualment a la finca existeix una nau industrial sense instal•lació elèctrica ni hidràulica i sense cap partició a l’interior que es fa servir com a magatzem d’eines. Les ametlles recollides a l’explotació són comercialitzades a una cooperativa de Reus. Els serveis dels que disposa la finca actualment són: - Escomesa elèctrica a l’entrada de la finca. - Aigua del canal Segarra-Garrigues pressuritzada. Escomesa a l’entrada de la finca. - Fossa sèptica de 50 m3. Es troba a 20 m del col•lector general pel qual s’evacuaran les aigües residuals. Es tracta d’una antiga bassa soterrada que ja existia i que se’n reconvertirà el seu ús. L’objectiu del projecte és descriure i dissenyar l’adequació de la nau industrial de dimensions 10 m x 12 m (120 m2) per implantar una indústria de processat primari d’ametlla. El processat primari consisteix en el desclovat de l’ametlla (separació del gra de la closca), assecat del gra obtingut per aconseguir una humitat inferior al 6 % i finalment l’envasat d’aquest gra. Com a procés secundari s’envasarà i es comercialitzarà la closca obtinguda en el procés de descolvat

Use of Reagent Grade Versus Industrial Grade Trichlorethylene in Asphalt Recoveries, MLR-83-05, 1983

This is a continuation of a project initiated a year ago to determine any differences in test results on recovered asphalt cements caused by the use of industrial grade of solvent as compared with the reagent grade. AASHTO specifies the use of reagent grade of trichlorethylene, but the Laboratory uses industrial grade which costs much less. Last year this objective of the project was aborted when it was found that a larger difference in test results was obtained between the two distillation apparatuses than between the two solvents, Then all efforts were directed toward obtaining uniformity in test results between the apparatuses under the east hood as compared with that under the west hood. Considerable progress was made toward this end. (See report under this same title dated April 1982). The objective this year was to again evaluate the results when using both variables (apparatuses and solvents). Another objective developed later in this investigation; this was to determine any differences in test results on recovered asphalt cements caused by the use of reclaimed trichlorethylene (from the distillation process) as compared with the use of industrial grade of solvent. At the present time the reclaimed trichlorethylene is discarded. If the reclaimed solvent could be used for further recoveries, a considerable savings in solvent costs would result.

The Deleterious Chemical Effects of Concentrated Deicing Solutions on Portland Cement Concrete, TR-480, 2008

This research project investigated the effects of concentrated brines of magnesium chloride, calcium chloride, sodium chloride, and calcium magnesium acetate on portland cement concrete. Although known to be effective at deicing and anti-icing, the deleterious effects these chemicals may have on concrete have not been well documented. As a result of this research, it was determined that there is significant evidence that magnesium chloride and calcium chloride chemically interact with hardened portland cement paste in concrete resulting in expansive cracking, increased permeability, and a significant loss in compressive strength. Although the same effects were not seen with sodium chloride brines, it was shown that sodium chloride brines have the highest rate of ingress into hardened concrete. This latter fact is significant with respect to corrosion of embedded steel. The mechanism for attack of hardened cement paste varies with deicer chemical but in general, a chemical reaction between chlorides and cement hydration products results in the dissolution of the hardened cement paste and formation of oxychloride phases, which are expansive. The chemical attack of the hardened cement paste is significantly reduced if supplementary cementitious materials are included in the concrete mixture. Both coal fly ash and ground granulated blast furnace slag were found to be effective at mitigating the chemical attack caused by the deicers tested. In the tests performed, ground granulated blast furnace slag performed better as a mitigation strategy as compared to coal fly ash. Additionally, siloxane and silane sealants were effective at slowing the ingress of deicing chemicals into the concrete and thereby reducing the observed distress. In general, the siloxane sealant appeared to be more effective than the silane, but both were effective and should be considered as a maintenance strategy.

The Deleterious Chemical Effects of Concentrated Deicing Solutions on Portland Cement Concrete, TR-480, Implementation Guide, 2008

This research project investigated the effects of concentrated brines of magnesium chloride, calcium chloride, sodium chloride, and calcium magnesium acetate on portland cement concrete. Although known to be effective at deicing and anti-icing, the deleterious effects these chemicals may have on concrete have not been well documented. As a result of this research, it was determined that there is significant evidence that magnesium chloride and calcium chloride chemically interact with hardened portland cement paste in concrete resulting in expansive cracking, increased permeability, and a significant loss in compressive strength. Although the same effects were not seen with sodium chloride brines, it was shown that sodium chloride brines have the highest rate of ingress into hardened concrete. This latter fact is significant with respect to corrosion of embedded steel. The mechanism for attack of hardened cement paste varies with deicer chemical but in general, a chemical reaction between chlorides and cement hydration products results in the dissolution of the hardened cement paste and formation of oxychloride phases, which are expansive. The chemical attack of the hardened cement paste is significantly reduced if supplementary cementitious materials are included in the concrete mixture. Both coal fly ash and ground granulated blast furnace slag were found to be effective at mitigating the chemical attack caused by the deicers tested. In the tests performed, ground granulated blast furnace slag performed better as a mitigation strategy as compared to coal fly ash. Additionally, siloxane and silane sealants were effective at slowing the ingress of deicing chemicals into the concrete and thereby reducing the observed distress. In general, the siloxane sealant appeared to be more effective than the silane, but both were effective and should be considered as a maintenance strategy.

The Deleterious Chemical Effects of Concentrated Deicing Solutions on Portland Cement Concrete, TR-480, Executive Summary, 2008

This research project investigated the effects of concentrated brines of magnesium chloride, calcium chloride, sodium chloride, and calcium magnesium acetate on portland cement concrete. Although known to be effective at deicing and anti-icing, the deleterious effects these chemicals may have on concrete have not been well documented. As a result of this research, it was determined that there is significant evidence that magnesium chloride and calcium chloride chemically interact with hardened portland cement paste in concrete resulting in expansive cracking, increased permeability, and a significant loss in compressive strength. Although the same effects were not seen with sodium chloride brines, it was shown that sodium chloride brines have the highest rate of ingress into hardened concrete. This latter fact is significant with respect to corrosion of embedded steel. The mechanism for attack of hardened cement paste varies with deicer chemical but in general, a chemical reaction between chlorides and cement hydration products results in the dissolution of the hardened cement paste and formation of oxychloride phases, which are expansive. The chemical attack of the hardened cement paste is significantly reduced if supplementary cementitious materials are included in the concrete mixture. Both coal fly ash and ground granulated blast furnace slag were found to be effective at mitigating the chemical attack caused by the deicers tested. In the tests performed, ground granulated blast furnace slag performed better as a mitigation strategy as compared to coal fly ash. Additionally, siloxane and silane sealants were effective at slowing the ingress of deicing chemicals into the concrete and thereby reducing the observed distress. In general, the siloxane sealant appeared to be more effective than the silane, but both were effective and should be considered as a maintenance strategy.

Development of Self-Cleaning Box Culvert Designs, TR-545, 2009

The main function of a roadway culvert is to effectively convey drainage flow during normal and extreme hydrologic conditions. This function is often impaired due to the sedimentation blockage of the culvert. This research sought to understand the mechanics of sedimentation process at multi-box culverts, and develop self-cleaning systems that flush out sediment deposits using the power of drainage flows. The research entailed field observations, laboratory experiments, and numerical simulations. The specific role of each of these investigative tools is summarized below: a) The field observations were aimed at understanding typical sedimentation patterns and their dependence on culvert geometry and hydrodynamic conditions during normal and extreme hydrologic events. b) The laboratory experiments were used for modeling sedimentation process observed insitu and for testing alternative self-cleaning concepts applied to culverts. The major tasks for the initial laboratory model study were to accurately replicate the culvert performance curves and the dynamics of sedimentation process, and to provide benchmark data for numerical simulation validation. c) The numerical simulations enhanced the understanding of the sedimentation processes and aided in testing flow cases complementary to those conducted in the model reducing the number of (more expensive) tests to be conducted in the laboratory. Using the findings acquired from the laboratory and simulation works, self-cleaning culvert concepts were developed and tested for a range of flow conditions. The screening of the alternative concepts was made through experimental studies in a 1:20 scale model guided by numerical simulations. To ensure the designs are effective, performance studies were finally conducted in a 1:20 hydraulic model using the most promising design alternatives to make sure that the proposed systems operate satisfactory under closer to natural scale conditions.