The influence of area level social deprivation on preoperative disease severity and postoperative outcomes following unicompartmental knee joint replacement

BACKGROUND: This study investigated the effect of socioeconomic deprivation on preoperative disease and outcome following unicompartmental knee replacement (UKR).

METHODS: 307 Oxford UKRs implanted between 2008 and 2013 under the care of one surgeon using the same surgical technique were analysed. Deprivation was quantified using the Northern Ireland Multiple Deprivation Measure. Preoperative disease severity and postoperative outcome were measured using the Oxford Knee Score (OKS).

RESULTS: There was no difference in preoperative OKS between deprivation groups. Preoperative knee range of motion (ROM) was significantly reduced in more deprived patients with 10° less ROM than least deprived patients. Postoperatively there was no difference in OKS improvement between deprivation groups (p=0.46), with improvements of 19.5 and 21.0 units in the most and least deprived groups respectively. There was no significant association between deprivation and OKS improvement on unadjusted or adjusted analysis. Preoperative OKS, Short Form 12 mental component score and length of stay were significant independent predictors of OKS improvement. A significantly lower proportion of the most deprived group (15%) reported being able to walk an unlimited distance compared to the least deprived group (41%) one year postoperatively.

CONCLUSION: More deprived patients can achieve similar improvements in OKS to less deprived patients following UKR.

LEVEL OF EVIDENCE: 2b - retrospective cohort study of prognosis.

Joint Optimization of Area Spectral Efficiency and Delay over PPP Interfered Ad-Hoc Networks

To evaluate the performance of the co-channel transmission based communication, we propose a new metric for area spectral efficiency (ASE) of interference limited ad-hoc network by assuming that the nodes are randomly distributed according to a Poisson point processes (PPP). We introduce a utility function, U = ASE/delay and derive the optimal ALOHA transmission probability p and the SIR threshold τ that jointly maximize the ASE and minimize the local delay. Finally, numerical results have been conducted to confirm that the joint optimization based on the U metric achieves a significant performance gain compared to conventional systems.

A Largest Matching Area Approach to Image Denoising

Given the success of patch-based approaches to image denoising,this paper addresses the ill-posed problem of patch size selection.Large patch sizes improve noise robustness in the presence of good matches, but can also lead to artefacts in textured regions due to the rare patch effect; smaller patch sizes reconstruct details more accurately but risk over-fitting to the noise in uniform regions. We propose to jointly optimize each matching patch’s identity and size for gray scale image denoising, and present several implementations.The new approach effectively selects the largest matching areas, subject to the constraints of the available data and noise level, to improve noise robustness. Experiments on standard test images demonstrate our approach’s ability to improve on fixed-size reconstruction, particularly at high noise levels, on smoother image regions.

Simultaneous Measurements of the Channel Response for Multiple Eavesdroppers Operating in the Vicinity of a Body Area Network at 2.45 GHz

Channel randomness can be exploited to generate secret keys. However, to ensure secrecy, it is necessary that the channel response of any eavesdropping party remain sufficiently de-correlated with that of the legitimate users'. In this paper, we investigate whether such de-correlation occurs for a body area network (BAN) operating in an indoor environment at 2.45 GHz. The hypothetical BAN configuration consisted of two legitimate transceivers, one situated on the user's left wrist and the other on the user's waist. The eavesdroppers were positioned in either a co-located or distributed manner in the area surrounding the BAN user. Using the simultaneous channel response measured at the legitimate BAN nodes and the eavesdropper positions for stationary and mobile scenarios, we analyze the localized correlation coefficient. This allows us to determine if it is possible to generate secret keys in the presence of multiple eavesdroppers in an indoor environment. Our experimental results show that although channel reciprocity was observed for both the stationary and the mobile scenarios, a higher de-correlation between the legitimate users' channels was observed for the stationary case. This indicates that mobile scenarios are better suited for secret key generation.

Economic Stability and Economic Governance in the Euro Area:What the European Crisis Can Teach on the Limits of Economic Integration

The recent European economic crisis has dramatically exposed the failures of
the various institutional mechanisms in place to maintain economic stability
in Europe, and has unveiled the difficulty in achieving international coordination
on fiscal and financial stability policies. Drawing on the European
experience, this article analyzes the concept of economic stability in international
law and highlights the peculiar problems connected to its maintenance
or promotion. First, we demonstrate that policies that safeguard and
protect economic stability are largely regulated and managed at the national
level, due to their inextricable relationship with the exercise of national political
power. Until recently, more limited levels of pan-European integration
did not make the coordination of economic stability policies seem necessary.
However, a much deeper level of economic integration makes it very difficult
to tackle an international economic crisis through national responses. If EU
Member states wish to maintain and deepen economic integration, they
must accept an erosion of sovereignty over their economic stability policies.
This will not only deprive states of a fundamental anchor of political power,
but also create a challenge for the maintenance of democratic control over
economic policies. Second, this article argues that soft law approaches are
likely ineffective in enforcing the regulatory disciplines required to ensure
economic stability.

Wide-Area Phase-Angle Measurements for Islanding Detection—An Adaptive Nonlinear Approach

The integration of an ever growing proportion of large scale distributed renewable generation has increased the probability of maloperation of the traditional RoCoF and vector shift relays. With reduced inertia due to non-synchronous penetration in a power grid, system wide disturbances have forced the utility industry to design advanced protection schemes to prevent system degradation and avoid cascading outages leading to widespread blackouts. This paper explores a novel adaptive nonlinear approach applied to islanding detection, based on wide area phase angle measurements. This is challenging, since the voltage phase angles from different locations exhibit not only strong nonlinear but also time-varying characteristics. The adaptive nonlinear technique, called moving window kernel principal component analysis is proposed to model the time-varying and nonlinear trends in the voltage phase angle data. The effectiveness of the technique is exemplified using both DigSilent simulated cases and real test cases recorded from the Great Britain and Ireland power systems by the OpenPMU project.

Salinity-induced effects on transpiration rate, stomatal conductance and leaf area of three olive (Olea europaea L.) varieties

Transpiration of two year-old olive trees of three different varieties, Arbequina, Cobrançosa and Galega (18 trees per variety), irrigated with three levels of salt (0, 80 or 200 mM NaCl) for about 90 days, was measured by a gravimetric method. To determine leaf area, each tree was photographed from the side against a white background and the total area of each projected image was determined with ImageJ software. To calibrate these area determinations, one tree of each variety was subsequently stripped of all its leaves and its total leaf area was accurately measured. A correlation was then obtained between the area on the photograph of this particular tree and the total area of the detached leaves of the same tree. Using the leaf area determined by this procedure, transpiration rates of the trees could be calculated. Knowing leaf and air temperatures and RH, it was possible to determine the difference in molar fraction of water between the leaf and the air. Using this and the values of the transpiration rate, stomatal conductance could be calculated (gs calc) and compared with the conductance measured on the same trees with a porometer (gs). Actual leaf area of a plant was 1,40 (Arbequina), 1,42 (Cobrançosa) or 1,24 (Galega) times the area measured with ImageJ on the photograph of the same plant. Leaf area of the trees, on average of all salt irrigations, was significantly higher on Arbequina (0,187 m2) then on the other two varieties (0,138 m2 or 0,148 m2, for Cobrançosa or Galega, respectively), but did not differ significantly in percentage of controls (0 salt). On average of all three varieties, leaf area was also higher on plants irrigated without salt (0,181 m2) than on plants exposed to 80 or 200 mM NaCl (0,152 m2 or 0,140 m2, respectively), which did not differ between them. The same significant difference was observed when leaf area was expressed as percentage of controls. Transpiration rate was significantly higher on Cobrançosa (1,17 mmol m-2 s-1), on average of all treatments, but there were no significant differences between Arbequina (1,08 mmol m-2 s-1) and Galega (0,82 mmol m-2 s-1). In percentage of controls, there were no significant differences between varieties. Salt reduced significantly the transpiration rate in all varieties, both the actual and percentual values, to about 50% or 30% of controls when exposed to 80 mM or 200 mM NaCl, respectively. Stomatal conductance (gs), assessed by porometry, was significantly higher in control plants, mainly in Cobrançosa (102 mmol m-2 s-1), then in Arbequina (77 mmol m-2 s-1) and the lower values were found in Galega (51 mmol m-2 s-1). Salt reduced gs, on average of the three varieties to 30% or 10% of controls on exposure to 80 mM or 200 mM NaCl, respectively. Calculated (gs calc) and measured (gs) values of stomatal conductance showed a close relation between them (0,967, R2 = 0,837) which indicates this non-destructive method to determine whole-plant leaf area to be reasonably accurate.

Study of pesticide effects on non-target organisms

A utilização insustentável de pesticidas, especialmente em zonas com elevado valor ecológico constitui uma ameaça à integridade dos ecossistemas. Sendo um problema à escala mundial, e também no contexto nacional, o presente trabalho pretende ser um contributo para a avaliação dos efeitos de pesticidas em organismos não alvo terrestres e, principalmente, aquáticos, em contextos de progressiva relevância ecológica. Neste sentido, o estudo foi direccionado para áreas (A1 e A2) integradas numa zona agrícola extensa em Portugal, utilizada para a produção de milho e, principalmente, de arroz (Baixo Mondego), a qual sustenta uma elevada biodiversidade. O estudo teve início na área A1, onde a monitorização físico-química e os ensaios com amostras naturais (ensaios WET - whole effluent tests) provenientes desta área evidenciaram que, apesar da ausência de pesticidas, as amostras de água colhidas no canal que atravessava os arrozais foram as mais nocivas para o crescimento de Pseudokirchneriella subcapitata e Chlorella vulgaris. Uma vez que outras fontes de contaminação (produção de gado) actuavam em A1, o estudo prosseguiu apenas na área A2. Assim, em A2, começou-se por determinar a toxicidade individual e da mistura de dois herbicidas formulados aplicados nos campos de arroz (Viper®) e milho (Mikado®) em condições laboratoriais. Viper® foi o herbicida mais tóxico, tanto para o crescimento de P. subcapitata e C. vulgaris, como para a sobrevivência, reprodução e crescimento de Daphnia longispina e Daphnia magna. Adicionalmente, estimou-se que a mistura Viper®/Mikado® induz efeitos antagonistas no crescimento de P. subcapitata e efeitos sinérgicos no crescimento de C. vulgaris e na sobrevivência dos dafnídeos. A avaliação da toxicidade destes herbicidas formulados e seus ingredientes activos no comportamento de minhocas terrestres (Eisenia andrei), usando solos naturais, demonstrou que Viper® e penoxsulam causaram uma % de evitamento superior nos organismos expostos. Contudo, o risco para E. andrei será à partida reduzido se as taxas de aplicação dos herbicidas forem respeitadas. Ensaios WET foram novamente usados para testar amostras naturais da área A2. Verificou-se que a qualidade do sistema aquático e do arrozal diminuiu durante a estação agrícola, em paralelo com a presença de nutrientes e pesticidas. O crescimento algal foi inibido, apesar dos parâmetros de história de vida dos dafnídeos terem sido estimulados. O resultado desta avaliação subestimou, em certos casos, os impactos reais causados pela aplicação de pesticidas. A avaliação in situ simultânea à aplicação de herbicidas nos arrozais demonstrou que os efeitos registados foram de facto restritos aos pulsos de herbicidas. A inibição das taxas de alimentação de D. longispina e D. magna forneceram um sinal precoce de alterações no sistema, seguido pela diminuição da sua sobrevivência e do crescimento de P. subcapitata. Em suma, as diferentes fases da avaliação efectuada confirmaram a existência de condições desfavoráveis devido às práticas agrícolas, reforçando a necessidade de se conjugar ensaios laboratoriais com avaliações in situ de maior relevância ecológica, para reduzir o grau de incerteza aliado à determinação dos riscos.

Prevenção e detecção de incêndios

Os fogos florestais, embora possam ser encarados como um fenómeno natural, constituem igualmente uma ameaça com impactos negativos a vários níveis. A alteração dos regimes naturais do fogo por acção antrópica tem vindo a maximizar o potencial catastrófico do fenómeno em diferentes regiões do planeta, destacando-se, em particular, a Região Mediterrânica, onde o fogo constitui uma perturbação recorrente associada, por um lado, às características climáticas desta região e, por outro, às práticas tradicionais decorrentes da presença humana nessa área, numa extensão temporal de milhares de anos. Em Portugal, o problema dos fogos florestais assume uma expressividade de particular relevo, colocando-o entre os países do sul da Europa mais atingidos pelo fogo a cada Verão. Reconhecendo o papel das condições meteorológicas nas interacções envolvidas no processo de deflagração e propagação de incêndios, a identificação de condições meteorológicas propícias à ocorrência de incêndios, expressa sob a forma de índices de risco reveste-se de crucial importância para as operações de prevenção e combate aos incêndios, para além da mais-valia que constituem para os restantes sectores da sociedade. Adicionalmente, a detecção e monitorização de ocorrências de incêndios a partir de satélites tem vindo a assumir um papel preponderante, revelando-se fundamental enquanto fonte de alerta e pelas potencialidades que as bases de dados resultantes da observação contínua da Terra pelos satélites oferecem, no que às mais diversas áreas de investigação diz respeito. O presente trabalho explora, nas vertentes da prevenção de incêndios, a utilização de previsões de tempo de alta resolução espacial obtidas com o modelo WRF para a determinação das componentes do sistema FWI canadiano e sua disponibilização operacional. Os resultados apontam para um impacto positivo, em virtude do incremento da resolução espacial, da representação espacial do risco meteorológico de incêndio no território português. Paralelamente, apresentam-se os resultados do desenvolvimento de produtos de detecção de incêndios activos a partir da infra-estrutura de recepção de dados de satélite implementadas na Universidade de Aveiro, destacando a sua adequabilidade para a monitorização e identificação, em tempo quase-real, da ocorrência de fogos florestais em Portugal Continental.

Blending adaptive governance and institutional theory to explore urban resilience and sustainability strategies in the Rome Metropolitan Area, Italy

Adaptive governance is an emerging theory in natural resource management. This paper addresses a gap in the literature by exploring the potential of adaptive governance for delivering resilience and sustainability in the urban context. We explore emerging challenges to transitioning to urban resilience and sustainability: bringing together multiple scales and institutions; facilitating a social-ecological-systems approach and; embedding social and environmental equity into visions of urban sustainability and resilience. Current approaches to adaptive governance could be helpful for addressing these first two challenges but not in addressing the third. Therefore, this paper proposes strengthening the institutional foundations of adaptive governance by engaging with institutional theory. We explore this through empirical research in the Rome Metropolitan Area, Italy. We argue that explicitly engaging with these themes could lead to a more substantive urban transition strategy and contribute to adaptive governance theory.

Population model of the recent subtidal invasion of Sargassum muticum in southern Portugal

Dissertação de Mestrado, Biologia Marinha, Especialização em Ecologia e Conservação, Faculdade de Ciências do Mar e do Ambiente, Universidade do Algarve, 2007

Water use and conservation at the environmental protection area of Brilhante, Santa Catarina - Brazil

Dissertação mest., Gestão da Água e da Costa, Universidade do Algarve, 2008