Minimal local anesthetic volume for peripheral nerve block: a new ultrasound-guided, nerve dimension-based method

BACKGROUND AND OBJECTIVES: Nerve blocks using local anesthetics are widely used. High volumes are usually injected, which may predispose patients to associated adverse events. Introduction of ultrasound guidance facilitates the reduction of volume, but the minimal effective volume is unknown. In this study, we estimated the 50% effective dose (ED50) and 95% effective dose (ED95) volume of 1% mepivacaine relative to the cross-sectional area of the nerve for an adequate sensory block. METHODS: To reduce the number of healthy volunteers, we used a volume reduction protocol using the up-and-down procedure according to the Dixon average method. The ulnar nerve was scanned at the proximal forearm, and the cross-sectional area was measured by ultrasound. In the first volunteer, a volume of 0.4 mL/mm of nerve cross-sectional area was injected under ultrasound guidance in close proximity to and around the nerve using a multiple injection technique. The volume in the next volunteer was reduced by 0.04 mL/mm in case of complete blockade and augmented by the same amount in case of incomplete sensory blockade within 20 mins. After 3 up-and-down cycles, ED50 and ED95 were estimated. Volunteers and physicians performing the block were blinded to the volume used. RESULTS: A total 17 of volunteers were investigated. The ED50 volume was 0.08 mL/mm (SD, 0.01 mL/mm), and the ED95 volume was 0.11 mL/mm (SD, 0.03 mL/mm). The mean cross-sectional area of the nerves was 6.2 mm (1.0 mm). CONCLUSIONS: Based on the ultrasound measured cross-sectional area and using ultrasound guidance, a mean volume of 0.7 mL represents the ED95 dose of 1% mepivacaine to block the ulnar nerve at the proximal forearm.

Aikasarja-analyysimenetelmien soveltuvuus maakaasun; hinnoittelussa käytettyjen sidonnaisuustekijöiden ennustamisessa: Case Gasum Oy

Tässä tutkielmassatarkastellaan maakaasun hinnoittelussa käytettyjen sidonnaisuustekijöiden hintadynamiikkaa ja niiden vaikutusta maakaasun hinnanmuodostukseen. Pääasiallisena tavoitteena on arvioida eri aikasarjamenetelmien soveltuvuutta sidonnaisuustekijöiden ennustamisessa. Tämä toteutettiin analysoimalla eri mallien ja menetelmien ominaisuuksia sekä yhteen sovittamalla nämä eri energiamuotojen hinnanmuodostuksen erityispiirteisiin. Tutkielmassa käytetty lähdeaineisto on saatu Gasum Oy:n tietokannasta. Maakaasun hinnoittelussa käytetään kolmea sidonnaisuustekijää seuraavilla painoarvoilla: raskaspolttoöljy 50%, indeksi E40 30% ja kivihiili 20%. Kivihiilen ja raskaan polttoöljyn hinta-aineisto koostuu verottomista dollarimääräisistä kuukausittaisista keskiarvoista periodilta 1.1.1997 - 31.10.2004. Kotimarkkinoiden perushintaindeksin alaindeksin E40 indeksi-aineisto, joka kuvaa energian tuottajahinnan kehitystä Suomessa ja koostuu tilastokeskuksen julkaisemista kuukausittaisista arvoista periodilta 1.1.2000 - 31.10.2004. Tutkimuksessa tarkasteltujen mallien ennustuskyky osoittautui heikoksi. Kuitenkin tuloksien perusteella voidaan todeta, että lyhyellä aikavälillä EWMA-malli antoi harhattomimman ennusteen. Muut testatuista malleista eivät kyenneet antamaan riittävän luotettavia ja tarkkoja ennusteita. Perinteinen aikasarja-analyysi kykeni tunnistamaan aikasarjojen kausivaihtelut sekä trendit. Lisäksi liukuvan keskiarvon menetelmä osoittautui jossain määrin käyttökelpoiseksi aikasarjojen lyhyen aikavälin trendien identifioinnissa.

Mechanism and Prediction of Post-Operative Atrial Fibrillation Based on Atrial Electrograms

La fibrillation auriculaire (FA) est une arythmie touchant les oreillettes. En FA, la contraction auriculaire est rapide et irrégulière. Le remplissage des ventricules devient incomplet, ce qui réduit le débit cardiaque. La FA peut entraîner des palpitations, des évanouissements, des douleurs thoraciques ou l’insuffisance cardiaque. Elle augmente aussi le risque d'accident vasculaire. Le pontage coronarien est une intervention chirurgicale réalisée pour restaurer le flux sanguin dans les cas de maladie coronarienne sévère. 10% à 65% des patients qui n'ont jamais subi de FA, en sont victime le plus souvent lors du deuxième ou troisième jour postopératoire. La FA est particulièrement fréquente après une chirurgie de la valve mitrale, survenant alors dans environ 64% des patients. L'apparition de la FA postopératoire est associée à une augmentation de la morbidité, de la durée et des coûts d'hospitalisation. Les mécanismes responsables de la FA postopératoire ne sont pas bien compris. L'identification des patients à haut risque de FA après un pontage coronarien serait utile pour sa prévention. Le présent projet est basé sur l'analyse d’électrogrammes cardiaques enregistrées chez les patients après pontage un aorte-coronaire. Le premier objectif de la recherche est d'étudier si les enregistrements affichent des changements typiques avant l'apparition de la FA. Le deuxième objectif est d'identifier des facteurs prédictifs permettant d’identifier les patients qui vont développer une FA. Les enregistrements ont été réalisés par l'équipe du Dr Pierre Pagé sur 137 patients traités par pontage coronarien. Trois électrodes unipolaires ont été suturées sur l'épicarde des oreillettes pour enregistrer en continu pendant les 4 premiers jours postopératoires. La première tâche était de développer un algorithme pour détecter et distinguer les activations auriculaires et ventriculaires sur chaque canal, et pour combiner les activations des trois canaux appartenant à un même événement cardiaque. L'algorithme a été développé et optimisé sur un premier ensemble de marqueurs, et sa performance évaluée sur un second ensemble. Un logiciel de validation a été développé pour préparer ces deux ensembles et pour corriger les détections sur tous les enregistrements qui ont été utilisés plus tard dans les analyses. Il a été complété par des outils pour former, étiqueter et valider les battements sinusaux normaux, les activations auriculaires et ventriculaires prématurées (PAA, PVA), ainsi que les épisodes d'arythmie. Les données cliniques préopératoires ont ensuite été analysées pour établir le risque préopératoire de FA. L’âge, le niveau de créatinine sérique et un diagnostic d'infarctus du myocarde se sont révélés être les plus importants facteurs de prédiction. Bien que le niveau du risque préopératoire puisse dans une certaine mesure prédire qui développera la FA, il n'était pas corrélé avec le temps de l'apparition de la FA postopératoire. Pour l'ensemble des patients ayant eu au moins un épisode de FA d’une durée de 10 minutes ou plus, les deux heures précédant la première FA prolongée ont été analysées. Cette première FA prolongée était toujours déclenchée par un PAA dont l’origine était le plus souvent sur l'oreillette gauche. Cependant, au cours des deux heures pré-FA, la distribution des PAA et de la fraction de ceux-ci provenant de l'oreillette gauche était large et inhomogène parmi les patients. Le nombre de PAA, la durée des arythmies transitoires, le rythme cardiaque sinusal, la portion basse fréquence de la variabilité du rythme cardiaque (LF portion) montraient des changements significatifs dans la dernière heure avant le début de la FA. La dernière étape consistait à comparer les patients avec et sans FA prolongée pour trouver des facteurs permettant de discriminer les deux groupes. Cinq types de modèles de régression logistique ont été comparés. Ils avaient une sensibilité, une spécificité et une courbe opérateur-receveur similaires, et tous avaient un niveau de prédiction des patients sans FA très faible. Une méthode de moyenne glissante a été proposée pour améliorer la discrimination, surtout pour les patients sans FA. Deux modèles ont été retenus, sélectionnés sur les critères de robustesse, de précision, et d’applicabilité. Autour 70% patients sans FA et 75% de patients avec FA ont été correctement identifiés dans la dernière heure avant la FA. Le taux de PAA, la fraction des PAA initiés dans l'oreillette gauche, le pNN50, le temps de conduction auriculo-ventriculaire, et la corrélation entre ce dernier et le rythme cardiaque étaient les variables de prédiction communes à ces deux modèles.

Análise de vizinhança na avaliação de genótipos de cana-de-açúcar

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Representações espectrais de sistemas complexos: aplicações à síntese de superfícies brownianas fracionárias anisotrópicas, filtragem de sinais e identificação de correlações

In this thesis, we study the application of spectral representations to the solution of problems in seismic exploration, the synthesis of fractal surfaces and the identification of correlations between one-dimensional signals. We apply a new approach, called Wavelet Coherency, to the study of stratigraphic correlation in well log signals, as an attempt to identify layers from the same geological formation, showing that the representation in wavelet space, with introduction of scale domain, can facilitate the process of comparing patterns in geophysical signals. We have introduced a new model for the generation of anisotropic fractional brownian surfaces based on curvelet transform, a new multiscale tool which can be seen as a generalization of the wavelet transform to include the direction component in multidimensional spaces. We have tested our model with a modified version of the Directional Average Method (DAM) to evaluate the anisotropy of fractional brownian surfaces. We also used the directional behavior of the curvelets to attack an important problem in seismic exploration: the atenuation of the ground roll, present in seismograms as a result of surface Rayleigh waves. The techniques employed are effective, leading to sparse representation of the signals, and, consequently, to good resolutions

DFA e análise de agrupamento aplicadas a perfis de porosidade neutrônico em poços de petróleo

Peng was the first to work with the Technical DFA (Detrended Fluctuation Analysis), a tool capable of detecting auto-long-range correlation in time series with non-stationary. In this study, the technique of DFA is used to obtain the Hurst exponent (H) profile of the electric neutron porosity of the 52 oil wells in Namorado Field, located in the Campos Basin -Brazil. The purpose is to know if the Hurst exponent can be used to characterize spatial distribution of wells. Thus, we verify that the wells that have close values of H are spatially close together. In this work we used the method of hierarchical clustering and non-hierarchical clustering method (the k-mean method). Then compare the two methods to see which of the two provides the best result. From this, was the parameter � (index neighborhood) which checks whether a data set generated by the k- average method, or at random, so in fact spatial patterns. High values of � indicate that the data are aggregated, while low values of � indicate that the data are scattered (no spatial correlation). Using the Monte Carlo method showed that combined data show a random distribution of � below the empirical value. So the empirical evidence of H obtained from 52 wells are grouped geographically. By passing the data of standard curves with the results obtained by the k-mean, confirming that it is effective to correlate well in spatial distribution

Utilização de redes neurais artificiais para a determinação do número de refeições diárias de um restaurante universitário

OBJETIVO: Construir uma rede neural artificial para auxiliar os gestores de restaurantes universitários na previsão de refeições diárias. MÉTODOS: O estudo foi desenvolvido a partir do levantamento de oito variáveis que influenciam o número de refeições diárias servidas no restaurante universitário. Utiliza-se o algoritmo de treinamento Backpropagation. Os resultados por meio da rede são comparados com os da série estudada e com resultados da estimação por média aritmética simples. RESULTADOS: A rede proposta acompanha as inúmeras alterações que ocorrem no número de refeições diárias do restaurante universitário. em 73% dos dias analisados, o método das redes neurais artificiais apresenta uma taxa de acerto maior do que o método da média aritmética simples. CONCLUSÃO: A rede neural artificial mostrou-se mais adequada para a previsão do número de refeições do que a metodologia de média simples ou quando a decisão do número de refeições é feita de forma subjetiva, sem critérios científicos.

Dinâmica não linear de m Pêndula eletromecânico com excitação vertical

Pós-graduação em Matemática - IBILCE

Uma análise da dinâmica do pêndulo eletromecânico utilizando a teoria de pertubações

Pós-graduação em Matemática - IBILCE

Elaboração de mapa de susceptibilidade de corridas de massa/detritos e ondas de cheia, aplicado a empreendimentos dutoviários, na bacia hidrográfica do Ribeirão da Prata (SP)

Given the intense expansion of the industries in Brazil and the discovery of hydrocarbons in the pre-salt layer of the Santos and Campos Basin, there is a need to expand the distribution of oil and gas network in the country. The present work aims to present the development of susceptibility map by two distinct methods of two events (debris flows and full wave), applied to the establishment of pipelines on Ribeirão da Prata Basin. The research area covers two municipalities: São João da Boa Vista and Águas da Prata, in total 145 km2. In the paper was used the methodology proposed by Zaine (2011) for the physiographic subdivision method, which uses geological maps, geomorphological maps, digital terrain models and aerial photographs, used to extract the main elements of the physical environment, as rivers, lines, ridges, tops forms and valley forms and historical processes. Thus, the basin was divided into 11 physiographic zones, considering the following elements: thickness of soil, rock type, geomorphology, amplitude, ridges orientation, erosion occurences and mass movements. Were subsequently performed location maps of dams, that had as main purpose to localize major dams in the study area along with their area and perimeter of the reservoir, and land use map that subdivided the area in woody vegetation, permanent culture, temporary culture and urban area. Along with the preparation of the auxiliar maps was conducted a field campaign with three days and approximately 2 points per km2, which aimed to better understand the physical environment and check the main peculiarities of the study area. Criteria have been established for susceptibility maps physiographic subdivision and land use, and a survey of criteria weights used in each map for both processes under study. For the preparation of susceptibility maps were adopted two different methods, which treat the weighted average and the multiplicand. The weighted average method it is...

Aplicação de análise multicriterial para determinação de áreas prioritárias à recomposição florestal

Using the Geographic Information System (GIS) and taking into account its capability to analyze spatial data, a database of updated spatial data from the sub-basin of the Descalvado stream, Botucatu, SP, was developed to provide an evaluation and diagnosis of the area concerning land use and the degradation processes therein. Through GIS, priority areas for forest recovery were defined by Multicriteria Evaluation and using the Ordered Weighted Average method. The latter allows the decision maker to define the area to be recovered, facing limitation of resources, among one of the proposed scenarios, or do it in stages. The study showed that there are accelerated erosion processes in the headwaters of the springs of water bodies; there is also fragmentation of native vegetation, especially in hillside areas, and little presence of native vegetation in riparian areas. The application of the multicriteria analysis using the Ordered Weighted Average was important as it systematized and discriminated scenarios of priority for forest recovery.

A fuzzy approach to texture segmentation

The texture segmentation techniques are diversified by the existence of several approaches. In this paper, we propose fuzzy features for the segmentation of texture image. For this purpose, a membership function is constructed to represent the effect of the neighboring pixels on the current pixel in a window. Using these membership function values, we find a feature by weighted average method for the current pixel. This is repeated for all pixels in the window treating each time one pixel as the current pixel. Using these fuzzy based features, we derive three descriptors such as maximum, entropy, and energy for each window. To segment the texture image, the modified mountain clustering that is unsupervised and fuzzy c-means clustering have been used. The performance of the proposed features is compared with that of fractal features.

Analysis of carrier phase extraction methods in 112-Gbit/s NRZ-PDM-QPSK coherent transmission system

We present a comparative analysis on three carrier phase extraction approaches, including a one-tap normalized least mean square method, a block-average method, and a Viterbi-Viterbi method, in coherent transmission system considering equalization enhanced phase noise. © OSA 2012.