22 research outputs found
Design and multicentric Implementation of a generic Software Architecture for Patient Recruitment Systems re-using existing HIS tools and Routine Patient Data
Virtual Reality Exposure Therapy of Combat-Related PTSD: A Case Study Using Psychophysiological Indicators of Outcome
Durability of cellulose fibers reinforced composites.
O uso de fibras vegetais e de cimentos alternativos ambos provenientes de resíduos, é tido como boa opção na busca por novos fibrocimentos. Entretanto, a maioria das pesquisas desenvolvida nos últimos anos tem apresentado resultados desanimadores no que se refere à durabilidade do material. Além disso, os métodos para avaliação do desempenho ao longo do tempo de materiais reforçados com fibras sensíveis a álcalis ainda não estão bem estabelecidos. O trabalho avaliou o comportamento de compósitos produzidos com cimento de escória de alto-forno reforçados com fibras de celulose, moldados através de adaptações dos processos industriais usados em todo mundo pelas empresas de fibrocimento. Em seguida, a durabilidade das formulações foi avaliada através de ensaios de envelhecimento, os quais se basearam na simulação dos principais agentes e mecanismos de degradação atuantes no material. O desempenho físico e mecânico dos compósitos foi avaliado através da análise de propriedades pré-estabelecidas, consideradas importantes no emprego material como componente construtivo. A análise dos resultados confirmou a eficiência da incorporação da celulose nas propriedades mecânicas do compósito. A durabilidade do material foi diferente para as matrizes empregadas. As matrizes ativadas com gipsita e cal hidratada (EGCH) foram menos agressivas às fibras, entretanto apresentaram problemas de hidratação às primeiras idades e perda de resistência devido à carbonatação. A matriz ECP, mais alcalina, apresentou resultados superiores de resistência mecânica nas primeiras idades. Ela decompôs as fibras e reduziu as propriedades mecânicas durante o envelhecimento. A carbonatação reduziu o ataque alcalino às fibras nestas matrizes, estabilizando a resistência mecânica e a perda de tenacidade não foi tão acentuada. A metodologia de envelhecimento acelerado que combinou ciclos de molhagem e secagem à carbonatação se mostrou eficiente na simulação do envelhecimento natural.Vegetable fibers and alternative cements from residues is a good option for replacement asbestos-cement. However, research development has presented no satisfactory results concerning material durability and methods of performance evaluation to reinforced materials with alcali sensitive fibers are not well developed. The objetives of this research are: a) evaluation of composites behavior produced with blast-furnace slag reinforced with residual cellulose fibers, which were moulded in adapted conventional industrial processes, common in fibercement companies around world and b) durability performance evaluation applying proposed aging tests. Aging tests were based on simulation of main agents and degradation mechanisms. Physical and mechanical behaviour of composites was evaluated considering important properties in building component uses. Cellulose fibers improved the mechanical properties of the composites. Durability presented different results for the two matrices. The matrices activated with gypsum and hidrated lime (EGCH) have been less aggressive than matrix activated with ordinary Portland cement (OPC) in relation to fibers. However, they presented problems concerning to the hydration at early dates and loss of resistance due to carbonation. Matrices activated with OPC presented better results of MOR at the early dates. In fact, they are more alkaline and they decomposed fibers and reduced the mechanical properties during the aging. The carbonation reduced the alkaline attack, stabilizing the MOR and reducing the loss of tenacity. The accelerated methods with carbonation were efficient in the simulation of the natural ageing
Power Spectral Analysis of Heart Rate Variability in Healthy Young Women During the Normal Menstrual Cycle
CRITICAL ANALYSIS OF THE CURRENT TREATMENT GUIDELINES FOR COMPLEX PTSD IN ADULTS
de Jongh A, Resick PA, Zoellner LA, et al. CRITICAL ANALYSIS OF THE CURRENT TREATMENT GUIDELINES FOR COMPLEX PTSD IN ADULTS. DEPRESSION AND ANXIETY. 2016;33(5):359-369.According to current treatment guidelines for Complex PTSD (cPTSD), psychotherapy for adults with cPTSD should start with a stabilization phase. This phase, focusing on teaching self-regulation strategies, was designed to ensure that an individual would be better able to tolerate trauma-focused treatment. The purpose of this paper is to critically evaluate the research underlying these treatment guidelines for cPTSD, and to specifically address the question as to whether a phase-based approach is needed. As reviewed in this paper, the research supporting the need for phase-based treatment for individuals with cPTSD is methodologically limited. Further, there is no rigorous research to support the views that: (1) a phase-based approach is necessary for positive treatment outcomes for adults with cPTSD, (2) front-line trauma-focused treatments have unacceptable risks or that adults with cPTSD do not respond to them, and (3) adults with cPTSD profit significantly more from trauma-focused treatments when preceded by a stabilization phase. The current treatment guidelines for cPTSD may therefore be too conservative, risking that patients are denied or delayed in receiving conventional evidence-based treatments from which they might profit. (C) 2016 Wiley Periodicals, Inc