First World Consensus Conference on pancreas transplantation: Part II - recommendations.

Funder: Fondazione Pisa, Pisa, Italy; Id: http://dx.doi.org/10.13039/100007368Funder: Tuscany Region, Italy; Id: http://dx.doi.org/10.13039/501100009888Funder: Pisa University Hospital, Pisa, ItalyFunder: University of Pisa, Pisa, Italy; Id: http://dx.doi.org/10.13039/501100007514The First World Consensus Conference on Pancreas Transplantation provided 49 jury deliberations regarding the impact of pancreas transplantation on the treatment of diabetic patients, and 110 experts' recommendations for the practice of pancreas transplantation. The main message from this consensus conference is that both simultaneous pancreas-kidney transplantation (SPK) and pancreas transplantation alone can improve long-term patient survival, and all types of pancreas transplantation dramatically improve the quality of life of recipients. Pancreas transplantation may also improve the course of chronic complications of diabetes, depending on their severity. Therefore, the advantages of pancreas transplantation appear to clearly surpass potential disadvantages. Pancreas after kidney transplantation increases the risk of mortality only in the early period after transplantation, but is associated with improved life expectancy thereafter. Additionally, preemptive SPK, when compared to SPK performed in patients undergoing dialysis, appears to be associated with improved outcomes. Time on dialysis has negative prognostic implications in SPK recipients. Increased long-term survival, improvement in the course of diabetic complications, and amelioration of quality of life justify preferential allocation of kidney grafts to SPK recipients. Audience discussions and live voting are available online at the following URL address: http://mediaeventi.unipi.it/category/1st-world-consensus-conference-of-pancreas-transplantation/246

Avaliação de estrutura de bambu como elemento construtivo para casa de vegetação Evaluation of the bamboo structure use as constructive element for greenhouses

O uso da tecnologia do cultivo protegido no Brasil, para a produção de hortaliças e plantas ornamentais, passou por diversas fases de adaptação, visando a atender às necessidades de oferta e de qualidade dos produtos, com a preocupação de minimizar os custos de produção e os efeitos negativos do clima. A grande maioria dessas adaptações partiu da iniciativa dos próprios agricultores, utilizando-se de diferentes materiais e de outros artifícios para contornar problemas cotidianos. O experimento foi realizado na área da Faculdade de Engenharia Agrícola/UNICAMP, no período compreendido entre dezembro de 2002 e janeiro de 2003, com o objetivo de avaliar as deformações do sistema construtivo de estrutura de bambu para utilização em casa de vegetação, em diferentes espaçamentos entre colunas e sob diferentes esforços verticais de cargas. Testou-se o uso de vigas e colunas construídas com colmos de bambu da espécie Bambusa tuldoides Munro e estruturadas com espaçadores de plástico, especialmente projetados para facilitar e padronizar a construção, conferindo-lhe maior resistência e estabilidade. Foram avaliados três espaçamentos entre colunas (2,0; 2,5 e 3,0 m) sob diferentes esforços de carga, dos quais o melhor resultado foi obtido com o espaçamento de 2,5 m.<br>The use of technology to protect and produce vegetables and ornamental plants was developed over several adaptation phases that supported the demand for quality and amount of products. These developments also reduced production costs and climate damage to the crops. Many of these adaptations were carried out by farmers on their own initiative, using different materials and devices to solve their problems. This study was carried out at Agricultural Engineering College - Campinas University/UNICAMP, from December 2002 to January 2003, with the objective of evaluating the deformations of the constructive system of bamboo structure for greenhouses, submitted to different spacing among columns, and different vertical strains. It was tested the use of beams and columns built with bamboo stems from the specie Bambusa tuldoides Munro. The beams and columns were tied together with plastic spacing parts, specially designed to facilitate and standardize the construction of the building, providing more resistance and stability. Three column spaces (2.0, 2.5 and 3.0 m) were evaluated under different load strains. The best result was obtained with a spacing of 2.5 m