Major Issues in Business Process Management: Key Concerns presented in Academy from a Brazilian Perspective

This paper is part of a major research in Business Process Management (BPM). There are international publications that identify the evolution of this area and practical challenges in several perspectives. This paper contributes with a comprehensive survey that identifies, from a Brazilian perspective, the evolution of the academic interest and the practical challenges of the national organizations. The expected results are, first, that this work can provide evidences to answer our research question: What are the issues BPM in Brazil? In addition, we expect to contribute with an approach and instruments that can be applied in the future in a new evaluation, following the same process of this research. This first part presents the results of a key concerns classification of all the papers presented in a Brazilian´s Conference: the Workshop of Business Process Management. With this first part, we aim to contribute by showing and discussing what are the academy keys concern and compare it with the BPM International Conference

Deletion of TRAAK Potassium Channel Affects Brain Metabolism and Protects against Ischemia

Cerebral stroke is a worldwide leading cause of disability. The two-pore domain K(+) channels identified as background channels are involved in many functions in brain under physiological and pathological conditions. We addressed the hypothesis that TRAAK, a mechano-gated and lipid-sensitive two-pore domain K(+) channel, is involved in the pathophysiology of brain ischemia. We studied the effects of TRAAK deletion on brain morphology and metabolism under physiological conditions, and during temporary focal cerebral ischemia in Traak(-/-) mice using a combination of in vivo magnetic resonance imaging (MRI) techniques and multinuclear magnetic resonance spectroscopy (MRS) methods. We provide the first in vivo evidence establishing a link between TRAAK and neurometabolism. Under physiological conditions, Traak(-/-) mice showed a particular metabolic phenotype characterized by higher levels of taurine and myo-inositol than Traak(+/+) mice. Upon ischemia, Traak(-/-) mice had a smaller infarcted volume, with lower contribution of cellular edema than Traak(+/+) mice. Moreover, brain microcirculation was less damaged, and brain metabolism and pH were preserved. Our results show that expression of TRAAK strongly influences tissue levels of organic osmolytes. Traak(-/-) mice resilience to cellular edema under ischemia appears related to their physiologically high levels of myo-inositol and of taurine, an aminoacid involved in the modulation of mitochondrial activity and cell death. The beneficial effects of TRAAK deletion designate this channel as a promising pharmacological target for the treatment against stroke

Comparison of fetal heart rate patterns in the second and third trimesters of pregnancy

OBJETIVO: comparar os padrões da frequência cardíaca fetal (FCF) do segundo e terceiro trimestres da gestação. MÉTODOS: estudo prospectivo, comparativo, realizado no período de Janeiro de 2008 e Julho de 2009 com os seguintes critérios de inclusão: gestação única, feto vivo, ausência de intercorrências clínicas ou obstétricas, ausência de malformação fetal, com idade gestacional entre 24 e 27 semanas (segundo trimestre - 2ºT) ou entre 36 e 40 semanas (terceiro trimestre - 3ºT). Foram realizados os exames de cardiotocografia computadorizada (Sistema 8002 - Sonicaid) por período de 30 minutos e o perfil biofísico fetal. O Sistema 8002 analisa o traçado da FCF em períodos de 3,75 segundos (1/16 de minuto). Em cada período, a duração média dos intervalos de tempo entre sucessivos batimentos cardíacos fetais foi avaliada e mensurada em milisegundos (ms). A FCF média foi calculada em cada período, e também as diferenças entre períodos adjacentes. Os parâmetros incluíram: FCF basal, acelerações transitórias, duração dos episódios de alta variação, duração dos episódios de baixa variação e variação de curto prazo. Os resultados foram analisados pelos testes t de Student, teste do qui-quadrado e teste exato de Fischer. Foi adotado nível de significância de 0,05. RESULTADOS: dezoito gestações de 2ºT foram comparadas com 25 gestações de 3ºT. Houve diferença significativa nos parâmetros da FCF avaliada pela cardiotocografia computadorizada quando comparados os fetos de 2ºT e os de 3ºT em relação aos seguintes resultados: média da FCF basal (143,8 bpm versus 134,0 bpm, p=0,009), média do número de acelerações transitórias &gt;10 bpm (3,7 versus 8,4, p<0,001) e &gt;15 bpm (0,9 bpm versus 5,4 bpm, p<0,001), duração média dos episódios de alta variação (8,4 min x 15,4 min, p=0,008) e média da variação de curto prazo (8,0 ms versus10,9 ms, p=0,01). Em todos os exames o perfil biofísico fetal apresentou resultado normal. CONCLUSÕES: o presente estudo constata diferenças significativas nos padrões avaliados entre gestações de segundo e terceiro trimestres, e indica a influência da maturação do sistema nervoso autonômico na regulação da FCF.PURPOSE: to compare the patterns of fetal heart rate (FHR) in the second and third trimesters of pregnancy. METHODS: a prospective and comparative study performed between January 2008 and July 2009. The inclusion criteria were: singleton pregnancy, live fetus, pregnant women without clinical or obstetrical complications, no fetal malformation, gestational age between 24 and 27 weeks (2nd trimester - 2T) or between 36 and 40 weeks (3rd trimester - 3T). Computerized cardiotocography (System 8002 - Sonicaid) was performed for 30 minutes and the fetal biophysical profile was obtained. System 8002 analyzes the FHR tracings for periods of 3.75 seconds (1/16 minutes). During each period, the mean duration of the time intervals between successive fetal heart beats is determined in milliseconds (ms); the mean FHR and also the differences between adjacent periods are calculated for each period. The parameters included: basal FHR, FHR accelerations, duration of high variation episodes, duration of low variation episodes and short-term variation. The dataset was analyzed by the Student t test, chi-square test and Fisher's exact test. Statistical significance was set at p<0.05. RESULTS: eighteen pregnancies on the second trimester were compared to 25 pregnancies on the third trimester. There was a significant difference in the FHR parameters evaluated by computerized cardiotocography between the 2T and 3T groups, regarding the following results: mean basal FHR (mean, 143.8 bpm versus 134.0 bpm, p=0.009), mean number of transitory FHR accelerations &gt; 10 bpm (3.7 bpm versus 8.4 bpm, p <0.001) and &gt;15 bpm (mean, 0.9 bpm versus 5.4 bpm, p <0.001), mean duration of high variation episodes (8.4 min versus 15.4 min, p=0.008) and mean short - term variation (8.0 ms versus 10.9 ms, p=0.01). The fetal biophysical profile showed normal results in all pregnancies. CONCLUSION: the present study shows significant differences in the FHR characteristics when the 2nd and 3rd trimesters of pregnancy are compared and confirms the influence of autonomic nervous system maturation on FHR regulation.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP

Correlações entre a Capacidade de Estocagem Geológica e Criogênica de Gás Natural e as Características das Indústrias de Gás no Mundo

A estocagem de gás natural em estruturas geológicas ou em tanques criogênicos de terminais de liquefação ou de regaseificação de gás natural liquefeito (GNL) é muito relevante em diversos países onde o gás possui importante papel em suas economias. Para países que ainda não possuem armazenagens, como o Brasil, é fundamental observar a já vasta experiência internacional nesta área de forma a planejar o desenvolvimento de seus setores de gás. Assim, este trabalho teve como objetivo identificar por meio de regressões lineares as correlações existentes entre a capacidade de estocagem de gás dos países que contam com essa tecnologia e algumas características dos seus setores de gás, tais como volumes de reservas, produção e consumo, dentre outros. Como resultado, identificou-se, para os armazenamentos criogênicos, maior correlação com o nível de reservas provadas em terminais de liquefação de gás natural e maior correlação com os volumes de importação em terminais de regaseificação. Já para as estocagens geológicas, foram observadas correlações muito altas com o nível de consumo e o grau de desenvolvimento da infraestrutura. Por fim, verificou-se que há pouca correlação entre capacidade de armazenamento e existência de excesso de gás. 

Magnetic resonance imaging of the neuroprotective effect of xaliproden in rats

RATIONALE AND OBJECTIVES: The neurotrophic effect of Xaliproden has been followed using sequential cerebral magnetic resonance imaging (MRI) in rats with vincristine-induced brain lesion as a model of Alzheimer disease. METHODS: Nineteen rats received an intraseptal injection of vincristine on day 0, followed by a daily gavage with either the vehicle (Tween-20 1%) (n = 10) or Xaliproden (10 mg/kg) (n = 9). Eight sham-operated controls received a daily gavage with either the vehicle (n = 4) or Xaliproden (n = 4). Brain MR imaging was performed at 4.7 T on a Biospec 47/30 MR system before surgery then 3, 7, 10, and 14 days after surgery. RESULTS: At day 3 following vincristine injection, an increase in MR signal intensity in the septum was observed on T2-weighted images. This increase was maximal at day 10, and remained stable until day 14. Daily treatment with Xaliproden delayed the appearance of hypersignals until day 7 and reduced by Ca. 50% the magnitude of the increase in signal intensity from day 10. No changes were observed in the hippocampus. CONCLUSION: Quantitative MRI objectifies noninvasively the neuroprotective effect of Xaliproden on rat brain anatomy

Diffusion-weighted imaging in normal fetal brain maturation

Diffusion-weighted imaging (DWI) provides information about tissue maturation not seen on conventional magnetic resonance imaging. The aim of this study is to analyze the evolution over time of the apparent diffusion coefficient (ADC) of normal fetal brain in utero. DWI was performed on 78 fetuses, ranging from 23 to 37 gestational weeks (GW). All children showed at follow-up a normal neurological evaluation. ADC values were obtained in the deep white matter (DWM) of the centrum semiovale, the frontal, parietal, occipital and temporal lobe, in the cerebellar hemisphere, the brainstem, the basal ganglia (BG) and the thalamus. Mean ADC values in supratentorial DWM areas (1.68 ± 0.05mm2/s) were higher compared with the cerebellar hemisphere (1.25 ± 0.06mm2/s) and lowest in the pons (1.11 ± 0.05mm2/s). Thalamus and BG showed intermediate values (1.25 ± 0.04mm2/s). Brainstem, cerebellar hemisphere and thalamus showed a linear negative correlation with gestational age. Supratentorial areas revealed an increase in ADC values, followed by a decrease after the 30th GW. This study provides a normative data set that allows insights in the normal fetal brain maturation in utero, which has not yet been observed in previous studies on premature babie

Inflammatory Multiple-Sclerosis Plaques Generate Characteristic Metabolic Profiles in Cerebrospinal Fluid

International audienceBackgroundMultiple sclerosis (MS), an inflammatory disease of the central nervous system, manifests itself in numerous forms and stages. A number of brain metabolic alterations have been reported for MS patients vs. control subjects. However, metabolite profiles of cerebrospinal fluid (CSF) are not consistent among the published MS studies, most probably due to variations in the patient cohorts studied. We undertook the first investigation of highly homogeneous MS patient cohorts to determine characteristic effects of inflammatory MS plaques on the CSF metabolome, including only patients with clinically isolated syndrome (CIS) with or without inflammatory brain plaques, and controls.Methodology/Principal FindingsCSF obtained by lumbar puncture was analyzed by proton magnetic resonance spectroscopy. 27 metabolites were quantified. Differences between groups of control subjects (n = 10), CIS patients with (n = 21) and without (n = 12) inflammatory plaques were evaluated by univariate statistics and principal component analysis (PCA). Seven metabolites showed statistically significant inter-group differences (p<0.05). Interestingly, a significant increase in β-hydroxyisobutyrate (BHIB) was detected in CIS with vs. without active plaques, but not when comparing either CIS group with control subjects. Moreover, a significant correlation was found, for the first time, between CSF lactate concentration and the number of inflammatory MS brain plaques. In contrast, fructose concentrations were equally enhanced in CIS with or without active plaques. PCA based on all 27 metabolites yielded group-specific clusters.Conclusions/SignificanceCSF metabolic profiles suggest a close link between MS plaque activity in CIS patients on the one hand and organic-acid metabolism on the other. Our detection of increased BHIB levels points to a hitherto unsuspected role for this compound in MS with active plaques, and serves as a basis for further investigation. The metabolic effects described in our study are crucial elements in the explanation of biochemical mechanisms involved in specific MS manifestations

Ontology Extraction from Stories: an exploratory study in storytelling

Business and IT systems are facing increasingly complex environments characterized by collaboration, change and variety of customers, suppliers and products. Group storytelling technique can contribute to the business knowledge management. The stories count brings benefits from capture to securing information, through communication and understanding of the concepts. American Companies (3M and Apple), Japanese (Sony and Toshiba) and European (ClubMed and Océ) already use this approach in practice. Ontology Engineering can contribute towards improving the quality of information and offer a solution to address knowledge management systematically. However, the specification and manually made of ontology management can be expensive, tedious, biased and prone to error. Automatic learning ontology is an approach that extracts ontology from the data, both structured and unstructured (text). This work presents, at the exploratory stage, a proposal able to specify, automatically, elements of an ontology, from the tacit knowledge of those involved in the field. An exploratory study was able to get the concepts of an ontology, automatically, from stories told by a group storytelling tool on the business process of one department of the University

White matter maturation of normal human fetal brain. An in vivo diffusion tensor tractography study

We demonstrate for the first time the ability to determine in vivo and in utero the transitions between the main stages of white matter (WM) maturation in normal human fetuses using magnetic resonance diffusion tensor imaging (DTI) tractography. Biophysical characteristics of water motion are used as an indirect probe to evaluate progression of the tissue matrix organization in cortico-spinal tracts (CSTs), optic radiations (OR), and corpus callosum (CC) in 17 normal human fetuses explored between 23 and 38 weeks of gestation (GW) and selected strictly on minimal motion artifacts. Nonlinear polynomial (third order) curve fittings of normalized longitudinal and radial water diffusivities (Z-scores) as a function of age identify three different phases of maturation with specific dynamics for each WM bundle type. These phases may correspond to distinct cellular events such as axonal organization, myelination gliosis, and myelination, previously reported by other groups on post-mortem fetuses using immunostaining methods. According to the DTI parameter dynamics, we suggest that myelination (phase 3) appears early in the CSTs, followed by the OR and by the CC, respectively. DTI tractography provides access to a better understanding of fetal WM maturation