TF 2018 : projeto Monte do Carmo área XII

Trabalho de Conclusão de Curso (graduação)—Universidade de Brasília, Instituto de Geociências, 2018.O Projeto Monte do Carmo coordenado pelo Prof. e Dr. Elton Dantas é o trabalho de mapeamento geológico final de semi-detalhe (1:50.000) realizado pelos alunos de graduação em geologia pela Universidade de Brasília. A área mapeada se encontra nos arredores das cidades de Porto Nacional e Monte do Carmo TO. A área de pesquisa está inserida na Província Estrutural Tocantins a qual é composta por cinturões orogênicos ou faixas móveis (Brasília, Araguaia e Paraguaia). A região compreende diversas rochas de idades diferentes desde embasamento paleoproterozoico a rochas mais recentes do Fanerozoico. As estruturas dúcteis-rúpteis geradas principalmente por grandes falhas transcorrentes são responsáveis pela percolação de fluidos, transporte e controle de mineralizações auríferas. O presente trabalho apresenta o mapa geológico da área, descrições petrográficas, geologia estrutural, condições de metamorfismo, potencialidade econômica e possível evolução geológica ao longo do temp

Hypermedia learning and prior knowledge: Domain expertise vs. system expertise

Prior knowledge is often argued to be an important determinant in hypermedia learning, and may be thought of as including two important elements: domain expertise and system expertise. However, there has been a lack of research considering these issues together. In an attempt to address this shortcoming, this paper presents a study that examines how domain expertise and system expertise influence students’ learning performance in, and perceptions of, a hypermedia system. The results indicate that participants with lower domain knowledge show a greater improvement in their learning performance than those with higher domain knowledge. Furthermore, those who enjoy using the Web more are likely to have positive perceptions of non-linear interaction. Discussions on how to accommodate the different needs of students with varying levels of prior knowledge are provided based on the results

The HubBLe Trial: haemorrhoidal artery ligation (HAL) versus rubber band ligation (RBL) for symptomatic second- and third-degree haemorrhoids: a multicentre randomised controlled trial and health-economic evaluation.

BACKGROUND: Optimal surgical intervention for low-grade haemorrhoids is unknown. Rubber band ligation (RBL) is probably the most common intervention. Haemorrhoidal artery ligation (HAL) is a novel alternative that may be more efficacious. OBJECTIVE: The comparison of HAL with RBL for the treatment of grade II/III haemorrhoids. DESIGN: A multicentre, parallel-group randomised controlled trial. PERSPECTIVE: UK NHS and Personal Social Services. SETTING: 17 NHS Trusts. PARTICIPANTS: Patients aged ≥ 18 years presenting with grade II/III (second- and third-degree) haemorrhoids, including those who have undergone previous RBL. INTERVENTIONS: HAL with Doppler probe compared with RBL. OUTCOMES: Primary outcome - recurrence at 1 year post procedure; secondary outcomes - recurrence at 6 weeks; haemorrhoid severity score; European Quality of Life-5 Dimensions, 5-level version (EQ-5D-5L); Vaizey incontinence score; pain assessment; complications; and cost-effectiveness. RESULTS: A total of 370 participants entered the trial. At 1 year post procedure, 30% of the HAL group had evidence of recurrence compared with 49% after RBL [adjusted odds ratio (OR) = 2.23, 95% confidence interval (CI) 1.42 to 3.51; p = 0.0005]. The main reason for the difference was the number of extra procedures required to achieve improvement/cure. If a single HAL is compared with multiple RBLs then only 37.5% recurred in the RBL arm (adjusted OR 1.35, 95% CI 0.85 to 2.15; p = 0.20). Persistence of significant symptoms at 6 weeks was lower in both arms than at 1 year (9% HAL and 29% RBL), suggesting significant deterioration in both groups over the year. Symptom score, EQ-5D-5L and Vaizey score improved in both groups compared with baseline, but there was no difference between interventions. Pain was less severe and of shorter duration in the RBL group; most of the HAL group who had pain had mild to moderate pain, resolving by 3 weeks. Complications were low frequency and not significantly different between groups. It appeared that HAL was not cost-effective compared with RBL. In the base-case analysis, the difference in mean total costs was £1027 higher for HAL. Quality-adjusted life-years (QALYs) were higher for HAL; however, the difference was very small (0.01) resulting in an incremental cost-effectiveness ratio of £104,427 per additional QALY. CONCLUSIONS: At 1 year, although HAL resulted in fewer recurrences, recurrence was similar to repeat RBL. Symptom scores, complications, EQ-5D-5L and continence score were no different, and patients had more pain in the early postoperative period after HAL. HAL is more expensive and unlikely to be cost-effective in terms of incremental cost per QALY. LIMITATIONS: Blinding of participants and site staff was not possible. FUTURE WORK: The incidence of recurrence may continue to increase with time. Further follow-up would add to the evidence regarding long-term clinical effectiveness and cost-effectiveness. The polysymptomatic nature of haemorrhoidal disease requires a validated scoring system, and the data from this trial will allow further assessment of validity of such a system. These data add to the literature regarding treatment of grade II/III haemorrhoids. The results dovetail with results from the eTHoS study [Watson AJM, Hudson J, Wood J, Kilonzo M, Brown SR, McDonald A, et al. Comparison of stapled haemorrhoidopexy with traditional excisional surgery for haemorrhoidal disease (eTHoS): a pragmatic, multicentre, randomised controlled trial. Lancet 2016, in press.] comparing stapled haemorrhoidectomy with excisional haemorrhoidectomy. Combined results will allow expansion of analysis, allowing surgeons to tailor their treatment options to individual patients. TRIAL REGISTRATION: Current Controlled Trials ISRCTN41394716. FUNDING: This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 20, No. 88. See the NIHR Journals Library website for further project information

Effects of simplifying outreach materials for energy conservation programs that target low-income consumers

Critics have speculated that the limited success of energy conservation programs among low-income consumers may partly be due to recipients having insufficient literacy to understand the outreach materials. Indeed, we found outreach materials for low-income consumers to require relatively high levels of reading comprehension. We therefore improved the Flesch-Kincaid readability statistics for two outreach brochures, by using shorter words and shorter sentences to describe their content. We examined the effect of that simplification on low-income consumers' responses. Participants from low-income communities in the greater Pittsburgh area, who varied in literacy, were randomly assigned to either original communications about energy conservation programs or our simplified versions. Our findings suggest that lowering readability statistics successfully simplified only the more straightforward brochure in our set of two, likely because its content lent itself better to simplification. Findings for this brochure showed that simplification improved understanding of its content among both low-literacy and high-literacy recipients, without adversely affecting their evaluation of the materials, or their intention to enroll in the advertised programs. We discuss strategies for improving communication materials that aim to reach out to low-income populations

Discharge of newborns with risk factors of severe hyperbilirubinemia: description of a hospital at home-based care monitoring and phototherapy

International audienceNeonatal jaundice is common and associated with delay in hospital discharge and risk of neurological sequelae if not treated. The objectives of the study were to report on our experience of the monitoring and treatment of neonatal jaundice in a home care setting and its feasibility and safety for neonates with high risk of severe hyperbilirubinemia. The 2-year study has been led in the greater Paris University Hospital At Home (Assistance Publique—Hôpitaux de Paris). The device of the intervention was the Bilicocoon® Bag, a light-emitting diode sleeping bag worn by the neonate when the total serum bilirubin value exceeds intensive phototherapy threshold, according to the guidelines from the American Academy of Pediatrics. One hundred and thirty-nine neonates had participated in the intervention and 39 (28%) were treated by phototherapy at home, as continuation of inpatient phototherapy or started at home. Seventy-five percent of the sample had more than two risk factors for development of severe hyperbilirubinemia. Twenty five percent of the cohort who received phototherapy at home had lower gestational age (p < 0.014) and had younger age at discharge from maternity (p < 0.09). Median length of stay in hospital at home was 5 days. Two patients needed readmission in conventional hospital (1%) for less than 24 h. In multivariate model, the length of stay decreased with the higher gestational age (p < 0.001) and increased significantly with the older age at discharge, the birth weight < 10th percentile, and a treatment by phototherapy at home. Conclusion: Hospital at home, which is a whole strategy using an effective and convenient phototherapy device combined with a specialized medical follow-up, could be an alternative to conventional hospitalization for neonates at high risk of severe jaundice. The maternity discharge is facilitated, the mother-infant bonding can be promoted, and the risk of conventional rehospitalization is minimal, while guaranteeing the safety of this specific care.What is Known:•Managing neonatal jaundice is provided in conventional hospital with phototherapy.• Neonatal jaundice increases the risk of prolonged hospitalization or readmission.What is New:•Phototherapy is feasible in hospital at home for neonates with high risk of severe hyperbilirubinemia.• The care pathway of neonates from conventional hospital to hospital at home is described

An in situ optical dataset for working towards fiducial reference measurements based satellite ocean colour validation in the Eastern Mediterranean

International audienceThe societal benefits of satellite ocean colour include aiding the management of the marine ecosystem, helping understand the role of the ocean ecosystem in climate change, aquaculture, fisheries, coastal zone water quality, and the mapping and monitoring of harmful algal blooms. Ocean colour is also designated as an essential climate variable by the Global Climate Observing System (GCOS). However, in order to have confidence in earth observation data, measurements made at the surface of the Earth, with the intention of providing verification or validation of satellite mounted sensor measurements, should be trustworthy and of the same high quality as those taken with the satellite sensors themselves. In order to be trustworthy, in situ validation measurements should include an unbroken chain of SI traceable calibrations and comparisons and full uncertainty budgets for each of the in situ sensors used. This metrological traceability is beginning to be demanded by the space agencies for satellite validation measurements and, for ocean colour, should follow the guidelines and protocols of the ESA Fiducial Reference Measurements for Satellite Ocean Colour (FRM4SOC) project (www.frm4soc.org). Until now, this has not been the case for most measurements used for validation, including those taken in the Aegean and Eastern Mediterranean. Subsequently, the Hellenic Centre for Marine Research (HCMR), in cooperation with the Laboratory of Optical Metrology (LOM), has started to follow the FRM direction by ensuring that the radiometers of its optical suite underwent SI-traceable absolute radiometric calibration. This included an estimate of the radiometry calibration uncertainty budget and was performed at the marine optical laboratory of the European Commission’s Joint Research Centre prior to their deployment on the recent PERLE-2 oceanographic cruise in the Eastern Mediterranean (Feb-Mar 2019). As well as irradiance and radiance sensors, the HCMR optical suite also houses instruments for measuring inherent optical properties (IOP) of the water column. Therefore, this paper presents the in-water radiometry matchups from PERLE-2 with Sentinel-3 Ocean and Land Colour Instrument (OLCI) measurements, and investigates their validation potential. It also presents the PERLE-2 cruise profile chlorophyll and backscatter measurements that aid this effort through characterizing the light scattering and absorbing constituents that contribute to the signal detected by satellite ocean colour sensors during validation matchups