Gestao de beneficios na etapa de projecto em empreendimentos hospitalares do reino unido [Managing benefits in the design of healthcare favilities in the UK]

Proposal: The healthcare system in the United kingdomis passing through transformation and change for improvement and innovation. Within this context, healthcare facilities are being developed in a complex multi-stakeholder environment, which usually have diverse and conflicting interests and no experience in design. This contributes for difficulties in managing their requirements, leading to low quality of design. Aiming to contribute for the management of these projects, a benefits management model is being developed and introduced in the sector by the University of Salford. This model intends to support the consideration of different stakeholders’ expectations in project development. In this sense, the aim of this paper was to bring discussions about how such approach could be adopted to support the design process within those projects. This research was developed through the participation on the model implementation, in addition to a literature review on benefits management and design approaches that are used in the UK and that could support benefits management in the design process. Main findings are related to a need for anticipating the participation of designers on project development and straightening the relationship between designers and decision makers. As a result, recommendations could be done to support benefits management throughout the design process. Keywords: Design process, project management, benefits realisatio

Process transparency on construction sites : examples from construction companies in Brazil

Process transparency is the core concept in Visual Management (VM), which is one of the founding blocks of the Toyota Production System. This paper presents the preliminary results of a collaborative research conducted between Brazil and the UK, as part of a research effort focused on the application of Visual Management in construction. How process transparency is realized on construction sites is the main research question of the paper. The use of this concept and the implementation of the transparency theory were investigated through multiple case studies, carried out in nine different construction companies. The findings are explained through six theoretical transparency increasing approaches. The affecting parameters in the application of, the management’s perception of and several methods in process transparency in construction were identified. Further work, especially exploring the functions of process transparency on construction sites and reflecting the worker perception of the issue, is necessary to elaborate the process transparency concept

Rare earth element and yttrium geochemistry applied to the genetic study of cryolite ore at the Pitinga Mine (Amazon, Brazil)

This work aims at the geochemical study of Pitinga cryolite mineralization through REE and Y analyses in disseminated and massive cryolite ore deposits, as well as in fluorite occurrences. REE signatures in fluorite and cryolite are similar to those in the Madeira albite granite. The highest ΣREE values are found in magmatic cryolite (677 to 1345 ppm); ΣREE is lower in massive cryolite. Average values for the different cryolite types are 10.3 ppm, 6.66 ppm and 8.38 ppm (for nucleated, caramel and white types, respectively). Disseminated fluorite displays higher ΣREE values (1708 and 1526ppm) than fluorite in late veins(34.81ppm). Yttrium concentration is higher in disseminated fluorite and in magmatic cryolite. The evolution of several parameters (REEtotal, LREE/HREE, Y) was followed throughout successive stages of evolution in albite granites and associated mineralization. At the end of the process, late cryolite was formed with low REEtotal content. REE data indicate that the MCD was formed by, and the disseminated ore enriched by (additional formation of hydrothermal disseminated cryolite), hydrothermal fluids, residual from albite granite. The presence of tetrads is poorly defined, although nucleated, caramel and white cryolite types show evidence for tetrad effect.Este trabalho enfoca a geoquímica de elementos terras raras (ETR) e de Y no minério criolítico disseminado, no depósito criolítico maciço e na fluorita associada na mina Pitinga. As assinaturas de ETR na criolita e fluorita são similares àquelas do granito Madeira. Os maiores valores de SETR são encontrados na criolita magmática disseminada (677 a 1.345 ppm); SETR é menor na criolita maciça, com valores médios de 10,3 ppm, 6,66 ppm e 8,38 ppm, respectivamente, nos tipos de criolita nucleada, caramelo e branca. A fluorita magmática disseminada apresenta os valores mais altos de SETR (1.708 e 1.526 ppm), contrastando com a fluorita de veio tardio(34,81 ppm). A concentração de Y é maior na fluorita disseminada e na criolita magmática. As evoluções de diversos parâmetros (SETR, ETRL/ETRP, Y) podem ser seguidas através dos sucessivos estágios de evolução dos albita granitos e mineralização associada. Os dados de ETR indicam que o depósito criolítico maciço foi formado por, e o minério disseminado enriquecido por (formação adicional criolita disseminada hidrotermal), fluidos hidrotermais residuais do albita granito. A presença do efeito tetrad não é bem definida, embora as criolitas maciças nucleada, caramelo e branca apresentem algumas evidências deste efeito.FINEPAgência para o Desenvolvimento da Indústria Mineral do BrasilConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) - Departamento Nacional de Produção MineralFundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (FAPERGS) - Programa de Apoio a Núcleos de ExcelênciaCNP

Geometry and Joint Systems for Lattice-Based Reconfigurable Space Structures

We describe analytical methods for the design of the discrete elements of ultralight lattice structures. This modular, building block strategy allows for relatively simple element manufacturing, as well as relatively simple robotic assembly of low mass density structures on orbit, with potential for disassembly and reassembly into highly varying and large structures. This method also results in a structure that is easily navigable by relatively small mobile robots. The geometry of the cell can allow for high packing efficiency to minimize wasted payload volume while maximizing structural performance and constructability. We describe the effect of geometry choices on the final system mechanical properties, manufacturability of the components, and automated robotic constructability of a final system. Geometry choices considered include building block complexity, symmetry of the unit cell, and effects of vertex, edge, and face connectivity of the unit cell. Mechanical properties considered include strength scaling, modulus scaling, and structural performance of the joint, including proof load, shear load, mass, and loading area; as well as validation and verification opportunities. Manufacturability metrics include cost and time, manufacturing method (COTS versus custom), and tolerances required. Automated constructability metrics include local effects of loads imparted to the structure by the robot and assembly complexity, encompassing the ability of the robot to clamp and number of placement motions needed for assembly

The identification and analysis of making-do waste: insights from two Brazilian construction sites

Making-do has been pointed out as an important category of waste in the construction industry. It refers to a situation in which a task starts or continues without having available all the inputs required for its completion, such as materials, machinery, tools, personnel, external conditions, and information. By contrast, the literature points out that improvisation is a ubiquitous human practice even in highly structured business organizations, and plays an important role when rules and methods fail. The aim of this paper is to provide some insights on the nature of making-do as a type of waste, based on two exploratory case studies carried out on construction sites. The main contributions of this research work are concerned with the identification of different categories of making-do and its main causes. This paper also discusses some strategies for reducing making-do on construction sites

Increased glycation and oxidative damage to apolipoprotein B100 of LDL cholesterol in patients with type 2 diabetes and effect of metformin

OBJECTIVE The aim of this study was to investigate whether apolipoprotein B100 of LDL suffers increased damage by glycation, oxidation, and nitration in patients with type 2 diabetes, including patients receiving metformin therapy. RESEARCH DESIGN AND METHODS For this study, 32 type 2 diabetic patients and 21 healthy control subjects were recruited; 13 diabetic patients were receiving metformin therapy (median dose: 1.50 g/day). LDL was isolated from venous plasma by ultracentrifugation, delipidated, digested, and analyzed for protein glycation, oxidation, and nitration adducts by stable isotopic dilution analysis tandem mass spectrometry. RESULTS Advanced glycation end product (AGE) content of apolipoprotein B100 of LDL from type 2 diabetic patients was higher than from healthy subjects: arginine-derived AGE, 15.8 vs. 5.3 mol% (P < 0.001); and lysine-derived AGE, 2.5 vs. 1.5 mol% (P < 0.05). Oxidative damage, mainly methionine sulfoxide residues, was also increased: 2.5 vs. 1.1 molar equivalents (P < 0.001). 3-Nitrotyrosine content was decreased: 0.04 vs. 0.12 mol% (P < 0.05). In diabetic patients receiving metformin therapy, arginine-derived AGE and methionine sulfoxide were lower than in patients not receiving metformin: 19.3 vs. 8.9 mol% (P < 0.01) and 2.9 vs. 1.9 mol% (P < 0.05), respectively; 3-nitrotyrosine content was higher: 0.10 vs. 0.03 mol% (P < 0.05). Fructosyl-lysine residue content correlated positively with fasting plasma glucose. Arginine-derived AGE residue contents were intercorrelated and also correlated positively with methionine sulfoxide. CONCLUSIONS Patients with type 2 diabetes had increased arginine-derived AGEs and oxidative damage in apolipoprotein B100 of LDL. This was lower in patients receiving metformin therapy, which may contribute to decreased oxidative damage, atherogenicity, and cardiovascular disease

Deletion of small ankyrin 1 (SANK1) isoforms results in structural and functional alterations in aging skeletal muscle fibers

Muscle-specific ankyrins 1 (sAnk1) are a group of small ankyrin 1 isoforms, of which sAnk1.5 is the most abundant. sAnk1 are localized in the sarcoplasmic reticulum (SR) membrane from where they interact with obscurin, a myofibrillar protein. This interaction appears to contribute to stabilize the SR close to the myofibrils. Here we report the structural and functional characterization of skeletal muscles from sAnk1 knockout mice (KO). Deletion of sAnk1 did not change the expression and localization of SR proteins in 4- to 6-mo-old sAnk1 KO mice. Structurally, the main modification observed in skeletal muscles of adult sAnk1 KO mice (4\u20136 mo of age) was the reduction of SR volume at the sarcomere A band level. With increasing age (at 12\u201315 mo of age) extensor digitorum longus (EDL) skeletal muscles of sAnk1 KO mice develop prematurely large tubular aggregates, whereas diaphragm undergoes significant structural damage. Parallel functional studies revealed specific changes in the contractile performance of muscles from sAnk1 KO mice and a reduced exercise tolerance in an endurance test on treadmill compared with control mice. Moreover, reduced Q\u3b3 charge and L-type Ca2+ current, which are indexes of affected excitation-contraction coupling, were observed in diaphragm fibers from 12- to 15-mo-old mice, but not in other skeletal muscles from sAnk1 KO mice. Altogether, these findings show that the ablation of sAnk1, by altering the organization of the SR, renders skeletal muscles susceptible to undergo structural and functional alterations more evident with age, and point to an important contribution of sAnk1 to the maintenance of the longitudinal SR architecture