353 research outputs found

    PCV51 THE VALUE OF ATORVASTATIN OVER THE PRODUCT LIFE CYCLE

    Get PDF

    Estimation of the specific enthalpy–temperature functions for plastering mortars containing hybrid mixes of phase change materials

    Get PDF
    The use of phase change materials (PCMs) for the building sector is increasingly attracting attention from researchers and practitioners. Several research studies forwarded the possibility of incorporating microencapsulated PCM in plastering mortars for building facades, in pursuit of increased energy efficiency associated with the heat storage capacity of PCM. However, most of these studies are centred in the use of a single type of PCM, which is bound to be more adequate for a given season of the year (e.g. winter or summer) than for all the seasons. The study proposed in this work regards the evaluation of the possibility of using more than one kind of PCM, with distinct melting ranges, here termed as hybrid PCMs, in plastering mortars, to achieve adequately advantageous performance in all seasons of the year. To characterize the PCM, the specific enthalpy and phase change temperature should be adequately measured. The main purpose of this study was to show the conceptual feasibility of combining PCMs in mortars and to evaluate the behaviour of the resulting mortars with differential scanning calorimeter. The results showed that the behaviour of the mortar that contains more than one type of PCM can be predicted through the superposition of effects of the independent PCMs and no interaction occurs between them. The knowledge obtained from the experimental testing established bases for a framework of numerical simulation of real-scale applications, which can be used to ascertain the feasibility of the hybrid PCM concept for decreases in energy consumption of heating/cooling demands in the buildings.Fundação para a Ciência e a Tecnologia (FCT

    Longitudinal Shapes of the Tibia and Femur are Unrelated and Variable

    Get PDF
    In general practice, short films of the knee are used to assess component position and define the entry point for intramedullary femoral alignment in TKAs; however, whether it is justified to use the short film commonly used in research settings and everyday practice as a substitute for the whole leg view is controversial and needs clarification. In 138 long leg CT scanograms we measured the angle formed by the anatomic axis of the proximal fourth of the tibia and the mechanical axis of the tibia, the angle formed by the anatomic axis of the distal fourth of the femur and the mechanical axis of the femur, the “bow” of the tibia (as reflected by the offset of the anatomic axis from the center of the talus), and the “bow” of the femur (as reflected by the offset of the anatomic axis from the center of the femoral head). Because the angle formed by these axes and the bow of the tibia and femur have wide variability in females and males, a short film of the knee should not be used in place of the whole leg view when accurate assessment of component position and limb alignment is essential. A previous study of normal limbs found that only 2% of subjects have a neutral hip-knee-ankle axis, which can be explained by the wide variability of the bow in the tibia and femur and the lack of correlation between the bow of the tibia and femur in a given limb as shown in the current study

    Cost-effectiveness of antivenoms for snakebite envenoming in 16 countries in West Africa

    Get PDF
    Background Snakebite poisoning is a significant medical problem in agricultural societies in Sub Saharan Africa. Antivenom (AV) is the standard treatment, and we assessed the cost-effectiveness of making it available in 16 countries in West Africa. Methods We determined the cost-effectiveness of AV based on a decision-tree model from a public payer perspective. Specific AVs included in the model were Antivipmyn, FAV Afrique, Echi-Tab-G and EchiTab-Plus. We derived inputs from the literature which included: type of snakes causing bites (carpet viper (Echis species)/non-carpet viper), AV effectiveness against death, mortality without AV, probability of Early Adverse Reactions (EAR), likelihood of death from EAR, average age at envenomation in years, anticipated remaining life span and likelihood of amputation. Costs incurred by the victims include: costs of confirming and evaluating envenomation, AV acquisition, routine care, AV transportation logistics, hospital admission and related transportation costs, management of AV EAR compared to the alternative of free snakebite care with ineffective or no AV. Incremental Cost Effectiveness Ratios (ICERs) were assessed as the cost per death averted and the cost per Disability-Adjusted-Life-Years (DALY) averted. Probabilistic Sensitivity Analyses (PSA) using Monte Carlo simulations were used to obtain 95% Confidence Intervals of ICERs. Results The cost/death averted for the 16 countries of interest ranged from 1,997inGuineaBissauto1,997 in Guinea Bissau to 6,205 for Liberia and Sierra Leone. The cost/DALY averted ranged from 83(9583 (95% Confidence Interval: 36-240)forBeninRepublicto240) for Benin Republic to 281 ($159-457) for Sierra-Leone. In all cases, the base-case cost/DALY averted estimate fell below the commonly accepted threshold of one time per capita GDP, suggesting that AV is highly cost-effective for the treatment of snakebite in all 16 WA countries. The findings were consistent even with variations of inputs in 1-way sensitivity analyses. In addition, the PSA showed that in the majority of iterations ranging from 97.3% in Liberia to 100% in Cameroun, Guinea Bissau, Mali, Nigeria and Senegal, our model results yielded an ICER that fell below the threshold of one time per capita GDP, thus, indicating a high degree of confidence in our results. Conclusions Therapy for SBE with AV in countries of WA is highly cost-effective at commonly accepted thresholds. Broadening access to effective AVs in rural communities in West Africa is a priority

    Increased Risk of Musculoskeletal Disorders and Mental Health Problems in Retired Professional Jockeys: A Cross-Sectional Study

    Get PDF
    To examine the prevalence of chronic disease and mental health problems in retired professional, male jockeys compared to an age-matched reference population. A cross-sectional study comparing data from a cohort of retired professional jockeys with an age-matched general population sample. Male participants (age range: 50–89 years old) were used to compare health outcomes of self-reported physician-diagnosed conditions: heart disease, stroke, diabetes, hypertension, osteoporosis, osteoarthritis, depression and anxiety between study populations. Conditional logistic regression models were used to estimate associations between study groups and health outcome. In total, 810 participants (135 retired professional male jockeys and 675 participants from the reference population) were included, with an average age of 64.7±9.9 years old. Increased odds of having osteoporosis (OR=6.5, 95%CI 2.1–20.5), osteoarthritis (OR=7.5, 95%CI 4.6–12.2), anxiety (OR=2.8, 95%CI 1.3–5.9) and depression (OR=2.6, 95%CI 1.3–5.7) were seen in the retired professional jockeys. No differences were found for the remaining health outcomes. Retired professional jockeys had increased odds of musculoskeletal disease and mental health problems compared to the general population. Understanding the prevalence of chronic disease and mental health problems in retired professional jockeys will help inform screening and intervention strategies for jockeys

    Nonlinear optical materials formed by push-pull (bi)thiophene derivatives functionalized with di(tri)cyanovinyl acceptor groups

    Get PDF
    Studies of the second-order nonlinear optical susceptibilities of six NLOphores bearing di(tri)cyanovinyl acceptor groups linked to (bi)thiophene heterocyclic donor systems were performed for the first time in polymethyl methacrylate (PMMA) matrices with a 1064 nm laser working in the 20 ns time pulse regime. Absorption spectra and DFT calculations were also performed. This multidisciplinary study showed that modulation of the optical (linear and nonlinear) properties can be achieved by increasing the length of the -conjugated heterocyclic system (thiophene vs. bithiophene), the strength of the electron donor groups (HMeO/EtOEt2N) as well as the strength of the electron acceptor moieties (DCV vs. TCV, two vs. three electron withdrawing cyano groups). Due to the relatively high second-order susceptibilities (0.08 to 6.45 pm/V), the studied push-pull chromophores can be denote as very potent NLOphores.Fundação para a Ciência e a Tecnologia (FCT

    Peptides: Prospects for use in the treatment of COVID-19

    Get PDF
    There is a vast practice of using antimalarial drugs, RAS inhibitors, serine protease inhibitors, inhibitors of the RNA-dependent RNA polymerase of the virus and immunosuppressants for the treatment of the severe form of COVID-19, which often occurs in patients with chronic diseases and older persons. Currently, the clinical efficacy of these drugs for COVID-19 has not been proven yet. Side effects of antimalarial drugs can worsen the condition of patients and increase the likelihood of death. Peptides, given their physiological mechanism of action, have virtually no side effect

    Prospects for the Improvement of Energy Performance in Agroindustry Using Phase Change Materials

    Get PDF
    This work was partially supported by the Fundação para a Ciência e Tecnologia, UIDB/00066/2020 (CTS – Center of Technology and Systems).The use of Phase Change Materials (PCMs), able to store latent heat, represents an opportunity to improve energy efficiency in the agroindustry by means of thermal energy storage. PCMs provide higher energy density then sensible heat storage mediums, thus paving the way to multiple applications, like supporting the integration of renewables or allowing for new storage architectures, decentralized and directly installed in the chain production equipment, creating e.g. the opportunity to recover and value low-grade operational heat sub-products. Such new and decentralized architecture, not currently applied in agroindustry, is proposed in this work. A chocolate tempering machine using an organic PCM is conceived and analyzed using ANSYS Fluent software for computational fluid dynamics simulations, comparing the main aspects in the storage capacity and discharging process with a conventional sensitive heat storage solution that uses water. PCMs allows improving the stored energy, keeping the chocolate in the working temperature after being tempered for more than four times longer than using only hot water. If the PCMs are charged by renewables, the self-consumption ratio can be improved while providing energy flexibility to the user.authorsversionpublishe
    corecore