939 research outputs found

    Self-scheduling of wind-thermal systems using a stochastic MILP approach

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    In this work a stochastic (Stoc) mixed-integer linear programming (MILP) approach for the coordinated trading of a price-taker thermal (Ther) and wind power (WP) producer taking part in a day-ahead market (DAM) electricity market (EMar) is presented. Uncertainty (Uncer) on electricity price (EPr) and WP is considered through established scenarios. Thermal units (TU) are modelled by variable costs, start-up (ST-UP) technical operating constraints and costs, such as: forbidden operating zones, minimum (Min) up/down time limits and ramp up/down limits. The goal is to obtain the optimal bidding strategy (OBS) and the maximization of profit (MPro). The wind-Ther coordinated configuration (CoConf) is modelled and compared with the unCoConf. The CoConf and unCoConf are compared and relevant conclusions are drawn from a case study

    Factors Associated with Colposcopy-Histopathology Confirmed Cervical Intraepithelial Neoplasia among HIV-Infected Women from Rio De Janeiro, Brazil

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    Introduction: Despite the availability of preventive strategies (screening tests and vaccines), cervical cancer continues to impose a significant health burden in low- and medium-resourced countries. HIV-infected women are at increased risk for infection with human papillomavirus (HPV) and thus development of cervical squamous intraepithelial neoplasia (CIN). Methods:Study participants included HIV-infected women enrolling the prospective open cohort of Evandro Chagas Clinical Research Institute, Oswaldo Cruz Foundation (IPEC/FIOCRUZ). At cohort entry, women were subjected to conventional Papanicolaou test, HPV-DNA test and colposcopy; lesions suspicious for CIN were biopsied. Histopathology report was based on directed biopsy or on specimens obtained by excision of the transformation zone or cervical conization. Poisson regression modeling was used to assess factors associated with CIN2+diagnosis. Results:The median age of the 366 HIV-infected women included in the study was 34 years (interquartile range: 28–41 years). The prevalence of CIN1, CIN2 and CIN3 were 20.0%, 3.5%, and 2.2%, respectively. One woman was found to have cervical cancer. The prevalence of CIN2+was 6.0%. Factors associated with CIN2+diagnosis in the multivariate model were age,years compared to35years(aPR=3.2295CD4Tcellcount,350cells/mm3whencomparedto35 years (aPR = 3.22 95%CI 1.23–8.39), current tobacco use (aPR = 3.69 95%CI 1.54–8.78), nadir CD4 T-cell count,350 cells/mm3 when compared to350 cells/mm3 (aPR = 6.03 95%CI 1.50–24.3) and concomitant diagnosis of vulvar and/or vaginal intraepithelial lesion (aPR = 2.68 95%CI 0.99–7.24). Discussion:Increased survival through wide-spread use of highly active antiretroviral therapy might allow for the development of cervical cancer. In Brazil, limited cytology screening and gynecological care adds further complexity to the HIV-HPV co-infection problem. Integrated HIV care and cervical cancer prevention programs are needed for the prevention of cervical cancer mortality in this group of wome
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