A general inspection and opportunistic replacement policy for one-component systems of variable quality

We model the influence of opportunities in a hybrid inspection and replacement policy. The base policy has two phases: an initial inspection phase in which the system is replaced if found defective; and a later wear-out phase that terminates with replacement and during which there is no inspection. The efficacy of inspection is modelled using the delay time concept. Onto this base model, we introduce events that arise at random and offer opportunities for cost-efficient replacement, and we investigate the efficacy of additional opportunistic replacements within the policy. Furthermore, replacements are considered to be heterogeneous and of variable quality. This is a natural policy for heterogeneous systems. Our analysis suggests that a policy extension that allows opportunities to be utilised offers benefit, in terms of cost-efficiency. This benefit is significant compared to those offered by age-based inspection or preventive replacement. In addition, opportunistic replacement may simplify maintenance planning

Clinical communication skills and professionalism education are required from the beginning of medical training - a point of view of family physicians

Background: The Brazilian undergraduate medical course is six years long. As in other countries, a medical residency is not obligatory to practice as a doctor. In this context, this paper aims to clarify what and when competencies in communication and professionalism should be addressed, shedding light on the role of university, residency and post-residency programmes. Methods: Brazilian family physicians with diverse levels of medical training answered a questionnaire designed to seek a consensus on the competencies that should be taught (key competencies) and when students should achieve them during their medical training. The data were analysed using descriptive statistics and correlation tests. Results: A total of seventy-four physicians participated; nearly all participants suggested that the students should achieve communication and professionalism competencies during undergraduate study (twenty out of thirty competencies – 66.7%) or during residency (seven out of thirty competencies – 23.33%). When competencies were analysed in domains, the results were that clinical communication skills and professionalism competencies should be achieved during undergraduate medical education, and interpersonal communication and leadership skills should be reached during postgraduate study. Conclusion: The authors propose that attainment of clinical communication skills and professionalism competencies should be required for undergraduate students. The foundation for Leadership and Interpersonal Abilities should be particularly formed at an undergraduate level and, furthermore, mastered by immersion in the future workplace and medical responsibilities in residency.There was no direct financial support for this research. Financial support for the authors is provided by scholarships from the National Counsel of Technological and Scientific Development (CNPq), Brazil (229753/2013–2) and the Coordination for the Improvement of Higher Education Personnel (CAPES), Brazil (13271/13–0)

Cranial Masses in Sickle Cell Disease

info:eu-repo/semantics/publishedVersio

Delay-time modelling of a critical system subject to random inspections

We model the inspection-maintenance of a critical system in which the execution of inspections is random. The models we develop are interesting because they mimic realities in which production is prioritised over maintenance, so that inspections might be impeded or they might be opportunistic. Random maintenance has been modelled by others but there is little in the literature that relates to inspection of a critical system. We suppose that the critical system can be good, defective or failed, and that failure impacts on production, so that a failure is immediately revealed, but a defect does not. A defect, if revealed at inspection, is a trigger for replacement. We compare the cost and reliability of random inspections with scheduled periodic inspections and discuss the implications for practice. Our results indicate that inspections that are performed opportunistically rather than scheduled periodically may offer an economic advantage provided opportunities are sufficiently frequent and convenient. A hybrid inspection and replacement policy, with inspections subject to impediments, is robust to departure from its inspection schedule. Keywords: Maintenance; reliability; random inspection; production; qualit

O "labelling approach" no contestado: a história dos rótulos no conflito

A história do sul do Brasil foi marcada por alguns conflitos, entre eles a Revolução Farroupilha em 1835, a Revolução Federalista que perdurou de 1893 a 1895, o Cerco da Lapa em 1894, e o conflito do Contestado de 1912 a 1916. A guerra do Contestado iniciou no século XX, sob o governo do Marechal Hermes da Fonseca e resultou no subdesenvolvimento da região meio oeste, oeste e extremo-oeste de Santa Catarina onde ocorreram a maioria dos combates. Em meio a relatos e fontes ainda existentes, dentre elas o Auto de Inquérito da Comarca de Palmas (1913) estão presentes termos que se referiam aos participantes da guerra, os chamados caboclos. A presente pesquisa tem como aporte metodológico a análise documental de abordagem com a descrição das expressões contidas no documento e posteriormente uma revisão bibliográfica relacionando estes dados a luz da teoria do Labelling Approach para a compreensão do caráter desviante atribuído aos caboclos

Microbial community dynamics in diesel waste biodegradation using sequencing batch bioreactor operation mode (SBR)

The dynamic of molecular microbial community during diesel waste biodegradation was investigated. The waste was treated in bioreactors operated in sequencing batch operation mode (SBR) in four cycles of 72 h, using optimized setpoints (pH, initial waste load, C:N ratio, aeration). Optimal conditions allowed the system to reach biodegradation of 53.3, 96.0, 76.2 and 75.0% at the end of cycles one, two three and four, respectively. Oxygen uptake rate (OUR) indicated increases in microbial activity from cycle one to cycle two (124.9 to 252.9 mgO2/L/h) and decreases in cycles three and four (120.4 to 108.8 mgO2/L/h, respectively). Investigations of microbial diversity showed changes in the microbial community members at the end of the cycle one. Significant reductions in the relative ecotoxicity were observed beginning with cycle two, and the reductions extended until the end of process. The SBR operation mode proved to be an efficient method for treating the diesel waste, and the process allowed for relevant reductions in the hydrocarbon content of the waste along with an increase in its environmental quality. Changes in the microbial members are evidence of the synergistic action of the microbiota in the process.Key words: Microbial diversity, denaturing gradient gel electrophoresis, sequencing batch, biodegradation

Differential cell autonomous responses determine the outcome of coxsackievirus infections in murine pancreatic α and β cells

This is the final version of the article. Available from eLife Sciences Publications via the DOI in this record.Type 1 diabetes (T1D) is an autoimmune disease caused by loss of pancreatic β cells via apoptosis while neighboring α cells are preserved. Viral infections by coxsackieviruses (CVB) may contribute to trigger autoimmunity in T1D. Cellular permissiveness to viral infection is modulated by innate antiviral responses, which vary among different cell types. We presently describe that global gene expression is similar in cytokine-treated and virus-infected human islet cells, with up-regulation of gene networks involved in cell autonomous immune responses. Comparison between the responses of rat pancreatic α and β cells to infection by CVB5 and 4 indicate that α cells trigger a more efficient antiviral response than β cells, including higher basal and induced expression of STAT1-regulated genes, and are thus better able to clear viral infections than β cells. These differences may explain why pancreatic β cells, but not α cells, are targeted by an autoimmune response during T1D.Fonds De La Recherche Scientifique – FNRS: FNRS- F 5/4/5.MCF/KP. Project de secherche (PDR) T.0036.13; European Commission (EC): Projects Naimit and BetaBat, in the Framework Programme 7 of the European Community; Federation Wallonie- Bruxelles: the Communaute Franc¸ aise de BelgiqueActions de Recherche Concertees (ARC); Fonds De La Recherche Scientifique – FNRS: FNRS post-doctoral fellowship; Governo Brasil: PDE/CSF Pos-Doutorado no Exterior; Juvenile Diabetes Research Foundation International (JDRF): JDRF Career Development Award; European Commission (EC): European Union’s Seventh Framework Programme [FP7/2007-2013] under grant agreement 261441 PEVNE

Mycobacterium bovis: polymerase chain reaction identification in bovine Lymphonode biopsies and genotyping in isolates from Southeast Brazil by spolygotyping and restriction fragment length polymorphism

Diagnosis of the Mycobacterium tuberculosis complex by direct PCR of mediastinal lymphnode DNA and microbiological tests were compared in cattle suspicious of bearing tuberculous-like lesions detected during slaughter. The PCR procedure applied on DNA samples (n=54) obtained by adding alpha -casein into the thiocyanate extraction mix was positive in 70% of the samples. PCR confirmed the identification of 23 samples (100%) that grew in culture, 9 samples (60%) that failed to grow in culture, plus 6 (37.5%) samples that resulted in growth of bacterial contaminants. Genotyping by IS6110-RFLP and DR-spoligotyping analysis of seven samples revealed the presence of several polimorphisms. Seven of the isolates contained multiple copies of IS6110, thus defining the existence of five singular genotypes.ICB Departamento de Bioquímica e Imunologia Laboratório de Biologia Molecular de Produtos NaturaisUniversidade Federal de Minas Gerais ICB Escola de VeterináriaUniversidade Federal de Minas Gerais ICB Departamento de FarmacologiaEscola Paulista de Medicina Departamento de Microbiologia e ParasitologiaLaboratório Central do Estado do Espírito SantoInstituto Biológico de São PauloCentro de Investigación en Ciencias Veterinarias Instituto de BiotecnologiaUNIFESP, EPM, Depto. de Microbiologia e ParasitologiaSciEL

Hepatitis C virus infection in Brazilian long-distance truck drivers

Hepatitis C virus (HCV) infection is a global public health problem. Long-distance truck drivers live apart from their family for long periods of time, a lifestyle that favors at-risk behaviors such as unprotected sex with multiple partners and illicit drug use. As data concerning HCV infection in this population are still rare, this paper aims to investigate the prevalence, genotypes/subtypes, and the factors associated with HCV infection in long-distance truck drivers in Brazil. A cross-sectional survey was carried out with 641 Brazilian long-truck drivers who were recruited at a major truck stop located at kilometer 1,296 of the BR-153 highway, which is considered to be one of the longest roads in Brazil. All individuals were interviewed, and their serum samples were tested for the presence of antibodies to HCV (anti-HCV) by ELISA and immunoblot. Anti-HCV positive samples were tested for HCV RNA by PCR amplification of the 5' NC and NS5B regions and were genotyped using the LiPA assay and nucleotide sequencing, respectively. Factors associated with HCV infection were identified with logistic regression. The prevalence of HCV infection was 1.4% (95% CI: 0.7-2.8). History of blood transfusion, sharing of personal hygiene tools, illicit drug use and HBV status were factors independently associated with HCV infection in the study population. HCV RNA was detected in 8/9 anti-HCV positive samples, in which genotypes 1 (n = 3), 2 (n = 2), and 3 (n = 3) were determined by LiPA. Using phylogenetic tree analysis of the NS5B region, subtypes 1a (n = 1), 1b (n = 2), 2b (n = 2) and 3a (n = 3) were identified. These data show that the prevalence of HCV infection among Brazilian truck drivers was similar to that observed for the general population. History of blood transfusion, sharing of personal hygiene tools, illicit drug use and HBV status were predictors of HCV infection. The HCV genotypes/subtypes identified in the study population are consistent with those circulating in Brazil