A despistagem do VIH/sida: saúde pública e motivações dos utentes do teste rápido no Nordeste de Portugal

The article examines the adherence of citizens to the quick test for HIV in the Counseling and Early Detection of HIV/AIDS Center (CAD), in the city of Bragança (Northeast Portugal). Specifically, it seeks to examine the role of a fast diagnosis in the fight against AIDS within the Portuguese public health system, to understand the circumstances underlying the demand for the service and to interpret the perceptions and practices of CAD users. In terms of methodology, it was a case study based on ethnographic inquiry, linking direct observation, informal conversations and interviews, which was associated with extensive documental and statistic research. The results obtained allow us to state that the quick test gave a very positive contribution to the fight against HIV/AIDS infection, facilitating citizen access to knowledge of their serological status almost instantly and improving their follow-up by health technicians. The so-called “dissipation of uncertainty”, following sexual risk behavior, is the main reason that leads users to perform a quick test.O artigo analisa a adesão dos cidadãos ao teste rápido de despistagem do VIH no Centro de Aconselhamento e Deteção Precoce do VIH/sida (CAD) da cidade de Bragança (Nordeste de Portugal). Em concreto, procura-se examinar o papel do diagnóstico rápido na luta contra a infeção pelo VIH/sida no quadro do sistema público de saúde português, compreender as circunstâncias subjacentes à procura do serviço e interpretar as percepções e práticas dos utentes do CAD objecto desta pesquisa. Em termos metodológicos, tratou-se de um estudo de caso assente em inquirição etnográfica, articulando observação direta, diálogos informais e entrevistas, a que se associou uma extensa pesquisa documental e estatística. Os resultados apurados permitem afirmar que o teste rápido proporcionou um contributo muito positivo para a luta contra a infeção pelo VIH/sida, facilitando o acesso dos cidadãos ao conhecimento praticamente imediato do seu estado serológico e melhorando o seguimento destes por parte dos técnicos de saúde. A chamada “dissipação da incerteza”, na sequência de uma situação de risco, é o principal motivo que leva os utentes a realizar o teste rápido

Influence of Stefan blowing on nanofluid flow submerged in microorganisms with leading edge accretion or ablation

The unsteady forced convective boundary layer flow of viscous incompressible fluid containing both nanoparticles and gyrotactic microorganisms, from a flat surface with leading edge accretion (or ablation), is investigated theoretically. Utilizing appropriate similarity transformations for the velocity, temperature, nanoparticle volume fraction and motile microorganism density, the governing conservation equations are rendered into a system of coupled, nonlinear, similarity ordinary differential equations. These equations, subjected to imposed boundary conditions, are solved numerically using the Runge-Kutta-Fehlberg fourth-fifth order numerical method in the MAPLE symbolic software. Good agreement between our computations and previous solutions is achieved. The effect of selected parameters on flow velocity, temperature, nano-particle volume fraction (concentration) and motile microorganism density function is investigated. Furthermore, tabular solutions are included for skin friction, wall heat transfer rate, nano-particle mass transfer rate and microorganism transfer rate. Applications of the study arise in advanced micro-flow devices to assess nanoparticle toxicity

Management of colorectal cancer presenting with synchronous liver metastases

Up to a fifth of patients with colorectal cancer (CRC) present with synchronous hepatic metastases. In patients with CRC who present without intestinal obstruction or perforation and in whom comprehensive whole-body imaging confirms the absence of extrahepatic disease, evidence indicates a state of equipoise between several different management pathways, none of which has demonstrated superiority. Neoadjuvant systemic chemotherapy is advocated by current guidelines, but must be integrated with surgical management in order to remove the primary tumour and liver metastatic burden. Surgery for CRC with synchronous liver metastases can take a number of forms: the 'classic' approach, involving initial colorectal resection, interval chemotherapy and liver resection as the final step; simultaneous removal of the liver and bowel tumours with neoadjuvant or adjuvant chemotherapy; or a 'liver-first' approach (before or after systemic chemotherapy) with removal of the colorectal tumour as the final procedure. In patients with rectal primary tumours, the liver-first approach can potentially avoid rectal surgery in patients with a complete response to chemoradiotherapy. We overview the importance of precise nomenclature, the influence of clinical presentation on treatment options, and the need for accurate, up-to-date surgical terminology, staging tests and contemporary management options in CRC and synchronous hepatic metastatic disease, with an emphasis on multidisciplinary care

Automation of AutoCAD for Detailing of Reinforced Concrete Dog-Leg/Half-Turn Staircase Using AutoLISP

AutoLISP was used to automate AutoCAD to produce reinforced concrete drawing of a half-turn dog-leg staircase, on receiving information relating to geometry and related parameters. This was done to improve efficiency as well as to save time and effort during structural detailing of the staircase type. The software development was based on the use of AutoLISP customization features to define X and Y coordinates of any point that the software uses to draw any element in the detailing. AutoLISP functions were used to define function of routines, obtain user input, define the drawing pattern and change the system variables where necessary before using the command function to produce the desired drawing. This was done in the AutoLISP integrated development environment (VLIDE). The software has enhanced time utilization and efficiency during structural detailing work such that drawings that could have taken hours to produce (even by a good AutoCAD user) can now be completed in a fraction of the time.Keywords: AutoCad, Autolisp, Dod-leg staircase, Software development, Structural detailin

Experimental and operations viability assessment of powder-to-powder (P2P) mixture of graphene and cement for industrial applications

Studies have demonstrated that a minute quantity of graphene is sufficient to boost cement characteristics, but the attainment of good dispersion and uniformity of the resultant graphene-cement mixture remains a challenge. To alleviate these challenges, this study proposes a low-energy powder-to-powder homogeniser for dispersing reasonably large quantities of graphene powder into cement powders. Microscopic analysis of graphene dispersion from two samples (1% and 0.02% graphene) at 5x, 10x and 20x objectives revealed that graphene accounts for 1.3% and 0.09% over the cement area respectively, which is relatively uniform across all selected samples. Furthermore, four different dosages of graphene were used to validate the impacts of various proportions of graphene, i.e., 0%, 0.02%, 0.04% and 0.06% (by mass of cement) on two types of cement (i.e., Portland cement CEM I 52.5 N and Portland cement CEM II 42.5 N) which also revealed compressive strength increases up to 25% at 7 and 28 days