384 research outputs found

    Extracting information from intermediate semiconstructive HA-systems - extended abstract

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    n this abstract we will describe research in progress on the problem of extracting information from proofs. Here we will concentrate our attention on semiconstructive calculi, which is a kind of calculus that is of interest in the framework of program synthesis and formal verification. We will discuss the notion of uniformly semiconstructive calculus, introduce our information extraction mechanism and apply it to two calculi extending Intuitionistic Arithmetic

    Renal Stone Formation in Patients with Inflammatory Bowel Disease

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    Kidney stones are more common in patients with inflammatory bowel disease (IBD) than in the general population. The main lithogenetic risk factors were evaluated in patients affected by Crohn\u27s disease and ulcerative colitis. Our results show the presence of several factors, besides hyperoxaluria, in patients with IBD although their behaviour appears different in Crohn\u27s disease and ulcerative colitis at pre- and post-operative stages. Before surgery in patients with Crohn\u27s disease we found a decreased citrate (p \u3c 0.001) and magnesium (p \u3c 0.005) excretion together with a low urinary volume (p \u3c 0.001) and pH (p \u3c 0.005). After surgery patients with Crohn\u27s disease showed a further reduction of magnesium and citrate. Patients with ulcerative colitis before surgery showed a reduced citrate excretion (p \u3c 0.05) and a more acidic pH (p \u3c 0.05) than healthy subjects. Surgical treatment of proctocolectomy with ileal pouch-anal anastomosis seems to increase the risk of stone formation; in fact, after surgery we observed a relevant decrease of urinary volume (p \u3c 0.001), pH (p \u3c 0.0001) and urinary excretion of citrate (p \u3c0.0001) as well as magnesium (p \u3c 0.005). Patients with IBD seem to be at greater risk of stone formation than patients with idiopathic calcium lithiasis; in fact, they show a lower excretion of citrate (p \u3c 0.001) and magnesium (p \u3c 0.001) together with a low urinary pH (p \u3c 0.001) and volume (p \u3c 0.001). Urinary volume reduction is probably one of the major risk factors together with the decrease of small molecular weight inhibitors that is a constant finding in all patients with IBD

    Influence of lifestyle habits, nutritional status and insulin resistance in NAFLD

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    Non alcoholic fatty liver disease (NAFLD) is associated with obesity, diabetes and insulin resistance (IR). The aim of our study was to assess the relationship between IR, anthropometry, lifestyle habits, resting energy expenditure (REE) and degree of fatty liver at ultrasound in 48 overweight patients with NAFLD as compared to 24 controls without fatty liver, matched for age. Nutritional status, alcohol intake and physical activity were assessed by skinfold thickness measurements, a 7-day diary, and SenseWear armband (SWA). REE was assessed by both SWA (REE-SWA) and a Vmax metabolic cart (REE-Vmax). Fatty liver was measured by US and the Doppler Power Index was calculated. IR was assessed using the HOMA index. There was significant correlation between waist circumference, HOMA, Doppler power index and fatty liver grade at US. Multivariate analysis showed that alteration of waist circumference, Doppler power index, and HOMA were the major significant predictors of fatty liver. Our data demonstrated a significant association between NAFLD and central adiposity and IR

    L'esplorazione sismica profonda in Italia: dati "Deep Seismic Soundings" in rete

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    Il progetto "DSS-ON-LINE", mette a disposizione dei ricercatori italiani e stranieri un moderno strumento di ricerca e reperimento dei dati sismici di interesse (comprese le forme d'onda numeriche) dell'intera esplorazione sismica crostale italiana (dati dal 1968 al '98)

    Ideias educacionais para adiar o fim do mundo

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    This paper refers to the book by Ailton Krenak (2019), Ideas to postpone the end of the world. The work brings a present hope in the possibility of “postponement”. Extending time, postponing the end of the world, would allow us to envision the construction of social relations beyond capital. The educational ideas highlighted in this text have in common the principle of inserting educators and students in the reins of the pedagogical process, inquiring and defining their purposes, thus acting consciously on behalf of collective objectives. We think that only through a path in which we are genuinely builders of reality is there a possibility of postponing the end of the world. And so, fight so that, perhaps, this is just the end of the world ruled by capital and not the end of the human species.Este artículo hace referencia al libro de Ailton Krenak (2019), Ideas para posponer el fin del mundo. La obra trae una esperanza presente en la posibilidad de “aplazamiento”. Prolongar el tiempo, posponer el fin del mundo, permitiría vislumbrar la construcción de relaciones sociales más allá del capital. Las ideas educativas destacadas en este texto tienen en común el principio de insertar a educadores y educandos en las riendas del proceso pedagógico, indagando y definiendo sus fines, actuando así conscientemente en pro de objetivos colectivos. Pensamos que sólo a través de un camino en el que seamos genuinamente constructores de realidad existe la posibilidad de postergar el fin del mundo. Y así, luchar para que, quizás, este sea solo el fin del mundo gobernado por el capital y no el fin de la especie humana.Este texto faz referência ao livro de Ailton Krenak (2019), Ideias para adiar o fim do mundo. A obra traz uma esperança presente na possibilidade de “adiamento”. Estender o tempo, postergar o fim do mundo, nos permitiria vislumbrar a construção de relações sociais para além do capital. As ideias educacionais destacadas neste texto têm em comum o princípio de inserir educadores e educandos nas rédeas do processo pedagógico, indagando e definindo suas finalidades, agindo, desse modo, conscientemente em nome de objetivos coletivos. Pensamos que somente por um caminho em que sejamos genuinamente construtores da realidade há possibilidade de adiar o fim do mundo. E assim, lutar para que, quiçá, seja este apenas o fim do mundo regido pelo capital e, não, o da espécie humana

    [acute Dapsone Exposure And Methemoglobinemia In Children: Treatment With Multiple Doses Of Activated Charcoal With Or Without The Administration Of Methylene Blue]

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    OBJECTIVE: To study the changes in methemoglobinemia of 17 children admitted with acute exposure to dapsone complicated by a methemoglobin concentration greater than 20% of the total hemoglobin. The children were treated with multiple doses of activated charcoal with or without the administration of methylene blue.PATIENTS AND METHODS: Seventeen patients (ages 1-13 y, median 3 y), were admitted 1-72 h after the ingestion of 100-1200 mg (median 350 mg, 10 patients) or an unknown amount of dapsone (7 patients). The methemoglobin blood concentrations upon admission ranged from 23.5%-49.7% (median 37.8%), and the main clinical features were cyanosis (17), tachycardia (17), vomiting (11) and tachypnea (8). All of the children received multiple doses of activated charcoal orally or via nasogastric tube (1g/kg, 10% solution, 4-6 times/day, 3-16 doses with a median of 8 doses). Twelve of the 14 patients with methemoglobin levels greater than 30% were also treated with a single dose of methylene blue (1-2% solution, 1-2 mg/kg) infused IV over 5 min.RESULTS: There was a progressive decrease in the methemoglobin levels after the beginning of both treatments (multiple doses of activated charcoal alone or associated with methylene blue), and only one dose of methylene blue was necessary. There were no significant statistical differences between the results of the two treatments according to the time-course decrease in methemoglobinemia (p=0.49 Wilcoxon test).CONCLUSIONS: Multiple doses of activated charcoal given when methemoglobin levels were greater than 20% can be considered as a possible treatment for pediatric patients, with or without the administration of methylene blue, after acute dapsone exposure.76290-

    Hydrazones and Thiosemicarbazones Targeting Protein-Protein-Interactions of SARS-CoV-2 Papain-like Protease

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    The papain-like protease (PLpro) of SARS-CoV-2 is essential for viral propagation and, additionally, dysregulation of the host innate immune system. Using a library of 40 potential metal-chelating compounds we performed an X-ray crystallographic screening against PLpro. As outcome we identified six compounds binding to the target protein. Here we describe the interaction of one hydrazone (H1) and five thiosemicarbazone (T1-T5) compounds with the two distinct natural substrate binding sites of PLpro for ubiquitin and ISG15. H1 binds to a polar groove at the S1 binding site by forming several hydrogen bonds with PLpro. T1-T5 bind into a deep pocket close to the polyubiquitin and ISG15 binding site S2. Their interactions are mainly mediated by multiple hydrogen bonds and further hydrophobic interactions. In particular compound H1 interferes with natural substrate binding by sterical hindrance and induces conformational changes in protein residues involved in substrate binding, while compounds T1-T5 could have a more indirect effect. Fluorescence based enzyme activity assay and complementary thermal stability analysis reveal only weak inhibition properties in the high micromolar range thereby indicating the need for compound optimization. Nevertheless, the unique binding properties involving strong hydrogen bonding and the various options for structural optimization make the compounds ideal lead structures. In combination with the inexpensive and undemanding synthesis, the reported hydrazone and thiosemicarbazones represent an attractive scaffold for further structure-based development of novel PLpro inhibitors by interrupting protein-protein interactions at the S1 and S2 site

    Purchasing management in a tertiary teaching hospital: a case study

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    Modelo do Estudo: Estudo de Caso. Objetivo do Estudo: O presente trabalho visou estudar o processo de compras e programação de materiais de um hospital público de ensino de nível terciário e analisar os perfis de itens de materiais de consumo faltantes em determinado período, com a finalidade de identificar como ferramentas de gestão de materiais podem ajudar na definição de políticas de compras e estoque. Metodologia: O estudo foi elaborado com base em análises qualitativas e quantitativas. As primeiras foram feitas por meio de coleta de dados relativos ao entendimento dos processos e estrutura interna da Divisão de Materiais do Hospital através de observação e entrevistas semiestruturadas entre o período de setembro a novembro de 2013. A relação dos itens faltantes em 2012 e 2013 foi obtida através do sistema de informação da instituição e a partir destes dados foram feitas as análises quantitativas dos perfis destes itens segundo as classificações ABC e VEN (ou XYZ). Resultado: Os resultados apontam que dos 8.595 itens de materiais de consumo do Hospital apenas 5% em quantidade são classificados como A na curva ABC, no entanto tais itens correspondem a 42% em valores. Já os itens vitais representam 49% do valor e 46% em termos de quantidade. Quando analisadas em conjunto, as duas curvas apontam que a maioria das quantidades de materiais de consumo do Hospital são classificados como vitais da curva C (36,35%) e os itens não essenciais da curva A representam tanto em valor como em quantidade a menor parcela de materiais. O perfil dos itens faltantes em 2012 e 2013 são semelhantes, o maior índice de faltas está nos itens vitais da curva C e a menor nos itens não essenciais da curva A. Conclusão: Por meio do estudo foi possível concluir que a definição de políticas de compras e estoques que analisem não somente recursos econômicos, mas também a criticidade dos itens para o funcionamento dos processos é fundamental, principalmente levando em consideração o atual contexto das organizações de saúde públicas, a fim de melhor otimizar recursos e minimizar faltas.Model Study: Case Study. Purpose of the Study: This study aims to explore the purchasing materials process in a tertiary teaching hospital and analyze the missing items profiles in a given period in order to identify how materials management tools can help optimizing purchasing and inventory policies. Methodology: The study was based on qualitative and quantitative analyses. The first was made by means of collecting data to understand both processes and internal structure of the Materials Division through observation and semi-structured interviews between September-November 2013. A list of missing items in 2012 and 2013 was obtained from system information in order to analyze the profiles of these items according to the ABC and VEN (or XYZ) ratings. Results: The results show that out of 8,595 items of consumable materials, only 5 % in volume are classified as A in ABC curve, however such items correspond to 42 % in value. On the other hand, vital items represent 49 % on value and 46 % in terms of quantity. When analyzed together, the two curves show that most quantities of consumables materials are classified as vital from the C curve (36.35%) whereas non-essential items from the A curve represent both in value and in volume the smallest amount portion of materials. The missing items profile in 2012 and 2013 were similar, the highest rate of faults is from vital and C curve materials and the smaller, of nonessentials of the A curve. Conclusion: Through the study, it can be concluded that the definition of procurement policies inventories from the analyses of not only economic resources, but also item’s criticality to processes is essential, especially considering the current context of public health organizations, in order to optimize resources and minimize materials faults
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