2 research outputs found
Data acquisition system georeferencity for eletrics motorcycles characterization
Orientador: Elnatan Chagas FerreiraDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Engenharia Eletrica e de ComputaçãoResumo: Aproximadamente 40% da energia total produzida no mundo Ă© consumida no setor de transporte, tendo criado uma grande demanda para estudos de fontes alternativas de energia para os veĂculos. Este trabalho acadĂŞmico tem como por objetivo apresentar um estudo desenvolvido com veĂculos elĂ©tricos (VEs), com o desenvolvimento de projeto de circuitos eletrĂ´nicos de aquisição de dados e condicionamento de sinais das grandezas elĂ©tricas e mecânicas, tais como tensĂŁo da bateria, corrente elĂ©trica consumida, carga da bateria, temperatura, RPM do motor, velocidade da moto elĂ©trica, sendo que todos os dados sĂŁo georeferenciados. Estes dados fornecem informações importantes sobre as caracterĂsticas e o desempenho das motos elĂ©tricas estudadas, alĂ©m de revelar informações que podem demonstrar a viabilidade de se utilizar este veĂculo em aplicações comerciais. SĂŁo apresentados os resultados obtidos com o monitoramento destes VEs durante 12 meses.Abstract: Approximately 40% of the total energy produced in the world is consumed in the transport sector, having created a great demand for studies of alternative sources of energy for the vehicles. This academic work has as for objective to present a study developed with electric motorcycles (VEs), with the development of project of electronic circuits of acquisition of data and conditioning of signs of the electric and mechanical greatness, such as tension of the battery, consumed electric current, load of the battery, temperature, RPM of the motor, speed of the electric moto, and everybody the data are georeferencing. These data supply important information on the characteristics and the acting of the studied electric motorcycles, besides revealing information that can demonstrate the viability of using this vehicle in commercial applications. The results obtained with the monitoration of these (VEs) for 12 months are presented.MestradoEletrĂ´nica, MicroeletrĂ´nica e OptoeletrĂ´nicaMestre em Engenharia ElĂ©tric
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030