Effect of specified edge load on Eucalyptus globulus paper properties

Refining is an important unit operation in the paper production process and consists in the mechanical beating of the pulp fibres in an aqueous medium. The refining conditions affect fibre morphology, pulp suspension characteristics and paper properties. In this study we investigated the effect of refining intensity - given by the specific edge load (SEL) - on the fibre and paper properties. Lower refining intensity led to lower fibre cutting, lower fines generation, and lower ºSR development. Commercial Eucalyptus globulus bleached pulp was refined in a pilot refiner, using different specific edge loads (0.05; 0.1 and 0.2 J/m) and specific energy consumption of 40, 80 and 120 kWh/ton in order to evaluate paper potential. The highest specific edge load tested (0,2 J/m) resulted in a lower average fibre length, as a result of a higher fibre cutting. The papers produced presented higher mechanical resistance, but increasing refinement energy from 80 to 120 kWh/ton did not improve paper properties. On the contrary, with a lowest specific edge load (0,05 J/m), the papers obtained for different specific energy consumption exhibited lower density (i.e., higher open structure, higher air permeability and lower smoothness)

Water protection after tympanostomy (Shepard) tubes does not decrease otorrhea incidence - retrospective cohort study

INTRODUCTION: Myringotomy for tube insertion is the most common otologic surgery. Otorrhea is a frequent complication of this procedure and, to prevent it, most surgeons strongly recommend avoiding contact with water as this is thought to adversely impact on post-operative quality of life. OBJECTIVE: To understand the benefit of this recommendation. METHODS: Observational study - retrospective cohort study comparing the incidence of post-operative otorrhea and its impact on patients' quality of life, in two groups of patients comprising children under 10 years of age who underwent bilateral myringotomy and tube placement for chronic otitis media with effusion between May 2011 and May 2012. One group received water protection care after surgery, the other did not. Data was collected through telephonic interview, after one year of follow up (one year after the procedure). Water exposure without protection was considered the exposure event. Incidence of otorrhea and perceived impact on quality of life were the outcome measures. Results were compared after logistic regression. RESULTS: We included 143 children: 116 were not exposed to water without protection and 27 were exposed. In the not exposed group 36.2% had at least one episode of otorrhea, compared to 40.0% of the exposed group. Odds ratio for otorrhea on exposed was 1.21 (95% CI 0.51-2.85, p=0.6). Negative impact on quality of life was reported by parents of 48.2% on the not exposed children, compared to 40.7% on the exposed group. This difference was not significant (p=0.5). CONCLUSION: We found that recommending water protection did not have beneficial effect on the incidence of otorrhea after myringotomy with tubes on chronic otitis media with effusion. However, such measures did not appear to have a negative impact on quality of life. This is a populational observational study with few cases (143 cases); these final statements would be better stated by a very large populational study with another large control group.info:eu-repo/semantics/publishedVersio

Promoting health-related cardiorespiratory fitness in physical education : the role of class intensity and habitual physical activity

© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).Physical education (PE) has the potential to promote health-related fitness, however, its contribution is still not clear. The aim of this study was to assess whether students' health-related cardiorespiratory fitness (CRF) improved from the beginning to the end of the school year, and to examine the role of PE class intensity and habitual physical activity (PA) in promoting students' CRF. This observational study employed a longitudinal design. Participants were 212 7th and 8th grade students (105 boys), mean age 12.9 years old, followed during one school year, from September 2017 to June 2018. The Progressive Aerobic Cardiovascular Endurance Run (PACER) was used to assess CRF at baseline and follow-up. PA was measured using accelerometers. PE class intensity was assessed using the System for Observing Fitness Instruction Time. Findings indicated that from the beginning to the end of the school year, a greater percentage of participants were in the CRF healthy fitness zone (73.1% to 79.7%, p = 0.022). Among boys, participating in organized sports (B = 4.61, 95% confidence interval [CI]: 0.33, 8.88) and the percentage of PE time being very active (B = 0.90, 95% CI: 0.44, 1.35) were positively associated with the change in PACER laps. Among girls, daily vigorous PA (B = 0.38, 95% CI: 0.15, 0.60) and participating in organized sports (B = 4.10, 95% CI: 0.93, 7.27) were also positively associated with PACER change, while being overweight or obese (B = -5.11, 95% CI: -8.28, -1.93) was negatively associated. In conclusion, PE was demonstrated to have a positive role in the promotion of CRF, especially among boys, while for girls, habitual PA seems to have a greater contribution. Nevertheless, results and conclusions should be considered carefully, taking into account study limitations, such as the non-direct measures of PE class intensity, CRF, and school setting.M.P. is supported by Fundação para a Ciência e a Tecnologia (FCT), grant number SFRH/BD/122219/2016. CIPER is financed by Fundação para a Ciência e a Tecnologia (FCT) within the unit I&D 472, grant number UID/DTP/00447/2019.info:eu-repo/semantics/publishedVersio

Case-case study on comparative vaccine effectiveness against Delta and Omicron SARS-CoV-2 infections

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Síndrome de transfusão feto-fetal: neurodesenvolvimento de lactentes tratados com cirurgia a laser

To assess the neurodevelopmental functions of survivors of twin-twin transfusion syndrome (TTTS) treated by fetoscopic laser coagulation (FLC), during the first year of life, comparing them to a control group; and to verify the influence of specific variables on neurodevelopment. Method This was a prospective, longitudinal study. The sample comprised 33 monochorionic diamniotic twins who underwent FLC for treatment of TTTS and 22 full-term infants of single-fetus pregnancies. Bayley Scales of Infant and Toddler Development Screening Test were used for evaluation. Prenatal, perinatal and postnatal information were obtained. Results There was an increased frequency of infants in the TTTS group with inadequate performance compared to the control group. The identified variables (fetal donor, low economic income and cardiorespiratory disease) negatively impacted expressive communication and fine motor skills. Conclusion Although through follow-up is recommended in all TTTS survivors, particular attention is required for the high-risk group as defined in this study744307313Avaliar o desenvolvimento neurológico de sobreviventes da sindrome de transfusão feto-fetal (STFF) submetidos à coagulação a laser por fetoscopia (CLF), durante o primeiro ano de vida, comparando estes ao grupo controle; e verificar a influência de variáveis específicas no desenvolvimento. Método Tratou-se de estudo prospectivo, longitudinal. A amostra foi composta por 33 gêmeos diamnióticos monocoriônicos submetidos à CLF para tratamento da STFF e 22 lactentes a termo de gestação única. Bayley Scales of Infant and Toddler Development Screening Test foram utilizadas para avaliação. Informações pré-natal, perinatal e pós-natal foram coletadas. Resultados Houve maior número de lactentes com desempenho inadequado no grupo STFF do que no controle. As variáveis identificadas (feto doador, baixa renda econômica e doença cárdio-respiratória) influenciaram negativamente a comunicação expressiva e as habilidades motoras finas. Conclusão Embora o acompanhamento seja recomendado para todos lactentes com STFF, especial atenção deve ser dada àqueles que apresentam fatores de risc

Environmental monitoring platform based on a heterogeneous wireless sensor network

Abstract – In museums, to conserve the existing artwork is a vital issue. To achieve this purpose, it is fundamental to monitor its environment, either in storage or exhibition rooms. The deployment of a Wireless Sensor Network (WSN) can help to implement these measurements continuously, in a real-time basis, and in a much easier and cheaper way than when using traditional measuring equipments and procedures. This is the main objective of the WISE-MUSE project, which uses WSNs for monitoring and automatically controlling museums’ environment and structural health. In this paper, the implementation and the final results of the WISE-MUSE project, which was carried out in two particular museums located in Madeira Island, the Museum of Contemporary Art of Funchal and the Madeira Whale Museum, are described. Among other important contributions, we emphasize the development of new environmental monitoring and controlling devices, an emergency doors’ controlling device, as well as the development of three new tools for monitoring, visualizing and managing WSNs, which bring some considerable advantages when compared with other commercially available solutions.info:eu-repo/semantics/publishedVersio

LOCUS (LOng Covid–Understanding Symptoms, events and use of services in Portugal): A three-component study protocol

Approximately 10% of patients experience symptoms of Post COVID-19 Condition (PCC) after a SARS-CoV-2 infection. Akin acute COVID-19, PCC may impact a multitude of organs and systems, such as the cardiovascular, respiratory, musculoskeletal, and neurological systems. The frequency and associated risk factors of PCC are still unclear among both community and hospital settings in individuals with a history of COVID-19. The LOCUS study was designed to clarify the PCC's burden and associated risk factors. LOCUS is a multi-component study that encompasses three complementary building blocks. The "Cardiovascular and respiratory events following COVID-19" component is set to estimate the incidence of cardiovascular and respiratory events after COVID-19 in eight Portuguese hospitals via electronic health records consultation. The "Physical and mental symptoms following COVID-19" component aims to address the community prevalence of self-reported PCC symptoms through a questionnaire-based approach. Finally, the "Treating and living with Post COVID-19 Condition" component will employ semi-structured interviews and focus groups to characterise reported experiences of using or working in healthcare and community services for the treatment of PCC symptoms. This multi-component study represents an innovative approach to exploring the health consequences of PCC. Its results are expected to provide a key contribution to the optimisation of healthcare services design.info:eu-repo/semantics/publishedVersio

Aplicación de Supply Chain Management en concretos Lacera.

Diagramas, Tablas, Graficas e ImágenesActualmente se presenta un problema dentro de la logística inversa en Concretos Lacera, ya que no existe un procedimiento claro para la devolución de productos por parte del consumidor o usuario de los clientes que retiran el producto, esto no permite tener control sobre el inventario de productos que retornan a la empresa. Por esta razón se presenta el proyecto para implementar la logística inversa; la cual está compuesta por un conjunto de procesos que tienen como fin facilitar el cumplimiento de sus objetivos, utilizando adecuadamente los recursos de la empresa y coordinando los actores involucrados en su cadena de suministro. Dichos procesos suelen ser: recolección, inspección-selección-clasificación, almacenamiento, transporte y transformación de los productos recuperados.Currently presents a problem in reverse logistics in , since there is Concretos Lacera a clear procedure for the return of goods by the consumer or user of customers withdrawing the product, this does not allow control over product inventory returning to the company. For this reason the project is presented to implement reverse logistics; which consists of a set of processes that aim to facilitate the achievement of its objectives, properly using company resources and coordinating the actors involved in the supply chain. Such processes are usually: collection, inspection-selection-classification, storage, transport and processing of recovered products

Hospital Resource Utilization and Treatment Cost of Skeletal-Related Events in Patients with Metastatic Breast or Prostate Cancer: Estimation for the Portuguese National Health System

BACKGROUND: Skeletal-related events (SREs) occur frequently in patients with bone metastases as a result of breast (BC) and prostate (PC) cancers. They increase both morbidity and mortality and lead to extensive health-care resource utilization. METHODS: Health care resource utilization by BC/PC patients with at least one SRE during the preceding 12 months was assessed through retrospective chart review. SRE-treatment costs were estimated using the Portuguese Ministry of Health cost database and analyzed using generalized linear models. RESULTS: This study included 152 patients from nine hospitals. The mean (SD) annual SRE-treatment cost per patient was €5963 (€3646) and €5711 (€4347), for BC (n=121) and PC (n=31) patients, respectively. Mean cost per single episode ranged between €1485 (radiotherapy) and €13,203 (spinal cord compression). Early onset of bone metastasis (P = 0.03) and diagnosis of bone metastases at or after the occurrence of the first SRE (P < 0.001) were associated with higher SRE-treatment costs. CONCLUSION: These results reveal the high hospital SRE-treatment costs, highlighting the need for early diagnosis and treatment, and identify key factors determining the economic value of therapies for patients with skeletal metastases