RECONSTRUÇÃO 3D DE OSSOS A PARTIR DE IMAGENS DE RAIO-X

Este trabalho apresenta uma metodologia para a construção de um modelo tridimensional do osso inferior da perna (tíbia) de um ser humano, a partir de imagens de Raio-X. A metodologia adotada para se obter o objeto 3D é deformar o modelo até corresponder às imagens de Raios-X (frontal e laterais esquerda e direita) da tíbia. Foram utilizados os seguintes algoritmos para segmentação das imagens de Raio-X e modelagem tridimensional: Canny, Border Following, Free Form Deformation (FFD) e o algoritmo de deformação desenvolvido neste trabalho. O aplicativo de visualização definido e implementado mostra a imagem tridimensional do osso da tíbia resultante da deformação do objeto 3D. Os resultados dos experimentos demostram a possibilidade de representar o osso humano real obtido a partir de imagens de Raio-X em um modelo 3D, porém, uma grande dificuldade para essa atividade foi a quantidade de imagens disponíveis para o projeto

Systemic amyloidosis and pneumatosis of bladder wall

A 72-year-old woman was admitted to our Department for syncopes, diarrhoea, and weight loss. We suspected the diagnosis of systemic amyloidosis after the detection of macroglossia and periorbital purpura, despite the biopsy of the previous year, that resulted negative for amyloid substance. We confirmed the diagnosis after the histological evidence of deposits of amyloid in bone marrow and the clinical evidence of pneumatosis of bladder wall. Chemotherapy improved only temporarily clinical condition

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Letras, 1999-2000, nº 40-41 (número completo)

Contenido: Nota preliminar – Poesía mariana en Gonzalo de Berceo / Lía N. Uriarte Rebaudi – El judío y el diablo como “otro” en los Milagros de Nuestra Señora de Berceo / Heanon M. Wilkins – “Intellectum tibi dabo et instruam te” / Eric Naylor – Descripción, narración, argumentación y crisis de la oralidad en el Libro del Buen Amor / Sofía M. Carrizo Rueda – El poema de Alfonso XI: ¿Un eco priscilianista, sabeliano, patripasiano? / Jorge Norberto Ferro – El vino en el refranero español; concordancias / Dolly M. Lucero Ontiveros – Una propuesta de clasificación de la Literatura Sapiencial Hispánica en el siglo XIII / Alicia E. Ramadori – Fray Juan García de Castrojeriz receptor de Aristóteles / Hugo Oscar Bizzarri – La especificidad de la prosa alfonsí; el caso del Lapidario / Mirta G. Aguayo – Alfonso el Sabio y Brunetto Latini: convergencias / Gretchem Arnstedt de Magneres – La figura autoral de Alfonso X en las Cantigas de Santa María / Santiago Aníbal Disalvo – La historia del rey Guillermo de Inglaterra: del relato del siglo XIV a la crónica quinientista / Carina Alejandra Zubillaga – El prólogo de “El Victorial”: heterogeneidad y orden a favor de una adecuada recepción / María Mercedes Rodríguez Temperley – A propósito del prólogo de la Confesión del amante / María Cristina Balestrini – Función de la “ekprhasis” en los relatos caballerescos / Lilia Elda Ferrario de Orduna – Una nueva fuente del Amadís de Gaula primitivo: la Waltbarii poesis del abad Ekkehard I. de Saint Gall / Aquilino Suárez Pallasá – Profecía mesiánica y profecía apocalíptica: la cuestión constantinopolitana en las Sergas de Esplandián y Primaleón / Javier Roberto González – Dos romances sefardíes de incógnito en una colección de romances. Aporte de nuevas versiones / Eleonora Angélica Alberti de Kleinbort – Conjeturas acerca del original manuscrito de la Comedia de Fernando Rojas / Germán Orduna – Fernando de Rojas, ¿autor? / Joseph Thomas Snow – El fondo medieval de la colección Foulché-Delbosc / Georgina Olivetto – Nómina de todos los congresista

Transmission of Light in Deep Sea Water at the Site of the ANTARES Neutrino Telescope

The ANTARES neutrino telescope is a large photomultiplier array designed to detect neutrino-induced upward-going muons by their Cherenkov radiation. Understanding the absorption and scattering of light in the deep Mediterranean is fundamental to optimising the design and performance of the detector. This paper presents measurements of blue and UV light transmission at the ANTARES site taken between 1997 and 2000. The derived values for the scattering length and the angular distribution of particulate scattering were found to be highly correlated, and results are therefore presented in terms of an absorption length;,ab, and an effective scattering length lambda(sct)(eff). The values for blue (UV) light are found to be lambda(abs) similar or equal to 60(26) m, lambda(sct)(eff similar or equal to) 265(122) m, with significant (similar to15%) time variability. Finally, the results of ANTARES simulations showing the effect of these water properties on the anticipated performance of the detector are presented

Track Reconstruction with Cosmic Ray Data at the Tracker Integration Facility

The subsystems of the CMS silicon strip tracker were integrated and commissioned at the Tracker Integration Facility (TIF) in the period from November 2006 to July 2007. As part of the commissioning, large samples of cosmic ray data were recorded under various running conditions in the absence of a magnetic field. Cosmic rays detected by scintillation counters were used to trigger the readout of up to 15\,\% of the final silicon strip detector, and over 4.7~million events were recorded. This document describes the cosmic track reconstruction and presents results on the performance of track and hit reconstruction as from dedicated analyses