Relationship between exhaled air temperature and exhaled nitric oxide in childhood asthma

Airway inflammation is a characteristic of asthma. Exhaled nitric oxide (eNO) has been demonstrated to be related to actual levels of airway inflammation in asthmatic patients. The purpose of this study was to investigate whether the temperature of exhaled air is related to eNO levels. Temperature of exhaled air and eNO were measured in 52 asthmatic children with a cross-sectional design. A significant relationship was demonstrated between eNO and temperature of peak and plateau exhaled air temperature. The relationship between both the peak and the plateau values and eNO was more evident when it was corrected for environmental temperature. These results suggest a relationship between exhaled nitric oxide and the temperature of exhaled air in asthmatic patients not treated with systemic steroids

Computer Simulation and Fire Drill in an Educational Building

Despite the evolution of computational models for evacuation simulations, there's still some doubt if they can generate accurate results. The objective is to analyze and compare the evacuation times of a fire drill and a computer simulation in an educational building. The method consisted of a fire drill with prior notice of a 4-floor building with classrooms in a public university. A computational model was developed for the same building and population using the evacuation simulation software Pathfinder. The results were that the evacuation times observed in the computer simulation were slightly lower than the times of the fire drill because people covered smaller distances due to the random distribution performed by the Pathfinder software and because in the drill some time was spent for the start of the movement toward the exit, which was estimated at around 30 seconds, while the software was configured for a pre-movement time equal to zero. The use of the computer simulation, therefore, proved to be an effective solution to replace the fire drill, since it allows for the identification of design failures and for the simulation of different scenarios in less time and without the need to mobilize people

iStent as a Solo Procedure for Glaucoma Patients: A Systematic Review and Meta-Analysis

BACKGROUND: Glaucoma is a leading cause of irreversible blindness. It is firmly entrenched in the traditional treatment paradigm to start with pharmacotherapy. However, pharmacotherapy is not benign and has been well documented to have a number of significant challenges. Minimally invasive glaucoma surgery (MIGS) that targets the outflow pathway with minimal to no scleral dissection has resulted in the need to reconsider the glaucoma treatment paradigm. PURPOSE: To perform a systematic review and meta-analysis to evaluate and quantify the effect on post-operative intraocular pressure (IOP) and number of topical glaucoma medications, in patients receiving the iStent MIGS device as the solo procedure without concurrent cataract surgery. METHODS: A systematic review was conducted by searching various databases between January 1, 2000, and June 30, 2014. Studies reporting up to a maximum follow-up period of 24 months were retrieved and screened using the EPPI-Reviewer 4 gateway. Percentage reduction in IOP (IOPR%), and mean reduction in topical glaucoma medications after surgery were computed. Meta-analysis was performed using STATA v. 13.0. The standardized mean difference (SMD) was calculated as the effect size for continuous scale outcomes. Heterogeneity was determined using the I2 statistics, Z-value, and χ2 statistics. Fixed-effect and random-effect models were developed based on heterogeneity. Sub-group analysis was performed based on the number of iStents implanted and the follow-up period. The outcome measures were changes in the IOP and number of glaucoma medications. RESULTS: The search strategy identified 105 records from published literature and 9 records from the grey literature. Five studies with 248 subjects were included for quantitative synthesis. A 22% IOP reduction (IOPR%) from baseline occurred at 18-months after one iStent implant, 30% at 6-months after two iStents implantations, and 40% at 6-months after implantation of three iStents. A mean reduction of 1.2 bottles per patient of topical glaucoma medications occurred at 18-months after one iStent implant, 1.45 bottles per patient at 6-months after two iStents, and one bottle of medication per patient was reduced at 6-months following placement of three iStents implants. Meta-analysis results showed a significant reduction in the IOP after one iStent (SMD = -1.68, 95% CI: [-2.7, -0.61]), two iStents (SMD = -1.88, 95% CI: [-2.2, -1.56]), and three iStents (SMD = -2, 95% CI: [-2.62, -1.38]) implantation. Results showed a significant drop in the topical glaucoma medications after one iStent (SMD = -2.11, CI: [-3.95, -0.27]), two iStent (SMD = -1.88, CI: [-2.20, -1.56]), and three iStents (SMD = -2.00, CI: [-2.62, -1.38]) implantation. The maximum reduction in IOP occurred at 12-months (SMD = -2.21, CI: [-2.53, -1.88]) and a significant reduction in post-operative topical glaucoma medications occurred even after 18-months of iStent implantation (SMD = -0.71, CI: [-1.15, -0.26]). CONCLUSION: iStent implantation as a solo procedure without concurrent cataract extraction does lower IOP, and reduces the dependency on glaucoma medications. This effect seems to last at least 18 months

Development of a Computational Tool for the Analysis of Hydro-Sanitary Designs

The high demand for hydro-sanitary designs to be analyzed by the public system, in addition to the long time it takes to complete such analyses, reveals that the employed verification methodology and bureaucratic procedures are obsolete. The main objective of this work was to develop a computational tool for releasing and analyzing hydro-sanitary systems, seeking to automate the process. The methodology was initiated with the creation of an electronic archive of the rules and laws pertinent to the subject, followed by the identification of the work routines for hydro-sanitary designs, the programming of the tool, the creation of an electronic repository for objects and, finally, the validation of the software through testing. As a result, the computational model will automatically retrieve project data in the BIM platform and assess information of designs developed in CAD. Based on this work, the conclusion can be drawn that the automation of the release and analysis processes of hydro-sanitary designs is possible and achievable

The Effectiveness of Teleglaucoma versus In-Patient Examination for Glaucoma Screening: A Systematic Review and Meta-Analysis

BACKGROUND: Glaucoma is the leading cause of irreversible visual impairment in the world affecting 60.5 million people worldwide in 2010, which is expected to increase to approximately 79.6 million by 2020. Therefore, glaucoma screening is important to detect, diagnose, and treat patients at the earlier stages to prevent disease progression and vision loss. Teleglaucoma uses stereoscopic digital imaging to take ocular images, which are transmitted electronically to an ocular specialist. The purpose is to synthesize literature to evaluate teleglaucoma, its diagnostic accuracy, healthcare system benefits, and cost-effectiveness. METHODS: A systematic search was conducted to help locate published and unpublished studies. Studies which evaluate teleglaucoma as a screening device for glaucoma were included. A meta-analysis was conducted to provide estimates of diagnostic accuracy, diagnostic odds ratio, and the relative percentage of glaucoma cases detected. The improvements to healthcare service quality and cost data were assessed. RESULTS: Of 11237 studies reviewed, 45 were included. Our results indicated that, teleglaucoma is more specific and less sensitive than in-person examination. The pooled estimates of sensitivity was 0.832 [95% CI 0.770, 0.881] and specificity was 0.790 [95% CI 0.668, 0.876]. The relative odds of a positive screen test in glaucoma cases are 18.7 times more likely than a negative screen test in a non-glaucoma cases. Additionally, the mean cost for every case of glaucoma detected was $1098.67 US and of teleglaucoma per patient screened was$922.77 US. CONCLUSION: Teleglaucoma can accurately discriminate between screen test results with greater odds for positive cases. It detects more cases of glaucoma than in-person examination. Both patients and the healthcare systems benefit from early detection, reduction in wait and travel times, increased specialist referral rates, and cost savings. Teleglaucoma is an effective screening tool for glaucoma specifically for remote and under-services communities

Equations of Motion of Spinning Relativistic Particle in Electromagnetic and Gravitational Fields

We consider the motion of a spinning relativistic particle in external electromagnetic and gravitational fields, to first order in the external field, but to an arbitrary order in spin. The noncovariant spin formalism is crucial for the correct description of the influence of the spin on the particle trajectory. We show that the true coordinate of a relativistic spinning particle is its naive, common coordinate \r. Concrete calculations are performed up to second order in spin included. A simple derivation is presented for the gravitational spin-orbit and spin-spin interactions of a relativistic particle. We discuss the gravimagnetic moment (GM), a specific spin effect in general relativity. It is shown that for the Kerr black hole the gravimagnetic ratio, i.e., the coefficient at the GM, equals unity (just as for the charged Kerr hole the gyromagnetic ratio equals two). The equations of motion obtained for relativistic spinning particle in external gravitational field differ essentially from the Papapetrou equations.Comment: 32 pages, latex, Plenary talk at the Fairbank Meeting on the Lense--Thirring Effect, Rome-Pescara, 29/6-4/7 199

Equations of Motion of Spinning Relativistic Particle in External Fields

We consider the motion of a spinning relativistic particle in external electromagnetic and gravitational fields, to first order in the external field, but to an arbitrary order in spin. The correct account for the spin influence on the particle trajectory is obtained with the noncovariant description of spin. Concrete calculations are performed up to second order in spin included. A simple derivation is presented for the gravitational spin-orbit and spin-spin interactions of a relativistic particle. We discuss the gravimagnetic moment (GM), a specific spin effect in general relativity. It is demonstrated that for the Kerr black hole the gravimagnetic ratio, i.e., the coefficient at the GM, equals to unity (as well as for the charged Kerr hole the gyromagnetic ratio equals to two). The equations of motion obtained for relativistic spinning particle in external gravitational field differ essentially from the Papapetrou equations.Comment: 22 pages, latex, no figure

Reflexiones de estudiantes universitarios, docentes de Agroecología (U.N.Cuyo) y agentes de extensión del INTA en prácticas de intervención socioproductivas en las zonas de Luján de Cuyo y Valle de Uco, Mendoza

En el marco de la asignatura Agroecología y Ambientes Rurales de la carrera en Ingeniería en Recursos Naturales Renovables (FCA- UNCuyo), se han realizado durante 10 años académicos consecutivos, dos actividades consistentes en visitar a diferentes tipos sociales agrarios ubicados en Luján de Cuyo y el Valle de Uco. En las nombradas actividades, los estudiantes realizan una visita extendida a productores que integran diferentes cadenas productivas, con el objetivo de caracterizar el ecosistema, sociosistema y tecnosistema en cada caso, además de diferenciar manejos convencionales y agroecológicos. Con la información recabada y reflexionada, los estudiantes realizan un trabajo integrador, con carácter de condición obligatoria para rendir el examen final de la asignatura, que rescata una problemática detectada y propone una solución socio tecnológica con base agroecológica, ajustada a las características de tipo social agrario abordado. El nombrado material queda a disposición de los actores involucrados para ser utilizado como una herramienta de comprensión de la dinámica socio-productiva y territorial. En el presente relato realizamos una breve síntesis sobre las experiencias de cada visita a campo y se presentan las reflexiones de los actores involucrados acerca de esta experiencia.In the framework of agroecology and rural environments race course in Engineering in Renewable Natural Resources (FCA UNCuyo) were performed for 10 consecutive school years, two consistent activities visit different agricultural social types are located in Lujan de Cuyo and Uco Valley. In the named activities, students made an extended visit to producers that integrate different production chains, in order to characterize the ecosystem, sociosistema and Technosystem in each case, in addition to conventional agro differentiate and handling. With the information gathered and reflected, students take an integrative work, as an obligatory condition to take the final exam of the subject, who rescues a detected problem and proposes a solution partner agroecologically technological basis and adjusted to the characteristics of a social nature agricultural addressed. The named material is available to the actors involved to be used as a tool for understanding the socio-productive and territorial dynamics. In this story is a brief summary of experiences of each field visit and reflections of stakeholders about this experience are presented.Eje: A2: Paisajes, Territorios y AgroecologíaFacultad de Ciencias Agrarias y Forestale

Reflexiones de estudiantes universitarios, docentes de Agroecología (U.N.Cuyo) y agentes de extensión del INTA en prácticas de intervención socioproductivas en las zonas de Luján de Cuyo y Valle de Uco, Mendoza

En el marco de la asignatura Agroecología y Ambientes Rurales de la carrera en Ingeniería en Recursos Naturales Renovables (FCA- UNCuyo), se han realizado durante 10 años académicos consecutivos, dos actividades consistentes en visitar a diferentes tipos sociales agrarios ubicados en Luján de Cuyo y el Valle de Uco. En las nombradas actividades, los estudiantes realizan una visita extendida a productores que integran diferentes cadenas productivas, con el objetivo de caracterizar el ecosistema, sociosistema y tecnosistema en cada caso, además de diferenciar manejos convencionales y agroecológicos. Con la información recabada y reflexionada, los estudiantes realizan un trabajo integrador, con carácter de condición obligatoria para rendir el examen final de la asignatura, que rescata una problemática detectada y propone una solución socio tecnológica con base agroecológica, ajustada a las características de tipo social agrario abordado. El nombrado material queda a disposición de los actores involucrados para ser utilizado como una herramienta de comprensión de la dinámica socio-productiva y territorial. En el presente relato realizamos una breve síntesis sobre las experiencias de cada visita a campo y se presentan las reflexiones de los actores involucrados acerca de esta experiencia.In the framework of agroecology and rural environments race course in Engineering in Renewable Natural Resources (FCA UNCuyo) were performed for 10 consecutive school years, two consistent activities visit different agricultural social types are located in Lujan de Cuyo and Uco Valley. In the named activities, students made an extended visit to producers that integrate different production chains, in order to characterize the ecosystem, sociosistema and Technosystem in each case, in addition to conventional agro differentiate and handling. With the information gathered and reflected, students take an integrative work, as an obligatory condition to take the final exam of the subject, who rescues a detected problem and proposes a solution partner agroecologically technological basis and adjusted to the characteristics of a social nature agricultural addressed. The named material is available to the actors involved to be used as a tool for understanding the socio-productive and territorial dynamics. In this story is a brief summary of experiences of each field visit and reflections of stakeholders about this experience are presented.Eje: A2: Paisajes, Territorios y AgroecologíaFacultad de Ciencias Agrarias y Forestale