Sensores de toque para electrónica automóvel impressa em 3D: análise, síntese, e aspectos de compatibilidade electromagnética

The Additive Manufacturing has been developing more and more, providing numerous advantages to the industry. Among such advantages is the use of materials with conductive properties combined with 3D printing techniques, which enables development of new devices embedded in plastic elements. One of the industries where Additive Manufacturing methods can be applied most successfully is the automotive industry. The electrification of cars, connected cars, autonomous driving, equipment enriched with sensors for better comfort are some of the challenges that this industry faces. Thus, innovation is made in the sense of developing new products to meet the presented challenges, always focusing on the user. Thus, this Master Thesis aims to study, explore and expand these concepts and apply them to the development of a touch sensor, as well as to understand what are the problems of compatibility and electromagnetic interference that can be encountered in automotive environment, specifically, in a smart door for a car. This work begins with the study of Additive Manufacturing methods, the types of measurements for a touch sensor, the sensor designs, and the electromagnetic compatibility and interference issues relevant for such sensors. Useful tools are developed to calculate the sensor capacitance, inductance and resonant frequency. Also, a script is developed to obtain the structural parameters for the resonant frequencies in desired ranges. These tools made it possible to develop a macro to automate creation of 3D structures in CST Studio Suite and thus to be able to simulate such structures for a large set of obtained parameters. Based on the simulations, we designed two sensor structures operating at the desired frequencies and, with the 3D structures ready, moved on to the experimental measurements, producing a PCB prototype for each structure. Thus, by completing these procedures it was concluded that the experimental measurements allowed us to test the developed tools and models and to validate the entire study.A Manufatura Aditiva tem vindo a desenvolver-se cada vez mais, proporcionando inúmeras vantagens à indústria. Dentro delas a utilização de um material com propriedades condutoras e aliado a técnicas de impressão 3D, permite desenvolver novos dispositivos embutidos/incorporados numa peça de plástico. Uma das indústrias que mais se pode aplicar métodos de Manufatura Aditiva é a indústria automóvel. A eletrificação dos automóveis, os carros conetados, condução autónoma, a sonorização dos equipamentos e o conforto são alguns dos desafios que esta indústria enfrenta. Assim, a inovação faz-se no sentido de desenvolvimento de produtos para responder aos desafios apresentados, sempre com o foco no utilizador. Assim, esta Dissertação de Mestrado tem como objetivo estudar, explorar e expandir estes conceitos e aplicá-los ao desenvolvimento de um sensor de toque, além de perceber quais os problemas de compatibilidade e interferências eletromagnéticas num ambiente automóvel, mais concretamente numa porta inteligente para um carro. O trabalho iniciou-se com o estudo dos métodos de Manufatura Aditiva, tipos de medidas para um sensor de toque, design, compatibilidade e interferência eletromagnética destes sensores. Desenvolveram-se ferramentas para auxílio dos cálculos de capacitância, indutância e frequência de ressonância. Também se elaborou um script para obtenção dos parâmetros das frequências de ressonância nas gamas desejadas. Estas ferramentas possibilitaram o desenvolvimento de uma macro para criar as estruturas 3D num simulador e, assim, poder simular os parâmetros obtidos. Com as simulações alcançaram-se duas estruturas nas frequências desejadas e com as estruturas 3D criadas passámos à medição experimental, produzindo uma Printed Circuit Board (PCB) para cada estrutura. Assim, com estes processos, concluiu-se que as nossas medições experimentais permitem validar as ferramentas desenvolvidas, assim como todo o estudo e teoria desenvolvida.Mestrado em Engenharia Eletrónica e Telecomunicaçõe

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit