UEFI BIOS Accessibility for the Visually Impaired

People with some kind of disability face a high level of difficulty for everyday tasks because, in many cases, accessibility was not considered necessary when the task or process was designed. An example of this scenario is a computer's BIOS configuration screens, which do not consider the specific needs, such as screen readers, of visually impaired people. This paper proposes the idea that it is possible to make the pre-operating system environment accessible to visually impaired people. We report our work-in-progress in creating a screen reader prototype, accessing audio cards compatible with the High Definition Audio specification in systems running UEFI compliant firmware.Comment: 6 page

Development of Cutaneous Leishmaniasis after Leishmania Skin Test

Thirty-year-old female with a previous history of a cutaneous ulcer suspicious of leishmaniasis 20 years ago presented with a new complaint of a depressed papular lesion 8 × 7 mm in the right lower extremity. The lesion was of 10-day duration. Because early cutaneous leishmaniasis (CL) lesions may have a non-ulcerated appearance, a Leishmania skin test (LST) was performed on the forearm with a strong positive result (38 × 32 mm). After 8 days, the lesion in the leg, which was diagnosed as folliculitis, completely healed. However, a typical CL ulcer (26 × 24 mm) developed at the LST site. Histopathology of the new lesion did not identifiy parasites, but the findings were consistent with a diagnosis of CL. Further analysis identified amastigotes by immunohistochemical stain. Mononuclear cells harvested from the patient were stimulated with Leishmania antigen and showed high levels of production of both tumor necrosis factor-alpha (TNF-α) and interferon-gamma (IFN-γ): 2,943 pg/mL and 2,313 pg/mL, respectively. After 40 days of treatment with antimony and pentoxifylline, the ulcer resolved. The development of CL at the LST site suggests a strong Th1 immune response, and it is an in vivo documentation of the role of the host immune response in the pathology of CL. It teaches us that LST should be cautiously, if at all, used in patients with self-healing CL ulcers

Case report: Cyclophosphamide pulse therapy for chronic recalcitrant erythema nodosum leprosum

Chronic recalcitrant erythema nodosum leprosum (ENL) or type 2 reaction (T2R) is a severe condition found in approximately 50% of multibacillary leprosy subjects. T2R is associated with important morbidities and may lead to several disabilities, not only due to nerve damage but also due to the prolonged use of corticosteroids, thalidomide, or immunosuppressors. We describe here four leprosy patients with chronic recalcitrant ENL treated with cyclophosphamide pulse therapy. All subjects had been on prednisone and thalidomide therapy for at least 30 months but showed inflammatory activity when doses were reduced. Pulse therapy with 1.0 g of cyclophosphamide was used every 4–6 weeks for a minimum of three applications. After pulse therapy, all cases presented total or partial regression of symptoms, and we were able to taper thalidomide and prednisone doses, with better control of ENL, avoiding further hospital admissions and disabilities. No side effects were observed during or after infusion therapy. Cyclophosphamide pulse therapy may be useful and safe to control chronic recalcitrant ENL

Feel My Pain: Design and Evaluation of Painpad, a Tangible Device for Supporting Inpatient Self-Logging of Pain

Monitoring patients' pain is a critical issue for clinical caregivers, particularly among staff responsible for providing analgesic relief. However, collecting regularly scheduled pain readings from patients can be difficult and time-consuming for clinicians. In this paper we present Painpad, a tangible device that was developed to allow patients to engage in self-logging of their pain. We report findings from two hospital-based field studies in which Painpad was deployed to a total of 78 inpatients recovering from ambulatory surgery. We find that Painpad results in improved frequency and compliance with pain logging, and that self-logged scores may be more faithful to patients' experienced pain than corresponding scores reported to nurses. We also show that older adults may prefer tangible interfaces over tablet-based alternatives for reporting their pain, and we contribute design lessons for pain logging devices intended for use in hospital settings

Quasi static mechanical study of vacuum bag infused bouligand inspired composites

Three novel Bouligand inspired composites were produced by vacuum bag infusion manufacturing process and their quasi-static mechanical performance were compared to a conventional aircraft laminate. A morphologic/physical study was first conducted for all configurations and their mechanical response under tensile, three-point bending (3-PB) and interlaminar shear strength (ILSS) tests were then evaluated and discussed. No significant number of voids were detected into laminates, however, a rough and poor defined interlaminar region was observed in both Bouligand-like configurations. Under quasi-static mechanical solicitations, and when compared to reference layup, bioinspired configurations have shown similar and 18% higher tensile and flexural modulus. However, the progressive and translaminar failure mode, typically observed in these configurations, led to a lower load bearing capability. Despite presented similar interlaminar resistance than reference, finite element models built have revealed a good correlation between cross-section stress field and failure mode observed experimentally.Fundação para a Ciência e Tecnologia (FCT), Projetos UIDB/05256/2020, UIDP/05256/2020 e MITP-TB/PFM/0005/201

Quality of Living Perceived of the Young People of the Vale do Sinos / RS/Brazil

The objective of this study was to identify the Quality of Life level of young people from Vale do Sinos / RS. The methodology was observational, descriptive and transversal. The sample had 391 young people. The data collection instruments were the WHOQOL-Bref and a socioeconomic questionnaire. Resulting in a total average score of 52.37 points, the highest for the Social Relations Domain and the lowest for the Environment. When compared to the variables "Sex", "Income" and "Age", the one with the highest statistically significant association among the domains was "Income", followed by "Sex" and "Age". It was concluded that the QoL of young people is smaller when compared with other studies, being relevant investments in public policies

The VISIR+ Project – Helping Contextualize Math in an Engineering Course

[EN]The long-term goal of engineering education is to prepare students to work as engineers. Being a practical profession, laboratories play a crucial role in illustrating concepts and principles as well as improving technical skills. In the last decades the use of online resources (simulators and remote labs) has been growing, either as a complementary and/or as an alternative way of developing experimental competences. In the scope of the VISIR+ Project, this work presents the first results of a didactical implementation using simultaneously the remote laboratory VISIR (Virtual Instrument Systems in Reality), simulation and calculus in a Math Course at the Federal University of Santa Catarina (UFSC). The preliminary results indicate that the use of several resources increases students’ performance, boosting their learning and competence development

Managing patients with dengue fever during an epidemic: the importance of a hydration tent and of a multidisciplinary approach

<p>Abstract</p> <p>Background</p> <p>Dengue fever is one of the most common tropical diseases worldwide. Early detection of the disease, followed by intravenous fluid therapy in patients with dengue hemorrhagic fever (DHF) or with warning signs of dengue has a major impact on the prognosis. The purpose of this study is to describe the care provided in a hydration tent, including early detection, treatment, and serial follow-up of patients with dengue fever.</p> <p>Findings</p> <p>The analysis included all patients treated in the hydration tent from April 8 to May 9, 2008. The tent was set up inside the premises of the 2^ndMilitary Firemen Group, located in Meier, a neighborhood in Rio de Janeiro, Brazil. The case form data were stored in a computerized database for subsequent assessment. Patients were referred to the tent from primary care units and from secondary city and state hospitals. The routine procedure consisted of an initial screening including vital signs (temperature, blood pressure, heart rate, and respiratory rate), tourniquet test and blood sampling for complete blood count. Over a 31-day period, 3,393 case recordings were seen at the hydration tent. The mean was 109 patients per day. A total of 2,102 initial visits and 1,291 return visits were conducted. Of the patients who returned to the hydration tent for reevaluation, 850 returned once, 230 returned twice, 114 returned three times, and 97 returned four times or more. Overall, 93 (5.3%) patients with DHF seen at the tent were transferred to a tertiary hospital. There were no deaths among these patients.</p> <p>Discussion</p> <p>As the epidemics were already widespread and there were no technical conditions for routine serology, all cases of suspected dengue fever were treated as such. Implementing hydration tents decrease the number of dengue fever hospitalizations.</p

Body-bending behaviour in snakes: new records of a poorly documented defensive behaviour.

Se describe el comportamiento poco conocido de "Body-bending behaviour" en varias especies de culebras y se discute el mismo.Fil: França, D. P. F.. Museu de Zoologia - Usp; BrasilFil: Oliveira, I. F.. Universidade Estadual Paulista Julio de Mesquita Filho; BrasilFil: Gennari, D.. Universidade Federal do Rio Grande do Norte. Centro de Biociencias. Departamento de Boanica, Ecologia e Zoologia; BrasilFil: Rocha, B. Universidade de Sao Paulo; BrasilFil: Smith, P.. Centro Ideal; ParaguayFil: Scrocchi Manfrini, Gustavo Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico - Tucumán. Unidad Ejecutora Lillo; ArgentinaFil: Machado Filho, P. R.. Universidade de Sao Paulo; Brasi

Lack of microsatellite instability in gastrointestinal stromal tumors

The microsatellite instability (MSI) phenotype may constitute an important biomarker for patient response to immunotherapy, particularly to anti-programmed death-1 inhibitors. MSI is a type of genomic instability caused by a defect in DNA mismatch repair (MMR) proteins, which is present mainly in colorectal cancer and its hereditary form, hereditary nonpolyposis colorectal cancer. Gastrointestinal stromal tumor (GIST) development is associated with activating mutations of KIT proto-oncogene receptor tyrosine kinase (KIT) or platelet-derived growth factor receptor alpha (PDGFRA), which are oncogenes that predict the response to imatinib mesylate. In addition to KIT/PDGFRA mutations, other molecular alterations are important in GIST development. In GISTs, the characterization of the MSI phenotype is scarce and the results are not consensual. The present study aimed to assess MSI in a series of 79 GISTs. The evaluation of MSI was performed by pentaplex polymerase chain reaction comprising five markers, followed by capillary electrophoresis. The expression of MMR proteins was evaluated by immunohistochemistry. Regarding the KIT/PDGFRA/B-Raf proto-oncogene, serine/threonine kinase molecular profile of the 79 GISTs, 83.6% of the tumors possessed KIT mutations, 10.1% had PDGFRA mutations and 6.3% were triple wild-type. The mutated-PDGFRA cases were associated with gastric location and a lower mitotic index compared with KIT-mutated and wild-types, and these patients were more likely to be alive and without cancer. MSI analysis identified 4 cases with instability in one marker, however, additional evaluation of normal tissue and immunohistochemical staining of MMR proteins confirmed their microsatellite-stable nature. The results of the present study indicated that MSI is not involved in GIST tumorigenesis and, therefore, cannot serve as a biomarker to immunotherapy response in GIST.The present study was supported by The Brazilian National Council for Scientific and Technological Development (grant no. 476192/2013-7) and the São Paulo Research Foundation Doctoral Fellowship (grant no. 2013/25787-3).info:eu-repo/semantics/publishedVersio