GRANULOMA CENTRAL DE CÉLULAS GIGANTES

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Stress-induced electron emission from nanocomposite amorphous carbon thin films

Traditionally, the emission of electrons from materials have been explained using either the Fowler-Nordheim emission mechanism where high electric fields are used to extract electrons from surfaces or using conventional thermal emission where high currents are used to 'boil' off electrons to vacuum. In this letter, we propose an alternative mechanism for electron emission from highly compressive thin films based on stress-induced 'band structure' modification of nano-ordered sp(2) regions in the thin films. Experimental results are recorded which show that the localized compressive stress governs electron emission in the amorphous carbon thin films studied here rather than the surface nanostructures/features or the diamond-like sp(3) hybridized bond component. This analysis is in agreement with the concept of an internal or nongeometric field enhancement from sp(2) nanostructures giving rise to high dielectric inhomogeneity within the carbon thin film. The results presented could be extended to explain the anomalous field emission behavior of carbon nanotubes. (C) 2002 American Institute of Physics.81585385

Pressure-induced physical changes of noble gases implanted in highly stressed amorphous carbon films

Noble gases (Ar, Kr, and Xe) were trapped in an amorphous carbon matrix in the 1-11-GPa pressure range. Extended and near-edge x-ray-absorption spectroscopies indicate clustering of noble gases induced by the host matrix internal pressure. Simultaneously, the matrix pressure promotes a shift of the noble-gas core-level binding energy of similar to1 eV. The Auger parameter reveals that both the initial state and the host relaxation terms contribute to the binding-energy shift. Ab initio calculations performed on an Ar-7 cluster and on Ar atoms clustered in aromatic molecules support the experimental findings.68

Multicenter study of the natural history and therapeutic responses of patients with chikungunya, focusing on acute and chronic musculoskeletal manifestations - a study protocol from the clinical and applied research in Chikungunya (REPLICK network)

BACKGROUND: Chikungunya is associated with high morbidity and the natural history of symptomatic infection has been divided into three phases (acute, post-acute, and chronic) according to the duration of musculoskeletal symptoms. Although this classification has been designed to help guide therapeutic decisions, it does not encompass the complexity of the clinical expression of the disease and does not assist in the evaluation of the prognosis of severity nor chronic disease. Thus, the current challenge is to identify and diagnose musculoskeletal disorders and to provide the optimal treatment in order to prevent perpetuation or progression to a potentially destructive disease course. METHODS: The study is the first product of the Clinical and Applied Research Network in Chikungunya (REPLICK). This is a prospective, outpatient department-based, multicenter cohort study in Brazil. Four work packages were defined: i. Clinical research; ii) Translational Science - comprising immunology and virology streams; iii) Epidemiology and Economics; iv) Therapeutic Response and clinical trials design. Scheduled appointments on days 21 (D21) ± 7 after enrollment, D90 ± 15, D120 ± 30, D180 ± 30; D360 ± 30; D720 ± 60, and D1080 ± 60 days. On these visits a panel of blood tests are collected in addition to the clinical report forms to obtain data on socio-demographic, medical history, physical examination and questionnaires devoted to the evaluation of musculoskeletal manifestations and overall health are performed. Participants are asked to consent for their specimens to be maintained in a biobank. Aliquots of blood, serum, saliva, PAXgene, and when clinically indicated to be examined, synovial fluid, are stored at -80° C. The study protocol was submitted and approved to the National IRB and local IRB at each study site. DISCUSSION: Standardized and harmonized patient cohorts are needed to provide better estimates of chronic arthralgia development, the clinical spectra of acute and chronic disease and investigation of associated risk factors. This study is the largest evaluation of the long-term sequelae of individuals infected with CHIKV in the Brazilian population focusing on musculoskeletal manifestations, mental health, quality of life, and chronic pain. This information will both define disease burden and costs associated with CHIKV infection, and better inform therapeutic guidelines