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Alternative water sources offer opportunities to contribute to the water supply to meet non-potable urban demand, closing water supply–demand gaps. Detailed assessments of these schemes are often d...

Background Recent guidelines suggested a wider use of long-acting injectable antipsychotics (LAI) than previously, but naturalistic data on the consequences of LAI use in terms of discontinuation rates and associated factors are still sparse, making it hard for clinicians to be informed on plausible treatment courses. Objective Our objective was to assess, under real-world clinical circumstances, LAI discontinuation rates over a period of 12 months after a first prescription, reasons for discontinuation, and associated factors. Methods The STAR Network ‘Depot Study’ was a naturalistic, multicentre, observational prospective study that enrolled subjects initiating a LAI without restrictions on diagnosis, clinical severity or setting. Participants from 32 Italian centres were assessed at baseline and at 6 and 12 months of follow-up. Psychopathology, drug attitude and treatment adherence were measured using the Brief Psychiatric Rating Scale, the Drug Attitude Inventory and the Kemp scale, respectively. Results The study followed 394 participants for 12 months. The overall discontinuation rate at 12 months was 39.3% (95% confidence interval [CI] 34.4–44.3), with paliperidone LAI being the least discontinued LAI (33.9%; 95% CI 25.3–43.5) and olanzapine LAI the most discontinued (62.5%; 95% CI 35.4–84.8). The most frequent reason for discontinuation was onset of adverse events (32.9%; 95% CI 25.6–40.9) followed by participant refusal of the medication (20.6%; 95% CI 14.6–27.9). Medication adherence at baseline was negatively associated with discontinuation risk (hazard ratio [HR] 0.853; 95% CI 0.742–0.981; p = 0.026), whereas being prescribed olanzapine LAI was associated with increased discontinuation risk compared with being prescribed paliperidone LAI (HR 2.156; 95% CI 1.003–4.634; p = 0.049). Conclusions Clinicians should be aware that LAI discontinuation is a frequent occurrence. LAI choice should be carefully discussed with the patient, taking into account individual characteristics and possible obstacles related to the practicalities of each formulation. Supplementary Information The online version contains supplementary material available at 10.1007/s40263-021-00809-w.

Air-breathing electric propulsion (ABEP) enables long duration missions at very low orbital altitudes through the use of drag compensation. A system-level spacecraft model is developed, using the interaction between thruster, intake and solar arrays, and coupled to a calculation of the drag. A quadratic solution is found for specific impulse and evaluated to identify the thruster performance required for drag-compensation at varying altitudes. An upper altitude limit around 190 km is based on a minimum thruster propellant density, resulting in required values of I s p > 3000 s and T / P > 8 mN/kW for a realistic ABEP spacecraft. The orbit of an air-breathing spacecraft is propagated with time, which highlights the prescribed orbit eccentricity due to non-spherical gravity and therefore an increased variability in the atmospheric conditions. A thruster control law is introduced which avoids a divergent altitude behaviour by preventing thruster firings around the orbit periapsis, as well as adding robustness against atmospheric changes due to season and solar activity. Through the use of an initial frozen orbit, thruster control and an augmented T / P , a stable long-term profile is demonstrated based on the performance data of a gridded-ion thruster tested with atmospheric propellants. An initial mean semi-major axis altitude of 200 km relative to the equatorial Earth radius, a spacecraft mass of 200 kg, I s p = 5450 s and T / P = 23 mN/kW , results in an altitude range of around 10 km at altitudes of 160 – 183 km .

This study, based on the 'Servizi Territoriali Associati per la Ricerca' (STAR) Network Depot Study nationwide baseline data, explored whether individual symptoms severity and clusters might influence the prescription of paliperidone palmitate 1-month (PP1M) vs. aripiprazole monohydrate. The Brief Psychiatric Rating Scale (BPRS) was used to assess psychopathology and relevant symptoms clusters. Drug Attitude Inventory, 10 items, was used to test attitude towards medications. Adherence to treatments was rated according to the Kemp seven-point scale. We assessed for eligibility 451 individuals and, among them, we included 195 subjects (n = 117 who started PPM1 and n = 78 aripiprazole monohydrate). Individuals were comparable in terms of age, gender, treatment years, recent hospitalizations, previous long-acting injectable antipsychotic treatments, additional oral treatments, attitude toward drugs, medication adherence, and alcohol/substance-related comorbidities. Subjects starting PP1M presented higher BPRS overall (P = 0.009), positive (P = 0.015), and negative (P = 0.010) symptom scores compared to subjects starting aripiprazole monohydrate. Results were confirmed by appropriate regression models and propensity score matching analysis. No differences were found comparing the other BPRS subscale scores: affect, resistance, and activation. Clinicians may be more prone to prescribe PPM1, rather than aripiprazole monohydrate, to subjects showing higher overall symptom severity, including positive and negative symptoms. No additional clinical factors influenced prescribing attitudes in our sample.

Background For many years, long-acting intramuscular (LAI) antipsychotics have been prescribed predominantly to chronic and severe patients, as a last resort when other treatments failed. Recently, a broader and earlier use of LAIs, particularly second-generation LAIs, has been emphasized. To date, few studies attempted to frame how this change in prescribing took place in real-world practice. Therefore, this study aimed to describe the clinical features of patients prescribed with LAIs, and to explore possible prescribing differences between first- and second-generations LAIs under ordinary clinical practice in Italy. Methods The STAR Network "Depot" Study is an observational, longitudinal, multicenter study involving 35 centers in Italy. In the cross-sectional phase, patients prescribed with LAIs were consecutively recruited and assessed over a period of 12 months. Descriptive statistics and multivariable logistic regression analyses were employed. Results Of the 451 recruited patients, 61% were males. The level of social and working functioning was heterogeneous, as was the severity of disease. Seventy-two per cent of the patients had a diagnosis of the schizophrenia spectrum. Seventy per cent were prescribed with second-generation antipsychotic (SGA) LAIs (mostly paliperidone, aripiprazole and risperidone). Compared to first-generation antipsychotic (FGA) LAIs, patients prescribed with SGA LAIs were more often younger; employed; with a diagnosis of the schizophrenia spectrum or bipolar disorder; with higher levels of affective symptoms; with fewer LAI prescriptions in the past. Discussion LAIs' prescribing practices appear to be more flexible as compared to the past, although this change is mostly restricted to SGA LAIs.

Objective: To compare the postoperative bleeding between the skeletonized grafts and pedicled internal thoracic artery (ITA) in coronary artery bypass. Material and Method: 132 elective patients submitted to the surgery of myocardial revascularization were retrospectively analyzed and the sample was equally distributed in groups according to the dissection performed on the ITA: G1, skeletonized and G2, pedicled. In both methods, the dissection was finished before the heparinization and the installation of extracorporeal circulation. The following clinical parameters were evaluated: extracorporeal circulation time, aortic clamping, drainage debit and administration of hemocomponents (erythrocytes and platelets). Results: The average number of platelets concentrations and the drainage debit on the postoperative period were statistically higher for the pedicled dissection of the ITA compared to the skeletonized one. No statistically significant differences were observed regarding the use of one or two mammary arteries, as well as for the time of extracorporeal circulation and anoxia in the studied groups. Conclusion: The skeletonized preparation of the internal thoracic artery significantly reduced the blood loss after an elective surgery of myocardial revascularization.

Experimental chemical shifts (CS) from solution and solid state magic-angle-spinning nuclear magnetic resonance spectra provide atomic level information for each amino acid within a protein or protein complex. However, structure determination of large complexes and assemblies based on NMR data alone remains challenging due the complexity of the calculations. Here, we present a hardware accelerated strategy for the estimation of NMR chemical-shifts of large macromolecular complexes based on the previously published PPM_One software. The original code was not viable for computing large complexes, with our largest dataset taking approximately 14 hours to complete. Our results show that the code refactoring and acceleration brought down the time taken of the software running on an NVIDIA V100 GPU to 46.71 seconds for our largest dataset of 11.3M atoms. We use OpenACC, a directive-based programming model for porting the application to a heterogeneous system consisting of x86 processors and NVIDIA GPUs. Finally, we demonstrate the feasibility of our approach in systems of increasing complexity ranging from 100K to 11.3M atoms.Author summary

Experimental chemical shifts (CS) from solution and solid state magic-angle-spinning nuclear magnetic resonance (NMR) spectra provide atomic level information for each amino acid within a protein or protein complex. However, structure determination of large complexes and assemblies based on NMR data alone remains challenging due to the complexity of the calculations. Here, we present a hardware accelerated strategy for the estimation of NMR chemical-shifts of large macromolecular complexes based on the previously published PPM_One software. The original code was not viable for computing large complexes, with our largest dataset taking approximately 14 hours to complete. Our results show that serial code refactoring and parallel acceleration brought down the time taken of the software running on an NVIDIA Volta 100 (V100) Graphic Processing Unit (GPU) to 46.71 seconds for our largest dataset of 11.3 million atoms. We use OpenACC, a directive-based programming model for porting the application to a heterogeneous system consisting of x86 processors and NVIDIA GPUs. Finally, we demonstrate the feasibility of our approach in systems of increasing complexity ranging from 100K to 11.3M atoms., Author summary Nuclear magnetic resonance (NMR) spectroscopy yields chemical shifts (CSs) which reveal chemical details of the environment of an atom in a protein. Computer estimation of CSs require the calculation of several contributing terms including interatomic distances, ring current effects and the formation of hydrogen bonds. Here, taking advantage of graphic processing units (GPUs), the estimation of chemical shifts are accelerated thus enabling the determination of the CSs for large systems, encompassing millions of atoms. The rapid determination of CSs enables the use of CS-based validation for other molecular dynamics computations.

Background: Long acting injectable (LAI) antipsychotics have been claimed to ensure treatment adherence and possibly reduce the daily burden of oral formulations. So far, only surveys investigating the theoretical prescribing attitudes of clinicians have been employed. On this basis, we aimed to investigate reasons for prescribing LAIs in a real-world, unselected sample of patients. Methods: The STAR Network Depot Study is an observational, multicentre study consecutively enrolling adults initiating a LAI over a 12-months period. Clinical severity was assessed with the Brief Psychiatric Rating Scale, and patient’s attitude toward medications with the Drug Attitude Inventory 10 items. Psychiatrists recorded reasons for LAI prescribing for each study participant. Responses were grouped into six non-mutually exclusive categories: aggressiveness, patient engagement, ease of drug taking, side-effects, stigma, adherence. Results: Of the 451 patients included, two-thirds suffered from chronic psychoses. Improving patient engagement with the outpatient psychiatric service was the most common reason for prescribing LAIs (almost 80% of participants), followed by increasing treatment adherence (57%), decreasing aggressiveness (54%), and improving ease of drug taking (52%). After adjusting for confounders, logistic regression analyses showed that reasons for LAI use were associated with LAI choice (e.g. first-generation LAIs for reducing aggressiveness). Conclusion: Despite the wide availability of novel LAI formulation and the emphasis on their wider use, our data suggest that the main reasons for LAI use have remained substantially unchanged over the years, focusing mostly on improving patient’s engagement. Further, clinicians follow implicit prescribing patterns when choosing LAIs, and this may generate hypotheses for future experimental studies.

Ecological economics assigns value to resources. Valuation can be difficult when the resource is a species, particularly one that does not directly impact humans. The endangered golden-cheeked warbler (Setophaga chrysoparia) is a songbird that breeds exclusively in central Texas. Using a door-to-door survey design, we investigated knowledge and willingness to pay for golden-cheeked warbler recovery actions in Austin, Texas, a city attempting to balance human population growth with conservation of several endangered species. Approximately half of respondents had knowledge of this species; of those 80% knew it was endangered. Seventy-four percent of respondents believed the species held value, and most regarded that value as existence-based. The mean willingness to pay was $21.47 per person annually over a 5-year period, including individuals not willing to pay. Our study indicated the public values the warbler, and is willing to provide monetary support for recovery and conservation efforts.

Background Fluoroscopic catheter ablation of cardiac arrhythmias in pediatric patients exposes the patients to the potential risk of radiation considering the sensitivity of this population and its longer life expectancy. We evaluated the feasibility, safety, and efficacy of accessory pathway (AP) ablation guided by CARTO3 electroanatomic mapping (EAM) system with both cryoenergy and radiofrequency (RF) energy in order to avoid x-ray exposure in pediatric patients. Methods We included 44 patients (mean age: 13.1 ± 3.3 years); nine of 44 presented concealed AP. An electrophysiological study with a three-dimensional EAM reconstruction was performed in every patient with a venous transfemoral direct right atrium approach or an arterial transfemoral retrograde approach to reach the mitral annulus. In two patients with left-sided AP, the ablation was performed via a patent foramen ovale. Results A total of 47 APs were present, left sided in 45% (21/47) of cases (15 lateral, one anterior, three posteroseptal, and two posterolateral) and right sided in 55% (26/47; one anterior, three anterolateral, one posterolateral, three lateral, five para-Hisian, 12 posteroseptal, and one anteroseptal). Ablation without the use of fluoroscopy was successfully performed in every patient (33 with RF and in 11 with cryoenergy). No complication occurred. At a mean follow-up of 16.0 ± 11.7 months, we observed seven recurrences, three of them successfully re-ablated without fluoroscopy. In one case cryoablation of a para-Hisian AP was ineffective in the long term. Conclusions Three-dimensional EAM allowed a safe and effective fluoroless AP ablation procedure in a pediatric population both with RF and cryoenergy.

Aim. To assess changes in the craniocervical structure and in hyoid bone position in skeletal Class II subjects with and without temporomandibular disorders (TMD). Materials and Methods. The cephalometric analysis of 59 subjects with skeletal Class II was evaluated and compared. The measurements considered were ANB as a parameter of Class II and C0-C1 distance, C1-C2 distance, craniocervical angle, and hyoid bone position for the cervical spine analysis. Patients were divided into patients with TMD (group A) and patients without TMD (group B). TMD were evaluated with Diagnostic Criteria for TMD (DC/TMD). Descriptive statistics and Pearson’s and Spearman’s correlation analysis, with p value Results. C0-C1 and C1-C2 distance values and hyoid bone position resulted within the normal range in the majority of patients examined. Craniocervical angle was altered in 33 patients. The reduction of this angle with the increase of the ANB value resulted to be statistically significant in group A, according to Pearson’s correlation index. No other data were statistically significant. Conclusions. The significant relationship between skeletal Class II and cervical spine cannot be highlighted. The alteration of craniocervical angle seems to be mildly present, with backward counterclockwise rotation of the head upon the neck in the sample (groups A and B). The presence of TMD as a key factor of changes in neck posture could explain the different result between the two groups about the relationship between ANB and craniocervical angle. This result should be further analyzed in order to better understand if cervical spine changes could be related to mandibular postural ones in the craniocervical space or to temporomandibular joint retropositioning, more recognizable in Class II with TMD, which could determine functional changes in other structures of this unit; neck posture could be the result of a compensatory/antalgic mechanism in response to TMD.

International audience; This article presents and discusses the results of a dielectric properties measurement intercomparison on a ceramic material, in the microwave frequency region from 500 MHz to 20 GHz and at variable temperatures from 20 °C to 250 °C. The same ceramic samples have rigorously been tested using three different techniques: a reflection method using a coaxial probe coupled to a network analyzer and two types of resonant cavities techniques (cylindrical and rectangular). This study highlights the advantages and drawbacks of each technique and demonstrates that the real part ε’r and the imaginary part ε”r of the permittivity can be advantageously and separately determined by using different shapes and volumes of samples. In addition to dielectric properties, valuable informations about the surface state of the material can also be obtained. Finally, it is shown that combining the different methods can be a benefic and a clever way to obtain very accurate results in a wide range of temperature or frequencies.

U-PHOS (Upgraded PHP Only for Space) is a project developed within the REXUS/BEXUS programme framework, by a team of students from the University of Pisa with the goal to analyse and characterize the behaviour of a Pulsating Heat Pipe (PHP), one of the most attractive two phases passive systems for thermal management in space applications. The PHP consists of a sealed serpentine capillary tube filled with a working fluid. The heat is efficiently transported by means of the combined action of phase change and capillary forces, so no extra equipment is required. The project aims at investigating the thermal response of such a device under a milli-gravity condition, in order to assess its effectiveness in space conditions. To do so, the power delivered to the system, the internal pressure of the PHP and in particular its temperature in several points must be measured. The temperature measurements are performed by an innovative fibre sensing solution based on arrays of fibre Bragg Gratings (FBGs), which act as temperature sensors at specific locations along only one optical fibre. This paper intends to describe the system built by the students, focusing on the FBG temperature measurements systems. A comparison between the adopted solution and other possible measurement systems is performed, highlighting advantages and drawbacks.

Hybrid solar gas-turbine (HSGT) is an attractive technology to foster market penetration of CSP. HSGT offers some major advantages like for example high solar-to-electric conversion efficiency, reduced water requirement and low capital cost. A very high temperature solar receiver is needed when elevated solar share is claimed. A few research works, as reported by Karni et al. [8] and by Buck et al. [1], have been dedicated to solar receiver technologies able to deliver pressurized air at temperature above 750°C. The present work focuses on research aiming at developing an efficient and reliable solar absorber able to provide pressurized air at temperature up to 1000°C and more. A surface absorber technology is selected and a modular design of receiver is proposed in which each absorber module is made of BOOSTEC® SiC ceramic (silicon carbide) as bulk material with straight air channels inside. Early stage experimental works done at CNRS/PROMES on lab-scale absorbers showed that the thermo-mechanical behavi...

U-PHOS (Upgraded PHP Only for Space) is a project developed by a team of students from the University of Pisa with the goal to analyze and characterize the behavior of a Pulsating Heat Pipe (PHP), one of the most attractive two phases passive systems for thermal management in space applications. The PHP consists of a sealed serpentine capillary tube filled with a working fluid. The heat is efficiently transported by means of the combined action of phase change and capillary forces, so no extra equipment is required. The project aims at investigating the thermal response of such a device under a milli-gravity condition, in order to assess its effectiveness in space conditions. U-PHOS is one of the selected experiment of the REXUS/BEXUS programme, which allows European university students to carry out scientific and technical experiments on research rockets and balloons, thanks to a bilateral agency agreement between the German Aerospace Centre (DLR) and the Swedish National Space Board (SNSB) in collaboration with ESA. 19 students from the University of Pisa, with different backgrounds, compose the U-PHOS team. Students had the chance to completely design, build and test the experiment, which will flight up to space in March 2017. This paper intends to describe the work done by the students, their organization and how this experience empowered their careers, from both an academic and professional point of view.

Objective To determine whether the prescription of aripiprazole, compared with olanzapine and haloperidol, was associated with a lower frequency of metabolic syndrome (MS) and treatment discontinuation at 1 year. Method Patients were randomly assigned to be treated open-label and according to usual clinical practice with either aripiprazole, olanzapine, or haloperidol and followed up for 1 year. Results Three hundred out-patients with persistent schizophrenia were recruited in 35 mental health services. The intention-to-treat (ITT) analysis found no significant differences in the rate of MS between aripiprazole (37%), olanzapine (47%), and haloperidol (42%). Treatment discontinuation for any cause was higher for aripiprazole (52%) than for olanzapine (33%; OR, 0.41; P = 0.004), or haloperidol (37%; OR, 0.51; P = 0.030). No significant difference was found between olanzapine and haloperidol. Time to discontinuation for any cause was longer for olanzapine than for aripiprazole (HR, 0.55; P

Background One third to two thirds of people with schizophrenia have persistent psychotic symptoms despite clozapine treatment. Under real-world circumstances, the need to provide effective therapeutic interventions to patients who do not have an optimal response to clozapine has been cited as the most common reason for simultaneously prescribing a second antipsychotic drug in combination treatment strategies. In a clinical area where the pressing need of providing therapeutic answers has progressively increased the occurrence of antipsychotic polypharmacy, despite the lack of robust evidence of its efficacy, we sought to implement a pre-planned protocol where two alternative therapeutic answers are systematically provided and evaluated within the context of a pragmatic, multicentre, independent randomised study. Methods/Design The principal clinical question to be answered by the present project is the relative efficacy and tolerability of combination treatment with clozapine plus aripiprazole compared with combination treatment with clozapine plus haloperidol in patients with an incomplete response to treatment with clozapine over an appropriate period of time. This project is a prospective, multicentre, randomized, parallel-group, superiority trial that follow patients over a period of 12 months. Withdrawal from allocated treatment within 3 months is the primary outcome. Discussion The implementation of the protocol presented here shows that it is possible to create a network of community psychiatric services that accept the idea of using their everyday clinical practice to produce randomised knowledge. The employed pragmatic attitude allowed to randomly allocate more than 100 individuals, which means that this study is the largest antipsychotic combination trial conducted so far in Western countries. We expect that the current project, by generating evidence on whether it is clinically useful to combine clozapine with aripiprazole rather than with haloperidol, provides physicians with a solid evidence base to be directly applied in the routine care of patients with schizophrenia. Trial Registration Clincaltrials.gov Identifier: NCT00395915

Methicillin-resistant Staphylococcus aureus (MRSA) has become one of the most significant pathogens affecting global public health and health care systems. In Canada and the United States, the spread of MRSA is primarily attributed to a single dominant epidemic clone: CMRSA10/USA300. Despite this, the CMRSA7/USA400 epidemic clone has been reported to be the predominate epidemic clone in several Canadian provinces and some parts of the United States. This study examined the epidemiology of CMRSA7/USA400 MRSA in Alberta, Canada, from June 2005 to December 2012. Molecular characterization of CMRSA7/USA400 isolates was done using spa , SCC mec , PVL, and PFGE typing and identified two predominant spa types in Alberta: t128 and t1787. Although closely related, these spa types have distinct geographic distributions. From 2010 to 2012, the number of t128 infections has remained stable while there has been a nearly 3-fold increase in the number of provincial t1787 infections, accompanied by 10-fold increases in t1787 infection rates in some communities. Most t128 and t1787 patients were First Nations or Inuit people, and isolates were usually from skin and soft tissue infections in outpatients. t128 patients were significantly older than t1787 patients. Antimicrobial susceptibility testing showed higher mupirocin resistance in t1787 than in t128 MRSA. Improved strategies to reduce or stabilize t1787 infections in Alberta are needed.

Aim Continuous technological innovation has provided the clinicians to access to a computerized device that can analyse the different characteristics of occlusal contacts. The purpose of this research was to use this device to study the occlusal forces comparing healthy subjects and TMD patients. Materials and methods The study was conducted by following specific criteria to select participants; the sample was divided into two homogeneous groups: control group (CG) comprising healthy subjects, and dysfunctional group (DG) comprising TMD patients. The occlusal force analysis was performed using the computerized system T-Scan III V 5.20 T. The data were analysed with statistical methods. Results The most significant differences emerged between the groups in the average occlusal load distribution and in the location of the centre of occlusal forces (COF). In particular, compared with the CG and the functional standard, reductions in the molar field forces on the second and first molars of 27% and 6.9%, respectively, were observed in the DG. The COF was located in the most forward position in TMD patients compared with healthy subjects. Conclusions Although the differences in the distribution of the occlusal forces and the location of the occlusal centre of gravity were significant, the relationship between occlusal contacts and TMD remains to be fully clarified. Further research is needed to investigate whether studying occlusal force distributions in both healthy subjects and TMD patients.

HycycleS was a cooperation of nine European partners and further non-European partners and aimed at the qualification and enhancement of materials and components for key steps of solar and nuclear powered thermochemical cycles for hydrogen generation from water. The focus of HycycleS was the decomposition of sulphuric acid (H2SO4) which is the central step of the sulphur-based family of those processes. Emphasis was put on materials and components for H2SO4 evaporation, decomposition, and sulphur dioxide separation. The suitability of materials and components was demonstrated by decomposing H2SO4 and separating its decomposition products in scalable prototypes. Silicon Carbide (SiC) turned out as the material of choice for the components facing the most corrosive environment of the process: the sulphuric acid evaporator and decomposer. Candidate catalysts for the high temperature reduction of sulphur trioxide have been screened and analysed. Cr-Fe mixed oxide (Fe 0.7Cr1.3O3) was the most promising material among the ones examined. Based on the use of the highlighted construction and catalyst materials prototype decomposers have been developed and tested. The successful fabrication and testing of a large size heat exchanger/reactor prototype composed of SiC plates shows promise with respect to its use for H2SO4 decomposition in the SI and HyS cycle. A solar specific decomposer prototype was developed, realised and successfully tested on sun in a solar furnace. A novel approach of using dense oxygen transport membranes, made from complex ceramics, for oxygen removal from the H 2SO4 decomposition product in order to shift the equilibrium in favour of increased decomposition was investigated. The membranes stability and suitability for carrying out this separation was investigated experimentally. Parallel to this, a conventional oxygen separator, a low-temperature wet scrubbing system, was investigated as well. Scale-up scenarios of components and of the process were addressed. Copyright © 2013, Hydrogen Energy Publications, LLC. Published by Elsevier Ltd. All rights reserved.

Objetivou-se avaliar níveis de inclusão da torta de girassol no lugar de farelo de soja, em suplementos múltiplos para bovinos, em pastejo, no período seco do ano, sobre o desempenho produtivo e viabilidade econômica. Foram utilizados 20 novilhos, Nelore, não castrados, com idade e peso médio inicial de 20 meses e 330,29kg, respectivamente, distribuídos em quatro piquetes de 1,6 ha cada, formados por Brachiaria brizantha cv. Marandu. O experimento foi composto por três períodos experimentais de 28 dias cada. Os tratamentos consistiram na inclusão da torta de girassol em níveis crescentes de: zero, 270, 540g/kg de suplemento, e uma mistura composta apenas por sal mineral ad libitum (controle). Os suplementos foram formulados para serem isoproteicos (25% PB) e fornecidos na quantidade de 1,5kg/animal/dia. As disponibilidades de matéria seca total e pontencialmente digestível foram de 2.248 e 1591kg MS/ha respectivamente. O experimento foi estruturado em delineamento inteiramente casualizado, com 4 tratamentos e 5 repetições. Observou-se efeito significativo dos níveis de inclusão da torta de girassol em relação ao suplemento controle sobre o ganho médio diário (GMD). Economicamente, a inclusão da torta de girassol, em até 100% de substituição ao farelo de soja, não afetou o retorno financeiro e destacou-se como uma fonte de proteína viável para alimentação de bovinos na fase de recria. The aim of study was to evaluate inclusion levels of sunflower cake a protein source to replace soybean meal in formulation of multiple supplements for grazing cattle during dry season on performance and economic viability. We used 20 steers, Nelore, non-castrated, with age and initial weights of 20 months and 330kg, distributed in four paddocks of 1.6 ha each, consisting of Brachiaria brizantha cv. Marandu. The experiment consisted of three experimental periods of 28 days each. The strategy adopted was the inclusion of sunflower cake in levels of zero, 270, 540g/kg of supplement, and a mixture composed only of mineral salt ad libitum (control). Supplements were formulated to be isonitrogenous (25% CP) and provided the amount of 1.5kg/animal/day. The availability of total dry matter and potentially digestible were 2248 and 1591kg DM/ha respectively. The experiment was structured in a completely randomized design. Significant effect was observed (P

For most of the last decade, the south-western portion of the United States has experienced a severe and enduring drought. This has caused serious concerns about water supply and management in the region. In this research, 30 orthorectified Landsat satellite images from the United States Geological Service (USGS) Earth Explorer archive were analyzed for the 1972 to 2009 period. The images encompassed Lake Mead (a major reservoir in this region) and were examined for changes in water surface area. Decadal lake area minimums/maximums were achieved in 1972/1979, 1981/1988, 1991/1998, and 2009/2000. The minimum lake area extent occurred in 2009 (356.4 km2), while the maximum occurred in 1998 (590.6 km2). Variable trends in water level and lake area were observed throughout the analysis period, however progressively lower values were observed since 2000. The Landsat derived lake areas show a very strong relationship with actual measured water levels at the Hoover Dam. Yearly water level variations at the dam vary minimally from the satellite derived estimates. A complete (yearly) record of satellite images may have helped to reduce the slight deviations in the time series.

The long-term maintenance of a stable condition is an important aim of schizophrenia therapy, which frequently requires the switch between 2 antipsychotic agents. This 8-week multicenter study, conducted in Italy, evaluates the switch from a previous antipsychotic to ziprasidone. Adult acute schizophrenic patients requiring a change in antipsychotic for lack of efficacy or tolerability issues took ziprasidone 20 − 80 mg/bid. Dosages could be adjusted during the study. The primary efficacy outcomes were the differences in positive and negative syndrome scale (PANSS) and clinical global impression severity (CGI-S) scores from baseline to study end. Other efficacy variables were clinical global impression improvement, global assessment of functioning, patient preference scale and drug attitude inventory. 189 patients were evaluated; the mean (±SD) ziprasidone dose was 95.9±34.5 mg/day. PANSS and CGI-S scores significantly decreased throughout the study. All secondary outcomes significantly improved at the end of the study vs. baseline values. Ziprasidone was well tolerated; 13 patients reported a QTc prolongation (mild in 12 patients). Notwithstanding the limitations of any non-comparative study, these results suggest that ziprasidone may be an effective and well-tolerated option in acute schizophrenia patients who discontinued a previous antipsychotic agent.

Consumption of foods containing Staphylococcus aureus can cause severe gastro-intestinal illness. Given the fact that over the past decade, Canada has seen increasing rates of methicillin-resistant S. aureus (MRSA) carriage and infection, the objective of this study was to investigate the impact of methicillin-susceptible S. aureus (MSSA) and MRSA on foodborne illness in Alberta, Canada. Between January 2007 and December 2010, there were 693 food samples associated with foodborne investigations submitted to the Alberta Provincial Laboratory for Public Health (ProvLab). These foods were screened for: Bacillus cereus, Clostridium perfringens, S. aureus, Aeromonas spp., Campylobacter spp., Escherichia coli O157:H7, Salmonella, Shigella spp., and Yersinia spp. S. aureus was identified in 10.5% (73/693) of samples, and of these, 59% (43/73) were co-contaminated with at least one other organism on the screening panel. The S. aureus positive samples included 29 meat, 20 prepared foods containing meat, 11 prepared foods not containing meat, 10 dairy, and three produce. Methicillin-resistance was not detected in any isolates tested. These findings indicate that the presence of S. aureus in food associated with foodborne investigations is a cause for concern, and although MRSA was not found, the potential for outbreaks exists, and ongoing surveillance should be sustained.

SUMMARYIncreasing prevalence of methicillin-resistantStaphylococcus aureus(MRSA) has been reported in Canada. We report the results of a prospective surveillance of MRSA infections in Alberta over a consecutive 3-year period. A total of 8910 unique clinical MRSA isolates was analysed from July 2005 to June 2008. The incidence of MRSA infection increased over the study period and was highest in males, age group ⩾85 years, and the Calgary Area. CMRSA10 (USA300) and CMRSA2 (USA100/800) were the most common PFGE strain types, representing 53·0% and 27·9% of all isolates, respectively. Significant differences were noted between MRSA strains in the source of infection and antimicrobial susceptibility. The incidence of MRSA infection in Alberta has nearly doubled in the last 3 years; this is attributed to the emergence of CMRSA10 as the predominant strain.

The authors analyze how the World Trade Organization (WTO) can be perceived as fair as regards Latin America. An exploratory qualitative study was supported by documental data published by prestigious international institutions. Figures indicate that the poverty level has not significantly changed, when compared to the period before the creation of the WTO in 1995. Results of dispute panels opened by developing countries questioning the developed nations have led to an assessment that the Organization favors the latter. Some ethical issues regarding international trade and investment are apparently related to the image, due to a high level of corruption and economic openness or barriers of the countries individually. It appears that they significantly depend on the economic results of the WTO decisions. In order to comply with ethical standards, several countries are fighting corruption through mechanisms to inhibit its proliferation and improve their image. For this reason, some Latin American countries, such as Brazil, have attracted investments and trade through the creation of sustainability programs that associate corporate finance with environmental and social targets.

In a CDMA-based mobile radio access system, power represents one of the main resources to be shared among users. For such a reason, the analysis of statistical distributions of transmitted power plays a fundamental role in the planning and optimization process of UMTS-FDD radio access networks. The aim of the present paper is to investigate several factors affecting power levels such as: cell deployment and geometry factors, QoS (quality of service) requirements of UMTS services (in particular in terms of E/sub b//N/sub 0/ targets), multi-service traffic characteristics, propagation conditions, power planning of signaling downlink channels, radio resource management (power control loops, soft handover, admission control). The paper presents several case studies developed with the help of an advanced Montecarlo simulator, considering both the uplink and the downlink.

The European EUREKA project, EU 209, also known as AGATA (Advanced Gas Turbine for Automobiles), is a programme dedicated to the development of three critical ceramic components — a catalytic combustor, a radial turbine wheel and a static heat exchanger — for a 60 kW turbogenerator in a hybrid electric vehicle. These three components, which are of critical importance to the achievement of low emissions and high efficiency, have been designed, developed, manufactured and tested as part of a full scale feasibility study. AGATA is a joint project conducted by eight commercial companies and four research institutes in France and Sweden. This paper outlines the main results of the AGATA project with special emphasis to the development of ceramic components.Copyright © 1999 by ASME

The European FP7 project HycycleS focuses on providing detailed solutions for the design of specific key components for sulphur-based thermochemical cycles for hydrogen production. The key components necessary for the high temperature part of those processes, the thermal decomposition of H2SO4, are a compact heat exchanger for SO3 decomposition for operation by solar and nuclear heat, a receiver-reactor for solar H2SO4 decomposition, and membranes as product separator and as promoter of the SO3 decomposition. Silicon carbide has been identified as the preferred construction material. Its stability is tested at high temperature and in a highly corrosive atmosphere. Another focus is catalyst materials for the reduction of SO3. Requirement specifications were set up as basis for design and sizing of the intended prototypes. Rigs for corrosion tests, catalyst tests and selectivity of separation membranes have been designed, built and completed. Prototypes of the mentioned components have been designed and tested.

The RD13 project was approved in April 1991 for the development of a scalable data-taking system suitable for hosting various LHC studies. One of its goals is the exploitation of software engineering techniques, in order to indicate their overall suitability for data acquisition (DAQ), software design and implementation. This paper describes how such techniques have been applied to the development of components of the RD13 DAQ used in test-beam runs at CERN. We describe our experience with the Artifex CASE tool and its associated methodology. The issues raised when code generated by a CASE tool has to be integrated into an existing environment are also discussed.

Today's experimentation in high energy physics is characterized by an increasing need for sensitivity to rare phenomena and complex physics signatures, which require the use of huge and sophisticated detectors and consequently a high performance readout and data acquisition. Multi-level triggering, hierarchical data collection and an always increasing amount of processing power, distributed throughout the data acquisition layers, will impose a number of features on the software environment, especially the need for a high level of standardization. Real-time UNIX seems, today, the best solution for the platform independence, operating system interface standards and real-time features necessary for data acquisition in HEP experiments. We present the results of the evaluation, in a realistic application environment, of a Real-Time UNIX operating system: the EP/LX real-time UNIX system.

From the early World Wide Web exploitation until contemporary Semantic Web generation, global communication has become an essential need for many people on the Internet. Globalization means ease of information exchange and of resource sharing, and requires convenient ways to bridge the gap between actual cultural and linguistic barriers. This paper introduces a simple approach to multilingual semantic elaboration in the DOSE Distributed Open Semantic Elaboration platform. The proposed approach uses a single, language independent ontology coupled with many language specific concepts definitions and sets of lexical entities (synsets) to characterize modeled concepts. A simple experimental setup is described in order to assess the approach viability and further experimentation issues are discussed.

Esta tese representa o aprofundamento do estudo das estimativas de custos, componente integrante e determinante das avaliações econômicas, enquanto parte do projeto de pesquisa Estudos de custo-efetividade da incorporação de novas vacinas à rotina do Programa Nacional de Imunizações: Rotavírus, Varicela, Pneumocócica conjugada, Meningocócica C conjugada e Hepatite A desenvolvido por solicitação do Programa Nacional de Imunização/PNI da Secretaria de Vigilância em Saúde/SVS do Ministério da Saúde, a partir de 2005. A tese teve como objetivo analisar as condições de uso, dificuldades e repercussões de diferentes métodos de estimativas de custos em estudos de custo-efetividade de vacinas de duas tecnologias específicas, vacinas contra rotavírus e varicela, assim como a relação entre as estimativas de custos e os resultados. As estimativas de custos estão condicionadas pelas características gerais da doença sob análise (aguda no caso de rotavírus e com seqüela no caso de varicela), assim como por questões metodológicas gerais (escolha teórico-conceitual, métodos e fontes de dados) e especificidades do caso brasileiro. Para esta tese, houve maior detalhamento das estimativas de custos diretos no cuidado da doença, com a inclusão de custos específicos do sistema de saúde suplementar para as duas doenças, inclusão de participação pública na dispensação de medicamentos no caso de rotavírus e inclusão de custos de medicamentos do sistema público de saúde no caso de varicela. Como resultado, houve aumento do custo total da doença estimado de 16% para rotavírus e 11% para varicela, assim como aumento de economia (custo total da doença evitado) de 18% e 16%, respectivamente, com a introdução de cada vacina. Apesar do maior detalhamento das estimativas de custos ter reduzido a razão de custo-efetividade incremental em 20% para rotavírus e 4% para varicela, o nível de custo-efetividade dos dois programas de vacinação não foi alterado. Os resultados das avaliações econômicas de vacinação contra rotavírus e varicela mostraram-se mais sensíveis às estimativas de custos do programa de vacinação, em especial o preço da vacina, apontando a relevância do custo da tecnologia sob análise para incorporação em comparação aos demais custos This thesis represents a deeper study of the cost estimates, an integrant and determinative component of economic evaluations, as part of the project Costeffectiveness studies of the incorporation of new vaccines into the routine of the National Immunisation Program: Rotavirus, Varicella, Pneumococcal conjugate, Meningococcal C conjugate and Hepatitis A. The project has been developed on the request of the National Immunisation Program/PNI of the Secretary of Sanitary Surveillance/SVS of the Ministry of Health since 2005. The objective of the thesis was to analyse the conditions of use, difficulties and repercussions of different cost estimates methods in the cost-effectiveness studies of two specific technologies, vaccines against rotavirus and varicella, as well as the relationship between the cost estimates and the results. The cost estimates are conditioned by general characteristics of the disease under analysis (acute in the case of rotavirus and with long-term disability in the case of varicella), general methodological issues (theoretical choice, methods and sources of data) and specificities to the Brazilian case. This thesis brings a more detailed estimation of direct medical costs, with the inclusion of specific costs of the private health care system for the two diseases, inclusion of public participation for dispensing drugs in the case of rotavirus and inclusion of drugs costs in the public health care system in the case of varicella. As a result, there was an estimated disease total cost increase of 16% for rotavirus and 11% for varicella, as well as increase of savings (disease total cost avoided) of 18% and 16%, respectively, with the introduction of each vaccine. Although the more detailed cost estimates have reduced the incremental cost-effectiveness ratio by 20% for rotavirus and 4% for varicella, the cost-effectiveness level of the two vaccination programs was not altered. The results of the economic evaluations of vaccination against rotavirus and varicella were more sensitive to the vaccination program cost estimates, especially the vaccine price, pointing out the relevance of the cost of the technology under analysis for incorporation comparatively to the other costs