RESUMO
Many new photovoltaic (PV) applications, such as the concentrating PV (CPV) systems, are appearing on the market. The main characteristic of CPV systems is to concentrate sunlight on a receiver by means of optical devices and to decrease the solar cells area required. A low CPV (LCPV) system allows optimizing the PV effect with high increase of generated electric power as well as decrease of active surface area. In this paper, an economic analysis and a life cycle assessment (LCA) study of a particular LCPV scheme is presented and its environmental impacts are compared with those of a PV traditional system. The LCA study was performed with the software tool SimaPro 8.0.2, using the Econinvent 3.1 database. A functional unit of 1â kWh of electricity produced was chosen. Carbon Footprint, Ecological Footprint and ReCiPe 2008 were the methods used to assess the environmental impacts of the LCPV plant compared with a corresponding traditional system. All the methods demonstrated the environmental convenience of the LCPV system. The innovative system allowed saving 16.9% of CO2 equivalent in comparison with the traditional PV plant. The environmental impacts saving was 17% in terms of Ecological Footprint, and, finally, 15.8% with the ReCiPe method.
Assuntos
Técnicas Eletroquímicas/métodos , Pegada de Carbono , Conservação de Recursos Energéticos , EcologiaRESUMO
This paper reports the measurement of both objective and subjective quality of life in samples of people either with intellectual disability or from the general adult population, drawn from Australia and Italy. Measures were made using the Comprehensive Quality of Life Scale. Generally, it was found that the scores for all groups were comparable. This finding is consistent with the provision of generally decent objective living conditions in both countries and subjective well-being homeostasis, wherein subjective quality of life is held within a predictable range. These results are discussed in the context of measurement difficulties imposed by the need for simple Likert scales and subjective data which are strongly negatively skewed.
Assuntos
Deficiência Intelectual/psicologia , Qualidade de Vida , Adulto , Austrália , Comparação Transcultural , Análise Fatorial , Feminino , Lares para Grupos/estatística & dados numéricos , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Qualidade de Vida/psicologia , Estudos de Amostragem , Inquéritos e QuestionáriosRESUMO
Creutzfeldt-Jakob disease may have many atypical presentations before the development of classic progressive dementia and startle myoclonus. In two patients with pathologically established disease association with a progressive alien hand syndrome was the sole initial manifestation of the disease.
Assuntos
Síndrome de Creutzfeldt-Jakob/fisiopatologia , Mãos/fisiopatologia , Mioclonia/fisiopatologia , Idoso , Evolução Fatal , Feminino , Humanos , Transtornos da PercepçãoRESUMO
PURPOSE: Although in the early stage of Creutzfeldt-Jakob disease most patients have obvious dementia, we found that the disease can be diagnosed in patients solely on the basis of a visual system disorder. METHODS: We examined three patients who initially complained of a nonspecific, insidious visual disturbance. RESULTS: The three patients were found to have Creutzfeldt-Jakob disease, confirmed by histopathologic analysis. Each patient had a homonymous hemianopsia on the first neuro-ophthalmologic examination. The initial neurologic, neuroimaging, and electrophysiologic examinations were not conclusive. The subsequent rapid deterioration in the neurologic status, including dementia and typical electroencephalographic changes, was suggestive of Creutzfeldt-Jakob disease. CONCLUSION: At onset of Creutzfeldt-Jakob disease, patients may have a homonymous hemianopsia despite normal results of magnetic resonance imaging of the brain and neurologic examination.
Assuntos
Síndrome de Creutzfeldt-Jakob/diagnóstico , Hemianopsia/diagnóstico , Campos Visuais , Idoso , Biópsia , Encéfalo/patologia , Síndrome de Creutzfeldt-Jakob/complicações , Eletroencefalografia , Hemianopsia/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Testes de Campo VisualAssuntos
Baclofeno/efeitos adversos , Estado Epiléptico/induzido quimicamente , Baclofeno/intoxicação , Baclofeno/uso terapêutico , Eletroencefalografia , Feminino , Humanos , Pessoa de Meia-Idade , Esclerose Múltipla/complicações , Esclerose Múltipla/tratamento farmacológico , Estado Epiléptico/etiologiaRESUMO
A twenty-five year old woman suffered the acute onset of dysequilibrium followed by headache, nausea, vomiting, vertigo, and slurred speech while swimming. Brain imaging revealed a right cerebellar infarct. Intravenous digital subtraction angiography showed a hypoplastic right vertebral artery and focal narrowing of the dominant left vertebral at the level of the C1-C2 junction. The patient was treated with aspirin and dipyridamole and immobilized for two weeks. She achieved almost complete recovery. Repeat angiography showed resolution of the left vertebral artery defect. Other cases of posterior circulation infarction associated with head turning during sports and ordinary activities are reviewed.
Assuntos
Transtornos Cerebrovasculares/etiologia , Natação , Insuficiência Vertebrobasilar/etiologia , Adulto , Angiografia , Transtornos Cerebrovasculares/patologia , Transtornos Cerebrovasculares/fisiopatologia , Feminino , Humanos , Espectroscopia de Ressonância Magnética , Tomografia Computadorizada por Raios X , Artéria Vertebral/patologia , Insuficiência Vertebrobasilar/patologiaAssuntos
Síndrome de Creutzfeldt-Jakob/diagnóstico , Convulsões/diagnóstico , Idoso , Feminino , HumanosRESUMO
Eosinophilic meningitis is rare in Hodgkin's disease. Five previous cases have been reported. We describe an additional patient whose CSF showed an eosinophilic pleocytosis with Reed-Sternberg cells while in complete systemic remission from Hodgkin's disease. The patient responded to intrathecal administration of methotrexate given by Ommaya reservoir. Six months later, systemic relapse occurred, but the CSF remained normal. Eosinophilic meningitis is a treatable complication of Hodgkin's disease, and prolonged response is possible.
Assuntos
Doença de Hodgkin/complicações , Meningite/complicações , Adulto , Quimioterapia Combinada , Doença de Hodgkin/tratamento farmacológico , Humanos , Masculino , Meningite/líquido cefalorraquidiano , Meningite/tratamento farmacológico , Meningite/fisiopatologia , Metotrexato/uso terapêuticoRESUMO
In a group of 132 patients with transient ischemic attacks ((TIAs) 7 patients (4 men, 3 women, ages 64 to 81) had TIAs preceded by hypotension. The average fall of mean blood pressure during an attack was 26.4 +/- 5.5 mm Hg (SD). Only one of these patients had a TIA which was not preceded by hypotension. This episode occurred during a paroxysm of coughing. All 7 of these patients had hypertension, and cerebral arteriography performed in 4 of the 7 revealed hemodynamically significant carotid artery stenosis. Each of the 4 patients developed hypotension and a TIA after the procedure. Twenty of the other patients had hypotensive episodes but did not develop focal neurological deficits. None of these patients had carotid artery stenosis. This study suggests that hypertensive patients with carotid artery stenosis may be at risk to develop focal cerebral ischemia during acute hypotensive episodes.
Assuntos
Doenças das Artérias Carótidas/complicações , Hipertensão/complicações , Hipotensão/complicações , Ataque Isquêmico Transitório/etiologia , Idoso , Anti-Hipertensivos/efeitos adversos , Artérias Carótidas/cirurgia , Angiografia Cerebral , Endarterectomia/efeitos adversos , Feminino , Humanos , Hipotensão Ortostática , Masculino , Pessoa de Meia-Idade , Manifestações NeurológicasRESUMO
Neoplastic angioendotheliosis is a rare disorder characterized by progressive multifocal neurological deficit and dementia. The principal pathological findings are multiple infarcts in the brain and spinal cord and the microscopical demonstration of proliferated neoplastic cells, primarily within the lumens of arteries, arterioles, and capillaries. Vessels of the central nervous system are the most severely affected and appear to be the primary site of neoplastic proliferation. Systemic intravascular and focal extravascular proliferation can also be identified. The endothelial origin of the neoplastic cell with a gradation of changes from normal to neoplastic is demonstrated by the electron microscopical study of involved meningeal vessels. Our patient and those reported in the literature all demonstrate involvement of the central nervous system. In addition, an elevated cerebrospinal fluid protein level is present in all patients for whom that information is available, and fever and renal involvement are frequently present. Steroid therapy is generally ineffective. If the disease is suspected clinically, our studies suggest that meningeal biopsy is the diagnostic procedure of choice to help determine whether chemotherapy should be instituted.
Assuntos
Hemangioendotelioma/ultraestrutura , Neoplasias Meníngeas/ultraestrutura , Idoso , Encéfalo/patologia , Feminino , Hemangioendotelioma/diagnóstico , Humanos , Neoplasias Meníngeas/diagnóstico , Microscopia Eletrônica , Medula Espinal/patologiaAssuntos
Neurônios Motores , Músculos/inervação , Distrofias Musculares/fisiopatologia , Doenças Neuromusculares/fisiopatologia , Adolescente , Adulto , Idoso , Atrofia , Contagem de Células , Criança , Pré-Escolar , Estimulação Elétrica , Eletromiografia , Feminino , Humanos , Hipertrofia , Lactente , Masculino , Métodos , Pessoa de Meia-Idade , Denervação Muscular , Músculos/patologia , Músculos/fisiologia , Músculos/fisiopatologia , Distrofias Musculares/etiologia , Distrofias Musculares/patologiaRESUMO
Isometric twitch contractions have been studied in extensor hallucis brevis muscles of 32 healthy male subjects aged between 3 and 25 years. The maximum twitch tensions were found to increase gradually with age and then to undergo marked enhancement at puberty. After puberty little further change occurred. In the youngest children examined the twitch contraction times were already within the adult range, though the half-relaxation times were prolonged.
Assuntos
Contração Muscular , Desenvolvimento Muscular , Músculos/fisiologia , Adolescente , Adulto , Fatores Etários , Criança , Pré-Escolar , Humanos , Masculino , Puberdade , Fatores SexuaisRESUMO
Physiological studies have been made of extensor digitorum brevis muscles in 28 healthy subjects aged between 60 and 96. Within this elderly population there was evidence of muscle wasting and weakness. These changes were shown to result from a loss of functioning motor units. The surviving motor units were often enlarged and tended to have relatively slow twitches. In some subjects the maximum impulse conduction velocities were reduced in motor nerves; there was evidence that slowing of impulse conduction could be especially marked in distal regions of axons. The findings are considered to indicate the presence of motoneurone dysfunction in old age.