Browsing by Author "Ribeiro, C."
Now showing 1 - 4 of 4
Results Per Page
Sort Options
- Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric studyPublication . Ribeiro, C.; Vieira, A. L.; Pamplona, P.; Drummond, M.; Seabra, B.; Ferreira, D.; Liberato, H.; Carreiro, A.; Vicente, I.; Castro, Luísa; Costa, P.; Carriço, F.; Martim, T.; Cravo, J.; Teixiera, N.; Grafino, M.; Conde, S.; Windisch, W.; Nunes, R.Home mechanical ventilation (HMV) use in chronic obstructive pulmonary disease (COPD) is becoming increasingly widespread. The aim of this study was to provide an accurate description of the current practices and clinical characteristics of COPD patients on HMV in Portugal. The study was designed as a cross-sectional, multicenter real-life study of COPD patients established on HMV for at least 30 days. Data related to clinical characteristics, adaptation and ventilatory settings were collected. The study included 569 COPD patients on HMV from 15 centers. The majority were male, with a median age of 72 years and a high prevalence of obesity (43.2%) and sleep apnea (45.8%). A high treatment compliance was observed (median 8h/day), 48.7% with inspiratory positive airway pressure ≥ 20 cmH2O and oronasal masks were the preferred interface (91.7%). There was an equal distribution of patients starting HMV during chronic stable condition and following an exacerbation. Patients in stable condition were initiated in the outpatient setting in 92.3%. Despite the differences in criteria and setting of adaptation and a slightly lower BMI in patients starting HMV following an exacerbation, we found no significant differences regarding age, gender, ventilation pressures, time on HMV, usage, severity of airflow obstruction or current arterial blood gas analysis (ABGs) in relation to patients adapted in stable condition. Patients were highly compliant with the therapy. In agreement with most recent studies and recommendations, there seems to be a move towards higher ventilation pressures, increased use of oronasal masks and an intent to obtain normocapnia. This study shows that chronic hypercapnic and post exacerbation patients do not differ significantly regarding patient characteristics, physiological parameters or ventilatory settings with one exception: chronic hypercapnic patients are more often obese and, subsequently, more frequently present OSA.
- Health impact assessment of a paper pulp industry on atmospheric pollutionPublication . Serrão, M.; Ribeiro, C.; Nunes, M.The environment is one of the major determinants of human health quality. However, over the years, human activities had significant impacts on the environment resulting in negative consequences for the population.
- Innovative manufacturing process for hybrid pultruded products based on cork and polymeric pre-shapesPublication . Silva, Francisco J. G.; Ribeiro, C.; Alvim, Mário Rui; Meira Castro, Ana C.; Meixedo, João PauloPultruded products are being targeted by a growing demand due to its excellent mechanical properties and low chemical reactivity, ensuring a low level of maintenance operations and allowing an easier assembly operation process than equivalent steel bars. In order to improve the mechanical drawing process and solve some acoustic and thermal insulation problems, pultruded pipes of glass fibre reinforced plastics (GFRF) can be filled with special products that increase their performance regarding the issues previously referred. The great challenge of this work was drawing a new equipment able to produce pultruded pipes filled with cork or polymeric pre-shaped bars as a continuous process. The project was carried out successfully and the new equipment was built and integrated in the pultrusion equipment already existing, allowing to obtain news products with higher added-value in the market, covering some needs previously identified in the field of civil construction.
- Optimização do processo de pultrusãoPublication . Costa, C.; Ferreira, F.; Silva, Francisco J. G.; Meira Castro, Ana C.; Ribeiro, C.; Alvim, Mário RuiCada vez mais é necessário inovar e optimizar, sendo todos os processos susceptíveis a melhorias contínuas. A inovação e empenho no desenvolvimento destas novas soluções resultam do “know-how” já existente e da necessidade permanente de incrementar a produtividade com vista a uma maior competitividade, a flexibilidade e assegurar simultaneamente a qualidade dos produtos manufacturados. Com vista a incrementar a flexibilidade, torna-se necessário reduzir significativamente os tempos de “set-up” e o ”lead-time”, com vista a assegurar a entrega dos produtos de forma cada vez mais rápida. Este objectivo pode ser conseguido através de uma normalização dos elementos que constituem a linha de pultrusão. Implicitamente, observa-se um aumento de produtividade com esta medida. Neste trabalho pretende-se optimizar e flexibilizar todo o processo de pultrusão de perfis estruturais. Foram considerados todos os elementos do sistema, desde o armazém das fibras (“rack”) até à fieira de pultrusão. Foi dedicada particular atenção ao sistema de guiamento das fibras e mantas, à tina onde as fibras são impregnadas em resina, normalizadas as placas de posicionamento das fibras em direcção à entrada da fieira e revisto todo o processo de montagem e fixação da fieira, assim como o sistema de aquecimento da mesma. Com a implementação destes novos sistemas foi conseguida uma poupança significativa de tempo de “set-up” e foram claramente reduzidos os custos unitários de produção. A garantia de qualidade foi também incrementada.