MANAGEMENT MODEL FOR CONSTRUCTION WASTE PRODUCED IN THE CITY OF RIO DE JANEIRO
Background: A new management model for construction and demolition waste (CDW) was proposed for the city of Rio de Janeiro, hence waste the city planning area estimated generation; the results were compared with the data published by COMLURB and SNIS through the statistics tests was proved that CDW had been dispersed, which support the hypothesis that the current model cause dispersion of the rubble. Aim: This study proposes a new management model for CDW to the city, according to regions where occur the higher production of rubble. Methods: The estimation of rubble was obtained through the issued licenses from 2006 to 2020 published by SMPU. The quantification of rubble in the city was carried out by adopting the generation indicator from licensed construction activities. The amount of CDW published by COMLURB and SNIS was compared through statistics tests ANOVA and T-Test, the second period from 2006 to 2020 and 2011 to 2020. To measure the area to implant a CDW recycling plant, criteria from production capacity were used. Results: ANOVA test to data from 2006 to 2020 and 2011 to 2020, according to a confidence interval of 95%, found the P value 0.589 and 0.022, respectively, it was verified that the significant difference is between data from COMLURB and Estimated. The T-test was applied from the same period in data from SNIS and estimated the P values 0.399 and 0.014. Discussion: The data from Estimating between 2006 and 2020 showed the best representation. The Área de Planejamento – AP (Planning Area) 4 was where 50.70% of the total rubble, after the AP 3 with 17.66%, the AP 5 was estimated at 16.59%, last of all, AP 2 and AP 1 were calculated the generation of 8.28% and 6.77%, respectively. Therefore, sizing the CDW recycling producing 361,99.00 tons per year demands an area of 32,397.50 m². Conclusions: It was concluded that the receipt of CDW in transfer stations managed by COMLURB is not allowed; therefore, the need to create a construction waste recycling plant was presented, to this end, it is necessary to have an available area of approximately 32,397.50 m².
Read ArticleUNRAVELING THE COMPLEXITIES OF CARDIOVASCULAR MEDICINE: A CONVERSATION WITH DR. PETER MCCULLOUGH (EXTENDED EN-US VERSION)
Background: This interview covers Dr. Peter McCullough’s medical career, experience as an editor of medical journals, and his expertise in areas such as cardiomyopathy, myocarditis, and pericarditis. Aims: The primary aim is to understand Dr. McCullough’s perspectives on various medical topics, including his journey as a cardiologist, the importance of peer review, the phenomenon of Pheidippides cardiomyopathy, the differences between myocarditis and pericarditis, and the significance of ethical principles like the Nuremberg Code and the Declaration of Helsinki. Additionally, the interview aims to explore his concerns about censorship during the COVID-19 pandemic. Methods: The interview follows a question-and-answer format, with the interviewer posing questions to Dr. McCullough on various topics related to his medical career, research interests, and ethical considerations. Results: Dr. McCullough shares his insights on topics such as cardiomyopathy, myocarditis, and pericarditis, emphasizing the importance of peer review, identifying potential biases, and balancing scientific rigor with timely dissemination of findings. He also highlights the significance of the Nuremberg Code and the Declaration of Helsinki in ensuring informed consent and preventing coercion in medical research and treatment. Discussion: Dr. McCullough expresses concerns about censorship during the COVID-19 pandemic, which he believes impacted the ability of medical professionals to freely discuss and disseminate health-related information. He also discusses the potential role of COVID-19 vaccines in causing myocarditis and the need for transparent communication about treatment options and potential complications. Conclusion: The interview provides valuable insights from Dr. McCullough’s extensive medical experience and expertise, covering a range of topics from cardiovascular conditions to ethical principles and the challenges posed by censorship during the COVID-19 pandemic.
Read ArticlePREVENTION OF CANDIDIASIS IN PATIENTS USING REMOVABLE DENTURES
Background: Despite innovations in orthopedic dentistry, the manufacture of removable dentures belongs to the most popular orthopedic care category. Removable dentures are combined stimuli that affect the mucous membrane and neuro-receptor apparatus. Acrylic plastic prostheses, widely used in prosthetic dentistry, have a negative side mechanical, chemical-toxic, sensitizing, and thermal insulating effect on oral tissue and prosthetic impression area. This is often complicated by a violation of the biocenosis of the oral cavity, the growth of pathogenic microflora that releases toxins, especially an increase in the number of yeast colonies that irritate the oral mucosa and prosthetic stomatitis. According to the WHO, one-fifth of the world s population suffers or has suffered various candidiasis forms at least once. The worldwide increase in the incidence of the disease is primarily related to the fact that this infection is opportunistic, more than half of the world s population is a carrier of fungi of this kind, i.e., in most cases, it is an endogenous infection, which makes candidiasis different from other opportunistic mycoses. Aims: The purpose of this study was to study the prevalence of candidiasis in patients using removable dentures and to evaluate the effectiveness and prevention of candidiasis treatment. Methods: 100 patients with oral candidiasis of various age groups from 45 to 65 years were observed. Of these, 60 patients with removable plate prostheses; 40 patients with partially removable prostheses. Results and Discussion: Chronic forms of candidiasis were diagnosed in 40 patients and with exacerbation of chronic forms of candidiasis-60 people. The number of untreated carious cavities and poor hygienic condition of the oral cavity directly affects the severity of candidiasis. Acute forms of candidiasis were observed mainly in patients with high DMF and PMA indices. The severity of candidiasis depends on the degree and duration of wearing dentures and hygienic conditions - the most severe forms of invasive candidiasis were observed in the presence of removable plate prostheses, the complete absence of teeth, and the use of a prosthesis for more than 10-15 years. A combined lesion of the oral mucosa and the red border of the lips was observed mainly in patients older than 60 years. Conclusions: The presence of candidiasis in the oral cavity in patients with removable plate prostheses leads to a statistically significant change in the indicators of local immunity of the oral cavity: an increase in the concentration of serum IgG and IgA and the values of the coefficient of the balance of local immunity factors.
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