Introduction: the presence of anti-CCP is an important prognostic tool for rheumatoid arthritis (RA), but its relationship with the activity of the disease and functional capacity is still being investigated. Objectives: to study the relationship between anti-CCP and the indices of disease activity, functional capacity and structural damage, by means of conventional radiography (CR) and magnetic resonance imaging (MRI), in stabilized RA. Methods: cross-sectional study of RA patients with one to 10 years of disease. The participants were subjected to clinical evaluation with anti-CCP screening. Disease activity was assessed by means of the Clinical Disease Activity Index (CDAI) and functional capacity by means of the Health Assessment Questionnaire (HAQ). CR was analyzed by the Sharp van der Heijde index (SmvH) and MRI by the Rheumatoid Arthritis Magnetic Resonance Image Scoring System (RAMRIS). Results: 56 patients were evaluated, with median (IIq) of 55 (47.5–60.0) years, 50 (89.3%) were female among whom 37 (66.1%) were positive for anti-CCP. The median (IIq) of CDAI, HAQ, SmvH and RAMRIS were 14.75 (5.42–24.97), 1.06 (0.28–1.75), 2 (0–8) and 15 (7–35), respectively. There was no association between anti-CCP and CDAI, HAQ, SmvH and RAMRIS. Conclusion: our results did not establish the association of anti-CCP with the severity of the disease. So far, we cannot corroborate the anti-CCP as a prognostic tool in RA established.

Introduction: Stenoses in the path of arteriovenous fistulas (AVF) for hemodialysis are a very prevalent problem and there is long experience in their treatment by percutaneous angioplasty (PTA). These procedures, however, involve non-negligible equipment requirements, exposure to radiation and intravenous contrast that are not beneficial for the patient and make their performance more complex. This study reviews our initial experience with Doppler ultrasound-guided angioplasty. Methods: Prospective cohort of patients with native AVF dysfunction due to significant venous stenosis treated by Doppler echo-guided PTA. AVF puncture, lesion catheterization, balloon localization and inflation, and outcome verification were performed under ultrasound guidance. Only one fistulography was performed before and another one after dilatation. As a control, the cases performed during the same period by the usual angiographic method were also collected. Results: Between February 2015 and September 2018, 51 PTAs were performed on native AVF, of which 27 were echogenic (mean age, 65.3 years; 63% male). The technical success rate was 96%. In 26% of cases, PTA was repeated due to residual stenosis after angiographic imaging. There were 7.3% periprocedural complications. 92% of the AVFs were punctured at 24 hours. Primary patency at 1 month, 6 months and 1 year was 100%, 64.8% and 43.6%, and assisted patency was 100%, 87.2% and 74.8%. There were no significant differences in immediate or late results with respect to angiographically guided AVF angioplasty. Conclusions: AVF-PTA can be performed safely and effectively guided by Doppler ultrasound, which simplifies the logistics required for its performance, although we still need to improve the capacity for early verification of the result with this imaging technique.

Aiming at the problem of incompatibility of biomass models of forest organs, taking Chinese fir in Fujian Jiangle State-owned Forest Farm as the research object, based on selecting the optimal independent model of each organ, the biomass compatibility model of Chinese fir was established with a three-level joint control scheme. The results show that the compatibility equation system based on the whole plant biomass can effectively solve the problem of incompatibility in the whole plant biomass, each sub-biomass and between sub-biomass. Besides, except for the leaf biomass model, all other biomass models have good fitting effect, which is of great significance to the guidance of the analysis of local Chinese fir biomass.

Tropical dry forests are complex and fragile ecosystems with high anthropogenic intervention and restricted reproductive cycles. They harbor unique richness, structural, physiological and phenological diversity. This research was carried out in the upper Magdalena valley, in four forest fragments with different successional stages. In each fragment, four permanent plots of 0.25 ha were established and the light habitat associated with species richness, relative abundance and rarity was evaluated, as well as the forest dynamics that included mortality, recruitment and diameter growth for a period of 5.25 years. In mature riparian forest, species richness was found to be higher than that reported in other studies for similar areas in the Cauca Valley and the Atlantic coast. Values of species richness, heterogeneity and rarity are higher than those found in drier areas of Tolima. Forest structure, diversity and dynamics were correlated with light habitat, showing differences in canopy architecture and its role in the capture and absorption of radiation. The utilization rate of photosynthetic effective radiation in the forest underlayer with high canopy density is low, which is related to the low species richness, while the underlayer under light is more abundant and heterogeneous.

Plasma thermal gasification can be one of the most relevant and environmentally friendly technologies for waste treatment and has gained interest for its use in thethermos-conversion of biomass. In this perspective, the objective of this study is to evaluate the gasification of sugarcane bagasse by studying the effective areas of operation of this process and to establish a comparison with conventional autothermal gasification. A thermochemical equilibrium model was used to calculate the indicators that characterize the performance of the process on its own and integrated with a combined cycle. As a result, it was obtained that plasma and gasification of bagasse is technically feasible for the specific net electrical production of 4 MJ with 30 % electrical efficiency, producing a gas with higher calorific value than autothermal gasification. The operating points where the electrical energy production and the cold gas efficiency reach their highest values were determined; then the effects of the operational parameters on these performance indicators were analyzed.

Heat recovery is one of the measures proposed for the appropriate use of ammonia in tropical countries. This article analyzes a heat recovery system installed in an industrial refrigeration plant. Based on comparative readings of operating parameters of the installation, determined the effectiveness of the heat exchange, the increase in the efficiency of the refrigeration system, as well as the fuel saved by heating water in the industry. The results obtained reported that the thermal design based on heat exchange in annular spaces allows a significant saving of resources and a high rate of thermal utilization.