The diploma thesis deals with the design of a direct drive tool turret, which serves as a tool magazine for a CNC lathe. In the introductory part of the work, a research was performed in the field of automatic tool change with a focus on tool turrets and their main structural units. The introductory research is followed by the main part of the work, which begins with the selection of appropriate design solutions, followed by a presentation of the tool turret design created in CAD software Autodesk Inventor 2021 and in the final part of thesis the key elements of the proposed design are verified by calculations.

Introdução: Métodos quantitativos sensíveis e acurados para monitorar o quimerismo hematopoiético após Transplante de Células-Tronco Hematopoiéticas (TCTH) são necessários para verificar o sucesso do enxerto, uma vez que os resultados influenciam a abordagem terapêutica. Método: A técnica de detecção de DNA baseada em primers inserção-específicos de marcadores genéticos do tipo InDel (Inserção/Deleção) foi avaliada quanto a sua utilidade em quantificar quimerismo em amostras de DNA em baixa concentração, em PCR em Tempo Real (qPCR). Para isso, amostras de DNA de dez pacientes submetidos a Transplante de Medula Óssea (TMO) foram analisados para quantificar a concentração de DNA residual em diferentes períodos pós-transplante. Os resultados obtidos pela InDelqPCR foram comparados com a evolução clínica descrita nos prontuários. Resultados: As quantificações do DNA residual variaram de 0,021 ng/µL a 11,71 ng/µL, correspondendo a fração de 0,065% a 40,6% do DNA total presente na amostra. Os resultados obtidos (presença ou ausência do alelo inserção) foram condizentes com a evolução clínica dos pacientes, em alguns casos, evidenciando quimerismo prévio ao relatado nos prontuários. Conclusão: Nossos dados demonstram a utilidade do método InDel-qPCR, baseada em primers inserçãoespecíficos, no monitoramento de quimerismo hematopoiético. / Introduction: Sensitive and accurate quantitative methods to monitor hematopoietic chimerism after Hematopoietic Stem Cell Transplantation (HSCT) are necessary to evaluate engraftment since the results influence a therapeutic approach. Method: DNA detection technique based on insert-specific primers for Insertion/Deletion polymorphism (InDel) was evaluated for chimerism quantification of samples with low amounts of DNA, by quantitative real-time polymerase chain reaction (qPCR). Samples of patients undergoing Bone Marrow Transplantation (BMT) collected at different post-transplantation times were analyzed to quantify the residual DNA concentration. Then, the results found using InDel-qPCR were compared to the medical records. Results: DNA quantifications ranged from 0.021 ng/?L to 11.71 ng/?L, corresponding to a fraction of 0.065% to 40.6% of the total DNA. Our results, in some cases, shows chimerism presence previously to that reported in the medical records. Conclusion: Our data demonstrate the usefulness of the InDelqPCR method based on insertion-specific primers in the monitoring of hematopoietic chimerism.

Class of 2004 Abstract / Objective: To develop and populate a decision-analytic model comparing the cost and efficacy of imatinib versus allogenic bone marrow transplantation (BMT) with a matched unrelated donor in the treatment of newly-diagnosed, Philadelphia positive (Ph (+)), chronic phase, chronic myelogenous leukemia (CML). Design: Markov cohort analysis and Monte Carlo microsimulation. Measurements and Main Results: Direct medical costs were measured from the perspective of a third-party payer. Efficacy data and probabilities were obtained from survivability findings emanating primarily from randomized controlled trials (RCTs). A two-year time horizon was employed with three month treatment cycles. BMT was established as the baseline comparator and the base case was defined as a 35 year old, Ph(+) male patient with newly-diagnosed CML. Results from the Monte Carlo trial found that the incremental cost-efficacy ratio was −$5,000 for imatinib (95th % Confidence Interval: −$70,000, $84,000). Analysis of the cost-efficacy plane indicated that imatinib dominated BMT in 84.69 percent of cases, while BMT was dominant in 0.76 percent of cases. Sensitivity analyses of costs and discount rates found results to be robust. Conclusion: Imatinib was observed in a majority of cases to be both less costly and more efficacious relative to BMT in the treatment of CML, suggesting that this pharmaceutical agent is a dominant therapeutic strategy. When available, the incorporation of long-term clinical data are required to assess cost-efficacy beyond the two-year time horizon of this study.

Diploma thesis solve a block of houses in neighbourhood town avenue Cejl and city heat station in the area of the firm BMT Technology which is partially unused. The project attempt to bring necessary missing urbanity in the area. It means safety, communication and representation urban environment. With the aid of the mass and its use the private and public spaces and its are explicitly defined.

O transplante de células tronco hematopoéticas(TCTH) consiste na infusão intravenosa de células tronco hematopoéticas, destinadas a restabelecer a função medular e imune em pacientes com uma série de doenças malignas e não malignas, herdadas ou adquiridas, sendo considerado um procedimento de alta complexidade, alto custo financeiro e alta morbi-mortalidade . O sucesso do TCTH resultou em um grande número de pacientes sobreviventes livres de doença, trazendo como grande questão colocada pelos candidatos a essa terapêutica como será sua qualidade de vida após o procedimento. O objetivo desse estudo longitudinal consistiu em avaliar a qualidade de vida relacionada à saúde (QVRS) de pacientes submetidos ao TCTH autólogo e alogênico em três momentos distintos: no pré, após 30 e 180 dias pós TCTH e correlacionar com dados clínicos e sócio-demográficos. Para a coleta de dados foram utilizados dois questionários: o primeiro para obtenção de dados clínicos e sócio-demográficos, e o segundo uma escala específica traduzida e validada para o português o Functional Assessment Cancer Therapy (FACT-BMT). A amostra inicial foi constituída por 30 pacientes, 26 avaliados nos três momentos. O conjunto de resultados permitiu visualizar um impacto positivo da QVRS em pacientes com neoplasias e doenças hematológicas submetidos ao TCTH, ao final dos seis meses pós TCTH, apesar de algumas funções se apresentarem mais prejudicadas como a função física, funcional e preocupações adicionais com 30 dias pós TCTH, houve melhora nos escores do FACT-BMT em todos os componentes quando comparado ao do pré TCTH, especialmente nos aspectos físicos, emocionais e relacionamento com o médico.Conhecer essas implicações auxiliam a equipe interdisciplinar e o paciente na decisão de submeter-se a esse procedimento e auxiliam no planejamento de uma assistência que visa a melhora da QVRS desses pacientes. / The Hematopoietic Stem Cells Transplantation (HSCT) consists of infusing stem cells intravenously, aiming to reestablish the spinal cord and immune functions in patients with a series of, inherent or acquired, malignant and nonmalignant diseases. It is considered a highly complex procedure, with high financial costs and morbidity and mortality. The HSCT success resulted in a large number of patients who survived and were healed, which in turn lead potential candidates to question how good quality of life can be after the procedure. This study evaluates the Health- Related Quality of Life (HRQoL) of patients submitted to the autologous and allogenic HSCT in three different points in time: before, 30 and 180 days after the HSCT and correlated clinical and socio-demographic data. Two questionnaires were used for data collection: the first addressed clinical and socio-demographic data and the second was the Functional Assessment Cancer Therapy (FACT-BMT) translated and validated to Portuguese. The initial sample was composed of 30 patients; 26 were evaluated in the three points. The set of results indicated a positive impact on HRQoL in patients with neoplasias and hematologic diseases six months after the HSCT. Despite the fact there were additional concerns and some functions, such as physical and functional, were affected 30 days after the HSCT, the FACT-BMT scores improved in all components reaching levels above those pre HSCT, especially in physical and emotional aspects and relationship with the physician. Knowledge concerning these implications helps patients to decide whether to submit to the procedure and the interdisciplinary team to plan care with a view to improve the HRQoL of these patients.

O transplante de células tronco hematopoéticas(TCTH) consiste na infusão intravenosa de células tronco hematopoéticas, destinadas a restabelecer a função medular e imune em pacientes com uma série de doenças malignas e não malignas, herdadas ou adquiridas, sendo considerado um procedimento de alta complexidade, alto custo financeiro e alta morbi-mortalidade . O sucesso do TCTH resultou em um grande número de pacientes sobreviventes livres de doença, trazendo como grande questão colocada pelos candidatos a essa terapêutica como será sua qualidade de vida após o procedimento. O objetivo desse estudo longitudinal consistiu em avaliar a qualidade de vida relacionada à saúde (QVRS) de pacientes submetidos ao TCTH autólogo e alogênico em três momentos distintos: no pré, após 30 e 180 dias pós TCTH e correlacionar com dados clínicos e sócio-demográficos. Para a coleta de dados foram utilizados dois questionários: o primeiro para obtenção de dados clínicos e sócio-demográficos, e o segundo uma escala específica traduzida e validada para o português o Functional Assessment Cancer Therapy (FACT-BMT). A amostra inicial foi constituída por 30 pacientes, 26 avaliados nos três momentos. O conjunto de resultados permitiu visualizar um impacto positivo da QVRS em pacientes com neoplasias e doenças hematológicas submetidos ao TCTH, ao final dos seis meses pós TCTH, apesar de algumas funções se apresentarem mais prejudicadas como a função física, funcional e preocupações adicionais com 30 dias pós TCTH, houve melhora nos escores do FACT-BMT em todos os componentes quando comparado ao do pré TCTH, especialmente nos aspectos físicos, emocionais e relacionamento com o médico.Conhecer essas implicações auxiliam a equipe interdisciplinar e o paciente na decisão de submeter-se a esse procedimento e auxiliam no planejamento de uma assistência que visa a melhora da QVRS desses pacientes. / The Hematopoietic Stem Cells Transplantation (HSCT) consists of infusing stem cells intravenously, aiming to reestablish the spinal cord and immune functions in patients with a series of, inherent or acquired, malignant and nonmalignant diseases. It is considered a highly complex procedure, with high financial costs and morbidity and mortality. The HSCT success resulted in a large number of patients who survived and were healed, which in turn lead potential candidates to question how good quality of life can be after the procedure. This study evaluates the Health- Related Quality of Life (HRQoL) of patients submitted to the autologous and allogenic HSCT in three different points in time: before, 30 and 180 days after the HSCT and correlated clinical and socio-demographic data. Two questionnaires were used for data collection: the first addressed clinical and socio-demographic data and the second was the Functional Assessment Cancer Therapy (FACT-BMT) translated and validated to Portuguese. The initial sample was composed of 30 patients; 26 were evaluated in the three points. The set of results indicated a positive impact on HRQoL in patients with neoplasias and hematologic diseases six months after the HSCT. Despite the fact there were additional concerns and some functions, such as physical and functional, were affected 30 days after the HSCT, the FACT-BMT scores improved in all components reaching levels above those pre HSCT, especially in physical and emotional aspects and relationship with the physician. Knowledge concerning these implications helps patients to decide whether to submit to the procedure and the interdisciplinary team to plan care with a view to improve the HRQoL of these patients.

Through changes in the code of statutes, SOSFS 2009:27 (M), opioid addicts are excluded since March 1 2010 from possibilities to be accepted for substitution treatment. Opiate addicts are solitary admitted for substitution treatment from that date. Opioid addicts are excluded admission for treatment regardless of the fact that they fulfil the ICD-10 diagnosis F.11.2, i.e. opioid/opiate addictive criteria. The alteration in the statutes was carried out in reference to the fact that evidence for this kind of treatment intended for opioid addicts was missing. Both groups i.e. opiate – and opioid addicts, are nevertheless experienced in clinical work , to have extensive problems with addiction, health, social situation along with the risk of premature death.     The purpose with this study is to identify what differences and/or similarities there are in background varieties and the severity of the problems  between the groups. This is conducted with the use of a population (n=127) with comparable background material, e.g. collected Addictions Severe Index- interviews, scientifically survey and compare background factors and the severity of the problems.      The main discovery in this study is that one can demonstrate great similarities between the groups regarding background as well as the severity of the problems. It is therefore of great interest, on a individual as well as a social oriented level, that pursued studies regarding diagnostic safety and on processes in substitution program are needed to generate further knowledge as a foundation for development of future care and changes in the code of statutes.

A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. / Bone marrow transplants (BMT, also hematopoietic stem cell transplants or HSCT/SCT) are one of the greatest medical achievements of the 20th century. They offer a treatment for a host of malignant and nonmalignant hematopoietic disorders, genetic diseases and solid tumors that could otherwise be fatal. Studies have found that 60% of patients undergoing BMT develop pulmonary complications (PC), and 1/3 of those require intensive care after transplantation. Despite the potential pneumotoxicity of induction agents, to date there have been no longitudinal studies following pulmonary function in this high‐risk patient population. This study reviewed patient who underwent autogeneic bone marrow transplant for multiple myeloma at Banner University Medical Center – Tucson (formerly University of Arizona Health Network) from January 1, 2003 through December 31, 2013. Pretransplant evaluatin and pulmonary function testing data were obtained and stratified between high dose (standard) Melphalan (200 mg/ms2) and reduced dose (140 mg/ms2). Statistically significant differences were present between the 2 groups at baseline for DLCO but disappeared at 6 and 12‐month followup, while a statistically significant difference for FEV1/FVC ratio was seen at baseline and 6 months but disappeared at 12‐month follow‐up. There were no statistically significant differences seen with FEV1 between the two groups. Given there is no difference in mortality and relapse outcomes between the groups, the standard of care dosing for Melphalan is not associated with an increase in pulmonary morbidity.

This research investigates how Islam is informing capitalism in Indonesia through an analysis of the Baitul Maal wat Tamwil (BMT) model of Islamic microfinance and how it operates as a local variant of the global phenomenon of microfinance. Using an ethnographic case study of BMT Solo, in Colomadu, Surakarta, Indonesia, this thesis examines the relationship value between Indonesia’s historical religious tensions and the influence of this form and practice of Islamic microfinance in Indonesia. This is a qualitative study for which original data was collected through field work conducted from August to November 2013. Qualitative methods and narratives were employed to ensure that the voices and stories of the participants, as they see the issues from their perspective, are heard. Field observations, event analysis and data from 14 semi-structured interviews reveal that: while global conventional microfinance aims to eradicate poverty by providing the poor with access to credit, BMT Solo does not issue loans to the poor but rather works to combat poverty through the baitul maal function. As the data demonstrate, the way in which BMT Solo administers their baitul maal function results in the exclusion of the poor non-Muslim community in Colomadu reinforcing already delicate religious tensions between Muslims and non-Muslims in Indonesia. The data also elucidate the three main reasons for which founders, managers, staff and customers became involved with BMT Solo. One pattern that can be identified from the analysis, is that generally, with a few exceptions, founders and managers were motivated by reasons of faith while staff primarily by reasons of accessibility and customers by both reasons of accessibility and diplomacy. Diplomatic reasoning refers to community diplomacy and the elements of social pressure and conformity which are often associated with maintaining peaceful and harmonious relations. The reasons of diplomacy bring new insights into how the few non-Muslim BMT Solo customers are using Islamic microfinance to diplomatically co-exist in a majority Muslim community and to manage delicate religious tensions to mitigate potential difficulties. / Graduate / 0318 / mlholden@uvic.ca

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