69 resultados para 16:1(n-7) 16:1(n-5) 20:5(n-3)
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Introduction: The maxillary anterior teeth are the most important to facial esthetics because they are the first to show on a smile. Therefore, stability of the maxillary anterior teeth alignment is an important issue. The objective of this study was to compare the stability of maxillary anterior tooth alignment in Class I and Class II Division 1 malocclusions. Methods: The sample comprised dental casts of 70 patients with Class I and Class II Division 1 malocclusions and a minimum of 3 mm of maxillary anterior crowding measured by an irregularity index. The patients were treated with extractions and evaluated at pretreatment and posttreatment and at least 5 years after treatment. The sample was divided into 3 groups: group 1, Class I malocclusion treated with 4 first premolar extractions comprising 30 subjects, with an initial age of 13.16 years and 8.59 mm of initial maxillary irregularity; group 2, Class II malocclusion treated with 4 first premolar extractions comprising 20 subjects, with an initial age of 12.95 years and 11.10 mm of maxillary irregularity; and group 3, Class II malocclusion treated with 2 first maxillary premolar extractions comprising 20 subjects, with an initial age of 13.09 years and 9.68 mm of maxillary irregularity. Results: The decrease in the maxillary irregularity index was significantly greater in group 2 than in group 1 during treatment. The stability of maxillary anterior alignment was 88.12% over the long term; 77% of the linear displacement of the anatomic contact points tended to return to their original positions. Conclusions: Stability of maxillary anterior alignment between the 3 groups was similar. The stability of maxillary anterior alignment was high over the long term, but a high percentage of teeth tended to return to their original positions. (Am J Orthod Dentofacial Orthop 2011; 139: 768-74)
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OBJECTIVE: This study aimed to assess the survival and life quality evolution of patients subjected to surgical excision of oral and oropharyngeal squamous cell carcinoma. MATERIAL AND METHODS: Forty-seven patients treated at a Brazilian healthcare unit specialized in head and neck surgery between 2006 and 2007 were enrolled in the study. The gathering of data comprised reviewing hospital files and applying the University of Washington Quality of Life (UW-QOL) questionnaire previously and 1 year after the surgery. Comparative analysis used Poisson regression to assess factors associated with survival and a paired t-test to compare preoperative and 1-year postoperative QOL ratings. RESULTS: 1 year after surgery, 7 patients were not found (dropout of the cohort); 15 had died and 25 fulfilled the UW-QOL again. The risk of death was associated with having regional metastasis previously to surgery (relative risk=2.18; 95% confidence interval=1.09-5.17) and tumor size T3 or T4 (RR=2.30; 95%CI=1.05-5.04). Survivors presented significantly (p<0.05) poorer overall and domain-specific ratings of quality of life. Chewing presented the largest reduction: from 74.0 before surgery to 34.0 one year later. Anxiety was the only domain whose average rating increased (from 36.0 to 70.7). CONCLUSIONS: The prospective assessment of survival and quality of life may contribute to anticipate interventions aimed at reducing the incidence of functional limitations in patients with oral and oropharyngeal cancer.
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CONTEXT: Mothers recall early-onset constipation in children attending gastroenterology clinics. OBJECTIVES: To study the bowel habit of young children in the community to determine, first, whether early-onset constipation is confirmed in this setting and, second, the agreement between recalled and recorded bowel habit. METHODS:Defecation data of 57 children aged 6.0-40.7 mo were obtained by maternal recall (questionnaire on predominant stool characteristics) and by record (1,934 defecations registered prospectively at home and in the nursery). The bowel habit was classified according to stool frequency and proportion of stool characteristics (soft, hard and/or runny). Two criteria were used to classify recorded data, since the cutoff point for hard stools to identify constipation is undefined in children: predominant criterion and adult criterion, respectively with >50% and >25% of stools with altered consistency. Bowel habit categories were: adequate, constipation, functional diarrhea and "other bowel habit". Nonparametric statistics, and the Kappa index for agreement between recalled and recorded bowel habit, were used. RESULTS: Constipation occurred in 17.5%, 10.5%, 19.3% of the children by recall, the predominant and the adult criteria, respectively. Constipation was the main recalled alteration, vs 12.3% "other bowel habit". Only one child classified as having functional diarrhea (by the adult criterion). Agreement between recalled and recorded bowel habit was fair for constipation, by the predominant and the adult criteria (K = 0.28 and 0.24, respectively), but only slight (K <0.16) for other bowel habit categories. Individual data, however, pointed to a better relationship between recalled constipation and the adult rather than the predominant criterion. CONCLUSIONS: Frequent early-onset constipation was confirmed. Fair agreement between recalled and recorded constipation by the two used criteria indicates that recalled data are quite reliable to detect constipation.
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We report here on some aspects of the acetylation in LiCl/N,N-dimethylacetamide, DMAc, of untreated and mercerized sisal cellulose, hereafter designated as sisal and M-sisal, respectively. Fiber mercerization by NaOH solution has resulted in the following changes: 29.9% decrease in the index of crystallinity; 16.2% decrease in the degree of polymerization and 9.3% increase in α-cellulose content. A light scattering study of solutions of sisal, M-sisal, microcrystalline and cotton celluloses in LiCl/DMAc has shown that they are present as aggregates, with (an apparent) average aggregation numbers of 5.2, 3.2, 9.8, and 35.3, respectively. The presence of these aggregates affects the accessibility of cellulose during its functionalization. A study of the evolution of the degree of substitution, DS, of cellulose acetate as a function of reaction time showed an increase up to 5 h, followed by a decrease at 7 h. Possible reasons for this decrease are discussed. As expected, M-sisal gave a higher DS that its untreated counterpart.
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Five previously synthesized 4-trifluoromethyl-2-(5-aryl-3-styryl-1H-pyrazol-1yl)-pyrimidines and six 5-aryl-3-styryl-1-carboxamidino-1H-pyrazole derivatives were screened for their antioxidant proprieties. The antioxidant activities were evaluated by using the DPPH and the HRP/luminol/H2O2 chemiluminescence assay systems and for their antimicrobial activity (MIC). The results were good for those series in some concentration in comparison with the standards.
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OBJETIVO: Estimar valores de referncia e funo de hierarquia de docentes em Sade Coletiva do Brasil por meio de anlise da distribuio do ndice h. MTODOS: A partir do portal da Coordenao de Aperfeioamento de Pessoal de Nvel Superior, 934 docentes foram identificados em 2008, dos quais 819 foram analisados. O ndice h de cada docente foi obtido na Web of Science mediante algoritmos de busca com controle para homonmias e alternativas de grafia de nome. Para cada regio e para o Brasil como um todo ajustou-se funo densidade de probabilidade exponencial aos parmetros mdia e taxa de decrscimo por regio. Foram identificadas medidas de posio e, com o complemento da funo probabilidade acumulada, funo de hierarquia entre autores conforme o ndice h por regio. RESULTADOS: Dos docentes, 29,8% no tinham qualquer registro de citao (h = 0). A mdia de h para o Pas foi 3,1, com maior mdia na regio Sul (4,7). A mediana de h para o Pas foi 2,1, tambm com maior mediana na Sul (3,2). Para uma padronizao de populao de autores em cem, os primeiros colocados para o Pas devem ter h = 16; na estratificao por regio, a primeira posio demanda valores mais altos no Nordeste, Sudeste e Sul, sendo nesta ltima h = 24. CONCLUSES: Avaliados pelos ndices h da Web of Science, a maioria dos autores em Sade Coletiva no supera h = 5. H diferenas entres as regies, com melhor desempenho para a Sul e valores semelhantes entre Sudeste e Nordeste.
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OBJETIVO: Avaliar estado nutricional e risco cardiovascular de executivos. MTODOS: Estudo transversal. Foram avaliados 329 executivos de ambos os gneros, com idade entre 31 e 70 anos, submetidos a check-up de sade em hospital privado do municpio de So Paulo. Foram mensuradas as variveis referentes a peso, estatura e circunferncia da cintura (CC) e determinado o ndice de Massa Corporal (IMC). Foram analisados presso arterial, nveis sricos de colesterol total e fraes, triacilglicerol, glicose e cido rico. Prtica habitual de atividade fsica foi avaliada por meio do Questionrio Internacional de Atividade Fsica (IPAQ) e o risco cardiovascular pelo Escore de Framingham. A anlise de varincia e o mtodo de Bonferroni foram utilizados para o tratamento estatstico. RESULTADOS: Mdia de idade foi 44,6 anos (DP=6,8), predominando o gnero masculino (89,7%). Quanto ao estilo de vida, 17% eram tabagistas e 7,3% sedentrios. Os resultados mdios encontrados para os exames clnicos e bioqumicos foram: presso arterial 117,8 x 78,6 mmHg (DP=12 x 8,3), colesterol total 200,5 mg/dL (DP=35,9), LDL-c 121,8 mg/dL (DP=29,9), HDL-c 52,2 mg/dL (DP=10,9), triacilglicerol 133,7 mg/dL (DP=76,8), glicose 96,3 mg/dL (DP=20,5) e cido rico 6,0 e 4,2 mg/dL (DP=1,0 e 0,9) para homens e mulheres, respectivamente. O IMC mdio foi de excesso de peso (26,1kg/m; DP=6,8). A CC mdia estava normal entre as mulheres (79,6cm; DP=7,3) e indicou risco elevado para doenas crnicas entre os homens (96,1cm; DP=8,9). O Risco de Framingham mdio foi de 5,7%. CONCLUSO: Os executivos estavam com excesso de peso e apresentaram baixo risco cardiovascular.
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O feijo caupi uma das principais culturas alimentares do Nordeste brasileiro. Para melhorar sua resistncia contra pragas e produtividade, a nova cultivar (BRS-Milnio) foi obtida por melhoramento gentico. Este trabalho objetivou caracterizar o potencial nutricional desta variedade, determinando-se a composio centesimal, o perfil de aminocidos e cidos graxos, o contedo de minerais e a atividade inibitria de tripsina. A semente contm (g.100 g-1): 24,5 de protenas; 51,4 de carboidratos; 16,6 de fibra insolvel e 2,7 de fibra solvel; 2,6 de cinzas, tendo como principais minerais (mg.100 g-1): ferro - 6,8; zinco - 4,1; mangans - 1,5; fsforo - 510,0 e potssio - 1430,0. O teor de lipdios foi de 2,2%, e seu perfil de cidos graxos apresenta 29,4% de saturados e 70,7% de insaturados. Foi estimado valor calrico de 323,4 kcal.100 g-1 de semente. Encontrou-se baixa atividade inibitria de tripsina (8,0 UIT.mg-1 de amostra). O perfil de aminocidos foi favorvel ao padro de referncia, exceto pela deficincia de sulfurados, sugerindo a necessidade da combinao desta leguminosa com outras fontes alimentares. Os resultados indicam que o feijo caupi possui atributos desejveis como altos teores de energia, protenas, fibras e minerais, baixa atividade inibitria de tripsina e, apesar de reduzido contedo lipdico, contm alta proporo de cidos graxos insaturados.
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Realizou-se um estudo para caracterizar a situao epidemiolgica da brucelose bovina no Estado de Sergipe. O Estado foi estratificado em dois circuitos produtores. Em cada circuito produtor foram amostradas aleatoriamente cerca de 300 propriedades e, dentro dessas foi escolhido de forma aleatria um nmero pr-estabelecido de animais, dos quais foi obtida uma amostra de sangue. No total foram amostrados 4.757 animais, provenientes de 590 propriedades. Em cada propriedade amostrada foi aplicado um questionrio epidemiolgico para verificar o tipo de explorao da propriedade e as prticas zootcnicas e sanitrias que poderiam estar associadas ao risco de infeco pela doena. O protocolo de testes utilizado foi o da triagem com o teste do antgeno acidificado tamponado e a confirmao dos positivos com o teste do 2-mercaptoetanol. O rebanho foi considerado positivo, se pelo menos um animal foi reagente s duas provas sorolgicas. A prevalncia de focos e a de animais foram: 12,6% [9,2-16,0%] e 3,4% [2,3-4,4%], respectivamente. As prevalncias de focos e de animais infectados para os circuitos pecurios foram: circuito 1, 11,1% [7,9-15,0%] e 2,6% [1,6-3,5%]; circuito 2, 12,9% [9,1-17,6%] e 6,2% [3,0-9,5%]. Os fatores de risco (odds ratio, OR) associados condio de foco foram: assistncia veterinria (OR= 2,89 [1,15-7,23]), tamanho do rebanho ≥30 fmeas adultas (OR= 1,88 [1,07-3,28]) e uso de inseminao artificial (OR= 1,92 [0,84-4,38]).
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Realizou-se um estudo para caracterizar a situao epidemiolgica da brucelose no Estado de Gois. O Estado foi estratificado em trs circuitos produtores. Em cada circuito foram amostradas aleatoriamente 300 propriedades e, dentro dessas, foi escolhido de forma aleatria um nmero pr-estabelecido de animais, dos quais foi obtida uma amostra de sangue. No total, foram amostrados 10.744 animais, provenientes de 900 propriedades. Em cada propriedade visitada aplicou-se um questionrio epidemiolgico para verificar o tipo de explorao e as prticas de criao e sanitrias que poderiam estar associadas ao risco de infeco pela doena. O protocolo de testes utilizado foi o da triagem com o teste do antgeno acidificado tamponado e a confirmao dos positivos com o teste do 2-mercaptoetanol. O rebanho foi considerado positivo quando pelo menos um animal foi reagente s duas provas sorolgicas. No estrato 1, a prevalncia foi de 7,7% [4,7-10,7%] para propriedades, e de 1,4% [0,99-1,7%] para animais. No estrato 2, foi de 19,5% [15,0-24,0%] para propriedades e de 2,6% [2,0-3,1%] para animais. No estrato 3, foi de 21,4% [16,7-26,1] para propriedades e 4,3% [3,7-5,0%] para animais. A prevalncia obtida para o Estado foi de 17,5% [14,9-20,2%] para propriedades e de 3,0% [2,7-3,3%] para animais. Os fatores de risco (odds ratio, OR) associados condio de foco, segundo a anlise multivariada, foram: compra de reprodutores a comerciantes de gado (OR = 2,06 [1,12-3,52]), ocorrncia de abortos nos ltimos 12 meses (OR = 5,83 [3,86-8,8]) e prtica de vacinao contra brucelose (OR = 2,07 [1,38-3,09]). Tanto a ocorrncia de aborto quanto a vacinao so, neste caso, consequncia da presena de brucelose no rebanho.
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Lung hyperinflation up to vital capacity is used to re-expand collapsed lung areas and to improve gas exchange during general anesthesia. However, it may induce inflammation in normal lungs. The objective of this study was to evaluate the effects of a lung hyperinflation maneuver (LHM) on plasma cytokine release in 10 healthy subjects (age: 26.1 1.2 years, BMI: 23.8 3.6 kg/m). LHM was performed applying continuous positive airway pressure (CPAP) with a face mask, increased by 3-cmH2O steps up to 20 cmH2O every 5 breaths. At CPAP 20 cmH2O, an inspiratory pressure of 20 cmH2O above CPAP was applied, reaching an airway pressure of 40 cmH2O for 10 breaths. CPAP was then decreased stepwise. Blood samples were collected before and 2 and 12 h after LHM. TNF-α, IL-1β, IL-6, IL-8, IL-10, and IL-12 were measured by flow cytometry. Lung hyperinflation significantly increased (P < 0.05) all measured cytokines (TNF-α: 1.2 3.8 vs 6.4 8.6 pg/mL; IL-1β: 4.9 15.6 vs 22.4 28.4 pg/mL; IL-6: 1.4 3.3 vs 6.5 5.6 pg/mL; IL-8: 13.2 8.8 vs 33.4 26.4 pg/mL; IL-10: 3.3 3.3 vs 7.7 6.5 pg/mL, and IL-12: 3.1 7.9 vs 9 11.4 pg/mL), which returned to basal levels 12 h later. A significant correlation was found between changes in pro- (IL-6) and anti-inflammatory (IL-10) cytokines (r = 0.89, P = 0.004). LHM-induced lung stretching was associated with an early inflammatory response in healthy spontaneously breathing subjects.
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FUNDAMENTO: As troponinas cardacas so marcadores altamente sensveis e especficos de leso miocrdica. Esses marcadores foram detectados na insuficincia cardaca (IC) e esto associadas com mau prognstico. OBJETIVO: Avaliar a relao da troponina T (cTnT) e suas faixas de valores com o prognstico na IC descompensada. MTODOS: Estudaram-se 70 pacientes com piora da IC crnica que necessitaram de hospitalizao. Na admisso, o modelo de Cox foi utilizado para avaliar as variveis capazes de predizer o desfecho composto por morte ou re-hospitalizao em razo de piora da IC durante um ano. RESULTADOS: Durante o seguimento, ocorreram 44 mortes, 36 re-hospitalizaes por IC e 56 desfechos compostos. Na anlise multivariada, os preditores de eventos clnicos foram: cTnT (cTnT > 0,100 ng/ml; hazard ratio (HR) 3,95 intervalo de confiana (IC) 95%: 1,64-9,49, p = 0,002), dimetro diastlico final do ventrculo esquerdo (DDVE >70 mm; HR 1,92, IC95%: 1,06-3,47, p = 0,031) e sdio srico (Na <135 mEq/l; HR 1,79, IC95%: 1,02-3,15, p = 0,044). Para avaliar a relao entre a elevao da cTnT e o prognstico na IC descompensada, os pacientes foram estratificados em trs grupos: cTnT-baixo (cTnT < 0,020 ng/ml, n = 22), cTnT-intermedirio (cTnT > 0,020 e < 0,100 ng/ml, n = 36) e cTnT-alto (cTnT > 0,100 ng/ml, n = 12). As probabilidades de sobrevida e sobrevida livre de eventos foram: 54,2%, 31,5%, 16,7% (p = 0,020), e 36,4%, 11,5%, 8,3% (p = 0,005), respectivamente. CONCLUSO: A elevao da cTnT est associada com mau prognstico na IC descompensada, e o grau dessa elevao pode facilitar a estratificao de risco
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OBJETIVO: Avaliar a associao entre eventos de vida produtores de estresse (EVPE) e queixas de insnia (QI). MTODOS: Foram analisados dados seccionais de 695 auxiliares de enfermagem de um hospital universitrio, participantes do Estudo Pr-Sade - coorte de funcionrios de uma universidade no Rio de Janeiro. As informaes foram obtidas atravs de um questionrio multidimensional e autopreenchido, que avaliou a ocorrncia de EVPE nos ltimos 12 meses, variveis socioeconmicas e demogrficas e QI. As QI foram analisadas como desfecho politmico (frequente, ocasional, e ausente). Odds ratios brutos e ajustados foram calculados atravs de regresso logstica multinomial. RESULTADOS: A prevalncia total de QI foi de 45,8% (16,7% frequentes e 29,1% ocasionais). Aps ajuste por sexo, idade, estado civil, renda familiar per capita e regime de trabalho, os EVPE associados com QI frequentes foram: "rompimento de relao amorosa" (OR = 3,32; IC95% 1,90 - 5,78), "ter tido problemas graves de sade" (OR = 2,82; IC95% 1,73 - 4,58); "dificuldades financeiras graves" (OR = 2,38; IC95% 1,46 - 3,88), e "mudana forada de moradia" (OR = 1,97; IC95% 1,02 - 3,79). Com relao s QI ocasionais, houve associao apenas com rompimento de relao amorosa (OR = 2,30; IC95% 1,42 - 3,74) e dificuldades financeiras graves (OR = 1,87; IC95% 1,27 - 2,75). CONCLUSES: Dada a responsabilidade com vidas humanas que os auxiliares de enfermagem assumem durante seu horrio de trabalho, nossos achados podem contribuir para aes mais efetivas, por parte dos servios de sade ao trabalhador, para lidar com o estresse nessa categoria
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We report the synthesis and total NMR characterization of 5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylic acid-3-[[[(4''-nitrophenoxy)carbonyl]oxy]-methyl]-8-oxo-7[(2-thienyloxoacetyl)amino]-diphenylmethyl ester-5-dioxide (5), a new cephalosporin derivative. This compound can be used as the carrier of a wide range of drugs containing an amino group. The preparation of the intermediate product, 5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylic acid-3-[methyl-4-(6-methoxyquinolin-8-ylamino) pentylcarbamate]-8-oxo-7-[(2-thienyloxoacetyl)amino]-diphenylmethyl ester-5-dioxide (6), as well as the synthesis of the antimalarial primaquine prodrug 5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylic acid-3-[methyl-4-(6-methoxyquinolin-8-ylamino) pentylcarbamate]-8-oxo-7-[(2-thienyloxoacetyl)amino]-5-dioxide (7) are also described, together with their total H-1- and C-13-NMR assignments.
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Melanoma is a highly aggressive and therapy resistant tumor for which the identification of specific markers and therapeutic targets is highly desirable. We describe here the development and use of a bioinformatic pipeline tool, made publicly available under the name of EST2TSE, for the in silico detection of candidate genes with tissue-specific expression. Using this tool we mined the human EST (Expressed Sequence Tag) database for sequences derived exclusively from melanoma. We found 29 UniGene clusters of multiple ESTs with the potential to predict novel genes with melanoma-specific expression. Using a diverse panel of human tissues and cell lines, we validated the expression of a subset of three previously uncharacterized genes (clusters Hs.295012, Hs.518391, and Hs.559350) to be highly restricted to melanoma/melanocytes and named them RMEL1, 2 and 3, respectively. Expression analysis in nevi, primary melanomas, and metastatic melanomas revealed RMEL1 as a novel melanocytic lineage-specific gene up-regulated during melanoma development. RMEL2 expression was restricted to melanoma tissues and glioblastoma. RMEL3 showed strong up-regulation in nevi and was lost in metastatic tumors. Interestingly, we found correlations of RMEL2 and RMEL3 expression with improved patient outcome, suggesting tumor and/or metastasis suppressor functions for these genes. The three genes are composed of multiple exons and map to 2q12.2, 1q25.3, and 5q11.2, respectively. They are well conserved throughout primates, but not other genomes, and were predicted as having no coding potential, although primate-conserved and human-specific short ORFs could be found. Hairpin RNA secondary structures were also predicted. Concluding, this work offers new melanoma-specific genes for future validation as prognostic markers or as targets for the development of therapeutic strategies to treat melanoma.