11 resultados para ANA grade

em Instituto Politécnico do Porto, Portugal


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Multiple-Choice items are used in many different kinds of tests in several areas of knowledge. They can be considered an interesting tool to the self-assessing or as an alternative or complementary instrument to the traditional methods for assessing knowledge. The objectivity and accuracy of the multiple-choice tests is an important reason to think about. They are especially useful when the number of students to evaluate is too large. Moodle (Modular Object-Oriented Dynamic Learning Environment) is an Open Source course management system centered around learners' needs and designed to support collaborative approaches to teaching and learning. Moodle offers to the users a rich interface, context-specific help buttons, and a wide variety of tools such as discussion forums, wikis, chat, surveys, quizzes, glossaries, journals, grade books and more, that allow them to learn and collaborate in a truly interactive space. Come together the interactivity of the Moodle platform and the objectivity of this kind of tests one can easily build manifold random tests. The proposal of this paper is to relate our journey in the construction of these tests and share our experience in the use of the Moodle platform to create, take advantage and improve the multiple-choices tests in the Mathematic area.

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Introdução: As teorias etiológicas recíprocas que relacionam as disfunções da articulação temporo mandibular (ATM) com as disfunções da coluna cervical, os seus critérios de diagnóstico e formas de tratamento, não reúnem consenso, constituindo, actualmente, uma temática de debate e investigação. Objectivo: Descrever a avaliação e intervenção em fisioterapia, e os seus resultados numa utente com disfunção do complexo crânio-cervico-mandibular. Métodos: Foi realizado um estudo observacional descritivo, do tipo estudo de caso, reportando-se a uma enfermeira, de 28 anos, com quadro sintomatológico compatível com disfunção crânio-cervico-mandibular, com antecedentes de condilectomia e artroplastia da ATM, aos 14 anos. Inicialmente a utente apresentava dor irradiada na região cervical (7/10) e limitação dos movimentos articulares da coluna cervical. Referia, também, dor na região do ptérion direito (6/10), limitação dos movimentos da mandíbula, desvio lateral na abertura da boca e dificuldades funcionais na mastigação. A avaliação inicial e final (após tratamento), foi efectuada recorrendo-se à utilização do Goniometro CROM e da Therabite Range of Motion Scale, para medição das amplitudes articulares da cervical e ATM, respectivamente; Estetoscópio, para avaliação dos sons articulares da ATM; Escala Visual Analógica para graduação da dor. A intervenção decorreu ao longo de 10 sessões, bissemanais. No tratamento, foram aplicadas técnicas sobre os trigers points da musculatura cervical e músculos da mastigação; Mobilização passiva da cervical e ATM; Manipulação dos segmentos vertebrais cervicais e torácicos; Streching e técnicas de energia muscular; Técnicas funcionais para a ATM; Técnicas miofasciais para a coluna cervical e ATM; Exercícios de controlo motor da coluna cervical. Resultados: No final do tratamento, as amplitudes dos movimentos cervicais estavam completas e sem dor (0/10), mantendo, sensibilidade dolorosa à palpação das espinhosas de C5-C6 (1/10). Relativamente à ATM, verifica-se a abolição da dor (0/10) e a ausência do desvio lateral da mandíbula na abertura da boca, bem como, o aumento das amplitudes de movimento na abertura da boca (33 para 36 mm), e no desvio lateral esquerdo (2 para 2,8 mm). Conclusão: os resultados sugerem que a intervenção, com recurso a técnicas de terapia manual, no caso em estudo, parecem surtir efeitos positivos no quadro sintomatológico e funcional da utente.

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High risk of recurrence/progression bladder tumours is treated with Bacillus Calmette-Guérin (BCG) immunotherapy after complete resection of the tumour. Approximately 75% of these tumours express the uncommon carbohydrate antigen sialyl-Tn (Tn), a surrogate biomarker of tumour aggressiveness. Such changes in the glycosylation of cell-surface proteins influence tumour microenvironment and immune responses that may modulate treatment outcome and the course of disease. The aim of this work is to determine the efficiency of BCG immunotherapy against tumours expressing sTn and sTn-related antigen sialyl-6-T (s6T). METHODS: In a retrospective design, 94 tumours from patients treated with BCG were screened for sTn and s6T expression. In vitro studies were conducted to determine the interaction of BCG with high-grade bladder cancer cell line overexpressing sTn. RESULTS: From the 94 cases evaluated, 36 had recurrence after BCG treatment (38.3%). Treatment outcome was influenced by age over 65 years (HR=2.668; (1.344-5.254); P=0.005), maintenance schedule (HR=0.480; (0.246-0.936); P=0.031) and multifocality (HR=2.065; (1.033-4.126); P=0.040). sTn or s6T expression was associated with BCG response (P=0.024; P<0.0001) and with increased recurrence-free survival (P=0.001). Multivariate analyses showed that sTn and/or s6T were independent predictive markers of recurrence after BCG immunotherapy (HR=0.296; (0.148-0.594); P=0.001). In vitro studies demonstrated higher adhesion and internalisation of the bacillus to cells expressing sTn, promoting cell death. CONCLUSION: s6T is described for the first time in bladder tumours. Our data strongly suggest that BCG immunotherapy is efficient against sTn- and s6T-positive tumours. Furthermore, sTn and s6T expression are independent predictive markers of BCG treatment response and may be useful in the identification of patients who could benefit more from this immunotherapy.

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In the standard Schumpeterian-growth models only follower firms invest in R&D activities and larger economies grow faster. Since these results are counterfactual, this paper reveals that leader firms often support R&D activities and economic growth can be independent of the market size. In particular, the maintenance of R&D leadership increases with: (i) the technological-knowledge gap between leader and followers, since a firm-specific learning effect of accumulated technological knowledge from past R&D is considered, (ii) the leaders’ strategies that delay the next successful R&D supported by some follower firm, (iii) the market size, and (iv) the up-grade of each innovation.

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The relation between the information/knowledge expression and the physical expression can be involved as one of items for an ambient intelligent computing [2],[3]. Moreover, because there are so many contexts around user/spaces during a user movement, all appplcation which are using AmI for users are based on the relation between user devices and environments. In these situations, it is possible that the AmI may output the wrong result from unreliable contexts by attackers. Recently, establishing a server have been utilizes, so finding secure contexts and make contexts of higher security level for save communication have been given importance. Attackers try to put their devices on the expected path of all users in order to obtain users informationillegally or they may try to broadcast their SPAMS to users. This paper is an extensionof [11] which studies the Security Grade Assignment Model (SGAM) to set Cyber-Society Organization (CSO).

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Histone variants seem to play a major role in gene expression regulation. In prostate cancer, H2A.Z and its acetylated form are implicated in oncogenes’ upregulation. SIRT1, which may act either as tumor suppressor or oncogene, reduces H2A.Z levels in cardiomyocytes, via proteasome-mediated degradation, and this mechanism might be impaired in prostate cancer cells due to sirtuin 1 downregulation. Thus, we aimed to characterize the mechanisms underlying H2A.Z and SIRT1 deregulation in prostate carcinogenesis and how they interact. We found that H2AFZ and SIRT1 were up- and downregulated, respectively, at transcript level in primary prostate cancer and high-grade prostatic intraepithelial neoplasia compared to normal prostatic tissues. Induced SIRT1 overexpression in prostate cancer cell lines resulted in almost complete absence of H2A.Z. Inhibition of mTOR had a modest effect on H2A.Z levels, but proteasome inhibition prevented the marked reduction of H2A.Z due to sirtuin 1 overexpression. Prostate cancer cells exposed to epigenetic modifying drugs trichostatin A, alone or combined with 5-aza-2’-deoxycytidine, increased H2AFZ transcript, although with a concomitant decrease in protein levels. Conversely, SIRT1 transcript and protein levels increased after exposure. ChIP revealed an increase of activation marks within the TSS region for both genes. Remarkably, inhibition of sirtuin 1 with nicotinamide, increased H2A.Z levels, whereas activation of sirtuin 1 by resveratrol led to an abrupt decrease in H2A.Z. Finally, protein-ligation assay showed that exposure to epigenetic modifying drugs fostered the interaction between sirtuin 1 and H2A.Z. We concluded that sirtuin 1 and H2A.Z deregulation in prostate cancer are reciprocally related. Epigenetic mechanisms, mostly histone post-translational modifications, are likely involved and impair sirtuin 1-mediated downregulation of H2A.Z via proteasome-mediated degradation. Epigenetic modifying drugs in conjunction with enzymatic modulators are able to restore the normal functions of sirtuin 1 and might constitute relevant tools for targeted therapy of prostate cancer patients

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Deregulated expression of histone deacetylases (HDACs) has been implicated in tumorigenesis. Herein, we investigated class I HDACs expression in bladder urothelial cell carcinoma (BUCC), its prognostic value and biological significance. Significantly increased transcript levels of all HDACs were found in BUCC compared to 20 normal mucosas, and these were higher in lower grade and stage tumors. Increased HDAC3 levels were associated with improved patient survival. SiRNA experiments showed decrease cell viability and motility, and increased apoptosis. We concluded that class I HDACs play an important role in bladder carcinogenesis through deregulation of proliferation, migration and apoptosis, constituting putative therapeutic targets

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Mestrado em Engenharia Geotécnica e Geoambiente

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O objetivo deste estudo é conhecer uma vertente específica do perfil informacional dos alunos que cresceram na era digital, ditos nativos digitais, na utilização que fazem da Internet. Assim, pretende-se aferir os critérios que aplicam na avaliação das fontes de informação disponíveis na web na vertente da credibilidade. A análise dos dados obtidos, resultantes da aplicação de 195 questionários a alunos do 8º ao 12º, é enquadrada e sustentada por revisão da literatura acerca do conceito de credibilidade da informação.

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Numa era de globalização, de desenvolvimento tecnológico exponencial e de consumismo exacerbado, a publicidade conquistou o quotidiano das sociedades modernas e seduziu, também, as nossas crianças. Subjacente ao paradigma de que o comportamento humano dá respostas favoráveis a estímulos adequados e apresentados com oportunidade e habilidade (Caetano et al., 2011), colocamos a hipótese de utilização didática de anúncios publicitários na aula de Inglês para o desenvolvimento de competências comunicativas. Este projeto assentou no aproveitamento do potencial que a publicidade oferece, tendo em conta, por um lado, a envolvência sedutora que a torna um meio privilegiado para captar a atenção e veicular informação e, por outro, a prevalência de palavras em Inglês que nela se observa. O estudo, de natureza qualitativa, é o resultado de uma investigação-ação, na qual adotamos uma metodologia baseada num modelo descritivo e interpretativo, através de métodos qualitativos de recolha de dados e análise de informação, que teve como participantes crianças do 4.º ano de escolaridade. Desenvolvemos questionários, como instrumentos de recolha de dados, aplicados a professores e alunos. Construímos, igualmente, guiões de atividades com sugestões de exploração da publicidade no ensino da língua. Comprovamos que a publicidade, aliada ao Inglês, pode ser um valioso recurso no desenvolvimento e aprendizagem das crianças, pois é um material autêntico, motivador, atrai a atenção, possibilita o contacto com situações reais, envolve linguagem verbal e não-verbal e permite a exploração de diferentes temas, o que contribui, certamente, para a compreensão intercultural, a mobilização de saberes e o desenvolvimento do espírito crítico.