37 resultados para lapse and extension of caveats
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Objectives:The aim of this in vitro study was to assess the inter- and intra-examiner reproducibility and the accuracy of the International Caries Detection and Assessment System-II (ICDAS-II) in detecting occlusal caries.Methods:One hundred and sixty-three molars were independently assessed twice by two experienced dentists using the 0- to 6-graded ICDAS-II. The teeth were histologically prepared and classified using two different histological systems [Ekstrand et al. (1997) Caries Research vol. 31, pp. 224-231; Lussi et al. (1999) Caries Research vol. 33, pp. 261-266] and assessed for caries extension. Sensitivity, specificity, accuracy and area under the ROC curve (A(z)) were obtained at D(2) and D(3) thresholds. Unweighted kappa coefficient was used to assess inter- and intra-examiner reproducibility.Results:For the Ekstrand et al. histological classification the sensitivity was 0.99 and 1.00, specificity 1.00 and 0.69 and accuracy 0.99 and 0.76 at D(2) and D(3), respectively. For the Lussi et al. histological classification the sensitivity was 0.91 and 0.75, specificity 0.47 and 0.62 and accuracy 0.86 and 0.68 at D(2) and D(3), respectively. The A(z) varied from 0.54 to 0.73. The inter- and intra-examiner kappa values were 0.51 and 0.58, respectively.Conclusions:ICDAS-II presented good reproducibility and accuracy in detecting occlusal caries, especially caries lesions in the outer half of the enamel.
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The aim of this in vitro study was to assess the influence of varying examiner's clinical experience on the reproducibility and accuracy of radiographic examination for occlusal caries detection. Standardized bitewing radiographs were obtained from 166 permanent molars. Radiographic examination was performed by final-year dental students from two universities (A, n=5; B, n=5) and by dentists with 5 to 7 years of experience who work in two different countries (C, n=5; D, n=5). All examinations were repeated after 1-week interval. The teeth were histologically prepared and assessed for caries extension. For intraexaminer reproducibility, the unweighted kappa values were: A (0.11-0.40), B (0.12-0.33), C (0.47-0.58), and D (0.42-0.71). Interexaminer reproducibility statistics were computed based on means +/- SD of unweighted kappa values: A (0.07 +/- 0.05), B (0.12 +/- 0.09), C (0.24 +/- 0.08), and D (0.33 +/- 0.10). Sensitivity, specificity, and accuracy were calculated at D(1) and D(3) thresholds and compared by performing McNemar test (p=0.05). D(1) sensitivity ranged between 0.29 and 0.75 and specificity between 0.24 and 0.85. D(3) specificity was moderate to high (between 0.62 and 0.95) for all groups, with statistically significant difference between the dentists groups (C and D). Sensitivity was low to moderate (between 0.21 and 0.57) with statistically significant difference for groups B and D. Accuracy was similar for all groups (0.55). Spearman's correlations were: A (0.12), B (0.24), C (0.30), and D (0.38). In conclusion, the reproducibility of radiographic examination was influenced by the examiner's clinical experience, training, and dental education as well as the accuracy in detecting occlusal caries.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Protein C activation initiated by the thrombin-thrombomodulin complex forms the major physiological anticoagulant pathway. Agkistrodon contortrix contortrix protein C activator, a glycosylated single-chain serine proteinase, activates protein C without relying on thrombomodulin. The crystal structures of native and inhibited Agkistrodon contortrix contortrix protein C activator determined at 1.65 and 1.54 angstrom resolutions, respectively, indicate the pivotal roles played by the positively charged belt and the strategic positioning of the three carbohydrate moieties surrounding the catalytic site in protein C recognition, binding, and activation. Structural changes in the benzamidine-inhibited enzyme suggest a probable function in allosteric regulation for the anion-binding site located in the C-terminal extension, which is fully conserved in snake venom serine proteinases, that preferentially binds Cl1- instead of SO42-.
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Let p be a prime, and let zeta(p) be a primitive p-th root of unity. The lattices in Craig's family are (p - 1)-dimensional and are geometrical representations of the integral Z[zeta(p)]-ideals < 1 - zeta(p)>(i), where i is a positive integer. This lattice construction technique is a powerful one. Indeed, in dimensions p - 1 where 149 <= p <= 3001, Craig's lattices are the densest packings known. Motivated by this, we construct (p - 1)(q - 1)-dimensional lattices from the integral Z[zeta(pq)]-ideals < 1 - zeta(p)>(i) < 1 - zeta(q)>(j), where p and q are distinct primes and i and fare positive integers. In terms of sphere-packing density, the new lattices and those in Craig's family have the same asymptotic behavior. In conclusion, Craig's family is greatly extended while preserving its sphere-packing properties.
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Há uma grande lacuna no conhecimento da biologia e corologia de Nyctinomops aurispinosus. Nesta comunicação, nós apresentamos o registro mais austral deste molossídeo, realizado na cidade de Curitiba (25° 25' S e 49° 15' W, 920 m), estado do Paraná, Brasil, e sumarizamos a distribuição geográfica conhecida para a espécie na América do Sul.
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We show that the extension of the approximate custodial SU(2)(L+R) global symmetry to all the Yukawa interactions of the standard model Lagrangian implies the introduction of sterile right-handed neutrinos and the seesaw mechanism in this sector. In this framework, the observed quark and lepton masses may be interpreted as an effect of physics beyond the standard model. The mechanism used for breaking this symmetry in the Yukawa sector could be different from the one at work in the vector boson sector. We give three model independent examples of these mechanisms.
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We introduce and discuss the method of linear delta expansion for the calculation of effective potentials in superspace, by adopting the improved version of the super-Feynman rules. Calculations are carried out up to two loops and an expression for the optimized Kahler potential in the Wess-Zumino model is worked out.
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A área da Bacia do Marajó apresenta feições geológicas e geomorfológicas devidas principamente à distensão Mesozóica e à neotectônica pós-miocênica. O evento de distensão, com fases do Cretáceo Inferior e Superior, originou quatro sub-bacias que contituem a Bacia do Marajó, com uma espessa seqüência clástica continental mostrando influência marinha. Falhas normais NW e NNW e direcionais NE e ENE controlaram a geometria da bacia. A distensão, relacionada com a abertura do Atlântico Equatorial, propagou-se continente adentro ao longo de zonas de fraqueza crustal dos cinturões orogênicos pré-cambrianos Tumucumaque, Amapá e Araguaia. O evento neotectônico é um regime transcorrente que desenvolveu bacias transtensivas preenchidas por sedimentos marinhos rasos (Formação Pirabas) e seqüências transicionais (Grupo Barreiras) do Terciário Superior, seguidos por depósitos fluviais e seqüências transicionais do Quaternário, derivadas dos rios Amazoans e Tocantins e do estuário do Marajó. A paisagem atual tem morfologia tipicamente estuarina. A morfologia costeira apresenta escarpas em seqüências transicionais do Terciário Superior, enquanto no interior dominam elevações sustentadas por crosta laterítica do Pleistoceno Médio, aparadas por superfície erosiva a 70 m. No leste da Ilha do Marajó são reconhecidas várias gerações de paleocanais com seqüências estuarinas associadas, enquanto no lado oeste predomina uma planície flúvio-marinha.
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O objetivo deste trabalho e apresentar uma investigação preliminar da precisão nos resultados do sistema de localização geográfica de transmissores desenvolvido utilizando o software da rede brasileira de coleta de dados. Um conjunto de medidas de desvio Doppler de uma única passagem do satélite, considerando uma Plataforma de Coleta de Dados (PCD) e uma rede de estações de recepção terrestrês, e denominado uma rede de recepção de dados. Assim, a rede brasileira de coleta de dados com o uso de múltiplas estações de recepção permitira o incremento na quantidade de dados coletados com consequente melhora na precisão e na confiabilidade das localizações fornecidas. Consequentemente uma maior quantidade de localizações válidas e mais precisas. Os resultados e análises foram obtidos sob duas condições: na primeira foi considerada uma condição prática com dados reais e dados ideais simulados, para comparar os resultados considerando a mesma passagem do satélite, transmissor e duas estações de recepção conhecidas; na segunda foram consideradas as condições ideais simuladas a partir de medidas de um transmissor fixo, três estações de recepção e dois satélites. Os resultados utilizando a rede de recepção de dados foram bastante satisfatórios. O estudo realizado mostrou a importãncia da instalação de novas estações de recepção terrenas distribuídas no territorio nacional, para um aumento na quantidade de medidas e consequentemente uma maior quantidade de localizações válidas e mais precisas.
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Statecharts are an extension to finite state machines with capability for expressing hierarchical decomposition and parallelism. They also have a mechanism called history, to remember the last visit to a superstate. An algorithm to create a reachability tree for statecharts is presented. Also shown is how to use this tree to analyse dynamic properties of statecharts; reachability from any state configuration, usage of transitions, reinitiability, deadlocks, and valid sequence of events. Owing to its powerful notation, building a reachability tree for statecharts presents some difficulties, and we show how these problems were solved in the tree we propose.
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In 2008, academic researchers and public service officials created a university extension studies platform based on online and on-site meetings denominated "Work-Related Accidents Forum: Analysis, Prevention, and Other Relevant Aspects. Its aim was to help public agents and social partners to propagate a systemic approach that would be helpful in the surveillance and prevention of work-related accidents. This article describes and analyses such a platform. Online access is free and structured to: support dissemination of updated concepts; support on-site meetings and capacity to build educational activities; and keep a permanent space for debate among the registered participants. The desired result is the propagation of a social-technical-systemic view of work-related accidents that replaces the current traditional view that emphasizes human error and results in blaming the victims. The Forum uses an educational approach known as permanent health education, which is based on the experience and needs of workers and encourages debate among participants. The forum adopts a problematizing pedagogy that starts from the requirements and experiences of the social actors and stimulates support and discussions among them in line with an ongoing health educational approach. The current challenge is to turn the platform into a social networking website in order to broaden its links with society.
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Mangoes cv. Keitt were individually sealed in a heat-shrinkable polyolefin film (D-955) and a low-density polyethylene film (LDPE), stored for 0-5 weeks at 12°C and 17°C, and then ripened unwrapped at 22°C. Weight loss of packaged mangoes was significantly lower than that of the non-wrapped control. A sensory panel ranked the mangoes for overall eating quality and appearance. D-955 and LDPE film-sealed mangoes and control had shelf lives of 33, 15 and 7 days at 12°C and 17,10 and 7 days at 17°C, respectively.
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BCH codes over arbitrary finite commutative rings with identity are derived in terms of their locator vector. The derivation is based on the factorization of xs -1 over the unit ring of an appropriate extension of the finite ring. We present an efficient decoding procedure, based on the modified Berlekamp-Massey algorithm, for these codes. The code construction and the decoding procedures are very similar to the BCH codes over finite integer rings. © 1999 Elsevier B.V. All rights reserved.