22 resultados para longitudinally extensive tranverse myelitis


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A 35-year-old African Brazilian patient had sickle cell anemia complicated with recurrent vasoocclusive (VOC) crises and refractory painful leg ulcers for 16 years. The ulcers started over both medial malleoli and expanded gradually. The ulcer on the left leg spread from the foot to the knee circumferentially and was refractory to all forms of therapy within the frame work of multi-disciplinary care. The patient agreed to a below the knee amputation of the left leg. He felt much better after the amputation but developed severe neuropathic phantom pain that was well controlled medically. He could differentiate the sickle cell anemia and ulcer pain from the neuropathic pain. About 6 months after the amputation he had dengue fever with fatal outcome. This is the first report of treatment of refractory sickle cell anemia leg ulcer with amputation and probably the first report of a Brazilian patient with sickle cell anemia and dengue fever.

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The blowout fracture injuries are often associated with fractures of the zygomatic complex and other facial structures but can also occur in an isolated fashion. Isolated bilateral blowout fractures are uncommon and constitute a challenge with regard to both assessment and reconstruction. This article describes an uncommon case of isolated bilateral blowout fracture in a patient with extensive pneumatization of the maxillary sinuses.

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Contents The objective of this work was to verify that mothers classified as super precocious (M1) and precocious (M2) produce more precocious bulls than females classified as normal (M3). This study included 21186 animals with an average age of 21.29 +/- 1.77months that underwent a breeding soundness evaluation from 1999 to 2008. Of these animals, 2019, 6059 and 13108 were offspring of M1, M2 and M3 females, respectively. In the breeding soundness examination, the animals were classified as sound for reproduction, sound under a natural mating regime, unsound for reproduction and discarded. To compare the averages obtained for each category of mother within the individual breeding soundness classes, a chi-square test with a 5% error probability was used, considering the effects of year and month of birth and farm. For the three classes of mothers (M1, M2 and M3), 67.26, 67.22 and 64.16% of bull calves were considered sound for reproduction and 19.71, 19.46 and 21.90% were considered unsound for reproduction, respectively. There was no difference in the frequency of animals that were sound for reproduction under the natural breeding regime between the three classes of mothers (8.87, 9.31 and 9.19%, respectively). There was a difference between the numbers of precocious and normal females that were discarded, with frequencies of 4.01 and 4.75%, respectively (p<0.05). There were differences in year and month of birth and farm between super precocious and precocious cows in relation to the breeding soundness classification of the animals. It was concluded that the bull offspring of super precocious and precocious cows presented a higher percentage of approval in the breeding soundness examination than the bull offspring of normal cows, demonstrating that the selection for precocity of females has contributed to an increase in the sexual precocity of the herd in relation to the sexual maturity of bulls.

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Pós-graduação em Agronomia (Ciência do Solo) - FCAV

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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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We have developed a method to compute the albedo contrast between dust devil tracks and their surrounding regions on Mars. It is mainly based on Mathematical Morphology operators and uses all the points of the edges of the tracks to compute the values of the albedo contrast. It permits the extraction of more accurate and complete information, when compared to traditional point sampling, not only providing better statistics but also permitting the analysis of local variations along the entirety of the tracks. This measure of contrast, based on relative quantities, is much more adequate to establish comparisons at regional scales and in multi-temporal basis using imagery acquired in rather different environmental and operational conditions. Also, the substantial increase in the details extracted may permit quantifying differential depositions of dust by computing local temporal fading of the tracks with consequences on a better estimation of the thickness of the top most layer of dust and the minimum value needed to create dust devils tracks. The developed tool is tested on 110 HiRISE images depicting regions in the Aeolis, Argyre, Eridania, Noachis and Hellas quadrangles. As a complementary evaluation, we also performed a temporal analysis of the albedo in a region of Russell crater, where high seasonal dust devil activity was already observed before, comprising the years 2007-2012. The mean albedo of the Russell crater is in this case indicative of dust devil tracks presence and, therefore, can be used to quantify dust devil activity. (C) 2014 Elsevier Inc. All rights reserved.