119 resultados para persistent navigation and mapping


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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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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Hepatic encephalopathy (HE) is a cognitive disturbance characterized by neuropsychiatric alterations. It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts. The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration. Therefore, the embolization of these shunts has been performed to control HE manifestations, but the presence of portal vein thrombosis is considered a contraindication. In this presentation we show a cirrhotic patient with severe HE and portal vein thrombosis who was submitted to embolization of a large portosystemic shunt. Case report: a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma, even without precipitant factors. She had a wide portosystemic shunt and also portal vein thrombosis. The abdominal angiography confirmed the splenorenal shunt and showed other shunts. The larger shunt was embolized through placement of microcoils, and the patient had no recurrence of overt HE. There was a little increase of esophageal and gastric varices, but no endoscopic treatment was needed. Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients, portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization. However, in particular cases with many shunts and severe HE, we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery. In conclusion, we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis. As the patient had other shunts, she was successfully treated by embolization of the larger shunt. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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A modelagem matemática associada ao conhecimento da variabilidade dos atributos do solo e mapeamento das formas do relevo pode auxiliar no manejo da fertilidade do solo em usinas sucroalcooleiras. O presente trabalho teve como objetivo avaliar o uso da geoestatística e da modelagem matemática na estimativa de custos de fertilização, em diferentes formas do relevo. em uma área de 200 ha, foram identificadas duas formas de relevo, uma côncava e outra convexa, sendo os solos coletados nos pontos de cruzamento de uma malha, com intervalos regulares de 50 m, perfazendo um total de 623 pontos. As amostras foram submetidas a análises químicas, e, posteriormente, os dados foram avaliados por meio da estatística descritiva, geoestatística e modelagem matemática. Os resultados mostraram que, quando as formas do relevo são incorporadas às análises geoestatística e de modelagem matemática, ocorre aumento na eficiência de aplicação do calcário, fósforo e potássio no solo.

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Postbloom fruit drop (PFD), caused by Colletotrichum acutatum, produces blossom blight, fruit abscission and persistent calyces. in groves of Pera-Rio and Natal sweet orange located in Santa Cruz do Rio Pardo and Rincao, São Paulo, Brazil, four experiments were carried out to evaluate the effectiveness of fungicides sprayed alone or as mixtures, at different flowering stages for the control of PFD of citrus. The number of symptomatic flowers, the percentage of fruit set (FS), and the relationship between persistent calyces and total fruit weight per plant were evaluated. The fungicides carbendazim and folpet were sprayed at 0.50 ml and 1.25 ga.i. l(-1) of water, respectively, were superior by all the criteria to the other treatments. Carbendazim and folpet fungicides performed best when they were applied at the green bud through hollow ball stages. Difenoconazole, independent of application timing, was less effective by all criteria used. Application of mancozeb at 1.60 ga.i. l(-1) at the green bud stage followed by application of mancozeb in a tank mix with carbendazim or folpet at 1.0 ml and 1.25 g a.i. l(-1), respectively, during green bud bloom and hollow ball stages were effective for disease control. Carbendazim combined with 0.25% KNO3, reduced the number of persistent calyces and increased fruit production significantly. Applications must be made between green bud and hollow ball stages for best control. Applications only at hollow ball or open flower stages did not provide effective disease control. (C)2007 Elsevier Ltd. All rights reserved.

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One of needs of modern agriculture is the prediction of spatial variability of soil properties at more detailed scales for sustainable management and optimization of management practices. The mathematical model associated with knowledge of variability of soil attributes and mapping of relief forms has helped in agricultural planning. In this regard the aim of this study was to characterize the spatial variability of physical and chemical properties of Oxisols and Ultisols using numerical classification and the digital elevation model. Two distinct landforms: convex for the Oxisol (158 ha) and linear for the Ultisol (172 ha). 53 samples from the Oxisol and 57 samples from the Ultisol were taken. Multivariate analysis of clusters of attributes studied from their euclidean distances was performed. This analysis by dendograms along with digital elevation models for different soils characterized was more homogeneous in Ultisol groups, and less homogeneous for the Oxisol in convex landform. These quantitative methods showed that the landforms conditioned the spatial pattern of soil attributes.

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Este trabalho teve o objetivo de avaliar a evolução do uso da terra no município de Botucatu - SP, no período de três anos, considerando-se seis tipos de cobertura vegetal (cana-de-açúcar, reflorestamento, floresta nativa, pastagem, cítrus e outros), tendo como base as imagens de satélite Landsat 5, bandas 3; 4 e 5, órbita 220, ponto 76, quadrante A, passagem de 8 de junho de 1999. O Sistema de Informações Geográficas - IDRISI for Windows 3.2, foi utilizado para as análises. Os resultados mostraram que esse programa foi eficiente para auxiliar na identificação e mapeamento das áreas com uso da terra, facilitando o processamento dos dados. As imagens de satélite TM/LANDSAT 5 forneceram um excelente banco de dados para a classificação supervisionada. O município não vem sendo preservado ambientalmente, pois apresenta-se coberto com menos de 20% de florestas nativas, mínimo exigido por lei. As áreas de pastagem, principal componente da paisagem do município, confirmam a vocação da região para a pecuária.

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As plantas aquáticas são estudadas como um efeito do desequilíbrio causado pela poluição e/ou alagamento dos rios. A quantidade excessiva de plantas, conseqüente desse desequilíbrio, dificulta a navegação e a produção de energia elétrica. O objetivo deste trabalho foi identificar as principais plantas aquáticas do rio Tietê e relacioná-las com a turbidez da água dos diferentes reservatórios. Foram avaliados todos os focos de vegetação aquática emersa, flutuante e submersa, presentes em cada reservatório, em toda a sua extensão, sendo consideradas como importantes as espécies que apresentaram o caráter dominante. Foi observado que os represamentos apresentam problema de plantas aquáticas e a qualidade da infestação varia entre os reservatórios. Foram consideradas como dominantes as seguintes espécies: Brachiaria mutica, Brachiaria subquadripara, Eichhornia crassipes, Egeria densa, Egeria najas, Enidra sessilis e Typha angustifolia. Observou-se que houve uma tendência de maior ocorrência de plantas flutuantes e emersas (marginais) nos reservatórios com maior turbidez e de plantas submersas naqueles com menor turbidez. Para as duas braquiárias, observou-se que a freqüência das espécies aumentou com o aumento da turbidez até o limite de 34,93 NTU. O aguapé ocorreu com altos índices de freqüência (acima de 50%) em todos os reservatórios do rio Tietê, independentemente das características da água. em se tratando das egérias, a freqüência das espécies aumentou gradativamente com a redução da turbidez e a taboa não apresentou uma relação com o índice estudado. A espécie E. sessilis se mostrou bastante dependente da qualidade da água, tendo sua freqüência aumentada com o aumento da turbidez.

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Here we study 13 families with stuttering. of the 13 families, 9 were persistent stutterers and 4 were recovered stutterers. In the 9 families with persistent stuttering, 24 were male and 10 were females. of the 4 families with recovered stutterers, 17 were male and 3 were female. of the 17 males, 12 were persistent stutterers and 5 recovered after adolescence. All females were recovered stutterers. We conclude with a short discussion of recent molecular Studies. (c) 2006 Wiley-Liss, Inc.

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Objetivo: definir os preditores clínicos e histopatológicos mais eficientes da evolução da mola hidatiforme completa (MHC) para tumor trofoblástico gestacional (TTG). Métodos: estudo prospectivo clínico e histopatológico de todas as portadoras de MHC, atendidas entre 1990 e 1998 no Hospital das Clínicas de Botucatu -- UNESP. A avaliação clínica pré-esvaziamento molar classificou a gravidez molar em: MHC de alto risco e MHC de baixo risco. Foram analisados os preditores clínicos para TTG, estabelecidos por Goldstein et al.¹ e por outros autores2--10. A avaliação histopatológica incluiu a determinação do diagnóstico de MHC, segundo os critérios de Szulman e Surti11, e o reconhecimento dos fatores de risco para TTG, de Ayhan et al.8. Os preditores clínicos e histopatológicos foram correlacionados com o desenvolvimento de TTG pós-molar. Resultados: em 65 portadoras de MHC, cistos do ovário maiores que 6 cm e tamanho uterino maior que 16 cm foram os preditores clínicos mais eficientes de TTG. A proliferação trofoblástica, a atipia nuclear, a necrose/hemorragia, a maturação trofoblástica e a relação cito/sinciciotrofoblasto não foram preditores significativos para TTG. A correlação entre preditor clínico e histopatológico para o desenvolvimento de TTG não foi possível porque nenhum parâmetro histopatológico foi significativo. Conclusões: mais estudos são necessários para avaliar possíveis preditores de persistência (TTG) e sua aplicação no contexto clínico das MHC. Enquanto isso, a determinação seriada de hCG sérico permanece o único indicador prognóstico seguro para TTG pós-MHC.

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Objective: To characterize articular and systemic inflammatory activity in juvenile idiopathic arthritis (JIA), identifying remission status with and without medication.Methods: A total of 165 JIA cases, followed for a mean period of 3.6 years, were reviewed in order to characterize episodes of inactivity and clinical remission on and off medication. The resulting data were analyzed by means of descriptive statistics, survival analysis, by comparison of Kaplan-Meier curves, log rank testing and binary logistic regression;analysis in order to identify predictive factors for remission or persistent activity.Results: One hundred and eight of the cases reviewed fulfilled the inclusion criteria: 57 patients (52.7%) exhibited a total of 71 episodes of inactivity, with a mean of 2.9 years per episode; 36 inactivity episodes (50.7%) resulted in clinical remission off medication, 35% of which were of the persistent oligoarticular subtype. The probability of clinical remission on medication over 2 years was 81, 82, 97 and 83% for cases of persistent oligoarticular, extended oligoarticular, polyarticular and systemicJIA, respectively. The probability of clinical remission off medication 5 years after onset of remission was 40 and 67% for patients with persistent oligoarticular and systemic JIA, respectively. Persistent disease activity was significantly associated with the use of an anti-rheumatic drug combination. Age at JIA onset was the only factor that predicted clinical remission (p = 0.002).Conclusions: In this cohort, the probability of JIA progressing to clinical remission was greater for the persistent oligoarticular and systemic subtypes, when compared with polyarticular cases.

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Introduction: The occurrence of urolithiasis in pregnancy represents a challenge in both diagnosis and treatment of this condition, because it presents risks not only to the mother but also to the fetus. Surgical treatment may be indicated for patients with infection, persistent pain, and obstruction of a solitary kidney. We present our experience on the management of pregnant patients with ureteral calculi and a review of the literature.Materials and Methods: The charts of 19 pregnant patients with obstructive ureteral calculi were retrospectively reviewed. Gestational age ranged from 13 to 33 weeks. In all patients, ureteral stone was diagnosed on abdominal ultrasound. In regard to localization, 15 calculi were in the distal ureter, 3 in the proximal ureter, and 1 in the interior of an ureterocele. Calculi size ranged from 6 to 10 mm (mean, 8 mm). The following criteria were used to indicate ureteroscopy: persistent pain with no improvement after clinical treatment, increase in renal dilation, or presence of uterine contractions. Nine patients (47.3%) were submitted to ureteroscopy. All calculi (100%) were removed with a stone basket extractor under continuous endoscopic vision. None of the calculi demanded the use of a lithotriptor.Results: Nine patients (47.3%) treated with clinical measurements presented no obstetric complications and spontaneous elimination of the calculi. Nine patients (47.3%) submitted to ureteroscopy had no surgical complications. There was remission of pain in all cases after ureteroscopy and ureteral catheter placement.Conclusion: The diagnosis and treatment of ureteral lithiasis in pregnant women present potential risks for the fetus and the mother. Conservative management is the first option, but ureteroscopy may be performed with safety and high success rates.