87 resultados para whether judgment regularly or irregularly entered


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The structure of an ecological community is shaped by several temporally varying mechanisms. Such mechanisms depend in a large extent on species interactions, which are themselves manifestations of the community's own structure. Dynamics and structure are then mutually determined. The assembly models are mathematical or computational models which simulate the dynamics of ecological communities resulting from a historical balance among colonizations and local extinctions, by means of sequential species introductions and their interactions with resident species. They allow analyzing that double relationship between structure and dynamics, recognizing its temporal dependence. It is assumed two spatiotemporal scales: (i) a local scale, where species co-occur and have their dynamics explicitly simulated and (ii) a regional scale without dynamics, representing the external environment which the potential colonizers come from. The mathematical and computational models used to simulate the local dynamics are quite variable, being distinguished according to the complexity mode of population representation, including or not intra or interspecific differences. They determine the community state, in terms of abundances, interactions, and extinctions between two successive colonization attempts. The schedules of species introductions also follow diverse (although arbitrary) rules, which vary qualitatively with respect to species appearance mode, whether by speciation or by immigration, and quantitatively with respect to their rates of introduction into the community. Combining these criteria arises a great range of approaches for assembly models, each with its own limitations and questions, but contributing in a complementary way to elucidate the mechanisms structuring natural communities. To present such approaches, still incipient as research fields in Brazil, to describe some methods of analysis and to discuss the implications of their assumptions for the understanding of ecological patterns are the objectives of the present review.

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Context - Several paradoxical cases of infliximab-induced or-exacerbated psoriatic lesions have been described in the recent years. There is disagreement regarding the need to discontinue infliximab in order to achieve the resolution of these adverse cutaneous reactions specifically in inflammatory bowel disease (IBD) patients. Objective - To systematically review the literature to collect information on IBD patients that showed this adverse cutaneous reaction, focusing mainly on the therapeutic approach. Methods - A systematic literature review was performed utilizing Medline, Embase, SciELO and Lilacs databases. Published studies were identified, reviewed and the data were extracted. Results - Thirty-four studies (69 IBD patients) met inclusion criteria for review. There was inconsistency in reporting of some clinical and therapeutic aspects. Most patients included had Crohn's disease (89.86%), was female (47.83%), had an average age of 27.11 years, and no reported history of psoriasis (84.05%). The patients developed primarily plaque-type psoriasis (40.58%). There was complete remission of psoriatic lesions in 86.96% of IBD patients, existing differences in the therapeutic approaches; cessation of infliximab therapy led to resolution in 47.83% of cases and 43.48% of patients were able to continue infliximab therapy. Conclusion - As increasing numbers of IBD patients with psoriasis induced or exacerbated by infliximab, physicians should be aware of its clinical manifestations so that appropriate diagnosis and treatment are properly established. The decision whether to continue or discontinue infliximab should be individualized.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Letras - FCLAS

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Pós-graduação em Ciências da Motricidade - IBRC

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Bases Gerais da Cirurgia - FMB

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)