64 resultados para ICC
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Infective endocarditis is a process in which an infection attacks the heart endothelial surface, and is commonly caused by bacterial colonization, which is called bacterial endocarditis. It is a condition rarely found in dogs and cats, and is more prevalent in male dogs of large size. It mainly affects the left side of the heart, affecting the mitral and aortic valves with greater frequency. The circulation of the bacterium in the bloodstream is what gives rise endocarditis, and is caused by any non-aseptic process that serves as a gateway for bacterium in the body, as from a skin lesion, even as an invasive procedure, such as, catheterization and surgery. The ante-mortem diagnosis is difficult because the clinical signs of endocarditis are varied and common to other diseases, summing up the signs of infection (fever, lethargy, weight loss), and presence of heart murmur and may show signs of congestive heart failure. Thus, the diagnosis is most often through autopsy. To arrive at a diagnosis should be used, besides the history and physical examination, some laboratory tests, especially blood cultures and echocardiography. Treatment is accomplished through the use of antibiotics for long period of time, it is very important to follow the results of susceptibility after its outcome is revealed. The prognosis for bacterial endocarditis ranges from guarded to poor, and can be assessed mainly by the echocardiography. There are few studies in veterinary about the bacterial endocarditis, and the majority is case reports
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A função normal dos músculos escapulotorácicos é um dos componentes vitais para a estabilidade dinâmica do complexo do ombro. A maioria dos estudos aborda o controle dinâmico da escápula, porém o comportamento muscular no controle estático da mesma tem sido menos frequente. O objetivo do estudo foi analisar a ação simultânea dos músculos serrátil anterior e as três porções do trapézio durante o movimento de rotação interna e externa do ombro, entre voluntários assintomáticos. 10 indivíduos com idade entre 20 e 40 anos foram avaliados com testes de movimentos de rotação do ombro direito e esquerdo, contra uma resistência elástica (40% da CIVM), para captação de EMG por meio de eletrodos de superfície nos músculos: trapézio ascendente (TA), trapézio transverso (TT), trapézio descendente (TD) e serrátil anterior (SA). Foram obtidos valores de Contração Isométrica Voluntária Máxima (CIVM) para os músculos rotadores do ombro e TA, TT, TD e SA. Os sinais foram normalizados pela CIVM e processados no software Matlab, gerando curvas médias de ativação simultânea para cada par muscular (TA/TT; TA/TD; TA/SA; TT/TD; TT/SA; e TD/SA). A quantidade de cocontração dos pares musculares foi baixa (variação média de 2,3% a 11% da CIVM), e os pares em combinação com o SA tiveram tendência de maiores valores; a variabilidade encontrada foi baixa e a confiabilidade foi adequada (ICC > 0,70). Os baixos valores de co-contração encontrados neste estudo eram esperados, concordando com a biomecânica do movimento utilizado e com os estudos que avaliaram os mesmos músculos em outras condições; o movimento de RE apresentou co-contração levemente maior que a RI e isto sugere que a RE é um movimento mais instável, além de ser considerado o movimento mais fraco do ombro. Diante dos resultados encontrados, conclui-se que a metodologia utilizada foi... (Resumo completo, clicar acesso eletrônico abaixo)
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Pós-graduação em Medicina Veterinária - FCAV
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Pós-graduação em Medicina Veterinária - FCAV
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Pós-graduação em Ciência e Tecnologia Animal - FEIS
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To evaluate the performance of a pen‑type laser fluorescence device (DIAGNOdent 2190; LFpen, KaVo, Germany) and bitewing radiographs (BW) for approximal caries detection in permanent and primary teeth. Materials and Methods: A total of 246 anterior approximal surfaces (102 permanent and 144 primary) were selected. Contact points were simulated using sound teeth. Two examiners assessed all approximal surfaces using LFpen and BW. The teeth were histologically assessed for the reference standard. Optimal cut‑off limits were calculated for LFpen for primary and permanent teeth. Sensitivity, specificity, accuracy and area under the receiver operating characteristic curve (Az) were calculated for D1 (enamel and dentin lesions) and D3 (dentin lesions) thresholds. The reproducibility was assessed by intraclass correlation coefficient (ICC) and Cohen's weighted kappa values. Results: For permanent teeth, the LFpen cut‑off were 0– 27 (sound), 28– 33 (enamel caries) and >33 (dentin caries). For primary teeth, the LFpen cut‑off were 0– 7 (sound), 8– 32 (enamelcaries) and >32 (dentin caries). The LFpen presented higher sensitivity values than BW for primary teeth (0.58 vs. 0.32 at D1 and 0.80 vs. 0.47 at D3) and permanent teeth (0.80 vs. 0.57 at D1 and 0.94 vs. 0.51 at D3). Specificity did not show a significant difference between the methods. Rank correlations with histology were 0.59 and 0.83 (LFpen) and 0.36 and 0.70 (BW) for primary and permanent teeth, respectively, considering all lesions. ICC values for LFpen were 0.71 (inter) and 0.86 (intra) for permanent teeth and 0.94 (inter) and 0.90/0.99 for primary teeth. Kappa values for BW were 0.69 (inter) and 0.68/0.90 (intra) for permanent teeth and 0.64 (inter) and 0.89/0.89 for primary teeth. Conclusion: LFpen presented better reproducibility for primary and permanent teeth and higher accuracy in detecting caries lesions at D1 threshold than BW for permanent teeth. LFpen should be used as an adjunct method for approximal caries detection.
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Although measurement errors can impair statistical analysis, reliability analysis has been neglected in applied microbiology. This study assessed the intra-rater reproducibility of the Agar-based method for estimation of phospholipase activity (Pz). Pz readings were performed twice by two examiners (E1, E2), either directly on plates or in photos, and both black and white backgrounds were used. Pz values were taken from one or triplicate colonies from each sample (n=30). Intra-examiner reproducibility was estimated using Intraclass Correlation Coefficient (ICC). For both examiners, reading triplicate (ICCE1=0.91, ICCE2=0.86) was better than one colony (ICCE1=0.86, ICCE2=0.80). E1 had an excellent concordance when measurements were performed on photos using a white background (ICC=0.95) and a good concordance in the other conditions
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Pós-graduação em Medicina Veterinária - FCAV
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The aim of this study was to establish the validity of the anaerobic threshold (AT) determined on the soccer-specific Hoff circuit (AT(Hoff)) to predict the maximal lactate steady-state exercise intensity (MLSSHoff) with the ball. Sixteen soccer players (age: 16.0 +/- 0.5 years; body mass: 63.7 +/- 9.0 kg; and height: 169.4 +/- 5.3 cm) were submitted to 5 progressive efforts (7.0-11.0 km.h(-1)) with ball dribbling. Thereafter, 11 players were submitted to 3 efforts of 30 minutes at 100, 105, and 110% of AT(Hoff). The AT(Hoff) corresponded to the speed relative to 3.5 mmol.L-1 lactate concentration. The speed relative to 4.0 mmol.L-1 was assumed to be AT(Hoff4.0), and the AT(HoffBI) was determined through bisegmented adjustment. For comparisons, Student's t-test, intraclass correlation coefficient (ICC), and Bland and Altman analyses were used. For reproducibility, ICC, typical error, and coefficient of variation were used. No significant difference was found between AT test and retest determined using different methods. A positive correlation was observed between AT(Hoff) and AT(Hoff4.0). The MLSSHoff (10.6 +/- 1.3 km.h(-1)) was significantly different compared with AT(Hoff) (10.2 +/- 1.2 km.h(-1)) and AT(HoffBI) (9.5 +/- 0.4 km.h(-1)) but did not show any difference from LAn(Hoff4.0) (10.7 +/- 1.4 km.h(-1)). The MLSSHoff presented high ICCs with AT(Hoff) and AT(Hoff4.0) (ICC = 0.94; and ICC = 0.89; p <= 0.05, respectively), without significant correlation with AT(HoffBI). The results suggest that AT determined on the Hoff circuit is reproducible and capable of predicting MLSS. The AT(Hoff4.0) was the method that presented a better approximation to MLSS. Therefore, it is possible to assess submaximal physiological variables through a specific circuit performed with the ball in young soccer players.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Pós-graduação em Saúde Coletiva - FMB
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Human leukocyte antigen-G (HLA-G) is a non-classical major histocompatibility complex class Ib molecule that acts as a specific immunosuppressor. Some studies have demonstrated that human papillomavirus (HPV) seems to be involved in lower or absent HLA-G expression, particularly in cervical cancer. In this study, we performed a cross-sectional study, systematically comparing the qualitative expression of the HLA-G5 isoform in invasive cervical carcinoma (ICC), stratifying patients according to the presence [ICC with metastasis (ICCW)] and absence [ICC without metastasis (ICCWT)] of metastasis, correlating these findings with interference of HPV and demographic and clinical variables. Seventy-nine patients with a diagnosis of ICC were stratified into two groups: ICCWT (n=52 patients) and ICCW (n=27). Two biopsies were collected from each patient (one from the tumor lesion and one from a lymph node). Immunohistochemistry analyses were performed for the HLA-G5 isoform, for HPV detection, and virus typing. HLA-G5 isoform molecules were detected in 25 cases (31.6%), 17 (32.7%) without metastasis and 8 (29.6%) with metastasis. HPV was detected in the cervical lesions of 74 patients (93.7%), but low expression of the HLA-G5 isoform was observed in all HPV-related cases. These findings are important; however, additional studies are necessary to identify the influence of HPV with HLA-G5 isoform expression on invasive cervical malignancies.