994 resultados para 613.9
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Sistemas silvipastoris são alternativas para aliar conforto animal a índices produtivos mais elevados, principalmente em regiões de clima tropical, como a Amazônia, onde o estresse calórico é constante. Este trabalho teve como objetivo propor uma metodologia para criação de bezerros bubalinos em sistema silvipastoril na Amazônia Oriental, capaz de conferir conforto térmico e maior capacidade de desenvolvimento aos animais. O experimento foi realizado na Embrapa Amazônia Oriental, em Belém–PA, região de tipo climático Afi, em dois períodos do ano: Período menos chuvoso (abril/2007 a setembro/2007) e Período mais chuvoso, (outubro/2007 a março/2008). Os bezerros foram inseridos no Sistema Silvipastoril 1 (SSP1; n=10), com área de sombreamento útil nas pastagens, ou no Sistema Silvipastoril 2 (SSP2; n=9), com pouco sombreamento e um lago para banho. Foram aferidas variáveis fisiológicas, dados morfométricos, e calculados o ITU e o ICB, para os dois SSPs nos dois períodos do ano, e comparados pelo Teste F (P<0,05). O ITU mostrou “nível de alerta” durante os dois períodos experimentais (Período 1: 78,9±3,7 e Período 2: 77,5±3,5). A FR ficou acima dos níveis considerados normais, com amplitude de 32,2±9,2 a 56,5±19,0 mov/min. A TR (38,3±0,26 a 39,3±0,38 °C) e a FC (64,6±15,2 a 76,6±13,9 bat/min) estiveram dentro dos padrões normais para bubalinos. A temperatura da pele ficou entre 23,6±8,3 e 31,7±5,4 °C. Os ICBs no SSP1 ficaram na faixa de 2,46±0,33 a 3,31±0,62 e no SSP2 estiveram entre 2,42±0,30 a 3,45±0,66 (P>0,05). O ganho de peso dos bezerros nos dois sistemas silvipastoris estudados foi considerado excelente (0,917±0,4 a 1,052±0,5 kg/dia), bem como o desenvolvimento ponderal, considerados bem superiores à média encontrada para búfalos. O sombreamento das pastagens forneceu tanto conforto aos bezerros quanto a água para banho, além de agregar valor a propriedade e preservar os ecossistemas aquáticos amazônicos.
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This phase II trial investigated rituximab and cladribine in chronic lymphocytic leukemia. Four induction cycles, comprising cladribine (0.1 mg/kg/day days 1-5, cycles 1-4) and rituximab (375 mg/m(2) day 1, cycles 2-4), were given every 28 days. Stem cell mobilization (rituximab 375 mg/m(2) days 1 and 8; cyclophosphamide 4 g/m(2) day 2; and granulocyte colony-stimulating factor 10 microg/kg/day, from day 4) was performed in responders. Of 42 patients, nine achieved complete remission (CR), 15 very good partial remission, and two nodular partial remission (overall response rate 62%). Stem cell mobilization and harvesting (> or = 2 x 10(6) stem cells/kg body weight) were successful in 12 of 20 patients. Rituximab infusion-related adverse events were moderate. The main grade 3/4 adverse events during induction were neutropenia and lymphocytopenia. Rituximab plus cladribine was effective; however, the CR rate was modest and stem cell harvest was impaired in a large number of responding patients.
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We report on clinicopathological findings in two cases of rosette-forming glioneuronal tumor of the fourth ventricle (RGNT) occurring in females aged 16 years (Case 1) and 30 years (Case 2). Symptoms included vertigo, nausea, cerebellar ataxia, as well as headaches, and had been present for 4-months and 1 week, respectively. Magnetic resonance imaging (MRI) indicated a cerebellar-based tumor of 1.8cm (Case 1) and 5cm (Case 2) diameter each, bulging into the fourth ventricle. Case 2 involved a cyst-mural-nodule configuration. In both instances, the solid component appeared isointense on T(1) sequences, hyperintense in the T(2) mode, and enhanced moderately. Gross total resection was achieved via suboccipital craniotomy. However, functional recovery was disappointing in Case 1. On microscopy, both tumors comprised an admixture of low-grade astrocytoma interspersed with circular aggregates of synaptophysin-expressing round cells harboring oligodendrocyte-like nuclei. The astrocytic moiety in Case 1 was nondescript, and overtly pilocytic in Case 2. The architecture of neuronal elements variously consisted of neurocytic rosettes, of pseudorosettes centered on a capillary core, as well as of concentric ribbons along irregular lumina. Gangliocytic maturation, especially "floating neurons", or a corresponding immunoreactivity for neurofilament protein was absent. Neither of these populations exhibited atypia, mitotic activity, or a significant labeling for MIB-1. Cerebellar parenchyma included in the surgical specimen did not reveal any preexisting malformative anomaly. Despite sharing some overlapping histologic traits with dysembryoplastic neuroepithelial tumor (DNT), the presentation of RGNT with respect to both patient age and location is consistent enough for this lesion to be singled out as an autonomous entity.
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Las investigaciones sobre la violencia filio-parental (VFP) son escasas y llegan a conclusiones diversas. El estudio de caso como estrategia metodológica puede ser útil para conocer en profundidad un fenómeno del que aún sabemos poco, entendiendo su realidad como proceso y permitiendo su comprensión de forma holística.
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La sexualidad y la reproducción están íntimamente ligadas a la calidad de vida, tanto en el ámbito de lo individual como de lo social, por tanto la salud sexual y reproductiva representa un componente esencial para la evaluación de desarrollo de un país, y un tema prioritario en la agenda política mundial y nacional como lo evidencian los objetivos del milenio y de desarrollo sostenible; aunque el país ha dado enormes avances en el tema, aun se presentan grandes retos para el logro y goce efectivo de los derechos sexuales y reproductivos en la población. El objetivo del presente estudio es describir y analizar algunos indicadores de salud sexual y reproductiva en el departamento de Casanare, en el periodo 2008- 2015. Como metodología se usó un diseño descriptivo trasversal, los datos fueron tomados de Sivigila departamental, Estadísticas DANE y del Instituto Nacional de Salud. Se usó SPSS versión 18 y Excel para el análisis de los datos. Como resultados se encontraron altas tasas de prevalencia e incidencia para VIH, sífilis gestacional, y fecundidad en adolescentes en el departamento de Casanare que sobrepasan los indicadores nacionales y presentan tendencia creciente
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Bibliografia
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Aims--Telemonitoring (TM) and structured telephone support (STS) have the potential to deliver specialised management to more patients with chronic heart failure (CHF), but their efficacy is still to be proven. Objectives To review randomised controlled trials (RCTs) of TM or STS on all- cause mortality and all-cause and CHF-related hospitalisations in patients with CHF, as a non-invasive remote model of specialised disease-management intervention.--Methods and Results--Data sources:We searched 15 electronic databases and hand-searched bibliographies of relevant studies, systematic reviews, and meeting abstracts. Two reviewers independently extracted all data. Study eligibility and participants: We included any randomised controlled trials (RCT) comparing TM or STS to usual care of patients with CHF. Studies that included intensified management with additional home or clinic visits were excluded. Synthesis: Primary outcomes (mortality and hospitalisations) were analysed; secondary outcomes (cost, length of stay, quality of life) were tabulated.--Results: Thirty RCTs of STS and TM were identified (25 peer-reviewed publications (n=8,323) and five abstracts (n=1,482)). Of the 25 peer-reviewed studies, 11 evaluated TM (2,710 participants), 16 evaluated STS (5,613 participants) and two tested both interventions. TM reduced all-cause mortality (risk ratio (RR 0•66 [95% CI 0•54-0•81], p<0•0001) and STS showed similar trends (RR 0•88 [95% CI 0•76-1•01], p=0•08). Both TM (RR 0•79 [95% CI 0•67-0•94], p=0•008) and STS (RR 0•77 [95% CI 0•68-0•87], p<0•0001) reduced CHF-related hospitalisations. Both interventions improved quality of life, reduced costs, and were acceptable to patients. Improvements in prescribing, patient-knowledge and self-care, and functional class were observed.--Conclusion: TM and STS both appear effective interventions to improve outcomes in patients with CHF.
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Tachykinins are among the most widely-studied families of regulatory peptides characterized by a highly-conserved C-terminal -Phe-X-Gly-Leu-Met.amide motif, which also constitutes the essential bioactive core. The amphibian skin has proved to be a rich source of these peptides with physalaemin from the skin of Physalaemus fuscomaculatus representing the archetypal aromatic tachykinin (X = Tyr or Phe) and kassinin from the skin of Kassina senegalensis representing the archetypal aliphatic tachykinin in which X = Val or Ile. Despite the primary structures of both mature peptides having been known for at least 30 years, neither the structures nor organizations of their biosynthetic precursors have been reported. Here we report the structure and organization of the biosynthetic precursor of kassinin deduced from cDNA cloned from a skin secretion library. In addition, a second precursor cDNA encoding the novel kassinin analog (Thr2, Ile9)-kassinin was identified as was the predicted mature peptide in skin secretion. Both transcripts exhibited a high degree of nucleotide sequence similarity and of open-reading frame translated amino acid sequences of putative precursor proteins. The translated preprotachykinins each consisted of 80 amino acid residues encoding single copies of either kassinin or its site-substituted analog. Synthetic replicates of each kassinin were found to be active on rat urinary bladder smooth muscle at nanomolar concentrations. The structural organization of both preprotachykinins differs from that previously reported for those of Odorrana grahami skin indicating a spectrum of diversity akin to that established for amphibian skin preprobradykinins.
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Growing evidence suggests that significant motor problems are associated with a diagnosis of Autism Spectrum Disorders (ASD), particularly in catching tasks. Catching is a complex, dynamic skill that involves the ability to synchronise one's own movement to that of a moving target. To successfully complete the task, the participant must pick up and use perceptual information about the moving target to arrive at the catching place at the right time. This study looks at catching ability in children diagnosed with ASD (mean age 10.16 ± 0.9 years) and age-matched non-verbal (9.72 ± 0.79 years) and receptive language (9.51 ± 0.46) control groups. Participants were asked to "catch" a ball as it rolled down a fixed ramp. Two ramp heights provided two levels of task difficulty, whilst the sensory information (audio and visual) specifying ball arrival time was varied. Results showed children with ASD performed significantly worse than both the receptive language (p =.02) and non-verbal (p =.02) control groups in terms of total number of balls caught. A detailed analysis of the movement kinematics showed that difficulties with picking up and using the sensory information to guide the action may be the source of the problem. © 2013 Elsevier Ltd.
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Lower Eocene calcareous nannofossil limestone cored at DSDP Site 612 on the middle slope off New Jersey represents an almost complete biostratigraphic sequence; only the lowest biozone (CP9a; NP10*) was not recovered. The thickness of the strata (198 m), the good preservation of the nannofossils, and the lack of long hiatuses justify the acceptance of this section as a lower Eocene reference for the western North Atlantic margin. The widely recognized and very similar nannofossil zonations of Martini (NP zones) and Bukry-Okada (CP zones) are emended slightly to make their lower Eocene biozones coeval; in addition, five new subzones are erected that subdivide zones CP10 and CPU (NP12 and NP13). Established biozone names are retained as they are altered little in concept, but alphanumeric code systems are changed somewhat by appending an asterisk (*) to identify zones that are emended. Zone CP10* (NP12*) is divided into two parts, the Lophodolithus nascens Subzone (CP10*a; NP12*a) and the Helicosphaera seminulum Subzone (CP10*b; NP12*b). Zone CPU* (NP13*) is divided into three parts, the Helicosphaera lophota Subzone (CP11*a; NP13*a), the Cyclicargolithuspseudogammation Subzone (CP11*b; NP13*b), and the Rhabdosphaera tenuis Subzone (CP11*c; NP13*c). At Site 612, a time-depth curve based on nannofossil datums dated in previous studies reveals a smoothly declining sediment accumulation rate, from 4.9 cm/10**3yr in CP10* (NP12*) to 2.8 cm/103 yr. in CP12* (NP14*). The ages of first-occurrence datums not previously dated are approximated by projection onto this timedepth curve and are as follows: Helicosphaera seminulum, 55.0 Ma; Helicosphaera lophota, 54.5 Ma; Cyclicargolithus pseudogammation, 53.7 Ma; Rhabdosphaera tenuis, 52.6 Ma; and Rhabdosphaera inflata, 50.2 Ma. At nearby Site 613 on the upper rise, strata of similar age, 139 m thick, contain an unconformity representing Subzone CPll*b (NP13*b) and a hiatus of approximately 1.1 m.y. duration. The sediment accumulation rate in the lower part of this section (9.7 cm/10**3yr.) is twice that observed for equivalent strata at Site 612. The hiatus and the heightened sediment accumulation rate at Site 613 probably represent the effects of episodic mass wasting on the early Eocene continental slope and rise.