982 resultados para January 1998


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"January 1998."

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"January 1998."

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Objective: To assess the prevalence and impact of overweight and obesity in an Australian obstetric population. Design, setting and participants: The Mater Mother's Hospital (MMH), South Brisbane, is an urban tertiary referral maternity hospital. We reviewed data for the 18401 women who were booked for antenatal care at the MMH, delivered between January 1998 and December 2002, and had a singleton pregnancy. Of those women, 14 230 had an estimated pre-pregnancy body mass index (BMI) noted in their record; 2978 women with BMI 40 kg/m(2)). Main outcome measures: Prevalence of overweight and obesity in an obstetric population; maternal, peripartum and neonatal outcomes associated with raised BMI. Results: Of the 14230 women, 6443 (45%) were of normal weight, and 4809 (34%) were overweight, obese or morbidly obese. Overweight, obese and morbidly obese women were at increased risk of adverse outcomes (figures represent adjusted odds ratio [AOR] [95% Cl]): hypertensive disorders of pregnancy (overweight 1.74 [1.45-2.15], obese 3.00 [2.40-3.74], morbidly obese 4.87 [3.27-7.24]); gestational diabetes (overweight 1.78 [1.25-2.52], obese 2.95 [2.05-4.25], morbidly obese 7.44 [4.42-12.54]); hospital admission longer than 5 days (overweight 1.36 [1.13-1.63], obese 1.49 [1.21-1.86], morbidly obese 3.18 [2.19-4.61]); and caesarean section (overweight 1.50 [1.36-1.66], obese 2.02 [1.79-2.29], morbidly obese 2.54 [1.94-3.321). Neonates born to obese and morbidly obese women had an increased risk of birth defects (obese 1.58 (1.02-2.46], morbidly obese 3.41 [1.67-6.94]); and hypoglycaemia (obese 2.57 [1.39-4.78], morbidly obese 7.14 [3.04-16.74]). Neonates born to morbidly obese women were at increased risk of admission to intensive care (2.77 [1.81-4.25]); premature delivery (< 34 weeks' gestation) (2.13 [1.13-4.01]); and jaundice (1.44 [1.09-1.89]). Conclusions: Overweight and obesity are common in pregnant women. Increasing BMI is associated with maternal and neonatal outcomes that may increase the costs of obstetric care. To assist in planning health service delivery, we believe that BMI should be routinely recorded on perinatal data collection sheets

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This paper presents a new formalism for reasoning about change over time. The formalism derives a clean separation between the notion of states and situations. It allows more flexible temporal causal relationships than do other formalisms for reasoning about causal change, such as the situation calculus and the event calculus. It includes effects that start during, immediately after, or some time after their causes, and which end before, simultaneously with, or after their causes. A formal distinction between actions, action-types and events is proposed, which allows the expression of common-sense causal laws at high level. It is shown how these laws can be used to deduce state change over time at low level, when events occur under certain preconditions hold. Two problems that beset most interval-based temporal systems, i.e., the so-called dividing instant problem and intermingling problem, are absent from the formalism.

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BACKGROUND: Endoscopic injection of N-butyl-2-cyanoacrylate is the current recommended treatment for gastric variceal bleeding. Despite the extensive worldwide use, there are still differences related to the technique, safety, and long term-results. We retrospectively evaluated the efficacy and safety of cyanoacrylate in patients with gastric variceal bleeding. PATIENTS AND METHODS: Between January 1998 and January 2010, 97 patients with gastric variceal bleeding underwent endoscopic treatment with a mixture of N-butyl-2-cyanoacrylate and Lipiodol(TM). Ninety-one patients had cirrhosis and 6 had non-cirrhotic portal hypertension. Child-Pugh score at presentation for cirrhotic patients was A-12.1 %; B-53.8 %; C-34.1 % and median MELD score at admission was 13 (3-26). Successful hemostasis, rebleeding rate and complications were reviewed. Median time of follow up was 19 months (0.5-126). RESULTS: A median mixture volume of 1.5 mL (0.6 to 5 mL), in 1 to 8 injections, was used, with immediate hemostasis rate of 95.9 % and early rebleeding rate of 14.4 %. One or more complications occurred in 17.5 % and were associated with the use of Sengstaken-Blakemore tube before cyanoacrylate and very early rebleeding (p < 0.05). Hospital mortality rate during initial bleeding episode was 9.3 %. Very early rebleeding was a strong and independent predictor for in-hospital mortality (p < 0.001). Long-term mortality rate was 58.8 %, in most of the cases secondary to hepatic failure. CONCLUSION: N-butyl-2-cyanoacrylate is a rapid, easy and highly effective modality for immediate hemostasis of gastric variceal bleeding with an acceptable rebleeding rate. Patients with very early rebleeding are at higher risk of death.

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The decapod crustacean assemblages from unconsolidated seabed areas located near rocky shores in the Ubatuba region on the south-east coast of Brazil were analysed by investigating the abundance, richness, diversity and dominance of species. The relationships of the sediment and bottom-water temperature to total species abundance, richness and diversity were also evaluated. Monthly samples were taken from January 1998 through December 1999 at sites in Ubatumirim and Mar Virado. At each locality, three areas were defined as either 'exposed', 'sheltered' or 'island'. The highest species abundance was found in the sheltered area of Ubatumirim and the exposed area of Mar Virado, and during autumn. At Ubatumirim, the highest richness occurred in the exposed area and the highest diversity near the island. At Mar Virado, the highest richness and diversity were found near the island. Autumn and winter collections yielded the highest richness but the lowest diversity. The higher diversities, which were measured near the islands and during spring and summer, were consequences of the greater evenness of the data. The areas with the highest diversity also had the most heterogeneous sediment composition, thus reinforcing the hypothesis that areas with more complex substrata support more diverse faunas.

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The relationships between the spatial and temporal variations in the abundance of the shrimp Nematopalaemon schmitti and water temperature, salinity, and texture and organic-matter content of the sediment, were analysed in Ubatumirim, Ubatuba and Mar Virado bays on the northern coast of São Paulo, Brazil. Sampling was carried out monthly, from January 1998 through December 1999, from a shrimp boat equipped with double-rig nets, along six transects in each bay. In total, 2 116 specimens of N. schmitti were caught. Their distribution differed among bays, transects and seasons (ANOVA, p < 0.05). Highest total abundance was found in areas of high organic-matter content, in substrate composed mainly of very fine sand and silt and clay, and during winter and autumn. Although multiple regression analysis showed no significant relationship (p > 0.05), observations suggest that water temperature, sediment texture, organic-matter content, and the presence of biodetritus and plant fragments, provided favourable environmental conditions for the establishment of N. schmitti in the region.

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Mestrado em Finanças

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O objetivo deste estudo foi avaliar o efeito do horário, taxa e freqüência de alimentação no desempenho do matrinxã (Brycon amazonicus) em tanques de cultivo. O trabalho foi realizado no Centro de Aqüicultura da UNESP, Jaboticabal, SP, no período de outubro de 1997 a janeiro de 1998 sendo realizados três ensaios, em tanques de 200m² subdivididos em 4 de 50 m². No ensaio I foram medidos em 3 períodos (manhã-m; meio do dia-md e tarde-t) o consumo de ração, índice de ingestão, tempo de saciação e velocidade de ingestão em peixes com peso médio de 232,13 g, alimentados com ração extrusada (32% de PB). Não foi observada diferença significativa nos parâmetros analisados. No ensaio II, em peixes com peso médio de 233,98 g, foi medido o consumo médio de ração, em intervalos de duas horas, das 07 às 19 horas. O maior consumo ocorreu quando o matrinxã foi alimentado às 17 horas. No ensaio III, durante 57 dias, os peixes foram alimentados uma vez ao dia (m); uma vez ao dia (t); duas vezes ao dia(m/t) e três vezes ao dia (m,md,t). Peixes com peso médio inicial de 322,25 g receberam ração com 32% de PB, na quantidade de 2% do PV. Não foram observadas diferenças significativas no ganho de peso diário (3,17; 2,80; 3,04 e 2,81 g) e na conversão alimentar aparente (2,11; 2,48; 2,16 e 2,31:1). Concluiu-se que a freqüência de alimentação de uma vez ao dia, em qualquer horário, mostrou ser suficiente.

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This report contains results from the fourth cruise of the MODIS Optical Characterization Experiment (MOCE). Also resented are oceanographic data from two MOBY maintenance cruises L-20 and L-25. The MOCE4 cruise was the first NOAAINESDIS-Ied SeaWiFS Initialization cruise during which a variety ofspectroradiometric observations ofthe upper water column and atmosphere were made by investigators from NOAA, the University of Miami, CHORS and MLML. Data presented in this report were obtained by oceanographic CTD profiler: salinity, temperature, dissolved oxygen, beam attenuation and chlorophyll-a fluorescence~ and by water samplers: total suspended matter and suspended organic carbon and nitrogen, salinity and dissolved oxygen. (PDF contains 142 pages).