Logistic regression analysis of potential prognostic factors for pulmonary thromboembolism

Objective: To identify potential prognostic factors for pulmonary thromboembolism (PTE), establishing a mathematical model to predict the risk for fatal PTE and nonfatal PTE.Method: the reports on 4,813 consecutive autopsies performed from 1979 to 1998 in a Brazilian tertiary referral medical school were reviewed for a retrospective study. From the medical records and autopsy reports of the 512 patients found with macroscopically and/or microscopically,documented PTE, data on demographics, underlying diseases, and probable PTE site of origin were gathered and studied by multiple logistic regression. Thereafter, the jackknife method, a statistical cross-validation technique that uses the original study patients to validate a clinical prediction rule, was performed.Results: the autopsy rate was 50.2%, and PTE prevalence was 10.6%. In 212 cases, PTE was the main cause of death (fatal PTE). The independent variables selected by the regression significance criteria that were more likely to be associated with fatal PTE were age (odds ratio [OR], 1.02; 95% confidence interval [CI], 1.00 to 1.03), trauma (OR, 8.5; 95% CI, 2.20 to 32.81), right-sided cardiac thrombi (OR, 1.96; 95% CI, 1.02 to 3.77), pelvic vein thrombi (OR, 3.46; 95% CI, 1.19 to 10.05); those most likely to be associated with nonfatal PTE were systemic arterial hypertension (OR, 0.51; 95% CI, 0.33 to 0.80), pneumonia (OR, 0.46; 95% CI, 0.30 to 0.71), and sepsis (OR, 0.16; 95% CI, 0.06 to 0.40). The results obtained from the application of the equation in the 512 cases studied using logistic regression analysis suggest the range in which logit p > 0.336 favors the occurrence of fatal PTE, logit p < - 1.142 favors nonfatal PTE, and logit P with intermediate values is not conclusive. The cross-validation prediction misclassification rate was 25.6%, meaning that the prediction equation correctly classified the majority of the cases (74.4%).Conclusions: Although the usefulness of this method in everyday medical practice needs to be confirmed by a prospective study, for the time being our results suggest that concerning prevention, diagnosis, and treatment of PTE, strict attention should be given to those patients presenting the variables that are significant in the logistic regression model.

Shikimate Kinase (EC 2.7.1.71) from Mycobacterium tuberculosis: Kinetics and Structural Dynamics of a Potential Molecular Target for Drug Development

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

Acúmulo de macronutrientes por duas cultivares de cebola produzidas em sistema de semeadura direta

Economically, onion is the third more important vegetable in Brazil. As a consequence of the increasing by use of new hybrid varieties, the nutritional management of the crop needs to be adequately known. This research was carried out in São José do Rio Pardo, São Paulo State, Brazil, from March 7 to August 8, 2004. The objective was to quantify, under field conditions, the accumulation of macronutrients by onion cultivars established by direct sowing. The experimental design was in randomized blocks with three replicates. The cultivars studied were Optima and Superex. Samples were taken at 30, 50, 70, 90, 110, 130 and 150 days after sowing. With population of 354,000 plants ha -1 and productivity estimated in 64.8 t ha -1, 'Optima' extracted on 150 days after sowing: 78.77, 13.04, 75.77, 59.09, 11.70 and 24.38 kg ha -1 of N, P, K, Ca, Mg and S, respectively, and 'Superex', for the same plant population, and productivity at 72 t ha -1, 64.68, 10.33, 68.28, 65.58, 13.03 and 24.74 kg ha -1 of N, P, K, Ca, Mg and S, respectively. The Optima hybrid exported through its bulb about 49.17% of N, 60.60% of P, 61.16% of K, 41.15% of Ca, 43.56% of Mg, and 47.18 of S, the equivalent to 38.73, 7.90, 46.34, 24.32, 5.10 and 11.51 kg ha -1, respectively. The Superex hybrid exported through its bulb about 44.29% of N, 55.85% of P, 62.54% of K, 35.71% of Ca, 31.82% of Mg, and 48.80% of S, the equivalent to 28.65, 5.77, 42.70, 23.42, 4.15, and 12.07 kg ha -1, respectively.

DOCPAL resúmenes sobre población en América Latina: 71-001

Contiene resumenes bibliograficos de documentos sobre poblacion y temas relacionados que se producen en America Latina y el Caribe, publicados entre 1979-1982.

PLANINDEX: 71-001

Contiene resumenes bibliograficos de documentos sobre planificacion y desarrollo en America Latina, recogidos y procesados en el marco del Sistema de Informacion para la Planificacion en America Latina y el Caribe (INFOPLAN).

Regularizando la informalidad del suelo en América Latina y el Caribe: una evaluación sobre la base de 13 países y 71 programas

Incluye Bibliografía

Guided implant surgery: What is the influence of this new technique on bone cell viability?

Purpose: To evaluate the effect of implant osteotomy on immediate bone cell viability, comparing guided surgery for implant placement with the classic drilling procedure. Materials and Methods: For this study, 20 rabbits were used. The animals were divided into a guided surgery group (GG) and a control group (CG) and were then divided into 4 subgroups - subgroups 1, 2, 3, and 4 - corresponding to drills used 10, 20, 30, and 40 times, respectively. All animals received 5 osteotomies in each tibia, by use of the classic drilling procedure in one tibia and guided surgery in the other tibia. The osteotomized areas were removed and processed immunohistochemically for detection of osteocalcin, receptor activator of nuclear factor κB ligand (RANKL), osteoprotegerin (OPG), and caspase 3. Results: Immunohistochemical analysis showed that osteocalcin expression was initially higher in the CG and remained constant after drill reutilization. Although the expressions of RANKL and OPG were not statistically different for the GG and CG, the RANKL/OPG ratio tended to be higher for the GG. Moreover, caspase 3 expression was elevated in the GG, proportionally to the number of osteotomies, indicating an increase in the apoptosis index in the GG. Conclusions: The classic drilling procedure is more favorable to cell viability than guided surgery.© 2013 American Association of Oral and Maxillofacial Surgeons.

Variazioni attraverso i secoli, op 71 de Mário Castelnuovo-Tedesco: um estudo sobre a história da forma Tema e Variações no repertório violonístico

Pós-graduação em Música - IA

Análise comparativa da capacidade de remoção do corante direct blue 71 em solução pelos fungos Phanerochaete chrysosporium e Aspergillus oryzae

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Níveis séricos de vitamina A em crianças de 6-71 meses de idade em uma Unidade Básica de Saúde no município de Botucatu - SP

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