928 resultados para HADES – Hades Active Delay Evaluation System


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Pós-graduação em Engenharia Mecânica - FEG

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Pós-graduação em Educação - FFC

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Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC

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Pós-graduação em Educação - FCT

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This paper is meant to provide guidance to anyone wishing to write a neurological guideline for diagnosis or treatment, and is directed at the Scientist Panels and task forces of the European Federation of Neurological Societies (EFNS). It substitutes the previous guidance paper from 2004. It contains several new aspects: the guidance is now based on a change of the grading system for evidence and for the resulting recommendations, and has adopted The Grading of Recommendations, Assessment, Development and Evaluation system (GRADE). The process of grading the quality of evidence and strength of recommendations can now be improved and made more transparent. The task forces embarking on the development of a guideline must now make clearer and more transparent choices about outcomes considered most relevant when searching the literature and evaluating their findings. Thus, the outcomes chosen will be more critical, more patient-oriented and easier to translate into simple recommendations. This paper also provides updated practical recommendations for planning a guideline task force within the framework of the EFNS. Finally, this paper hopes to find the approval also by the relevant bodies of our future organization, the European Academy of Neurology.

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BACKGROUND: International registries with large, heterogeneous patient populations provide excellent research opportunities for studying factors that influence treatment outcomes after total hip arthroplasty. In the present study, we used a European multinational database to investigate whether there is an association between three functional variables (preoperative pain, mobility, and motion) and functional outcome. METHODS: We performed a retrospective cohort study on preoperative and follow-up clinical data that were prospectively entered into the International Documentation and Evaluation System European hip registry between 1967 and 2002. The inclusion criteria for this study were an age of more than twenty years, an underlying diagnosis of osteoarthritis, and a Charnley class-A functional designation at the time of surgery. A total of 12,925 patients (13,766 total hip arthroplasties) who met these criteria were entered into the analysis. Three functional variables (pain, mobility, and motion) that were assessed preoperatively were evaluated postoperatively at various follow-up examinations for a maximum of ten years. RESULTS: Six thousand four hundred and one patients could walk longer than ten minutes preoperatively; of these, 57.1% had a walking capacity of more than sixty minutes at the time of the most recent follow-up. In comparison, 6896 patients had a preoperative walking capacity of less than ten minutes and only 38.9% of these patients could walk more than sixty minutes at the time of the most recent follow-up. The difference was significant (p < 0.01). Similarly, 10,375 patients had a preoperative hip flexion range of >70 degrees ; of these, 74.7% had a flexion range of >90 degrees at the time of the most recent follow-up. In comparison, 2793 patients had a preoperative hip flexion range of <70 degrees and only 62.6% of these patients had a flexion range of >90 degrees at the time of the most recent follow-up. The difference was also significant (p < 0.01). Lasting, complete, or almost complete pain relief was achieved by >80% of the patients following total hip arthroplasty regardless of their preoperative categorization of pain. CONCLUSIONS: Patients with poor preoperative walking capacity and hip flexion are less likely to achieve an optimal outcome with regard to walking and motion. In contrast, there is no correlation between the preoperative pain level and pain alleviation, which is generally good and long-lasting after total hip arthroplasty.

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Humans engage in deceptive behavior that negatively affects others. The propensity to deceive is,however, characterized by vast inter-individual heterogeneity that is poorly understood. Attempts to investigate the origins of this heterogeneity have so far mainly relied on subjective measures and have shown little predictive power. Here, we used resting electroencephalography to measure objective and stable individual differences in neural baseline activation in combination with an ecologically valid deception paradigm. Results showed that task-independent baseline activation in the anterior insula, a brain area implicated in mapping internal bodily states and in representing emotional arousal and consciousfeelings, predicts individuals’ propensity for deceptive behavior. The higher the neural baseline activation in this area is, the lower individuals’ propensity to deceive. Moreover, results provide evidence that high baseline activation in the anterior insula is associated with negative affect and dispositional tendencies to avoid aversive emotional situations. These results provide converging neural and psychological evidence that individuals might avoid a deceptive act due to a highly active negative emotional system which would make a deceptive act too stressful and bothersome.

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In this paper we report the set-up and results of the Multimodal Brain Tumor Image Segmentation Benchmark (BRATS) organized in conjunction with the MICCAI 2012 and 2013 conferences. Twenty state-of-the-art tumor segmentation algorithms were applied to a set of 65 multi-contrast MR scans of low- and high-grade glioma patients - manually annotated by up to four raters - and to 65 comparable scans generated using tumor image simulation software. Quantitative evaluations revealed considerable disagreement between the human raters in segmenting various tumor sub-regions (Dice scores in the range 74-85%), illustrating the difficulty of this task. We found that different algorithms worked best for different sub-regions (reaching performance comparable to human inter-rater variability), but that no single algorithm ranked in the top for all subregions simultaneously. Fusing several good algorithms using a hierarchical majority vote yielded segmentations that consistently ranked above all individual algorithms, indicating remaining opportunities for further methodological improvements. The BRATS image data and manual annotations continue to be publicly available through an online evaluation system as an ongoing benchmarking resource.

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The p53 tumor suppressor gene product is negatively regulated by the product of its downstream target, mdm2. The mdm2 oncogene abrogates p53 transactivation function. Amplification of mdm2 occurs in 36% of human sarcomas, which often retain p53 in wild type form, suggesting that overexpression of mdm2 in tumors results in p53 inactivation. Thus, the relationship of p53 to mdm2 is important in tumorigenesis. The deletion of mdm2 in the mouse results in embryonic lethality by 5.5 days post coitum. Embryonic lethality of the mdm2 null embryos was overcome by simultaneous loss of the p53 tumor suppressor, which substantiates the importance of the negative regulatory function of MDM2 on p53 function in vivo. These data suggest that the loss of MDM2 function allowed the constitutively active p53 protein to induce either a complete G1 arrest or the p53-dependent apoptotic pathway, resulting in the death of the mdm2−/− embryos.^ The present study examines the hypothesis that the absence of mdm2 induces apoptosis due to p53 activation. Viability of the p53−/−mdm2−/− mice has allowed establishment of mouse embryo fibroblasts (MEFs) and a detailed examination of the properties of these cells. To introduce p53 into this system, and essentially recreate a mdm2 null cell, a temperature sensitive p53 (tsp53) point mutant (A135V) was used, which exhibits a nonfunctional, mutant conformation at 39°C and wild type, functional conformation at 32°C. Infected pools of p53−/− and p53−/−mdm2−/− MEFs with the tsp53 gene were established and single-cell clonal populations expressing tsp53 were selected. Shifting the cells from 39°C to 32°C caused p53−/−mdm2 −/− lines expressing tsp53 to undergo up to 80% apoptosis, which did not occur in the p53−/− lines expressing tsp53 nor the parental lines lacking p53 expression. Furthermore, the amount of p53 present in the clonal population determined the extent of apoptosis. Tsp53 is transcriptionally active in this system, however, it discriminates among different target promoters and does not induce the apoptosis effector targets bax or Fas/Apo1. ^ In summary, this study indicates that the presence or absence of mdm2 is the determining factor for the ability of p53 to trigger apoptosis in this system. The loss of mdm2 promotes p53-dependent apoptosis in MEFs in a cell cycle and dose-dependent manner. p53 is differentially phosphorylated in the presence and absence of mdm2, but does not induce the apoptosis effectors, bax or Fas/ Apo1. ^

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El sistema de evaluación de desempeño docente está reglamentado desde 1993 en la Universidad Nacional de Cuyo, año en que se puso en vigencia en la Facultad de Ciencias Agrarias. La normativa que lo rige menciona la situación funcional como elemento a evaluar, sin embargo no aporta criterios para ello. El objetivo de este trabajo fue relevar variables que, solas o en la forma de indicadores, permitieran detectar causas de actividad diferenciada por categoría, dedicación y ubicación curricular de los docentes. Se utilizó una encuesta autogestionada, asignada a los docentes mediante muestreo aleatorio estratificado. Los datos se procesaron mediante técnicas uni, bi y multivariadas. Con relación a las cuatro categorías establecidas en el Estatuto no se advirtieron diferencias notables en los tipos de actividades realizadas. Se hallaron diferencias para la dedicación docente y los ciclos curriculares (básico, instrumental y profesional). Se concluyó que: a) las categorías trabajan en forma pareja, pero los Profesores Titulares tienen mayor participación en posgrado; b) sólo los docentes de dedicación exclusiva cuentan con tiempo para realizar tareas de investigación, servicios y extensión; c) los docentes de los ciclos básico e instrumental desarrollan actividad más intensa en todas las áreas que los del ciclo profesional.

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New stratigraphic and high-resolution seismic data from the Bengal Fan indicate that the world's largest fan shows active growth during the most recent sea-level rise and the recent highstand. This unique phenomenon contradicts common sequence-stratigraphic models, and the sediment preserved provides new insight into the sedimentological response of a fan system to sea-level rise, climatic terminations, and monsoon intensity during the past climatic cycle. We present a detailed dated sequence of turbidite sedimentation based on a core transect perpendicular to the active channel-levee system in the upper mid-fan area. Between the two major terminations 1a (12 800 14C yr B.P.) and 1b (9700 14C yr B.P.), and especially at the end of the Younger Dryas, a 13-km-wide channel built up levees 50 m high. With decreasing sediment supply, continued sea-level rise, and increasing monsoon intensity during the early Holocene, turbidity currents were confined to the channel and gradually filled it. The canyon "Swatch of No Ground," a shelf depocenter that serves as the source for frequent turbidity currents, and the channel-levee system provide the unique opportunity for studying an active highstand system. Many fans showed this behavior only during lowered sea-level.

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In situ secondary ionization mass spectrometry (SIMS) analyses of oxygen isotopes in authigenic calcite veins were obtained from an active thrust fault system drilled at Ocean Drilling Program (ODP) Site 892 (44°40.4'N, 125°07.1'W) along the Cascadia subduction margin. The average d18OPDB value of all samples is -9.9 per mil and the values are the lowest of any measured in active accretionary prisms. Ranges in individual veins can be as much as 19.6 per mil. There is an isotopic stratigraphy related to the structural stratigraphy. Mean isotope values in the hanging wall, thrust, and footwall are -14.4 per mil, -9.5 per mil, and -5.2 per mil, respectively. Several veins and crosscutting vein sequences show a general trend from lower to higher d18O values over time. Isotopic and textural data indicate several veins formed by a crack-seal mechanism and growth into open fractures. The best explanation for the strong 18O depletions is periodic rapid flow from 2-3 km deeper in the prism. Relatively narrow isotopic ranges for most veins suggest that fluids were derived from a similar source depth for each episode of fluid pulse and calcite crystallization. Structural and mass balance considerations are consistent with a record preserved in the veins of ten to hundreds of thousands of years. The fluid pulses may relate to periodic large earthquake events such as those recognized in the paleoseismicity records from the Cascadia margin.

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We obtained sediment physical properties and geochemical data from 47 piston and gravity cores located in the Bay of Bengal, to study the complex history of the Late Pleistocene run-off from the Ganges and Brahmaputra rivers and its imprint on the Bengal Fan. Grain-size parameters were predicted from core logs of density and velocity to infer sediment transport energy and to distinguish different environments along the 3000-km-long transport path from the delta platform to the lower fan. On the shelf, 27 cores indicate rapidly prograding delta foresets today that contain primarily mud, whereas outer shelf sediment has 25% higher silt contents, indicative of stronger and more stable transport regime, which prevent deposition and expose a Late Pleistocene relic surface. Deposition is currently directed towards the shelf canyon 'Swatch of No Ground', where turbidites are released to the only channel-levee system that is active on the fan during the Holocene. Active growth of the channel-levee system occurred throughout sea-level rise and highstand with a distinct growth phase at the end of the Younger Dryas. Coarse-grained material bypasses the upper fan and upper parts of the middle fan, where particle flow is enhanced as a result of flow-restriction in well-defined channels. Sandier material is deposited mainly as sheet-flow deposits on turbidite-dominated plains at the lower fan. The currently most active part of the fan with 10-40 cm thick turbidites is documented for the central channel including inner levees (e.g., site 40). Site 47 from the lower fan far to the east of the active channel-levee system indicates the end of turbidite sedimentation at 300 ka for that location. That time corresponds to the sea-level lowering during late isotopic stage 9 when sediment supply to the fan increased and led to channel avulsion farther upstream, probably indicating a close relation of climate variability and fan activity. Pelagic deep-sea sites 22 and 28 contain a 630-kyear record of climate response to orbital forcing with dominant 21- and 41-kyear cycles for carbonate and magnetic susceptibility, respectively, pointing to teleconnections of low-latitude monsoonal forcing on the precession band to high-latitude obliquity forcing. Upper slope sites 115, 124, and 126 contain a record of the response to high-frequency climate change in the Dansgaard-Oeschger bands during the last glacial cycle with shared frequencies between 0.75 and 2.5 kyear. Correlation of highs in Bengal Fan physical properties to lows in the d18O record of the GISP2 ice-core suggests that times of greater sediment transport energy in the Bay of Bengal are associated with cooler air temperatures over Greenland. Teleconnections were probably established through moisture and other greenhouse-gas forcing that could have been initiated by instabilities in the methane hydrate reservoir in the oceans.