559 resultados para Gallbladder stones
Resumo:
A randomized, placebo-controlled trial was conducted in overweight calcium stone-forming (CSF) patients, to evaluate the effect of calcium supplementation associated with a calorie-restricted diet on body weight (BW) and fat reduction and its potential changes upon serum and urinary parameters. Fifteen patients were placed on a hypocaloric diet for 3 months, supplemented with either calcium carbonate (CaCO(3), n = 8) or placebo (n = 7), 500 mg bid. Blood and 24-h urine samples were collected and body composition was assessed at baseline and after the intervention. At the end of the study, final BW was significantly lower vs baseline in both CaCO(3) (74 +/- A 14 vs. 80 +/- A 14 kg, P = 0.01) and placebo groups (80 +/- A 10 vs. 87 +/- A 9 kg, P = 0.02) but the mean percentage of loss of body weight and body fat did not differ between CaCO(3) and placebo (7.0 +/- A 2.0 vs. 8.0 +/- A 3.0%, P = 0.40 and 13.0 +/- A 7.0 vs. 13.0 +/- A 10.0%; P = 0.81, respectively). After CaCO(3) or placebo, no significant differences versus baseline were observed for urinary parameters in both CaCO(3) and placebo, except for a higher mean urinary citrate in placebo group. These data suggest that increasing calcium intake by calcium carbonate supplementation did not contribute to a further reduction of BW and fat in overweight CSF patients submitted to a hypocaloric diet nor altered urinary lithogenic parameters.
Resumo:
So Paulo is the most developed state in Brazil and contains few fragments of native ecosystems, generally surrounded by intensive agriculture lands. Despite this, some areas still shelter large native animals. We aimed at understanding how medium and large carnivores use a mosaic landscape of forest/savanna and agroecosystems, and how the species respond to different landscape parameters (percentage of landcover and edge density), in a multi-scale perspective. The response variables were: species richness, carnivore frequency and frequency for the three most recorded species (Puma concolor, Chrysocyon brachyurus and Leopardus pardalis). We compared 11 competing models using Akaike`s information criterion (AIC) and assessed model support using weight of AIC. Concurrent models were combinations of landcover types (native vegetation, ""cerrado"" formations, ""cerrado"" and eucalypt plantation), landscape feature (percentage of landcover and edge density) and spatial scale. Herein, spatial scale refers to the radius around a sampling point defining a circular landscape. The scales analyzed were 250 (fine), 1,000 (medium) and 2,000 m (coarse). The shape of curves for response variables (linear, exponential and power) was also assessed. Our results indicate that species with high mobility, P. concolor and C. brachyurus, were best explained by edge density of the native vegetation at a coarse scale (2,000 m). The relationship between P. concolor and C. brachyurus frequency had a negative power-shaped response to explanatory variables. This general trend was also observed for species richness and carnivore frequency. Species richness and P. concolor frequency were also well explained by a second concurrent model: edge density of cerrado at the fine (250 m) scale. A different response was recorded for L. pardalis, as the frequency was best explained for the amount of cerrado at the fine (250 m) scale. The curve of response was linearly positive. The contrasting results (P. concolor and C. brachyurus vs L. pardalis) may be due to the much higher mobility of the two first species, in comparison with the third. Still, L. pardalis requires habitat with higher quality when compared with other two species. This study highlights the importance of considering multiple spatial scales when evaluating species responses to different habitats. An important and new finding was the prevalence of edge density over the habitat extension to explain overall carnivore distribution, a key information for planning and management of protected areas.
Resumo:
Selection and transport of objects to use as tools at a distant site are considered to reflect planning. Ancestral humans transported tools and tool-making materials as well as food items. Wild chimpanzees also transport selected hammer tools and nuts to anvil sites. To date, we had no other examples of selection and transport of stone tools among wild nonhuman primates. Wild bearded capuchins (Cebus libidinosus) in Boa Vista (Piaui, Brazil) routinely crack open palm nuts and other physically well-protected foods on level surfaces (anvils) using stones (hammers) as percussive tools. Here we present indirect evidence, obtained by a transect census, that stones suitable for use as hammers are rare (study 1) and behavioral evidence of hammer transport by twelve capuchins (study 2). To crack palm nuts, adults transported heavier and harder stones than to crack other less resistant food items. These findings show that wild capuchin monkeys selectively transport stones of appropriate size and hardness to use as hammers, thus exhibiting, like chimpanzees and humans, planning in tool-use activities.
Resumo:
Högskolan Dalarna har i samarbete med Naturbränsle i Mellansverige AB genomfört studier på ett nytt fordon för transport av skogsflis. Fordonet är försett med egen lastningsutrustning (kran och skopa), vilket innebär att flisskördaren kan tippa flisen direkt på marken eller på en i förväg utlagd duk (minskar risken för föroreningar i samband med lastning). Studier har också genomförts på transport av flis med lastväxlarfordon och container (traditionell metod) för att jämförelser skall kunna göras mellan de olika fordonstyperna. Studierna har finansie¬rats via anslag från Statens Energimyndighet och via ”naturabidrag” från deltagande företag.Studierna visar att det nya transportfordonet är ett bättre alternativ än de traditionella last¬växlarfordonen på större objekt med långa transportavstånd. Dessutom pekar studien på att det är sannolikt är bättre även på små objekt under förutsättning att flisningskostnaden kan hållas på en rimlig nivå. Studierna visar också att det bör finnas en viss utvecklingspotential på det nya fordonet (teknik- och metodutveckling), varför det bedöms kunna konkurrera med lastväxlarfordonen även på andra typer av objekt.Jämfört med de traditionella lastväxlarfordonen har det nya fordonet bl.a. följande fördelar:•Transportarbetet blir lättare att planera i och med att beroendeförhållandet mellan in¬blandade maskiner och fordon för flisproduktion och transport upphör.••Risken för störningar i transportflödet minskar.•Miljövinsterna blir större jämfört med lastväxlarfordon som måste ställa ut tomma con¬tainrar innan flisningen kan påbörjas.•Det finns inget behov av lastmaskiner på terminalerna.•Flis kan mellanlagras i skogen.Till nackdelarna med det nya fordonet hör bl.a. följande:•Framkomligheten är något sämre än för lastväxlarfordon på mycket smala och kurviga skogsbilvägar.•Det finns en viss risk för att föroreningar följer med vid lastning av fordonet. Studies were carried out on a new vehicle for transport of fuel chips from the forest. The vehicle was equipped with a crane and a bucket meaning that the chipper may tip the fuel chips right on the ground or on a mat (vira from wood processing industry) to prevent from dirt such as sand and stones when loading. Studies were also carried out on traditional main hauling with transport bins. Transport speed was the same for all vehicles except for the new self-loader on forest roads with lower quality.The studies show that the new system probably is a better alternative on large sites with long transport distances and on sites with only little parking place for transport bins. It is also likely that the new vehicle may be used on very small sites if they are close to each other and if moving cost for the chipper is low.The studies show that the new vehicle has the following advantages:•Transport and other work may be planned in a better way leading to that stress de¬creases.•Dependence between chipper operators and truck drivers decreases.•The risk for disturbances in transport flow decreases.•Environment benefits compared to traditional system with higher traffic intensity (less exhaust gases and lower stress on roads and bridges).•No need for loading machines on terminals.•Easier to store fuel chips on landing.
Resumo:
Q&A: Tashia Bradley on Kentucky, Tortola, The Pugh Center mission, and the mild winter she brought with her to Maine Weather Report: Senior speaks at meteorological meeting, challenges historians' take on the history of forecasting Finding Community: Projects for Peace documentary explores a different, and for many, more rewarding way of life Literary Peaks: At Whitefish Review, Colby trio (plus one) gives art and literature a mountain home Sadoff Invites Us To Love Life Despite Hardship and Injustice (Review) Marketing Experts Say Plain Talk Beats Social Media Considering Life's Stepping Stones: For Debra Spark's characters, it's the journey, not the destination (Review) Finding Home Amid Myth and Mystery (Review) Recent Releases Concussion Impact: Colby-based project helps Maine schools reduce sports injuries Quiet Powerhouse: Rachael Mack ends career with 1,241 points, leads team turnaround Sports Shorts The Nation's Fastest: Dominique Kone '13 wins NCAA DIII 60-meter dash, coming back from 2011 injury
Resumo:
A infecção das vias biliares é uma doença freqüente com alta morbidade e mortalidade, que pode variar de 10 a 60% dependendo de sua gravidade. A causa mais comum desta infecção é a presença de cálculos na via biliar principal que propicia o surgimento de bacteriobilia. O profundo conhecimento das características microbiológicas da bile nos casos de coledocolitíase e infecção das vias biliares são fundamentais para o melhor diagnóstico desta infecção e escolha da antibioticoterapia a ser instituída. Assim, o objetivo deste estudo foi de caracterizar os principais aspectos microbiológicos da bile dos pacientes com e sem coledocolitíase e avaliar sua importância na escolha dos antimicrobianos para o tratamento da infecção das vias biliares. Foram analisados 33 pacientes que foram divididos em um grupo de 10 pacientes sem coledocolitíase (grupo controle) no momento da Colangiografia Endoscópica (CPER) e em outro grupo de 23 pacientes com coledocolitíase. A bile de todos os pacientes foi coletada no início do procedimento endoscópico, através de catater introduzido na via biliar. O exame de microscopia direta com coloração de Gram e as culturas da bile foram negativas nos 10 pacientes que não apresentaram coledocolitíase durante a CPER. Dos 23 pacientes com cálculos na via biliar principal, 19 (83%) apresentaram culturas positivas. Desses 19 pacientes com culturas de bile positivas, 18 (94,7%) apresentaram microorganismos detectáveis à microscopia direta com coloração de Gram. Apenas um paciente apresentou crescimento de germe anaeróbio (Bacteroides fragilis). O cultivo de 28 bactérias teve predominância de microorganismos Gram negativos (18 bactérias- 64,3%). Os germes isolados foram E. coli (9, 32,1%), Klebsiella pneumoniae (5, 17,9%), Enterococcus faecalis (5, 17,9%), Streptococcus alfa-haemoliticus (3, 10,7%), Streptococcus viridans (2, 7,1%), Enterobacter cloacae (2, 7,1%), Panteona aglomerans (1, 3,6%) e Pseudomonas aeruginosa (1, 3,6%). Todos os pacientes com microorganismos detectados pela microscopia direta com coloração de Gram tiveram crescimento bacteriano em suas culturas, por outro lado nenhum paciente com cultura negativa apresentou microoorganismos à microsopia direta ( p= 0,0005). Nesses casos, a microsopia direta apresentou uma especificidade de 100% e sensibilidade de 80%. A análise quantitativa das culturas da bile mostrou que das 19 culturas positivas, 12 (63,2%) tiveram pelo menos um germe com contagem superior a 105 ufc/ml. Todas as bactérias Gram positivas isoladas foram sensíveis à ampicilina, da mesma forma que todas as Gram negativas foram sensíveis aos aminoglicosídeos. Os achados deste estudo demonstram uma boa correlação entre a microscopia direta da bile com coloração de Gram e os achados bacteriológicos das culturas da bile coletada por colangiografia endoscópica retrógrada. O esquema terapêutico antimicrobiano tradicionalmente empregado em nosso hospital, que inclui a combinação de ampicilina e gentamicina, parece ser adequado, pois apresenta eficácia terapêutica contra os principais microorganismos responsáveis pela infecção das vias biliares.
Resumo:
Hiperoxalúria ocorre após ressecção extensa do intestino delgado na presença de um colon intacto. De 1984 a 1997, 40 pacientes com ressecção de intestino delgado, extensão maior do que 30cm, foram estudados com o objetivo de se avaliar a prevalência de litíase renal nesta população e alterações metabólicas associadas. Sete pacientes, correspondendo a 17,5% da população em estudo, desenvolveram um ou mais cálculos renais durante o período de observação correspondendo a uma incidência de 3,1 casos por 100 pessoas/ano. Os pacientes foram então divididos em dois grupos. Grupo 1 formado por 33 pacientes com ressecção intestinal que não formaram cálculos renais durante o período de observação e o Grupo 2 com 7 pacientes que formaram um ou mais cálculos renais após a ressecção intestinal. A excreção urinária de oxalato foi, em média, maior no grupo 2, que desenvolveram litíase renal, comparado com o grupo 1, não formadores de cálculos renais (49,2±23,8 mg/24horas Vs 30,6±3,4 mg/24h, p=0,004). De forma oposta, o magnésio foi menor nos pacientes formadores de cálculos renais comparado com os pacientes não formadores de cálculos (54,5±17,9 mg/24horas Vs 94,9±8,5 mg/24horas, p=0,028), assim como o citrato também foi menor nos pacientes com cálculo renal, mas sem diferença do ponto de vista estatístico (265,9±55,8 mEq/24horas Vs 404,8±49,7mEq/24horas, P= 0,278). Este estudo mostra que novos cálculos urinários podem ser detectados em um número significativo de pacientes que se submetem à cirurgia de ressecção do intestino delgado, provavelmente associado ao aumento da excreção de oxalato e diminuição de, pelo menos, um dos inibidores da cristalização de oxalato de cálcio, o magnésio. Por isto, se torna importante a monitorização destes pacientes, regularmente, mesmo após vários anos da cirurgia. É importante a monitorização pelo menos do oxalato e magnésio, na urina de 24 horas, já que ambos estão associados a um maior risco de desenvolvimento de cálculos renais.
Resumo:
O objeto de estudo da minha tese é a agência, mais especificamente a não ação em estratégias de responsabilidade social empresarial (RSE). A partir de uma concepção estruturacionista de agência, construo um quadro teórico que desafia a perspectiva estratégica e integradora (PORTER e KRAMER, 2006) que domina grade parte dos estudos recentes em RSE, centrado no conceito de stakeholder (FREEMAN, 1984). O arcabouço teórico formulado tem como princípio: (1) uma perspectiva pluralista crítica (SCHLOSBERG, 1983 e HOONEY, 19986) à formulação do problema de tese e à combinação de diferentes perspectivas teóricas em estratégia; (1) uma orientação praxeológica, advinda da teoria da estruturação (GIDDENS, 2003) que permite o reconhecimento e a definição do objeto de estudo; (2) uma certa insistência realista (Stones , 2003 e 2005), para o estudo dos diferentes níveis de análise, por meio do bracketing conceitual viabilizado pela co-deteminação (CHILD, 1997); (3) uma perspectiva política que percebe na não-ação (BACHRACH e BARATZ, 1962, 1963) um tipo de agência que desafia o fenômeno da RSE, principalmente, quando associado a uma empresa multinacional atuando em um país emergente. Em termos metodológicos, a tese desenvolvida foi viabilizada por uma orientação processualista que combinou, em termos reflexivos, a análise de discursos narrativos e o mapeamento de eventos de ação e não-ação, ao longo da trajetória de desenvolvimento da RSE, em um estudo de caso único, realizado junto à uma grande empresa multinacional atuando no Brasil. A partir da coleta e análise dos dados, a tese traz como contribuição teórica: (a) o reconhecimento das motivações associadas ao crescente voluntarismo de ação em RSE, por parte das grande empresas (por exemplo, a auto-regulamentação), ao expor a não-ação, suas implicações e a relação com os diferentes atores sociais; (b) os limites do integracionismo em RSE, considerando as implicações de uma agenda internacional em RSE para a relação matriz-subsidiária; (c) os reflexos das estratégias de RSE sobre questões de não-mercado, anteriormente desconsideradas, a cerca de dimensões relevantes na interface público-privada em RSE
Resumo:
A preocupação central deste trabalho é estabelecer a relação entre políticas públicas e a defesa de direitos humanos no Brasil. O ponto de partida inicial é a hipótese de que os direitos humanos são valores que devem permear as políticas públicas porque são padrões de justiça social. Além disso, o reconhecimento de direitos civis, políticos, sociais e econômicos são a base do estado de direito, da democracia e da teoria política liberal. Portanto, sua efetivação, através da ação do Estado legitima o governo democrático. Ao mesmo tempo, os direitos humanos fazem parte do arcabouço institucional da comunidade internacional e fundam, também, os relacionamentos inter-estatais. Apesar do consenso em torno dos direitos humanos, muitas vezes eles são desconsiderados por governos, entidades privadas e indivíduos. O trabalho identifica os variados sistemas de defesa de direitos humanos, nacional e internacionais. Atualmente, as situações de desigualdade são agravadas pela globalização e pela falta de uma instância consolidada de tutela internacional. Um dos impactos da globalização sobre a vida das pessoas é a mobilidade. O desrespeito aos direitos humanos, aliado com a fácil mobilidade das populações é um tema que tem preocupado os organismos internacionais e as organizações não governamentais nacionais e internacionais. O exemplo do tráfico internacional de pessoas para fins de exploração sexual é utilizado para realçar as necessidades de políticas públicas internas aos Estados e internacionais para minorar situações de exploração de pessoas, que afetam a sua dignidade humana e seus direitos civis básicos, enfim, que defendam direitos humanos. A política pública brasileira, no que tange o tráfico internacional de pessoas, no entanto, deve ser pensada com alguns cuidados pelos administradores públicos, de maneira a realmente defender os direitos ameaçados. Nesse exemplo, fica evidente que é necessária a ação do estado para defender de maneira direta os direitos civis, por meio de campanhas de esclarecimento, medidas de segurança pública e acordos internacionais, como também fica claro que políticas voltadas para a afirmação de direitos sociais e econômicos atuam também na efetivação dos direitos civis, pela minoração das vulnerabilidades da população.
Resumo:
Chronic weight loss in marmosets is often associated with wasting marmoset syndrome (WMS), an important disease that occurs in callitrichid colonies around the world. Even though its etiology is very difficult to determine, particular variables, such as weight loss, diarrhea and alopecia, associated or not with infestation in the pancreatic ducts with Trichospirura leptossoma (Nematoda: Thelazioidea), seem to be linked with the syndrome. This study investigated the histopathology of the lungs, duodenum, liver, gallbladder, extrahepatic bile ducts and pancreatic ducts of six common marmosets (Callithrix jacchus) suffering from severe non-diarrheic weight loss. Three individuals died naturally and the other three were euthanized. Microscopic findings showed the presence of adult flukes (Platynosomum) in the liver. These flukes, which provoke common infection in cats, were also observed inside the gallbladder as well as in the intra and extrahepatic bile ducts in common marmosets. Portal fibrosis was observed in two animals, which developed chronic fibrosing hepatopathy (biliary pattern, grade 3). The disease progresses without diarrhea and without pancreatic lesions or infestation. With the rogression, the animals presented with ascending cholangitis, cholestasis and portal fibrosis, sometimes culminating in secondary biliary cirrhosis. Therefore, this nfirmity, associated with chronic weight loss in common marmosets, could be another tiological factor linked with WMS
Resumo:
Lithiasis is considered a public health issue due to its high prevalence and rates of recurrence. Objective: To identify risk factors for lithiasis in kidney stone patients from Fortaleza, Brazil. In the first stage of the study, the medical records of 197 patients with urinary lithiasis covering the period 1996 2006 were analyzed with regard to clinical and metabolic data. In the second stage, 340 kidney stones were submitted to morphological examination under 10x magnification. According to the external morphology and the cut surface, the stones were classified as pure or mixed, and major and minor components were identified. In addition, the stone fragments of 25 patients treated with lithotripsy were submitted to morphological analysis. In the third stage, a subsample of 50 stones was used in a double-blind comparison of morphological and chemical findings. Results were expressed as concordant, partly concordant (discordant for minor components) or discordant (discordant for major components). The average age of first symptoms was 35.8±13.3 years, with no significant difference between the genders. The male/female ratio was 1:1.7. Recurrence was reported in 53.3% of cases. The main metabolic changes observed were hypernatriuria (80.7%), hypercalciuria (48.7%), low urine volume (43.7%), hyperoxaluria (30.5%) and hyperuricosuria (17.3%). Pure stones represented 34.7% of the total sample of 340 stones. The most common route of elimination was spontaneous for pure stones (49.1%) and surgical for mixed stones (50.5%). Pure stones consisted most frequently of calcium oxalate (OxCa) (59.3%) and uric acid (UA) (23.7%), the former prevalent in women, the latter prevalent in men. The most frequently observed component in mixed stones was OxCa (67.1%), followed by carbapatite (11.2%) and struvite (7.9%). The main components were OxCa and UA for men, and carbapatite and struvite for women. Nearly half (48%) the 25 analyzed fragments were pure, consisting of calcium oxalate dihydrate (COD) (56%), calcium oxalate monohydrate (COM) (48%), phosphate (32%) and UA (20%). Four patients (16%) had infectious stones. In the chemical analysis of the subsample of 50 stones, the most 64 frequently observed major components were calcium (70%), oxalate (66%), ammonium (56%), urate (28%) and carbonate (24%). In the morphological analysis, the main components were calcium and magnesium phosphate (32%), COM (24%), UA (20%), COD (18%) and cystine (6%). Morphological and chemical findings were totally concordant for 38% of the stones, partly concordant in 52% and discordant in 10%. Conclusion: The risk factors for lithiasis in kidney stone patients from Fortaleza (Brazil) were hyperoxaluria, hypercalciuria with or without hypernatriuria, hyperuricosuria and low urine volume
Resumo:
This dissertation is a work on playing and its relation with the knowledge production process. It is the result of a set of personal experiences with the cultural universe of children which have instigated a look into the way they explore the world and questions about the very nature of the games they play. Could we consider those games hide, or rather reveal important strategies used in the knowledge production process and in making science. In light of several studies concerning the complexity of science, this questioning has also led to the development of a toy (a box), which consists of a range of pieces (photos, video, audio, stones, seeds, rags, envelopes, etc.). My intention is to show in a practical manner a strategy of thinking similar to the sensitive logic bricolage present in the playing, in order to instigate the reflection on the possibility of its inclusion in the production of the knowledge and science making processes
Resumo:
The State Bahia, Brazil, presents different geological sites it with a very expressive variety minerals. It is situated among the very important States which produces minerals for industries, such as pointed aggregate, ornamentals stones and ceramics raw materials. Nowadays only four companies producting ceramics tiles. Porcelainized stoneware tiles is one of the noblest ceramics, depicting low water absorption (typically below of 0,5%), in addition to excellent staining resistance and mechanical strength. The present work aims at investigating the potential of local raw materials for the production of porcelainized stoneware tiles. For this purpose, these materials were characterized by X-ray fluorescence, X-ray diffraction, particle size analysis, thermal gravimetric analysis, thermal differential analysis and dilatometric analysis. Admixtures containing different compositions were prepared and fired at four temperatures, 1100 ºC, 1150 ºC, 1200 ºC and 1250 ºC with isotherm for 60 minute and heathing rate of 5 oC/min. After firing the samples, they were characterized by water absorption tests, linear retraction, analysis, apparent porosity, apparent specific mass, flexural strength, and microstructural analysis by X-ray diffraction and scanning electron microscopy . The results revealed three ceramics with porcelainized stoneware tiles characteristics and porcelain tile will be produce from raw materials originated in the State of Bahia
Resumo:
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Resumo:
Recently, capuchin monkeys (Cebus spp.) inhabitants of dry environments and with restriction of fleshy fruits, have been the subject of several studies regarding the use of instruments. During behaviour of using stones to crack open nuts there is evidence of selection of more effective hammers, as well as selection of anvils related to reducing the risk of predation. The aim of this study was to determine whether two groups of capuchin monkeys (C.flavius and and C.libidinosus) inhabitants of the Caatinga of Rio Grande do Norte make choice of hammers and anvils. The record of weight and location of stones indicated active choices of with what (choice of hammers) and where (selection of anvils) to crack open encapsulated seeds. The choice of hammers to break nuts depended on the type and degree of ripeness seed. Thus, smaller seeds were smashed with lighter hammers and larger seeds with heavier hammers. Still, C. flavius was the only species that presented a refinement in the choice of hammers that depended on the ripeness of seeds. For both species of capuchin monkeys studied, the nut-crack sites were not spread in accordance with the spatial distribution of seed-producing species, suggesting that the capuchin monkeys promote active choice of anvils. Thus, in environments with more escape routes through the trees, the nut-crack sites were found further apart than in regions that had less chance of escape through the trees. Also, there was a difference in the spacing of the anvils to depend on the type of seed: sites used to crack larger and more caloric seeds were found farther apart than the sites used to crack smaller and less caloric seeds, suggesting a pattern of avoiding direct competition. We conclude that the capuchin monkeys maximize energy savings and reduced risk of predation and the costs of food competition during the behaviour of using stones to crack open nuts