1000 resultados para Nerón, Emperador de Roma, 37-68


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The aim of the present study was to enhance the knowledge of the feeding habits of the juvenile component of the population of Southern elephant seals [Mirounga leonina (Linnaeus, 1758)] from Isla 25 de Mayo, South Shetland Islands, age class whose diet information is scarce. A total of 60 individuals were stomach lavaged in the spring - summer seasons of three consecutive years (2003, 2004 and 2005) of which 53.3 % (n = 32) presented food remnants. The Antarctic glacial squid Psychroteuthis glacialis Thiele, 1921 was the dominant prey taxon in terms of frequency of occurrence (68.7%), numerical abundance (60.1%) and biomass (51.5%), contributing 84.1% to the total relative importance index. Other squid prey species of importance were Slosarczykovia circumantartica Lipinski, 2001 in terms of occurrence (37.5%) and numerical abundance (14%) and Moroteuthis knipovitchi Filippova, 1972 in terms of biomass (16%). All identified cephalopod prey taxa are distributed south of the Antarctic Polar Front, except for the squid Martialia hyadesi Rochebrune & Mabille, 1889 which has a circumpolar distribution associated to the Polar Frontal Zone. No significant differences in the sizes of P. glacialis preyed upon by elephant seals were found between sexes and years. However, significant interannual differences were found in the taxonomical composition of their diet. This would be associated with temporal changes in food availability at the foraging areas of seals, which in turn may have been influenced by changes in oceanographic conditions as a result of the El Niño Southern Oscillation (ENSO) phenomenon that occurred during part of the study period. Furthermore, a differential response of males and females to this temporal variation was observed, with the former being also associated to a predation on octopods. This would suggest a sexual segregation in foraging habits of this species from the early stages of its life cycle.

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1- No interior do nucleo de cellulas hepaticas de Macacus rhesus e M. cynomolgus (figs. 13-34) inoculado com o virus da febre amarella e de cellulas hepaticas de doentes de febre amarella (figs. 61-65 e 68-69) ocorre o processo regressivo referido na literatura sob o nome de «degeneração oxychromatica». Tal processo apresenta grande intensidade nos macacos, sendo, porém, assaz escasso no material humano colhido em autopsias. Esta alteração está intimamente associada ao effeito nocivo causado pelo proprio virus da febre amarella, sendo, neste sentido, a unica alteração verdadeiramente especifica na febre amarella. Não foram encontradas alterações do cytoplasma nem granulos intracellulares que tivessem relação com o virus da febre amarella. Assim sendo, a febre amarella pertencerá ao grupo de doenças de virus filtraveis produzindo alterações cellulares caracteristicas ou corpusculos especificos, exclusivamente limitados ao nucleo. Deve ser incluida, portanto no grupo karyo-oikon da classificação de Lipschütz, juntamente com herpes, varicella, virus III do coelho, «submaxillary disease», etc. Como acontece em geral, nas doenças de virus filtraveis, formando inclusões intracellulares, observa-se na febre amarella que a inclusão celular especifica predomina ou existe exclusivamente em determinada especie cellular. Até agora, no nosso material só conseguimos evidenciar a degeneração oxychromatica da febre amarella na cellula hepatica. Quando existe, porém, a sua abundancia é notavel, não raro attingido a quasi totalidade das cellulas hepaticas nos cortes histologicos examinados. Esse facto não poude ser observado nos casos humanos que examinamos,provavelmente em virtude de condições proprias do virus no homem e da phase da molestia na qual foi retirado o material para estudo. Nas cellulas da camada cortical das suprarenaes de M. rhesus infectados encontramos aspectos nucleares suggestivos de degeneração oxychromatica (figs. 37 e 40); são escassos e de caracterisação duvidosa em virtude da concomitancia de alterações necrobíoticas não específicas. 2- Durante a epidemia de febre amarella em 1928 no Rio de Janeiro, notamos differenças assaz pronunciadas entre as lesões hepaticas no homem e no M. rhesus. Taes differenças, existindo em material assaz homogeneo quanto ás amostras de virus em questão, nos levam a concluir que a capacidade de formar corpusculos intranucleares especificos, como tambem a já conhecida permanencia do virus no sangue e nos tecidos, depende, de modo evidente, da especie animal usada e não da propria amostra empregada, nem do numero de passagens que ella soffreu no macaco. Embora os doentes pertencessem a raças differentes (quadro VIII) e embora, possivelmente diversas amostras de virus tenham sido nelles inoculadas, estamos autorisados a concluir que a amostra ou amostras que infectaram o homem na epidemia de 1928, no Rio de janeiro, possuem nelle uma fraca capacidade de determinar inclusões intranucleares. Ao contrario, a mesma amostra ou amostras são capazes de produzir no M. rhesus, logo na primeira passagem, inclusões intranucleares assaz abundantes. Outra diferença que notamos e attribuimos a especie animal empregada foi; as alterações hepaticas de natureza toxica e circulatoria (congestão, necrose e necrobiose da cellula hepatica) são nitidamente mais intensas no homem que nos macacos injectados com as amostras brasileiras do virus da febre amarella isoladas durante a epidemia de 1928 no Rio de Janeiro. Conseguimos, no homem, evidencia de inclusões typicas na cellula hepatica, apenas em tres casos dentre dezesete examinados. Esse resultado, provavelmente, ainda não é definitivo, indicando, apenas a raridade extrema que os corpusculos podem apresentar nos casos de febre amarella que ordinariamente chegam á autopsia. Tambem não realisamos uma pesquiza exhaustiva dos corpusculos em outros orgãos além do figado. O caso no qual encontramos em maior abundancia os corpusculos intranucleares, offerecia duas circumstancias que isoladamente, e, com maior razão, associadas, não são habituaes em material de autopsia de febre amarella, a saber: trata-se de uma creança fallecida cerca de 40 horas após o inicio da molestia e a autopsia foi iniciada 30 minutos após o obito. Notamos que, quando em uma preparação é encontrada uma cellula hepatica com inclusão, o exame não tarda em demonstrar, em campos microscopicos visinhos, uma ou outra cellula tambem com inclusão, ao passo que em pontos mais distantes nenhuma cellula é encontrada apresentando inclusões. Esses «fócos» de cellulas com inclusões nem sempre são faceis de encontrar, o que está de accôrdo com as differenças topographicas de outras lesões hepaticas, referidas por Oskar Klotz (1928) e Hudson (1928). 3- A degeneração oxychromatica é um processo regressivo nuclear, no qual tomam parte predominante elementos presentes no nucleo normal de cellulas tratadas pelos fixadores habituaes. São elles: a oxychromatina, o reticulo de linina e as particulas de basichromatina neste ultimo incrustadas; de mistura e associadas á oxychromatina existem provavelmente outras albuminas nucleares acidophilas oriundas do nucleoplasma em condições pathologicas do nucleo. Apenas esses elementos se apresentam alterados, quer quantitativamente, quer em seu aspecto e disposição reciproca, quer em suas affinidades tinctoriaes. O facto importante a reter é que taes modificações regressivas interessam, no inicio, unicamente determinadas partes componentes do nucleo com exclusão de outras e reproduzem nas cellulas hepaticas de animaes infectados, de maneira constante e regular, aspectos nucleares absolutamente typicos e especificos da infecção pelo virus amarillico. 4- O corpusculo intranuclear da febre amarella, em phases typicas (figs. 69 e 71) mostra-se constituido por uma «substancia fundamental» e por um «stroma». A substancia fundamental é uma albumina nuclear basica, em parte formada pela oxychromatina ou lanthanina, em parte por outras nucleoproteinas...

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A morphological study was done on A. nigricans, based on the observation of shell, radula, renal region and genitalia of 50 specimens measuring 18 mm in diameter. The data obtained are to be compared with those recorded in our previous paper (PARAENSE & DESLANDES, 1955) on A. glabratus. The characteristics common to both species will not be mentioned here. The numerals refere to the means and their standard deviations: no special reference being done, they correspond to length measurementes. Shell - 18 mm in diameter, 6.37 ± 0.29 mm in greatest width, 6 whorls. Prevailing colur ferruginous sepia, a minority of olivaceous, ochreous, nigrescent and deeply black specimens being found. Right side variously depressed, umbilicated, 1.5 to 3.5 mm deep from the bottom of the umblicus to the highest level of the last whorl. Left side more depressed than the right one, broadly concave, 1.5 to 3.5 mm deep. Both sides show a varously distinct keel, that looks sharper at the left. Aperture deltoid, varying in outline and width. Body, extended - 60.26 ± 3.62 mm, less pigmented than in glabratus. Renal tube - 30.68 ± 1.69 mm, showing neither ridge nor pigmented line along its ventral surface, this negative character affording a sure means of separation from glabratus. Ovotestis - 14.48 ± 1.93 mm. Ovisperm duct - 13.04 ± 1.60 mm, including the non-unwound seminal vesicle. The latter was 0.97 ± 0,21 mm in greatest width. Carrefour - Resembling that of glabratus. Sperm duct - 21.36 ± 1.53 mm. Prostate - Prostate duct 7.14 ± 0.74 mm, collecting a row of long diverticula numbering 19.6 ± 3.1 and more separate than in glabratus. Last diverticulum generally bifurcate or arborescent, the remaining ones arborescent. Vas deferens - 28.68 ± 1.38. Ratio vas deferens/vergic sac = 6.8±0.8. Verge - 3.08 ± 0.28 mm long, 0.11 ± 0.02 mm wide. Vergic sac - 3.07 ± 0.28 mm long, about 0.20 mm wide. Ratio vergic sac/preputium = 0.84 ± 0.12. Preputium - 3.69 ± 0.47 mm long, 0.85 ± 0.10 mm wide. Albumen gland - Resembling taht of glabratus. Oviduct - 16.26 ± 1.41 mm, swollen at the cephalic end. Uterus - 13.24 ± 1.19 mm. Vagina - 1.70 ± 0.22 mm, swolen at the caudal portion. Spermatheca - 2.78 ± 0.40 mm long, 0.86 ± 0.16 mm wide. Spermathecal duct 1.11 ± 0.20 mm. Radula - 125 to 168 horizontal rows of teeth (mean 153.9 ± 8.4). Radula formula 28-1-28 to 36-1-36 (mean 31.8 ± 1.9). Mode formula 31-1-31. The morphological characteristics of the renal region and shell, and the great body length in the same condition of shell diameter, distinguish A. nigricans from the most related species A. glabratus, giving support to considering it a good species from a txonomic or phenotypic standpoint (morphospecies).

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Investigación llevada a cabo a partir de una estancia en el Archivo Vaticano Secreto (Asv) y en el Archivum Romanum Societatis Iesu (Arsi) de Roma. En ellos se ha consultado la biografía del Padre Juan de Alloza, sacerdote de la Compañía de Jesús que vivió en la Lima del siglo XVII, escrita por el mismo por encargo de su orden religiosa. A través de ella se pretende analizar la construcción de la identidad criolla en el Perú colonial de la época.

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The paper analyses how the EU foreign policy towards Georgia changed after the Rose Revolution, reaching greater levels of involvement and assistance. It is argued that the pro-western and reformist new government in Georgia triggered a new orientation in the EU foreign policy towards the country based on a logic of appropriateness, that is EU´s values, in addition to energy interests. Comparative analysis in the Southern-Caucasus and other Eastern-European countries shows how reformist and pro-EU governments receive more EU support and assistance. This does not mean that material interest do not play an important role. However, the EU seems to be coherent with its values when regarding the European neighbourhood.

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Através de Reação de Hemaglutinação Indireta para toxoplasmose foram examinadas amostras de sangue de dez diferentes espécies de animais domésticos e silvestres, de um grupamento humano da cidade de Manaus-Amazonas e de um grupamento humano indígena de área distante, no território de Roraima. Em 108 animais domésticos, o exame sorológico foi reagente em 90,6% dos gatos (Felis catus), 68,4% dos cães (Canis familiaris), 60,0% dos bovinos (Bos sp), 41,2% dos galináceos (Gallus sp) e 40,0% dos palmípedes (Cairina sp). Nos 104 animais silvestres foram reagentes 75,0% dos felídeos (Felis sp), 63,6% dos marsupiais (Didelphis marsupialis e Marmosa sp), 63,3% dos primatas (Saimiri sp) e 61,1% dos roedores (Proechimys). Entre os dois grupos humanos a prevalência foi de 70,6% nos 51 habitantes da área de Manaus, 64,8% nos 37 silvícolas de Roraima. Os autores discutem os resultados obtidos, assim como os diversos aspectos envolvidos na epidemiologia da toxoplasmose e chamam a atenção para a existência de mecanismos de transmissão ainda não esclarecidos, enfatizando a necessidade de maiores estudos dessa zoonose.

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A l'instar de nombreux pays industrialisés, le cancer du sein est à Genève le cancer le plus fréquent (environ 460 cas par an) et la première cause de décès chez les femmes entre 45 et 55 ans. Depuis mars 1999, le Programme genevois de dépistage du cancer du sein a pour missions de promouvoir, d'organiser et de mener une action de prévention auprès de la population féminine du canton âgée de 50 à 69 ans. Ce rapport décrit l'évolution de 15 ans d'activité de dépistage (chapitre 2) et analyse l'utilisation (chapitre 3), la qualité (chapitre 4) et l'efficacité (chapitre 5) du programme genevois entre 2007 et 2011. Couvrant 86'720 mammographies et près de 37'000 femmes, ce rapport s'intéresse aussi, au-dedes indicateurs usuels de performance, à mieux estimer certains effets indésirables comme les résultats faussement positifs ou les cancers survenant entre 2 examens de dépistage (dits cancers d'intervalle).

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Purpose: The purpose of this study was to compare the plaque morphology between coronary and peripheral arteries using intravascular ultrasound (IVUS). Methods: IVUS was performed in 68 patients with coronary and 93 with peripheral artery lesions (29 carotid, 50 renal, and 14 iliac). Plaques were classified as fibroatheroma (VH-FA) (further subclassified as thin-capped [VH-TCFA] and thick-capped [VH-ThCFA]), fibrocalcific plaque (VH-FC) and pathological intimal thickening (VH-PIT). Results: Plaque rupture (13% of coronary, 7% of carotid, 6% of renal, and 7% of iliac arteries; P=NS) and VH-TCFA (37% of coronary, 24% of carotid, 16% of renal, and 7% of iliac arteries; P=0.02) was observed in all arteries. Compared to coronary arteries, VH-FA was less frequently observed in renal (P<0.001) and iliac arteries (P<0.006), while VH-PIT and VH-FC were prevalent in both of these peripheral arteries. Lesions with positive remodeling demonstrated more characteristics of VH-FA in coronary, carotid, and renal arteries compared to those with intermediate/negative remodeling (all P<0.01). There was positive relationship between RI and percent necrotic core area in all four arteries. Conclusions: Atherosclerotic plaque phenotypes were heterogeneous among four different arteries. In contrast, the associations of remodeling mode with plaque phenotype and composition were similar among the various arterial beds.

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Background: Inadequate intraoperative cerebral perfusion has been suggested as a possible cause of postoperative cognitive dysfunction (POCD). Methods: We investigated 35 patients aged 65 or older undergoing elective major non-cardiac surgery under standardized general anaesthesia (thiopental, sevoflurane, fentanyl, atracurium). Intraoperative cerebral perfusion was monitored with transcranial Doppler, and near-infrared spectroscopy (NIRS). Arterial blood pressure was monitored continuously with a Finapres device. Mx, an index allowing continuous monitoring of cerebrovascular autoregulation based on the changes in mean arterial blood pressure (MAP) and cerebral blood flow velocity was calculated. Mx >0.5 was defined as disturbed cerebrovascular autoregulation. Cognitive function was measured preoperatively and 7 days postoperatively using the CERAD-NAB Plus test battery. A postoperative decline >1 z-score in at least two of the tested domains was defined as POCD. Data are shown as mean } SD. Results: Mean age was 75 } 7 yrs. Sixteen patients (46%) developed POCD. These patients were older (77 } 8 vs 73 } 7 yrs), had lower MAP (77 } 12 vs 81 } 11 mm Hg), lower cerebral tissue oxygenation indices measured by NIRS (66.8 } 6.0 vs 68.6 } 4.3%) and less efficient cerebrovascular autoregulation (Mx 0.54 } 0.17 and 0.44 } 0.22) than patients without POCD. Disturbed intraoperative cerebrovascular autoregulation was found more often (56 vs 37%) in patients with POCD. However, none of these differences reached statistical significance. Conclusions: Our data show a trend towards subtle changes in intraoperative cerebral perfusion in elderly patients who develop POCD. However, a cause effect relationship must not be assumed and a greater number of patients needs to be investigated patients. However, more patients need to be investigated to confirm and characterize these differences.

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BACKGROUND: Recommended oral voriconazole (VRC) doses are lower than intravenous doses. Because plasma concentrations impact efficacy and safety of therapy, optimizing individual drug exposure may improve these outcomes. METHODS: A population pharmacokinetic analysis (NONMEM) was performed on 505 plasma concentration measurements involving 55 patients with invasive mycoses who received recommended VRC doses. RESULTS: A 1-compartment model with first-order absorption and elimination best fitted the data. VRC clearance was 5.2 L/h, the volume of distribution was 92 L, the absorption rate constant was 1.1 hour(-1), and oral bioavailability was 0.63. Severe cholestasis decreased VRC elimination by 52%. A large interpatient variability was observed on clearance (coefficient of variation [CV], 40%) and bioavailability (CV 84%), and an interoccasion variability was observed on bioavailability (CV, 93%). Lack of response to therapy occurred in 12 of 55 patients (22%), and grade 3 neurotoxicity occurred in 5 of 55 patients (9%). A logistic multivariate regression analysis revealed an independent association between VRC trough concentrations and probability of response or neurotoxicity by identifying a therapeutic range of 1.5 mg/L (>85% probability of response) to 4.5 mg/L (<15% probability of neurotoxicity). Population-based simulations with the recommended 200 mg oral or 300 mg intravenous twice-daily regimens predicted probabilities of 49% and 87%, respectively, for achievement of 1.5 mg/L and of 8% and 37%, respectively, for achievement of 4.5 mg/L. With 300-400 mg twice-daily oral doses and 200-300 mg twice-daily intravenous doses, the predicted probabilities of achieving the lower target concentration were 68%-78% for the oral regimen and 70%-87% for the intravenous regimen, and the predicted probabilities of achieving the upper target concentration were 19%-29% for the oral regimen and 18%-37% for the intravenous regimen. CONCLUSIONS: Higher oral than intravenous VRC doses, followed by individualized adjustments based on measured plasma concentrations, improve achievement of the therapeutic target that maximizes the probability of therapeutic response and minimizes the probability of neurotoxicity. These findings challenge dose recommendations for VRC.

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"Vegeu el resum a l'inici del document del fitxer adjunt."

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Since the inception of cardiopulmonary bypass (CPB), little progress has been made concerning the design of cardiotomy suction (CS). Because this is a major source of hemolysis, we decided to test a novel device (Smartsuction [SS]) specifically aimed at minimizing hemolysis during CPB in a clinical setting. Block randomization was carried out on a treated group (SS, n=28) and a control group (CTRL, n=26). Biochemical parameters were taken pre-, peri-, and post CPB and were compared between the two groups using the Student's t-test with statistical significance when P<0.05. No significant differences in patient demographics were observed between the two groups. Lactate dehydrogenase (LDH) and plasma free hemoglobin (PFH) pre-CPB were comparable for the CTRL and SS groups, respectively. LDH peri-CPB was 275+/-100 U/L versus 207+/-83 U/L for the CTRL and SS groups, respectively (P<0.05). PFH was 486+/-204 mg/L versus 351+/-176 mg/L for the CTRL and SS groups, respectively (P<0.05). LDH post CPB was 354+/-116 U/L versus 275+/-89 U/L for the CTRL and SS groups, respectively (P<0.05). PFH was 549+/-271 mg/L versus 460+/-254 mg/L for the CTRL and SS groups, respectively (P<0.05). Preoperative hematocrit (Hct) of 43+/-5% (CTRL) versus 37+/-5% (SS), and hemoglobin (Hb) of 141+/-16 g/L (CTRL) versus 122+/-17 g/L (SS) were significantly lower in the SS group. However, when normalized (N), the SS was capable of conserving Hct, Hb, and erythrocyte count perioperatively. Erythrocytes (N) were 59+/-5% (CTRL) versus 67+/-9% (SS); Hct (N) was 59+/-6% (CTRL) versus 68+/-9% (SS), and Hb (N) was 61+/-6% (CTRL) versus 70+/-10% (SS) (all P<0.05). This novel SS device evokes significantly lowered blood PFH and LDH values peri- and post CPB compared with the CTRL blood using a CS system. The SS may be a valuable alternative compared to traditional CS techniques.

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We sought to provide a contemporary picture of the presentation, etiology, and outcome of infective endocarditis (IE) in a large patient cohort from multiple locations worldwide. Prospective cohort study of 2781 adults with definite IE who were admitted to 58 hospitals in 25 countries from June 1, 2000, through September 1, 2005. The median age of the cohort was 57.9 (interquartile range, 43.2-71.8) years, and 72.1% had native valve IE. Most patients (77.0%) presented early in the disease (<30 days) with few of the classic clinical hallmarks of IE. Recent health care exposure was found in one-quarter of patients. Staphylococcus aureus was the most common pathogen (31.2%). The mitral (41.1%) and aortic (37.6%) valves were infected most commonly. The following complications were common: stroke (16.9%), embolization other than stroke (22.6%), heart failure (32.3%), and intracardiac abscess (14.4%). Surgical therapy was common (48.2%), and in-hospital mortality remained high (17.7%). Prosthetic valve involvement (odds ratio, 1.47; 95% confidence interval, 1.13-1.90), increasing age (1.30; 1.17-1.46 per 10-year interval), pulmonary edema (1.79; 1.39-2.30), S aureus infection (1.54; 1.14-2.08), coagulase-negative staphylococcal infection (1.50; 1.07-2.10), mitral valve vegetation (1.34; 1.06-1.68), and paravalvular complications (2.25; 1.64-3.09) were associated with an increased risk of in-hospital death, whereas viridans streptococcal infection (0.52; 0.33-0.81) and surgery (0.61; 0.44-0.83) were associated with a decreased risk. In the early 21st century, IE is more often an acute disease, characterized by a high rate of S aureus infection. Mortality remains relatively high.