Lobectomia por carcinoma brônquico : análise das co-morbidades e o seu impacto na morbi-mortalidade pós-operatória

Objetivo: Analisar o impacto das co-morbidades no desempenho pós-operatório de lobectomia por carcinoma brônquico. Pacientes e Métodos: Entre Janeiro de 1998 e Dezembro de 2004, foram estudados retrospectivamente 493 pacientes submetidos à lobectomia por carcinoma brônquico, dentre os quais 305 preencheram os critérios de inclusão. Todos os pacientes foram submetidos à lobectomias com técnica cirúrgica semelhante. Foi realizada análise das co-morbidades de forma a categorizar os pacientes nas escalas de Torrington-Henderson (PORT) e de Charlson, estabelecendo-se assim grupos de risco para complicações e óbito. Resultados: a mortalidade operatória foi 2,9% e o índice de complicações de 44%. O escape aéreo prolongado foi a complicação mais freqüente (20.6%). A análise univariada mostrou que sexo, idade, tabagismo, terapia neoadjuvante e diabetes apresentaram impacto significativo na incidência de complicações. O índice de massa corporal (23,8 ± 4,4), o VEF1 (74,1±24%), bem como a relação VEF1/CVF (0,65 ± 0,1) foram fatores preditivos da ocorrência de complicações. Ambas as escalas de Charlson e PORT foram eficazes na identificação de grupos de risco e na relação com a morbi-mortalidade (p=0,001 e p<0,001). A análise multivariada identificou que o IMC e o índice de Charlson foram os principais determinantes de complicações, enquanto que o escape aéreo prolongado foi o principal fator envolvido na mortalidade (p=0,01). Conclusão: Valores reduzidos de VEF1, VEF1/CVF e IMC baixo, assim como graus 3-4 de Charlson, e 3 de PORT estão associados a maior número de complicações após lobectomias por carcinoma brônquico. Nesta amostra, o escape aéreo persistente esteve fortemente associado à mortalidade.

Fístula oronasal em cão: reparo com flape simples associado a fator proteíco angiogênico purificado do látex de seringueira, veiculado com matriz de esponja de colágeno : estudo experimental

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Co-localização de OPG e RANKL durante o processo de reparo alveolar em ratas ovariectomizadas tratadas com estrógeno ou com raloxifeno

Pós-graduação em Odontologia - FOA

Correlación entre diferentes métodos de evaluación de color en el clareamiento dental. Correlation between different methods for co

The aim of this study was to evaluate the correlation of color change on bleaching tooth through delta E (ΔE) by the spectrophotometer Spectroshade (SS) and digital program Scanwhite (SW). Methods: 25 patient volunteers were recruited from Operative Dentistry at Universidad de Chile Dental School, between 18 to 30 years, with good oral hygiene. Exclusion criteria: Previous experienced tooth bleaching, anterior restorations, cervical lesions, pain dental, pregnant patient, stained teeth, malposition of the teeth and periodontal pathology. The bleaching was made in two sessions with three different bleaching systems which were randomly. The assessment of color change through ΔE was made on the two upper central incisors (N=50) by the SS and SW. The color in the same teeth were measured before (T0) and after (T1) of the bleaching treatment. Data were analyzed using test Spearman correlation coefficient (Rho) with a significant level of 95%. Results: The results showed a positive and significant correlation (0.676), with a statistically significant difference (p<0.05). Conclusion: There is correlation in the measurement of color change on bleaching tooth by SS and SW.

Humanização na assistência odontológica de pessoas com deficiência, através do projeto Cão Cidadão-Unesp

The Araçatuba School of Dentistry along with the Veterinary Medical Course, both from UNESP, develop the Extension Project called “Cão Cidadão UNESP” (Unesp Citizen Dog), which is accomplished in some assistance societies, including the Dental Assistance Center to Persons with Disabilities (“Centro de Assistência Odontológica à Pessoa com Deficiência” - CAOE-UNESP). This project develops a multidisciplinary work involving professionals and students from health sciences. The project aims at developing activities to relieve stress, fear and anxiety of patients with disabilities in the moment that precedes the dental treatment. The team performs procedures such as walking with the dogs and patients, toothbrushing the dogs so the patients can see it, in order to learn and motivate themselves, dressing the dogs with some accessories such as white clothes, mask and cap, to associate with image of the dentist, making this relationship more pleasant and welcoming. It is evidenced, through reports of professionals, that the patients become calmer and more collaborative with the dentists, distracting them from the treatment focus and creating a positive bond. It should be noted that this experience has contributed to motivate the professionals to introduce new techniques for dental approach, such as Animal Assisted Therapy. It also shows that animals can be very helpful in treating people with disabilities, because they offer a lot of love, companionship and provide moments of joy and happiness to the participants.

Life Cycle Assessment comparativo tra il processo di co-digestione della frazione organica dei rifiuti solidi urbani e dei fanghi di depurazione disidratati e il sistema di gestione attuale. Il caso di Bagnacavallo (RA)

Waste management is becoming, year after year, always more important both for the costs associated with it and for the ever increasing volumes of waste generated. The discussion on the fate of organic fraction of municipal solid waste (OFMSW) leads everyday to new solutions. Many alternatives are proposed, ranging from incineration to composting passing through anaerobic digestion. “For Biogas” is a collaborative effort, between C.I.R.S.A. and R.E.S. cooperative, whose main goal is to generate “green” energy from both biowaste and sludge anaerobic co-digestion. Specifically, the project include a pilot plant receiving dewatered sludge from both urban and agro-industrial sewage (DS) and the organic fraction of MSW (in 2/1 ratio) which is digested in absence of oxygen to produce biogas and digestate. Biogas is piped to a co-generation system producing power and heat reused in the digestion process itself, making it independent from the national grid. Digestate undergoes a process of mechanical separation giving a liquid fraction, introduced in the treatment plant, and a solid fraction disposed in landfill (in future it will be further processed to obtain compost). This work analyzed and estimated the impacts generated by the pilot plant in its operative phase. Once the model was been characterized, on the basis of the CML2001 methodology, a comparison is made with the present scenario assumed for OFMSW and DS. Actual scenario treats separately the two fractions: the organic one is sent to a composting plant, while sludge is sent to landfill. Results show that the most significant difference between the two scenarios is in the GWP category as the project "For Biogas" is able to generate “zero emission” power and heat. It also generates a smaller volume of waste for disposal. In conclusion, the analysis evaluated the performance of two alternative methods of management of OFMSW and DS, highlighting that "For Biogas" project is to be preferred to the actual scenario.

Effiziente, operative Torbelegung mittels kombinatorischer Auktionen

Das operative Torbelegungsproblem (TBP) z. B. an einem Distributions- oder Cross-dockingzentrum ist ein logistisches Problem, bei dem es gilt, an- und abfahrende Fahrzeuge zeitlich und räumlich so auf die Warenein- und -ausgangstore zu verteilen, dass eine mög-lichst kostengünstige Abfertigung ermöglicht wird. Bisherige Arbeiten, die sich mit dem TBP beschäftigen, lassen Aspekte der Kooperation außer Acht. Dieser Beitrag stellt ein Verfahren vor, durch das der Nachteil einseitig optimaler Torbelegungen überwunden werden kann. Dabei wird auf das Mittel der kombinatorischen Auktionen zurückgegriffen und das TBP als Allokationsproblem modelliert, bei dem Frachtführer um Bündel konsekutiver Einheitszeit-intervalle an den Toren konkurrieren. Mittels eines Vickrey-Clarke-Groves-Mechanismus wird einerseits die Anreizkompatibilität, andererseits die individuelle Rationalität des Auk-tionsverfahrens sichergestellt. Das Verfahren wurde in ILOG OPL Studio 3.6.1 implemen-tiert und die durch Testdaten gewonnenen Ergebnisse zeigen, dass die Laufzeiten gering genug sind, um das Verfahren für die operative (kurzfristige) Planung einzusetzen und so transportlogistische Prozesse für alle Beteiligten wirtschaftlicher zu gestalten.

Islamophobia as Reactive Co-Radicalization

Since 9/11, 2001, a new form of religious extremism has arguably emerged, one which paradoxically portrays itself as a counter to another perceived extremism regarded as a real and imminent threat. Within North America and Western Europe, as elsewhere, there is an upsurge of various forms of reactionary rhetoric and opposition expressed towards Islam and Muslims. An increase in extremist behaviour, even violence, is appearing from quarters opposed to, or varyingly fearful of, Islamic extremism if not Islam or Muslims. Islamophobia, as a manifestation of fear of an exclusionary Islam, manifests as exclusionary or negatively reactive behaviours with Muslims and Islam as the target. This article explores the idea that Islamophobia can be regarded as a manifestation of religious extremism and, further, that such extremism is construable as “reactive co-radicalization.” It focuses on two European cases – the 2009 Swiss ban on the building of minarets and the 2011 Norwegian massacre carried out by Anders Breivik – as examples of this “reactive co-radicalization.” This term, I suggest, is an apt denominator for the exclusionary reaction to the rising presence of Islam within otherwise secular, albeit nominally Christian, Western European and North American societies, among others.

Evaluación de los co-beneficios sobre el desarrollo sostenible y la reducción de la pobreza de proyectos de mitigación del cambio climático en Brasil

El cambio climático y los diferentes aspectos del concepto de “desarrollo” están intrínsecamente interconectados. Por un lado, el desarrollo económico de nuestras sociedades ha contribuido a un aumento insostenible de las emisiones de gases de efecto invernadero, las cuales están desestabilizando el sistema climático global, generando al mismo tiempo una distribución desigual de la capacidad de las personas para hacer frente a estos cambios. Por otro lado, en la actualidad existe un amplio consenso sobre que el cambio climático impacta directamente y de manera negativa sobre el denominando desarrollo sostenible. De igual manera, cada vez existe un mayor consenso de que el cambio climático va a desafiar sustancialmente nuestra capacidad de erradicar la pobreza a medio y largo plazo. Ante esta realidad, no cabe duda de que las estrategias de adaptación son esenciales para mantener el desarrollo. Es por esto que hasta el momento, los mayores esfuerzos realizados por unir las agendas globales de la lucha contra la pobreza y del cambio climático se han dado en el entorno de la adaptación al cambio climático. Sin embargo, cada vez son más los actores que defienden, desde distintos escenarios, que existen sinergias entre la mitigación de emisiones y la mejora de las condiciones de vida de las poblaciones más vulnerables, favoreciendo así un “desarrollo sostenible” sin disminuir los recursos financieros destinados a la adaptación. Para hacer efectivo este potencial, es imprescindible identificar diseños de estrategias de mitigación que incrementen los resultados de desarrollo, contribuyendo al desarrollo sostenible al mismo tiempo que a reducir la pobreza. En este contexto se sitúa el objetivo principal de esta investigación, consistente en analizar los co-beneficios locales, para el desarrollo sostenible y la reducción la pobreza, de proyectos de mitigación del cambio climático que se implementan en Brasil. Por co-beneficios se entienden, en el lenguaje de las discusiones internacionales de cambio climático, aquellos beneficios que van más allá de la reducción de emisiones de Gases de Efecto Invernadero (GEI) intrínsecas por definición a los proyectos de mitigación. Los proyectos de mitigación más relevantes hasta el momento bajo el paraguas de la Convención Marco de las Naciones Unidas para el Cambio Climático (CMNUCC), son los denominados Mecanismos de Desarrollo Limpio (MDL) del Protocolo de Kioto. Sin embargo, existen alternativas de proyectos de mitigación (tales como los denominados “estándares adicionales” a los MDL de los Mercados Voluntarios de Carbono y las Tecnologías Sociales), que también serán tenidos en cuenta en el marco de este estudio. La elección del tema se justifica por la relevancia del mismo en un momento histórico en el que se está decidiendo el futuro del régimen climático a partir del año 2020. Aunque en el momento de redactar este documento, todavía no se ha acordado la forma que tendrán los futuros instrumentos de mitigación, sí que se sabe que los co-beneficios de estos instrumentos serán tan importantes, o incluso más, que las reducciones de GEI que generan. Esto se debe, principalmente, a las presiones realizadas en las negociaciones climáticas por parte de los países menos desarrollados, para los cuales el mayor incentivo de formar parte de dichas negociaciones se basa principalmente en estos potenciales co-beneficios. Los resultados de la tesis se estructuran alrededor de tres preguntas de investigación: ¿cómo están contribuyendo los MDL implementados en Brasil a generar co-beneficios que fomenten el desarrollo sostenible y reduzcan la pobreza?; ¿existen proyectos de mitigación en Brasil que por tener compromisos más exigentes en cuanto a su contribución al desarrollo sostenible y/o la reducción de la pobreza que los MDL estén siendo más eficientes que estos en relación a los co-beneficios que generan?; y ¿qué características de los proyectos de mitigación pueden resultar críticas para potenciar sus co-beneficios en las comunidades en las que se implementan? Para dar respuesta a estas preguntas, se ha desarrollado durante cuatro años una labor de investigación estructurada en varias fases y en la que se combinan diversas metodologías, que abarcan desde el desarrollo de un modelo de análisis de cobeneficios, hasta la aplicación del mismo tanto a nivel documental sobre 194 documentos de diseño de proyecto (denominado análisis ex-ante), como a través de 20 casos de estudio (denominado análisis ex-post). Con la realización de esta investigación, se ha confirmado que los requisitos existentes hasta el momento para registrar un proyecto como MDL bajo la CMNUCC no favorecen sustancialmente la generación de co-beneficios locales para las comunidades en las que se implementan. Adicionalmente, se han identificado prácticas y factores, que vinculadas a las actividades intrínsecas de los proyectos de mitigación, son efectivas para incrementar sus co-beneficios. Estas prácticas y factores podrán ser tenidas en cuenta tanto para mejorar los requisitos de los actuales proyectos MDL, como para apoyar la definición de los nuevos instrumentos climáticos. ABSTRACT Climate change and development are inextricably linked. On the one hand, the economic development of our societies has contributed to the unsustainable increase of Green House Gases emissions, which are destabilizing the global climate system while fostering an unequal distribution of people´s ability to cope with these changes. On the other hand, there is now a consensus that climate change directly impacts the so-called sustainable development. Likely, there is a growing agreement that climate change will substantially threaten our capacity to eradicate poverty in the medium and long term. Given this reality, there is no doubt that adaptation strategies are essentials to keep development. This is why, to date, much of the focus on poverty in the context of climate change has been on adaptation However, without diverting resources from adaptation, there may exist the potential to synergize efforts to mitigate emissions, contribute to sustainable development and reduce poverty. To fulfil this potential, it is key identifying how mitigation strategies can also support sustainable development and reduce poverty. In this context, the main purpose of this investigation is to explore the co-benefits, for sustainable development and for poverty reduction, of climate change mitigation projects being implemented in Brazil. In recent years the term co-benefits, has been used by policy makers and academics to refer the potentially large and diverse range of collateral benefits that can be associated with climate change mitigation policies in addition to the direct avoided climate impact benefits. The most relevant mitigation projects developed during the last years under the United Nations Framework Convention on Climate Change (UNFCCC) are the so-called Clean Development Mechanisms (CDM) of the Kyoto Protocol. Thus, this research will analyse this official mechanism. However, there are alternatives to the mitigation projects (such as the "add-on standards" of the Voluntary Carbon Markets, and the Social Technologies) that will also be assessed as part of the research. The selection of this research theme is justified because its relevance in a historic moment in which proposals for a future climate regime after 2020 are being negotiated. Although at the moment of writing this document, there is not a common understanding on the shape of the new mitigation instruments, there is a great agreement about the importance of the co-benefits of such instruments, which may be even more important for the Least Developed Countries that their expected greenhouse gases emissions reductions. The results of the thesis are structured around three research questions: how are the CDM projects being implemented in Brazil generating local co-benefits that foster sustainable development and poverty reduction?; are other mitigation projects in Brazil that due to their more stringent sustainable development and/o poverty reduction criteria, any more successful at delivering co-benefits than regular CDM projects?; and what are the distinguishing characteristics of mitigation projects that are successful at delivering co-benefits? To answer these research questions, during four years it has been developed a research work structured in several phases and combining various methodologies. Those methodologies cover from the development of a co-benefits assessment model, to the application of such model both to a desktop analysis of 194 project design documents, and to 20 case studies using field data based on site visits to the project sites. With the completion of this research, it has been confirmed that current requirements to register a CDM project under the UNFCCC not substantially favour co-benefits at the local level. In addition, some practices and factors enablers of co-benefits have been identified. These characteristics may be taken into consideration to improve the current CDM and to support the definition of the new international market mechanisms for climate mitigation.

The young Dominican, or Life in the inquisition : and revelations of the secret societies of Spain /

Mode of access: Internet.

Transactions of the Department of agriculture of the state of Illinois with reports from county agricultural societies for the year.

Title varies slightly.

A survey and record of Woolwich and West Kent : containing descriptions and records, brought up-to-date, of geology, botany, zoology, archaeology and industries of the district, with a brief photographic commentary, in commemoration of the 12th Annual Congress, 1907, of the South Eastern Union of Scientific Societies /

On cover: Woolwich surveys.

The American debater : being a plain exposition of the principles and practice of public debate, wherein will be found an account of the qualifications necessary to a good deliberative orator, as also the mode of acquiring them, the rules of order observed in deliberative assemblies, debates in full and in outline, on various interesting topics, numerous questions for discussion, forms of a constitution for literary clubs or debating societies, etc., etc. /

Publishers include Moore, Wilstach, Keys & Co., Cincinnati.

The Napoleonic empire in southern Italy and the rise of the secret societies;

Appendices: A. The miracle of San Gennaro.--B. Table of measures and moneys.--C. House of Bourbon; House of Bonaparte: The Hapsburg, Bonaparte, Bourbon alliances.--D. Mary Caroline's memoirs.--E. Castlereagh's falsified dispatches.--F. Ferdinand's proclamation, 1st of May 1815.--G. Treaty of the holy alliance.--H. Carbonaro discourse.--I. Ferdinand's invitation to Laybach.--K. Bibliography for the political history of the kingdom of Naples, 1805-1821.

Social rights and duties; addresses to ethical societies,

Some of the addresses have appeared in the International journal of ethics, the National review and the Contemporary review.