536 resultados para 1202
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Toxic megacolon occurs in colitis of differing aetiology. This report describes 15 patients with chagasic megacolon with this complication. The clinical signs and symptoms in all patients were pain and progressive abdominal distension accompanied by fever, severe toxaemia and shock. Seven patients developed this clinical pattern after manual removal of faeces. The remaining patients had pain and abdominal distension followed by signs of severe toxaemia when first examined. Nine patients underwent total colectomy with ileostomy (one death), four partial colectomy (all died) and two received medical treatment (both died). At autopsy, three of the four patients undergoing partial colectomy had residual colitis and enteritis. The surgical procedure of choice for this complication of chagasic megacolon is total colectomy.
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We critically review the validity of heavy-quark spin and flavor symmetries in heavy-light decay constants, form factors and effective couplings obtained within a nonperturbative framework, the ingredients of which are all motivated by Dyson-Schwinger equations studies of QCD. Along the way, we make new predictions for two effective nonphysical couplings: gDsDK = 24.1-1.6 +2.5 and gBsBK = 33.3 -3.7 +4.0. © Copyright owned by the author(s) under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike Licence.
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Background. Characterization of novel rodent models for prostate cancer studies requires evaluation of either spontaneous and carcinogen-induced tumors as well as tumor incidence in different prostatic lobes. We propose a new short-term rodent model of chemically induced prostate carcinogenesis in which prostate cancer progression occurs differentially in the dorsolateral and ventral lobes. Methods. Adult gerbils were treated with MNU alone or associated with testosterone for 3 or 6 months of treatment. Tumor incidence, latency, localization, and immunohistochemistry (AR, PCNA, smooth muscle α-actin, p63, MGMT, and E-cadherin) were studied in both lobes. Results. Comparisons between both lobes revealed that lesions developed first in the DL while the VL presented longer tumor latency. However, after 6 months, there was a dramatic increase in tumor multiplicity in the VL, mainly in MNU-treated groups. Lesions clearly progressed from a premalignant to a malignant phenotype over time and tumor latency was decreased by MNU + testosterone administration. Three-dimensional reconstruction of the prostatic complex showed that the DL developed tumors exclusively in the periurethral area and showed intense AR, PCNA, and MGMT immunostaining. Moreover, VL lesions emerged throughout the entire lobe. MNU-induced lesions presented markers indicative of an aggressive phenotype: lack of basal cells, rupture of the smooth muscle cell layer, loss of E-cadherin, and high MGMT staining. Conclusions. There are distinct pathways involved in tumor progression in gerbil prostate lobes. This animal provides a good model for prostate cancer since it allows the investigation of advanced steps of carcinogenesis with shorter latency periods in both lobes. Copyright © 2013 Wiley Periodicals, Inc.
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To determine the location of leaks in buried water pipes, acoustic methods are often used. These have proven to be very effective in metallic pipes but have been problematic in modern plastic pipes. In this paper the reason why this is so is discussed together with some measurements that were made on a bespoke test rig built by South Staffs Water plc. A particular problem is the estimate of the wavespeed. Tables are frequently used for this purpose, but these are often inaccurate and this means that a leak cannot be located accurately. An in-situ measure of the wavespeed is thus preferable. In this paper it is shown that there are significant issues in obtaining an accurate estimate of the wavespeed when a leak is present in the system. A method is proposed that overcomes some of these problems, which is discussed and is demonstrated using some data from the bespoke test-rig. © (2013) Trans Tech Publications.
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Discurso realizado en la reunion organizada por CEPAL a traves de su Oficina para el Caribe en el marco del CDCC, en la Sede de Naciones Unidas, Nueva York, 3-4 de febrero de 1982.
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Al abordar el problema del hambre y la desnutrición, la más reciente Conferencia Regional sobre Desarrollo Social de América Latina y el Caribe organizada por la CEPAL (Lima, Perú, 2 a 4 de noviembre de 2015) puso énfasis en la necesidad de tratar estos asuntos desde la óptica del derecho a la alimentación, establecido en la Declaración Universal de los Derechos Humanos y el Pacto de Derechos Económicos, Sociales y Culturales. En el documento preparatorio de dicha conferencia se señala que el Objetivo 2 de los Objetivos para el Desarrollo Sostenible es relevante en tanto aborda la problemática de la alimentación y la nutrición de una manera más integral y considera la seguridad alimentaria como un derecho humano fundamental, cuya conculcación limita la capacidad de ejercicio de los derechos políticos y el desarrollo de una democracia participativa. En línea con este planteamiento, uno de los objetivos principales de este estudio es conocer el estado del arte que en la subregión ha tenido el enfoque de derechos en las políticas de seguridad alimentaria y nutricional y, en particular, la promoción del derecho humano a la alimentación,
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)