994 resultados para Cecchetto, Sergio


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2015

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BackgroundAsthma is a common condition characterised by airway inflammation and airway narrowing, which can result in intermittent symptoms of wheezing, coughing and chest tightness, possibly limiting activities of daily life. Water-based exercise is believed to offer benefits for people with asthma through pollen-free air, humidity and effects of exercise on physical function.ObjectivesTo evaluate the effectiveness and safety of water-based exercise for adults with asthma.Search methodsWe searched the Cochrane Airways Group Specialised Register of Trials (CAGR), the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Allied and Complementary Medicine Database (AMED), PsycINFO, the Latin American and Caribbean Health Science Information Database (LILACS), the Physiotherapy Evidence Database (PEDro), the System for Information on Grey Literature in Europe (SIGLE) and Google Scholar on 13 May 2014. We handsearched ongoing clinical trial registers and meeting abstracts of the American Thoracic Society (ATS), the European Respiratory Society (ERS) and the British Thoracic Society (BTS).Selection criteriaWe included all randomised controlled trials (RCTs) of adults with asthma comparing a water-based exercise group versus one or more of the following groups: usual care, land-based exercise, non-exercise.Data collection and analysisTwo review authors (AJG, VS) independently extracted data fromthe primary studies using a standard form developed for this purpose, which includes methods, participants, interventions and outcomes. We contacted trial authors to request additional data. Data were input by one review author and were double-checked by a second review author.Main resultsIn this systematic review, we provide a narrative synthesis of available evidence from three small studies including 136 adult participants. the studies were at high risk of bias. No meta-analysis was possible because of methodological and interventional heterogeneity between included studies. the primary outcomes of quality of life and exacerbations leading to use of steroids were not reported by these studies. for exacerbations leading to health centre/hospital visits, uncertainty was wide because a very small number of events was reported (in a single study). Secondary outcomes symptoms, lung function, changes in medication and adverse effects, where available, described for each included study. the overall quality of the studies was very low, and no clear differences were noted between water-based exercise and comparator treatments. Therefore, we remain very uncertain about the effects of water-based exercise for adults with asthma.Authors' conclusionsThe small number of participants in the three included studies, the clinical and methodological heterogeneity observed and the high risk of bias assessed mean that we are unable to assess the place of water-based exercise in asthma. Randomised controlled trials are needed to assess the efficacy and safety of water-based exercise for adults with asthma. for future research, we suggest greater methodological rigour (participant selection, blinding of outcome assessors, reporting of all outcomes analysed and registering of the study protocol).

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Background: Ototoxicity is a known side effect of combined radiation therapy and cisplatin chemotherapy for the treatment of medulloblastoma. the delivery of an involved field boost by intensity modulated radiation therapy (IMRT) may reduce the dose to the inner ear when compared with conventional radiotherapy. the dose of cisplatin may also affect the risk of ototoxicity. A retrospective study was performed to evaluate the impact of involved field boost using IMRT and cisplatin dose on the rate of ototoxicity.Methods: Data from 41 medulloblastoma patients treated with IMRT were collected. Overall and disease-free survival rates were calculated by Kaplan-Meier method Hearing function was graded according to toxicity criteria of Pediatric Oncology Group (POG). Doses to inner ear and total cisplatin dose were correlated with hearing function by univariate and multivariate data analysis.Results: After a mean follow-up of 44 months (range: 14 to 72 months), 37 patients remained alive, with two recurrences, both in spine with CSF involvement, resulting in a disease free-survival and overall survival of 85.2% and 90.2%, respectively. Seven patients (17%) experienced POG Grade 3 or 4 toxicity. Cisplatin dose was a significant factor for hearing loss in univariate analysis (p < 0.03). in multivariate analysis, median dose to inner ear was significantly associated with hearing loss (p < 0.01). POG grade 3 and 4 toxicity were uncommon with median doses to the inner ear bellow 42 Gy (p < 0.05) and total cisplatin dose of less than 375 mg/m(2) (p < 0.01).Conclusions: IMRT leads to a low rate of severe ototoxicity. Median radiation dose to auditory apparatus should be kept below 42 Gy. Cisplatin doses should not exceed 375 mg/m(2).

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RESUMO: No ano agrícola 2013/2014, foram conduzidos três ensaios de avaliação de genótipos de girassol, sendo dois no município de Mata Roma e um em Magalhães de Almeida, com o objetivo de identificar materiais promissores para produção de grãos e óleo. O espaçamento utilizado foi de 0,70 m entre linhas com plantas distanciadas de 0,30 m. A adubação de fundação constou de 200 kg ha-1 da fórmula 05-30-15 + micronutrientes e cobertura aos 30 dias após semeadura, usando-se 30 kg ha-1 de N e 30 kg ha-1 de K2O. Em Mata Roma, a produtividade de grãos no ensaio final 01 variou de 1.866 kg ha-1 a 2.567 kg ha-1, obtida nos genótipos Embrapa 122 e BRS G34, respectivamente, ficando a média geral do ensaio em 2.095 kg ha-1. No ensaio final 02 a produtividade de grãos variou de 1.705 kg ha-1 a 2.036 kg ha -1 para os genótipos Helio 250 e MG 360, REspectivamente, com média geral de 1.834 kg ha-1. Em Magalhães de Almeida a produtividade de grãos obtida no ensaio final constou de 1.600 kg ha-1 no genótipo Helio 251, 2.110 kg ha-1 no CF 101 e média Geral do ensaio de 1.908 kg ha -1. Os maiores teores de óleo obtidos nos três ensaios foram 40,1%, 40,6%, 40,9% e 41,4%, respectivamente, nos genótipos CF 101, Paraíso 20, BRS G41 e MG 360. ABSTRACT: In the agricultural year 2013/2014, three sunflowers genotypes tests were conducted in the state of Maranhão: two in the county of Mata Roma and one in Magalhães de Almeida, in order to identify promising materials for the production of grain and oil. The spacing used was 0.70 m between rows with plants spaced of 0.30 m. The foundation of fertilization consisted of 200 kg ha-1 formula 05-30-15 + micro-nutrient and coverage on 30 days after sowing, using 30 kg ha-1 of N and 30 kg ha-1 of K2O. In Mata Roma, grain yield in the final test 01 ranged from 1,866 kg ha-1 to 2,567 kg ha-1, obtained at Embrapa 122 and BRS G34 genotypes, respectively, getting the overall average of the test in 2,095 kg ha-1. In the final test 02, the grain yield ranged from 1,705 kg ha-1 to 2,036 kg ha-1 for Helio 250 and MG 360 genotypes, respectively, with overall average of 1,834 kg ha-1. In Magalhães de Almeida the grain yield obtained in the final test consisted of 1,600 kg ha-1 in the genotype Helio 251, 2,110 kg ha-1 in the CF 101 and overall average test of 1,908 kg ha-1. The highest oil content obtained in the three tests were 40.1%, 40.6%, 40.9% and 41.4%, respectively, in the 101 CF genotypes, Heaven 20, BRS G41 and MG 360.

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¿Cómo es la trayectoria seguida por un jugador de fútbol desde que empieza a dar sus primeros pasos con el balón hasta que alcanza el rendimiento que le permita competir en la liga profesional de fútbol?, ¿cómo ocurre en el baloncesto o en el balonmano? Son muchos los factores que influirán sin duda alguna en dicho proceso. Entre dichos factores, en los últimos años, se ha considerado de forma detenida la influencia de la “practica deliberada” en el desarrollo del deportista. Sin embargo, son varios los autores y estudios que explican que no solo influye dicha practica, sino que también es muy importante la influencia del “juego deliberado”, bien en el mismo deporte, bien en otras especialidades deportivas, y que ambos tipos de practica son compatibles formando un continuum en el tiempo. Este artículo tiene como objetivo presentar el estado de la arte en torno a este debate, en el ámbito de los deportes colectivos, analizando si en los deportes colectivos los deportistas se especializan al principio en un solo deporte o bien si practican varias disciplinas deportivas para finalmente dedicarse exclusivamente a un deporte. Los resultados apuntan a que no existe un único camino en el desarrollo del deportista, y que razones de carácter social y cultural son las que realmente condicionan dicho proceso

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The technical efficiency in volleyball is closely related to the ability to perform displacements or jump (1). Therefore, it is necessary that precise, individualized, and localized evaluation of the muscles frequently involved in volleyball practice be studied (2,3). The aim of this study was to analyze the neuromuscular changes of the knee musculature in professional volleyball players using Tensiomyography (TMG) and jump tests.

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13 hojas : ilustraciones, fotografías a color

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Cryopreservation of ovarian tissue has been proposed for storing gametes of young patients at high risk of premature ovarian failure. Autotransplantation has recently provided some promising results and is still the unique option to restore ovarian function from cryopreserved ovarian tissue in humans. In this article, we analyse data from the combined orthotopic and heterotopic transplantation of cryopreserved ovarian tissue that restored the ovarian function and fertility. Orthotopic transplantation of cryopreserved ovarian tissue at ovarian and peritoneal sites, together with a heterotopic transplantation at the abdominal subcutaneous site, was performed to restore the ovarian function of a 29-year-old woman previously treated with bone marrow transplantation (BMT) for Hodgkin's disease. Ovarian reserve markers progressively suppress within values 5 months after the transplantation (basal FSH 5 mUI/ml and inhibin B 119 ng/ml). Follicular development was observed at all transplantation sites but was predominant at the ovarian site. Six natural cycles were fully documented and analysed. The patient became spontaneously pregnant following the sixth cycle, but unfortunately she later miscarried. Combined orthotopic and heterotopic transplantations succeeded in the restoration of normal spontaneous cycles. Furthermore, this spontaneous pregnancy confirmed the efficiency of this procedure for restoring human fertility.

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Purpose: Some phase II studies have suggested that the combination of interferons (IFNs) with dacarbazine (DTIC) in the treatment of malignant melanoma (MM) increases the antitumor activity of DTIC alone. In an attempt to confirm this hypothesis, a randomized study was performed with the further intent of observing whether low doses of recombinant interferon alfa-2a (rIFNα2a) could be as effective as intermediate doses. Patients and Methods: Two hundred sixty-six patients were randomized onto three different treatment arms: DTIC 800 mg/m 2 intravenously (IV) days 1 and 21; DTIC plus rIFNα2a 9 mIU intramuscularly (IM) daily; and DTIC plus rIFNα2a 3 mIU IM three times per week. Major prognostic factors were well balanced among the three arms. Chemotherapy was administered for a maximum of eight cycles. After 6 months of therapy, rIFNα2a was continued until disease progression at 3 mIU three times per week in responding patients who had received the combined treatment. Results: The percentage of objective responses did not differ among the three groups (20%, 28%, and 23%, respectively), although a significant prolongation of response duration was observed when rIFNα2a was added to DTIC (2.6 v 8.4 v 5.5 months, respectively). However, this improvement in response duration did not translate into an amelioration of overall survival. The addition of rIFNα2a led to the onset of flu-like syndrome, but in no case was it necessary to withdraw the treatment program and no toxic deaths or life-threatening toxicities were reported. Conclusion: In this study, rIFNα2a significantly prolonged response duration, whereas no effects on response rate and survival were observed; rIFNα2a 3 mIU appeared to be equally effective and better tolerated than 9 mIU.

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La información generada en la caracterización y evaluación de las colecciones de germoplasma permite conocer el tipo de material genético que se conserva en el banco. Esta tesis aborda la caracterización morfológica, la evaluación fenológica y los patrones de interacción genotipo × ambiente (G × A) para rendimiento en grano, sus determinantes fisiológicos y componentes numéricos de un conjunto de poblaciones del germoplasma nativo de quínoa (Chenopodium quinoa Willd.) del Noroeste Argentino, combinando localidades y años en tres ecorregiones de cultivo. Los resultados mostraron que el germoplasma es altamente diverso a nivel fenotípico, reflejando variación en el ambiente de origen. Se observó amplia variación en el tiempo a floración entre poblaciones y ambientes evaluados y el patrón de respuesta fue coherente con una adaptación fotoperiódica cuantitativa a días cortos. Los efectos del fotoperíodo fueron más importantes en las poblaciones cultivadas a menor altitud, mientras que la temperatura lo fue para las poblaciones cultivadas a mayor altitud. Por otro lado, de acuerdo al tamaño y naturaleza de las interacciones G x A, se necesita de estrategias de mejoramiento y evaluación estructuradas para acomodar sus efectos, ya sea evitándolas o explotándolas. El análisis de agrupamiento sobre la matriz estandarizada de rendimiento reveló cuatro grupos genotípicos con diferentes patrones de respuesta a través de dos grupos ambientales (altiplano vs. valles interandinos), siendo esta clasificación congruente con la basada en atributos morfo-fenológicos. Los determinantes fisiológicos y componentes numéricos influyeron sobre las respuestas genotípicas para rendimiento en los dos mega-ambientes. Los resultados indican que el desempeño promedio de las poblaciones para tiempo a floración tuvo una influencia determinante sobre la biomasa aérea y el número de granos, y ambos a su vez sobre el rendimiento. Por lo tanto, esta tesis destaca el rol de la fenología en la adaptación genotípica de quínoa a las diferentes condiciones agroecológicas del NOA

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En la región pampeana los sistemas agrícolas han consolidado su participación en el uso de la tierra respecto a los ganaderos. Se considera que en el 80 por ciento de la superficie agrícola de la región se realiza soja sin rotación de cultivos (SAGP y A, 2008). La preponderancia de los cultivos de verano, y específicamente de la soja, en los sistemas productivos también prolonga el tiempo que los lotes quedan sin cobertura entre el lapso de dos secuencias de siembra de cultivos de verano. Una manera de mitigar la disminución del aporte de residuos ya sea en forma de rastrojo o proveniente de raíces sería lograr, una adecuada cobertura del suelo, utilizando especies gramíneas de crecimiento invernal como cultivo de cobertura (CC) en el prolongado tiempo que media entre las siembras de cultivos de verano. El objetivo de este trabajo fue evaluar la eficiencia de producción de materia seca (MS) de avena y raigrás utilizados como CC y las consecuencias sobre el rendimiento de soja, y propiedades edáficas asociadas al carbono en un suelo Hapludol éntico del Centro oeste de la provincia de Buenos Aires durante cinco campañas agrícolas en una secuencia con alta frecuencia de soja (...) A través de los resultados obtenidos durante estos 5 años, muy distintos climáticamente, se concluye que los CC podrían ser tecnologías de manejo de bajo costo con potencialidad de mitigar los efectos adversos que generaría la alta frecuencia de soja en suelos de textura franco-arenosa. Afectando positivamente las propiedades relacionadas con el C, COP, DA, PT e IB, sin producir cambios negativos sobre el cultivo de renta (soja)