986 resultados para 7-67


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OBJECTIVE: Participation, an indicator of screening programme acceptance and effectiveness, varies widely in clinical trials and population-based colorectal cancer (CRC) screening programmes. We aimed to assess whether CRC screening participation rates can be compared across organized guaiac fecal occult blood test (G-FOBT)/fecal immunochemical test (FIT)-based programmes, and what factors influence these rates. METHODS: Programme representatives from countries participating in the International Cancer Screening Network were surveyed to describe their G-FOBT/FIT-based CRC screening programmes, how screening participation is defined and measured, and to provide participation data for their most recent completed screening round. RESULTS: Information was obtained from 15 programmes in 12 countries. Programmes varied in size, reach, maturity, target age groups, exclusions, type of test kit, method of providing test kits and use, and frequency of reminders. Coverage by invitation ranged from 30-100%, coverage by the screening programme from 7-67.7%, overall uptake/participation rate from 7-67.7%, and first invitation participation from 7-64.3%. Participation rates generally increased with age and were higher among women than men and for subsequent compared with first invitation participation. CONCLUSION: Comparisons among CRC screening programmes should be made cautiously, given differences in organization, target populations, and interpretation of indicators. More meaningful comparisons are possible if rates are calculated across a uniform age range, by gender, and separately for people invited for the first time vs. previously.

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La presente investigación analiza los alcances y las limitaciones de cinco proyectos de Educación para la Paz desarrollados en la Escuela Normal Superior de San Juan Nepomuceno-Montes de María, en la prevención del reclutamiento y la utilización de niños, niñas y jóvenes por parte de grupos armados al margen de la ley. En ese sentido, se describe y explica de qué manera las estrategias pedagógicas orientadas hacia la enseñanza de derechos humanos, memoria histórica y resolución no violenta de conflictos pueden disminuir el riesgo de reclutamiento. Estos propósitos se resolvieron gracias a una revisión sistemática de documentos académicos e informes institucionales que se referían al objeto de estudio, y por medio del trabajo de campo realizado en San Juan Nepomuceno.

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Introducción: La infección por un tipo de Virus del Papiloma Humano de alto riesgo (VPH-AR), es el factor principal en el desarrollo de Cáncer de Cérvix (CC). La carga viral puede modular esta asociación, por lo que resulta importante su cuantificación y el establecimiento de su relación con lesiones precursoras de CC. Metodología: 60 mujeres con lesiones escamosas intraepiteliales (LEI) y 120 mujeres sin LEI, confirmadas por colposcopia, fueron incluidas en el estudio. Se determinó la carga viral de 6 tipos de VPH-AR, mediante PCR en tiempo real. Se estimaron OR crudos y ajustados para evaluar la asociación entre la carga viral de cada tipo y las lesiones cervicales. Resultados: 93.22% de mujeres con LEI y 91.23% de mujeres negativas, fueron positivas para al menos un tipo de VPH. VPH-18 y VPH-16 fueron los tipos más prevalentes, junto con VPH-31 en mujeres sin LEI. No se encontraron diferencias estadísticamente significativas de las cargas virales entre éstos dos grupos, aunque se observó un mayor carga viral en lesiones para algunos tipos virales. Una mayor frecuencia de lesiones se asoció a infecciones con carga baja de VPH-16 (ORa: 3.53; IC95%: 1.16 – 10.74), en comparación a mujeres con carga alta de VPH-16, (ORa: 2.63; IC95%: 1.09 – 6.36). En infecciones por VPH-31, la presencia de carga viral alta, se asoció con una menor frecuencia de lesiones (ORa: 0.34; IC95%: 0.15 – 0.78). Conclusiones: La prevalencia tipo-específica de VPH se corresponde con las reportadas a nivel mundial. La asociación entre la carga viral del VPH y la frecuencia de LEI es tipo específica y podría depender de la duración de la infección, altas cargas relacionadas con infecciones transitorias, y bajas cargas con persistentes. Este trabajo contribuye al entendimiento del efecto de la carga viral en la historia natural del CC; sin embargo, estudios prospectivos son necesarios para confirmar estos resultados.

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Se analizan los resultados de las estadísticas sobre enseñanza superior del Instituto Nacional de Estadística para el curso 1962-63. Se refieren en exclusiva a las universidades del Estado y son el resultado de las contestaciones de los alumnos a determinadas cuestiones de las matrículas universitarias. En primer lugar se clasifican los alumnos en función de la condición socioeconómica de los padres. Estos se dividen entre Empresarios agrícolas, cuyos hijos suponen el 4,44 por cien de la población estudiantil, Obreros agrícolas, con el 2,02, Empresarias industriales, con el 14,40, Empresarios de comercio, transporte y servicios, con el 7,67, Profesiones liberales y similares, con el segundo porcentaje más alto, un 27,90, Directores de empresas y sociedades con el 0,67, Cuadros superiores con el 4,41, Cuadros medios, empleados y vendedores, con el porcentaje más alto, un 28,49, Capataces, obreros cualificados, semicualificados y especializados, con el 4,48, Peones y obreros sin cualificar con el 0,56, Personal de servicios con el 0,49y los huérfanos de padre que representan el 2,97. En segundo lugar se ha clasificado a estos alumnos en función de los títulos académicos de sus padres. Los alumnos cuyos padres tienen titulación universitaria son el 58,7, los de técnica superior el 6,5, los de técnica media, el 4,9 y otros títulos de grado medio representan el 29, 9 del total.

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We measure the preparedness of listed firms for international financial reporting standards (IFRS) by changes in explanations from Australian GAAP to IFRS between the half-year and annual accounts. About one-third of sample firms changed their explanations for earnings, cashflows or equity by averages of about −7%, 67% and 3% respectively. Most changes are less than 5% for earnings and equity, and tax is the item most commonly revised. More profitable firms and firms with more reconciling items are most likely to change an explanation. In a telephone survey of chief financial officers, 70% revealed that the change followed an incorrect application of an accounting rule in the half-year accounts.

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Background Medication side effects are an important cause of morbidity, mortality and costs in older people. The aim of our study was to examine prevalence and risk factors for self-reported medication side effects in an older cohort living independently in the community.

Methods The Melbourne Longitudinal Study on Healthy Ageing (MELSHA), collected information on those aged 65 years or older living independently in the community and commenced in 1994. Data on medication side effects was collected from the baseline cohort (n = 1000) in face-to-face baseline interviews in 1994 and analysed as cross-sectional data. Risk factors examined were: socio-demographics, health status and medical conditions; medication use and health service factors. Analysis included univariate logistic regression to estimate unadjusted risk and multivariate logistic regression analysis to assess confounding and estimate adjusted risk.

Results Self-reported medication side effects were reported by approximately 6.7% (67/1000) of the entire baseline MELSHA cohort, and by 8.5% (65/761) of those on medication. Identified risk factors were increased education level, co-morbidities and health service factors including recency of visiting the pharmacist, attending younger doctors, and their doctor's awareness of their medications. The greatest increase in risk for medication side effects was associated with liver problems and their doctor's awareness of their medications. Aging and gender were not risk factors.

Conclusion Prevalence of self-reported medication side effects was comparable with that reported in adults attending General Practices in a primary care setting in Australia. The prevalence and identified risk factors provide further insight and opportunity to develop strategies to address the problem of medication side effects in older people living independently in the community setting.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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O objetivo deste experimento foi avaliar o desempenho de bovinos em confinamento alimentados com rações suplementadas com concentrados protéicos à base de farelo de algodão (AL), uréia (UR) ou amiréia (AM), tendo como volumoso silagem de milho. O confinamento teve duração de 80 dias. As rações foram compostas mantendo a proporção volumoso:concentrado no nível de 63:37, com aproximadamente 13% PB. Não se constataram diferenças quanto ao ganho de peso diário (GDP) durante o período experimental total entre os tratamentos AL, UR ou AM (1,14; 1,17; e 1,23 kg/anim. dia), ou na ingestão de MS em % PV (2,63; 2,60; e 2,60% PV), em g/kg0,75 dia (136,19; 134,74; e 134,81) ou kg/anim. dia (9,42; 9,35; e 9,40), respectivamente. Os valores de ingestão de PB foram de 1,28; 1,24; e 1,34 kg de PB/anim. dia e de 18,54; 17,86; e 19,24 g/kg0,75 dia para os tratamentos AL, UR ou AM, não diferindo entre si. Valores obtidos para conversão alimentar da matéria seca foram de 8,41; 8,01; e 7,67 kg MSI/kg GPD e para conversão protéica, 1,15; 1,06; e 1,09 kg PBI/kg GPD, respectivamente, para os tratamentos AL, UR e AM, que foram semelhantes.

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Aim To evaluate the radiopacity of calcium hydroxide-based root canal sealers (Acroseal, Sealapex and Sealer 26), a glass-ionomer-based sealer (Activ GP Sealer) and a zinc oxide and eugenol-based sealer (Intrafill).Methodology Five disc-shaped specimens (10 x 1 mm) were fabricated from each material, according to the International Organization for Standardization (ISO) 6876/2001 standard. After setting of the materials, radiographs were taken using occlusal films and a graduated aluminum step-wedge varying from 2 to 16 mm in thickness. The dental X-ray unit (GE1000) was set at 50 Kvp, 10 mA, 18 pulses s(-1) and distance of 33.5 cm. The radiographs were digitized and the radiopacity compared with that of the aluminum step-wedge, using WIXWIN-2000 software (Gendex). Data (mm Al) were submitted to ANOVA and Tukey test.Results Intrafill was the most radiopaque material (7.67 mm Al) followed by Sealer 26 (6.33 mm Al), Sealapex (6.05 mm Al) and Acroseal (4.03 mm Al). Activ GP was the least radiopaque material (1.95 mm Al, P < 0.05).Conclusions The sealers evaluated in this study had different radiopacities. However, except for the glass-ionomer-based sealer, all materials had radiopacity values above the minimum recommended by the ISO standard.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Examinou-se a mortalidade por neoplasias no Brasil, utilizando-se dados oficiais do Ministério da Saúde, abrangendo 26 Unidades da Federação e 13 diferentes localizações neoplásicas, para os anos de 1980, 1983 e 1985. As Análises de Agrupamento e de Componentes Principais revelaram comportamento heterogêneo entre regiões do país, com relação às 13 variáveis estudadas, sendo que os principais elementos discriminantes foram as neoplasias malignas da traquéia/brônquio/pulmão, seguidas das do estômago, esôfago, cólon e pâncreas. Análises complementares evidenciaram tendência de crescimento das taxas de mortalidade para as neoplasias malignas da próstata (17,74%), da traquéia/brônquio/pulmão(15,22%), da mama (11,32%), do pâncreas (10,23%), do cólon (8,08%), do colo uterino (6,45%) e da laringe (6,36%). Houve redução da mortalidade por neoplasias benignas/carcinoma in situ/ outras (27,37%), por neoplasias malignas no reto sigmóide/ânus (7,67%), do estômago (5,31%), de outro local do útero não especificado (2,56%), por leucemia (0,70%) e por neoplasias malignas do esôfago (0,44%). As neoplasias malignas do estômago foram a principal causa de morte por câncer no Brasil, representando 21,30% do total médio, seguidas das neoplasias malignas da traquéia/brônquio/pulmão(17,49% do total médio). Destacam-se os altos índices de mortalidade por neoplasias malignas do esôfago no Estado do Rio Grande do Sul.

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1. To determine whether diltiazem protects the hypoxic myocardium by reducing contractile work, we have compared the effects of diltiazem and quiescence on left ventricular (LV) papillary muscle subjected to hypoxia. Papillary muscles were obtained from male Charles River CD rats weighing 150-250 g.2. Four groups of muscles were studied: control (N = 6), non-stimulation (N = 10), diltiazem 10(-4) M (N = 6) and diltiazem 10(-4) M plus non-stimulation (N = 10).3. Isolated mt LV papillary muscles were studied in Krebs-Henseleit solution with a calcium concentration of 2.52 mM at 28-degrees-C while contracting isometrically at a stimulation rate of 0.2 Hz. Resting tension and active isometric tension were measured.4. Both diltiazem and quiescence significantly attenuated contracture tension during hypoxia (0.91 +/- 0.10 vs 2.26 +/- 0.49 g/mm2 for diltiazem vs control, and 0.55 +/- 0.18 vs 2.26 +/- 0.49 g/mm2 for quiescence vs control). Recovery of active tension was improved in the diltiazem groups during reoxygenation (4.16 +/- 0.42 vs 3.75 +/- 0.51, 3.53 +/- 0.15 vs 2.90 +/- 0.13, 5.84 +/- 0.33 vs 6.48 +/- 0.29 and 5.98 +/- 0.90 vs 7.67 +/- 0.68 g/mm2 for diltiazem, diltiazem non-stimulation, non-stimulation and control groups).5. The results suggest that the protective effect of diltiazem during hypoxia was due to the reduction in energy demand of the myocardium.

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The effect of feed restriction (0, 10, 20, 30, 40 and 50%) from 8 until 14 days post-hatching on performance, total mortality incidence and sudden death syndrome (SDS) rate was studied in male broilers during winter and summer.Ad libitum fed broilers had a better performance, but a higher total mortality rate (13.00% in winter, 3.67% in summer) and SDS (3.67% in winter, 0.67% in summer). All restricted groups had a lower mortality level in winter than the control group with a non linear response influenced by feed restriction. Birds submitted to 40% feed restriction showed the lowest mortality incidence (2.67%) followed by groups submitted to 30% (4.67%), 50% (5.33%) and 10% and 20% (7.67%) feed restriction. Birds fed ad libitum had the highest SDS incidence (3.67%, against .33, 1.00, .67, 1.33 and 1.33% at 10, 20, 30, 40, 50% feed restriction, respectively), but differences were not significant. In summer, incidences of total mortality and due to SDS were low and not influenced by feed restriction, either during the restrictive period itself (8 to 14 days) or during the total period of raising (1 to 49 days). In both seasons, the feed restricted birds showed compensatory gain only until three weeks post-restriction period. At 49 days, body weight and weight-gain were lower in feed restricted birds, but feed :gain ratio rate was improved. This resulted in better productivity index in winter, but not in summer. The feed restriction at 30 to 40% for seven days during the second week may decrease mortality in male broilers raised in winter without lowering productivity if the restriction is followed by at least three weeks of full feeding.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)