Prevalence of Burnout Syndrome in Patients Admitted with Acute Coronary Syndrome

Background: Burnout Syndrome is the extreme emotional response to chronic occupational stress, manifesting as physical and mental exhaustion. Although associated with higher prevalence of cardiovascular risk factors, no study so far has evaluated whether the Burnout Syndrome could be a prevalent factor in non-elderly individuals active in the labor market, admitted for acute coronary syndrome (ACS). Objective: To evaluate the prevalence of the Burnout Syndrome in non-elderly, economically active patients, hospitalized with ACS. Methods: Cross-sectional study conducted in a tertiary and private cardiology center, with economically active patients aged <65 years, hospitalized with diagnosis of ACS. The Burnout Syndrome was evaluated with the Burnout Syndrome Inventory (BSI), which assesses workplace conditions and four dimensions that characterize the syndrome: emotional exhaustion (EE), emotional distancing (EmD), dehumanization (De) and professional fulfillment (PF). The Lipp’s Stress Symptoms Inventory for Adults (LSSI) was applied to evaluate global stress. Results: Of 830 patients evaluated with suspected ACS, 170 met the study criteria, 90% of which were men, overall average age was 52 years, and 40.5% had an average income above 11 minimum wages. The prevalence of the Burnout Syndrome was 4.1%. When we evaluated each dimension individually, we found high EE in 34.7%, high De in 52.4%, high EDi in 30.6%, and low PF in 5.9%. The overall prevalence of stress was 87.5%. Conclusion: We found a low prevalence of Burnout Syndrome in an economically active, non-elderly population among patients admitted for ACS in a tertiary and private hospital.

Progression of Blood Pressure and Cardiovascular Outcomes in Hypertensive Patients in a Reference Center

Background: Hypertension is a public health problem, considering its high prevalence, low control rate and cardiovascular complications. Objective: Evaluate the control of blood pressure (BP) and cardiovascular outcomes in patients enrolled at the Reference Center for Hypertension and Diabetes, located in a medium-sized city in the Midwest Region of Brazil. Methods: Population-based study comparing patients enrolled in the service at the time of their admission and after an average follow-up of five years. Participants were aged ≥18 years and were regularly monitored at the Center up to 6 months before data collection. We assessed demographic variables, BP, body mass index, risk factors, and cardiovascular outcomes. Results: We studied 1,298 individuals, predominantly women (60.9%), and with mean age of 56.7±13.1 years. Over time, there was a significant increase in physical inactivity, alcohol consumption, diabetes, dyslipidemia, and excessive weight. As for cardiovascular outcomes, we observed an increase in stroke and myocardial revascularization, and a lower frequency of chronic renal failure. During follow-up, there was significant improvement in the rate of BP control (from 29.6% to 39.6%; p = 0.001) and 72 deaths, 91.7% of which were due to cardiovascular diseases. Conclusion: Despite considerable improvements in the rate of BP control during follow-up, risk factors worsened and cardiovascular outcomes increased.

Roles of Bassoon in assembling the presynaptic active zone for neurotransmitter release

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2010

Mechanisms of assembly and activity dependent remodelling of the presynaptic cytomatrix at the active zone

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2010

Aspectos interessantes observados na meiose de alguns hemípteros

Particular aspects of the meiosis of two species of Hemiptera, namely Megalotomus pallescens (Stal) (Coriscidae) and Jadera sanguinolenta (Fabr.); (Corizidae) are described and discussed in this paper. Megalotomus pallescens This species has primary spermatocytes provided with 7 autosomal tetrads plus a single sex chromosome. The X is smaller than the autosomes and may be found either in the periphery of the circle formed by the autosomal tetrads or in the center together with the m-tetrad which always occupies this position. The X chromosome - In the primary spermatocytes this element, which is tetradiform, orients itself parallelly to the spindle axis and divides transversely by its median constriction. In the secondary spermatocytes it passes undivided to one pole. The m-chromosomes - These chromosomes have been frequently found in close association with the sex chromosome in nuclei wich have passed the diffuse stage, a fact which was considered as affording some evidence in support of the idea /developed by the present writer in another paper with regard to the origin of the m-chromosomes from the sex chromosome. Formation of tetrads - Tetrads appear at first as irregular areas of reticular structure, becoming later more and more distinct. Then, two chromosomal strands very loose and irregular in outline, connected whit each other by several transverse filaments, begin to develop in each area. Growing progressively shorter, thicker and denser, these strands soon give origin to typical Hemiptera tetrads. Jadera sanguinolenta Spermatogonia of this species have 13 chromosomes, that is, 10 autosomes, 2 m-chromosomes and one sex chromosome, one pair of autosomes being much larger than the rest. Chromosomes move toward the poles with both ends looking to them. Primary spermatocytes show 6 tetrads and a single X. The sex chromossome in the first division of the spermatocytes divides as if it was a tetrad, passing undivided to one pole in the second division. In the latter it does not orient, being found anywhere in the cells. Its most common situation in anaphase corresponds therefore to precession. Tetrads are formed here in an entirely different way : the bivalents as they become distinct in the nuclei which came out. of the diffuse stage they appear in form of two thin threads united only at the extremities, an aspect which may better be analized in the larger bivalent. Up from this stage the formation of the tetrads is a mere process of shortening and thickening of both members of the pair. Due to the fact that the paired chromosomes are well separated from each other throughout their entire lenght, the author concluded that chiasmata, if present, are accumulated at the very ends of the bivalents. If no chiasmata have been at all formed, then, what holds together the corresponding extremities must be a strong attraction developed by the kinetochores. If one interprets the bivalents represented in the figures 17-21 as formed by four chromatids paired by one of the ends and united by the opposite one, then the question of the diffuse attachment becomes entirely disproved since it is exactly by the distal extremities that the tetrads later will be connected with the poles. In the opinion of the present writer the facts referred to above are one of the best demonstration at hand of the continuity of the paired threads and at the same time of the dicentricity of Hemiptera chromosomes. In view of the data hitherto collected by the author the behavior of the sex chromosome of the Hemiptera whose males are of the XO type may be summarized as follows: a) The sex chromosome in the primary metaphase appears longitudinally divided, without transverse constriction. It is oriented with the extremities in the plane of the equator and its chromatids separate by the plane of division. (Euryophthalmus, Protenor). In the second division the sex chromosome, provided as it is with an active kinetochore at each end, orients itself with its lenght parallelly to the spindle axis and passes undivided to one pole (Protenor?), or loses to the other pole a centric end (Euryophthalmus) In the latter case it has to become dicentric by means of a longitudinal spliting beginning at the kinetochore. b) The sex chromosome in the primary metaphase is tetradiform, that is, it is provided with a longitudinal split and a median transverse constriction. Orients with its length paral lelly to the spindle axis (what is probably due to the kinetochores being not yet divided) and divides transversely. (Corizas hyalinus, Megalotomus pallescens). in the secondary metaphase the sex chromosome which turned to be dicentric in consequence of a longitudinal spliting initiated in the kineto chore, orients perpendicularly to the equatorial plane and without losing anyone of its extremities passes undivided to one pole (Megalotomus). Or, distending between both poles passes to one side, in which case it loses one of its ends to the other side. (Corizas hyalinus). c) The very short sex chromosome in the first division of the spermatocytes orients in the same manner aa the tetrads and divides transversely. In the second division, due to the inactivity o the inetochore, it remains monocentric and motionless anywhere in the cell, finishing by being enclosed in the nearer nucleus. In the secondary telophase it recuperates its dicentricity at the same time as the autosomal chromatids. (Jadera sanguinolenta, Diactor bilineatus). d) The sex chromosome in the first division orients in the equador with its longitudinal axis parallelly to the spindle axis passing integrally to one pole or, distending itself between the anaphase plates, loses one of its ends to the opposite pole. In this case it becomes dicentric in the prometaphase of the second division, behaving in this division as the autossomes. It thus divides longitudnally. (Pachylis laticomis, Pachylis pharaonis).

Mammalian diversity on Mount Isarog : a threatened center of endemism on southern Luzon Island, Philippines / Lawrence R. Heaney ... [et al.].

n.s. no.95(1999)

The Mammals and birds of Camiguin Island, Philippines, a distinctive center of biodiversity / Lawrence R. Heaney, editor.

n.s. no.106(2006)

On the number of limit cycles bifurcating from a non-global degenerated center

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

Distribution center consolidation games

We study the location-inventory model as introduced by Teo et al. (2001) to analyze the impact of consolidation of distribution centers on facility and inventory costs. We extend their result on profitability of consolidation. We associate a cooperative game with each location-inventory situation and prove that this game has a non-empty core for identical and independent demand processes. This illustrates that consolidation does not only lower joint costs (which was shown by Teo et al. (2001)), but it allows for a stable division of the minimal costs as well.

Resum de la tasca realitzada al Center Biomedical Engineering (CBE) del Massachussets Institute of Technology (MIT). Juliol-Agost 2005

Estudi elaborat a partir d’una estada al Center Biomedical Engineering (CBE) del Massachussets Institute of Technology (MIT), durant els mesos de juliol i agost del 2005. S’investiga una metodologia amb l’objectiu d’obtenir biomaterials que puguin actuar de bastida en la interfície os/cartílag, afavorint la diferenciació i creixement cel·lular de cartílag ossificat que pugui actuar d’unió entre l’articulació i l’os. S’experimenta una metodologia per a establir quins són els péptids afavoridors de la formació de teixit ossi utilitzats en materials d’hidroxiapatita. Es conclou que la tecnologia desenvolupada permet disposar d’una plataforma per assajar l’estudi del signaling sobre cèl·lules embrionàries, que permeti desenvolupar materials amb més capacitat diferenciadora.

The third order Melnikov function of a quadratic center under quadratic perturbation

We study quadratic perturbations of the integrable system (1+x)dH; where H =(x²+y²)=2: We prove that the first three Melnikov functions associated to the perturbed system give rise at most to three limit cycles.

Evaluating active labor markets in Romania

We evaluate the presence of effects from joining one of four active labour market programs in Romania in the late 1990s compared to the no-program state. Using rich follow-up survey data and propensity score matching, we find that three programs (training and retraining, self-employment assistance, and employment and relocation services) had success in improving participants' economic outcomes and were cost-beneficial from society's perspective. In contrast, public employment was found detrimental for the employment prospects of its participants.