900 resultados para CLINICOPATHOLOGICAL ASPECTS
Resumo:
In Brazil, grazing mismanagement may lead to soil and pasture degradation. To impede this process, integrated cropping systems such as silvopasture have been an effective alternative, allied with precision agriculture based on soil mapping for site-specific management. In this study, we aimed to define the soil property that best sheds light on the variability of eucalyptus and forage yield. The experiment was conducted in the 2011/12 crop year in Ribas do Rio Pardo, Mato Grosso do Sul State, Brazil. We analyzed linear and spatial correlations between eucalyptus traits and physical properties of a Typic Quartzipsamment at two depths (0.00-0.10 and 0.10-0.20 m). For that purpose, we set up a geostatistical grid for collection at 72 points. Gravimetric moisture in the 0.00-0.10 m layer is an important index of soil physical quality, showing correlation to eucalyptus circumference at breast height (CBH) in a Typic Quartzipsamment. With an increase in resistance to penetration in the soil surface layer, there is an increase in eucalyptus height and in neutral detergent fiber content in the forage crop. From a spatial point of view, the height of eucalyptus and the neutral detergent fiber of forage can be estimated by co-kriging analysis with soil resistance to penetration. Resistance to penetration values above 2.3 MPa indicated higher yielding sites.
Resumo:
A sample of 15 patients participating in an injectable methadone trial and of 15 patients in an oral methadone maintenance treatment, who admitted injecting part or all of their methadone take-home doses, were compared to 20 patients in maintenance treatment who use methadone exclusively by mouth. The present study confirms the poorer general health, the higher levels of emotional, psychological or psychiatric problems, the higher use of illicit drugs, and the higher number of problems related to employment and support associated with the use of the intravenous mode of administration of methadone. As expected, due to the shunt of metabolism in the gut wall and of the liver first-pass effect, higher concentration to dose ratios of (R)-methadone, which is the active enantiomer, were measured in the intravenous group (23% increase). This difference reached an almost statistically significant value (P = 0.054). This raises the question whether the effect of a higher methadone dose could be unconsciously sought by some of the intravenous methadone users.
Resumo:
We perform a three-dimensional study of steady state viscous fingers that develop in linear channels. By means of a three-dimensional lattice-Boltzmann scheme that mimics the full macroscopic equations of motion of the fluid momentum and order parameter, we study the effect of the thickness of the channel in two cases. First, for total displacement of the fluids in the channel thickness direction, we find that the steady state finger is effectively two-dimensional and that previous two-dimensional results can be recovered by taking into account the effect of a curved meniscus across the channel thickness as a contribution to surface stresses. Second, when a thin film develops in the channel thickness direction, the finger narrows with increasing channel aspect ratio in agreement with experimental results. The effect of the thin film renders the problem three-dimensional and results deviate from the two-dimensional prediction.
Resumo:
We study the forced displacement of a fluid-fluid interface in a three-dimensional channel formed by two parallel solid plates. Using a lattice-Boltzmann method, we study situations in which a slip velocity arises from diffusion effects near the contact line. The difference between the slip and channel velocities determines whether the interface advances as a meniscus or a thin film of fluid is left adhered to the plates. We find that this effect is controlled by the capillary and Péclet numbers. We estimate the crossover from a meniscus to a thin film and find good agreement with numerical results. The penetration regime is examined in the steady state. We find that the occupation fraction of the advancing finger relative to the channel thickness is controlled by the capillary number and the viscosity contrast between the fluids. For high viscosity contrast, lattice-Boltzmann results agree with previous results. For zero viscosity contrast, we observe remarkably narrow fingers. The shape of the finger is found to be universal.
Resumo:
Objectives: The study aims to assess the feasibility and midterm outcome of trans-peritoneal laparoscopy for coeliac artery compression syndrome (CACS).Design: Retrospective chart review involving four European vascular surgery departments and two surgical teams.Materials and methods: charts for patients who underwent laparoscopy for symptomatic CACS between December 2003 and November 2009 were reviewed. Preoperative computed tomography (CT) angiography and postoperative duplex scan and/or CT angiography were performed.Results: Eleven consecutive patients (nine women) with a median age of 52 years (interquartile range: 42.5-59 years) underwent trans-peritoneal laparoscopy for CACS. All patients had a history of postprandial abdominal pain; weight loss exceeded 10% of the body mass in eight cases. Preoperative CT angiography revealed coeliac trunk stenosis >70% in all cases. One patient had additional aortitis and inferior mesenteric artery occlusion, while another patient presented with an occluded superior mesenteric artery. Two conversions occurred (one difficult dissection and one aorto-hepatic bypass needed for incomplete release of CACS). The median blood loss was 195 ml (range: 50-900 ml) and median operative time was 80 min (interquartile range: 65-162.5 years). Symptoms improved immediately in 10/11 patients (no residual stenosis) while one remained unchanged despite a residual stenosis treated by a percutaneous angioplasty. Symptoms reappeared in one patient due to coeliac axis occlusion. The mean follow-up period was 35 +/- 23 months (range: 12-78 months).Conclusion: Our study demonstrates that trans-peritoneal laparoscopy for treating median arcuate ligament syndrome is safe and feasible. Additional patients and a longer follow-up are needed for long-term assessment of this laparoscopic technique. (C) 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Resumo:
La criminalistique prend une place de plus en plus grande dans l'enquête judiciaire. Les enjeux scientifiques depuis la scène d'investigation jusqu'au procès pénal sont multiples. De nombreux intervenants sont amenés à se côtoyer : techniciens, scientifiques, médecins légistes, enquêteurs et magistrats. Des tensions sont perceptibles entre ceux-ci mais également quant à la place de la science dans le processus pénal. La raison principale de cette situation est que la prise en compte de l'indice matériel, dans l'enquête judiciaire et le procès pénal, n'est pas clairement établie. La formation des juristes et des enquêteurs ne leur permet pas de superviser les enquêtes scientifiques. Le rôle et la place des scientifiques dans l'enquête criminelle doivent être réexaminés. Par ailleurs, les méthodes de raisonnement en matière d'investigations scientifiques dans une affaire judiciaires sont complexes. Leur mauvaise appréhension participe aux tensions qui sont relevées. Ces méthodes doivent être approfondies. Le raisonnement médical constitue un modèle possible. Il s'enrichit de travaux menés en sémiotique. La résolution des tensions passe par la mise en place d'un nouveau personnage, le coordinateur criminalistique. Cela constitue un changement paradigmatique et une nouvelle activité scientifique complexe. Ce scientifique s'associe à l'enquêteur et au magistrat tout au long du processus judiciaire, depuis la scène d'investigation jusqu'au procès pénal. Ce paradigme s'impose quel que soit le modèle judiciaire, accusatoire ou inquisitoire et les structures institutionnelles. Cette thèse propose que ce coordinateur criminalistique soit un scientifique de haut niveau qui bénéficie d'une solide formation théorique et pratique. Cette approche est fondamentalement éthique car elle se focalise sur un témoin matériel, garantit la préservation des droits humains et définit un processus transparent et équilibré dans l'élaboration de la preuve.
Resumo:
Ten years ago, the first cellular receptor for the prototypic arenavirus lymphocytic choriomeningitis virus (LCMV) and the highly pathogenic Lassa virus (LASV) was identified as alpha-dystroglycan (alpha-DG), a versatile receptor for proteins of the extracellular matrix (ECM). Biochemical analysis of the interaction of alpha-DG with arenaviruses and ECM proteins revealed a strikingly similar mechanism of receptor recognition that critically depends on specific sugar modification on alpha-DG involving a novel class of putative glycosyltransferase, the LARGE proteins. Interestingly, recent genome-wide detection and characterization of positive selection in human populations revealed evidence for positive selection of a locus within the LARGE gene in populations from Western Africa, where LASV is endemic. While most enveloped viruses that enter the host cell in a pH-dependent manner use clathrin-mediated endocytosis, recent studies revealed that the Old World arenaviruses LCMV and LASV enter the host cell predominantly via a novel and unusual endocytotic pathway independent of clathrin, caveolin, dynamin, and actin. Upon internalization, the virus is rapidly delivered to endosomes via an unusual route of vesicular trafficking that is largely independent of the small GTPases Rab5 and Rab7. Since infection of cells with LCMV and LASV depends on DG, this unusual endocytotic pathway could be related to normal cellular trafficking of the DG complex. Alternatively, engagement of arenavirus particles may target DG for an endocytotic pathway not normally used in uninfected cells thereby inducing an entry route specifically tailored to the pathogen's needs.
Resumo:
Background:¦Choristomas are benign, congenital tumours composed of normal tissue in an¦abnormal location. Osseous choristomas represent the rarest form of epibulbar choristomas,¦with now 65 cases reported in the literature. We did a retrospective clinicopathological study¦of all patients with epibulbar osseous choristoma observed at our institution since 1982 and¦updated the last review of the literature.¦History and Signs:¦Three Caucasian male patients, aged between 3 months and 11 years,¦were identified. All osseous choristomas were located under the superotemporal bulbar¦conjunctiva of the right eye.¦Therapy and Outcome:¦All lesions were managed with surgical excision. Histopathology¦revealed the presence of lamellar bone in all cases, one of which was associated with a¦dermolipoma.¦Conclusions:¦We report a small rare case series of 3 epibulbar osseous choristomas and did a¦review of the literature. In one patient, the osteoma was associated with a dermolipoma,¦corresponding to the fourth reported complex choristoma of this type, in an otherwise normal¦eye, in the literature.