Age impact on the eferent system actitivies in cochlear mechanical properties in normal hearing individuals

O trato olivococlear medial realiza o controle eferente das células ciliadas externas, regulando as contrações lentas e atenuando as rápidas. Com a pesquisa da amplitude das emissões otoacústicas sem e com estimulação acústica contra, ipsi ou bilateralmente, é possível estimar as condições desse trato, uma vez que o efeito resultante de redução/supressão das emissões indica seu funcionamento. O envelhecimento implica em diminuição da atividade do sistema auditivo central, em função da degeneração das estruturas envolvidas nas habilidades auditivas. OBJETIVO: O objetivo foi investigar o efeito da idade na atividade do trato sobre a cóclea, com a análise da amplitude das emissões com estimulação acústica contralateral. MATERIAL E MÉTODO: A casuística foi composta por 75 indivíduos agrupados conforme a idade. A metodologia foi o modo convencional, com clique linear e o ruído branco. ESTUDO DE CASO: A análise considerou a resposta das orelhas e a comparação entre os grupos. RESULTADOS: Os resultados revelam diferenças estatisticamente significantes entre o response das emissões sem e com estimulação acústica contralateral, nos indivíduos (20 a 39 anos). O efeito redução/supressão das emissões diminui com a idade (quarta década). CONCLUSÃO: O envelhecimento prejudica a efetividade da atividade do trato.

Grade of esophageal cancer and nutritional status impact on postsurgery outcomes

CONTEXTO: A desnutrição protéico-energética constitui causa previsível para o desenvolvimento de complicações pós-operatórias e pior prognóstico de pacientes cirúrgicos. OBJETIVO: Estudar a associação de indicadores de estado nutricional com estádio da doença e as principais complicações e mortalidade pós-operatória de pacientes com câncer de esôfago. MÉTODO: Foram avaliados retrospectivamente 100 prontuários de pacientes com câncer de esôfago (38-81 anos) de ambos os sexos (85% masculino e 15% feminino) submetidos a esofagectomia (n = 25) e gastrojejunostomia (n = 75), no período de 1995 a 2004. Os dados coletados foram: história clínica, exame endoscópico, estádio (TNM-UICC), estado nutricional (índice de massa corporal, percentual de perda de peso - %PP, albuminemia e contagem de linfócitos total) e evolução clínica pós-operatória. Houve composição dos grupos de acordo com o porte da cirurgia (grande x pequeno). Foi realizada a associação entre as complicações pós-operatórias e a mortalidade (após pós-operatório de 30 dias). As comparações entre médias dos dois grupos foram feitas pelo teste t de Student e a existência de associações entre variáveis testadas pelos testes de χ2 ou exato de Fisher com P = 0,05. RESULTADOS: Houve predomínio dos tumores avançados (estádio III e IV), com a presença de disfagia em 95% dos pacientes e perda ponderal >10%, anterior ao diagnóstico, em 78%. A obstrução esofágica, presente em 77 pacientes, foi associada (P = 0,0021) com o baixo índice de massa corporal (desnutrição protéico-energética). A %PP e a hipoalbuminemia associaram-se estatisticamente (P<0,05) com o estádio avançado da doença. As complicações pós-operatórias precoces ocorreram em 69,2% e 30,7% dos pacientes submetidos a esofagectomia e ostomias, respectivamente, com predomínio das infecciosas nas ostomias (80%) e as pleuropulmonares nas esofagectomias (61%). A albuminemia foi menor nos pacientes submetidos as ostomias, tendo sido a hipoalbuminemia associada (P<0,05) com a ocorrência de complicações pós-operatórias e mortalidade. A %PP e a contagem de linfócitos total associaram-se com as complicações pós-operatórias precoces e infeccionas nas ostomias e a contagem de linfócitos total, com a mortalidade operatória nas esofagectomias. CONCLUSÕES: O estado de DPE esteve associado às complicações pós-operatórias apenas nos pacientes submetidos a ostomias, sem presença destas associações nas esofagectomias.

Periodic orbits for a class of reversible quadratic vector field on R-3

For a class of reversible quadratic vector fields on R-3 we study the periodic orbits that bifurcate from a heteroclinic loop having two singular points at infinity connected by an invariant straight line in the finite part and another straight line at infinity in the local chart U-2. More specifically, we prove that for all n is an element of N, there exists epsilon(n) > 0 such that the reversible quadratic polynomial differential systemx = a(0) + a(1y) + a(3y)(2) + a(4Y)(2) + epsilon(a(2x)(2) + a(3xz)),y = b(1z) + b(3yz) + epsilon b(2xy),z = c(1y) +c(4az)(2) + epsilon c(2xz)in R-3, with a(0) < 0, b(1)c(1) < 0, a(2) < 0, b(2) < a(2), a(4) > 0, c(2) < a(2) and b(3) is not an element of (c(4), 4c(4)), for epsilon is an element of (0, epsilon(n)) has at least n periodic orbits near the heteroclinic loop. (c) 2007 Elsevier B.V. All rights reserved.

Regularization of discontinuous vector fields on R-3 via singular perturbation

Singular perturbations problems in dimension three which are approximations of discontinuous vector fields are studied in this paper. The main result states that the regularization process developed by Sotomayor and Teixeira produces a singular problem for which the discontinuous set is a center manifold. Moreover, the definition of' sliding vector field coincides with the reduced problem of the corresponding singular problem for a class of vector fields.

Potential of municipal solid waste (MSW) as a source of energy in São Paulo: Its impact on CO2 balance

Energy generation is needed in São Paulo and MSW represents a promising alternative, although it is more expensive than hydroelectric power. About 14 900 t/day of MSW is generated, of which 8433 t/day is domestic and commercial MSW. From this amount, 1800 t will be destined to generate 30 MW of power. The eco-balance of CO2 has been considered for incineration and recycling. The recycling program of plastics, metals, paper and glass would represent a significant reduction in energy and CO2 emission. The total CO2 released is 3.34 x 10(5) t/yr without recycling. and is 1.25 x 10(5) t/yr with a recycling program. Most of the CO2 comes from plastics and paper production. Economic aspects could probably favor Incineration with energy production as the best option. (C) 1998 Published by Elsevier B.V. Ltd. All rights reserved.

RESTRUCTURING of SYSTEMS and LOGISTICS of MOVEMENT and ITS IMPACT on URBAN and REGIONAL PLANNING PAULISTA

Report some of the changes in production and consumption occurring in the state of São Paulo. through the restructuring in motion systems, logistics and standards and taxation, as well as the impacts on urban spaces through new economic dynamics, imposed by the demands of corporate, is the purpose of this article. The decentralization of production and consumption towards the interior was made possible by the combination of hierarchical and ordered some basic elements such as technological innovations (ways and means of transport) and organizational (logistics, standards and taxation) which optimized the flow territorial state São Paulo. It is noteworthy, therefore: 1) the improvement of logistics as a strategy, planning and management of transport, storage and communications (including the granting of public services to private), 2) the technological improvement and expansion of motion systems (infrastructure, means of transport) and 3) the systems of rules and regulations through taxation and deregulation affect the circulatory system of a given space. Thus, both systems aims to disentangle the economic flows (goods, services, information, capital and people) and provide a more fluid territorial. The impacts on the State of São Paulo, mainly through its economic dynamics, revert positively and negatively, by changing the way one thinks and performs planning.

Report on derivatives markets: stabilizing or speculative impact on Chile and a comparison with Brazil

Includes bibliography

Antidumping and the global financial crisis: the impact on Latin America and the Caribbean

Includes bibliography

The international mobility of talent and its impact on global development: an overview

Includes bibliography

Globalization and liberalization: the impact on developing countries

Includes bibliography

The economic and financial crisis: its impact on poverty, work and women's time

Incluye Bibliografía

Ubiquity of virtual disguisers and potential impact on ethical behavior

The widespread availability of wirelessly connected portable computers, smartphones and other mobile devices, and the pervasive presence of computer services in our everyday environment, has brought the prediction of Mark Weiser of future ubiquitous computer systems closer to reality. Some of these - ever-present, anywhere, anytime - ubiquitous computer services mean easier and pleasant lifestyles for many people, but the generalized availability of some classes of these softwares and computer services, known as virtual disguisers and Virtual Robots, can pose new ethical problems in a world of explosive growth of social networking sites. The objective of the present article is to investigate some of these problems, from an interdisciplinary philosophical perspective. Special emphasis shall be given to the potential impact on human conduct caused by disguisers and Virtual Robots. © 2011 IEEE.

La evolución económica del Japón y su impacto en América Latina = The economic evolution of Japan and its impact on Latin America

Incluye Bibliografía

Informe de la Reunión sobre Crisis Externa: Proceso de Ajuste y su Impacto Inmediato y de Largo Plazo en el Desarrollo Social: ¿Qué hacer? = Report of the Meeting on Possible Measure to Deal with the Immediate and Long-term Impact on Social Development of the External Crisis and the Adjustment Process

Informe de la reunion que tuvo por objetivo: 1) considerar estrategias y propuestas de accion para superar la pobreza y lograr un desarrollo social armonico con el desarrollo economico; y 2) promover un analisis de la situacion del desarrollo social en la region, y especificamente de la naturaleza y caracteristicas de la pobreza en el marco de los factores estructurales y de los factores derivados del proceso de ajuste a la crisis externa.