Estudo da prevalência da discrepância anterior de Bolton numa população ortodôntica portuguesa

Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária

Diagnóstico de calidad talla en sal de roca Zipaquirá.

55 hojas : ilustraciones, fotografías a color.

Hinduism and Christianity in Orissa: containing a brief description of the country, religion, manners and customs, of the Hindus, and an account of the operations of the American Freewill Baptist Mission in northern Orissa ... By O.R. Bacheler ...

http://www.archive.org/details/hinduismandchris00bachuoft

Paediatric malaria case-management with artemether-lumefantrine in Zambia: a repeat cross-sectional study

BACKGROUND:Zambia was the first African country to change national antimalarial treatment policy to artemisinin-based combination therapy - artemether-lumefantrine. An evaluation during the early implementation phase revealed low readiness of health facilities and health workers to deliver artemether-lumefantrine, and worryingly suboptimal treatment practices. Improvements in the case-management of uncomplicated malaria two years after the initial evaluation and three years after the change of policy in Zambia are reported.METHODS:Data collected during the health facility surveys undertaken in 2004 and 2006 at all outpatient departments of government and mission facilities in four Zambian districts were analysed. The surveys were cross-sectional, using a range of quality of care assessment methods. The main outcome measures were changes in health facility and health worker readiness to deliver artemether-lumefantrine, and changes in case-management practices for children below five years of age presenting with uncomplicated malaria as defined by national guidelines.RESULTS:In 2004, 94 health facilities, 103 health workers and 944 consultations for children with uncomplicated malaria were evaluated. In 2006, 104 facilities, 135 health workers and 1125 consultations were evaluated using the same criteria of selection. Health facility and health worker readiness improved from 2004 to 2006: availability of artemether-lumefantrine from 51% (48/94) to 60% (62/104), presence of artemether-lumefantrine dosage wall charts from 20% (19/94) to 75% (78/104), possession of guidelines from 58% (60/103) to 92% (124/135), and provision of in-service training from 25% (26/103) to 41% (55/135). The proportions of children with uncomplicated malaria treated with artemether-lumefantrine also increased from 2004 to 2006: from 1% (6/527) to 27% (149/552) in children weighing 5 to 9 kg, and from 11% (42/394) to 42% (231/547) in children weighing 10 kg or more. In both weight groups and both years, 22% (441/2020) of children with uncomplicated malaria were not prescribed any antimalarial drug.CONCLUSION:Although significant improvements in malaria case-management have occurred over two years in Zambia, the quality of treatment provided at the point of care is not yet optimal. Strengthening weak health systems and improving the delivery of effective interventions should remain high priority in all countries implementing new treatment policies for malaria.

All-optical modulation converter for on-off keying to duobinary and alternate-mark inversion at 42.6 Gbps

Advanced modulation formats have become increasingly important as telecoms engineers strive for improved tolerance to both linear and nonlinear fibre-based transmission impairments. Two important modulation schemes are Duobinary (DB) and Alternate-mark inversion (AMI) [1] where transmission enhancement results from auxiliary phase modulation. As advanced modulation formats displace Return-to-zero On-Off Keying (RZ-OOK), inter-modulation converters will become increasingly important. If the modulation conversion can be performed at high bitrates with a small number of operations per bit, then all-optical techniques may offer lower energy consumption compared to optical-electronic-optical approaches. In this paper we experimentally demonstrate an all-optical system incorporating a pair of hybrid-integrated semiconductor optical amplifier (SOA)-based Mach-Zehnder interferometer (MZI) gates which translate RZ-OOK to RZ-DB or RZ-AMI at 42.6 Gbps. This scheme includes a wavelength conversion to arbitrary output wavelength and has potential for high-level photonic integration, scalability to higher bitrates, and should exhibit regenerative properties [2].

Practice links [Issue 42, April 2011]

Practice Links is a free e-publication for practitioners working in Irish social services, voluntary and nongovernmental sectors. Practice Links was created to enable practitioners to keep up-to-date with new publications, electronic resources and conference opportunities. Issue 42 features a report examining the measures undertaken by schools to reduce bulling and victimization.

Properties and applications of injection locking in 1.55 μm quantum-dash mode-locked semiconductor lasers

Mode-locked semiconductor lasers are compact pulsed sources with ultra-narrow pulse widths and high repetition-rates. In order to use these sources in real applications, their performance needs to be optimised in several aspects, usually by external control. We experimentally investigate the behaviour of recently-developed quantum-dash mode-locked lasers (QDMLLs) emitting at 1.55 μm under external optical injection. Single-section and two-section lasers with different repetition frequencies and active-region structures are studied. Particularly, we are interested in a regime which the laser remains mode-locked and the individual modes are simultaneously phase-locked to the external laser. Injection-locked self-mode-locked lasers demonstrate tunable microwave generation at first or second harmonic of the free-running repetition frequency with sub-MHz RF linewidth. For two-section mode-locked lasers, using dual-mode optical injection (injection of two coherent CW lines), narrowing the RF linewidth close to that of the electrical source, narrowing the optical linewidths and reduction in the time-bandwidth product is achieved. Under optimised bias conditions of the slave laser, a repetition frequency tuning ratio >2% is achieved, a record for a monolithic semiconductor mode-locked laser. In addition, we demonstrate a novel all-optical stabilisation technique for mode-locked semiconductor lasers by combination of CW optical injection and optical feedback to simultaneously improve the time-bandwidth product and timing-jitter of the laser. This scheme does not need an RF source and no optical to electrical conversion is required and thus is ideal for photonic integration. Finally, an application of injection-locked mode-locked lasers is introduced in a multichannel phase-sensitive amplifier (PSA). We show that with dual-mode injection-locking, simultaneous phase-synchronisation of two channels to local pump sources is realised through one injection-locking stage. An experimental proof of concept is demonstrated for two 10 Gbps phase-encoded (DPSK) channels showing more than 7 dB phase-sensitive gain and less than 1 dB penalty of the receiver sensitivity.

Practice links [Issue 55, December 2013]

Practice Links is a free e-publication for practitioners working in Irish social services, voluntary and nongovernmental sectors. Practice Links was created to enable practitioners to keep up-to-date with new publications, electronic resources and conference opportunities. Issue 55 includes listings for upcoming conferences, resources to support practice, recent policy reports, organisational profiles as well as reviews of research publications.

Reliability of antitransglutaminase antibodies as predictors of gluten-free diet compliance in adult celiac disease.

OBJECTIVE: Strict lifelong compliance to a gluten-free diet (GFD) minimizes the long-term risk of mortality, especially from lymphoma, in adult celiac disease (CD). Although serum IgA antitransglutaminase (IgA-tTG-ab), like antiendomysium (IgA-EMA) antibodies, are sensitive and specific screening tests for untreated CD, their reliability as predictors of strict compliance to and dietary transgressions from a GFD is not precisely known. We aimed to address this question in consecutively treated adult celiacs. METHODS: In a cross-sectional study, 95 non-IgA deficient adult (median age: 41 yr) celiacs on a GFD for at least 1 yr (median: 6 yr) were subjected to 1) a dietician-administered inquiry to pinpoint and quantify the number and levels of transgressions (classified as moderate or large, using as a cutoff value the median gluten amount ingested in the overall noncompliant patients of the series) over the previous 2 months, 2) a search for IgA-tTG-ab and -EMA, and 3) perendoscopic duodenal biopsies. The ability of both antibodies to discriminate celiacs with and without detected transgressions was described using receiver operating characteristic curves and quantified as to sensitivity and specificity, according to the level of transgressions. RESULTS: Forty (42%) patients strictly adhered to a GFD, 55 (58%) had committed transgressions, classified as moderate (< or = 18 g of gluten/2 months; median number 6) in 27 and large (>18 g; median number 69) in 28. IgA-tTG-ab and -EMA specificity (proportion of correct recognition of strictly compliant celiacs) was 0.97 and 0.98, respectively, and sensitivity (proportion of correct recognition of overall, moderate, and large levels of transgressions) was 0.52, 0.31, and 0.77, and 0.62, 0.37, and 0.86, respectively. IgA-tTG-ab and -EMA titers were correlated (p < 0.001) to transgression levels (r = 0.560 and R = 0.631, respectively) and one to another (p < 0.001) in the whole patient population (r = 0.834, N = 84) as in the noncompliant (r = 0.915, N = 48) group. Specificity and sensitivity of IgA-tTG-ab and IgA-EMA for recognition of total villous atrophy in patients under a GFD were 0.90 and 0.91, and 0.60 and 0.73, respectively. CONCLUSIONS: In adult CD patients on a GFD, IgA-tTG-ab are poor predictors of dietary transgressions. Their negativity is a falsely secure marker of strict diet compliance.

Trends in anemia management in US hemodialysis patients 2004-2010.

BACKGROUND: There have been major changes in the management of anemia in US hemodialysis patients in recent years. We sought to determine the influence of clinical trial results, safety regulations, and changes in reimbursement policy on practice. METHODS: We examined indicators of anemia management among incident and prevalent hemodialysis patients from a medium-sized dialysis provider over three time periods: (1) 2004 to 2006 (2) 2007 to 2009, and (3) 2010. Trends across the three time periods were compared using generalized estimating equations. RESULTS: Prior to 2007, the median proportion of patients with monthly hemoglobin >12 g/dL for patients on dialysis 0 to 3, 4 to 6 and 7 to 18 months, respectively, was 42%, 55% and 46% declined to 41%, 54%, and 40% after 2007, and declined more sharply in 2010 to 34%, 41%, and 30%. Median weekly Epoeitin alpha doses over the same periods were 18,000, 12,400, and 9,100 units before 2007; remained relatively unchanged from 2007 to 2009; and decreased sharply in the patients 3-6 and 6-18 months on dialysis to 10,200 and 7,800 units, respectively in 2010. Iron doses, serum ferritin, and transferrin saturation levels increased over time with more pronounced increases in 2010. CONCLUSION: Modest changes in anemia management occurred between 2007 and 2009, followed by more dramatic changes in 2010. Studies are needed to examine the effects of declining erythropoietin use and hemoglobin levels and increasing intravenous iron use on quality of life, transplantation rates, infection rates and survival.

Changes in neuroticism following trauma exposure.

Using longitudinal data, the present study examined change in midlife neuroticism following trauma exposure. Our primary analyses included 670 participants (M(age) = 60.55; 65.22% male, 99.70% Caucasian) who completed the NEO Personality Inventory at ages 42 and 50 and reported their lifetime exposure to traumatic events approximately 10 years later. No differences in pre- and post-trauma neuroticism scores were found among individuals who experienced all of their lifetime traumas in the interval between the personality assessments. Results were instead consistent with normative age-related declines in neuroticism throughout adulthood. Furthermore, longitudinal changes in neuroticism scores did not differ between individuals with and without histories of midlife trauma exposure. Examination of change in neuroticism following life-threatening traumas yielded a comparable pattern of results. Analysis of facet-level scores largely replicated findings from the domain scores. Overall, our findings suggest that neuroticism does not reliably change following exposure to traumatic events in middle adulthood. Supplemental analyses indicated that individuals exposed to life-threatening traumas in childhood or adolescence reported higher midlife neuroticism than individuals who experienced severe traumas in adulthood. Life-threatening traumatic events encountered early in life may have a more pronounced impact on adulthood personality than recent traumatic events.

Contenidos de materia orgánica y condición física de un Kandiudult de Misiones bajo diferentes sistemas de preparación del terreno forestal y bosque nativo

Las propiedades físicas de los suelos de ambientes subtropicales húmedos fueron tradicionalmente menos estudiadas que los de zonas templadas. Una característica de los primeros es su menor resiliencia frente a un disturbio. Un aspecto poco explorado es qué sucede con los suelos cuando la selva nativa es reemplazada por una plantación forestal o un ciclo forestal por otro. La forestación es una de las principales actividades económicas de la provincia de Misiones, y la preparación de terreno uno de los momentos de mayor impacto al suelo. En esta tesis se evaluaron sobre un suelo Kandiudult tratamientos que incluyeron: a) conservación de residuos (CRes), b) subsolado (Sub), c) con quema de residuos en escollera (Qsub), d) uso de rastra (Rast), e) con quema de residuos en escollera (Qrast), y f) conservación de residuos sin plantación (Reg Nat). Todos estos contrastados con el bosque nativo (NcP). Se halló que al cuarto año de la plantación, el contenido de materia orgánica (MO) fue significativamente mayor donde se conservaron los residuos, con mayor stock de C (55 Mg.ha-1). Sin embargo este aumento de MO no logró equiparar al suelo bajo BNcP. El contenido hídrico retenido en capacidad de campo varió en similar dirección que la MO. La densidad aparente fue una las propiedades físicas más sensibles a los tratamientos, con valores significativamente más bajos hasta 30 cm de profundidad en suelo bajo Sub (1,36 Mg.m-3). El tratamiento bajo Rast presentó los mayores valores de densidad aparente (1,50 Mg.m-3). Los tratamientos afectados por quema tuvieron valores de densidad aparente más bajos que otros tratamientos (1,42 Mg.m-3). De cualquier manera, puede afirmarse que el manejo forestal causó la densificación de la superficie del suelo, comparando con los menores valores de densidad del suelo bajo BNcP (1,17 Mg.m-3). Los valores de compactación relativa calculados en base a la densidad máxima en ensayos Proctor fueron cercanos al 90 por ciento, lo cual indica la alta compactación de los suelos. La inestabilidad estructural del suelo, medida por el cambio de diámetro medio ponderado de agregados (CDMP), no se vio afectada por el reemplazo de la selva por la plantación forestal, ni por el método de preparación del terreno. La tasa de infiltración no mostró diferencias entre tratamientos, pero si reducciones importantes respecto del bosque nativo (1638 cm.h-1). Como conclusión, y dada la falta de impactos físicos severos sobre los suelos bajo plantación forestal, puede recomendarse la conservación de los residuos sobre la superficie como método de preparación, pues es el único que permite realizar secuestro efectivo de CO en los suelos.

Contenidos de materia orgánica y condición física de un Kandiudult de Misiones bajo diferentes sistemas de preparación del terreno forestal y bosque nativo

Las propiedades físicas de los suelos de ambientes subtropicales húmedos fueron tradicionalmente menos estudiadas que los de zonas templadas. Una característica de los primeros es su menor resiliencia frente a un disturbio. Un aspecto poco explorado es qué sucede con los suelos cuando la selva nativa es reemplazada por una plantación forestal o un ciclo forestal por otro. La forestación es una de las principales actividades económicas de la provincia de Misiones, y la preparación de terreno uno de los momentos de mayor impacto al suelo. En esta tesis se evaluaron sobre un suelo Kandiudult tratamientos que incluyeron a)conservación de residuos (CRes), b)subsolado (Sub)c)con quema de residuos en escollera (Qsub), d)uso de rastra (Rast)e)con quema de residuos en escollera (Qrast), y f)conservación de residuos sin plantación (Reg Nat). Todos estos contrastados con el bosque nativo (NcP). Se halló que al cuarto año de la plantación, el contenido de materia orgánica (MO)fue significativamente mayor donde se conservaron los residuos, con mayor stock de C (55 Mg.ha-1). Sin embargo este aumento de MO no logró equiparar al suelo bajo BNcP. El contenido hídrico retenido en capacidad de campo varió en similar dirección que la MO. La densidad aparente fue una las propiedades físicas más sensibles a los tratamientos, con valores significativamente más bajos hasta 30 cm de profundidad en suelo bajo Sub (1,36 Mg.m-3). El tratamiento bajo Rast presentó los mayores valores de densidad aparente (1,50 Mg.m-3). Los tratamientos afectados por quema tuvieron valores de densidad aparente más bajos que otros tratamientos (1,42 Mg.m-3). De cualquier manera, puede afirmarse que el manejo forestal causó la densificación de la superficie del suelo, comparando con los menores valores de densidad del suelo bajo BNcP (1,17 Mg.m-3). Los valores de compactación relativa calculados en base a la densidad máxima en ensayos Proctor fueron cercanos al 90 por ciento, lo cual indica la alta compactación de los suelos. La inestabilidad estructural del suelo, medida por el cambio de diámetro medio ponderado de agregados (CDMP), no se vio afectada por el reemplazo de la selva por la plantación forestal, ni por el método de preparación del terreno. La tasa de infiltración no mostró diferencias entre tratamientos, pero si reducciones importantes respecto del bosque nativo (1638 cm.h-1). Como conclusión, y dada la falta de impactos físicos severos sobre los suelos bajo plantación forestal, puede recomendarse la conservación de los residuos sobre la superficie como método de preparación, pues es el único que permite realizar secuestro efectivo de CO en los suelos.

Papas Chips XI : materia seca, peso específico, rendimiento y fijación de aceite, parámetros de calidad

p.145-150

Evaluación económica de proyectos hortícolas en la Comarca Andina del Paralelo 42º

p.225-231