918 resultados para Velleius Paterculus, ca. 19 B.C.-ca. 30 A.D.


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Dyslipidemia accelerates vascular complications of diabetes. Nuclear magnetic resonance (NMR) analysis of lipoprotein subclasses is used to evaluate a mouse model of human familial hypercholesterolemia +/- streptozotocin (STZ)-induced diabetes. A double knockout (DKO) mouse (low-density lipoprotein receptor [LDLr] -/-; apolipoprotein B [apoB] mRNA editing catalytic polypeptide-1 [Apobec1] -/-) was studied. Wild-type (WT) and DKO mice received sham or STZ injections at age 7 weeks, yielding control (WT-C, DKO-C) and diabetic (WT-D, DKO-D) groups. Fasting serum was collected when the mice were killed (age 40 weeks) for Cholestech analysis (Cholestech Corp, Hayward, CA) and NMR lipoprotein subclass profile. By Cholestech, fasting triglyceride and total cholesterol increased in DKO-C versus WT-C. Diabetes further increased total cholesterol in DKO. High-density lipoprotein cholesterol (HDL-C) was similar among all groups. NMR revealed that LDL in all groups was present in a subclass the size of large human LDL and was increased 48-fold in DKO-C versus WT-C animals, but was unaffected by diabetes. HDL was found in a subclass equivalent to large human HDL, and was similar among groups. In conclusion, NMR analysis reveals lipoprotein subclass distributions and the effects of genetic modification and diabetes in mice, but lack of particles the size of human small LDL and small HDL may limit the relevance of the present animal model to human disease.

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Background

Studies in animals and in vitro and phase 2 studies in humans suggest that statins may be beneficial in the treatment of the acute respiratory distress syndrome (ARDS). This study tested the hypothesis that treatment with simvastatin would improve clinical outcomes in patients with ARDS.

Methods

In this multicenter, double-blind clinical trial, we randomly assigned (in a 1:1 ratio) patients with an onset of ARDS within the previous 48 hours to receive enteral simvastatin at a dose of 80 mg or placebo once daily for a maximum of 28 days. The primary outcome was the number of ventilator-free days to day 28. Secondary outcomes included the number of days free of nonpulmonary organ failure to day 28, mortality at 28 days, and safety.

Results

The study recruited 540 patients, with 259 patients assigned to simvastatin and 281 to placebo. The groups were well matched with respect to demographic and baseline physiological variables. There was no significant difference between the study groups in the mean (±SD) number of ventilator-free days (12.6±9.9 with simvastatin and 11.5±10.4 with placebo, P=0.21) or days free of nonpulmonary organ failure (19.4±11.1 and 17.8±11.7, respectively; P=0.11) or in mortality at 28 days (22.0% and 26.8%, respectively; P=0.23). There was no significant difference between the two groups in the incidence of serious adverse events related to the study drug.

Conclusions

Simvastatin therapy, although safe and associated with minimal adverse effects, did not improve clinical outcomes in patients with ARDS. (Funded by the U.K. National Institute for Health Research Efficacy and Mechanism Evaluation Programme and others; HARP-2 Current Controlled Trials number, ISRCTN88244364.)


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Background Automated closed loop systems may improve adaptation of mechanical support for a patient's ventilatory needs and facilitate systematic and early recognition of their ability to breathe spontaneously and the potential for discontinuation of ventilation. This review was originally published in 2013 with an update published in 2014. Objectives The primary objective for this review was to compare the total duration of weaning from mechanical ventilation, defined as the time from study randomization to successful extubation (as defined by study authors), for critically ill ventilated patients managed with an automated weaning system versus no automated weaning system (usual care). Secondary objectives for this review were to determine differences in the duration of ventilation, intensive care unit (ICU) and hospital lengths of stay (LOS), mortality, and adverse events related to early or delayed extubation with the use of automated weaning systems compared to weaning in the absence of an automated weaning system. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2013, Issue 8); MEDLINE (OvidSP) (1948 to September 2013); EMBASE (OvidSP) (1980 to September 2013); CINAHL (EBSCOhost) (1982 to September 2013); and the Latin American and Caribbean Health Sciences Literature (LILACS). Relevant published reviews were sought using the Database of Abstracts of Reviews of Effects (DARE) and the Health Technology Assessment Database (HTA Database). We also searched the Web of Science Proceedings; conference proceedings; trial registration websites; and reference lists of relevant articles. The original search was run in August 2011, with database auto-alerts up to August 2012. Selection criteria We included randomized controlled trials comparing automated closed loop ventilator applications to non-automated weaning strategies including non-protocolized usual care and protocolized weaning in patients over four weeks of age receiving invasive mechanical ventilation in an ICU. Data collection and analysis Two authors independently extracted study data and assessed risk of bias. We combined data in forest plots using random-effects modelling. Subgroup and sensitivity analyses were conducted according to a priori criteria. Main results We included 21 trials (19 adult, two paediatric) totaling 1676 participants (1628 adults, 48 children) in this updated review. Pooled data from 16 eligible trials reporting weaning duration indicated that automated closed loop systems reduced the geometric mean duration of weaning by 30% (95% confidence interval (CI) 13% to 45%), however heterogeneity was substantial (I2 = 87%, P < 0.00001). Reduced weaning duration was found with mixed or medical ICU populations (42%, 95% CI 10% to 63%) and Smartcare/PSâ„¢ (28%, 95% CI 7% to 49%) but not in surgical populations or using other systems. Automated closed loop systems reduced the duration of ventilation (10%, 95% CI 3% to 16%) and ICU LOS (8%, 95% CI 0% to 15%). There was no strong evidence of an effect on mortality rates, hospital LOS, reintubation rates, self-extubation and use of non-invasive ventilation following extubation. Prolonged mechanical ventilation > 21 days and tracheostomy were reduced in favour of automated systems (relative risk (RR) 0.51, 95% CI 0.27 to 0.95 and RR 0.67, 95% CI 0.50 to 0.90 respectively). Overall the quality of the evidence was high with the majority of trials rated as low risk. Authors' conclusions Automated closed loop systems may result in reduced duration of weaning, ventilation and ICU stay. Reductions are more likely to occur in mixed or medical ICU populations. Due to the lack of, or limited, evidence on automated systems other than Smartcare/PSâ„¢ and Adaptive Support Ventilation no conclusions can be drawn regarding their influence on these outcomes. Due to substantial heterogeneity in trials there is a need for an adequately powered, high quality, multi-centre randomized controlled trial in adults that excludes 'simple to wean' patients. There is a pressing need for further technological development and research in the paediatric population.

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The impact of rapid climate change on contemporary human populations is of global concern. To contextualize our understanding of human responses to rapid climate change it is necessary to examine the archeological record during past climate transitions. One episode of abrupt climate change has been correlated with societal collapse at the end of the northwestern European Bronze Age. We apply new methods to interrogate archeological and paleoclimate data for this transition in Ireland at a higher level of precision than has previously been possible. We analyze archeological 14C dates to demonstrate dramatic population collapse and present high-precision proxy climate data, analyzed through Bayesian methods, to provide evidence for a rapid climatic transition at ca. 750 calibrated years B.C. Our results demonstrate that this climatic downturn did not initiate population collapse and highlight the nondeterministic nature of human responses to past climate change.

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A new homologous series of side-chain liquid crystal polymers, the poly[omega-(4-cyanoazobenzene-4'-oxy)alkyl methacrylate]s, have been prepared in which the length of the flexible alkyl spacer is varied from 3 to 12 methylene units. All the polymers exhibit liquid crystalline behaviour; specifically, crystal E, smectic A and nematic phases are observed. The glass transition temperatures decrease on increasing spacer length before reaching a limiting value at ca. 30 degrees C. The clearing temperatures exhibit an odd-even effect on varying the length and parity of the spacer. This is attributed to the change in the average shape of the side chain as the parity of the spacer is varied. This rationalization also accounts for the observed alternation in the entropy change associated with the clearing transition. A weak relaxation is observed theologically for several members of this polymer series at temperatures above their respective glass transition temperatures. This is attributed either to specific motions of the smectic layers or to 180 degrees reorientational jumps of the long axis of the mesogenic unit about the polymer backbone. (C) 1997 Elsevier Science Ltd. All rights reserved.

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The structure and properties of the diffuse interstellar medium (ISM) on small scales, sub-au to 1 pc, are poorly understood. We compare interstellar absorption-lines, observed towards a selection of O- and B-type stars at two or more epochs, to search for variations over time caused by the transverse motion of each star combined with changes in the structure in the foreground ISM. Two sets of data were used: 83 VLT- UVES spectra with approximately 6 yr between epochs and 21 McDonald observatory 2.7m telescope echelle spectra with 6 - 20 yr between epochs, over a range of scales from 0 - 360 au. The interstellar absorption-lines observed at the two epochs were subtracted and searched for any residuals due to changes in the foreground ISM. Of the 104 sightlines investigated with typically five or more components in Na I D, possible temporal variation was identified in five UVES spectra (six components), in Ca II, Ca I and/or Na I absorption-lines. The variations detected range from 7\% to a factor of 3.6 in column density. No variation was found in any other interstellar species. Most sightlines show no variation, with 3{\sigma} upper limits to changes of the order 0.1 - 0.3 dex in Ca II and Na I. These variations observed imply that fine-scale structure is present in the ISM, but at the resolution available in this study, is not very common at visible wavelengths. A determination of the electron densities and lower limits to the total number density of a sample of the sightlines implies that there is no striking difference between these parameters in sightlines with, and sightlines without, varying components.

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We investigate the multiplicity properties of 408 B-type stars observed in the 30 Doradus region of the Large Magellanic Cloud with multi-epoch spectroscopy from the VLT-FLAMES Tarantula Survey (VFTS). We use a cross-correlation method to estimate relative radial velocities from the helium and metal absorption lines for each of our targets. Objects with significant radial-velocity variations (and with an amplitude larger than 16 km s<sup>-1</sup>) are classified as spectroscopic binaries. We find an observed spectroscopic binary fraction (defined by periods of <10<sup>3.5</sup> d and mass ratios >0.1) for the B-type stars, f<inf>B</inf>(obs) = 0.25 ± 0.02, which appears constant across the field of view, except for the two older clusters (Hodge 301 and SL 639). These two clusters have significantly lower binary fractions of 0.08 ± 0.08 and 0.10 ± 0.09, respectively. Using synthetic populations and a model of our observed epochs and their potential biases, we constrain the intrinsic multiplicity properties of the dwarf and giant (i.e. relatively unevolved) B-type stars in 30 Dor. We obtain a present-day binary fraction f<inf>B</inf>(true) = 0.58 ± 0.11, with a flat period distribution. Within the uncertainties, the multiplicity properties of the B-type stars agree with those for the O stars in 30 Dor from the VFTS.

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During the last few decades, Metal-Organic Frameworks (MOFs), also known as Coordination Polymers, have attracted worldwide research attentions due to their incremented fascinating architectures and unique properties. These multidimensional materials have been potential applications in distinct areas: gas storage and separation, ion exchange, catalysis, magnetism, in optical sensors, among several others. The MOF research group at the University of Aveiro has prepared MOFs from the combination of phosphonate organic primary building units (PBUs) with, mainly, lanthanides. This thesis documents the last findings in this area involving the synthesis of multidimensional MOFs based on four di- or tripodal phosphonates ligands. The organic PBUs were designed and prepared by selecting and optimizing the best reaction conditions and synthetic routes. The self-assembly between phosphonate PBUs and rare-earths cations led to the formation of several 1D, 2D and 3D families of isotypical MOFs. The preparation of these materials was achieved by using distinct synthetic approaches: hydro(solvo)thermal, microwave- and ultrasound-assisted, one-pot and ionothermal synthesis. The selection of the organic PBUs showed to have an important role in the final architectures: while flexible phosphonate ligands afforded 1D, 2D and dense 3D structures, a large and rigid organic PBU isolated a porous 3D MOF. The crystal structure of these materials was successfully unveiled by powder or single-crystal X-ray diffraction. All multidimensional MOFs were characterized by standard solid-state techniques (FT-IR, electron microscopy (SEM and EDS), solid-state NMR, elemental and thermogravimetric analysis). Some MOF materials exhibited remarkable thermal stability and robustness up to ca. 400 ºC. The intrinsic properties of some MOFs were investigated. Photoluminescence studies revealed that the selected organic PBUs are suitable sensitizers of Tb3+ leading to the isolation of intense green-emitting materials. The suppression of the O−H quenchers by deuteration or dehydration processes improves substantially the photoluminescence of the optically-active Eu3+-based materials. Some MOF materials exhibited high heterogeneous catalytic activity and excellent regioselectivity in the ring-opening reaction of styrene oxide (PhEtO) with methanol (100% conversion of PhEtO at 55 ºC for 30 min). The porous MOF material was employed in gas separation processes. This compound showed the ability to separate propane over propylene. The ionexchanged form of this material (containing K+ cations into its network) exhibited higher affinity for CO2 being capable to separate acetylene over this environment non-friendly gas.

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Dissertação mest., Arqueologia, Universidade do Algarve, 2007

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La présente thèse part du fait que résoudre le rapport entre soi, les autres et les règles sociales dans le cadre de la mégacité qu'est l'État est une préoccupation d'actualité, qui implique non seulement la construction d'un objet (l'éducation à la citoyenneté), mais aussi la détermination d'une perspective par rapport à cet objet. Elle expose les croyances d'étudiantes et d'étudiants en formation initiale en enseignement au secondaire relatives à l'éducation à la citoyenneté de façon particulière: (1) en révélant la relation entretenue par ces personnes avec ce nouvel objet d'enseignement qu'est l'éducation à la citoyenneté; (2) en décrivant leurs croyances en rapport avec des enjeux sous-jacents à l'éducation à la citoyenneté; et (3) en discernant la perspective émergente de ces croyances envers l'éducation à la citoyenneté. À travers la recension des écrits, nous avons relevé les caractéristiques suivantes de la relation visée: Sur le plan de l'objet, l'éducation à la citoyenneté présente: (a) une disparité de contenus qui mettent à jour différents rapports liés à des enjeux -- la mondialisation, le pluralisme, la judiciarisation, la laïcité et la démocratisation; (b) un système de régulation sociale qui est propre à chaque société (l'économie, le droit, la religion, la morale, l'éthique, le savoir) et de régulation institutionnelle (l'État, le MEQ, l'école, l'université) qui oriente le choix des rapports pour la gestion de ces enjeux; (c) une visée commune d'intégration sociale dans les documents gouvernementaux sur laquelle la recension des écrits a permis de discerner six orientations: l'orientation assimilationniste, la cohabitation identitaire, l'orientation conciliatrice, l'intégration additive, l'orientation transculturelle et l'orientation de la conscientisation. Sur le plan de la personne, l'étudiante ou l'étudiant en formation initiale en enseignement est membre d'une faculté d'éducation, détentrice de croyances et porteuse de trois rôles potentiels: (a) un premier rôle d'agent du système éducatif en lien avec la reproduction sociale; (b) un second rôle d'acteur de la dynamique sociale en lien avec l'intervention sociale et le concept d'empowerment et en lien avec l'action sociale et le concept d'émancipation; (c) un troisième rôle d'auteur de sa propre vie en lien avec les différentes dimensions de l'identité; (d) un principe d'autonomie (personnelle et professionnelle) nécessaire pour permettre l'interrelation des trois rôles."--Résumé abrégé par UMI.

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Im November 2001 hat sich am FB Wirtschaft der FH Hannover eine Arbeitsgruppe konstituiert, die sich insbesondere mit dem Phänomen „Langzeitstudium“ auseinander setzen wollte. Hauptziel der Arbeitsgruppe war es, die wesentlichen Ursachen für eine zu lange Studienzeit zu identifizieren. In mehreren Sitzungen wurden ausgehend von zunächst ca. 30 Arbeitshypothesen im Rahmen eines mehrstufigen Bewertungs- und Filterprozesses die Kernthesen formuliert, die nach Auswertung diverser Sekundärmaterialien (z.B. Vordiplome/Diplome, Prüfungsergebnisse) sowie persönlicher Erfahrung der AG-Mitglieder aus dem Studienbetrieb am plausibelsten erschienen. Diese Kernhypothesen (potentielle Gründe) für ein Langzeitstudium am FB Wirtschaft der FH Hannover waren im Ergebnis: H1 Langzeitstudium aufgrund eines Engpass-/Angstscheins oder aufgrund besonders schwerer Prüfungen. H2 Langzeitstudium, weil zur Lebensfinanzierung nebenbei gearbeitet werden muss. H3 Langzeitstudium von Quereinsteigern (Quereinsteiger studieren länger). H4 Langzeitstudium aufgrund höherer Gewichtung „sozialer“ Faktoren gegenüber studiumfocussierter Lebensausrichtung. H5 Langzeitstudium aufgrund schlechten Prüfungsmanagements der Studierenden. Da die vorliegenden Sekundärmaterialien nicht ausreichten, diese Hypothesen zu testen, waren neue Primärerhebungen und entsprechende Ursachenanalysen erforderlich. Im Rahmen seiner Forschungssemesteraktivitäten hat sich der Autor u.a. diese Aufgabe zu eigen gemacht. Es wurde ein Fragebogen konzipiert (vgl. Anhang 1), der im Juni 2002 an Studenten des Hauptstudiums verteilt wurde (Rücklauf N = 144). Die obigen Hypothesen H1 bis H5 werden nachfolgend auf Basis dieses Datensatzes getestet. Eine weitere Befragung von Studenten im Hauptstudium fand am FB Wirtschaft bereits im Januar 2002 statt (zum Fragebogen vgl. Anhang 2; Rücklauf N = 122). Die Ergebnisse dieser Untersuchung werden hier in Auszügen vergleichend mitbetrachtet.

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Tese de mestrado. Biologia (Biologia Molecular e Genética). Universidade de Lisboa, Faculdade de Ciências, 2014

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Thesis (Ph.D.)--University of Washington, 2014

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Objective: To investigate whether intakes of Ca, vitamin D, casein and whey are associated with periodontitis and to investigate the possibility of interactions between them. Design: Cross-sectional study. An Internet-based, 267-item FFQ was used to assess dietary intake. Intakes of casein (32·0 g/d), whey proteins (9·6 g/d) and vitamin D (5·8 μg/d) were classified as within v. above the 50th percentile. Ca intake was classified as within v. below age-specific recommendations. Severe periodontitis was defined as having ≥2 inter-proximal sites with clinical attachment loss ≥6 mm (not on the same tooth) and ≥1 inter-proximal site with pocket depth ≥5 mm. Since vitamin D influences Ca absorption, models were stratified by lower and higher (<5·8 v. ≥5·8 µg/d) vitamin D intake. Setting Danish Health Examination Survey (DANHES) 2007–2008. Subjects Adult participants (n 3287) in the oral health study of DANHES 2007–2008. Results Intakes of Ca within recommendations (OR=0·76; 95 % CI 0·58, 0·99), whey ≥9·6 g/d (OR=0·75; 95 % CI 0·58, 0·97) and casein ≥32 g/d (OR=0·75 95 % CI 0·58, 0·97) were associated with lower likelihood of severe periodontitis after adjustment for age, gender, education, smoking, sucrose intake, alcohol consumption, number of teeth, daily brushing, regular visits to the dentist and chronic illness, irrespective of vitamin D intake levels. Intake of vitamin D alone was not associated severe with periodontitis. Conclusions Intakes of Ca, casein and whey protein were inversely associated with periodontitis. Consumption of foods rich in Ca, casein and whey (e.g. dairy foods) should be promoted, as they may contribute to the prevention of periodontitis. Further longitudinal studies are required to confirm these associations.