968 resultados para Primavera Project Planner P6.0 vs MS-Project 2007
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Background. Colorectal polyps are abnormal growths in the wall of the colon including the rectum. The study aims to estimate the prevalence and type of colonic polyps in children undergoing colonoscopic examination at Texas Children's Hospital (TCH) in Houston, Texas during 2000-2007. Also, to examine the factors associated with colonic polyps and the potential determinants of colonic polyps in children undergoing colonoscopy and compare those who had colonic polyps with those who did not on colonoscopy, and determine the significant risk factors of colonic polyps in these children. ^ Methods. We conducted a cross sectional study to analyze data collected at TCH. We obtained demographic, clinical, and histopathology information on consecutive patients who underwent colonoscopy during 2000-2007 from endoscopic records contained in the PEDS-CORI registry (Pediatric Endoscopy Database System-Clinical Outcomes Research Initiative), and abstracted data from the accompanying histopathology reports. ^ Results. We identified 2,693-unique patients, under 18 years of age, who underwent colonoscopy. Approximately 65.5% were white non-Hispanic, and 10.8% African-American. The mean age was 8.7 years and 51.8% were female patients. Polyps were present in 174 patients (6.5%). The most common two histological types were juvenile (60.6%), inflammatory (17.4%). We found that the prevalence of polyps was higher in younger aged children (12.9% in 0-5 years) than in older aged children (4% in 15-17 years), and slightly higher in males than in females (7.9% and 5.4% respectively). For males only, the odds of polyps were statistically significantly higher in Blacks and Hispanics compared to white non Hispanics (OR of 2.2 and 2.1, respectively, and 95% CI of 1.3, 3.9 and 1.3, 3.5 respectively). The indications for colonoscopy were different for children with polyps compared to those without polyps, i.e., 47.0% vs. 19.8% respectively for lower GI bleeding, 2.7% vs. 21.4% respectively for abdominal pain/bloating, and, or 0.9% vs. 9.6% respectively for diarrhea. ^ Conclusion. Colorectal polyps occur in about 1 in 15 children and adolescents undergoing first colonoscopy. The demographic variable of younger age is strongly associated with having polyps irrespective of ethnicity. Lower GI bleeding is strongly related to the presence of colorectal polyps in children and adolescents undergoing colonoscopy.^
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Racial differences in heart failure with preserved ejection fraction (HFpEF) have rarely been studied in an ambulatory, financially "equal access" cohort, although the majority of such patients are treated as outpatients. ^ Retrospective data was collected from 2,526 patients (2,240 Whites, 286 African American) with HFpEF treated at 153 VA clinics, as part of the VA External Peer Review Program (EPRP) between October 2000 and September 2002. Kaplan Meier curves (stratified by race) were created for time to first heart failure (HF) hospitalization, all cause hospitalization and death and Cox proportional multivariate regression models were constructed to evaluate the effect of race on these outcomes. ^ African American patients were younger (67.7 ± 11.3 vs. 71.2 ± 9.8 years; p < 0.001), had lower prevalence of atrial fibrillation (24.5 % vs. 37%; p <0.001), chronic obstructive pulmonary disease (23.4 % vs. 36.9%, p <0.001), but had higher blood pressure (systolic blood pressure > 120 mm Hg 77.6% vs. 67.8%; p < 0.01), glomerular filtration rate (67.9 ± 31.0 vs. 61.6 ± 22.6 mL/min/1.73 m2; p < 0.001), anemia (56.6% vs. 41.7%; p <0.001) as compared to whites. African Americans were found to have higher risk adjusted rate of HF hospitalization (HR 1.52, 95% CI 1.1 - 2.11; p = 0.01), with no difference in risk-adjusted all cause hospitalization (p = 0.80) and death (p= 0.21). ^ In a financially "equal access" setting of the VA, among ambulatory patients with HFpEF, African Americans have similar rates of mortality and all cause hospitalization but have an increased risk of HF hospitalizations compared to whites.^
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Fifteen iron oxide accumulations from the bottoms of two Finnish lakes ("lake ores") were found to contain as much as 50% Fe. Differential X-ray powder diffraction and selective dissolution by oxalate showed that the samples consisted of poorly crystallized goethite and ferrihydrite. The crust ores of one lake had higher ferrihydrite to goethite ratios than the nodular ores of the other lake. The higher ferrihydrite proportion was attributed to a higher rate of Fe2+ supply from the ground water and/or a higher rate of oxidation as a function of water depth and bottom-sediment permeability. Values of Al-for-Fe substitution of the goethites determined from unit-cell dimensions agreed with those obtained from chemical extraction if the unit-cell volume rather than the c dimension was used. In very small goethite crystals a slight expansion of the a unit-cell dimension is probaby compensated by a corresponding contraction of the c dimension, so that a contraction of the c dimension need not necessarily be caused by Al substitution. The goethites of the two lakes differed significantly in their Al-for-Fe substitutions and hence in their unit-cell sizes, OH-bending characteristics, dehydroxylation temperatures, dissolution kinetics, and Mössbauer parameters. The difference in Al substitution (0 vs. 7 mole %) is attributed to the Al-supplying power of the bottom sediments: the silty-clayey sediments in one lake appear to have supplied A1 during goethite formation, whereas the gravelly-sandy sediments in the other lake did not. The compositions of the goethites thus reflect their environments of formation.
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Objetivos: reducir pérdidas durante la conservación frigorífica, emplear atmósfera modificada como método suplementario a la refrigeración, alargar el período de aptitud comercial. Metodología: se trabajó con fruta acondicionada a 0±1 °C y 90±5 % HR, según las siguientes variantes: 1. testigo: 20 kg fruta a granel sin seleccionar en caja plástica; 2. granel + film PVC: 10 kg de fruta a granel en bandejas de madera más cartón corrugado recubierta con film de PVC; 3. celpack: bandejas de madera recubiertas de cartón corrugado con dos celpack de 23 frutos cada uno; 4. celpack + atmósfera modificada: ídem anterior pero cada celpack en bolsa de polietileno de baja densidad de 20 μ. A partir de los 30 días de conservación se extrajo semanalmente, durante 9 semanas, una muestra de 46 frutos, de los cuales 23 fueron analizados al momento de ser extraídos y los 23 restantes luego de 48 horas de comercialización simulada (sc). Para la evaluación estadística se aplicó análisis de la varianza con el programa SAS (Statistical Analysis System) y se determinaron las diferencias entre tratamientos con el test de Duncan. Para sabor, en cambio, se aplicó una prueba de homogeneidad de P2. La evaluación de sabor se realizó mediante degustación con panel de 5 catadores entrenados. Resultados: Los frutos tenían las siguientes características al inicio de conservación: calibre 61.4 mm, peso 117.8 g, firmeza de pulpa 3.1 kgf, sabor agridulce, contenido de sólidos solubles 17.5 °Bx, acidez 0.78 g ác. málico%g, % cubrimiento 83.69 %. Luego de la conservación frigorífica (97días): % de color de cobertura 95 %. La firmeza de la pulpa en el tratamiento celpack + bolsa se diferencia con valores más altos, media de 2.8 kgf , el resto con media 2.6 kgf. En sc la firmeza es inferior y esta disminución es menor en celpack + bolsa. Sólidos solubles, media 17.21 °Bx, en sc valores con media de un 0.3 % más. Acidez titulable: disminución progresiva, de 0.68 a 0.47 g%g al fin de conservación. Sabor: a partir de los 59 días aumentan los frutos insípidos y desagradables excepto en celpack + bolsa. Síntomas de deshidratación: a partir de los 79 días la única variante que no presenta síntomas es celpack + bolsa. Conclusiones: El acondicionamiento en celpack redujo la incidencia de ataque por mohos (fue el único tratamiento sin ataque durante 94 días); tampoco presentó sabores desagradables y su limitación en conservación se debió a la deshidratación evidente a partir de 74 días. La fruta embalada en celpack + bolsa tuvo mayores valores de resistencia a la presión y 100 % de frutos sin deshidratación a los 94 días de conservación; a partir de 80 días es evidente el ataque de mohos y frutos con sabores desagradables. Las variantes granel y granel + film presentan deterioro por deshidratación a partir de 74 días. La conservación no debería superar 80 días. Celpack + bolsa muestra mejores resultados, con mayores valores de resistencia a la presión que los otros tratamientos; con respecto al sabor, mantiene una mayor proporción de sabor dulce.
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The radiocarbon contents of various biomarkers extracted from the varve-counted sediments of Saanich Inlet, Canada, were determined to assess their applicability for dating purposes. Calibrated ages obtained from the marine planktonic archaeal biomarker crenarchaeol compared favorably with varve-count ages. The same conclusion could be drawn for a more general archaeal biomarker (GDGT-0), although this biomarker proved to be less reliable due to its less-specific origin. The results also lend support to earlier indications that marine crenarchaeota use dissolved inorganic carbon (DIC) as their carbon source. The average reservoir age offset DR of 430 years, determined using the crenarchaeol radiocarbon ages, varied by ±110 years. This may be caused by natural variations in ocean-atmosphere mixing or upwelling at the NE Pacific coast but variability may also be due to an inconsistency in the marine calibration curve when used at sites with high reservoir ages.
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The seismic data were acquired north of the Knipovich Ridge on the western Svalbard margin during cruise MSM21/4. They were recorded using a Geometrics GeoEel streamer of either 120 channels (profiles p100-p208) or 88 channels (profiles p300-p805) with a group spacing of 1.56 m and a sampling rate of 2 kHz. A GI-Gun (2×1.7 l) with a main frequency of ~150 Hz was used as a source and operated at a shot interval of 6-8 s. Processing of profiles p100-p208 and p600-p805: Positions for each channel were calculated by backtracking along the profiles from the GI-Gun GPS positions. The shot gathers were analyzed for abnormal amplitudes below the seafloor reflection by comparing neighboring traces in different frequency bands within sliding time windows. To suppress surface-generated water noise, a tau-p filter was applied in the shot gather domain. Common mid-point (CMP) profiles were then generated through crooked-line binning with a CMP spacing of 1.5625 m. A zero-phase band-pass filter with corner frequencies of 60 Hz and 360 Hz was applied to the data. Based on regional velocity information from MCS data [Sarkar, 2012], an interpolated and extrapolated 3D interval velocity model was created below the digitized seafloor reflection of the high-resolution streamer data. This velocity model was used to apply a CMP stack and an amplitude-preserving Kirchhoff post-stack time migration. Processing of profiles p400-p500: Data were sampled at 0.5 ms and sorted into common midpoint (CMP) domain with a bin spacing of 5 m. Normal move out correction was carried out with a velocity of 1500 m s-1 and an Ormsby bandpass filter with corner frequencies at 40, 80, 600 and 1000 Hz was applied. The data were time migrated using the water velocity.
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A 12-wk experiment was conducted to investigate the effect of feeding program, dietary fiber, and CP content of the diet on productive performance of Ross broiler breeder hens (41 wk of age). There were 12 treatments arranged factorially with 2 levels of CP (14.5 vs. 17.4%), 3 fiber sources (0 vs. 3% inulin vs. 3% cellulose), and 2 levels of feed intake (160 vs. 208 g/d) that corresponded to restricted (R) or ad libitum (AL) feeding systems. The experimental diets contained 2,800 kcal ME with either 0.65 (14.5% CP) or 0.78% Lys (17.4% CP).
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El análisis de la velocidad de carrera mediante sensores láser permite la obtención de datos en tiempo real siendo ventajosos frente a otros sistemas. El objetivo de este estudio fue valorar la validez y fiabilidad del sensor láser del sistema BioLaserSport® para el cálculo de velocidades medias y máximas mediante estadísticos relativos y absolutos. Los participantes fueron 17 varones (20.85 ± 1.54 años). Se utilizó un sensor láser tipo 1 (LDM301, Jenoptik, Germany) que registró posiciones de los deportistas a 2000 Hz. Los datos se trataron con la rutina DSL-30 creada con DasyLab v.10.0. Para la validación se utilizó un sistema de fotogrametría-2D con una cámara de alta velocidad (Exilim High Speed EX-F1, Casio) y SkillSpector v.1.3.2. (Video4coach, Grubbemollevej). Además, se utilizaron foto-células de doble haz (Polifemo Light, Microgate, Italy) y un cronómetro Racetime2 (Microgate, Italy). Se registraron, durante dos días, tres series de 30 m de carrera a máxima velocidad. El sensor láser proporcionó, con relación a la fotogrametría, diferencias en las velocidades medias y máximas de -0.11 m•s-1 y 0.14 m•s-1, respectivamente, con unos coeficientes de correlación superiores a 0.86, y mayores de 0.92 con las foto-células para las velocidades medias. Este mostró una excelente fiabilidad test-retest para las velocidades medias con un coeficiente de correlación intraclase (ICC) entre 0.7-0.9 y un error estándar de la media (SEM y SEM%), intrasesión e intersesión, menor de 0.05 m•s-1 y 0.12 m•s-1, respectivamente, y menores de 0.75% y de 2%, respectivamente. Para las velocidades máximas,los valores fueron menores de 0.10 m•s-1 y 0.17 m•s-1, respectivamente, y en ambos casos menores a 1.36% y 1,89%. El láser fue capaz de identificar mínimos cambios detectables (MDC y MDC%) intrasesión, para ambas variables, menores a 0.14 m•s-1 y 0.29 m•s-1, respectivamente (< 2.09% y < 3.76%) e intersesión, menores de 0.34 m•s-1 y 0.47 m•s-1 (< 5.56% y < 5.25%), respectivamente. En consecuencia, es un instrumento útil para el análisis de la evolución de la velocidad intrasujeto y entre sujetos en la carrera de velocidad entre 0-30 m, proporcionando resultados en tiempo real, pero se han de considerar los SEM, SEM%, MDC y MDC% para valorar la mejora del rendimiento.
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In the last few years there has been a heightened interest in data treatment and analysis with the aim of discovering hidden knowledge and eliciting relationships and patterns within this data. Data mining techniques (also known as Knowledge Discovery in Databases) have been applied over a wide range of fields such as marketing, investment, fraud detection, manufacturing, telecommunications and health. In this study, well-known data mining techniques such as artificial neural networks (ANN), genetic programming (GP), forward selection linear regression (LR) and k-means clustering techniques, are proposed to the health and sports community in order to aid with resistance training prescription. Appropriate resistance training prescription is effective for developing fitness, health and for enhancing general quality of life. Resistance exercise intensity is commonly prescribed as a percent of the one repetition maximum. 1RM, dynamic muscular strength, one repetition maximum or one execution maximum, is operationally defined as the heaviest load that can be moved over a specific range of motion, one time and with correct performance. The safety of the 1RM assessment has been questioned as such an enormous effort may lead to muscular injury. Prediction equations could help to tackle the problem of predicting the 1RM from submaximal loads, in order to avoid or at least, reduce the associated risks. We built different models from data on 30 men who performed up to 5 sets to exhaustion at different percentages of the 1RM in the bench press action, until reaching their actual 1RM. Also, a comparison of different existing prediction equations is carried out. The LR model seems to outperform the ANN and GP models for the 1RM prediction in the range between 1 and 10 repetitions. At 75% of the 1RM some subjects (n = 5) could perform 13 repetitions with proper technique in the bench press action, whilst other subjects (n = 20) performed statistically significant (p < 0:05) more repetitions at 70% than at 75% of their actual 1RM in the bench press action. Rate of perceived exertion (RPE) seems not to be a good predictor for 1RM when all the sets are performed until exhaustion, as no significant differences (p < 0:05) were found in the RPE at 75%, 80% and 90% of the 1RM. Also, years of experience and weekly hours of strength training are better correlated to 1RM (p < 0:05) than body weight. O'Connor et al. 1RM prediction equation seems to arise from the data gathered and seems to be the most accurate 1RM prediction equation from those proposed in literature and used in this study. Epley's 1RM prediction equation is reproduced by means of data simulation from 1RM literature equations. Finally, future lines of research are proposed related to the problem of the 1RM prediction by means of genetic algorithms, neural networks and clustering techniques. RESUMEN En los últimos años ha habido un creciente interés en el tratamiento y análisis de datos con el propósito de descubrir relaciones, patrones y conocimiento oculto en los mismos. Las técnicas de data mining (también llamadas de \Descubrimiento de conocimiento en bases de datos\) se han aplicado consistentemente a lo gran de un gran espectro de áreas como el marketing, inversiones, detección de fraude, producción industrial, telecomunicaciones y salud. En este estudio, técnicas bien conocidas de data mining como las redes neuronales artificiales (ANN), programación genética (GP), regresión lineal con selección hacia adelante (LR) y la técnica de clustering k-means, se proponen a la comunidad del deporte y la salud con el objetivo de ayudar con la prescripción del entrenamiento de fuerza. Una apropiada prescripción de entrenamiento de fuerza es efectiva no solo para mejorar el estado de forma general, sino para mejorar la salud e incrementar la calidad de vida. La intensidad en un ejercicio de fuerza se prescribe generalmente como un porcentaje de la repetición máxima. 1RM, fuerza muscular dinámica, una repetición máxima o una ejecución máxima, se define operacionalmente como la carga máxima que puede ser movida en un rango de movimiento específico, una vez y con una técnica correcta. La seguridad de las pruebas de 1RM ha sido cuestionada debido a que el gran esfuerzo requerido para llevarlas a cabo puede derivar en serias lesiones musculares. Las ecuaciones predictivas pueden ayudar a atajar el problema de la predicción de la 1RM con cargas sub-máximas y son empleadas con el propósito de eliminar o al menos, reducir los riesgos asociados. En este estudio, se construyeron distintos modelos a partir de los datos recogidos de 30 hombres que realizaron hasta 5 series al fallo en el ejercicio press de banca a distintos porcentajes de la 1RM, hasta llegar a su 1RM real. También se muestra una comparación de algunas de las distintas ecuaciones de predicción propuestas con anterioridad. El modelo LR parece superar a los modelos ANN y GP para la predicción de la 1RM entre 1 y 10 repeticiones. Al 75% de la 1RM algunos sujetos (n = 5) pudieron realizar 13 repeticiones con una técnica apropiada en el ejercicio press de banca, mientras que otros (n = 20) realizaron significativamente (p < 0:05) más repeticiones al 70% que al 75% de su 1RM en el press de banca. El ínndice de esfuerzo percibido (RPE) parece no ser un buen predictor del 1RM cuando todas las series se realizan al fallo, puesto que no existen diferencias signifiativas (p < 0:05) en el RPE al 75%, 80% y el 90% de la 1RM. Además, los años de experiencia y las horas semanales dedicadas al entrenamiento de fuerza están más correlacionadas con la 1RM (p < 0:05) que el peso corporal. La ecuación de O'Connor et al. parece surgir de los datos recogidos y parece ser la ecuación de predicción de 1RM más precisa de aquellas propuestas en la literatura y empleadas en este estudio. La ecuación de predicción de la 1RM de Epley es reproducida mediante simulación de datos a partir de algunas ecuaciones de predicción de la 1RM propuestas con anterioridad. Finalmente, se proponen futuras líneas de investigación relacionadas con el problema de la predicción de la 1RM mediante algoritmos genéticos, redes neuronales y técnicas de clustering.
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The effect of type of fiber, site of fermetation, method for quantifying insoluble and soluble dietary fiber, and their correction for intestinal mucin on fiber digestibility were examined in rabbits. Three diets differing in soluble fiber were formulated (8.5% soluble fiber, on DM basis, in the low soluble fiber [LSF] diet; 10.2% in the medium soluble fiber [MSF] diet; and 14.5% in the high soluble fiber [HSF] diet). They were obtained by replacing half of the dehydrated alfalfa in the MSF diet with a mixture of beet and apple pulp (HSF diet) or with a mix of oat hulls and soybean protein (LSF diet). Thirty rabbits with ileal T-cannulas were used to determine ileal and fecal digestibility. Cecal digestibility was determined by difference between fecal and ileal digestibility. Insoluble fiber was measured as NDF, insoluble dietary fiber (IDF), and in vitro insoluble fiber, whereas soluble fiber was calculated as the difference between total dietary fiber (TDF) and NDF (TDF_NDF), IDF (TDF-IDF), and in vitro insoluble fiber (TDF-in vitro insoluble fiber). The intestinal mucin content was used to correct the TDF and soluble fiber digestibility. Ileal and fecal concentration of mucin increased from the LSF to the HSF diet group (P < 0.01). Once corrected for intestinal mucin, ileal and fecal digestibility of TDF and soluble fiber increased whereas cecal digestibility decreased (P < 0.01). Ileal digestibility of TDF increased from the LSF to the HSF diet group (12.0 vs. 28.1%; P < 0.01), with no difference in the cecum (26.4%), resulting in a higher fecal digestibility from the LSF to the HSF diet group (P < 0.01). Ileal digestibility of insoluble fiber increased from the LSF to the HSF diet group (11.3 vs. 21.0%; P < 0.01), with no difference in the cecum (13.9%) and no effect of fiber method, resulting in a higher fecal digestibility for rabbits fed the HSF diet compared with the MSF and LSF diets groups (P < 0.01).Fecal digestibility of NDF was higher compared with IDF or in vitro insoluble fiber (P < 0.01). Ileal soluble fiber digestibility was higher for the HSF than for the LSF diet group (43.6 vs. 14.5%; P < 0.01) and fiber method did not affect it. Cecal soluble fiber digestibility decreased from the LSF to the HSF diet group (72.1 vs. 49.2%; P < 0.05). The lowest cecal and fecal soluble fiber digestibility was measured using TDF-NDF (P < 0.01). In conclusion, a correction for intestinal mucin is necessary for ileal TDF and soluble fiber digestibility whereas the selection of the fiber method has a minor relevance. The inclusion of sugar beet and apple pulp increased the amount of TDF fermented in the small intestine.
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The effects of the inclusion of raw glycerin (GLYC) and lecithin in the diet on egg production,egg quality and total tract apparent retention (TTAR) of dietary components was studied inbrown egg-laying hens from 23 to 51 wk of age. The experimental design was completelyrandomized with six diets combined as a 2 × 3 factorial with two levels of GLYC (0 vs.70 g/kg) and three animal fat to lecithin ratios (40:0, 20:20 and 0:40 g/kg). Each treatmentwas replicated eight times and the experimental unit was a cage with ten hens. Productionwas recorded by replicate every 28-d period and cumulatively. For the entire experiment,the inclusion of GLYC in the diet hindered feed conversion ratio per kilogram of eggs (2.071vs. 2.039; P < 0.05) but did not affect any of the other production or egg quality traits studied.The replacement of animal fat by lecithin (40:0, 20:20 and 0:40 g/kg) increased egg weight(60.1, 60.7 and 61.8 g, respectively; P < 0.001) and egg mass production (56.8, 57.5 and58.8 g/d, respectively; P < 0.01) and improved yolk color as measured by the DSM colorfan (9.2, 9.2 and 9.5, respectively; P < 0.001) and feed conversion ratio per kilogram of eggs(2.072, 2.068 and 2.027, respectively; P < 0.05). Feed intake, egg production and body weightgain, however, were not affected. The inclusion of GLYC in the diet did not affect nutrientretention but lecithin inclusion improved TTAR of dry matter (P < 0.05), organic matter(P < 0.05), ether extract (P < 0.001) and gross energy (P < 0.001). In summary, the inclusionof 70 g glycerol/kg diet hindered feed conversion ratio per kilogram of eggs but did notaffect any other production or digestibility trait. The replacement of animal fat by lecithinimproved egg weight, egg yolk color and nutrient digestibility. Consequently, lecithin canbe used as a lipid source in laying hen diets with beneficial effects on egg production
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The occurrence of cortical plasticity during adulthood has been demonstrated using many experimental paradigms. Whether this phenomenon is generated exclusively by changes in intrinsic cortical circuitry, or whether it involves concomitant cortical and subcortical reorganization, remains controversial. Here, we addressed this issue by simultaneously recording the extracellular activity of up to 135 neurons in the primary somatosensory cortex, ventral posterior medial nucleus of the thalamus, and trigeminal brainstem complex of adult rats, before and after a reversible sensory deactivation was produced by subcutaneous injections of lidocaine. Following the onset of the deactivation, immediate and simultaneous sensory reorganization was observed at all levels of the somatosensory system. No statistical difference was observed when the overall spatial extent of the cortical (9.1 ± 1.2 whiskers, mean ± SE) and the thalamic (6.1 ± 1.6 whiskers) reorganization was compared. Likewise, no significant difference was found in the percentage of cortical (71.1 ± 5.2%) and thalamic (66.4 ± 10.7%) neurons exhibiting unmasked sensory responses. Although unmasked cortical responses occurred at significantly higher latencies (19.6 ± 0.3 ms, mean ± SE) than thalamic responses (13.1 ± 0.6 ms), variations in neuronal latency induced by the sensory deafferentation occurred as often in the thalamus as in the cortex. These data clearly demonstrate that peripheral sensory deafferentation triggers a system-wide reorganization, and strongly suggest that the spatiotemporal attributes of cortical plasticity are paralleled by subcortical reorganization.