Combined Ex-PRESS LR-50/IOL implantation in modified deep sclerectomy plus pharmacoemulsification for glaucoma associated with cataract

RAPPORT DE SYNTHESEBUTLe but de cette étude est de suivre prospectivement les résultats d'une sclérectomie profonde (SP) modifiée en utilisant le tube Ex-PRJESS LR-50, associée à une phacoémulsification avec implantation d'une lentille intraoculaire (LIO), dans la chirurgie combinée du glaucome et de la cataracte.METHODENous avons inclus dans l'étude 24 yeux de 24 patients présentant un glaucome médicalement non contrôlé et une cataracte justifiant son ablation.Une phacoémulsification avec implantation d'une LIO est effectuée. Puis le tube Ex-PRESS LR-50 est inséré au niveau du canal de Schlemm, dans la chambre antérieure, sous un volet scléral. Une SP postérieure partielle est ensuite pratiquée afin de créer une bulle de filtration intrasclérale.Le taux de succès complet a été défini par une pression intraoculaire (PIO) <18 mmHg sans traitement et le taux de succès relatif par une PIO <18 mmHg avec ou sans traitement. En cas de fibrose ou de kyste de la bulle de filtration, une injection sous-conjonctivale d'une solution de Mitomycin C à 0.02% est réalisée, avec ou sans needling.RESULTATSLe suivi moyen était de 40.1±10.8 [moyenne±DS] mois. En préopératoire, la PIO se situait à 18.1 ±5.3 mmHg; la meilleure acuité visuelle corrigée (MAVC) était mesurée à 0.6±0.3 (échelle de Snellen) et le nombre de médicaments hypotenseurs oculaires était de 2.3±1.1. La PIO a diminué de 25.4% à 24 mois et de 27.0% à 48 mois. A 24 mois, 19 patients (86.3%) avaient une MAVC supérieure ou égal à 0.5, et à 48 mois la MAVC était mesurée à 0.7±0.3. Lors de la dernière visite, le nombre moyen de médicaments se situait à 0.6±0.8 (p<0.05). Des injections sous conjonctivales d'une solution de Mitomycin C à 0.02% ont été nécessaires dans 5 yeux. Aucune érosion conjonctivale n'a été constatée. Deux complications majeures ont été observées. Une endophtalmie, deux jours après l'intervention chirurgicale avec phtisis secondaire du globe oculaire. Une obstruction du tube Ex-PRESS LR-50 par de la fibrine, ayant justifié son ablation avec SP classique en un autre site.CONCLUSIONLe tube Ex-PRESS LR-50 inséré dans la chambre antérieure avec une SP modifiée réduit efficacement la PIO dans la chirurgie combinée du glaucome et prévient l'érosion conjonctivale, une complication importante lorsque l'implant n'est pas couvert par un volet scléral.

Validação de método analítico livre de acetonitrila para análise de microcistinas por cromatografia líquida de alta eficiência

Blooms of cyanobacteria represent a public health risk due to their cyanotoxins such as microcystins. Liquid chromatography techniques to separate and quantify microcystins invariably use acetonitrile as the organic component of the mobile phase. The price and availability of acetonitrile together with its elevated toxicity encourage the validation of acetonitrile-free methods of microcystin analysis. In this work, methanol was employed as the organic solvent of the mobile phase and the validation method was performed with different environmental water samples. The method showed limits of detection between 0.17 and 0.25 µg/L and of quantification between 0.55 and 0.82 µg/L for the microcystin variants: -RR, -YR, -LR, -LA.

Postulação de genes (Lr) de resistência à ferrugem da folha em cultivares brasileiras de trigo

Vinte e dois isolados que diferem quanto aos genes de avirulência/virulência de Puccinia triticina foram inoculados em 55 genótipos de trigo (Triticum aestivum) selecionados entre os recomendados e em experimentação na região sul e centro sul do Brasil nos anos de 1996 e/ou 1997 e em linhas monogênicas para genes (Lr) de resistência à ferrugem da folha, no estádio de plântula. Os tipos de infecção dos genótipos portadores, cada um de distinto gene Lr conhecido foram comparados com os dos genótipos brasileiros, para determinar a existência de possíveis genes de resistência nestes. Os genes de plântula identificados com mais freqüência nas cultivares e linhagens brasileiras foram: Lr26, Lr23, Lr10 e Lr24. O gene Lr16, que confere resistência moderada à maioria das raças, foi encontrado em apenas dois genótipos. Muitos dos trigos analisados possuem um ou mais genes Lr provavelmente ainda não descritos.

Estudo da presença da toxina microcistina-LR em água utilizada em clínica de hemodiálise e validação de um método análítico

Algumas cepas de algas, em especial as cianobactérias, podem produzir toxinas como as microcistinas, as quais podem ocasionar intoxicação e morte de seres humanos e de animais. A literatura reporta a ocorrência de um acidente em uma clínica de hemodiálise de Caruaru, Pernambuco, aonde vieram a falecer 60 pacientes que faziam hemodiálise, devido à presença da toxina microcistina-LR na água. Nesse estudo foi desenvolvido e validado um método analítico, para a determinação e quantificação da microcistina-LR. A cromatografia líquida de alta performance com detector de UV foi empregada como técnica analítica para a determinação de microcistina-LR. Os parâmetros selecionados para a validação do método foram: linearidade, curva analítica, precisão, sensibilidade e ensaios de recuperação. A curva analítica foi construída com sete pontos a partir do padrão. O método apresentou uma linearidade no intervalo de 0,05 a 5 µg L-1, e o coeficiente de correlação foi superior a 0,99. Com base nestes resultados conclui-se que o método é eficiente e pode ser empregado, em futuras análises, para o monitoramento da microcistina-LR em água utilizada em clínicas de hemodiálise.

Cyanobacterial occurrence and detection of microcystin by planar chromatography in surface water of Billings and Guarapiranga Reservoirs, SP, Brazil

Billings and Guarapiranga Reservoirs were deeply affected by environmental disturbances, which more evident consequence are the cyanobacterial blooms. Microcystins are the most common cyanotoxin in freshwaters and more than 70 types are known. Different methods for microcystins analysis in water can be used, among which ELISA and HPLC are the most frequently employed. However, less sophisticated and more economic methods can also be used. This is the case of planar chromatography (thin-layer chromatography) method previously used in cyanotoxins purification but gradually replaced by others. Posterior optimization of the microcystin chromatography conditions and because of its simplicity, rapidity, efficiency and low cost, this method is again considered an option for the analysis of microcystins and nodularins. Considering the importance of Billings and Guarapiranga Reservoirs for drinking water supplies and the few scientific data about cyanobacteria and cyanotoxins in these water bodies, the aims of this work are to analyze the biodiversity of cyanobacteria in the Billings and Guarapiranga Reservoirs and the detection of dissolved microcystins in the water. It was possible to identify 17 species of cyanobacteria, 9 of them being potentially toxic. In Billings Reservoir Microcystis aeruginosa (Kützing) Kützing and Cylindrospermopsis raciborskii (Woloszynska) Seenayya & Subba Raju are the most common species, while in Guarapiranga Reservoir only M. aeruginosa was considered as a common species. Microcystins were detected in all Billings Reservoir samples and in only one sample from Guarapiranga Reservoir.

Decadal predictability of the Atlantic meridional overturning circulation and climate in the IPSL-CM5A-LR model

This study explores the decadal potential predictability of the Atlantic Meridional Overturning Circulation (AMOC) as represented in the IPSL-CM5A-LR model, along with the predictability of associated oceanic and atmospheric fields. Using a 1000-year control run, we analyze the prognostic potential predictability (PPP) of the AMOC through ensembles of simulations with perturbed initial conditions. Based on a measure of the ensemble spread, the modelled AMOC has an average predictive skill of 8 years, with some degree of dependence on the AMOC initial state. Diagnostic potential predictability of surface temperature and precipitation is also identified in the control run and compared to the PPP. Both approaches clearly bring out the same regions exhibiting the highest predictive skill. Generally, surface temperature has the highest skill up to 2 decades in the far North Atlantic ocean. There are also weak signals over a few oceanic areas in the tropics and subtropics. Predictability over land is restricted to the coastal areas bordering oceanic predictable regions. Potential predictability at interannual and longer timescales is largely absent for precipitation in spite of weak signals identified mainly in the Nordic Seas. Regions of weak signals show some dependence on AMOC initial state. All the identified regions are closely linked to decadal AMOC fluctuations suggesting that the potential predictability of climate arises from the mechanisms controlling these fluctuations. Evidence for dependence on AMOC initial state also suggests that studying skills from case studies may prove more useful to understand predictability mechanisms than computing average skill from numerous start dates.

Att leva som man lär : Implementering av företagskultur vid företagsförvärv

Så mycket som 83 % av alla företagsförvärv misslyckas med att öka aktieägarvärde och hela 53 % minskar till och med i aktieägarvärde (Daniel & Metcalf, 2001). Det är mycket lättare att göra själva affären, än att få den att fungera menar Nguyen & Kleiner (2003). Misslyckade företagsförvärv beror oftast på kulturella skillnader mellan företag och implementering av företagskultur är en nyckelfaktor för ett framgångsrikt företagsförvärv (Lodofors & Boateng, 2006). Syftet är att undersöka implementering av företagskultur efter ett företagsförvärv och att kartlägga ledningens och mellanchefernas egna upplevelser av framgångsfaktorer och svårigheter under processen. I den teoretiska referensramen definieras företagskultur och beskrivs utifrån ett flertal kulturella nivåer där värderingar får särskild uppmärksamhet då studien fokuserar på värdegrundsarbete. Det görs även en beskrivning av olika sätt att utveckla kulturer på. Vidare beskrivs faktorer som ledning och chefer bör ta hänsyn till vid implementering av företagskultur. Dessa är ledarskap, förtroende och lärande (Schein, 2010, Nguyen & Kleiner, 2003, Lakshman, 2011, Bijlsma-Frankema, 2001 m.fl.). För att undersöka studiens syfte har en kvalitativ metod med semistrukturerade intervjuer genomförts. Undersökningen grundar sig på intervjuer med ledning och mellanchefer på Fastighetsbolaget AB. Resultatet visar att bolagets implementering av värderingar upplevs av de flesta respondenter som väldigt framgångsrik. Framgångsfaktorer i deras värdegrundsarbete sammanfattas med att ta det bästa av två världar, anpassa struktur efter önskad kultur, leva som man lär, ha transparens i information och beslut, skapa en gemensam syn på värderingar och uppföljning av medarbetares upplevelser. Den svårighet som diskuteras är kring att skapa en gemensam värdegrund i hela bolaget. Studiens slutsats är att implementering av företagskultur efter ett företagsförvärv handlar om att ledare måste leva som de lär och att ledningen måste skapa förutsättningar för det och arbeta med uppföljning av medarbetares upplevelser.

Cyanobacteria and Cyanotoxin in the Billings Reservoir (São Paulo, SP, Brazil)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Prolapse-free relativistic Gaussian basis sets for the superheavy elements up to Uuo (Z=118) and Lr (Z=103)

Prolapse-free basis sets suitable for four-component relativistic quantum chemical calculations are presented for the superheavy elements UP to (118)Uuo ((104)Rf, (105)Db, (106)Sg, (107)Bh, (108)Hs, (109)Mt, (110)Ds, (111)Rg, (112)Uub, (113)Uut, (114)Uuq, (115)Uup, (116)Uuh, (117)Uus, (118)Uuo) and Lr-103. These basis sets were optimized by minimizing the absolute values of the energy difference between the Dirac-Fock-Roothaan total energy and the corresponding numerical value at a milli-Hartree order of magnitude, resulting in a good balance between cost and accuracy. Parameters for generating exponents and new numerical data for some superheavy elements are also presented. (c) 2007 Elsevier B.V. All rights reserved.

Transporter protein genes are differentially expressed in Acidithiobacillus ferrooxidans LR maintained in contact with covellite

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Ferric iron uptake genes are differentially expressed in the presence of copper sulfides in Acidithiobacillus ferrooxidans strain LR

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Evaluation of the photoelectrocatalytic method for oxidizing chloride and simultaneous removal of microcystin toxins in surface waters

The production of chlorine was investigated in the photoelectrocatalytic oxidation of a chloride-containing solution using a TiO(2) thin-film electrode biased at current density from 5 to 50 mA cm(-2) and illuminated by UV light. Such parameters as chloride concentrations from 0.001 to 0.10 mol L(-1), pH 2-12, and interfering salts were varied in this study in order to determine their effect on this oxidation process. At an optimum condition this photoelectrocatalytic method can produce active chlorine at levels compatible to water disinfections processes using a chloride concentration higher than 0.010 mol L(-1) at a pH of 4 and a current density of 30 mA cm(-2). The method was successfully applied to treat surface water collected from a Brazilian river. After 150 min of photoelectrocatalytic oxidation, we obtained a 90% reduction in total organic carbon removal, a 100% removal of turbidity, a 93% decrease in colour and a chemical oxygen demand (COD) removal of around 96% (N=3). The proposed technology based on photoelectrocatalytic oxidation was also tested in treating 250 mL of a solution containing 0.05 mol L(-1) NaCl and 50 mu g L(-1) of Microcystin aeruginosa. The bacteria is completely removed after 5 min of photoelectrocatalysis following an initial rate constant removal of -0.260 min(-1), suggesting that the present method could be considered as a promising alternative to chlorine-based disinfections. (C) 2008 Elsevier Ltd. All rights reserved.