992 resultados para Scale [1:10,000,000].None


Relevância:

100.00% 100.00%

Publicador:

Resumo:

Primary ciliary dyskinesia is a rare heterogeneous recessive genetic disorder of motile cilia, leading to chronic upper and lower respiratory symptoms. Prevalence is estimated at around 1:10,000, but many patients remain undiagnosed, while others receive the label incorrectly. Proper diagnosis is complicated by the fact that the key symptoms such as wet cough, chronic rhinitis and recurrent upper and lower respiratory infection, are common and nonspecific. There is no single gold standard test to diagnose PCD. Presently, the diagnosis is made by augmenting the medical history and physical examination with in patients with a compatible medical history following a demanding combination of tests including nasal nitric oxide, high- speed video microscopy, transmission electron microscopy, genetics, and ciliary culture. These tests are costly and need sophisticated equipment and experienced staff, restricting use to highly specialised centers. Therefore, it would be desirable to have a screening test for identifying those patients who should undergo detailed diagnostic testing. Three recent studies focused on potential screening tools: one paper assessed the validity of nasal nitric oxide for screening, and two studies developed new symptom-based screening tools. These simple tools are welcome, and hopefully remind physicians whom to refer for definitive testing. However, they have been developed in tertiary care settings, where 10 to 50% of tested patients have PCD. Sensitivity and specificity of the tools are reasonable, but positive and negative predictive values may be poor in primary or secondary care settings. While these studies take an important step forward towards an earlier diagnosis of PCD, more remains to be done before we have tools tailored to different health care settings.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

M. A. Klausner

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Königsberg i. Pr., Univ., Diss., 1903

Relevância:

100.00% 100.00%

Publicador:

Resumo:

"The Lesson of Facism" (GS 8, S. 9-37); 1. Beitrag zum UNESCO- Projekt "Tensions Affecting International Understanding", Paris, 1948; veröffentlicht in: Hadley Cantril (editor), "Tensions That Cause Wars", Urbana, I 11., 1950, Seite 209-242. a)-d) Typoskripte mit eigenständigen und ,oder handschriftlichen Korrekturen e) deutscher Entwurf, Typsokript ,15 Blatt f) dass., Teilstück, Typoskript, 5 Blatt g) dassselbe, Typoskript mit eigenhändigen Korrekturen, 12 Blatt h)-k) deutsche Fassung, übersetzt vom Institut für Sozialforschung, 1961 h) Typoskript mit eigenhändigen und handschriftlichen Korrekturen, mit dem Titel "Die Lehren aus dem Faschismus", 30 Blatt i) Typoskript mit handschriftlichen Korrekturen, mit dem Titel "Lehren des Nationalsozialismus", 30 Blatt; mit 1 eigenhändigen Memorandum von Friedrich Pollock, 1 Blatt k)Typoskript mit handschriftlichen Korrekturen von Friedrich Pollock, 19 Blatt; 2. Eigenhändige Notizen und Entwürfe, 21 Blatt; 3. Max Horkheimer, Gordon W. Allport, Gilbert Freyre, Georges Gurvitch, Arne Naess, John Rickman, Harry S. Sullivan, Alexandre Szalai: "Statment on Tensions Affecting International Understanding"; Typsokript mit eigenhändigen Unterschriften, 5 Blatt; 4. Biographische und bibliographische Angaben zu den Verfassern von 3. a) 4 Blatt, mit eigenhändigen Notizen von Max Horkheimer b) 9 Blatt; 5. 2 Photos; 6. Max Horkheimer [?]: "An International Social Science Institut"; Typoskript mit eigenhändigen Ergänzungen, 2 Blatt; 7. Cantril, Hadley: "The Human Sciences and World Peace. The Unesco Projekt 'Tensions Affecting International Understanding'" a) Drucksache, 4 Blatt, mit eigenhändigen Notizen von Max Horkheimer b) als Typoskript vervielfältigt 4 Blatt; 8. Einladungen, 4 Blatt; 9. Kehoe, Kathleen, UNESCO: 1 Brief mit Unterschrift an Max Horkheimer, Paris, 18.06.1948, 1 Blatt; 10. Janowitz, Morris: 1 Brief- Kopie an Max Horkheimer, New York, 17.06.1948, 1 Blatt;

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Objective. Congenital limb defects are common birth defects occurring in approximately 2-7/10,000 live births. Because congenital limb defects are pervasive throughout all populations, and the conditions profoundly affect quality of life, they represent a significant public health concern. Currently there is a paucity of etiologic information in the literature regarding congenital limb reduction defects which represents a major limitation in developing treatment strategies as well as identifying high risk pregnancies. ^ Additionally, despite the fact that the majority of congenital limb reduction defects are isolated, most previous studies have not separated them from those occurring as part of a known syndrome or with multiple additional congenital anomalies of unknown etiology. It stands to reason that factors responsible for multiple congenital anomalies that happen to include congenital limb reduction defects may be quite different from those factors leading to an isolated congenital limb reduction defect. ^ As a first step toward gaining etiologic understanding, this cross-sectional study was undertaken to determine the birth prevalence and obtain demographic information about non-syndromic (isolated) congenital limb reduction defects that occurred in Texas from 1999-2001. ^ Methods. The study population included all infants/fetuses with isolated congenital limb reduction defects born in Texas during 1999-2001; the comparison population was all infants who were born to mothers who were residents of Texas during the same period of time. The overall birth prevalence of limb reduction defects was determined and adjusted for ethnicity, gender, site of defect (upper limb versus lower limb), county of residence, maternal age and maternal education. ^ Results. In Texas, the overall birth prevalence of isolated CLRDs was 2.1/10,000 live births (1.5 and 0.6/10,000 live births for upper limb and lower limb, respectively). ^ The risk of isolated lower limb CLRDs in Texas was significantly lower in females when gender was examined individually (crude prevalence odds ratio of 0.57, 95% CI of 0.36-0.91) as well as in relation to all other variables used in the analysis (adjusted prevalence odds ratio of 0.58, 95% CI of 0.36-0.93). ^ Harris County (which includes the Houston metropolitan area) had significantly lower risks of all (upper limb and lower limb combined) isolated CLRDs when examined in relation to other counties in Texas, with a crude prevalence odds ratio of 0.4 (95% CI: 0.29-0.72) and an adjusted prevalence odds ratio of 0.50 (95% CI: 0.31-0.80). The risk of isolated upper limb CLRDs was significantly lower in Harris County (crude prevalence odds ratio of 0.45, CI of 0.26-0.76 and adjusted prevalence odds ratio of 0.49, CI of 0.28-0.84). This trend toward decreased risk in Harris County was not observed for isolated lower limb reduction defects (adjusted prevalence odds ratio of 0.50, 95% confidence interval: 0.22-1.12). ^ Conclusions. The birth prevalence of isolated congenital limb reduction defects in Texas is in the lower limits of the range of rates that have been reported by other authors for other states (Alabama, Arkansas, California, Georgia, Hawaii, Iowa, Maryland, Massachusetts, North Carolina, Oklahoma, Utah, Washington) and other countries (Argentina, Australia, Austria, Bolivia, Brazil, Canada, Chile, China, Colombia, Costa Rica, Croatia, Denmark, Ecuador, England, Finland, France, Germany, Hungary, Ireland, Israel, Italy, Lithuania, Mexico, Norway, Paraguay, Peru, Spain, Scotland, Sweden, Switzerland, Uruguay, and Venezuela). In Texas, the birth prevalence of isolated congenital lower limb reduction defects was greater for males than females, while the birth prevalence of isolated congenital upper limb reduction defects was not significantly different between males and females. The reduced rates of limb reduction defects in Harris County warrant further investigation. This study has provided an important first step toward gaining etiologic understanding in the study of isolated congenital limb reduction defects. ^

Relevância:

100.00% 100.00%

Publicador:

Resumo:

To address concerns expressed about the possible effect of drilling mud discharges on shallow, low-energy estuarine ecosystems, a 12 month study was designed to detect alterations in water quality and sediment geochemistry. Each drilling mud used in the study and sediments from the study site were analyzed in the laboratory for chemical and physical characteristics. Potential water quality impacts were simulated by the EPA-COE elutriation test procedure. Mud toxicity was measured by acute and chronic bioassays with Mysidopsis bahia, Mercenaria mercenaria, and Nereis virens.^ For the field study, a relatively pristine, shallow (1.2 m) estuary (Christmas Bay, TX) without any drilling activity for the last 30 years was chosen for the study site. After a three month baseline study, three stations were selected. Station 1 was an external control. At each treatment station (2, 3), mesocosms were constructed to enclose a 3.5 m$\sp3$ water column. Each treatment station included an internal control site also. Each in situ mesocosm, except the controls, was successively dosed at a mesocosm-specific dose (1:100; 1:1,000; or 1:10,000 v/v) with 4 field collected drilling muds (spud, nondispersed, lightly-treated, and heavily-treated lignosulfonate) in sequential order over 1.5 months. Twenty-four hours after each dose, water exchange was allowed until the next treatment. Station 3 was destroyed by a winter storm. After the last treatment, the enclosures were removed and the remaining sites monitored for 6 months. One additional site was similarly dosed (1:100 v/v) with clean dredged sediment from Christmas Bay for comparison between dredged sediments and drilling muds.^ Results of the analysis of the water samples and field measurements showed that water quality was impacted during the discharges, primarily at the highest dose (1:100 v/v), but that elevated levels of C, Cr (T,F), Cr$\sp{+3}$ (T, F), N, Pb, and Zn returned to ambient levels before the end of the 24 hour exposure period or immediately after water exchange was allowed (Al, Ba(T), Chlorophyll ABC, SS, %T). Barium, from the barite, was used as a geochemical tracer in the sediments to confirm estimated doses by mass balance calculations. Barium reached a maximum of 166x background levels at the high dose mesocosm. Barium levels returned to ambient or only slightly elevated levels at the end of the 6 month monitoring period due to sediment deposition, resuspension, and bioturbation. QA/QC results using blind samples consisting of lab standards and spiked samples for both water and sediment matrices were within acceptable coefficients of variation.^ In order to avoid impacts on water quality and sediment geochemistry in a shallow estuarine ecosystem, this study concluded that a minimal dilution of 1:1,000 (v/v) would be required in addition to existing regulatory constraints. ^

Relevância:

100.00% 100.00%

Publicador:

Resumo:

The map of Gurgler Ferner (1 : 10.000) was used for determining changes of volume and mass compared to earlier surveys, as a basis for a geophysical determination of ice thickness, and as a glaciological document. The cartographic evaluation emphasized the terrain surrounding the snow and ice covered areas. Gurgler Ferner covers an area of 10.7 km**2 , 60 % of which are situated between 2800 and 3100 m, the altitude range of the equilibrium line. From 1969 to 1981 the glacier and its tributaries lost 25 *10**6 m**3 of water, equivalent to a mean lowering of the surface by 17 cm per year in good agreement with the value of Hintereisferner.