(Table 1) Radiolarian accumulation rates and geochemistry of ODP Site 184-1143

Late Miocene-Recent micropaleontological and geochemical records from Ocean Drilling Program (ODP) Site 1143 in the southern South China Sea (SCS) indicate that increase and decrease in abundance of siliceous plankton may be controlled mainly by the input of nutrients derived from land and provided by upwelling. A high export production event - a "biogenic bloom" event - occurred in the southern SCS between 12 and 6 Ma. During this period, high ratios of smectite/(illite + chlorite), smectite/quartz and Al/K indicate a high weathering intensity of the Asian continent, possibly due to the intensification of the East Asian Summer Monsoon (EASM), which may have increased the net flux of nutrients to the ocean, both directly through terrestrial input and indirectly through upwelling activity. A drop in Ba/Ti, Al/Ti and Ca/Ti values around 6 Ma may indicate a lowering of productivity, possibly due to the large consumption of sea surface nutrients by the "biogenic bloom". Alternatively, it may indicate a shift in terrigenous input source area. At about 5.4 Ma, a decrease in weathering intensity, as indicated by a sudden decrease in the values of smectite/(illite + chlorite), smectite/quartz and Al/K, might have led to a sudden decrease of terrestrial nutrient input to the SCS. We suggest that the biogenic bloom ended when nutrients in surface waters were exhausted, because of a decrease in supply as well as a decrease in upwelling intensity due to weakening of the EASM. As a result, radiolarians were absent in the studied area between ~6 and 3.2 Ma. At ~3.2 Ma, radiolarians began to recover, possibly because the start of Northern Hemispheric glaciation and the rapid uplift of the Tibet Plateau led to intensification of the East Asian monsoon. After the Mid-Pleistocene Climate Transition at 0.9 Ma, the abundance and mass accumulation rates of radiolarians increased, probably as a result of increased upwelling activity driven by the increasing intensity of the summer monsoon.

Granulometry, mineralogy and geochemistry of ODP Holes 184-1147A and 184-1148A, South China Sea

Green clay layers are reported from the Pliocene-Holocene intervals in five of the six sites drilled in the South China Sea (SCS) during Leg 184. Centimeter-scale discrete, discontinuous, and bioturbated layers, constituted by stiff and porous green clays, were observed, sometimes associated with iron sulfides and pyrite. Detailed mineralogical and geochemical analyses indicate that they differentiate from the host sediments in their higher content of iron, smectite, and mixed-layered clays and lower amounts of calcite, authigenic phosphorus, quartz, and organic matter. Although no glauconite was observed, the mineralogy and geochemistry of green clay layers, along with their geometrical relation to background sediments, suggest that they most likely represent the result of the first steps of glauconitization. Correlation between green layers and volcanic ash layers was suggested for green laminae observed elsewhere in Pacific sediments but was not confirmed at SCS sites. Statistical analysis of the temporal distribution of green layers in the records of the last million years suggests that green clay layers have become more frequent since 600 ka. Only at Site 1148 does the green layer record show a statistically significant cyclicity which may be related to orbital eccentricity. A possible influence of sea level variations, related both to climatic changes and tectonism, is postulated.

Stable isotopes of benthic foraminifera from Site ODP 184-1146

We generated a high resolution (~8 ky) benthic record from a West Pacific marginal basin to investigate the detailed structure and spectral characteristics of deep water isotope fluctuations during the middle Miocene. The benthic record from ODP Site 1146 allows unprecedented resolution of the structure of the middle Miocene delta13C excursion, as well as tighter control on the chronology of climatic events. Spectral analysis of the variance in the delta18O and delta13C records from ODP Site 1146 reveals spectral power concentrated in the eccentricity band (400-, ~100-ky) over the time interval between 13 and 17 Ma. The amplitude evolution in the 400-ky band is strikingly similar to that of the long eccentricity in Laskar's solution. There is an abrupt switch to the obliquity band in the delta18O record at -14.9 Ma, suggesting a shift in the ocean/climate response to orbital forcing (from low latitude eccentricity to high latitude obliquity forcing). The obliquity signal is pervasive in the delta18O record until -13.9 Ma, when a sharp increase in delta18O values indicates a major climatic transition. Comparison of delta18O and delta13C profiles from DSDP Site 588 (SW Pacific Ocean), ODP Site 761 (E Indian Ocean) and ODP Site 1146 (South China Sea) reveals significantly cooler deep water in the NE Indian Ocean throughout the middle Miocene and a restricted deep water exchange between the Pacific Ocean and Indian Ocean.

Resolución 184 del 19 de noviembre de 2102: Por la cual se resuelve una revocatoria directa

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Hemorrhagic Shock Secondary To Button Battery Ingestion.

Button battery ingestion is a frequent pediatric complaint. The serious complications resulting from accidental ingestion have increased significantly over the last two decades due to easy access to gadgets and electronic toys. Over recent years, the increasing use of lithium batteries of diameter 20 mm has brought new challenges, because these are more detrimental to the mucosa, compared with other types, with high morbidity and mortality. The clinical complaints, which are often nonspecific, may lead to delayed diagnosis, thereby increasing the risk of severe complications. A five-year-old boy who had been complaining of abdominal pain for ten days, was brought to the emergency service with a clinical condition of hematemesis that started two hours earlier. On admission, he presented pallor, tachycardia and hypotension. A plain abdominal x-ray produced an image suggestive of a button battery. Digestive endoscopy showed a deep ulcerated lesion in the esophagus without active bleeding. After this procedure, the patient presented profuse hematemesis and severe hypotension, followed by cardiorespiratory arrest, which was reversed. He then underwent emergency exploratory laparotomy and presented a new episode of cardiorespiratory arrest, which he did not survive. The battery was removed through rectal exploration. This case describes a fatal evolution of button battery ingestion with late diagnosis and severe associated injury of the digestive mucosa. A high level of clinical suspicion is essential for preventing this evolution. Preventive strategies are required, as well as health education, with warnings to parents, caregivers and healthcare professionals.

About The Article: Effect Of Combined Aerobic And Resistance Training Versus Aerobic Training On Arterial Stiffness.

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Resistência à compressão e remoção de folhas da cana-de-açúcar visando à colheita mecânica

Sugarcane holds an important place in the Brazilian economy. Grate part of the sugarcane harvested still accomplished largely manually. Sugarcane harvesters available in Brazil use the technology to chop the cane into 200 to 300 mm billets to allow on the go cane transferring to transport, contradicting the traditional method of whole stalk sugarcane harvesting system. In order to make whole stalk mechanical harvesting system possible, one of the barriers to be expired is the mechanical removal of the straw. The design of a mechanism that accomplishes this operation depends directly on the knowledge of the mechanical properties of the sugarcane related to its resistance to compression and the forces necessary to remove the leaves from the stalk. Compression tests were conducted using the universal testing machine. For leaves removal test by friction, a special apparatus was designed to allow the registration of the normal and traction force. The sugarcane stalk can resist up to 4.9 MPa. With a normal pressure of 0.8 MPa, which correspond to a friction force of 315 N, it is possible to remove the leaves, independent of its location in the sugarcane stalk.

Benign focal seizures of adolescence and neuropsychological findings in patients from community

RATIONALE: Benign focal seizures of adolescence (BFSA) described by Loiseau et al in 1972, is considered a rare entity, but maybe underdiagnosed. Although mild neuropsychological deficits have been reported in patients with benign epilepsies of childhood, these evaluations have not so far been described in BFSA. The aim of this study is to evaluate neuropsychological functions in BFSA with new onset seizures (<12 months). METHODS: Eight patients with BFSA (according to Loiseau et al, 1972, focal or secondarily tonic clonic generalized seizures between the ages of 10-18 yrs., normal neurologic examination, normal EEG or with mild focal abnormalities) initiated in the last 12 months were studied between July 2008 to May 2009. They were referred from the Pediatric Emergency Section of the Hospital Universitário of the University of Sao Paulo, a secondary care regionalized facility located in a district of middle-low income in Sao Paulo city, Brazil. The study was approved by the Ethics Committee of the Institution. All patients performed neurological, EEG, brain CT and neuropsychological evaluation which consisted of Raven's Special Progressive Matrices - General and Special Scale (according to different ages), Wechsler Children Intelligence Scale-WISC III with ACID Profile, Trail Making Test A/B, Stroop Test, Bender Visuo-Motor Test, Rey Complex Figure, Rey Auditory Verbal Learning Test-RAVLT, Boston Naming Test, Fluency Verbal for phonological and also conceptual patterns - FAS/Animals and Hooper Visual Organization Test. For academic achievement, we used a Brazilian test for named "Teste do Desempenho Escolar", which evaluates abilities to read, write and calculate according to school grade. RESULTS: There were 2 boys and 6 girls, with ages ranging from 10 yrs. 9 m to 14 yrs. 3 m. Most (7/8) of the patients presented one to two seizures and only three of them received antiepileptic drugs (AEDs). Six had mild EEG focal abnormalities and all had normal brain CT. All were literate, attended regular public schools and scored in a median range for IQ, and seven showed discrete higher scores for the verbal subtests. There were low scores for attention in different modalities in six patients, mainly in alternated attention as well as inhibitory subtests (Stroop test and Trail Making Test part B). Four of the latter cases who showed impairment both in alternated and inhibitory attention were not taking AEDs. Visual memory was impaired in five patients (Rey Complex Figure). Executive functions analysis showed deficits in working memory in five, mostly observed in Digits Indirect Order and Arithmetic tests (WISC III). Reading and writing skills were below the expected average for school grade in six patients according to the achievement scholar performance test utilized. One patient of this series who had the best scores in all tests was taking phenobarbital. CONCLUSIONS: Neuropsychological imbalance between normal IQ and mild dysfunctions such as in attention domain and in some executive abilities like working memory and planning, as well as difficulties in visual memory and in reading and writing, were described in this group of patients with BFSA from community. This may reflect mild higher level neurological dysfunctions in adolescence idiopathic focal seizures probably caused by an underlying dysmaturative epileptogenic process. Although academic problems often have multiple causes, a specific educational approach may be necessary in these adolescents, in order to improve their scholastic achievements, helping in this way, to decrease the stigma associated to epileptic seizures in the community.

Caracterização de eventos extremos do nível do mar em Santos e sua correspondência com as reanálises do modelo do NCEP no sudoeste do Atlântico Sul

Este trabalho tem como objetivo identificar a influência atmosférica em escala sinótica sobre o oceano, para eventos extremos de maré meteorológica na costa sudeste brasileira. Para isso foram utilizados dados de elevação do nível do mar do Porto de Santos-SP, campos de vento e pressão em superfície das reanálises do modelo do NCEP abrangendo o Atlântico Sul, no período de 1951 a 1990. Foi possível identificar a variabilidade sazonal e o padrão de evolução dos sistemas atmosféricos associados aos eventos extremos, de grande relevância para aplicações em prognósticos e alertas a autoridades. O outono e inverno apresentaram a maior ocorrência de extremos positivos (40,2 % e 30,8 % respectivamente), enquanto a primavera e o inverno foram as estações com maior número de extremos negativos (47,2 % e 32,3 % respectivamente). Os resultados mostram que os casos mais importantes de sobre-elevação do nível do mar ocorrem com a evolução e persistência de sistemas de baixa pressão sobre o oceano, com ventos de sudoeste acima de 8 m/s, juntamente com o anticiclone da retaguarda posicionado sobre o continente.

Triagem sorológica e influência do conhecimento sobre a dengue em pacientes do ambulatório de especialidades do SUS

INTRODUÇÃO: A dengue é causa de preocupação em países como o Brasil. OBJETIVO: Verificar a soropositividade dos pacientes do ambulatório de especialidades do Sistema Único de Saúde (SUS) para anticorpos antidengue, relacionando os resultados com os dados sociodemográficos. METODOLOGIA: Foram respondidos 184 questionários de avaliação sociodemográfica e de conhecimento sobre a transmissão da dengue. Foi utilizado o método de imunoensaio enzimático (ELISA) para pesquisar imunoglobulina da classe M (IgM) e da classe G (IgG) contra os vírus. RESULTADOS: Quinze por cento dos pacientes apresentaram IgG contra o vírus, sem a presença de IgM. CONCLUSÃO: Os pacientes demonstraram conhecimento sobre a doença e sua prevenção, independentemente da classe econômica. A infecção assintomática deve ser avaliada, principalmente nos casos de doença febril.

Vigilância de eventos adversos pós-vacinação e segurança de programas de imunização

O objetivo da revisão foi analisar aspectos conceituais e operacionais de sistemas de vigilância de eventos adversos pós-vacina. Foram incluídos artigos disponíveis em formato eletrônico, publicados entre 1985 e 2009, selecionados nas bases Medline/PubMed, com as palavras-chave: "adverse events following vaccine", "adverse events following vaccine surveillance", "post-marketing surveillance" e "safety vaccine" e "Phase IV clinical trials", e excluídos aqueles com foco em tipos específicos desses eventos. Foram apontados os principais aspectos que justificam a importância dos eventos adversos pós-vacina em saúde pública, os instrumentos que garantem a segurança das vacinas e as finalidades, atributos, tipos, interpretações de dados, limitações e novos desafios da vigilância de eventos adversos pós-vacina, bem como estratégias para aumentar sua sensibilidade. A revisão é concluída com desafios para os próximos anos, visando à segurança e confiabilidade dos programas de vacinação.

A qualidade das refeições de empresas cadastradas no Programa de Alimentação do Trabalhador na cidade de São Paulo

OBJETIVO: Avaliar a qualidade global das refeições oferecidas por Unidades de Alimentação e Nutrição de empresas beneficiárias do Programa de Alimentação do Trabalhador, na cidade de São Paulo. MÉTODOS: Estudo transversal realizado com 72 empresas cadastradas no programa. Foram coletadas informações de três dias consecutivos das refeições oferecidas no almoço, no jantar e na ceia. A qualidade das refeições oferecidas foi avalia pelo Índice de Qualidade da Refeição, e sua análise foi feita de forma estratificada segundo o perfil da empresa obtido pela análise de cluster. RESULTADOS: A média do Índice de Qualidade da Refeição para as grandes refeições foi de 66,25. Foram obtidos dois grupos de empresas na análise de cluster. As empresas do primeiro, composto em sua maioria por empresas do setor de comércio de micro e pequeno porte, cadastradas na modalidade de autogestão e sem supervisão de nutricionista, obtiveram pior qualidade da refeição (Índice=56,23). As empresas do segundo cluster, constituído principalmente por empresas de médio e grande porte do setor industrial, com gestão terceirizada e supervisão de nutricionista, obtiveram pontuação média do Índice de 82,95. CONCLUSÃO: As refeições oferecidas pelas empresas participantes do Programa de Alimentação do Trabalhador não estavam adequadas, segundo o Índice de Qualidade da Refeição. As empresas de menor porte e estrutura tiveram refeições de pior qualidade quando comparadas com as demais, demonstrando que empresas deste perfil são prioritárias para intervenções dentro do Programa de Alimentação do Trabalhador.