1000 resultados para 186-1151A


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O eucalipto é a principal espécie florestal plantada no Brasil. Todavia, são escassas informações acerca do C estocado no solo e na biomassa desses plantios. Este trabalho teve como objetivos avaliar o estoque de C no solo (ECS) em plantações de eucalipto e determinar quais características edafoclimáticas determinam esse estoque. O estudo foi conduzido em eucalipto cultivado na região centro-leste do Estado de Minas Gerais, abrangendo cinco regiões: Cocais (CO), Rio Doce (RD), Sabinópolis (SA), Santa Bárbara (SB) e Virginópolis (VI). Foi calculado o estoque de C no solo até 100 cm de profundidade em plantações de eucalipto em áreas com predomínio de seis classes de solo: Cambissolo Háplico (CX), Latossolo Amarelo (LA), Latossolo Vermelho (LV), Latossolo Vermelho-Amarelo (LVA), Neossolo Flúvico (RU) e Plintossolo Pétrico (FF). Os estoques de C no solo variaram entre regiões e classes de solo. O maior ECS ocorreu no LV, com 183,07 t ha-1 de C, seguido pelas classes de CX, LVA, LA, FF e RU, com 135,65, 130,95, 121,58, 112,01 e 95,08 t ha-1 de C, respectivamente. Em relação ao estoque médio de C no solo por região, considerando todas as classes de solo, o maior ECS foi de 141,22 t ha-1; determinado na região de VI, na profundidade até 100 cm de profundidade, seguida pelas regiões SA, CO, SB e RD, com 135,54, 127,26, 112,89 e 80,79 t ha-1 de C, respectivamente. Ao se considerar o estoque de C total no sistema solo-planta, aos 84 meses de idade, a região de SA foi a que apresentou maior estoque, com 251,61 t ha-1; e a região de RD, o menor estoque, com 186,84 t ha-1 de C. O ECS pode ser estimado por equações compostas por características edofoclimáticas, sendo a variação em ECS explicada por características como teor de argila e de Al3+; pela altitude e pelo déficit hídrico da região.

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Background: Arthrodesis of the knee by intramedullary fixation hasbeen reported to have a higher rate of success than external fixationor compression plating. Antegrade nailing however can lead to complicationsdue to the different diameters of the medullary canals, fracturesduring insertion, poor rotational stability, breakage of the IM-nailand insufficient compression at the fusion site.Method: This retrospective study reports all knee fusions performedby the same orthopaedic surgeon with the Wichita (Stryker) fusion nail(WFN) from 2004 to 2010. The Wichita nail is a short nail with a deviceat the knee which allows for coupling of differently sized and interlockedfemoral and tibial components and at the same time for compression.Results: We report of 18 patients with a mean follow up of 28 months(range 3-71 months). Infected TKA was the most common indicationfor arthrodesis in 9 cases. The remaining reasons included asepticfailed TKA in 3 cases, 2 patients after fracture, 1 patient with neurologicalinstability after knee dislocation, 1 patient after tumoral resectionand 1 non union after failed arthrodesis with long antegrade nail.Finally 1 patient with bilateral congenital knee dislocation operated onboth sides. As expected, patients receiving the WFN had undergonea large number of previous knee surgeries with a mean of 3.8 (range0-8) procedures per patient. The complication rate was 27% (5 of 18).Two patients had persistent pain requiring revision surgery to increasestability with plating. One case of periprosthetic fracture needed openreduction and internal fixation. 2 patients with superficial hematomawere treated one with open drainage and the other with physiotherapy.Infection was erradicated in all septic cases, we found no new infectionand the fusion rate was 100%.Conclusion: The results in these often difficult cases are satisfyingand we think that this technique is a valid alternative to the otherknown techniques of knee fusion in patients with a poor bone stockand fragile soft tissues.

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Introduction: Surgical decision making in lumbar spinal stenosis (LSS) takes into account primarily clinical symptoms as well as concordant radiological findings. We hypothesized that a wide variation of operative threshold would be found in particular as far as judgment of severity of radiological stenosis is concerned. Patients and methods: The number of surgeons who would proceed to decompression was studied relative to the perceived severity of radiological stenosis based either on measurements of dural sac cross sectional area (DSCA) or on the recently described morphological grading as seen on axial T2 MRI images. A link to an electronic survey page with a set of ten axial T2 MRI images taken from ten patients with either low back pain or LSS were sent to members of three national or international spine societies. Those 10 images were randomly presented initially and re-shuffled on a second page including this time DSCA measurements in mm2, ranging from 14 to 226 mm2, giving a total of 20 images to appraise. Morphological grades were ranging from grade A to D. Surgeons were asked if they would consider decompression given the radiological appearance of stenosis and that symptoms of neurological claudication were severe in patients who were otherwise fit for surgery. Fisher's exact test was performed following dichotomization of data when appropriate. Results: A total of 142 spine surgeons (113 orthopedic spine surgeons, 29 neurosurgeons) responded from 25 countries. A substantial agreement was observed in operating patients with severe (grade C) or extreme (grade D) stenosis as defined by the morphological grade compared to lesser stenosis (A&B) grades (p<0.0001). Decision to operate was not dependent on number of years in practice, medical density in practicing country or specialty although more neurosurgeons would operate on grade C stenosis (p<0.005). Disclosing the DSCA measurement did not alter the decision to operate. Although 20 surgeons only had prior knowledge of the description of the morphological grading, their responses showed no statistically significant difference with those of the remaining 122 physicians. Conclusions: This study showed that surgeons across borders are less influenced by DSCA in their decision making than by the morphological appearance of the dural sac. Classifying LSS according to morphology rather than surface measurements appears to be consistent with current clinical practice.

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Infection of total hip arthroplasties (THA) leads to significant long-termmorbidity and high healthcare costs. We evaluated the differentreasons for treatment failure using different surgical modalities in a12-year prosthetic joint infection cohort study.Method: All patients hospitalized at our institution with infected THAwere included either retrospectively (1999-2007) or prospectively(2008-2010). THA infection was defined as growth of the same microorganismin ≥2 tissue or synovial fluid culture, visible purulence, sinustract or acute inflammation on tissue histopathology. Outcome analysiswas performed at outpatient visits, followed by contacting patients,their relatives and/or treating physicians afterwards.Results: During the study period, 117 patients with THA were identified.We exclude 2 patients due to missing data. The median age was69 years (range, 33-102 years); 42% were women. THA was mainlyperformed for osteoarthritis (n = 84), followed by trauma (n = 22),necrosis (n = 4), dysplasia (n = 2), rheumatoid arthritis (n = 1), osteosarcoma(n = 1) and tuberculosis (n = 1). 28 infections occurred early(≤3 months), 25 delayed (3-24 months) and 63 late (≥24 months aftersurgery). Infected THA were treated with (i) two-stage exchange in59 patients (51%, cure rate: 93%), (ii) one-stage exchange in 5 (4.3%,cure rate: 100%), (iii) debridement with change of mobile parts in18 (17%, cure rate: 83%), (iv) debridement without change of mobileparts in 17 (14%, cure rate: 53% ), (v) Girdlestone in 13 (11%, curerate: 100%), and (vi) two-stage exchange followed by removal in 3(2.6%). Patients were followed for a mean of 3.9 years (range, 0.1 to 9years), 7 patients died unrelated to the infected THA. 15 patients (13%)needed additional operations, 1 for mechanical reasons (dislocationof spacer) and 14 for persistent infection: 11 treated with debridementand retention (8 without change and 3 with change of mobile parts)and 3 with two-stage exchange. The mean number of surgery was 2.2(range, 1 to 5). The infection was finally eradicated in all patients, butthe functional outcome remained unsatisfactory in 20% (persistentpain or impaired mobility due to spacer or Girdlestone situation).Conclusions: Non-respect of current treatment concept leads totreatment failure with subsequent operations. Precise analysis of eachtreatment failures can be used for improving the treatment algorithmleading to better results.

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Various signals and alerts of pharmacovigilance were issued in 2008. Frequent neuropsychiatric adverse events are reported with varenicline and rimonabant and the marketing authorization of the latter has been suspended. Ezetimibe/simvastatin combination is suspected of causing cancer while it's clinical utility remains to be proved. Neuroleptics, typical and atypical, are associated with an increased risk of death in elderly with dementia. Safety is a concern with various biological drugs. Rituximab, natalizumab and efalizumab are involved in rare cases of progressive multifocal leukoencephalopathy with fatal issue. Screening of HLA-B*5701, a good predictor of hypersensitivity reaction to abacavir, is recommended prior to starting therapy. Mycophenolate turns out to be a human teratogen.

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BACKGROUND & AIMS: Standardized instruments are needed to assess the activity of eosinophilic esophagitis (EoE) and to provide end points for clinical trials and observational studies. We aimed to develop and validate a patient-reported outcome (PRO) instrument and score, based on items that could account for variations in patient assessments of disease severity. We also evaluated relationships between patient assessment of disease severity and EoE-associated endoscopic, histologic, and laboratory findings. METHODS: We collected information from 186 patients with EoE in Switzerland and the United States (69.4% male; median age, 43 y) via surveys (n = 135), focus groups (n = 27), and semistructured interviews (n = 24). Items were generated for the instruments to assess biologic activity based on physician input. Linear regression was used to quantify the extent to which variations in patient-reported disease characteristics could account for variations in patient assessment of EoE severity. The PRO instrument was used prospectively in 153 adult patients with EoE (72.5% male; median age, 38 y), and validated in an independent group of 120 patients with EoE (60.8% male; median age, 40.5 y). RESULTS: Seven PRO factors that are used to assess characteristics of dysphagia, behavioral adaptations to living with dysphagia, and pain while swallowing accounted for 67% of the variation in patient assessment of disease severity. Based on statistical consideration and patient input, a 7-day recall period was selected. Highly active EoE, based on endoscopic and histologic findings, was associated with an increase in patient-assessed disease severity. In the validation study, the mean difference between patient assessment of EoE severity (range, 0-10) and PRO score (range, 0-8.52) was 0.15. CONCLUSIONS: We developed and validated an EoE scoring system based on 7 PRO items that assess symptoms over a 7-day recall period. Clinicaltrials.gov number: NCT00939263.

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This paper applies probability and decision theory in the graphical interface of an influence diagram to study the formal requirements of rationality which justify the individualization of a person found through a database search. The decision-theoretic part of the analysis studies the parameters that a rational decision maker would use to individualize the selected person. The modeling part (in the form of an influence diagram) clarifies the relationships between this decision and the ingredients that make up the database search problem, i.e., the results of the database search and the different pairs of propositions describing whether an individual is at the source of the crime stain. These analyses evaluate the desirability associated with the decision of 'individualizing' (and 'not individualizing'). They point out that this decision is a function of (i) the probability that the individual in question is, in fact, at the source of the crime stain (i.e., the state of nature), and (ii) the decision maker's preferences among the possible consequences of the decision (i.e., the decision maker's loss function). We discuss the relevance and argumentative implications of these insights with respect to recent comments in specialized literature, which suggest points of view that are opposed to the results of our study.

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A maioria das pastagens naturais no bioma Campos no sul do Brasil cresce em solos com baixa disponibilidade de fósforo (P), mas com altos teores de P total e de P orgânico. Este trabalho objetivou avaliar as alterações nas formas de P no solo, ao longo de um ciclo de crescimento de pastagens naturais, decorrentes da aplicação de fontes de fosfato. Em três experimentos instalados em áreas de pastagem natural, foi aplicado P nas formas de hiperfosfato de Gafsa, superfosfato triplo e testemunha, arranjados em blocos casualizados com três repetições. Nos experimentos instalados no município de Candiota, RS, em pastagens naturais sob Luvissolo Úmbrico e Neossolo Litólico, foram aplicados 100 kg ha-1 de P2O5 em setembro de 2010. Na pastagem sob Argissolo Vermelho no município de Santa Maria, RS, foram aplicados 180, 90, 100 e 100 kg ha-1 de P2O5 nos anos de 1997, 1998, 2002 e 2010, respectivamente. Amostras de solo foram coletadas (0-10 cm) ao longo da estação de crescimento da pastagem (0, 55, 116, 171 e 232 dias, após aplicação do fosfato em Candiota; e 0, 50, 83, 129, 159 e 186 dias, após aplicação do fosfato em Santa Maria). Foram analisados os teores de P disponível por resina de troca aniônica, o P imobilizado na biomassa microbiana do solo, o P extraído por NaOH 0,1 mol L-1, o P orgânico total e o P total. Os teores de P disponível aumentaram rapidamente com a aplicação de fosfato solúvel, mas no final do período de avaliação esses se equivaleram ao do fosfato natural, que foi semelhante à testemunha. A aplicação de fertilizantes fosfatados sob pastagens naturais com baixa disponibilidade de P aumentou a importância das frações inorgânicas lábeis às plantas, tornando-as menos dependentes da mineralização das frações orgânicas. As frações orgânicas, inclusive o P microbiano, não são bons indicadores da biodisponibilidade de P em pastagens naturais sob Argissolos, Neossolos e Luvissolos do sul do Brasil fertilizadas com fosfatos.

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A ocorrência dos solos coesos no Brasil está relacionada dominantemente com os sedimentos argiloarenosos da Formação Barreiras, os quais estão geologicamente relacionados com os depósitos sedimentares do período Terciário, que constituem a unidade geomorfológica dos Tabuleiros Costeiros. Os objetivos deste trabalho foram identificar a ocorrência de solos coesos e estudar suas relações com a paisagem na região leste do Estado do Maranhão. A área do estudo localiza-se na Fazenda Typuana, região leste maranhense, no município de Brejo, MA, nas coordenadas geográficas de 03º 36' S e 42º 52' W. A vegetação predominante da área de estudo é do tipo Cerrado, com uma composição florística diversificada. Foram abertas três trincheiras, uma em cada área do estudo, com distintas formações vegetais para as caracterizações morfológica, física, química, mineralógica e a classificação taxonômica dos solos. A caulinita foi o mineral predominante nos horizontes coesos, porém seu grau de cristalinidade não influenciou na variação da densidade do solo (1,40 a 1,56 kg dm-3) e na resistência à penetração (1,24 a 2,18 MPa). Constatou-se que a posição da paisagem foi determinante para a distinção dos solos coesos, de modo que os desenvolvidos em pedoforma côncava apresentaram a maior expressão do caráter coeso e com maior status de fertilidade e matéria orgânica, refletindo na vegetação mais exuberante, caracterizada pelo Cerradão.

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Frequentemente, a compactação limita a produtividade das culturas anuais em solos mecanizados, sendo a sua distribuição na lavoura regionalizada. Em área manejada sob sistema plantio direto (SPD) por longo prazo, foi investigada a variabilidade espacial da resistência à penetração (RP), a eficiência de escarificadores mecânicos e o seu efeito na produtividade da soja. O solo foi Latossolo Vermelho argiloso localizado no planalto do RS. O clima é subtropical Cfa com precipitação pluvial anual de 1.750 mm e temperatura média anual de 18,7 ºC. O delineamento experimental foi de blocos casualizados com quatro tratamentos e duas repetições. Os tratamentos foram implantados em faixas paralelas de 100 × 20 m. Os tratamentos investigados foram: escarificador sítio-específico com profundidade de atuação variada em razão da RP (ESEV); escarificador convencional (EC) com profundidade fixa; escarificador sítio-específico com profundidade fixa (ESEF); e testemunha - sem escarificação (SE). Para avaliar a RP, utilizou-se um penetrômetro digital com leituras georrefenciadas em malha de 50 × 50 m realizadas manualmente em duas épocas. A produtividade da soja foi obtida por meio de uma colhedora equipada com sensor de produtividade e antena receptora de sinal de GPS. A RP apresentou valores médios de 1,4 e 2,1 MPa, para leituras realizadas após o manejo da cultura de cobertura e após a colheita, respectivamente. A RP determinada após o manejo da cultura de cobertura e a produtividade da soja apresentaram baixa correlação (r² = -0,297; p<0,05). Os valores de RP de 3,0 e 5,0 MPa resultaram em decréscimos de aproximadamente 10 e 38 % na produtividade da soja, respectivamente. A escarificação mecânica, independentemente do equipamento utilizado, não incrementou a produtividade da soja em relação à testemunha. Esse resultado foi atribuído à RP da área a ser classificada, quando da instalação dos tratamentos, como baixa/moderada, à ocorrência de frequente precipitação pluvial e às favoráveis condições físico-hídricas proporcionadas pelo SPD de longa duração.

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Neuronal oscillations are an important aspect of EEG recordings. These oscillations are supposed to be involved in several cognitive mechanisms. For instance, oscillatory activity is considered a key component for the top-down control of perception. However, measuring this activity and its influence requires precise extraction of frequency components. This processing is not straightforward. Particularly, difficulties with extracting oscillations arise due to their time-varying characteristics. Moreover, when phase information is needed, it is of the utmost importance to extract narrow-band signals. This paper presents a novel method using adaptive filters for tracking and extracting these time-varying oscillations. This scheme is designed to maximize the oscillatory behavior at the output of the adaptive filter. It is then capable of tracking an oscillation and describing its temporal evolution even during low amplitude time segments. Moreover, this method can be extended in order to track several oscillations simultaneously and to use multiple signals. These two extensions are particularly relevant in the framework of EEG data processing, where oscillations are active at the same time in different frequency bands and signals are recorded with multiple sensors. The presented tracking scheme is first tested with synthetic signals in order to highlight its capabilities. Then it is applied to data recorded during a visual shape discrimination experiment for assessing its usefulness during EEG processing and in detecting functionally relevant changes. This method is an interesting additional processing step for providing alternative information compared to classical time-frequency analyses and for improving the detection and analysis of cross-frequency couplings.

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A repeated DNA element in Xenopus laevis is described that is present in about 7500 copies dispersed throughout the genome. It was first identified in the 5' flanking region of one vitellogenin gene and was therefore named the Vi element. Seven copies are present within the vitellogenin gene region, three of them within introns of the genes A1, A2 and B2, and the other four copies in the gene flanking regions. Four of these copies have been sequenced. The Vi element is bounded by a well-conserved 13 base-pair inverted repeat; in addition, it is flanked by a three base-pair direct repeat that appears to be site-specific. The length of these four copies varies from 112 to 469 base-pairs; however, sequence homology between the different copies is very high. Their structural characteristics suggest that length heterogeneity may have arisen by either unequal recombinations, deletions or tandem duplications. Altogether, the characteristics and properties of the Vi element indicate that it might represent a mobile genetic element. One of the four copies sequenced is inserted close (position -535) to the transcription initiation site of the vitellogenin gene B2 in a region otherwise showing considerable homology with the closely related gene B1. Nevertheless, the presence of the Vi element does not seem to influence significantly the estrogen-controlled expression of gene B2. In addition, three alleles of this gene created by length polymorphism in intron 3 and in the Vi element inserted near the transcription initiation site are described.