1000 resultados para 341.488
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Collection : French books before 1601 ; 488.6
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Los numerosos trabajos sobre fitobentos marino de las islas Baleares fueron recopilados en los catálogos florísticos de RIBERA & GÓMEZ (Collect. Bot. (Barcelona) 15: 377-406. 1984; Collect. Bot. (Barcelona) 16:25-41.1985). Posteriormente, debido a la realización de numerosos estudios bentónicos de la zona, se han publicado adiciones a dicho catálogo (PERICAS, Boll. Soc. Hist. Nat. Balears: 139-146.1984; BALLESTEROS, Bull. Inst. Cat. Hist. Nat. 51 (See. Bot, 5): 31-33. 1984; BALLESTEROS, Fol. Bot. Mise. 6: 65-70. 1989; RULL LLUCH, GÓMEZ GARRETA and RIBERA Collect. Bot. (Barcelona) 15: 377-406. 1987; CREMADES Anales Jard. Bot. Madrid 46 (1): 149-152. 1989; CREMADES A nales Jard. Bot. Madrid 46 (1): 341-343. 1989).
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PURPOSE: We investigated risk factors for colorectal cancer in early-onset cancers, to provide quantitative estimates for major selected risk factors. METHODS: We analyzed data from three Italian and Swiss case-control studies conducted between 1985 and 2009, including 329 colorectal cancer cases and 1,361 controls aged ≤45 years. We computed odds ratios (ORs) from unconditional logistic regression models, adjusted for major confounding factors. RESULTS: The OR of young-onset colorectal cancer was 4.50 for family history of colorectal cancer in first-degree relatives, the association being higher in subjects with affected siblings (OR 11.68) than parents (OR 3.75). The ORs of young-onset colorectal cancer were 1.56 for ≥14 drinks/week of alcohol, 1.56 for the highest tertile of processed meat, 0.40 for vegetables, 0.75 for fruit, and 0.78 for fish intake. Among micronutrients, the ORs were 0.52 for β-carotene, 0.68 for vitamin C, 0.38 for vitamin E, and 0.59 for folate. No significant associations emerged for physical activity, overweight, and diabetes. CONCLUSIONS: This study-the largest on young-onset colorectal cancer-confirms that several recognized risk factors for colorectal cancer are also relevant determinants of young-onset colorectal cancer. Family history of colorectal cancer in particular is a stronger risk factor in young subjects, as compared to middle age and elderly ones.
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PURPOSE: As no curative treatment for advanced pancreatic and biliary cancer with malignant ascites exists, new modalities possibly improving the response to available chemotherapies must be explored. This phase I study assesses the feasibility, tolerability and pharmacokinetics of a regional treatment of gemcitabine administered in escalating doses by the stop-flow approach to patients with advanced abdominal malignancies (adenocarcinoma of the pancreas, n = 8, and cholangiocarcinoma of the liver, n = 1). EXPERIMENTAL DESIGN: Gemcitabine at 500, 750 and 1,125 mg/m(2) was administered to three patients at each dose level by loco-regional chemotherapy, using hypoxic abdominal stop-flow perfusion. This was achieved by an aorto-caval occlusion by balloon catheters connected to an extracorporeal circuit. Gemcitabine and its main metabolite 2',2'-difluorodeoxyuridine (dFdU) concentrations were measured by high performance liquid chromatography with UV detection in the extracorporeal circuit during the 20 min of stop-flow perfusion, and in peripheral plasma for 420 min. Blood gases were monitored during the stop-flow perfusion and hypoxia was considered stringent if two of the following endpoints were met: pH </= 7.2, pO(2) nadir ratio </=0.70 or pCO(2) peak ratio >/=1.35. The tolerability of this procedure was also assessed. RESULTS: Stringent hypoxia was achieved in four patients. Very high levels of gemcitabine were rapidly reached in the extracorporeal circuit during the 20 min of stop-flow perfusion, with C (max) levels in the abdominal circuit of 246 (+/-37%), 2,039 (+/-77%) and 4,780 (+/-7.3%) mug/ml for the three dose levels 500, 750 and 1,125 mg/m(2), respectively. These C (max) were between 13 (+/-51%) and 290 (+/-12%) times higher than those measured in the peripheral plasma. Similarly, the abdominal exposure to gemcitabine, calculated as AUC(t0-20), was between 5.5 (+/-43%) and 200 (+/-66%)-fold higher than the systemic exposure. Loco-regional exposure to gemcitabine was statistically higher in presence of stringent hypoxia (P < 0.01 for C (max) and AUC(t0-20), both normalised to the gemcitabine dose). Toxicities were acceptable considering the complexity of the procedure and were mostly hepatic; it was not possible to differentiate the respective contributions of systemic and regional exposures. A significant correlation (P < 0.05) was found between systemic C (max) of gemcitabine and the nadir of both leucocytes and neutrophils. CONCLUSIONS: Regional exposure to gemcitabine-the current standard drug for advanced adenocarcinoma of the pancreas-can be markedly enhanced using an optimised hypoxic stop-flow perfusion technique, with acceptable toxicities up to a dose of 1,125 mg/m(2). However, the activity of gemcitabine under hypoxic conditions is not as firmly established as that of other drugs such as mitomycin C, melphalan or tirapazamine. Further studies of this investigational modality, but with bioreductive drugs, are therefore warranted first to evaluate the tolerance in a phase I study and later on to assess whether it does improve the response to chemotherapy.
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Symmary: Recovering blood : violence and community in the age of transition : the case of Eastern Finland from the Middle Ages until 1700
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The catalogue of Mesozoic radiolarian genera is a revision of all described genera with re-illustration of their type species. This project was organized under the auspices of the International Association of Radiolarian Paleontologists (Inter-Rad), and was carried out by the Mesozoic Working Group. This is the second of two contributions, this one devoted to the Jurassic-Cretaceous period. It contains 581 genera with re-illustration of their type species. This part shares 30 genera in common with the Triassic catalogue, most of which arose in the Carnian, Norian and Rhaetian. The sharp difference manifested between the Triassic fauna and the Jurassic-Cretaceous fauna is so evident that it justifies two independent catalogues. A comparable division between the Jurassic and Cretaceous could not be justified however, because of the similarity of the fauna, and by the greater number of genera crossing the Jurassic-Cretaceous boundary which is three times that for the Triassic-Jurassic boundary. A distinct characteristic of Jurassic-Cretaceous genera is the high number of nomina dubia (up to 131), contrary to the low number in the Triassic interval. This reflects, in part, the influence of Haeckelian taxonomy in earlier research on Jurassic-Cretaceous faunas prior to the application of SEM techniques. The Mesozoic Working Group has carefully reviewed and re-examined the taxonomy of all available genera, their family assignment and stratigraphic ranges. Following careful comparisons, 91 genera were declared as synonyms. The review has noted 26 homonyms which were duly notified to their corresponding authors, and were corrected previous to the publication of this catalogue. In spite of this effort, unfortunately nine homonyms still remain. Two invalid nominal genera, and two nomina nuda are also reported. The systematic revisions have validated 341 genera for the Jurassic-Cretaceous interval. At the end of this catalogue 24 additional are resented as support for those genera having a poor photographs p original illustration of the type species.
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OBJECTIVE: Resistin is associated with inflammation and insulin resistance and exerts direct effects on myocardial cells including hypertrophy and altered contraction. We investigated the association of serum resistin concentrations with risk for incident heart failure (HF) in humans. METHODS AND RESULTS: We studied 2902 older persons without prevalent HF (age, 73.6+/-2.9 years; 48.1% men; 58.8% white) enrolled in the Health, Aging, and Body Composition (Health ABC) Study. Correlation between baseline serum resistin concentrations (20.3+/-10.0 ng/mL) and clinical variables, biochemistry panel, markers of inflammation and insulin resistance, adipocytokines, and measures of adiposity was weak (all rho <0.25). During a median follow-up of 9.4 years, 341 participants (11.8%) developed HF. Resistin was strongly associated with risk for incident HF in Cox proportional hazards models controlling for clinical variables, biomarkers, and measures of adiposity (HR, 1.15 per 10.0 ng/mL in adjusted model; 95% CI, 1.05 to 1.27; P=0.003). Results were comparable across sex, race, diabetes mellitus, and prevalent and incident coronary heart disease subgroups. In participants with available left ventricular ejection fraction at HF diagnosis (265 of 341; 77.7%), association of resistin with HF risk was comparable for cases with reduced versus preserved ejection fraction. CONCLUSIONS: Serum resistin concentrations are independently associated with risk for incident HF in older persons.
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El presente artículo sostiene, por debajo de la contraposición entre los conceptos dejusticia epicúreo y aristotélico, la existencia de un común denominador a ambos, a saber, la prioridad de un concepto social-natural (no meramente social ni meramente natural) de justicia, previo a todo cálculo de conveniencia, pero no por ello de naturaleza metafísica.En el caso de Epicuro, se trata de un concepto de mínimo al que debe ajustarse el florecimiento individual: el reconocimiento mutuo. En el caso de Aristóteles, de un máximo en la búsqueda del bien común como condición del bien de cada individuo: la pólis gobernada en beneficio de todos los ciudadanos.
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INTRODUCTION: Respiratory therapy is a keystone of the treatment for cystic fibrosis (CF) lung disease, but it is time consuming. OBJECTIVES: We aimed to assess the total time spent on respiratory therapy, including chest physiotherapy (CPT) and physical activity (PA), as well as inhalation therapy (IT) and maintenance of materials (MM) to rationalise and optimise treatment. METHODS: A cross-sectional prospective study in a paediatric CF cohort. A questionnaire was developed to look at the time spent on respiratory care over 3 months. Enrolled in this study are all CF patients aged from 6 to 16 years (the exclusion criterion was lung transplantation). RESULTS: Of the 40 enrolled patients, 22 participated (13 boys and 9 girls), with a mean age of 11 years. The patients spent approximately 19.46 h per week (standard deviation ± 7.53, 8.00-35.25 h) on therapy: CPT (30.58%), IT (15.11%), PA (50%) and MM (4.32%), without statistical significance between sexes. CONCLUSION: In our cohort, CF patients spent an average of nearly 20 h a week in respiratory therapy, within a wide range of between 8 h to almost 36 h a week. PA consumes almost half of the time. Physicians have to take into consideration the burden of the treatment, to optimise the therapy.
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The gracilis free flap is a workhorse in plastic surgery. We present a modified technique that relies on a single horizontal thigh-lift-type approach, which (1) gives wide pedicle exposure, (2) provides material for skin grafting, and (3) allows for distal flap transection without an additional incision. Eighteen gracilis free flaps were performed from 2007 to 2009 for lower extremity reconstruction. Complete flap survival was observed in 17 patients with one partial necrosis distally. Our approach allowed access to divide the distal gracilis tendon without a second incision in all cases. The mean scar length was 16 ± 3 cm and no hypertrophic scars were observed. In 15 patients, no visible scar was observed in the upright position, and in three patients, the scar was visible dorsally (2 ± 1 cm). No sensory deficits were observed 6 months postoperatively. In addition, the split-thickness skin graft harvested from the skin paddle was sufficient to cover all defects.
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Recent studies indicate that directional female mate choice and order-dependent female mate choice importantly contribute to non-random mating patterns. In species where females prefer larger sized males, disentangling different hypotheses leading to non-random mating patterns is especially difficult, given that male size usually correlates with behaviours that may lead to non-random mating (e.g. size-dependent emergence from hibernation, male fighting ability). Here we investigate female mate choice and order-dependent female mate choice in the polygynandrous common lizard (Lacerta vivipara). By sequentially presenting males in random order to females, we exclude non-random mating patterns potentially arising due to intra-sexual selection (e.g. male-male competition), trait-dependent encounter probabilities, trait-dependent conspicuousness, or trait-dependent emergence from hibernation. To test for order-dependent female mate choice we investigate whether the previous mating history affects female choice. We show that body size and body condition of the male with which a female mated for the first time were bigger and better, respectively, than the average body size and body condition of the rejected males. There was a negative correlation between body sizes of first and second copulating males. This indicates that female mate choice is dependent on the previous mating history and it shows that the female's choice criteria are non-static, i.e. non-directional. Our study therefore suggests that context-dependent female mate choice may not only arise due to genotype-environment interactions, but also due to other female mating strategies, i.e. order-dependent mate choice. Thus context-dependent female mate choice might be more frequent than previously thought.
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Este trabalho teve por objetivo estudar a variabilidade genética entre e dentro de procedências e progênies e determinar o ganho genético em volume de madeira, em Pinus oocarpa Schiede. O experimento foi instalado em Angatuba, SP, em delineamento de blocos de famílias compactas, com nove repetições e parcelas lineares de seis plantas. A produtividade volumétrica média obtida de sete procedências foi de 0,296 m³ de madeira por árvore aos nove anos de idade. Para estabelecer um pomar de sementes por mudas, a seleção (no bloco) de 189 árvores (27 por procedência) com os maiores diâmetros na altura do peito (DAP) permite aumentos na produtividade volumétrica de 0,327 m³, 0,338 m³ e 0,341 m³ por árvore, na seleção individual, combinada e índice multiefeito, respectivamente. Em pomar de sementes clonais, a seleção (no experimento) de 28 árvores (4 por procedência) com maiores DAPs permite aumentos na produtividade volumétrica de 0,345 m³, 0,355 m³ e 0,356 m³,por árvore, na seleção individual, combinada e índice multiefeito, respectivamente.