998 resultados para Uso de fármacos off-label


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Prototype Selection (PS) algorithms allow a faster Nearest Neighbor classification by keeping only the most profitable prototypes of the training set. In turn, these schemes typically lower the performance accuracy. In this work a new strategy for multi-label classifications tasks is proposed to solve this accuracy drop without the need of using all the training set. For that, given a new instance, the PS algorithm is used as a fast recommender system which retrieves the most likely classes. Then, the actual classification is performed only considering the prototypes from the initial training set belonging to the suggested classes. Results show that this strategy provides a large set of trade-off solutions which fills the gap between PS-based classification efficiency and conventional kNN accuracy. Furthermore, this scheme is not only able to, at best, reach the performance of conventional kNN with barely a third of distances computed, but it does also outperform the latter in noisy scenarios, proving to be a much more robust approach.

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La Pharmacopea de la Armada, obra de Leandro de Vega, publicada en 1760 para uso de médicos y cirujanos de los buques y hospitales de la marina española a lo largo del siglo XVIII, está considerada como la primera farmacopea naval española. Su autor la define con un «catálogo de medicamentos pertenecientes a las enfermedades médicas», en definitiva un nomenclátor de fórmulas para la preparación de los medicamentos de mayor utilidad para los navegantes de la época, tanto de uso interno como externo. En el presente artículo se analiza en profundidad esta obra, reconocida su relevancia de fuente primaria, situándola en su contexto histórico, detallando el contenido de sus tratados, así como dando noticia biográfica de su autor e informando de la posición profesional y misión de sus destinatarios.

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Una técnica experimental de creciente interés en la comunidad internacional es la relaxometría magnética nuclear, la cual posee un amplio campo de aplicabilidad en la industria farmacéutica, alimentaria, petrofísica, caucho, cosmética y plástico, entre otras. Actualmente se desarrolla en el LaRTE (Laboratorio de Relaxometría y Técnicas Especiales) un prototipo alfa de un instrumento unico de resonancia magnética nuclear con campo magnético ciclado, que permitirá no solamente realizar estudios relaxométricos en muestras de hasta 35cm3, sino que posibilitará la obtención de imágenes y mediciones de difusión a diferentes valores de campo. El corazón de este aparato es un electroimán particular logrado con tecnología propia, el cual posee excelentes características al compararlo con el estado del arte. Este logro da sustento al desarrollo en marcha, el cual será posiblemente transferido a una empresa espín-off del laboratorio (Trovintek Advanced Magnetic Systems) en el futuro para un desarrollo beta. En esta dirección, este proyecto propone profundizar el desarrollo de los imanes logrados, tratando de alcanzar sistemas reconfigurables adaptivos según las características del campo requerido y según demande la aplicación (homogeneidad, velocidad de conmutación e intensidad). A su vez, estos mismos sistemas de imanes prometen excelente aplicabilidad en el campo de la metrología magnética, dirección en la cual el LaRTE ya ha comenzado a trabajar conjuntamente con la Unidad Técnica Electrónica del INTI (Córdoba). Dichos electroimanes pueden devenir, en si mismos, en dispositivos especialmente diseñados para tal aplicación.

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A multirresistência bacteriana tem crescido significativamente nos últimos anos. Entre os gram negativos a P. aeruginosa demonstra facilidade de desenvolvimento de resistência aos antibióticos. O objetivo deste estudo foi determinar a frequência de resistência a múltiplos fármacos em isolados de Pseudomonas aeruginosa e detectar cepas multirresistentes em um hospital público de Maceió/AL. De forma retrospectiva, descritiva e transversal, entre janeiro de 2012 a dezembro de 2013, iniciou-se uma ampla análise documental dos registros de atendimento no setor de Microbiologia do Hospital Universitário Professor Alberto Antunes (HUPAA/UFAL) para avaliar o material obtido de pacientes que apresentaram cultura positiva para P. aeruginosa. Vários espécimes clínicos foram obtidos e as cepas identificadas fenotipicamente pelo método automatizado Vitek®, bem como as análises do perfil de susceptibilidade aos antimicrobianos, seguindo os critérios adotados pelo National Committee for Clinical and Laboratory Standards (NCCLS). Foram obtidas 78 culturas com isolados positivos para P. aeruginosa, sendo a maioria procedente de pacientes da UTI geral (47,4%), seguida da Clínica cirúrgica (16,7%). Entre as amostras clínicas analisadas, a secreção traqueal foi a de maior incidência com 25,6%, seguida de secreção de ferida (20,5%) e escarro (18%). O composto mais ativo contra a P. aeruginosa foi a Colistina (100,0%). Detectou-se elevada multirresistência de P. aeruginosa aos betalactâmicos, cefalosporinas e carbapenêmicos. Baseando-se nos dados apresentados, torna-se evidente a necessidade de um monitoramento rotineiro do perfil de sensibilidade desta bactéria em ambiente hospitalar, sendo de extrema utilidade para a escolha adequada na terapêutica empírica, proporcionando conhecimento prévio dos antimicrobianos que apresentam boa eficácia diante deste patógeno, favorecendo o uso racional de antimicrobianos. PALAVRAS-CHAVE: Multirresistência; Pseudomonas aeruginosa;Sensibilidade; Antimicrobianos.

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This paper examines the functioning of energy efficiency standards and labeling policies for air conditioners in Japan. The results of our empirical analysis suggest that consumers respond more to label information, which benchmarks the energy efficiency performance of each product to a pre-specified target, than to direct performance measures. This finding provides justification for the setting, and regular updating, of target standards as well as their use in calculating relative performance measures. We also find, through graphical analysis, that air conditioner manufacturers face a tradeoff between energy efficiency and product compactness when they develop their products. This tradeoff, combined with the semi-regular upward revision of minimum energy efficiency standards, has led to the growth in indoor unit size of air conditioners in recent years. In the face of this phenomenon, regulatory rules were revised so that manufacturers could adhere to less stringent standards if the indoor unit size of their product remains below a certain size. Our demand estimates provide no evidence that larger indoor unit size causes disutility to consumers. It is therefore possible that the regulatory change was not warranted from a consumer welfare point of view.

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The stable isotope composition of planktonic foraminifera correlates with evidence for pulses of terrigenous sediment in a sediment core from the upper continental slope off northeastern Brazil. Stable oxygen isotope records of the planktonic foraminiferal species Globigerinoides sacculifer and Globigerinoides ruber (pink) reveal sub-Milankovitch changes in sea-surface hydrography during the last 85,000 yr. Warming of the surface water coincided with terrigenous sedimentation pulses that are inferred from high XRF intensities of Ti and Fe, and which suggest humid conditions in northeast Brazil. These tropical signals correlate with climatic oscillations recorded in Greenland ice cores (Dansgaard-Oeschger cycles) and in sediment cores from the North Atlantic (Heinrich events). Trade winds may have caused changes in the North Brazil Current that altered heat and salt flux into the North Atlantic, thus affecting the growth and decay of the large glacial ice sheets.

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Vertical distributions of benthic denitrification and anammox rates within the sediment were estimated from slurry incubation experiments. Rates were used to calculate the contribution of anammox and denitrification to the total N-loss. Briefly, MUC sediment cores were sliced in 2 cm intervals and the sediment was diluted and incubated with degassed bottom water in a gas tight bag. After pre-incubating the bags for 2 h, 15N-labeled substrates were injected into the bags and the slurries were thoroughly mixed. Incubations were performed in the dark at in situ temperatures. The N2 isotope ratio (28N2, 29N2, and 30N2) was determined by gas chromatography-isotopic ratio mass spectrometry (VG Optima, Micromass) and calculated according to Kuypers et al. (2005) and Holtappels et al. (2011), respectively.Furthermore, total organic carbon and nitrogen concentrations were measured of core sediment layers corresponding to those used for rate measurements. Concentrations of organic carbon and nitrogen were determined by combustion/gas chromatography (Carlo Erba NA-1500 CNS analyzer) of dried sediment samples after acidification. The same sediment layer were also used to extract nucleic acids. The concentrations of the DNA in the samples were measured spectrophotometrically with a NanoDrop instrument (Thermo Fisher Scientific Inc.). The biomarker functional gene nirS, encoding the cd1-containing nitrite reductase, for both denitrifiers and marine anammox bacteria were quantified with real-time PCR, using the primers cd3aF/R3cd (5'-GTSAACGTSAAGGARACSGG-3' (Michotey et al., 2000)/5'-GASTTCGGRTGSGTCTTGA-3'; Throback et al., 2004) and Scnir372F/Scnir845R (5'-TGTAGCCAGCATTGTAGCGT-3'/5'-TCAAGCCAGACCCATTTGCT-3'; Lam et al., 2009).