775 resultados para low risk population


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Background. The mTOR pathway is commonly altered in human tumors and promotes cell survival and proliferation. Preliminary evidence suggests this pathway's involvement in chemoresistance to platinum and taxanes, first line therapy for epithelial ovarian cancer. A pathway-based approach was used to identify individual germline single nucleotide polymorphisms (SNPs) and cumulative effects of multiple genetic variants in mTOR pathway genes and their association with clinical outcome in women with ovarian cancer. ^ Methods. The case-series was restricted to 319 non-Hispanic white women with high grade ovarian cancer treated with surgery and platinum-based chemotherapy. 135 SNPs in 20 representative genes in the mTOR pathway were genotyped. Hazard ratios (HRs) for death and Odds ratios (ORs) for failure to respond to primary therapy were estimated for each SNP using the multivariate Cox proportional hazards model and multivariate logistic regression model, respectively, while adjusting for age, stage, histology and treatment sequence. A survival tree analysis of SNPs with a statistically significant association (p<0.05) was performed to identify higher order gene-gene interactions and their association with overall survival. ^ Results. There was no statistically significant difference in survival by tumor histology or treatment regimen. The median survival for the cohort was 48.3 months. Seven SNPs were significantly associated with decreased survival. Compared to those with no unfavorable genotypes, the HR for death increased significantly with the increasing number of unfavorable genotypes and women in the highest risk category had HR of 4.06 (95% CI 2.29–7.21). The survival tree analysis also identified patients with different survival patterns based on their genetic profiles. 13 SNPs on five different genes were found to be significantly associated with a treatment response, defined as no evidence of disease after completion of primary therapy. Rare homozygous genotype of SNP rs6973428 showed a 5.5-fold increased risk compared to the wild type carrying genotypes. In the cumulative effect analysis, the highest risk group (individuals with ≥8 unfavorable genotypes) was significantly less likely to respond to chemotherapy (OR=8.40, 95% CI 3.10–22.75) compared to the low risk group (≤4 unfavorable genotypes). ^ Conclusions. A pathway-based approach can demonstrate cumulative effects of multiple genetic variants on clinical response to chemotherapy and survival. Therapy targeting the mTOR pathway may modify outcome in select patients.^

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Objective. In 2009, the International Expert Committee recommended the use of HbA1c test for diagnosis of diabetes. Although it has been recommended for the diagnosis of diabetes, its precise test performance among Mexican Americans is uncertain. A strong “gold standard” would rely on repeated blood glucose measurement on different days, which is the recommended method for diagnosing diabetes in clinical practice. Our objective was to assess test performance of HbA1c in detecting diabetes and pre-diabetes against repeated fasting blood glucose measurement for the Mexican American population living in United States-Mexico border. Moreover, we wanted to find out a specific and precise threshold value of HbA1c for Diabetes Mellitus (DM) and pre-diabetes for this high-risk population which might assist in better diagnosis and better management of patient diabetes. ^ Research design and methods. We used CCHC dataset for our study. In 2004, the Cameron County Hispanic Cohort (CCHC), now numbering 2,574, was established drawn from randomly selected households on the basis of 2000 Census tract data. The CCHC study randomly selected a subset of people (aged 18-64 years) in CCHC cohort households to determine the influence of SES on diabetes and obesity. Among the participants in Cohort-2000, 67.15% are female; all are Hispanic. ^ Individuals were defined as having diabetes mellitus (Fasting plasma glucose [FPG] ≥ 126 mg/dL or pre-diabetes (100 ≤ FPG < 126 mg/dL). HbA1c test performance was evaluated using receiver operator characteristic (ROC) curves. Moreover, change-point models were used to determine HbA1c thresholds compatible with FPG thresholds for diabetes and pre-diabetes. ^ Results. When assessing Fasting Plasma Glucose (FPG) is used to detect diabetes, the sensitivity and specificity of HbA1c≥ 6.5% was 75% and 87% respectively (area under the curve 0.895). Additionally, when assessing FPG to detect pre-diabetes, the sensitivity and specificity of HbA1c≥ 6.0% (ADA recommended threshold) was 18% and 90% respectively. The sensitivity and specificity of HbA1c≥ 5.7% (International Expert Committee recommended threshold) for detecting pre-diabetes was 31% and 78% respectively. ROC analyses suggest HbA1c as a sound predictor of diabetes mellitus (area under the curve 0.895) but a poorer predictor for pre-diabetes (area under the curve 0.632). ^ Conclusions. Our data support the current recommendations for use of HbA1c in the diagnosis of diabetes for the Mexican American population as it has shown reasonable sensitivity, specificity and accuracy against repeated FPG measures. However, use of HbA1c may be premature for detecting pre-diabetes in this specific population because of the poor sensitivity with FPG. It might be the case that HbA1c is differentiating the cases more effectively who are at risk of developing diabetes. Following these pre-diabetic individuals for a longer-term for the detection of incident diabetes may lead to more confirmatory result.^

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Pancreatic cancer is the 4th most common cause for cancer death in the United States, accompanied by less than 5% five-year survival rate based on current treatments, particularly because it is usually detected at a late stage. Identifying a high-risk population to launch an effective preventive strategy and intervention to control this highly lethal disease is desperately needed. The genetic etiology of pancreatic cancer has not been well profiled. We hypothesized that unidentified genetic variants by previous genome-wide association study (GWAS) for pancreatic cancer, due to stringent statistical threshold or missing interaction analysis, may be unveiled using alternative approaches. To achieve this aim, we explored genetic susceptibility to pancreatic cancer in terms of marginal associations of pathway and genes, as well as their interactions with risk factors. We conducted pathway- and gene-based analysis using GWAS data from 3141 pancreatic cancer patients and 3367 controls with European ancestry. Using the gene set ridge regression in association studies (GRASS) method, we analyzed 197 pathways from the Kyoto Encyclopedia of Genes and Genomes (KEGG) database. Using the logistic kernel machine (LKM) test, we analyzed 17906 genes defined by University of California Santa Cruz (UCSC) database. Using the likelihood ratio test (LRT) in a logistic regression model, we analyzed 177 pathways and 17906 genes for interactions with risk factors in 2028 pancreatic cancer patients and 2109 controls with European ancestry. After adjusting for multiple comparisons, six pathways were marginally associated with risk of pancreatic cancer ( P < 0.00025): Fc epsilon RI signaling, maturity onset diabetes of the young, neuroactive ligand-receptor interaction, long-term depression (Ps < 0.0002), and the olfactory transduction and vascular smooth muscle contraction pathways (P = 0.0002; Nine genes were marginally associated with pancreatic cancer risk (P < 2.62 × 10−5), including five reported genes (ABO, HNF1A, CLPTM1L, SHH and MYC), as well as four novel genes (OR13C4, OR 13C3, KCNA6 and HNF4 G); three pathways significantly interacted with risk factors on modifying the risk of pancreatic cancer (P < 2.82 × 10−4): chemokine signaling pathway with obesity ( P < 1.43 × 10−4), calcium signaling pathway (P < 2.27 × 10−4) and MAPK signaling pathway with diabetes (P < 2.77 × 10−4). However, none of the 17906 genes tested for interactions survived the multiple comparisons corrections. In summary, our current GWAS study unveiled unidentified genetic susceptibility to pancreatic cancer using alternative methods. These novel findings provide new perspectives on genetic susceptibility to and molecular mechanisms of pancreatic cancer, once confirmed, will shed promising light on the prevention and treatment of this disease. ^

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A population based ecological study was conducted to identify areas with a high number of TB and HIV new diagnoses in Harris County, Texas from 2009 through 2010 by applying Geographic Information Systems to determine whether distinguished spatial patterns exist at the census tract level through the use of exploratory mapping. As of 2010, Texas has the fourth highest occurrence of new diagnoses of HIV/AIDS and TB.[31] The Texas Department of State Health Services (DSHS) has identified HIV infected persons as a high risk population for TB in Harris County.[29] In order to explore this relationship further, GIS was utilized to identify spatial trends. ^ The specific aims were to map TB and HIV new diagnoses rates and spatially identify hotspots and high value clusters at the census tract level. The potential association between HIV and TB was analyzed using spatial autocorrelation and linear regression analysis. The spatial statistics used were ArcGIS 9.3 Hotspot Analysis and Cluster and Outlier Analysis. Spatial autocorrelation was determined through Global Moran's I and linear regression analysis. ^ Hotspots and clusters of TB and HIV are located within the same spatial areas of Harris County. The areas with high value clusters and hotspots for each infection are located within the central downtown area of the city of Houston. There is an additional hotspot area of TB located directly north of I-10 and a hotspot area of HIV northeast of Interstate 610. ^ The Moran's I Index of 0.17 (Z score = 3.6 standard deviations, p-value = 0.01) suggests that TB is statistically clustered with a less than 1% chance that this pattern is due to random chance. However, there were a high number of features with no neighbors which may invalidate the statistical properties of the test. Linear regression analysis indicated that HIV new diagnoses rates (β=−0.006, SE=0.147, p=0.970) and census tracts (β=0.000, SE=0.000, p=0.866) were not significant predictors of TB new diagnoses rates. ^ Mapping products indicate that census tracts with overlapping hotspots and high value clusters of TB and HIV should be a targeted focus for prevention efforts, most particularly within central Harris County. While the statistical association was not confirmed, evidence suggests that there is a relationship between HIV and TB within this two year period.^

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Background: Cardiovascular diseases (CVD) are the leading cause of morbidity and mortality worldwide. CVD mainly comprise of coronary heart disease and stroke and were ranked first and fourth respectively amongst leading causes of death in the United States. Influenza (flu) causes annual outbreaks and pandemics and is increasingly recognized as an important trigger for acute coronary syndromes and stroke. Influenza vaccination is an inexpensive and effective strategy for prevention of influenza related complications in high risk individuals. Though it is recommended for all CVD patients, Influenza vaccine is still used at suboptimal levels in these patients owing to prevailing controversy related to its effectiveness in preventing CVD. This review was undertaken to critically assess the effectiveness of influenza vaccination as a primary or secondary prevention method for CVD. ^ Methods: A systematic review was conducted using electronic databases OVID MEDLINE, PUBMED (National Library of Medicine), EMBASE, GOOGLE SCHOLAR and TRIP (Turning Research into Practice). The study search was limited to peer-reviewed articles published in English language from January 1970 through May 2012. The case control studies, cohort studies and randomized controlled trials related to influenza vaccination and CVD, with data on at least one of the outcomes were identified. In the review, only population-based epidemiologic studies in all ethnic groups and of either sex and with age limitation of 30 yrs or above, with clinical CVD outcomes of interest were included. ^ Results: Of the 16 studies (8 case control studies, 6 cohort studies and 2 randomized controlled trials) that met the inclusion criteria, 14 studies reported that there was a significant benefit in u influenza vaccination as primary or secondary prevention method for preventing new cardiovascular events. In contrary to the above findings, two studies mentioned that there was no significant benefit of vaccination in CVD prevention. ^ Conclusion: The available body of evidence in the review elucidates that vaccination against influenza is associated with reduction in the risk of new CVD events, hospitalization for coronary heart disease and stroke and as well as the risk of death. The study findings disclose that the influenza vaccination is very effective in CVD prevention and should be encouraged for the high risk population. However, larger and more future studies like randomized control trials are needed to further evaluate and confirm these findings. ^

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IMMUNOLOGICAL MECHANISMS OF EXTRACORPOREAL PHOTOPHERESIS IN CUTANEOUS T CELL LYMPHOMA AND GRAFT VERSUS HOST DISEASE Publication No.___________ Lisa Harn-Ging Shiue, B.S. Supervisory Professor: Madeleine Duvic, M.D. Extracorporeal photopheresis (ECP) is an effective, low-risk immunomodulating therapy for leukemic cutaneous T cell lymphoma (L-CTCL) and graft versus host disease (GVHD), but whether the mechanism(s) of action in these two diseases is (are) identical or different is unclear. To determine the effects of ECP in vivo, we studied regulatory T cells (T-regs), cytotoxic T lymphocytes (CTLs), and dendritic cells (DCs) by immunofluorescence flow cytometry in 18 L-CTCL and 11 GVHD patients before and after ECP at Day 2, 1 month, 3 months, and 6 months. In this study, ECP was effective in 12/18 L-CTCL patients with a 66.7% overall response rate (ORR) and 6/11 GVHD patients with a 54.5% ORR. Prior to ECP, the percentages of CD4+Foxp3+ T cells in 9 L-CTCL patients were either lower (L-CTCL-Low, n=2) or higher (L-CTCL-High, n=7) than normal. Five of the 7 GVHD patients had high percentages of CD4+Foxp3+ T cells (GVHD-High). Six of 7 L-CTCL-High patients had >80% CD4+Foxp3+ T cells which were correlated with tumor cells, and were responders. Both L-CTCL-High and GVHD-High patients had decreased percentages of CD4+Foxp3+ and CD4+Foxp3+CD25- T cells after 3 months of treatment. CD4+Foxp3+CD25+ T cells increased in GVHD-High patients but decreased in L-CTCL-High patients after 3 months of ECP. In addition, numbers of CTLs were abnormal. We confirmed that numbers of CTLs were low in L-CTCL patients, but high in GVHD patients prior to ECP. After ECP, CTLs increased after 1 month in 4/6 L-CTCL patients whereas CTLs decreased after 6 months in 3/3 GVHD patients. Myeloid (mDCs) and plasmacytoid DCs (pDCs) were also low at baseline in L-CTCL and GVHD patients confirming the DC defect. After 6 months of ECP, numbers and percentages of mDCs and pDCs increased in L-CTCL and GVHD. MDCs were favorably increased in 8/12 L-CTCL responders whereas pDCs were favorably increased in GVHD patients. These data suggest that ECP is favorably modulating the DC subsets. In L-CTCL patients, the mDCs may orchestrate Th1 cell responses to overcome immune suppression and facilitate disease regression. However, in GVHD patients, ECP is favorably down-regulating the immune system and may be facilitating immune tolerance to auto-or allo-antigens. In both L-CTCL and GVHD patients, DCs are modulated, but the T cell responses orchestrated by the DCs are different, suggesting that ECP modulates depending on the immune milieu. _______________

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A partir de la información obtenida de la red georreferenciada de freatímetros se determinó el comportamiento de la profundidad freática en el Departamento Lavalle y en particular en el Distrito Costa de Araujo. Se agruparon las profundidades freáticas en intervalos 0,5 m desde la superficie hasta los 2,5 m. Se calcularon y analizaron las profundidades medias y mínimas de cada freatímetro para la serie 1983-2002 (19 años) y las medias correspondientes a marzo, junio, septiembre y diciembre. Utilizando el software Arc View se representaron gráfica y numéricamente las superficies de terreno para los diferentes intervalos. Con esta información se confeccionaron tablas de intervalos de profundidad freática y en base a ello se calificó el Riesgo Freático en Bajo, Medio y Alto, asumiendo un valor de profundidad mínima admisible de 1,5 m para prácticas de cultivos perennes. Se presenta la discusión referente a la salinidad de las aguas freáticas y su vinculación con la clorosis en vid. Resultados: el 32 y 41% de las superficies del Distrito Costa y Dpto. Lavalle, respectivamente, tienen el nivel freático medio entre 1,5 y 2,0 m de profundidad, resultando el Riesgo Freático Bajo para el Distrito Costa y Medio para el Dpto. Lavalle; septiembre es el mes más crítico con el 43 y 40% de las superficies del Distrito Costa y Dpto. Lavalle, respectivamente, con niveles freáticos medios entre 1,0 y 1,5 m de profundidad, resultando el Riesgo Freático para dicho mes Bajo para el Distrito Costa y Alto para el Dpto. Lavalle; la Subárea Costa posee las mejores condiciones de profundidad freática y edáfica para la agricultura del Departamento Lavalle; la red principal de colectores es insuficiente para producir el abatimiento general de los niveles freáticos del Departamento Lavalle.

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The purpose of this study was to investigate presence and potential accumulation of cyclic volatile methyl siloxanes (cVMS) in the Arctic environment. Octamethylcyclotetrasiloxane (D4), decamethylcyclopentasiloxane (D5), and dodecamethylcy-clohexasiloxane (D6) were analyzed in sediment, Zooplankton, Atlantic cod (Gadus morhua), shorthorn sculpin (Myxocephalus scorpius), and bearded seal (Erignathus barbatus) collected from the Svalbard archipelago within the European Arctic in July 2009. Highest levels were found for D5 in fish collected from Adventfjorden, with average concentrations of 176 and 531 ng/g lipid in Atlantic cod and shorthorn sculpin, respectively. Decreasing concentration of D5 in sediment collected away from waste water outlet in Adventfjorden indicates that the local settlement of Longyearbyen is a point source to the local aquatic environment. Median biota sediment accumulation factors (BSAFs) calculated for D5 in Adventfjorden were 2.1 and 1.5 for Atlantic cod and shorthorn sculpin, respectively. Biota concentrations of D5 were lower or below detection limits in remote and sparsely populated regions (Kongsfjorden and Liefdefjorden) compared to Adventfjorden. The levels of cVMS were found to be low or below detection limits in bearded seal blubber and indicate a low risk for cVMS accumulation within mammals. Accumulation of cVMS in fish appears to be influenced by local exposure from human settlements within the Arctic.

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We examined the consequences of the spatial heterogeneity of atmospheric ammonia (NH3) by measuring and modelling NH3 concentrations and deposition at 25 m grid resolution for a rural landscape containing intensive poultry farming, agricultural grassland, woodland and moorland. The emission pattern gave rise to a high spatial variability of modelled mean annual NH3 concentrations and dry deposition. Largest impacts were predicted for woodland patches located within the agricultural area, while larger moorland areas were at low risk, due to atmospheric dispersion, prevailing wind direction and low NH3 background. These high resolution spatial details are lost in national scale estimates at 1 km resolution due to less detailed emission input maps. The results demonstrate how the spatial arrangement of sources and sinks is critical to defining the NH3 risk to semi-natural ecosystems. These spatial relationships provide the foundation for local spatial planning approaches to reduce environmental impacts of atmospheric NH3.

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El objetivo de este trabajo de investigación fue evaluar el efecto de la aplicación de lodos residuales procedentes de una planta de tratamiento de aguas residuales acondicionados como biosólido para el abonado de tres cultivos agrícolas. Esto se realizó a través del estudio de las variables de producción (desarrollo vegetal de cada cultivo) y de la comparación de las características de los suelos utilizados antes y después de los ensayos experimentales. A través de la investigación se confirmó la mejora en la calidad del suelo y mejor rendimiento de cultivo debido a los biosólidos procedentes de tratamiento de aguas residuales. Este trabajo de investigación de tipo descriptivo y experimental, utilizó lodos optimizados que fueron aplicados a tres cultivos agrícolas de ciclo corto. Fueron evaluados dos cultivos (sandía y tomate) bajo riego y un cultivo (arroz) en secano. En la primera fase del trabajo se realizó la caracterización de los lodos, para ellos se realizaron pruebas físico químicas y microbiológicas. Fue utilizado el método de determinación de metales por espectrometría de emisión atómica de plasma acoplado inductivamente, (ICP-AES) para conocer las concentraciones de metales. La caracterización microbiológica para coliformes totales y fecales se realizó utilizando la técnica del Número más probable (NMP), y para la identificación de organismos patógenos se utilizó el método microbiológico propuesto por Kornacki & Johnson (2001), que se fundamenta en dos procesos: pruebas presuntivas y prueba confirmativa. Tanto los resultados para la determinación de metales y elementos potencialmente tóxicos; como las pruebas para la determinación de microorganismos potencialmente peligrosos, estuvieron por debajo de los límites considerados peligrosos establecidos por la normativa vigente en Panama (Reglamento Técnico COPANIT 47-2000). Una vez establecido la caracterización de los lodos, se evalúo el potencial de nutrientes (macro y micro) presentes en los biosólidos para su potencial de uso como abono en cultivos agrícolas. El secado de lodos fue realizado a través de una era de secado, donde los lodos fueron deshidratados hasta alcanzar una textura pastosa. “La pasta de lodo” fue transportada al área de los ensayos de campo para continuar el proceso de secado y molida. Tres ensayos experimentales fueron diseñados al azar con cinco tratamientos y cuatro repeticiones para cada uno de los tres cultivos: sandía, tomate, arroz, en parcelas de 10m2 (sandía y tomate) y 20 m2 (arroz) para cada tratamiento. Tres diferentes dosis de biosólidos fueron evaluadas y comparadas con un tratamiento de fertilizante comercial y un tratamiento control. La dosis de fertilizante comercial utilizada en cada cultivo fue la recomendada por el Instituto de Investigación Agropecuaria de Panamá. Los ensayos consideraron la caracterización inicial del suelo, la preparación del suelo, semilla, y arreglo topográfico de los cultivos siguiendo las recomendaciones agronómicas de manejo de cultivo establecida por el Instituto de Investigación Agropecuaria. Para los ensayos de sandía y tomate se instaló el sistema de riego por goteo. Se determinaron los ácidos húmicos presentes en los cultivos, y se estudiaron las variables de desarrollo de cada cultivo (fructificación, cosecha, peso de la cosecha, dimensiones de tamaño y color de las frutas, rendimiento, y la relación costo – rendimiento). También se estudiaron las variaciones de los macro y micro nutrientes y las variaciones de pH, textura de suelo y MO disponible al inicio y al final de cada uno de los ensayos de campo. Todas las variables y covariables fueron analizadas utilizando el programa estadístico INFOSAT (software para análisis estadístico de aplicación general) mediante el análisis de varianza, el método de comparaciones múltiples propuesto por Fisher (LSD Fisher) para comparar las medias de los cultivares y el coeficiente de correlación de Pearson que nos permite analizar si existe una asociación lineal entre dos variables. En la evaluación de los aportes del biosólido a los cultivos se observó que los macronutrientes N y P se encontraban de los límites requeridos en cada uno de los cultivos, pero que los niveles de K estuvieron por debajo de los requerimientos de los cultivos. A nivel de la fertilización tradicional con fertilizante químico se observó que la dosis recomendada para cada uno de los cultivos del estudio estaba sobreestimada en los tres principales macronutrientes: Nitrógeno, Fosforo y Potasio. Contenían concentraciones superiores de N, P y K a las requeridas teóricamente por el cultivo. El nutriente que se aporta en exceso es el Fósforo. Encontramos que para el cultivo de sandía era 18 veces mayor a lo requerido por el cultivo, en tomate fue 12 veces mayor y en el cultivo de arroz, 34 veces mayor. El fertilizante comercial tuvo una influencia en el peso final y rendimiento final en cada uno de los cultivos del estudio. A diferencia, los biosólidos tuvieron una influencia directa en el desarrollo de los cultivos (germinación, coloración, tamaño, longitud, diámetro, floración y resistencia a enfermedades). Para el caso de la sandía la dosis de biosólido más cercana al óptimo para el cultivo es la mayor dosis aplicada en este ensayo (97.2 gramos de biosólido por planta). En el caso de tomate, el fertilizante comercial obtuvo los mejores valores, pero las diferencias son mínimas con relación al tratamiento T1, de menor dosis de biosólido (16.2 gramos de biosólido por planta). Los resultados generales del ensayo de tomate estuvieron por debajo del rendimiento esperado para el cultivo. Los tratamientos de aplicación de biosólidos aportaron al desarrollo del cultivo en las variables tamaño, color y resistencia a las enfermedades dentro del cultivo de tomate. Al igual que el tomate, en el caso del arroz, el tratamiento comercial obtuvo los mejores resultados. Los resultados finales de peso y rendimiento del cultivo indican que el tratamiento (T2), menor dosis de biosólido (32.4 gramos por parcela), no tuvo diferencias significativas con los resultados obtenidos en las parcelas con aplicación de fertilizante comercial (T1). El tratamiento T4 (mayor dosis de biosólido) obtuvo los mejores valores para las variables germinación, ahijamiento y espigamiento del cultivo, pero al momento de la maduración obtuvo los menores resultados. Los biosólidos aportan nutrientes a los cultivos y al final del ensayo se observó que permanecen disponibles en el suelo, aportando a la mejora del suelo final. En los tres ensayos, se pudo comprobar que los aportes de los biosólidos en el desarrollo vegetativo de los cultivos. También se encontró en todos los ensayos que no hubo diferencias significativas (p > 0.05) entre los tratamientos de biosólidos y fertilizante comercial. Para obtener mejores resultados en estos tres ensayos se requeriría que a la composición de biosólidos (utilizada en este ensayo) se le adicione Potasio, Calcio y Magnesio en las cantidades requeridas por cada uno de los cultivos. ABSTRACT The objective of this investigation was to evaluate the effect of residual sewage sludge obtained from the residual water of a treatment plant conditioned as Biosolid used on three reliable agricultural crops. The effect of the added sewage sludge was evaluated through the measurement of production variables such as crop plant development and the comparison of the soil characteristics used before and after the experimental tests. This investigation confirmed that biosolids from wastewater treatment can contribute to the growth of these crops. In this experimental approach, optimized sludge was applied to three short-cycle crops including two low-risk crops (watermelon and tomato) and one high-risk crop (rice) all grown on dry land. In the first phase of work, the characteristics of the sludge were assessed using chemical, physical and microbiological tests. The concentrations of metals were determined by atomic emission spectrometry inductively coupled plasma, (ICP-AES). Microbiological characterization was performed measuring total coliform and fecal count using the most probable number technique (NMP) and microbiological pathogens were identified using Kornacki & Johnson (2001) method based on two processes: presumptive and confirmatory tests. Both the results for the determination of metals and potentially toxic elements, as testing for the determination of potentially dangerous microorganisms were below the limits established by the applicable standard in Panama (Technical Regulate COPANIT 47-2000). After the metal and bacterial characterization of the sludge, the presence of macro or micronutrients in biosolids was measured to evaluate its potential for use as fertilizer in the growth of agricultural crops. The sludge was dehydrated via a drying process into a muddy slurry. The pulp slurry was transported to the field trial area to continue the process of drying and grinding. Three randomized experimental trials were designed to test with five treatment regimens and four replications for each of the crops: watermelon, tomato, rice. The five treatment regimens evaluated were three different doses of bio solid with commercial fertilizer treatment control and no fertilizer treatment control. Treatment areas for the watermelon and tomato were 10m2 plots land and for rice was 20m2. The amount of commercial fertilizer used to treat each crop was based on the amount recommended by Agricultural Research Institute of Panama. The experimental trials considered initial characterization of soil, soil preparation, seed, and crop topographical arrangement following agronomic crop management recommendations. For the tests evaluating the growth of watermelons and tomatoes and drip irrigation system was installed. The amount of humic acids present in the culture were determined and developmental variable of each crop were studied (fruiting crop harvest weight, size dimensions and color of the fruit, performance and cost effectiveness). Changes in macro and micronutrients and changes in pH, soil texture and OM available were measured at the beginning and end of each field trial. All variables and covariates were analyzed using INFOSAT statistical program (software for statistical analysis of general application) by analysis of variance, multiple comparisons method as proposed by Fisher (LSD Fisher) to compare the means of cultivars and the Pearson ratio that allows us to analyze if there is a linear association between two variables. In evaluating the contribution of biosolids to agricultural crops, the study determined that the macronutrients N & P were within the requirements of crops, but K levels were below the requirements of crops. In terms of traditional chemical fertilizer fertilization, we observed that the recommended dose for each study crop was overestimated for the three major nutrients: nitrogen, phosphorus and potassium. Higher concentrations containing N, P and K to the theoretically required by the crop. The recommended dose of commercial fertilizer for crops study contained greater amounts of phosphorus, crops that need. The level of phosphorous was found to be18 times greater than was required for the cultivation of watermelon; 12 times higher than required for tomato, and 34 times higher than required for rice cultivation. Phosphorus inputs of commercial fertilizer were a primary influence on the weight and performance of each crop. Unlike biosolids had a direct influence on crop development (germination, color, size, length, diameter, flowering and disease resistance). In the case of growth of watermelons, the Biosolid dose closest to the optimum for cultivation was applied the highest dose in this assay (97.2 grams of bio solids per plant). In the case of tomatoes, commercial fertilizer had the best values but the differences were minimal when compared to treatment T1, the lower dose of sewage sludge (Biosolid 16.2 grams per plant). The overall results for the tomato crop yield of the trial were lower than expected. Additionally, the application of biosolids treatment contributed to the development of fruit of variable size, color and disease resistance in the tomato crops. Similar to the tomato crop, commercial fertilizer treatment provided the best results for the rice crop. The final results of weight and crop yield for rice indicated that treatment with T2 amount of biosolids (34.2 grams per plot) was not significantly different from the result obtained in the application plot given commercial fertilizer (T1). The T4 (higher dose of bio solid) treatment had the best values for the germination, tillering and bolting variables of the rice crop but for fruit ripening yielded lower results. In all three trials, biosolids demonstrated the ability to contribute in the vegetative growth of crops. It was also found in all test no significant differences (p>0.05) between treatment of bio solid and commercial fertilizer. Biosolids provided nutrients to the crops and even at the end of the trial remained available in the ground soil, contributing to the improvement of the final ground. The best results from these three trials is that the use of bio solids such as those used in this assay would require the addition of potassium, calcium and magnesium in quantities required for each crop.

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O desemprego tem sido objeto de preocupação no contexto político, econômico e social, uma vez que a população de trabalhadores desempregados enfrenta dificuldades diárias para a obtenção de trabalho/ou emprego, situação que gera intenso sofrimento psíquico e pode repercutir de modo negativo na saúde do trabalhador. Este estudo teve por objetivo investigar a percepção de suporte social e o consumo de álcool em desempregados. Por meio de estudo epidemiológico, quantitativo e transversal constituímos uma amostra de 300 indivíduos, recrutados em uma agência pública em São Bernardo do Campo SP, que capta vagas no mercado e encaminha trabalhadores para recolocação profissional. A amostra resultou em 54,3% pessoas do gênero masculino, com idade média de 29,30, com mínimo de 18 anos e máximo de 56 anos; 67% tinham ensino médio, sendo 50% solteiros, 52% encontravam-se desempregados de um a seis meses, 37% residiam em imóvel próprio, e 37% possuíam renda familiar de um a dois salários mínimos. Foram utilizados três instrumentos auto-aplicáveis para coleta dos dados: a) Questionário de características sócio-demográficas; b) Escala de Percepção de Suporte Social (EPSS); c) Teste para Identificação de Problemas Relacionados ao Uso de Álcool (AUDIT). Os dados coletados foram submetidos ao programa estatístico SPSS, versão 15.0 para Windows que permitiu fazer as correlações entre as variáveis. Os resultados indicaram correlações significativas entre as variáveis: suporte prático e renda; suporte prático e suporte emocional, com idade. Estas correlações sugeriram que os sujeitos apresentavam melhor percepção de suporte prático na medida em que aumentava a renda familiar, e que quanto maior a idade, menor é a percepção do suporte prático e emocional recebido pela rede social. O AUDIT não apontou correlações significativas entre as variáveis estudadas, e 76% da amostra se situou na zona 1 consumo de baixo risco ou abstinência. Não verificamos correlação entre consumo de álcool e desemprego.(AU)

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O desemprego tem sido objeto de preocupação no contexto político, econômico e social, uma vez que a população de trabalhadores desempregados enfrenta dificuldades diárias para a obtenção de trabalho/ou emprego, situação que gera intenso sofrimento psíquico e pode repercutir de modo negativo na saúde do trabalhador. Este estudo teve por objetivo investigar a percepção de suporte social e o consumo de álcool em desempregados. Por meio de estudo epidemiológico, quantitativo e transversal constituímos uma amostra de 300 indivíduos, recrutados em uma agência pública em São Bernardo do Campo SP, que capta vagas no mercado e encaminha trabalhadores para recolocação profissional. A amostra resultou em 54,3% pessoas do gênero masculino, com idade média de 29,30, com mínimo de 18 anos e máximo de 56 anos; 67% tinham ensino médio, sendo 50% solteiros, 52% encontravam-se desempregados de um a seis meses, 37% residiam em imóvel próprio, e 37% possuíam renda familiar de um a dois salários mínimos. Foram utilizados três instrumentos auto-aplicáveis para coleta dos dados: a) Questionário de características sócio-demográficas; b) Escala de Percepção de Suporte Social (EPSS); c) Teste para Identificação de Problemas Relacionados ao Uso de Álcool (AUDIT). Os dados coletados foram submetidos ao programa estatístico SPSS, versão 15.0 para Windows que permitiu fazer as correlações entre as variáveis. Os resultados indicaram correlações significativas entre as variáveis: suporte prático e renda; suporte prático e suporte emocional, com idade. Estas correlações sugeriram que os sujeitos apresentavam melhor percepção de suporte prático na medida em que aumentava a renda familiar, e que quanto maior a idade, menor é a percepção do suporte prático e emocional recebido pela rede social. O AUDIT não apontou correlações significativas entre as variáveis estudadas, e 76% da amostra se situou na zona 1 consumo de baixo risco ou abstinência. Não verificamos correlação entre consumo de álcool e desemprego.(AU)

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IL-4 receptor α chain (IL-4Rα)-deficient mice were generated by gene-targeting in BALB/c embryonic stem cells. Mutant mice showed a loss of IL-4 signal transduction and functional activity. The lack of IL-4Rα resulted in markedly diminished, but not absent, TH2 responses after infection with the helminthic parasite Nippostrongylus brasiliensis. CD4+, CD62L-high, and CD62L-low T cell populations from uninfected IL-4Rα−/− mice were isolated by cell sorting. Upon primary stimulation by T cell receptor cross-linkage, the CD62L-low, but not the CD62L-high, cells secreted considerable amounts of IL-4, which was strikingly enhanced upon 4-day culture with anti-CD3 in the presence or absence of IL-4. CD62L-low cells isolated from IL-4Rα−/−, β2-microglobulin−/− double homozygous mice produced less IL-4 than did either IL-4Rα−/− or wild-type mice. These results indicate that an IL-4-independent, β2-microglobulin-dependent pathway exists through which the CD62L-low CD4+ population has acquired IL-4-producing capacity in vivo, strongly suggesting that these cells are NK T cells.

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Loss of genomic integrity is a defining feature of many human malignancies, including human papillomavirus (HPV)-associated preinvasive and invasive genital squamous lesions. Here we show that aberrant mitotic spindle pole formation caused by abnormal centrosome numbers represents an important mechanism in accounting for numeric chromosomal alterations in HPV-associated carcinogenesis. Similar to what we found in histopathological specimens, HPV-16 E6 and E7 oncoproteins cooperate to induce abnormal centrosome numbers, aberrant mitotic spindle pole formation, and genomic instability. The low-risk HPV-6 E6 and E7 proteins did not induce such abnormalities. Whereas the HPV-16 E6 oncoprotein has no immediate effects on centrosome numbers, HPV-16 E7 rapidly induces abnormal centrosome duplication. Thus our results suggest a model whereby HPV-16 E7 induces centrosome-related mitotic disturbances that are potentiated by HPV-16 E6.

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A dedicated mission to investigate exoplanetary atmospheres represents a major milestone in our quest to understand our place in the universe by placing our Solar System in context and by addressing the suitability of planets for the presence of life. EChO—the Exoplanet Characterisation Observatory—is a mission concept specifically geared for this purpose. EChO will provide simultaneous, multi-wavelength spectroscopic observations on a stable platform that will allow very long exposures. The use of passive cooling, few moving parts and well established technology gives a low-risk and potentially long-lived mission. EChO will build on observations by Hubble, Spitzer and ground-based telescopes, which discovered the first molecules and atoms in exoplanetary atmospheres. However, EChO’s configuration and specifications are designed to study a number of systems in a consistent manner that will eliminate the ambiguities affecting prior observations. EChO will simultaneously observe a broad enough spectral region—from the visible to the mid-infrared—to constrain from one single spectrum the temperature structure of the atmosphere, the abundances of the major carbon and oxygen bearing species, the expected photochemically-produced species and magnetospheric signatures. The spectral range and resolution are tailored to separate bands belonging to up to 30 molecules and retrieve the composition and temperature structure of planetary atmospheres. The target list for EChO includes planets ranging from Jupiter-sized with equilibrium temperatures T_ eq up to 2,000 K, to those of a few Earth masses, with T _eq \u223c 300 K. The list will include planets with no Solar System analog, such as the recently discovered planets GJ1214b, whose density lies between that of terrestrial and gaseous planets, or the rocky-iron planet 55 Cnc e, with day-side temperature close to 3,000 K. As the number of detected exoplanets is growing rapidly each year, and the mass and radius of those detected steadily decreases, the target list will be constantly adjusted to include the most interesting systems. We have baselined a dispersive spectrograph design covering continuously the 0.4–16 μm spectral range in 6 channels (1 in the visible, 5 in the InfraRed), which allows the spectral resolution to be adapted from several tens to several hundreds, depending on the target brightness. The instrument will be mounted behind a 1.5 m class telescope, passively cooled to 50 K, with the instrument structure and optics passively cooled to \u223c45 K. EChO will be placed in a grand halo orbit around L2. This orbit, in combination with an optimised thermal shield design, provides a highly stable thermal environment and a high degree of visibility of the sky to observe repeatedly several tens of targets over the year. Both the baseline and alternative designs have been evaluated and no critical items with Technology Readiness Level (TRL) less than 4–5 have been identified. We have also undertaken a first-order cost and development plan analysis and find that EChO is easily compatible with the ESA M-class mission framework.