992 resultados para PRE-BREEDING
Resumo:
OBJECTIVE
To assess the relationship between glycemic control, pre-eclampsia, and gestational hypertension in women with type 1 diabetes.
RESEARCH DESIGN AND METHODS
Pregnancy outcome (pre-eclampsia or gestational hypertension) was assessed prospectively in 749 women from the randomized controlled Diabetes and Pre-eclampsia Intervention Trial (DAPIT). HbA1c (A1C) values were available up to 6 months before pregnancy (n = 542), at the first antenatal visit (median 9 weeks) (n = 721), at 26 weeks’ gestation (n = 592), and at 34 weeks’ gestation (n = 519) and were categorized as optimal (<6.1%: referent), good (6.1–6.9%), moderate (7.0–7.9%), and poor (=8.0%) glycemic control, respectively.
RESULTS
Pre-eclampsia and gestational hypertension developed in 17 and 11% of pregnancies, respectively. Women who developed pre-eclampsia had significantly higher A1C values before and during pregnancy compared with women who did not develop pre-eclampsia (P < 0.05, respectively). In early pregnancy, A1C =8.0% was associated with a significantly increased risk of pre-eclampsia (odds ratio 3.68 [95% CI 1.17–11.6]) compared with optimal control. At 26 weeks’ gestation, A1C values =6.1% (good: 2.09 [1.03–4.21]; moderate: 3.20 [1.47–7.00]; and poor: 3.81 [1.30–11.1]) and at 34 weeks’ gestation A1C values =7.0% (moderate: 3.27 [1.31–8.20] and poor: 8.01 [2.04–31.5]) significantly increased the risk of pre-eclampsia compared with optimal control. The adjusted odds ratios for pre-eclampsia for each 1% decrement in A1C before pregnancy, at the first antenatal visit, at 26 weeks’ gestation, and at 34 weeks’ gestation were 0.88 (0.75–1.03), 0.75 (0.64–0.88), 0.57 (0.42–0.78), and 0.47 (0.31–0.70), respectively. Glycemic control was not significantly associated with gestational hypertension.
CONCLUSIONS
Women who developed pre-eclampsia had significantly higher A1C values before and during pregnancy. These data suggest that optimal glycemic control both early and throughout pregnancy may reduce the risk of pre-eclampsia in women with type 1 diabetes.
Resumo:
This paper examines changes in religious geographies for Ireland from 1834 to 1911. It shows that in a period of dramatic social and economic change religious geographies remained remarkably stable. In this it challenges the accepted historiography. It makes use of new data in new ways with the full exploitation of the 1834 Enumeration of Religion and, in so doing, is able to examine the impact of the Great Irish Famine on geographies of religion. These data are visualised both using traditional choropleth maps and, more innovatively in this subject area, cartograms.
Resumo:
Three-dimensional reconstruction from volumetric medical images (e.g. CT, MRI) is a well-established technology used in patient-specific modelling. However, there are many cases where only 2D (planar) images may be available, e.g. if radiation dose must be limited or if retrospective data is being used from periods when 3D data was not available. This study aims to address such cases by proposing an automated method to create 3D surface models from planar radiographs. The method consists of (i) contour extraction from the radiograph using an Active Contour (Snake) algorithm, (ii) selection of a closest matching 3D model from a library of generic models, and (iii) warping the selected generic model to improve correlation with the extracted contour.
This method proved to be fully automated, rapid and robust on a given set of radiographs. Measured mean surface distance error values were low when comparing models reconstructed from matching pairs of CT scans and planar X-rays (2.57–3.74 mm) and within ranges of similar studies. Benefits of the method are that it requires a single radiographic image to perform the surface reconstruction task and it is fully automated. Mechanical simulations of loaded bone with different levels of reconstruction accuracy showed that an error in predicted strain fields grows proportionally to the error level in geometric precision. In conclusion, models generated by the proposed technique are deemed acceptable to perform realistic patient-specific simulations when 3D data sources are unavailable.
Resumo:
Capsule Despite substantial inter-annual and inter-specific variance in the composition of chick diet, the breeding success of Guillemots (Common Murres) Uria aalge and Razorbills Alca torda remained constant from 2008 to 2010.
Aims To examine inter-specific and inter-annual differences in breeding success, chick provisioning behaviour and predation between two sympatric auk species.
Methods Focal observations of breeding auks at Rathlin Island, Northern Ireland, during 2008, 2009 and 2010 recorded reproductive success, reasons for breeding failure, prey composition and quality and chick provisioning rates.
Results Breeding success of both species was stable over the three years, despite significant variance in the composition and quality of the diet provided to chicks. Razorbills experienced greater rates of failure than Guillemots owing to chick loss and had lower overall breeding success.
Conclusion Guillemot and Razorbill breeding success was independent of the composition and quality of prey items delivered to chicks. Inter-specific differences in reproductive success may have been attributed to greater rates of predation at Razorbill rather than Guillemot nests.
Resumo:
We describe the most westerly known maternity colony of Nathusius' pipistrelle bats (Pipistrellus nathusii). The bats were identified by using morphometric measurements and analysis of time-expanded echolocation and social calls. The roost, containing approximately 150 individuals, was located in a mid 19th century farm stable block and store house situated in parkland in County Antrim, Northern Ireland. The roost was visited on 30 April, I May and 22 June 1997. Over this period, 11 bats were caught: one adult male, five pregnant females, four lactating females and a juvenile male. Direct observation of behaviour patterns suggests that mating groups of P. nathusii may occur in Ireland as late as May. The migratory nature of this species is discussed.