998 resultados para ddc: 004.5
Resumo:
Background: Concerns of a decrease in physical activity levels (PALs) of children and a concurrent increase in childhood obesity exist worldwide. The exact relation between these two parameters however has as yet to be fully defined in children. Objective: This study examined the relation in 47 children, aged 5–10.5 y (mean age 8.4plusminus0.9 y) between habitual physical activity, minutes spent in moderate, vigorous and hard intensity activity and body composition parameters. Design: Total energy expenditure (TEE) was calculated using the doubly labelled water technique and basal metabolic rate (BMR) was predicted from Schofield's equations. PAL was determined by PAL=TEE/BMR. Time spent in moderate, vigorous and hard intensity activity was determined by accelerometry, using the Tritrac-R3D. Body fatness and body mass index (BMI) were used as the two measures of body composition. Results: Body fat and BMI were significantly inversely correlated with PAL (r=-0.43, P=0.002 and r=-0.45, P=0.001). Times spent in vigorous activity and hard activity were significantly correlated to percentage body fat (r=-0.44, P=0.004 and r=-0.39, P=0.014), but not BMI. Children who were in the top tertiles for both vigorous activity and hard activity had significantly lower body fat percentages than those in the middle and lowest tertiles. Moderate intensity activity was not correlated with measures of body composition. Conclusions: As well as showing a significant relation between PAL and body composition, these data intimate that there may be a threshold of intensity of physical activity that is influential on body fatness. In light of world trends showing increasing childhood obesity, this study supports the need to further investigate the importance of physical activity for children.
Resumo:
Objective: To evaluate whether the number of vessels disease has an impact on clinical outcomes as well as on therapeutic results accordingly to medical, percutaneous, or surgery treatment in chronic coronary artery disease. Methods: We evaluated 825 individuals enrolled in MASS study, a randomized study to compare treatment options for single or multivessel coronary artery disease with preserved left ventricular function, prospectively followed during 5 years. The incidence of overall mortality and the composite end-point of death, myocardial infarction, and refractory angina were compared in three groups: single vessel disease (SVD n = 214), two-vessel disease (2VD n = 253) and three-vessel disease (3VD n = 358). The relationship between baseline variables and the composite end-point was assessed using a Cox proportional hazards survival model. Results: Most baseline characteristics were similar among groups, except age (younger in SVD and older in 3VD, p < 0.001), lower incidence of hypertension in SVD (p < 0.0001), and lower levels of total and LDL-cholesterol in 3VD (p = 0.004 and p = 0.005, respectively). There were no statistical differences in composite end-point in 5 years among groups independent of the kind of treatment; however, there was a higher mortality rate in 3VD (p < 0.001). When we stratified our analysis for each treatment option, bypass surgery was associated with a tower number of composite end-point in all groups (SVD p < 0.001, 2VD p = 0.002, 3VD p < 0.001). In multivariate analysis, we found higher mortality risk in 3VD comparing to SVD (p = 0.005, HR 3.14, 95%Cl 1.4-7.0). Conclusion: Three-vessel disease was associated with worse prognosis compared to single-or two-vessel disease in patients with stable coronary disease and preserved ventricular function at 5-year follow-up. In addition, event-free survival rates were higher after bypass surgery, independent of the number of vessels diseased in these subsets of patients. (c) 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
Resumo:
Previous findings point to the involvement of the dorsal raphe nucleus (DRN) and dorsal periaqueductal gray (dPAG) serotonergic receptors in the mediation of defensive responses that are associated with specific subtypes of anxiety disorders. These studies have mostly been conducted with rats tested in the elevated T-maze, an experimental model of anxiety that was developed to allow the measurement, in the same animal, of two behaviors mentioned: inhibitory avoidance and one-way escape. Such behavioral responses have been respectively related to generalized anxiety disorder (GAD) and panic disorder (PD). In order to assess the generality of these findings, in the current study we investigated the effects of the injection of 5-HT-related drugs into the DRN and dPAG of another rodent species, mouse, on the mouse defense test battery (MDTB), a test of a range of defensive behaviors to an unconditioned threat, a predator. Male CD-1 mice were tested in the MDTB after intra-DRN administration of the 5-HT(1A) receptor antagonist WAY-100635 or after intra-dPAG injection of two serotonergic agonists, the 5-HT1A receptor agonist 8-OH-DPAT and the 5-HT(2A/2C) receptor agonist DOI. Intra-DRN injection of WAY-100635 did not change behavioral responses of mice confronted with a rat in the MDTB. In the dPAG, both 8-OH-DPAT and DOI consistently impaired mouse escape behavior assessed in the MDTB. Intra-dPAG infusion of 8-OH-DPAT also decreased measures of mouse risk assessment in the rat exposure test. In conclusion, the current findings are in partial agreement with previous results obtained with rats tested in the elevated T-maze. Although there is a high level of similarity between the behavioral effects obtained in rats (elevated T-maze) and mice (MDTB and RET) with the infusion of 5-HT agonists into the dPAG, the same is not true regarding the effects of blockade of DRN 5-HT(1A) receptors in these rodent species. These data suggest that there may be differences between mice and rats regarding the involvement of the DRN in the mediation of defensive behaviors. (C) 2010 Elsevier B.V. and ECNP. All rights reserved.
Resumo:
Activation of 5-HT1A receptors in the dorsal periaqueductal gray (dPAG) impairs escape behavior, suggesting a panicolytic-like effect. Cannabidiol (CBD), a major non-psychotomimetic compound present in Cannabis sativa, causes anxiolytic-like effects after intra-dPAG microinjections by activating 5-HT1A receptors. In the present work we tested the hypothesis that CBD could also impair escape responses evoked by two proposed animal models of panic: the elevated T-maze (ETM) and electric stimulation of dPAG. In experiment 1 male Wistar rats with a single cannula implanted in the dPAG received a microinjection of CBD or vehicle and, 10 min later, were submitted to the ETM and open field tests. In experiment 2 escape electrical threshold was measured in rats with chemitrodes implanted in the dPAG before and 10 min after CBD microinjection. In experiment 3 similar to experiment 2 except that the animals received a previous intra-dPAG administration of WAY-100635, a 5-HT1A receptor antagonist, before CBD treatment. In the ETM microinjection of CBD into the dPAG impaired inhibitory avoidance acquisition, an anxiolytic-like effect, and inhibited escape response, a panicolytic-like effect. The drug also increased escape electrical threshold, an effect that was prevented by WAY-100635. Together, the results suggest that CBD causes panicolytic effects in the dPAG by activating 5-HT1A receptors. (C) 2010 Elsevier B.V. All rights reserved.
Resumo:
Contexto: A cárie dentária é um problema de saúde pública, com elevada prevalência em todo o mundo. Ao longo das últimas décadas, várias investigações revelam que a cárie dentária está relacionada com factores sociais e comportamentais. Condições sociais e económicas deficientes, diminuem o acesso à informação e conhecimento, bem como limitam o acesso a serviços especializados de saúde. Os migrantes são um grupo populacional em que estes factores têm especial relevo. Este trabalho tem como objectivo descrever o estado de saúde oral relativamente à cárie dentária, de crianças dos 3 aos 5 anos, filhas de pais imigrantes e portugueses, a frequentar jardim-de-infância, na zona do Cacém- Sintra. Métodos: A amostra deste estudo é composta por 183 crianças, dos 3 aos 5 anos, a frequentar os jardins-de-infância de 3 Instituições Particulares de Solidariedade Social, situadas no Cacém. Os dados foram recolhidos através de um questionário dirigido aos pais e de uma ficha individual de rastreio dentário realizado às crianças. Para aferir a associação entre as variáveis foram aplicados: o teste do Qui-Quadrado de Person, o teste t de Student e o modelo de regressão logística, com o cálculo dos respectivos odds-ratio. O nível de significância estatístico foi de 5%. Resultados: Nas famílias estudadas 36,1% dos pais e 38,3% das mães são imigrantes; 44% das crianças têm pelo menos um progenitor de origem estrangeira. A maioria das famílias tem 2 filhos (45%) e 54,6% das crianças do estudo são primeiros filhos; 48,6% das crianças já foram a uma consulta de saúde oral, e igual percentagem nunca foi a uma consulta desta especialidade; 89% das crianças da amostra escovam os dentes diariamente. A prevalência de cárie na dentição decídua encontrada nesta amostra foi de 25,1%, com um cpo’d grupo de 0,7. Estão livres de história de cárie 84,7% das raparigas e 66,3% dos rapazes (p= 0,004). Verifica-se que os rapazes têm um risco 2,3 vezes maior (OR=2,34) de não ter saúde oral do que as raparigas (p=0,02) e que as crianças que já foram à consulta de saúde oral têm um risco, cerca de 3 vezes maior (OR=3,21) de apresentar um cpo ≠0 do que as crianças que nunca foram à consulta. Conclusão: Nesta amostra não foram encontradas diferenças estatisticamente significativas no cpo’d individual das crianças filhas de imigrantes e de portugueses. O cpo’d demonstrou estar associado à idade, sexo e ida à consulta de saúde oral. Existe uma necessidade emergente de um maior conhecimento do estado de saúde oral destas comunidades, avaliando até que ponto estão mais vulneráveis ao aparecimento de doenças orais.
Resumo:
BACKGROUND: Although colon cancer (CC) with microsatellite instability (MSI) has a more favorable prognosis than microsatellite stable (MSS) CC, the impact varies according to clinicopathological parameters. We studied how MSI status affects prognosis in a trial-based cohort of stage II and III CC patients treated with 5-fluorouracil (5-FU)/leucovorin or FOLFIRI. MATERIALS AND METHODS: Tissue specimens of 1254 patients were tested for 10 different loci and were classified as MSI-high (MSI-H) when three or more loci were unstable and MSS otherwise. Study end points were overall survival (OS) and relapse-free survival (RFS). RESULTS: In stage II, RFS and OS were better for patients with MSI-H than with MSS CC [hazard ratio (HR) 0.26, 95% CI 0.10-0.65, P = 0.004 and 0.16, 95% CI 0.04-0.64, P = 0.01). In stage III, RFS was slightly better for patients with MSI-H CC (HR 0.67, 95% CI 0.46-0.99, P = 0.04), but the difference was not statistically significant for OS (HR 0.70, 95% CI 0.44-1.09, P = 0.11). Outcomes for patients with MSI-H CC were not different between the two treatment arms. RFS was better for patients with MSI-H than with MSS CC in the right and left colon, whereas for OS this was significant only in the right colon. For patients with KRAS- and BRAF-mutated CC, but not for double wild-type patients, RFS and OS were significantly better when the tumors were also MSI-H. An interaction test was statistically significant for KRAS and MSI status (P = 0.005), but not for BRAF status (P = 0.14). CONCLUSIONS: Our results confirm that for patients with stage II CC but less so for those with stage III MSI-H is strongly prognostic for RFS and OS. In the presence of 5-FU treatment, stage II patients with MSI-H tumors maintain their survival advantage in comparison with MSS patients and adding irinotecan has no added benefit. CLINICALTRIALSGOV IDENTIFIER: NCT00026273.
Resumo:
BACKGROUND: To 1) establish the lifetime and 12-month prevalence of DSM-5 bipolar and related disorders including the new algorithmically defined conditions grouped within Other Specified Bipolar and Related Disorders (OSBARD) as well as hyperthymic personality in a randomly selected community sample, and 2) determine the clinical relevance of the OSBARD category in terms of sociodemographic characteristics, course, comorbidity and treatment patterns by comparing the subjects of this category to those with bipolar-I (BP-I), bipolar-II (BP-II), major depressive disorder (MDD), and those with no history of mood disorders. METHODS: The semi-structured Diagnostic Interview for Genetic Studies was administered by masterslevel psychologists to a random sample of an urban area (n=3'719). RESULTS: The lifetime prevalence was 1.0% for BP-I, 0.8% for BP-II, 1.0% for OSBARD and 3% for hyperthymic personality. Subjects with OSBARD were more severely affected than subjects without a history of mood disorders regarding almost all clinical correlates. Compared to those with MDD, they also revealed an elevated risk of suicidal attempts, lower global functioning, more treatment seeking and more lifetime comorbidity including anxiety, substance use and impulse-control disorders. However, they did not differ from subjects with BP-II. LIMITATIONS: Small sample sizes for bipolar and related disorders and potential inaccurate recall of symptoms. CONCLUSIONS: The modifications of diagnostic criteria for manic/hypomanic episodes according to the DSM-5 only marginally affect the prevalence estimates for BP-I and BP-II. The new DSM-5 OSBARD category is associated with significant clinical burden, is hardly distinct from BP-II with respect to clinical correlates and deserves similar clinical attention.
Resumo:
Objective. The goal of this study was to present the pathological and radiological patterns of "vulnerable" atherosclerotic plaques in cases of sudden cardiac death. Method. This retrospective study was performed on forensic cases for which the cause of death was attributed to coronary artery disease. A complete autopsy was performed in all cases, along with either post-mortem CT-angiography, toxicological analyses and/or biochemistry. Results. 89 cases were selected (mean age 55±11.6 years; 75 men and 14 women). In 96.6% of cases a CT-angiography was performed. Acute coronary lesions were found in 60 cases (mean age 53±11.1 years), which included plaque erosion in 26 cases (mean age 47±8.3 years) and ruptures or intraplaque hemorrhage in 33 cases (mean age 58±10.4 years). Erosions were most frequently found in the left ascending artery (61.5 %), while only 36% of ruptures were observed in this artery. Chronic coronary pathology was described in 30 cases (mean age 58±10.4 years). CT-angiographies performed prior to the autopsy enabled an initial evaluation of coronary artery perfusion. Conclusion. In the face of decreasing clinical autopsy rates, postmortem studies on forensic autopsies, including modern radiological examinations, allow for a more thorough understanding of the clinical picture of disease which can result in sudden cardiac death.
Resumo:
The Rathbun Land and Water Alliance and partners have implemented a uniquely effective approach to water quality protection through the Rathbun Lake Special Project. This approach is achieving a significant reduction in the sediment and phosphorus that impair water quality in Rathbun Lake and its tributaries as a result of the targeted application of best management practices (BMPs) for priority land in the watershed. This project application proposes to assist landowners to apply BMPs that will reduce sediment and phosphorus delivery from priority land in four targeted sub-watersheds as part of the Rathbun Lake Special Project. Features of this project are: (1) use of geographic information system (GIS) analysis to identify priority land that requires BMPs; (2) assistance for landowners to apply BMPs on 5,100 acres that will reduce the annual delivery of sediment by 8,130 tons and phosphorus by 35,980 pounds; (3) evaluation of the benefits from BMP application using GIS analysis and water quality monitoring; and (4) watershed outreach activities that encourage landowners to apply BMPs for priority land to protect water quality.
Resumo:
Tesis (Maestría en Ciencias, con especialidad en Ingeniería Ambiental) U. A. N. L.
Resumo:
Dieser Tagungsband enthält die gesammelten Zusammenfassungen der acht eingereichten Vorträge des 5. Krypto-Tags. Der Kryptotag ist eine zentrale Aktivität der Fachgruppe "Angewandte Kryptologie" der Gesellschaft für Informatik e.V. Er ist eine wissenschaftliche Veranstaltung im Bereich der Kryptologie und von der organisatorischen Arbeit der Fachgruppe getrennt.
Resumo:
In the present study we compared the affinity of various drugs for the high affinity "agonist-preferring" binding site of human recombinant 5-HT2A, 5-HT2B and 5-HT2C receptors stably expressed in monoclonal mammalian cell lines. To ensure that the "agonist-preferring" conformation of the receptor was preferentially labelled in competition binding experiments, saturation analysis was conducted using antagonist and agonist radiolabels at each receptor. Antagonist radiolabels ([H-3]-ketanserin for 5-HT2A receptor and [H-3]-mesulergine for 5-HT2B and 5-HT2C receptor) bound to a larger population of receptors in each preparation than the corresponding agonist radiolabel ([I-125]-DOI for 5-HT2A receptor binding and [H-3]-5-HT for 5-HT2B and 5-HT2C receptor binding). Competition experiments were subsequently conducted against appropriate concentrations of the agonist radiolabels bound to the "agonist-preferring" subset of receptors in each preparation. These studies confirmed that there are a number of highly selective antagonists available to investigate 5-HT2 receptor subtype function (for example, MDL 100907, RS-127445 and RS-102221 for 5-HT2A, 5-HT2B and 5-HT2C receptors respectively). There remains, however, a lack of highly selective agonists. (-)DOI is potent and moderately selective for 5-HT2A receptors, BW723C86 has poor selectivity for human 5-HT2B receptors, while Org 37684 and VER-3323 display some selectivity for the 5-HT2C receptor. We report for the first time in a single study, the selectivity of numerous serotonergic drugs for 5-HT2 receptors from the same species, in mammalian cell lines and using, exclusively, agonist radiolabels. The results indicate the importance of defining the selectivity of pharmacological tools, which may have been over-estimated in the past, and highlights the need to find more selective agonists to investigate 5-HT2 receptor pharmacology.
Resumo:
Using bis(3,5-dimethylpyrazol-1-yl)methane as an N-N donor ligand, a trans-[Ru-III(N-N)(2)Cl-2](+) core has been isolated from the direct reaction of the ligand with RuCl3 center dot xH(2)O and characterized structurally for the. first time. The core displays a rhombic EPR spectrum and a quasireversible Ru(II/III) couple with an E-1/2 of -0.34 V versus NHE. (C) 2008 Elsevier B.V. All rights reserved.
Resumo:
Canopy leaf area index (LAI), defined as the single-sided leaf area per unit ground area, is a quantitative measure of canopy foliar area. LAI is a controlling biophysical property of vegetation function, and quantifying LAI is thus vital for understanding energy, carbon and water fluxes between the land surface and the atmosphere. LAI is routinely available from Earth Observation (EO) instruments such as MODIS. However EO-derived estimates of LAI require validation before they are utilised by the ecosystem modelling community. Previous validation work on the MODIS collection 4 (c4) product suggested considerable error especially in forested biomes, and as a result significant modification of the MODIS LAI algorithm has been made for the most recent collection 5 (c5). As a result of these changes the current MODIS LAI product has not been widely validated. We present a validation of the MODIS c5 LAI product over a 121 km2 area of mixed coniferous forest in Oregon, USA, based on detailed ground measurements which we have upscaled using high resolution EO data. Our analysis suggests that c5 shows a much more realistic temporal LAI dynamic over c4 values for the site we examined. We find improved spatial consistency between the MODIS c5 LAI product and upscaled in situ measurements. However results also suggest that the c5 LAI product underestimates the upper range of upscaled in situ LAI measurements.
Resumo:
Apresentamos a análise de diagramas cor-magnitude (CMDs) profundos para 5 aglomerados ricos da Grande Nuvem de Magalhães (LMC). Os dados fazem parte do projeto HST G07307, entitulado "Formação e Evolução de Aglomerados Estelares Ricos da LMC", e foram obtidos através do HST/WFPC2 nos filtros F555W (~ V) e F814W (~ I), alcançando V555~25. A amostra de aglomerados é composta por NGC 1805 e NGC 1818, os mais jovens (r < 100 Myr), NGC 1831e NGC 1868,de idades intermediárias (400 < r < 1000Myr), e Hodge 14, o mais velho (r > 1200Myr). Discutimos e apresentamos um método de correção dos CMDs para incompleteza da amostra e contaminação por estrelas de campo. O uso eficiente das informações contidas nos CMDs foi feito por meio de comparações entre os CMDs observados e CMDs modelados. O processo de modelamento de CMDs gera uma Seqüência Principal (MS) sintética, que utiliza como entrada do modelo a informação sobre idade (r), metalicidade (Z), Função de Massa do Presente (PDMF), fração de binárias não resolvidas, distância e extinção da luz. As incertezas fotométricas foram empiricamente determinadas a partir dos dados e incorporadas no modelamento. Técnicas estatísticas de comparação entre CMDs em 1D e 2D são apresentadas e aplicadas como métodos objetivos capazes de determinar a compatibilidade entre modelo e observação. Modelando os CMDs da região central dos aglomerados podemos inferir a metalicidade (Z), o módulo de distância intrínseco ((V - Mv)o) e o avermelhamento (E(B-V)) para cada aglomerado. Também determinamos as idades para os 3 aglomerados mais velhos de nossa amostra. Continuação) Através da comparação em 2D os valores encontrados foram os seguintes: para NGC 1805, Z = 0.007:1+-0.003, (V - Mv)o = 18.50:1+- 0.10, E(B - V) = 0.03:1+-0.01; para NGC 1818,Z = 0.005:1+-0.002, (V - Mv)o = 18.50:1+-0.15, E(B - V)~0.00; para NGC 1831, Z = 0.012:1+-0.002, log(r /yr) = 8.70 :I+-0.05, (V - Mv)o = 18.70:1+- 0.05, E(B - V)~ 0.00; para NGC 1868, Z = 0.008:1+-0.002,log(r/yr) =8.95:1+-0.05, (V - Mv)o = 18.70:1+- 0.05, E(B - V) ~0.00; para Hodge 14, Z = 0.008+-0.004, log(r/yr) = 9.23+-0.10, (V - Mv)o = 18.50+-0.15, E(B - V) = 0.02+- 0.02. Estes valores estão de acordo, dentro das incertezas, com os valores obtidos através da análise de linhas fiduciais (lD), o que agrega confiabilidade a estas determinações. Através da análise de CMDs em regiões concêntricas determinamos a dependência espacial da inclinação da PDMF (a) nos aglomerados mais ricos. Para tanto empregamos duas abordagens distintas para a determinação de a: 1) método tradicional em 1D via conversão direta de V555em massa; 2) método em 2D via modelmento de CMDs. Independente do método de análise, todos os aglomerados analisados demonstram claramente o efeito de segregação em massa. Além disso, NGC 1818, NGC 1831 e NGC 1868 apresentam uma possível perda seletiva de estrelas de baixa massa nas suas regiões mais externas.