959 resultados para Bypass
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Climate change in tropical countries, like Brazil, causes major problems in dairy production due to an increase of heat stress effects. In recent years, milk production in Brazil increased 36.07%. The Southeast region remains a leader in production with herds of high producing Holstein cattle (mostly), which is more susceptible to heat stress. Thermal stress decreases fertility in direct and indirect ways. Conception rates are reduced of 40-60% during cooler months of the year and 10-20% in the warmer months. Negative effects of heat stress involve changes in reproductive hormones, follicular development, oocytes, and embryos, and decreased dry matter intake. Several studies discuss change in reproductive hormones, such as reduction in plasma concentration of GnRH, LH, and oestradiol, which lead to decreased detection of estrus and ovulation. Various methods are being studied to bypass these negative effects and increase the fertility of dairy cows under heat stress. Cooling systems are the most advantageous and can be associated with technologies such as ET and TAI
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Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Use of ring in Roux-en-Y gastric bypass is still a matter of controversy among bariatric surgeons. There is no consensus on its impact in relation to weight loss and weight maintenance in the long term. AIM: To evaluate the influence of the ring on the evolution of body weight over four years after bariatric surgery. METHODS: Retrospective analyzis of 143 women who underwent laparoscopic Roux-en-Y gastric bypass paired on the use or not use of Silastic® ring. Follow-up time was 48 months. Inclusion criteria were age over 18 years, primary bariatric operation and regular attendance at the clinic during the period of interest for research. The technique kept small gastric reservoir estimated in a volume of 30 ml. The food limb had in average 150 cm and the bile one 40 cm from the duodenojejunal angle. The group "ring" used Silastic® device with length of 6.5 cm, placed 2 cm from gastrojejunal anastomosis. The ring was closed for five polypropylene surgical thread sutures. In the morning after surgery the patients received isotonic fluids; on the second day salty liquid diet and were discharged on the third day. Semisolid diet started from the 20th day and solid on the 30th, with daily tablet of polivitamins. RESULTS: The weight loss was larger on the ring than without ring groups in all periods, respectively 10% and only 5% in the third postoperative year. The proportion of not having reached the 50% excess weight loss expectative was significantly higher in the group without ring than in the group with the ring (31% and 8% respectively in the fourth year). There was no difference between groups in delayed recovery of weight lost with the operation. CONCLUSIONS: The results were favorable to use the ring exclusively when it is analyzed only the weight loss.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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The aim of this paper is to reflect on the problem of mental causation according to Lynne Rudder Baker’s Practical Realism. I try to show how the pragmatic assumptions of the philosopher allow her to criticize the prevalent views about the relation between mind and body, the Cartesian dualism, and, especially, the Jaegwon Kim’s reductionist materialism, as well as to restore and bypass, not without problems, the difficulties inherent in those approaches.
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Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC
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Pós-graduação em Enfermagem (mestrado profissional) - FMB
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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The emergence of wavelength-division multiplexing (WDM) technology provides the capability for increasing the bandwidth of synchronous optical network (SONET) rings by grooming low-speed traffic streams onto different high-speed wavelength channels. Since the cost of SONET add–drop multiplexers (SADM) at each node dominates the total cost of these networks, how to assign the wavelength, groom the traffic, and bypass the traffic through the intermediate nodes has received a lot of attention from researchers recently. Moreover, the traffic pattern of the optical network changes from time to time. How to develop dynamic reconfiguration algorithms for traffic grooming is an important issue. In this paper, two cases (best fit and full fit) for handling reconfigurable SONET over WDM networks are proposed. For each approach, an integer linear programming model and heuristic algorithms (TS-1 and TS-2, based on the tabu search method) are given. The results demonstrate that the TS-1 algorithm can yield better solutions but has a greater running time than the greedy algorithm for the best fit case. For the full fit case, the tabu search heuristic yields competitive results compared with an earlier simulated annealing based method and it is more stable for the dynamic case.
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The emergence of Wavelength Division Multiplexing (WDM) technology provides the capability for increasing the bandwidth of Synchronous Optical Network (SONET) rings by grooming low-speed traffic streams onto different high-speed wavelength channels. Since the cost of SONET add-drop multiplexers (SADM) at each node dominates the total cost of these networks, how to assign the wavelength, groom in the traffic and bypass the traffic through the intermediate nodes has received a lot of attention from researchers recently.