Correlação entre os níveis de Ca-125 séricos e os achados cirúrgicos em mulheres com sintomas sugestivos de endometriose

OBJETIVO: Correlacionar os níveis séricos pré-operatórios do antígeno do câncer 125 (Ca-125) e os achados laparoscópicos em mulheres com sintomas dolorosos sugestivos de endometriose. MÉTODOS:Um estudo retrospectivo foi realizado incluindo todas as mulheres com sintomas de dor pélvica suspeitos para endometriose operadas por laparoscopia no período de janeiro de 2010 a março de 2013. As pacientes foram divididas em 2 grupos de acordo com a dosagem de Ca-125 (<35 U/mL e >35 U/mL). Subsequentemente, as pacientes com endometrioma ovariano foram excluídas e uma análise adicional foi conduzida novamente de acordo com os níveis do Ca-125. Os seguintes parâmetros foram comparados entre os grupos: presença de endometrioma, presença e número de lesões de endometriose profunda infiltrativa (EPI) e escore da American Society for Reproductive Medicine. A análise estatística foi realizada com o programa Statistica versão 8.0, usando o teste exato de Fisher, o teste t de Student e o teste Mann-Whitney, quando necessário. Os valores p<0,05 foram considerados estatisticamente significativos. RESULTADOS: Durante o período de estudo, um total de 350 mulheres foram submetidas a tratamento laparoscópico de endometriose. Cento e trinta pacientes (37,1%) apresentaram Ca-125 >35 U mL e 220 (62,9%) apresentaram Ca-125 <35 U/mL. A presença de endometrioma ovariano (47,7 versus 15,9%), lesões de EPI (99,6 versus 78,6%) e lesões de EPI intestinal (60 versus 30,9%) foi mais frequente, e o escore da AFSr foi maior (34 versus 6) no primeiro grupo. Na segunda análise, excluindo as pacientes com endometrioma ovariano (>35 U/mL=68 pacientes e <35 U/mL=185 pacientes), resultados semelhantes foram obtidos. A presença de lesões de EPI (91,2 versus 76,2%), lesões de EPI intestinal (63,2 versus 25,4%), lesões de EPI de bexiga (20,6 versus 4,8%) e lesões de EPI ureteral (7,3 versus 1,6%) foi mais frequente, e o escore da AFSr foi maior (10 versus 6) no grupo Ca-125>35 U/mL. CONCLUSÕES: Em mulheres com sintomas dolorosos pélvicos suspeitos para endometriose com dosagem pré-operatória de Ca-125 >35 U/mL, a investigação de EPI é mandatória, especialmente quando não se identifica endometrioma ovariano em exames de imagem.

Ford-utbytessystemet innebär en penninginbesparing av ca 50 %

kuv., 22 x 14 cm

Influência dos Íons Mg, Ca, Fe, Cu e Zn sobre a tensão superficial estática de soluções contendo surfatante

O objetivo do estudo foi avaliar a influência da presença de cinco íons em uma calda de pulverização contendo o surfatante Aterbane. A tensão superficial foi analisada por meio da medição da massa de um conjunto de 25 gotas, com quatro repetições constituindo um tratamento. O trabalho foi dividido em duas etapas. Na primeira, os tratamentos foram combinados em esquema fatorial 9x5x2, sendo nove concentrações do surfatante Aterbane (0,01; 0,025; 0,05; 0,1; 0,2; 0,5; 1; 2; e 3%), cinco íons (Mg++, Ca++, Fe+++, Cu+++ e Zn+++) e duas concentrações desses elementos (10 e 100 ppm). Na segunda etapa, os tratamentos foram combinados em esquema fatorial 5x5x1, utilizandose os mesmos cinco elementos (Mg++, Ca++, Fe+++, Cu+++ e Zn+++), em cinco concentrações (1, 5, 20, 50 e 200 ppm), com apenas uma concentração do surfatante Aterbane (0,025%). Outros nove tratamentos permitiram avaliar as tensões superficiais das concentrações do surfatante (0,01; 0,025; 0,05; 0,1; 0,2; 0,5; 1; 2; e 3%) sem a adição dos íons. Os resultados mostraram que houve interferência dos íons sobre as soluções, já que, com exceção do Fe+++ (na concentração de 10 e 100 ppm) e do Cu+++ (na concentração de 100 ppm), todos os íons reduziram a tensão mínima alcançada e aumentaram a eficiência do surfatante, implicando benefícios à ação do surfatante e sobre as características de possíveis soluções de aplica��ão. Todos os íons avaliados promoveram reduções nas tensões superficiais de soluções do surfatante na concentração de 0,025%.

Mannen som objekt och problem : Heikki Waris och betydelsen av kön i vetenskaplig socialpolitik, ca 1930-1970

I avhandlingen analyseras betydelsen av kön i den vetenskapliga socialpolitiken vid 1900-talets mitt, i synnerhet med fokus på Heikki Waris (1901–1989) produktion. Waris var Finlands första professor i socialpolitik, som efter andra världskriget etablerades som ett akademiskt ämne vid de finländska universiteten, och Waris blev känd som en av tidens främsta auktoriteter på den finländska socialpolitiken. Vid en tid då välfärdsstaten etablerades och samhället genomgick en snabb moderniseringsprocess, fokuserade den socialpolitiska forskningen på problem och frågor som främst ansågs beröra den manliga delen av befolkningen, såsom alkoholkonsumtion och relationer inom det industriella arbetet. Detta trots att de nordiska staterna senare skulle bli kända som så kallade kvinnovänliga välfärdsstater, där frågor om kvinnors position och jämställdhet beaktades. I avhandlingen belyses hur de texter Waris skrev, samt den forskning som han initierade, skapade ideal baserade på sundhet, ekonomiskt ansvarstagande, aktivitet och medvetenhet samt hur dessa ideal var kopplade till män och manlighet. Förutom att visa hur ideal konstruerades, studeras även de olika formerna och funktionerna av kön i den socialpolitiska litteraturen. Behandlades kön endast som demografisk kategori eller fanns det ett djupare intresse för mäns och kvinnors positioner och roller? Vilka förhållanden ville Waris och de andra socialpolitikerna belysa med att lyfta fram frågor om kön i sina texter? Waris var även en auktoritet på den snabba moderniseringsprocess som Finland hade genomgått sedan industrialiseringen vid 1800-talets slut. I avhandlingen argumenteras för att män och kvinnor på varierande sätt blev symboler för samhällelig förändring. ------------------------ Väitöskirjassa tutkitaan sukupuolen merkitystä sosiaalipolitiikan tutkimuksessa 1900-luvun puolivälissä. Lähtökohtana on Heikki Wariksen (1901–1989) tieteellinen tuotanto. Waris toimi Suomen ensimmäisenä sosiaalipolitiikan professorina ja kehitti sosiaalipolitiikkaa akateemisena aiheena Suomessa toisen maailmansodan jälkeen. Waris tunnettiin yhtenä aikansa merkittävimpänä suomalaisen sosiaalipolitiikan asiantuntijana. Hyvinvointivaltion rakentumisaikana sosiaalipolitiikan tutkimus keskittyi miehiin liittyviin ongelmiin ja kysymyksiin, kuten alkoholin kulutukseen. Väitöskirjassa osoitetaan miten Wariksen teksteissä, ja Wariksen ohjaamissa väitöskirjoissa rakennettiin terveellisyydelle, elättäjyydelle, aktiivisuudelle sekä tietoisuudelle pohjautuva ihanne, joka oli kytketty miehiin ja miehuuteen. Lisäksi tutkitaan sukupuolen muotoja ja funktioita sosiaalipoliittisessa kirjallisuudessa. Oliko sukupuoli pelkkä väestöllinen kategoria vai osoittivatko sosiaalipolitiikan tutkijat syvällisempää mielenkiintoa miesten ja naisten asemaa sekä rooleja kohtaan? Mitkä asiat huomioitiin sukupuolen avulla? Waris oli myös industrialismin aiheuttaman yhteiskuntamuutoksen asiantuntija. Väitöskirjassa osoitetaan miten miehiä ja naisia käsiteltiin eri tavalla muutoksen symboleina.

Karte von Amerika aus dem Jahre 1500 : entworfen von Juan de la Cosa : Begleiter des Columbus auf dessen zweiter Reise

Faksimile Juan de la Cosan kartasta vuodelta 1500

A chart of the southern part of South America : with the track of the centurion from the island of St. Catherines to the island of Juan Fernandes in which is inserted the variation and soundings observ'd on board her, together with her deviation from her estimated course in passing round Cap Horn, occasiond by the force of the currents / R. W. Seale sculp

Nimeketiedot nimiönkehyksissä

Effect of thyroparathyroidectomy on urinary acidification in diabetic rats

In previous studies we have shown stimulation of renal acid excretion in the proximal tubules of rats with diabetes of short duration, with no important alterations in glomerular hemodynamics; on the other hand, in thyroparathyroidectomized rats (TPTX model), a significant decrease in renal acid excretion, glomerular filtration rate (GFR) and renal plasma flow (RPF) was detected. Since important changes in the parathyroid hormone-vitamin D-Ca axis are observed in the diabetic state, the present study was undertaken to investigate the renal repercussions of thyroparathyroidectomy in rats previously made diabetic by streptozotocin (45 mg/kg). Four to 6 days after the induction of diabetes (DM), a group of rats were thyroparathyroidectomized (DM + TPTX). Renal functional parameters were evaluated by measuring the inulin and sodium para-aminohippurate clearance on the tenth day. The decrease in the GFR and RPF observed in TPTX was not reversed by diabetes since the same alterations were observed in DM + TPTX. Net acid (NA) excretion was unchanged in DM (6.19 ± 0.54), decreased in TPTX (3.76 ± 0.25) and returned to normal levels in DM + TPTX (5.54 ± 0.72) when compared to the control group (6.34 ± 0.14 µmol min-1 kg-1). The results suggest that PTH plays an important vasodilator role regarding glomerular hemodynamics, since in its absence the impairment in GFR and RPF was not reversed by the diabetic state. However, with respect to acid excretion, the presence of diabetes was able to overcome the negative stimulus represented by TPTX.

Porous Bodies, Porous Minds. Emotions and the Supernatural in the Íslendingasögur (ca. 1200–1400)

In my PhD Thesis, I study the conceptions and representation of emotions in medieval 13th and 14th-century Iceland. I have used Icelandic saga literature as my source material and Icelandic Family sagas (Íslendingasögur) as my main sources. Firstly, I wished to explore in my study the medieval Icelandic folk theory of emotions: what emotions were thought to be, from what they originated and how they operated? Secondly, in earlier research it has been shown that emotions were seldom described in Íslendingasögur. They were mostly represented in dialogue, poetry or in somatic changes (e.g. turning pale). Consequently, I examined whether medieval Icelanders had alternative emotion discourses in literature, in addition to the usual manner of representation. My study consists of qualitative case studies, and I have analysed the sources intertextually. I suggest that medieval Icelanders regarded emotions as movements of the mind. The mind existed in the heart. As a consequence, emotions were considered physical in nature. The human body and therefore also the human mind was considered porous: if the mind of the person was not strong enough, supernatural agents and forces could penetrate theboundaries of his/her body as winds or sharp projectiles. Correspondingly, minds of strong-willed people could penetrate the minds of others. As a result, illness and emotions could upspring. People did not always distinguish between emotions and physical illnesses. Excessive emotions could cause illness, even death. Especially fear, grief and emotions of moral responsibility (e.g. guilt) made people vulnerable to the supernatural influence. Guilt was considered part of the emotional experience of misfortune (ógæfa), and in literature guilt could also be represented as eye pain that was inflicted upon the sufferer by a supernatural agent in a dream. Consequently, supernatural forces and beings were part of the upspring of emotions, but also part of the representation of emotions in literature: They caused the emotion but their presence also represented the emotional turmoil in the lives of the people that the supernatural agents harassed; emotions that had followed from norm transgressions, betrayal and other forms of social disequilibrium. Medieval readers and listeners of the Íslendingasögur were used to interpreting such different layers of meaning in texts.

Nåden och gåvan i Philipp Melanchthons rättfärdiggörelselära 1521-1535

In this thesis Philip Melanchthon’s doctrine of justification is analyzed, especially the aspects of favor and donum in his writings until 1535. The research task is defined in the introduction of the thesis. Researchers agree, that Melanchthon emphasized the forensic aspect of the doctrine of justification, but this is not the case with the effective aspect of his doctrine of justification. Therefore, I have chosen to focus on the concepts of favor (grace) and donum (gift). The thesis begins with an analysis of the first edition of the Loci communes of 1521 in chapter two, and it ends with the second edition from 1535 in chapter seven. Melanchthon’s most important writings from the intervening period are analyzed in chapters three to six. In chapter eight, I describe my final results from the analysis. Although I have focused on how Melanchthon perceived the relationship between favor and donum, I have also taken note of such loci that are associated with his view of justification. I have done this in order to get a clearer picture of Melanchthon’s doctrine of justification, and of the issues which change in his theological thinking over time. In the research overview in chapter one, I divided the researchers in four different groups depending on how they perceive Melanchthon’s doctrine of justification. This classification is of course not comprehensive, since the reality is much more complicated. The main interpretations present in Melanchthon research are: 1. Christ as favor in justification, but donum is excluded from justification. 2. Christ as favor in justification, but the Spirit is donum in justification. 3. Christ as both favor and donum in justification until the early 1530s. 4. Christ as both favor and donum in justification throughout his life. The fourth option is in my opinion the most preferable. The analysis of Melanchthon’s writings shows that he expects both a forensic, and an effective aspect in the doctrine of justification throughout the examined period. Melanchthon strongly emphasizes that justification is by grace alone through faith for Christ’s sake, but also that the Holy Spirit works the justifying faith, and is the gift bestowed on believers in connection with this. Where the opponents according to Melanchthon see deeds, virtues, or a quality in the believer as the cause of the justification, there Melanchthon sees only Christ.

The first report in Brazil of severe infection caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA)

Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is an emergent pathogen in Brazil. However, there are no data on the prevalence of CA-MRSA. We report here the first well-characterized case of severe life-threatening CA-MRSA infection in a child living in Rio de Janeiro city. The patient had many complications including hematogenous osteomyelitis and involvement of multiple sites requiring drainage of soft-tissue abscess, and pleural and pericardial empyema. The MRSA isolates recovered were genotyped using PFGE, SCCmec typing and multilocus sequence typing. Disk diffusion tests were performed following Clinical and Laboratory Standards Institute recommendations. In addition, the presence of Panton-Valentine leukocidin (PVL) was assessed by PCR amplification, using specific primers for lukF-pv (encoding for the F subunit of the PVL). The bacterial isolates were related to the ST30-SCCmecIV lineage (Oceania Southwest Pacific clone), a PVL producer CA-MRSA previously detected in Porto Alegre, RS, Brazil. Also, the isolates analyzed were susceptible to all non-β-lactam antibiotics tested. The present report demonstrates that disseminated CA-MRSA disease is also occurring in Rio de Janeiro. Thus, the empirical treatment of moderate or severe infections suspected of being associated with CA-MRSA needs to be reviewed in order to allow prompt initiation of an effective therapy that also covers these microorganisms.

Influência da adição de íons Ca++ e Mg++ na dureza de géis de concentrado proteíco de soro de leite bovino

Inúmeros estudos vêm sendo realizados com o objetivo de compreender o comportamento das proteínas do Concentrado Protéico de Soro (CPS). A capacidade destas proteínas em formar géis estáveis a temperaturas entre 70ºC e 90ºC, é uma propriedade funcional importante para a confecção de vários produtos alimentícios, tais como: produtos de padaria, cárneos, texturizados e lácteos. A concentração protéica, pH, composição iônica e temperatura podem ser controladas para obter um gel com as características desejadas. Neste trabalho foi investigado o efeito dos íons metálicos bivalentes Ca++ e Mg++, na propriedade de dureza de géis de CPS induzidos termicamente. Dispersões protéicas a 6; 7 e 8% de proteína do CPS a pH 6,3 com 0; 7,5; 15; 30 e 75mm de CaCl2 ou MgCl2 foram aquecidas a 75ºC por 45 min, resfriadas a 4ºC por 12 horas, e os géis avaliados em um texturômetro TA-XT2. Os géis formados com maiores concentrações do sal adicionado obtiveram maiores valores de dureza na faixa estudada. Nas concentrações de 15 a 75mM os valores de dureza dos géis com a adição de CaCl2 foram significativamente maiores (p<0,05) do que com adição de MgCl2. Na concentração de 8% de proteínas do CPS ambos os tratamentos atingem o maior valor de dureza (p<0,05) a 30mM do sal adicionado. O cálcio iônico mostrou ter um importante papel na formação do gel de proteínas do soro.

Oroliga inför framtiden : en studie av folkligt politiskt agerande bland bruksarbetarna i Billnäs ca 1900–1920

Åren 1901, 1905–1906 och 1917–1918 gjorde bruksarbetarna i Billnäs uppror mot bruksledningen och den lokala makteliten. Det lugna och harmoniska brukssamhället i Västnyland drabbades av djupgående konfrontationer som ledde till uppsägningar, vräkning av arbetarfamiljer och att slutligen 54 bruksarbetare miste livet till följd av deras upproriskhet. I den här avhandlingen undersöker jag med ett mikrohistoriskt angreppssätt folkligt politiskt agerande i det tidiga 1900-talets Finland. Genom att närma vanliga människors vardag och deras politiska föreställningar om samhället omkring dem, avser jag med den här avhandlingen skapa nya förståelser för politiskt agerande bland samhällets underordnade. För att kunna genomföra detta har jag i avhandlingen kombinerat olika slags källor: jag använder arkivmaterial, tidningar och intervjuer. Avhandlingens teoretiska ram utgörs av socialhistorisk forskning som studerar folkligt politiskt agerande på olika håll i världen och av nyare kulturhistorisk forskning som tar i beaktande hur klass, genus, språk och religion fungerade i människors vardag. Med den här avhandlingen vill jag bidra till att försöka skapa förståelse för vår tids politiska agerande (alltifrån upplopp till vardagligt motstånd) bland människor vars vardag påverkas av sociala och politiska omvälvningar. Kan olika former av folkligt politiskt agerande förstås som uttryck för att allt flera idag, liksom bruksarbetarna i början av 1900-talet, är oroliga inför framtiden?

Finska kyrkor i svenska församlingar – den finskspråkiga minoriteten i Nyland och Egentliga Finland ca 1721–1850

Artikel i festskrift.