1000 resultados para Hermann Weinsberg
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Os objetivos deste trabalho foram estabelecer estimativas dos coeficientes de repetibilidade (r) e determinar a previsibilidade (R²) e o número de medições necessárias das características toneladas de colmos por hectare, toneladas de sacarose no caldo da cana por hectare e teor de sacarose dos colmos, pol porcento cana, em genótipos de cana-de-açúcar. O delineamento experimental utilizado foi o de blocos casualizados, com três repetições em quatro experimentos e quatro repetições nos demais experimentos. As estimativas de repetibilidade foram obtidas pelos métodos estatísticos da análise de variância, componentes principais com base na matriz de correlações e análise estrutural (correlação, r - médio). As estimativas dos coeficientes de repetibilidade revelaram valores muito semelhantes. A repetibilidade média geral nas três características foi superior a 0,60, demonstrando regularidade do desempenho dos genótipos nas várias medições (cortes) e confiabilidade na discriminação genotípica superior a 87%. Verificou-se, nas três características, a necessidade do emprego de no mínimo três cortes, para que a seleção possa ser praticada com previsibilidade do valor real do genótipo acima de 80%.
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BACKGROUND: Video-laryngoscopes are marketed for intubation in difficult airway management. They provide a better view of the larynx and may facilitate tracheal intubation, but there is no adequately powered study comparing different types of video-laryngoscopes in a difficult airway scenario or in a simulated difficult airway situation. METHODS/DESIGN: The objective of this trial is to evaluate and to compare the clinical performance of three video-laryngoscopes with a guiding channel for intubation (Airtraq?, A. P. Advance?, King Vision?) and three video-laryngoscopes without an integrated tracheal tube guidance (C-MAC?, GlideScope?, McGrath?) in a simulated difficult airway situation in surgical patients. The working hypothesis is that each video-laryngoscope provides at least a 90% first intubation success rate (lower limit of the 95% confidence interval >0.9). It is a prospective, patient-blinded, multicenter, randomized controlled trial in 720 patients who are scheduled for elective surgery under general anesthesia, requiring tracheal intubation at one of the three participating hospitals. A difficult airway will be created using an extrication collar and taping the patients' head on the operating table to substantially reduce mouth opening and to minimize neck movement. Tracheal intubation will be performed with the help of one of the six devices according to randomization. Insertion success, time necessary for intubation, Cormack-Lehane grade and percentage of glottic opening (POGO) score at laryngoscopy, optimization maneuvers required to aid tracheal intubation, adverse events and technical problems will be recorded. Primary outcome is intubation success at first attempt. DISCUSSION: We will simulate the difficult airway and evaluate different video-laryngoscopes in this highly realistic and clinically challenging scenario, independently from manufacturers of the devices. Because of the sufficiently powered multicenter design this study will deliver important and cutting-edge results that will help clinicians decide which device to use for intubation of the expected and unexpected difficult airway. TRIAL REGISTRATION: NCT01692535.
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Collection : Actualités scientifiques et industrielles ; 722
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Collection : Actualités scientifiques et industrielles ; 720
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Collection : Les hormones sexuelles ; 5
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Collection : Actualités scientifiques et industrielles ; 602, 6
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Collection : Actualités scientifiques et industrielles ; 604, 8
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Collection : Actualités scientifiques et industrielles ; 601, 5
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Collection : Actualités scientifiques et industrielles ; 603, 7
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En poésie, l'acte de lecture a généralement été réduit à la contagion affective ou à la réénonciation. La toute-puissance de l'auteur ou du poème semble reléguer le lecture à une pure passivité affective. Ce chapitre offre tout d'abord un tour d'horizon des présupposés de la lecture lyrique dans les théories françaises contemporaines. Il montre ensuite comme reconsidérer le questionnement empathique face à un genre principalement fondé sur une "incarnation textuelle" de la vie affective. Les degrés de lecture se calquent alors sur les degrés de cognition.