882 resultados para grades


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The ability to identify individuals at greatest risk of developing lung cancer can significantly enhance the efficacy of intervention modalities. One strategy for identifying these individuals is through biomarkers that reflect the severity of their cancer. In the present study, we evaluated 22 lung cancer patients and 35 controls to determine whether the frequency of chromosome aberrations was significantly associated with specific clinical variables such as the histological type, grade and stage of the turners. Chromosome aberrations (expressed as total breaks) were investigated on chromosome 1 in interphase nuclei obtained from blood Lymphocytes of the study participants using the fluorescence in situ hybridization (FISH) chromosome aberration assay. Our results indicate a significant linear increase (P = 0.01) in the level of breaks with respect to the grade of the carcinoma. The poorly differentiated tumors had a significantly higher level of chromosome breaks mean +/- SD (1.7 +/- 0.46) as compared to the well differentiated tumors (0.98 +/- 0,23, P < 0,05). These results indicate that chromosome aberrations, as determined by the FISH assay, can be used as a biomarker for identifying individuals with aggressive types of lung cancer and potentially, as a predictor for prognostic outcome of the disease. (C) 2000 Elsevier B.V. Ireland Ltd. All rights reserved.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Objective: The aim was to compare there ulcer classification systems as predictors of the outcome of diabetic foot ulcers; the Wagner, the University of Texas (UT) and the size (area, depth), sepsis, arteriopathy, denervation system (S(AD)SAD) systems in specialist clinic in Brazil.Methods: Ulcer area, depth, appearance, infection and associated ischaemia and neuropathy were recorded in a consecutive series of 94 subjects. A novel score, the S(AD)SAD score, was derived from the sum of individual items of the S(AD)SAD system, and was evaluated. Follow-up was for at least 6 months. The primary outcome measure was the incidence of healing.Results: Mean age was 57.6 years; 57 (60.6%) were made. Forty-eight ulcers (51.1%) healed without surgery; 11 (12.2%) subjects underwent minor amputation. Significant differences in terms of healing were observed for depth (P = 0.002), infection (P = 0.006) and denervation (P = 0.002) using the S(AD)SAD system, for UT grade (P = 0.002) and stage (P = 0.032) and for Wagner grades (P = 0.002). Ulcers with an S(AD)SAD score of <= 9 (total possible 15) were 7.6 times more likely to heal than scores >= 10 (P < 0.001).Conclusions: All three systems predicted ulcer outcome. The S(AD)SAD score of ulcer severity could represent a useful addition to routine clinical practice. The association between outcome and ulcer depth confirms earlier reports. The association with infection was stronger than that reported from the centres in Europe or North America. The very strong association with neuropathy has only previously been observed in Tanzania. Studies designed to compare the outcome in different countries should adopt systems of classification, which are valid for the populations studied.

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Background: Chagas' disease is a human tropical parasitic illness and a subset of the chronic patients develop megaesophagus or megacolon. The esophagus dilation is known as chagasic megaesophagus (CM) and one of the severe late consequences of CM is the increased risk for esophageal carcinoma (ESCC). Based on the association between CM and ESCC, we investigated whether genes frequently showing unbalanced copy numbers in ESCC were altered in CM by fluorescence in situ (FISH) technology.Methods: A total of 50 formalin-fixed, paraffin-embedded esophageal mucosa specimens (40 from Chagas megaesophagus-CM, and 10 normal esophageal mucosa-NM) were analyzed. DNA FISH probes were tested for FHIT, TP63, PIK3CA, EGFR, FGFR1, MYC, CDKN2A, YES1 and NCOA3 genes, and centromeric sequences from chromosomes 3, 7 and 9.Results: No differences between superficial and basal layers of the epithelial mucosa were found, except for loss of copy number of EGFR in the esophageal basal layer of CM group. Mean copy number of CDKN2A and CEP9 and frequency of nuclei with loss of PIK3CA were significantly different in the CM group compared with normal mucosa and marginal levels of deletions in TP63, FHIT, PIK3CA, EGFR, CDKN2A, YES and gains at PIK3CA, TP63, FGFR1, MYC, CDNK2A and NCOA3 were detected in few CM cases, mainly with dilation grades III and IV. All changes occurred at very low levels.Conclusions: Genomic imbalances common in esophageal carcinomas are not present in chagasic megaesophagus suggesting that these features will not be effective markers for risk assessment of ESCC in patients with chagasic megaesophagus.

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The present paper shows characteristics of problems that students in the 4(th), 8(th), and 12(th) grades built in response to the enunciation of an open-ended question, taken from their written work in the common question of AVA-2002 (Parana State Large-Scale Assessment-2002). These problems are characterized, in part, by a linear resolution structure constituted based on students' interpretation of individual bits of information contained in the enunciation, one by one, without establishing relations between them; and partly by a non-linear resolution structure constituted based on relations established among the bits of information in the enunciation. Analysis of students' written work is one alternative for teachers to know students' mathematical activity, as well as their particular ways of interpretating enunciations.

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Four groups of 10 young adult Wistar male rats were fed ad libitum on a protein-free diet for periods of 7, 28, 56 and 84 days. Control groups were fed on a 20% casein diet. Food intake and body weights of rats were registered. Plasma protein levels and liver weight and fat content were determined. Sections of the caudate lobe were studied histologically. Fatty changes were classified in three grades. Protein-deficient rats exhibited loss of body weight and had low levels of plasma protein concentration. Liver lost weight after 7 days of protein deficiency; there was a gradual reduction in liver weight as periods of protein deprivation were longer. After 7 days, liver fat concentration was not significantly higher than in the respective control group; it was significantly higher in all the other malnourished animals, As periods of protein deprivation were longer, fatty changes became more severe. Other hepatic lesions were found in 5 of the 10 rats submitted to the longest period of protein deficiency. One of the rats showed a diffuse cellular atrophy, 2 animals showed an extensive haemorrhagic necrosis, another showed a focal area of reticulum collapse and the last exhibited a distortion of the normal architecture of the liver due to diffuse reticulum collapse and early nodular regeneration; these 2 last rats showed early fibrosis in portal areas. The findings suggest that other deficiencies may complicate the protein deficiency when rats are given a protein-free diet over prolonged periods. Even if the protein-deficient diet has protective nutrients, it may be that, when rats eat less food, as occurs in prolonged experiments deficiency of one or all of these elements can occur, depending on their relative amount in diet.

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We investigate higher grading integrable generalizations of the affine Toda systems, where the flat connections defining the models take values in eigensubspaces of an integral gradation of an affine Kac-Moody algebra, with grades varying from l to -l (l > 1). The corresponding target space possesses nontrivial vacua and soliton configurations, which can be interpreted as particles of the theory, on the same footing as those associated to fundamental fields. The models can also be formulated by a hamiltonian reduction procedure from the so-called two-loop WZNW models. We construct the general solution and show the classes corresponding to the solitons. Some of the particles and solitons become massive when the conformal symmetry is spontaneously broken by a mechanism with an intriguing topological character and leading to a very simple mass formula. The massive fields associated to nonzero grade generators obey field equations of the Dirac type and may be regarded as matter fields. A special class of models is remarkable. These theories possess a U(1 ) Noether current, which, after a special gauge fixing of the conformal symmetry, is proportional to a topological current. This leads to the confinement of the matter field inside the solitons, which can be regarded as a one-dimensional bag model for QCD. These models are also relevant to the study of electron self-localization in (quasi-)one-dimensional electron-phonon systems.

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This paper presents the results of a numerical and experimental study of phase change material (PCM) filled walls and roofs under real operational conditions to achieve passive thermal comfort. The numerical part of the study was based on a one-dimensional model for the phase change problem controlled by pure conduction. Real radiation data was used to determine the external face temperature. The numerical treatment was based upon using finite difference approximations and the ADI scheme. The results obtained were compared with field measurements. The experimental set-up consisted of a small room with movable roof and side wall. The roof was constructed in the traditional way but with the phase change material enclosed. Thermocouples were distributed across the cross section of the roof. Another roof, identical but without the PCM, was also used during comparative tests. The movable wall was also constructed as is done traditionally but with the PCM enclosed. Again, thermocouples were distributed across the wall thickness to enable measurement of the local temperatures. Another wall, identical but without the PCM, was also used during comparative tests. The PCM used in the numerical and experimental tests was composed of a mixture of two commercial grades of glycol in order to obtain the required fusion temperature range. Comparison between the simulation results and the experiments indicated good agreement. Field tests also indicated that the PCM used was adequate and that the concept was effective in maintaining the indoor temperature very close to the established comfort limits. Further economical analysis indicated that the concept could effectively help in reducing the electric energy consumption and improving the energy demand pattern. © 1997 by John Wiley & Sons, Ltd.

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We introduce and study new integrable models (IMs) of An (1)-nonabelian Toda type which admit U(1) ⊗ U(1) charged topological solitons. They correspond to the symmetry breaking SU(n + 1) → SU(2) ⊗ SU(2) ⊗ U(1)n-2 and are conjectured to describe charged dyonic domain walls of N = 1 SU(n + 1) SUSY gauge theory in large n limit. It is shown that this family of relativistic IMs corresponds to the first negative grade q = -1 member of a dyonic hierarchy of generalized cKP type. The explicit relation between the 1-soliton solutions (and the conserved charges as well) of the IMs of grades q = -1 and q = 2 is found. The properties of the IMs corresponding to more general symmetry breaking SU(n + 1) → SU(2)⊗p ⊗ U(1)n-p as well as IM with global SU(2) symmetries are discussed. © 2002 Elsevier Science B.V. All rights reserved.

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Supersymmetry is formulated for integrable models based on the sl(2 1) loop algebra endowed with a principal gradation. The symmetry transformations which have half-integer grades generate supersymmetry. The sl(2 1) loop algebra leads to N=2 supersymmetric mKdV and sinh-Gordon equations. The corresponding N=1 mKdV and sinh-Gordon equations are obtained via reduction induced by twisted automorphism. Our method allows for a description of a non-local symmetry structure of supersymmetric integrable models. © 2003 Elsevier B.V. All rights reserved.

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Objective: We evaluated clinical characteristics of primary vesicoureteral reflux (VLJR) in infants in a 30-year period in Brazil with special reference to the relation of renal parenchymal damage to urinary tract infection and gender. Materials and Methods: From 1975 through 2005, 417 girls (81.6%) and 94 boys (18.4%) with all grades of reflux were retrospectively reviewed. Patients were categorized by the worst grade of reflux, maintained on antibiotic prophylaxis and underwent yearly voiding cystourethrography until the reflux was resolved. VUR was considered resolved when a follow-up cystogram demonstrated no reflux. Surgical correction was recommended for those who fail medical therapy, severe renal scarring or persistent VUR. Results: Grades I to V VUR resolved in 87.5%, 77.6%, 52.8%, 12.2% and 4.3%, respectively. Renal scars were present at presentation in 98 patients (19.2%). Neither gender nor bilaterality versus unilaterality was a helpful predictor of resolution. The significant difference was found among the curves using the log rank (p < 0.001) or Wilcoxon (p < 0.001) test. Conclusion: Despite the current use of screening prenatal ultrasound, many infants are still diagnosed as having vesicoureteral reflux only after the occurrence of urinary tract infection in our country. Scarring may be associated to any reflux grade and it may be initially diagnosed at any age but half of the scars are noted with higher grades of reflux (IV and V). The incidence of reflux related morbidity in children has significantly diminished over the last three decades.

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Due to their high hardness and wear resistance Si3N4 based ceramics are one of the most suitable cutting tool materials for machining hardened materials. Therefore, their high degree of brittleness usually leads to inconsistent results and sudden catastrophic failures. Improvement of the functional properties these tools and reduction of the ecological threats may be accomplished by employing the technology of putting down hard coatings on tools in the state-of-the-art PVD processes, mostly by improvement of the tribological contact conditions in the cutting zone and by eliminating the cutting fluids. However in this paper was used a Si3N4 based cutting tool commercial with a layer TiN coating. In this investigation, the performance of TiN coating was assessed on turning used to machine an automotive grade compacted graphite iron. As part of the study were used to characterise the performance of cutting tool, flank wear, temperature and roughness. The results showed that the layer TiN coating failed to dry compacted graphite iron under aggressive machining conditions. However, using the measurement of flank wear technique, the average tool life of was increased by VC=160 m/min.The latter was also observed using a toolmakers microscope and scanning electron microscopy (SEM).

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Currently, one of factors that cause the production cost increase of soybean crop is the pesticide application. The most important disease in soybean crop is Asian rust, caused by Phakopsora pachyrhizi Sydon & P. Sydon fungus, which can cause significant loss of the production. Therefore, this work aimed at evaluation of different spraying techniques on the spray deposits and some parameters of soybean crop: grain size, weight of 1 000 seeds and the crop productivity. Two experiments were carried out in the experimental area of FCA/UNESP (Faculdade de Ciencias Agronomicas/Universidade Estadual Paulista Julio de Mesquita Filho) - Botucatu, S P, Brazil, in soybean crop, Conquista variety, in the 2007/2008 season. In the first experiment, three air levels (0, 9 and 29 km/h of the air speed generated by fan) with flat fan nozzle XR 8002 with a spray volume of 130 l/ha were compared with a rotating nozzle - using low volume oily - LVO at 40 l/ha of spray volume. The second experiment was carried out under the same conditions as the previous experiment, including a control treatment (untreated plants). The disease severity was evaluated using a diagrammatic scale with a visual evaluation of the disease on 15 leaves of each plot. The grades varied between 0.6 and 78.5% of the disease severity. The use of air assistance when compared with the rotating system nozzle did not show significant differences for spray deposits on adaxial and abaxial surface of the leaves in bottom part of the plant. The air assistance with maximum air speed (29 km/h) increased the productivity with respect of the other treatments.

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Objective: To evaluate the dental knowledge and attendance of elementary schoolchildren according to the type of institution (public or private). Method: The sample was composed of 800 children from the 5th to 8th grades of the elementary education. The research instrument was a questionnaire composed of open questions referring to the last recall visit, type and importance of the recall visit, and knowledge of dental caries and periodontal disease. Descriptive statistical analysis was done and the chisquared test was used with a significance level of 5%. Results: There was statistically significant difference between the students from the different institutions regarding the time (p=0.001) and main reason (p=0.001) of the last visit to the dentist, knowledge of the need of periodic visits to the dentist (p=0.001), importance (p=0.001) and frequency (p=0.001) of periodic recalls, and knowledge of dental caries (p=0.001) and periodontal disease (p=0.001). Conclusion: The adolescents presented different dental knowledge and attendance, according to the type of teaching institution.