996 resultados para kala-azar
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En los últimos años y particularmente desde la aparición de los lineamientos curriculares (1998) el estudio de la educación estadística ha recobrado gran importancia para la formación de nuestros estudiantes, tanto de la educación básica como de la media y la superior. Este interés por formar una cultura estadística en los alumnos, se sustenta, desde nuestro punto de vista en tres cuestiones,igualmente importantes: 1. La necesidad social de formar ciudadanos capaces de comprender información codificada en lenguaje matemático. 2. El uso extendido de las nociones de probabilidad, azar, etc, presentes tanto en el conocimiento científico como en el conocimiento humano en general. 3. La responsabilidad de la escuela en general de ser un agente de formación para los nuevos ciudadanos. Desde estas posturas, encontramos importante señalar que la educación estadística tiene pues que abordar por lo menos los siguientes campos de formación: el análisis de datos, el tratamiento del azar y la probabilidad. En lo relativo al análisis de datos nos proponemos construir una propuesta que se diferencie de lo que hasta ahora hemos emprendido en los currículos escolares, tal es, el estudio de la estadística descriptiva en cuyo caso el énfasis en la enseñanza se centra en la ejercitación de los cálculos rutinarios resueltos con lápiz y papel, como son: gráficos, tablas, frecuencias, medidas y por último verificación de modelos. Alternativa a esta perspectiva nos proponemos utilizar el análisis exploratorio de datos enfatizando en la conceptualización sobre aspectos tales como la lectura crítica de datos, el uso de diferentes representaciones, el establecimiento de las similitudes (regularidades) y las variaciones, es decir, establecer un procedimiento de análisis que use los datos como el contexto de significado
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Su mirada recorrió los lomos del estante inferior y se detuvo en un título que le llamó la atención. Lo liberó de la hilera que lo aprisionaba y lo abrió al azar. Al menos eso era lo que pretendía, aunque el libro se abrió por una página señalada con un pliegue en la esquina superior. Quien lo practicó quería señalar un punto con una indicación perenne. Seguro que era cosa de su abuelo, fallecido hacía ya unos cuantos años. Fue precisamente el recuerdo de su muerte lo que le animó a entrar en la biblioteca. No sabía porqué, pero de repente le había venido a la mente la imagen del anciano leyendo ensimismado en aquel sillón antiguo, rodeado de incontables volúmenes, páginas, frases, palabras, letras.
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Hoy vengo a exponer una queja. Cada día, casi a todas horas, y, prácticamente en todo el mundo, soy maltratado. Y ese maltrato no es fruto del azar. Obedece patrones bien determinados de antemano por las voluntades de mis torturadores. Reconozco que a veces no es un maltrato auténtico y que incluso puede divertirme. Eso me mantiene en forma y me da un dinamismo que mi posición habitual no sugiere.
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La importante revista inglesa Nature, en su Volumen 340 del mes de Julio de 1989, publica interesantes resultados referentes a una encuesta realizada simultáneamente en los Estados Unidos de Norteamérica y en Inglaterra, para averiguar el concepto que el hombre común tiene de la ciencia y de sus métodos, así como del interés por la misma y del grado de conocimientos referentes a algunas de sus realizaciones. La encuesta se hizo sobre una muestra de unos dos mil norteamericanos y otros tantos ingleses, tomados al azar entre mayores de 18 años.
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In this paper, a new blind and readable H.264 compressed domain watermarking scheme is proposed in which the embedding/extracting is performed using the syntactic elements of the compressed bit stream. As a result, it is not necessary to fully decode a compressed video stream both in the embedding and extracting processes. The method also presents an inexpensive spatiotemporal analysis that selects the appropriate submacroblocks for embedding, increasing watermark robustness while reducing its impact on visual quality. Meanwhile, the proposed method prevents bit-rate increase and restricts it within an acceptable limit by selecting appropriate quantized residuals for watermark insertion. Regarding watermarking demands such as imperceptibility, bit-rate control, and appropriate level of security, a priority matrix is defined which can be adjusted based on the application requirements. The resulted flexibility expands the usability of the proposed method.
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The VADT was a randomized clinical trial designed to assess the effect of intensive vs. standard glucose management on cardiovascular events in Type 2 diabetes. At the end of the study, intensive management failed to improve outcomes. We performed plasma lipoprotein subclass analyses to yield new information on the effects of study randomization on cardiovascular risk.
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Context: In nondiabetic pregnancy, cross-sectional studies have shown associations between maternal dyslipidemia and preeclampsia (PE). In type 1 diabetes mellitus (T1DM), the prevalence of PE is increased 4-fold, but prospective associations with plasma lipoproteins are unknown.
Objectives: The aim of this study was to define lipoprotein-related markers and potential mechanisms for PE in T1DM.
Design and Settings: We conducted a multicenter prospective study in T1DM pregnancy.
Patients: We studied 118 T1DM women (26 developed PE, 92 remained normotensive). Subjects were studied at three visits before PE onset [12.2 1.9, 21.6 1.5, and 31.5 1.7 wk gestation (means SD)] and at term (37.6 2.0 wk). Nondiabetic normotensive pregnant women (n 21) were included for reference.
Main Outcome Measures: Conventional lipid profiles, lipoprotein subclasses [defined by size (nuclear magnetic resonance) and by apolipoprotein content], serum apolipoproteins (ApoAI, ApoB, and ApoCIII), and lipolysis (ApoCIII ratio) were measured in T1DM women with and without subsequent PE.
Results: In women with vs. without subsequent PE, at the first and/or second study visits: lowdensity lipoprotein (LDL)-cholesterol, particle concentrations of total LDL and large (but not small) LDL, serum ApoB, and ApoB:ApoAI ratio were all increased (P 0.05); peripheral lipoprotein lipolysis was decreased (P0.01). These early differences remained significant in covariate analysis (glycated hemoglobin, actual prandial status, gravidity, body mass index, and diabetes duration) but were not present at the third study visit. High-density lipoprotein and very low-density lipoprotein subclasses did not differ between groups before PE onset.
Conclusions: Early in pregnancy, increased cholesterol-rich lipoproteins and an index suggesting decreased peripheral lipolysis were associated with subsequent PE in T1DM women. Background maternal lipoprotein characteristics, perhaps masked by effects of late pregnancy, may influence PE risk.
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Increased oxidative stress and immune dysfunction are implicated in preeclampsia (PE) and may contribute to the two- to fourfold increase in PE prevalence among women with type 1 diabetes. Prospective measures of fat-soluble vitamins in diabetic pregnancy are therefore of interest.
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Diabetes, in particular type 2, is associated with an increased incidence of cancer. Although the mortality attributable to cancer in type 2 diabetes is overshadowed by that due to cardiovascular disease, emerging data from epidemiologic studies suggest that insulin therapy may confer added risk for cancer, perhaps mediated by signaling through the IGF-1 (insulin-like growth factor-1) receptor. Co-administered metformin seems to mitigate the risk associated with insulin. A recent series of publications in Diabetologia addresses the possibility that glargine, the most widely used long-acting insulin analogue, may confer a greater risk than other insulin preparations, particularly for breast cancer. This has led to a heated controversy. Despite this, there is a consensus that the currently available data are not conclusive and should not be the basis for any change in practice. Further studies and more thorough surveillance of cancer in diabetes are needed to address this important issue.
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Oxidized and/or glycated low-density lipoprotein (LDL) may mediate capillary injury in diabetic retinopathy. The mechanisms may involve pro-inflammatory and pro-oxidant effects on retinal capillary pericytes. In this study, these effects, and the protective effects of pigment epithelium-derived factor (PEDF), were defined in a primary human pericyte model. Human retinal pericytes were exposed to 100 microg/ml native LDL (N-LDL) or heavily oxidized glycated LDL (HOG-LDL) with or without PEDF at 10-160 nM for 24 h. To assess pro-inflammatory effects, monocyte chemoattractant protein-1 (MCP-1) secretion was measured by ELISA, and nuclear factor-kappaB (NF-kappaB) activation was detected by immunocytochemistry. Oxidative stress was determined by measuring intracellular reactive oxygen species (ROS), peroxynitrite (ONOO(-)) formation, inducible nitric oxide synthase (iNOS) expression, and nitric oxide (NO) production. The results showed that MCP-1 was significantly increased by HOG-LDL, and the effect was attenuated by PEDF in a dose-dependent manner. PEDF also attenuated the HOG-LDL-induced NF-kappaB activation, suggesting that the inhibitory effect of PEDF on MCP-1 was at least partially through the blockade of NF-kappaB activation. Further studies demonstrated that HOG-LDL, but not N-LDL, significantly increased ONOO(-) formation, NO production, and iNOS expression. These changes were also alleviated by PEDF. Moreover, PEDF significantly ameliorated HOG-LDL-induced ROS generation through up-regulation of superoxide dismutase 1 expression. Taken together, these results demonstrate pro-inflammatory and pro-oxidant effects of HOG-LDL on retinal pericytes, which were effectively ameliorated by PEDF. Suppressing MCP-1 production and thus inhibiting macrophage recruitment may represent a new mechanism for the salutary effect of PEDF in diabetic retinopathy and warrants more studies in future.
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Coated-platelet levels were quantified in 58 people with Type 1 diabetes, 90 with Type 2 diabetes, and 54 non-diabetic controls. In diabetes high coated-platelet levels were related to smoking and glucose control drugs, but not to glycaemia or other drugs. Prospective studies should evaluate coated-platelets and complications and drug effects.
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Modified (oxidized and/or glycated) low-density lipoproteins (LDLs) have been implicated in retinal pericyte loss, one of the major pathologic features of early-stage diabetic retinopathy. To delineate underlying molecular mechanisms, the present study was designed to explore the global effects of modified LDL on pericyte gene expression.
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Serum PEDF levels (mean (S.D.)) were increased in 96 Type 2 diabetic vs. 54 non-diabetic subjects; 5.3 (2.8) vs. 3.2 (2.0)mug/ml, p
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Aim: To determine if serum pigment epithelium-derived factor (PEDF) levels in Type 2 diabetes are related to vascular risk factors and renal function. Methods: PEDF was quantified by ELISA in a cross-sectional study of 857 male Veterans Affairs Diabetes Trial (VADT) subjects, and associations with cardiovascular risk factors and renal function were determined. In a subset (n = 246) in whom serum was obtained early in the VADT (2.0 ± 0.3 years post-randomization), PEDF was related to longitudinal changes in renal function over 3.1 years. Results: Cross-sectional study: In multivariate regression models, PEDF was positively associated with serum triglycerides, waist-to-hip ratio, serum creatinine, use of ACE inhibitors or angiotensin receptor blockers, and use of lipid-lowering agents; it was negatively associated with HDL-C (all p < 0.05). Longitudinal study: PEDF was not associated with changes in renal function over 3.1 years (p > 0.09). Conclusions: Serum PEDF in Type 2 diabetic men was cross-sectionally associated with dyslipidemia, body habitus, use of common drugs for blood pressure and dyslipidemia, and indices of renal function; however, PEDF was not associated with renal decline over 3.1 years.