993 resultados para Bassett, Leslie, 1923-
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Collection : Les archives de la Révolution française ; 3.1
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Collection : Les archives de la Révolution française ; 3.1
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Collection : Les archives de la Révolution française ; 3.1
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Intraoperative examination of sentinel axillary lymph nodes can be done by imprint cytology, frozen section, or, most recently, by PCR-based amplification of a cytokeratin signal. Using this technique, benign epithelial inclusions, representing mammary tissue displaced along the milk line, will likely generate a positive PCR signal and lead to a false-positive diagnosis of metastatic disease. To better appreciate the incidence of ectopic epithelial inclusions in axillary lymph nodes, we have performed an autopsy study, examining on 100 μm step sections 3,904 lymph nodes obtained from 160 axillary dissections in 80 patients. The median number of lymph nodes per axilla was 23 (15, 6, and 1 in levels 1, 2, and 3, respectively). A total of 30,450 hematoxylin-eosin stained slides were examined, as well as 8,825 slides immunostained with pan-cytokeratin antibodies. Despite this meticulous work-up, not a single epithelial inclusion was found in this study, suggesting that the incidence of such inclusions is much lower than the assumed 5% reported in the literature.
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The trabecular bone score (TBS) is a gray-level textural metric that can be extracted from the two-dimensional lumbar spine dual-energy X-ray absorptiometry (DXA) image. TBS is related to bone microarchitecture and provides skeletal information that is not captured from the standard bone mineral density (BMD) measurement. Based on experimental variograms of the projected DXA image, TBS has the potential to discern differences between DXA scans that show similar BMD measurements. An elevated TBS value correlates with better skeletal microstructure; a low TBS value correlates with weaker skeletal microstructure. Lumbar spine TBS has been evaluated in cross-sectional and longitudinal studies. The following conclusions are based upon publications reviewed in this article: 1) TBS gives lower values in postmenopausal women and in men with previous fragility fractures than their nonfractured counterparts; 2) TBS is complementary to data available by lumbar spine DXA measurements; 3) TBS results are lower in women who have sustained a fragility fracture but in whom DXA does not indicate osteoporosis or even osteopenia; 4) TBS predicts fracture risk as well as lumbar spine BMD measurements in postmenopausal women; 5) efficacious therapies for osteoporosis differ in the extent to which they influence the TBS; 6) TBS is associated with fracture risk in individuals with conditions related to reduced bone mass or bone quality. Based on these data, lumbar spine TBS holds promise as an emerging technology that could well become a valuable clinical tool in the diagnosis of osteoporosis and in fracture risk assessment.
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CONTEXT: Type 2 diabetes is associated with increased fracture risk but paradoxically greater bone mineral density (BMD). Trabecular bone score (TBS) is derived from the texture of the spine dual x-ray absorptiometry (DXA) image and is related to bone microarchitecture and fracture risk, providing information independent of BMD. OBJECTIVE: This study evaluated the ability of lumbar spine TBS to account for increased fracture risk in diabetes. DESIGN AND SETTING: We performed a retrospective cohort study using BMD results from a large clinical registry for the province of Manitoba, Canada. Patients: We included 29,407 women 50 years old and older with baseline DXA examinations, among whom 2356 had diagnosed diabetes. MAIN OUTCOME MEASURES: Lumbar spine TBS was derived for each spine DXA examination blinded to clinical parameters and outcomes. Health service records were assessed for incident nontraumatic major osteoporotic fractures (mean follow-up 4.7 years). RESULTS: Diabetes was associated with higher BMD at all sites but lower lumbar spine TBS in unadjusted and adjusted models (all P < .001). The adjusted odds ratio (aOR) for a measurement in the lowest vs the highest tertile was less than 1 for BMD (all P < .001) but was increased for lumbar spine TBS [aOR 2.61, 95% confidence interval (CI) 2.30-2.97]. Major osteoporotic fractures were identified in 175 women (7.4%) with and 1493 (5.5%) without diabetes (P < .001). Lumbar spine TBS was a BMD-independent predictor of fracture and predicted fractures in those with diabetes (adjusted hazard ratio 1.27, 95% CI 1.10-1.46) and without diabetes (hazard ratio 1.31, 95% CI 1.24-1.38). The effect of diabetes on fracture was reduced when lumbar spine TBS was added to a prediction model but was paradoxically increased from adding BMD measurements. CONCLUSIONS: Lumbar spine TBS predicts osteoporotic fractures in those with diabetes, and captures a larger portion of the diabetes-associated fracture risk than BMD.
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The genus Callideriphus Blanchard, 1851 (Coleoptera, Cerambycidae, Heteropsini). The genus Callideriphus comprises only two species: C. grossipes Blanchard, 1851 (type species) and C. tucumanus sp. nov. (Argentina, Tucumán). The type locality of C. grossipes had been originally indicated as Chile, but it is supposedly considered erroneous. Its distribution, actually, extends from Southeastern Brazil up to Argentina, along the Atlantic Forest. This species is extremely variable in regard to its coloration and elytral punctation. Two subspecies are recognized: C. grossipes grossipes Blanchard, 1851 (BRAZIL: Minas Gerais, Espírito Santo, São Paulo, Paraná, Santa Catarina) and C. grossipes flavipennis Melzer, 1934 (BRAZIL: Santa Catarina, Rio Grande do Sul; ARGENTINA: Chaco, Entre Ríos, Buenos Aires). Four intermediate forms are recorded and commented. Redescription and a key to species are added. Nomenclatural changes: Callideriphus grossipes grossipes Blanchard, 1851 = C. grossipes var. brasliensis Melzer, 1923 syn. nov. = C. rubricollis Melzer, 1934 syn. nov.; Callideriphus grossipes flavipennis Melzer, 1934 stat nov. = C. signaticollis Melzer, 1934 syn. nov.
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Neste trabalho propomo-nos descrever o sistema de Protecção Social de Cabo Verde e analisar detalhadamente o regime de Protecção Social Obrigatória, a cargo do Instituto Nacional de Previdência Social. Para tal, numa primeira fase, procedemos à apresentação da arquitectura do sistema, com destaque para o regime de Protecção Social Obrigatória. De seguida, e no âmbito dos problemas de sustentabilidade que têm surgido em sistemas de segurança social de outros países, efectuamos uma análise de gestão da carteira constituída com os excedentes deste regime no período 2000-2009. Em síntese, concluímos que a rendibilidade da carteira no período em análise foi elevada e relativamente estável. Quanto ao risco da carteira, embora de difícil apreciação devido à falta de alguma informação relevante, tem-se mantido em níveis adequados à baixa maturidade do sistema de protecção social de Cabo Verde. A avaliação do desempenho da carteira é, portanto, aceitável.
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In the last three decades, the spiralling whitefly (Aleurodicus dispersus) has become an important international pest. The movement of plants and parts of plants (such as fruits) in international trade and tourism, and by natural dispersal, has favoured its introduction to new areas. In common with others whiteflies of economic importance, the immature and adult stages cause direct feeding damage by piercing and sucking of sap from foliage, and indirect damage following the accumulation all over host plants of honeydew and waxy flocculent material produced by the insects. Spiralling whitefly is a pest of tropical and subtropical crops, and highly polyphagous. Up to the 1970s, it had been recorded on 44 genera of plants, belonging to 26 botanical families (Mound & Halsey, 1978). This situation changed with the dispersal of the pest to new areas. Nowadays, the spiralling whitefly is one of the major pest of vegetable, ornamental and fruit crops around the globe (Lambkin, 1999). Important host crops include: banana (Musa sapientum), Citrus spp., coconut (Cocos nocifera), eggplant (Solanum melanogena), guava (Psidium guajava), Hibiscus rosa sinensis, Indian almond (Terminalia catappa), papya (Carica papaya), Rosa sp. and tomato (Lycopersicon esculentum) (Saminathan & Jayaraj, 2001). Spiralling whitefly has its origin in the tropical Americas, including Brazil. Although the pest has been recorded only once in Brasil, in the 1920s in the state of Bahia (Bondar, 1923), it now has official quarantine status because of its economic importance. In the Cape Verte Islands, on the West African coast, the pest was initially introduced in the first half of 2000; it has since become established, reaching urban, natural and agricultural areas of the islands that constitute the archipelago. Since then, the pest has been causing damage to many native plants, ornamentals and cultivated food crops (Anon., 2001; Monteiro, 2004). The present study was done in order to produce an inventory of the most common host plants of spiralling whitefly in this new habitat.
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New records for Colombian Cerambycidae - Achrysonini: Achryson immaculipenne Gounelle, 1909, A. lineolatum Erichson, 1847, A. quadrimaculatum (Fabricius, 1792); Ectenessini: Ectenessa lurida Martins, 1973; Cerambycini: Jupoata rufipennnis (Gory, 1831), Poeciloxestia carlyslei Fragoso, 1978, P. paraensis Lane, 1965; Elaphidionini: Ambonus electus (Gahan & Arrow, 1903), Paramallocera cribripennis (Bates, 1885), Periboeum pubescens (Olivier, 1790), Stizocera plicicollis (Germar, 1824), S. poeyi (Guérin-Méneville, 1838), Pantonyssus glabricollis Fuchs, 1961; Piezocerini: Haruspex lineolatus Bates, 1870; Eligmodermini: Eligmoderma spinicolle Aurivillius, 1923, E. ziczac Nonfried, 1895. New species described: Pantonyssus suturale sp. nov. (Santander); Anelaphus colombianus sp. nov. (Santander); A. sparsus sp. nov. (Magdalena).
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Economists and economic historians want to know how much better life is today than in the past.Fifty years ago economic historians found surprisingly small gains from 19th century US railroads,while more recently economists have found relatively large gains from electricity, computers and cellphones. In each case the implicit or explicit assumption is that researchers were measuring the valueof a new good to society. In this paper we use the same techniques to find the value to society ofmaking existing goods cheaper. Henry Ford did not invent the car, and the inventors of mechanisedcotton spinning in the industrial revolution invented no new product. But both made existing productsdramatically cheaper, bringing them into the reach of many more consumers. That in turn haspotentially large welfare effects. We find that the consumer surplus of Henry Ford s production linewas around 2% by 1923, 15 years after Ford began to implement the moving assembly line, while themechanisation of cotton spinning was worth around 6% by 1820, 34 years after its initial invention.Both are large: of the same order of magnitude as consumer expenditure on these items, and as largeor larger than the value of the internet to consumers. On the social savings measure traditionally usedby economic historians, these process innovations were worth 15% and 18% respectively, makingthem more important than railroads. Our results remind us that process innovations can be at least asimportant for welfare and productivity as the invention of new products.