993 resultados para Delineamento longitudinal


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Cognitive changes in normal aging can be similar to the alterations that take place in the initial stages of a dementia process. Longitudinal studies can provide a better understanding of this progression. Objectives: To evaluate the cognitive and functional evolution of community-dwelling individuals without dementia through a three-year longitudinal study. Methods: 168 individuals were evaluated in 2006. Three years later in 2009, 73 of these subjects were reevaluated as regards cognition and functionality using the Mini Mental State Examination (MMSE), Brief Cognitive Battery (BCB) and the Pfeffer Functional Activities Questionnaire. The statistical analysis included descriptive measurements, the Wilcoxon's test for intra-group comparison, and the Spearman's correlation coefficient test for comparing cognitive and functionality scores. Results: After three years, the Wilcoxon's test showed a discreet yet significant cognitive decline (MMSE: -0.7 points; p=0.02; Z= -2.29; and global score on the BCB: +3.6 points; p=0.02; Z= -2.29), in addition to functional decline (Pfeffer: +0.7 points; p= 0.001; Z= -3.38). Conclusions: After three years of follow-up we observed a discreet yet significant functional and cognitive decline in the subjects. Longitudinal cognitive screening represents an important strategy in the early identification of changes from normal conditions to a dementia process.

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This paper presents the results of the longitudinal profile analysis and the application of gradient index (RDE) in the Patos River, a tributary of the Ivaí River basin, PR. The goal is identify and quantify the anomalous zones along river course concerning their genesis - activity neotectonic or/and lithological imposition. The Patos River has a length of 127 km and a relief amplitude of 660 m, The occurrence of an important knickpoint in the middle course the Patos River can be divided into two stretches. Of the 22 sections measured, 10 were considered anomalous, distributed in both upper and lower course. In the upper course, over a basaltic bedrock of the Serra Geral Formation the RDE values are lower than those in the lower course, where river flows over sedimentary rocks of the Terezina Formation. The 2 nd order anomalies are related to lithological changes, relief alignments and channel confluences - as in the case of São João River. The 1st order anomalies are linked to differences in rock resistance associated with structural control, which provides the formation of waterfalls.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Background: The time course of mild cardiotoxicity induced by anthracycline remains unknown. The aim of this study was to evaluate the long-term evolution of decreased myocardial reserve in children previously treated with a cumulative dose of anthracycline up to 100mg/m 2. Patients and Methods: Twenty-seven asymptomatic cancer survival patients (25 with lymphoblastic leukemia), in continuous remission and off treatment for >12 months with no alterations in conventional echocardiograms were evaluated by exercise echocardiography at 37±15.4 months (T1) and 101±24 months (T2) after finishing treatment (ADRIA group). This group was compared with 25 healthy individuals (control group) similar to the ADRIA group with respect to age and body surface area (BSA). All individuals underwent treadmill exercise testing according to Bruce protocol. Echocardiograms were performed before and immediately after exercise. Results: The groups were similar regarding cardiac structure and left ventricular (LV) systolic function at rest at T1 and T2. The growth of LV posterior wall thickness related to BSA was lower in the ADRIA group at T2. Post exercise, smaller LV ejection indexes and attenuated changes in the afterload in ADRIA group were observed at T1 and T2. Conclusion: The decreased systolic reserve induced by a low dose of anthracycline in asymptomatic children and adolescents remains unaffected over a 5-year period, suggesting that positive outcomes in chronic cardiotoxicity would be expected in patients with mild impairment after anthracycline treatment. © 2011 Wiley Periodicals, Inc.

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Knowledge of genetic variation in native tree species has helped direct strategies of genetic ex situ conservation, based on provenances and progenies tests. These tests use fixed spacing, not allowing evaluating the behavior of different progenies under this management variable. One way to evaluate simultaneously the genetic variation and different spacing in a small planting area is to use a systematic design. The aim of this study was to estimate the genetic variation and to evaluate its performance in Jacaranda cuspidifolia under different spacing. We used a progeny test in a systematic fan design, arranged in a system of 30 concentric rays, with one progeny per ray, randomly, at angles of 12°. The plants were arranged in rays in geometric progression of ratio 1.21, corresponding to nine for plant spacing: 1,95 m2; 2,86 m2; 4,18 m2; 6,12 m2; 8,96 m2; 13,12 m2; 19,21 m2; 28,13 m2; e 41,19 m 2 installed in Selvíria/MS. The traits height, height diameter of 30 cm to soil (DA3) and survival were evaluated at 12 and 24 months of age. Estimates of genetic parameters and spacing were evaluated using the procedure REML/BLUP (restricted maximum likelihood / best linear unbiased prediction). The progenies showed genetic variation, showing that the sample strategy to ex situ conservation was efficient. The species showed good adaptability inthe field and the best performance in treating five, equivalent to a 3 × 3 m spacing, with 8,96 m2;/plant for all traits. The fan systematic design permitted to evaluate in a small area the silvicultural behavior of J. Cuspidifolia plants in spacing varying from 2 to 42 m2/plant (5.000 to 238 trees/ha); which could hardly be evaluat by the traditional designs.

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Development of vaccines against canine visceral leishmaniasis (CVL) may provide a prophylactic barrier, but antibody response detected by standard diagnostic techniques may not separate vaccinated from naturally infected dogs. Moreover, anti-Leishmania antibody levels in vaccinated dogs may be detectable for months. Accordingly, the aim of the present study was to comparatively evaluate an in-house ELISA with three serological tests officially adopted by the Brazilian Ministry of Health for the diagnosis of CVL in dogs vaccinated with Leishmune®. A total of 18 mongrel dogs were submitted to a complete protocol of the vaccine, monitored and evaluated in 5 times (T0-T4) up to 180 days after T0. Twenty-one days after the first dose (T1), 50% of the dogs were seropositive by the in-house ELISA and 5.5% by IFAT, while by the official ELISA and DPP® CVL rapid test all dogs tested negative. At time T2, 42 days after of the first dose, 100%, 83.3%, 11.1%, and 5.5% of the dogs were seropositive by the in-house ELISA, IFAT, official ELISA kit and the DPP® CVL rapid test, respectively. Ninety days after the first dose (T3), 100%, 83.3%, 72.2% and 33.3% of the dogs were seropositive by the in-house ELISA, official ELISA kit, IFAT, and the DPP® CVL rapid test, respectively. Finally, at time T4, 88.8%, 33.3%, 11.1% and 5.5% of the dogs were seropositive by the in-house ELISA, official ELISA kit, DPP® CVL rapid test and IFAT, respectively. In conclusion, dogs vaccinated with Leishmune® cross-react by an in-house ELISA and by the three official Brazilian serological tests for the diagnosis of canine visceral leishmaniasis up to six months after the first vaccine dose, and may be mistakenly diagnosed and removed. © 2013 Elsevier B.V.

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

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Pós-graduação em Estudos Linguísticos - IBILCE

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Agronomia (Ciência do Solo) - FCAV

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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