Peritoneal dialysis and neurological outcome in infants and small children

Although improved outcomes for children on peritoneal dialysis (PD) have been seen in recent years, the youngest patients continue to demonstrate inferior growth, more frequent infections, more neurological sequelae, and higher mortality compared to older children. Also, maintain-ing normal intravascular volume status, especially in anuric patients, has proven difficult. This study was designed to treat and monitor these youngest PD patients, which are relatively many due to the high prevalence of congenital nephrotic syndrome of the Finnish type (CNF, NPHS1) in Finland, with a strict protocol, to evaluate the results and to improve metabolic balance, growth, and development. A retrospective analysis of 23 children under two years of age at onset of PD, treated between 1995 and 2000, was performed to obtain a control population for our prospective PD study. Respectively, 21 patients less than two years of age at the beginning of PD were enrolled in prospective studies between 2001 and 2005. Medication for uremia and nutrition were care-fully adjusted during PD. Laboratory parameters and intravascular volume status were regu-larly analyzed. Growth was analyzed and compared with midparental height. In a prospective neurological study, the risk factors for development and the neurological development was determined. Brain images were surveyed. Hearing was tested. In a retrospective neurological study, the data of six NPHS1 patients with a congruent neurological syndrome was analyzed. All these patients had a serious dyskinetic cerebral palsy-like syndrome with muscular dysto-nia and athetosis (MDA). They also had a hearing defect. Metabolic control was mainly good in both PD patient groups. Hospitalization time shortened clearly. The peritonitis rate diminished. Hypertension was a common problem. Left ventricular hypertrophy decreased during the prospective study period. None of the patients in either PD group had pulmonary edema or dialysis-related seizures. Growth was good and catch-up growth was documented in most patients in both patient groups during PD. Mortality was low (5% in prospective and 9% in retrospective PD patients). In the prospective PD patient group 11 patients (52%) had some risk factor for their neuro-development originating from the predialysis period. The neurological problems, detected be-fore PD, did not worsen during PD and none of the patients developed new neurological com-plications during PD. Brain infarcts were detected in four (19%) and other ischemic lesions in three patients (14%). At the end of this study, 29% of the prospectively followed patients had a major impairment of their neurodevelopment and 43% only minor impairment. In the NPHS1+MDA patients, no clear explanation for the neurological syndrome was found. The brain MRI showed increased signal intensity in the globus pallidus area. Kernic-terus was contemplated to be causative in the hypoproteinemic newborns but it could not be proven. Mortality was as high as 67%. Our results for young PD patients were promising. Metabolic control was acceptable and growth was good. However, the children were significantly smaller when compared to their midparental height. Although many patients were found to have neurological impairment at the end of our follow-up period, PD was a safe treatment whereby the neurodevelopment did not worsen during PD.

Change detection and controlling forest information using multi-temporal Landsat TM imagery.

A method was developed for relative radiometric calibration of single multitemporal Landsat TM image, several multitemporal images covering each others, and several multitemporal images covering different geographic locations. The radiometricly calibrated difference images were used for detecting rapid changes on forest stands. The nonparametric Kernel method was applied for change detection. The accuracy of the change detection was estimated by inspecting the image analysis results in field. The change classification was applied for controlling the quality of the continuously updated forest stand information. The aim was to ensure that all the manmade changes and any forest damages were correctly updated including the attribute and stand delineation information. The image analysis results were compared with the registered treatments and the stand information base. The stands with discrepancies between these two information sources were recommended to be field inspected.

Phase relations in the systems Cu–O–R2O3(R = Tm, Lu) and Gibbs energies of formation of Cu2R2O5 compounds

The phase relations in the systems Cu–O–R2O3(R = Tm, Lu) have been determined at 1273 K by X-ray diffraction, optical microscopy and electron probe microanalysis of samples equilibrated in evacuated quartz ampules and in pure oxygen. Only ternary compounds of the type Cu2R2O5 were found to be stable. The standard Gibbs energies of formation of the compounds have been measured using solid-state galvanic cells of the type, Pt|Cu2O + Cu2R2O5+ R2O3‖(Y2O3)ZrO2‖CuO + Cu2O‖Pt in the temperature range 950–1325 K. The standard Gibbs energy changes associated with the formation of Cu2R2O5 compounds from their binary component oxides are: 2CuO(s)+ Tm2O3(s)→Cu2Tm2O5(s), ΔG°=(10400 – 14.0 T/K)± 100 J mol–1, 2CuO(s)+ Lu2O3(s)→Cu2Lu2O5(s), ΔG°=(10210 – 14.4 T/K)± 100 J mol–1 Since the formation is endothermic, the compounds become thermodynamically unstable with respect to component oxides at low temperatures, Cu2Tm2O5 below 743 K and Cu2Lu2O5 below 709 K. When the chemical potential of oxygen over the Cu2R2O5 compounds is lowered, they decompose according to the reaction, 2Cu2R2O5(s)→2R2O3(s)+ 2Cu2O(s)+ O2(g) The equilibrium oxygen potential corresponding to this reaction is obtained from the emf. Oxygen potential diagrams for the Cu–O–R2O3 systems at 1273 K are presented.

Decomposition temperatures of Cu2Ln2O5 (Ln = Tb, Dy, Ho, Er, Tm, Yb, and Lu) compounds

The equilibrium decomposition temperatures of Cu2Ln2O5 (Ln = Tb, Dy, Ho, Er, Tm, Yb, and Lu) compounds have been measured using a combined DTA-TGA apparatus under a flowing Ar + O2 gas mixture, in which the partial pressure of oxygen was controlled at 5.0 × 103 Pa. The Cu2Ln2O5 compounds yield Ln2O3 and Cu2O on decomposition. The decomposition temperature increases monotonically with the atomic number of the lanthanide element. This suggests that the stability of the Cu2Ln2O5 compounds with respect to the component binary oxides increases with decreasing radius of the Ln3+ ion.

Thermodynamics of TmRhO3, Phase Equilibria, and Chemical Potentials in the System Tm-Rh-O

Phase equilibria in the system Tm-Rh-O at 1200 K is established by isothermal equilibration of selected compositions and phase identification after quenching to room temperature. Six intermetallic phases (Tm3Rh, Tm7Rh3, Tm5Rh3, Tm3Rh2, TmRh, TmRh2 +/-delta) and a ternary oxide TmRhO3 are identified. Based on experimentally determined phase relations, a solid-state electrochemical cell is devised to measure the standard free energy of formation of orthorhombic perovskite TmRhO3 from cubic Tm2O3 and beta-Rh2O3 in the temperature range from (900 to 1300) K. The results can be summarized as: Delta G(f,ox)(o) +/- 104/J.mol(-1) = -46474 + 3.925(T/K). Invoking the Neumann-Kopp rule, the standard enthalpy of formation of TmRhO3 from its constituent elements at 298.15 K is estimated as -1193.89 (+/- 2.86) kJ.mol(-1). The standard entropy of TmRhO3 at 298.15 K is evaluated as 103.8 (+/- 1.6) J.mol(-1).K-1. The oxygen potential-composition diagram and three-dimensional chemical potential diagram at 1200 K and temperature-composition diagrams at constant partial pressures of oxygen are computed from thermodynamic data. The compound TmRhO3 decomposes at 1688 (+/- 2) K in pure oxygen and at 1583 (+/- 2) K in air at standard pressure.

Evolution of high-pressure mafic granulites and pelitic gneisses from NE Madagascar: Tectonic implications

The occurrence of high-pressure mafic-ultramafic bodies within major shear zones is one of the indicators of paleo-subduction. In mafic granulites of the Andriamena complex (north-eastern Madagascar) we document unusual textures including garnet-clinopyroxene-quartz coronas that formed after the breakdown of orthopyroxene-plagioclase-ilmenite. Textural evidence and isochemical phase diagram calculations in the Na2O-CaO-K2O-FeO-MgO-Al2O3-SiO2-H2O-TiO2 system indicate a pressure-temperature (P-T) evolution from an isothermal (780 degrees C) pressure up to c. 24 kbar to decompression and cooling. Such a P-T trajectory is typically attained in a subduction zone setting where a gabbroic/ultramafic complex is subducted and later exhumed to the present crustal level during oceanic closure and final continental collision. The present results suggest that the presence of such deeply subducted rocks of the Andriamena complex is related to formation of the Betsimisaraka suture. LA-ICPMS U-Pb zircon dating of pelitic gneisses from the Betsimisaraka suture yields low Th/U ratios and protolith ages ranging from 2535 to 2625 Ma. A granitic gneiss from the Alaotra complex yields a zircon crystallization age of ca. 818 Ma and Th/U ratios vary from 1.08 to 2.09. K-Ar dating of muscovite and biotite from biotite-kyanite-sillimanite gneiss and garnet-biotite gneiss yields age of 486 +/- 9 Ma and 459 +/- 9 Ma respectively. We have estimated regional crustal thicknesses in NE Madagascar using a flexural inversion technique, which indicates the presence of an anomalously thick crust (c. 43 km) beneath the Antananarivo block. This result is consistent with the present concept that subduction beneath the Antananarivo block resulted in a more competent and thicker crust. The textural data, thermodynamic model, and geophysical evidence together provide a new insight to the subduction history, crustal thickening and evolution of the high-pressure Andriamena complex and its link to the terminal formation of the Betsimisaraka suture in north-eastern Madagascar. (C) 2015 Elsevier B.V. All rights reserved.

Letras, 2000-2001, nº 42-43 (número completo)

Contenido: Garcilaso de la Vega: 1501?-2001 -- El concepto de "transformación" y sus aplicaciones al análisis de la poesía de Garcilaso / Sofía M. Carrizo Rueda – Algunas observaciones, a principios de un nuevo milenio, en torno a las comedias de Calderón de la Barca / Lilia E. Ferrario de Orduna – Palomeque, don Quijote, Cervantes: tres lectores de Cirongilio de Tracia de Bernardo de Vargas / Javier Roberto González – Cervantes: riesgo del vivir, azar y Providencia. Una lectura en clave bíblica y patrística / Teresa Herráiz de Tresca –La justicia divina o el orlo Amoris en el Amadis de Gaula / Silivia C. Lastra Paz -- Catálogo descriptivo de libros de caballerías castellanos, XIV. Otro Palmerín de Olivia recuperado: Sevilla, Jácome Cromberger, 1547 (Con algunas reflexiones sobre el arte de editar textos impresos) / José Manuel Lucía Megías – La defensa de la poesía en el Perú colonial: El Discurso en Loor de la Poesía / Graciela Maturo – Sobre la evolución de -nn-, -nw- y -w- interiores intervocálicos en la onomástica geográfica del Amadís de Gaula / Aquilino Suárez Pallasá – Reforma y Contrarreforma en las artes plásticas / Carmen Balzer – Tomás Moro y el Humanismo cristiano / Inés de Cassagne – Algunos poetas latinos del Humanismo / Raúl Lavalle – Reseñas bibliográficas

Estudio preliminar de las causas de pérdidas de viabilidad en la semilla de sorgo T-43 Sorghum bicolor (Linn) Moench

Este trabajo se realizó en dos investigativas La primera estuvo orientada en determinar si el tamaño de la semilla de sorgo T-43, tenía influencia en la viabilidad, lo cual se comprobó a nivel de campo y laboratorio, donde los porcentajes diferencias en ambos porcentajes. Cabe hacer mención que los datos obtenidos no son concluyentes, por carecer de repeticiones suficientes, pero si presentan tendencias en favor de la semilla clasificada con tamiz 10, el cual mostró los mayores porcentajes de germinación: de ello podemos deducir que la semilla para uso en la siembra se debe clasificar por tamaño. La segunda fase consisto en cosechar en tres épocas diferentes (tres diferentes humedades de semilla), los que se secaron al sol a 13 porciento de humedad, almacenándose en dos ambientes diferentes (cuarto frió, ambiente natural), los resultados no fueron concluyentes, ya que no se obtuvieron diferencias significativas en lo que se refiere a los ambientes de almacenamiento y los momentos de recolecta; por lo que la pérdida de viabilidad observada se atribuyen a otros factores no controlados en el curso de este trabajo. Por otra parte, la semilla se sorgo T-43, muestra su más alto porcentaje de germinación 90,80,y 85 a los 100 días , con rangos de temperatura y humedad relativa de 25-27ªC y 60-65 por ciento respectivamente, esto para los momentos de recolecta 27.70 y 19.37% de humedad.

Funcionamento dos guardas municipais nas principais capitais do país, considerando : a. se atuam com poder de polícia; b. se substituem a polícia militar na falta de efetivo desta instituição; c. se auxiliam a polícia militar no combate ao crime; d. se têm porte de arma; e e. se contribuem para a segurança pública

Consultoria Legislativa - Área XVII - Segurança Pública e Defesa Nacional.

Reproducción de Esquela de la Misa de Requiem conmemorativa del 43º Aniversario del fallecimiento del Fundador del Nacionalismo Vasco, Sabino de Arana y Goiri.

Fecha: 25-11-1944 (>1970 reproducción) / Unidad de instalación: Carpeta 25 - Expediente 23-6 / Nº de pág.: 1 (mecanografiada)

Regulatory quality and the regulatory system in the UK

Busca identificar como o sistema regulatório britânico se desenvolveu nos últimos anos contribuindo para a melhoria da regulação no país. Aborda o tema da qualidade legislativa no Reino Unido.

Ordenaçoens do Senhor Rey D. Manuel

Compõem-se de leis e ordenações do Rei Dom Manuel que têm certa semelhança com o Código Afonsino, embora mais conciso e decretatório. A parte 1 apresenta a legislação antiga.

Amazônia : as batalhas perdidas de uma guerra invisível

Trata da globalização de normas legislativas. Nas duas últimas décadas, governos, ONGS e outras entidades internacionais têm aumentado cada vez mais o seu envolvimento nos assuntos internos de estados soberanos através do diálogo diplomático, da ação militar, da manutenção da paz internacional e de esforços para promover reformas institucionais e legislativas. Portanto, o que acontece dentro das fronteiras nacionais passa a ser assunto de interesse mundial.