993 resultados para 757
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Référence bibliographique : Weigert, 757
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OBJECTIVE: To examine the occurrence of arthrogryposis multiplex congenita (AMC) in Europe and to identify possible risk factors. STUDY DESIGN: Retrospective population-based epidemiological study using EUROCAT congenital anomaly registries. The study population included all cases of AMC (based on WHO ICD-9 or ICD-10 codes) that were livebirths (LB), fetal deaths (FD) from 20 weeks gestation and underwent termination of pregnancy for fetal anomaly (TOPFA), 1980-2006. RESULTS: Among 8.9 million births covered by 24 EUROCAT congenital anomaly registries, 757 AMC cases were reported. This gives a prevalence of 8.5 per 100,000. Five hundred and four (67%) AMC cases were LB, 199 (26%) cases were TOPFA, and FD occurred in 54 (7%) cases. First week survival status was known for 381 of the 504 LB (76%), of whom 87 (23%) died within the first week of life. Perinatal mortality associated with AMC was 32%. Two hundred and eighty-two (37%) cases had isolated AMC, 90 (12%) had additional syndrome or chromosomal anomalies and 385 (51%) had other major malformations. The same or similar anomaly was reported in 13% of siblings and in 12% of the mother's own family background. Information on prenatal testing was available for 521 cases of which 360 tested positive for a congenital anomaly, representing a sensitivity of 69%. Information on maternal illness before and during pregnancy and medication use in the first trimester was available for approximately a third of the mothers, of whom the vast majority reported no maternal illness or medication use. CONCLUSION: AMC is a rare occurrence, with a reported prevalence of 1:12,000. In this study, while information on potential risk factors such as maternal disease or maternal use of drugs was limited, they did not appear to be associated with the occurrence of AMC. AMC was lethal in a third of cases, either in utero or during the first week of life, although this may not be solely attributed to AMC as most cases had additional malformations.
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O objetivo deste trabalho foi avaliar o efeito das aflatoxinas sobre o crescimento de alevinos de jundiá (Rhamdia quelen), e sua deposição no fígado e na carcaça de peixes alimentados com ração com diferentes teores da micotoxina. Foram utilizados 960 alevinos, em dois experimentos, o primeiro com duração de 45 dias e o segundo com 35 dias. As instalações experimentais foram compostas por um sistema termorregulado de recirculação de água. No primeiro experimento, foram avaliados os teores de 41, 90 e 204 ppb de aflatoxinas kg-1 de alimento e no segundo experimento, 350, 757 e 1.177 ppb de aflatoxinas kg-1 de alimento. Foram estimados os seguintes parâmetros: peso médio, comprimento total e padrão, rendimento de carcaça, fator de condição, ganho diário, sobrevivência e deposição de aflatoxinas no fígado e na carcaça. Observou-se, no primeiro experimento, diminuição do peso e comprimento dos peixes alimentados com 204 ppb aflatoxinas kg-1. No segundo experimento, não ocorreu diferença significativa nas variáveis analisadas. A partir de 350 ppb kg-1, ocorreram alterações no fígado e tecidos, sem comprometer o crescimento, durante os 35 dias.
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Pioneer work on iontophoresis undertaken by David Maurice during the 1970s and 1980s laid the initial groundwork for its potential implementation as a promising ocular therapeutic modality. A better understanding of tissue interactions within the eye during electric current application, along with better designs of drug delivery devices have enabled us to pursue David Maurice's original ideas and take them from the bench to the bed side. In the present study we demonstrate the potential application of an iontophoresis device (Eyegate, Optis, France) for the treatment of certain human eye diseases. Seventeen patients received a penetrating keratoplasty (PKP) at various intervals before presentation with active graft rejection in our clinic and were treated using this iontophoresis device. Methylprednisolone sodium succinate (MP) 62.5 mg/ml was infused within the Eyegate ocular probe container and an electrical current of 1.5 mA was delivered for 4 min with the negative pole connected to the ocular probe. Patients were treated on an ambulatory basis and received a standard course of three iontophoresis applications given once a day over 3 consecutive days. After treatment, 15 of the 17 treated eyes (88%) demonstrated a complete reversal of the rejection processes. In two eyes, only a partial and temporary improvement was observed. The mean best corrected visual acuity of all 17 patients during the last follow up visit was 0.37 +/- 0.2 compared to 0.06 +/- 0.05 before initiation of the iontophoresis treatment. The mean follow-up time was 13.7 months with a range of 5-29 months for the 17 patients. No significant side-effects associated with the iontophoresis treatment were observed. Thus, for the management of active corneal graft rejection, iontophoresis of MP can be an alternative to very frequent instillations of eye drops, or to pulsed intravenous therapy of corticosteroids.
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Amb la finalitat de conèixer el grau d’aprenentatge dels estudiants en aspectos relacionats amb la qualitat tota (qualitat, seguretat, salut, gestió de residus i sostenibilitat), s’han enquestat els estudiants al llarg del seu itinerari curricular, des del primer fins el quart curs de grau. Els resultats corresponents als cursos acadèmics 2010-11 i 2011-12 (n = 770 i 757 estudiants enquestats, respectivament) evidencien que determinats coneixements dels estudiants milloren al llarg del període considerat (qüestions relacionades amb les bones practiques de laboratori), altres que es mantenen i, per últim, hi ha aspectos com els relacionats amb la seguretat als laboratoris i la gestió dels residus que presenten diferències al llarg dels anys.
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Amb la finalitat de conèixer el grau d’aprenentatge dels estudiants en aspectos relacionats amb la qualitat tota (qualitat, seguretat, salut, gestió de residus i sostenibilitat), s’han enquestat els estudiants al llarg del seu itinerari curricular, des del primer fins el quart curs de grau. Els resultats corresponents als cursos acadèmics 2010-11 i 2011-12 (n = 770 i 757 estudiants enquestats, respectivament) evidencien que determinats coneixements dels estudiants milloren al llarg del període considerat (qüestions relacionades amb les bones practiques de laboratori), altres que es mantenen i, per últim, hi ha aspectos com els relacionats amb la seguretat als laboratoris i la gestió dels residus que presenten diferències al llarg dels anys.
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The major antigen on the envelope of extracellular vaccinia virus particles is a polypeptide with an apparent molecular weight of 37,000 (p37K; G. Hiller and K. Weber, J. Virol. 55:651-659, 1985). The gene encoding p37K was mapped in the vaccinia virus genome by hybrid selection of RNA followed by in vitro translation. p37K was then identified among the in vitro translation products by immunoprecipitation with a monoclonal antibody. The gene is located close to the right-hand end of the HindIII F fragment. The corresponding region of the DNA was sequenced, and an open reading frame encoding a polypeptide of 41,748 daltons was observed. The 5' end of the mRNA, as defined by nuclease S1 analysis, maps within only a few nucleotides of the translation initiation codon. Examination of the DNA sequence around the putative initiation site of transcription revealed a characteristic sequence, TAAATG, which includes the ATG translation initiation codon and which is conserved in all but one late gene so far analyzed. It is therefore likely that this sequence is an important regulatory signal for late gene expression in vaccinia virus.
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Objetivos: Demostrar la efectividad de la intervención psicosocial en la atención integral a personas con enfermedades avanzadas. Método: Se ha evaluado la presencia y evolución de parámetros psicológicos y espirituales de 8.964 pacientes, visitados por 117 profesionales de 29 equipos en un estudio de diseño cuasi-experimental, prospectivo, multcéntrico de un solo grupo pre-test post-test. Resultados: Los resultados muestran mejoras significativas en parámetros como ansiedad (RL 657,64; p<0,001), malestar emociona (RL 757,44; p<0,001), sentido de la vida (RL 248,30; p<0,001) y sentimientos de paz y perdón (RL 190,94; p<0,001). Conclusiones: El efecto positivo de la intervención psicosocial en la reducción de los parámetros psicológicos y espirituales evaluados sugiere que esta es eficaz en el contexto de la atención a personas con enfermedades avanzadas.
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Scientific studies regarding specifically references do not seem to exist. However, the utilization of references is an important practice for many companies involved in industrial marketing. The purpose of the study is to increase the understanding about the utilization of references in international industrial marketing in order to contribute to the development of a theory of reference behavior. Specifically, the modes of reference usage in industry, the factors affecting a supplier's reference behavior, and the question how references are actually utilized, are explored in the study. Due to the explorative nature of the study, a research design was followed where theory and empirical studies alternated. An Exploratory Framework was developed to guide a pilot case study that resulted in Framework 1. Results of the pilot study guided an expanded literature review that was used to develop first a Structural Framework and a Process Framework which were combined in Framework 2. Then, the second empirical phase of the case study was conducted in the same (pilot) case company. In this phase, Decision Systems Analysis (DSA) was used as the analysis method. The DSA procedure consists of three interviewing waves: initial interviews, reinterviews, and validating interviews. Four reference decision processes were identified, described and analyzed in the form of flowchart descriptions. The flowchart descriptions were used to explore new constructs and to develop new propositions to develop Framework 2 further. The quality of the study was ascertained by many actions in both empirical parts of the study. The construct validity of the study was ascertained by using multiple sources of evidence and by asking the key informant to review the pilot case report. The DSA method itself includes procedures assuring validity. Because of the choice to conduct a single case study, external validity was not even pursued. High reliability was pursued through detailed documentation and thorough reporting of evidence. It was concluded that the core of the concept of reference is a customer relationship regardless of the concrete forms a reference might take in its utilization. Depending on various contingencies, references might have various tasks inside the four roles of increasing 1) efficiency of sales and sales management, 2) efficiency of the business, 3) effectiveness of marketing activities, and 4) effectiveness in establishing, maintaining and enhancing customer relationships. Thus, references have not only external but internal tasks as well. A supplier's reference behavior might be affected by many hierarchical conditions. Additionally, the empirical study showed that the supplier can utilize its references as a continuous, all pervasive decision making process through various practices. The process includes both individual and unstructured decision making subprocesses. The proposed concept of reference can be used to guide a reference policy recommendable for companies for which the utilization of references is important. The significance of the study is threefold: proposing the concept of reference, developing a framework of a supplier's reference behavior and its short term process of utilizing references, and conceptual structuring of an unstructured and in industrial marketing important phenomenon to four roles.
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Invocatio: D.D.
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An alternative for landfill leachate treatment are advanced oxidation processes by Fenton's reagent (AOP/Fenton). In this context, the aim of this paper was to evaluate, in a bench scale, the treatability of leachate pós-AOP/Fenton characterizing the supernatant and the sludge generated separately. Observed in optimal conditions, high removal efficiency of COD (76.7%), real color (76.4%) and humic substances (50%). Organic compounds were detected in the sludge (2.465 mg COD L-1) and high concentration of iron (1.757 mg L-1) as was expected. Finally, the sludge generated showed low settling hindering their separation by sedimentation (SVI = 321 mL g-1).
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Soitinnus: piano.