905 resultados para Conditional personal non-cure rate


Relevância:

100.00% 100.00%

Publicador:

Resumo:

Este estudo avaliou se relações entre os componentes do estímulo modelo complexo exerceriam controle condicional em tarefas de matching-to-sample simultâneo. Na Fase 1, 3 crianças com necessidades especiais de ensino foram expostas ao treino das relações A1B1 e A2B2 e ao teste das respectivas relações simétricas. em seguida, as contingências de treino exigiram respostas de observação diferenciais que consistiram no estabelecimento de relações condicionais de identidade entre estímulos complexos (relações AB-AB) precedendo o acesso ao treino das relações condicionais ABX. Neste treino, diante de estímulos modelos complexos cujos componentes sustentavam condicionalidade treinada (A1B1 e A2B2), X1 foi o estímulo de escolha correto; X2 exerceu esta função quando os componentes do estímulo modelo não sustentavam tal relação (A1B2 e A2B1). Na Fase 2, ocorreria o treino PQ, testes QP e PQX que avaliariam a extensão do controle condicional definido pelas relações entre os estímulos P e Q. As três crianças registraram a aprendizagem das relações AB, a emergência das relações simétricas e índices elevados de acerto nas respostas de observação diferenciais, ou seja, no estabelecimento das relações condicionais de identidade com estímulos complexos. Contudo, as três demonstraram relações de controle distintas das previstas no treino ABX, sendo, portanto, o experimento finalizado na Fase 1. Tais resultados sugerem uma independência funcional entre as habilidades discriminativas exigidas nas duas contingências de ensino de relações condicionais com estímulos modelo complexos.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Tuberculosis (TB) is a serious public health problem all over the world, which was recognized by the WHO in 1993 as a global emergency because of its very high incidence in the 22 countries that concentrate 80% of TB cases. One of these countries is Brazil, where TB occurrences are well-documented in major cities, but little is known of its spread in rural areas and small towns. Therefore, an epidemiological study was done on medical records of TB sufferers in the rural district and small town of Américo Brasiliense, São Paulo state, from 1992 to 2002, with the aim of improving TB prevention and treatment. The results showed that the incidence of TB peaked in the years of intense migration of rural workers, largely cane-cutters. Among these, the disease attacks mainly the men, in their productive years (20 to 40 years old). The predominant clinical form observed was pulmonary tuberculosis. The treatment abandonment rate was less than 1.8%, while the cure rate was around 90%. The disease detection rate by examination of sputum for acid-fast bacilli was around 60%.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Recaídas que podem ocorrer com o tratamento convencional de longa duração para malária por P. vivax e são em parte devido a parcial adesão do paciente. Portanto a utilização de esquemas terapêuticos de curta duração é capaz de proporcionar melhor acompanhamento do caso e ao mesmo tempo manter a eficácia, ser de boa tolerância e praticamente isento de efeitos adversos. O presente trabalho foi desenvolvido no Programa de Malária do Instituto Evandro Chagas, em Belém do Pará, no período de julho de 1994 a junho de 1995. O estudo caracterizou-se por ser aberto, comparativo, prospectivo e randomizado. Participaram aqueles com idade superior a 12 anos, de ambos os sexos e que pudessem permanecer em Belém até o final do controle. Todos procederam da Amazônia, sendo que o Pará foi o responsável pela maioria dos casos (85,8%) e a área metropolitana de Belém contribuiu com 39,2%, equivalente a autoctonia. A amostra foi composta de 120 pacientes, os quais foram alocados em 3 diferentes esquemas, cada um com 40 participantes, conforme a seguinte distribuição: esquema I - fosfato de cloroquina, comprimidos contendo 150 mg de substância base - 25 mg / Kg como dose total, dividida em 3 dias, sendo 10 mg / Kg de peso corporal no primeiro dia; 7,5 mg / Kg no segundo e terceiro dias, associada ao fosfato de primaquina, comprimidos contendo 15 mg de substância base - 0,25 mg / Kg / dia, por 14 dias; esquema II - fosfato de cloroquina, comprimido contendo 150 mg de substância base - 10 mg / Kg, dose única, associada ao fosfato de primaquina comprimidos contendo 15 mg de substância base - 0,50 mg / KG / dia, por 7 dias; esquema III - fosfato de cloroquina, comprimidos contendo 150 mg de substância base - 10 mg / Kg, dose única, associada ao fosfato de primaquina comprimidos contendo 15 mg de substância base - 0,50 mg / Kg / dia, por 5 dias. A medicação foi administrada por via oral, sob supervisão médica, sendo todos os pacientes tratados em regime ambulatorial. O diagnóstico clínico fundamentou-se na história, epidemiologia e exame físico do paciente, enquanto o encontro do hematozoário, plasmódio, através da gota espessa, confirmou o caso de malária. As respostas terapêuticas aos 3 esquemas foram satisfatórias, com percentual de cura acima dos 80%, sendo que o esquema II, não permitiu recaídas. O desaparecimento da tríade sintomática ocorreu no máximo em até 96 horas, e a negativação da parasitemia assexuada em até 72 horas, para os três diferentes esquemas de tratamento. Os efeitos colaterais foram mínimos e efêmeros. Não se observou toxicidade, mesmo com doses duplicadas de primaquina.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Pós-graduação em Biociências e Biotecnologia Aplicadas à Farmácia - FCFAR

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Pós-graduação em Medicina Veterinária - FMVZ

Relevância:

100.00% 100.00%

Publicador:

Resumo:

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

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Despite the efficacy of minutia-based fingerprint matching techniques for good-quality images captured by optical sensors, minutia-based techniques do not often perform so well on poor-quality images or fingerprint images captured by small solid-state sensors. Solid-state fingerprint sensors are being increasingly deployed in a wide range of applications for user authentication purposes. Therefore, it is necessary to develop new fingerprint-matching techniques that utilize other features to deal with fingerprint images captured by solid-state sensors. This paper presents a new fingerprint matching technique based on fingerprint ridge features. This technique was assessed on the MSU-VERIDICOM database, which consists of fingerprint impressions obtained from 160 users (4 impressions per finger) using a solid-state sensor. The combination of ridge-based matching scores computed by the proposed ridge-based technique with minutia-based matching scores leads to a reduction of the false non-match rate by approximately 1.7% at a false match rate of 0.1%. © 2005 IEEE.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

In this paper, a new family of survival distributions is presented. It is derived by considering that the latent number of failure causes follows a Poisson distribution and the time for these causes to be activated follows an exponential distribution. Three different activation schemes are also considered. Moreover, we propose the inclusion of covariates in the model formulation in order to study their effect on the expected value of the number of causes and on the failure rate function. Inferential procedure based on the maximum likelihood method is discussed and evaluated via simulation. The developed methodology is illustrated on a real data set on ovarian cancer.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

In this paper, we proposed a new three-parameter long-term lifetime distribution induced by a latent complementary risk framework with decreasing, increasing and unimodal hazard function, the long-term complementary exponential geometric distribution. The new distribution arises from latent competing risk scenarios, where the lifetime associated scenario, with a particular risk, is not observable, rather we observe only the maximum lifetime value among all risks, and the presence of long-term survival. The properties of the proposed distribution are discussed, including its probability density function and explicit algebraic formulas for its reliability, hazard and quantile functions and order statistics. The parameter estimation is based on the usual maximum-likelihood approach. A simulation study assesses the performance of the estimation procedure. We compare the new distribution with its particular cases, as well as with the long-term Weibull distribution on three real data sets, observing its potential and competitiveness in comparison with some usual long-term lifetime distributions.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

The detection of Colorectal Cancer (CRC), at early stages, is one of the proven strategies resulting in a higher cure rate. In recent years, several studies have appeared identifying potential cancer markers in serum, plasma and stool in an attempt to improve actual screening procedures. Thus, the aim of the study was (1) Evaluate MN frequency, (2) Evaluate plasma ultrafiltrate capacity to induce MN formation, (3) Evaluate SEPT9 and NOTCH3 promoter methylation profile in peripheral blood lymphocytes from subjects resulted positive to fecal occult blood test and examined by colonoscopy. MN frequency was significantly higher in subjects with histological diagnosis of CRC and adenoma than control (p ≤ 0.001 and p ≤ 0.01, respectively). About, CF-MN analysis, a statistically significant difference was observed between CRC and control (p ≤ 0.05). On the other hand, SEPT9 and NOTCH3 promoter methylation status was significantly lower in CRC subjects than controls; additionally, NOTCH3 promoter methylation status was significantly lower in CRC subjects than adenoma subjects (p ≤ 0.01). The results obtained allow conclude that MN frequency varies according CRC pathologic status and, together with other variables, is a valid biomarker for adenoma and CRC risk. Additionally, the plasma of patients affected with CRC not only serve as a biomarker for oxidative stress but also as biomarker of genetic damage correlated with the carcinogenic process that verifies in colon-rectum. SEPT9 and NOTCH3 promoter methylation status, at peripheral blood level, varies according hystopathological changes observed in colon-rectum, suggesting that promoter methylation profile of these genes could be a reliable biomarker for CRC risk.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Diese Studie befasst sich mit der Phylogenie und Biogeographie der australischen Camphorosmeae, die ein wichtiges Element der Flora arider Gebiete Australiens sind. Die molekularen Phylogenien wurden mit Hilfe Bayes’scher Statistik und „maximum likelihood”berechnet. Um das Alter der Gruppe und interner Linien abzuschätzen, wurden die Methoden „Nonparametric rate smoothing” und “penalized likelihood” benutzt. Morphologische Merkmale wurden nach Kriterien der Parsimonie auf den molekularen Baum aufgetragen. „Brooks parsimony analysis”, „cladistic analysis of distributions and endemism”, „dispersal-vicariance analysis”,„ancestral area analysis” und „weighted ancestral area analysis” wurden angewandt, um Abfolge und Richtungen der Ausbreitung der Gruppe in Australien zu analysieren.Von sieben getesteten Markern hatten nur die nukleären ETS und ITS genügend Variation für die phylogenetische Analyse der Camphorosmeae. Die plastidären Marker trnL-trnF spacer,trnP-psaJ spacer, rpS16 intron, rpL16 intron und trnS-trnG spacer zeigten kein ausreichendes phylogenetisches Signal. Die gefundenen phylogenetischen Hypothesen widersprechen der jetzigen Taxonomie der Gruppe. Neobassia, Threlkeldia, Osteocarpum und Enchylaena sollten den Gattungen Sclerolaena bzw. Maireana zugeordnet werden. Die kladistische Analyse der Fruchtanhängsel unterstützt die taxonomischen Ergebnisse der auf DNA basierenden Phylogenie. Allerdings hat die Behaarung, die bei anderen Gruppen der Chenopodiaceae als wichtiges taxonomisches Merkmal herangezogen wird, die Phylogenie nicht unterstützt. Vorfahren der heutigen Camphorosmeen sind im Miozän, vor ca. 8-14 Millionen Jahren, durch Fernausbreitung vermutlich aus Asien in Australien eingewandert. Anfängliche Diversifizierung fand während des späten Miozäns bis in das frühe Pliozän vor ca. 4-7 Millionen Jahren statt. Am Ende des Pliozäns existierten schon 45% - 72% der Abstammungslinien der jetzigen Camphorosmeen. Dies weist auf eine schnelle Ausbreitung hin. Das Alter stimmt mit dem Einsetzen der Aridisierung Australiens überein, und deutet darauf hin, dass die Ausbreitung der ariden Gebiete eine große Rolle bei der Diversifizierung der Gruppe spielte. Die Vorfahren der australischen Camphorosmeae scheinen die Südküste Australiens zuerst besiedeln zu haben. Dies geschah vor dem Einsetzen der Aridisierung des Kontinents. Die anschließende Ausbreitung erfolgte in verschiedene Richtungen und folgte der fortschreitenden Austrocknung im späten Tertiär und im ganzen Quartär. Durch ihre Anpassung an Trockenheit ist der Erfolg der Camphorosmeae in den ariden Gebieten zu erklären.Die Abwesenheit von klaren phylogenetischen und artspezifischen Signalen zwischen Arten der australischen Camphorosmeae ist auf das junge Alter und die schnelle Diversifizierung der Gruppe zurückzuführen, welche die Häufung von Mutationen und eine starke morphologische Differenzierung nicht zugelassen haben.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Wir betrachten einen zeitlich inhomogenen Diffusionsprozess, der durch eine stochastische Differentialgleichung gegeben wird, deren Driftterm ein deterministisches T-periodisches Signal beinhaltet, dessen Periodizität bekannt ist. Dieses Signal sei in einem Besovraum enthalten. Wir schätzen es mit Hilfe eines nichtparametrischen Waveletschätzers. Unser Schätzer ist von einem Wavelet-Dichteschätzer mit Thresholding inspiriert, der 1996 in einem klassischen iid-Modell von Donoho, Johnstone, Kerkyacharian und Picard konstruiert wurde. Unter gewissen Ergodizitätsvoraussetzungen an den Prozess können wir nichtparametrische Konvergenzraten angegeben, die bis auf einen logarithmischen Term den Raten im klassischen iid-Fall entsprechen. Diese Raten werden mit Hilfe von Orakel-Ungleichungen gezeigt, die auf Ergebnissen über Markovketten in diskreter Zeit von Clémencon, 2001, beruhen. Außerdem betrachten wir einen technisch einfacheren Spezialfall und zeigen einige Computersimulationen dieses Schätzers.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

The primary objective was to determine the efficacy of a newly designed preoperative chemotherapy regimen in an attempt to improve the cure rate of children with high-risk hepatoblastoma.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Structure-activity relationship studies were carried out by chemical modification of manzamine A (1), 8-hydroxymanzamine A (2), manzamine F (14), and ircinal isolated from the sponge Acanthostrongylophora. The derived analogues were evaluated for antimalarial, antimicrobial, and antineuroinflammatory activities. Several modified products exhibited potent and improved in vitro antineuroinflammatory, antimicrobial, and antimalarial activity. 1 showed improved activity against malaria compared to chloroquine in both multi- and single-dose in vivo experiments. The significant antimalarial potential was revealed by a 100% cure rate of malaria in mice with one administration of 100 mg/kg of 1. The potent antineuroinflammatory activity of the manzamines will provide great benefit for the prevention and treatment of cerebral infections (e.g., Cryptococcus and Plasmodium). In addition, 1 was shown to permeate across the blood-brain barrier (BBB) in an in vitro model using a MDR-MDCK monolayer. Docking studies support that 2 binds to the ATP-noncompetitive pocket of glycogen synthesis kinase-3beta (GSK-3beta), which is a putative target of manzamines. On the basis of the results presented here, it will be possible to initiate rational drug design efforts around this natural product scaffold for the treatment of several different diseases.

Relevância:

100.00% 100.00%

Publicador:

Resumo:

Surgical repair of the rotator cuff repair is one of the most common procedures in orthopedic surgery. Despite it being the focus of much research, the physiological tendon-bone insertion is not recreated following repair and there is an anatomic non-healing rate of up to 94%. During the healing phase, several growth factors are upregulated that induce cellular proliferation and matrix deposition. Subsequently, this provisional matrix is replaced by the definitive matrix. Leukocyte- and platelet-rich fibrin (L-PRF) contain growth factors and has a stable dense fibrin matrix. Therefore, use of LPRF in rotator cuff repair is theoretically attractive. The aim of the present study was to determine 1) the optimal protocol to achieve the highest leukocyte content; 2) whether L-PRF releases growth factors in a sustained manner over 28 days; 3) whether standard/gelatinous or dry/compressed matrix preparation methods result in higher growth factor concentrations. 1) The standard L-PRF centrifugation protocol with 400 x g showed the highest concentration of platelets and leukocytes. 2) The L-PRF clots cultured in medium showed a continuous slow release with an increase in the absolute release of growth factors TGF-β1, VEGF and MPO in the first 7 days, and for IGF1, PDGF-AB and platelet activity (PF4=CXCL4) in the first 8 hours, followed by a decrease to close to zero at 28 days. Significantly higher levels of growth factor were expressed relative to the control values of normal blood at each culture time point. 3) Except for MPO and the TGFβ-1, there was always a tendency towards higher release of growth factors (i.e., CXCL4, IGF-1, PDGF-AB, and VEGF) in the standard/gelatinous- compared to the dry/compressed group. L-PRF in its optimal standard/gelatinous-type matrix can store and deliver locally specific healing growth factors for up to 28 days and may be a useful adjunct in rotator cuff repair.