Terapêutica do mieloma múltiplo refratário e em recaída

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Euroscepticism vs. Political Pragmatism: The Finns Party tones down its criticism of the EU. EPIN Commentary No. 19, 26 June 2014

While many Eurosceptic parties in Europe achieved historical successes in this year’s EP elections, Finland’s populist Finns Party was unable to fulfil its own high expectations. With the eurozone crisis at least temporarily subsiding and Finland’s own economy struggling, the party has been unable to find a new electoral trump card. Facing a changed political climate and stiffer competition, the party is currently toning down its criticism of the EU, as indicated by its recent decision to join the British Tories in the European Conservatives and Reformists (ECR) group.

Kosowo - przed ostatecznym rozwiazaniem. Proces uregulowania statusu miedzynarodowego = uwarunkowania polityczne i historyczne perspektywy rozwoju sytuacji. Prace OSW 2008. Kosovo before the final decision. Regulation Kosovo's international status - historical and political conditions and prospects for future developments. OSW Study 27/2008

The question of Kosovo's status is currently one of the most important issues in international politics. Since 1999, Kosovo has been an international protectorate which was created in the aftermath of the NATO intervention to stop the brutal pacification of the Albanian insurgency by Serb forces. The province has since de facto become independent of Serbia. Resolution 1244 of the UN Security Council, which established the protectorate, does not preclude any possible outcome as regards its status. Aware that after the crimes of 1999, any attempt to re-integrate Kosovo into Serbia would lead to a massive Albanian uprising, the West has decided that the best solution would be to award Kosovo internationally supervised independence, while at the same time granting very wide autonomy to the Kosovo Serbs. Serbia and Russia rejected the solution proposed by the West, and so Kosovo became an arena of international rivalry for influence in the Western Balkans as well as another element of rivalry, transcending the regional dimension, between Russia and the West. Russia has been using the Kosovo case to build a new model of its relations with the United States and the EU. Since there is a group of countries sceptical about, or even opposed to, Kosovo's independence within the EU, the Kosovo settlement will be a test of the EU's ability to speak with one voice with regard to its external policy.

O mel, os açúcares e os adoçantes sob diferentes perspetivas

A alimentação sempre constituiu e constitui um fator de grande importância para a espécie humana. A qualidade alimentar, o valor nutricional e a saúde estão extremamente interligados e são cada vez mais importantes para a tomada de decisão no acto de compra por parte dos consumidores. Os escândalos alimentares têm causado um maior estado de atenção por parte das autoridades e dos consumidores. A importância da informação da origem e modo de produção dos produtos alimentares assim como a rotulagem dos alimentos processados e dos suplementos alimentares também tem vindo a ter cada vez importância e demanda por parte dos consumidores e da indústria alimentar. Este trabalho pretende destacar o mel como alimento e como adoçante de grande valor nutricional com potenciais efeitos benéficos para a saúde humana. Por outro lado pretende identificar e descrever os açúcares e os adoçantes alternativos, sejam eles naturais ou artificiais. Este trabalho, aborda, também, o papel controverso do açúcar refinado na dieta alimentar assim como de alguns dos adoçantes artificiais mais utilizados pela indústria alimentar atualmente. Nos últimos anos tem-se verificado um interesse crescente por produtos naturais com efeitos benéficos para a saúde e tem havido um aumento do consumo de mel, sobretudo nos países industrializados. O objetivo é que este trabalho seja uma ferramenta de auxílio e orientação no mundo dos adoçantes, para opções alimentares mais saudáveis.

Uranium radionuclides and organic biomarkers in sediment core RC27-42

Uranium series radionuclides and organic biomarkers, which represent major groups of planktonic organisms, were measured in western Arabian Sea sediments that span the past 28 ka. Variability in the past strength of the southwest and northeast monsoons and its influence on primary productivity, sea surface temperature (SST), and planktonic community structure were investigated. The average alkenone-derived SST for the last glacial period was ~3°C lower than that measured for the Holocene. Prior to the deglacial, the lowest SSTs coincide with the highest measured fluxes of organic biomarkers, which represent primarily a planktonic suite of diatoms, coccolithophorids, dinoflagellates, and zooplankton. We propose that intensification of winter northeast monsoon winds during the last glacial period resulted in deep convective mixing, cold SSTs and enhanced primary productivity. In contrast, postdeglacial (<17 ka) SSTs are warmer during times in which biomarker fluxes are high. Associated with this transition is a planktonic community structure change, in which the ratio of the average cumulative flux of diatom biomarkers to the cumulative flux of coccolithophorid biomarkers is twice as high during the deglacial and Holocene than the average ratio during the last glacial period. We suggest that this temporal transition represents a shift from a winter northeast monsoon-dominated (pre-17 ka) to a summer southwest monsoon-dominated (post-17 ka) wind system.

Stable isotopes measured on Miocene benthic foraminifera from ODP sites 202-1237 and 184-1146

One of the most enigmatic features of Cenozoic long-term climate evolution is the long-lasting positive carbon-isotope excursion or "Monterey Excursion", which started during a period of global warmth after 16.9 Ma and ended at not, vert, similar 13.5 Ma, approximately 400 kyr after major expansion of the Antarctic ice-sheet. We present high-resolution (1-9 kyr) astronomically-tuned climate proxy records in two complete sedimentary successions from the northwestern and southeastern Pacific (ODP Sites 1146 and 1237), which shed new light on the middle Miocene carbon-isotope excursion and associated climatic transition over the interval 17.1-12.7 Ma. We recognize three distinct climate phases with different imprints of orbital variations into the climatic signals (1146 and 1237 d18O, d13C; 1237 XRF Fe, fraction > 63 µm): (1) climate optimum prior to 14.7 Ma characterized by minimum ice volume and prominent 100 and 400 kyr variability, (2) long-term cooling from 14.7 to 13.9 Ma, principally driven by obliquity and culminating with rapid cryosphere expansion and global cooling at the onset of the last and most pronounced d13C increase, (3) "Icehouse" mode after 13.9 Ma with distinct 100 kyr variability and improved ventilation of the deep Pacific. The "Monterey" carbon-isotope excursion (16.9-13.5 Ma) consists overall of nine 400 kyr cycles, which show high coherence with the long eccentricity period. Superposed on these low-frequency oscillations are high-frequency variations (100 kyr), which closely track the amplitude modulation of the short eccentricity period. In contrast to d13C, the d18O signal additionally shows significant power in the 41 kyr band, and the 1.2 Myr amplitude modulation of the obliquity cycle is clearly imprinted in the 1146 d18O signal. Our results suggest that eccentricity was a prime pacemaker of middle Miocene climate evolution through the modulation of long-term carbon budgets and that obliquity-paced changes in high-latitude seasonality favored the transition into the "Icehouse" climate.

Stable carbon and oxygen isotope record of foraminifera from ODP holes 104-643A and 104-644A

Continuous sediment sections spanning the last 2.8 Ma have been studied using stable isotope stratigraphy and sedimentological methods. By using paleomagnetic reversals as a chronostratigraphic tool, climatic and paleoceanographic changes have been placed in a time framework. The results show that the major expansion of the Scandinavian Ice Sheet to the coastal areas occurred in the late Neogene period at about 2.8 Ma. Relatively high-amplitude glacials appeared until about 2 Ma. The period between 2.8 and 1.2 Ma was marked by cold surface water conditions with only weak influx of temperate Atlantic water as compared with late Quaternary interglacials. During this period, climatic variations were smaller in amplitude than in the late Quaternary. The Norwegian Sea was a sink of deep water throughout the studied period but deep water ventilation was reduced and calcite dissolution was high compared with the Holocene. Deep water formed by other processes than today. Between 2 and 1.2 Ma, glaciations in Scandinavia were relatively small. A transition toward larger glacials took place during the period 1.2 to 0.6 Ma, corresponding with warmer interglacials and increasing influx of temperate surface water during interglacials. A strong thermal gradient was present between the Norwegian Sea and the northeastern Atlantic during the Matuyama (2.5-0.7 Ma). This is interpreted as a sign of a more zonal and less meridional climatic system over the region as compared with the present situation. The transition towards more meridionality took place over several hundred thousand yr. Only during the last 0.6 Ma has the oceanographic and climatic system of the Norwegian Sea varied in the manner described from previous studies of the late Quaternary.

Sedimentology of surface sediments from the continental shelf and slope off West Africa (Table 1)

Samples from sutface sediments of the shell, continental slope, and adjacent deep sea regions off West Africa between 27° N and 15° N were investigated with respect to grain size distribution of the total samples, sand contents of the acid insoluble residues, carbonate content of the total samples, and the separate grain size fractions, specific surfaces, colours and mineralogical composition of the clay fractions. The grain size distributions of the total samples of the sediments of the shelf and the continental slope off Spanish-Sahara are controlled mainly by biogenic components. The supply of terrigeneous material in this area is very low. At deeper parts of the continental slope and in the deep sea areas, the relative amounts of carbonate minerals in the sediments are considerably reduced. The prevailing sand contents of the upper slope changes into clay dominance. On the shelf of Mauritania - represented by profiles extending down to 200 m water depth - the grain size is also controlled mainly by biogenic carbonates. Nevertheless, the admixture of fossil silicate components is important, too. The southern parts of the area is investigated are located in a region influenced by sediments of the Senegal River, which especially control the contents of silt and clay. The silicate sands, predominately of quartz, are fossil and form a mixed sediment with younger deposits. The carbonate contents of the different grain size fractions are formed either by sedimentation of carbonate and silicate particles of the respective grain size or by autochtonous disintegration of coarser sediment particles, as shown by the occurence of Mg-rich calcite and especially aragonite in the clay sized fraction. In the northern parts of the area investigated, which have very minute terrigeneous supply, the latter mechanism is the dominant factor, controlling the carbonate contents of the fine grain sized fractions. In the vicinity of the mouth of the Senegal the carbonate contents are influenced by extremely high dilution with terrigencous silicates. Mg-rich calcite and aragonite are produced preferentially in shallow slope and shelf areas up to 500 m of water depth. The specific surfaces of the carbonate-free clay fractions indicate that the clay fractions of the shelfareas with little terrigenous supply consits of relatively coarser particles. Very fine particles are removed and transported towards the deep sea. Lateral differentiation of this kind was not observed in the area off Senegal. The high surface areas, characterizing the clay fractions of this region, are thought to be due to high montmorillonite contents as was found for deep seas sediments. The mineralogical composition of the clay fraction from the southern parts of the area is characterized by high kaolinite and montmorillonite contents, while in the northern illite is predominating. At least two types of montmorillionites are present: in areas influenced by the Senegal mostly one type was found, which could swell to 17; on the shelves and slopes of the other regions the montmorillonite-group is represented by a montmorillonite-mica-type mixed-layer mineral. A "glauconite", found in the sand fraction, which had very similar properties to those of the montmorillonite-mica mixed-layer, is believed to be the source of this mixed-layer-type mineral. Palygorskite is present in all samples out of range of the Senegal supply. It may be an indicator of eolian transported material. The occurence of rich palygorskit deposits in the arid hinterlands emphasizes the terrestrial origin.

The grand duchess of Gerolstein : a comic opera in three acts /

French & English in parallel columns.

La légende de Sainte Cécile : drame en trois actes /

Incidental music to the play.

Ernani. [music] : opera seria in quattri atti.

The libretto, by F. M. Piave, is based on Victor Hugo's Hernani. Cf. Loewenberg. Annals of opera.

I vespri siciliani. [music] : opera in 5 atti /

For voice and piano; Italian words only.

Otello. [music] : melodramma in tre atti /

The libretto is based on Shakespeare's Othello. Cf. Loewenberg. Annals of opera.

Cancione amorosa /

For voice and piano.

Light /

For voice and piano.