¿Qué factores inciden en la hospitalización de pacientes con cálculos ureterales menores a 10 mm en Fundación Santa Fe?

Debido a que el 12% de la población tendrá un cálculo en uréter hacia la mitad de su vida y a que las tasas de recurrencia en los que ya lo presentan son del 50% es necesario estudiar esta patología para aproximarse a un manejo adecuado en el servicio de urgencias. La literatura identifica un conjunto de factores que pueden contribuir a un cambio en el manejo médico. Objetivo: El objetivo de este estudio fue determinar los factores demográficos y clínicos asociados a manejo hospitalario en los pacientes con diagnóstico de cálculo ureteral menor de 10 mm. Métodos: Se diseñó un estudio de casos y controles no emparejados. Un caso fue definido como un paciente de 18 o más años con diagnóstico de urolitiasis con cálculo menor a 10 mm realizado por urotac que consultó (por primera vez para ese episodio) al servicio de urgencias de la Fundación Santa Fe de Bogotá entre el 1 de marzo de 2007 y 30 de abril de 2012. Se indagaron factores como edad, sexo, tamaño y localización del cálculo, respuesta a los analgésicos, evidencia de obstrucción e infección urinaria, además de otros antecedentes medicamentosos y clínicos. Se utilizó regresión logística no condicional bivariada y multivariada para evaluar la asociación entre tipo de manejo (hospitalario o ambulatorio) y las variables recolectadas, calculando odds ratio (OR) e intervalos de confianza al 95% (IC95%). Resultados: El riesgo de hospitalización se incrementó con: 1. La localización del cálculo en tercio superior o medio (OR=1.49; IC95%: 0.751-2.966) al comparar con el inferior, 2. El aumento del tamaño del cálculo (OR=1.49; IC95%: 0.751-2.966, por cada milímetro de incremento), y 3: Por la evidencia de obstrucción o infección urinaria y elevación de azoados. Por el contrario, hubo menos riesgo de hospitalización en aquellos pacientes con una respuesta analgésica apropiada en urgencias.

SEG Deliverable 4: Application Increment 3

This is the specification for the 4th deliverable of the Agile Software Engineering Group Project. The 4th deliverable is code increment 3 of the application built in the 3rd sprint

Supressió dels actes estereotipats i increment del joc espontani en deficients profunds. 'Supresión de los actos estereotipados e incremento del juego espontáneo en deficientes profundos'.

Profundizar en el estudio de los comportamientos estereotipados dando una visión amplia y detallada de todo lo que se ha dicho en la literatura publicada en torno a este tipo de conducta. Examinar los efectos directos y secundarios de la sobrecorrección cuando se intentan suprimir las conductas estereotipadas. Validar el procedimiento de sobrecorrección por práctica positiva en el juego apropiado con juguetes. 2 chicos deficientes profundos, de 12 y 15 años respectivamente, que llevan un año y medio en una residencia de semana. Realiza un marco teórico en el que incluye toda la información encontrada sobre el tema deestudio. Realiza una parte experimental consistente en una réplica de un trabajo experimental utilizando un diseño intrasujeto de línea base múltiple a fin de evaluar la efectividad del procedimiento de sobrecorrección. Para obtener los datos observan los chicos en una situación experimental de juego libre a través de un espejo unidireccional. Calculan la fiabilidad y validez de las observaciones. Registran la ausencia o presencia de cuatro comportamientos sobre los cuales se administra la sobrecorrección: movimiento inapropiado de las manos, contacto inapropiado con la boca, manipulación inapropiada de objetos y otras conductas inapropiadas. Miden los efectos secundarios de la sobrecorrección por medio del grado de presencia de la conducta de juego apropiada. Tres juegos: juegos de cubo de plástico 'Conos-cefa', juegos de encajamiento y juego de pirámide. Estadística descriptiva. Cálculo de frecuencias, medias y representaciones gráficas. Se observa una reducción casi completa de los comportamientos estereotipados en los dos sujetos y la manifestación de un nuevo comportamiento adaptativo, el juego apropiado con juguetes. La persona afectada por un retardo profundo es educable: tienen unas posibilidades que es necesario potenciar. Los comportamientos estereotipados son los que influyen más a menudo en su evolución personal y en la tarea educativa, por tanto, es una cuestión primordial la de encontrar técnicas adecuadas para su tratamiento y la realización de estudios experimentales que utilicen diseños experimentales rigurosos.

Procés de destintatge del paper per flotació. Avaluació de l'eficàcia de l'eliminació de tinta

La tesi doctoral presentada té com a objectius principals l'estudi de les etapes fonamentals de desintegració i flotació en un procés de destintatge de papers vell de qualitats elevades per a poder millorar l'eficàcia d'aquestes etapes clau. Conté una revisió teòrica completa i molt actualitzada del procés de desintegració i flotació tant a nivell macroscòpic com microscòpic. La metodologia de treball en el laboratori, la posada a punt dels aparells, així com les anàlisis efectuades per a valorar la resposta del procés (anàlisi de blancor, anàlisi d'imatge i anàlisi de la concentració efectiva de tinta residual) estan descrites en el capítol de material i mètodes. La posada en marxa permet obtenir unes primeres conclusions respecte la necessitat de treballar amb una matèria primera homogènia i respecte la no significació de la temperatura de desintegració dins l'interval de treball permès al laboratori (20-50°C). L'anàlisi de les variables mecàniques de desintegració: consistència de desintegració (c), velocitat d'agitació en la desintegració (N) i temps de desintegració (t), permet de discernir que la consistència de desintegració és una variable fonamental. El valor de consistència igual al 10% marca el límit d'existència de les forces d'impacte mecànic en la suspensió fibrosa. A consistències superiors, les forces viscoses i d'acceleració dominen l'etapa de desintegració. Existeix una interacció entre la consistència i el temps de desintegració, optimitzant-se aquesta darrera variable en funció del valor de la consistència. La velocitat d'agitació és significativa només per a valors de consistència de desintegració inferiors al 10%. En aquests casos, incrementar el valor de N de 800 a 1400 rpm representa una disminució de 14 punts en el factor de destintabilitat. L'anàlisi de les variables químiques de desintegració: concentració de silicat sòdic (% Na2SiO3), peròxid d'hidrogen (% H2O2) i hidròxid sòdic (% Na2OH), proporciona resultats força significatius. El silicat sòdic presenta un efecte altament dispersant corroborat per les corbes de distribució dels diàmetres de partícula de tinta obtingudes mitjançant anàlisi d'imatges. L'hidròxid sòdic també presenta un efecte dispersant tot i que no és tant important com el del silicat sòdic. Aquests efectes dispersants són deguts principalment a l'increment de les repulsions electrostàtiques que aporten a la suspensió fibrosa aquests reactius químics fent disminuir l'eficàcia d'eliminació de l'etapa de flotació. El peròxid d'hidrogen utilitzat generalment com agent blanquejant, actua en aquests casos com a neutralitzador dels grups hidroxil provinents tant del silicat sòdic com de l'hidròxid sòdic, disminuint la repulsió electrostàtica dins la suspensió. Amb l'anàlisi de les variables hidrodinàmiques de flotació: consistència de flotació (c), velocitat d'agitació durant la flotació (N) i cabal d'aire aplicat (q), s'aconsegueix la seva optimització dins el rang de treball permès al laboratori. Valors elevats tant de la velocitat d'agitació com del cabal d'aire aplicat durant la flotació permeten eliminar majors quantitats de tinta. La consistència de flotació assoleix valors òptims depenent de les condicions de flux dins la cel·la de flotació. Les metodologies d'anàlisi emprades permeten obtenir diferents factors de destintabilitat. Entre aquests factors existeix una correlació important (determinada pels coeficients de correlació de Pearson) que permet assegurar la utilització de la blancor com a paràmetre fonamental en l'anàlisi del destintatge de papers vells, sempre i quan es complementi amb anàlisis d'imatge o bé amb anàlisi de la concentració efectiva de tinta residual. S'aconsegueixen expressions empíriques tipus exponencial que relacionen aquests factors de destintabilitat amb les variables experimentals. L' estudi de les cinètiques de flotació permet calcular les constants cinètiques (kBlancor, kERIC, kSupimp) en funció de les variables experimentals, obtenint un model empíric de flotació que relacionant-lo amb els paràmetres microscòpics que afecten realment l'eliminació de partícules de tinta, deriva en un model fonamental molt més difícil d'interpretar. Mitjançant l'estudi d'aquestes cinètiques separades per classes, també s'aconsegueix determinar que l'eficàcia d'eliminació de partícules de tinta és màxima si el seu diàmetre equivalent és superior a 50 μm. Les partícules amb diàmetres equivalents inferiors a 15 μm no són eliminades en les condicions de flotació analitzades. Es pot dir que és físicament impossible eliminar partícules de tinta de diàmetres molt diferents amb la mateixa eficiència i sota les mateixes condicions de treball. El rendiment del procés analitzat en funció de l'eliminació de sòlids per l'etapa de flotació no ha presentat relacions significatives amb cap de les variables experimentals analitzades. Únicament es pot concloure que addicionar quantitats elevades de silicat sòdic provoca una disminució tant de sòlids com de matèria inorgànica presents en les escumes de flotació.

The effect of vessel diameter on time dependent gas hold-up variations in highly viscous impeller agitated liquids

Time dependent gas hold-up generated in the 0.3 and 0.6 m diameter vessels using high viscosity castor oil and carboxy methyl cellulose (CMC) solution was compared on the basis of impeller speed (N) and gas velocity (V-G). Two types of hold-up were distinguished-the hold-up due to tiny bubbles (epsilon(ft)) and total hold-up (epsilon(f)), which included large and tiny bubbles. It was noted that vessel diameter (i.e. the scale of operation) significantly influences (i) the trends and the values of epsilon(f) and epsilon(ft), and (ii) the values of tau (a constant reflecting the time dependency of hold-up). The results showed that a scale independent correlation for gas hold-up of the form epsilon(f) or epsilon(ft) = A(N or P-G/V)(a) (V-G)(b), where "a" and "b" are positive constants is not appropriate for viscous liquids. This warrants further investigations into the effect of vessel diameter on gas hold-up in impeller agitated high viscosity liquids (mu or mu(a) > 0.4 Pa s). (C) 2003 Elsevier B.V. All rights reserved.

Diameter of parallelogramic honeycomb torus

The determination of the diameter of an interconnection network is essential in evaluating the performance of the network. Parallelogramic honeycomb torus is an attractive alternative to classical torus network due to smaller vertex degree, and hence, lower implementation cost. In this paper, we present the expression for the diameter of a parallelogramic, honeycomb torus, which extends a known result about rhombic: honeycomb torus. (c) 2005 Elsevier Ltd. All rights reserved.

A nutrient increment method for reducing bias in global biogeochemical models

Assimilation of physical variables into coupled physical/biogeochemical models poses considerable difficulties. One problem is that data assimilation can break relationships between physical and biological variables. As a consequence, biological tracers, especially nutrients, are incorrectly displaced in the vertical, resulting in unrealistic biogeochemical fields. To prevent this, we present the idea of applying an increment to the nutrient field within a data assimilating model to ensure that nutrient-potential density relationships are maintained within a water column during assimilation. After correcting the nutrients, it is assumed that other biological variables rapidly adjust to the corrected nutrient fields. We applied this method to a 17 year run of the 2° NEMO ocean-ice model coupled to the PlankTOM5 ecosystem model. Results were compared with a control with no assimilation, and with a model with physical assimilation but no nutrient increment. In the nutrient incrementing experiment, phosphate distributions were improved both at high latitudes and at the equator. At midlatitudes, assimilation generated unrealistic advective upwelling of nutrients within the boundary currents, which spread into the subtropical gyres resulting in more biased nutrient fields. This result was largely unaffected by the nutrient increment and is probably due to boundary currents being poorly resolved in a 2° model. Changes to nutrient distributions fed through into other biological parameters altering primary production, air-sea CO2 flux, and chlorophyll distributions. These secondary changes were most pronounced in the subtropical gyres and at the equator, which are more nutrient limited than high latitudes.

Kerb and urban increment of highly time-resolved trace elements in PM10, PM2.5 and PM1.0 winter aerosol in London during ClearfLo 2012

Ambient concentrations of trace elements with 2 h time resolution were measured in PM10–2.5, PM2.5–1.0 and PM1.0–0.3 size ranges at kerbside, urban background and rural sites in London during winter 2012. Samples were collected using rotating drum impactors (RDIs) and subsequently analysed with synchrotron radiation-induced X-ray fluorescence spectrometry (SR-XRF). Quantification of kerb and urban increments (defined as kerb-to-urban and urban-to-rural concentration ratios, respectively), and assessment of diurnal and weekly variability provided insight into sources governing urban air quality and the effects of urban micro-environments on human exposure. Traffic-related elements yielded the highest kerb increments, with values in the range of 10.4 to 16.6 for SW winds (3.3–6.9 for NE) observed for elements influenced by brake wear (e.g. Cu, Sb, Ba) and 5.7 to 8.2 for SW (2.6–3.0 for NE) for other traffic-related processes (e.g. Cr, Fe, Zn). Kerb increments for these elements were highest in the PM10–2.5 mass fraction, roughly twice that of the PM1.0–0.3 fraction. These elements also showed the highest urban increments (~ 3.0), although no difference was observed between brake wear and other traffic-related elements. All elements influenced by traffic exhibited higher concentrations during morning and evening rush hours, and on weekdays compared to weekends, with the strongest trends observed at the kerbside site, and additionally enhanced by winds coming directly from the road, consistent with street canyon effects. Elements related to mineral dust (e.g. Al, Si, Ca, Sr) showed significant influences from traffic-induced resuspension, as evidenced by moderate kerb (3.4–5.4 for SW, 1.7–2.3 for NE) and urban (~ 2) increments and increased concentrations during peak traffic flow. Elements related to regional transport showed no significant enhancement at kerb or urban sites, with the exception of PM10–2.5 sea salt (factor of up to 2), which may be influenced by traffic-induced resuspension of sea and/or road salt. Heavy-duty vehicles appeared to have a larger effect than passenger vehicles on the concentrations of all elements influenced by resuspension (including sea salt) and wearing processes. Trace element concentrations in London were influenced by both local and regional sources, with coarse and intermediate fractions dominated by traffic-induced resuspension and wearing processes and fine particles influenced by regional transport.

Effect of arginine on the development of the pectoralis muscle and the diameter and the protein:deoxyribonucleic acid rate of its skeletal myofibers in broilers

This work aimed at evaluating the effects of the supplementation of starter diet with Arg on breast muscle development in broilers and the activation of satellite cells and the aggregation of myofibrillar protein. Male Cobb chicks (n = 990) were randomly assigned to 1 of 5 treatments in a complete random design. Measurements of 33 chicks per treatment were made in 6 repetitions. The treatments consisted of a basal diet with 1.390% digestible Arg (without supplementation) and 4 dietary levels of Arg (1.490, 1.590, 1.690, and 1.790%) with Arg:Lys ratios of 1.103, 1.183, 1.262, 1.341, and 1.421, respectively. Arginine supplementation was used only in the starter phase (1 to 21 d). Dietary supplementation with Arg had a positive effect (P < 0.05) on breast and breast fillet weight on d 7 and 21 and on myofiber diameter on d 14 and 21. However, no effect was observed (P > 0.05) on the protein: DNA ratio, which demonstrates that Arg does not interfere with the mitotic activity of the satellite cells. Independently from mechanism, Arg affected muscle growth in the starter phase positively. Dietary supplementation with Arg in the starter phase had no effect (P > 0.05) on the carcass yield of broilers on d 42. Diet supplementation with Arg at levels above the ones recommended for the starter phase may be necessary for improved muscle development in broilers.

Surfactant-nanotube interactions in water and nanotube separation by diameter: atomistic simulations

A non-destructive sorting method to separate single-walled carbon nanotubes (SWNTs) by diameter was recently proposed. By this method, SWNTs are suspended in water by surfactant encapsulation and the separation is carried out by ultracentrifugation in a density gradient. SWNTs of different diameters are distributed according to their densities along the centrifuge tube. A mixture of two anionic surfactants, namely sodium dodecylsulfate (SDS) and sodium cholate (SC), presented the best performance in discriminating nanotubes by diameter. Unexpectedly, small diameter nanotubes are found at the low density part of the centrifuge tube. We present molecular dynamics studies of the water-surfactant-SWNT system to investigate the role of surfactants in the sorting process. We found that surfactants can actually be attracted towards the interior of the nanotube cage, depending on the relationship between the surfactant radius of gyration and the nanotube diameter. The dynamics at room temperature showed that, as the amphiphile moves to the hollow cage, water molecules are dragged together, thereby promoting the nanotube filling. The resulting densities of filled SWNT are in agreement with measured densities.

Produktion, skador och grenegenskaper hos 10-årig tall i ett kombinerat förbands- och avkommeförsök : Volume production, damages and branch properties in a 10-year old combined spacing and progeny trial of Scots pine

A Scots pine (Pinus sylvestris) progeny trial was established in 1990, in the southwestern part of Sweden. The offspring was from 30 plus trees. The trial is located on abandoned agricultural land and has a single tree block design with a variation in spacing. The trial has been damaged by voles. At a tree age of ten years, growth, damages and branch properties were estimated. An analysis of variance on height, diameter and stem volume shows significant difference between spacing and progenies as well as interactions between these factors. As indicated by a better annual height increment and fewer and thinner branches at each whorl the densest spacing has the highest potential to produce quality logs.There were also differences between progenies in growth and quality traits. Some progenies combined good growth and branch characters with low mortality, straight stems and few damages. Other progenies had superior volume production.

Desenvolvimento e caracterização de um compósito matriz metálica (CMM): aço EUROFER97 reforçado com Carbeto de Tântalo - TaC

Steel is an alloy EUROFER promising for use in nuclear reactors, or in applications where the material is subjected to temperatures up to 550 ° C due to their lower creep resistance under. One way to increase this property, so that the steel work at higher temperatures it is necessary to prevent sliding of its grain boundaries. Factors that influence this slip contours are the morphology of the grains, the angle and speed of the grain boundaries. This speed can be decreased in the presence of a dispersed phase in the material, provided it is fine and homogeneously distributed. In this context, this paper presents the development of a new material metal matrix composite (MMC) which has as starting materials as stainless steel EUROFER 97, and two different kinds of tantalum carbide - TaC, one with average crystallite sizes 13.78 nm synthesized in UFRN and another with 40.66 nm supplied by Aldrich. In order to improve the mechanical properties of metal matrix was added by powder metallurgy, nano-sized particles of the two types of TaC. This paper discusses the effect of dispersion of carbides in the microstructure of sintered parts. Pure steel powders with the addition of 3% TaC UFRN and 3% TaC commercial respectively, were ground in grinding times following: a) 5 hours in the planetary mill for all post b) 8 hours of grinding in the mill Planetary only for steel TaC powders of commercial and c) 24 hours in the conventional ball mill mixing the pure steel milled for 5 hours in the planetary mill with 3% TaC commercial. Each of the resulting particulate samples were cold compacted under a uniaxial pressure of 600MPa, on a cylindrical matrix of 5 mm diameter. Subsequently, the compressed were sintered in a vacuum furnace at temperatures of 1150 to 1250 ° C with an increment of 20 ° C and 10 ° C per minute and maintained at these isotherms for 30, 60 and 120 minutes and cooled to room temperature. The distribution, size and dispersion of steel and composite particles were determined by x-ray diffraction, scanning electron microscopy followed by chemical analysis (EDS). The structures of the sintered bodies were observed by optical microscopy and scanning electron accompanied by EDS beyond the x-ray diffraction. Initial studies sintering the obtained steel EUROFER 97 a positive reply in relation to improvement of the mechanical properties independent of the processing, because it is obtained with sintered microhardness values close to and even greater than 100% of the value obtained for the HV 333.2 pure steel as received in the form of a bar

Effects of nitrous oxide on IOP and pupillary diameter in dogs anesthetized with varying concentrations of desflurane

Objective The aim of the present study was to evaluate the effects of nitrous oxide on TOP and pupillary diameter (PD) of dogs anesthetized with varying desflurane concentrations.Animals studied Twenty adult Mongrel dogs were used.Methods They were anesthetized with propofol (10 mg/kg, IV) and maintained with varying concentrations of desflurane (1.6, 1.4, and 1.2 MAC diluted in 100% oxygen (G1) or in 70% nitrous oxide and 30% oxygen (G2) (30 mL/kg/min). TOP was measured by applanation tonometry and horizontal PD was taken with a caliper adjacent to the cornea. Mean arterial pressure (MAP), heart rate (HR), respiratory rate (RR), and end-tidal CO, (etCO(2)) were also measured. All parameters were measured at TO, T30, T45, and T60 time points. One-way repeated measures ANOVA and the t-test were used to assess statistical differences (P < 0.05).Results T30, T45, and T60 TOP measures were Within normal limits for both groups and TOP did not differ between groups at any time. There was a significant decrease in PD in G I between TO and T30, T45 and T60, and also between T30 and T60. PD did not differ between groups. All vital parameters were within normal limits throughout anesthesia.Conclusions Administration of nitrous oxide with desflurane results in maintenance of normal TOP and prevents a decrease in horizontal PD during anesthesia. Therefore, this may be a suitable protocol in dogs undergoing intraocular surgeries that require mydriasis and maintenance of normal TOP.

Effect of diameter of the cotton squares in the development of boll weevil

O objetivo deste trabalho foi estudar o efeito do diâmetro dos botões florais de algodoeiro na massa corporal de adultos do bicudo-do-algodoeiro, Anthonomus grandis Boheman (Coleoptera: Curculionidae). O experimento foi realizado em condições de campo e laboratório, em Jaboticabal (SP), Brasil. Foram realizadas seis amostragens, coletando-se ao acaso dez plantas nas cultivares Coodetec 405 e Fibermax 986, avaliando-se o número e o diâmetro de botões florais. Os botões florais com orifícios de oviposição foram individualizados em frascos e observados diariamente para a visualização da emergência dos adultos. Botões florais com maiores diâmetros proporcionam maior massa corporal de adultos de A. grandis recém-emergidos nas duas cultivares.

Modos de aplicação de zinco na nutrição e na produção de matéria seca do milho BRS 1001

The culture of the maize is responsive the fertilization with zinc, however, its efficiency can be affected by the method of aplication. Thus, this work had as objective to evaluate the effect of the methods of zinc application in the nutritional state and the initial growth of the culture of the maize. The experiment was in a completely randomized design, with five treatments in four repetitions. The experimental unit was composed for a pot (7 L) filled with a distrofic Red Latosol, clayey texture, with four plants of maize. The treatments had been constituted by four ways of zinc application: in the soil incorporated (3 mg Zn dm(-3)), and located (1 mg Zn dm(-3)); foliar (solution of 23 mg Zn L(-1)); e in seed (40 g Zn kg(-1) of seed) and beyond the witness (control). The treatments had been applied during two cultivation of 42 days, except the Zn incorporated in the soil. In the end of each culture, the cut of the plants for the evaluation of the growth variable (leaf height, number, the diameter of stems and dry matter) and the determination of the zinc text was carried through in the soil and the aerial part. The zinc application promoted increment in the height and the production of matter of the maize. The zinc application soil (incorporated and located), foliar and seed had been similar in the initial development of the culture, however, the foliar way promoted greater absorption of the nutrient for the plant.