Síntomas osteomusculares en el personal operativo de la empresa Emermédica S.A. en Bogotá D.C. 2012

Establecer la prevalencia de síntomas osteomusculares en el personal operativo de la empresa Emermédica S.A. durante los últimos 3 meses. Se realizó un estudio de corte trasversal en la empresa Emermédica S.A. de Bogotá en el año 2012, tomando una muestra de 75 trabajadores entre médicos, enfermeros y conductores del área operativa, a los cuales se les aplicó un instrumento de morbilidad sentida basada en el Cuestionario Nórdico y la Encuesta Europea, en búsqueda de síntomas osteomusculares asociados a la actividad desempeñada y a factores como edad, género, horas de trabajo por turno, tipo de vehículo, actividad deportiva, equipos utilizados y posturas adoptadas durante el desarrollo de sus actividades. Para el análisis de la información se creó una base de datos a partir de los cuestionarios contestados válidos y se utilizó el programa estadístico SPSS.

Nature in a changing climate : phenology uncovered.

Es un recurso dirigido a profesores de ciencias de la etapa de secundaria, a alumnos de enseñanza obligatoria desde los once a los dieciséis años y a otros usuarios. Está destinado a promover entre los jóvenes la comprensión de las complejas y polémicas cuestiones relacionadas con el cambio climático y a fomentar el estudio de los fenómenos biológicos relacionados con los cambios estacionales, es decir, el estudio de la fenología y también de la biodiversidad. Proporciona a los alumnos actividades encaminadas a fomentar sus destrezas científicas y de análisis de datos y a contribuir, también, con datos científicos reales, que muestren su comprensión de estas áreas. Las actividades propuestas son tanto para el aula como para la práctica al aire libre.

Some potential inaccuracies of the p -nitrophenyl phosphomonoesterase assay in the study of the phosphorus nutrition of soil borne fungi

The p-nitrophenol phosphomonoesterase assay (pNPPase) is commonly used to measure cell-wall-associated and extracellular phosphatase activity of soil fungi. pNPPases are usually assayed in the context of fungal nutrition, where inorganic P supply might be enhanced by the mineralisation of organic P sources in the soil. We report here on a series of experiments with the ectomycorrhizal basidiomycete Hebeloma cylindrosporum that highlight components of accepted methodology that might impinge on the reliability of the assay. These include the loss of pNPPase after filtration, inaccuracies in measuring wall-associated enzyme and the ample pool of intracellular pNPPase can be mistakenly measured as external pNPPase if cells are accidentally damaged.

Induction of cold active acid phosphomonoesterase activity at low temperature in psychrotrophic ectomycorrhizal Hebeloma spp.

Hebeloma strains of arctic and temperature origin, grown at 22° or 6°, were assayed for wall-bound and extracellular acid phosphomonoesterase (pNPPase) across a temperature range 2-37°. Only when grown at 6° was a cold active extracellular pNPPase induced in all the arctic strains and most of the temperature strains tested. Such enzymes are suggested to be a adaptation to low soil temperatures, and are discussed in the context of ectomycorrhizal access to soil PO4− monoesters at low temperature.

Acetylcysteine for prevention of acute deterioration of renal function following elective coronary angiography and intervention

Context The antioxidant acetylcysteine prevents acute contrast nephrotoxicity in patients with impaired renal function who undergo computed tomography scanning. However, its role in coronary angiography is unclear.

Objective To determine whether oral acetylcysteine prevents acute deterioration in renal function in patients with moderate renal insufficiency who undergo elective coronary angiography.

Design and Setting Prospective, randomized, double-blind, placebo-controlled trial conducted from May 2000 to December 2001 at the Grantham Hospital at the University of Hong Kong.

Participants Two hundred Chinese patients aged mean (SD) 68 (6.5) years with stable moderate renal insufficiency (creatinine clearance <60 mL/min [1.00 mL/s]) who were undergoing elective coronary angiography with or without intervention.

Intervention Participants were randomly assigned to receive oral acetylcysteine(600 mg twice per day; n = 102) or matching placebo tablets (n = 98) on the day before and the day of angiography. All patients received low-osmolality contrast agent.

Main Outcome Measures Occurrence of more than a 25% increase in serum creatinine level within 48 hours after contrast administration; change in creatinine clearance and serum creatinine level.

Results Twelve control patients (12%) and 4 acetylcysteine patients (4%) developed a more than 25% increase in serum creatinine level within 48 hours after contrast administration (relative risk, 0.32; 95% confidence interval [CI], 0.10-0.96; P = .03). Serum creatinine was lower in the acetylcysteine group (1.22 mg/dL [107.8 µmol/L]; 95% CI, 1.11-1.33 mg/dL vs 1.38 mg/dL [122.9 µmol/L]; 95% CI, 1.27-1.49 mg/dL; P = .006) during the first 48 hours after angiography. Acetylcysteine treatment significantly increased creatinine clearance from 44.8 mL/min (0.75 mL/s) (95% CI, 42.7-47.6 mL/min) to 58.9 mL/min (0.98 mL/s) (95% CI, 55.6-62.3 mL/min) 2 days after the contrast administration (P<.001).The increase was not significant in the control group (from 42.1 to 44.1 mL/min [0.70 to 0.74 mL/s]; P = .15). The benefit of acetylcysteine was consistent among various patient subgroups and persistent for at least 7 days. There were no major treatment-related adverse events.

Conclusion Acetylcysteine protects patients with moderate chronic renal insufficiency from contrast-induced deterioration in renal function after coronary angiographic procedures, with minimal adverse effects and at a low cost.

Serum 25-Hydroxyvitamin D, calcium intake and risk of type 2 diabetes after 5 years : results from a national, population-based prospective study (the Australian Diabetes, Obesity and Lifestyle study)

OBJECTIVE To examine whether serum 25-hydroxyvitamin D (25OHD) and dietary calcium predict incident type 2 diabetes and insulin sensitivity.

RESEARCH DESIGN AND METHODS A total of 6,537 of the 11,247 adults evaluated in 1999–2000 in the Australian Diabetes, Obesity and Lifestyle (AusDiab) study, returned for oral glucose tolerance test (OGTT) in 2004–2005. We studied those without diabetes who had complete data at baseline (n = 5,200; mean age 51 years; 55% were women; 92% were Europids). Serum 25OHD and energy-adjusted calcium intake (food frequency questionnaire) were assessed at baseline. Logistic regression was used to evaluate associations between serum 25OHD and dietary calcium on 5-year incidence of diabetes (diagnosed by OGTT) and insulin sensitivity (homeostasis model assessment of insulin sensitivity [HOMA-S]), adjusted for multiple potential confounders, including fasting plasma glucose (FPG).

RESULTS During the 5-year follow-up, 199 incident cases of diabetes were diagnosed. Those who developed diabetes had lower serum 25OHD (mean 58 vs. 65 nmol/L; P < 0.001) and calcium intake (mean 881 vs. 923 mg/day; P = 0.03) compared with those who remained free of diabetes. Each 25 nmol/L increment in serum 25OHD was associated with a 24% reduced risk of diabetes (odds ratio 0.76 [95% CI 0.63–0.92]) after adjusting for age, waist circumference, ethnicity, season, latitude, smoking, physical activity, family history of diabetes, dietary magnesium, hypertension, serum triglycerides, and FPG. Dietary calcium intake was not associated with reduced diabetes risk. Only serum 25OHD was positively and independently associated with HOMA-S at 5 years.

CONCLUSIONS Higher serum 25OHD levels, but not higher dietary calcium, were associated with a significantly reduced risk of diabetes in Australian adult men and women.

Da releitura à escritura : um estudo da leitura pelo viés da pontuação

Esta tese constitui-se em um estudo sobre a leitura. Essa noção é investigada através de textos reescritos – aos quais denominamos, genericamente, de reescritas – e de dois sinais de pontuação – reticências e interrogação. Aos textos que apresentam esses sinais de pontuação designamos de textos sinalizados. Tais textos apresentam também uma outra característica: são marcados pelo humor. Tal opção nos levou a examinar outro tipo de texto, sem esses sinais de pontuação, ao qual denominamos de texto não-sinalizado. Esse texto não apresenta também a marca do humor. Nossa intenção é verificar, nas reescritas, se o processo da leitura dos textos sinalizados é diferente do processo da leitura do texto não-sinalizado. A primeira parte do estudo estabelece o referencial teórico que fundamenta a análise. Nesta parte, evidenciamos tanto aspectos referentes à epistemologia da Análise do Discurso quanto questões referentes à leitura e à sua relação com outros pontos relevantes para o desenvolvimento da pesquisa: repetição, interpretação, heterogeneidade, silêncio e autoria. Abordamos ainda aspectos teóricos sobre a pontuação e, mais especificamente, sobre os sinais de pontuação em estudo: reticências e interrogação. A segunda parte apresenta os procedimentos metodológicos que sustentam a subseqüente análise do corpus discursivo, bem como o efetivo funcionamento do processo discursivo da leitura através das reescritas. Tal análise possibilitou a constatação de três diferentes processos de leitura, aos quais denominamos de releitura, reescritura e escritura, processos que correspondem, respectivamente, à manutenção, aos deslizamentos e às rupturas em relação aos sentidos produzidos nos textos que, apenas por um efeito metodológico, desencadeiam o processo da leitura e das reescritas A constatação desses três processos de leitura nos permitiu também reconhecer a existência de diferentes formas de preenchimentos das lacunas de significação e silêncio representadas pelas reticências e pela interrogação. Isso nos levou ainda a admitir a possibilidade de distintos graus e tipos de autoria, os quais variam em função do processo de identificação que o leitor estabelece com a formação discursiva e com a posição-sujeito assumidas pelo sujeito-autor. A conclusão procura entrelaçar as noções desenvolvidas, sintetizando nossos achados.

Immunolocalization of ion transport proteins in human autosomal dominant polycystic kidney epithelial cells.

The kidneys of patients with autosomal dominant polycystic kidney disease become massively enlarged due to the progressive expansion of myriad fluid-filled cysts. The epithelial cells that line the cyst walls are responsible for secreting the cyst fluid, but the mechanism through which this secretion occurs is not well established. Recent studies suggest that renal cyst epithelial cells actively secrete Cl across their apical membranes, which in turn drives the transepithelial movement of Na and water. The characteristics of this secretory flux suggest that it is dependent upon the participation of an apical cystic fibrosis transmembrane conductance regulator (CFTR)-like Cl channel and basolateral Na,K-ATPase. To test this hypothesis, we have immunolocalized the CFTR and Na,K-ATPase proteins in intact cysts and in cyst epithelial cells cultured in vitro on permeable filter supports. In both settings, cyst epithelial cells were found to possess Na,K-ATPase exclusively at their basolateral surfaces; apical labeling was not detected. The CFTR protein was present at the apical surfaces of cyst epithelial cells that had been stimulated to secrete through incubation in forskolin. CFTR was detected in intracellular structures in cultured cyst epithelial cells that had not received the forskolin treatment. These results demonstrate that the renal epithelial cells that line cysts in autosomal dominant polycystic kidney disease express transport systems with the appropriate polarity to mediate active Cl and fluid secretion.

New Hampshire, 1816 (Image 5 of 6) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: New Hampshire by recent survey : made under the supreme authority and published according to law by Philip Carrigain ; J.J. Barralet, del. ; W. Harrison, sct., Philada. It was published by Philip Carrigain in 1816. Scale [ca. 1:200,000]. This layer is image 5 of 6 total images, representing the center west portion of the six sheet source map. The image inside the map neatline is georeferenced to the surface of the earth and fit to the New Hampshire State Plane coordinate system (NAD 1983 in Feet) (Fipszone 2800). All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as roads, drainage, public buildings, schools, churches, industry locations (e.g. mills, factories, mines, etc.), selected private buildings with names of property owners, town boundaries, land grants, and more. Relief shown pictorially and by hachures. Includes area notes, text, and table of population. Also includes illustrations: View of the Great Boars Head and Hampton Beach -- The Cap of the White Mountains -- View of the White Mountains from Shelburne; inset maps: States of the Union east of the Hudson with the adjacent British colonies. Scale [ca. 1:1,920,000] -- The middle, southern and western sections of the United States with the territories. Scale [ca. 1:4,900,000]. Includes: ms. additions with updated county boundary & township names.This layer is part of a selection of digitally scanned and georeferenced historic maps of New England from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of regions, originators, ground condition dates, scales, and map purposes.

Sullivan County, New Hampshire, 1860 (Image 4 of 4) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Topographical map of the county of Sullivan New-Hampshire, from surveys under the direction of H. F. Walling. It was published by Smith and Morley in 1860. Scale 1:40,000. This layer is image 4 of 4 total images, representing the northwest portion of the four sheet source map.The image inside the map neatline is georeferenced to the surface of the earth and fit to the New Hampshire State Plane coordinate system (NAD 1983 in Feet) (Fipszone 2800). All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as roads, railroads, drainage, public buildings, schools, churches, cemeteries, industry locations (e.g. mills, factories, mines, etc.), private buildings with names of property owners, town district boundaries, and more. Relief shown by hachures. It includes many cadastral insets of individual county towns and villages. It also includes illustrations, business directories, and tables of statistics and distances.This layer is part of a selection of digitally scanned and georeferenced historic maps of New England from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of regions, originators, ground condition dates, scales, and map purposes.

Project report on utilizing extension service in land-grant universities as a technology transfer system for environmental affairs /

Prepared for National Science Foundation.

Notes by Sir Robert Heron, baronet.

Mode of access: Internet.

An historical account of some memorable actions particularly in Virginia; also against the Admiral of Algier, and in the East Indies: performed for the service of his prince and country.

250 copies.