977 resultados para Treatment result


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The present paper reports the experimental treatment of hamsters infected with Leishmania chagasi and Leishmania amazonensis with sodium stibogluconate (20mg/kg/day x 20 days). Only with L. chagasi did the treatment result in the complete elimination of parasites from the spleen. However, no parasitological cure was achieved in hamsters infected with L. amazonensis.

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Chronic hepatitis C is often a progressive, fibrotic disease that can lead to cirrhosis and other complications. The recommended therapy is a combination of interferon and ribavirin. Besides its antiviral action, interferon is considered to have antifibrotic activity. We examined the outcome of hepatic fibrosis and inflammation in chronic hepatitis C patients who were non-responders to interferon. We made a case series, retrospective study, based on revision of medical records and reassessment of liver biopsies. For inclusion, patients should have been treated with interferon alone or combined with ribavirin, with no virological response (non responders and relapsers) and had a liver biopsy before and after treatment. Histological evaluation included: i-outcome of fibrosis and necroinflammation; ii-annual fibrosis progression rate evaluation, before and after treatment. Seventy-five patients were included. Fifty-seven patients (76%) did not show progression of fibrosis after treatment, compared to six (8%) before treatment (p < 0.001). The mean annual fibrosis progression rate was significantly reduced after treatment (p = 0.036). Inflammatory activity improved in 19 patients (25.3%). The results support the hypothesis of an antifibrotic effect of interferon-based therapy, in non-responder patients. There was evidence of anti-inflammatory effects of treatment in some patients.

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Aquest projecte abasta el disseny i el desenvolupament d’un model prototípic de Metodologia per a la Valoració de l’Aprenentatge Ambiental, a la qual anomenem “MEVA-Ambiental”. Per a fer possible aquesta fita ens hem basat en fonaments ontològics i constructivistes per representar i analitzar el coneixement a fi de poder quantificar l’Increment de Coneixement (IC). Per nosaltres l’IC esdevé un indicador socio-educatiu que ens servirà per a determinar l’efectivitat dels tallers d’educació ambiental en percentatge. En procedir d’aquesta manera, les qualificacions resultats poden es poden prendre com punt de partida per a desenvolupar estudis en el temps i comprendre com “s’ancora” el nou coneixement a l’estructura cognitiva dels aprenents. Més enllà del plantejament teòric de mètode, també proveïm la solució tècnica que mostra com n’és de funcional i d’aplicable la part empírica metodològica. A aquesta solució que hem anomenat “MEVA-Tool”, és una eina virtual que automatitza la recollida i tractament de dades amb una estructura dinàmica basada en “qüestionaris web” que han d’emplenar els estudiants, una “base de dades” que acumula la informació i en permet un filtratge selectiu, i més “Llibre Excel” que en fa el tractament informatiu, la representació gràfica dels resultats, l’anàlisi i conclusions.

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Neuropathy and bone deformities, lifelong sequelae of leprosy that persist after treatment, result in significant impairment to patients and compromise their social rehabilitation. Phosphate-regulating gene with homologies to endopeptidase on the X chromosome (PHEX) is a Zn-metalloendopeptidase, which is abundantly expressed in osteoblasts and many other cell types, such as Schwann cells, and has been implicated in phosphate metabolism and X-linked rickets. Here, we demonstrate that Mycobacterium leprae stimulation downregulates PHEX transcription and protein expression in a human schwannoma cell line (ST88-14) and human osteoblast lineage. Modulation of PHEX expression was observed to a lesser extent in cells stimulated with other species of mycobacteria, but was not observed in cultures treated with latex beads or with the facultative intracellular bacterium Salmonella typhimurium. Direct downregulation of PHEX by M. leprae could be involved in the bone resorption observed in leprosy patients. This is the first report to describe PHEX modulation by an infectious agent.

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Kuluneen vuosikymmenen aikana metsäteollisuuden päästöt ympäristöön ovat pienentyneet huomattavasti tuotantomäärien kasvustahuolimatta. Lainsäädännön myötä lupa-arvot tiukentuvat edelleen joten olemassa olevia puhdistus prosesseja on parannettava ja niiden rinnalle on kehitettävä uusia, yhä tehokkaampia menetelmiä. Aquaflow Oy suunnittelee jäteveden puhdistamoja sellu- ja paperiteollisuuteen. Kilpailun kiristyessä kilpailuetua haetaan jatkuvan kehittymisen kautta. Yhä useammilla jäteveden puhdistamoilla tarvitaan teriäärikäsittely biohajoamattoman aineksen poistamiseen. Tertiäärikäsittely on käyttökustannuksiltaan kallis kemikaali kulutuksensa vuoksi. Tässä työssä pyrittiin optimoimaan tertiääriprosessin kemikaalien syöttöä. Lisäksi selvitettiin millaisissa oloissa keskeiset saostus ja flokkaus prosessit toimivatparhaiten, sekä mitkä tekijät vaikuttavat merkittävästi jäteveden kemiallisen käsittelyn tulokseen. Saatujen tulosten perusteella kemikaalien sekoituksen tehostuksen seurauksena kemikaali määriä voidaan pienentää, samalla puhdistustulos paranee ja jäännöskemikaalien määrä pienenee. pH:n säätö on olennainen osa prosessin toiminnan kannalta, jos pH ei ole kemikaalien toiminta alueella ei puhdistusta tapahdu ja kemikaalit kulkeutuvat luontoon. Tertiäärikäsittelyyn tulevan jäteveden online seurannan avulla juuri oikea kemikaaliannos olisihelpompaa määrittää kuin päivän viiveellä tulevien laboratorio analyysien perusteella ja yli-/ali annostukselta vältyttäisiin

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Diplomityö on osa Mikkelin ammattikorkeakoulun YTI:ssä vuosina 2005 - 2008 toteutettua ”Yritysten ympäristöriskit” EU-osarahoitteista hanketta. Työn tarkoituksena oli tunnistaa, arvioida ja luokittaa Etelä-Savossa, Juvalla toimivan yhdyskuntajätevedenpuhdistamon ympäristöriskit sekä antaa neuvoja löytyneiden riskien hallintaan. Jätevedenpuhdistamon toiminnasta syntyvät mahdolliset ympäristöriskitekijät tunnistettiin kirjallisuusselvitysten sekä haastattelujen avulla. Riskien tunnistamisen jälkeen riskien kartoittamiseen, arviointiin ja luokittamiseen käytettiin osia eri riskianalyysimenetelmistä. Riskit jaettiin viiteen eri riskiluokkaan; vakavasta riskistä merkityksettömään riskiin. Juvan kunnan jätevedenpuhdistamolla esiintyi neljän pienimmän riskiluokan riskejä, ja vakavia riskejä ei kartoituksessa tullut esille lainkaan. Riskejä arvioitiin niin sanotuissa normaalioloissa. Merkittävin yksittäinen riskitekijä jätevedenpuhdistamolla oli haitallisen tai poikkeavan aineen kulkeutuminen jäteveden mukana puhdistamolle. Tämä voisi heikentää puhdistamon puhdistustulosta merkittävästi. Kun laitosta ajetaan ympäristöluvassa asetettujen vaatimusten mukaisesti ja alueella sijaitsevat teollisuuslaitokset noudattavat heille annettuja määräyksiä, ei Juvan jätevedenpuhdistamolta aiheudu merkittäviä päästöjä maa-perään tai pohjavesiin.

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AZEVEDO, George Dantas de et al. Procoagulant state after raloxifene therapy in postmenopausal women. Fertility and Sterility, Estados Unidos, v.84, n.6, p.1680-1684, 2005

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AIM To identify the ideal timing of first permanent molar extraction to reduce the future need for orthodontic treatment. MATERIALS AND METHODS A computerised database and subsequent manual search was performed using Medline database, Embase and Ovid, covering the period from January 1946 to February 2013. Two reviewers (JE and ME) extracted the data independently and evaluated if the studies matched the inclusion criteria. Inclusion criteria were specification of the follow-up with clinical examination or analysis of models, specification of the chronological age or dental developmental stage at the time of extraction, no treatment in between, classification of the treatment result into perfect, good, average and poor. The search was limited to human studies and no language limitations were set. RESULTS The search strategy resulted in 18 full-text articles, of which 6 met the inclusion criteria. By pooling the data from maxillary sites, good to perfect clinical outcome was estimated in 72% (95% confidence interval 63%-82%). Extractions at the age of 8-10.5 years tended to show better spontaneous clinical outcomes compared to the other age groups. By pooling the data from mandibular sites, extractions performed at the age of 8-10.5 and 10.5-11.5 years showed significantly superior spontaneous clinical outcome with a probability of 50% and 59% likelihood, respectively, to achieve good to perfect clinical result (p<0.05) compared to the other age groups (<8 years of age: 34%, >11.5 years of age: 44%). CONCLUSION Prevention of complications after first permanent molars extractions is an important issue. The overall success rate of spontaneous clinical outcome for maxillary extraction of first permanent molars was superior to mandibular extraction. Extractions of mandibular first permanent molars should be performed between 8 and 11.5 years of age in order to achieve a good spontaneous clinical outcome. For the extraction in the maxilla, no firm conclusions concerning the ideal extraction timing could be drawn.

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O presente estudo foi dividido em três capitulos, todos realizados na Estação Experimental de Ciências Florestais de Anhembi/SP, entre os anos de 2014 e 2015. O primeiro estudo intitulado de \"Variação mensal da fitomassa da forragem em função do grau de cobertura do dossel em sistemas silvipastoris\", foi realizado em 3 monoculturas de 13 anos de idade, com área útil de 50 m x 30 m para coleta de pasto as mesmas efectuadas mensalmente. Os resultados apresentaram que não há relação significativa entre a cobertura do dossel e fitomassa da forragem pelo caso de que o sub-bosque estava muito sombreado. Entretanto, houve uma relação indireta entre área basal e fitomassa. Evidenciando-se que o talhão de Eucalipto urograndis apresentou as melhores condições de crescimento e disponibilidade de materia seca mensal para Bachiaria decumbens além de obter a maior porcentagem de folha entre todos os tratamentos. Ao contrario, no talhão de Pinus tecunumanii, foi encontrada a menor disponibilidade de materia seca mensal e por consequência, menor porcentagem de folha. O segundo estudo foi chamado de: \"Disponibilidade de fitomassa de B. decumbens, em um sistema silvipastoril com eucalipto: o papel da radiação\" onde o componente florestal foi o eucalyptus (COP-1377) de 2 anos de idade plantado em uma área útil de 10 ha, dividido em 3 tratamentos (onda longa-OL (39 m), onda curta-OC (21 m), e testemunha-T) e instalado em 4 blocos distintos. Foram realizadas duas coletas dutante o período de verão e de inverno, onde foi possível verificar que o tratamento OL mostrou maior disponibilidade de fitomassa a 65% de irradiância além de obter maior porcentagem da fração folha. Este foi favorecido pelo maior espaçamento entre as aléias. Contudo, houve ataque de cigarinha na pastagem, mantendo a queda da disponibilidade no período de inverno. O terceiro estudo intitulado de: \"Variaçoes arquiteturais de uma monocultura de E. urograndis em função de sua posição espacial\", foi também realizado na monocultura do primeiro estudo, numa área de 7 ha. Para este estudo, realizou-se um inventario florestal, logo após, dividiu-se as árvores por sua classe diamétrica e selecionou-se aleatoriamente 60 árvores para cubagem, e destas, escolheu-se 15 para determinação da fitomassa e respectiva densidade da madeira. Para a obtenção da fitomassa dividiu-se as árvores em três frações de análise: tronco, galhos e folha. Além disso, as 15 árvores foram divididas em: bordadura, intermediária e centro da parcela, de acordo com a sua localização. Verificou-se que a bordadura apresentou os maiores crescimentos em DAP, altura, largura de copa e, que por consequência, obteve maior volume e fitomassa em todas suas frações. Também foi possível observar que tanto a bordadura quanto o centro apresentaram maior densidade básica em função da maior copa e altura das árvores incentivando a geração de mais fitomassa foliar. Finalmente conforme os três estudos realizados neste trabalho de pesquisa, concluiu-se que a radiação solar é fator chave na produtividade da cultura forrageira, demonstrando a necessidade de mais pesquisas sobre os sistemas agroforestais e silvipastoris para o sucesso de futuros emprendimentos.

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AZEVEDO, George Dantas de et al. Procoagulant state after raloxifene therapy in postmenopausal women. Fertility and Sterility, Estados Unidos, v.84, n.6, p.1680-1684, 2005

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AZEVEDO, George Dantas de et al. Procoagulant state after raloxifene therapy in postmenopausal women. Fertility and Sterility, Estados Unidos, v.84, n.6, p.1680-1684, 2005

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Background: Orthodontic treatment involves using fixed or removable appliances (dental braces) to correct the positions of teeth. It has been shown that the quality of treatment result obtained with fixed appliances is much better than with removable appliances. Fixed appliances are, therefore, favoured by most orthodontists for treatment. The success of a fixed orthodontic appliance depends on the metal attachments (brackets and bands) being attached securely to the teeth so that they do not become loose during treatment. Brackets are usually attached to the front and side teeth, whereas bands (metal rings that go round the teeth) are more commonly used on the back teeth (molars). A number of adhesives are available to attach bands to teeth and it is important to understand which group of adhesives bond most reliably, as well as reducing or preventing dental decay during the treatment period. :Objectives: To evaluate the effectiveness of the adhesives used to attach bands to teeth during fixed appliance treatment, in terms of: (1) how often the bands come off during treatment; and (2) whether they protect the banded teeth against decay during fixed appliance treatment. Search methods: The following electronic databases were searched: Cochrane Oral Health's Trials Register (searched 2 June 2016), Cochrane Central Register of Controlled Trials (CENTRAL; 2016, Issue 5) in the Cochrane Library (searched 2 June 2016), MEDLINE Ovid (1946 to 2 June 2016) and EMBASE Ovid (1980 to 2 June 2016). We searched ClinicalTrials.gov and the World Health Organization International Clinical Trials Registry Platform for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. Selection criteria: Randomised and controlled clinical trials (RCTs and CCTs) (including split-mouth studies) of adhesives used to attach orthodontic bands to molar teeth were selected. Patients with full arch fixed orthodontic appliance(s) who had bands attached to molars were included. Data collection and analysis: All review authors were involved in study selection, validity assessment and data extraction without blinding to the authors, adhesives used or results obtained. All disagreements were resolved by discussion. Main results: Five RCTs and three CCTs were identified as meeting the review's inclusion criteria. All the included trials were of split-mouth design. Four trials compared chemically cured zinc phosphate and chemically cured glass ionomer; three trials compared chemically cured glass ionomer cement with light cured compomer; one trial compared chemically cured glass ionomer with a chemically cured glass phosphonate. Data analysis was often inappropriate within the studies meeting the inclusion criteria. Authors' conclusions: There is insufficient high quality evidence with regard to the most effective adhesive for attaching orthodontic bands to molar teeth. Further RCTs are required.

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In a case of a driving ability assessment, hair analysis for ethyl glucuronide (EtG) was requested by the authorities. The person concerned denied alcohol consumption and did not present any clinical sign of alcoholism. However, EtG was found in concentrations of up to 910pg/mg in hair from different sampling dates suggesting an excessive drinking behavior. The person declared to use a hair lotion on a regularly base. To evaluate a possible effect of the hair lotion, prospective blood and urine controls as well as hair sampling of scalp and pubic hair were performed. The traditional clinical biomarkers of ethanol consumption, CDT and GGT, were inconspicuous in three blood samples taken. EtG was not detected in all collected urine samples. The hair lotion was transmitted to our laboratory. The ethanol concentration in this lotion was determined with 35g/L. The EtG immunoassay gave a positive result indicating EtG, which could be confirmed by GC-MS/MS-NCI. In a follow-up experiment the lotion was applied to the hair of a volunteer over a period of six weeks. After this treatment, EtG could be measured in the hair at a concentration of 72pg/mg suggesting chronic and excessive alcohol consumption. Overnight incubation of EtG free hair in the lotion yielded an EtG concentration of 140pg/mg. In the present case, the positive EtG hair findings could be interpreted as the result of an EtG containing hair care product. To our knowledge, the existence of such a product has not yet been reported, and it is exceptionally unusual to find EtG in cosmetics. Therefore, external sources for hair contamination should always be taken into account when unusual cosmetic treatment is mentioned. In those cases, it is recommended to analyze the hair product for a possible contamination with EtG. The analysis of body hair can help to reveal problems occurring from cosmetic treatment of head hair. As a consequence, the assessment of drinking behavior should be based on more than one diagnostic parameter.

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Excessive occlusal surface wear can result in occlusal disharmony, functional and esthetic impairment. As a therapeutic approach, conventional single crowns have been proposed, but this kind of treatment is complex, highly invasive and expensive. This case report describes the clinical outcomes of an alternative minimally invasive treatment based on direct adhesive-pin retained restorations. A 64-year-old woman with severely worn dentition, eating problems related to missing teeth and generalized tooth hypersensitivity was referred for treatment. Proper treatment planning based on the diagnostic wax-up simulation was used to guide the reconstruction of maxillary anterior teeth with direct composite resin over self-threading dentin pins. As the mandibular remaining teeth were extremely worn, a tooth-supported overdenture was installed. A stabilization splint was also used to protect the restorations. This treatment was a less expensive alternative to full-mouth rehabilitation with positive esthetic and functional outcomes after 1.5 years of follow-up.