Introduccion y objetivos La enfermedad renal oculta (ERO) es una entidad que define los estadios mas iniciales de insuficiencia renal y no se detecta con los metodos usados habitualmente. El objetivo es determinar la prevalencia de ERO en los pacientes hipertensos en consultas de cardiologia y su relacion con los distintos factores de riesgo y tratamientos cardiovasculares. Metodos. Estudio observacional, transversal, retrospectivo y multicentrico que se llevo a cabo en 1.214 hipertensos de consultas de cardiologia. Resultados . Se analizo a 1.190 pacientes (98%). El filtrado glomerular (FG) fue calculado (MDRD) por el cardiologo responsable en el 11% de los pacientes. Tras su determinacion a posteriori, el 9,5% presentaba ERO, mas probablemente mujeres, con mas edad, mas antecedents de di...
Objetivo Estudiar la evolucion de un grupo de neumonias extrahospitalarias causadas por germenes atipicos (Mycoplasma pneumoniae, Legionella spp., Coxiella burnetii y Chlamydophila pneumoniae) en funcion del tratamiento empirico recibido. Pacientes y metodos Entre enero de 1996 y febrero de 2001 ingresaron en nuestra unidad 390 casos de neumonia, de los que 89 estaban causados por germenes atipicos. Los pacientes se dividieron retrospectivamente en 2 grupos segun el tratamiento empirico pautado: grupo A, al que se habia proporcionado cobertura frente a germenes atipicos (quinolonas o macrolidos), y grupo B, al que no se habia proporcionado dicha cobertura. Se estudio la evolucion segun las diferencias entre ambos grupos en la estancia hospitalaria, la resolucion radiologica, el reingreso e...
Resumen Estudios epidemiologicos recientes, muestran claramnete la incidencia de la disfuncion erectil con la edad. Por lo tanto, los profesionales sanitarios que se ocupan de las personas de edad avanzada, deberian preparar cuidadosamente el diagnostico y el abordaje de la disfuncion erectil. Es innegable que la introduccion de los inhibidores de la fosfodisterasa tipo 5 (PDE5Is) ha revolucionado el tratamiento de la disfuncion erectil. Los clinicos deberian conocer el potencial de los efectos adversos asociados con el uso de PDE5Is cuando se aconseja a los pacientes. Otras terapias suplementarias y de segunda/tercera linea para la disfuncion erectil, que incluyen las inyecciones intracavernosas, la aplicacion transuretral de medicacion, la testosterona, los sistemas de vacion peneano, la...
-Evaluacion de la fotosintesis y respiracion de especies de macroliquenes significativas en la tundra antartica. -Estudio de las isoenzimas en liquenes ...
-Estudio sobre la fijacion de nitrogeno, fotosintesis y reconolizacion ... - Fotosintesis y relaciones hidricas en liquenes nanofruticulosos antarticos. ...
Previous family and twin studies have indicated that Graves' disease has a heritable component. Family studies have also shown that some autoimmune disease cluster in families and genetic studies have been able to show shared susceptibility genes. In the present nation-wide study we describe familial risk for Graves' disease among parents and offspring, singleton siblings, twins and spouses with regard to age of onset, gender and number and type of affected family members. Additionally familial association of Graves' disease with any of 33 other autoimmune and related conditions was analyzed. The Swedish Multigeneration Register on 0-75-year-old subjects was linked to the Hospital Discharge Register from years 1987-2007. Standardized incidence ratios (SIRs) were calculated for individuals ...
Introduccion y objetivos Aunque los bloqueos de rama (BR) se consideran hallazgos frecuentes, la informacion sobre su prevalencia real en la poblacion general es escasa, y es inexistente en los pacientes en dialisis. El objetivo es establecer la prevalencia del BR completo en la poblacion que inicia dialisis y los factores relacionados con su aparicion. Como analisis adicional, se explora su asociacion con la mortalidad y con la aparicion de un evento cardiovascular. Metodos Se incluyo a los pacientes que iniciaron dialisis en nuestro centro entre el 1 de noviembre de 2003 y el 31 de diciembre de 2006. Todos fueron sometidos a valoracion cardiologica al inicio de dialisis. Determinamos el BR y su relacion con factores clinicos y parametros ecocardiograficos y bioquimicos. Los pacientes fue...
BackgroundDespite the grave consequences of sexual violence, and it's persistence both within and outside marriages, this subject has received relatively little attention from researchers,...Full Text Available
Most Danish windmill manufacturers have experienced a grave economic crisis during the last three years. In 1987, the total windmill industry in this country ran at a loss of 40 million Danish crowns where the turnover was 550 million crowns. Danish firms...
Viruses, and more particularly retroviruses, have been postulated to play a role in the pathogenesis of autoimmune diseases. In a search for spumaretrovirus infection markers, we screened a group of...Full Text Available
TSH receptor (TSHR) plays a central role in regulating thyroid function and is targeted by IgGs in Graves’ disease (GD-IgG). Whether TSHR is involved in the pathogenesis of thyroid associated...Full Text Available
Bone integrity and mineral status were studied with a noninvasive method in uremic patients with severe secondary hyperparathyroidism undergoing maintenance hemodialysis. [Italian] Gli autori propongono un metodo non invasivo per studiare la densita' minerale e le caratteristiche geometriche e biomeccaniche dell'osso nei pazienti uremici affetti da iperparatiroidismo secondario grave.
Objetivo La generacion local de citocinas es un factor patogenico en el dano por isquemia-reperfusion en la disfuncion precoz del injerto. Este estudio analiza la expresion en tejido pulmonar de ARN mensajero de interleucina-8 (ARNm de IL-8) y su relacion con los cambios intersticiales pulmonares en un modelo experimental de isquemia-reperfusion pulmonar normotermica. MATERIAL Y METODOS Se estudiaron 16 conejos de la raza Nueva Zelanda en 3 grupos de estudio: a) basal; b) isquemia (lobulo inferior derecho tras isquemia de 1, 2 o 3 h), y c) reperfusion (lobulos superior y medio derechos tras 1 h de isquemia y 1, 2 o 3 h de reperfusion). Se deter- mino la expresion del ARNm de IL-8 mediante transcripcion inversa y reaccion en cadena de la polimerasa y estudio la infiltracion intersticial por...
Jan 16, 2008 ... home town, and awards, as well as the ground personnel. .... I was also awarded six air medals, which were given based on the number of missions ..... We took these projects from birth to grave. .... Japanese sonar on their submarine. About that time another airplane dropped a bomb ...
The K Reactor at the Savannah River Site (SRS) shut-down in spring 1988 for maintenance and safety upgrades. Since that time the receiving stream for thermal effluent, Indian Grave Branch and Pen Branch, have undergone a pattern of post-thermal recovery that is typical of other SRS streams following removal of thermal stress. Divesity of fish and aquatic macroinvertebrate communities has increased and available habitats have been colonized by numerous species of herbaceous and woody plants. K Reactor is scheduled to resume operation in 1991 and operate through 1992 without a cooling tower to cool the discharge. It is likely that the reactor will operate at approximately one-third to one-half of full power (800--1200 MW thermal) during this period and effluent temperatures will be substantially lower than earlier operation at full power. Monthly average discharge temperatures at half-power operation will range from approximately 42 degrees C in winter to 49 degrees ...
White dwarf evolution, particularly in the early phases, is not very strongly constrained by observation. Fortunately, white dwarfs undergo nonradial pulsation in three distinct regions of the H-R diagram. These pulsations provide accurate masses, surface compositional structure and rotation velocities, and help constrain other important physical properties. We demonstrate the application of the tools of stellar seismology to white dwarf evolution using the hot white dwarf star PG 1159-035 and the cool DAV (or ZZ Ceti) stars as examples. From pulsation studies, significant challenges to the theory of white dwarf evolution emerge. 44 refs.
The author discusses in detail the following topics: Compensation for domestic nuclear damage and for transfrontier nuclear damage - rule of formal equality of parties which belongs to the basic rule of civil law considering the position of domestic and foreign victims of a grave accident-juridical consequences of the preponderant role played by the state in the promotion, development and supervision of the nuclear industry-rationale for applying the concept of global limitation of liability in the law on nuclear liability and compensation - financial consequences of uncompensated nuclear damage, borne by the victims directly affected or spread over the whole community of the affected state? (HP)
Polyethylene pipes and connections are being widely used in treated water distribution services. Migration of low molecular weight compounds from the polyethylene into the water can change its final quality. This paper is about the concentrations and identification of the migration compounds found in treated water after staying in contact with low and high-density polyethylene. Identification and quantification were carried out using CLSA (Closed Loop Stripping Analysis) extraction technique and gas chromatography coupled to mass spectrometry (HRGC/HRMS). (Author) 12 refs.
Negligent hazardous waste management has resulted in real threats to public health. The Federal Government has responded to the situation with laws and regulations aimed at the producers of hazardous waste, including clinical laboratories. The Resources Conservation and Recovery Act (RCRA) imposes controls on hazardous waste management through the Code of Federal Regulations (CFR). The Environmental Protection Agency (EPA) and the Department of Transportation (DOT) regulate these activities through 40 CFR and 49 CFR. Most clinical laboratories can operate satellite accumulation points and accumulate, store, transport, and dispose of waste in accordance with EPA and DOT regulations. Regulations pertaining to infectious waste, sure to affect many clinical laboratories, are being developed now by he EPA. The cradle to grave tracking system mandated by the Federal Government can be supplemented by state and local authorities and poses a significant regulatory challenge ...
A small fleet of classic London Taxis (Black cabs) equipped with hydrogen fuel cell power systems is being prepared for demonstration during the 2012 London Olympics. This paper presents a Life Cycle Analysis for these vehicles in terms of energy consumption and CO2 emissions, focusing on the impacts of alternative vehicle technologies for the Taxi, combining the fuel life cycle (Tank-to-Wheel and Well-to-Tank) and vehicle materials Cradle-to-Grave. An internal combustion engine diesel taxi was used as the reference vehicle for the currently available technology. This is compared to battery and fuel cell vehicle configurations. Accordingly, the following energy pathways are compared: diesel, electricity and hydrogen (derived from natural gas steam reforming). Full Life Cycle Analysis, usin...
The "1"3"1-radioiodine use in Guanabara area, during 1972-1973, is analysed. References are made to the radiation levels delivered to thyroid, bone marrow and gonads in a population of 27000 people examined by tracer techniques, 190 submitted to hyperthyroidism treatment and 50 treated for thyroid cancer. The pertinent literature gives some data concerning radiation induced cancer (leukaemia and thyroid cancer). By this, it was possible to estimate the probability of tumour occurrence in that population, assuming a linear relationship between dose and effect. The conclusions are the followings: 1 - there are many duties in this field at the present; 2 - the leukaemia incidence related to the 131-radioiodine use is negligible, either in diagnostic or therapeutic modalities; 3 - the possibility of thyroid tumors induced by radiation is real, specially in hyperthyroidism treatment; 4 - the use of tracer techniques that cause lower irradiation to the pacient is ...
Red mud (Rm) is the main by-product of the Bayer process for alumina extraction from bauxite, and grey slurries (GS) are generated during the granite rocks transformation processes. the huge volume of those wastes generated every year suppose a serious environmental problem. Recent works by our group demonstrate the efficiency of both types of muds as corrosion inhibitors for iron and steel in alkaline media containing chlorides. The elemental analysis of these slurried shows that Al{sup 3}+ is the main common element. Therefore, the aim of this paper is to study the effect of the soluble Al{sup 3}+ in the electrochemical behaviour of iron in alkaline media, in presence and absence of chlorides. The electrochemical study using Cyclic Voltammetry (CV) and Electrochemical Impedance Spectroscopy (EIS) together with surface analysis techniques allowed to conclude that Al{sup 3}+ blocks the surface of steel in alkaline media chloride increasing the steel resistance to chlorides attack. ...
To dispose the radioactive waste drums, the waste form's integrity and the nuclides inventories must be assured according to the national and site waste acceptance criteria. Because they might be would gravely affected the performance objectives of disposal site. Our national regulation for the waste inventory related to 'Radioactive Waste Acceptance Criteria' requires that the activities of 13 nuclides and gross {alpha} must be measured and the 95 % of nuclides incorporated in the drum must be identified. It is very difficult to measure the radioactivity with accuracy from the regulated waste drum(200L), and have a large error in the analysis results. In present, there are two system, SGS (Segmented Gamma Scanning System) and TGS (Tomographic Gamma Scanning System) for the analysis of radionuclides from the waste drums. In general, it is known that the accuracy of TGS is below 20 % and that of SGS is below 30 %. The accuracy of TGS is ...
To dispose the radioactive waste drums, the waste form's integrity and the nuclides inventories must be assured according to the national and site waste acceptance criteria. Because they might be would gravely affected the performance objectives of disposal site. Our national regulation for the waste inventory related to 'Radioactive Waste Acceptance Criteria' requires that the activities of 13 nuclides and gross #alpha# must be measured and the 95 % of nuclides incorporated in the drum must be identified. It is very difficult to measure the radioactivity with accuracy from the regulated waste drum(200L), and have a large error in the analysis results. In present, there are two system, SGS (Segmented Gamma Scanning System) and TGS (Tomographic Gamma Scanning System) for the analysis of radionuclides from the waste drums. In general, it is known that the accuracy of TGS is below 20 % and that of SGS is below 30 %. The accuracy of TGS is better than that of SGS. But ...
Cretaceous and Tertiary strata are known from outcrop in the northeast part of the area, while older rocks are presented in the southwest. The major structures are, from north to south: the Pedley Thrust, Coalspur Triangle Zone (formerly called Coalspur Anticline), Entrance Syncline, Mercoal Thrust, Brazeau Flats, Brazeau Thrust, Brazeau Syncline, Grave Flats Thrust, Cadomin syncline and Nikanassin Thrust. The economic coal seams of the Tertiary Coalspur Formation are of high volatile C rank and are present in three parallel bands in the Entrance Syncline and Coalspur Triangle Zone, where they have been mined extensively in the past. The Mercoal band is the southernmost and dips about 30[degree] to the northeast. The Coalspur band is in the middle and dips generally to the southwest. The Robb band is the northernmost band, contains northeast dipping strata and is less deformed than the Coalspur band. In the Entrance Syncline, the Coalspur coals are buried at ...
In this work a flat receiver of self construction is shown with relatively low cost and easy manufacture, but with a thermal efficiency superior to 40% for applications at temperatures less than 60 degrees Celsius, that allows satisfying international standards in this respect. The heater has been matter of study in open courses distributed in the Universidad Autonoma de la Ciudad de Mexico (UACM) oriented to that the participants construct their own system, in addition to its installation and tests. The obtained results have been excellent. The massive use of efficient solar receivers of self-construction can truly help to the decreasing of the gas discharges of greenhouse effect. [Spanish] En este trabajo se presenta un captador plano de auto construccion con relativamente bajo costo y facil manufactura, pero con un rendimiento termico superior a 40% para aplicaciones a temperatura menos de 60 grados centigrados que le permite satisfacer estandares internacionales a este respecto. El ...
In this thesis a study is made of the of voltage characteristics and reactive power control in the transmission network of the Electric Power Systems (EPS) with static compensators of VARs (SCVs). The necessity of voltage and reactive power control and the application of SCVs as a solution means for three representative operation stages of the EPS, considering balanced operation conditions and fundamental frequency is analyzed: Operation in the presence of incremental voltage changes, quasi-stationary operation or steady state and behavior at the occurrence of big disturbances. The application of SCVs to systems of integral transmission is in general a closed loop control system, reason why the analysis of the interaction of the system EPS-SCV is considered as an essential part of the voltage and reactive power control study. Firstly, the response analysis of the control loop is made for incremental voltage changes, representing the power system by means of its equivalent of Thevenin ...
The two tank (125,000kl each) foundations under construction are as large as 85m in diameter, and the north-side tank is to be placed over a sharper slope. The tanks are greatly different in their height from the rockbed since they are to be placed at the same level. For reduction in construction cost and time, a pile foundation design is chosen as the basic concept for foundation construction. After an overall evaluation of stability upon exposure to seismic torsion and of the deformation characteristics of piles and concrete slabs, a total pile foundation design with rock debris replaced with crushed rock is determined to be the design to be adopted. Since the piles to be driven in are greatly different in length, error in the pile supporting force will be too grave under the conventional pile landing control system. Therefore, a high-accuracy pile landing control system is employed, established after a rapid load test in addition to the dynamic load test for the ...
Aim of this retrospective study was to assess the capability of contrast-enhanced helical computerised tomography (CT) in sigmoid diverticulitis, especially relative to selection of the appropriate treatment. The findings of 41 patients were reviewed from 1998 to 1999 June. Contrast-enhanced helical CT is the imaging modality of choice in assessing mild or severe acute diverticulitis because it provides useful information for appropriate treatment planning in the emergency setting. This technique is most useful in questionable cases and in patients with suspected severe diverticulitis where a choice must be made between different treatment options. [Italian] Scopo di questo studio retrospettivo e' illustrare i molteplici aspetti radiologici della flogosi diverticolare sigmoidea con tomografia computerizzata (TC) spirale, con specifico riguardo alle implicazioni terapeutiche che scaturiscono dall'analisi e dal confronto dei reperti TC con i riscontri clinici e ...
Historically the organizational models have followed an evolution that has underlined a parallel trend to the complexity of the market, introducing as different mechanisms of coordination. Up to yesterday the winning model it was that hierarchical that however it is not certainly immune from limits. Beginning from eight hundred and especially in the nine hundred experts of organization have studied an alternative or supplementary model to that hierarchical: the bureaucratic model. This last entrusts the organization of the firm to the norms and the procedures considering them like the best integrating mechanism of development of the organizations. Today it is not made that to speak of the model to net, but it would be a serious error if this had to a substitutive model thought of the precedents, that can work then without hierarchy and without alone procedures entirely thanks to the use of Internet. In the present job are individualized new models of management of the private firms and ...