Investigation of Novel Molecular Targets for Pleckstrin Homology (PH) Domains Found in Oncogenes Implicated in Breast Cancer

Science.gov (United States)

2007-03-01

protein’s PI3K-dependent roles as a positive regulator of IL- 2 gene induction in T cells (Deckert et al, 1998), NK cell-mediated cytotoxicity...82. Fournier, MV, Guimaraes da Costa, F, Paschoal, ME, Ronco, LV, Carvalho, MG, and Pardee, AB. (1999) Identification of a gene encoding a human...Ipl and Tih1. J Biol Chem. 277(51), 49935-44. Scanlan, MJ, Gout , I, Gordon, CM, Williamson, B, Stockert, E, Gure, AO, Jager, D, Chen, YT, Mackay, A

Speech therapy and snore and sleep apnea

OpenAIRE

Soares, Elisângela Barros; Pires, Joicy Barbalho; Menezes, Michele de Alicrim; Santana, Suzany Karla Silva de; Fraga, Juliana

2010-01-01

TEMA: sendo o sono necessário para termos energia, o ronco e a apneia do sono tornam-se obstáculos que acarretam problemas de saúde, como também problemas sociais, conjugais, escolares, entre outros. OBJETIVO: contribuir para um maior conhecimento do profissional fonoaudiólogo sobre as causas, consequências, diagnóstico e formas de tratamento da apneia obstrutiva do sono (AOS), a fim de favorecer a definição da conduta por este profissional, seja ela, encaminhar para um diagnóstico, tratar (p...

Apneia obstrutiva do sono em crianças Obstructive sleep apnea in children

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Simone Chaves Fagondes

2010-06-01

Full Text Available Em crianças, SAOS é caracterizada por episódios recorrentes de obstrução parcial ou completa das vias aéreas superiores durante o sono. Caracteriza-se por um continuum que vai desde o ronco primário (uma situação benigna de ronco sem alterações fisiológicas e complicações associadas, passando por resistência aumentada das vias aéreas, hipoventilação obstrutiva e, finalmente, SAOS. A prevalência de ronco é elevada e, dependendo da forma como ele é definido, varia entre 1,5% e 15%. O diagnóstico da SAOS, combinando questionários de relatos dos pais e exames complementares, apresenta uma prevalência de 1-4%. A SAOS é mais frequente nos meninos, nas crianças com sobrepeso, de ascendência africana, com história de atopia e prematuridade. Ronco alto e frequente, apneias observadas pelos familiares e sono agitado são os sintomas mais frequentes. O exame físico deve identificar a situação ponderostatural do paciente, avaliar evidências de obstrução crônica das vias aéreas superiores e ainda verificar a presença de alterações craniofaciais. A polissonografia de noite inteira é o exame padrão tanto para o diagnóstico, como para a definição da pressão necessária em equipamentos de pressão positiva e também para a avaliação do tratamento cirúrgico. A hipóxia intermitente e os múltiplos despertares resultantes dos eventos obstrutivos contribuem para as consequências cardiovasculares, neurocognitivas e comportamentais bem descritos nesses pacientes. A adenoamigdalectomia é o principal tratamento para a SAOS em crianças. O uso da pressão positiva nas vias aéreas (CPAP ou Bilevel é outra opção de uso crescente na população pediátrica.Childhood obstructive sleep apnea syndrome (OSAS is characterized by recurrent episodes of partial or complete upper airway obstruction during sleep. The disease encompasses a continuum from primary snoring (a benign condition without physiological alterations or

What is Quantum Information?

Science.gov (United States)

Lombardi, Olimpia; Fortin, Sebastian; Holik, Federico; López, Cristian

2017-04-01

Preface; Introduction; Part I. About the Concept of Information: 1. About the concept of information Sebastian Fortin and Olimpia Lombardi; 2. Representation, information, and theories of information Armond Duwell; 3. Information, communication, and manipulability Olimpia Lombardi and Cristian López; Part II. Information and quantum mechanics: 4. Quantum versus classical information Jeffrey Bub; 5. Quantum information and locality Dennis Dieks; 6. Pragmatic information in quantum mechanics Juan Roederer; 7. Interpretations of quantum theory: a map of madness Adán Cabello; Part III. Probability, Correlations, and Information: 8. On the tension between ontology and epistemology in quantum probabilities Amit Hagar; 9. Inferential versus dynamical conceptions of physics David Wallace; 10. Classical models for quantum information Federico Holik and Gustavo Martin Bosyk; 11. On the relative character of quantum correlations Guido Bellomo and Ángel Ricardo Plastino; Index.

A banner year in southern Alberta : shallow gas, CBM drive service houses to record years

International Nuclear Information System (INIS)

Colbourne, C.

2005-01-01

The effect of increased oil and gas activity on the service and supply industry in Alberta was evaluated. The service and supply industry is benefiting from booms in shallow gas drilling and coalbed methane exploration. Big Country Energy Services is a pipeline installation company that now has over 40 on-going projects with crews ranging in size from 10 to 70 personnel. A shortage of skilled labour has affected the company's ability to meet demand. Manufacturing companies such as Production Control Services, a self-contained parts manufacturer that specializes in plunger lift service and optimizing and servicing gas wells, is also seeing an increase in business, particularly due to recent activity in the coalbed methane sector. The company services both new and existing wells in the region. Managers at Ronco Oilfield Hauling Ltd., who work with many junior companies, believe that this season will be one of the most successful of all time. It was suggested that an increase in energy demand from countries like China will keep the demand for North American oil high. However, trends have indicated a reduction in exploration in Alberta, while new exploration activity appears to be increasing in northern Canada. Officials at Ronco have predicted that in 10 to 15 years most new oil activity will be in the northern regions as well as in northeastern British Columbia. It was also noted that soaring fuel costs have had an impact on the service and supply industry, particularly in businesses responsible for collecting and disposing of drilling fluids from rigs. Companies specializing in gas well optimization in low-pressure situations have also benefited from increased activity. However, issues concerning under-qualified workers and personnel shortages have affected a wide variety of businesses in the industry. 3 figs

Data on serologic inflammatory biomarkers assessed using multiplex assays and host characteristics in the Multicenter AIDS Cohort Study (MACS

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Heather S. McKay

2016-12-01

Full Text Available This article contains data on the associations between fixed and modifiable host characteristics and twenty-three biomarkers of inflammation and immune activation measured longitudinally in a cohort of 250 HIV-uninfected men from the Multicenter AIDS Cohort Study (1984–2009 after adjusting for age, study site, and blood draw time of day using generalized gamma regression. This article also presents associations between each biomarker and each host characteristic in a sample restricted to 2001–2009. These data are supplemental to our original research article entitled “Host factors associated with serologic inflammatory markers assessed using multiplex assays” (McKay, S. Heather, Bream, H. Jay, Margolick, B. Joseph, Martínez-Maza, Otoniel, Phair, P. John, Rinaldo, R. Charles, Abraham, G. Alison, L.P. Jacobson, 2016 [1].

Integrated design for sustainability : intelligence for eco-consistent products and services / Rinaldo C. Michelini, George L. Kovacs

Index Scriptorium Estoniae

Michelini, Rinaldo C.

2003-01-01

Kaanel ajak. ilmumisaeg 2002/2003. Autor tutvustab jätkusuutlikuks kasvuks ja arenguks vajalikke raamistikke (sotsiaal-majanduslik, poliitilis-juriidiline, tehnilis-teaduslik) ning esitab ideid kompleksse raamistiku loomiseks, mis toetab toodete, teenuste ja tehnoloogiliste protsesside elutsükli hindamist, s.h. vastavust ökoloogilistele nõudmistele. Tabelid

Ocorrência da síndrome da apneia obstrutiva do sono (SAOS em crianças respiradoras orais Obstructive sleep apnea syndrome (OSAS in mouth breathing children

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Suemy Cioffi Izu

2010-10-01

Full Text Available É bem estabelecido que a respiração oral em crianças está relacionada à hipertrofia adenoamigdaliana, que é a principal causa de apneia do sono nesta população. Apesar da importância deste tema, há poucos estudos que comprovam a relação entre SAOS e respiração oral. OBJETIVO: Determinar a prevalência de distúrbios respiratórios do sono em crianças respiradoras orais e sua correlação com achados otorrinolaringológicos. MATERIAL E MÉTODO: Foram avaliados retrospectivamente 248 prontuários de crianças respiradoras orais do serviço de Otorrinolaringologia Pediátrica de uma grande instituição entre 2000 e 2006, analisando os achados otorrinolaringológicos, polissonografia, nasofibroscopia e/ou radiografia em perfil do Cavum. O principal dado polissonográfico utilizado foi o índice de apneia (IA. Classificou-se como ronco primário aqueles com IA1. Desenho Científico: Coorte retrospectivo. RESULTADOS: Dos 248 pacientes incluídos, 144 (58% apresentavam ronco primário e 104 (42% apresentavam SAOS. Os achados otorrinolaringológicos mais frequentes foram Hipertrofia adenoamigdaliana (n=152; 61,2%, Hipertrofia de tonsila palatina (n=17; 6,8% Hipertrofia da tonsila faríngea (n=37; 14,9%, Rinite Alérgica (n=155; 62,5% e Otite Secretora (36; 14,5%. CONCLUSÕES: Ronco Primário e SAOS são frequentes em crianças respiradoras orais. A afecção otorrinolaringológica mais encontrada em crianças com SAOS é a hipertrofia adenoamigdaliana acompanhada ou não de rinite alérgica.It is well known that mouth breathing is associated with adenotonsillar hypertrophy - which is the main cause of obstructive sleep apnea among children. Despite the importance of this matter, there are only a handful of studies showing the relationship between OSAS and mouth breathing. AIM: to determine the prevalence of obstructive sleep disorders in mouth breathing children and study its correlation with otorhinolaryngological findings. STUDY

The big bang of hemofiltration: the beginning of a new era in the third millennium for extra-corporeal blood purification!

Science.gov (United States)

Honore', P M; Joannes-Boyau, O; Merson, L; Boer, W; Piette, V; Galloy, A-C; Janvier, G

2006-07-01

Since the last decade, hemofiltration and especially high volume hemofiltration has rapidly evolved from a somewhat experimental treatment towards a potentially effective 'adjunctive' therapy in severe septic shock and especially refractory or catecholamine resistant hypodynamic septic shock. Nevertheless, this approach lacks prospective randomized studies (PRT'S) evaluating the critical role of early hemofiltration in sepsis. An important step forward which could be called the 'big bang' in term of hemofiltration was the publication of a PRT in patients with acute renal failure (ARF) (1). Before this study (2), nobody believed that hemofiltration could change the survival rate in intensive care. Since that big bang, many physicians consider that hemofiltration at a certain dose can change the survival rate in intensive care. So the world of hemofiltration in ICU is not a definitive world, it is still in expansion. Indeed, we now have to try to define what will be the exact dose we need in septic acute renal failure. This dose might well be 'higher' than 35 ml/kg/hour in the septic acute renal failure 'group' as suggested by many studies (2-5). At present, it is the issue of continuous dose of high volume hemofiltration that has to be tested in future randomized studies. Since the Vicenza study (2) has shown that 35 ml/kg/h is the best dose in terms of survival, dealing with non septic acute renal failure in ICU, several studies from different groups have shown that, in septic acute renal failure, a higher dose might correlate with better survival. This has also been shown in some way by the study of the 'Vicenza group' but not with a statistically significant value (2). New PRT'S have just started in Europe like the IVOIRE study (hIgh VOlume in Intensive caRE) (6) and the RENAL study. Another large study is looking more basically at dose in non septic acute renal failure in Australasia and is led by the group of Rinaldo Bellomo in Melbourne (7) as well as the ATN

O financiamento da grande empresa de Cristóvão Colombo

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Thomaz Oscar Marcondes de Souza

1962-06-01

Full Text Available A maioria quase que absoluta dos historiadores que se têm ocupado de Colombo, deixa-se empolgar pelas controvérsias sôbre a sua origem; acêrca da veracidade ou não das cartas que Toscanelli lhe enviou; sôbre a veracidade ou não da viagem de um pilôto desconhecido que, tendo descoberto o Novo Mundo antes do Genovês, lhe ensinou a rota; a respeito das cartas que Colombo enviou a Luís de Santangel e Gabriel Sanchez dando notícia da sua feliz viagem e por outras questões que reputamos de somenos importância. Porém, nenhum dêles estudou a fun-do, como fêz Rinaldo Gaddeo, o assunto que diz respeito ao financiamento da grande emprêsa do Almirante do Mar Oceano.

[Socio-economic context in the Lower Iseo Lake area after World War II].

Science.gov (United States)

Simoncini, Carlo

2007-01-01

In the second part of the 20th century, the Basso Sebino Area (Northern Italy) underwent a transformation into an industrial context. The first factories were engaged in the production of textiles, clothes and pasta. This was followed by a major development of mechanic, plastic and rubber industry. The latter activity was concentrated on the production of buttons. This text describes the evolution of the unions'activity in order to obtain a more decent salary and better working conditions in all productive areas. Within this reality, the production of asbestos goods started in 1950 in the Colombo enterprise, run by Rinaldo Colombo, The latter was also the manager of the chrysotile quarry in Balangero, province of Torino (the biggest asbestos mine in Western Europe). Through these connections, asbestos was conveyed from Balangero to the Basso Sebino Area in such a way that most of the asbestos chain (extraction, processing of asbestos goods and sales) was under the control of the same firm.

Sintomas da síndrome de apnéia-hipopnéia obstrutiva do sono em crianças Symptoms of obstructive sleep apnea-hypopnea syndrome in children

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Paloma Baiardi Gregório

2008-06-01

Full Text Available OBJETIVOS: Investigar os sintomas mais freqüentes encontrados em crianças com diagnóstico polissonográfico de síndrome da apnéia-hipopnéia obstrutiva do sono (SAHOS. MÉTODOS: Foram avaliadas 38 crianças consecutivamente encaminhadas ao laboratório do sono com suspeita de SAHOS no período de junho de 2003 a dezembro de 2004. Os pacientes foram submetidos a um questionário pré-sono e a polissonografia. RESULTADOS: A idade média foi de 7,8 ± 4 anos (variação, 2-15 anos, sendo 50% das crianças do sexo masculino. Não apnéicos corresponderam a 7,9% dos pesquisados, distúrbio leve obstrutivo do sono ocorreu em 42,1%, moderado em 28,9% e severo em 22,1%. Observou-se maior freqüência de casos severos de apnéia entre crianças menores de seis anos (idade pré-escolar. Dentre as crianças com SAHOS, os sintomas mais citados foram ronco e obstrução nasal, presentes em 74,3 e 72,7% das crianças, respectivamente. Sonolência excessiva e bruxismo ocorreram em, respectivamente, 29,4 e 34,3% dos casos e doença do refluxo em apenas 3,1%. Agitação das pernas e dificuldade para iniciar o sono foram encontradas em, respectivamente, 65 e 33% dos avaliados. Todas as crianças que apresentaram SAHOS de grau severo tinham queixa de ronco e bruxismo. CONCLUSÕES: Nossos resultados mostraram que os sintomas mais freqüentes em crianças e adolescentes com SAHOS são ronco e obstrução nasal. Além disso, quadros mais graves da SAHOS estão associados à menor faixa etária.OBJECTIVE: To investigate the symptoms most frequently found in children with a polysomnographic diagnosis of obstructive sleep apnea-hypopnea syndrome (OSAHS. METHODS: We evaluated 38 children consecutively referred to the sleep laboratory with suspicion of OSAHS between June of 2003 and December of 2004. The patients were submitted to a pre-sleep questionnaire and to polysomnography. RESULTS: The mean age was 7.8 ± 4 years (range, 2-15 years, and 50% of the children

Relação entre hipertensão arterial sistêmica e síndrome da apnéia obstrutiva do sono

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Cavallari Fransérgio E.M.

2002-01-01

Full Text Available Introdução: hipertensão arterial sistêmica (HAS e a Síndrome da Apnéia Obstrutiva do Sono (SAOS são doenças prevalentes na população mundial e, embora despertem interesse na comunidade médica, não têm fisiopatologia e mecanismos pelo qual produzem suas complicações completamente elucidados. A SAOS está cada vez mais relacionada a patologias cardiovasculares, principalmente à hipertensão, que é prevalente em pacientes com SAOS. Objetivo: Em nosso estudo, objetivamos avaliar as alterações encontradas na presença de HAS em pacientes portadores de SAOS. Forma de estudo: Clínico prospectivo randomizado. Material e método: Estudamos uma população de pacientes do Ambulatório de Ronco e Apnéia do HC FMRP - USP, de fevereiro de 1999 a fevereiro de 2002, em um total de 42, sendo 30 (71,42% pacientes homens e 12 (28,58% mulheres, com idades de 21 a 77 anos (média de 45,3, dp = 9,372706, todos com diagnóstico de SAOS confirmado pela polissonografia, divididos em dois grupos de 21 pacientes com SAOS (controle e 21 com SAOS e HAS. Avaliamos as escalas de Epworth, Ronco e Sonolência nos dois grupos, além do uso da polissonografia para estudo objetivo. Resultado: Não encontramos diferença estatística entre os grupos na comparação dos resultados das escalas, mesmo tendo o grupo de hipertensos médias maiores. Ao avaliarmos objetivamente os pacientes com a polissonografia, levando em conta o IDR, há estatística significante (p=0,0326, com os hipertensos apresentando médias maiores. Vendo a proporção nos grupos, há predomínio de pacientes com apnéia moderada e grave entre os hipertensos, e leve entre os do controle. Conclusão: Concluindo, a concomitância entre HAS e SAOS representa fator agravante no grau da apnéia.

Editorial Note

Science.gov (United States)

2016-02-01

As from January 2016, Dr. Andrew Barry and Dr. Andrea Rinaldo have retired as Editors of Advances in Water Resources. Dr Barry has been a long serving Editor for 14 years, beginning this role on January 1, 2002. During this time he has served the science community with dedication, commitment, and diligence while bringing to the journal a strong vision and a wealth of knowledge that has tremendously improved the visibility and impact of Advances in Water Resources. Throughout this period he has also broadened the scope of the journal by adapting to the new emerging needs of the field through proactively seeking and promoting numerous special issues, which have now become a hallmark of the journal. The importance of obtaining high quality reviews and timeliness in decision-making, have always been a priority under Dr Barry's Editorship. It is clear that Advances in Water Resources and the community which it serves, has benefited enormously under Andrew's tenure and we will miss his energy, enthusiasm and passion for hydrologic science.

Epidemiologia dos distúrbios respiratórios do sono Epidemiology of sleep-disordered breathing

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Carlos Alberto de Assis Viegas

2010-06-01

Full Text Available Os principais distúrbios respiratórios do sono, ronco e SAOS, são muito prevalentes na população geral, embora se acredite que a maioria dos casos continue não diagnosticada. Devemos estar atentos para os principais fatores de risco que favorecem o aparecimento desses distúrbios, como gênero masculino, obesidade, envelhecimento e características crânio-faciais. Da mesma forma, a presença de hipertensão arterial sistêmica, enfermidades cardiovasculares e metabólicas deve nos alertar para a possibilidade da concomitância de SAOS.The principal types of sleep-disordered breathing-snoring and obstructive sleep apnea syndrome-are highly prevalent in the general population, although it is believed that the majority of cases continue to go undiagnosed. We should be aware of the principal risk factors that favor the onset of these disorders, such as male gender, obesity, aging and craniofacial features. Similarly, systemic arterial hypertension, cardiovascular diseases and metabolic disorders should alert us to the possibility of obstructive sleep apnea syndrome.

História clínica e exame físico em SAOS: clinical history and physical examination Obstructive sleep apnea syndrome

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Gleison Marinho Guimarães

2010-06-01

Full Text Available Embora SAOS seja uma patologia comum, é frequentemente subdiagnosticada. Seus sinais e sintomas são, na sua maioria, subjetivos e, portanto, deve haver suspeição diagnóstica quando existir roncos, sonolência diurna, cansaço, desânimo e alteração de humor. Escalas e tabelas com boa sensibilidade, que incluem os sintomas clínicos mais relevantes e dados do exame físico, podem indicar o diagnóstico de SAOS. A confirmação diagnóstica é realizada através de polissonografia, considerada o método padrão ouro.Although obstructive sleep apnea syndrome is a common disease, it often goes undiagnosed. The signs and symptoms of the syndrome are mostly subjective. Therefore, snoring, daytime sleepiness, fatigue, dejection and mood changes should raise the suspicion of obstructive sleep apnea syndrome. Scales and tables that have good sensitivity and include the most relevant clinical symptoms and physical examination results can suggest a diagnosis of obstructive sleep apnea syndrome. The diagnosis is confirmed by polysomnography, which is considered the gold standard method.

A vida do bebê: a constituição de infâncias saudáveis e normais nos manuais de puericultura brasileiros

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Cláudia Amaral dos Santos

2011-01-01

Full Text Available Este trabajo tiene por objetivo investigar como el libro A vida do bebê, escrito por el pediatra brasileño Rinaldo De Lamare, fomenta/fomentó biopolíticas dirigidas a las madres hacia la constitución de infancias sanas y normales. Se enfatiza el valor que el manual analisado ejerce/ejerció como función pedagógica, enseñando madres y padres a como actuar hacia sus hijas/hijos, produciendo de ese modo subjetividades, identidades y saberes. A la realización del análisis, fueron utilizados como referencial teórico los Estudios Culturales a partir de una mirada postestructuralista y los escritos de Michel Foucault. Como material de análisis fueron utilizadas dos ediciones del manual. La primera, la 17ª edición (de 1963; y la segunda, la 41ª edición (de 2002. A partir del análisis se verificó la fuerza del discurso de la psicología como forma de subjetivar las madres y la visión evolutiva del desarrollo del niño normal en la publicación que ahora se hace objeto de este estudio.

Força muscular respiratória e capacidade funcional em idosas hipertensas com sonolência diurna excessiva Respiratory muscle strength and physical fitness in hypertensive elderly women with excessive daytime sleepiness

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Rafaela Pedrosa

2010-06-01

Full Text Available O objetivo do estudo foi verificar se a sonolência diurna excessiva (SDE afeta a capacidade funcional (CF e força muscular respiratória entre idosas hipertensas. O estudo avaliou 32 idosas hipertensas, divididas em dois grupos (com SDE, n=17, 64,9±5,3 anos; e sem SDE, n=15, 65,9±5,5 anos, quanto a: força muscular respiratória, por manovacuometria; CF, pelo Questionário para avaliação de limitação das atividades e por testes de aptidão funcional; nível de atividade física, pelo questionário internacional de atividade física IPAQ; grau de SDE, pela escala de sonolência de Epworth; qualidade do sono, pelo índice de qualidade do sono de Pittsburgh; e intensidade do ronco, pela escala de ronco de Stanford. Os dois grupos, homogêneos quanto a características antropométricas e da hipertensão, foram comparados estatisticamente quanto a parâmetros de sono, pressões respiratórias máximas, nível de atividade física e CF. Foi encontrada diferença significativa na qualidade do sono (p=0,03, tendo as hipertensas com SDE qualidade de sono muito ruim; porém não foram encontradas diferenças significativas entre os grupos nas pressões inspiratória e expiratória máximas, nem quanto aos testes de CF. Conclui-se que a força dos músculos respiratórios não sofre alteração em decorrência da presença de SDE em idosas hipertensas e que essa sonolência não interfere na capacidade funcional.The purpose of the study was to inquire whether excessive daytime sleepiness (EDS affects functional capacity (FC and respiratory muscle strength in elderly hypertensive patients. Thirty-two elderly hypertensive female patients were divided into two groups (with EDS, n=17, mean age 64.9±5.3; without EDS, n=15, mean age 65.9±5.5 and were assessed as to respiratory muscle strength by spirometry; FC, by the Questionnaire on limitations in physical activities and by functional fitness tests; physical activity level, by the International

Qualidade de vida em crianças com distúrbios respiratórios do sono Quality of life in children with sleep-disordered breathing

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Amaury de Machado Gomes

2012-10-01

Full Text Available Crianças podem apresentar distúrbios respiratórios do sono (DRS com repercussões na qualidade de vida. OBJETIVO: Avaliar a qualidade de vida de crianças com DRS, comparar crianças com Síndrome da Apneia Obstrutiva do Sono (SAOS e Ronco Primário (RP e identificar quais os domínios do OSA-18 estão mais comprometidos. MÉTODOS: Estudo de coorte histórica com corte transversal em crianças com história de ronco e hiperplasia adenotonsilar. Para avaliar qualidade de vida foi aplicado o questionário OSA-18 aos cuidadores e realizado polissonografia para diagnóstico. RESULTADOS: Participaram 59 crianças com média de idade de 6,7 ± 2,26 anos. O escore médio do OSA-18 foi 77,9 ± 13,22 e os domínios mais afetados foram: "preocupação dos responsáveis" (21,8 ± 4,25, "perturbação do sono" (18,8 ± 5,19, "sofrimento físico" (17,3 ± 5,0. O impacto foi pequeno em seis crianças (10,2%, moderado em 33 (55,9% e grande em 20 (33,9%. RP foi encontrado em 44 crianças (74,6%, SAOS em 15 (25,6%. SAOS tem escore maior no domínio "sofrimento físico" que RP (p = 0,04. CONCLUSÃO: Distúrbios respiratórios do sono na infância causam comprometimento na qualidade de vida e os domínios mais comprometidos do OSA-18 foram: "preocupação dos responsáveis", "perturbação do sono" e "sofrimento físico". SAOS tem o domínio "sofrimento físico" mais afetado que roncadores primários.Children may present sleep-disordered breathing (SDB and suffer with adverse effects upon their quality of life. OBJECTIVE: This study assessed the quality of life of children with SDB, compared subjects with obstructive sleep apnea syndrome (OSAS and primary snoring (PS, and identified which areas in the OSA-18 questionnaire are more affected. METHODS: This is a historical cohort cross-sectional study carried out on a consecutive sample of children with history of snoring and adenotonsillar hyperplasia. The subject's quality of life was assessed based on the

Inter-relationship between scaling exponents for describing self-similar river networks

Science.gov (United States)

Yang, Soohyun; Paik, Kyungrock

2015-04-01

Natural river networks show well-known self-similar characteristics. Such characteristics are represented by various power-law relationships, e.g., between upstream length and drainage area (exponent h) (Hack, 1957), and in the exceedance probability distribution of upstream area (exponent ɛ) (Rodriguez-Iturbe et al., 1992). It is empirically revealed that these power-law exponents are within narrow ranges. Power-law is also found in the relationship between drainage density (the total stream length divided by the total basin area) and specified source area (the minimum drainage area to form a stream head) (exponent η) (Moussa and Bocquillon, 1996). Considering that above three scaling relationships all refer to fundamental measures of 'length' and 'area' of a given drainage basin, it is natural to hypothesize plausible inter-relationship between these three scaling exponents. Indeed, Rigon et al. (1996) demonstrated the relationship between ɛ and h. In this study, we expand this to a more general ɛ-η-h relationship. We approach ɛ-η relationship in an analytical manner while η-h relationship is demonstrated for six study basins in Korea. Detailed analysis and implications will be presented. References Hack, J. T. (1957). Studies of longitudinal river profiles in Virginia and Maryland. US, Geological Survey Professional Paper, 294. Moussa, R., & Bocquillon, C. (1996). Fractal analyses of tree-like channel networks from digital elevation model data. Journal of Hydrology, 187(1), 157-172. Rigon, R., Rodriguez-Iturbe, I., Maritan, A., Giacometti. A., Tarboton, D. G., & Rinaldo, A. (1996). On Hack's Law. Water Resources Research, 32(11), 3367-3374. Rodríguez-Iturbe, I., Ijjasz-Vasquez, E. J., Bras, R. L., & Tarboton, D. G. (1992). Power law distributions of discharge mass and energy in river basins. Water Resources Research, 28(4), 1089-1093.

Wolfgang Geiger (17 July 1921 - 3 July 2000

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Renata Boucher-Rodoni

2000-08-01

Full Text Available Wolfgang Geiger died on the 3rd July 2000, at the age of 79. He was born on July 17th 1921 in Biel; his mother died at his birth. His childhood was spent with his father, a well-known artist, partly in Ligerz, on Lake Biel, and partly in Porto Ronco in Ticino, on Lago Maggiore. After high school in Biel, he began his University studies, first at the Swiss Federal Institute of Technology in Zürich, then in Basel, where he studied under Professor A. Portmann. During his PhD a grant from the Janggen-Pöhn foundation enabled him to work for some months at the Institut des Pêches maritimes du Maroc, in Casablanca, with Dr. J .Furnestin. In 1953 he completed his PhD on teleost fish brain. His career as a biologist began in Bern at the Eidgenossische Inspektion für Fortwesen, Jagd und Fischerei. In 1962 he was appointed head assistant (chef des travaux at the University of Geneva, in the comparative anatomy and physiology laboratory (Dr H. J. Huggel, where he discovered the joys and the limitations of teaching. He was highly regarded as a lecturer and taught in a relaxed atmosphere of mutual respect and trust, much appreciated by his students. Professor Geiger was also the main organiser of field trips to Sète, on the French Mediterranean coast, where he was in his element living on the water. He went out on the trawlers with the students and introduced them enthusiastically to the marvels of sea fauna. He was happy during those field trips and had the knack of communicating his happiness to the students.

Kinetic models for crowd dynamics. Comment on "Human behaviours in evacuation crowd dynamics: From modelling to "big data" toward crisis management" by N. Bellomo et al.

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Banasiak, J.

2016-09-01

There has been a hierarchy of models of crowd behaviour. One can consider the crowd at the so called microscopic level, as a collection of individuals, and derive its description in the form of a (large) system of ordinary differential equations describing the position and velocity of each individual, in parallel to the Newton's description of matter, see e.g. [10]. Another possibility is to describe crowd, in analogy to fluid dynamics, by providing its density and velocity at a given point, see e.g. [11,12]. At the same time, it is recognized that crowd is 'living, social' system that is prone to exhibit rare, not easily predictable, behaviour in response to stress induced by the perception of danger, or of the action of specific agents, see e.g. [1,2]. This high probability of the occurrence of events that are far from average, makes the crowd behaviour similar to the processes with fat-tailed distribution of events. Such unlikely events have been metaphorically termed black swans in [14], or Lévy flights in [13]. While microscopic and macroscopic models can capture many features of crowd dynamics, including obstacles, see [3,8], such models are described by differential equations that inherently are local in space. At the same time, black swan events are often caused by non-local interactions such as self-organization, learning or adherence to some averaged group behaviour. It is known that such interactions are well described by mean field models best represented by integro-differential equations, such as the Boltzmann equation of the rarefied gas theory. This has made plausible to introduce crowd models at the intermediate, (meso) scale by describing the crowd by the one particle distribution function that gives the density of individuals at any particular state; that is, at a given point in the domain and moving with a specific velocity.

Cardiac Troponin T and Hydration Status as Prognostic Markers in Hemodialysis Patients.

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Hoppe, Krzysztof; Schwermer, Krzysztof; Klysz, Patrycja; Radziszewska, Dorota; Sawatiuk, Peter; Baum, Ewa; Kaczmarek, Jolanta; Roszak, Magdalena; Kaluzna, Malgorzata; Lindholm, Bengt; Pawlaczyk, Krzysztof; Oko, Andrzej

2015-01-01

This study aimed to assess cardiac troponin T (cTnT) and hydration state as cardiovascular (CV) risk markers in hemodialysis (HD) patients. Two hundred and forty one patients were divided according to HD vintage into two groups: SV (HD ≤24 months) and LV. Water balance was assessed with overhydration (OH%; bioimpedance analysis) and daily diuresis (DD); CV dysfunction with cTnT and heart ultrasound; nutrition with subjective global assessment (SGA), cholesterol (TC) and albumin. SV had lower OH% (2.8 vs. 3.5, p < 0.05) and higher DD (1,161 vs. 637 ml, p < 0.001), while LV had higher cTnT (0.1 ± 0.04 vs. 0.1 ± 0.07 ng/ml, p < 0.05) and lower interventricular septum thickness (IVS; 13.4 vs. 14.5 mm, p < 0.05). Nutritional state as reflected by lower TC was worse in LV (184.7 vs. 169.5 mg/dl, p < 0.05). Mortality was higher in patients in the LV group (15 vs. 27 deaths, p < 0.05). OH% correlated inversely with albumin (r = -0.36, p < 0.001), TC (r = -0.31, p < 0.001) and cTnT (r = -0.4, p < 0.001). cTnT correlated positively with IVS (r = 0.39, p < 0.001), SGA (r = 0.23, p = 0.001) and mortality rate (r = 0.21, p < 0.01), and negatively with DD (r = -0.34, p < 0.001) and albumin (r = -0.25, p < 0.001). Longer dialysis vintage associates with CV dysfunction, overhydration and increased mortality, which may be predicted with OH% and cTnT. Video Journal Club ‘Cappuccino with Claudio Ronco' at http://www.karger.com/?doi=376603.

Avaliação da qualidade de vida e do sono de atletas paralímpicos brasileiros

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Andrea Maculano Esteves

2015-02-01

Full Text Available INTRODUÇÃO: o esporte paralímpico brasileiro vem ganhando destaque no cenário mundial e, com isso, a avaliação de variáveis que possam influenciar positivamente no desempenho desses atletas é de suma importância para o acompanhamento durante o seu período de treinamento. OBJETIVO: avaliar a qualidade de vida e do sono de atletas paralímpicos brasileiros. MÉTODOS: foram estudados 49 atletas paralímpicos das modalidades natação (n=20 e atletismo (n=29. Os atletas responderam a questionários que avaliaram seu padrão e queixas de sono e qualidade de vida. RESULTADOS: a maioria dos atletas (65,30% relatou má qualidade do sono, visto que a latência do sono neste grupo foi significativamente maior do que em atletas com boa qualidade de sono. Cinquenta por cento dos atletas relataram o desejo de fazer mudanças em seu horário de sono e 52% gostariam de aumentar o seu tempo de sono. A sonolência diurna excessiva foi observada em 53,06% dos atletas. Quanto às queixas de distúrbios do sono, foram relatados chute ou espasmos das pernas e ronco. Menores índices de qualidade de vida foram encontrados no meio ambiente em comparação com os domínios físicos, psicológicos ou sociais. CONCLUSÕES: os resultados sugerem que a maioria dos atletas apresentou uma má qualidade do sono e, consequentemente, um alto índice de insatisfação com o sono. Além disso, menores escores de qualidade de vida foram encontrados no domínio ambiental, que está relacionado com a segurança física, proteção e condições em casa.

Home visit program improves technique survival in peritoneal dialysis.

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Martino, Francesca; Adıbelli, Z; Mason, G; Nayak, A; Ariyanon, W; Rettore, E; Crepaldi, Carlo; Rodighiero, Mariapia; Ronco, Claudio

2014-01-01

Peritoneal dialysis (PD) is a home therapy, and technique survival is related to the adherence to PD prescription at home. The presence of a home visit program could improve PD outcomes. We evaluated its effects on clinical outcome during 1 year of follow-up. This was a case-control study. The case group included all 96 patients who performed PD in our center on January 1, 2013, and who attended a home visit program; the control group included all 92 patients who performed PD on January 1, 2008. The home visit program consisted of several additional visits to reinforce patients' confidence in PD management in their own environment. Outcomes were defined as technique failure, peritonitis episode, and hospitalization. Clinical and dialysis features were evaluated for each patient. The case group was significantly older (p = 0.048), with a lower grade of autonomy (p = 0.033), but a better hemoglobin level (p = 0.02) than the control group. During the observational period, we had 11 episodes of technique failure. We found a significant reduction in the rate of technique failure in the case group (p = 0.004). Furthermore, survival analysis showed a significant extension of PD treatment in the patients supported by the home visit program (52 vs. 48.8 weeks, p = 0.018). We did not find any difference between the two groups in terms of peritonitis and hospitalization rate; however, trends toward a reduction of Gram-positive peritonitis rates as well as prevalence and duration of hospitalization related to PD problems were identified in the case group. The retrospective nature of the analysis was a limitation of this study. The home visit program improves the survival of PD patients and could reduce the rate of Gram-positive peritonitis and hospitalization. Video Journal Club "Cappuccino with Claudio Ronco" at http://www.karger.com/?doi=365168.

Perfil cardiovascular em pacientes com apneia obstrutiva do sono

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Fátima Dumas Cintra

2011-04-01

Full Text Available FUNDAMENTO: Apneia Obstrutiva do Sono (AOS é um fator de risco para várias condições cardiovasculares incluindo aumento na mortalidade cardiovascular. Sendo assim, é essencial o conhecimento das principais repercussões cardiovasculares dos distúrbios respiratórios do sono durante uma avaliação clínica. OBJETIVO: Analisar as características cardiovasculares de pacientes com AOS. MÉTODOS: Pacientes submetidos a polissonografia basal foram consecutivamente selecionados do banco de dados do Instituto do Sono entre março de 2007 e março de 2009. Todos os pacientes foram orientados a comparecer ao ambulatório para coleta de sangue, exame físico, eletrocardiograma de 12 derivações, espirometria, teste cardiopulmonar em esteira ergométrica e ecocardiograma transtorácico. O estudo foi aprovado pelo comitê de ética e pesquisa e registrado no site http://clinicaltrials.gov/ sob o número: NCT00768625. RESULTADOS: Foram analisados 261 pacientes e 108 controles. As principais características dos pacientes com AOS foram: obesidade, hipertensão, baixos níveis plasmáticos de lipoproteínas de alta densidade (HDL e aumento no diâmetro do átrio esquerdo quando comparados com controles (3,75 ± 0,42; 3,61 ± 0,41, p = 0,001, respectivamente. Essas características associadas correspondem a um acréscimo de 16,6 vezes na probabilidade de ocorrência de AOS independentemente do relato de algum sintoma dessa desordem, como sonolência ou ronco. CONCLUSÃO: Na amostra avaliada, o perfil cardiovascular dos pacientes com AOS mais encontrado foi: obesidade, hipertensão arterial, baixos níveis plasmáticos de HDL e átrio esquerdo com diâmetro aumentado.

Allometric Scaling in Biology

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Banavar, Jayanth

2009-03-01

The unity of life is expressed not only in the universal basis of inheritance and energetics at the molecular level, but also in the pervasive scaling of traits with body size at the whole-organism level. More than 75 years ago, Kleiber and Brody and Proctor independently showed that the metabolic rates, B, of mammals and birds scale as the three-quarter power of their mass, M. Subsequent studies showed that most biological rates and times scale as M-1/4 and M^1/4 respectively, and that these so called quarter-power scaling relations hold for a variety of organisms, from unicellular prokaryotes and eukaryotes to trees and mammals. The wide applicability of Kleiber's law, across the 22 orders of magnitude of body mass from minute bacteria to giant whales and sequoias, raises the hope that there is some simple general explanation that underlies the incredible diversity of form and function. We will present a general theoretical framework for understanding the relationship between metabolic rate, B, and body mass, M. We show how the pervasive quarter-power biological scaling relations arise naturally from optimal directed resource supply systems. This framework robustly predicts that: 1) whole organism power and resource supply rate, B, scale as M^3/4; 2) most other rates, such as heart rate and maximal population growth rate scale as M-1/4; 3) most biological times, such as blood circulation time and lifespan, scale as M^1/4; and 4) the average velocity of flow through the network, v, such as the speed of blood and oxygen delivery, scales as M^1/12. Our framework is valid even when there is no underlying network. Our theory is applicable to unicellular organisms as well as to large animals and plants. This work was carried out in collaboration with Amos Maritan along with Jim Brown, John Damuth, Melanie Moses, Andrea Rinaldo, and Geoff West.

The quest for a new modelling framework in mathematical biology. Comment on "On the interplay between mathematics and biology: Hallmarks towards a new systems biology" by N. Bellomo et al.

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Eftimie, Raluca

2015-03-01

One of the main unsolved problems of modern physics is finding a "theory of everything" - a theory that can explain, with the help of mathematics, all physical aspects of the universe. While the laws of physics could explain some aspects of the biology of living systems (e.g., the phenomenological interpretation of movement of cells and animals), there are other aspects specific to biology that cannot be captured by physics models. For example, it is generally accepted that the evolution of a cell-based system is influenced by the activation state of cells (e.g., only activated and functional immune cells can fight diseases); on the other hand, the evolution of an animal-based system can be influenced by the psychological state (e.g., distress) of animals. Therefore, the last 10-20 years have seen also a quest for a "theory of everything"-approach extended to biology, with researchers trying to propose mathematical modelling frameworks that can explain various biological phenomena ranging from ecology to developmental biology and medicine [1,2,6]. The basic idea behind this approach can be found in a few reviews on ecology and cell biology [6,7,9-11], where researchers suggested that due to the parallel between the micro-scale dynamics and the emerging macro-scale phenomena in both cell biology and in ecology, many mathematical methods used for ecological processes could be adapted to cancer modelling [7,9] or to modelling in immunology [11]. However, this approach generally involved the use of different models to describe different biological aspects (e.g., models for cell and animal movement, models for competition between cells or animals, etc.).

Estudo comparativo da história clínica e da polissonografia na síndrome da apnéia/ hipopnéia obstrutiva do sono Comparative study between clinical history and polysomnogram in the obstructive sleep apnea/ hypopnea syndrome

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Lys Maria Allenstein Gondim

2007-12-01

Full Text Available O reconhecimento dos distúrbios respiratórios do sono tem aumentado a cada ano. Manifestações, como o ronco, consideradas meros incômodos vêm adquirindo importância no que diz respeito à qualidade de vida e seu impacto social. OBJETIVO: Comparar a história clínica com os resultados da polissonografia (PSG, na Síndrome da Apnéia/Hipopnéia Obstrutiva do Sono (SAHOS, é o principal objetivo deste trabalho. MATERIAL E MÉTODOS: Foi realizado um estudo retrospectivo, com 125 pacientes, através da análise de questionários específicos, IMC e Escala de Epworth. RESULTADOS: Dentre os pacientes, 75 eram do sexo masculino e 50 do feminino. O principal sintoma foi a roncopatia. 46% apresentaram PSG normais, 30% SAHOS leve, 15% moderada e 9% severa, não se evidenciando correlação estatística entre a clínica e a PSG. Dentre as queixas, somente a insônia foi relevante, em análise univariada e em pacientes normais e com SAHOS leve (pRecognizing sleep-disordered breathing is on the rise every year. Manifestations, such as snoring, that were earlier considered mere inconvenients are now acquiring greater importance concerning life quality and social impact. AIM OF THE STUDY: To compare the clinical history to polysomnogram (PSG results in the Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS. MATERIALS AND METHODS: 125 patients were analyzed, in a retrospective study. Specific questionnaires, avaliations of Body Mass Index and Epworth Scale were carried out. RESULTS: Among the patients, 75 were males and 50 were females. The main symptom was snoring. 46% had normal PSG, 30% had light OSAHS, 15% moderate and 9% severe OSAHS and it was not observed a correlation between clinical data and PSG results. Concerning clinical symptoms, only insomnia has shown relevance when univariably analyzed in normal and light OSAHS patients (p<0,05 compared to patients with moderate and severe OSAHS, losing its importance when analyzed together with other

Counseling, quality of life, and acute postoperative pain in elderly patients with hip fracture

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Gambatesa M

2013-09-01

Full Text Available Maria Gambatesa,1 Alessandro D'Ambrosio,1 Davide D'Antini,1 Lucia Mirabella,1 Antonella De Capraris,1 Salvatore Iuso,2 Antonello Bellomo,2 Antonio Macchiarola,3 Michele Dambrosio,1 Gilda Cinnella1 1Department of Anesthesiology and Intensive Care, 2Department of Psychology and Psychiatry, University of Foggia, Foggia, Italy; 3Department of Orthopedic and Trauma Surgery, Riuniti Hospital, Foggia, Italy Introduction: Hip fractures represent one of the most important causes of morbidity and mortality in elderly people. Anxiety and depression affect their quality of life and increase pain severity, and have adverse effects on functional recovery. Recent World Health Organization guidelines emphasize that therapeutic regimes need to be individualized and combined with psychological support. This study was launched with the primary endpoint of assessing if and to what extent client-centered therapy affects the perception of pain, reduces anxiety and depression, and increases the quality of life of elderly patients with hip fracture. Materials and methods: Forty patients were admitted to the Orthopedic and Trauma Surgery ward for hip fracture. Patients were randomly divided into two subgroups: (1 case (group C, had to receive patient-centered counseling throughout the hospitalization; and (2 control (group NC, receiving the analgesic treatment without receiving counseling. Short Form-36-item Health Survey Questionnaire, State–Trait Anxiety Inventory, and Hamilton Rating Scale for Depression scores were recorded before any treatment, at discharge, and after 30 days. Pain levels were evaluated by means of Visual Analog Scale every 12 hours during the hospitalization from the day of surgery until day 5. Results: The hierarchical clustering analysis identified before any treatment were two clusters based on different physical functioning perceptions and role limitations, which were due to physical and emotional problems. Counseling did have a positive

Identity development, intelligence structure, and interests: a cross-sectional study in a group of Italian adolescents during the decision-making process

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Pellerone M

2015-08-01

Full Text Available Monica Pellerone,1 Alessia Passanisi,1 Mario Filippo Paolo Bellomo2 1Faculty of Human and Social Science, “Kore” University of Enna, Enna, 2Credito Emiliano Bank, Piazza Armerina, Italy Background: Forming one’s identity is thought to be the key developmental task of adolescence, but profound changes in personality traits also occur in this period. The negotiation of complex social settings, the creation of an integrated identity, and career choice are major tasks of adolescence. The adolescent, having to make choices for his or her future, has not only to consider his or her own aspirations and interests but also to possess a capacity for exploration and commitment; in fact, career commitments can be considered as a fit between the study or career that is chosen and personal values, skills, and preferences. Methods: The objective of the study reported here was to investigate the role of identity on profile of interests; the relation between identity and decisional style; the correlation between identity, aptitudes, interests, and school performance; and the predictive variables to school success. The research involved 417 Italian students who live in Enna, a small city located in Sicily, Italy, aged 16–19 years (197 males and 220 females in the fourth year (mean =17.2, standard deviation =0.52 and the fifth year (mean =18.2, standard deviation =0.64 of senior secondary school. The research lasted for one school year; the general group of participants consisted of 470 students, and although all participants agreed to be part of the research, there was a dropout rate of 11.28%. They completed the Ego Identity Process Questionnaire to measure their identity development, the Intelligence Structure Test to investigate aptitudes, the Self-Directed Search to value interests, and General Decision Making Style questionnaire to describe their individual decisional style. Results: The data showed that high-school performance was positively

Multiple scales modelling approaches to social interaction in crowd dynamics and crisis management. Comment on "Human behaviours in evacuation crowd dynamics: From modelling to "big data" toward crisis management" by Nicola Bellomo et al.

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Trucu, Dumitru

2016-09-01

In this comprehensive review concerning the modelling of human behaviours in crowd dynamics [3], the authors explore a wide range of mathematical approaches spanning over multiple scales that are suitable to describe emerging crowd behaviours in extreme situations. Focused on deciphering the key aspects leading to emerging crowd patterns evolutions in challenging times such as those requiring an evacuation on a complex venue, the authors address this complex dynamics at both microscale (individual level), mesoscale (probability distributions of interacting individuals), and macroscale (population level), ultimately aiming to gain valuable understanding and knowledge that would inform decision making in managing crisis situations.

Is the population properly informed about sleep disorders? A população está devidamente informada sobre os distúrbios do sono?

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Eleida Pereira Camargo

2013-01-01

Full Text Available OBJECTIVE: To measure the prior knowledge about sleep disorders and patient's ability to report their problems adequately to health professionals. METHODS: We analyzed 208 patient's records and extracted the following information: date of birth, gender, medical diagnostic hypotheses, patient's primary complaint in their words, considering the most appropriated semantic approximation to the perceptual phenomena, either by their own or by reasoning information from the partner. We compared the agreement (Kappa's test between patient's complaint and medical diagnosis. The 95% confidence interval was used to analyze proportions. RESULTS: We found strong correlations for bruxism; moderate for snoring, insomnia, nightmares, somniloquy, and restless legs syndrome; fair for excessive movement during sleep (EMDS and obstructive sleep apnea syndrome (OSA. CONCLUSIONS: The observed correlations were heterogeneous, but important diseases such as OSA and EMDS in children showed fair and weak correlations. This suggests an unsatisfactory knowledge level among the population about these disorders, despite their high prevalence and impact on patient's overall health.OBJETIVO: Avaliar o conhecimento da população investigada sobre os distúrbios do sono e sua capacidade de reportá-los adequadamente aos profissionais de saúde. MÉTODOS: Foram analisados ​​208 prontuários de pacientes, dos quais foram extraídos os seguintes dados: data de nascimento, sexo, hipótese diagnóstica médica e queixa principal do paciente. Foram comparadas as queixas e as hipóteses diagnósticas, considerando-se o intervalo de confiança de 95% para as proporções entre estas variáveis, determinando-se sua concordância por meio do teste Kappa. RESULTADOS: Foram encontradas concordâncias acentuadas em relação ao bruxismo; moderadas para ronco, insônia, pesadelos, sonilóquio e síndrome das pernas inquietas; concordância regular para movimentação excessiva durante o

Is the population properly informed about sleep disorders? A população está devidamente informada sobre os distúrbios do sono?

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Eleida Pereira Camargo

2013-02-01

Full Text Available OBJECTIVE: To measure the prior knowledge about sleep disorders and patient's ability to report their problems adequately to health professionals. METHODS: We analyzed 208 patient's records and extracted the following information: date of birth, gender, medical diagnostic hypotheses, patient's primary complaint in their words, considering the most appropriated semantic approximation to the perceptual phenomena, either by their own or by reasoning information from the partner. We compared the agreement (Kappa's test between patient's complaint and medical diagnosis. The 95% confidence interval was used to analyze proportions. RESULTS: We found strong correlations for bruxism; moderate for snoring, insomnia, nightmares, somniloquy, and restless legs syndrome; fair for excessive movement during sleep (EMDS and obstructive sleep apnea syndrome (OSA. CONCLUSIONS: The observed correlations were heterogeneous, but important diseases such as OSA and EMDS in children showed fair and weak correlations. This suggests an unsatisfactory knowledge level among the population about these disorders, despite their high prevalence and impact on patient's overall health.OBJETIVO: Avaliar o conhecimento da população investigada sobre os distúrbios do sono e sua capacidade de reportá-los adequadamente aos profissionais de saúde. MÉTODOS: Foram analisados ​​208 prontuários de pacientes, dos quais foram extraídos os seguintes dados: data de nascimento, sexo, hipótese diagnóstica médica e queixa principal do paciente. Foram comparadas as queixas e as hipóteses diagnósticas, considerando-se o intervalo de confiança de 95% para as proporções entre estas variáveis, determinando-se sua concordância por meio do teste Kappa. RESULTADOS: Foram encontradas concordâncias acentuadas em relação ao bruxismo; moderadas para ronco, insônia, pesadelos, sonilóquio e síndrome das pernas inquietas; concordância regular para movimentação excessiva durante o

Further steps in the modeling of behavioural crowd dynamics, good news for safe handling. Comment on "Human behaviours in evacuation crowd dynamics: From modelling to "big data" toward crisis management" by Nicola Bellomo et al.

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Knopoff, Damián A.

2016-09-01

The recent review paper [4] constitutes a valuable contribution on the understanding, modeling and simulation of crowd dynamics in extreme situations. It provides a very comprehensive revision about the complexity features of the system under consideration, scaling and the consequent justification of the used methods. In particular, macro and microscopic models have so far been used to model crowd dynamics [9] and authors appropriately explain that working at the mesoscale is a good choice to deal with the heterogeneous behaviour of walkers as well as with the difficulty of their deterministic identification. In this way, methods based on the kinetic theory and statistical dynamics are employed, more precisely the so-called kinetic theory for active particles [7]. This approach has successfully been applied in the modeling of several complex dynamics, with recent applications to learning [2,8] that constitutes the key to understand communication and is of great importance in social dynamics and behavioral sciences.

Fonoaudiologia e apneia do sono: uma revisão Speech therapy and sleepy apnae: a review

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Erilucia Pereira Santa Rosa

2010-10-01

Full Text Available TEMA: a Síndrome da Apneia/Hipopneia Obstrutiva do Sono (SAHOS é definida pela Academia Americana do Sono como a presença de episódios recorrentes de obstrução parcial ou total das vias aéreas superiores durante o sono e manifesta-se como uma redução (hipopneia ou cessação completa (apneia do fluxo aéreo, apesar da manutenção dos esforços inspiratórios. A SAHOS motiva o chamado ronco crônico, sonolência e caracteriza-se pela parada do fluxo aéreo respiratório por pelo menos, 10 segundos. O diagnóstico é realizado através do exame polissonográfico, que consiste no registro simultâneo de atividades do organismo durante a noite, indicando a quantidade de apneias e hipopneias ocorridos e a gravidade da SAHOS. Para sucesso no tratamento desta desordem é fundamental o diagnóstico preciso e correto e a atuação de uma equipe multidisciplinar, estando inserido nela o fonoaudiólogo. OBJETIVO: analisar, através da literatura a interrrelação da Fonoaudiologia e a SAHOS. CONCLUSÃO: aom o referente estudo, podemos identificar a complexidade da SAHOS e mostrar a importância da atuação fonoaudiológica na terapêutica desses pacientes, para uma melhor qualidade de vida.BACKGROUND: the Apnea syndrome / Obstructive Sleepy Hypopnea (SOHAS is define by the American Academy of Sleep with recurrent presence of episodes of partial or total obstruction in the superior airways during sleep, in addition to showing a reduction (hypopnea or complete stoppage (apnea of airflow, although there is an ongoing maintenance of inspiratory efforts. SOHAS motivates the so-called sleepy chronic snoring and sleepiness to dress up by the stop of airflow by at least 10 seconds. The diagnosis is carried out through polysomnographic examination, which consists of the simultaneous recording of body activities during the night, indicating the number of occurring apneas and hypopneas and SOHAS severity. For the successful of disorder treatment it is

River network and watershed morphology analysis with potential implications towards basin classification

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Bugaets, Andrey; Gartsman, Boris; Bugaets, Nadezhda

2013-04-01

Generally, the investigation of river network composition and watersheds morphology (fluvial geomorphology), constituting one of the key patterns of land surface, is a fundamental question of Earth Sciences. Recent ideas in this research field are the equilibrium and optimal, in the sense of minimum energy expenditure, river network evolution under constant or slowly varying conditions (Rodriguez-Iturbe, Rinaldo, 1997). It follows to such network behavior as self-similarity, self-affinity and self-organization. That is to say, under relatively stable conditions the river systems tend to some "good composed" form and vice-versa. Lately appearing global free available detailed DEM covers involve new possibilities in this research field. We develop new methodology and program package for river network structure and watershed morphology detailed analysis on the base of ArcMap tools. Different characteristics of river network (e.g. ordering, coefficients of Horton's laws, Shannon entropy, fractal dimension) and basin morphology (e.g. diagrams of average elevation, slope, width and energy index against distance to outlet along streams) could be calculated to find a good indicators of intensity and non-equilibrium of watershed evolution. Watersheds are non-conservative systems in which energy is dissipated by transporting water and sediment in geomorphic adjustment of the slopes and channels. The problem of estimating the amount of energy expenditure associated with overcoming surface and system resistance is extremely complicated to solve. A simplification on a river network scale is to consider energy expenditure to be primarily associated with friction of the fluid. We propose a new technique to analyze the catchment landforms based on so-called "energy function" that is a distribution of total energy index against distance from outlet. As potential energy of water on the hillslopes is transformed into kinetic energy of the flowing fluid-sediment mixture in the runoff

A Probabilistic Tsunami Hazard Assessment Methodology and Its Application to Crescent City, CA

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Gonzalez, F. I.; Leveque, R. J.; Waagan, K.; Adams, L.; Lin, G.

2012-12-01

.I., E.L. Geist, B. Jaffe, U. Kânoglu, H. Mofjeld, C.E. Synolakis, V.V Titov, D. Arcas, D. Bellomo, D. Carlton, T. Horning, J. Johnson, J. Newman, T. Parsons, R. Peters, C. Peterson, G .Priest, A. Venturato, J. Weber, F. Wong, and A. Yalciner (2009): Probabilistic Tsunami Hazard Assessment at Seaside, Oregon, for Near- and Far-Field Seismic Sources, J. Geophys. Res., 114, C11023, doi:10.1029/2008JC005132. Japan Earthquake Research Committee, (2011): http://www.jishin.go.jp/main/p_hyoka02.htm Mai, P. M., and G. C. Beroza (2002): A spatial random field model to characterize complexity in earthquake slip, J. Geophys. Res., 107(B11), 2308, doi:10.1029/2001JB000588. SSHAC (Senior Seismic Hazard Analysis Committee) (1997): Recommendations for Probabilistic Seismic Hazard Analysis: Guidance on Uncertainty and Use of Experts, Main Report Rep. NUREG/CR-6372 UCRL-ID-122160 Vol. 1, 256 pp, U.S. Nuclear Regulatory Commission.

Atualização em síndrome da apnéia obstrutiva do sono na infância Update in obstructive sleep apnea syndrome in children

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Aracy P. S. Balbani

2005-02-01

Full Text Available A prevalência de SAOS em crianças é de 0,7-3%, com pico de incidência nos pré-escolares. Fatores anatômicos (obstrução nasal severa, más-formações craniofaciais, hipertrofia do tecido linfático da faringe, anomalias laríngeas, etc. e funcionais (doenças neuromusculares predispõem à SAOS na infância. A principal causa da SAOS em crianças é a hipertrofia adenotonsilar. As manifestações clínicas mais comuns são: ronco noturno, pausas respiratórias, sono agitado e respiração bucal. A oximetria de pulso noturna, a gravação em áudio ou vídeo dos ruídos respiratórios noturnos e a polissonografia breve diurna são métodos úteis para triagem dos casos suspeitos de SAOS em crianças, e o padrão-ouro para diagnóstico é a polissonografia em laboratório de sono durante uma noite inteira. Ao contrário dos adultos com SAOS, as crianças costumam apresentar: menos despertares associados aos eventos de apnéia, maior número de apnéias/hipopnéias durante o sono REM e dessaturação mais acentuada da oxihemoglobina mesmo nas apnéias de curta duração. O tratamento da SAOS pode ser cirúrgico (adenotonsilectomia, correção de anomalias craniofaciais, traqueostomia ou clínico (higiene do sono, pressão positiva contínua nas vias aéreas - CPAP.The prevalence of OSAS in children is 0.7-3%, with peak incidence in pre-schoolers. It is characterised by partial or complete upper airway obstruction during sleep, causing intermittent hypoxia. Both anatomical (severe nasal obstruction, craniofacial anomalies, hypertrophy of the pharyngeal lymphoid tissue, laryngeal anomalies, etc. and functional factors (neuromuscular diseases predispose to OSAS during childhood. The main cause of OSAS in children in adenotonsillar hypertrophy. The most common clinical manifestations of OSAS are: nocturnal snoring, respiratory pauses, restless sleep and mouth breathing. Nocturnal pulse oximetry, nocturnal noise audio/videotape recording and nap

“Avaliação da qualidade de vida e peak flow nasal em pós-operatório de cirurgias funcionais (turbinectomia e/ou septoplastia em pacientes com obstrução nasal crônica"

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Filipe Braz

2015-10-01

Full Text Available A prevalência da obstrução nasal vem crescendo nos últimos anos. A obstrução nasal tem como causa etiológica uma série de patologias as mais comuns são: polipose nasal, rinossinusites, doenças metabólicas, defeito septal, corpos estranhos, tumores.   Pacientes que sofrem de obstrução nasal além de possuírem os sintomas clássicos de coriza, distúrbios do olfato, apresentam também uma perda significativa na qualidade de vida, uma vez que a acarreta alterações nas atividades cotidianas como: insônia e ronco noturno e apneia, dificuldade na prática de exercício físico.     O trabalho visa mensurar o quanto as cirurgias funcionais nasais melhoram a qualidade de vida e a permeabilidade das vias aéreas superiores de pacientes com obstrução nasal, e se a melhora é apenas no pós operatório imediato ou se essa é a longo prazo.   Para tal objetivo, o estudo utilizará de duas ferramentas sendo uma delas uma escala objetiva e a outra subjetiva. A escala objetiva de uso será o peak flow nasal inspiratório, aparelho capaz de avaliar a permeabilidade das vias aéreas proximais, sendo assim capaz de mensurar o grau da obstrução nasal. Já a escala subjetiva de escolha é Nasal Obstruction Syndrome Evaluation (NOSEscale, sendo hoje uma referência para estudos que visam avaliar a obstrução nasal sobre a qualidade de vida e comparar o pré e pós de tratamentos clínicos e cirúrgicos.   Realizada a analise dos 30 pacientes, a cirurgia funcional nasal se mostrou muito benéfica revelando uma melhora na escala NOSE de 76% e no Peak Flow de 65%. O estudo tem como objetivo secundário comparar a evolução dos pacientes no primeiro e no sexto mês de pós operatório. Os pacientes apresentaram uma melhora de 18% no NOSE e de 8% no Peak Flow, revelando uma melhora no pós-operatório mais tardio. Em relação à melhora dos pacientes após o ato cirúrgico, notamos que nenhum dos pacientes passa a apresentar um peak flow

Cost-effectiveness analysis of online hemodiafiltration versus high-flux hemodialysis

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Ramponi F

2016-09-01

Full Text Available Francesco Ramponi,1,2 Claudio Ronco,1,3 Giacomo Mason,1 Enrico Rettore,4 Daniele Marcelli,5,6 Francesca Martino,1,3 Mauro Neri,1,7 Alejandro Martin-Malo,8 Bernard Canaud,5,9 Francesco Locatelli10 1International Renal Research Institute (IRRIV, San Bortolo Hospital, Vicenza, 2Department of Economics and Management, University of Padova, Padova, 3Department of Nephrology, San Bortolo Hospital, Vicenza, 4Department of Sociology and Social Research, University of Trento, FBK-IRVAPP & IZA, Trento, Italy; 5Europe, Middle East, Africa and Latin America Medical Board, Fresenius Medical Care,, Bad Homburg, Germany; 6Danube University, Krems, Austria; 7Department of Management and Engineering, University of Padova, Vicenza, Italy; 8Nephrology Unit, Reina Sofia University Hospital, Córdoba, Spain; 9School of Medicine, Montpellier University, Montpellier, France; 10Department of Nephrology, Manzoni Hospital, Lecco, Italy Background: Clinical studies suggest that hemodiafiltration (HDF may lead to better clinical outcomes than high-flux hemodialysis (HF-HD, but concerns have been raised about the cost-effectiveness of HDF versus HF-HD. Aim of this study was to investigate whether clinical benefits, in terms of longer survival and better health-related quality of life, are worth the possibly higher costs of HDF compared to HF-HD.Methods: The analysis comprised a simulation based on the combined results of previous published studies, with the following steps: 1 estimation of the survival function of HF-HD patients from a clinical trial and of HDF patients using the risk reduction estimated in a meta-analysis; 2 simulation of the survival of the same sample of patients as if allocated to HF-HD or HDF using three-state Markov models; and 3 application of state-specific health-related quality of life coefficients and differential costs derived from the literature. Several Monte Carlo simulations were performed, including simulations for patients with different

A multi-resolution analysis of lidar-DTMs to identify geomorphic processes from characteristic topographic length scales

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Sangireddy, H.; Passalacqua, P.; Stark, C. P.

2013-12-01

processes. Also, we explore the variability in hillslope length scales as a function of hillslope diffusivity coefficients and critical shear stress in natural landscapes and show that we can infer signatures of dominant geomorphic processes by analyzing characteristic topographic length scales present in topography. References: Beven, K. and Kirkby, M. J.: A physically based variable contributing area model of basin hydrology, Hydrol. Sci. Bull., 24, 43-69, 1979 Howard, A. D. (1994). A detachment-limited model of drainage basin evolution.Water resources research, 30(7), 2261-2285. Passalacqua, P., Do Trung, T., Foufoula Georgiou, E., Sapiro, G., & Dietrich, W. E. (2010). A geometric framework for channel network extraction from lidar: Nonlinear diffusion and geodesic paths. Journal of Geophysical. Research: Earth Surface (2003-2012), 115(F1). Sangireddy, H., Passalacqua, P., Stark, C.P.(2012). Multi-resolution estimation of lidar-DTM surface flow metrics to identify characteristic topographic length scales, EP13C-0859: AGU Fall meeting 2012. Stark, C. P., & Stark, G. J. (2001). A channelization model of landscape evolution. American Journal of Science, 301(4-5), 486-512. Tucker, G. E., Catani, F., Rinaldo, A., & Bras, R. L. (2001). Statistical analysis of drainage density from digital terrain data. Geomorphology, 36(3), 187-202.

The KULTURisk Regional Risk Assessment methodology for water-related natural hazards - Part 1: Physical-environmental assessment

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Ronco, P.; Gallina, V.; Torresan, S.; Zabeo, A.; Semenzin, E.; Critto, A.; Marcomini, A.

2014-07-01

KR-RRA methodology is based on the concept of risk being function of hazard, exposure and vulnerability. It integrates the outputs of various hydrodynamics models (hazard) with sito-specific bio-geophysical and socio-economic indicators (e.g. slope, land cover, population density, economic activities) to develop tailored risk indexes and GIS-based maps for each of the selected targets (i.e. people, buildings, infrastructures, agriculture, natural and semi-natural systems, cultural heritages) in the considered region, by comparing the baseline scenario with alternative scenarios, where different structural and/or non-structural mitigation measures are planned. As demonstrated in the companion paper (Part 2, Ronco et al., 2014), risk maps, along with related statistics, allow to identify and prioritize relative hotspots and targets which are more likely to be affected by flood and support the development of relevant and strategic adaptation and prevention measures to minimizing flood impacts. Moreover, the outputs of the RRA methodology can be used for the economic evaluation of different damages (e.g. tangible costs, intangible costs) and for the social assessment considering the benefits of the human dimension of vulnerability (i.e. adaptive and coping capacity).

Pediatras e os distúrbios respiratórios do sono na criança Pediatricians and sleep-disordered breathing in the child

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Aracy Pereira Silveira Balbani

2005-04-01

Full Text Available OBJETIVOS: pesquisar as opiniões e condutas de pediatras frente aos distúrbios respiratórios do sono (DRS em crianças. MÉTODOS: Foram selecionados aleatoriamente 516 pediatras do Estado de São Paulo. Foi enviado aos pediatras, por correio, um formulário de questões sobre: perfil profissional, seu conhecimento do DRS na criança, opiniões e condutas para diagnóstico e tratamento dessa doença. RESULTADOS: Retornaram preenchidos 112 questionários anônimos (21,7%. O ensino de DRS na infância durante a graduação e a residência médica em Pediatria foi considerado insatisfatório, respectivamente, por 65,2% e 34,8% dos pediatras. Quarenta e nove pediatras (43,8% avaliaram seu conhecimento de DRS na criança como regular, 39 (34,8% como bom e 17 (15,2% como insatisfatório. As questões de anamnese do sono consideradas mais importantes foram: respiração bucal, pausas respiratórias, número de horas de sono, sonolência diurna excessiva e chiado noturno. Os dados clínicos considerados mais importantes para a suspeita de síndrome da apnéia obstrutiva do sono (SAOS foram: pausas respiratórias, hipertrofia da adenóide, respiração bucal, presença de anomalia craniofacial e ronco. As principais condutas citadas para diagnóstico de SAOS na criança foram: radiografia do cavum e avaliação com otorrinolaringologista (25% e oximetria de pulso noturna (14,2%. Somente 11,6% dos pediatras indicaram a polissonografia de noite inteira e 4,5%, a polissonografia breve diurna. As condutas consideradas mais eficazes para tratamento de DRS foram: cirurgias de adenoidectomia e adenotonsilectomia, orientação aos pais, perda de peso e higiene do sono. CONCLUSÕES: Há um descompasso entre as pesquisas sobre DRS na infância e sua abordagem na prática pediátrica.OBJECTIVES: assessment of opinions and practices of pediatricians concerning sleep-disordered breathing (SDB in children. METHODS: randomly 516 pediatricians were selected in the

Respiração oral na criança: repercussões diferentes de acordo com o diagnóstico Mouth breathing in children: different repercussions according to the diagnosis

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Renata C. Di Francesco

2004-10-01

Full Text Available A respiração oral é um sintoma freqüente na infância. A síndrome do respirador oral caracteriza-se por cansaço freqüente, sonolência diurna, adinamia, baixo apetite, enurese noturna e até déficit de aprendizado e atenção. Entretanto este sintoma apresenta diversas causas. Faz-se necessário, portanto, esclarecer detalhes sobre estes aspectos clínicos de acordo com suas causas. OBJETIVO: Comparar os achados de sonolência diurna, cefaléia, agitação noturna, enurese, problemas escolares e bruxismo em indivíduos com respiração oral; de acordo com os seguintes diagnósticos: rinite alérgica, hiperplasia adenoideana, hiperplasia adenoamigdaliana. FORMA DE ESTUDO: Estudo de coorte transversal. MATERIAL E MÉTODO: Estudo prospectivo com 142 pacientes de 2 a 16 anos, classificados em três grupos: rinite alérgica, hiperplasia adenoideana isolada e hiperplasia adenoamigdaliana. Os responsáveis dos pacientes responderam a questionário padronizado sobre os sintomas noturnos para caracterização da presença de apnéia do sono e sobre os aspectos estudados: cefaléia matinal, desempenho escolar e atenção, sonolência diurna, agitação noturna, enurese, bruxismo. RESULTADOS: A respiração oral é mais freqüente em meninos. Crianças com hiperplasia adenoamigdaliana são mais jovens. Este grupo apresenta maior freqüência de roncos e apnéia do sono, assim como mau desempenho escolar, bruxismo, enurese e agitação noturna, sendo estes sintomas relacionados com a apnéia, diferenciando-se do grupo com rinite alérgica. Não se observou sonolência diurna e cefaléia matinal significante nos grupos estudados. CONCLUSÃO: Bruxismo, enurese, agitação noturna e cefaléia estão relacionados com a apnéia do sono, sendo mais freqüente na hiperplasia adenoamigdaliana. Assim, a investigação de apnéia do sono na criança com respiração oral é fundamental e assim como a determinação da causa da respiração oral

Multi-isotope tracing of CO2 leakage and water-rock interaction in a natural CCS analogue.

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Kloppmann, Wolfram; Gemeni, Vasiliki; Lions, Julie; Koukouzas, Nikolaos; Humez, Pauline; Vasilatos, Charalampos; Millot, Romain; Pauwels, Hélène

2015-04-01

interaction with carbonates and silicates. Both δ11B and δ7Li show a very large range of variation and fairly good correlation, between -29.7 o and +24o vs. NBS951 for boron and -11o and +20.4o vs. L-SVEC for lithium. The negative δ11B and δ7Li values are among the lowest reported in literature for groundwaters, comparable only to values observed for boron in case of geothermal fluids interaction with clay minerals (Pennisi et al., 2009) or in some amphiboles (e.g. Gillis et al., 2003) or lithium in ultramafic rocks (Nishio et al., 2004). Those variations reflect water-rock interaction with the silicate fraction of the highly heterogeneous graben filling but no clear indication of enhanced reactions due to CO2 intrusion has been found. The δ13C values of TDIC are also strongly variable (-10.5 to +15 o vs. PDB), reflecting biogenic inputs (e.g. from lignite layers), dissolution of carbonates and, potentially, methanogenesis through CO2 reduction. D' Alessandro W., Bellomo S., Brusca L., Karakazanis S., Kyriakopoulos K., and Liotta M. (2011) The impact on water quality of the high carbon dioxide contents of the groundwater in the area of Florina (N. Greece), Advances in the Research of Aquatic Environment. Springer. Gillis K. M., Coogan L. A., and Chaussidon M. (2003) Volatile element (B, Cl, F) behaviour in the roof of an axial magma chamber from the East Pacific Rise. Earth and Planetary Science Letters 213, 447-462. Hatziyannis G. and Arvanitits A. (2011) Natural analogues of CO2 leakage in Florina area, N. Greece., 2nd CGS Europe Knowledge Sharing Workshop Natural Analogues, Maria Laach, Germany, October 17-19, 2011, pp. Humez P., Negrel P., Lagneau V., Lions J., Kloppmann W., Gal F., Millot R., Guerrot C., Flehoc C., Widory D., and Girard J. F. (2014) CO2-water-mineral reactions during CO2 leakage: Geochemical and isotopic monitoring of a CO2 injection field test. Chem. Geol. 368, 11-30. Lions J., Humez P., Pauwels H., Kloppmann W., and Czernichowski-Lauriol I. (2014

Perfil cardiovascular em pacientes com apneia obstrutiva do sono Perfil cardiovascular en pacientes con apnea obstructiva del sueño Cardiovascular profile in patients with obstructive sleep apnea

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Fátima Dumas Cintra

2011-04-01

Full Text Available FUNDAMENTO: Apneia Obstrutiva do Sono (AOS é um fator de risco para várias condições cardiovasculares incluindo aumento na mortalidade cardiovascular. Sendo assim, é essencial o conhecimento das principais repercussões cardiovasculares dos distúrbios respiratórios do sono durante uma avaliação clínica. OBJETIVO: Analisar as características cardiovasculares de pacientes com AOS. MÉTODOS: Pacientes submetidos a polissonografia basal foram consecutivamente selecionados do banco de dados do Instituto do Sono entre março de 2007 e março de 2009. Todos os pacientes foram orientados a comparecer ao ambulatório para coleta de sangue, exame físico, eletrocardiograma de 12 derivações, espirometria, teste cardiopulmonar em esteira ergométrica e ecocardiograma transtorácico. O estudo foi aprovado pelo comitê de ética e pesquisa e registrado no site http://clinicaltrials.gov/ sob o número: NCT00768625. RESULTADOS: Foram analisados 261 pacientes e 108 controles. As principais características dos pacientes com AOS foram: obesidade, hipertensão, baixos níveis plasmáticos de lipoproteínas de alta densidade (HDL e aumento no diâmetro do átrio esquerdo quando comparados com controles (3,75 ± 0,42; 3,61 ± 0,41, p = 0,001, respectivamente. Essas características associadas correspondem a um acréscimo de 16,6 vezes na probabilidade de ocorrência de AOS independentemente do relato de algum sintoma dessa desordem, como sonolência ou ronco. CONCLUSÃO: Na amostra avaliada, o perfil cardiovascular dos pacientes com AOS mais encontrado foi: obesidade, hipertensão arterial, baixos níveis plasmáticos de HDL e átrio esquerdo com diâmetro aumentado.FUNDAMENTO: Apnea obstructiva del sueño (AOS es un factor de riesgo para diversas condiciones cardiovasculares, incluido el aumento en la mortalidad cardiovascular. Por tanto, es imprescindible conocer las principales repercusiones cardiovasculares de los trastornos respiratorios del sue

BICENTENARIO DE LA INVENCIÓN DEL FONENDOSCOPIO (1916- 2016

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Paula Ronderos

2016-12-01

, aumentan o se ausentan los ruidos húmedos, secos, finos o roncos, ásperos; cómo se oye el aire obstruido o el flujo de aire que se vuelve; el sonido de aire o líquido circulante: el pozo; se distingue el sonido de la diferencia cuando se incrementa el grosor de las paredes, del gorjeo o el roce de la pleura. Hay sonidos crepitantes, pequeños ruidos chasquantes, burbujeantes, estrepitosos; sibilancias chillonas colándose por vías estrechas.

Uso de preditores clínicos simples no diagnóstico pré-operatório de dificuldade de intubação endotraqueal em pacientes portadores de obesidade Uso de predictores clínicos sencillos en el diagnóstico preoperatorio de dificultad de intubación endotraqueal en pacientes obesos Use of simple clinical predictors on preoperative diagnosis of difficult endotracheal intubation in obese patients

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Edno Magalhães

2013-06-01

Full Text Available JUSTIFICATIVA E OBJETIVOS: Apesar da semelhante incidência de dificuldade à laringoscopia em obesos e não obesos há mais relatos de dificuldade de intubação endotraqueal em portadores de obesidade. Alternativas de diagnóstico e previsão de dificuldade de intubação no pré-operatório podem ajudar diminuir complicações anestésicas em indivíduos obesos. O objetivo do estudo foi identificar preditores para diagnóstico de via aérea difícil em pacientes obesos, pela correlação com métodos clínicos de avaliação pré-anestésica e polissonografia. Comparou-se também a incidência de dificuldade à ventilação sob máscara facial e à laringoscopia entre obesos e não obesos, verificando os preditores mais prevalentes. MÉTODOS: Estudo observacional, prospectivo, comparativo, com 88 pacientes adultos, submetidos à anestesia geral. No período pré-operatório, avaliou-se questionário sobre preditores clínicos de síndrome da apneia obstrutiva do sono (SAOS e parâmetros anatômicos. Durante a anestesia, pesquisou-se dificuldade à ventilação sob máscara facial e laringoscopia. Para análise, estatística descritiva e teste de correlação. RESULTADOS: Os pacientes foram alocados em dois grupos, 43 obesos e 45 não obesos. Estado físico, prevalência de roncos, hipertensão e diabetes mellitus, circunferência cervical e índice de Mallampati foram maiores nos obesos. Pacientes obesos apresentaram maior incidência de dificuldade de ventilação sob máscara e laringoscopia. Nenhuma variável clínica ou anatômica apresentou correlação com dificuldade de ventilação sob máscara nos grupos. Nos obesos, o diagnóstico de SAOS mostrou forte correlação com dificuldade à laringoscopia. CONCLUSÕES: Os diagnósticos clínico e polissonográfico de SAOS se mostraram úteis no diagnóstico pré-operatório de dificuldade à laringoscopia. Pacientes obesos estão mais propensos à dificuldade de ventilação sob máscara e

Solos da bacia de Taubaté (Vale do Paraíba: levantamento de reconhecimento. Séries monotípicas, suas propriedades genético-morfológicas, físicas e químicas Soils of Taubaté basin (Paraíba Valley

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F. C. Verdade

1961-01-01

Full Text Available A Bacia tie Taubaté corresponde a um «vale de afundimento», onde ocorreram sedimentações no período Terciário, estando atualmente moldada pelo rio Paraíba e seus tributários. A planície aluvial é extensa e de grande importância econômica para o Estado de São Paulo. No presente trabalho é apresentado o levantamento de reconhecimento dos solos da Bacia de Taubaté, cujas finalidades foram determinar as características fisicas e químicas das terras e sua extensão aproximada, visando fornecer dados para o planejamento geral de irrigação e drenagem, ao mesmo tempo que eram identificados os tipos de solos (séries monotipicas para o levantamento detalhado que se processa a partir do município de Pindamonhangaba. As categorias dos solos foram estabelecidas até séries monotípicas, mas a delimitação no campo, em mapas na escala de 1:100 0(0. foi feita nas unidades chamadas associação de séries. Procurou-se grupar na mesma associação solos que, pertencendo ao mesmo grande grupo e formação geológica, tivessem no perfil igual distribuição de classes texturais. Alguns solos, devido à sua pequena extensão ou da ocorrência íntima com outros de associações diferentes, fugiram à regra preliminarmente exposta. O levantamento abrange uma área de 222 980 hectares, incluindo a planície aluvial, as sedimentações terciárias e pequena faixa pré-cambriana que orla a Bacia. Foram estudados 151 perfis, caracterizando 48 séries monotípicas, grupadas em 18 associações de séries. A associação de séries A é constituída de solos pertencentes a sub-ordem Latossolo, formados em sedimentos do Terciário com textura argilosa em todos os horizontes. Os perfis dêstes solos apresentam um horizonte A3 normalmente adensado e um B friável. Compreendem as séries monotipicas: Borda, Cajuru, Feital, Gleba, Guatemala, Pinda, Pinhão, Polêmica, Ponte Alta, Rapadura e Ronco.The Taubaté Basin represents a > where sediments were

EDITORIAL The 17th Central European Workshop on Quantum Optics

Science.gov (United States)

Man'ko, Margarita A.

2011-02-01

), held at the University of Turku, are also available (2010 Phys. Scr. T140). The 18th Central European Workshop on Quantum Optics (CEWQO11) will be held in Madrid, Spain on 30 May--3 June 2011. It will be chaired by Professor Luis Lorenzo Sanchez Soto from the Complutense University of Madrid. List of Papers The 17th Central European Workshop on Quantum Optics in St Andrews, Scotland Ulf Leonhardt and Natalia Korolkova Double self-Kerr scheme for optical Schrödinger-cat state preparation P Adam, Z Darázs, T Kiss and M Mechler Relations between scaling transformed Husimi functions, Wigner functions and symplectic tomograms describing corresponding physical states V A Andreev, D M Davidović, L D Davidović and M D Davidović Entanglement dynamics of two independent cavity-embedded quantum dots B Bellomo, G Compagno, R Lo Franco, A Ridolfo and S Savasta Dynamical stabilization of spin systems in time-dependent magnetic fields Yu V Bezvershenko, P I Holod and A Messina Entanglement dynamics of a bipartite system in squeezed vacuum reservoirs Smail Bougouffa and Awatif Hindi On Wheeler's delayed-choice Gedankenexperiment and its laboratory realization M Božić, L Vušković, M Davidović and Á S Sanz A smooth, holographically generated ring trap for the investigation of superfluidity in ultracold atoms Graham D Bruce, James Mayoh, Giuseppe Smirne, Lara Torralbo-Campo and Donatella Cassettari Parametric amplification of the classical field in cavities with photoexcited semiconductors V V Dodonov Mutually unbiased bases: tomography of spin states and the star-product scheme S N Filippov and V I Man'ko Quantum trajectory model for photon detectors and optoelectronic devices Teppo Häyrynen, Jani Oksanen and Jukka Tulkki Entanglement in two-mode continuous variable open quantum systems Aurelian Isar A classical field comeback? The classical field viewpoint on triparticle entanglement Andrei Khrennikov Experimental investigation of the enhancement factor and the cross

Eating on an interconnected planet

Science.gov (United States)

MacDonald, Graham K.

2013-06-01

Balance Sheets: A Handbook (Rome: United Nations Food and Agriculture Organization) FAO (Food and Agriculture Organization) 2013 FAOSTAT: FAO Statistical Databases (Rome: United Nations Food and Agriculture Organization) Foley J A et al 2011 Solutions for a cultivated planet Nature 478 337-42 Headey D 2011 Rethinking the global food crisis: the role of trade shocks Food Policy 36 136-46 Hertel T W, Burke M B and Lobell D B 2010 The poverty implications of climate-induced crop yield changes by 2030 Glob. Environ. Change 20 577-85 Kastner T, Rivas M J I, Koch W and Nonhebel S 2012 Global changes in diets and the consequences for land requirements for food Proc. Natl Acad. Sci. 109 6868-72 Lambin E F and Meyfroidt P 2011 Global land use change, economic globalization, and the looming land scarcity Proc. Natl Acad. Sci. 108 3465-72 Lobell D B, Cassman K G and Field C B 2009 Crop yield gaps: their importance, magnitudes, and causes Annu. Rev. Environ. Resour. 34 179 Naylor R L and Falcon W P 2010 Food security in an era of economic volatility Popul. Dev. Rev. 36 693-723 Ray D K, Ramankutty N, Mueller N D, West P C and Foley J A 2012 Recent patterns of crop yield growth and stagnation Nature Commun. 3 1293 Suweis S, Rinaldo A, Maritan A and D'Odorico P 2013 Water-controlled wealth of nations Proc. Natl Acad. Sci. 110 4230-3 Thornton P K, Jones P G, Alagarswamy G and Andresen J 2009 Spatial variation of crop yield response to climate change in East Africa Glob. Environ. Change 19 54-65