Journal articles on the topic 'D.lgs. n. 82/2005'

RESUMENEl estudio histórico de la religiosidad islámica se ha encontrado tradicionalmente con el problema de la escasez de fuentes. Además, siempre se ha estudiado a partir de las fuentes islámicas, obviando las cristianas. Si es cierto que para la Edad Media las fuentes cristianas no ofrecen demasiada información y están además viciadas por su carácter polémico, también lo es que para la Edad Moderna, con el surgimiento de un tipo de literatura sobre el islam que está alejado de la tradición polémica, disponemos de un buen número de importantes fuentes cristianas que merecen ser tenidas en cuenta en cualquier análisis histórico de la religiosidad islámica. Es el caso especialmente de la Topographía e Historia general de Argel (1612), cuyas descripciones y observaciones resultan de una riqueza sin precedentes.PALABRAS CLAVE: Edad Moderna, cinco pilares del islam, religiosidad, España, Argel.ABSTRACTTraditionally, the historical study of Islamic religiosity has been faced with the problem of the scant amount of sources. Moreover, it has always been approached on the basis of Islamic sources, disregarding the Christian ones. If for the Middle Ages Christian sources do not present much information about the subject and this is tainted by its polemical character, for the Early Modern Age, with the emergence of a new kind of literature about Islam that does not belong to the polemical tradition, we have at our disposal a good number of sources of information. This is particularly thecase of the Topographía e Historia general de Argel (1612), with descriptions and observations of an unprecedented quality. It is an evident indication that, from the sixteenth century onwards, there are Christian sources that must be taken into account in any historical analysis of Islamic religiosity.KEY WORDS: Image of Islam, early modern Spain, five pillars of Islam, religiosity. BIBLIOGRAFÍAAfricanus, L., Descripción general del África y de las cosas peregrinas que allí hay, traducción y edición de S. Fanjul, Barcelona, Lunwerg, 1995.Alfonso, P., Diálogo contra los judíos, traducción de E. Ducay, Zaragoza, Instituto de Estudios Altoaragoneses, 1996.Berkey, J. P., The formation of islam: religion and society in the Near East, 600-1800, Cambridge, Cambridge University Press, 2003.Berque, J., Al-Yousi: problémes de la culture marocaine au XVIIème siècle, Paris, Moutin & Co., 1958.Bunes Ibarra, M. 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A., Cervantes en Argel: historia de un cautivo, Madrid, Gredos, 2005.— “Introduction”, en Sosa, A. de, An early modern dialogue with Islam: Antonio de Sosa’s Topography of Algiers (1612), Notre Dame, Ind., University of Notre Dame Press, 2011, pp. 1-78.García-Arenal, M., Inquisición y moriscos: los procesos del Tribunal de Cuenca, 3ª ed., Madrid, Siglo XXI, 1987.García Sanjuán, A., “La celebración de la navidad en al-Andalus y la convivencia entre cristianos y musulmanes”, en Miura, J. M. (ed.), Te cuento la navidad: visiones y miradas sobre las fiestas de invierno, Sevilla, Aconcagua, 2011, pp. 43-49.Gonzalbes, C., “Un ensayo para la catalogación de los amuletos de plomo andalusíes”, Boletín Arqueológico Medieval, 12 (2005), pp. 7-17.González de Clavijo, R., Embajada a Tamorlán, edición de F. López Estrada, Barcelona, Castalia, 2017, pp. 188-189.Halevi, L., Muhammad’s grave: death rites and the making of Islamic society, Nueva York, Columbia University Press, 2007.Hammoudi, A., The victim and its masks: an essay on sacrifice and masquerade in the Maghreb, Chicago, Chicago University Press, 1993.Höfert, A., “The order of things and the discourse of the Turkish threat: the conceptualisation of Islam in the rise of Occidental anthropology in the fifteenth and sixteenth centuries”, en Höfert, A. y Salvatore, A. (eds.), Between Europe and Islam: shaping modernity in a transcultural space, Bruselas, PIE-Peter Lang, 2000, pp. 39-70.Ibn Battuta, A través del islam, traducción, introducción y notas de S. Fanjul y F. Arbós, Madrid, Alianza Ed., 2005.Ibn Yubayr, A través del oriente (Rihla), estudio, traducción, notas e índices de F. Maíllo, Madrid, Alianza Ed., 2007.Irwin, R., For lust of knowing: the orientalists and their enemies, Londres y Nueva York, Penguin, 2007.Jiménez de Rada, R., Historiae minores. Dialogvs libri vite, edición y estudio de J. Fernández Valverde y J. A. Estévez Sola, Turnhout, Brepols, 1999.Kaptein, N. J. G., Muhammad’s birthday festival: early history in the central Muslim lands and development in the Muslim west until the 10th/16th century, Leiden, Nueva York y Colonia, Brill, 1993.Maliki, S., “Religiosidad y alteridad: una aproximación a la imagen del musulmán en la Topografía e Historia general de Argel de Antonio de Sosa”, ‘Ossour al-Jadida, 19-20 (2015), pp. 66-82.Montecroce, R., Reprobación del Alcorán, Sevilla, por dos alemanes compañeros, 1501.Parreño, J. M., “Experiencia y literatura en la obra de Antonio de Sosa”, en Sosa, A. de, Diálogo de los mártires de Argel, Madrid, Hiperión, 1990, pp. 9-23.Pascual, P., Sobre la se[c]ta mahometana, edición y estudio de F. 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This article aims to discuss the role of the professional duty in the constitution of the modern subjectivity, based on the analysis of this theme in the books of Max Weber called Essays on the Sociology of Religion. Weber presents a genealogy of the Western modernity, approaching it from the point of view of its specific rationality through which a subjectivity based on the practical instrumental domain would have been consolidated. According to Weber, the Lutheran Reformation, through asceticism, gave to the labor an ethical-religious dimension and laid the foundations for the modern conception of "professional duty", which extended itself to all domains of the human activity. The concept of work as a vocation, derived from Protestant asceticism, is embodied in the methodical and disciplined dedication to work conceived as an individual destiny. By means of the internalization of a specific form of rationality, to which everyone must passively conform, a process of subjectivation has been established, which imposes an instrumental rationality as a legitimate means of cognitive and practical approach to all worldly processes.As a result, professional duty began to determine the sense and meaning of educational processes, whose main purpose is training for work.ResumoEste artigo tem como objetivo discutir o papel do dever profissional na constituição da subjetividade moderna a partir da análise deste tema nos livros de Max Weber denominados Ensaios sobre a Sociologia das Religiões. Weber apresenta uma genealogia da modernidade ocidental, abordando-a do ponto de vista de sua racionalidade específica por meio da qual teria se consolidado uma subjetividade fundamentada no domínio prático instrumental. Segundo Weber, a Reforma Luterana, por meio da ascese, conferiu ao trabalho uma dimensão ético-religiosa e estabeleceu as bases para a concepção moderna de "dever profissional", que se estendeu para todos os domínios da atividade humana. O conceito de trabalho como vocação, derivado da ascese protestante, consubstancia-se na entrega metódica e disciplinada no trabalho concebido como destino individual. Por meio da internalização de uma forma específica de racionalidade, a que todos devem se conformar passivamente, constituiu-se um processo de subjetivação que impõe uma racionalidade instrumental como um meio legítimo de abordagem cognitiva e prática de todos os processos mundanos. Como decorrência, o dever profissional passou a determinar o sentido e significado dos processos educativos, cuja finalidade precípua é a formação para o trabalho. Keywords: Max Weber, Professional training, Subjectivity, Education.Palavras-chave: Max Weber, Formação profissional, Subjetividade, Educação.ReferencesCARVALHO, A. B. Max Weber - modernidade Ciencia e Educação. Petrópolis: Ed. Vozes, 2005.FLICKINGER, H.-G. Reforma e Secularização:uma interface histórica. Veritas, Porto Alegre, v. 63, n.1, p. 224-234, jan-mar. 2018.FREUND, J. L'imaginaire dans l'épistémologie de Weber, Librairie Droz, 1990. In: FREUND, J. Études sur Max Weber. Paris: Librairie Droz, 1990.FUENTE, Y. R. D. L. La libertad como destino: El sujeto moderno en Max Weber. Madrid: Editorial Biblioteca Nueva, 2001.GARCIA, J. M. G. Las huellas de Fausto. La herencia de Goethe en la sociología de Max Weber. Madrid: Tecnos, 1992.LUTERO, M. Tratado da liberdade Cristã. In: LUTERO, M. Martinho Lutero - Obras selecionadas. São Leolpoldo; Porto Alegre: Sinodal/Concórdia, v. II, 1989.MACHADO, R. O nascimento do trágico: de Schiller a Nietzsche. 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Durante el Antiguo Régimen y desde 1614, la Monarquía Hispánica otorgó diplomas de Proveedor de la Real Casa a establecimientos comerciales o talleres de fabricación. Era un privilegio que dotaba de prestigio a quien lo recibía. A partir de la revolución liberal-burguesa, la monarquía se transformó en limitada, pero siguió otorgando los mismos diplomas. El presente estudio se basa en una amplia documentación de archivo y hemeroteca para medir cuántas concesiones se realizaron y qué impacto tuvieron dichas concesiones en la publicidad insertada en la prensa. Nuestra hipótesis de trabajo argumenta que en el Antiguo Régimen se produjo una transferencia de legitimidad desde la monarquía hacia el producto agraciado con el diploma, pero que, durante el reinado de Isabel II, los términos de la ecuación comenzaron a invertirse. Se estudian los reinados de Fernando VII, Isabel II, Alfonso XII, la regencia de María Cristina de Habsburgo y Alfonso XIII para observar hasta qué punto fue así y qué consecuencias tuvo tanto en la historia de la publicidad como en la historia de la construcción de la imagen pública de la institución monárquica. Palabras clave: Proveedor de la Real Casa, publicidad, prensa, marcas.Topónimo: EspañaPeríodo: Siglos XIX y XX ABSTRACTDuring the Ancien Régime and from 1614 onwards, the Spanish monarchy awarded diplomas of Supplier to the Royal Household to commercial establishments or manufacturing workshops. It was a privilege that conferred upon the recipient considerable prestige. After the liberal-bourgeois revolution, the monarchy became limited, but continued to grant the same diplomas. This study employs extensive archival and newspaper documentation to estimate the number of diplomas awarded and their impact upon advertising in the press. Our working hypothesis argues that in the Ancien Régime there was a transfer of legitimacy from the monarchy to the product awarded the diploma, but that during the reign of Isabella II, the terms of the equation began to be reversed. The reigns of Fernando VII, Isabel II, and Alfonso XII, the regency of Maria Cristina of Habsburg and Alfonso XIII are studied in order to observe the extent to which this was the case and the consequences for both the history of advertising and the history of the construction of the public image of the monarchical institution. Keywords: Royal Warrant of Appointment, advertising, press, brands.Place names: SpainPeriod: 19th and 20th centuries REFERENCIASAnderson, B., Comunidades imaginadas. 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Abstract Abstract 3083 Allogeneic hematopoietic stem cell transplantation (HSCT) is indicated for patients (pts) with acute leukemia (AL) with poor-risk cytogenetics or refractoriness to chemotherapy. For adults requiring HSCT urgently, such as pts in first complete remission (CR1), a single (s) or double unit (d) UCBT is a valid stem cells source. In the sUCBT setting, type of conditioning regimen seems to be associated with better outcome (Sanz BMT 2012). With the aim to compare single vs double UCBT after myeloablative conditioning regimen (MAC) in a homogeneous series of pts, we analyzed 239 adults (>18years) with AL in CR1. Pts were transplanted with sUCBT (n=156) or dUCBT (n=83) from 2005–2011 in EBMT centers for ALL (n=101) and AML (n=138). Type of MAC was statistically associated with outcomes therefore pts were analyzed in 3 different groups: Group 1: pts receiving sUCBT with TBI-based+Cy (+Flu) (n=68) (performed in 42 transplant centers (TC)), Group 2: pts receiving sUCBT with Bu+Flu+Thiotepa (n=88) (performed in 23 TC) and Group 3: pts receiving dUCBT with Cy+TBI+Flu (n=83) (performed in 47 TC). No statistical differences were found among the 3 groups for pts and disease characteristics (diagnosis, risk, gender, weight, CMV status, year of UCBT and time from diagnosis to UCBT) however pts in group2 were older than in group1 and 3 (median age 38 vs 33 vs 31 years) (p=0.03). Cytogenetic at diagnosis was available for 176 pts, 39% of pts were classified in the intermediate risk and 56% in unfavorable risk group. Forty-two pts had t(9;22) and 26 FLT3/ITD mutation. No differences on cytogenetic were found among the 3 groups. Thirty one percent of CB units were identical to recipient or had 1 HLA disparity (antigen level typing for HLA-A and B and allelic level for DRB1) while 69% had 2–3 HLA disparities. There was no difference on HLA disparities among the 3 groups. Median infused TNC was 2.9×107/kg for group1, 3×107/kg for group2, and 3.7×107/kg for group3 (p=0.01) and median CD34 was 1.2×105/kg, 1.6×105/kg and 1.5×105/kg, respectively (p=0.32). ATG was part of conditioning regimen in 73% of pts. The use of ATG was different in the 3 groups (70%, 90% and 40% for group1, 2 and 3, respectively p<0.001). GVHD prophylaxis consisted either of CSA±MMF or CSA±steroids in 46% and 22% of pts, respectively. All groups had the same median follow-up time: 24 (range 3–74) months. For group1, group2 and group3, the cumulative incidence (CI) of 60 days neutrophil recovery was 82%, 89% and 87% (p=0.15), with median time of 27, 21 and 24 days, respectively (p<0.001). Chimerism analysis performed at day 100 showed full donor chimerism in 87% of pts (data available for 80% of pts who engrafted). No differences in chimerism status were found between the 3 groups (p=0.47). At day 100, CI of acute GVHD (grade II-IV) was 30% vs 20% vs 45% for group1, group2 and group3, respectively (p=0.001). Pts receiving a dUCBT who developed aGvHD (n=38), experienced mainly grade II aGvHD with skin involvement (grade II (n=25), grade III (n=10), grade IV (n=3)). CI of chronic GvHD at 1 year was 29%, with no differences in the incidence among the groups. At 1 year, CI of TRM was 44% for group1, 33% for group2 and 36% for group3 (p=0.46). In multivariate analysis, two factors were associated with higher TRM: diagnosis of ALL (p=0.048) and age>35 years (p=0.049). One-Hundred-six pts died and the causes of death were infection (n=38), GvHD (n=18), other transplant-related events (n=31) or relapse (n=18). CI of 2y relapse was 25% for group1, 18% for group2 and 16% for group3 (p=0.22). No factors were found to be associated with increase relapse incidence in multivariate analysis. The 2y probability of leukemia-free-survival (LFS) was 31% for group1 (sUCBT-TBI based), 48% for group2 (sUCBT-BuFluTT), and 47% for group3 (dUCBT) (p=0.03). No center effect was found for LFS. In multivariate analysis, use of sUCBT using TBI based MAC (HR=0.9, p=0.003), diagnosis of ALL (HR=0.69, p=0.04) and age>35years (HR=1.4, p=0.04) were independently associated with decreased LFS. In this retrospective based registry analysis, in the myeloablative setting for adults with AL in CR1, outcomes (TRM, RI and LFS) after dUCBT were not statistically different from sUCBT using iv-BuFluTT. However, compared to sUCBT using TBI-based MAC, dUCBT was associated with lower RI and better LFS rates. In the MAC setting, the combination of conditioning regimens and type of graft (single vs. double) may have different impact UCBT outcomes. Disclosures: No relevant conflicts of interest to declare.

Национальный парк «Салаир» – новая федеральная особо охраняемая природная территория, созданная в 2020 году в Алтайском крае. В статье анализируются и обобщаются ранее известные и новые (осуществлённые в течение первого года функционирования национального парка) наблюдения редких и исчезающих видов организмов, занесенных в Красную книгу Российской Федерации, Красную книгу Алтайского края, а также оценивается роль национального парка «Салаир» в защите популяций этих видов. Представлен и обсужден список охраняемых таксонов и точки их местонахождений в пределах национального парка «Салаир». В пределах парка и в непосредственной близости от его границ обнаружено двадцать четыре вида охраняемых на региональном уровне растений, лишайников и грибов, из которых 4 вида занесены в Красную книгу РФ. Среди редких и находящихся под угрозой исчезновения животных национального парка «Салаир» 17 видов занесены в Красную книгу Алтайского края, 10 из них занесены в Красную книгу РФ. Среди них эндемики Салаира и Алтая, а также реликтовые виды. В Алтайском крае эндемичный вид липы (Tilia sibirica) и эндемичный дождевой червь (Eisenia malevici) встречаются исключительно на территории национального парка «Салаир». Экспертная оценка важности рассматриваемой охраняемой территории для сохранения редких видов указывает на высокий потенциал национального парка в сохранении и поддержании популяций редких и исчезающих видов живых организмов. Наибольшие популяции в парке характерны для таких охраняемых видов как кандык сибирский, копытень европейский, волчеягодник обыкновенный – среди растений; медицинская пиявка, аполлон обыкновенный, сапсан, хохлатый осоед – среди животных.
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Endostatin is an important inhibitory molecule which mediates the sequential steps involved in angiogenesis. Lower level or impaired function of endostatin is associated with a higher risk of developing malignant solid tumors and with a worse prognosis of the disease. TheendostatinN104 polymorphism might be associated with an impaired ability to inhibit angiogenesis. We analyzed the tissues from 98 Caucasian prostate cancer patients for the presence of D104N polymorphism. The frequencies of homozygous 4349G/G(104D/D), and heterozygous 4349G/A(104D/N) were 83.67%(82/98) and 16.33%(16/98), respectively; no individuals were homozygous 4349A/A(104N/N). With the Fisher’s exact test we found the genotype of D104N was not significantly related to age, tumor grade, PSA and clinical stage (P> 0.05). There was no difference in relapse free survival(RFS) or overall survival(OS) between patients with 104D/N and those with 104D/D (P= 0.8283, 0.3713 respectively). We concluded thatendostatinpolymorphism was not associated with the aggressiveness of prostate cancer in Caucasian patients.

RESUMEN:El objetivo del artículo es aproximarnos a la controvertida biografía del comisario Manuel Brabo Portillo. El trabajo está basado en fuentes primarias y secundarias. El método utilizado es empírico. En el imaginario del mundo sindicalista revolucionario, Brabo Portillo era el policía más odiado, la reencarnación de la cara más turbia del Estado. Fue, así mismo, un espía alemán relacionado con el hundimiento de barcos españoles, el asesinato del empresario e ingeniero Barret y el primer jefe de los terroristas vinculados a la patronal barcelonesa. La conflictividad que afectó a España en el período de la Primera Guerra Mundial es fundamental para entender los orígenes del terrorismo vinculado al pistolerismo, que marcó la historia político social española del primer tercio del siglo XX.PALABRAS CLAVE: Brabo Portillo, pistolerismo, espionaje, sindicalismo, Primera Guerra Mundial.ABSTRACT:The objective of the article is an approach to the controversial biography of Police Chief Manuel Brabo Portillo. The work is based on primary and secondary sources. The method used is empirical. In the imagery of the revolutionary syndicalist world, Brabo Portillo was the most hated policeman, the reincarnation of the murkiest face of the state. He was also a German spy connected with the sinking of Spanish ships, the murder of businessman and engineer Josep Barret and the first head of the terrorists linked to Barcelona employers. 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La historiografía sobre fortificaciones medievales en el ámbito medieval cristiano es tan amplia como dispersa. Abundan los estudios de carácter local abordados con metodologías y desde disciplinas diversas, empezando por los clásicos trabajos de Historia del Arte e Historia de la Arquitectura, y, por supuesto, los de contenido estrictamente histórico, planteados desde el estudio de las fuentes escritas y, más recientemente, desde la Arqueología. Faltan, no obstante, estudios de conjunto y aunque se ha abordado el tema de la conceptualización y clasificación tipológica de estas fortalezas, creemos que sigue siendo una asignatura pendiente en el ámbito de la castellología. El presente trabajo pretende pues abordar la problemática sobre la definición y límites del castillo medieval, para pasar después a plantear una clasificación tipológica y funcional de los castillos cristianos peninsulares, para lo cual tendremos en cuenta no sólo la producción historiográfica reciente, sino también nuestras propias investigaciones de base fundamentalmente arqueológica. Palabras clave: Castellología, castillo feudal, tipología castral, reinos cristianos peninsulares, poliorcéticaTopónimos: Península IbéricaPeríodo: siglos VIII-XV ABSTRACTHistoriography on the subject of medieval fortifications in the medieval Christian area is as wide as it is disperse. There is an abundance of local studies undertaken employing different methodologies, starting with the History of Art, the History of Architecture and, of course, those of strictly historical content, based on the study of written sources and, more recently, on Archaeology. However, there is a lack of comprehensive studies and, although the problem of the conceptualisation and typological classification of these fortresses has been addressed, I believe that this continues to be an unresolved issue in the field of castellology. This article aims to address the problem of the definition and limits of the medieval castle, and then propose a typological and functional classification of peninsular Christian castles, taking into account not only recent historiographical production but also my own archaeological research. Keywords: castellology, feudal castle, castral typology, peninsular Christian kingdoms, polyorceticPlace names: Iberian PeninsulaPeriod: 8th-15th centuries REFERENCIASAcién Almansa, M. (2002), “De nuevo sobre la fortificación del emirato” en Mil anos de Fortificações na Península Ibérica e no Magreb (500-1500). Actas do simpósio internacional sobre castelos, Lisboa, pp. 59-75.Almedia, C. A. F. de (1991), “Castelos e cercas medievais. 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Abstract. We have been conducting continuous measurements of CH4 and CO2 on a network of towers (JR-STATION: Japan–Russia Siberian Tall Tower Inland Observation Network) located in taiga, steppe, and wetland biomes of Siberia. Here we describe measurements from two forested bog sites, Karasevoe (KRS; 58°15′ N, 82°25′ E) and Demyanskoe (DEM; 59°47′ N, 70°52′ E), in West Siberia from 2005 to 2009. Although both CH4 and CO2 accumulation (ΔCH4 and ΔCO2) during nighttime (duration of 7 h beginning 21:30 LST) at KRS in July 2007 showed an anomalously high concentration, the higher ratios of ΔCH4/ΔCO2 compared with those in other years indicate that a considerably more CH4 flux occurred relative to the CO2 flux in response to large precipitation recorded in 2007 (~2.7 mm d−1 higher than the climatological 1979–1998 base). Estimated seasonal CH4 fluxes based on the ratio of ΔCH4/ΔCO2 and the CASA 3-hourly CO2 flux for the 2005–2009 period exhibited a seasonal variation with a maximum in July at both sites. Annual values of the CH4 emission from the forested bogs around KRS (approx. 7.8×104 km2) calculated from a process-based ecosystem model, Vegetation Integrative Simulator for Trace gases (VISIT), showed inter-annual variation of 0.54, 0.31, 0.94, 0.44, and 0.41 Tg CH4 yr−1 from 2005 to 2009, respectively, with the highest values in 2007. It was assumed in the model that the area flooded with water is proportional to the cumulative anomaly in monthly precipitation rate.

Self-medication is the use of drugs to treat self-diagnosed diseases or symptoms. The purpose of the following work was to determine self-medication in nursing students of the Universidad Católica de Cuenca - Azogues during the period 2020 - 2021. A non-experimental design, descriptive-correlational and prospective cross-sectional study was conducted, with a quantitative approach, with a sample of 168 students who were studying during the academic period: October 2020 - February 2021. The most prevalent sex was female (89.5%); the mean age was 21.65 years, the percentage of self-medication in the last year was (78.6%); the most used drugs were (NSAIDs) with (47.7%). Among the factors found were: source of information: own knowledge, consultation with friends and family, internet; according to the place where it is acquired: pharmacy. Conclusion: the practice of self-medication is high in the university population.
 Keywords: practice, self-medication, university students.
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Abstract. The advent of satellite based sampling brings with it the opportunity to examine virtually any part of the globe. Aura MLS mesospheric temperature data are analysed in a wavelet format for easy identification of possible planetary waves (PW) and aliases masquerading as PW. A calendar year, 2005, of eastward, stationary, and westward waves at a selected latitude is shown in separate panels for wave number range −3 to +3 for period range 8 h to 30 days (d). Such a wavelet analysis is made possible by Aura's continuous sampling at all latitudes 82° S–82° N. The data presentation is suitable for examination of years of data. However this paper focuses on the striking feature of a "dish-shaped" upper limit to periods near 2 d in mid-summer, with longer periods appearing towards spring and fall, a feature also commonly seen in radar winds. The most probable cause is suggested to be filtering by the summer jet at 70–80 km, the latter being available from ground based medium frequency radar (MFR). Classically, the phase velocity of a wave must be greater than that of the jet in order to propagate through it. As an attempt to directly relate satellite and ground based sampling, a PW event of period 8d and wave number 2, which appears to be the original rather than an alias, is compared with ground based radar wind data. An appendix discusses characteristics of satellite data aliases with regard to their periods and amplitudes.

The current times call for reforms in educational processes. The Covid-19 pandemic had an unforeseen impact on the educational system in all countries. This need for change requires new pedagogies and new methods for teaching and learning. Understanding the need for change is essential for the formulation of adaptive proposals, as well as for the generation of training activities to complement the teaching curriculum. New educational practices lead to a vision of educational quality, with new approaches that allow the continuous integration of knowledge and permanent interaction with the student. This paper presents an analysis of the new teaching methodologies in times of confinement due to the pandemic caused by Covid-19.
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The research focuses its analysis on the Electronic Government application in the ecuadorian public administration, taking into consideration the violation of the quality tenet inscribed in the Organic Administrative Code, a law that regulates the exercise of the administrative function of public sector institutions. The methodology used follows a qualitative, descriptive-documentary type route, under an exhaustive review of the Ecuadorian jurisprudential regulations that structure and sustain this document. Despite the fact in Ecuador there have been plans such as the Electronic Government 2018-2021, with the objective a procedure could affect the quality principle based on non-compliance. In summary, the need to integrate the Electronic Government in Ecuador, in order to have an efficient and competitive public administration, hoping to recover the legitimacy of the administration.
 Keywords: public administration, electronic government, quality principle, ICT’s.
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The evaluation enables making decision by monitoring educational actions, pointing out the progress of students, as well as highlighting the gaps in teaching and learning, providing information for teachers, managers and students, giving opportunities for further training in higher education. With this, the research starts from the following question: how did the evaluative practices of the teachers in the Degree in History? The object of the research was based on evaluative practices in higher education, specifically in two undergraduate courses. The objective was to understand the evaluation practices in undergraduate courses in History, to conceptualize evaluation of teaching and learning and to describe the evaluation practices carried out by the coordinators. The research, of bibliographical and field character, has used the studies of Cavalcante and Mello (2015), Moraes (2014), Tardif (2008), Viana (2012) and others. The methodology of qualitative approach was developed through semi-structured interviews with the managers. The managers' revelations evidenced that the evaluation was carried out by the teachers, autonomously, without the assistance of the Coordination, being no longer characterized as didactic-pedagogical subsidy to foster improvements in teaching and learning in teacher training courses, reducing to measurement conception focused on the application of instruments, on the quantification of learning and without the conception of measurement focused on the application of instruments, the quantification of learning and without feedback students.Resumo A avaliação possibilita a tomada de decisão promovendo o acompanhamento das ações de ensino, apontando o progresso dos discentes, assim como releva as lacunas no ensino e aprendizagem, fornecendo informações para os docentes, gestores e estudantes, dando ensejo ao aperfeiçoamento formativo no ensino superior. Com isso a pesquisa parte do seguinte questionamento: como se desenvolveram as práticas avaliativas dos professores nos cursos de licenciatura em História? O objeto da investigação aportou-se nas práticas avaliativas no ensino superior, de modo específico, em dois cursos de licenciatura. Objetivou-se compreender as práticas avaliativas nos cursos de licenciatura em História, conceituar avaliação do ensino e da aprendizagem e descrever as práticas avaliativas pautadas pelos coordenadores. A pesquisa, de caráter bibliográfico e de campo recorreu aos estudos de Cavalcante e Mello (2015), Moraes (2014), Tardif (2008), Viana (2012), dentre outros. A metodologia de abordagem qualitativa foi desenvolvida mediante entrevistas semiestruturadas com os gestores. As revelações dos gestores evidenciaram que avaliação era realizada pelos docentes, de modo autônomo, sem o auxílio das Coordenações, deixando de ser caracterizada como subsídio didático-pedagógico para fomentar melhorias no ensino e aprendizagem nos cursos de formação de professores, reduzindo-se a concepção de medida centrada na aplicação de instrumentos, na quantificação das aprendizagens e sem feedback aos estudantes. Resumen La evaluación posibilita la toma de decisiones promoviendo el acompañamiento de las acciones de enseñanza, apuntando el progreso de los alumnos, así como releva las lagunas en la enseñanza y el aprendizaje, proporcionando informaciones para los docentes, gestores y estudiantes, dando lugar al perfeccionamiento formativo en la enseñanza superior. Con ello la investigación parte del siguiente cuestionamiento: cómo se desarrollaron las prácticas de evaluación de los profesores en los cursos de licenciatura en Historia? El objeto de la investigación se aportó en las prácticas evaluativas en la enseñanza superior, de modo específico, en dos cursos de grado. Se objetivó comprender las prácticas evaluativas en los cursos de licenciatura en Historia, conceptuar la evaluación de la enseñanza y el aprendizaje y describir las prácticas de evaluación realizadas por los coordinadores. La investigación, de carácter bibliográfico y de campo recurrió a los estudios de Cavalcante y Mello (2015), Moraes (2014), Tardif (2008), Viana (2012) y otros. La metodología de abordaje cualitativo fue desarrollada mediante entrevistas semiestructuradas con los gestores. Las revelaciones de los gestores evidenciaron que la evaluación era realizada por los docentes, de modo autónomo, sin el auxilio de las Coordinaciones, dejando de ser caracterizada como subsidio didáctico-pedagógico para fomentar las mejoras en la enseñanza y aprendizaje en los cursos de formación de profesores, reduciéndose concepción de medida centrada en la aplicación de instrumentos, en la cuantificación de los aprendizajes y sin retroalimentación estudiantes.Keywords: Teaching-learning assessment, Teacher education, Managers.Palavras-chave: Práticas avaliativas, Ensino e aprendizagem, Formação docente, Gestores.Palabras claves: Enseñanza-aprendizaje, Evaluación, Formación docente, Administradores.ReferencesBOGDAN, R. C.; BIKLEN, S. K. Investigação qualitativa em educação: uma introdução à teoria e aos métodos. Tradução Maria João Alvarez. Porto: Porto, 1994.CAVALCANTE, L. P. F.; MELLO M. A. Avaliação da aprendizagem no ensino de graduação em Saúde: concepções, intencionalidades, reflexões. Avaliação, Campinas; Sorocaba, SP, v. 20, n. 2, p. 423-442, jul. 2015.FONSECA, S. G. Didática e prática de ensino de História: experiências, reflexões e aprendizados. Campinas, SP: Papirus, 2003. LUCKESI, C. C. Avaliação da aprendizagem escolar. São Paulo: Cortez, 2008.MINAYO, M. C. de S. O desafio da pesquisa social. In: ___________. Pesquisa social: teoria, método e criatividade. 30 ed. Petrópolis: Vozes, 2011.MORAES, D. A. F. de. Prova: instrumento avaliativo a serviço da regulação do ensino e da aprendizagem. Est. Aval. Educ., São Paulo, v. 22, n. 49, p. 233-258, maio/ago. 2014.MOREIRA, S. M.; RANGEL. M. A correção como processo avaliativo: diferentes percepções em diálogo. Est. Aval. Educ., São Paulo, v. 26, n. 62, p. 520-540, maio/ago. 2015.POLTRONIERI, H.; CALDERÓN, A. I. Avaliação da aprendizagem na educação superior: a produção científica da revista Estudos em Avaliação Educacional em questão. Avaliação, Campinas; Sorocaba, SP, v. 20, n. 2, p. 467-487, jul. 2015.SILVA NETA, M. de L.; MAGALHÃES JUNIOR. A. G. Práticas avaliativas na formação docente: teoria e prática. Horizontes, v. 35, n. 2, p. 38-48, mai./ago. 2017.TARDIF, M. Saberes docentes e formação profissional. 9 ed. Petrópolis: Vozes, 2008.VIANA, C. M. Q. Q. Reflexões sobre avaliação da aprendizagem na visão de alunos de graduação. In: D’ÁVILA, C. M.; VEIGA, I. P. A. (org.). Didática e docência na educação superior: implicações para a formação de professores. Campinas: Papirus, 2012, p. 61-82. VILLAS BOAS, B. M. de. Portfólio, avaliação e trabalho pedagógico. Campinas: Papirus, 2004. WERLE, F. O. C. Avaliação em larga escala: foco na escola. Brasília: Liber Livros, 2010.

Abstract Dasatinib (D) and nilotinib (N) are potent tyrosine kinase inhibitors (TKIs) with activity against many imatinib (IM) resistant BCR-ABL kinase domain mutants, except T315I. In vitro mutant models have selected specific mutations occurring after incubation with IM, D and N. Therapy with these new TKI may select for patients with T315I or other mutations relatively insensitive to them. We assessed the change in mutation status of the bcr-abl kinase domain (codons 220 to 500) in 113 patients (pts) with CML who received therapy with D and/or N after imatinib failure. Median age was 60 years (range, 21 to 82 years). Seventy-one (63%) pts received prior interferon (IFN). Median time on imatinib was 28 months (range, 2 to 78 months). At the time of imatinib failure, mutations were detected in 46 of 85 (54%) pts who had DNA sequencing. The evolution of mutations after a second TKI was as follows (Table 1). Twenty pts received a third TKI after failing IM and a second TKI. The evolution of mutations in this cohort was as follows (Table 2). Overall, 19 of 101 evaluable pts (19%), cases had new mutations emerge following TKI switch 17 after a 2nd TKI (12 nilotinib, 5 dasatinib), and 2 after a 3rd TKI (2 dasatinib). We analyzed whether these N- and D-associated new mutations were at sites that have been detected following D and N treatment in vitro (Burgess et al, PNAS 2005; Bradeen et al, Blood 2006; Von Bubnoff et al, Blood 2006). Only 14/46 (30%) kinase domain mutations that developed after D (7) or N (7) corresponded with an in vitro-identified site. Only 5 of 134 (4%) mutations identified were T315I (3 after dasatinib, 2 after nilotinib), but the mutation status of these patients was unknown after IM. We conclude that the spectrum of mutations that develops in vivo after TKI switch is broader and includes common imatinib-resistance sites as well. There appears to no marked increase in the incidence of T315I mutation after TKI switch. Table 1. Dynamics of mutations after 2nd TKI Post IM mutation No. Post-2nd TKI Mutation (New + Same + Lost) *1 pt acquired new mutation with persistence of pre-existing mutation, 1 lost 3 mutations and acquired 1, and 1 pt lost 2 mutations. Nilotinib Dasatinib Absent 39 8+NA+NA/21 3+NA+NA/18 Present 46 3+20+3/26 2+16+2*/20 Unknown 28 8/9 13/19 Table 2. Dynamics of mutations after 3rd TKI Post IM mutation No. Post-3nd TKI Mutation (compared to status after 2nd TKI) (New + Same + Lost) Nilotinib Dasatinib Absent 5 0/1 1+NA+NA/4 Present 12 0+1+0/1 2+6+3/11 Unknown 3 1/3 NA

Compelling clinical reports reveal that behavioral stress alone is sufficient to cause reversible myocardial dysfunction in selected individuals. We developed a rodent stress cardiomyopathy model by a combination of prenatal and postnatal behavioral stresses (Stress). We previously reported a decrease in percent fractional shortening by echo, both systolic and diastolic dysfunction by catheter-based hemodynamics, as well as attenuated hemodynamic and inotropic responses to the β-adrenergic agonist, isoproterenol (ISO) in Stress rats compared with matched controls (Kan H, Birkle D, Jain AC, Failinger C, Xie S, Finkel MS. J Appl Physiol 98: 77–82, 2005). We now report enhanced catecholamine responses to behavioral stress, as evidenced by increased circulating plasma levels of norepinephrine ( P < 0.01) and epinephrine ( P < 0.01) in Stress rats vs. controls. Cardiac myocytes isolated from Stress rats also reveal evidence of oxidative stress, as indicated by decreased ATP, increased GSSG, and decreased GSH-to-GSSG ratio in the presence of increased GSH peroxidase and catalase activities ( P < 0.01, for each). We also report blunted inotropic and intracellular Ca2+ concentration responses to extracellular Ca2+ ( P < 0.05), as well as altered inotropic responses to the intracellular calcium regulator, caffeine (20 mM; P < 0.01). Treatment of cardiac myocytes with N-acetylcysteine (NAC) (10−3 M) normalized calcium handling in response to ISO and extracellular Ca2+ concentration and inotropic response to caffeine ( P < 0.01, for each). NAC also attenuated the blunted inotropic response to ISO and Ca2+ ( P < 0.01, for each). Surprisingly, NAC did not reverse the changes in GSH, GSSG, or GSH-to-GSSG ratio. These data support a GSH-independent salutary effect of NAC on intracellular calcium signaling in this rodent model of stress-induced cardiomyopathy.

Abstract Between 1999 and 2005 the NMDP conducted a prospective trial assessing the safety and efficacy of PBSC collection in >5000 healthy unrelated donors. Donors ranged in age from 18–60 and were mobilized with 10 ug/kg/d G-CSF on days 1–5 with collection on day 5 alone or days 5 and 6. 2400 donor collections (1999–2003) were analyzed in detail for efficacy and toxicity and 5334 collections (1999-June 2005) were reviewed for serious unexpected events. 90% of subjects underwent collection using peripheral access, with 10% requiring central catheter placement. Female donors required central access more frequently than males (20% vs 4%, p<0.001). G-CSF induced bone pain peaked on days 4–5 and was present in greater than 80% of donors, although severe bone pain occurred in at most 5% (Table 1). Grade 3–4 CALGB toxicities occurred in 136 donors (6%) and unexpected serious adverse events occurred in 30 (0.6%, Table 2). Median yield of CD34+ cells for the cohort was 27 x 106 cells/L processed (n=1776, range 0.7–236) on day +5 of G-CSF and 24 x 106 cells/L processed (n=1285, range 1–133) on day +6. Median CD34+ cell dose/kg recipient weight collected was 5 x 106/kg (n=1040, range 0.1–110) on day +5 of G-CSF and 3 x 106/kg (n=751, range 0.1–29) on day +6. Inadequate collections were rare with 5% and 6% of donors yielding <2 or ≥2 but <3 x 106 CD34+ cells/kg recipient weight, respectively (n=1001). The risk of toxicity was the same for standard (≤12L), intermediate (>12≤16L), and large (>16L) volume collections. Importantly, as volumes of apheresis in a single day increased, the yield of CD34+ cells/L processed was unchanged (median yield 27, 26, 28, and 29 x 106/L processed for <12L, ≥12<16L, ≥16<20L, ≥20L); day 5 collection, p =0.4). This resulted in similar outcomes measured in CD34 cells/kg recipient weight for large volume single day collections compared to standard volume 2 day collections. Platelet counts fell more with large compared to standard volume apheresis (change in platelets −83 vs −105 x 109/L, p<0.001), however, the drop in platelets over the course of 2 standard volume procedures was greater than a single large volume procedure (−131 vs −107 x 109/L, p<0.001). In summary, this large prospective trial shows that unrelated donor PBSC collection yields adequate CD34+ cell numbers with low, but measurable rates of significant toxicity. Single-day large vs two-day standard volume procedures resulted in similar cell yields without evidence of increased toxicity. With this data, centers can now more appropriately counsel unrelated adult donors regarding risks of PBSC donation. Large volume, single day collection is a safe and effective resource-sparing alternative to standard volume procedures. Table 2. Unexpected Serious Adverse Events (N=30/5334, 0.6%) Event Nausea, Vomiting, Headache Bleeding/Thrombocytopenia Citrate Toxicity Severe chest/back pain Other: hypotension/ syncope/ rash/ viral illness N 12 3/3 4 3/1 1/1/1/1 Table 1. Acute G-CSF Toxicities G-CSF Day +1 2 +3 +4 +5 +6 *136/2386 donors experienced the following grade 3–4 toxicities: 89 insomnia, 82 headache, 29 fatigue, 19 nausea, 10 vomiting, 10 anorexia, 8 flu symptoms, 2 myalgias, and 1 skin rash. 80 donors had 1 grade 3–4 toxicity, 26 had 2, 13 had 3, 9 had 4, 5 had 5, and 3 had 6. Any Bone Pain (n=2396) 7% 50% 78% 83% 82% 64% Severe Bone Pain (n=2277) 2% <1% 3% 4% 5% 3% Grade 3–4 CALGB Toxicity* (n=2386) <1% <1% 1% 2% 2% 2%

Abstract Introduction. ASCT is considered the standard of care for younger patients (pts) with MM. The benefit of ASCT is at least partly related to an increase in Complete Remission (CR) plus Very Good Partial Remission (VGPR) rate. One way to increase the CR rate is to improve the induction treatment prior to ASCT. Several phase II studies with Vel in combination as induction treatment yielded promising CR rates. We have previously tested the Vel/D combination with Vel 1.3mg/m2 d1,4,8,11 with 40mg/d d1–4, d 9–12 for 4 consecutive 21d cycles (D only on d1–4 during cycles 3–4) (Harousseau et al Haematologica 2006). Methods. In July 2005, the IFM initiated a randomized Phase II trial comparing Vel/D with VAD as induction treatment prior to ASCT in pts with newly diagnosed MM up to the age of 65.This IFM 2005/01 was closed for accrual in January 2007 after having recruited 482 patients. The primary objective was the CR (negative immunofixation) plus n-CR (negative electrophoresis) after 4 cycles. The second question was to evaluate the impact of a consolidation with 2 cycles of DCEP (D, Cyclophosphamide, Etoposide, Platinum). At diagnosis pts were randomized between 4 arms (A1:4 cycles of VAD, A2: 4 cycles of VAD + 2 cycles of DCEP, A3:4 cycles of Vel/D, A4:4 cycles of Vel/D + 2 cycles of DCEP). Randomization was stratified according to β2-microglobulin and del 13 by FISH analysis. Stem cell collection was performed between cycle 3 and 4 after G-CSF priming (10μg/kg x 6d). ASCT was prepared by melphalan 200mg/m2. Results. As of Aug 2007, data from the first consecutively enrolled 222 pts have been analyzed (A1:54,A2:56,B1:55,B2:57). In the VAD arms (A1+A2),88% of pts received the planned 4 courses versus 94% in the Vel/D arms (B1+B2). In arm A2,87.5% of pts received the 2 cycles of DCEP versus 82% in arm B2. ASCT was performed in 94% of evaluable pts in arms A1+A2 and in 92% in arms B1+B2. The number of SAE was the same in the VAD and the Vel/D arms. The incidence of grade 3–4 averse events was also comparable. However the proportion of pts with neurological symptoms (all grades) during induction treatment was higher with Vel/D (36% versus 11%). Response assessment is available for 208 pts (100 VAD, 108 Vel/D). The results are shown in the table (intent-to-treat analysis). Consolidation with DCEP did not increase the CR rate (16% pre-ASCT both in arms A1+B1 and in arms A2+B2). Conclusion. This analysis not only confirms that the post-induction CR rate is increased by Vel/D compared to VAD (Harousseau ASH 2006) but also shows that this benefit translates in higher CR+VGPR rates after ASCT. Longer follow-up is needed to demonstrate that this better tumor reduction induces longer PFS and OS. Currently 1-year PFS and OS rates are respectively 90% and 95% with VAD, 93% and 97% with Vel/D. Updated results will be presented at the meeting.

Abstract Dasatinib (SPRYCEL®), a potent inhibitor of BCR-ABL and SRC-family kinases, has been shown to be effective and safe for patients with accelerated-phase chronic myelogenous leukemia (AP-CML) who are resistant or intolerant to imatinib. START-A is a 39-center, international study to which patients with AP-CML who failed prior imatinib therapy were enrolled between December 2004 and July 2005. Here we report an update of the efficacy and safety of dasatinib (70 mg BID) from this open-label study of 174 patients with imatinib-resistant (n=161) or -intolerant (n=13) AP-CML after a median follow-up of 14.1 mo (range 0.1–21.7). Dose escalation (100 mg BID) or reduction (50 or 40 mg BID) were allowed for a lack of response or toxicity, respectively. Median time from original diagnosis of CML was 82 mo (range 4–359). Prior therapy included interferon-α in 72% of patients and stem-cell transplantation (SCT) in 13%; 52% had received prior imatinib doses >600 mg/d and 59% treatment with imatinib for >3 years. Best response to prior imatinib therapy was complete hematologic response (CHR) in 79% of patients, major cytogenetic response (MCyR) in 33%, and complete cytogenetic response (CCyR) in 21%. CHRs were attained by 45% of patients, while MCyRs and CCyRs were seen in 39% and 32%, respectively. Responses were achieved irrespective of imatinib status (with MCyR of 39% for both imatinib-resistant and -intolerant subgroups), prior stem-cell transplantation (26% MCyR), or the presence of prior BCR-ABL mutations (with the exception of T315I) (40% MCyR for both the mutation-positive and -negative subgroups). Twelve-month progression-free survival and overall survival were 66% and 82%, respectively. Dose interruptions were required for 85% of patients and dose reduction for 65%; the average daily dose administered was 126 mg (range 32–196). Grade 3–4 neutropenia and thrombocytopenia were reported in 76% and 82% of patients. Non-hematologic toxicity was generally mild to moderate and consisted primarily of diarrhea (52% all grades, 8% grade 3–4), headache (29%, <1%), nausea (28%, <1%), pleural effusion (27%, 5%), fatigue (26%, 4%), and superficial edema (22%, 1%). Dasatinib is effective in patients with AP-CML following imatinib treatment failure and the overall benefit-risk evaluation is favorable in this poor prognosis population. Updated analyses corresponding to a minimum follow-up of 2 years on all patients will be presented.

Abstract Background: Imatinib is a selective inhibitor of the Bcr-Abl tyrosine kinase indicated for the treatment of all phases of Ph+ CML. This study updates the results up to more than 60 months (mos) after last patient (pt) started treatment. Methods: Imatinib 400 mg/d was first administered to 454 patients with L-CP CML between December 1999 and May 2000. Median time since diagnosis was 34 months (mos). Pts had received a median of 14 mos of prior IFN treatment before entering the study but were hematologically (n=133) or cytogenetically resistant/refractory (n=160) or intolerant (n=161) to IFN. Dose escalation up to 800 mg/d was allowed for lack of efficacy. Pts were evaluated for best major and complete cytogenetic response (MCyR and CCyR), time to progression to accelerated phase (AP) or blast crisis (BC), and overall survival (OS). Beyond July 31, 2002, no adverse events or laboratory values were collected. Results: As of July 31, 2005, median duration of treatment was 60 mos (with average of 48 mos). A total of 244 (54%) pts had their dose increased to 600 or 800 mg/d, 42% received 800 mg/d at least once. Of 227 pts who are still on treatment, 85 (37%) had their dose increased to 600 mg/d or 800 mg/d for lack of efficacy. Overall actual dose intensity was 444 mg/d (median 400mg/d). The table below summarizes reasons for discontinuation, best observed responses rates and estimated long term outcomes at 60 mos. n (%) [95% conf. intervals] N=454 Still on treatment 227 (50) Discontinued 227 (50) Unsatisfactory therapeutic effect 117 (26) Deaths from any cause 18 (4) AEs & abnormal laboratory values 33 (7) BMT 5 (1) Withdrew consent/Lost/Others 54 (12) Pts with MCyR (incl CCyR) 304 (67) Pts with CCyR 259 (57) % Estimated freedom of progression to AP/BC at 60 mos 69% [64–74] % Estimated OS at 60 mos 79% [75–83] The MCyR (CCyR) rate was 57% (48%) for hematologic failures to IFN, 70% (60%) in cytogenetic failures to IFN and 72% (62%) in IFN intolerant pts. A CCyR was achieved after more than 36 mos of treatment in 28 pts; 22 (79%) of these pts had achieved CCyR after dose increase to 600 or 800 mg. Landmark analyses confirmed the effect of cytogenetic responses on long-term outcomes. The estimated survival rates free of AP/BC at 60 mos were 91%, 82%, 77%, 62% and 42% for pts who by 12 months achieved CCyR, PCyR, Minor CyR, Minimal CyR and no CyR, respectively (p<0.001). This corresponds to a rate of 88% in pts with MCyR at 12 mos. The estimated overall survival rates at 60 mos were 93%, 92%, 88%, 71% and 64% for pts who achieved CCyR, PCyR, Minor CyR, Minimal CyR and no CyR at this landmark, respectively (p<0.001). This corresponds to an overall survival rate of 93% in patients who had achieved MCyR at 12 mos. Conclusion: Imatinib substantially improves the duration of CP-CML in pts who previously failed IFN. The follow-up confirms the beneficial effect of cytogenetic responses on long-term outcomes with imatinib. These results will be updated for the meeting to include 72 mos data up to July 31, 2006.

Magneto-optic ellipsometry in the longitudinal Kerr configuration was performed to determine the complex permittivity tensor of the Co and SmCo thin films within the spectral range from 400nm to 1000nm. The Co film was a middle layer in a Au/Co/Au trilayer structure. Magneto-optical response was analyzed in terms of Mueller matrix elements. Reduced magneto-optical response of the Co layer is explained by influence of the gold top layer of the trilayer structure. Full Text: PDF ReferencesM. Mansuripur, The Physical Principles of Magneto Optical Recording (Cambridge, Cambridge University Press, 1995). CrossRef B. Sepúlveda, A. Calle, L.M. Lechuga, G. Armelles, "Highly sensitive detection of biomolecules with the magneto-optic surface-plasmon-resonance sensor", Opt. Lett. 31, 1085 (2006). CrossRef D. Regatos et al., "Au/Fe/Au multilayer transducers for magneto-optic surface plasmon resonance sensing", J.Appl.Phys. 108, 054502 (2010). CrossRef D. Regatos, B. Sepúlveda, D. Farina, L.G. Carrascosa, L.M. Lechuga, "Suitable combination of noble/ferromagnetic metal multilayers for enhanced magneto-plasmonic biosensing", Opt. Express 19, 8336 (2011). CrossRef G. Armelle et al., "Localized surface plasmon resonance effects on the magneto-optical activity of continuous Au/Co/Au trilayers", Opt. Express 16, 16104 (2008). CrossRef C. Hermann, "Surface-enhanced magneto-optics in metallic multilayer films", Phys. Rev. B 64, 235422 (2001). CrossRef J. B. González-Díaz et al., "Surface-magnetoplasmon nonreciprocity effects in noble-metal/ferromagnetic heterostructures", Phys. Rev. B 76, 153402 (2007). CrossRef V. V. Temnov et al., "Active magneto-plasmonics in hybrid metal?ferromagnet structures", Nat. Photonics 4(2), 107 (2010). CrossRef A. Berger, M. R. Pufall, "Generalized magneto-optical ellipsometry", Appl. Phys. Lett. 71, 965 (1997). CrossRef R. Rauer, G. Neuber, J. Kunze, J. Backstrom, M. Rubhausen, "Temperature-dependent spectral generalized magneto-optical ellipsometry for ferromagnetic compounds", Rev. Sci. Instrum. 76, 023910 (2005). CrossRef K. Mok, N. Du, H. Schmidt, "Vector-magneto-optical generalized ellipsometry", Rev. Sci. Instrum. 82, 033112 (2011). CrossRef W.A. McGahan, J.A. Woollam, "Magnetooptics of multilayer systems", Appl. Phys. Commun. 9, 1 (1989).D.P. Kumah et al., "Optimizing the planar structure of (1 1 1) Au/Co/Au trilayers", J. Phys. D: Appl. Phys. 40, 2699 (2007). CrossRef L. Alocca et al., "Laser deposition of SmCo thin film and coating on different substrates", Phys. Scr. 78, 058114 (2008). CrossRef H.G. Tompkins, E.A. Irene, Handbook of Ellipsometry (Norwich, William Andrew, 2005). CrossRef G. Abbate et al., "Optical characterization of liquid crystals by combined ellipsometry and half-leaky-guided-mode spectroscopy in the visible-near infrared range", J. Appl. Phys. 101, 073105 (2007). CrossRef Y.V. Knyazev, M.N. Noskov, "OPTICAL PROPERTIES OF GADOLINIUM, SAMARIUM, AND DYSPROSIUM IN THE SPECTRAL RANGE 1.13 TO 3.96 eV.", Phys. Met. Metallogr. 30, 230 (1970).

Abstract Purpose: To describe the clinical features and outcomes of pts. with HIT over a 6-year period from a tertiary care medical center. Design: Retrospective case series of 545 pts. enrolled in an IRB-approved HIT Registry from 1/1/99 to 12/31/05. Measurements: demographics, co-morbid conditions, HIT presentations, platelet ct./HIT antibody results, treatment, hospital length of stay (LOS), composite outcome, and all-cause mortality. Results: Median age-68 yrs.; 47%-females; 97%-caucasians. Co-morbid conditions: HTN (78%), coronary artery disease (73%), diabetes mellitus (42%), CHF (16%), ESRD on dialysis (5.7%) and active malignancy (4.2%). Clinical HIT settings included: adult open heart surgery (OHS)-69%, medical-23% and non-cardiac surgery-8%. Cardiac medical pts. comprised 50% of the medical cohort. Among the OHS, medical and non-cardiac surgery HIT cohorts, HIT occurred during the hospitalization with UFH exposure in 322 (59%), 125 (23%), and 39 (7.2%) pts., respectively. In these respective clinical HIT settings, delayed-onset HIT (D-HIT) developed after discharge from a hospitalization with UFH exposure in 54 (10%), 2 (0.36%), and 3 (0.55%) pts. During the study period, HIT was diagnosed in 2.5% of 15,152 OHS pts. The median time from UFH initiation to the time when HIT was first clinically suspected and diagnosed was 7 days and 10 days, respectively. The median time from UFH discontinuation to the time HIT was first clinically suspected and diagnosed was 1 and 4 days, respectively. Of 537 pts. in whom an H-PF4 ELISA (GTI) or HIPA assay or both were performed, 85% had at least one positive result. The median platelet ct. at baseline (last platelet ct. at hospital D/C for D-HIT), at the time HIT was first clinically suspected and at in-hospital HIT nadir was 209,500/mm3, 77,000/mm3 and 62,000/mm3, respectively. At HIT presentation, 53% had thrombocytopenia alone, 33% had both thrombocytopenia and thromboembolic complications (TEC) and 9.7% had TEC alone. At least one anticoagulant therapy was administered in 89.7% and varied by agent availability, clinical setting or physician selection: Argatroban (51.7%), lepirudin (36.5%), bivalirudin (4.4%), and danaparoid sodium (2.9%). The mean treatment durations on a DTI alone (n=479 pts.) or with subsequent warfarin co-therapy (n=368 pts.) were 9.7 days and 5.4 days, respectively. A new TEC after HIT diagnosis, major bleeding event or amputation occurred in 13%, 7.5%, and 1.8% (composite outcome: 22.6%). Of 446 (82%) pts. surviving to hospital D/C, 84.8% were on warfarin therapy alone. The mean HIT hospital LOS was 21.3 days. The all-cause mortality (ACM) was 18.2% with a quarterly-calculated linear trend in reduction over time (p=0.07). A 56% reduction in the annual ACM was observed from a peak of 28.8% in 2000 to 12.8% in 2005. Significant multivariate predictors of ACM included: TEC presentation (OR 2.09; 95% CI 1.33–3.28; p=0.001) and DTI use (OR 0.48; 95% CI 0.26–0.89; p=0.021). Conclusions: In this HIT Registry 6-year review, HIT developed most frequently after OHS with a frequency of 2.5%. Fifty percent of medical HIT cases occurred in cardiac pts. Ninety-six percent presented with thrombocytopenia, TEC, or both. D-HIT developed following hospital discharge in 16% of OHS HIT pts. HIT survivorship was observed in 82%. The composite outcome was 22.6%. A strong trend for ACM reduction was observed. In a multivariate analysis, ACM was significantly influenced by a TEC presentation and DTI use.

Abstract Abstract 2044 Background: Induction treatment followed by autologous stem cell transplantation (ASCT) is the standard therapy for the newly diagnosed younger patients with multiple myeloma (MM). Although new drugs such as lenalidomide or bortezomib have been shown the promising results as induction treatment, many different type of induction treatment regimens still have been used. We evaluate the efficacy and safety of the short course of high dose dexamethasone (HD dexa) and the response adapted PAD (Bortezomib, Adriamycin, Dexamethasone) or VAD (Vincristine, Adriamycin, Dexamethasone) induction chemotherapy in the newly diagnosed younger patients with MM. Methods: 107 newly diagnosed patients with MM from 21 institutions received 2nd cycles of HD dexa followed by PAD or VAD chemotherapy according to the response to the initial high dose dexamethasone. The primary endpoint was complete response (CR) + near CR rate after ASCT. Among 107 patents enrolled this study from November 2009, 25 patients (23%) have been dropped out. This trial will be continued until total 210 patients will be enrolled. The trial is registered on National Cancer Institute website, number NCT01255514. Results: One hundred seven patients (58 male, 49 female) were enrolled (median age; 56). 26 (24%) light chain disease were included. 31 (29%) patients were D-S stage II and 67 (63%) were stage III. According to the ISS, 23 (22%) patients had stage I, 51 (48%) had stage II and 33 (31%) had stage III. 26 (24%) patients had abnormal cytogenetics. There were 31% del13, 7% del17, 19% t(4;14), 15% t(14;16) and 28% t(11;14) in FISH analysis. Among the 82 evaluable patients, CR + PR rate was 48% (39/82) after 2nd cycles of HD dexa therapy. 39 patients (48%) received subsequent VAD chemotherapy and 43 patients (52%) received PAD chemotherapy. Among the 64 patients finished VAD or PAD chemotherapy, CR + PR rate was 83% (79%, 26/33 in VAD group vs. 87%, 27/31 in PAD group). 56 patients were finished ASCT until now. CR + near CR rate after ASCT were 61% (58% in VAD group vs 63% in PAD group). Mortality rate of this trial was 13% (11/82). The cause of death was disease progression (n=3), bleeding (n=1) and infections (n=7). Among 82 patients in whom VAD or PAD chemotherapy was actually performed, 1 year overall survival (OS) rate was 84.7%. 1 year survival rate was 93.8% versus 77.2% (P=0.049) with VAD versus PAD (median follow-up; 9.1 months). Conclusion: Risk adapted approach using initial steroid response showed good response results after ASCT compared with previous trial (CR + near CR rate of IFM 2005-01trial-Bortezomib+dexa induction & ASCT was 35%, J Clin Oncol. 2010;28:4621–9) The MM patients who had poor response to HD dexa also showed similar good response rate after ASCT compared with the patients who had good response to HD dexa treatment in this trial. PAD re-induction therapy after failure of initial steroid induction treatment might overcome the inferior results in the high risk MM patients. Therefore, initial steroid response adapted strategy might be the more cost-effective approach in the newly diagnosed ASCT eligible MM patients. Disclosures: No relevant conflicts of interest to declare.

Abstract Allogeneic hematopoietic cell transplantation (HCT) is a potentially life-saving treatment for patients with acute lymphoblastic leukemia (ALL). About one-third of patients have a human leukocyte antigen (HLA) matched related donor (MRD), while the remaining two-thirds have either a fully HLA-matched (HLA-A, -B, -C, -DRB1 [8/8]) unrelated donor (MUD) or a MUD with a single HLA mismatch (7/8). Previous analyses by the CIBMTR have shown that MRD and MUD transplants produce similar survival outcomes for patients with acute myelogenous leukemia (AML) (Blood 2012; 119(17):3908-16), while donor source was an important predictor of outcomes in patients with myelodysplastic syndrome (MDS) (Blood 2013; 122(11):1974-82). Given that ALL represents the second most common indication for HCT, and recognizing the disease-specific nature of the impact of donor source on post-HCT outcomes previously described, we performed an analysis of outcomes after MRD versus MUD HCT in 1458 patients with ALL who underwent allogeneic HCT from 2000-2011 (MRD n=440, 8/8 MUD n=729, 7/8 MUD n=289). Median age was 37 years (18-69). Thirty-four percent were Philadelphia chromosome positive.Ten percent received reduced intensity conditioning (RIC). Twenty-three percent were transplanted in second complete remission (CR2).Seventy-four percent received peripheral blood stem cells. At 100 days post-HCT, the incidence of acute GVHD Grade B-D was significantly lower in MRD recipients than in 8/8 MUD or 7/8 MUD recipients (26%, 45%, 50%, respectively; p<0.001). In multivariate analysis, 8/8 MUD recipients had similar rates of transplant-related mortality (TRM) and overall survival (OS) (hazard ratio [HR] 1.16, p=0.225and HR 1.01, p=0.93, respectively) compared to MRD recipients; 7/8 MUD recipients had inferior TRM and OS when compared to both MRD recipients (HR 1.92, p<0.001 and HR 1.29, p=0.01, respectively) and 8/8 MUD recipients (HR 1.66, p<0.001 and HR 1.28, p=0.008, respectively).Recipients of peripheral blood transplants had inferior long-term survival (>24 months post-HCT) (HR=2.13, p=0.003) compared to bone marrow transplants. Compared to MRD, 8/8 MUD recipients had superior relapse rates (HR 0.77, p=0.02), while 7/8 MUD recipients had no difference (HR 0.75, p=0.05). There were no differences in leukemia-free survival (LFS) comparing 8/8 MUD recipients (HR 0.95, p=0.55) and 7/8 MUD recipients (HR 1.20, p=0.07) to MRD recipients (Table 2, Figure 1).Differences in survival were likely due to higher rates of acute GVHD and TRM in the 7/8 MUD group. We conclude that MRD and 8/8 MUD recipients have similar survival outcomes post-HCT, while 7/8 MUD recipients suffer inferior survival, demonstrating that donor source plays a large role in the quality of outcomes. While MRD remains the ideal donor source due to its lower incidence of acute GVHD,HCT from an 8/8 MUD is a good alternative to MRD transplant, given its comparable long-term survival outcomes. Figure 1. 100-day Cumulative Incidence of Acute GVHD; 5-year Cumulative Incidence of chronic GVHD, relapse, and TRM; 5-year Probabilities of LFS and OS in Adult ALL Patients Receiving MRD, 8/8 MUD, or 7/8 MUD HCT from 2000-2011 *Overall point-wise comparison † Point-wise pair-wise comparison Figure 1. 100-day Cumulative Incidence of Acute GVHD; 5-year Cumulative Incidence of chronic GVHD, relapse, and TRM; 5-year Probabilities of LFS and OS in Adult ALL Patients Receiving MRD, 8/8 MUD, or 7/8 MUD HCT from 2000-2011 *Overall point-wise comparison † Point-wise pair-wise comparison Figure 2. Multivariate Analysis for Relapse, TRM, Treatment Failure (Inverse of LFS), and All-Cause Mortality (Inverse of Overall Survival) in Adult ALL Patients Receiving MRD, 8/8 MUD, or 7/8 MUD HCT from 2000-2011. Figure 2. Multivariate Analysis for Relapse, TRM, Treatment Failure (Inverse of LFS), and All-Cause Mortality (Inverse of Overall Survival) in Adult ALL Patients Receiving MRD, 8/8 MUD, or 7/8 MUD HCT from 2000-2011. Figure 3. Adjusted Overall Survival Estimatesfor Adult ALL Patients Receiving MRD, 8/8 MUD, or 7/8 MUD HCT Figure 3. Adjusted Overall Survival Estimatesfor Adult ALL Patients Receiving MRD, 8/8 MUD, or 7/8 MUD HCT Disclosures Sandmaier: Gilliad: Honoraria; ArevaMed: Honoraria; Jazz Pharmaceutical: Honoraria; Seattle Genetics: Honoraria; Abmit: Research Funding; Bellicum: Research Funding.

e11531 Background: MRI of the breast (BR) is useful in patients (pts) with dense BR in extent of disease evaluation (EOD) and high risk screening. The purpose of this study was to investigate whether MRI breast cancer (BC) detection was associated with BR density in elderly pts. Methods: Retrospective review included pts age >69 diagnosed with BC at our institution between 2/2001 and 12/2005 and their concurrent BR MRIs as well as clinical and pathologic factors. BR density was defined as mild (M) if BR were fatty/mildly dense, and dense (D) if BR were moderately/extremely dense. MRI data was coded for the number of additional sites beyond the known cancer site. Results: MRI occurred in 113 BR in 59 pts; 5 pts had unilateral MRI. 3 pts had bilateral BC. The mean age was 74 (range 69-84). Median tumor size was 1.2 cm (range 0.06-2.6, n=54). 27 pts (46%) had M density and 32 (54%) had D density. In 51/62 (82%) the index lesion was mammographically detected, and in 11 (17%) it was mammographically occult. The majority of BR MRIs 36/62 (58%) identified no additional sites. Biopsy was performed for 18/29 (62%) of the additional sites and 6 cancers were found (PPV of 33%). MRI detected an additional site of BC in 6/62 (9.7%) diseased BR and a new BC in 4/51 (7.8%) screened BR. Pts with D density had more additional MRI sites 18/33 (54.6%) as compared with M density 8/29 (27.6%) p = 0.04. However, D density was not associated with increase in BC detection; 4/33 (12%) D vs 2/29 (7%) M density, p =0.67. BR conserving surgery was performed in 46 pts and mastectomy in 16. We did not find a correlation between additional sites on MRI and final mastectomy, p=0.56. Conclusions: In our study the majority of pts had mammographically evident BC at the time of diagnosis and unifocal BC on MRI. We found that although 54% of our pts had dense BR, the additional detection of BC in the BR by MRI was the same as in pts with mild density. However, we found that increased density was associated with an increased detection of additional lesions on MRI. [Table: see text]

Chlamydia trachomatis is a bacterial pathogen that can cause serious reproductive harm. We describe a class of stochastic branching processes and their application in modelling the growth of an infection by Chlamydia. Using simulations we show that the model can reproduce biological phenomena of interest, and we show the variability in outcomes of infections under the same parameter conditions. We further speculate how this model might be used to explain long-term adverse reproductive sequelae. References Y. M. AbdelRahman and R. J. Belland. The chlamydial developmental cycle. FEMS Microbio. Rev., 29(5):949–959, 2005. doi:10.1016/j.femsre.2005.03.002. T. E. Harris. Branching processes. Ann. Math. Stat., 19(4):474–494, 12 1948. doi:10.1214/aoms/1177730146. C. Jacob. Branching processes: Their role in epidemiology. Int. J. Env. Res. Public Health, 7(3):1186–1204, 2019. doi:10.3390/ijerph7031204. N. Low, M. Egger, J. A. C. Sterne, R. M. Harbord, F. Ibrahim, B. Lindblom, and B. Herrmann. Incidence of severe reproductive tract complications associated with diagnosed genital chlamydial infection: The Uppsala women's cohort study. Sexually Trans. Infect., 82(3):212–218, 2006. doi:10.1136/sti.2005.017186. D. Mallet, M. Bagher-Oskouei, A. Farr, D. Simpson, and K. Sutton. A mathematical model of chlamydial infection incorporating movement of chlamydial particles. Bull. Math. Bio., 75:2257–2270, 10 2013. doi:10.1007/s11538-013-9891-9. H. K. Maxion, W. Liu, M.-H. Chang, and K. A. Kelly. The infecting dose of chlamydia muridarum modulates the innate immune response and ascending infection. Infect. Immun., 72(11):6330–6340, 2004. doi:10.1128/IAI.72.11.6330-6340.2004. S. Menon, P. Timms, J. A. Allan, K. Alexander, L. Rombauts, P. Horner, M. Keltz, J. Hocking, and W. M. Huston. Human and pathogen factors associated with chlamydia trachomatis-related infertility in women. Clinic. Microbio. Rev., 28(4):969–985, 2015. doi:10.1128/CMR.00035-15. D. P. Wilson. Mathematical modelling of chlamydia. In J. Crawford and A. J. Roberts, editors, Proc. of 11th Computational Techniques and Applications Conference CTAC-2003, ANZIAM J., volume 45, pages C201–C214, 2004. doi:10.21914/anziamj.v45i0.883. D. P. Wilson and D. L. S. McElwain. A model of neutralization of chlamydia trachomatis based on antibody and host cell aggregation on the elementary body surface. J. Theor. Bio., 226(3):321–330, 2004. doi:10.1016/j.jtbi.2003.09.010. D. P. Wilson, P. Timms, and D. L. S. McElwain. A mathematical model for the investigation of the Th1 immune response to chlamydia trachomatis. Math. Biosci., 182(1):27–44, 2003. doi:10.1016/S0025-5564(02)00180-3.

Introduction: Limited stage nodular lymphocyte predominant Hodgkin lymphoma (NLPHL) is a highly curable malignancy with an excellent prognosis. Given disease rarity, there are few prospective studies and as a result, diverse treatment approaches are used in both the adult and pediatric populations. At BC Cancer, provincial treatment guidelines for limited stage NLPHL have largely followed that of classical HL: Prior to 2005, radiotherapy (RT) was integrated usually as combined modality therapy (CMT); after 2005, an adaptive approach using 18F-fluoro-2-deoxyglucose positron emission tomography (PET) was adopted. Herein, we evaluated the impact of using this approach. Methods: Adult (>16 years [y]) patients (pts) diagnosed with limited stage NLPHL (stage 1A, 1B or 2A, non-bulky [<10cm]) from January 1995 to February 2019 were identified in the BC Cancer Lymphoid Cancer Database. Pts were treated based on era-specific guidelines: 1995 to 2005 (CMT era), 2 cycles of ABVD (or ABVD-like chemotherapy [CHT]) and RT, or RT alone in stage 1A high neck node disease; 2005 to present (PET era), 2 cycles of ABVD followed by interim PET (PET2). If PET2 was negative (PETneg), 2 further cycles of ABVD (after 2017, AVD alone) were given; if PET2 was positive (PETpos), RT was administered. PET scans were performed and centrally reviewed at BC Cancer. Prior to 2014, interpretation was based on the International Harmonization Project (IHP) criteria. This was subsequently replaced by the 5-point Deauville (D) scale (PETneg = DX, D1-2, PETpos = D3-5). Results: A total of 98 pts were identified. Of these, 93 (95%) received active therapy. Patient characteristics did not differ between the two eras: median age 38 y (range 16 - 82 y); male n=73 (74%); stage 2 n=43 (44%); median largest mass size 4 cm (range 2 - 9 cm). In the CMT era (n=37), all pts received active therapy: 84% were treated with ABVD (like) CHT (ABVD n=30 [including ABVD alone n=2], MOPP/ABV n=1); 6 pts with stage 1A received RT alone. In the PET era (n=61), 92% received active therapy (n=56), of which 52 received CHT (ABVD n=49, modified CVPP/ABO with bleomycin omitted n=1, R-CHOP n=2) and 4 pts were treated with RT alone. The remaining 5 pts were observed/refused therapy. With a median follow up of 7.7 y for all pts (range 0.3 - 20.5 y) (CMT era 13.5 y [3.3 - 20.5 y], PET era 5.5 y [0.3 - 13.5 y]), the time to progression (TTP), progression free survival (PFS), overall survival (OS), and disease specific survival (DSS) at 5 y were 93%, 92%, 98%, and 99%, respectively. There was no difference in outcomes by era comparison (p >0.1) or by stage (1 vs 2) (p=0.93). Overall, there have been 7 lymphoma recurrences (CMT era n=3, PET era n=4), including 3 (3%) with transformed disease (biopsy proven T cell rich B cell lymphoma n=1, presumed aggressive lymphomas based on new splenic nodules n=2). In total, there were 48/52 cases that had a PET2 scan interpreted using the D criteria, including 30 in the IHP time period that were re-reviewed: 85% were PETneg (n=41); 15% were PETpos (n=7). Four CHT treated pts did not receive a PET2 scan: RT added (CHT toxicity) n=3; death (diabetic ketoacidosis [DKA] post cycle 1 ABVD) n=1. All PETpos cases and only 4 PETneg cases (CHT toxicity n=2, PETpos by IHP criteria n=2) received RT. Considering PET-specific outcomes, the 5 y PFS and TTP were both 92% for PETneg and 80% for PETpos cases (p=0.56) (Figure 1). Three recurrences occurred in PETneg pts (DX n=1, D2 n=2), all of which had received ABVD alone but only 1 would have been solely in a RT field. The single recurrence among the PETpos cases (D5) was outside of the RT field. In the whole cohort, 9 pts have died (CMT era n=5, PET era n=4). Two deaths in the PET era were deemed related to NLPHL: 1 patient refused primary therapy and died of progressive disease and the other died during ABVD of DKA, possibly treatment related. The remaining deaths were due to other malignancies (lung n=2 [one within RT field], vulvar n=1, anaplastic large cell lymphoma n=1) or unknown causes (n=3). Conclusions: Consistent with other modern series, the outcome of pts with limited stage NLPHL is excellent with both 5 y PFS and OS exceeding 90%. Pts with an interim PETneg scan have a favorable outcome although longer follow-up is needed given the long natural history of NLPHL. This represents the largest experience of a PET-adapted approach in NLPHL and supports that ABVD alone is a viable option in selected patients with consideration of both acute and long term toxicities. Disclosures Villa: Roche, Abbvie, Celgene, Seattle Genetics, Lundbeck, AstraZeneca, Nanostring, Janssen, Gilead: Consultancy, Honoraria. Scott:Celgene: Consultancy; Janssen: Consultancy, Research Funding; Roche/Genentech: Research Funding; NanoString: Patents & Royalties: Named inventor on a patent licensed to NanoSting [Institution], Research Funding. Gerrie:Lundbeck, Seattle Genetics: Consultancy, Honoraria. Freeman:Seattle Genetics, Janssen, Amgen, Celgene, Abbvie: Consultancy, Honoraria. Pickles:TarSera: Honoraria, Other: Participated in advisory board meeting; Astellas Inc.: Research Funding; Abbvie, Sanofi: Consultancy, Honoraria. Sehn:Morphosys: Consultancy, Honoraria; TEVA Pharmaceuticals Industries: Consultancy, Honoraria; F. Hoffmann-La Roche/Genentech: Consultancy, Honoraria, Research Funding; F. Hoffmann-La Roche/Genentech: Consultancy, Honoraria, Research Funding; Astra Zeneca: Consultancy, Honoraria; Karyopharm: Consultancy, Honoraria; Merck: Consultancy, Honoraria; Celgene: Consultancy, Honoraria; Amgen: Consultancy, Honoraria; Acerta: Consultancy, Honoraria; Abbvie: Consultancy, Honoraria; Seattle Genetics: Consultancy, Honoraria; Astra Zeneca: Consultancy, Honoraria; TEVA Pharmaceuticals Industries: Consultancy, Honoraria; Lundbeck: Consultancy, Honoraria; Amgen: Consultancy, Honoraria; Seattle Genetics: Consultancy, Honoraria; Lundbeck: Consultancy, Honoraria; Kite Pharma: Consultancy, Honoraria; Kite Pharma: Consultancy, Honoraria; Acerta: Consultancy, Honoraria; Merck: Consultancy, Honoraria; Gilead: Consultancy, Honoraria; TG Therapeutics: Consultancy, Honoraria; Apobiologix: Consultancy, Honoraria; Morphosys: Consultancy, Honoraria; Abbvie: Consultancy, Honoraria; TG Therapeutics: Consultancy, Honoraria; Janssen-Ortho: Honoraria; Janssen-Ortho: Consultancy, Honoraria; Takeda: Consultancy, Honoraria; Verastem: Consultancy, Honoraria. Connors:Takeda Pharmaceuticals: Honoraria; Seattle Genetics: Honoraria, Research Funding; Bristol-Myers Squibb: Consultancy. Savage:BMS, Merck, Novartis, Verastem, Abbvie, Servier, and Seattle Genetics: Consultancy, Honoraria; Seattle Genetics, Inc.: Consultancy, Honoraria, Research Funding.

¿Cuáles son las condiciones que activan la argumentación del profesor de Matemáticas durante la discusión de tareas en clase? En este artículo se presentan posibles respuestas a esta pregunta, en el marco de un estudio que pretende comprender la argumentación del profesor de Matemáticas en un ambiente habitual de clase. Para ello se presenta una fundamentación teórica sobre la argumentación en la clase de Matemáticas. Los datos forman parte de un estudio más amplio, los cuales se tomaron durante lecciones de clase de décimo grado (estudiantes de 15 a 16 años), mientras la profesora y sus estudiantes discutían tareas sobre trigonometría. Se discuten fragmentos de episodios de clase, donde se describen indicadores de las condiciones que podrían activar la argumentación del profesor. Referencias Boero, P. (2011). Argumentation and proof: Discussing a “successful” classroom discussion. En M. Pytlak, T. Rowland, y E. Swoboda (Eds.), Actas del 7th Congress of the European Society for Research in Mathematics Education (pp. 120-130). Rzeszów, Polonia: ERME. Common Core State Standards Initiative. (2010). Common Core State Standards for Mathematics. Recuperado desde http://www.corestandards.org/assets/CCSSI_Math%20Standards.pdf Conner, A., Singletary, L., Smith, R., Wagner, P., y Francisco, R. (2014). Teacher support for collective argumentation: A framework for examining how teachers support students’ engagement in mathematical activities. Educational Studies in Mathematics, 86(3), 401-429. https://doi.org/10.1007/s10649-014-9532-8 van Eemeren, F., Grassen, B., Krabbe, E., Snoeck Henkemans, F., Verheij, B., y Wagemans, J. (2014). Handbook of Argumentation Theory. Dordrecht, Países Bajos: Springer. van Eemeren, F. y Grootendorst, R. (2011). Una Tteoría Sistemática de la Argumentación. La Perspectiva Pragmadialéctica. Buenos Aires, Argentina: Editorial Biblos. Knipping, C., y Reid, D. (2015). Reconstructing argumentation structures: A perspective on proving processes in secondary mathematics classroom interactions. En A. Bikner-Ahsbahs, C. Knipping, y N. Presmeg (Eds.), Approaches to qualitative research in mathematics education (pp. 75-101). New York: Springer. Krummheuer, G. (2011). Representation of the notion ‘‘learning-as-participation’’ in everyday situations of mathematics classes. ZDM Mathematics Education, 43(1), 81-90. https://doi.org/10.1007/s11858-010-0294-1 Metaxas, N. (2015). Mathematical argumentation of students participating in a mathematics–information technology project. International Research in Education, 3(1), 82-92. https://doi.org/10.5296/ire.v3i1.6767 Metaxas, N., Potari, D., y Zachariades, T. (2016). Analysis of a teacher’s pedagogical arguments using Toulmin’s model and argumentation schemes. Educational Studies in Mathematics, 93(3), 383-397. https://doi.org/10.1007/s10649-016-9701-z Pino-Fan, L., Assis, A., y Castro, W. (2015). Towards a methodology for the characterization of teachers' didactic-mathematical knowledge. EURASIA Journal of Mathematics, Science & Technology Education, 11(6), 1429-1456. https://doi.org/10.12973/eurasia.2015.1403a Prusak, N., Hershkowitz, R., y Schwarz, B. (2012). From visual reasoning to logical necessity through argumentative design. Educational Studies in Mathematics, 79(1), 19-40. https://doi.org/10.1007/s10649-011-9335-0 Santibáñez, C. (2015). Función, funcionalismo y funcionalización en la teoría pragma-dialéctica de la argumentación. Universum, 30(1), 233-252. https://dx.doi.org/10.4067/S0718-23762015000100014 Schoen, R. C., LaVenia, M., y Ozsoy, G. (2019). Teacher beliefs about mathematics teaching and learning: Identifying and clarifying three constructs. Cogent Education, 6(1), 1-29. https://doi.org/10.1080/2331186X.2019.1599488 Selling, S., Garcia, N., y Ball, D. (2016). What does it take to Develop Assessments of Mathematical Knowledge for Teaching?: Unpacking the Mathematical Work of Teaching. The Mathematics Enthusiast, 13(1), 35-51. Sfard, A. (2008). Thinking as communicating. Human development, the growth of discourses, and mathematizing. Cambridge, Reino Unido: Cambridge University Press. Solar, H. (2018). Implicaciones de la argumentación en el aula de matemáticas. Revista Colombiana de Educación, 74, 155-176. https://doi.org/10.17227/rce.num74-6902 Solar, H., y Deulofeu, J. (2016). Condiciones para promover el desarrollo de la competencia de argumentación en el aula de matemáticas. Bolema, 30(56), 1092-1112. http://dx.doi.org//10.1590/1980-4415v30n56a13 Staples, M., y Newton, J. (2016). Teachers' Contextualization of Argumentation in the Mathematics Classroom. Theory into Practice, 55(4), 294-301. https://doi.org/10.1080/00405841.2016.1208070 Stylianides, A., Bieda, K., y Morselli, F. (2016). Proof and Argumentation in Mathematics Education Research. En Á. Gutiérrez, G. Leder, y P. Boero (Eds.), The Second Handbook of Research on the Psychology of Mathematics Education (pp. 315-351). Rotterdam, Países Bajos: Sense Publishers. Toro, J. y Castro, W. (2019a). Features of mathematics’ teacher argumentation in classroom. En U. T. Jankvist, M. van den Heuvel-Panhuizen, y M. Veldhuis (Eds.), Proceedings of the Eleventh Congress of the European Society for Research in Mathematics Education (pp. 336-337). Utrecht, the Netherlands: Freudenthal Group & Freudenthal Institute, Utrecht University and ERME. Toro, J., y Castro, W. (2019b). Purposes of mathematics teacher argumentation during the discussion of tasks in the classroom. En M. Graven, H. Venkat, A. Essien, y P. Valero (Eds.), Proceedings of the 43rd Conference of the International Group for the Psychology of Mathematics Education (Vol. 4, pp. 458-477). Pretoria, Sudáfrica: PME. Toulmin, S. (2007). Los usos de la argumentación. Barcelona, España: Ediciones Península.

Abstract Background: RBC transfusions remain a mainstay in the treatment in MDS, but their characteristics in a large MDS population have not been reported in detail. Indications of iron chelation therapy (CT) in those patients, are based on consensus (Gattermann Hematology/Oncology Clinics 2005;19:supp1 ) but have not been reported in a large MDS cohort. In addition, a positive effect of desferioxamine (DFO) therapy on hematopoiesis has been reported in a small group of MDS (Jensen BJH, 1996;94:288). Methods: We analyzed the hematological characteristics, RBC transfusion requirement and iron CT in MDS patients referred for RBC transfusion in 18 French centers between May 15 and June 15, 2005. Results: 170 pts were included in the survey, median age 75 (14–95); M/F ratio 1.37; median time from diagnosis was 43 months (1 month to 17.5 years); WHO: pure RA 8.8%, pure RARS 18%, RCMD 3.5%, RCMD-RS 3%, RAEB I 16.5%, RAEB II 5.3%, 5q- syndrome 7%, CMML 4.7%, unclassified12.6%. Karyotype: fav (12%), int (37%), unfav ( 23%), failure or not done ( 28%). IPSS: low 39%, Int1 45%, Int2 13.5%, high 2.5%, unavailable 28%. Median serum ferritin (SF) level at diagnosis was 562ng/ml (9–2500). Median number of RBC units transfused since diagnosis was 49, mean 80 (2–610) and did not differ statistically according to WHO or IPSS. 81% of patients had received > 21 RBC units. Median number of RBC units transfused at initiation of CT was 21 (2–151). 68/170 pts ( 40 %) had received CT during the disease course including: DFO continuous s/c (8h) (40mg/kg/d, 3 to 5d/ week) n = 37, DFO s/c bolus (2 to 8g/week) n = 14, DFO IV (50 to 100mg/kg/d once after each RBC transfusion) n=7, deferiprone alone (30 to 75 mg/kg/d) n=4. Deferiprone + DFO s/c n=6. Median SF level was 1492ng/ml at the start of iron CT (436–6572). 50/68 pts were still on iron CT at the time of the survey after 2 to 114 months. Median SF level at the time of survey was 1828ng/ml (not statistically different from pre CT level). No positive effects were observed on hematopoiesis even in pts chelated for prolonged periods. 18/68 patients stopped CT (all were on DFO therapy) due to over efficacy n= 1, local complications n = 7, patient decision n=10 ). Median duration of treatment was 9 months (1–78) and median level of SF 3227ng/ml at the time of survey in those 18pts. For the 102/170 pts who did not receive CT, main reasons given by physicians were: older age 33% (median age in this group was indeed 82); cumbersome treatment 12%; high IPSS 8% (all cases had indeed IPSS>=1.5); low transfusion requirement 8% (median=11 RBC units transfused in this group); other reasons 5% (refusal, skin lesions), no reason given 34%. By comparison to non chelated patients, chelated patients had significantly higher number of RBC units transfused (mean 115 vs 55) (p<0.001), lower age (p= 0.002) but no difference in WHO or IPSS. Conclusions: In transfused MDS pts, rarely analyzed, the number of RBC units previously transfused was not influenced by WHO or IPSS. This survey confirms that chelated patients are younger and more transfused. Despite heterogeneity in iron CT, efficacy based on the SF level seems to be good. No effect of iron CT on hematopoiesis was observed.

Abstract Background Diagnosis and prognosis of patients with established MDS/CMML is currently based on WHO criteria and the IPSS prognostic Index. High variation of survival in subgroups warrants the search for additional criteria. A comparison of CFU-C cultures with WHO criteria and IPSS score has not yet been done in a large patient group. Patients and methods We analyzed in a single center retrospective cohort study 93 untreated consecutive patients (55 male/ 38 female; median age: 66 years; range: 13 – 88 years) admitted between July 1992 and June 2002 and diagnosed as MDS/CMML (RA/RARS(4), MDS-U (2), RCMD (26), RAEB I/II (44) and CMML I/II (17). All patients had an unequivocal diagnosis of MDS or CMML according to WHO criteria. Simultaneous examinations of blood, bone marrow (cytology and biopsy), BM-cytogenetics and BM-and PB cultures for CFU-GM and BFU-E were done. Culture results were scored blindly and classified either as “Low risk CFU-C“ including normal growth (N=2), no colony growth (N=6) or reduced growth of normal colonies (N=19) or as „High risk CFU-C’s“ including excess normal growth in PB termed “MPS pattern” (N=5), discrete leukemic cluster growth (N=22), abundant leukemic cluster growth (N=14) or the „CMML pattern“ defined as giant“ pseudonormal“ CFU-GM and strongly reduced BFU-E (N=23). Culture score was compared with the WHO diagnosis and with the IPSS score in all 93 patients and survival was assesed in 82 patients treated with conventional therapy (12 allografted patients were excluded) after minimal observation time of 3 years in July 2005. Results Comparison of WHO diagnosis with culture score Low risk CFU-C score High risk CFU-C score RA/RARS/RCMD/MDS-U 15 16 RAEBI/II 12 30 CMML-I/II 0 17 The typical CMML pattern was observed in 13 of 17 patients with CMML (Specificity 94%). Comparison of IPSS Score with culture score low risk CFU-C score low risk CFU-C score High risk CFU-C score High risk CFU-C score IPSS Score alive/dead mean survival(d) alive/dead mean survival(d) Low and Int-1 4/4 2022+/−543 8/39 965+/−143 Int-2 and High 1/1 1024+/−701 1/26 565+/−92 Mean survival time for patients with a low/intermediate-1 IPSS score was less than half if they had a high risk CFU-score (p<0.01, ANOVA t-test). For patients with an intermediate-2/high IPSS score the prognostic information gained with the cultures was similar, but low patient number did not permit statistical analysis. Conclusions Hematopoietic precursor cultures yield additional information in patients with MDS / CMML. For diagnosis, CMML has a typical growth pattern, that may help distinction of clonal from reactive monocytosis. For prognosis, the culture pattern adds information to the IPPS score, leukemic growth being strongly predictive of short survival.

615 Background: Many patients with metastatic kidney cancer (mRCC) are ineligible for trials due to non-clear cell histology. Efficacy of targeted therapy agents in non-clear cell mRCC is still being investigated. We hypothesized that sequencing CN upfront is associated with improved overall survival. We analyze a population-based cohort of non-clear cell mRCC patients in the targeted therapy era. Methods: Patients from the SEER-Medicare files (2005-2011) with non-clear cell mRCC were categorized as having received upfront targeted therapy or upfront CN. Additional exclusions were age < 66 to avoid confounding by uncaptured non-Medicare coverage, and competing stage IV cancer. Targeted therapy was identified through Medicare Part D files. Cox proportional hazards regression determined association between treatment groups, clinical and cancer-related characteristics, and the main outcome, median overall survival (OS). Propensity matching controlled for measurable confounding in treatment selection. Results: Of 1,326 mRCC cases, 528 met inclusion criteria of whom 433 (82%) received targeted agents and 172 (33%) underwent CN. Of those not having CN, 74% were diagnosed by biopsy, 10% by cytology, and 16% radiographically (confirmed at autopsy). Thirteen percent received CN then targeted therapy (OS 14 mos, IQR 9-25), 2.5% received targeted therapy then CN (OS 14 mos, IQR 9-26), 18% received CN only (OS 14 mos, IQR5-40), 67% received targeted therapy only (OS 9 mos, IQR 4-19). On multivariable Cox proportional hazards regression upfront CN (regardless of post-CN therapy) was associated with improved OS (HR 0.54,95% CI 0.41,0.72). Using propensity scores, upfront CN patients (N = 161) were matched to upfront targeted therapy patient (N = 111) and the average treatment effect of CN was 8.3 months survival improvement (95% CI 4.0, 13.2). Conclusions: Although utilization of targeted agents in non-clear cell mRCC exceeds 80%, those with greatest OS received CN either upfront or after targeted therapy, though the latter was rare (2.5%). The variety of sequencing strategies observed is evidence of uncertainty regarding the best care for non-clear cell mRCC patients given limited options.

The COVID-19 pandemics have caused a lot of stressors for parents. Apart from doing daily activities, parents also have to take care of their children and accompany them to study. The number of stressors can lead to toxic behavior in parenting. This study aims to measure the level of toxicity in parenting behavior and coping strategies adopted by parents. This study uses quantitative descriptive methods to measure toxic levels in parenting behavior during the COVID-19 pandemic. A total of 568 parents from Banjarmasin and Yogyakarta participated in this study. The survey results show that several factors can trigger parenting stress during the COVID-19 pandemic, namely worsening economic conditions, delinquent children, excessive anxiety, accumulated daily hassles, growing family demands, and disputes with spouses. However, some of these stressors do not lead to toxic parenting. The results showed that 97.79% of respondents from Banjarmasin and 95.29% from Yogyakarta showed a low toxic level. The remaining 2.21% of respondents in Banjarmasin and 4.71% of respondents in Yogyakarta indicated a moderate toxic level. Coping strategies are crucial for neutralizing stress. There are several strategies applied, namely trying to consider a problem is God's test, and there is a positive side to every problem; trying to address the source of stress and solving it; Withdrawing and finding individual time; looking for social support from the family and others; crying and releasing it by doing favorite things and capitulate and get back the problem. This Research is expected to be a reference for parents in choosing coping strategies to manage the stress they feel in parenting during the pandemic.
 Keywords: Toxic parenting; stress trigger, coping strategy; COVID-19
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El objetivo de este trabajo es evaluar un proyecto fotovoltaico como fuente de energía alternativa en el sector de salud primaria como estudio de caso, desde la perspectiva económica y social. La evaluación se basó en variables técnicas y económicas bajo los criterios de Valor Actual Neto (VAN) y Tasa interna de retorno (TIR), valorizando las reducciones de carbono (CO2) y utilizando la tasa de descuento social del Ministerio de Desarrollo Social. Los resultados son favorables y sugieren la ejecución de este proyecto como iniciativa de política pública. Sin embargo, queda en evidencia que en periodos de invierno no se cubre las necesidades energéticas, haciendo imprescindible diversificar la matriz con fuentes tradicionales.
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This research aims to identify the implementation of multi-sensory learning at elementary schools in Jakarta. The method used through surveys to 50 elementary schools’ teachers in 5 schools. Data was collected by using questionnaire that revealed the implementation of multi-sensory learning. The result of this study showed that the use of multi-sensory learning could be more effective in maximizing learning. Through multi-sensory learning, teacher can involve students actively in the learning process and facilitate all students with different learning styles. Multi-sensory learning can be used in all lesson that integrated with curriculum and has significant implications in the real-life learning. The obstacle in implementing this learning model is founded about the lack of using of audio-visual technology and many schools do not implement the multi-sensory learning.
 Keywords: Multi-sensory learning, Elementary School, Audio-visual Media.
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Abstract We previously reported that concurrent cyclosporine and plasma exchange(CSA/PE) is superior to corticosteroids and PE for acute TTP in terms of a decreased exacerbation rate (0% v. 47%) after stopping PE.(ASH 2005,Abstract# 1235) We now present similar data and serial analysis of ADAMTS13 activity and inhibitor concentration from two patient cohorts treated with CSA/PE. Patients: Ten patients failing initial therapy with corticosteroids and PE (exacerbations or refractory) were treated with CSA/PE. This study led to a second cohort study of upfront therapy with CSA/PE in 11 patients with acute TTP. Methods: CSA (2–3 mg/kg) orally was administered concurrent with daily PE. After remission (normal platelet count and LDH), 2 additional exchanges were performed on an every other day schedule. CSA was administered for 6 months and discontinued. Results: In the exacerbation/refractory patients, 9/10 achieved remission after a median of 11 exchanges. One patient suffered an exacerbation and required one additional exchange to achieve a sustained (>30 d.) remission. Four patients relapsed 2,3,7, and 10 months after completing 6 months of CSA. In the CSA/PE upfront group, 10/11 achieved remission. One patient died of infectious and disease-related complications. Remission occurred after a median of 5 exchanges. No patients(0/10) suffered an exacerbation. Three patients recurred, 2 while taking CSA and one 2 weeks after stopping CSA. Median ADAMTS13 activity and the change in inhibitor concentration over time for all CSA/PE patients is shown in Figure 1. Conclusions: CSA/PE improves clinical outcome and prevents exacerbations after tapering PE. CSA/PE also increased in vitro ADAMTS13 activity and suppressed the inhibitor, with both occurring well after the last PE. These findings coupled with the decline in median ADAMT13 activity after discontinuing CSA(Fig. 2) suggest the improvement in ADAMTS13 activity was a result of CSA therapy. Table 1. Presenting ADAMTS13 and Inhibitor Data N Med. ADAMTS13% Prior to Initial Therapy Med. ADAMTS13% Prior to CSA and PE Med. Inhibitor Conc. Prior to Initial Therapy(ug/mL) Med. Inhibitor Conc. Prior to CSA and PE(ug/mL) Remission Rate Exacerbation (30 d. Recurrence) Rate CSA and PE Exacerbation and Refractory 10 2 (0–8) 4 (0–20) 587 (275–1,111) 3,173 (372–9,845) 9/10 1/10 CSA and PE Upfront Therapy 11 N/A 2 (0–60) N/A 571 (147–4,988) 10/11 0/10 Table 2. Effect CSA and PE on ADAMTS13 Activity and Inhibitor Concentration. Time (weeks) 0 4 10 24 CSA and PE Exac. and Refractory N 9 9 7 8 Median ADAMTS13 % 4 (0–20) 24 (4–39) 42 (5–72) 49 (7–116) Median Inhibitor Conc. (ug/mL) 3,173 (372–9,845) 294 (165–6,548) 191 (41–4,228) 204 (55–756) CSA and PE Upfront Therapy N 10 8 5 4 Median ADAMTS13% 2 (0–60) 20 (5–104) 32 (4–37) 49 (7–116) Median Inhibitor Conc. (ug/mL) 571 (147–4,988) 270 (82–2,637) 302 (110–378) 204 (55–756) Figure Figure

Abstract Across eastern North America, Rocky Mountain elk Cervus canadensis nelsoni have been reintroduced to 11 states and provinces that were previously occupied by the extinct eastern elk C. canadensis canadensis. Outside of Kentucky, these elk reintroductions have resulted in small populations, typically numbering fewer than 1,000 elk per state. Limited information is available about the demographics and habitat selection within these small eastern populations. The availability of high-quality habitat during the first weeks of life is important for promoting annual recruitment and the identification of these characteristics should aid in management efforts. We characterized habitat at two spatial scales surrounding the bedding sites of 83 elk calves (≤ 7 d old) in the Pennsylvania Elk Management Area during the annual calving seasons of 2005–2008. A concurrent study found that calves in this area experienced high survival (92%) during the first 4 mo of life, despite occupying an area with high predator densities. At a local scale, bedding sites used by calves were closer to ecotones, had less leaf litter, and had greater density of vegetation below 1 m compared to random sites (n = 82). At a landscape scale, calf habitat surrounding bedding sites had greater density of edges between forest and open vegetation and less coniferous forest compared to random areas. The selected habitats appear to balance the high energetic needs of lactating females at the landscape scale and the need for cover to conceal calves and reduce predation risk at a local scale. Conclusions drawn from our models suggest future habitat management include enhancements of transitional vegetation along ecotones between forest and herbaceous openings that address the needs of both lactating females and recently born calves. We recommend that managers periodically evaluate the availability of calf habitat and calf survival rates. These monitoring activities will provide insight necessary to adaptively manage elk and the habitats driving their population growth to maintain their viability in the central Appalachian Mountains.

The occupational profile of professionals who graduate from Higher Education Institutions is important information to assess the curricular meshes and to fine-tune the graduation profile of future professionals so that they respond to the needs of the sector and the country. It is a non-experimental study, of longitudinal cut and with a descriptive scope, that seeks to identify the fields of action of the industrial engineer, the main positions in which he works and the dimensions of competencies that are most valued by employers; For this purpose, a documentary review of the internship reports that employers provide to students after having developed their professional practice is carried out. The results obtained reveal that industrial engineering students have ample opportunities to be employed; they are not limited to the industrial sector. The sectors in which they are most in demand correspond to manufacturing, commercial, agribusiness, mining, metal infrastructure, services, telecommunications, the public sector, the electricity sector and education. In the same way it was determined that the main areas of performance are production, quality, logistics, maintenance, security, method engineering, projects and administration.
 Keywords: exit profile, occupational profile, professional profile, fields of action.
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e4306078Faced with a socio-cultural context marked by inequality and oppression in relation to sexual and gender diversity in Brazil, generated by prejudice and intolerance resulting from homophobia, the space occupied by the school in this scenario is questioned, an institution that dialogues with the processes occurring in society in which it is inserted. Thus, this article aims to present the results of research on the theme of sexuality and gender in teacher education in Ribeirão Preto-SP and Jaboticabal-SP, as well as its consequences in teaching, in which the multifactorial issues that involve the approach of this teacher are analyzed. theme in teaching. This theme consists of theoretical and practical elements that touch on formative, institutional, behavioral, curricular, epistemological, sociocultural and didactic-pedagogical aspects of the schooling process. With a qualitative approach and adopting by theoretical basis, mainly authors of queer analytical perspectives in the educational environment, semi-structured interviews with teachers from public schools, working in the two mentioned municipalities, used information by through discursive textual analysis. Teachers reported formative, sociocultural and institutional problems and difficulties in working with the theme of sexuality and gender in teaching, such as the absence of this theme in initial training and the reflexes of this process in teaching, as well as in several aspects that make up the school environment. It was also verified the existence of openings and possibilities to trace paths that articulate changes and transformations in relation to sexuality and gender in the educational scenario.ResumoDiante de um contexto sociocultural marcado pela opressão sobre a diversidade sexual e de gênero no Brasil, gerados pelo preconceito e intolerância decorrentes da homofobia, questiona-se o espaço ocupado pela escola neste cenário, instituição que dialoga com os processos ocorridos na sociedade em que está inserida. Assim, apresentamos os resultados da investigação sobre a temática sexualidade e gênero na formação de professores em Ribeirão Preto-SP e Jaboticabal-SP, bem como seus desdobramentos na atuação docente, na qual se analisa as questões multifatoriais que envolvem a abordagem deste tema no ensino. Tal tema é constituído por elementos teóricos e práticos que tocam aspectos formativos, institucionais, comportamentais, curriculares, epistemológicos, socioculturais e didático-pedagógicos do processo de escolarização. Com abordagem qualitativa e adotando-se por fundamentação teórica, principalmente, autores de perspectivas analíticas queer no meio educacional, utilizou-se como instrumento de coleta de dados entrevistas semiestruturadas com professores da rede pública de ensino, atuantes nos dois municípios mencionados, informações trabalhadas por meio da análise textual discursiva. Os professores relataram problemas e dificuldades formativas, socioculturais e institucionais no trabalho com a temática sexualidade e gênero no ensino, como a ausência deste tema na formação inicial e os reflexos deste processo na atuação docente, assim como em diversos aspectos que compõem o âmbito escolar. Constatou-se, também, a existência de aberturas e possibilidades para traçar caminhos que articulem mudanças e transformações com relação a temática sexualidade e gênero no cenário educacional.ResumenAnte un contexto sociocultural marcado por la opresión de la diversidad sexual y de género en Brasil, generado por el prejuicio y la intolerancia derivados de la homofobia, se cuestiona el espacio que ocupa la escuela en este escenario, institución que dialoga con los procesos que ocurren en la sociedad en que se encuentra insertado. Así, presentamos los resultados de la investigación sobre el tema sexualidad y género en la formación del profesorado en Ribeirão Preto-SP y Jaboticabal-SP, así como sus consecuencias en el desempeño docente, en el que las cuestiones multifactoriales que involucran el abordaje de este tema en la docencia se analizan. Esta temática está constituida por elementos teóricos y prácticos que tocan aspectos formativos, institucionales, conductuales, curriculares, epistemológicos, socioculturales y didáctico-pedagógicos del proceso escolar. Con un enfoque cualitativo y adoptando como fundamento teórico, principalmente autores de perspectivas analíticas queer en el ámbito educativo, se utilizaron entrevistas semiestructuradas como instrumento de recolección de datos con docentes de escuelas públicas, trabajando en las dos ciudades mencionadas, información trabajada a través de textos discursivos textuales. análisis. Los docentes informaron problemas y dificultades educativas, socioculturales e institucionales para trabajar la temática de la sexualidad y género en la docencia, como la ausencia de esta temática en la formación inicial y las consecuencias de este proceso en la docencia, así como en diversos aspectos que la integran. el entorno escolar. También se verificó la existencia de aperturas y posibilidades para trazar caminos que articulen cambios y transformaciones relacionadas con la sexualidad y el género en el escenario educativo.Palavras-chave: Ensino, Formação de Professores, Gênero, Sexualidade.Keywords: Teaching, Teacher’s Education, Gender, Sexuality.Palabras-clave: Docencia, Formación del profesorado, Género, Sexualidad.ReferencesALTMANN, Helena. Diversidade sexual e educação: desafios para a formação docente. Sexualidad, Salud y Sociedad – Revista Latinoamericana, Rio de Janeiro, n. 13, p. 69-82, 2013.ALTMANN, Helena; MARIANO, Hugo Romano. Crianças e adolescentes ministram aulas sobre gênero na universidade: experiência pedagógica e constituição do sujeito. Revista Diversidade e Educação, v. 7, n. 1, p. 244-259, Jan/Jun, 2019.ALVES, Alda Judith. O planejamento de pesquisas qualitativas em educação. Cadernos de Pesquisa, São Paulo (77), maio 1991, p. 53-61.BANDEIRA, Andreia; VELOZO, Emerson Luís. Livro didático como artefato cultural: possibilidades e limites para as abordagens das relações de gênero e sexualidade no Ensino de Ciências. Revista Ciência e Educação, Bauru, v. 25, n. 4, p. 1019-1033, 2019.BENTO, Berenice. Na escola se aprende que a diferença faz a diferença. Revista Estudos Feministas, v. 19, n. 2, p. 549-559, 2011.BRANCALEONI, A. P. L.; KUPERMANN, D. Sexualidade, gênero e abjeção entre os muros da escola: um olhar da psicanálise. In: PERINELLI NETO, H. (org.). Ensino, Diversidades e Práticas Educativas: pistas, experiências e possibilidades. Port Alegre, RS: Editora Fi, 2018.BRANCALEONI, A. P. L.; OLIVEIRA, R. R. Silêncio! Não desperte os inocentes: sexualidade, gênero e educação sexual a partir da concepção de educadores. Revista Ibero-Americana de Estudos em Educação, v. 10, 2015.BRANCALEONI, A. P. L.; OLIVEIRA, R. R.; SILVA, C. S. F. Diversidade sexual e de gênero e Base Nacional Comum Curricular: caracterizações e proposições. In: III Congresso Brasileiro de Ensino e Processos Formativos - UNESP/IBILCE, 2018. São José do Rio Preto, 2018.BUTLER, Judith. Problemas de gênero: feminismo e subversão da identidade.. Rio de Janeiro: Civilização Brasileira, 2003.COUTO JUNIOR, Dilton Ribeiro; OSWALD, Maria Luiza Magalhães Bastos; POCAHY, Fernando Altair. Gênero, sexualidade e juventude(s): Problematizações sobre heteronormatividade e cotidiano escolar. Revista Civitas, Porto Alegre, v. 18, n. 1, p. 124-137, jan.-abr. 2018.DORNELLES, Priscila Gomes; WENETZ, Ileana. Uma análise generificada sobre o projeto gênero e diversidade na escola. Cadernos de Pesquisa, São Paulo, v. 49, n. 173, p. 226-243, jul./set. 2019.FREIRE, Paulo. Pedagogia da autonomia: saberes necessários à prática educativa. São Paulo: Paz e Terra, 1996, n de páginasFOUCAULT, Michel. História da Sexualidade I: a vontade de saber. Rio de Janeiro: Graal, 1988.GOODMAN, Leo. Snowball sampling. Annals of mathematical statistics. V. 32, p. 148-170, 1961.HALL, Stuart. A identidade cultural na pós-modernidade. 11. ed. Rio de Janeiro: DP A, 2006.HENRIQUES, Eduardo; BARBOSA, Guilherme. As performatividades de gênero no espaço escolar: abjeção e formação crítica para a cidadania. Revista Cadernos de Estudos e Pesquisa na Educação Básica, Recife, v. 2, n. 1, p. 51-72, CAp UFPE, 2016.KLEIN, Remí. Questões de Gênero e Sexualidade nos Planos de Educação. Coisas do Gênero, São Leopoldo-RS, v.1, n. 1, p. 145-156, ago.-dez. 2015.LOURO, Guacira Lopes. Pedagogias da sexualidade. In: LOURO, Guacira Lopes. (Org.) O corpo educado: pedagogias da sexualidade. 3. ed. Belo Horizonte: Autêntica, 2013.MADUREIRA, Ana Flávia do Amaral; BRANCO, Ângela Uchoa. Gênero, Sexualidade e Diversidade na Escola a partir da Perspectiva de Professores/as. Temas em Psicologia. Vol. 23, nº 3, p. 577-591, 2015.MEDEIROS, Ettore Stefani. Necropolítica tropical em tempos pró-Bolsonaro: desafios contemporâneos de combate aos crimes de ódio LGBTfóbicos. 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543 Background: We sought to explore the impact of locoregional recurrence (LRR) on survival in breast cancer (BC) patients in British Columbia treated in the modern era. Methods: A retrospective cohort study design identified patients diagnosed with stage I-III BC from 04/2005-12/2013 treated with surgery and who had a subsequent LRR. Exclusions were death or distant metastasis within 120 days of LRR, bilateral previous/synchronous BC, and other invasive cancers. After LRR, overall survival (OS) and factors associated with OS, including clinical subtype and adjuvant therapy (AdTx), were examined. We defined clinical subtypes as: Luminal (Lum) A-estrogen receptor (ER) and progesterone receptor (PR) positive, HER2 negative, and grade 1 or 2; Lum B-as Lum A but grade 3, or as Lum A but only one of ER or PR positive; triple negative (TNBC)-ER and PR and HER2 negative; and HER2 positive (with any ER, PR). In the absence of earlier LRR, we defined adequate AdTx as: (a) TNBC: >=50% of planned chemotherapy (Chx), (b) HER2 positive: >=50% of planned Chx and >=8 cycles of anti-HER2 therapy, (c) Lum A, B: >=4 years of endocrine therapy and (d) after partial mastectomy or positive final margins: >=50% of radiation therapy dosage. Results: The final cohort had 492 patients with a median follow-up of 7.2 years from LRR and 11.8 years from diagnosis. LRR was local in 69.3% (n=341) and regional +/- local in 30.7% (n=151). Compared with local only, regional recurrences were associated with higher T and N stage, grade, and Lum status (p<=0.01). Biomarkers were re-evaluated at LRR in 82% and changed from initial diagnosis in 32% of those tested: ER expression 3.8% gain, 6.1% loss; PR expression 9.1% gain, 15.1% loss; HER2 overexpression 3.7% gain and 4.8% loss. Over half of patients (n=255, 52%) did not receive adequate AdTx, either by choice or recommendation. A similar proportion with local vs. regional recurrence had inadequate AdTx. Time to death from 1st LRR did not vary significantly between local vs. regional recurrences (median 2.7 years). OS after LRR was lowest in TNBC (median 3.1 years, 24.2% 10-year OS) and longest in Lum A (median not reached, 64.7% 10-year OS) (Table). Conclusions: Our data provide rates of OS after LRR in the era of modern adjuvant therapy. OS after LRR varied by clinical subtype, with TNBC faring the worst, and Lum A the best. Over half had not received adequate AdTx. Despite similar treatment options, OS after LRR was significantly longer for Lum A than B subtypes, underscoring the need for therapy tailored to biology. OS was low in all other subtypes, emphasizing the importance of avoiding LRR.[Table: see text]

Toilet training is one way to train children's independence in clean and healthy living behaviour as a provision for children's life skills in entering the next education level. The research problem is that the child's independence has not yet developed, which is marked by the child not yet being independent in defecating and urinating. The research aims to train children's independence in defecation and urination through demonstration methods and find out whether toilet training activities through demonstration methods can affect children's independence. The research subjects were 50 children. A research approach is quantitative with experimental methods. The data collection technique used pre and post-tests for children's independence with the child's toilet training ability as a measuring tool. The results of data collection were processed by statistical testing the Non-Parametric Wilcoxon Signed Ranks Test. The study found a contrast in toilet training ability before and after being treated with a demonstration technique which has a value of 0.05 with a P value <0.005. The research results conclude that the toilet training demonstration method was effective in increasing children's independence in Kindergarten, Donggala Regency, Central Sulawesi.
 Keywords: early childhood, toilet training, independence skills
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Parental Involvement in their children's schooling has long been recognized as a critical component of good education. This study aims to find out the relationship between socioeconomic status, interpersonal communication, and school climate with parental involvement in early childhood education. Using survey and correlational research design, data collection was carried out through accumulation techniques with tests and questionnaires. The data analysis technique used statistical analysis and multiple regressions. The findings in the socio-economic context of parents show that the measure of power is an indicator in the very high category with a total score of 5, while the measures of wealth, honour and knowledge are included in the high category with a total score of 4 in relation to parental involvement. The form of interpersonal communication, the openness of parents in responding happily to information / news received from schools about children is a finding of a significant relationship with parental involvement in early childhood education. The school climate describes the responsibility for their respective duties and roles, work support provided, and interpersonal communication relationships, parents at home and teachers at school.
 Keywords: Socio-economic Status, Interpersonal Communication, Climate School, Parental Involvement, Early Childhood Education
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Abstract Abstract 1800 Poster Board I-826 Background The prevalence of peripheral neuropathy (PNP) during the treatment of MM with Bortezomib is high. About 20% of patients develop a grade 3-4 PNP due to this treatment, and as a result Bortezomib treatment is stopped or a reduced dose is given. Therefore, there is a strong need to find markers which predict the susceptibility of a patient to develop Bortezomib related PNP. Materials and methods: Bortezomib treated patients from the Dutch/German Hovon 65 GMMG-HD4 trial and the French IFM-2005/01 trial were used for this analysis. In both trials, the efficacy of Bortezomib as induction treatment prior to high-dose therapy is evaluated and PNP status was recorded. Samples were genotyped using a custom-built molecular inversion probe (MIP)-based single nucleotide polymorphism (SNP) chip containing 3404 SNPs (Bank on a Cure program; Van Ness et al., 2008). In total, 232 patients who did not develop PNP were compared to 210 PNP cases (grade 1, n=82; grade 2 n=86, grade 3, n=31, grade 4, n=11). Results The data were processed on the basis of the following criteria. First, SNPs genotyped in less than 75% of the samples were removed (n=155). This resulted in elimination of 59% of the data with unknown genotype while only 1% of the genotyped data were lost. The remaining 41% of the missing data were imputed using BIMBAM (Guan et al., PLoS Genet. 4:e1000279, 2008). As reference panels, the data sets of the BOAC chips from this study, 500 random samples from the Rotterdam ERGO study (Köttgen et al., Nat. Genet. 41, 712–717, 2009) and 60 phased CEU HAPMAP samples were used. Secondly, SNPs were excluded which did not show any genotype variance and which were not in Hardy Weinberg equilibrium. As a last step the data was adjusted for stratification using Eigenstrat (Price et al., Nat. Genet. 38: 904–909, 2006). By removing 21 SNPs and 14 samples the variance between the IFM and Hovon was reduced to an acceptable level (p = 0.011). The resulting combined IFM/Hovon dataset now contained 2764 SNP and 428 samples. The data set was divided in 6/7 (n=367) part as a learning set and 1/7 (n=61) as a validation set. Possibly informative SNPs were selected using information gain as a feature selection method (Cover et al., Elements of information theory. New York, John Wiley, 1991). 66 SNPs with an information gain in allele and genotype frequency were selected (p value < 0.05 after permutation test (n=10000)). Classifiers generated by Partial C4.5 decision tree (PART), support vector machine (SVM) and Random forest learned on this set reached a better than random performance. Sensitivity, specificity, positive predictive value and negative predictive value were respectively 55%, 70%, 60%, and 66% for the PART classifier. Conclusion Preliminary classifiers generated by this dataset suggest that building a classifier with clinically relevant performance may be within reach. To this end, we will report on the outcome of different combinations of existing classifier methods and feature selection methods. Van Ness, B, Ramos, C, Haznadar, M, Hoering, A,Haessler, J, Crowley, J, Jacobus, S, Oken, M, Rajkumar, V, Greipp, P, Barlogie, B, Durie, B, Katz, M, Atluri, G, Ganf, G, Gupta, R, Steinbach, M, Kumar, V, Mushlin, R, Johnson, D, and Morgan, G. (2008). Genomic Variation in Myeloma: Design, content, and initial application of the Bank On A Cure SNP Panel to analysis of survival. BMC Medicine. 6:26. Disclosures Hanifi-Moghaddam: Skyline Diagnostics: Employment.

In the last few decades, the studies in second language acquisition have not answered the question what mechanisms a human’s brain uses to make acquisition of language(s) possible. A neurocognitive model which tries to address SLA from such a perspective was suggested by Ullman (2005; 2015), according to which, “both first and second languages are acquired and processed by well-studied brain systems that are known to subserve particular nonlanguage functions” (Ullman, 2005: 141). The brain systems in question have analogous roles in their language and nonlanguage functions. This article is meant to critically analyse the suggested DP model within the context of neurocognitive studies of L2; and evaluate its contribution to the field of SLA studies.
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Abstract Introduction Today’s diagnostic tests for multiple myeloma reflect the criteria of the updated WHO classification based on biological, morphological and clinical heterogeneity. It has been the concept behind the present study to extend our current biological classification and provide a new tool to generate insight into the stage of clonal differentiation and oncogenesis. The goal of the present study was to generate B-cell subset associated gene signatures (BAGS) from the BM hierarchy used to assign individual phenotypic cell of origin (pCOO) subtypes in patients and validate its pathogenetic impact by prognostic evaluation. Methods Bone marrows (BM, n=7) were harvested from sternum during cardiac surgery. B-cell subsets were phenotyped by Euroflow standard for multiparametric flow cytometry and FACS-sorted for microarray analysis on the Human Exon 1.0 ST Arrays platform. This combination allowed us to generate five BAGS for PreBI, PreBII, immature (Im), naïve (N), memory (M) B-cells, and plasma cells (PC) of normal BM. The BAGS classifier was based on all median-centred probe sets from the data set by regularized multinomial regression with 6 discrete outcomes corresponding to each B-cell subset and the elastic net penalty using the algorithm implemented in the R-package glmnet24. Each clinical data set was probe-set-wise adjusted to have a zero median and the same variance as in the BM data set. The associated cell of origin subset for each patient in each data set was predicted by the BAGS classifier by assigning the class with the highest predicted probability score above 0.45 and otherwise UC. All statistical analyses were done with R version 3.0.2. Survival analysis was performed by the Kaplan-Meier method and log-rank tests. Clinical data sets were from University of Arkansas for Medical Sciences UAMS (n=559), the Dana Farber Cancer Institute DFCI (n=170) both available on the GEO website. Results First, we verified the quality of the sampled B-cell subsets based on the expression patterns of differentiation marker genes. Next, we constructed the BAGS-classifier provided by 38-68 gene probe sets (n), capable of assigning samples to each of the six subtypes of PreBI (n=38), PreBII (n=82), Im (n=71), N (n=68), M (n=52) and PC (n=43). Second, we assigned individual myeloma cases in the 2 patient cohorts including a total of 729 myeloma patients. The resultant assignments generated patient BAGS subtypes with diagnostic frequencies of 0,5-0,6 % preBI, 7-8 % preBII, 27-30 % Im, 8-9 % N, 36-37 % M, 1-5 % PC and 15-16 % UC subtypes. The frequencies were not different between the cohorts. Third, the BAGS subtypes was associated significantly with overall survival (P = 8.6 x 10-5) for high dose melphalan and autologous stem cell transplanted UAMS patients1, as illustrated in Figure 1. The most significant impact was observed within the PreB-II (light blue) and M (acid green) subtypes conferred with significant inferior prognosis compared to the Im (amethyst), N (apple green) and PC (blue) subtypes. The PreB-II and M subtypes in the UAMS cohort were correlated to the ISS stage I-III with 33%, 49% and 69% of the cases, respectively. Fourth, we compared the BAGS subtypes and the TC classification2 with no observed correlations (results not shown). Conclusions Our data support a new COO defined BAGS classification based on the normal BM B-cell subset phenotypes with impact on staging and prognosis in multiple myeloma and a new diagnostic platform, which may result in more effective disease management. References 1) Zhan F, Huang Y, Colla S et al. The molecular classification of multiple myeloma. Blood. 2006 Sep 15;108(6):2020-8. 2) Bergsagel PL, Kuehl WM, Zhan F, Sawyer J, Barlogie B, Shaughnessy J Jr. Cyclin D dysregulation: an early and unifying pathogenic event in multiple myeloma. Blood. 2005 Jul 1;106(1):296-303. Figure 1 Figure 1. Disclosures No relevant conflicts of interest to declare.