Dissertations / Theses on the topic 'SALT II'
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Lu, Jiao. "Central Mechanisms Mediating Ang II-Salt Hypertension." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34811.
Full textKing, Andrew J. "Sympathetic mechanisms of salt-sensitive hypertension." Diss., Connect to online resource - MSU authorized users, 2008.
Find full textTitle from PDF t.p. (viewed on Mar. 30, 2009) Includes bibliographical references (p.177-201). Also issued in print.
Veerasingham, Shereeni J. "Salt-induced hypertension, central regulation by ouabain-like compounds and angiotensin II." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ58297.pdf.
Full textZenteno, Savin Tania. "Plasma arginine vasotocin and angiotensin II concentrations during saline acclimation in birds with salt glands." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29892.
Full textScience, Faculty of
Zoology, Department of
Graduate
Huang, Chunhua. "Impact of dietary salt intake during growth on cardiovascular homeostasis and neural control of the kidney : role of brain angiotensin II (Ang II)." Thesis, University of Birmingham, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368519.
Full textStansfield, Ron E. (Ron Earl) Carleton University Dissertation International Affairs. "Taming the technological beast: the failure of Salt II to introduce stability into superpower strategic nuclear forces structures." Ottawa, 1992.
Find full textNurkiewicz, Timothy Robert. "Effects of hypertension and dietary salt on myogenic activity in the microcirculation possible roles of nitric oxide and angiotensin II /." Morgantown, W. Va. : [West Virginia University Libraries], 1999. http://etd.wvu.edu/templates/showETD.cfm?recnum=1004.
Full textTitle from document title page. Document formatted into pages; contains xvi, 200 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references.
Gabor, Alexander. "Role of Angiotensin II, Glutamate, Nitric Oxide and an Aldosterone-ouabain Pathway in the PVN in Salt-induced Pressor Responses in Rats." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/22900.
Full textAmbrose, Matthew John. "The Limits of Control: A History of the SALT Process, 1969-1983." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1417687511.
Full textZandevakili, Roham. "Effects of ANG II and its receptor blockers on nasal salt gland secretion and arterial blood pressure in conscious perkin ducks (Anas plalytrhynchos)." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq40893.pdf.
Full textFassmann, Sarah. ""Super Salesmen" for the Toughest Sales Job: The Utah Nippo, Salt Lake City's Japanese Americans, and Proving Group Loyalty, 1941-1946." DigitalCommons@USU, 2012. https://digitalcommons.usu.edu/etd/1286.
Full textMilan, Vraneš. "Obrazovanje hloridnih i bromidnih kompleksa kobalta(II) u električki nesimetričnim vodenim rastopima soli." Phd thesis, Univerzitet u Novom Sadu, Prirodno-matematički fakultet u Novom Sadu, 2009. https://www.cris.uns.ac.rs/record.jsf?recordId=83678&source=NDLTD&language=en.
Full textIn this thesis absorption spectra of cobalt(II) chloride and bromide in calcium nitrate – ammonium nitrate – water system of the composition xCa(NO3)2·zH2O – (1–x)NH4NO3 (x= 0.30 - 0.90 and z= 2.67 – 6.67) have been investigated in the wavelength range 400-800 nm at three different temperatures: 45, 55 and 65oC.Temparature, composition of the melt and water content influence on complex formation reactions between cobalt(II) and halide ions in aqueous xCa(NO3)2·zH2O –(1–x)NH4NO3 melts have been studied. Thermodynamic parameters for cobalt(II) – halide association process in different solvents also were determined.Investigated systems are interesting because of their high values of latent heat of fusion and low melting points. Due to these reasons, some melts are proposed for heat energy storage materials, usually known as phase change materials (PCM).
Borko, Matijević. "Građenje halogenidnih kompleksa kobalta(II) u rastopima smeše neorganskih soli i polarnih organskih jedinjenja." Phd thesis, Univerzitet u Novom Sadu, Prirodno-matematički fakultet u Novom Sadu, 2011. https://www.cris.uns.ac.rs/record.jsf?recordId=77320&source=NDLTD&language=en.
Full textIn this dissertation the complex formation between cobalt(II) and halide ions in the melts consisting of one inorganic salt, an organic compound and/or water has been studied at different temperatures. Two molten salt systems have been investigated: 1) ammonium nitrate-acetamide-water system NH4NO3∙(2,61-z)CH3CONH2∙zH2O (z = 0.0 1.61 2.61) and 2) ammonium nitratedimethyl sulfoxide NH4NO3∙zDMSO (z = 1 – 6), at four different temperatures: 35, 45, 55 and 65 oC. The purpose of this work was to determine stability of cobalt(II) complexes formed with the halide ions and the components of the solvents, to discribe the qualitative and quantitative relationships between the stability of the complexes and the melt composition, as well as the changes in the cobalt(II) coordination due to a complex formation. Thermodynamic parameters for cobalt(II) – halide association process in these melts were alsodetermined.
Dopona, Ellen Priscila Brito. "Hipertrofia miocárdica induzida por consumo elevado de sal é prevenida por agonista de receptor AT2 da angiotensina II." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/5/5148/tde-26032018-134034/.
Full textHigh salt intake is one of the main risk factors for the development of cardiovascular diseases. Dietary salt overload was found to increase cardiac angiotensin II content. Many studies have evaluated the role of angiotensin II on the development of cardiac hypertrophy and fibrosis. Angiotensin II acts through two main receptors: angiotensin II type 1 (AT1) and type 2 (AT2) receptors. Though there are many studies pointing to the effects of the AT1 and high salt diet, the role of AT2 and its effects in dietary salt overload model is still not elucidated. Aiming to better understand the role of AT2 receptor in models of salt overload on cardiac hypertrophy and fibrosis, male Wistar rats were fed normal or high salt diet from weaning up to 18 weeks of age. Both groups were divided into two subgroups. Starting at 7 weeks of age they were treated or not with compound 21 (3mg/kg per day, n=16), an AT2 receptor agonist. Body weight, blood pressure, food intake, water intake, urine volume, plasma and urinary sodium and potassium, cardiomyocyte transverse diameter, percentage of cardiac fibrosis, gene and protein expression of renin, angiotensinogen, angiotensin converting enzyme, AT1 and AT2 were measured. Compound 21 prevented the development of cardiac hypertrophy and fibrosis in rats that received high salt diet. Compound 21 also reduced the increased blood pressure, prevented the lower weight gain in animals fed with high salt diet
Boatright, David L. "Kinetic and mechanistic studies of the thermal decomposition of glycolate and N-Nitrosoiminodiacetic acid in aqueous basic salt solutions : II Phase transfer catalysis in supercritical fluids." Diss., Georgia Institute of Technology, 1995. http://hdl.handle.net/1853/29885.
Full textTan, Paul S. G. "Phosphorus 31 nuclear magnetic resonance study of the mechanism and kinetics of the hydrolysis of zinc (II) O,O'-dialkyl dithiophosphate, its basic salt and some related compounds." Thesis, University of Edinburgh, 1990. http://hdl.handle.net/1842/14518.
Full textMahmoudi, Ghodrat, Damir A. Safin, Mariusz P. Mitoraj, Mojtaba Amini, Maciej Kubicki, Thomas Doert, Franziska Locherer, and Michel Fleck. "Anion-driven tetrel bond-induced engineering of lead(II) architectures with N′-(1-(2-pyridyl)ethylidene)nicotinohydrazide: experimental and theoretical findings." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-224307.
Full textMahmoudi, Ghodrat, Damir A. Safin, Mariusz P. Mitoraj, Mojtaba Amini, Maciej Kubicki, Thomas Doert, Franziska Locherer, and Michel Fleck. "Anion-driven tetrel bond-induced engineering of lead(II) architectures with N′-(1-(2-pyridyl)ethylidene)nicotinohydrazide: experimental and theoretical findings." Royal Society of Chemistry, 2016. https://tud.qucosa.de/id/qucosa%3A30311.
Full textWallace, Ben F. C. "Fighting Back Against the Cold War: The American Committee on East-West Accord and the Retreat from Détente." Ohio University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1357162421.
Full textNorton, Amie E. "Investigations of Stimuli-Responsive Platinum(II) Salts." University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1504781443162754.
Full textSANCHEZ-LOPEZ, ROSANA. "Partie i : etude des mecanismes impliques dans la resistance au sel chez une bacterie halophile- partie ii : etude des relations structure-fonction de metalloproteinases de la famille collagenase." Université Louis Pasteur (Strasbourg) (1971-2008), 1989. http://www.theses.fr/1989STR13020.
Full textBlomqvist, Maria, and Sofia Lind. "Basel II : – risk för minskat små- och nyföretagande samt bolåneboom?" Thesis, Uppsala University, Department of Business Studies, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7477.
Full textDen 1 januari 2007 införs nya kapitaltäckningsregler, Basel II. De nya reglerna innebär bland annat att banker ska använda mer finjusterade metoder för att mäta kreditrisk. Detta skulle kunna få effekter för bankernas kreditbedömning och därmed också för deras kunder. Vi vill i denna uppsats utreda om bankernas kreditbedömning kommer att förändras till följd av Basel II och vilken inverkan en förändring skulle ha på utlåningen till små och nystartade företag samt till bolånekunder. Studiens teoriavsnitt grundas på tryckta och elektroniska källor och utgörs av valda delar ur nuvarande regelverk Basel I, kommande regelverk Basel II samt kortfattad kreditbedömningsteori. Empirin utgörs av primärdata i form av tre besöksintervjuer på två storbanker, vilken även kompletterats med information från bankernas årsredovisningar. Undersökningen visar att förfinad riskklassificering troligen kommer att medföra ett ökat räntespann. Vår uppfattning är att bolånekunder har gynnats, eller kommer att gynnas, av lägre räntor medan små och nystartade företag med svaga verksamheter löper risk att initialt drabbas av högre räntor och sämre tillgång på kapital.
Pettersson, Adam, and Anna Wesslén. "Basel II : Hur påverkas Sala Sparbank av de nya kapitaltäckningsreglerna?" Thesis, Mälardalen University, School of Sustainable Development of Society and Technology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-885.
Full textProblem - Den 1 januari 2007 kom det nya
kapitaltäckningsregler, Basel II, som påverkade alla
banker. Utifrån detta har frågeställningarna utformats.
Hur har Sala Sparbank påverkats av implementeringen
av Basel II?
När och hur har implementeringen skett?
Syfte - Syftet med denna studie är att beskriva hur Basel II har
påverkat Sala Sparbank.
Metod - Studiens författare bestämde sig för att studera Basel II
och började med att samla in relevant sekundärdata. Då
referensramen var färdig utformades intervjumallen
som ligger till grund för studiens primärdata. Studien
grundar sig på en kvalitativ metod då stora delar av
den insamlade data är primärdata. Semistrukturerade
intervjuer genomfördes då författarna ville undvika
ledande frågor i största möjlighet. En analys av
referensramen samt empirin genomfördes, vilket ledde
fram till studiens slutsats.
Resultat - Sala Sparbank har haft stor nytta av det nya regelverket
då de har kunnat uppdatera och omorganisera hela sin
verksamhet. Detta har gjort att banken i dagsläget är
redo för att möta framtiden på ett konkurrenskraftigt
sätt.
Stuart, Clare Anne. "Reactions of ruthenium(II) diphosphine complexes with silver(I) salts." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366948.
Full textBenhlima, Nadia. "Echelles d'acidite et de potentiel redox dans le nitrate d'ethylammonium fondu et ses melanges avec l'eau a 298 k." Paris 6, 1988. http://www.theses.fr/1988PA066066.
Full textCosta, Andrea Volante. "O lúdico na sala de aula de língua portuguesa no fundamental II." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/48/48134/tde-05082008-141909/.
Full textThis dissertation aims at reflecting upon an alternative to Portuguese learning and teaching in Middle school1 in which the focus is the development of the proficiency in reading, writing and speaking by means of game-like activities. Therefore, it bears resemblance to the highly successful experience conducted by English courses in line with the Communicative Approach, specially, those of Task-based Language Teaching orientation. The concept of game hereafter presented comes from the works of Huizinga (2004), Wittgenstein (1975) and Brougère (1995, 1999), meanwhile the relationship between games and education relies upon the considerations of Kishimoto (1992, 1994, 1998, 2001, 2007), Brougère (1995, 1999) and Macedo, Petty e Passos (2005); as for games and second language learning and teaching, by Crookall and Oxford (1990) and Bullards (1990). Approaches and methodologies with a greater importance in the Brazilian context (FERRO, 1998; RODRIGUES, 2005; BERGO E GOMES, 1985) were discussed in order to provide background information on the usage of games in Task-based Language Teaching (ELLIS, 2003). Four points of view were privileged to the analysis of the main reasons for learning and teaching Portuguese: the schooling tradition, the results of the evaluation conducted to measure the performance of the students enrolled on the Middle school, the official perspective (PCN) and the linguistic studies related to Education. Having this theoretical scope in mind, two different pieces of ethnographic research were conducted. The first one consisted of the observation of both Portuguese and English (extracurricular) classes at a private school in São Paulo, so that it would be possible to verify whether their delivery has really been taking into consideration the use of games or not. It was reached the conclusion that 60% of the time spent in the English classes observed were on game activities. On the other hand, none activity was observed during the Portuguese class. In the SECOND FIELD STUDY, there was a mini-course of reading, writing and speaking, taught by the researcher, in which students from a public school in São Paulo participated in. Its main objective was to access the real possibilities of success in teaching Portuguese by making use of game activities instead of the metalinguistic ones, pointed as the major resource for Portuguese classes by Neves (2003) and Semeghini-Siqueira (1998, 2006a). The methodological reference for the mini-course is based upon the concepts of \"Avaliação Diagnóstica e Formativa\" (SEMEGHINI-SIQUEIRA, 1997, 2002) and \"Seqüência Didática\" (SCHNEUWLY; DOLZ; NOVERRAZ, 2007) as a means of structuring the linguistic and epilinguistic activities (SEMGHINI-SIQUEIRA, 1977, 1997, 2001, 2005, 2006b, 2006c; FRANCHI, 1991; GERALDI, 1985, 1991, 2002; TRAVAGLIA, 1996; POSSENTI, 1996) around the interview genre. As a result, the game activities carried out in the Portuguese classes held by the mini-course proved to be very effective, therefore the learning was enriched by the variety of approaches as well as the range of skills involved in performing the tasks.
Deacon, Paul Robert. "The preparation, characterisation and anti-bacterial activity of orally-viable tin(II) salts." Thesis, University of Bath, 1994. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.240664.
Full textEricius, Martin. "Investerarskyddet i MiFiD II : En jämförelse med gällande rätt samt en rättsekonomisk analys." Thesis, Uppsala universitet, Juridiska institutionen, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-294368.
Full textMarlot, Samuel. "Les lois révolutionnaires 11 août 1792-22 prairial an II : La codification du salut public." Paris 2, 2009. http://www.theses.fr/2009PA020059.
Full textNordström, Sara. "En analys av Joseph Conrads roman Heart of Darkness samt novell An outpost of progress." Thesis, Högskolan Dalarna, Litteraturvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:du-12649.
Full textBRITO, Liz Romão de. "Literatura e história na sala de aula: uma parceria para o letramento no ensino fundamental II." Universidade Federal de Campina Grande, 2015. http://dspace.sti.ufcg.edu.br:8080/jspui/handle/riufcg/201.
Full textMade available in DSpace on 2017-12-29T14:34:13Z (GMT). No. of bitstreams: 1 LIZ ROMÃO DE BRITO - DISSERTAÇÃO PROFLETRAS 2015.pdf: 2072332 bytes, checksum: bbd849e362aec2f765b204e81a6c5d9b (MD5) Previous issue date: 2015-07-20
Este trabalho objetiva reafirmar a necessidade de a escola voltar-se para o letramento dos indivíduos como uma forma de inseri-los na sociedade de maneira atuante e competente. Desde a construção do Projeto Político Pedagógico até a gestão da sala de aula precisam garantir práticas educativas que visem o desenvolvimento do letramento.A proposta é que o texto literário seja efetivamente utilizado em sala de aula por todas as áreas do conhecimento, pois todas são responsáveis pelo desenvolvimento da competência leitora dos alunos, visto que, o mundo contemporâneo exige um sujeito crítico, capaz de intervir na realidade. Isso é possível através do contato com mundos diferentes que a literatura é capaz de proporcionar e, portanto, constitui-se num campo fértil para estabelecer diálogos consigo mesma ou com outros textos e até com outras épocas, o que permite ao aluno inferir, comparar, concordar, discordar e questionar, habilidades fundamentais na construção do leitor competente. Este trabalho propõe uma aproximação entre Literatura da História, através da leitura do romance “Viagens de Gulliver”, enquanto gênero literário, bastante rico pela complexidade de personagens e fatos que fazem parte do enredo, e que nada mais são do que uma visão fictícia das sociedades e dos valores morais, intelectuais e culturais que se descortinam na narrativa. A turma escolhida foi o 9º ano do Ensino Fundamental por apresentar maturidade para dialogar com um romance que enfatiza a formação das sociedades, a condição humana diante do poder e as guerras, assuntos pertencentes ao currículo de História na série citada. Este trabalho apresenta uma proposta interdisciplinar entre História e Literatura pois acredita-se que o aluno precisa compreender que a realidade social é uma construção histórica da humanidade, e que o romance “Viagens de Gulliver” possibilita ao aluno entrar em contato com diferentes pontos de vista, que revela “os lugares da memória”. A disciplina de História foi escolhida por estabelecer ligação com a Literatura porque ambas proporcionam uma ampla visão das sociedades através do processo de complementaridade entre ficção e realidade. No ensino fundamental, a leitura literária é imprescindível, independente da área de conhecimento, porque ela é responsável pela construção da autonomia individual e coletiva. Tal autonomia é adquirida a partir da interação entre os indivíduos permeada pela leitura. Por este motivo a proposta de intervenção objetiva aproximar o romance “Viagens de Gulliver” e o livro didático do 9º ano como forma de proporcionar ao aluno diversas possibilidades de perceber a realidade.
This work aims to reaffirm the need for the school to turn to the literacy of individuals as a way to insert them into the society in an active and competent way, to this end is fundamental the innovation of the whole educational practices, since the construction of the Pedagogic Political Project to the classroom management. The proposal is that the literary text is effectively used in the classroom by all areas of knowledge, because all are responsible for the development of reading competence of the students, since the contemporary world requires a critical subject, able to intervene in reality. This is possible, since each teacher has a thorough knowledge of the features of reading act. In order to the dialog among them happens safely and fertility. Literature allows contact with different worlds and, therefore constitutes a fertile field for contacting the dialogues it’s capable of providing, either with itself or with other texts and even other epochs, what allows students to infer, compare, agree, disagree and question, fundamental skills in building competent reader. To approximate the History of Literature, it proposes the reading of the novel as a literary genre, very rich by the complexity of the characters and events that are part of the plot, and which are nothing more than a fictitious vision of societies and of the moral, intellectual and cultural values that are revealed in the narrative. The goal is to appropriate of the literary text as historical source, in order to the students start to understand that social reality is a historic building of humanity, and to this end, this historical reading needs to be interdisciplinary, this is the reason of the choice for the novel, which allows contact with different points of view, which reveals the "places of memory". In elementary school, literary reading is essential, regardless of the area of knowledge, because it is responsible for the construction of individual and collective autonomy.
Ling, Rick. "Gustav II Adolf - "I idealitetens skimmer" : En studie om framställningen av Gustav II Adolfs person, politiska gärningar samt historiebruk i allmänna översikter om svensk historia." Thesis, Jönköping University, Högskolan för lärande och kommunikation, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-51881.
Full textSyftet med denna studie är att undersöka hur bilden av Gustav II Adolfs person och hans politiska gärningar har framställts i allmänna översikter om svensk historia. Studien ska därtill med hjälp av en historiebrukstypologi undersöka hur historien om Gustav II Adolfs person och politiska gärningar har använts genom att fokusera på vetenskapliga, existentiella, moraliska, ideologiska och politiska intressen. Totalt har åtta verk undersökts under tidsperioden 1830-2000. Med utgångspunkt i ett historiekulturellt perspektiv visar analysen av författarnas framställningar på en konsekvent positiv och idealiserad bild av både Gustav Adolfs person och politiska gärningar. Denna idealiserade porträtt av kungen är särskilt märkbar i källor från 1800-talet där han tillskrivs ett antal olika ledarskapsegenskaper och personliga kvalitéer. Från och med 1900-talet så fortsätter Gustav Adolf att beskrivas i positiva ordalag men det ideala porträttet av kungen har gradvis avtagit med tiden. Genom hela 1900-talet ser vi ett successivt skifte i fokus från Gustav Adolfs person och hans roll i den politiska händelseutvecklingen. Istället börjar författarna fokusera mer på att beskriva översiktliga händelseförlopp och utvecklingslinjer. I undersökningen och analysen av historiebruket så är det de vetenskapliga och ideologiska historiebruket som utmärker sig som dem mest synliga och dominanta historiebruken i författarnas framställningar. En utvecklingslinje har observerats där det vetenskapliga historiebruket successivt blivit ett starkare inslag i författarnas framställningar på bekostnad av andra historiebruk. Sammanfattningsvis så har författarnas framställningar visat på en konsekvent positiv bild av Gustav II Adolf. Men det utrymme kungen får och den betydelse han tillskrivs av författarna har minskat med tiden.
Raoelison, Jean de Dieu. "Eglise sacrement du salut selon Vatican II et les nouveaux groupements religieux à Madagascar : quels rapports instaurer? /." Lugano : Sapiens ed, 2008. http://opac.nebis.ch/cgi-bin/showAbstract.pl?u20=9788883800306.
Full textAlba, Garibay Marco Antonio. "Persistence of inflammatory activity in giant cell arteritis:Role of the angiotensin II system." Doctoral thesis, Universitat de Barcelona, 2014. http://hdl.handle.net/10803/283754.
Full textLa arteritis de células gigantes (ACG) es una vasculitis sistémica idiopática que afecta principalmente arterias de mediano y gran calibre. La calidad de vida de estos pacientes puede verse seriamente afectada debido a múltiples complicaciones inmediatas y tardías. Esta tesis es un compendio de cuatro artículos que evalúan características clínicas e inmunopatológicas de la persistencia de la inflamación crónica en la ACG. En la primera publicación, se describen las características y la evolución de la enfermedad en una pequeña serie de pacientes latinoamericanos, concluyéndose que las manifestaciones y el comportamiento de esta vasculitis es similar a la reportada en otras cohortes, principalmente de origen caucásico. En el segundo artículo se describe la prevalencia, características y factores asociados con las recaídas o rebrotes, una manifestación de la constante actividad inflamatoria de la ACG. Nuestro estudio demostró que los pacientes con esta vasculitis sufren recaídas de manera frecuente, lo que se asoció a largo plazo con mayor requerimiento de esteroides sistémicos y mayor prevalencia de efectos adversos. La tercera publicación tuvo como punto de partida la necesidad de identificar tratamientos alternativos para lograr un mejor control de la ACG. El punto de partida de este estudio fueron los efectos anti-inflamatorios vinculados a los antagonistas de los receptores de angiotensina (ARA). Los resultados mostraron que la adición de ARA al tratamiento habitual de la ACG estaba asociado con un menor número de recaídas y un efecto ahorrador de corticoesteroides (CE). A partir de esta observación clínica, investigamos si la angiotensina II (ATll) podría desempeñar un papel en el mantenimiento de la actividad inflamatoria crónica de la ACG. En el cuarto manuscrito mostramos que el sistema de la ATll está sobre-expresado en las arterias temporales de pacientes con esta vasculitis. Además, corroboramos que la ATll es capaz de inducir citoquinas pro-inflamatorias en un sistema de co-cultivo de linfocitos, monocitos y células musculares lisas vasculares derivadas de arteria temporal, efecto inhibido mediante el bloqueante del receptor de angiotensina II, losartán.
Álvarez, del Castillo Manuel. "Utilidad del sistema general de medición de gravedad, Mortality prediction model (MPM II), como predictor de mortalidad hospitalaria, en pacientes adultos con traumatismo craneoencefálico, ingresados en Cuidados Intensivos." Doctoral thesis, Universitat Autònoma de Barcelona, 2001. http://hdl.handle.net/10803/4382.
Full textHipótesis: 1º.- Demostrar que el sistema MPM II ajusta mejor la predicción de mortalidad hospitalaria que el GCS y los sistemas APACHE II y SAPS II, en aquellos pacientes que ingresan en UCI a causa de un TCE.
2º.- Que el sistema MPM II es reproducible, y por lo tanto, sus conclusiones fiables.
Material y Método: 1º.- 401 pacientes ingresados consecutivamente a causa de un TCE, en 137 UCIs de 12 países de Europa y Norteamérica. Se calculó la puntuación del GCS, APACHE II, SAPS II, MPM II0 al ingreso y del MPM II24 a las 24 horas. Se utilizó una regresión logística para convertir el GCS en una probabilidad de morir y se hallaron las probabilidades de fallecer generadas por los otros sistemas. Se halló la calibración y la discriminación para cada uno de estos sistemas. 2º.- 5% (119 casos) de una muestra randomizada de una población de 2332 pacientes ingresados consecutivamente en 15 UCIs de Catalunya y Baleares. Se halló la reproducibilidad de las variables del sistema MPM II, entre los datos recogidos por un observador de forma prospectiva y los recogidos por otro observador de forma retrospectiva.
Resultados: 1º.- El sistema MPM II, tanto al ingreso como a las 24 horas, calibra mejor que el GCS, APACHE II y SAPS II. El estadístico C era de 18.4 para GCS, 68.2 para APACHE II y de 30.3 para SAPS II. Todos ellos presentan diferencias estadísticamente significativas entre los resultados predichos y los hallados (p<0.05). MPM II0 y MPM II24 presentan un estadístico C menor, de 11.8 y de 10.8 respectivamente, y no muestran diferencias estadísticamente significativas entre los resultados predichos y los hallados (p>0.30). La discriminación de todos los sistemas fue superior al 89%. 2º.- La reproducibilidad de las variables del sistema MPM II, medido mediante el índice de concordancia kappa, muestra una concordancia alta-moderada. La reproducibilidad global del sistema MPM II medida mediante el uso del coeficiente de correlación intraclases, es superior al 85%.
Conclusiones: 1º.- El sistema MPM II ajusta mejor la predicción de mortalidad hospitalaria en pacientes ingresados en UCI a causa de un TCE, que la calculada mediante los sistemas APACHE II, SAPS II y GCS. Los resultados obtenidos mediante el uso del sistema MPM II son fiables y reproducibles para grupos de pacientes.
Introduction: The vital prognosis at hospital discharge of patients admitted to Critical Care Units (CCU) because a head injury, has been estimated using the Glasgow Coma Scale (GCS). The prognosis of those patients admitted to a CCU, has been estimated using the general severity of illness systems, Acute Physiology and Chronic Health Evaluation II (APACHE II), Simplified Acute Physiology Score II (SAPS II) and Mortality Prediction Model II ( MPM II ).
Hypothesis: 1º.- To demonstrate that system MPM II performs better the hospital mortality than GCS, APACHE II y SAPS II, in those patients admitted to CCU because a head injury.
2º.- To demonstrate that system MPM II is reproducibile, and then, its conclusions trustworthy.
Material and Method: 1º.- 401 patients consecutively admitted to CCU because a head injury, from 137 CCUs in 12 European and North American countries. The GCS score was obtained, and the APACHE II, SAPS II and MPM II0 at admission and MPM II24 at 24 hours, scores too. Logistic regression was used to convert the GCS into a probability of death. Performance of the general severity systems (APACHE II, SAPS II, MPM II) and GCS, in order to predict the hospital mortality was assessed by evaluating calibration and discriminationusing The probabilities of death.
2º.- From 2.332 patients consecutively admitted to 15 CCU in Catalonia and Balearic Islands, a 5% random sample (119 cases) was studied, in order to assess the agreement between two differents observers. One collected the data prospectively, and the other one retrospectively.
Results: 1º.- The MPM II system, both at admission and at 24 hours, calibrate better than GCS, APACHE II and SAPS II. C statistis was 18.4 using GCS, 68.2 using APACHE II and 30.3 using SAPS II. All of them showed statistic differences between predicted mortality and observed results (p<0.05). MPM II0 and MPM II24 showed a lower C statistic ( 11.8 and 10.8 respectively), and did not showed ststistic differences between predicted and observed mortality (p>0.30). The discrimination of all systems was very good, more than 89%.
2º.- The MPM II variables reproducibility, measured using the concordance kappa index, was moderate to high. The global reproducibility, measured using the intraclass correlation coefficient, was higher than 85%. Thus, the mortality predictions using MPM II are trustworthy.
Conclusions: The MPM II performs better the hospital mortality prediction in patients admitted to CCU because a head injury, than those calculated using GCS, APACHE II or SAPS II. The results obtained using MPM II are, in group of patients, trustworthy and reproducibles.
Mendonça, Juliana Silva Cunha de. "Um tigre na sala: uma leitura de Os Vestígios do Dia." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/8/8151/tde-26022019-110419/.
Full textThis dissertation seeks to offer an interpretation of Kazuo Ishiguros novel The Remains of The Day based on the assumption that understanding the work requires viewing it from four temporal angles: the narrative present (1956, the year of the Suez Crisis); the time in which each narrated fact is located (the interwar period, in most cases); a sort of mythical past of a Great Britain to which the narrator refers inwardly; and the year of the immediate reception of the work (1989, the year of the fall of the Berlin Wall, though the book is published several months before the USSR falls apart). According to this reading, the novel would consist of a kind of fin-de-siècle work that throws a look of estrangement upon the twentieth century from the perspective of a narrator who is linked to values prior to this time and a reader who looks at both this narrator and his opponents in 1956 with the privilege of a temporal distance that end up creating an effect of dramatic irony.
Hausner, Sven H. "Part I: Dibenzotetraaza Crown Ethers. Part II: Synthesis and Characterization of Chlorophenyplumbates." University of Cincinnati / OhioLINK, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=ucin998489402.
Full textSchultzberg, Martin. "Kartläggning av kroppslängdens och handstorlekens inverkan på latenstiden vid distal motorisk elektroneurografi av n. medianus samt n. ulnaris med registrering över m. lumbricales II samt m. interosseous volaris I." Thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-84616.
Full textCarpal tunnel syndrome is the most common type of entrapment neuropathy. The symptom arises as a result of the n. medianus being compressed in the carpal tunnel, a narrow channel that runs through the wrist. The compression can cause symptoms in the forms of numbness, loss of sensation, pain and in worse cases muscle atrophies due to demyelination and axonal degeneration. Electroneurography is a method used to facilitate the diagnosis of carpaltunnelsyndrome. In severe cases for example, when standardized neurography examinations for n. medianus show unclear or missing answers, it is possible to perform a specialized examination for n. medianus and n. ulnaris with registration over m. lumbricales II and m. interosseous volaris I to increase sensitivity in diagnosis. The purpose of this study was to assess whether there is a significant relationship between body length, hand size and distal motor latency in distal stimulation over n. medianus and n. ulnaris with registration of m. lumbricales II and m. interossei volaris I. 31 healthy subjects was recruited for this study. Prior to the study, each test subject was required to fill out a consent form in which the person in question gave his or her written consent while also answering questions about health-related factors that may influence the results of the study. Simple regressionanalyzes for left- and right n. medianus and for n. ulnaris bilaterally showed a positive significant relationship between body length, hand size and distal motor latency. Multiple regressionanalyzes showed a positive significant relationship when both hand size and body length were included in relation to distal motor latency.
Salavert, i. Larrosa Ariana. "Estudi en animals transgènics del paper de la sobreexpressió d'IGF-II en cèl·lula ? en el desenvolupament de diabetis mellitus." Doctoral thesis, Universitat Autònoma de Barcelona, 2007. http://hdl.handle.net/10803/3569.
Full textRatolins transgènics que sobreexpressen el factor de creixement IGF-II específicament a les cèl·lules ? pancreàtiques (RIP/IGF-II) presenten un estat pre-diabètic. En aquest treball es van utilitzar aquests animals com a model per estudiar les cèl·lules ? en les fases inicials del procés diabètic i la possible implicació d'IGF-II en el desenvolupament d'aquesta patologia. Es va observar que les cèl·lules ? d'aquests ratolins transgènics presentaven una disminució en la secreció d'insulina en resposta a glucosa. Aquesta disminució podria venir donada per les alteracions funcionals i estructurals presents en aquests illots. S'observava una disminució en l'expressió de Glut2 i insulina, probablement deguda a una reducció dels factors de transcripció que regulen la seva expressió, com Pdx1 i HNF3?. Els illots dels ratolins transgènics presentaven també hiperexpressió de molècules involucrades en la resposta immunitària, com els MHC de classe I i II, tot i no presentar infiltració limfocitària. Així doncs, l'expressió d'IGF-II en les cèl·lules ? dels ratolins transgènics provocava alteracions funcionals en els illots similars a les descrites en models animals o en pacients diabètics.
L'evolució del procés diabètic és un procés llarg i varia molt entre individus. En l'evolució d'aquest procés hi intervindrien tant les alteracions presents en les cèl·lules ? de cada individu, com la influència de factors externs. En aquest treball es va estudiar si les alteracions descrites en les cèl·lules ? dels ratolins RIP/IGF-II, podrien predisposar-los a desenvolupar diabetis oberta enfront a factor accelerador. Vam determinar la susceptibilitat dels ratolins RIP/IGF-II enfront dos estímuls diferents: a) el tractament amb molt baixes dosis d'estreptozotocina (STZ), i b) un procés autoimmune, que seria un procés més crònic i comú en la patologia diabètica.
Després del tractament amb STZ, es va observar que aquest ratolins transgènics resultaven ser més sensibles a dosis molt baixes, considerades no diabetogèniques pels ratolins control. En segon lloc, per tal d'induir la infiltració limfocitària als ratolins RIP/IGF-II, aquests es creuaren amb ratolins transgènics RIP/hIFN?. L'expressió d'IFN? en cèl·lules ? resulta en una important infiltració dels illots dels ratolins transgènics. D'aquest creuament s'obtingueren ratolins doble transgènics IFN?/IGF-II, un 75% dels quals desenvoluparen diabetis espontània durant els dos primers mesos de vida. Demostrant així que les alteracions pre-diabètiques descrites en les cèl·lules ? dels ratolins IGF-II, incrementaven la susceptibilitat a desenvolupar diabetis oberta en presència d'un factor accelerador.
Els resultats d'aquest treball indiquen que alteracions en la funcionalitat de les cèl·lules ? pancreàtiques serien necessàries per incrementar la susceptibilitat a certs factors ambientals que desencadenen la diabetis mellitus. A més, el nostre estudi suggereix que l'increment d'IGF-II en cèl·lules ? podria ser un factor clau en l'inici del procés diabètic.
Type 1 and type 2 diabetes are metabolic diseases with very different etiology that affect collectively 10% of the world-wide population. In both cases the most important metabolic alteration is hyperglycemia, resulting from the absolute (type 1) or relative (type 2) insulin deficiency. In particular, type 2 diabetes mellitus is characterized by decreased response of the liver and peripheral tissues to insulin (insulin resistance) and by inadequate compensatory insulin secretory response. However, overt diabetes only develops when ?-cells fail to compensate for increased insulin demand. Alterations in the functionality of ?-cells would be a primary defect, and not only a simple consequence, in the diabetic pathology. Therefore, studying ?-cells during the initial stages of the diabetic process would be interesting for finding the mechanisms and causes that lead to overt diabetes.
Transgenic mice overexpressing IGF-II specifically in ?-cells (RIP-I/IGF-II) develop pre-diabetes. We decided to use these animals as a model in which to study ?-cells in the initial stages of the diabetic process. After the analysis of RIP/IGF-II ?-cells, we observed that transgenic mice showed a decreased insulin secretion in response to glucose. This decrease was likely due to functional and structural alterations found in these islets. Reduction in Glut2 and insulin was observed, probably due to a reduction in the transcription factors that regulate their expression, such as Pdx1 and HNF3?. At structural level these islets showed an increase in the expression of important extracellular matrix components, but showed a decrease in molecules implicated in the intracellular adhesion. Transgenic islets also showed hyperexpression of molecules involved in the immune response, such as MHC class I and II, although no lymphocyte infiltration was observed in their islets. These results suggest that expression of IGF-II in ?-cells of these transgenic mice leads to similar changes to the ones described in other type 2 animal models and diabetic patients.
The progression to type 2 diabetes is a long process and varies greatly among individuals. In each individual, alterations present in ?-cells and the influence of external factors would both contribute to the process. In this study, we determined if the alterations described in RIP/IGF-II ?- cells could predispose those animals to develop overt diabetes in the presence of a stimulus that acted as an accelerator factor. We tested the susceptibility of RIP/IGF-II mice to two different stimuli: a) treatment with streptozotocin (STZ), which would stimulate a toxic response specific for ?-cells; and b) an autoimmune process, which would simulate a more chronic effect, more similar to the diabetic pathology.
STZ treatment demonstrates that transgenic mice were more sensitive to very low doses of STZ, considered non-diabetogenic for control mice. On the other hand, in order to induce the lymphocyte infiltration to RIP/IGF-II mice, we crossed them with RIP/hIFN transgenic mice. These later mice show a significant infiltration in their islets, induced by the expression of hIFN in their pancreatic ? cells. From this crossbreeding we obtained IFN?/IGF-II double transgenic mice, 75% of which developed spontaneous diabetes during the first two months of age. These results showed that pre-diabetic alterations described in the RIP/IGF-II ?-cells increased their susceptibility to develop overt diabetes in the presence of an accelerator factor.
All these results indicate that correct functionality of pancreatic ?-cells is crucial for being able to resist the effect of environmental factors that would lead to the diabetic process. Moreover, our study suggests that the increase of IGF-II in ?-cells could be a key factor in the beginning of the diabetic process.
Solé, Cabezuelo Brissa. "Alteracions neurocognitives en el trastorn bipolar tipus II: relació amb el funcionament psicosocial i rehabilitació cognitiva." Doctoral thesis, Universitat de Barcelona, 2015. http://hdl.handle.net/10803/380037.
Full textPatients with Bipolar Disorder (BD) show broad cognitive impairments that persist during euthymia despite remission of mood symptoms. Cognitive deficits in BD are associated with impairments in functional outcome and quality of life. Thus, improving cognitive functioning is an important treatment goal in people with BD. Bipolar II disorder subtype (BD-II) has been underdiagnosed in clinical practice, therefore, many aspects of BD-II are still understudied such as neurocognitive functioning. In the present thesis, a systematic review of literature regarding neurocognition in BD-II was carried out. Then, we assessed a sample of strictly defined BD-II euthymic patients to compare it with a sample of healthy controls (HC) to elucidate the neuropsychological profile of this bipolar subtype. A second objective was to study the relationship between neurocognitive performance and functional outcome. BD-II patients showed a significantly lower performance on several measures of attention, learning and verbal memory, and executive function compared with HC. The presence of subthreshold depressive symptomatology and one measure related to executive function and working memory were the variables that best predicted psychosocial functioning. After that, we attempted to analyse cognitive variability also in a sample of euthymic BD-II patients, using a cluster analysis to provide groups of different neurocognitive patterns. Three clusters were detected: an intact neurocognitive group, an intermediate or selectively impaired and a globally impaired group. Approximately one-half of the patients were cognitively impaired. The 3 clusters statistically differed in the premorbid intelligence quotient, the global functional outcome and leisure activities. The globally impaired cluster showed the lowest attainments concerning these 3 variables, which are considered proxies of cognitive reserve. No differences in other clinical characteristics were found among the groups. Taking all these data into account, it seems necessary to implement therapies focused on enhancing functional outcome in bipolar II disorder patients. Hence, we carried out a subanalysis aimed to assess the efficacy of an intervention called Functional Remediation specifically in a sample of BD-II patients. Our results suggest that the Functional remediation appears to be effective in improving the overall functional outcome in BPII, as well as in reducing subclinical depressive symptoms.
Meireles, Regina Maria. "As relações entre as medidas de habilidades sociais do professor do ensino fundamental II e seu desempenho social em sala de aula." Universidade do Estado do Rio de Janeiro, 2008. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=5120.
Full textThe actual concept of a social skilled behavior should include the ability of the individual to obtain self-satisfaction and, at the same time, to develop and keep mutual beneficial and sustainable relationships. In the educational field, a growing worry of parents, school principals and teachers is identified related to the interpersonal development of their students in order to reduce conflicts, to increase the quality of relationships among students and to help the learning process. Therefore, it is necessary that the teacher dedicates him/herself to develop his/her own interpersonal abilities in order to be able to help the student social and intellectual development as well. According to these findings, it becomes relevant to identify which social skills of the teachers are more related with his/her performance in class. Eight teachers and two elementary (from the 6 to the 9 grade) students from Instituto Nossa Senhora Auxiliadora in Rio took part in this research students. They were between 24 and 50 years old. Other 198 eleven to fifteen-year-old teenagers also participated in it, 100 male students and 98 female ones. The social performance of the teachers was both evaluated by themselves and by their students through the Teachers Social Performance Questionnaire. The teachers also answered the Social Skills Inventory and the Empathy Inventory. The results of self-relate measurement point to levels of assertiveness and of empathy above the average in most teachers of this sample, especially in factors related to: self-affirmation with risk; conversation and social development; self-exposure to unknown people and new situations; self- control of aggressiveness; perspective taking; flexibility; altruism and affective sensitiveness. The measurement of the teachers social performance was satisfactory, not only from the teachers, but also from the students perspective. However, the teachers evaluations results were more favorable than the ones done by the students. Besides that, based in the students evaluation, only four teachers showed both empathic and assertive behavior. These results indicate the need to develop training programs in social educational abilities.
Högström, Ulf. "Fredsframtvingande operationer och deras möjligheter till framgång : en studie av manöverkrigföringens principer samt operationerna "Allied Force" (Jugoslavien 1999) och UNOSOM II (Somalia 1993)." Thesis, Försvarshögskolan, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:fhs:diva-1852.
Full textThis thesis deals with Peace enforcement operations and their possibilities tosucceed. Participation in international operations is one of the main tasks forthe Swedish national defence forces. An analysis of the principles ofmanoeuvre warfare and of two limited case studies will result in a number offactors for success in peace enforcement operations. These factors will then becompared and discussed. This thesis will also answer whether it is possible touse the principles of manoeuvre warfare in peace enforcement operations. Theresult of the thesis is that force composition, adapted political control; forceprotection and limited collateral damage are factors that are essential for thepossibilities to succeed with peace enforcement operations. The principles ofmanoeuvre warfare are also important for the possibility to succeed with peaceenforcement. But the multinational factor or the lack of interoperability limitsthe possibilities to use the principles of manoeuvre warfare.
Avdelning: ALB - Slutet Mag 3 C-upps.Hylla: Upps. ChP 00-02
Querol, Niñerola Rosa. "Estudi del paper pronòstic del "Missmatch Repair System" i altres factors clinicopatològics en el càncer de còlon estadi II." Doctoral thesis, Universitat Autònoma de Barcelona, 2020. http://hdl.handle.net/10803/670743.
Full textANTECEDENTES El beneficio del tratamiento con quimioterapia adyuvante en el cáncer de colon estadio II es controvertido. Las guías clínicas recomiendan el tratamiento adyuvante en cáncer de colon estadio II si presentan algún factor de mal pronóstico: T4, alto grado histológico, debut con perforación o oclusión intestinal, invasión vascular, angiolinfática o perineural, márgenes positivos o linfadenectomía con <12 ganglios. Los tumores que presentan deficiencia en las proteínas de los genes reparadores del ADN (dMMR) o inestabilidad de microsatélites (MSI) parece que presentan un mejor pronóstico y no se benefician de la quimioterapia basada en 5-FU en monoterapia. El objetivo de este estudio es determinar el valor pronóstico del "Missmatch Repair System" y del resto de factores clinicopatológicos y evaluar el efecto de la quimioterapia en los pacientes con cáncer de colon estadio II de alto riesgo. METODOLOGÍA Se ha realizado un estudio retrospectivo con 252 pacientes intervenidos de cáncer de colon estadio II en el Hospital de Mataró desde 2002 hasta 2015. Se han determinado de forma prospectiva las proteínas de los genes reparadores del ADN para determinar el estado del MMR system en todos los pacientes clasificados como estadio II de alto riesgo (n = 162) con anticuerpos comercializados contra las proteínas MLH1, MSH2 y MSH6. La falta de expresión de una o más de estas proteínas es diagnóstica de dMMR o MSI. Hemos analizado el impacto en supervivencia global (SG), supervivencia cáncer específica (SCE) y supervivencia libre de recaída (SLR) de los factores pronósticos clinicopatológicos y del MMR system y hemos analizado el beneficio de la quimioterapia adyuvante mediante análisis de supervivencia y regresión de Cox. RESULTADOS La SG a 5 años del estadio II de cáncer de colon de bajo riesgo (sin factores de mal pronóstico) (n = 90) fue del 92% mientras que la SG del estadio II de cáncer de colon de alto riesgo fue del 78%, p = 0.016 En el cáncer de colon estadio II de alto riesgo los tumores dMMR (n = 21) presentan un mejor pronóstico en el límite de la significación estadística en el análisis multivariante en cuanto a supervivencia libre de recaída respecto a pMMR (n = 141) HR 0,145, p = 0,059. No hemos demostrado beneficio de la quimioterapia adyuvante en el estadio II de alto riesgo en SG HR 0.650, p 0286, ni SCE HR 0.617, p0.279, ni SLR HR 0.693, p 0399. Los pacientes de alto riesgo pMMR son el grupo con mayor beneficio de quimioterapia adyuvante en supervivencia libre de recaída p = 0.052. Los factores de mal pronóstico más robustos en el análisis multivariante en SG han sido la edad p <0.0001, el debut con oclusión intestinal p 0.047, CEA preoperatorio> 5 p 0.033 y linfadenectomía <12 ganglios p = 0.009. En SCE han sido la edad p 0.009, T4 p 0.022 y CEA preoperatorio >5 0.012. En la SLR han sido la edad p 0.02; T4 p 0.01, debut con oclusión intestinal p 0.003 y el CEA preoperatorio> 5 p 0.001 CONCLUSIONES Los pacientes con cáncer de colon estadio II de alto riesgo dMMR presentan mejor pronóstico principalmente en SLR en comparación con los pacientes con estadio II de alto riesgo pMMR. Los factores asociados a un mal pronóstico en el estadio II de cáncer de colon resecado son: la edad, el T4, debut con oclusión intestinal, niveles de CEA preoperatorio> 5 y <12 ganglios en la linfadenectomía. No evidenciamos beneficio del tratamiento con quimioterapia en los pacientes con cáncer de colon estadio II de alto riesgo. No obstante, el subgrupo de pacientes con cáncer de colon estadio II de alto riesgo y pMMR son los que se benefician más del tratamiento con quimioterapia adyuvante en SLR.
BACKGROUND Adjuvant 5 fluorouracil-based chemotherapy is controversial in stage II colon cancer. Guidelines recommended adjuvant chemotherapy in high risk stage II disease with poor prognostic features: T4, poorly differentiated histology, lymphovascular and perineural invasion, bowel obstruction, perforation, positive margins or < 12 lymph nodes. Tumors with deficient Missmatch Repair System (dMMR) or Microsatellite instability (MSI) appear to have a better prognosis and do not benefit from 5-FU based chemotherapy in monotherapy. The aim of this study is to assess the prognostic value of the MMR system and other clinicopathological factors and to assess the benefit from adjuvant chemotherapy in patients with stage II colon cancer. METHOD We retrospectively analysed data from 252 patients with stage II colon cancer operated on Mataró Hospital from 2002 to 2015. We registered all prognosis factors. Moreover, we analysed MMR status of all patients classified as high risk stage II colon cancer (n = 162). We determined MMR status by immunohistochemical analysis of MMR proteins. We used commercial antibodies against MLH1, MSH 2 and MSH6. Lack of expression of one or more of these proteins is diagnostic of deficient MMR (dMMR). MSI is the molecular fingerprint of a dMMR system. We analysed the impact on overall survival (OS), cancer specific survival (CSS) and relapse free survival (RFS) of each clinicopathological factor including MMR status and we also analysed the benefit from adjuvant chemotherapy by survival analysis and Cox regression. RESULTS In stage II low-risk colon cancer (without risk factors) (n = 90) 5 years OS was 92 % whereas in stage II high-risk colon cancer (with at least one risk factor) OS was 78%, HR 1.95; IC 95% 1.1 " 3.4; p =0.016. In stage II high-risk colon cancer, dMMR tumors (n=21) have a better RFS than pMMR tumors (n=141) in the multivariate analyses HR 0.145, p = 0.059. In our series adjuvant chemotherapy has no protective effect in high risk stage II colon cancer. Stage II high risk pMMR patients are the group with the highest benefit from adjuvant chemotherapy in RFS p 0.052. In multivariate analyses age p < 0.0001; intestinal occlusion p 0.047, CEA pre surgery>5 p 0.033 and < 12 lymph nodes p 0.009 are significantly and independently associated with poorer OS. Age p 0.009; T4 p 0.022 and CEA pre surgery > 5 p 0.012 are associated with poorer SCC. Age p 0.02; T4 p 0.01, intestinal occlusion p 0.003 and CEA pre surgery >5 HR p 0.001 are associated with poorer RFS. CONCLUSIONS: In high-risk stage II colon cancer dMMR has a better prognosis than pMMR with better RFS. Factors associated with poor prognosis in stage II colon cancer are age, T4, debut with intestinal occlusion, CEA pre surgery >5 and inadequately sampled nodes (< 12 lymph nodes). There is no evidence of benefit from chemotherapy treatment in patients with high-risk stage II colon cancer. However the subgroup of high-risk stage II pMMR colon cancer patients appear to be the ones who would benefit most from adjuvant chemotherapy in terms of RFS.
Nascimento, Luana Monteiro do. "Práticas de utilização de dicionários por professores de Língua Portuguesa do Ensino Fundamental II." reponame:Repositório Institucional da UFC, 2016. http://www.repositorio.ufc.br/handle/riufc/22100.
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Brazil is a country whose population still presents literacy difficulties, for this reason, the school dictionary, as a didactic resource, can contribute to promote reading and, consequently, writing, since its use in the classroom enables to insert students in a universe of information. Therefore, generally speaking, this study aimed to verify the use of dictionaries as a didactic resource, as a means to enhance reading, writing and expand vocabulary skills of students. Specifically, this study sought to identify the use or not of this didactic resource through a questionnaire, inventory model (self-assessment); compare the study variables, questionnaire items, with the teachers’ profile; analyze the association between the study variables; and present activity models involving dictionaries. In order to support the proposed discussions, the ideas of Krieger (2006), Bagno and Rangel (2006), Rangel (2011), and Bridges (2009, 2014) were considered. This was a descriptive quantitative study using a form previously designed for the research, containing variables related to the profile of the respondents and self-assessment scale-type questions, with 39 items, and a Likert-type response format, with four possible answers: Almost never (1); Sometimes (2); Often (3); Almost Always (4), which was electronically available via Google Drive. Regarding the profile of the participants, the majority were female (85.1%), aged 25-40 years, graduated from a federal public university, in which specialization was the predominant degree (70.1%), mainly in the field of Applied Linguistics (91.0%). The other items of the questionnaire were categorized in: Dictionary and classroom practice, which verified that the participants sometimes (40.3%) guided the students to use the printed dictionary; Dictionary and pedagogical planning, which found that participating teachers sometimes selected dictionaries for classroom practice (44.8%); Teachers’ perception about the use of the resource in study, demonstrating that the majority was sometimes favorable to its use (52.2%), perceived the dictionary as technology (32.8%) and almost always identified its importance in school practice (53.7%), as well as the relevance of attending the Lexicography course during graduation (52.2%); in the last item, Teachers’ knowledge about this use, most pointed out that sometimes needed to work with the dictionary in the classroom (40.3%). Additionally, a strong association was found between the use of printed dictionary, teaching time in the classroom, and field of activity; and between the use of dictionary and teacher’s knowledge. It was concluded that the teachers participating in the research sometimes used the dictionary as a didactic resource. Nevertheless, they were favorable to this practice and recognized it as a technology and/or didactic resource. Therefore, it is suggested the promotion of greater incentives, such as training courses for teachers of Elementary Education II and teaching materials for this purpose, in order to stimulate the practice of using dictionaries in Portuguese classes, especially in Elementary Education II.
O Brasil é um país cuja população ainda apresenta dificuldades na alfabetização e no letramento, deste modo, o dicionário escolar, como recurso didático, pode contribuir para promoção da leitura e, consequentemente, da escrita, uma vez que seu uso em sala de aula possibilita inserir o aluno em um universo de informações. Logo, o estudo objetivou, em linhas gerais, verificar o uso ou não de dicionários como recurso didático, como meio de potencializar habilidades de leitura, escrita e ampliação do domínio vocabular de alunos. De modo específico, intentou-se identificar a utilização ou não deste recurso didático, por meio de questionário, modelo inventário (autoavaliação); comparar as variáveis do estudo, itens do questionário, com o perfil dos professores; analisar a associação entre as variáveis do estudo; e apresentar atividades que envolvam dicionários. Para embasar as discussões propostas, consideraram-se as ideias de Krieger (2006), Bagno e Rangel (2006), Rangel (2011) e Pontes (2009; 2014). Trata-se de estudo descritivo e quanti-qualitativo, em que se utilizou um formulário previamente elaborado para a pesquisa, contendo variáveis relacionadas ao perfil dos pesquisados e questões de autoavaliação, do tipo escala, com 39 itens, com formato de resposta do tipo Likert, com quatro possibilidades de respostas: Quase nunca (1); Às vezes (2); Frequentemente (3); Quase Sempre (4), o qual foi disponibilizado em meio eletrônico, através do Google Drive. Acerca do perfil dos participantes, a maioria era do sexo feminino (85,1%), com idades entre 25 e 40 anos, com formação em universidade pública federal, sendo a especialização a titulação predominante (70,1%), atuantes principalmente na área de Linguística Aplicada (91,0%). Os demais itens do questionário foram categorizados em: O dicionário e a prática em sala de aula, em que se constatou que os participantes às vezes (40,3%) orientavam os alunos para o manejo do dicionário impresso; O dicionário e o planejamento pedagógico, em que se encontrou que os professores participantes, às vezes, selecionavam dicionários para a prática em sala de aula (44,8%); Percepções dos professores sobre a utilização do recurso em questão, obtendo que a maioria era às vezes favorável ao uso (52,2%), percebia o dicionário como tecnologia (32,8%) e quase sempre sua importância na prática escolar (53,7%), bem como a relevância de cursar a disciplina de Lexicografia durante a graduação (52,2%); no último item, Conhecimentos dos professores sobre esse uso, a maioria assinalou que às vezes necessitava trabalhar com o dicionário em sala de aula (40,3%). Ademais, constatou-se associação forte entre uso do dicionário impresso, tempo de docência em sala de aula e área de atuação; e uso do dicionário e conhecimento do professor. Concluiu-se que os professores participantes da pesquisa às vezes utilizavam o dicionário como recurso didático, no entanto eram favoráveis a essa prática e o reconheciam como tecnologia e/ou recurso didático. Logo, sugere-se que maiores incentivos sejam promovidos, como cursos de formação destinados a professores do ensino fundamental II e materiais didáticos para este fim, de modo a estimular a prática voltada para utilização de dicionários em aulas de Língua Portuguesa, notadamente no Ensino Fundamental II.
Farré, i. Font Roser. "Diferències pronòstiques en les pancreatitis agudes greus d’origen biliar i enòlic." Doctoral thesis, Universitat Autònoma de Barcelona, 2012. http://hdl.handle.net/10803/96380.
Full textIntroduccion: The acute pancreatitis (AP) is diagnosted by two of the three criteria of Atlanta: abdominal pain, amylases three times above the high value of normal and CT diagnosis of AP. The most prevalent aetiology in our environment is the biliary one (40-60%) followed of the alcoholic one (10-25%). 80% of cases have a mild course with the reintroduction diet and early outcome while 20% are serious cases and require intensive multidisciplinary treatment. In the group of severe AP we difference pancreatitis with early mortality with multiorgan failure and pancreatitis with late mortality associated with late infection of the necrosis. For decades, many authors attempt to find prognostic factors for clinical, analytical or radiological capable of predicting the evolution of severe acute pancreatitis in order to provide better treatment for these patients in the ICU support and improve the survival and mortality. Objectives: Analizes different prognostic factors between biliary and alcoholic AP listed in the onset of the AP to observed if they are good early predictors of poor prognosis. Examine whether the initial CT scan is a good predictor of prognosis. Methods: Patients admitted to the ICU over a period of 23 years with well-established inclusion criteria, including an initial CT grade D or E with or without necrosis, factor will be studied in relation to the other factors. Other factors considered are the initial APACHE II, Ranson, Imrie, CRP and in some cases the C3 and the C4. Results: Stadistical analysis showed that only the APACHE II is a good predictor of mortality. The CRP collected at the onset of symptoms is not predictive of severity probably because its value is maximum at 48 hours. The index of TAC, which we use as inclusion criteria, is a good prognostic factor and we have two distinct groups: one with IT < 7 and other ≥ 7 in which we can ensure that patients with biliary AP with IT < 7 have more complications and mortality than patients with alcoholic AP with the same IT. However, with a IT ≥ 7 complications and mortality are the same for both aetiologies, pancreatic abscess formation even greater in the AP alcoholic. We have shown that the aetiology of AP is an important prognostic factor so that biliary AP has a probability of death 4 times higher than in alcoholic. In the evolution of the severe AP the prognostic criteria are always higher in biliary AP. Conclusions: Biliary AP are more severe with higher inflammatory parameters and higher mortality. In relation to IT, we conclude that it’s a good prognostic factor; with IT < 7 the evolution and mortality are higher in the biliary AP but in IT ≥ 7 alcoholic AP complicated and die like biliary AP. Therefore, AP with over 30% of necrosis are complicated and die equal regardless of aetiology.
Pinter, Piermaria, Andrea Biffis, Cristina Tubaro, Mario Tenne, Maria Kaliner, and Thomas Strassner. "Palladium(II) complexes with electron-poor, 4,5-disubstituted diimidazol-2-ylidene ligands: synthesis, characterization and catalytic activity." Royal Society of Chemistry, 2015. https://tud.qucosa.de/id/qucosa%3A36120.
Full textGorina, Cañaveras Marta. "Educación para la salud desde atención primaria a personas con pluripatología crónica: diabetes mellitus II, hipertensión arterial e hipercolesterolemia simultáneamente." Doctoral thesis, Universitat Autònoma de Barcelona, 2020. http://hdl.handle.net/10803/670123.
Full textLa presente investigación se estructura en tres estudios que tienen por objetivos: evaluar la eficacia de los programas de salud dirigidos a personas con diagnóstico de diabetes mellitus tipo II, hipertensión arterial e hipercolesterolemia implementados hasta el momento (estudio 1); analizar los factores determinantes de la conducta de autocuidado en personas diagnosticadas de los tres problemas de salud objeto de estudio (estudio 2); y diseñar un programa de educación para la salud dirigido a personas diagnosticadas simultáneamente de diabetes mellitus tipo II, hipertensión arterial e hipercolesterolemia que los capacite en el autocuidado para mejorar el control metabólico de dichos problemas de salud (estudio 3). En relación con la estructura del documento, en primero lugar se revisan los antecedentes y el estado actual del tema y se presenta el objetivo general y los objetivos específicos de la tesis. A continuación, se desarrolla la metodología seguida para la realización de los dos primeros estudios, se presentan los principales resultados para cada uno de los mismos y, se discuten los resultados de ambos estudios conjuntamente. Finalmente, se presentan las principales características del programa de educación para la salud “Objetivo Autocuidado”, desarrollado en base a los resultados obtenidos en los dos primeros estudios, así como los reajustes de este tras la realización de la prueba piloto del mismo. Ambos documentos completos se encuentran en la sección de anexos. En la parte final de la tesis se presentan las principales conclusiones y se proponen las futuras líneas de investigación a seguir.
The present research revolves around three main studies which aim to: (i) assess the efficacy of the so far implemented health programmes addressed to people diagnosed with type II diabetes mellitus, hypertension and hypercholesterolemia (study 1); (ii) analyse the determining factors of health behaviour in people diagnosed with the three health problems under study (study 2); and (iii) design an educational health program aimed at people diagnosed simultaneously with type II diabetes mellitus, hypertension and hypercholesterolemia, training them to take self-care in order to improve metabolic control of the abovementioned health problems (study 3). Regarding the structure of the present study, firstly a review of the background and the current state of the subject is carried out, together with the presentation of the general and specific objectives of the thesis. Secondly, the methodology used throughout the first and second study is developed, the main results for each of them are presented separately and are afterwards discussed together. Finally, the main characteristics of the health care education program “Self-care Objective” are presented. It is worth noting that the development of the program is based on the results obtained in the first two studies, as well as the readjustments of the same after the implementation of the pilot test, both documents attached in the annex section. Last but not least important, in the final part of the thesis the main conclusions are presented and future lines of research are proposed.
Kozak, Jennifer Aiden. "Cycloisomerization reactions of enamides and related compounds using platinum(II), gold(I), and silver(I) salts to form complex ring systems : the total synthesis of (+)-fawcettidine." Thesis, University of British Columbia, 2010. http://hdl.handle.net/2429/28197.
Full textFlorentino, Raiane [UNESP]. "O uso de jogos didáticos em sala de aula: reflexões sobre a mediação do ensino da cartografia temática na disciplina de geografia no ensino fundamental II." Universidade Estadual Paulista (UNESP), 2016. http://hdl.handle.net/11449/144613.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
O presente trabalho apresenta reflexões sobre o uso do jogo lúdico no ensino da Cartografia Temática, da disciplina de Geografia no ensino fundamental II, explorando suas possibilidades enquanto recurso didático no ambiente escolar. Pode-se dizer que três razões influenciaram este estudo. A primeira relaciona-se ao fato de que, atualmente, o aluno está exigindo cada vez mais novos desafios que estimulem seu raciocínio. A segunda é que o uso desse material paradidático pode potencializar o desenvolvimento de competências e habilidades no estudante, por meio do esforço natural da curiosidade de vencer os desafios científicos impostos pelos jogos. E a terceira razão é que, quando pautado em um objetivo, seu uso pode ter vários aspectos positivos, deixando de ser apenas um entretenimento, tornando-se mais um elemento gerador de conhecimento. Esse tipo de material é muito utilizado na educação formal e na educação não formal, a fim de estimular o aprendizado em diversas áreas do conhecimento. Todavia, nas aulas de Geografia, seu uso ainda é muito incipiente, ou mesmo inexistente. Apropriando-se do método “Estudo de Caso”, baseado na obra de Yin (2001), estruturou-se o trabalho e escolheram-se o objetivo e o objeto de estudo, para, então, realizar a coleta de dados. Por meio de entrevistas e questionários, visou-se à obtenção de subsídios para a elaboração dos jogos protótipos, que foram, posteriormente, aplicados nas escolas públicas dos municípios de Rio Claro/SP e São José dos Campos/SP. Diante das contribuições do educador e dos estudantes com opiniões e sugestões, foi possível adequar as propostas dos jogos e suas sequências didáticas. Os jogos abrangem cinco quebra-cabeças, um jogo da memória, um jogo dominó e um jogo de tabuleiro, todos com o objetivo de trazer a importância do uso dos mapas temáticos no ensino de Geografia. Como resultado final, tem-se que os jogos são eficazes para realizar análises mais profundas sobre as peculiaridades da Cartografia, reforçando, principalmente, os mapas temáticos. Assim, os educadores, que já possuíam um conhecimento prévio do assunto, relembraram conceitos, e os escolares, tanto fixaram o tema estudado, como também aprenderam novos conteúdos.
This paper presents the results obtained during development of the dissertation on the use of play materials as a mediator instrument Geography teaching in the classroom. Thus, through the proposal of Cartographic Games on Thematic Maps; explains its possibilities as a teaching resource for the teaching-learning process in the school environment. It can be said that three reasons have influenced this study. The first relates to the fact that, currently, the student is increasingly demanding teacher new challenges that stimulate the intellect. The second is that the use of teaching materials can enhance the development of skills and abilities in the student, the natural curiosity of the effort to overcome the scientific challenges posed by games. And the third is that when guided by an objective, its use may have several positive points, no longer just an entertainment for school, becoming an element that generates knowledge. On the other hand, this type of material is widely used in formal and non-formal education to stimulate learning in different areas of knowledge. However, in Geography lessons its use is still very incipient or non-existent. Through the method of the Case Study by Yin (2001), structured to work and picked up the object and the object of study, using interviews and questionnaires given to teachers of public schools. It was then possible to elect the main issues to be developed in prototype games that were applied in public schools in the city of Rio Claro/SP and São José dos Campos/SP. Proposals for cartographic games are measured, so far, in five puzzles, a memory game, a domino game and a board game, all with the purpose of bringing the importance of the use of thematic maps in teaching Geography.
Florentino, Raiane. "O uso de jogos didáticos em sala de aula : reflexões sobre a mediação do ensino da cartografia temática na disciplina de geografia no ensino fundamental II /." Rio Claro, 2016. http://hdl.handle.net/11449/144613.
Full textBanca: Marcello Martinelli
Banca: Andréia Medinilha Pancher
Resumo: O presente trabalho apresenta reflexões sobre o uso do jogo lúdico no ensino da Cartografia Temática, da disciplina de Geografia no ensino fundamental II, explorando suas possibilidades enquanto recurso didático no ambiente escolar. Pode-se dizer que três razões influenciaram este estudo. A primeira relaciona-se ao fato de que, atualmente, o aluno está exigindo cada vez mais novos desafios que estimulem seu raciocínio. A segunda é que o uso desse material paradidático pode potencializar o desenvolvimento de competências e habilidades no estudante, por meio do esforço natural da curiosidade de vencer os desafios científicos impostos pelos jogos. E a terceira razão é que, quando pautado em um objetivo, seu uso pode ter vários aspectos positivos, deixando de ser apenas um entretenimento, tornando-se mais um elemento gerador de conhecimento. Esse tipo de material é muito utilizado na educação formal e na educação não formal, a fim de estimular o aprendizado em diversas áreas do conhecimento. Todavia, nas aulas de Geografia, seu uso ainda é muito incipiente, ou mesmo inexistente. Apropriando-se do método "Estudo de Caso", baseado na obra de Yin (2001), estruturou-se o trabalho e escolheram-se o objetivo e o objeto de estudo, para, então, realizar a coleta de dados. Por meio de entrevistas e questionários, visou-se à obtenção de subsídios para a elaboração dos jogos protótipos, que foram, posteriormente, aplicados nas escolas públicas dos municípios de Rio Claro/SP e São José dos Campos/SP. Diante das contribuições do educador e dos estudantes com opiniões e sugestões, foi possível adequar as propostas dos jogos e suas sequências didáticas. Os jogos abrangem cinco quebra-cabeças, um jogo da memória, um jogo dominó e um jogo de tabuleiro, todos com o objetivo de trazer a importância do uso dos mapas temáticos no ensino de Geografia. Como... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: This paper presents the results obtained during development of the dissertation on the use of play materials as a mediator instrument Geography teaching in the classroom. Thus, through the proposal of Cartographic Games on Thematic Maps; explains its possibilities as a teaching resource for the teaching-learning process in the school environment. It can be said that three reasons have influenced this study. The first relates to the fact that, currently, the student is increasingly demanding teacher new challenges that stimulate the intellect. The second is that the use of teaching materials can enhance the development of skills and abilities in the student, the natural curiosity of the effort to overcome the scientific challenges posed by games. And the third is that when guided by an objective, its use may have several positive points, no longer just an entertainment for school, becoming an element that generates knowledge. On the other hand, this type of material is widely used in formal and non-formal education to stimulate learning in different areas of knowledge. However, in Geography lessons its use is still very incipient or non-existent. Through the method of the Case Study by Yin (2001), structured to work and picked up the object and the object of study, using interviews and questionnaires given to teachers of public schools. It was then possible to elect the main issues to be developed in prototype games that were applied in public schools in the city of Rio Claro/SP and São José dos Campos/SP. Proposals for cartographic games are measured, so far, in five puzzles, a memory game, a domino game and a board game, all with the purpose of bringing the importance of the use of thematic maps in teaching Geography
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