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1

Effendy, Muhammad Rustam, Raden Biroum Bernardianto, and Putri Irianti Sintaman. "Analisis Pelayanan Home Visite Orang Dengan Gangguan Jiwa Di RSJ Kalawa Atei Provinsi Kalimantan Tengah." Pencerah Publik 7, no. 2 (October 19, 2020): 25–34. http://dx.doi.org/10.33084/pencerah.v7i2.1798.

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This study aims to analyze the home visite services of people with mental disorders in Kalawa Atei General Hospital in Central Kalimantan Province. Given the implementation of the program for people with mental disorders to access health services whose handling is different from other health services. This study uses a qualitative approach that aims to describe the complexity and dynamics of handling people with mental disorders. The primary data in this study were sourced from several informants, namely Home Visite Officers from Kalawa Atei General Hospital, Social Service and Povinsi / Regency Health Service, local Puskesmas, and Family of Ganguan Mental Panderita. Meanwhile, Secondary Sources in this study include the Implementation of Home Visite Regulation, Home Visite Service Profile, Home Visite Patient Ratio and other related documents. The results of the study show the conclusions of the study that the implementation of home visite services organized by the Central Kalimantan Atei Central Hospital along with other cross sectors has been running quite well. This is seen in terms of the facilities and infrastructure that have been provided in providing home visite services for ODGJs that have been prepared and are maximally sought. Home visite services are in accordance with SOPs, competencies and disciplines of each service officer. Home visite services provide guarantees to each patient with a special schedule by officers to come to the regions to provide these services. In this case, home visite services in terms of empathy by service personnel are good enough. Considering that home viste activities are shown to severely mentally ill patients, who cannot access Kalawa Atei General Hospital for various reasons, such as financial incapacity, no family support, family ignorance, and the existence of savings. However, there are several inhibiting factors in the implementation of the Home Visite Service at Atawa Kalawa Hospital, namely: 1) equipment completeness, 2) field conditions, 3) communication.
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2

Kongsgård, Bente. "Et studium av samtalen mellom foreldre med ulik kulturell bakgrunn i en fokusgruppe. Hva sier de om barneoppdragelse, opplevelser og læring? Erfaringer fra en pilotstudie." Nordisk tidsskrift for helseforskning 7, no. 2 (January 30, 2012): 79. http://dx.doi.org/10.7557/14.2228.

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<p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><em style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: NO-BOK;"><span style="font-size: small;"><span style="font-family: Times New Roman;">Hensikten med denne pilotstudien har v&aelig;rt &aring; synliggj&oslash;re f&oslash;lgende: hva foreldre med ulik kulturell bakgrunn, forteller om temaer relatert til barneoppdragelse? Hvilke opplevelser og l&aelig;ring hadde foreldrene av &aring; diskutere barneoppdragelse i en fokusgruppe? Fokusgruppeintervjuer ble gjennomf&oslash;rt med fire foreldre, fra Norge og to ikke-vestlige land. Det ble gjennomf&oslash;rt ett oppf&oslash;lgingsintervju med faren fra ett av de ikke-vestlige landene. Samtlige deltakere hadde barn i &aring;pen barnehage. Dataene fra fokusgruppeintervjuene viste at foreldrene fortalte hverandre hverdagslige historier om <span style="color: black; mso-themecolor: text1;">blant annet</span> s&oslash;vnrutiner, ros og ris i oppdragelsen. Dataene viste ogs&aring; at foreldrene var forn&oslash;yde med m&oslash;tene. De opplevde at samtalene var l&aelig;rerrike, nyttige og fortrolige. Dessuten uttrykte de at det var beroligende &aring; oppleve at andre foreldre hadde samme utfordringer. Faren som deltok i oppf&oslash;lgingsintervjuet, fortalte at fokusgruppa fungerte som hjelp i oppdragelsen av eget barn. Diskusjonen tar opp betydningen av at foreldre med ulik kulturell bakgrunn snakker sammen om hverdagsdilemmaer vedr&oslash;rende oppdragelsen av egne barn. Videre viser diskusjonen at det er av betydning<span style="mso-spacerun: yes;">&nbsp; </span>&aring; arrangere formelle m&oslash;ter mellom etnisk norske- og minoritetsforeldre fordi det er med p&aring; &aring; fremme akkulturasjonsprosessen. </span></span></span></em></p>
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3

Mæhre, Kjersti Sunde, and Sissel Lisa Storli. "Refleksjonsgrupper for sykepleierstudenter i klinisk praksis; en læringsarena for dannelse mellom teori - og praksisfelt." Nordisk tidsskrift for helseforskning 7, no. 1 (June 9, 2011): 91. http://dx.doi.org/10.7557/14.1829.

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<span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-fareast-language: NO-BOK; mso-ansi-language: NO-BOK; mso-bidi-language: AR-SA;"><em>Artikkelen handler om hvorvidt, og p&aring; hvilken m&aring;te refleksjonsgrupper med sykepleierstudenter og sykepleiel&aelig;rer i spesialisthelsetjenesten er virksomme i opp&oslash;ving til &aring; bli en kyndig sykepleier. Studentenes ukentlige refleksjonsm&oslash;ter i l&oslash;pet av deres medisinske praksisperiode er blitt til i l&oslash;pet av et pedagogisk aksjonsforskningsprosjekt (2006 &ndash; 2009), kalt &rdquo;N&aring;r praksisfelt og skole flyter sammen&rdquo;. Studentevalueringer og loggdata viste at refleksjonsgruppene var viktige for studentenes l&aelig;ring, men sa lite om p&aring; hvilken m&aring;te. Dette ble utforsket gjennom et fokusgruppeintervju med 8 studenter. Det utkrystalliserte seg fem </em><a name="OLE_LINK2"></a><a name="OLE_LINK1"><span style="mso-bookmark: OLE_LINK2;"><em>tema: &Aring; utvikle kunnskap, Erfaringsl&aelig;ring, Anerkjennelse av egen s&aring;rbarhet, &Aring; opp&oslash;ve faglig skj&oslash;nn og </em></span></a><em>&Aring; v&aelig;re i bevegelse mot profesjonell yrkesut&oslash;velse. I en sammenfattende tyding fremkom Dannelse som et overordnet tema. Refleksjonsrommet dr&oslash;ftes som en dannelsesarena, en &rdquo;refleksjonsoase&rdquo;, hvor studentene erfarer at de f&aring;r et personlig og reflektert forhold til kunnskapene de erverver seg. Kunnskaper og dannelse vil da sammen, og i vekselvirkning med hverandre, hjelpe dem mot en bedre yrkesut&oslash;velse. </em></span>
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4

 . "Visie op eerstelijns GGZ." Huisarts en Wetenschap 44, no. 1 (January 2001): 826. http://dx.doi.org/10.1007/bf03082713.

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 . "Visie in mooie jas." Huisarts en Wetenschap 45, no. 11 (November 2002): 138. http://dx.doi.org/10.1007/bf03082812.

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6

 . "Prikkelende visie op ziekte." Huisarts en Wetenschap 53, no. 8 (August 2010): 454. http://dx.doi.org/10.1007/bf03089237.

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7

Klomp, Maarten. "Een nieuwe visie op de huisarts:." Huisarts en Wetenschap 44, no. 4 (April 2001): 680–81. http://dx.doi.org/10.1007/bf03082633.

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8

Giesen, Paul, Nieke van Lin, Henk Mokkink, Wil van den Bosch, and Richard Grol. "Huisartsenposten: lang wachten op een visite?" Huisarts en Wetenschap 50, no. 7 (July 2007): 488–93. http://dx.doi.org/10.1007/bf03085225.

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9

 . "Van politieke visie tot concreet preventieconsult." Huisarts en Wetenschap 51, no. 2 (February 2008): 110–11. http://dx.doi.org/10.1007/bf03086674.

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10

Haugdahl, Hege S., Astri Vikan, Ottar Bjerkeset, and Torun Hamran. "Turnuslegers erfaringer med veiledning i turnustjenesten." Nordisk tidsskrift for helseforskning 7, no. 2 (January 30, 2012): 29. http://dx.doi.org/10.7557/14.2225.

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<p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: NO-BOK;">Bakgrunn.</span></em></strong><em style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: NO-BOK;"> Den nasjonale sp&oslash;rreunders&oslash;kelsen blant turnusleger fra 2007-2008 viste at veiledningen ved sykehuset Levanger var mangelfull. Form&aring;let med denne kvalitative studien var derfor &aring; f&aring; en bedre forst&aring;else av turnuslegers erfaringer med veiledning i turnustjenesten.</span></em></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: NO-BOK;">Materiale og metode.</span></em></strong><em style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: NO-BOK;"> Kvalitative intervju av syv turnusleger som hadde gjennomf&oslash;rt turnustjeneste ved sykehuset Levanger i 2007-2008. Erfaringene ble analysert ved hermeneutisk fenomenologisk metode.</span></em></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: NO-BOK;">Resultater.</span></em></strong><em style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: NO-BOK;"> Ansvar er et overordnet tema som kommer til uttrykk i f&oslash;lgende tre undertema: (1) manglende oppl&aelig;ring, (2) pr&oslash;ving og feiling og (3) &aring; v&aelig;re til nytte. Ved medisinsk avdeling var turnuslegene mye alene i mottakelsen og skrev innkomstjournaler. Turnuslegene opplevde dette som rutinearbeid. Ved kirurgisk avdeling deltok de mer selvstendig i pasientbehandlingen. &Aring; v&aelig;re til nytte var en viktig motivasjon for l&aelig;ring. </span></em></span></span></p><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-ansi-language: NO-BOK; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">Fortolkning.</span></em></strong><em style="mso-bidi-font-style: normal;"><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-ansi-language: NO-BOK; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"> Ansvar for pasientbehandling gir tilgang til l&aelig;ringssituasjoner og er motiverende. Men mangel p&aring; veiledning kan f&oslash;re til feilbed&oslash;mming og gi uheldige konsekvenser b&aring;de for turnuslegene selv og pasientene. Tilfeldig organisering av turnustjenesten kan ogs&aring; f&aring; konsekvenser for sykehusets ansvar for &aring; gi forsvarlig helsehjelp</span></em>
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11

Damen, Jurgen. "Visie patiënt op fouten in de zorg." Huisarts en wetenschap 59, no. 6 (June 2016): 241. http://dx.doi.org/10.1007/s12445-016-0150-9.

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12

Dresden, Daniël. "Visie van arts en patiënt over diabetesportaal in kaart gebracht." Huisarts en wetenschap 62, no. 9 (August 21, 2019): 44–46. http://dx.doi.org/10.1007/s12445-019-0248-y.

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13

Smit, André. "Visie (1)commentaar continuïteit huisartsgeneeskunde ingezonden integrale zorg patiëntenparticipatie Woudschoten." Huisarts en Wetenschap 45, no. 7 (July 2002): 446. http://dx.doi.org/10.1007/bf03082954.

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Roelink, H. "Visie (2)commentaar continuïteit huisartsgeneeskunde ingezonden integrale zorg patiëntenparticipatie Woudschoten." Huisarts en Wetenschap 45, no. 7 (July 2002): 447. http://dx.doi.org/10.1007/bf03082955.

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Zaat, Joost. "Visie op de huisarts, een Brownse bewegingcommentaar continuïteit huisarts huisartsgeneeskunde integrale zorg patiëntenparticipatie Woudschoten." Huisarts en Wetenschap 45, no. 5 (May 2002): 542–44. http://dx.doi.org/10.1007/bf03083015.

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16

Ramírez Puerta, D. N., P. Casado Pérez, M. Ricote Belinchón, and J. V. Zarco Rodríguez. "La calidad vista desde atención primaria." SEMERGEN - Medicina de Familia 27, no. 5 (January 2001): 250–56. http://dx.doi.org/10.1016/s1138-3593(01)73956-1.

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Carneiro Junior, Nivaldo, and Joan Gené Badia. "La atención primaria catalana vista desde la reforma brasileña de salud." Atención Primaria 43, no. 11 (November 2011): 611–16. http://dx.doi.org/10.1016/j.aprim.2010.12.015.

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18

Murciano-Calles, Javier. "The Conformational Plasticity Vista of PDZ Domains." Life 10, no. 8 (July 27, 2020): 123. http://dx.doi.org/10.3390/life10080123.

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The PDZ domain (PSD95-Discs large-ZO1) is a widespread modular domain present in the living organisms. A prevalent function in the PDZ family is to serve as scaffolding and adaptor proteins connecting multiple partners in signaling pathways. An explanation of the flexible functionality in this domain family, based just on a static perspective of the structure–activity relationship, might fall short. More dynamic and conformational aspects in the protein fold can be the reasons for such functionality. Folding studies indeed showed an ample and malleable folding landscape for PDZ domains where multiple intermediate states were experimentally detected. Allosteric phenomena that resemble energetic coupling between residues have also been found in PDZ domains. Additionally, several PDZ domains are modulated by post-translational modifications, which introduce conformational switches that affect binding. Altogether, the ability to connect diverse partners might arise from the intrinsic plasticity of the PDZ fold.
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Gercama, AJ. "Het heft in eigen hand: een visie op de opleiding tot huisartsarts-patiëntrelatie consultvoering huisarts huisartsopleiding opleiding taakopvatting." Huisarts en Wetenschap 45, no. 13 (December 2002): 29–32. http://dx.doi.org/10.1007/bf03082763.

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Reft, Ryan. "The Privatization of Military Family Housing in Linda Vista, 1944–1956." California History 92, no. 1 (2015): 53–72. http://dx.doi.org/10.1525/ch.2015.92.1.53.

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From its creation as a military housing development to its ultimate transformation into private housing, Linda Vista, in San Diego, ran the ideological spectrum—ranging from a foil for alleged communism, to a repository for proto Right Wing conservatism—simultaneously revealing burgeoning sunbelt politics and the conflict between the housing needs of military families and the anti-public housing ethos of the city's political class. Though the Navy required such projects to house its service personnel and their dependents, the city and many residents sought to eliminate public housing. Linda Vista also demonstrates the intersection of military housing, race, and local politics. For the left, it served as a fortress of political support in the 1940s, but by the 1950s, Linda Vista came to be a Republican stronghold. Ultimately, Linda Vista's shift previewed the New Right conservatism that Sunbelt metropolises would promote in the latter half of the twentieth century.
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Gérvas Camacho, J. "Contraste médico rural, desde un punto de vista personal." SEMERGEN - Medicina de Familia 30, no. 2 (January 2004): 90–93. http://dx.doi.org/10.1016/s1138-3593(04)74281-1.

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Rosales Orozco, María Cristina, Rubén Cubillos Coll, and Lina Jaramillo Alzate. "Desafíos de las cajas de compensación familiar frente a las nuevas tendencias del mercado." Ad-gnosis 8, no. 8 (December 1, 2019): 129–40. http://dx.doi.org/10.21803/adgnosis.v8i8.369.

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Tomando en cuenta los retos y desafíos actuales a que se enfrentan las cajas de compensación familiar, se pretende plantear bases sólidas para generar estrategias en pos de atraer más clientes estas debido a los nuevos retos del mercado, que con su constante cambio generan una dina?mica totalmente nueva en todos los segmentos del mismo. Es asi? como, a trave?s de una revisión bibliográfica una entrevista no estructurada, este artículo de investigación hace referencia al marketing relacional, el marketing emocional, y la gerencia del servicio que entran a formar parte de las estrategias para este tipo de empresas desde el punto de vista de su objeto social y de desarrollo mercadológico. Es así? como en los resultados principales se plantean los retos y desafíos para estas organizaciones como publicidad, Marketing directo, Marketing promocional. Animación, Realización de eventos y Comunicación digital.
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Miné, Elza. "FERREIRA DE ARAÚJO, PONTE ENTRE O BRASIL E PORTUGAL." Via Atlântica, no. 8 (December 16, 2005): 220. http://dx.doi.org/10.11606/va.v0i8.50022.

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<p class="western"><span style="color: #000000;"><span style="font-family: 'Times New Roman', serif;"><span style="font-size: small;">TEM-SE EM VISTA CHAMAR A ATENÇÃO PARA A FIGURA UM TANTO ESQUECIDA DE FERREIRA DE ARAÚJO E PARA A INTENSA AÇÃO CULTURAL POR ELE EXERCIDA ATRAVÉS DAS PÁGINAS DA GAZETA DE NOTÍCIAS DO RIO DE JANEIRO (1875-1900). ESTE JORNAL, ALÉM DE VIA DE ACESSO A INTERPRETAÇÕES DO DESENVOLVIMENTO SOCIO-CULTURAL BRASILEIRO NO ÚLTIMO QUARTEL DO SÉCULO XIX, PODE TAMBÉM SER VISTO, DADA A EXPRESSIVA PARTICIPAÇÃO NELE MANTIDA POR ESCRITORES PORTUGUESES, COMO UM ESPAÇO PRIVILEGIADO PARA A CONSIDERAÇÃO DAS RELAÇÕES CULTURAIS BRASIL/PORTUGAL NESTE PERÍODO.</span></span></span></p>
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Turabián, José Luis, and Benjamín Pérez Franco. "El concepto de tratamiento en medicina de familia: contextualizado y contextual. Mapa de una ciudad apenas vista." Atención Primaria 42, no. 5 (May 2010): 253–54. http://dx.doi.org/10.1016/j.aprim.2010.01.001.

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Torres Tabanera, M. "Los programas de cribado mamográfico: el punto de vista del radiólogo." SEMERGEN - Medicina de Familia 32, no. 1 (January 2006): 27–30. http://dx.doi.org/10.1016/s1138-3593(06)73214-2.

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Xie, Shan, Jia Huang, Qin Qiao, Wenjuan Zang, Shanjuan Hong, Haidong Tan, Chen Dong, Zhiying Yang, and Ling Ni. "Expression of the inhibitory B7 family molecule VISTA in human colorectal carcinoma tumors." Cancer Immunology, Immunotherapy 67, no. 11 (August 20, 2018): 1685–94. http://dx.doi.org/10.1007/s00262-018-2227-8.

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Licandro, J., M. Popescu, D. Morate, and J. de León. "V-type candidates and Vesta family asteroids in the Moving Objects VISTA (MOVIS) catalogue." Astronomy & Astrophysics 600 (April 2017): A126. http://dx.doi.org/10.1051/0004-6361/201629465.

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Wang, Li, Rotem Rubinstein, Janet L. Lines, Anna Wasiuk, Cory Ahonen, Yanxia Guo, Li-Fan Lu, et al. "VISTA, a novel mouse Ig superfamily ligand that negatively regulates T cell responses." Journal of Experimental Medicine 208, no. 3 (March 7, 2011): 577–92. http://dx.doi.org/10.1084/jem.20100619.

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The immunoglobulin (Ig) superfamily consists of many critical immune regulators, including the B7 family ligands and receptors. In this study, we identify a novel and structurally distinct Ig superfamily inhibitory ligand, whose extracellular domain bears homology to the B7 family ligand PD-L1. This molecule is designated V-domain Ig suppressor of T cell activation (VISTA). VISTA is primarily expressed on hematopoietic cells, and VISTA expression is highly regulated on myeloid antigen-presenting cells (APCs) and T cells. A soluble VISTA-Ig fusion protein or VISTA expression on APCs inhibits T cell proliferation and cytokine production in vitro. A VISTA-specific monoclonal antibody interferes with VISTA-induced suppression of T cell responses by VISTA-expressing APCs in vitro. Furthermore, anti-VISTA treatment exacerbates the development of the T cell–mediated autoimmune disease experimental autoimmune encephalomyelitis in mice. Finally, VISTA overexpression on tumor cells interferes with protective antitumor immunity in vivo in mice. These findings show that VISTA, a novel immunoregulatory molecule, has functional activities that are nonredundant with other Ig superfamily members and may play a role in the development of autoimmunity and immune surveillance in cancer.
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Flores Martín, Jackeline. "Estrategias del iter procesal civil en un supuesto de Derecho de Familia: conducción artificial y humana." IUS ET SCIENTIA 1, no. 7 (2021): 85–100. http://dx.doi.org/10.12795/ietscientia.2021.i01.07.

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El estudio expone una comparativa sobre el tratamiento procesal que puede recibir un asunto de Derecho de Familia, desde el punto de vista del profesional de la abogacía, bien como profesional humano, bien como inteligencia artificial. El supuesto concreto ha sido extraído de la praxis forense real de un despacho de abogados. El planteamiento se enfoca a la resolución de la conducción del proceso civil desde sus inicios hasta su finalización en la vía judicial. El supuesto de hecho aborda la problemática de la decisión de las medidas a acordar en unas relaciones paterno-filiales especialmente conflictivas y con varios factores problemáticos. El análisis trata de confrontar las respuestas dadas por el jurista, desde un marco subjetivo inherente a su cualidad de persona, frente al de una inteligencia artificial, desde su contexto puramente objetivo. El Código Civil y la Ley de Enjuiciamiento Civil constituyen la regulación legal que sirve de base para las distintas interpretaciones.
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Gérvas, J. "La Gerencia vista desde la Consulta, a través del prisma de la calidad asistencial." SEMERGEN - Medicina de Familia 31, no. 1 (January 2005): 15–17. http://dx.doi.org/10.1016/s1138-3593(05)72875-6.

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BRITO, Abelardo De Oliveira. "ÍNDICE DE INCAPACITAÇÃO RELATIVA DA MUNIÇÃO CIVIL BRASILEIRAMAIS IMPORTANTE DO PONTO DE VISTA MÉDICO-LEGAL." Saúde, Ética & Justiça 4, no. 1-2 (November 7, 1999): 61. http://dx.doi.org/10.11606/issn.2317-2770.v4i1-2p61-61.

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<span style="font-family: Arial; font-size: x-small;"><span style="font-family: Arial; font-size: x-small;"><p>Para avaliar o índice de incapacitação da munição civil brasileira mais importante do ponto de vista médico legal foram realizados disparos com revólveres e pistolas carregadas com munição. 25, .32 e .38, contra alvos de gelatina balística e argila, situados à seis (6) metros de distância. Verificou- se a presença de duas cavidades: a)cavidade temporária e b) cavidade permanente. O índice de incapacitação foi aferido baseado na forma e profundidade da cavidade temporária que cada calibre produzia na argila. A cavidade temporária foi medida em volume e expressa em ml.</p></span></span>
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Slater, Benjamin T., Xue Han, Lieping Chen, and Yong Xiong. "Structural insight into T cell coinhibition by PD-1H (VISTA)." Proceedings of the National Academy of Sciences 117, no. 3 (January 9, 2020): 1648–57. http://dx.doi.org/10.1073/pnas.1908711117.

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Programmed death-1 homolog (PD-1H), a CD28/B7 family molecule, coinhibits T cell activation and is an attractive immunotherapeutic target for cancer and inflammatory diseases. The molecular basis of its function, however, is unknown. Bioinformatic analyses indicated that PD-1H has a very long Ig variable region (IgV)-like domain and extraordinarily high histidine content, suggesting that unique structural features may contribute to coinhibitory mechanisms. Here we present the 1.9-Å crystal structure of the human PD-1H extracellular domain. It reveals an elongated CC′ loop and a striking concentration of histidine residues, located in the complementarity-determining region-like proximal half of the molecule. We show that surface-exposed histidine clusters are essential for robust inhibition of T cell activation. PD-1H exhibits a noncanonical IgV-like topology including an extra “H” β-strand and “clamping” disulfide, absent in known IgV-like structures, that likely restricts its orientation on the cell surface differently from other IgV-like domains. These results provide important insight into a molecular basis of T cell coinhibition by PD-1H.
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Wang, Yuelong, Jiaojiao Deng, Lin Wang, Tingyue Zhou, Jinlong Yang, Zerong Tian, Jinhao Yang, et al. "Expression and clinical significance of PD-L1, B7-H3, B7-H4 and VISTA in craniopharyngioma." Journal for ImmunoTherapy of Cancer 8, no. 2 (September 2020): e000406. http://dx.doi.org/10.1136/jitc-2019-000406.

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BackgroundCraniopharyngioma (CP) is a common refractory tumor of the central nervous system. However, little is known about the expression and clinical significance of B7 family ligands/receptors in CP patients. Thus, we conducted the present study to address this issue in a cohort of 132 CP cases.MethodsWe mapped and quantified the expression of B7 family ligands/receptors molecules programmed cell death ligand 1 (PD-L1), B7-H3, B7-H4 and V-domain Ig-containing suppressor of T cell activation (VISTA) in 89 adamantinomatous-type CP and 43 papillary-type CP samples using immunohistochemistry and immunofluorescence. Associations between the marker levels, clinicopathological variables and survival were evaluated.ResultsThe positive rates of PD-L1, B7-H3, B7-H4 and VISTA in the cohort of 132 CP cases were 76.5%, 100%, 40.2% and 80.3%, respectively. The cut-off values of PD-L1, B7-H3, B7-H4 and PD-L1 expression were determined by survival receiver operating characteristic (ROC) package, which was 70, 182, 0 and 20, respectively. Elevated expressions of PD-L1, B7-H3, B7-H4 and VISTA were significantly associated with some clinicopathological characteristics. Kaplan-Meier analysis indicated that higher VISTA expressions correlated with better overall survival (OS) and progression-free survival (PFS) (p=0.0053 and p=0.0066, respectively). Multivariate Cox regression analysis indicated that VISTA was an independent prognostic factor for OS (p=0.018) but not for PFS (p=0.898).ConclusionsWe found variable expression of PD-L1, B7-H3, B7-H4 and VISTA proteins in CPs. The results suggest that the expression level of VISTA may be used as an important indicator to predict the OS and PFS of CPs. B7 family ligands/receptors could be potential immunotherapeutic targets when treating CPs.
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Shah, Parth, Mohamed Eltanbouly, Nicole Smits, Aurelien Sarde, Randolph Noelle, and Rodwell Mabaera. "VISTA Is a Novel Regulator of Macrophage Biology." Blood 134, Supplement_1 (November 13, 2019): 2320. http://dx.doi.org/10.1182/blood-2019-131310.

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Background:V-domain Ig suppressor of T cell activation (VISTA) is an immune checkpoint receptor with an established role as an inhibitory receptor on T cells. However, its role in myeloid cell biology remains unclear. Owing to the much higher expression of VISTA on monocytes and macrophages, we investigated its role in regulating myeloid biology. Methods: Mouse bone marrow-derived macrophages (BMDMs) were differentiated and treated with agonistic anti-VISTA mAb under steady-state and conditions of M1 inflammatory polarization (LPS + IFN-𝛾). Human CD14+ monocytes were isolated from peripheral blood and treated with anti-VISTA in vitro. Phosphoarrays were used to assess signaling downstream of VISTA engagement and Luminex analysis was used to evaluate cytokine production. Time-course total RNA-seq was performed on BMDMs (at 1, 2, 4, 8 and 16 hours of anti-VISTA treatment). To evaluate the effect of anti-VISTA in vivo, single-cell RNA-seq (scRNA-seq) was performed on FACS sorted CD11b+ myeloid populations 12 hours after mice were treated with intravenous anti-VISTA. Results: Anti-VISTA treatment of BMDMs and human monocytes in vitro induced rapid phosphorylation events including robust phosphorylation of Raf-1 kinase at the suppressive serine residue 43.Next, we generated a comprehensive timestamp of VISTA activation in BMDMs in vitro by time-course deep RNA-seq analysis of agonistic anti-VISTA treated cells under rigorous M1 inflammatory polarization. This revealed a unique activation state marked by the upregulation of inhibitory cytokines IL-10 and IL1RA as well as ablation of IL-12 family cytokines, suggestive of an M2-like signature. The presence of an M2-like immunoregulatory signature defined by upregulation of the IL-10 was also seen in macrophages identified post clustering of in vivo scRNA-seq data on myeloid cells. Conclusion: Using novel agonistic anti-VISTA antibodies, we reveal that VISTA triggering on myeloid cells can induce an alternative anti-inflammatory cell-state, even under conditions of strong inflammatory polarization. This introduces VISTA as an intrinsic checkpoint of macrophage tolerance. Disclosures Noelle: Immunext: Employment, Equity Ownership, Patents & Royalties, Research Funding.
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de Santiago Nocito, A. M., E. Ramos Lledó, C. Santiago González, and A. García Lledó. "Valor pronóstico de las alteraciones electrocardiográficas en pacientes diabéticos tipo 2 asintomáticos desde el punto de vista cardiovascular." SEMERGEN - Medicina de Familia 30, no. 8 (January 2004): 375–81. http://dx.doi.org/10.1016/s1138-3593(04)74333-6.

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Gérvas, J., and M. Pérez Fernández. "Los programas de prevención secundaria del cáncer de mama mediante mamografía: el punto de vista del médico general." SEMERGEN - Medicina de Familia 32, no. 1 (January 2006): 31–35. http://dx.doi.org/10.1016/s1138-3593(06)73215-4.

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Araújo Rabello, Kelly, and Sônia Regina Corrêa Lages. "Identidade cultural e religiosidade: a festa de Nossa Senhora do Rosário de Bela Vista de Minas." INTERAÇÕES 12, no. 22 (December 30, 2017): 217. http://dx.doi.org/10.5752/p.1983-2478.2017v12n22p217.

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<p class="western" style="margin-bottom: 0cm; line-height: 100%;" align="justify"><span style="font-family: Georgia,serif;"><span style="font-size: medium;">O presente artigo tem como objeto de pesquisa a Festa de Nossa Senhora do Rosário d</span></span><span style="font-family: Georgia,serif;"><span style="font-size: medium;">a cidade de Bela Vista de Minas, situada na região metalúrgica do Médio Rio Piracicaba/MG. Desde o ano de 1950 este festejo é realizado pelo grupo de Congado local, como um modo de prestar homenagens à sua padroeira. As festas executados pelo Congado apresentam grande notoriedade no cenário das manifestações religiosas de cunho popular do estado de Minas Gerais, preservando as tradições que remetem a um passado escravocrata do Brasil Colonial. O objetivo desse trabalho é o de analisar a identidade congadeira a partir dos símbolos culturais que compõem a rememoração da coração dos Rei e Rainha congos a partir dos conceitos de hibridismo, tradução cultural e terceiro espaço. A metodologia adotada foi a observação participante, e a análise dos dados foi realizada a partir dos pressupostos teóricos dos Estudos Culturais. Este estudo revelou que a construção da identidade cultural congadeira foi capaz de superar as posições binárias e hierarquizadas das religiosidades católica e de matriz africana, criando uma terceira narrativa que contribuiu de forma positiva para o reconhecimento dessas identidades diaspóricas.</span></span></p>
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Grinberg Pla, Valeria. "La guerra salvadoreña vista desde la literatura autoficcional: Dios tenía miedo, de Vanessa Núñez Handal." Revista de Historia, no. 73 (June 29, 2016): 139–52. http://dx.doi.org/10.15359/rh.73.6.

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This article analizes the labors of memory in Vanessa Núñez Handal’s novel Dios tenía miedo. By looking into both the familial and the national past in El Salvador through an autofictional exploration of the ways in which her own family was involved in the war she herself experienced as a child, Vanessa Núñez Handal experiments with the explanatory potential of both the creative imagination and the use of symbolic language, in a process where writing seems to be as much a method as a goal in order to remember and, above all, understand the percepticide that took place during the war. The ambiguity of the autofictional pact rules over the novel, giving her the liberty to combine fictional, autobiographical, and testimonial techniques, with the aim of articulating her interpretation of the traumatic past.
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Cooper, Elizabeth J., Julianne Sanguins, Verena Menec, Audrey Frances Chartrand, Sheila Carter, and S. Michelle Driedger. "Culturally Responsive Supports for Metis Elders and Metis Family Caregivers." Canadian Journal on Aging / La Revue canadienne du vieillissement 39, no. 2 (July 16, 2019): 206–19. http://dx.doi.org/10.1017/s0714980819000321.

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RÉSUMÉMalgré une attention académique considérable au rôle de la famille des soignants avec la population générale, peu de recherches ont été menées avec les familles autochtones. Cette étude qualitative vise à combler cette lacune en se concentrant sur l’expérience des soignants Metis, fournir des soins aux adultes Metis plus âges. Des groupes de discussions et des entrevues ont été menés avec des aidants familiaux Metis (n - 79), aînés Metis (n - 11), et soignants officiels (n - 8). Bien qu’il existe de parallèles considérables dans les expériences des soins identifiés dans cette étude sur les Metis avec celles déjà documentées dans la littérature, il existe néanmoins des différences importantes pour la prestation des soins culturellement adaptés aux aînés Metis.
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Apelian, Colette. "Reading a Family Photo Album: "Tchèque(s)[?] voyagent au Maroc pour rendre visite à un légionnaire [de or en] Garnison"." Getty Research Journal 3 (January 2011): 189–200. http://dx.doi.org/10.1086/grj.3.23005397.

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Tao, Tianzhu, Lulong Bo, Teng Li, Longbao Shi, Hui Zhang, Bo Ye, Yuhai Xu, Qingqing Ma, Xiaoming Deng, and Guorong Zhang. "High-Affinity Anti-VISTA Antibody Protects against Sepsis by Inhibition of T Lymphocyte Apoptosis and Suppression of the Inflammatory Response." Mediators of Inflammation 2021 (July 28, 2021): 1–9. http://dx.doi.org/10.1155/2021/6650329.

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Background. B7 family members and ligands have been identified as critical checkpoints in orchestrating the immune response during sepsis. V-domain Ig suppressor of T cell activation (VISTA) is a new inhibitory immune checkpoint involved in restraining T cell response. Previous studies demonstrated that VISTA engagement on T cells and myeloid cells could transmit inhibitory signals, resulting in reduced activation and function. The current study was designed to determine the potential therapeutic effects of a high-affinity anti-VISTA antibody (clone MH5A) in a murine model of sepsis. Methods. Polymicrobial sepsis was induced in male C57BL/6 mice via cecal ligation and puncture. Expression profiles of VISTA on T lymphocytes and macrophage were examined at 24 and 72 h postsurgery. The effects of anti-VISTA mAb on the 7-day survival, lymphocyte apoptosis, cytokine expression, bacterial burden, and vital organ damage were determined. Furthermore, the effects of anti-VISTA mAb on CD3+ T cell apoptosis and macrophage activation were determined in vitro. Results. VISTA was substantially expressed on T cells and macrophages in sham-operated mice; septic peritonitis did not induce significant changes in the expression profiles. Treatment with MH5A improved the survival of septic mice, accompanied by reduced lymphocyte apoptosis, decreased cytokine expression, and enhanced bacterial clearance. Engagement of VISTA receptor with MH5A mitigated CD3+ T cell apoptosis cultured from CLP mice and suppressed LPS-induced cytokine production by macrophage in vitro. Conclusion. The present study identified VISTA as a novel immune checkpoint in the regulation of T cell and macrophage response during sepsis. Modulation of the VISTA pathway might offer a promising opportunity in the immunotherapy for sepsis.
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Del Carpio Gallegos, Javier F. "DISEÑO DE SISTEMAS DE DECISIÓN PARA EMPRESAS INDUSTRIALES." Industrial Data 1, no. 1 (March 19, 2014): 06. http://dx.doi.org/10.15381/idata.v1i1.5999.

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<span style="font-family: Verdana; font-size: x-small;">En los últimos años han ocurrido cambios en nuestra economía, los cuales han tenido repercusiones en el sector industrial. Las empresas industriales se han visto obligadas a ser más competitivas para poder sobrevivir en una economía de libre mercado.</span>
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Chapoval, Andrei I., S. V. Podlesnykh, E. A. Kolosova, and D. N. Shcherbakov. "NEW IMMUNOLOGICAL CHECKPOINTS FOR CANCER IMMUNOTHERAPY." Russian Journal of Oncology 22, no. 4 (August 15, 2017): 175–79. http://dx.doi.org/10.18821/1028-9984-2017-22-4-175-179.

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Members of B7-CD28 family ligands and receptors play the important role in the co-stimulation and inhibition of the T-cell mediated immune response. Blocking of the B7 family molecules inhibiting the immune response (also called immunological checkpoints), CTLA4 and PD-1 / PD-L1 promoted to important therapeutic achievements in cancer immunotherapy and improved survival of cancer patient. The recent discovery of new B7 family molecules (such as B7-H3 [CD276], B7-H4 [B7S1 / B7x / Vtcn1], B7-H5 [VISTA / PD-1H / GI24], B7-H6 and B7-H7 [HHLA2]) has expanded therapeutic possibilities for the management of cancer patients. In this article, we discuss the clinical application of known blockers of immunological checkpoints and the prospects for the use of newly discovered molecules.
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MUÑOZ, D. R., D. MUÑOZ, and M. ALMEIDA. "O paradigma médico-legal." Saúde, Ética & Justiça 5, no. 1-2 (November 7, 2002): 1. http://dx.doi.org/10.11606/issn.2317-2770.v5i1-2p1-5.

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<span style="font-family: Arial; font-size: xx-small;"><span style="font-family: Arial; font-size: xx-small;"><p>Uma lesão incisa é sempre causada por instrumento cortante? Um punhal, do ponto de vista médico-legal, que tipo de instrumento é? Tomando como exemplo um caso pericial, os autores discutem o diagnóstico médico-legal do instrumento causador de lesão, questão que pode provocar controvérsias jurídicas se não for adequadamente conduzida. Concluem que um paradigma médico-legal deve nortear toda discussão a respeito desse diagnóstico.</p></span></span>
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45

Yujnovsky, Inés. "Una vista panorámica de huelgas, manifestaciones y mítines en Caras y Caretas: prensa y fotografía a principios del siglo XX en Argentina." América Latina en la Historia Económica 11, no. 2 (January 1, 2004): 129. http://dx.doi.org/10.18232/alhe.v11i2.345.

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<span lang="ES-TRAD" style="font-family: &quot;Times&quot;,&quot;serif&quot;; font-size: 12pt; mso-fareast-font-family: &quot;Times New Roman&quot;; mso-fareast-language: ES; mso-ansi-language: ES-TRAD; mso-bidi-language: AR-SA;">En este trabajo se expondrán algunas conclusiones preliminares relacionadas al mundo del trabajo a principios del siglo XX en Argentina, analizando fuentes fotográficas. Es importante señalar que al tratarse de un acercamiento novedoso al análisis de investigación histórica, las propuestas que se desarrollan aquí están en proceso de trabajo y pretenden ampliar las discusiones respecto al uso de la imagen en la investigación. A partir de un breve análisis de las fotografías, en tanto forman parte de las disputas por la definición de significados, se realizará una descripción de la diversidad de trabajadores participantes en huelgas y manifestaciones. Se observan ámbitos de lucha, la importancia de la exposición pública de los reclamos, el rol de las mujeres y niños y la existencia de códigos gestuales particulares. Finalmente se propone una periodización que divide un momento de afinidad y otro de aversión de la revista “Caras y Caretas” hacia los sectores obreros.</span>
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Klein, Marco Aurélio. "Marco Aurélio Klein [entrevistado por Rafael Valente]." GV-executivo 6, no. 3 (October 3, 2007): 10. http://dx.doi.org/10.12660/gvexec.v6n3.2007.34581.

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<p class="MsoNormal" style="margin-bottom: 0.0001pt;"><span style="font-size: 8.0pt; font-family: 'Verdana','sans-serif';">Marco Aurélio Klein é diretor responsável pela área de futebol do Ministério dos Esportes e coordenador-</span><span style="font-family: Verdana, sans-serif; font-size: 8pt;">executivo da Comissão Paz no Esporte, além de professor de marketing esportivo na FGV-EAESP. Nesta entrevista, faz um balanço das práticas esportivas no país, especificamente do ponto de vista da administração. Como conclusão, aponta que ainda há muito a fazer pelo esporte, tanto em termos de </span><span style="font-family: Verdana, sans-serif; font-size: 8pt;">políticas públicas quanto de profissionalização da gestão esportiva.</span></p>
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Rocha, João Henrique, and Flávio Sacco dos Anjos. "AGRICULTURA FAMILIAR E OS MERCADOS INSTITUCIONAIS: ANÁLISE DO PROGRAMA DE AQUISIÇÃO DE ALIMENTOS (CPR-DOAÇÃO) EM BOA VISTA-RORAIMA/ Family farming and institutional markets: analysis of Food Acquisition Program (CPR-Donation) in Boa Vista, Roraima." REVISTA NERA, no. 31 (August 17, 2016): 111–42. http://dx.doi.org/10.47946/rnera.v0i31.3553.

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O Programa de Aquisição de Alimentos (PAA) tem se convertido em uma vitrine em termos de políticas públicas dirigidas a agricultura familiar no Brasil. Dois de seus principais objetivos são, de um lado, o fortalecimento econômico e social dos produtores familiares através da compra da produção por parte dos organismos públicos e, por outro lado, a luta contra a fome e a desnutrição mediante a distribuição dos alimentos para a população em situação de insuficiência alimentar. Neste artigo, analisa-se a execução do PAA no município de Boa Vista (estado de Roraima) e, mediante a utilização do enfoque de capital social, se descreve a rede social gerada em torno do Programa e o tipo de relações que se produz entre os atores que formam parte dela. O estudo está centrado em analisar os efeitos do PAA no âmbito dos produtores que participam do Programa, e os resultados mostram uma rede social débil, que se sustenta no protagonismo de alguns atores, a exemplo da CONAB, e também onde são nítidas a carência de um estoque de capital social suficientemente equilibrado em suas distintas dimensões. Esse quadro conjuntural levanta inquietações sobre a eficiência de uma estratégia de desenvovimento como o PAA em territórios de baixa institucionalidade e escasso nível de coesão social, que por sua vez nos traz incertezas sobre os atuais efeitos positivos entre os beneficiários possam ser sustentáveis no tempo.
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Guillaudeux, Thierry, Eric Tarcha, Robert Bader, Benjamin Dutzar, Nathan Eyde, Emily Frazier, David Jurchen, et al. "182 Highly potent fully human anti-VISTA antibodies – a new target checkpoint inhibitor against immunosuppressive myeloid cells." Journal for ImmunoTherapy of Cancer 8, Suppl 3 (November 2020): A196. http://dx.doi.org/10.1136/jitc-2020-sitc2020.0182.

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BackgroundV-domain Immunoglobulin Suppressor of T cell Activation (VISTA/PD-1H) is a B7 family ligand expressed on circulating and intratumoural myeloid cells as well as Treg and NK cells. It has been shown to inhibit T cell responses in vitro and in preclinical models. In patients, VISTA is also a potential mediator of resistance to anti-CTLA-4 and anti-PD1 therapies and therefore is a valuable new target for cancer immunotherapy.MethodsKineta has analyzed 107 fully human ScFv antibodies directed against VISTA.ResultsOur lead candidates exhibit high potencies in the subnanomolar range and are also characterized by a long kDis. They specifically target human and cynomolgus monkey VISTA on a singular unique epitope. In a Staphylococcus Enterotoxin B T-cell activation assay, Kineta’s anti-VISTA antibodies efficiently induce IFNg secretion. They also promote strong maturation of Antigen Presenting Cells with an increase of CD80 and HLA-DR surface expression as well as CXCL10 secretion. The mechanism of action is mediated in part by NK cells. We demonstrated that myeloid cells acquire a high level of VISTA expression during MDSC or M2 differentiation in vitro and that Kineta’s anti-VISTA antibodies prevent the differentiation of MDSC as well as their immunosuppressive activity against T cells. Anti-VISTA antibodies mediate single-agent antitumor effects in syngeneic tumor models in wild-type mice and show enhanced activity in combination with anti-PD1 and anti-CTLA-4 treatment. Candidate anti-VISTA antibodies have also been evaluated in exploratory tolerability and PK studies in cynomolgus monkey. These studies demonstrated that multiple weekly doses of antibodies are well-tolerated with appropriate PK for lead selection and optimization.ConclusionsOur results strongly favor further characterization and continued development of selected lead antibodies for the potential treatment of colder, less immunogenic tumors.Ethics ApprovalStudy approved by the Institutional Animal Care and Use Committee PHS Assurance # D16-00885 and D16-00114
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Wasserstein, David J. "Questions of Identity: The Structure of the Cohen Family in Puigcerdá in the Early Fourteenth Century." Sefarad 58, no. 2 (June 12, 2018): 401. http://dx.doi.org/10.3989/sefarad.1998.v58.i2.827.

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Dos testamentos de judíos de Puigcerdá del siglo XIV nos permiten reconstruir las familias de los testadores. Los datos son tan semejantes entre sí que parece tratarse de una misma familia; sin embargo plantean dificultades ciertas divergencias, de cuya explicación nos ocupamos en este artículo. Además, desde el punto de vista estadístico parece muy probable la identidad de los dos grupos familiares: hay que tener en cuenta que en la Puigcerdá del momento no vivían más que unos centenares de familias, de las cuales sólo unas cincuenta eran judías.
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Dong, Juan, Cassandra Gilmore, Hieu Ta, Keman Zhang, Sarah Stone, and Li Wang. "501 VISTA regulates the differentiation and suppressive function of myeloid-derived suppressor cells." Journal for ImmunoTherapy of Cancer 8, Suppl 3 (November 2020): A536. http://dx.doi.org/10.1136/jitc-2020-sitc2020.0501.

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BackgroundV-domain immunoglobulin suppressor of T cell activation (VISTA) is a B7 family inhibitory immune checkpoint protein and is highly expressed on myeloid cells and T cells.1 VISTA acts as both an inhibitory ligand when expressed on antigen-presenting cells and a receptor when expressed on T cells. Our recent study has shown that VISTA is a myeloid cell-specific immune checkpoint and that blocking VISTA can reprogram suppressive myeloid cells and promote a T cell-stimulatory tumor microenvironment.2 In this study, we further demonstrate that VISTA blockade directly alters the differentiation and the suppressive function of myeloid-derived suppressor cells (MDSC).MethodsFlow cytometry was performed to examine VISTA expression on MDSCs in multiple murine tumor models including the B16BL6 melanoma model, MC38 colon cancer model, and the KPC pancreatic cancer models. To examine the role of VISTA in controlling the differentiation and suppressive function of MDSCs, we cultured wild type (WT) and VISTA.KO bone marrow progenitor cells with GM-CSF and IL-6 to induce BM -derived MDSCs.ResultsOur preliminary results show that VISTA is highly expressed on M-MDSCs in B16BL6, MC38 and KPC tumors. In BM-derived MDSCs, VISTA deletion significantly altered the signaling pathways and the differentiation of MDSCs. Multiple inflammatory signaling pathways were downregulated in VISTA KO MDSCs, resulting in decreased production of cytokines such as IL1 and chemokines such as CCL2/4/9, as well as significantly impaired their ability to suppress the activation of CD8+ T cells. The loss of suppressive function in VISTA KO MDSCs is correlated with significantly reduced expression of iNOS. To validate the results from BM-MDSCs, we sorted CD11b+CD11c-Ly6C+Ly6G- M-MDSCs and CD11b+CD11c-Ly6G+ G-MDSCs from B16BL6 tumor tissues and tested the ability of a VISTA-blocking mAb to reverse the suppressive effects of tumor-derived MDSCs. Our results show that blocking VISTA impaired the suppressive function of tumor-derived M-MDSC but not G-MDSCs.ConclusionsTaken together, these results demonstrate a crucial role of VISTA in regulating the differentiation and function of MDSCs, and that blocking VISTA abolishes MDSC-mediated T cell suppression, thereby boosting.Ethics ApprovalAll in vivo studies were reviewed and approved by Institutional Animal Care and Use Committee (Approval number 2019-2142).ReferencesXu W, Hire T, Malarkannan, S. et al. The structure, expression, and multifaceted role of immune-checkpoint protein VISTA as a critical regulator of anti-tumor immunity, autoimmunity, and inflammation. Cell Mol Immunol 2018;15:438–446.Xu W, Dong J, Zheng Y, et al. Immune-checkpoint protein VISTA regulates antitumor immunity by controlling myeloid cell-mediated inflammation and immunosuppression. Cancer Immunol Res 2019;7:1497–510.
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