660 research outputs found
Strings in AdS_4 x CP^3, Wilson loops in N=6 super Chern-Simons-matter and Bremsstrahlung functions
We find 1/6 BPS string configurations in AdS_4 x CP^3, which we identify as
the duals of certain 1/6 BPS circular Wilson loops in N=6 super
Chern-Simons-matter gauge theory. We use our results to verify -in the strong
coupling limit- a proposal made in arXiv:1402.4128 for a relation between the
expectation value of these Wilson loops and the Bremsstrahlung function from
deforming 1/2 BPS Wilson lines with a cusp. We also derive an analogous
relation between the expectation value of some particular 1/12 BPS Wilson loops
and the Bremsstrahlung function from deforming 1/6 BPS Wilson lines with an
internal space cusp.Comment: 25 pages, 1 figures; v2 author ordering correcte
The utility of troponin measurement to detect myocardial infarction: review of the current findings
Myocardial infarction (MI) is defined by the presence of myocardial necrosis in combination with clinical evidence of myocardial ischemia. Cardiac troponins are regulatory proteins within the myocardium that are released into the circulation when damage to the myocyte has occurred. Therefore, serum troponin is an exquisitely sensitive marker of myocardial injury and is necessary for establishing the diagnosis of MI. High-sensitivity troponin assays are improving the diagnostic accuracy and rapid detection of myocardial infarction. The early identification of MI is vital for the institution of anti-thrombotic therapy to limit myocardial damage and preserve cardiac function. Troponin has both diagnostic and prognostic significance in the setting of acute coronary syndrome (ACS). Increased troponin levels in the absence of ACS should prompt an evaluation for an alternative, non-thrombotic mechanism of troponin elevation and direct management at the underlying cause. This review describes the role of troponin in the evaluation of patients with suspected myocardial infarction
Induction of heat shock protein expression in cervical epithelial cells by human semen.
OBJECTIVE: The 70kD heat shock protein (Hsp70), induced when cells are subjected to environmental stress, prevents the denaturation and incorrect folding of polypeptides and may expedite replication and transmission of DNA and RNA viruses. We analyzed whether messenger RNA (mRNA) for Hsp70 was expressed following exposure of a cultured human cervical cell line (HeLa cells) to human semen or in cervical cells from sexually active women. STUDY DESIGN: HeLa cells were co-cultured with a 1:50 dilution of semen from four men or with purified spermatozoa or cell-free seminal fluid. Endocervical swabs were acquired at mid-cycle from 53 women. Heat shock protein 70 mRNA was detected by a reverse transcriptase-polymerase chain reaction utilizing specific primer pairs and analysis on agarose gels. In cervical cells Hsp70 mRNA was measured identically followed by hybridization with an Hsp70-specific internal probe and detection by enzyme-linked immunosorbent assay (ELISA). Cervical immunoglobulin A (IgA) antibodies to the human Hsp70 were determined by ELISA. RESULTS: HeLa cell-semen co-culture resulted in the induction of Hsp70 mRNA. In addition, cell-free seminal plasma and motile sperm incubated individually with HeLa cells also induced this mRNA. Heat shock protein 70 mRNA was detected in 28 (52.8%) of 53 endocervical samples obtained from women at various time points following intercourse. The percentage of samples expressing this mRNA was 37.5% at less than 10 hours, 64.3% at 10 hours, 70% at 11 hours, and between 36% and 50% at later times after semen exposure. The detection of cervical IgA antibodies to the Hsp70 was highly associated with Hsp70 gene transcription. CONCLUSION: Human semen induces transcription of Hsp70 in cervical epithelial cells
PRODUKTIVITAS TENAGA KERJA PADA PEKERJAAN BETON BERTULANG (STUDI KASUS : PEMBANGUNAN GEDUNG RUANG KANTOR DAN RUANG KELAS YAYASAN EBEN HEAZER JALAN 14 FEBRUARI TELING ATAS, MANADO)
Mayoritas pekerjaan bangunan bertingkat pada umumnya adalah pekerjaan struktur beton bertulang. Pekerjaan struktur beton bertulang adalah pekerjaan bekisting, penulangan, dan pengecoran. Salah satu hal yang perlu di manajemen dari pekerjaan struktur beton bertulang adalah pekerja. Hal yang perlu diketahui dalam manajemen pekerja adalah produktivitas pekerja. Tujuan dari penelitian ini adalah untuk menghitung nilai produktivitas pekerja pekerjaan struktur beton betulang,mengetahui faktor-faktor apa yang mempengaruhi produktivitas pekerja pada pekerjaan struktur beton bertulang. Penelitian ditunjang dengan observasi lapangan pada proyek pembangunan gedung kantor dan ruang kelas pada yayasan persekolahan eben heazer manado. Peningkatan produktivitas akan mengurangi waktu pekerjaan, dan itu berarti akan mereduksi biaya, khususnya biaya pekerjaan sehingga diperoleh suatu biaya tenaga kerja minimum untuk mendapatkan harga yang kompetitif baik untuk pelelangan maupun pelaksanaan. Dalam penelitian ini dibahas mengenai produktivitas dilihat dari segi pekerja dan durasi waktu. Kata Kunci : Produktivitas, Pekerja, Beton Bertulang, Bangunan Bertingka
Dor crĂłnica lombar: modelo preditivo dos resultados da fisioterapia
Dissertação de mestrado em Fisioterapia.Objetivo: O estudo pretendeu determinar se um modelo baseado nos fatores de prognĂłstico, identificados na literatura, pode prever os resultados da intervenção em Fisioterapia, a curto prazo, em utentes com DLC, ao nĂvel da incapacidade funcional, intensidade da dor e perceção global de melhoria.
Introdução: Estima-se elevada prevalĂŞncia e incidĂŞncia de dor crĂłnica lombar tanto em Portugal como em todos os paĂses desenvolvidos. Esta Ă© responsável por elevados Ăndices incapacidade funcional, absentismo laboral e pela maioria dos custos do sistema de saĂşde.
A fisioterapia Ă© das intervenções a que mais se recorre, no entanto os efeitos reportados sĂŁo diversificados. A obtenção de “bons/ maus” resultados tem sido associada Ă tipologia de tratamento, mas tambĂ©m a caracterĂsticas intrĂnsecas aos indivĂduos ou Ă forma como a DCL está presente nas pessoas. No que respeita Ă s caracterĂsticas intrĂnsecas aos indivĂduos, tem sido estudada a capacidade preditiva de fatores de natureza sĂłcio demográfica e clĂnica na antecipação desses resultados. Contudo, parece nĂŁo existir consenso acerca dos mesmos, com os modelos preditivos resultantes a demonstrar reduzida capacidade de explicação da variância dos “bons/ maus” resultados obtidos.
Metodologia: Tratou-se de uma coorte prospetiva nĂŁo probabilĂstica, com dois momentos de avaliação, num perĂodo de 6 semanas. Selecionou-se uma amostra por conveniĂŞncia a partir dos indivĂduos que recorreram a serviços de Fisioterapia em Portugal e que cumpriam os critĂ©rios de inclusĂŁo definidos á priori. Os resultados foram analisados segundo um modelo de regressĂŁo logĂstica multivariada, sendo sintetizados de um modo quantitativo. Resultados: A amostra final foi de 171 pessoas com dor crĂłnica lombar e idade mĂ©dia de 48 anos. O curso clĂnico observado foi, a redução significativa na QBPDS-PT (p=0,000; z= -7,994) e EVA (p=0,000; z= -8,742).
O modelo de regressĂŁo logĂstica analisado para o outcome incapacidade funcional, revelou ser estatisticamente significativo [X²(2)=22,628 (p<0,001)], explicando 16,6% (Nagelkerke R2 value) da variância da probabilidade de obter “bons” resultados. E evidenciou capacidade preditiva razoável (sensibilidade Ă© de 76,8% e a especificidade de 60,5%) assim como boa capacidade discriminativa (ROC c=0.712, p<0.001).TambĂ©m o modelo de regressĂŁo logĂstica para o outcome intensidade da dor, demonstrou ser estatisticamente significativo [X²(2)=25,731 (p<0,001)], explicando 18,7% (Nagelkerke R2 value) da variância da probabilidade de obter “bons” resultados. E registou boa capacidade discriminativa (ROC c=0,713; p<0.001) e preditiva (sensibilidade Ă© de 75% e a especificidade de 51,9%).
Verificou-se ainda, que Ă semelhança dos anteriores, o modelo de regressĂŁo logĂstica, para o outcome perceção global de melhoria, Ă© estatisticamente significativo [X²(2)= 14,936 (p<0,001)], explicando 11,4% (Nagelkerke R2 value) da variância da probabilidade de obter “bons” resultados. Demonstrou tambĂ©m, moderada capacidade discriminativa (habilitações literárias ROC c=0.665, p<0.001) e preditiva (sensibilidade Ă© de 73,1% e a especificidade de 58,7%).
ConclusĂŁo: Os dados do estudo sugerem que ao fim de 6 semanas de fisioterapia, o nĂvel da incapacidade funcional e de intensidade da dor diminuem significativamente. Indicam ainda que, os modelos determinados sĂŁo significativos e possuem capacidade preditiva e discriminativa razoável dos “bons” resultados da fisioterapia, em termos de incapacidade funcional, intensidade da dor e perceção global de melhoria.Abstract: Aim: The aim of this study was to determine if short-term successful outcomes following Physical Therapy treatment could be predicted from prognostic factors at baseline, in patients with chronic low back pain (CLBP).
Introduction: Prevalence and incidence of chronic low back pain is estimated to be as high in Portugal as in every developed country. This condition is responsible for high functional disability indexes, increased work absence and for the largest amount of money spent by the health care system.
Physical therapy is a common intervention for CLBP, however the reported effects are diverse. The “good/bad” results have been connected with the treatments typology as well as the internal characteristics of the patients or how CLBP affects their life. Concerning the internal characteristics of the patients, the predictive capacity of socio demographic and clinical factors have been studied, in the way they can anticipate the results. However, there seems to be no consensus about them, with the resulting predictive models to demonstrate reduced ability to explain the variance of the "good / bad" results obtained.
Methodology: It was used a non-probabilistic prospective cohort, with two assessment moments, on a period of 6 weeks. A sample group was chosen from patients that use the Physical therapy services in Portugal following the criteria previously defined. Results were analyzed according to a multivariate logistic regression model and synthesized in a quantitative way.
Results: The final sample was composed by 171 patients with an average age of 48 years old, which presented CLBP. Was observed that, significant decrease in QBPDS-PT (p=0,000; z= -7,994) and VAS (p=0,000; z= -8,742).
The multivariate logistic regression model for the outcome related to the functional disability, showed to be statistically significant [X²(2)=22,628 (p<0,001)], managing to explain 16,6% (Nagelkerke R2 value) of the “good” results variance probability. Showed a reasonable predictive capacity (76,8% sensibility and 60,5% specificity) as well as a good discriminative competence (ROCcurve=0.712, p<0.001).
Also the multivariate logistic regression model for the outcome for pain intensity also demonstrated to be statistically significant [X²(2)=25,731 (p<0,001)], explaining 18,7% (Nagelkerke R2 value) of the “good” results variance probability. It registered likewise a good discriminative (ROC c=0,713; p<0.001) and predictive competence (75% sensibility and 51,9% specificity).
Like the mentioned previously for the others models, it was shown that the multivariate logistic regression model for the general improvement perception outcome is statistically significant [X²(2)= 14,936 (p<0,001)], being able to explain 11,4% (Nagelkerke R2 value) of the “good” results variance probability. Showed moderate discriminative (literary qualifications ROC c=0.665, p<0.001) and predictive capacity (73,1% sensibility and 58,7% specificity).
Conclusion: Data received from the study suggest that after 6 weeks of physical therapy intervention, the level of functional disability and pain intensity decreased significantly. Also indicate that the models are significant and have reasonable predictive and discriminative ability of "good" physical therapy results in terms of functional disability, pain intensity and global perception of improvement
Shame and psychopathology. Its role in the genesis and perpetuation of different disorders
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Chlamydia trachomatis Infection, Immunity, and Pregnancy Outcome
Chlamydia trachomatis can ascend from the cervix to the fallopian tubes and survive for long periods of time without causing symptoms. The immune response to infection clears the extracellular organisms but leads to development of a persistent intracellular infection. Repeated cycles of productive infection and persistence eventually induce tubal occlusion and infertility. Persistently infected cells continue to synthesize the chlamydial 60 kD heat shock protein (hsp60). Immunity to conserved regions of hsp60 may result in autoimmunity to human hsp60. Expression of hsp60 by the embryo and decidua during early pregnancy may reactivate hsp60-sensitized lymphocytes, disturb pregnancy-induced immune regulatory mechanisms, and lead to immune rejection of the embryo. Due to this mechanism women with tubal infertility who are sensitized to the human hsp60 may have a decreased probability of successful outcome after undergoing in vitro fertilization and embryo transfer
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