130 research outputs found
Discursos de adolescentes sobre a vida profissional e familiar: entre o sonho e a realidade
Residual feed intake and relationships with performance of Nellore cattle selected for post weaning weight
The objective of this work was to evaluate performance, efficiency parameters and phenotypic correlations among measurements of energy efficiency of Nellore cattle selected for post weaning weight and classified according to residual feed intake, calculated by the difference between observed and predicted intake, based on average metabolic body weight and average daily gain. Thus, animals were classified within three groups: high (> mean + 0.5 standard deviation, less efficient); medium (±0.5 standard deviation of the mean); and low (Objetivou-se com este trabalho avaliar desempenho, parâmetros de eficiência e correlações fenotípicas entre medidas de eficiência energética de animais Nelore selecionados para peso pós-desmame e classificados quanto ao consumo alimentar residual, calculado pela diferença entre o consumo observado e o predito, com base no peso vivo médio metabólico e no ganho médio diário. Assim, os animais foram classificados em três grupos: alto (> média + 0,5 desvio-padrão; menos eficientes); médio (± 0,5 desvio-padrão da média); e baixo (< média - 0,5 desvio padrão; mais eficientes) consumo alimentar residual. Não foram observadas diferenças nos pesos vivos inicial e final, no ganho médio diário e no consumo de matéria seca entre os grupos. Animais com baixo consumo alimentar residual mostraram-se também com melhor eficiência alimentar, conversão alimentar e eficiência parcial de crescimento e não apresentaram diferenças em relação aos outros grupos quanto à taxa de crescimento relativo e taxa Kleiber. O consumo alimentar residual apresentou correlação significativa com eficiência alimentar (_0,25), conversão alimentar (0,25), eficiência parcial de crescimento (_0,37) e consumo de MS (0,16) e não apresentou correlação significativa com peso vivo (0,04), ganho médio diário (_0,02), taxa de crescimento relativo (_0,03) e taxa de Kleiber (_0,05). Foram encontradas correlações significativas entre conversão alimentar e peso vivo inicial (0,34) e ganho médio diário (_0,46). Eficiência parcial de crescimento apresentou correlação significativa comtodos os outros parâmetros de eficiência analisados. O consumo alimentar residual, em comparação às demais medidas de eficiência energética, apresenta grande potencial na eficiência produtiva, sendo independente de crescimento e tamanho dos animais
Responsiveness and convergent validity of QLU-C10D and EQ-5D-3L in assessing short-term quality of life following esophagectomy
Aim: This study assessed the responsiveness and convergent validity of two preference-based measures; the newly developed cancer-specifc EORTC Quality of Life Utility Measure-Core 10 dimensions (QLU-C10D) relative to the generic three-level version of the EuroQol 5 dimensions (EQ-5D-3L) in evaluating short-term health related quality of life (HRQoL) outcomes after esophagectomy. Methods: Participants were enrolled in a multicentre randomised controlled trial to determine the impact of preoperative and postoperative immunonutrition versus standard nutrition in patients with esophageal cancer. HRQoL was assessed seven days before and 42 days after esophagectomy. Standardized Response Mean and Efect Size were calculated to assess responsiveness. Ceiling efects for each dimension were calculated as the proportion of the best level responses for that dimension at follow-up/post-operatively. Convergent validity was assessed using Spearman’s correlation and the level of agreement was explored using Bland–Altman plots. Results: Data from 164 respondents (mean age: 63 years, 81% male) were analysed. HRQoL signifcantly reduced on both measures with large efect sizes (>0.80), and a greater mean diference (0.29 compared to 0.16) on QLU-C10D. Both measures had ceiling efects (>15%) on all dimensions at baseline. Following esophagectomy, ceiling efects were observed with self-care (86%), mobility (67%), anxiety/depression (55%) and pain/discomfort (19%) dimensions on EQ-5D-3L. For QLU-C10D ceiling efects were observed with emotional function (53%), physical function (16%), nausea (35%), sleep (31%), bowel problems (21%) and pain (20%). A strong correlation (r=0.71) was observed between EQ-5D-3L anxiety and QLU-C10D emotional function dimensions. Good agreement (3.7% observations outside the limits of agreement) was observed between the utility scores. Conclusion: The QLU-C10D is comparable to the more widely applied generic EQ-5D-3L, however, QLU-C10D was more sensitive to short-term utility changes following esophagectomy. Cognisant of requirements by policy makers to apply generic utility measures in cost efectiveness studies, the disease-specifc QLU-C10D should be used alongside the generic measures like EQ-5D-3L.Norma B. Bulamu, Ravi Vissapragada, Gang Chen, Julie Ratclife, Louise A. Mudge, B. Mark Smithers, Elizabeth A. Isenring, Lorelle Smith, Glyn G. Jamieson, and David I. Watson, on behalf of The Australian Immunonutrition Study Grou
Effect of calcium intake on urinary oxalate excretion in calcium stone-forming patients
Phase Behavior of Aqueous Na-K-Mg-Ca-CI-NO3 Mixtures: Isopiestic Measurements and Thermodynamic Modeling
A comprehensive model has been established for calculating thermodynamic properties of multicomponent aqueous systems containing the Na{sup +}, K{sup +}, Mg{sup 2+}, Ca{sup 2+}, Cl{sup -}, and NO{sub 3}{sup -} ions. The thermodynamic framework is based on a previously developed model for mixed-solvent electrolyte solutions. The framework has been designed to reproduce the properties of salt solutions at temperatures ranging from the freezing point to 300 C and concentrations ranging from infinite dilution to the fused salt limit. The model has been parameterized using a combination of an extensive literature database and new isopiestic measurements for thirteen salt mixtures at 140 C. The measurements have been performed using Oak Ridge National Laboratory's (ORNL) previously designed gravimetric isopiestic apparatus, which makes it possible to detect solid phase precipitation. Water activities are reported for mixtures with a fixed ratio of salts as a function of the total apparent salt mole fraction. The isopiestic measurements reported here simultaneously reflect two fundamental properties of the system, i.e., the activity of water as a function of solution concentration and the occurrence of solid-liquid transitions. The thermodynamic model accurately reproduces the new isopiestic data as well as literature data for binary, ternary and higher-order subsystems. Because of its high accuracy in calculating vapor-liquid and solid-liquid equilibria, the model is suitable for studying deliquescence behavior of multicomponent salt systems
Mouse Chromosome 11
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46996/1/335_2004_Article_BF00648429.pd
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries
Whole-genome sequencing reveals host factors underlying critical COVID-19
Critical COVID-19 is caused by immune-mediated inflammatory lung injury. Host genetic variation influences the development of illness requiring critical care1 or hospitalization2,3,4 after infection with SARS-CoV-2. The GenOMICC (Genetics of Mortality in Critical Care) study enables the comparison of genomes from individuals who are critically ill with those of population controls to find underlying disease mechanisms. Here we use whole-genome sequencing in 7,491 critically ill individuals compared with 48,400 controls to discover and replicate 23 independent variants that significantly predispose to critical COVID-19. We identify 16 new independent associations, including variants within genes that are involved in interferon signalling (IL10RB and PLSCR1), leucocyte differentiation (BCL11A) and blood-type antigen secretor status (FUT2). Using transcriptome-wide association and colocalization to infer the effect of gene expression on disease severity, we find evidence that implicates multiple genes—including reduced expression of a membrane flippase (ATP11A), and increased expression of a mucin (MUC1)—in critical disease. Mendelian randomization provides evidence in support of causal roles for myeloid cell adhesion molecules (SELE, ICAM5 and CD209) and the coagulation factor F8, all of which are potentially druggable targets. Our results are broadly consistent with a multi-component model of COVID-19 pathophysiology, in which at least two distinct mechanisms can predispose to life-threatening disease: failure to control viral replication; or an enhanced tendency towards pulmonary inflammation and intravascular coagulation. We show that comparison between cases of critical illness and population controls is highly efficient for the detection of therapeutically relevant mechanisms of disease
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