Alien Registration- Arbo, Pearl D. (Allagash, Aroostook County)

https://digitalmaine.com/alien_docs/32778/thumbnail.jp

Correlation between urinary iodine levels and TSH of umbilical cord from newborns of the University Hospital at the School of Medicine from Ribeirão Preto, São Paulo

The safest and most efficient way to diagnose congenital hypothyroidism (CH) is through screening programs using serum thyroid stimulating hormone (TSH). CH occurs in one in 1:2,300 - 1:5,000 births but higher rates are found in iodine-deficient areas. Iodine was measured in the urine of 141 newborns (87 males and 54 females) from Ribeirão Preto to complement the screening program developed by the School of Medicine of Ribeirão Preto (FMRP-USP) and Federal University of São Paulo (UNIFESP). TSH values did not disclose any case of CH, although we have seen an elevated ratio (0.96%) of calls for retests. The iodine urinary levels ranged from 2.1 to 194µg/l (mean 58.3±36.2µg/l). No differences between the levels of urinary iodine and gender or gestational ages were observed. A negative correlation between urinary iodine and TSH of blood from umbilical cord was found (r= -0.20, p= 0.02).A forma mais eficaz e segura de se diagnosticar o hipotireoidismo congênito (HC) é através dos programas de rastreamento neonatal com dosagens sanguíneas do hormônio tireotrófico (TSH). Está estabelecido que a incidência de HC varia entre 1:2.300 - 1:5.000 nascimentos, sendo mais elevada em áreas de carência iódica. Complementando o programa de rastreamento para HC desenvolvido entre a Faculdade de Medicina de Ribeirão Preto (FMRP-USP) e a Universidade Federal de São Paulo (UNIFESP), dosou-se iodo em amostras urinárias de 141 recém-nascidos (RN) de Ribeirão Preto, sendo 87 meninos e 54 meninas. Os resultados de TSH não indicaram casos de HC, embora um elevado número de crianças (0,96%) tenha sido convocado para novos testes. As iodúrias variaram entre 2,1 e 194µg/l, (média de 58,3±36,2µg/l). Não foram observadas diferenças entre os valores de iodo urinário dos RN segundo o sexo ou idade gestacional. Foi encontrada correlação negativa entre iodúria e TSH de sangue de cordão umbilical (r= -0,20, p= 0,02).Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Universidade de São Paulo Faculdade de Medicina Hospital das ClínicasUniversidade Federal de São Paulo (UNIFESP) Departamento de Medicina Disciplina de EndocrinologiaUNIFESP, Depto. de Medicina Disciplina de EndocrinologiaSciEL

Ativismo judicial e judicialização da política da relação de consumo: uma análise do controle jurisdicional dos contratos de planos de saúde privado no estado de São Paulo

This article aims to analyze the moviment of legalization politics in the practice of consumption ratio in order to understand the control exercised by the Court of São Paulo in private health plans contract. Differentiate between judicial activism and legalization of politics, because of the specific analysis that aims to trace. Later research will focus on the politics of consumer relations and the ramifications of their principiológicas and normative bases. Finally, the legalization of the consumption ratio in health insurance contracts policy will be reviewed from the dockets issued by the Court of São Paulo. The methodological approach is deductive, because from the theory of judicialization and judicial activism is possible to understand the judicial review of health plan contracts. The work is literature and develops the concepts of judicial activism, legalization of politics and consumeristas practices. The conclusion reached is that the judicial review of the state of São Paulo contracts of health plans is a result of the significant amount of repetitive demands plaguing the Brazilian judiciary. Editing overviews of understanding to settle the matter cannot be understood as judicial activism. This is an inherent judicialization of politics, which is presented as inevitable phenomenon in the face of conflicts presented in post modern society act.Este artigo tem como objetivo analisar o movimento de judicialização da política na prática das relações consumeristas, com o fim de compreender o controle exercido pelo Tribunal de Justiça de São Paulo nos contratos de planos de saúde privado. Será traçada uma diferenciação entre ativismo judicial e judicialização da política, em razão da análise específica a que se propõe. Posteriormente a pesquisa concentrar-se-á na política das relações de consumo e os desdobramentos de suas bases principiológicas e normativas. Por fim, a judicialização da política da relação de consumo nos contratos de planos de saúde será analisada a partir das súmulas editadas pelo Tribunal de Justiça de São Paulo. A perspectiva metodológica é a dedutiva, pois a partir de teoria do ativismo judicial e da judicialização será possível compreender o controle jurisdicional dos contratos de planos de saúde. O trabalho é bibliográfico e desenvolve conceitos relativos a ativismo judicial, judicialização da política e práticas consumeristas. A conclusão a que se chega é que o controle jurisdicional dos contratos de planos de saúde do estado de São Paulo é resultado da significativa quantidade de demandas repetitivas que assolam o poder judiciário brasileiro. A edição de súmulas para assentar o entendimento da matéria não pode ser compreendida como ativismo judicial. Esse é um ato inerente à judicialização das políticas, que se apresenta como fenômeno inevitável diante dos conflitos apresentados na sociedade pós-moderna

A “TERCEIRA MARGEM” DOS DIREITOS HUMANOS: PARA ALÉM DO PODER PUNITIVO VIA MANDADO DE BUSCA E APREENSÃO COLETIVO

O trabalho analisa as perversidades do poder punitivo, através da ordem de busca e apreensão coletiva, e as suas consequências na efetividade dos direitos humanos. Como método de abordagem, estabelece-se um “diálogo” com o conto “A terceira margem do rio”, de João Guimarães Rosa, utilizando a literatura brasileira como instrumento de crítica ao direito. Inicialmente, discorre-se sobre as linhas gerais da inversão ideológica dos direitos humanos na perspectiva da tutela penal, com a finalidade de demonstrar as armadilhas existentes na idealização do discurso garantista. Em seguida, perpassa-se ao exame do mandado de busca e apreensão coletivo e seu confronto com os direitos fundamentais. Mais a frente, o trabalho apresenta a literatura rosiana para a compreensão crítica do tema em debate, traçando uma interpretação analógica entre “A terceira margem do rio” e os direitos humanos. A conclusão é que o conteúdo abstrato e normativo dos direitos humanos não limita o controle punitivo

Time-dependent density-functional theory approach to nonlinear particle-solid interactions in comparison with scattering theory

An explicit expression for the quadratic density-response function of a many-electron system is obtained in the framework of the time-dependent density-functional theory, in terms of the linear and quadratic density-response functions of noninteracting Kohn-Sham electrons and functional derivatives of the time-dependent exchange-correlation potential. This is used to evaluate the quadratic stopping power of a homogeneous electron gas for slow ions, which is demonstrated to be equivalent to that obtained up to second order in the ion charge in the framework of a fully nonlinear scattering approach. Numerical calculations are reported, thereby exploring the range of validity of quadratic-response theory.Comment: 14 pages, 3 figures. To appear in Journal of Physics: Condensed Matte

Testing the Distraction Hypothesis:do extrafloral nectaries reduce ant-pollinator conflict?

1. Ant guards protect plants from herbivores, but can also hinder pollination by damaging reproductive structures and/or repelling pollinators. Natural selection should favour the evolution of plant traits that deter ants from visiting flowers during anthesis, without waiving their defensive services. The Distraction Hypothesis posits that rewarding ants with extrafloral nectar could reduce their visitation of flowers, reducing ant-pollinator conflict while retaining protection of other structures. 2. We characterised the proportion of flowers occupied by ants and the number of ants per flower in a Mexican ant-plant, Turnera velutina. We clogged extrafloral nectaries on field plants and observed the effects on patrolling ants, pollinators and ants inside flowers, and quantified the effects on plant fitness. Based on the Distraction Hypothesis we predicted that preventing extrafloral nectar secretion should result in fewer ants active at extrafloral nectaries, more ants inside flowers and a higher proportion of flowers occupied by ants, leading to ant-pollinator conflict, with reduced pollinator visitation and reduced plant fitness. 3. Overall ant activity inside flowers was low. Preventing extrafloral nectar secretion through clogging reduced the number of ants patrolling extrafloral nectaries, significantly increased the proportion of flowers occupied by ants from 6.1% to 9.7%, and reduced plant reproductive output through a 12% increase in the probability of fruit abortion. No change in the numbers of ants or pollinators inside flowers was observed. This is the first support for the Distraction Hypothesis obtained under field conditions, showing ecological and plant fitness benefits of the distracting function of extrafloral nectar during anthesis. 4. Synthesis: Our study provides the first field experimental support for the Distraction Hypothesis, suggesting that extrafloral nectaries located close to flowers may bribe ants away from reproductive structures during the crucial pollination period, reducing the probability of ant-occupation of flowers, reducing ant-pollinator conflict, and increasing plant reproductive success

First-light LBT nulling interferometric observations: warm exozodiacal dust resolved within a few AU of eta Corvi

We report on the first nulling interferometric observations with the Large Binocular Telescope Interferometer (LBTI), resolving the N' band (9.81 - 12.41 um) emission around the nearby main-sequence star eta Crv (F2V, 1-2 Gyr). The measured source null depth amounts to 4.40% +/- 0.35% over a field-of-view of 140 mas in radius (~2.6\,AU at the distance of eta Corvi) and shows no significant variation over 35{\deg} of sky rotation. This relatively low null is unexpected given the total disk to star flux ratio measured by Spitzer/IRS (~23% across the N' band), suggesting that a significant fraction of the dust lies within the central nulled response of the LBTI (79 mas or 1.4 AU). Modeling of the warm disk shows that it cannot resemble a scaled version of the Solar zodiacal cloud, unless it is almost perpendicular to the outer disk imaged by Herschel. It is more likely that the inner and outer disks are coplanar and the warm dust is located at a distance of 0.5-1.0 AU, significantly closer than previously predicted by models of the IRS spectrum (~3 AU). The predicted disk sizes can be reconciled if the warm disk is not centrosymmetric, or if the dust particles are dominated by very small grains. Both possibilities hint that a recent collision has produced much of the dust. Finally, we discuss the implications for the presence of dust at the distance where the insolation is the same as Earth's (2.3 AU).Comment: 9 pages, 6 figures, accepted for publication in Ap

Effects of type and level of training on variation in physician knowledge in the use and acquisition of blood cultures: a cross sectional survey

BACKGROUND: Blood culture (BCX) use is often sub-optimal, and is a user-dependent diagnostic test. Little is known about physician training and BCX-related knowledge. We sought to assess variations in caregiver BCX-related knowledge, and their relation to medical training. METHODS: We developed and piloted a self-administered BCX-related knowledge survey instrument. Expert opinion, literature review, focus groups, and mini-pilots reduced > 100 questions in multiple formats to a final questionnaire with 15 scored content items and 4 covariate identifiers. This questionnaire was used in a cross-sectional survey of physicians, fellows, residents and medical students at a large urban public teaching hospital. The responses were stratified by years/level of training, type of specialty training, self-reported practical and theoretical BCX-related instruction. Summary scores were derived from participant responses compared to a 95% consensus opinion of infectious diseases specialists that matched an evidence based reference standard. RESULTS: There were 291 respondents (Attendings = 72, Post-Graduate Year (PGY) = 3 = 84, PGY2 = 42, PGY1 = 41, medical students = 52). Mean scores differed by training level (Attending = 85.0, PGY3 = 81.1, PGY2 = 78.4, PGY1 = 75.4, students = 67.7) [p ≤ 0.001], and training type (Infectious Diseases = 96.1, Medicine = 81.7, Emergency Medicine = 79.6, Surgery = 78.5, Family Practice = 76.5, Obstetrics-Gynecology = 74.4, Pediatrics = 74.0) [p ≤ 0.001]. Higher summary scores were associated with self-reported theoretical [p ≤ 0.001] and practical [p = 0.001] BCX-related training. Linear regression showed level and type of training accounted for most of the score variation. CONCLUSION: Higher mean scores were associated with advancing level of training and greater subject-related training. Notably, house staff and medical students, who are most likely to order and/or obtain BCXs, lack key BCX-related knowledge. Targeted education may improve utilization of this important diagnostic tool

The use of chest ultrasonography in suspected cases of COVID-19 in the emergency department

Aim: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus-specific reverse transcriptase-polymerase chain reaction (RT-PCR) represents the diagnostic gold standard. We explored the value of chest ultrasonography to predict positivity to SARS-CoV-2 on RT-PCR in suspected COVID-19 cases. Patients & methods: Consecutive patients with suspect COVID-19 were included if they had fever and/or history of cough and/or dyspnea. Lung ultrasound score (LUSS) was computed according to published methods. Results: A total of 76 patients were included. A 3-variable model based on aspartate transaminase (AST) > upper limit of normal, LUSS >12 and body temperature >37.5°C yielded an overall accuracy of 91%. Conclusion: A simple LUSS-based model may represent a powerful tool for initial assessment in suspected cases of COVID-19. The gold standard for diagnosis of COVID-19 is RT-PCR. During a pandemic emergency, it may be useful to identify suspect symptomatic patients who may safely be observed without undergoing testing for COVID-19. In this work, a simple model based on the findings of lung ultrasound, AST levels and fever showed an overall accuracy of 91% to predict the results of RT-PCR