Incidencia de lesiones cervicales pre – malignas, en pacientes que se realizaron Papanicolaou en el Hospital Escuela Regional Santiago de Jinotepe, del 1 de Agosto del 2013 al 31 de Julio del 2014

El cáncer es una de las principales causas de morbilidad y mortalidad en todo el mundo, por lo tanto un problema mayor en salud pública a nivel mundial, y la prevención y tratamiento del cáncer, se convierte en una de las principales prioridades de los sistemas de salud. Los nuevos desafíos son aumentar la cobertura de las pruebas de tamizaje en mujeres de riesgo, hacer pruebas de ADN del VPH y el sistema de información para el registro de cáncer en la mujer. Existen pruebas de tamizaje disponible como es la citología convencional y en medio líquida, la inspección visual con ácido acético y prueba del ADN del VPH. Es importante comprender la historia natural del VPH , ya que la infección de un cuello sano puede progresar a lesión pre neoplásica y a invasión ( cáncer cervical); y las lesiones cervicales intraepiteliales pueden tener remisión hacia un cérvix normal .Tomando en cuenta la historia natural del VPH, y a sabiendas que nuestro país es uno de los más afectados a nivel mundial, con morbilidad y mortalidad por cáncer cervicouterino, se hizo un estudio de tipo descriptivo, transversal con la finalidad de determinar la incidencia de las lesiones pre malignas de cérvix en el Hospital Escuela Regional Santiago de Jinotepe, durante el año 2014. El universo fue de 7492 citologías tomadas por primera vez, obtenidas del registro de SIVIPCAN del HERSJ. La muestra se obtuvo de 129 pacientes cuyos resultados de Papanicolaou fueron alterados, reportando lesiones pre malignas en cérvix. Este dato se obtuvo del registro de citología del SIVIPCAN. Se aplicó las medidas estadísticas de frecuencia simple de cálculos de porcentaje

A note on ADCP-based indirect observations of turbulence

A 70-day data set from bottom-mounted ADCPs on the two sides of the Faroe-Bank Channel was analysed using the recorded flow variance and echo intensity in the deeper reaches of the passage as proxies for turbulence. A consistent picture emerged, not least since the data losses (which were ascribed to turbulence-induced activation of the fish-elimination option in the ADCP software) could be shown to co-vary with the internal M-2 tide affecting the vertical shear, which in turn proved to be correlated with the flow variance

Prospective Randomized Study Comparing the Intra-Operative and Postoperative Outcomes of Bipolar Enucleation of the Prostate Versus Thulium Laser Enucleation

Background: Benign prostatic hyperplasia (BPH) is an age-dependent patho-physiological condition. Bipolar enucleation of prostate (BipolEP) is now considered a rather effective method for the management of BPH patients. Aim and objectives: to assess the functional outcome of patients post plasma-kinetic enucleation in patients with large size prostate glands more than 80 cc as measured by Trans-rectal ultrasound. Patient and method: Our study involved 40 patients with symptomatic BPH who underwent endoscopic enucleation of the prostate using bipolar energy. Result: As regard the intraoperative complications our study showed that there were two patients (6.7%) complicated by small bladder perforation during morcellation and four patients (13.3%) had intra-operative bleeding necessitating blood transfusion and in the early postoperative period (the first 48 hours); one patient (3.33%) developed postoperative hematuria. After one month follow up we found that: 12 patients (30%) developed urge incontinence, 7 patients (17.5%) developed stress urinary incontinence and 5 patients (12.5%) developed mixed incontinence one with predominant urge and the other with predominant stress Conclusion: Bipolar enucleation (BipoLEP) is very effective for managing patients with symptomatic or complicated BPH with large gland size above 80 cc, having a high safety profile and low complications rate. Bipolar enucleation proved to be a very effective technique of endoscopic enucleation of the prostate and can stand out as a strong alternative to laser enucleation whenever laser facilities are not available with comparable results

Sr/Ca ratios and oxygen isotopes from sclerosponges: Temperature history of the Carribean mixed layer and thermocline during the Little Ice Age

We investigate aragonitic skeletons of the Caribbean sclerosponge Ceratoporella nicholsoni from Jamaica, 20 m below sea level (mbsl), and Pedro Bank, 125 mbsl. We use d18O and Sr/Ca ratios as temperature proxies to reconstruct the Caribbean mixed layer and thermocline temperature history since 1400 A.D. with a decadal time resolution. Our age models are based on U/Th dating and locating of the radiocarbon bomb spike. The modern temperature difference between the two sites is used to tentatively calibrate the C. nicholsoni Sr/Ca thermometer. The resulting calibration points to a temperature sensitivity of Sr/Ca in C. nicholsoni aragonite of about -0.1 mmol/mol/K. Our Sr/Ca records reveal a pronounced warming from the early 19th to the late 20th century, both at 20 and 125 mbsl. Two temperature minima in the shallow water record during the late 17th and early 19th century correspond to the Maunder and Dalton sunspot minima, respectively. Another major cooling occurred in the late 16th century and is not correlatable with a sunspot minimum. The temperature contrast between the two sites decreased from the 14th century to a minimum in the late 17th century and subsequently increased to modern values in the early 19th century. This is interpreted as a long-term deepening and subsequent shoaling of the Caribbean thermocline. The major trends of the Sr/Ca records are reproduced in both specimens but hardly reflected in the d18O records

Deglacial sea surface temperatures of the western tropical Pacific : a new look at old coral

Author Posting. © American Geophysical Union, 2004. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Paleoceanography 19 (2004): PA4031, doi:10.1029/2004PA001084.Using Secondary Ion Mass Spectrometry (SIMS) ion microprobe techniques, we generated annual Sr/Ca cycles with subweekly resolution from chunks of Porites coral retrieved from a Tahiti barrier reef drill core (149°W, 17°S), representing the period 13,650 to 13,100 years B.P. The centers of pristine skeletal septa were selectively targeted with a 10 μm diameter ion beam spot, avoiding adjacent pore spaces occupied by secondary aragonite needles. Applying a Sr/Ca–sea surface temperature (SST) calibration equation derived from modern Tahiti Porites having the same low growth rate as the fossil specimens, we obtained SSTs ∼0.5°–1.5°C cooler during the Bølling-Allerod relative to the present day, with no significant change in seasonality. On the contrary, we estimate that analysis of bulk samples would yield excessively cool Sr/Ca-based SST estimates due to the occupation by secondary aragonite crystals of up to 50% of the skeletal pore space in the ancient samples. We find that growth rate effects on coral Sr/Ca further depress the apparent mean annual derived SSTs (by >3°C) and amplify the apparent seasonality by selectively enhancing wintertime cooling. Our microscale analysis of pristine skeleton and application of an appropriate growth-dependent calibration yield Sr/Ca-derived SSTs that are in good agreement with those derived from Mg/Ca ratios of calcitic foraminifera which indicate a continuous postglacial warming of the western tropical Pacific, in phase with the warming of the tropical Atlantic.Funds for this study were provided by NSF MG&G award number OCE-0241075

Environmental and diagenetic controls on the morphology and calcification of the Ediacaran metazoan Cloudina

Abstract Cloudina is a globally distributed Ediacaran metazoan, with a tubular, funnel-in-funnel form built of thin laminae (ca. 1–10 μm). To what degree local environmental controlled morphology, and whether early diagenesis controlled the degree of calcification of Cloudina, is debated. Here we test these hypotheses by considering assemblages from four, coeval localities from the Upper Omkyk Member, Nama Group, Namibia, from inner ramp to mid-ramp reef across the Zaris Subbasin. We show that sinuosity of the Cloudina tube is variable between sites, as is the relative thickness of the tube wall, suggesting these features were environmentally controlled. Walls are thickest in high-energy reef settings, and thinnest in the low-energy, inner ramp. While local diagenesis controls preservation, all diagenetic expressions are consistent with the presence of weakly calcified, organic-rich laminae, and lamina thicknesses are broadly constant. Finally, internal ‘cements’ within Cloudina are found in all sites, and pre-date skeletal breakage, transport, as well as syn-sedimentary botryoidal cement precipitation. Best preservation shows these to be formed by fine, pseudomorphed aragonitic acicular crystals. Sr concentrations and Mg/Ca show no statistically significant differences between internal Cloudina cements and botryoidal cements, but we infer all internal cements to have precipitated when Cloudina was still in-situ and added considerable mechanical strength, but may have formed post-mortem or in abandoned parts of the skeleton

Oceanographic variability in the South Pacific Convergence Zone region over the last 210 years from multi-site coral Sr/Ca records

In the South Pacific Convergence Zone (SPCZ), the variability in a sub-seasonally resolved microatoll Porites colony Sr/Ca record from Tonga and a previously published high-resolution record from Fiji are strongly influenced by sea surface temperature (SST) over the calibration period from 1981 to 2004 (R2 = 0.67–0.68). However, the Sr/Ca-derived SST correlation to instrumental SST decreases back in time. The lower frequency secular trend (~1°C) and decadal-scale (~2–3°C) modes in Sr/Ca-derived SST are almost two times larger than that observed in instrumental SST. The coral Sr/Ca records suggest that local effects on SST generate larger amplitude variability than gridded SST products indicate. Reconstructed δ ¹⁸O of seawater (δ ¹⁸Osw) at these sites correlate with instrumental sea surface salinity (SSS; r = 0.64–0.67) but not local precipitation (r = −0.10 to −0.22) demonstrating that the advection and mixing of different salinity water masses may be the predominant control on δ¹⁸Osw in this region. The Sr/Ca records indicate SST warming over the last 100 years and appears to be related to the expansion of the western Pacific warm pool (WPWP) including an increasing rate of expansion in the last ~20 years. The reconstructed δ¹⁸Osw over the last 100 years also shows surface water freshening across the SPCZ. The warming and freshening of the surface ocean in our study area suggests that the SPCZ has been shifting (expanding) southeast, possibly related to the southward shift and intensification of the South Pacific gyre over the last 50 years in response to strengthened westerly winds

Analisis Semiotika Gambar Herman Hery Pada Cover Majalah Tempo Edisi 25-31 Januari 2021

Abstract Semiotic Analysis of Herman Hery Image on the Cover of Tempo Magazine’s 25-31st January 2021 edition Rahmadi Enmar 169110051 This research is entitled "Analysis of Semiotics of Herman Hery's Face on the Cover of Tempo Magazine Edition 25-31 January 2021." The cover of Tempo magazine for the January 25-31 2021 edition has many hidden meanings. The purpose of this study is to find out the denotative meanings of connotations and myths contained in the illustrations on the cover of Tempo magazine's 25-31 January 2021 edition. How a magazine cover can convey messages and real meanings to the public. This analysis uses qualitative research methods using the theory of semiotic analysis of Rolland Barthes. By using Rolland Barthes' semiotic analysis theory, the researcher wants to provide food from denotation, connotative meaning, and mythical meaning in the cover illustration of Tempo magazine's 25-31 January 2021 edition. alluded to the issue of PDIP members entangled in the presidential social assistance corruption case. This illustration is very clear using Herman Hery's face as the first object on the cover of Tempo magazine's 25-31 January 2021 edition. Herman Hery is one of the current PDIP members A woman with a bull's head wearing a red and white kebaya dress, holding a bishop's crochet and showing the 2 finger symbol , which stands on a pile of boxes and shopping bags in the shape of a king's throne. Shows this woman is a leader who has a nationalist spirit, has high power and behaves badly towards her subordinates. This woman is also referred to as Madam by a source obtained by a Tempo journalist

Corona virus infectious disease (COVID-19) pandemic and eye health care services

Not available.</jats:p

Incidencia de Tres Sustratos en la Germinación de Café (Coffea arabica L.) Variedad Caturra, a Diferentes Alturas en Rosario de Chingama - Bellavista – Jaén – Cajamarca

Coffea arabica L. es el principal cultivo en las provincias de Jaén y San Ignacio, en él se sustenta la economía de la población rural. Estudios advierten que sufrirá gran afectación a consecuencia del cambio climático, percibiendo este problema es que se realizó la presente investigación con la finalidad de determinar la mejor altitud de germinación y mejorar las condiciones de las plántulas de café en etapa de vivero, teniendo como objetivo, evaluar la incidencia de tres sustratos sobre la germinación de semillas de C. arabica L. variedad Caturra en diferentes altitudes, de la cuenca de Rosario de Chingama. Para lo cual se instaló germinadores con los diferentes sustratos en tres diferentes altitudes (1449 msnm, 1649 msnm y1886 msnm); donde se evaluó la longitud de las raíces, porcentaje de supervivencia, número de días a la germinación, vigor y turgencia de las plántulas de C. arabica. Llegándose a determinar que la mejor altitud es a 1449 msnm y el mejor sustrato es aserrín; concluyendo que este sustrato resulta muy útil y eficiente en la producción de plantones de café de esta variedad debido a que es liviano, de buena textura, económico y sobre todo fácil de transportar