Histerectomía total laparoscópica asistida por robot: Experiencia de Clínica Indisa

Se comunica la experiencia y los resultados obtenidos de 110 casos de histerectomía total laparoscópica asistida por robot entre junio de 2010 y abril de 2013 en Clínica Indisa. Parámetros evaluados: diagnóstico, edad, índice de masa corporal (IMC), tiempo de instalación de trócares (TT), tiempo operatorio (TO), conversión a laparotomía, sangrado, dolor postoperatorio, estadía hospitalaria y complicaciones postoperatorias. Los diagnósticos preoperatorios más frecuentes fueron: miomatosis y adenomiosis. El promedio de edad fue de 45 años y de IMC 25,8 kg/m2, 7% de las pacientes con IMC mayor de 35. TT promedio de 14 min y TO fue de 81 min. No hubo conversión a laparotomía. Sangrado promedio de 17 ml. A las 48 horas pos intervención el 100% de las pacientes presentó un test de EVA de 0-2. Promedio de estadía hospitalaria fue 1,6 días. Hubo tres complicaciones postoperatorias: una neumonía, un desgarro vulvar y una dehiscencia de la cúpula vaginal. Conclusión: La histerectomía total laparoscópica asistida por robot es una técnica segura y ofrece ventajas al paciente y cirujano

Guia de uso da Planilha de Campo Digital da Produção Integrada de Uva para Processamento (PIUP).

Este guia orienta como utilizar o Caderno de campo digital da Produção Integrada de Uva para Processamento (PIUP), em formato de planilha, que facilita a manutenção dos registros e o seu armazenamento em meio digital, mantendo controle sobre tudo o que acontece no vinhedo, de modo a permitir a rastreabilidade da uva. Palavras-chave: Uva; Certificação; planilha; Rastreabilidade; PIUP; Caderno de campo; Produção Integrada de Uva para Processamento.bitstream/item/214131/1/SERIE-DOCUMENTOS-117-Publica-307-BELLO-PIUPCaderno-Digital-versao-2020-06-05-15h.pd

Genomic adaptations to aquatic and aerial life in mayflies and the origin of insect wings

The evolution of winged insects revolutionized terrestrial ecosystems and led to the largest animal radiation on Earth. However, we still have an incomplete picture of the genomic changes that underlay this diversification. Mayflies, as one of the sister groups of all other winged insects, are key to understanding this radiation. Here, we describe the genome of the mayfly Cloeon dipterum and its gene expression throughout its aquatic and aerial life cycle and specific organs. We discover an expansion of odorant-binding-protein genes, some expressed specifically in breathing gills of aquatic nymphs, suggesting a novel sensory role for this organ. In contrast, flying adults use an enlarged opsin set in a sexually dimorphic manner, with some expressed only in males. Finally, we identify a set of wing-associated genes deeply conserved in the pterygote insects and find transcriptomic similarities between gills and wings, suggesting a common genetic program. Globally, this comprehensive genomic and transcriptomic study uncovers the genetic basis of key evolutionary adaptations in mayflies and winged insects

Produção integrada de uva para processamento - vinho e suco: caderno de campo modelo.

O presente Documento de Acompanhamento serve de base para que o produtor, devidamente acompanhado pelo técnico ou consultor da PIUP garanta a rastreabilidade do Sistema, pois permite registrar as principais características do vinhedo e todas as atividades relacionadas ao sistema de produção, aplicadas em cada parcela. Esses registros são essenciais para o estabelecimento de um sistema de produção de uvas para processamento pautado pela segurança alimentar, ambiental e do produtor. Esta série tem 4 volumes volume 1: Produção integrada de uva para processamento - vinho e suco: grade de agroquímicos. volume 2: Produção integrada de uva para processamento - vinho e suco: caderno de campo. volume 3: Produção integrada de uva para processamento - vinho e suco: caderno do estabelecimento vinícola. volume 4: Produção integrada de uva para processamento - vinho e suco: caderno de campo modelo.bitstream/item/138997/1/Paulo-Roberto-2.pd

Produção integrada de uva para processamento - vinho e suco: caderno de campo.

O presente Documento de Acompanhamento serve de base para que o produtor, devidamente acompanhado pelo técnico ou consultor da PIUP garanta a rastreabilidade do Sistema, pois permite registrar as principais características do vinhedo e todas as atividades relacionadas ao sistema de produção, aplicadas em cada parcela. Esses registros são essenciais para o estabelecimento de um sistema de produção de uvas para processamento pautado pela segurança alimentar, ambiental e do produtor.bitstream/item/138943/1/Paulo-Roberto.pd

The exposure of the hybrid detector of the Pierre Auger Observatory

The Pierre Auger Observatory is a detector for ultra-high energy cosmic rays. It consists of a surface array to measure secondary particles at ground level and a fluorescence detector to measure the development of air showers in the atmosphere above the array. The "hybrid" detection mode combines the information from the two subsystems. We describe the determination of the hybrid exposure for events observed by the fluorescence telescopes in coincidence with at least one water-Cherenkov detector of the surface array. A detailed knowledge of the time dependence of the detection operations is crucial for an accurate evaluation of the exposure. We discuss the relevance of monitoring data collected during operations, such as the status of the fluorescence detector, background light and atmospheric conditions, that are used in both simulation and reconstruction.Comment: Paper accepted by Astroparticle Physic

High resolution human leukocyte antigen (HLA) class I and class II allele typing in Mexican mestizo women with sporadic breast cancer: case-control study

<p>Abstract</p> <p>Background</p> <p>The development of breast cancer is multifactorial. Hormonal, environmental factors and genetic predisposition, among others, could interact in the presentation of breast carcinoma. Human leukocyte antigen (HLA) alleles play an important role in immunity (cellular immunity) and may be important genetic traits. HLAAllele-specific interaction has not been well established. Recently, several studies had been conducted in order to do so, but the results are controversial and in some instances contradictory.</p> <p>Methods</p> <p>We designed a case-control study to quantify the association of HLA class I and II genes and breast cancer. HLA typing was performed by high resolution sequence-specific oligotyping after DNA amplification (PCR-SSOP) of 100 breast cancer Mexican mestizo patients and 99 matched healthy controls.</p> <p>Results</p> <p>HLA-A frequencies that we were able to observe that there was no difference between both groups from the statistical viewpoint. HLA-B*1501 was found three times more common in the case group (OR, 3.714; <it>p </it>= 0.031). HLA-Cw is not a marker neither for risk, nor protection for the disease, because we did not find significant statistical differences between the two groups. DRB1*1301, which is expressed in seven cases and in only one control, observing an risk increase of up to seven times and DRB1*1602, which behaves similarly in being present solely in the cases (OR, 16.701; 95% CI, 0.947 – 294.670). DQ*0301-allele expression, which is much more common in the control group and could be protective for the presentation of the disease (OR, 0.078; 95% CI, 0.027–0.223, <it>p </it>= 0.00001).</p> <p>Conclusion</p> <p>Our results reveal the role of the MHC genes in the pathophysiology of breast cancer, suggesting that in the development of breast cancer exists a disorder of immune regulation. The triggering factor seems to be restricted to certain ethnic groups and certain geographical regions since the relevant MHC alleles are highly diverse. This is the first study in Mexican population where high resolutions HLA typing has been performed in order to try to establish an association with malignancy.</p

Search for the standard model Higgs boson in the H to ZZ to 2l 2nu channel in pp collisions at sqrt(s) = 7 TeV

A search for the standard model Higgs boson in the H to ZZ to 2l 2nu decay channel, where l = e or mu, in pp collisions at a center-of-mass energy of 7 TeV is presented. The data were collected at the LHC, with the CMS detector, and correspond to an integrated luminosity of 4.6 inverse femtobarns. No significant excess is observed above the background expectation, and upper limits are set on the Higgs boson production cross section. The presence of the standard model Higgs boson with a mass in the 270-440 GeV range is excluded at 95% confidence level.Comment: Submitted to JHE

Search for New Physics with Jets and Missing Transverse Momentum in pp collisions at sqrt(s) = 7 TeV

A search for new physics is presented based on an event signature of at least three jets accompanied by large missing transverse momentum, using a data sample corresponding to an integrated luminosity of 36 inverse picobarns collected in proton--proton collisions at sqrt(s)=7 TeV with the CMS detector at the LHC. No excess of events is observed above the expected standard model backgrounds, which are all estimated from the data. Exclusion limits are presented for the constrained minimal supersymmetric extension of the standard model. Cross section limits are also presented using simplified models with new particles decaying to an undetected particle and one or two jets

Combined search for the quarks of a sequential fourth generation

Results are presented from a search for a fourth generation of quarks produced singly or in pairs in a data set corresponding to an integrated luminosity of 5 inverse femtobarns recorded by the CMS experiment at the LHC in 2011. A novel strategy has been developed for a combined search for quarks of the up and down type in decay channels with at least one isolated muon or electron. Limits on the mass of the fourth-generation quarks and the relevant Cabibbo-Kobayashi-Maskawa matrix elements are derived in the context of a simple extension of the standard model with a sequential fourth generation of fermions. The existence of mass-degenerate fourth-generation quarks with masses below 685 GeV is excluded at 95% confidence level for minimal off-diagonal mixing between the third- and the fourth-generation quarks. With a mass difference of 25 GeV between the quark masses, the obtained limit on the masses of the fourth-generation quarks shifts by about +/- 20 GeV. These results significantly reduce the allowed parameter space for a fourth generation of fermions.Comment: Replaced with published version. Added journal reference and DO