58 research outputs found

    Effect of flocculation on lipid extraction from Chlorella vulgaris Utex 1803 using response surface methodology

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    Microalgae are an attractive source of metabolites, such as lipids, proteins, pigments and carbohydrates, of potential interest to the pharmaceutical, food and energy sectors. The aim of this study was to evaluate the effect of flocculation on lipid extraction from Chlorella Vulgaris. A 3 3 experimental design was performed with STATISTICA 7.0 software in order to determine the effects of flocculant (AlCl 3 ) addition, pH and time. The best strategy of pH adjustment-flocculant addition was evaluated, followed by lipid extraction under optimal conditions. pH adjustment after the addition of flocculant provided higher flocculation efficiencies (87.2-98.9%) compared to adjustments made before adding the flocculant (67.8-85.9%). Experiments performed according to the experimental design led to a flocculation efficiency of 99.7% when 100 mg/L of AlCl 3 , pH 7 and a cultivation time of 18.3 days were used. The percentage of a lipid extract from the flocculated biomass was 2.7% and the flocculant did not affect the production of fatty acid methyl esters

    Albiglutide and cardiovascular outcomes in patients with type 2 diabetes and cardiovascular disease (Harmony Outcomes): a double-blind, randomised placebo-controlled trial

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    Background: Glucagon-like peptide 1 receptor agonists differ in chemical structure, duration of action, and in their effects on clinical outcomes. The cardiovascular effects of once-weekly albiglutide in type 2 diabetes are unknown. We aimed to determine the safety and efficacy of albiglutide in preventing cardiovascular death, myocardial infarction, or stroke. Methods: We did a double-blind, randomised, placebo-controlled trial in 610 sites across 28 countries. We randomly assigned patients aged 40 years and older with type 2 diabetes and cardiovascular disease (at a 1:1 ratio) to groups that either received a subcutaneous injection of albiglutide (30–50 mg, based on glycaemic response and tolerability) or of a matched volume of placebo once a week, in addition to their standard care. Investigators used an interactive voice or web response system to obtain treatment assignment, and patients and all study investigators were masked to their treatment allocation. We hypothesised that albiglutide would be non-inferior to placebo for the primary outcome of the first occurrence of cardiovascular death, myocardial infarction, or stroke, which was assessed in the intention-to-treat population. If non-inferiority was confirmed by an upper limit of the 95% CI for a hazard ratio of less than 1·30, closed testing for superiority was prespecified. This study is registered with ClinicalTrials.gov, number NCT02465515. Findings: Patients were screened between July 1, 2015, and Nov 24, 2016. 10 793 patients were screened and 9463 participants were enrolled and randomly assigned to groups: 4731 patients were assigned to receive albiglutide and 4732 patients to receive placebo. On Nov 8, 2017, it was determined that 611 primary endpoints and a median follow-up of at least 1·5 years had accrued, and participants returned for a final visit and discontinuation from study treatment; the last patient visit was on March 12, 2018. These 9463 patients, the intention-to-treat population, were evaluated for a median duration of 1·6 years and were assessed for the primary outcome. The primary composite outcome occurred in 338 (7%) of 4731 patients at an incidence rate of 4·6 events per 100 person-years in the albiglutide group and in 428 (9%) of 4732 patients at an incidence rate of 5·9 events per 100 person-years in the placebo group (hazard ratio 0·78, 95% CI 0·68–0·90), which indicated that albiglutide was superior to placebo (p<0·0001 for non-inferiority; p=0·0006 for superiority). The incidence of acute pancreatitis (ten patients in the albiglutide group and seven patients in the placebo group), pancreatic cancer (six patients in the albiglutide group and five patients in the placebo group), medullary thyroid carcinoma (zero patients in both groups), and other serious adverse events did not differ between the two groups. There were three (<1%) deaths in the placebo group that were assessed by investigators, who were masked to study drug assignment, to be treatment-related and two (<1%) deaths in the albiglutide group. Interpretation: In patients with type 2 diabetes and cardiovascular disease, albiglutide was superior to placebo with respect to major adverse cardiovascular events. Evidence-based glucagon-like peptide 1 receptor agonists should therefore be considered as part of a comprehensive strategy to reduce the risk of cardiovascular events in patients with type 2 diabetes. Funding: GlaxoSmithKline

    Infants, Toddlers and Caregivers: A Curriculum of Respectful, Responsive Care and Education

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    Buku ini merupakan pengantar yang ideal untuk perawatan dan pendidikan dalam tiga tahun pertama kehidupan, menampilkan hormat, pendekatan kohesif terinspirasi oleh Magda Gerber dan Dr Emmi Pikler, pelopor dalam apa yang disebut Gerber "Educaring." Teks menekankan nilai bermain dan eksplorasi, serta memberikan perhatian kepada mereka pengasuhan kali, ketika hubungan tumbuh dan berlimpahnya pembelajaran terjadi

    Infants, Toddlers, and Caregivers

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    Foundations of early childhood education : teaching children in a diverse society, 4 th ed./ Gonzalez-Mena

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    xxiii, 445 hal.: ill., tab.; 24 c

    The caregiver's companion reading and professional resources to accompany

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    Combining a child-centered philosophy with problem-solving strategies and a thorough discussion of diversity, Infants, Toddlers, and Caregivers offers an ideal introduction to curriculum and care for infants and toddlers. The approach to caregiving that underlies the text is based on a combination of Magda Gerber?s philosophy and that of her late colleague, Emmi Pikler: both pioneers taught caregivers how to respect young children and stressed the need to integrate (1) concepts of child development with caregiving, (2) knowledge of play as curriculum, (3) the physical and social environment, and (4) adult relations. Infants, Toddlers, and Caregivers applies this approach in a practical, meaningful way for students and faculty in introductory early childhood courses
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