2,555 research outputs found

    Modelado de la sismicidad en Colombia a partir de características de la litosfera terrestre

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    En el presente artículo se realizó la estimación de modelos del proceso de Poisson no homogéneo, aso- ciado al patrón de sismos en Colombia utilizando covariables descriptivas de la litosfera terrestre tales como la altitud del terreno, anomalías magnéticas e isostáticas, y mediciones de distancia a estructu- ras geológicas tales como fallas, bordes de placa y volcanes. En este estudio se confirmó que los sismos tienden a ocurrir en las cercanías a determinadas es- tructuras geológicas, en zonas con importantes ano- malías gravimétricas, tanto positivas como negativas, y en zonas con valores específicos de anomalías magnéticas y de altitud.

    DefiniçÔes para a padronização da pesquisa de auto-anticorpos contra constituintes do nĂșcleo (FAN HEp-2), nuclĂ©olo, citoplasma e aparelho mitĂłtico e suas associaçÔes clĂ­nicas

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    OBJECTIVE: The Second Brazilian Consensus on Antinuclear Antibodies (ANA) in HEp-2 Cells approved and extended the decision trees developed during the First Brazilian Consensus in order to also offer information about mixed patterns of fluorescence. METHODS: Since this test elicits reactions not only to nuclear autoimmune antigens but also to different cell compartments, new denominations for the test were approved. Results and CONCLUSIONS: These new denominations encompass variations on the autoantibody testing against the nucleus (ANA HEp-2), nucleolus, cytoplasm, and mitotic apparatus issue. Furthermore, major clinical associations were described for each immunofluorescent pattern, facilitating the interpretation of laboratory results in the clinical practice.OBJETIVO: O Segundo Consenso Brasileiro de Fator Antinuclear (FAN) em CĂ©lulas HEp-2 ratificou os algoritmos de decisĂŁo para leitura dos padrĂ”es do FAN na imunofluorescĂȘncia indireta vistos na primeira edição do Consenso Brasileiro, adicionando ainda um novo algoritmo relacionado com os padrĂ”es mistos. MÉTODOS: Tendo em vista a habilidade do teste em detectar autoantĂ­genos nos distintos compartimentos celulares, e nĂŁo apenas no nĂșcleo, propĂ”e-se novas denominaçÔes para este exame laboratorial. RESULTADOS E CONCLUSÕES: Como novas denominaçÔes algumas sugestĂ”es foram igualmente aceitas, dentro do tema pesquisa de auto-anticorpos contra constituintes do nĂșcleo (FAN HEp-2), nuclĂ©olo, citoplasma e aparelho mitĂłtico. Foram abordadas as principais relevĂąncias clĂ­nicas com os padrĂ”es de FAN descritos, facilitando o melhor uso do ensaio pelo mĂ©dico.FMUSPUNIFESPBio-Rad LaboratĂłrio BrasilHospital Geral de GoiĂąniaBiomĂ©dicaUniversidade Federal de UberlĂąndiaUFMG HCPUCRS HCNew Life Produtos HospitalaresUniversidade CatĂłlica de GoiĂĄsFMUSP HC LaboratĂłrio CentralPatologista ClĂ­nicaFMUSP HCFrischmann Aisengart Unidad InmunologĂ­aUniversidade CatĂłlica de GoiĂĄs LaboratĂłrio de Auto-ImunidadeExame Medicina LaboratorialFMUFG HC LaboratĂłrio de Imuno-Reumatologia e HLALab. Santa LuziaMedivax/BionHSPE/SPUniversidade CatĂłlica de GoiĂĄs LaboratĂłrio da Área de SaĂșdeFarmacĂȘutica-BioquĂ­micaUniv. Fed. Mato GrossoFMUFG Serviço de ReumatologiaHospital Durand Unidad InmunologĂ­aLaboratĂłrio ClĂ­nicoUFRGS HCPA Serviço de ReumatologiaUERJ FCMUFMG FMHospital UniversitĂĄrio de BrasĂ­lia LaboratĂłrio de ReumatologiaUNIFESPSciEL

    Third brazilian consensus for autoantIbodies screening in HEp-2 Cells : historical perspectve, quality control and clinical associatons

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    O III Consenso Brasileiro para Pesquisa de Autoanticorpos em CĂ©lulas HEp-2 (FAN) objetivou discutir estratĂ©gias para controlar a qualidade do ensaio, promover a atualização das associaçÔes clĂ­nicas dos diversos padrĂ”es e avaliar as difculdades de implantação do II Consenso ocorrido no ano de 2002. MĂ©todos: Nos dias 13 e 14 de abril de 2007 participaram do encontro em GoiĂąnia pesquisadores e especialistas de diversos centros universitĂĄrios e laboratĂłrios clĂ­nicos de diferentes regiĂ”es do Brasil, com o propĂłsito de discutir e aprovar as recomendaçÔes que visam a melhores padronização, interpretação e utilização do ensaio pelos clĂ­nicos. Foram convidados como ouvintes representantes comerciais de diferentes empresas produtoras de insumos para realização do teste de FAN. Resultados e conclusĂŁo: Dada a heterogeneidade de microscĂłpios e reagentes disponĂ­veis no mercado, o III Consenso enfatizou a necessidade do controle de qualidade em ensaios de imunofuorescĂȘncia indireta. Foram tambĂ©m feitas algumas adequaçÔes na terminologia utilizada para classifcar os diferentes padrĂ”es. Finalmente, foi realizada uma atualização das associaçÔes clĂ­nicas com fnalidade de facilitar cada vez mais o melhor uso do ensaio pelos clĂ­nicos. _________________________________________________________________________________ ABSTRACTThe Third Brazilian Consensus for Autoantibodies Screening in HEp-2 Cells (ANA) had as purpose the evaluation of diffculties in the accomplishment of the 2nd Consensus recommendations that took place in the year of 2002, the discussion of strategies for quality control of the assay and the discussion of an update of the clinical associations of the several immunofuorescent patterns. Methods: Several ANA experts from university centers and private laboratories in different areas in Brazil joined the workshop in GoiĂąnia on 2007 April 13 and 14 with the purpose of discussing and approving the recommendations for standardization, interpretation and use of the test by physicians. Commercial representatives of different ANA slide brands were also invited as listeners to the workshop. Results and conclusion: The 3rd ANA Consensus emphasized the need for quality control in indirect immunofuorescent assays since there is a considerable heterogeneity of available microscopes and reagents. It also promoted adaptations in the previously approved terminology used to classify the different patterns and fnally updated the clinical associations of the several patterns with the purpose of providing guidance for interpretation of the assay by clinical pathologists and assistant physicians

    Third Brazilian consensus for autoantibodies screening in HEp-2 cells (ANA) : recommendations for standardization of autoantibodies screening trial in HEp-2 cells, quality control and clinical associations

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    Objetivo: O 3Âș Consenso Brasileiro para pesquisa de autoanticorpos em CĂ©lulas HEp-2 (FAN) teve como propĂłsito avaliar as dificuldades de implantação do 2Âș Consenso ocorrido no ano de 2002, discutir estratĂ©gias para controlar a qualidade do ensaio e promover a atualização das associaçÔes clĂ­nicas dos diversos padrĂ”es. MĂ©todos: Participaram do encontro em GoiĂąnia nos dias 13 e 14 de abril de 2008 pesquisadores e especialistas de diversos centros universitĂĄrios e laboratĂłrios clĂ­nicos de diferentes regiĂ”es do Brasil, com o propĂłsito de discutir e aprovar as recomendaçÔes que visam Ă  melhor padronização, interpretação e utilização do ensaio pelos clĂ­nicos. Representantes comerciais de diferentes empresas produtoras de insumos para realização do teste de FAN foram convidados como ouvintes. Resultados e ConclusĂ”es: O 3Âș Consenso enfatizou a necessidade do controle de qualidade em imunofluorescĂȘncia dada a heterogeneidade de microscĂłpios e reagentes disponĂ­veis no mercado, promoveu adequaçÔes na terminologia utilizada para classificar os diferentes padrĂ”es e, finalmente, atualizou as associaçÔes clĂ­nicas com finalidade de facilitar cada vez mais o melhor uso do ensaio pelos clĂ­nicos. ________________________________________________________________________________ ABSTRACTObjective: The Third Brazilian Consensus for autoantibodies Screening in HEp-2 cells had as purpose the evaluation of difficulties in the accomplishment of the 2nd Consensus recommendations that took place in the year of 2002, the discussion of strategies for quality control of the assay and the promotion of an update of the clinical associations of the several immunofluorescent patterns. Methods: Several ANA experts from university centers and private laboratories in different areas in Brazil joined the workshop in GoiĂąnia on 2008 April 13 and 14 with the purpose of discussing and approving the recommendations for standardization, interpretation and use of the test by physicians. Commercial representatives of different ANA slide brands were also invited as listeners to the workshop. Results and Conclusions: The 3rd Consensus emphasized the need for quality control in indirect immunofluorescent since there is a considerable heterogeneity of available microscopes and reagents. It also promoted adaptations in the previously approved terminology used to classify the different patterns and finally updated the clinical associations of the several patterns with the purpose of providing guidance for interpretation of the assay by clinical pathologists and assistant physicians

    Measurement of the cosmic ray spectrum above 4×10184{\times}10^{18} eV using inclined events detected with the Pierre Auger Observatory

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    A measurement of the cosmic-ray spectrum for energies exceeding 4×10184{\times}10^{18} eV is presented, which is based on the analysis of showers with zenith angles greater than 60∘60^{\circ} detected with the Pierre Auger Observatory between 1 January 2004 and 31 December 2013. The measured spectrum confirms a flux suppression at the highest energies. Above 5.3×10185.3{\times}10^{18} eV, the "ankle", the flux can be described by a power law E−γE^{-\gamma} with index Îł=2.70±0.02 (stat)±0.1 (sys)\gamma=2.70 \pm 0.02 \,\text{(stat)} \pm 0.1\,\text{(sys)} followed by a smooth suppression region. For the energy (EsE_\text{s}) at which the spectral flux has fallen to one-half of its extrapolated value in the absence of suppression, we find Es=(5.12±0.25 (stat)−1.2+1.0 (sys))×1019E_\text{s}=(5.12\pm0.25\,\text{(stat)}^{+1.0}_{-1.2}\,\text{(sys)}){\times}10^{19} eV.Comment: Replaced with published version. Added journal reference and DO

    Energy Estimation of Cosmic Rays with the Engineering Radio Array of the Pierre Auger Observatory

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    The Auger Engineering Radio Array (AERA) is part of the Pierre Auger Observatory and is used to detect the radio emission of cosmic-ray air showers. These observations are compared to the data of the surface detector stations of the Observatory, which provide well-calibrated information on the cosmic-ray energies and arrival directions. The response of the radio stations in the 30 to 80 MHz regime has been thoroughly calibrated to enable the reconstruction of the incoming electric field. For the latter, the energy deposit per area is determined from the radio pulses at each observer position and is interpolated using a two-dimensional function that takes into account signal asymmetries due to interference between the geomagnetic and charge-excess emission components. The spatial integral over the signal distribution gives a direct measurement of the energy transferred from the primary cosmic ray into radio emission in the AERA frequency range. We measure 15.8 MeV of radiation energy for a 1 EeV air shower arriving perpendicularly to the geomagnetic field. This radiation energy -- corrected for geometrical effects -- is used as a cosmic-ray energy estimator. Performing an absolute energy calibration against the surface-detector information, we observe that this radio-energy estimator scales quadratically with the cosmic-ray energy as expected for coherent emission. We find an energy resolution of the radio reconstruction of 22% for the data set and 17% for a high-quality subset containing only events with at least five radio stations with signal.Comment: Replaced with published version. Added journal reference and DO

    Measurement of the Radiation Energy in the Radio Signal of Extensive Air Showers as a Universal Estimator of Cosmic-Ray Energy

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    We measure the energy emitted by extensive air showers in the form of radio emission in the frequency range from 30 to 80 MHz. Exploiting the accurate energy scale of the Pierre Auger Observatory, we obtain a radiation energy of 15.8 \pm 0.7 (stat) \pm 6.7 (sys) MeV for cosmic rays with an energy of 1 EeV arriving perpendicularly to a geomagnetic field of 0.24 G, scaling quadratically with the cosmic-ray energy. A comparison with predictions from state-of-the-art first-principle calculations shows agreement with our measurement. The radiation energy provides direct access to the calorimetric energy in the electromagnetic cascade of extensive air showers. Comparison with our result thus allows the direct calibration of any cosmic-ray radio detector against the well-established energy scale of the Pierre Auger Observatory.Comment: Replaced with published version. Added journal reference and DOI. Supplemental material in the ancillary file

    The impact of medical education and networking on the outcome of leukemia treatment in developing countries. The experience of International Consortium on Acute Promyelocytic Leukemia (IC-APL)

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    Objectives: Several clinical trials conducted in Europe and US reported favorable outcomes of patients with APL treated with the combination of all trans retinoic acid (ATRA) and anthracyclines. Nevertheless, the results observed in developing countries with the same regimen was poorer, mainly due to high early mortality mainly due bleeding. The International Consortium on Acute Promyelocytic Leukemia (IC-APL) is an initiative of the International Members Committee of the ASH and the project aims to reduce this gap through the establishment of international network, which was launched in Brazil, Mexico and Uruguay. Methods: The IC-APL treatment protocol is similar to the PETHEMA 2005, but changing idarubicin to daunorubicin. All patients with a suspected diagnosis of APL were immediately started on ATRA, while bone marrow samples were shipped to a national central lab where genetic verification of the diagnosis was performed. The immunofluorescence using an anti-PML antibody allowed a rapid confirmation of the diagnosis and, the importance of supportive measures was reinforced. Results: The interim analysis of 97 patients enrolled in the IC-APL protocol showed that complete remission (CR) rate was 83% and the 2-year overall survival and disease-free survival were 80% and 90%, respectively. Of note, the early mortality rate was reduced to 7.5%. Discussion: The results of IC-APL demonstrate the impact of educational programs and networking on the improvement of the leukemia treatment outcome in developing countries
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