8,877 research outputs found

    WIKI::SCORE: a collaborative environment for music transcription and publishing

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    Music sources are most commonly shared in music scores scanned or printed on paper sheets. These artifacts are rich in information, but since they are images it is hard to re-use and share their content in todays’ digital world. There are modern languages that can be used to transcribe music sheets, this is still a time consuming task, because of the complexity involved in the process and the typical huge size of the original documents. WIKI::SCORE is a collaborative environment where several people work together to transcribe music sheets to a shared medium, using the notation. This eases the process of transcribing huge documents, and stores the document in a well known notation, that can be used later on to publish the whole content in several formats, such as a PDF document, images or audio files for example.(undefined

    Single or Combined Maquet III Osteotomy: Long Term Results

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    INTRODUCTION: In 1963, based on biomechanics studies, Maquet proposed the advancement of the patellar tendon insertion as a mean of treating patellofemoral pain. The rationale for this procedure was a reduction in the patellofemoral compression force vector by changing the angular relationship between patella tendon and quadriceps tendon. One of the additional procedures, on a malalign knee, was performing a cupuliform osteotomy above the tibial tuberosity (COATT). OBJECTIVES: Evaluating, on a retrospective and comparative trial, the clinical and radiological long-term outcomes of the patients who underwent a single (M) or combined (MC) Maquet III osteotomy, in order to determine if this surgery as or not fulfilled its initially objectives. METHODS: All surgical records of the Service, between 1970 and 1991, were reviewed. We identify 116 cases registered as “M” or “MC” Maquet III osteotomy. A questionnaire as been prepared for collecting data. We evaluated the preoperative complaints, postoperative complications and range of motion recovery time, as well as the postoperative pain absence period. All patients underwent an objective assessment by the Visual Analog Scale (VAS) and the Kujala Patellofemoral Scoring System (KPFSS). A radiological assessment was also made in order to evaluate the arthrosis degree and compartment affected, the Bicondylo-Patellar Angle (BPA) and the Caton-Deschamps Index (CDI). Mann-Whitney, t-Student and Chi-Square tests were applied for statistical evaluation. p <0.05 was considered statistically significant. RESULTS: According to the study criteria, from the 116 selected patients we could review in our clinics 49 Maquet III osteotomies (n= 25 “M” group vs n=24 “MC” group) . On the “M” group, the average age at surgery was 37.6 ±12.0 years and the postoperative follow-up 27.1 ±3.15 years, versus 56,5 ±6,8 years at surgery and a 23,2 ±3,4 postoperative follow up years on the “MC” group. Prior range of motion was accomplished 4.8 ±3.5 months after surgery on the “M” group versus 6,7 ±3,5 months on the “MC” group (p=0,017). About complications, on the “M” group we have 16,0% (n=4) versus 16,6% (n=4) (p=0,763). The “M” group presented40% (n=10) patients who haven’t referred pain until nowadays versus 38,5% (n=5) (p=0,85), and the average period of of pain absence was 20.5 ±5.7 years on the “M” group versus 11,0 ±1,7 (p=0,001). At the COX score, 58,3% (n=14) of the “M” group had good to excellent outcomes versus 53,8% (n=7) (p=0,793). VAS at rest was 1.7 ±0.7, in activity 4.4±3.0 and KPFSS 61.9 ±22.3 points on the “M” group versus 1,1 ±0,3 (p=0,016), 4,3 ±2,0 (p=0,883) and 54,7 ± 16,9 (p=0,364) points on the “MC” group. Radiologically, BPA was 6.3 ±3.9° and CDI 0.9 ±0.1 on the “M” group versus 11,8 ±3,9 (p=0,000) and 0,9 ±0,2 (p=0,99) on the “MC” group. Nowadays, at the“M” group,58,3% (n=14) had a grade I/II of Kellgren&Lawrence at patellofemoral joint and 79,2.% (n=19) at the femorotibial joint versus 53,8% (n=7) (p=0,793) and 46,2% (n=6) (p=0,041). CONCLUSION: With a cut off follow-up period higher than 20 years, the Maquet III group presented58,3% of good to excellent outcomes with patients presenting a majority of low grade osteoarthritic knee. The COATT procedure hasn’t increased the postoperative complications nor worsen the funcional outcomes. On the other side, the femorotibial grade of arthritis was higher on this group

    Uso de procedimentos não cirúrgicos para a produção, recuperação e inovulação de embriões em pequenos ruminantes.

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    In vivo embryo production, recovery and transfer in small ruminants by non surgical techniques. Abstract - The objective of this article was to describe non surgical techniques related to recovery and transfer of sheep and goat embryos. The main procedures for these steps in the in vivo embryo production from these animals were described sequentially and with the requested details to support their performance by veterinarian experts. Resumo - O objetivo deste artigo foi descrever técnicas não cirúrgicas associadas à recuperação e inovulação de embriões em caprinos e ovinos. Os procedimentos relativos a estas etapas da produção in vivo de embriões destes animais foram descritos de forma sequencial e detalhada, a fim de permitir sua execução por veterinários especialistas na área.Palestra apresentada no XIX Congresso Brasileiro de Reprodução Animal, Recife, PE, Brasil, maio de 2011

    Uso de procedimentos não cirúrgicos para a produção, recuperação e inovulação de embriões em pequenos ruminantes.

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    O objetivo deste artigo foi descrever técnicas não cirúrgicas associadas à recuperação e inovulação de embriões em caprinos e ovinos. Os procedimentos relativos a estas etapas da produção in vivo de embriões destes animais foram descritos de forma sequencial e detalhada, a fim de permitir sua execução por veterinários especialistas na área. In vivo embryo production, recovery and transfer in small ruminants by non surgical techniques. Abstract - The objective of this article was to describe non surgical techniques related to recovery and transfer of sheep and goat embryos. The main procedures for these steps in the in vivo embryo production from these animals were described sequentially and with the requested details to support their performance by veterinarian experts.Palestra apresentada no XIX Congresso Brasileiro de Reprodução Animal, Recife, maio de 2011

    Successful Treatment of Systemic Lupus Erythematosus with Subcutaneous Immunoglobulin

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    The therapeutic efficacy of high-dose intravenous immunoglobulin in systemic lupus erythematosus (SLE) patients is well established. However, side effects might limit its use and lead to the consideration of therapeutic alternatives, such as the subcutaneous formulation of immunoglobulin, which has been used in some patients with other autoimmune diseases. We report a case of SLE refractory to classical therapies. High-dose intravenous immunoglobulin was effective, but gave rise to significant side effects. The patient was successfully treated with subcutaneous human immunoglobulin, achieving and maintaining clinical and laboratory remission. A lower immunoglobulin dose was needed and no side effects were observed, compared to the intravenous administration. Subcutaneous immunoglobulin could be a better-tolerated and cost-saving therapeutic option for select SLE patients.info:eu-repo/semantics/publishedVersio

    Teor dos compostos cianogênicos e matéria seca de acessos do banco ativo de germoplasma de mandioca.

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    A mandioca (Manihot esculenta Crantz) é uma cultura de grande importância socioeconômica, sendo cultivada nas mais diversas regiões do Brasil. Sua produção tem sido conduzida tanto para consumo direto quanto para aplicação na indústria. Quanto ao seu potencial tóxico, as cultivares de mandioca são classificadas em mansa ou brava; dependendo do conteúdo de compostos cianogênicos em suas raízes

    Riemann-Cartan Space-times of G\"odel Type

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    A class of Riemann-Cartan G\"odel-type space-times are examined in the light of the equivalence problem techniques. The conditions for local space-time homogeneity are derived, generalizing previous works on Riemannian G\"odel-type space-times. The equivalence of Riemann-Cartan G\"odel-type space-times of this class is studied. It is shown that they admit a five-dimensional group of affine-isometries and are characterized by three essential parameters ℓ,m2,ω\ell, m^2, \omega: identical triads (ℓ,m2,ω\ell, m^2, \omega) correspond to locally equivalent manifolds. The algebraic types of the irreducible parts of the curvature and torsion tensors are also presented.Comment: 24 pages, LaTeX fil

    Different kidney function trajectory patterns before dialysis in elderly patients: clinical implications and outcomes

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    Background. Identifying trajectories of kidney disease progression in chronic kidney disease (CKD) patients may help to deliver better care. We aimed to identify and characterize trajectories of renal function decline in CKD patients and to investigate their association with mortality after dialysis.Methods. This retrospective cohort study included 378 CKD patients who initiated dialysis (aged 65 years and over) between 2009 and 2016. Were considered mixed models using linear quadratic and cubic models to define the trajectories, and we used probabilistic clustering procedures. Patient characteristics and care practices at and before dialysis were examined by multivariable multinomial logistic regression. The association of these trajectories with mortality after dialysis was examined using Cox models.Results. Four distinct groups of eGFR trajectories decline before dialysis were identified: slower decline (18.3%), gradual decline (18.3%), early rapid decline (41.2%), and rapid decline (22.2%). Patients with rapid eGFR decline were more likely to have diabetes, more cognitive impairment, to have been hospitalized before dialysis, and were less likely to have received pre-dialysis care compared to the patients with a slower decline. They had a higher risk of death within the first and fourth year after dialysis initiation, and after being more than 4 years in dialysis.Conclusions. There are different patterns of eGFR trajectories before dialysis initiation in the elderly, that may help to identify those who are more likely to experience an accelerated decline in kidney function, with impact on pre ESKD care and in the mortality risk after dialysis
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