Avaliação do impacto da suplementação alimentar a gestantes no cotrole do baixo peso ao nascer no município de São Paulo, SP (Brasil)

A partir de estudo realizado em oito grandes maternidades do Município de São Paulo, SP (Brasil) que atendem clientela predominantemente de baixo nível sócio-econômico, objetivou-se analisar o impacto da suplementação alimentar durante a assistência pré-natal sobre a incidência de recém-nascidos de baixo peso ao nascer (peso < 2.500 g). Foram envolvidos no estudo 1.060 recém-nascidos de mães que receberam suplementação e 664 recém-nascidos de mães que não a receberam. Ã incidência de baixo peso ao nascer foi de cerca de 11%, considerada elevada e semelhante em ambos os grupos de recém-nascidos. A análise multivariada, realizada para controlar eventuais diferenças entre os grupos, que não a condição de suplementação, descartou qualquer associação significativa entre suplementação e peso ao nascer e revelou, por outro lado, que tabagismo e morbidade na gestação e determinadas características antropométricas e reprodutivas da mãe, prévias à gestação, são importantes fatores de risco para o baixo peso ao nascer. A aparente explicação para a ausência de impacto da suplementação alimentar na população estudada parece residir não na quantidade insuficiente da suplementação alimentar oferecida (370 Kcal/dia), mas no predomínio de fatores não alimentares na determinação do baixo peso ao nascer. São formuladas recomendações quanto ao controle do baixo peso ao nascer no contexto estudado

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

mutabilis

Phacelia mutabilis E. GreeneChangeable phaceliabranch of Herring Creek about 2 miles northeast of PinecrestHillsid

Coherent anti-Stokes Raman scattering (CARS) detection or hot atom reaction product internal energy distributions

Coherent anti-Stokes Raman spectroscopy (CARS) is being utilized to investigate the rovibrational energy distributions produced by reactive and nonreactive collisions of translationally hot atoms with simple molecules. Translationally hot H atoms are produced by ArF laser photolysis of HBr. Using CARS we have monitored, in a state-specific and time-resolved manner, rotational excitation of HBr (v = 0), vibrational excitation of HBr and H/sub 2/, rovibrational excitation of H/sub 2/ produced by the reaction H + HBr ..-->.. H/sub 2/ + Br, and Br atom production by photolysis of HBr

Satellite-based laser windsounder

This is the final report of a one-year, Laboratory-Directed Research and Development (LDRD) project at the Los Alamos National Laboratory (LANL). The project`s primary objective is to determine the technical feasibility of using satellite-based laser wind sensing systems for detailed study of winds, aerosols, and particulates around and downstream of suspected proliferation facilities. Extensive interactions with the relevant operational organization resulted in enthusiastic support and useful guidance with respect to measurement requirements and priorities. Four candidate wind sensing techniques were evaluated, and the incoherent Doppler technique was selected. A small satellite concept design study was completed to identify the technical issues inherent in a proof-of-concept small satellite mission. Use of a Mach-Zehnder interferometer instead of a Fabry-Perot would significantly simplify the optical train and could reduce weight, and possibly power, requirements with no loss of performance. A breadboard Mach-Zehnder interferometer-based system has been built to verify these predictions. Detailed plans were made for resolving other issues through construction and testing of a ground-based lidar system in collaboration with the University of Wisconsin, and through numerical lidar wind data assimilation studies

Initial airborne CO{sub 2} DIAL measurements: Discussion of results and data analysis considerations

A detailed discussion of airborne CO{sub 2}, DIAL measurements obtained from the first joint N-ABLE field campaign at INEL is presented. System performance characteristics, including return signal strength, averaging statistics, and temporal correlation as well as multi-line DIAL spectral data are discussed. In particular, we review data acquisition and analysis strategies pertinent to chemical detection from a moving platform, such as range determination and correction, and return signal processing (waveform vs. box-car integration, baseline correction). We also report observed effects and variations due to near-field light scattering, pointing and tracking stability, and stack-release plume dynamics