3,504 research outputs found
Torsion free groups with indecomposable holonomy group I
We study the torsion free generalized crystallographic groups with the
indecomposable holonomy group which is isomorphic to either a cyclic group of
order or a direct product of two cyclic groups of order .Comment: 22 pages, AMS-Te
Influencia do numero de primordios radiculares e da cobertura do solo no desenvolvimento de mudas de seringueira em viveiro.
Avaliacao da influencia do numero de raizes laterais emitidas na fase de germinacao da semente no desenvolvimento da muda de seringueira (Hevea sp.) e da cobertura do solo sobre a emissao de novas raizes laterais funcionais. Dos resultados obtidos concluiu-se que: a) o desenvolvimento e funcionalidade das raizes laterais das mudas aos doze meses deidade nao dependem do numero de primordios iniciais; b) o numero de radicelas iniciais nao se mostra como um fator positivo para o crescimento das plantas em maior e melhor estande final para enxertia; e d) em termos operacionais, a pratica de cobertura morta em viveiro de seringueira requer estudos de viabilidade economica
A new formulation of oral viscous budesonide in treating of paediatric eosinophilic oesophagitis: a pilot study
OBJECTIVES:
Oral viscous budesonide is a recent therapeutic option for eosinophilic oesophagitis (EoE) compared with dietary restriction and inhaled steroids. This single-centre, open-label, not blinded study aims to evaluate the efficacy and safety of a new, preprepared oral viscous budesonide suspension (PVB) in children and adolescents with EoE.
METHODS:
We treated 36 children with PVB (29 boys; median age 12 years) with EoE diagnosed according to European Society for Paediatric Gastroenterology Hepatology and Nutrition guidelines. Patients <150 and >150 cm height received 2 and 4 mg PVB daily, respectively, for 12 weeks. Upper gastrointestinal endoscopy was performed at baseline, after 12 weeks of therapy and 24 weeks after the end of therapy. Baseline and post-treatment scores were calculated for symptoms, endoscopy, and histology. Serum cortisol was performed at baseline, 12, and 36 weeks.
RESULTS:
At the end of PVB trial, endoscopy showed macroscopic remission in 32 patients (88.9%), whereas at histology median pre- and post-treatment peak eosinophil count/high power field (HPF) markedly decreased from 42.2 (range: 15-100) to 2.9 (range: 0-30); moreover, mean symptom and histology scores impressively improved compared with baseline (P < 0.01). At 24 weeks after the end of PVB therapy, endoscopy showed oesophageal relapse in 21 patients (58.3%), whereas 15 (41.7%) were still in remission. Seven children (19.4%) with positive multichannel intraluminal impedance-pH were treated also with proton pump inhibitors. No significant difference between pre-/post-treatment morning cortisol levels occurred.
CONCLUSIONS:
The new PVB suspension presented in the present study is effective and safe for treating children with proven EoE. Larger placebo-controlled clinical trials would provide more information about dosing, efficacy, and long-term safety of this formulation, specifically designed for the oesophagus
An agent-based approach to assess drivers’ interaction with pre-trip information systems.
This article reports on the practical use of a multi-agent microsimulation framework to address the issue of assessing drivers’
responses to pretrip information systems. The population of drivers is represented as a community of autonomous agents,
and travel demand results from the decision-making deliberation performed by each individual of the population as regards
route and departure time. A simple simulation scenario was devised, where pretrip information was made available to users
on an individual basis so that its effects at the aggregate level could be observed. The simulation results show that the
overall performance of the system is very likely affected by exogenous information, and these results are ascribed to demand
formation and network topology. The expressiveness offered by cognitive approaches based on predicate logics, such as the
one used in this research, appears to be a promising approximation to fostering more complex behavior modelling, allowing
us to represent many of the mental aspects involved in the deliberation process
Refractory and super-refractory status epilepticus in adults: a 9-year cohort study.
While status epilepticus (SE) persisting after two antiseizure agents is called refractory (RSE), super-refractory status epilepticus (SRSE) defines SE continuing after general anaesthesia. Its prevalence and related clinical profiles have received limited attention, and most studies were restricted to intensive care facilities. We therefore aimed at describing RSE and SRSE frequencies and identifying associated clinical variables.
Between 2006 and 2015, consecutive adult SE episodes were prospectively recorded in a registry. Occurrence of RSE and SRSE and their relationship to clinical variables of interest, including outcome, were analysed.
Of 804 SE episodes, 268 (33.3%) were RSE and 33 (4%) SRSE. Coma induction for SE treatment occurred in 79 (9.8%) episodes. Severe consciousness impairment (OR 1.67; 95% CI 1.24-2.46; P = 0.001), increasing age (OR 1.01, 95% CI 1.01-1.02), and lack of remote symptomatic SE aetiology (OR 0.48; 95% CI 0.32-0.72) were independently associated with RSE, while severe consciousness impairment (OR 4.26; 95% CI 1.44-12.60) and younger age (OR 0.96; 95% CI 0.95-0.99) correlated with SRSE; however, most SRSE episodes were not predicted by these variables. Mortality was 15.5% overall, higher in RSE (24.5%) and SRSE (37.9%) than in non-refractory SE (9.8%) (P < 0.001).
Super-refractory status epilepticus appears clearly less prevalent in this cohort than previously reported, probably as it is not restricted to intensive care unit. SRSE emerges in younger patients with marked consciousness impairment, pointing to the underlying severe clinical background, but these variables do not predict most SRSE developments. There is currently a knowledge gap for prediction of SRSE occurrence that needs to be filled
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