Copd Phenotypes On Computed Tomography And Its Correlation With Selected Lung Function Variables In Severe Patients

Computed tomography (CT) phenotypic characterization helps in understanding the clinical diversity of chronic obstructive pulmonary disease (COPD) patients, but its clinical relevance and its relationship with functional features are not clarified. Volumetric capnography (VC) uses the principle of gas washout and analyzes the pattern of CO2 elimination as a function of expired volume. The main variables analyzed were end-tidal concentration of carbon dioxide (ETCO2), Slope of phase 2 (Slp2), and Slope of phase 3 (Slp3) of capnogram, the curve which represents the total amount of CO2 eliminated by the lungs during each breath. Objective: To investigate, in a group of patients with severe COPD, if the phenotypic analysis by CT could identify different subsets of patients, and if there was an association of CT findings and functional variables. Subjects and methods: Sixty-five patients with COPD Gold III-IV were admitted for clinical evaluation, high-resolution CT, and functional evaluation (spirometry, 6-minute walk test [6MWT], and VC). The presence and profusion of tomography findings were evaluated, and later, the patients were identified as having emphysema (EMP) or airway disease (AWD) phenotype. EMP and AWD groups were compared; tomography findings scores were evaluated versus spirometric, 6MWT, and VC variables. Results: Bronchiectasis was found in 33.8% and peribronchial thickening in 69.2% of the 65 patients. Structural findings of airways had no significant correlation with spirometric variables. Air trapping and EMP were strongly correlated with VC variables, but in opposite directions. There was some overlap between the EMP and AWD groups, but EMP patients had signicantly lower body mass index, worse obstruction, and shorter walked distance on 6MWT. Concerning VC, EMP patients had signicantly lower ETCO2, Slp2 and Slp3. Increases in Slp3 characterize heterogeneous involvement of the distal air spaces, as in AWD. Conclusion: Visual assessment and phenotyping of CT in COPD patients is feasible and may help identify functional and clinically different subsets of patients. VC may provide useful information about the heterogeneous involvement of lung structures in COPD.1150351

Animal welfare concepts and strategy for poultry production: a review

Well being of animals had been historically a public concern, since the beginning of human kind history. As world's population grows there is a need for food including meat. In the last decades there has been a great improvement in poultry production based on the careful control of several aspects, among which nutrition and management (environment, health and rearing systems). Nowadays, the search for good welfare conditions is a global tendency in animal production; however issues surrounding farm animal welfare or well-being, such as definitions, measurements, interpretation, and perception, continue to be controversial. It is known that the result of a broiler not adequately housed is a direct loss in production which leads towards a thought that health, welfare and productivity are intimately connected. In the other hand hints are found in the observation of behavioral responses as well as vocalization, which may provide more precise assessment to welfare. This has been possible due to the use of information technology applied to the field of ethology as well as the multidisciplinary view of the problem. This text provides a review on broiler's welfare issues since its definition to several way of trying to assess it adequately.13714

El teletrabajo y su relación con el desgaste ocupacional en los trabajadores de Teleatento del Perú SAC de la ciudad de Piura, 2021

La presente tesis titulada “El teletrabajo y su relación con el desgaste ocupacional en los trabajadores de Teleatento del Perú SAC de la ciudad de Piura, 2021” parte de una realidad problemática que lleva al planteamiento del siguiente problema ¿Qué relación existe entre el teletrabajo y el desgaste ocupacional en los empleados de Teleatento del Perú SAC de la ciudad de Piura, 2021? Y tiene como objetivo principal establecer la relación entre el teletrabajo y el desgaste ocupacional en los empleados de Teleatento del Perú SAC de la ciudad de Piura, 2021. La población para el presente estudio estuvo conformada por los 75 empleados en planilla que realizan teletrabajo para Teleatento del Perú SAC de la ciudad de Piura. El estudio adoptó un diseño descriptivo correlacional, puesto que este tipo de diseño ayuda a determinar el grado de relación entre dos o más variables de una determinada muestra. Así mismo se aplicó un cuestionario conformado por 42 preguntas. Posterior a su aplicación se encontró que existe relación directa entre el teletrabajo y el desgaste ocupacional en los empleados de Teleatento del Perú SAC de la ciudad de Piura, 2021, en base a la prueba Chi – cuadrado que arrojó un valor de 99,668a con 6 grados de libertad y una significancia de 0.000 < 0.05, por lo tanto, se acepta la hipótesis planteada, así mismo se encontró que el nivel de satisfacción de teletrabajar en los empleados de Teleatento del Perú SAC de la ciudad de Piura, 2021, según un 52% de las encuestas es alto, el nivel de desgaste ocupacional en los empleados de Teleatento del Perú SAC de la ciudad de Piura, 2021, según un 59% de las encuestas es alto y finalmente se encontró que existe una alta correlación entre teletrabajo y el desgaste ocupacional en los empleados de Teleatento del Perú SAC de la ciudad de Piura, 2021.This thesis entitled "Telework and its relationship with occupational burnout in Teleatento del Perú SAC workers in the city of Piura, 2021" starts from a problematic reality that leads to the following problem: What relationship exists between telework and occupational burnout in employees of Teleatento del Perú SAC in the city of Piura, 2021? And its main objective is to establish the relationship between teleworking and occupational burnout in employees of Teleatento del Perú SAC in the city of Piura, 2021. The population for the present study was made up of the 75 employees on the payroll who perform teleworking for Teleatento del Perú SAC of the city of Piura. The study adopted a descriptive correlational design, since this type of design helps to determine the degree of relationship between two or more variables in each sample. Likewise, a questionnaire consisting of 42 questions was applied. After its application, it was found that there is a direct relationship between telework and occupational burnout in employees of Teleatento del Perú SAC in the city of Piura, 2021, based on the Chi-square test that yielded a value of 99.668a with 6 degrees of freedom and a significance of 0.000 <0.05, therefore, the proposed hypothesis is accepted, likewise it was found that the level of satisfaction of teleworking in employees of Teleatento del Perú SAC of the city of Piura, 2021, according to a 52% of the surveys is high, the level of occupational burnout in the employees of Teleatento del Perú SAC of the city of Piura, 2021, according to 59% of the surveys is high and finally it was found that there is a high correlation between telework and occupational burnout in employees of Teleatento del Perú SAC in the city of Piura, 2021.Tesi

Neurological Symptoms In A Case Of Acute Aortic Dissection.

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Calciphylaxis following kidney transplantation: a case report

Introduction: Calciphylaxis occurring after kidney transplantation is rare and rarely reported. It results in chronic non-healing wounds and is associated with a poor prognosis and is often fatal. We present a case of proximal lower limb calciphylaxis that occurred early after kidney transplantation. The patient had no classic associated risk factors. He had previously had a total parathyroidectomy but had normal serum calcium-phosphate product and parathyroid hormone levels. The clinical outcome of this case was favorable and highlights some fundamental issues relating to management. Case prsentation: A 70-year-old British Caucasian man with end-stage renal failure secondary to IgA nephropathy presented six months post kidney transplantation with cutaneous calciphylaxis lesions involving the medial aspect of the thigh bilaterally. Conclusion: To the best of our knowledge, this is the first reported case of rapid onset cutaneous calciphylaxis occurring soon after kidney transplantation that was associated with a favorable outcome. Cutaneous calciphylaxis lesions should be promptly managed with meticulous wound care, antimicrobial therapy and the correction of calcium-phosphate product where indicated

Robust gap repair in the contractile ring ensures timely completion of cytokinesis.

Cytokinesis in animal cells requires the constriction of an actomyosin contractile ring, whose architecture and mechanism remain poorly understood. We use laser microsurgery to explore the biophysical properties of constricting rings in Caenorhabditis elegans embryos. Laser cutting causes rings to snap open. However, instead of disintegrating, ring topology recovers and constriction proceeds. In response to severing, a finite gap forms and is repaired by recruitment of new material in an actin polymerization-dependent manner. An open ring is able to constrict, and rings repair from successive cuts. After gap repair, an increase in constriction velocity allows cytokinesis to complete at the same time as controls. Our analysis demonstrates that tension in the ring increases while net cortical tension at the site of ingression decreases throughout constriction and suggests that cytokinesis is accomplished by contractile modules that assemble and contract autonomously, enabling local repair of the actomyosin network. Consequently, cytokinesis is a highly robust process impervious to discontinuities in contractile ring structure.This project has received funding from the European Research Council (grants 640553, 260892, and 338410), Fundo Europeu de Desenvolvimento Regional (FED ER) funds through the Operational Competitiveness Program (COM PETE), national funds through Fundação para a Ciência e a Tecnologia (FCT) under the project FCO MP-01-0124-FED ER-028255 (PTDC/BEX-BCM/0654/2012), Fundação Luso-Americana para o Desenvolvimento Life Science 2020, and the Louis-Jeantet Young Investigator Award to H. Maiato. A.X. Carvalho, R. Gassmann, and I.A. Telley have FCT Investigator positions funded by FCT and cofunded by the European Social Fund through Programa Operacional Temático Potencial Type 4.2 promotion of scientific employment. A.M. Silva holds an FCT fellowship (SFRH/BPD/95707/2013). D.S. Osório was cofunded by the Programa Operacional Regional do Norte under the Quadro de Downloaded from jcb.rupress.org on February 27, 2018 Laser microsurgery in the contractile ring • Silva et al. 799 Referência Estratégico Nacional through FED ER and by FCT grant NOR TE-07-0124-FED ER-000003 (Cell Homeostasis Tissue Organization and Organism Biology)

2d Gauge Theories and Generalized Geometry

We show that in the context of two-dimensional sigma models minimal coupling of an ordinary rigid symmetry Lie algebra $\mathfrak{g}$ leads naturally to the appearance of the "generalized tangent bundle" $\mathbb{T}M \equiv TM \oplus T^*M$ by means of composite fields. Gauge transformations of the composite fields follow the Courant bracket, closing upon the choice of a Dirac structure $D \subset \mathbb{T}M$ (or, more generally, the choide of a "small Dirac-Rinehart sheaf" $\cal{D}$), in which the fields as well as the symmetry parameters are to take values. In these new variables, the gauge theory takes the form of a (non-topological) Dirac sigma model, which is applicable in a more general context and proves to be universal in two space-time dimensions: A gauging of $\mathfrak{g}$ of a standard sigma model with Wess-Zumino term exists, \emph{iff} there is a prolongation of the rigid symmetry to a Lie algebroid morphism from the action Lie algebroid $M \times \mathfrak{g}\to M$ into $D\to M$ (or the algebraic analogue of the morphism in the case of $\cal{D}$). The gauged sigma model results from a pullback by this morphism from the Dirac sigma model, which proves to be universal in two-spacetime dimensions in this sense.Comment: 22 pages, 2 figures; To appear in Journal of High Energy Physic

Sri Lankan tsunami refugees: a cross sectional study of the relationships between housing conditions and self-reported health

BACKGROUND: On the 26th December 2004 the Asian tsunami devastated the Sri Lankan coastline. More than two years later, over 14,500 families were still living in transitional shelters. This study compares the health of the internally displaced people (IDP), living in transitional camps with those in permanent housing projects provided by government and non-government organisations in Sri Lanka. METHODS: This study was conducted in seven transitional camps and five permanent housing projects in the south west of Sri Lanka. Using an interviewer-led questionnaire, data on the IDPs' self-reported health and housing conditions were collected from 154 participants from transitional camps and 147 participants from permanent housing projects. Simple tabulation with non-parametric tests and logistic regression were used to identify and analyse relationships between housing conditions and the reported prevalence of specific symptoms. RESULTS: Analysis showed that living conditions were significantly worse in transitional camps than in permanent housing projects for all factors investigated, except 'having a leaking roof'. Transitional camp participants scored significantly lower on self-perceived overall health scores than those living in housing projects. After controlling for gender, age and marital status, living in a transitional camp compared to a housing project was found to be a significant risk factor for the following symptoms; coughs OR: 3.53 (CI: 2.11-5.89), stomach ache 4.82 (2.19-10.82), headache 5.20 (3.09-8.76), general aches and pains 6.44 (3.67-11.33) and feeling generally unwell 2.28 (2.51-7.29). Within transitional camp data, the only condition shown to be a significant risk factor for any symptom was household population density, which increased the risk of stomach aches 1.40 (1.09-1.79) and headaches 1.33 (1.01-1.77). CONCLUSION: Internally displaced people living in transitional camps are a vulnerable population and specific interventions need to be targeted at this population to address the health inequalities that they report to be experiencing. Further studies need to be conducted to establish which aspects of their housing environment predispose them to poorer health