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to analyze Brazilian scientific production on patient access to the oncology network under the "Sixty-Day Law". |
METHODS |
integrative review of the literature in the databases Lilacs, PubMed and Scielo. The descriptors used were: neoplasms, health services accessibility, early detection of cancer. Articles published from 2015 to March 2019 were included. |
RESULTS |
17 articles were analyzed and four themes emerged: inequality in access; qualification of Primary Care professionals; time as a determinant factor; information system as limiting factor. |
CONCLUSIONS |
the access to the oncology network is unequal and there are several barriers faced by the users. A continuing education of health professionals is necessary to implement preventive strategies. Treatment initiation is late, showing non-compliance with the law. The health care network is highly fragmented, there is lack ... |
I muse about some “stringological” questions: Is it possible to encode and compress any given string in such a way that all redundancy is removed? And, if this not possible: How closely could we approximate the ideal aim? My little essay is naive in the sense that I have never studied “stringology” and coding theory pr... |
BACKGROUND |
Although experts recommend presymptomatic coil embolotherapy for patients with hereditary hemorrhagic telangiectasia (HHT) who have pulmonary arteriovenous malformations (PAVMs), this approach has not been studied prospectively and is not applied universally. We used decision analysis to evaluate the optimal treatment ... |
METHODS |
We developed a Markov model to evaluate the following three strategies: no embolotherapy; embolotherapy only in the event of a PAVM complication; and immediate embolotherapy. Our model incorporated PAVM complications, embolotherapy effectiveness and complications, and the possibility of PAVM growth or reperfusion of su... |
RESULTS |
No embolotherapy, embolotherapy only in the event of a PAVM complication, and immediate embolotherapy were associated with expected survival times of 37.2, 37.6, and 39.0 years, respectively. After adjusting for quality of life, the corresponding estimates were 32.6, 34.1, and 37.2 quality-adjusted life-years. The outc... |
CONCLUSIONS |
Patients with HHT and a PAVM with a feeding artery of >or= 3 mm have improved life expectancy and quality-adjusted survival with immediate embolotherapy. Embolotherapy should be the standard of care in such circumstances.Surgical aspects of autonomic dysreflexia. |
Autonomic dysreflexia (AD) is a characteristic syndrome that occurs in spinal cord injury (SCI) patients with lesions above the sympathetic outflow at T6 and rarely in those with lesions below T10. Symptoms are initiated by noxious stimuli below the level of injury which result in massive sympathetic discharges from th... |
This paper compares the performance of on-off keying (OOK) modulation and subcarrier phase shift keying (PSK) modulation through an optical wireless channel. The bit error rate (BER) for a turbulent channel is derived for optical wireless communication systems employing OOK or subcarrier BPSK. A lower bound is derived ... |
This book looks at women and the automobile. The author draws a striking distinction between men and women’s attitudes towards driving. Whereas men have traditionally embraced the car as transforming of their lives, women on the other hand have not found that it offered them the same sense of independence. The book tak... |
This is a shortened version of the winning paper of the 1995 The award is besfowed annually on a paper reporting on Young Consu/tant$ Award. The award recognizes achievefranspottafion consulting activities. ment in transportation consulting by younger employees of April 30 is the deadline for the 1996 competition. Cont... |
We have analyzed 3 years of radio tracking data from the MESSENGER spacecraft in orbit around Mercury and determined the gravity field, planetary orientation, and ephemeris of the innermost planet. With improvements in spatial coverage, force modeling, and data weighting, we refined an earlier global gravity field both... |
Inverse dynamics controllers deal with nonlinear terms in the robot dynamics in a way that, in the ideal case, the closed-loop system becomes linear and decoupled. Consequently, the performance of the closed-loop systems will be easy to study. Due to such an advantage, inverse dynamics-based adaptive control has been a... |
We consider the problem of scanning and modelling small objects using easily available RGBD sensors such as the Kinect. These sensors allow for the acquisition of view-based registered depth and color data. We register the point clouds by recovering the rigid transformation between successive pairs in a sequence of vie... |
The metabolic alterations induced, in the isolated rat heart, by graded ischaemia and reperfusion, were evaluated both by 31P-NMR spectroscopy and by biochemical analysis. The relative changes in phosphorylated compound contents measured by both methods were well correlated for ATP (r = 0.94) and Pi (r = 0.88), but les... |
A bit patterned magnetic array based on Co/Pd magnetic multilayers with a binary perpendicular magnetic anisotropy distribution was fabricated. The binary anisotropy distribution was attained through angled helium ion irradiation of a bit edge using hydrogen silsesquioxane (HSQ) resist as an ion stopping layer to prote... |
An estrogen (E2)-dependent 90,000-92,000 M(r) protein is synthesized and released by the sheep oviduct in a temporally and regionally specific manner during the first few days of pregnancy, where it associates with the embryo. The present study was undertaken to further define the nature of this protein and its regulat... |
Infrared multiple photon dissociation (IRMPD) spectra of Rh6Om+ (m = 4-10) are obtained in the 300-1000 cm-1 spectral range using the free electron laser for infrared experiments (FELIX) via dissociation of Rh6Om+ or Rh6Om+-Ar complexes. The spectra are compared with the calculated spectra of several stable geometries ... |
An otherwise healthy male patient aged 46 with a long history of chronic duodenal ulceration underwent H.S.V. on 28 November 1974. His condition remained satisfactory until the third postoperative day, when he developed left lower chest pain associated with fever, mild hypotension, and a pleural friction rub. It was as... |
Chapter 14 traces the evolution of the concept of Bonapartism. Marx and Engels thought it a remediable ‘wrong turn’ in history’s evolution that happily occurred only under capitalism; Louis Napoleon and Bismarck were its archetypical expressions. Initially, the Bolsheviks did not take issue with this characterization. ... |
Chemical models of aqueous geocheaical systems are usually built on the concept of thermodynamic equilibrium. Though many elementary reactions in a geochemical system may be close to equilibrium, others may not be. Chemical models of aqueous fluids should take into account that r.any aqueous redox reactions are among t... |
Safety-critical medical devices are used in hospitals and medical facilities throughout the world, and are relied upon to function correctly and be usable so as not to endanger patients. While such devices are often designed for specific use-cases in specific locations, in reality they may be used in a much wider range... |
1. Introduction Molecular diffusion is among the famous topics of current research on nanoporous materials [1]. Diffusion of molecules in porous media can be measured by a large variety of experimental methods. However, diffusivities measured with different techniques for the same system vary in several zeolitic system... |
We describe the normal ordering method (NOM) as a convinient way to obtaining explicit forms of the state vectors and density matrices of quantum states, usually generated in multiple coupled parametric optical processes. As a specific example, our method is demonstrated for the states, generated in three second-order ... |
A semiclassical approach to the dressed-atom theory is presented in which dressed energies and states are determined from the solutions of the semiclassical coupled equations for the atomic probability amplitudes. The semiclassical approach has an advantage over the standard quantum-mechanical approach, especially when... |
For a graph G = (V,E), a set D ⊆ V (G) is a total restrained dominating set if it is a dominating set and both 〈D〉 and 〈V (G)−D〉 do not have isolated vertices. The cardinality of a minimum total restrained dominating set in G is the total restrained domination number. A set D ⊆ V (G) is a restrained dominating set if i... |
To examine body image and possible distortion of body image among elite female dancers 10 members of a professional ballet company rated both current and ideal body shape. In addition, an objective measure of body composition was obtained via skinfold techniques, t tests indicated that the mean rating for current body ... |
access to archival materials at collections includ the University of Mysore; Kāśī Jaṃgamwāḍī M University of Dharwad Kannada Department; K tạdārya Matḥa, Gadag; Nāganūr Matḥa, Belgau Rājendra Brḥanmatḥa, Chitradurga; Suttūr Math Chennai; the library at the Institut français de P otherwise specified, all translations in... |
This paper presents a case-study of the logistics management of currency notes by the Reserve Bank of India (RBI), the country's central bank. RBI has the responsibility of replenishing currency to various chests spread all over the country. The chests distribute currency to individual banks that serve the public. A ch... |
Progression of diseases may vary for each patient due to genetic makeup, life style, or previous health history. Even for well-known medical conditions, temporal signatures can be different for specific genotypes. Secondary use of health records can help us to identify these signatures. We propose an RDF based approach... |
Background Craniosynostosis is a relatively rare disease. Recently, several studies have investigated the etiology of craniosynostosis using animal models; however, the etiology remains unknown. In this study, we examined transforming growth factor (TGF) &bgr;s immunostaining from coronal sutures in patients with plagi... |
We demonstrate, both numerically and analytically, that it is possible to generate two photons from one and only one photon. We characterize the output two photon field and make our calculations close to reality by including losses. Our proposal relies on real or artificial three-level atoms with a cyclic transition st... |
Forgivingness (dispositional forgiveness) was assessed in three different samples: Lebanese Muslims (N = 119), Lebanese Christians (N = 121), and French Christians (N = 151). Two different forgivingness structures were evidenced, one that corresponded to the three-factor Western European model (Lasting Resentment, Sens... |
This paper documents an important channel through which culture may affect conflict. We examine a panel of developing countries over fifty years and use price shocks to extractive commodities as an exogenous variation in the country’s economic outlook. We find that these price shocks are less likely to result in the onset ... |
Electroless nickel coating is a novel method of coating which can be developed in various combinations of alloys and composites each having its unique set of characteristics. Electroless nickel coatings are mainly used for wear and corrosion resistant properties. However, additional characteristics like smoothness of d... |
Patients with acute myocardial infarction exhibited during the first three days of the disease pronounced intra- and interindividual variability in the amount of ventricular ectopic complexes and significant differences in the dynamics of the number of single premature beats and complexes in the so-called "complex" arr... |
Ubiquitination, a modification in which single or multiple ubiquitin molecules are attached to a protein, serves as a signalling function that controls a wide variety of cellular processes. To date, two major forms of polyubiquitin chain have been functionally characterized, in which the isopeptide bond linkages involv... |
The photogalvanic effect in electrochemical cells, employing aqueous Methylene blue and Fe(II)/Fe(III) couple electrolyte and nickel‐mesh electrodes, were experimentally investigated. Five different standard H‐cell configurations were set‐up by modifying the electrolyte. Long‐term open‐circuit voltage measurements were... |
almost half of the largest corporations in the United States had extended their own employee benefit plans to recognize same-sex partners (most of them also including de facto heterosexual couples for the first time). The vast majority of major universities and colleges had taken the same step by that time. While some ... |
A SystemC based emulator architecture optimized for reconfigurable array processor is proposed. With novel architecture, the emulator support performance evaluation, rtl co-simulation as well as system software development. The emulator has been used in the development of a reconfigurable multimedia application process... |
Integrons determine a site-specific recombination system which is responsible for the acquisition of genes, particularly antibiotic resistance genes. The integrase encoded by integrons recognises two distinct classes of recombination sites. The first is the family of imperfect inverted repeats, known as 59-base element... |
OBJECTIVE |
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