RESUMO O presente estudo visa descrever os benefícios da inserção do fisioterapeuta sobre o perfil de prematuros de baixo risco internados em unidade de terapia intensiva neonatal. Estudo caso-controle, retrospectivo, com consulta aos prontuários de prematuros internados em 2006/2007 sem fisioterapia (PREF) e em 2009/2010 com fisioterapia por até 8h/dia (POSF). Incluíram-se 61 prematuros no período PREF e 93 no POSF, nascidos com ≥1000g, SNAP-PE II <40, com tempo de suporte ventilatório ≥24h. Verificou-se os perfis materno e dos neonatos, tempos de internação, de ventilação mecânica invasiva e não invasiva e de oxigenoterapia. Realizou-se análise descritiva, teste Mann Whitney, teste t, qui-quadrado e Fisher, considerando-se p≤0,05. Houve diferença significativa entre as idades gestacionais [PREF: 230,5 (±16,5)/ POSF: 226 (±15); p=0,05], frequência de sepse [PREF: 6 (10%)/ POSF: 30 (32%); p<0,01], de síndrome do desconforto respiratório [PREF: 11(18%)/ POSF: 43 (46%); p<0,01], necessidade de reanimação na sala de parto [PREF: 10 (16%)/ POSF: 32 (34%); p=0,02], necessidade de intubação orotraqueal [PREF: 8 (13%)/ POSF: 26 (28%); p=0,05], tempo de ventilação não invasiva (PREF: 0,1±0,4 dias/ POSF: 0,8±2,3 dias; p<0,01), de ventilação invasiva (PREF: 0,4±1,3 dias/ POSF: 1,3±3,3 dias; p=0,04), de pressão positiva contínua em vias aéreas (PREF: 1,5±1,0 dias/ POSF: 2,7±3,8 dias; p=0,04). A presença do fisioterapeuta gerou benefícios, contribuindo para a manutenção dos tempos de internação e de oxigenoterapia mesmo diante de um perfil de recém-nascidos mais imaturos e com mais intercorrências no período após a inserção da fisioterapia.
Erythropoiesis has been extensively studied using in vitro and in vivo animal models. Despite this, there is still limited data about the gene expression profiles (GEP) of primary (ex vivo) normal human bone marrow (BM) erythroid maturation. We investigated the GEP of nucleated red blood cell (NRBC) precursors during normal human BM erythropoiesis. Three maturation-associated populations of NRBC were identified and purified from (fresh) normal human BM by flow cytometry and the GEP of each purified cell population directly analyzed using DNA-oligonucleotide microarrays. Overall, 6569 genes (19% of the genes investigated) were expressed in ≥1 stage of BM erythropoiesis at stable (e.g., genes involved in DNA process, cell signaling, protein organization and hemoglobin production) or variable amounts (e.g., genes related to cell differentiation, apoptosis, metabolism), the latter showing a tendency to either decrease from stage 1 to 3 (genes associated with regulation of erythroid differentiation and survival, e.g., SPI1 , STAT5A ) or increase from stage 2 to stage 3 (genes associated with autophagy, erythroid functions such as heme production, e.g., ALAS1 , ALAS2), iron metabolism (e.g., ISCA1, SLC11A2 ), protection from oxidative stress (e.g., UCP2 , PARK7 ), and NRBC enucleation (e.g., ID2 , RB1 ). Interestingly, genes involved in apoptosis (e.g., CASP8, P2RX1 ) and immune response (e.g., FOXO3, TRAF6 ) were also upregulated in the last stage (stage 3) of maturation of NRBC precursors. Our results confirm and extend on previous observations and providing a frame of reference for better understanding the critical steps of human erythroid maturation and its potential alteration in patients with different clonal and non-clonal erythropoietic disorders.
Social media has gained increasing importance in many aspects of everyday life, from building relationships to establishing collaborative networks between individuals worldwide. Sharing behavior is an essential part of maintaining these dynamic networks. However, the precise neural factors that could be related to sharing behavior in online communities remain unclear. In this study, we recorded electroencephalographic (EEG) oscillations of human subjects while they were watching short videos. The subjects were later asked to evaluate the videos based on how much they liked them and whether they would share them. We found that, at the population level, subjects watching videos that would not be shared had higher power spectral density (PSD) amplitudes in the theta band (4–8 Hz), primarily over the frontal and parietal sites of the right hemisphere, than subjects watching videos that would be shared. Previous studies have associated task disengagement with an increase in scalp-wide theta activation, which can be interpreted as a mind-wandering effect. This might suggest that the decision to not share the video may lead to a more automatic/effortless neural pattern. We also found that watching videos that would be shared was associated with lower PSD amplitudes in the alpha band (8–12 Hz) over the central and right frontal sites, and with more negative scores of frontal alpha asymmetry (FAA) index scores. These results may be related to previous work linking right-sided frontal EEG asymmetry to the pursuit of social conformity and avoidance of negative outcomes, such as social isolation. Finally, using support vector machine (SVM) algorithms, we show that these EEG parameters and preference rating scores can be used to improve the predictability of sharing information behavior. The information sharing-related EEG pattern described here could therefore improve our understanding of the neural markers associated with sharing behavior and contribute to studies about stimuli propagation.
Named Entity Recognition (NER) is an important subtask of information extraction that seeks to locate and recognise named entities. Despite recent achievements, we still face limitations with correctly detecting and classifying entities, prominently in short and noisy text, such as Twitter. An important negative aspect in most of NER approaches is the high dependency on hand-crafted features and domain-specific knowledge, necessary to achieve state-of-the-art results. Thus, devising models to deal with such linguistically complex contexts is still challenging. In this paper, we propose a novel multi-level architecture that does not rely on any specific linguistic resource or encoded rule. Unlike traditional approaches, we use features extracted from images and text to classify named entities. Experimental tests against state-of-the-art NER for Twitter on the Ritter dataset present competitive results (0.59 F-measure), indicating that this approach may lead towards better NER models.
Human monopoiesis is a tightly coordinated process which starts in the bone marrow (BM) haematopoietic stem cell (HSC) compartment and leads to the production of circulating blood mature monocytes. Although mature monocytes/macrophages have been extensively studied in both normal or inflammatory conditions, monopoiesis has only been assessed in vitro and in vivo animal models, due to low frequency of the monocytic precursors in the normal human BM. Here we investigated the transcriptional profile along normal human BM monopoiesis. Five distinct maturation-associated stages of monocytic precursors were identified and isolated from (fresh) normal human BM through fluorescence-activated cell sorting, and the gene expression profile (GEP) of each monocytic precursor subset was analysed by DNA-oligonucleotide microarrays. Overall, >6000 genes (18% of the genes investigated) were expressed in ≥1 stage of BM monopoiesis at stable or variable amounts, showing early decrease in cell proliferation with increased levels of expression of genes linked with cell differentiation. The here-defined GEP of normal human BM monopoiesis might contribute to better understand monocytic differentiation and the identification of novel monocytic candidate markers, while also providing a frame of reference for the study of monocytic maturation in both neoplastic and non-neoplastic disease conditions involving monocytic precursor cells.
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