379 research outputs found
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Outward FDI from Colombia and its policy context
Outward foreign direct investment (OFDI) from Colombia has increased considerably in the past decade, with its stock growing from US 23 billion in 2010. This growth reflects the internationalization of the Colombian economy following policy reforms and economic liberalization in the 1990s. The 2000s were characterized by enhanced national security and reforms to the investment framework that have attracted unprecedented levels of inward FDI and facilitated the growth of small and medium-sized enterprises (SMEs). A considerable rise in domestic mergers and acquisitions (M&As) in the past decade has contributed to the development of Colombian multinational enterprises (MNEs) and to increased OFDI from Colombia. In 2010, outflows showed a twenty-fold increase from their value in 2000, including an increase in OFDI to export markets, helped by greater government support for OFDI, for example by the conclusion of more international investment agreements. The rise of Colombian MNEs, or "translatinas" (i.e. Latin American MNEs whose OFDI is primarily within Latin America), reflects Colombia's nascent structural transformation into a knowledge-based economy
A Similarity Measure for Material Appearance
We present a model to measure the similarity in appearance between different
materials, which correlates with human similarity judgments. We first create a
database of 9,000 rendered images depicting objects with varying materials,
shape and illumination. We then gather data on perceived similarity from
crowdsourced experiments; our analysis of over 114,840 answers suggests that
indeed a shared perception of appearance similarity exists. We feed this data
to a deep learning architecture with a novel loss function, which learns a
feature space for materials that correlates with such perceived appearance
similarity. Our evaluation shows that our model outperforms existing metrics.
Last, we demonstrate several applications enabled by our metric, including
appearance-based search for material suggestions, database visualization,
clustering and summarization, and gamut mapping.Comment: 12 pages, 17 figure
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A Randomized Trial Assessing the Clinical Efficacy and Microbial Eradication of 1% Azithromycin Ophthalmic Solution vs Tobramycin in Adult and Pediatric Subjects with Bacterial Conjunctivitis
Objective: The study was designed to evaluate the efficacy of an ophthalmic formulation of 1% azithromycin in DuraSite® (AzaSite™, InSite Vision, Alameda CA, USA) and demonstrate equivalence with 0.3% tobramycin ophthalmic solution, USP, for the treatment of bacterial conjunctivitis as defined by the resolution of clinical signs and the eradication of pathogens. Design: Prospective, randomized, active-controlled, double-masked, phase 3 trial conducted at 47 US sites between 6 August 2004 and 6 October 2005. Participants: Subjects aged 1 year or older with diagnosis of acute bacterial conjunctivitis. Methods: Bacteriologically confirmed participants received either 1% azithromycin in Dura-Site (n = 159) or tobramycin (n = 157). Masked study medications were dosed 4 times a day for 5 days. Participants in the 1% azithromycin in DuraSite group were dosed twice a day with active drug on days 1 and 2 and once daily on days 3 through 5. The other doses were vehicle. Clinical signs and bacterial cultures were evaluated at visit 3 (day 6 + 1). Results: Clinical resolution was observed in 79.9% of participants in the 1% azithromycin in DuraSite group, as compared with 78.3% of those in the tobramycin group (95% CI: −7.4–10.5). Bacterial eradication was 88.1% in the 1% azithromycin in DuraSite group vs 94.3% in the tobramycin group (95% CI: −12.4–0.0). Analyses of resistance confirmed that 1% azithromycin in DuraSite eradicated Staphylococci and Streptococci strains that are commonly resistant to azithromycin, erythromycin, and fluoroquinolones. Conclusions: The efficacy of 1% azithromycin in DuraSite and tobramycin are equivalent; however, this formulation of azithromycin also permits effective dosing intervals of twice a day on days 1 and 2 followed by once daily on the last 3 days of therapy, for a total of 65% fewer doses. In vitro, the killing spectrum of 1% azithromycin in DuraSite appears to be enhanced relative to 1% azithromycin without DuraSite
Enfermedades producidas por priones en los Animales
Las encefalopatías espongiformes transmisibles (EETs) o enfermedades producidas por priones, son un grupo de enfermedades neurodegenerativas, de progresión lenta y fatales. Afectan tanto a los humanos como a los animales. Dentro de este grupo se encuentra la Encefalopatía Espongiforme Bovina (EEB), que se diagnosticó en Gran Bretaña y que posteriormente ha afectado a otros países. Esta patología ha causado gran impacto por el daño que ha provocado en la salud animal, en la economía y por su relevancia en la salud pública de estos países, al ser una enfermedad zoonótica. El agente etiológico de todas las EETs, se denomina "prión", que corresponde a la forma alterada (PrPSc) de una proteína constitutiva de la membrana celular (PrPC). La forma patológica es infectiva, capaz de producir la enfermedad, extremadamente resistente al calor y a otros métodos tradicionales de esterilización, que son efectivos contra otros patógenos. Entre las características comunes de estas patologías, se incluyen su curso con un largo periodo de incubación, el que puede durar hasta 3 años, posterior a la exposición. Los signos clínicos aparecen después de este período, los animales afectados presentan signos neurológicos progresivos y cambios morfológicos degenerativos del sistema nervioso central, que terminan con la muerte del individuo. Las principales EETs en los animales, que se describen en este trabajo son: el scrapie de ovinos y caprinos, la Encefalopatía Espongiforme Bovina (EEB), la Encefalopatía Transmisible del Visón (ETV), la Enfermedad del Desgaste Crónico (EDC) en ciervos y alces y la Encefalopatía Espongiforme Felina (EEF).
Late Pleistocene to Holocene palaeoenvironmental variability in the north-west Spanish mountains: insights from a source-to-sink environmental magnetic study of Lake Sanabria
International audienceWe present a source-to-sink environmental magnetic study of a sediment core from Lake Sanabria (north-west Iberian Peninsula) and rocks of its catchment. The results indicate the occurrence of magnetite, and probably also pyrrhotite, in sediments accumulated between ca. 26 and 13 cal ka BP in a proglacial lake environment. These minerals also appear to dominate the magnetic assemblage of Palaeozoic rocks from the lake catchment. This indicates that sedimentation was then driven by the erosion of glacial flour, which suffered minimal chemical transformation due to a rapid and short routing to the lake. A sharp change in magnetic properties observed in the lake sediments between 13 and 12.6 cal ka BP reflects the rapid retreat of glaciers from the lake catchment. Sediments from the upper half of the studied sequence, accumulated after 12.6 cal ka BP in a lacustrine environment with strong fluvial influence, contain magnetite and smaller amounts of maghemite and greigite. We suggest that greigite grew authigenically under anoxic conditions caused by enhanced accumulation of organic matter into the lake. The occurrence of maghemite in these sediments suggests pedogenic activity in the then deglaciated lake catchment before the erosion and transportation of detrital material into the lake
In vitro histological evaluation of the surgical margins made by different laser wavelengths in tongue tissues
Background: Lasers have become standard tools for the surgical treatment of oral lesions. The purpose of this study
is to determine the surgical margins and histologically evaluate the tissue thermal effects induced by different types
of surgical instruments.
Material and Methods: Cuts were made in pork tonguesâ mucosa with different lasers (Er:YAG at 2W with and
without air / water spray and at 4W with and without air / water spray; CO2
at 3.5W and 7W in pulsed mode and
at 7W in continuous mode; the diode laser at 3.5W and boost 3.5W in pulsed mode; Nd:YAG at 6W, 40Hz and
electroscalpel at 5W and conventional scalpel as control. Macroscopic and microscopic morphological changes
were evaluated.
Results: The results of this study showed that the surgical instruments that caused greater tissue damage extension
were: the Nd:YAG laser (670.68μm), the diode 3.5W and boost PW (626.82μm), the CO2
7W CW (571.18μm),
the CO2
at 7W PW (485.45μm), the diode 3.5W PW (456.15μm), the electroscalpel (409.57μm) and lastly the CO2
laser 3.5W PW (306.19μm) and Er:YAG (74.66μm) laser, regardless of power, mode or air / water spray used. An
association between the Tissue Damage Extension and the Degree of Carbonization (r = 0.789; P = 0.01), and an association
between the Tissue Damage Extension and Regularity of the Incision were found (r = -, 299; P = 0.01).
Conclusions: The results of this study suggest that lasers can be used in soft tissues biopsies of the oral cavity,
enabling a correct histopathological analysis, as long as the biological effects of each laser type are considered. The
Er:YAG laser revealed its potential for biopsies of the oral mucosa ensuring a successful histological evaluation and
the CO2
laser at 3,5W in pulsed mode presented itself as the best choice for surgeries with hemostasis
Spain as an emergency air traffic hub during volcanic air fall events? Evidence of past volcanic ash air fall over Europe during the late Pleistocene.
Past volcanic eruptions often leave visible ash layers in the geological record, for example in marine or lake sedimentary sequences. Recent developments, however, have shown that non-visible volcanic ash layers are also commonly preserved in sedimentary deposits. These augment the record of past volcanic events by demonstrating that past ash dispersals have been more numerous and widely disseminated in Europe than previously appreciated. The dispersal ‘footprints’ of some large late Pleistocene European eruptions are examined here in the light of the recent Eyjafjallajökull eruption. For example, the Vedde Ash which was erupted from Iceland around 12 thousand years ago, delivered distal (and non-visible) glass deposits as far south as Switzerland and as far east as the Ural Mountains in Russia, with an overall European distribution remarkably similar to the dominant tracks of the recent Eyjafjallajökull plum
Assessment of Obstetric and Neonatal Health Services in Developing Country Health Facilities
OBJECTIVE: To describe the staffing and availability of medical equipment and medications and the performance of procedures at health facilities providing maternal and neonatal care at African, Asian, and Latin American sites participating in a multicenter trial to improve emergency obstetric/neonatal care in communities with high maternal and perinatal mortality.
STUDY DESIGN: In 2009, prior to intervention, we surveyed 136 hospitals and 228 clinics in 7 sites in Africa, Asia, and Latin America regarding staffing, availability of equipment/medications, and procedures including cesarean section.
RESULTS: The coverage of physicians and nurses/midwives was poor in Africa and Latin America. In Africa, only 20% of hospitals had full-time physicians. Only 70% of hospitals in Africa and Asia had performed cesarean sections in the last 6 months. Oxygen was unavailable in 40% of African hospitals and 17% of Asian hospitals. Blood was unavailable in 80% of African and Asian hospitals.
CONCLUSIONS: Assuming that adequate facility services are necessary to improve pregnancy outcomes, it is not surprising that maternal and perinatal mortality rates in the areas surveyed are high. The data presented emphasize that to reduce mortality in these areas, resources that result in improved staffing and sufficient equipment, supplies, and medication, along with training, are required.Fil: Manasyan, Albert. Centre for Infectious Disease Zambia; Zambia. University of Alabama at Birmingahm; Estados UnidosFil: Saleem, Sarah. Aga Khan University; PakistánFil: Koso Thomas, Marion. Eunice Kennedy Shriver National Institute of Child Health and Human Development; Estados UnidosFil: Althabe, Fernando. Instituto de Efectividad Clínica y Política de Salud. Departamento de Investigación en Salud Madre e Infantil. Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Pasha, Omrana. Aga Khan University; PakistánFil: Chomba, Elwyn. Centre for Infectious Disease Zambia; Zambia. University of Alabama at Birmingahm; Estados Unidos. University of Zambia; ZambiaFil: Goudar, Shivaprasad S.. KLE; IndiaFil: Patel, Archana. Indira Gandhi Government Medical College; IndiaFil: Esamai, Fabian. Moi University; KeniaFil: Garces, Ana. Francisco Marroquin University; GuatemalaFil: Kodkany, Bhala. KLE; IndiaFil: Belizan, Jose. Instituto de Efectividad Clínica y Política de Salud. Departamento de Investigación en Salud Madre e Infantil. Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: McClure, Elizabeth M.. Research Triangle Institute; Estados UnidosFil: Derman, Richard J.. Christiana Health Care; Estados UnidosFil: Hibberd, Patricia. Indiana University; Estados UnidosFil: Liechty, Edward A.. Massachusetts General Hospital for Children; Estados UnidosFil: Hambidge, K. Michael. State University of Colorado Boulder; Estados UnidosFil: Carlo, Waldemar A.. Centre for Infectious Disease Zambia; ZambiaFil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados UnidosFil: Moore, janet. Research Triangle Institute; Estados UnidosFil: Wright, Linda L.. Eunice Kennedy Shriver National Institute of Child Health and Human Development; Estados UnidosFil: Goldenberg, Robert L.. Columbia University; Estados Unido
Data quality monitoring and performance metrics of a prospective, population-based observational study of maternal and newborn health in low resource settings
BACKGROUND: To describe quantitative data quality monitoring and performance metrics adopted by the Global Network´s (GN) Maternal Newborn Health Registry (MNHR), a maternal and perinatal population-based registry (MPPBR) based in low and middle income countries (LMICs). METHODS: Ongoing prospective, population-based data on all pregnancy outcomes within defined geographical locations participating in the GN have been collected since 2008. Data quality metrics were defined and are implemented at the cluster, site and the central level to ensure data quality. Quantitative performance metrics are described for data collected between 2010 and 2013. RESULTS: Delivery outcome rates over 95% illustrate that all sites are successful in following patients from pregnancy through delivery. Examples of specific performance metric reports illustrate how both the metrics and reporting process are used to identify cluster-level and site-level quality issues and illustrate how those metrics track over time. Other summary reports (e.g. the increasing proportion of measured birth weight compared to estimated and missing birth weight) illustrate how a site has improved quality over time. CONCLUSION: High quality MPPBRs such as the MNHR provide key information on pregnancy outcomes to local and international health officials where civil registration systems are lacking. The MNHR has measures in place to monitor data collection procedures and improve the quality of data collected. Sites have increasingly achieved acceptable values of performance metrics over time, indicating improvements in data quality, but the quality control program must continue to evolve to optimize the use of the MNHR to assess the impact of community interventions in research protocols in pregnancy and perinatal health.Fil: Goudar, Shivaprasad S.. KLE University. Jawaharlal Nehru Medical College; IndiaFil: Stolka, Kristen B.. Research Triangle Institute International; Estados UnidosFil: Koso Thomas, Marion. Eunice Kennedy Shriver National Institute of Child Health and Human Development; Estados UnidosFil: Honnungar, Narayan V.. KLE University. Jawaharlal Nehru Medical College; IndiaFil: Mastiholi, Shivanand C.. KLE University. Jawaharlal Nehru Medical College; IndiaFil: Ramadurg, Umesh Y.. S. Nijalingappa Medical College; IndiaFil: Dhaded, Sangappa M.. KLE University. Jawaharlal Nehru Medical College; IndiaFil: Pasha, Omrana. Aga Khan University; PakistánFil: Patel, Archana. Indira Gandhi Government Medical College and Lata Medical Research Foundation; IndiaFil: Esamai, Fabian. University School of Medicine; KeniaFil: Chomba, Elwyn. University of Zambia; ZambiaFil: Garces, Ana. Universidad de San Carlos; GuatemalaFil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Carlo, Waldemar A.. University of Alabama at Birmingahm; Estados UnidosFil: Goldenberg, Robert L.. Columbia University; Estados UnidosFil: Hibberd, Patricia L.. Massachusetts General Hospital for Children; Estados UnidosFil: Liechty, Edward A.. Indiana University; Estados UnidosFil: Krebs, Nancy F.. University of Colorado School of Medicine; Estados UnidosFil: Hambidge, Michael K.. University of Colorado School of Medicine; Estados UnidosFil: Moore, Janet L.. Research Triangle Institute International; Estados UnidosFil: Wallace, Dennis D.. Research Triangle Institute International; Estados UnidosFil: Derman, Richard J. Christiana Care Health Services; Estados UnidosFil: Bhalachandra, Kodkany S.. KLE University. Jawaharlal Nehru Medical College; IndiaFil: Bose, Carl L.. University of North Carolina; Estados Unido
Trends and determinants of stillbirth in developing countries: results from the Global Network\u27s Population-Based Birth Registry.
BACKGROUND: Stillbirth rates remain high, especially in low and middle-income countries, where rates are 25 per 1000, ten-fold higher than in high-income countries. The United Nations\u27 Every Newborn Action Plan has set a goal of 12 stillbirths per 1000 births by 2030 for all countries.
METHODS: From a population-based pregnancy outcome registry, including data from 2010 to 2016 from two sites each in Africa (Zambia and Kenya) and India (Nagpur and Belagavi), as well as sites in Pakistan and Guatemala, we evaluated the stillbirth rates and rates of annual decline as well as risk factors for 427,111 births of which 12,181 were stillbirths.
RESULTS: The mean stillbirth rates for the sites were 21.3 per 1000 births for Africa, 25.3 per 1000 births for India, 56.9 per 1000 births for Pakistan and 19.9 per 1000 births for Guatemala. From 2010 to 2016, across all sites, the mean stillbirth rate declined from 31.7 per 1000 births to 26.4 per 1000 births for an average annual decline of 3.0%. Risk factors for stillbirth were similar across the sites and included maternal age \u3c 20 years and age \u3e 35 years. Compared to parity 1-2, zero parity and parity \u3e 3 were both associated with increased stillbirth risk and compared to women with any prenatal care, women with no prenatal care had significantly increased risk of stillbirth in all sites.
CONCLUSIONS: At the current rates of decline, stillbirth rates in these sites will not reach the Every Newborn Action Plan goal of 12 per 1000 births by 2030. More attention to the risk factors and treating the causes of stillbirths will be required to reach the Every Newborn Action Plan goal of stillbirth reduction.
TRIAL REGISTRATION: NCT01073475
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