Introdução: Crescentes evidências indicam que o abandono e o abuso infantis são fatores de risco para transtornos psiquiátricos. Estudos realizados tanto em animais como em humanos sugerem que o estresse nas fases iniciais de desenvolvimento pode induzir alterações persistentes na capacidade do eixo HPA em responder ao estresse na vida adulta e que esse mecanismo pode levar a uma maior suscetibilidade à depressão. Esta desregulação do eixo HPA parece estar relacionada às mudanças na capacidade dos glicocorticóides circulantes em exercer seu feedback negativo na secreção dos hormônios do eixo HPA por meio da ligação aos receptores de mineralocorticóides (MR) e glicocorticóides (GR) nos tecidos do eixo HPA. Objetivo: O objetivo deste trabalho foi avaliar a resposta do eixo HPA frente aos agonistas e antagonistas dos GR e MR em pacientes depressivos com e sem estresse precoce (EP) e controles. Metodologia: Selecionamos uma amostra total de 75 sujeitos composta por um grupo de pacientes com diagnóstico de episódio depressivo atual (n=47) e um grupo de controles saudáveis (n=28). Os pacientes foram divididos em 2 grupos de acordo com o estresse precoce: um grupo de pacientes depressivos com EP (n=33) e um grupo de pacientes depressivos sem estresse precoce (n=14). Os pacientes foram avaliados por meio da Mini Entrevista Neuropsiquiátrica Internacional (MINI-Plus), para a confirmação do diagnóstico. Para avaliação da gravidade dos sintomas depressivos foi aplicada a Escala de Depressão GRID de Hamilton (GRID-HAM-D21), sendo incluídos apenas pacientes com HAM-D21>=16. Para a avaliação do estresse precoce foi aplicado o Questionário Sobre Traumas na Infância (CTQ). Utilizamos também a Escala de Avaliação de Depressão de Montgomery-Asberg (MADRS), o Inventário de Depressão de Beck (BDI-II), o Inventário de Ansiedade de Beck (BAI), a Escala de Desesperança de Beck (BHS), a Escala de Ideação Suicida de Beck (BSI), a Escala de Impulsividade de Barratt (BIS-11) e o Questionário de Qualidade de Sono de Pittsburg (PSQI), para a avaliação dos sintomas psiquiátricos. A avaliação endócrina foi controlada por placebo, cego por parte dos controles e pacientes, não randomizada, onde os efeitos da fludrocortisona (0.5 mg), da prednisolona (5 mg), da dexametasona (0.5 mg) e da espironolactona (400mg) foram avaliados através do hormônio adrenocorticotrópico (ACTH) plasmático, do cortisol plasmático e salivar, da prolactina plasmática e do sulfato de desidroepiandrosterona (DHEA-S) plasmático. A secreção de cortisol salivar e dos hormônios plasmáticos foi avaliada em todos os sujeitos, após terem tomado no dia anterior às 22h: uma cápsula de placebo, fludrocortisona, prednisolona, dexametasona e espironolactona. A secreção de cortisol salivar foi avaliada às 22h após a tomada da medicação ou do placebo, ao acordar, 30 e 60 min após acordar e às 9h (antes da coleta plasmática), para avaliação da resposta do cortisol ao acordar (CAR) e do ritmo circadiano do cortisol (RC). Foi realizado também uma coleta plasmática as 9h nos dias seguintes após os desafios para medir o cortisol plasmático, o ACTH, o DHEA-S e a prolactina. Resultados: Os pacientes depressivos apresentaram níveis basais menores de cortisol salivar, de prolactina e de DHEA-S e níveis maiores na relação cortisol/DHEA-S. Não foram encontradas diferenças entre os pacientes depressivos e os controles nos níveis basais de ACTH, de cortisol plasmático, na CAR e no RC. Os pacientes depressivos apresentaram níveis menores de ACTH e de DHEA-S após a dexametasona e a fludrocortisona e tenderam a apresentar níveis menores de cortisol salivar após a fludrocortisona. Após a espironolactona encontramos níveis menores de ACTH, de cortisol salivar e de DHEA-S e níveis maiores no índice cortisol/DHEA-S nos pacientes depressivos. Os pacientes depressivos apresentaram também níveis menores de DHEA-S após a prednisolona, porém não foram encontradas diferenças entre os grupos nos demais hormônios avaliados após a prednisolona. Não foram encontradas diferenças no cortisol plasmático e na prolactina após os desafios entre os pacientes depressivos e os controles. Com relação à avaliação do estresse precoce nas medidas hormonais, encontramos uma tendência dos pacientes com EP apresentarem níveis menores basais de prolactina e após a fludrocortisona, a prednisolona, a dexametasona e a espironolactona do que os pacientes sem EP. No entanto, não foram encontradas diferenças entre os grupos nas demais medidas hormonais basais e após os desafios avaliadas neste estudo. Conclusão: Nossos achados fornecem evidências de que existem diversas alterações nas medidas hormonais relacionadas ao funcionamento do eixo HPA e de seus receptores GR e MR nos pacientes depressivos, associado à hipocortisolemia e um aumento do feedback inibitório mediado pelos GR e MR. Sugerem também o envolvimento da prolactina no desenvolvimento de quadros depressivos com estresse precoce, porém mais estudos são necessários para elucidarmos melhor a importância dos demais hormônios do eixo HPA e dos seus receptores em quadros depressivos com estresse precoce / Introduction: There are evidences indicating that child neglect and abuse are risk factors for psychiatric disorders. Studies that had as subjects animals or human suggest that stress in early phases of development may induce persistent changes in HPA axis response to stress in adulthood, which can lead to a greater susceptibility of developing depression. These abnormalities appear to be related to changes in the ability of circulating glucocorticoids and negative feedback on the secretion of HPA hormones through binding to glucocorticoid (GR) and mineralocorticoid receptors (MR) in HPA tissue. Aim: The aim of the present study was to assess HPA response after ingestion of GR and MR agonists and antagonists by depressive patients with and without early life stress (ELS) and controls. Methods: The sample was composed by a group of patients in current depressive episode (n=47), and a healthy control group (n=28). The depressed patients were divided in 2 groups, according to the presence or absence of ELS - a group with ELS (n=33) and a group without ELS (n=14). For diagnostic assessment, MINI International Neuropsychiatric Interview (MINI-Plus) was used. To assess the intensity of depressive symptoms, GRID-Hamilton Depression Rating Scale (GRIDHAM-D21) was applied, and for being included in the patient\'s group, subjects had to score >=16 in GRID-HAM-D21. To assess ELS, Childhood Trauma Questionnaire (CTQ) was applied. Other instruments were also used in the present study to assess psychiatric symptoms: Montgomery-Åsberg Depression Rating Scale (MADRS), Beck Depression Inventory II (BDI-II), Beck Anxiety Inventory, Beck Hopelessness Scale (BHS), Beck Scale for Suicide (BSI), Barratt Impulsiveness Scale (BIS-11), and Pittsburg Sleep Quality Index (PSQI). The neuroendocrine assessment was controlled using placebo, blind to subjects, and non-randomized. The effects of fludrocortisone (0.5 mg), prednisolone (5 mg), dexamethasone (0.5 mg), and spironolactone (400mg) were assessed by measuring plasmatic adrenocorticotropic hormone (ACTH), plasmatic and salivary cortisol, plasmatic prolactin, and plasmatic dehydroepiandrosterone sulfate (DHEA-S). The secretion of all plasmatic hormones was assessed in all subjects in blood collection sample at 9AM, after they took a pill containg placebo or fludrocortisone or prednisolone or dexamethasone or spironolactone, the day before, at 10 PM. The secretion of salivary cortisol assessed the day before 10 PM (after the ingestion of the pill), upon awakening, 30 minutes and 60 minutes after awakening, and at 9AM (before plasmatic collection), for assessed the cortisol awakening response (CAR) and the cortisol circadian rhythm (CR). At 9 AM there was a blood sample collection to assess plasmatic cortisol, ACTH, DHEA-S and prolactin. Results: Depressive patients presented lower basal levels of salivar cortisol, plasmatic prolactin and DHEA-S, and higher levels in the ratio cortisol/DHEA-S. There were no differences between depressive patients and healthy controls in basal levels of ACTH, plasmatic cortisol, in CAR, and in CR. Depressive patients had lower levels of ACTH and DHEA-S after dexamethasone and fludrocortisone, and there was a tendency of having lower salivary cortisol levels after fludrocortisone. After spironolactone, lower levels of ACTH, salivary cortisol, DHEA-S were found, and higher levels in ratio cortisol/DHEA-S were found in depressive patients. These patients also presented lower levels of DHEA-S after prednisolone, although there were no differences between groups concerning the levels of other hormones assessed after prednisolone. There were no differences found in plasmatic cortisol and prolactin levels after all challenges between depressive patients and controls. Considering ELS and hormonal level assessment, there was a tendency of patients with ELS of presenting lower levels of prolactin after placebo, fludrocortisone, prednisolone, dexamethasone, and spironolactone than patients without ELS. Nevertheless, there were no differences between these groups concerning the other hormonal basal levels and after the pharmachological challenges. Conclusion: Our findings provide evidence that there are several changes in hormonal levels related to the functioning of the HPA axis and its receptors GR and MR in depressive patients associated to hypocortisolism and the increase of negative feedback MR- and GR- mediated. Our data also suggest the role of prolactin in the development of depressive disorder with ELS, however, more studies are needed to better highlight the importance of other hormones of HPA axis and its receptors in depressive disorders with ELS

O objetivo desta dissertação é examinar o grau de concertação política do IBAS no ano de 2011, período onde os três países – Índia, Brasil e África do Sul – participaram pela primeira vez como um bloco e como membros não permanentes do CSNU. Como objetivo geral, a pesquisa examinará por intermédio do comportamento de votação e temas de agendas como forma de verificar se a concertação do IBAS para temas de alta política, de fato pode ser caracterizada como eixo central desta coalizão. Para examinar o comportamento do bloco, serão abordados os conceitos teóricos de potências médias, de system affecting states e de geometria variável para melhor compreender o prestígio e legitimidade internacional deste bloco, percebido na forma limitada de influenciar o sistema internacional. Além disso, também se examinará a partir do discurso de Bandung e da Declaração de Brasília, se o IBAS se mantém na retórica ou se de fato insere um mecanismo novo para apoiar e promover o desenvolvimento na plataforma do eixo Sul-Sul. A pesquisa se fundamentou em levantamento documental dos seguintes referenciais bibliográficos: a) artigos e literatura acadêmica com abordagem conceitual sobre as coalizões, potências médias, cooperação Sul-Sul; b) declarações multilaterais; c) reportagens; d) think-tanks em torno deste tema e o site oficial da ONU (Conselho de Segurança-UNBISNET). Diante do examinado, a hipótese central foi constatada, sendo que o IBAS de fato tem como pilar central o eixo Sul-Sul Hard como plataforma para fortalecer o grau de influência para a ampliação e reforma do CSNU. Conclui-se que a convergência apresentada pelo bloco em 2011 como membros não permanentes imprimiu uma postura que foi além da interlocução, mostrando um alinhamento e convergência quantos aos temas de alta política voltados para os temas de governança global. / The aim of this dissertation will examine the degree of political consensus of IBSA in 2011, a period where the three countries participated in the first time as a block, and as non- permanent members of the UNSC. As a general objective, the research will examine through voting behavior issues and agendas as a way to verify that the IBSA dialogue to issues of high politics, in fact it can be characterized as the centerpiece of this coalition. For examining the behavior of the block will be approached the theoretical concepts of middle power, the System Affecting States and the variable geometry coalition to better understand the prestige and international legitimacy of this block , realized in a limited way to influence the international system. Furthermore, also it will examine the speech from Bandung and Brasilia Declaration, if the IBSA remains in rhetoric or actually inserts a new mechanism to support and promote the development plataform on the South-South axis. The research was based on documentary survey of the following bibliographic references : a) articles and academic literature on the conceptual approach to coalitions; middle powers; South-South cooperation; b ) multilateral declarations; c ) reports; d ) think-tanks around this theme and the official website of the UN (Security Council - UNBISNET). Before the examination, it was concluded that IBSA actually has as the central pillar of the South- South Hard as a platform to strengthen the degree of influence on the expansion and reform of the UNSC. It is inferred that from the consultation policy presented by the bloc in 2011 as non-permanent members, printed a posture that was beyond the dialogue, it showed an alignment and convergence on the issues of high politics focused on issues of global governance.

Excerpt: Recently, clinical vestibular tests have been developed for assessing otolith function. Little is known about treatment for otolith dysfunction, and this case report offers a perspective on using otolith stimulation to treat vestibular loss.

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Resource availability follows seasonal cycles in environmental conditions. To align physiology and behavior with prevailing environmental conditions, seasonal animals integrate cues from the environment with their internal state. One of the systems animals use to integrate those cues is the hypothalamus-pituitary-adrenal (HPA) axis and its primary effector, glucocorticoid hormones. The HPA axis has wide-ranging effects on physiology and behavior and, in the context of a glucocorticoid stress response, is known to mediate tradeoffs between immediate survival and future fitness. The HPA axis also plays an important role in facilitating predictable life-history events. Variation in HPA axis activity has been reported in all vertebrates, often coordinating seasonal reproduction and possibly also transitions between life-history stages. My dissertation research used red-sided garter snakes (Thamnophis sirtalis parietalis) to examine the role of the HPA axis in regulating seasonal life-history transitions, especially in females. In Chapter 2, I hypothesized that seasonal plasticity in stress responses is regulated, in part, by changes in the responsiveness of the adrenal glands to adrenocorticotropic hormone (ACTH). I found that glucocorticoid responses to ACTH challenge were smaller in males than in females during the spring, suggesting that reports of reduced stress responsiveness in males may reflect lower adrenal responsiveness to ACTH. The sex difference in mating season duration and consequently also in the timing of migration led me to hypothesize that sex differences in HPA axis activity could explain sex differences in the timing of migration. Furthermore, adrenal responsiveness to ACTH also varied seasonally in males, but not females, suggesting that female stress responses, which have not been studied, may not vary seasonally. In Chapter 3, I investigated potential seasonal variation in female stress responses, which have not previously been examined. In males, baseline glucocorticoids decrease over the course of the mating season resulting in significantly lower baseline levels in males that have begun to migrate. I hypothesized that a change in HPA axis activity occurs during spring and fall migration. Peak stress-induced glucocorticoid concentration occurred at an earlier sampling time in females during the spring compared to the fall. Peak stress-induced glucocorticoid concentrations also occurred at a later sampling time in migrating females than in pre-migratory females during the spring, suggesting that negative feedback regulation of the HPA axis changes as soon as females begin to migrate during the spring. Female red-sided garter snakes are biennial breeders that give birth approximately every other year implying that a female's recent reproductive history can influence whether or not she will reproduce in a given year. Body condition can be used as a proxy for recent reproductive history and can be related to baseline and stress-induced glucocorticoid concentrations. In Chapter 4, I hypothesized that hormonal and behavioral stress responses vary with body condition. Baseline glucocorticoids did not vary with body condition, but females in low body condition showed a significantly larger increase in plasma glucocorticoids in response to capture stress. Body condition, but not capture stress, influenced latency to copulate, suggesting that females are resistant to the behavioral effects of capture stress during the spring mating season. Only females in low body condition increased latency to copulate in response to injection of a physiological (15 µg) dose of exogenous CORT, while all females responded to a pharmacological (60 µg) dose, indicating that behavioral responses to exogenous glucocorticoids vary with female body condition. These data suggest that variation in body condition may be associated with differences in HPA axis sensitivity and/or glucocorticoid receptor (GR) density in the brain. I directly tested if there is a relationship among body condition, reproductive history and HPA axis activity in Chapter 5. I found that glucocorticoid stress responses and mating behavior did not vary with body condition, nor was body condition related to brain GR or reproductive condition (parturient vs post-parturient females). Only unreceptive females showed a significant stress-induced increase in glucocorticoids, suggesting that reduced stress responsiveness is associated with receptivity. Parturient females mated faster (were more proceptive) than post-parturient females. These data suggest that HPA axis activity influences reproductive "decisions" by modulating receptivity, while proceptivity is related primarily to recent reproductive history. Together, these chapters help characterize how HPA axis activity varies with season, sex, reproductive history and migration status. By systematically probing the HPA axis in a single, tractable system, I have gained insight into how changes in the HPA axis support and modulate transitions between life-history stages. These results highlight the HPA axis' important function in mediating the critical trade-offs all animals must navigate to be successful in a changing world.

Dans le cadre de la simulation numérique portant sur la prédiction de phénomènes complexes, la modélisation de la pénétration d’un corps à travers un solide reste un challenge. Ceci est d’autant plus vrai si le corps impacté comporte une épaisseur importante devant les dimensions du projectile. Notamment, dans le contexte de la biomécanique des chocs, l’investigation des traumatismes suite à une blessure par balle, par un moyen numérique, nécessite la modélisation d’une zone pouvant être de plusieurs dizaines de fois supérieure aux dimensions du projectile sur un temps extrêmement court (de l’ordre de quelques dixièmes de milli-seconde). Les méthodes numériques dites classiques comme les éléments finis sont limitées dans ce domaine, dû en particulier à des problèmes de distorsions de maillage. Ce travail de thèse tente donc d’apporter une contribution dans le cadre de la modélisation des impacts pénétrants en proposant l'utilisation d’une méthode alternative sans maillage, la méthode "Smoothed Particle Hydrodynamics" (SPH).Méthode "Smoothed Particle Hydrodynamics, Impact Pénétrant, Biomécanique, Dynamique Rapide, Axisymétrie / Numerical simulation offers the possibility to investigate complexe phenomenons by giving access to useful informations about the evolution of a material system under constraints. Nevertheless, there are some situations where classical procedures, such as the Finite Elements Method (FEM), suffers from issues (e.g. mesh distorsions). One of these situations comes from a biomechanical context, where the investigation tends to observe the penetration of a projectile through human soft tissus. In this context, the objective of this Ph.D Thesis is to evaluate the capability of one alternative method, named Smoothed Particle Hydrodynamics method (SPH), to handle such modelling configurations.Smoothed Particle Hydrodynamics method, Penetrating Impact, Biomechanics, Fast Dynamics, Axis-symmetry

Cette thèse s'inscrit dans la problématique de la reconstruction de surfaces à partir de nuages de points. Les récentes avancées faites dans le domaine de l'acquisition de formes 3D à l'aide de scanners donnent lieu à de nouveaux besoins en termes d'algorithmes de reconstruction. Il faut être capable de traiter de grands nuages de points bruités tout en donnant une représentation compacte de la surface reconstruite.<br>La surface est reconstruite comme le niveau zéro d'une fonction. Représenter une surface implicitement en utilisant des fonctions de base radiales (Radial Basis Functions) est devenu une approche standard ces dix dernières années. Une problématique intéressante est la réduction du nombre de fonctions de base pour obtenir une représentation la plus compacte possible et réduire les temps d'évaluation.<br>Réduire le nombre de fonctions de base revient à réduire le nombre de points (centres) sur lesquels elles sont centrées. L'objectif que l'on s'est fixé consiste à sélectionner un "petit" ensemble de centres, les plus pertinents possible. Pour réduire le nombre de centres tout en gardant un maximum d'information, nous nous sommes affranchis de la correspondance entre centres des fonctions et points de donnée, qui est imposée dans la quasi-totalité des approches RBF. Au contraire, nous avons décidé de placer les centres sur l'axe médian de l'ensemble des points de donnée et de montrer que ce choix était approprié.<br>Pour cela, nous avons utilisé les outils donnés par la géométrie algorithmique et approximé l'axe médian par un sous-ensemble des sommets du diagramme de Voronoi des points de donnée. Nous avons aussi proposé deux approches différentes qui échantillonnent de manière appropriée l'axe médian pour adapter le niveau de détail de la surface reconstruite au budget de centres alloué par l'utilisateur.

<p>As software increases in complexity and relies more on Internet and Web technology, the challenge of enabling interaction and communication between loosely coupled applications becomes increasingly vital. Distributed computing presents challenges to loosely coupled applications that require means with which to interact and communicate. There exist technologies that are aimed at solving these problems; Web service is one such technology. Web service is a relatively new and rapidly maturing technology in the area of distributed computing; it offers a standards-based way to exchange information in an interoperable manner. This thesis is done in partnership with StruSoft and attempts to provide a solution to their problem of distributed computing, by using Web service technology. The paper looks at distributed systems and various solutions to the problems associated with distributed computing. A comprehensive insight into Web service technology is provided, along with rationale as to why it is chosen for the project. In addition, there are guidelines as to how the necessary components of Web service are installed. Development of License Management Software is also a part of this thesis. The software offers a means with which to store and maintain data about customers and their licenses. Security is a major focus of this paper and thus extensively mentioned throughout. A detailedexplanation of computer security is presented, along with the necessary configurations that are needed to make the Web service and the License Management Software more secure.</p>

<p>Arbetets syfte är att göra en aktualiserad framställning av ämnet trädkult. En viktig del av syftet har också varit att göra en mera heltäckande materialgenomgång än tidigare studier. Framställningen kommer huvudsakligen att beröra den fornskandinaviska religionen men utblickar kommer att bli nödvändiga för att komplettera materialet. Således kommer även kontinentalgermanska och samiska områden att beröras, kontinentalgermanskt område något utförligare, samiskt område i form av ett exempel. Visserligen kommer arbetet i mycket att ha karaktären av en betraktelse. Som sådan blir den resonerande såtillvida att då någon källa har redovisats och/eller den i respektive fall eventuelle forskaren har fått lägga dit sina aspekter kommer jag att i vissa fall ha små reflektioner att tillägga. Trots detta vill jag ändå som tillägg sätta en traditionell frågeställning eftersom inget uppsatsarbete borde undvika att söka besvara åtminstone någon eller några frågor. De frågor den här uppsatsen kommer att söka besvara blir:</p><ul type="disc"><li>Kan en koppling mellan myt och rit påvisas?</li><li>Finns det möjlighet att påvisa ett mikro-, makrokosmiskt förhållande?</li><li>Fanns det maktlegitimerande skäl för kultplatsen?</li></ul>

<p>Primary Sjögren's syndrome (pSS) is a chronic inflammatory connective tissue disease of unknown etiology. The disease primarily involves salivary and lacrimal glands which results in oral and ocular dryness (sicca symptoms). A wide spectrum of extraglandular features from various organs may be seen. </p><p>In this thesis, the frequency of psychiatric symptoms in women with primary Sjögren's syndrome was studied and an attempt was made to assess how these symptoms might influence their well being and quality of life. The main finding was that the women with pSS suffered significantly more often from symptoms of anxiety and depression when compared with age matched, healthy females and female patients with rheumatoid arthritis. The physical and mental well-being of the patients with pSS was significantly reduced compared to patient controls. </p><p>The possible link of psychiatric symptoms to the altered function of the hypothalamic-pituitary-gonadal axis and adrenal androgen secretion was elucidated. Women with pSS have intact cortisol synthesis but reduced serum concentrations of dehydroepiandrosterone sulphate (DHEA-S) (p<0.05) and an increased cortisol/DHEA-S ratio (p<0.05), compared to healthy controls. These findings may reflect a constitutional or disease-meditated influence on adrenal steroid synthesis. Positive correlation was found between DHEA-S serum levels and quality of sexual life (p<0.01) and mental well-being (p<0.01) in women with pSS. </p>