<p>This essay describes the phases of funeral rituals between the Syrian/Assyrian, and compares the homeland with Sweden. It describes the stage of rituals according to Victor Turner schema of separation, margin or limin, and aggregation. The rituals religious significance agrees with Clifford Geertz’s theory about the importance of religious beliefs for the human being</p>

This essay describes the phases of funeral rituals between the Syrian/Assyrian, and compares the homeland with Sweden. It describes the stage of rituals according to Victor Turner schema of separation, margin or limin, and aggregation. The rituals religious significance agrees with Clifford Geertz’s theory about the importance of religious beliefs for the human being

Objetivos: Descrever a frequência, e investigar fatores preditivos, de óbito fetal espontâneo (OF), em gestações com anomalias cromossômicas. Métodos: Trata-se de estudo retrospectivo, abrangendo o período de novembro de 2004 a maio de 2012, realizado na Clínica Obstétrica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Foram incluídas gestações únicas com diagnóstico pré-natal de trissomia dos cromossomos 21 (T21), 18, 13 (T13/18) e monossomia do X (45X), realizado até a 26ª semana de gestação. Resultados: Foram incluídas 92 gestantes com idade materna média de 32,7 ± 8,7 anos. O diagnóstico das anomalias cromossômicas (T21 n=36, T13/T18 n=25, 45X n=31) foi realizado em idade gestacional média de 18,3 ± 3,7 semanas, por meio de biópsia de vilo corial (n=22, 24%), amniocentese (n=66, 72%) e cordocentese (n=4, 4%). Malformação major estava presente em 45 (49%); e hidropisia foi identificada em 32 (35%) fetos, sendo mais frequente no grupo 45X (n=24/31 (77%) versus T21: n=6/36 (17%) e T13/18: n=2/25 (8%), p < 0,001). Exame ecocardiográfico fetal especializado foi realizado em 60% (55/92) das gestações. Dessas, 60% (33/55) apresentaram alterações na morfologia e/ou função cardíaca, sendo o achado mais frequente a comunicação interventricular (39%). Fetos com T13/18 apresentaram incidência maior de anomalias cardíacas (60% versus 25% (T21) e 29% (45X), p= 0,01). Óbito fetal ocorreu em 55 (60%) gestações e foi mais frequente no grupo 45X (n=26/31 (84%) versus T21: n=13/36 (36%) e T13/18: n=16/25 (64%), p < 0,01). A análise multivariada stepwise demonstrou associação entre hidropisia e OF em fetos com trissomia 21 (LR= 4,29; IC95%= 1,9-8,0, p< 0,0001). Em fetos com monossomia X, a presença de alterações ecocardiográficas esteve associada com menor risco de OF (LR= 0,56; IC95% = 0,27-0,85, p= 0,005). Não foram identificados fatores preditores no grupo T13/18. Conclusão: A letalidade intrauterina de fetos com anomalias cromossômicas é elevada. A presença de hidropisia aumenta o risco de óbito fetal, em gestações com trissomia 21. Enquanto, em gestações com monossomia X, a ocorrência de alterações ecocardiográficas reduz esse risco / Objectives: To describe the frequency, and associated factors, of intrauterine fetal death (IUD), in pregnancies with chromosomal abnormality. Methods: This was a retrospective (November 2004 to May 2012) performed at de department of obstetrics, Hospital das Clínicas, São Paulo University Medical School. Inclusion criteria were: singleton pregnancies with prenatal diagnosis of trisomy 21 (T21), 18, 13 (T13/18) and X monosomy (45X), performed up to 26 weeks gestation. Results: 92 women were included in the study with a mean maternal age of 32.7 ± 8.7 years. Fetal chromosomal abnormalities (T21 n=36, T13/T18 n=25, 45X n=31) were diagnosed at a mean gestational age of 18.3 ± 3.7 weeks, by chorionic villus sampling (n=22, 24%), amniocentesis (n=66, 72%) and cordocentesis (n=4, 4%). Major fetal structural abnormality was present in 45 (49%) cases; hydrops was diagnosed in 32 (35%) fetuses, and was more common in 45X group (n=24/31 (77%) versus T21: n=6/36 (17%) and T13/18: n=2/25 (8%), p < 0.001). Specialist fetal echocardiography was performed in 55 (60%) pregnancies and showed structural and/or functional abnormalities in 33 (60%) fetuses; ventricular septal defect was the most common finding (39%). T13/18 fetuses showed a higher incidence of cardiac abnormalities (60% versus 25% (T21) and 29% (45X), p= 0.01). IUD occurred in 55 (60%) pregnancies and was more common in 45X group (n=26/31 (84%) versus T21: n=13/36 (36%) and T13/18: n=16/25 (64%), p < 0.01). Stepwise logistic regression analysis demonstrated an association between hydrops and IUD in T21 pregnancies (LR= 4.29; 95%CI= 1.9-8.0, p < 0.0001). In 45X pregnancies, cardiac abnormalities were associated with a lower risk of IUD (LR= 0.56; 95%CI = 0.27-0.85, p= 0.005). No predictors of IUD were identified in T13/18 group. Conclusion: Intrauterine death rate is high in pregnancies with a fetal chromosomal abnormality. Presence of hydrops increases the risk of this complication in trisomy 21 fetuses. Whereas the presence of a cardiac abnormality is protective in X monosomy pregnancies

In dieser retrospektiven klinischen Studie wurden die Akten von 89 Patientinnen mit Ullrich-Turner-Syndrom ausgewertet, die zwischen 1974 und 2004 in der Universitätsklinik und Poliklinik für Kinder und Jugendliche in Leipzig behandelt worden sind. Berücksichtigt wurde die Verteilung der Karyotypen im Patientenkollektiv sowie das Auftreten von assoziierten Begleiterkrankungen. Das Alter bei Diagnosestellung, die Größe bei Diagnosestellung und die Gründe für die Verdachtsdiagnose Ullrich-Turner-Syndrom wurden analysiert. Darüber hinaus untersuchte der Autor die durchgeführten Maßnahmen zur Pubertätsinduktion im Hinblick auf ihren Beginn und Erfolg sowie deren Einfluss auf die Wachstumraten. Gut 50% der Patientinnen besaßen den Karyotyp 45,X, die anderen Karyotypen setzten sich aus Mosaiken zusammen. Assoziierte Begleiterkrankungen waren im Patientenkollektiv unterrepräsentiert. Das durchschnittliche Alter bei Diagnosestellung betrug 8,21 Jahre, es fiel während des Beobachtungszeitraumes signifikant ab. Der durchschnittliche Größen-SDS zum Zeitpunkt der Diagnosestellung betrug -2,86. Es wurde, verglichen mit den Empfehlungen der Leitlinien, eine verspätete Diagnosestellung konstatiert. Die Pubertätsinduktion begann mit durchschnittlich 13,93 Jahren mit einer signifikanten Reduktion im Verlauf. Die Dauer vom Beginn der Pubertätsinduktion bis zum Eintreten der Menarche betrug 2,51 Jahre, die Dauer vom Tannerstadium B2 zum Stadium B5 betrug gut 27 Monate. Eine Menarche wurde bei nur 65% der Patientinnen sicher beobachtet. Die Ergebnisse wurden kritisch überprüft und in den Kontext anderer Studien eingeordnet. Aus den Ergebnissen wurde gefolgert, dass das Ullrich-Turner-Syndrom, trotz einer positiven Entwicklung in den letzten Jahren, noch immer zu spät diagnostiziert wurde. Die Pubertätsinduktion verlief trotz der verzögerten Diagnosestellung hinsichtlich der Entwicklung der Tannerstadien erfolgreich. Demgegenüber blieb die Induktion der Menarche nur mäßig erfolgreich. Eine Beeinflussung der Wachstumraten durch die Östrogentherapie wurde nicht beobachtet.

Made available in DSpace on 2016-08-10T10:55:25Z (GMT). No. of bitstreams: 1 Hugo Pereira Leite Filho.pdf: 1747513 bytes, checksum: 1d5d4b0eff9478fb7f58eca6fa166bec (MD5) Previous issue date: 2006-08-25 / This study has involved the interaction among knowledge in very distinctive areas, or else: informatics, engineering e genetics, emphasizing the building of a taking decision backing system methodology. The aim of this study has been the development of a tool to help in the diagnosis of chromosomal aberrations, presenting like tutorial model the Turner Syndrome. So to do that there have been used classification techniques based in decision trees, probabilistic networks (Naïve Bayes, TAN e BAN) and neural MLP network (from English, Multi- Layer Perception) and training algorithm by error retro propagation. There has been chosen an algorithm and a tool able to propagate evidence and develop efficient inference techniques able to originate appropriate techniques to combine the expert knowledge with defined data in a databank. We have come to a conclusion about the best solution to work out the shown problem in this study that was the Naïve Bayes model, because this one presented the greatest accuracy. The decision - ID3, TAN e BAN tree models presented solutions to the indicated problem, but those were not as much satisfactory as the Naïve Bayes. However, the neural network did not promote a satisfactory solution. / O estudo envolveu a interação entre áreas de conhecimento bastante distintas, a saber: informática, engenharia e genética, com ênfase na metodologia da construção de um sistema de apoio à tomada de decisão. Este estudo tem como objetivo o desenvolvimento de uma ferramenta para o auxílio no diagnóstico de anomalias cromossômicas, apresentando como modelo tutorial a Síndrome de Turner. Para isso foram utilizadas técnicas de classificação baseadas em árvores de decisão, redes probabilísticas (Naïve Bayes, TAN e BAN) e rede neural MLP (do inglês, Multi- Layer Perceptron) com algoritmo de treinamento por retropropagação de erro. Foi escolhido um algoritmo e uma ferramenta capaz de propagar evidências e desenvolver as técnicas de inferência eficientes capazes de gerar técnicas apropriadas para combinar o conhecimento do especialista com dados definidos em uma base de dados. Chegamos a conclusão que a melhor solução para o domínio do problema apresentado neste estudo foi o modelo Naïve Bayes, pois este modelo apresentou maior acurácia. Os modelos árvore de decisão-ID3, TAN e BAN apresentaram soluções para o domínio do problema sugerido, mas as soluções não foram tão satisfatória quanto o Naïve Bayes. No entanto, a rede neural não promoveu solução satisfatória.

The Diploma Thesis is divided into three sections. The first section describes the activities of the ILPS and characterizes closely the Study Centre in Prague -- Albertov and its courses. The second section deals with differences among cultures, according to Fons Trompenaars and Charles Hampden-Turner, and characterizes Czech culture and the cultures of participants of courses at Albertov. This section also includes a research study on the perception of Czech culture by foreign students and in-depth interviews with two representatives. The last section discusses the promotion of the Study Centre Albertov and proposes concrete ways on how to promote the 6-Week Intensive Czech Language Course and the summer course Czech Language and Culture.

Thesis--Auburn University, 2009. / Abstract. Includes bibliographic references (p.87-89).

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