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We seek to analyze rent as a specific way of circulating the value of investment real estate projects. We situate investments based on operating income from property rentals as an expression of the increasingly organic articulations between the real estate market and income capitalization markets. To help us with this reading, we present theses on “assetized capitalism”, a set of studies that highlights the relevance of the specific movement of rent as “financial exploitation” of assets. Afterwards, we compare, through the critical political economy, the real estate valuation methods used by different agents in the sector. We argue that a contradictory process occurs, of a more open split but, at the same time, a more intense subordination of the use value of the real estate commodity to the right to capitalized income from its property. [ABSTRACT FROM AUTHOR]

Introduction Serum vascular endothelial growth factor-D (VEGF-D) is a lymphangiogenic growth factor that is considered a valuable tool in the diagnosis of lymphangioleiomyomatosis (LAM). Previous studies have reported a wide variability in VEGF-D serum levels in LAM patients and it seems to be associated with pulmonary impairment and lymphatic involvement. Methods We conducted a cross-sectional study from 2009 to 2017 that evaluated VEGF-D serum levels in a cohort of LAM patients who were never treated with mTOR inhibitors and compared them to healthy age-matched volunteers. Clinical and functional parameters were assessed and correlated with their respective serum VEGF-D levels. Results One hundred and four patients were included in the analysis. Serum VEGF-D levels were higher in LAM patients compared to healthy controls: 796 (404-1588) versus 162 (117-232) pg/mL, respectively (p < 0.001). Patients with tuberous sclerosis complex-LAM, TSC-LAM (20%), had higher levels of VEGF-D when compared to patients with sporadic LAM (80%) [1005 (641-2732) vs. 772 (370-1383), p = 0.05]. Serum VEGF-D levels were weakly correlated with DL.sub.CO (r = - 0.26, p = 0.001) and lymphatic involvement was more frequent in those with serum VEGF-D levels equal or above 800 pg/mL (35% vs. 13%, p = 0.02). Conclusions In LAM, serum VEGF-D is weakly associated with lung function impairment and strongly associated with lymphatic involvement. VEGF-D is validated for use in Brazilian patients with LAM whose characteristics must be accounted for when evaluating their serum VEGF-D levels., Author(s): Alexandre Franco Amaral [sup.1] , Martina Rodrigues de Oliveira [sup.1] , Olívia Meira Dias [sup.1] , Fábio Eiji Arimura [sup.1] , Carolina Salim Gonçalves Freitas [sup.1] , Milena Marques [...]

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Problem Providing health care for children with congenital heart diseases remains a major challenge in low-and middle-income countries. Approach In October 2011, the Government of Paraiba, Brazil, established a paediatric cardiology network in partnership with the nongovernmental organization Circulo do Coragao. A cardiology team supervised all network activities, using the Internet to keep in contact with remote health facilities. The network developed protocols for screening heart defects. Echocardiograms were performed by physicians under direct online supervision of a cardiologist; alternatively, a video recording of the examination was subsequently reviewed by a cardiologist. Cardiovascular surgeons came to a paediatric hospital in the state capital once a week to perform heart surgeries. Local setting Until 2011, the State of Paraiba had no structured programme to care for children with heart disease. This often resulted In missed or late diagnosis, with adverse health consequences for the children. Relevant changes From 2012 to 2014, 73 751 babies were screened for heart defects and 857 abnormalities were identified. Detection of congenital heart diseases Increased from 4.09 to 11.62 per 1000 live births (P< 0.001). Over 6000 consultations and echocardiograms were supervised via the Internet. Time to diagnosis, transfers and hospital stays were greatly reduced. A total of 330 operations were carried out with 6.7% (22/330) mortality. Lessons learnt Access to an echocardiography machine with remote supervision by a cardiologist improves the detection of congenital heart disease by neonatologists; virtual outpatient clinics facilitate clinical management; the use of Internet technology with simple screening techniques allows resources to be allocated more efficiently. Probleme Offrir une couverture medicale aux enfants atteints de cardiopathies congenitales reste un probleme majeur dans les pays a revenu faible et intermediaire. Approche En octobre 2011, le gouvernement de l'Etat de Paraiba, au Bresil, a mis en place un reseau de cardiologie pediatrique en partenariat avec l'organisation non gouvernementale Circulo do Coracao. Une equipe de cardiologie a supervise toutes les activites du reseau, en restant en contact avec les etablissements de sante distants grace a Internet. Le reseau a mis au point des protocoles pour detecter les malformations cardiaques. Des medecins ont realise des echocardiogrammes sous la supervision directe en ligne d'un cardiologue; dans d'autres cas, un cardiologue a visionne l'enregistrement video des examens. Des chirurgiens cardiovasculaires se sont rendus une fois par semaine dans un hopital pediatrique de la capitale de l'Etat afin de pratiquer des interventions de chirurgie cardiaque. Environnement local Jusqu'en 2011, l'Etat de Paraiba n'avait pas de programme structure de prise en charge des enfants atteints de cardiopathies. Cela entrainait souvent des diagnostics errones ou tardifs, qui avaient des consequences negatives sur la sante des enfants. Changements significatifs De 2012 a 2014, 73 751 bebes ont fait l'objet d'un examen visant a detecter des malformations cardiaques; 957 ont ete decouvertes. La detection de cardiopathies congenitales est passee de 4,09 a 11,62 pour 1000 naissances vivantes (P < 0,001). Plus de 6000 consultations et echocardiogrammes ont ete supervises via Internet. Les delais de diagnostic, les transferts et les sejours a l'hopital ont ete fortement reduits. Un total de 330 operations a ete pratique, avec un taux de mortalite de 6,7% (22/330). Lecons tirees L'acces a un echocardiographe avec supervision a distance par un cardiologue ameliore la detection des cardiopathies congenitales par les neonatologistes; les cliniques ambulatoires virtuelles facilitent la prise en charge clinique; l'utilisation d'Internet associeea des techniques de detection simples permet une affectation plus efficace des ressources. Problema Proporcionar atencion sanitaria a los ninos con cardiopatias congenitas sigue siendo uno de los principales desafios en los paises de ingresos bajos y medios. Enfoque En octubre de 2011, el Gobierno de Paraiba, Brasil, establecio una red de cardiologia pediatrica en asociacion con la organizacion no gubernamental Circulo do Coracao. Un equipo de cardiologia superviso todas las actividades de la red mediante el uso de Internet para mantenerse en contacto con los centros sanitarios remotos. La red desarrollo protocolos para revisar defectos cardiacos. Los medicos llevaron a cabo ecocardiogramas bajo la directa supervision online por parte de un cardiologo; como alternativa, un cardiologo podia revisar la grabacion del examen posteriormente. Los cirujanos cardiovasculares acudian al hospital pediatrico de la capital una vez por semana para llevar a cabo cirugias cardiacas. Marco regional Hasta 2011, el Estado de Paraiba no contaba con un programa estructurado para tratar a los ninos con enfermedades cardiacas. Esto se traducia en diagnosticos erroneos o tardios, con consecuencias adversas en la salud de los ninos. Cambios importantes De 2012 a 2014, se examinaron 73.751 bebes en busca de defectos cardiacos y se identificaron 957 anomalias. La deteccion de enfermedades cardiacas congenitas subio de 4,09 a 11,62 por cada 1.000 nacimientos (P Lecciones aprendidas El acceso a una maquina de ecocardiogramas con supervision remota por parte de un cardiologo mejora la deteccion de enfermedades cardiacas congenitas por parte de neonatologos; las clinicas ambulatorias virtuales facilitan la gestion clinica; el uso de Internet con simples tecnicas de revision permite que los recursos se distribuyan con mayor eficacia., Introduction Caring for children with heart defects remains a challenge worldwide. (1) In developing countries, diagnoses are often late due to the lack of screening programmes and trained personnel. (2) [...]