Úlceras de pressão: um estudo com pacientes de unidade de terapia intensiva

To characterize patients according to gender, age category, internment time, diagnostical hypothesis and location of the pressure ulcer; to identify the susceptibility conditions, intrinsical and extrinsical factors present on ICU patients and to verify on the existence of association between the susceptibility conditions and the intrinsecal and extrinsecal factors on the occurrence of PU. Methods: It is a descriptive study, of longitudinal design of the panel type, with quantitative approach, performed on two ICU s of a private hospital located in Natal/RN, with 40 patients interned at these units. The data collection was performed on all three shifts through a structured observation and physical exam of the patients' skin form seeking to identify the presence of PU. Results: The greatest occurence of PU was on individuals of the male gender (70%) when compared to the female gender (30%), that difference being statistically significant (p=0,0267), with the male gender presenting 4,3 times greater chance of developing PU than the female; the predominant age category was from 60 years of age on (85%), 60,0% presented 1 to 2 PU s after 7 (seven) days of permanence in the ICU s, the predominant diagnostical hypothesis on the patients with PU were the respiratory diseases (42,3%) and the most frequent locations of PU were the sacral region (40,0%) and heels (36,0%). 25 PU s of stage I were diagnosed on 50,0% of the followed patients, with general incidence of 50,0% on both ICUs. from the 88 variables researched, 75 were identified on the patients from the study, being the predominant conditions (anemia, hypotension, leukocytosis, other diseases hypertension blood pressure, cardiac insuffience, pneumonia - and ansiolythic), the intrinsecal factors (diminished muscular strenght and/or mass, discrete edema, totally compromised mobile coordination and total inability for movement on the bed) and the extrinsecal factors (inadequate mattress type, permanence on a single position for >2 hours, shearing/friction force, bed clothes with folds that leave marks on the body, pressure force) predominated on patients with PU. The male gender variables (p=0,0267,OR=4,3), sedation (p=0,0006,OR=4,1), psychomotive agitation (p=0,0375,OR=5,8) and leukocytosis (p=0,0285,OR=5,0) presented a significant statistical diference when analyzed independently. We verified an association of 17,3%, statistically significant (p=0,0384), between the susceptibility conditions (anemia, leukocytosis and hypotension), the intrinsecal factors (age equal or above 60 years, diminished/absent pain sensibility and smooth, fine or delicate skin) and the extrinsecal factors (inadequate mattress, pressure forces, shearing/friction force, permanence on a single position for more than 2 hours, elevation between 30 to 45 degrees and inadequate bed clothes' conditions), with a chance ratio of 4,6 times the risk of occurrence of PU on the patients that presented the referred association. Conclusion: The incidence of PU detected on the ICU-interned patients was high and we made evident the existence of association between the susceptibility conditions, the intrinsecal and extrinsecal factors on the occurrence of PU s on the ICUinterned patients, and thus we accept the alternative hypothesis proposed on the study

Estudo geoquímico e geocronológico Rb-Sr e Sm-Nd em zonas de cisalhamento mineralizadas em ouro e suas relações com as rochas encaixantes e geocronológico Sm-Nd em mineralizações de scheelita na faixa Seridó

Great part of the gold mineralizations are associated with shearing zones through which circulate a great volume of fluids, that interact with the host rocks, originating leaching or precipitation of chemical elements, including gold. The studied mineralizations are inserted in the Seridó Belt. The tungsten mineralization in Brejuí Mine is hosted in calcsilicate rocks from Jucurutu Formation. The São Francisco auriferous mineralization has as host rocks mica-schists from Seridó Formation, while the Ponta da Serra and Fazenda Simpático mineralizations are hosted in orthogneisses of this fold belt basement. The research conducted on these mineralizations had the purpose of integrate the data of chemical elements behavior during the shearing/mineralizing event, and its influence on the isotopic systems Rb-Sr and Sm-Nd. The studies of chemical mobility in the auriferous mineralizations showed that elements that during the shearing displayed in general an immobile behavior were Al, Ti and Zr. Among the elements that were mobilized during the event, K and Rb showed mass gain in ali belts of transformed rocks, while the elements Ca, Na and Sr normally lost mass. Petrographic studies showed that the minerais biotite and plagioclase, in all investigated mineralizations, played an important role in the chemical reactions occurred in the transformed rocks to the generation of muscovite, cordierite and sillimanite, justifying the input of K to the formation of muscovite, and the release of Na and Ca from plagioclase to the fluid phase. In the São Francisco auriferous mineralization, the results of the Rb-Sr isotopic analysis yielded ages of 645 ± 19 Ma and 596 ± 17 Ma, with both samples, from original and transformed rocks. Two ages, 569 ± 20 Ma. and 554 ± 19 Ma., were obtained with samples frem the transformed rocks domain. These ages suggest that there were two metamorphic pulses during the emplacement of the mineralized shearing zone. The Sm-Nd data yielded TDM ages of 1,31 Ga and 1,26 Ga with 3Nd (0,6 Ga) of -0,26 e -0,40 for the original and final transformed rocks, respectively. In case of the orthogneisses of Caicó Complex, e.g. the Ponta da Serra and Fazenda Simpático mineralizations, the Rb-Sr data did not yield ages with geological significance. In the Ponta da Serra mineralization, the Sm-Nd isotopic data yielded T DM ages of 2,56 Ga and 2,63 Ga to the original rocks and of 2,71 Ga to the mineralized sheared rock, and values of 3Nd (2,0 Ga) between -3,70 e -5,42 to the original and sheared rock, respectively. In the Fazenda Simpático, Sm-Nd data yielded TDM between 2,65 and 2,69 Ga with values of 3Nd (2,0 Ga) between -5,25 e -5,52. Considering the Sm-Nd data, the TDM ages may be admitted as the age of the parental magma extraction, producer of the protoliths of the orthogneisses from Ponta da Serra and Fazenda Simpático mineralizations. The chemical mobility studies showed that in the basement hosted mineralizations, Rb achieved mass while Sr lost mass, as Sm as well as Nd were strongly mobilized. The Sm/Nd ratio remained constant, however, confirming the isochemical character of those elements. In the basement mineralizations, Rb-Sr ages are destituted of geological significance, because of the partial opening of the isotopic system during the tectono-metamorphic transformations. In the tungsten mineralization, the diagram Sm-Nd constructed with the whole-rock data of calcsilicatic and the high-temperature paragenesis (garnet, diopside and iron-pargasitic hornblende) indicated an 631 ± 24 Ma age, while with the whole-rock data and low-temperature paragenesis (vesuvianite, epidote and calcite), a 537 ± 107 Ma age was obtained. These ages, associated with the petrographic observations, suggest that there was a time gap among the hydrothernal events responsible by the formation of the high and low temperature paragenesis in the calcsilicatic rocks mineralized in scheelite

Petrologia dos granitóides brasilianos associados à zona de cisalhamento Remígio-Pocinhos(PB)

The Brasiliano Cycle in the Seridó Belt (NE Brazil) is regarded mostly as a crustal reworking event, characterized by transcurrent or transpressional shear zones which operated under high temperature and low pressure conditions. In the eastern domain of this belt- the so-called São José de Campestre Massif (SJCM), a transtensional deformation regime is evidenced by extensional components or structures associated to the strikeslip shear zones. The emplacement of the Neoproterozoic Brasiliano granitoids is strongly controled by these discontinuities. Located in the southern border of the SJCM, the Remígio-Pocinhos shear zone (RPSZ) displays, in its northern half, top to the SW extensional movement which progressively grade, towards its southern half, to a dextral strike-slip kinematics, defining a negative semi-flower structure. This shear zone is overprinted upon allocthonous metasediments of the Seridó Group and an older gneiss-migmatite complex, both of which containing metamorphic parageneses from high amphibolite to granulite facies (the latter restricted to the strike-slip zone), defining the peak conditions of deformation. Several granitoid plutons are found along this structure, emplaced coeval with the shearing event. Individually, such bodies do not exceed 30 km2 in outcropping area and are essentially parallel to the trend of the shear zone. Petrographic, textural and geochemical data allow to recognize five different granitoid suites along the RPSZ: porphyritic granites (Serra da Boa Vista and Jandaíra), alkaline granites (Serra do Algodão and Serra do Boqueirão) and medium to coarse-grained granites (Olivedos) as major plutons, while microgranite and aluminous leucogranite sheets occur as minor intrusions. The porphyritic granites are surrounded by metasediments and present sigmoidal or en cornue shapes parallel to the trend of the RPSZ, corroborating the dextral kinematics. Basic to intermediate igneous enclaves are commonly associated to these bodies, frequently displaying mingling textures with the host granitoids. Compositionally these plutons are made up by titanite-biotite monzogranites bearing amphibole and magnetite; they are peraluminous and show affinities to the monzonitic, subalkaline series. Peraluminous, ilmenite-bearing biotite monzogranites and titanite-biotite monzogranites correspond, respectivally, to the Olivedos pluton and the microgranites. The Olivedos body is hosted by metasediments, while the microgranites intrude the gneiss-migmatite complex. Being highly evolved rocks, samples from these granites plot in the crustal melt fields in discrimination diagrams. Nevertheless, their subtle alignment also looks consistent with a monzonitic, subalkaline affinity. These chemical parameters make them closer to the I-type granites. Alkaline, clearly syntectonic granites are also recognized along the RPSZ. The Serra do Algodão and Serra do Boqueirão bodies display elongated shapes parallel to the mylonite belt which runs between the northern, extensional domain and the southern strike-slip zone. The Serra do Algodão pluton shows a characteristic isoclinal fold shape structure. Compositionally they encompass aegirine-augite alkali-feldspar granites and quartz-bearing alkaline syenite bearing garnet (andradite) and magnetite plus ilmenite as opaque phases. These rocks vary from meta to peraluminous, being correlated to the A-type granites. Aluminous leucogranites bearing biotite + muscovite ± sillimanite ± garnet (S-type granites) are frequent but not volumetrically important along the RPSZ. These sheet-like bodies may be folded or boudinaged, representing partial melts extracted from the metasediments during the shear zone development. Whole-rock Rb-Sr isotope studies point to a minimum 554��10 Ma age for the crystalization of the porphyritic granites. The alkaline granites and the Olivedos granite produced ca. 530 Ma isochrons which look too young; such values probably represent the closure of the Rb-Sr radiometric clock after crystallization and deformation of the plutons, at least 575 Ma ago (Souza et al. 1998). The porphyritic and the alkaline granites crystallized under high oxygen fugacity conditions, as shown by the presence of both magnetite and hematite in these rocks. The presence of ilmenite in the Olivedos pluton suggests less oxidizing conditions. Amphibole and amphibole-plagioclase thermobarometers point to minimum conditions, around 750°C and 6 Kbars, for the crystallization of the porphyritic granites. The zirconium geothermometer indicates higher temperatures, in the order of 800°C, for the porphyritic granites, and 780°C for the Olivedos pluton. Such values agree with the thermobarometric data optained for the country rocks (5,7 Kbar and 765°C; Souza et al. 1998). The geochemical and isotope data set point to a lower crustal source for the porphyritic and the alkaline granites. Granulite facies quartz diorite to tonalite gneisses, belonging or akin to the gneiss-migmatite complex, probably dominate in the source regions. In the case of the alkaline rocks, subordinate contributions of mantle material may be present either as a mixing magma or as a previously added component to the source region. Tonalite to granodiorite gneisses, with some metasedimentary contribution, may be envisaged for the Olivedos granite. The diversity of granitoid rocks along the RPSZ is explained by its lithospheric dimension, allowing magma extraction at different levels, from the middle to lower crust down to the mantle. The presence of basic to intermediate enclaves, associated to the porphyritic granites, confirm the participation of mantle components in the magma extraction system along the RPSZ. This mega-structure is part of the network of Brasiliano-age shear zones, activated by continental collision and terrane welding processes at the end of the Neoproterozoic

Caracterização multi-escalar de bandas de deformação nas tectonossequências paleozóica, pré- e sin-rifte da Bacia do Araripe, Nordeste do Brasil

Deformation bands are structures, developed in porous sandstones, that has small offsets and they are not shown on seismic section. The deformation bands of the pre and synrift sandstones of Araripe Basin were studied in outcrop, macroscopic and microscopic scales. The hierarchical, cinematic and spatial-geometric characteristics, and also the deformational mechanisms acting during its structural evolution were established too. In general, the mesoscopic scale observation allowed to discriminate deformation bands as singles or clusters in three main sets: NNE-SSW dextral; NE-SW normal (sometimes with strike-slip offset); and E-W sinistral; further a bed-parallel deformation bands as a local set. The microscopic characterization allowed to recognize the shearing and cataclastic character of such structures. Through the multi-scale study done in this work we verified that deformation bands analyzed were preferentially developed when sandstones under advanced stage of lithification. We also infer that the geometrical-spatial complexity of these bands, together with the presence of cataclastic matrix, can difficult the migration of fluids in reservoir rocks, resulting on their compartmentalization. Therefore, the study of deformation bands can aid researches about the structural evolution of sedimentary basin, as well as collaborate to understand the hydrodynamic behavior of reservoirs compartmented by these deformational structures