A lung computed tomographic assessment of positive end-expiratory pressure-induced lung overdistension

The aim of this study was to assess positive end-expiratory pressure (PEEP)-induced lung overdistension and alveolar recruitment in six patients with acute lung injury (ALI) using a computed tomographic (CT) scan method. Lung overdistension was first determined in six healthy volunteers in whom CT sections were obtained at FRC and at TLC with a positive airway pressure of 30 cm H2O. In patients, lung volumes were quantified by the analysis of the frequency distribution of CT numbers on the entire lung at zero end-expiratory pressure (ZEEP) and PEEP. In healthy volunteers at FRC, the distribution of the density histograms was monophasic with a peak at -791 ± 12 Hounsfield units (HU). The lowest CT number observed was -912 HU. At TLC, lung volume increased by 79 ± 35% and the peak CT number decreased to -886 ± 26 HU. More than 70% of the increase in lung volume was located below -900 HU, suggesting that this value can be considered as the threshold separating normal aeration from overdistension. In patients with ALI, at ZEEP the distribution of density histograms was either monophasic (n = 3) or biphasic (n = 3). The mean CT number was -319 ± 34 HU. At PEEP 13 ± 3 cm H2O, lung volume increased by 47 ± 19% whereas mean CT number decreased to -538 ± 171 HU. PEEP induced a mean alveolar recruitment of 320 ± 160 ml and a mean lung overdistension of 238 ± 320 ml. In conclusion, overdistended lung parenchyma of healthy volunteers is characterized by a CT number below -900 HU. This threshold can be used in patients with ALI for differentiating PEEP-induced alveolar recruitment from lung overdistension.

The effect of changing the mode of ventilation on the arterial-to-end-tidal CO2 difference and physiological dead space in laterally and dorsally recumbent horses during halothane anesthesia

Objective - To evaluate the effect of changing the mode of ventilation from spontaneous to controlled on the arterial-to-end-tidal CO2 difference [P(a-ET)CO2] and physiological dead space (VD(phys)/VT) in laterally and dorsally recumbent halothane-anesthetized horses. Study Design - Prospective, experimental, nonrandomized trial. Animals - Seven mixed breed adult horses (1 male and 6 female) weighing 320 ± 11 kg. Methods - Horses were anesthetized in 2 positions - right lateral and dorsal recumbency - with a minimum interval of 1 month. Anesthesia was maintained with halothane in oxygen for 180 minutes. Spontaneous ventilation (SV) was used for 90 minutes followed by 90 minutes of controlled ventilation (CV). The same ventilator settings were used for both laterally and dorsally recumbent horses. Arterial blood gas analysis was performed every 30 minutes during anesthesia. End-tidal CO2 (PETCO2) was measured continuously. P(a-ET)CO2 and VD(phys)/VT were calculated. Statistical analysis included analysis of variance for repeated measures over time, followed by Student-Newman-Keuls test. Comparison between groups was performed using a paired t test; P < .05 was considered significant. Results - P(a-ET)CO2 and VD(phys)/VT increased during SV, whereas CV reduced these variables. The variables did not change significantly throughout mechanical ventilation in either group. Dorsally recumbent horses showed greater P(a-ET)CO2 and VD(phys)/VT values throughout. PaCO2 was greater during CV in dorsally positioned horses. Conclusions and Clinical Relevance - Changing the mode of ventilation from spontaneous to controlled was effective in reducing P(a-ET)CO2 and physiological dead space in both laterally and dorsally recumbent halothane-anesthetized horses. Dorsal recumbency resulted in greater impairment of effective ventilation. Capnometry has a limited value for accurate estimation of PaCO, in anesthetized horses, although it may be used to evaluate pulmonary function when paired with arterial blood gas analysis. © Copyright 2000 by The American College of Veterinary Surgeons.

Fadiga em dormentes de concreto reforçados com fibras de aço

A prestressed concrete monoblock railroad tie was designed to attend the characteristics of a Brazilian railroad track with 1,600 mm gauge and 320 kN axle load. Concrete ties specimens were manufactured without and with steel fibers in a volume fraction of 60 kg/m3 (0.76 % by volume), and three different initial prestress forces. Static and fatigue tests were carried out on the ties. Static tests showed that steel fibers increase the first crack and ultimate bending moments, increase significantly the slip force of the prestressing tendons, reduce crack width, add higher ductility to the ties and decrease the stress in the prestressing tendons. Under dynamic loading the steel fibers decreased the stress in the prestressing tendons by about 50%, which improved significantly the fatigue strength of the tie. A tie without fibers failed after only 150,000 cycles. However, a similar tie, with fibers, resisted 3,000,000 cycles without suffering fatigue failure.

Spectroscopic characteristics of Er3+ in the two crystallographic sites of Gd2SiO5

Gd2SiO5 is among the interesting and suitable hosts for Er3+ which find extensive applications in the infrared, visible and ultraviolet spectral regions. In order to investigate its potentialities, a prior study of the spectroscopic behaviour of Er3+ substituting for Gd3+ ions in the two crystallographic sites of the host was performed. Absorption, excitation, site-selective emission and time-resolved spectroscopies were employed in the visible spectral region to study transitions between excited 4S3/2 and ground 4I15/2 states. These levels multiplets were attributed to each site separately, and their corresponding 4S3/2 lifetimes (1.8 ± 0.1 μs for site 1 and 3.2 ± 0.1 μs for site 2) were determined.

A administração precoce de hormônio de crescimento resulta em efeitos deletérios na remodelação ventricular após o infarto agudo do miocárdio

Objective: To assess the effect of growth hormone (GH) on myocardial remodeling in infarcted rats. Methods: This study comprised 24 Wistar rats divided into 3 groups as follows: 1) AMI-GH group - comprising 8 rats that underwent infarction and were treated with GH; 2) AMI group - comprising 8 rats that underwent infarction and received only the diluent of the GH solution; and 3) control group (C group) - comprising 8 rats that underwent simulated infarction. After 30 days, the animals underwent functional study through echocardiography, and the changes in myocardial contractility of the isolated left ventricular (LV) papillary muscle were studied. Results: The echocardiography identified an increase in the diastolic (C=7.32±0.49; AMI=8.50±0.73; AMI-GH=9.34±0.73; P<0.05) and systolic (C=3.38±0.47, AMI=5.16±1.24; AMI-GH=5.96±1.54; P<0.05) diameters (mm) in the LV of the infarcted animals. The AMI-GH group animals had a lower ejection fraction (%) (C=0.9±0.03; AMI=0.76±0.12; AMI-GH=0.72± 0.14; P<0.05 for C vs AMI-GH) compared with those in controls. The study of the isolated left ventricular papillary muscle showed that the AMI-GH group had changes (C=1.50±0.59; AMI= 1.28±0.38; AMI-GH=1.98±0.41; P<0.05 for C vs AMI-GH) only in the tension at rest (TR - g/mm2) and in the time delta for a 50% decrease in the tension developed (TR50, ms) after stimulation with calcium (C=23.75±9.16; AMI=-16.56±14.82; AMI-GH=-4.69±8.39; P<0.05 for C vs AMI-GH) and in the delta of tension developed (TD, g/mm2) after stimulation with isoproterenol (C=0.99±0.17; AMI=0.54±0.62; AMI-GH=0.08±0.75; P<0.05 for C vs AMI-GH) compared with those in control animals. Conclusion: The early administration of GH in the experimental infarction model in rats may result in adverse effects on the process of ventricular remodeling.

The American empire in the new century: Hegemony or domination?

This chapter analyzes the current position of United States supremacy, in light of the debate on hegemony and domination that acquires greater relevance after the formulation of the 'Bush Doctrine', which is systematized in the document 'The National Security Strategy of the United States of America'. Our approach will emphasize the following aspects: establishment of a parallel between the transition from the 19th to the 20th centuries, from studies that point out the characteristics of imperialism at different times; an analysis of the current foreign policies of the United States, focusing on the debate between unilateralism and multilateralism, emphasizing the reactions caused by the intervention in Iraq; a critical argument about the approaches that highlight in the security agenda of the Bush administration an indicator of a loss of hegemony, which would impose open domination over the search for consensus. Copyright © 2005 SAGE Publications.

Efeito do raloxifeno sobre a densidade mamográfica em mulheres na pós-menopausa

PURPOSE: to evaluate changes in mammographic breast density in postmenopausal women using raloxifene. METHODS: in this clinical trial, 80 women (mean age=61.1 years) were studied prospectively. Forty patients received 60 mg/day raloxifene, and 40 women comprised the non-treated group (control), paired by age and time of menopause. The treated group was composed of patients with osteoporosis of the lumbar spine. Those with history of breast surgery and users of hormone therapy up to six months prior to the study were excluded. The breast density was assessed qualitatively (subjective) and quantitatively (objective) in two moments, initial and final, after a 6-month follow-up. The 320 mammograms (craniocaudal and oblique) were interpreted qualitatively by the Breast Imaging Reporting and Data System (BI-RADS) classification and quantitatively by digital scanning and computer-assisted segmentation. For statistical analysis t-test, Wilcoxon Mann-Whitney, Spearman correlation and the kappa index were used. RESULTS: on the initial statistical comparison, the groups were considered homogenous for the variables: analyzed age, time of menopause, parity, breast feeding, previous hormonal therapy and body mass index. Baseline breast density, by qualitative and quantitative methods, correlated negatively with the age in both groups (p<0.05). Concerning the other variables, there was no correlation. After six months, no alteration was observed in the mammographic breast density in 38 women of raloxifene group and 38 of the control group, by qualitative method. However, by quantitative method, no alteration was observed in 30 women of the raloxifene group and 27 controls (p>0.05). It was observed a weak agreement rate (kappa=0.25) between the BI-RADS classification and digital scanning/computer-assisted segmentation. CONCLUSIONS: in post-menopausal women with osteoporosis, submitted to raloxifene treatment for six months, no alterations were observed on the mammographic breast density.

Propriedades físicas de um latossolo vermelho cultivado no sistema plantio direto

The pressure caused by agricultural machinery traffic many result in soil compactation in no-tillage system. The aim of this work was to evaluate no-tillage system onset,time on some physical properties, index S and organic matter (OM) of an oxysol located in Jaboticabal, Sao Paulo State, Brazil. The experiment had completely randomized split-splot design. The treatments consisted of four no-tillage systems: no-tillage for 2 years, no-tillage for 4 years, no-tillage for 6 years and one natural wooded area. The evaluated layers were: Q-0.10m, 0.10-0.20m and 0.20-030m. The following were determined: soil porosity, soil aggregates, bulk density, index S and organic matter. The results were submitted to variance analysis and when there was a difference between averages, Tukey's test was used to compare them. The natural wooded area showed higher organic matter, macroporosity, hydraulic conductivity and Index S. There was no difference between the studied parameters, showing that the no-tillage system for six years was not enough to change the soil physical property.

A resolução do problema de despacho ótimo de reativos pelo método da função Lagrangiana-barreira relaxada

This work presents the application of the relaxed barrier-Lagrangian function method to the optimal reactive dispatch problem, which is a nonlinear nonconvex and large problem. In this approach the inequality constraints are treated by the association of modified barrier and primal-dual logarithmic barrier method. Those constraints are transformed in equalities through positive auxiliary variables and are perturbed by the barrier parameter. A Lagrangian function is associated to the modified problem. The first-order necessary conditions are applied generating a non-linear system which is solved by Newton's method. The auxiliary variables perturbation result in an expansion of the feasible set of the original problem, allowing the limits of the inequality constraints to be reach. Numeric tests with the systems CESP 53 buses and the south-southeast Brazilian and the comparative test with the primal-dual logarithmic barrier method indicate that presented method is efficient in the resolution of optimal reactive dispatch problem.

Calcareous algae from Upper Albian - Cenomanian strata of the Potiguar basin (NE Brazil)

Calcareous Albian-Cenomanian strata in the Potiguar basin yield a number of microfossils, among which are calcareous algae (Dasycladales and Corallinales). This data, together with an inventory of previous discoveries, enabled the discussion of their biogeography. These benthic organisms probably came from the early Central Atlantic Ocean through its northwestern neck between Africa and South America and thus reached the early South Atlantic platforms.

Desempenho de bovinos em pastejo submetidos a duas frequências de suplementação no período da seca

This work was carried out to evaluate different frequencies of supplementation during the dry season. Forty-eight Nellore steers with 320 kg of initial live weight were fed with Brachiaria brizantha cv. Marandu pasture on a continuous stocking rate. The animals were submitted to following treatments: Daily supplementation and supplementation three times a week. The animals in both treatments received 7 kg of supplementation animal -1 weekly, and were weighted at 28-day intervals. The data were analyzed by the MIXED procedure in SAS (2004), with measurements repeated over time. The study observed average forage allowance of 4.2 tons of DM ha-1, with 3.5% CP, 82.24% NDF and 64.97% ADF. There was no difference (p < 0.01) among daily weight gains of animals who received daily supplementation and those received supplementation three times a week (0.23 and 0.13 kg day -1, respectively). Therefore, the supplementation intervals did not influence steer performance during the dry season.

Análise morfotectônica da Bacia do rio Santo anastácio, sp, através de parâmetros fluviomorfométricos e de registros paleossísmicos

Fluvial morphometry is method of great value regarding neotectonic analysis of extensive areas because streams, besides representing one of the main agents in the relief modeling, quickly adjust their thalwegs to even the most gentle crustal deformations. The purpose of this paper is to present the application of some morphometric techniques in the Santo Anastácio River hydrographic basin in order to identify recent tectonic deformations. Additionally, we show liquefaction structures identified in the basin and interpreted here as seismites linked to ancient earthquakes (magnitudes greater than 5). The morphometric survey includes longitudinal stream profile analysis, RDE (declivity versus stream length) index application, and the sinuosity study of the Santo Anastácio River channel. Geologic substrate comprises Cretaceous siliciclastic rocks of the Caiuá and Bauru groups, locally covered by Cenozoic sediments (alluvial plains, terrace deposits, colluvial aprons, as well as in situ regoliths). Considering that liquefaction structures affect dark clay layers of 32.340±320 year BP age (14C dating), a lower age limit for the ancient earthquake is triggered in that region. The authors believe that neotectonic understanding of the Western São Paulo State Plateau is important to the geologic and geomorphologic evolution of that landscape and to the consequent territorial planning and occupation.

Concepções de surdez: A visão do surdo que se comunica em língua de sinais

At this time, diverse views on deafness are present in society. Such views, in general, arecharacterized by theoretical disputes between communicative possibilities - either oral or gestural - based onthe importance of having appropriated oneself of a language code for the development of language, which isessential in the constitution of subjectivity of human beings. Thus, this study aimed to identify the conceptionsof deaf people had about their condition. To collect the data we used semi-structured interviews, applied toten participants who were deaf adult users of the Brazilian Sign Language - Libras. The interviews were taped,transcribed and subjected to content analysis. The results indicate that the conceptions of deafness constitute amultifaceted view on this condition, infl uenced by social relations throughout each person's life trajectories. Theresearchers perceived that learning Libras enabled deaf persons to constitute their own assertiveness as someonewho is different, with different needs.

Challenges of programming apprentice

The present article describes the challenges programming apprentices face and identifies the elements and processes that set them apart from experienced programmers. And also explains why a conventional programming languages teaching approach fails to map the programming mental model. The purpose of this discussion is to benefit from ideas and cognitive philosophies to be embedded in programming learning tools. Cognitive components are modeled as elements to be handled by the apprentices in tutoring systems while performing a programming task. In this process a mental level solution (the mental model of the program) and an implementation level solution (the program) are created. The mapping between these representations is a path followed by the student explicitly in this approach. © 2011 IEEE.

Influência da irrigação, da densidade de plantio e da adubação nitrogenada nas características morfogênicas, estruturais e de produção do capim-tanzânia

This experiment was carried out to evaluate canopy height of guinea grass with 95% of photosynthetic active radiation interception and quantify the nitrogen fertilization influence and plants' density on the morphogenesis and structural characteristics of Tanzania grass. Four doses of N (0, 80, 160 e 320 kg.ha -1), were arranged with three plant densities (9, 25 and 49 plants.m -2), according to 4 × 3 completely randomized design, with three repetitions. Total dry matter (DM) accumulation throughout the experimental period was influenced by nitrogen fertilization and plants' density. In the rainy period, the higher nitrogen fertilization decreased the harvesting intervals, and consequently, increased the number of harvests. The rate of leaf appearance and the phyllochron were influenced only under nitrogen fertilization in the transition period of rainy and dry weather. Tanzania grass canopy height under 95% of light interception was positively influenced because of the plant densities in rainy period and transition period between rainy/drought and drought. Tanzania grass height under 95% of light interception presented variations along the evaluations and the values were higher (near 70 cm) in the rainy period, followed by transition period rain/drought and drought. © 2011 Sociedade Brasileira de Zootecnia.