204 resultados para COMPETING OXYGEN TRANSFERS
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Objectives: The effectiveness of noninvasive positive-pressure ventilation in preventing reintubation due to respiratory failure in children remains uncertain. A pilot study was designed to evaluate the frequency of extubation failure, develop a randomization approach, and analyze the feasibility of a powered randomized trial to compare noninvasive positive-pressure ventilation and standard oxygen therapy post extubation for preventing reintubation within 48 hours in children with respiratory failure.Design: Prospective pilot study.Setting: PICU at a university-affiliated hospital.Patients: Children aged between 28 days and 3 years undergoing invasive mechanical ventilation for greater than or equal to 48 hours with respiratory failure after programmed extubation.Interventions: Patients were prospectively enrolled and randomly assigned into noninvasive positive-pressure ventilation group and inhaled oxygen group after programmed extubation from May 2012 to May 2013.Measurements and Main Results: Length of stay in PICU and hospital, oxygenation index, blood gas before and after tracheal extubation, failure and reason for tracheal extubation, complications, mechanical ventilation variables before tracheal extubation, arterial blood gas, and respiratory and heart rates before and 1 hour after tracheal extubation were analyzed. One hundred eight patients were included (noninvasive positive-pressure ventilation group, n = 55 and inhaled oxygen group, n = 53), with 66 exclusions. Groups did not significantly differ for gender, age, disease severity, Pediatric Risk of Mortality at admission, tracheal intubation, and mechanical ventilation indications. There was no statistically significant difference in reintubation rate (noninvasive positive-pressure ventilation group, 9.1%; inhaled oxygen group, 11.3%; p > 0.05) and length of stay (days) in PICU (noninvasive positive-pressure ventilation group, 3 [116]; inhaled oxygen group, 2 [1-25]; p > 0.05) or hospital (noninvasive positive-pressure ventilation group, 19 [7-141]; inhaled oxygen group, 17 [8-80]).Conclusions: The study indicates that a larger randomized trial comparing noninvasive positive-pressure ventilation and standard oxygen therapy in children with respiratory failure is feasible, providing a basis for a future trial in this setting. No differences were seen between groups. The number of excluded patients was high.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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1. 1. Oxygen consumption and its relationship to stepwise declining oxygen tension were examined in the common striped hermit crab, Clibanarius vittatus. 2. 2. Weight-specific oxygen consumption varied with body weight (W), according to the equation log V ̇o2 = 2.1639 + (-0.419 log W). 3. 3. Shell-less individuals of 1-2 g wet wt, where found to be oxygen conformers, since oxygen consumption ( V ̇o2) decreased with declining oxygen tensions. At ambient oxygen tensions below 35.4 mmHg, oxygen consumption remained constant, suggesting an increased ventilation. 4. 4. C. vittatus was found to survive in oxygen-free seawater for 5.5 hr, and no significant differences were found in oxygen consumption rates, for shelled and shell-less crabs, measured in water and air. 5. 5. The use of a K1 K2 index of oxygen independence, showed that larger animals were better able to maintain oxygen-independence during hypoxia than smaller individuals. 6. 6. C. vittatus displayed a pattern of no oxygen debt, once returned to normoxia. © 1983.
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1. 1. The oxygen consumption in workers of two simpatric leaf cutting ants, Atta laevigata and Atta sexdens rubropilosa was measured at different temperatures. 2. 2. In the temperature range between 5-35°C, with 5°C increments, the respiratory rates increased with temperature, but the R-T curves of both ants showed neither a marked drop at the low end nor a break at the high end; except between 30 and 35°C. 3. 3. The respiratory rates of A. s. rubropilosa were higher than those of A. laevigata and in the midrange of temperatures, the rates of A. laevigata increased faster than those of A. s. rubropilosa. 4. 4. Q10 values did not indicate regions of compensation for temperature in both ants, but suggested that adjustments may occur at high temperatures (25-35°C), as expected for tropical ants. 5. 5. Temperature variations did not alter significantly the slope of the curve relating oxygen consumption and body weight in both species. © 1982.
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The composite SmBa2Cu3O7-delta (Sm-123), obtained by the substitution of the ion Y for Sm in the very well known and studied YBa2Cu3O7-delta (Y-123), is potentially attractive for better understanding superconductivity mechanisms and for its applications as electronic devices. Sm-123 samples show higher critical temperatures than Y-123 ones do and a larger solubility of Sm in Ba-Cu-O solvent, which makes their growth process faster. When oxygen is present interstitially, it strongly affects the physical properties of the material. The dynamics of oxygen can be investigated by anelastic spectroscopy measurements, a powerful technique for the precise determination of the oscillation frequency and the internal friction when atomic jumps are possible. Anelastic spectroscopy allows determining the elasticity modulus (related to the oscillation frequency) and the elastic energy loss (related to the internal friction) as a function of the temperature. The sample was also investigated by X-ray diffraction (XRD), scanning electronic microscopy (SEM), and electric resistivity. The results obtained show a thermally activated relaxation structure composed by at least 3 relaxation processes. These processes may be attributed to the jumps of oxygen atoms present of the Cu-O plane in the orthorhombic phase.
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The thermoluminescence intensity as a function of gamma-ray dose of the 325 degreesC peak, in quartz grains extracted from sea sediments and from fluvial aeolic dunes, is studied. It is found that the response curve at low doses has a concavity directed opposite to that of quartz grains extracted from archaeological potteries. To explain this behavior a model is proposed here based on oxygen vacancies and [AlO4/h](0) centers. The experimentally observed ESR intensity of E-I'-centers as a function of radiation dose can also be explained by this model.
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Patient perspectives on the treatment options for maxillary defects, which include free tissue transfers or obturator prostheses, may help eliminate current uncertainty as to the best choice of treatment plan. The purpose of this systematic review was to evaluate the quality of life (QoL) of patients with maxillary defects who had undergone restoration with obturator prostheses and/or free tissue transfers. A systematic search of Medline/PubMed and Web of Science databases for articles published before April 2015 was performed by 2 independent reviewers. A manual search of articles published from January 2005 to March 2015 was also conducted. Studies published in English that evaluated the QoL in patients with head and neck cancers were included. The Cohen kappa method was used to calculate inter-reviewer agreement. Ten studies were included. The University of Washington Head and Neck Questionnaire (UW-QOL) was most commonly used to measure QoL. The majority of maxillary defects were Class IIa-b. Two studies reported that the global QoL for patients with obturator prostheses is equivalent to or even better than that of other chronic disease populations. One study revealed no significant difference in QoL when the 2 treatment options were compared. The limited data indicate that the QoL of patients treated with obturator prostheses and that of patients free of tumors is similar. Well-designed clinical studies are necessary to draw definitive conclusions about how obturator prostheses compare with free tissue transfers in terms of affecting patient QoL.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)