Doença pulmonar obstrutiva crônica

Chronic obstructive pulmonary disease (COPD) is considered the forth cause of death in the world. The present review summarizes the epidemiologic and risk factors to the disease. Emphasizing the diagnostic, pulmonary function, radiological alterations and blood gases. According to the current guideline recommendations, the authors reviewed the classification and treatment. © Copyright Moreira Jr. Editora. Todos os direitos reservados.

Atividades séricas da aspartato aminotransferase, creatina quinase e lactato desidrogenase de eqüinos submetidos ao teste padrão de exercício progressive em esteira

The aim of this study was to determine the serum activities of enzymes aspartate aminotransferase, creatine kinase and lactate dehydrogenase in Arabian horses submitted to exercise on high-speed equine treadmill. Eleven mature Arabian horse were training and submitted to Standard Incremental Exercise Test on high-speed equine treadmill. Venous blood samples were taken before exercise, immediately and 30 min, 60min, 3h, 6h, 24h, 3 days and 5 days after exercise. The serum activity aspartate aminotransferase, creatine kinase and lactate dehydrogenase were determined. The serum activies of AST, CK and LDH increase immediately and returned to baseline value 30 minutes after exercise. The AST enzyme activity increased at 12 hours and 24 hours, CK at 3 hours and 6 hours, and LDH at 24 hours after Standard Incremental Exercise Test.

Edema agudo pulmonar associado à obstrução das vias aéreas. Relato de caso

BAKGROUND AND OBJECTIVES: Negative pressure pulmonary edema has been defined as non-cardiogenic edema, with transudation of fluid to the interstitial space of the lungs due to an increase in negative intrathoracic pressure secondary to obstruction of the upper airways. This is the case of a healthy patient who underwent general anesthesia and developed acute pulmonary edema after extubation. CASE REPORT: A 23-year old female patient, physical status ASA II, underwent gynecologic videolaparoscopy under general anesthesia. The procedure lasted 3 hours without intercurrence. After extubation the patient developed laryngeal spasm and reduction in oxygen saturation. The patient improved after placement of an oral cannula and administration of oxygen under positive pressure with a face mask. Once the patient was stable she was transferred to the recovery room where, shortly after her arrival, she developed acute pulmonary edema with elimination of bloody serous secretion. Treatment consisted of elevation of the head, administration of oxygen via a face mask, furosemide and fluid restriction. Chest X-ray was compatible with acute pulmonary edema and normal cardiac area. Electrocardiogram (ECG), echocardiogram and cardiac enzymes were normal. The condition of the patient improved and she was discharged from the hospital the following day, asymptomatic. CONCLUSIONS: Acute pulmonary edema associated with obstruction of the upper airways can aggravate surgical procedures with low morbidity, affecting mainly young patients. Early treatment should be instituted because it has a fast evolution and, in most cases, resolves without lasting damages. © Sociedade Brasileira de Anestesiologia, 2008.

Aplicação da espirometria durante teste padrão de exercício progressivo em esteira para avaliação da troca gasosa respiratória de equinos da raça árabe

The current study evaluated equine gas exchange responses through spirometry, by measuring oxygen uptake (VO2), carbon dioxide production (VCO2), respiratory exchange ratio (R) and maximum oxygen uptake (VO2max) of Arabian horses during a standard incremental exercise test performed on a high-speed treadmill. Six clinically healthy Arabian horses were submitted to a standard incremental exercise test, performed on a high-speed treadmill at a 6% slope, and initial speed of 1,8 m.s-1 for 5 minutes, then 4,0 m.s-1 for 3 minutes, 6,0 m.s-1 for 2 minutes and 8,0 m.s-1, 9,0 m.s-1, 10,0 m.s-1 and 11,0 m.s-1 for one minute for each of these speed. The end of the exercise test was defined as the point in which the horse was no longer able to keep pace with the treadmill. Gas exchange was measured through respiratory analyses horse mask on the last 10 seconds at the end of each speed transition and at 1, 2 and 3 minutes after the end of the exercise, defined as experiment moments. During exercise, it was noticed an increase on both VO2 and VCO2 with linear relationship between exercise and speed. Arabian horses VO2max was 114,9 mL.kg-1.min-1. The respiratory exchange ratio increased over 1,0 by the speed of 9,0 m.s-1, indicating the preponderance of the anaerobic metabolism, and remains at a high level on the post-exercise period.

Exame eletrocardiográfico em equinos da raça puro sangue Árabe submetidos ao exercício em esteira de alta velocidade e à suplementação com vitamina E

The effect of physical exercise, training and vitamin E supplementation on electrocardiographic parameters was evaluated in eight untrained Arabian mares, divided into two groups: control (n=4) and supplemented with vitamin E (n=4) at the daily dose of 1.000 UI. Animals were submitted to an incremental exercise test (P1) on high-speed treadmill inclined +7%, after that to a training period of 20 days and later to a new incremental exercise test (P2). Analysis and interpretation of electrocardiographic tracings were performed regarding the rhythm, heart rate, duration and amplitude of waves and intervals, before, immediately after and 30 min after the incremental exercise. A reduction of the rest heart rate was observed after training. There was no effect of vitamin E supplementation on electrocardiographic parameters. Results indicated that the electrocardiogram was efficient in detention of cardiac alterations promoted by the physical exercise, but more studies are needed to elucidate its clinical meaning.

Custos e rentabilidade do milho em função do manejo do solo e da adubação nitrogenada

Agronomic practices that help farmers to raise yield and reduce costs must be studied to ensure agricultural sustainability. Thus, the objective of this study was to analyze economically the effect of soil management and nitrogen fertilization in maize crops. Treatments consisted of a combination of 3 soil management techniques (plow harrows + floating harrows, chisel + floating harrows, and no-tillage), 5 periods of nitrogen fertilization (control - 0 kg ha -1 N; 120 kg ha -1 after sowing (S); 120 kg ha -1 in the V 6 stage; 30 kg ha -1 (S) + 90 kg ha -1 in V 6; 30 kg ha -1 (S) + 45 kg ha -1 in V 4 + 45 kg ha -1 in V 8 The total operating cost (TOC), gross revenue (GR), operating profit (OP), profitability index (PI), break-even yield, and break-even price were estimated. It was concluded that the no-tillage system, after 11 years of management, associated with nitrogen fertilization promotes positive PI and OP, being useful to farmers.

Infuěncia do relevo na produtividade e custos do harvester

Among the several variables that influence timber harvesting is the slope, which influences the productivity of forest machines. In this experiment the harvester was evaluated technically and economically while cutting and processing eucalyptus activity on different slope classes. The technical analysis included a study of time and movements by the method of continuous time; productivity was determined by the volume in cubic meters of wood processing. The economic analysis included the parameters of operational cost, production cost and energy consumption. The analysis of the data showed that productivity decreased according to the increase of the percent slope inclination, resulting in an effective work hour productivity increase from 18.72 to 39.71 m 3sc, with a mean of operating cost of US$ 78.78 per work hour.

Detecção de Escherichia coli e Salmonella spp. em microbiota intestinal de Psittaciformes em fase de reabilitação para soltura

Escherichia coli is a bacteria of the Enterobacteriacea family and it is part of the enterical microflora of mammals and of many species of birds. Salmonella spp. also belongs to the family Enterobacteriacea, it is responsible for human feed toxinfection outbreaks and usually isolated from domestic and wild birds. The present study analyzed the frequency of both agents in Psittaciformes in rehabilitation process for wildlife reintroduction. In 89 birds analyzed, 19% were infected with E. coli and 1,12% with Salmonella spp. It was carried out an analysis of the profile of antibiotic resistance in which was observed the efficiency of estreptomicin, tetraciclin, trimetoprim and gentamicin over the samples. The samples of E. coli were submitted to the Congo Red Binding test and to the Hemolisis test and 70,6% of positive samples for the first test and 53% for the second one were observed.

Doença pulmonar obstrutiva crônica

The present review summarizes the clinical aspects, diagnostics criteria and treatment of Chronic Obstructive Pulmonary Disease (COPD). Besides, will be reviewed the systemic manifestations associated with COPD and its clinical relevance in the patient's follow up. © Copyright Moreira Jr. Editora.

Assistência Odontológica em Crianças com Paralisia Cerebral e Perspectivas Tecnológicas de Reabilitação

The improvement of oral health and quality of life is closely related to transdisciplinary dialogue, technological development and social responsibility. In patients with cerebral palsy, the lesion of motor areas of the brain compromises the development and function of the craniofacial complex. Considering all the ethiopathogenic conditions, the treatment of such patients involves great difficulties. The dentist and other professionals related to their rehabilitation need to deal with difficulty in chewing, respiration, phonation, besides the poor oral hygiene resulted from abnormal involuntary movements of facial and masticatory musculature, tongue, and upper limb. It is also relevant the lack of understanding about the importance of oral health care due to mental deficits of these individuals. This study aims to review some aspects of oral health in patients with cerebral palsy proposing rehabilitation associated to technology. Few studies concerned about the effectiveness of therapies for oral rehabilitation in patients with cerebral palsy. Laser therapy, electromyography, electrostimulation and LED therapy should be analyzed as options for treatment of patients with cerebral palsy. Following research projects should focus more attention on the dynamic and oral function of these patients to achieve positive repercussions in their overall health. © ArquiMed, 2010.

A Pesquisa sobre o ensino de probabilidade e estatística no Brasil: Um exercício de metacompreensão

This article presents an exercise in meta-comprehension of what has been researched on teaching probability and statistics in Brazil. This research was based on the work on this subject presented in the third International Symposium for Research in Mathematics Education (III SIPEM). Articles were selected from the proceedings of the event analyzed hermeneuticly according to the procedures of phenomenology. We observed no evidence of clustering of research on this topic in terms of region or institutions, and we also emphasize that research on the teaching of Probability and Statistics needs to advance toward a theoretical discussion that transcends the subjects being studied and makes broader and deeper links between theory and practice. Findings also indicate that this sub-area of research in mathematics education is in the process of constituting itself.

Estimulação elétrica neuromuscular na reabilitação da disfagia orofaríngea neurogênica

Objective. To present an overview of the literature about the efficacy of neuromuscular electrical stimulation (NMES) in the rehabilitation of neurogenic oropharyngeal dysphagia and to compare methods of therapy in stroke. Method. An extensive bibliographic survey of several databases (Medline, Scielo Brazil, Chile and Spain and Lilacs) was performed using the following keywords: deglutition disorders, therapy, electrical stimulation, pharynx and stroke between 1990 and 2011. Results. The articles reported the use of NMES in heterogeneous population; there is no consensus thus far about the method used during the NMES and about its rehabilitation efficacy in neurogenic oropharyngeal dysphagia. Conclusions. After this study, we concluded that further investigations are necessary with homogeneous groups of patients with neurogenic dysphagia, discussing the proposition of a specific NMES protocol for the rehabilitation of neurogenic oropharyngeal dysphagia.

Avaliação de custos das internações de gestantes diabéticas de um Hospital Universitário do interior de São Paulo

This study aimed at identifying the hospitalization costs of pregnant women with Diabetes Mellitus (DM) at a University Hospital. It is an observational, quantitative study with descriptive data analysis. The direct and indirect costs available in the institution were identified in order to determine the hospitalization costs for patients diagnosed with DM during pregnancy and childbirth. By means of descriptive statistics, it was observed that 63.46% of the patients had caesarean delivery; the mean total cost was R$ 362.93 (U$ 218.10)/hospitalization during pregnancy, R$ 2,642.65 (U$ 1,588.13)/hospitalization for caesarean delivery, and R$ 2.319.77 (U$ 1,394.09)/hospitalization for vaginal delivery. It was concluded that the analysis of hospitalization costs for patients with DM is of utmost importance, since they are highcomplexity hospitalizations that require a large number of interventions, increasing thus the service costs.

Concentrações séricas de aspartato aminotransferase e creatinoquinase e concentrações plasmáticas de lactato em equinos da raça Mangalarga Marchador após exercício físico

The aim of this study was evaluate the influence of physical exercise (marcha gait) on serum values of CK and AST and plasmatic values of lactate in Mangalarga Marchador horses trained in Espirito Santo, Brazil. Serum and plasma samples were obtained from 15 horses in four different moments: rest (T0), 5 minutes (T1), 30 minutes (T2) and 2 hours (T3) after the exercise. Lactate analysis revealed values of 1.02 ± 0.41 mmol/L, 2.73 ± 2.43 mmol/L, 1.89 ± 1.24 mmol/L and 1.31 ± 0.60 mmol/L, respectively at T0, T1, T2 and T3. When evaluating AST, the results recorded in T0, T1, T2 and T3 were, respectively, 189.3 ± 56.0 UI/L, 223.9 ± 53.5 UI/L, 186.8 ± 25.8 UI/L and 193.9 ± 44.7 UI/L. Finally, the CK at moments T0, T1, T2 and T3 were, respectively, 113.4 ± 56.3 UI/l, 144.1 ± 70.9 UI/L, 143.0 ± 81.0 UI/L and 173.1 ± 128.0 UI/L. The results showed that marcha gait leaded to significantly increased in plasma lactate and did not alter serum AST and CK, suggesting that the equines used were conditioned to the physical exercised imposed.

Custos e viabilidade econômica da produção de casulos do bicho-da-seda

Sericiculture is characterized by the possibility of income generation in areas smaller than 10.0 ha and by the rationalization of family labor. Even considering this favorable scenario for the development of this activity, there is still a gap in the management of its economic factors in most of the rural properties within this chain, contributing negatively to their expansion. This study aimed at assessing the production cost and economic viability for producing silkworm cocoons, by using a case study conducted in a property located in Quatá, São Paulo State, Brazil. The main results for a production of 1,904 kg-1 of silkworm cocoons, with labor costs reaching 51.5% of the Effective Operating Cost and 35.5% of the Total Operating Cost, were a profitability index higher than 50% and an Internal Rate of Return of 9.68%, for the second production year, providing a good profitability rate for this agricultural segment, when we consider that the improved profitability of the producer is proportional to the best production indicators, particularly due to the fast return that this activity provides.