Colonization pressure and risk factors for acquisition of imipenem-resistant Acinetobacter baumannii in a medical surgical intensive care unit in Brazil

We studied a nonconcurrent cohort of 582 patients admitted to a medical-surgical intensive care unit. Use of antimicrobials (imipenem and metronidazole) was a risk factor for acquisition of imipenem-resistant Acinetobacter baumannii only for the subcohort of patients admitted in months in which colonization pressure was lower than the median value. © 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Acquisition of suture skills during medical graduation by instructor-directed training: A randomized controlled study comparing senior medical students and faculty surgeons

Due to shortage of time and limited availability of faculty surgeons to teach basic surgical skills during medical graduation, the search for alternative ways of simulated training with feedback is needed. The purpose of this study was to compare the simulated teaching of suture skills to novice medical students by senior medical students and by experienced faculty surgeons. Forty-eight novice medical students were randomly assigned to three practice conditions on bench model (n = 16): self-directed suture training (control), senior medical student-directed suture skills' training, or experienced faculty surgeon-directed suture skills' training. Pre- and post-tests were applied. Global Rating Scale with blinded evaluation and self-perceived confidence based on Likert scale were used to assess all suture performances in pre- and post-training. Effect size was also calculated. The analysis made after training showed that the students who received feedback from the instructors had better performance based on the Global Rating Scale (all p < 0.0000) and felt more confident to carry out sutures (all p < 0.0000) when compared to the control. There was no significant difference (all p > 0.05) between the student-directed teaching and faculty-directed teaching groups. The magnitude of the effect (instructor-directed training suture) was considered large (>0.80) in all measurements. The acquisition of suture skills after student-directed training was similar to the training supervised by faculty surgeon, and the increase in suture performances of trainees that received instructor administered training was superior to self-directed learning. © 2013 Springer-Verlag Italia.

Production and application of amylases of Rhizopus oryzae and Rhizopus microsporus var. oligosporus from industrial waste in acquisition of glucose

Amylases from Rhizopus oryzae and Rhizopus microsporus var. oligosporus were obtained using agro-industrial wastes as substrates in submerged batch cultures. The enzymatic complex was partially characterised for use in the production of glucose syrup. Type II wheat flour proved better than cassava bagasse as sole carbon source for amylase production. The optimum fermentation condition for both microorganisms was 96 hours at 30°C and the amylase thus produced was used for starch hydrolysis. The product of the enzymatic hydrolysis indicated that the enzyme obtained was glucoamylase, only glucose as final product was attained for both microorganisms. R. oligosporus was of greater interest than R. oryzae for amylase production, taking into account enzyme activity, cultivation time, thermal stability and pH range. Glucose syrup was produced using concentrated enzyme and 100 g L-1 starch in a 4 hours reaction at 50°C. The bioprocess studied can contribute to fungus glucoamylase production and application. © 2013 Institute of Chemistry, Slovak Academy of Sciences.

Um roteiro para aquisição, criação e armazenamento do conhecimento: uma pesquisa-ação em uma organização do setor da construção civil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Pisa 2000 e letramento literário: um estudo comparativo entre Brasil e Alemanha

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Proposta de um modelo matemático para apoio às decisões táticas da gestão da produção

Pós-graduação em Engenharia Mecânica - FEG

Candidatus Liberibacter asiaticus Titers in Citrus and Acquisition Rates by Diaphorina citri Are Decreased by Higher Temperature

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Sliding Mode Control for Active Suspension System with Data Acquisition Delay

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Política pública de alimentação e nutrição: o Programa Nacional de Alimentação Escolar (PNAE) e o Programa de Aquisição de Alimentos (PAA) em Araraquara-SP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Os efeitos dos programas de desenvolvimento rural para o apoio à agricultura familiar no Noroeste Paulista: limites, desafios e perspectivas

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Risk factors for the acquisition of imipenem-resistant Acinetobacter baumannii in a burn unit: An appraisal of the effect of colonization pressure

Imipenem-resistant Acinetobacter baumannii (IRAB) is a major threat for critically ill patients, including those admitted to burn units. Recent studies have suggested that colonization pressure (the proportion of patients or patient-days harbouring the pathogen of interest) is an important driver of the risk for acquisition of multidrug-resistant organisms. With that in mind, we conducted a cohort study, enrolling 208 patients admitted to a burn unit from November 2008 through December 2009. The outcome of interest was the acquisition of IRAB. In addition to the usual risk factors, we assessed the impact of colonization pressure. The number of wound excisions (odds ratio (OR) 12.06, 95% confidence interval (CI) 2.82-51.64) and the number of antimicrobials used (OR 22.82, 95% CI 5.15-101.19) were significant risk factors for the outcome of interest. On the other hand, colonization pressure (measured for whole time of exposure or up to the last 14, 7, or 3 days) was not associated with the risk for IRAB acquisition.

Levantamento e análise dos padrões de qualidade nacionais e internacionais estabelicidos para reuso de efluentes e aproveitamento de água de chuva para fins não potáveis em áreas urbanas

The objective of this work is present and analyze the standards and guidelines associated with the protection of health of the user of waters less noble, for purposes other than drinking, and more specifically, the criteria descriptors of quality of these waters and the assessment of microbiological risk associated to its use aiming to establish, with bases and scientific criteria, the tolerable risk and the definition of standards for the microbiological quality. To this end, the author makes use of investigative exploratory method based on bibliographic survey and acquisition and posterior analysis, presentation and discussion about the topics discussed. The final text may inform and subsidise decisions regarding the definition of new values (preparation of new standards) and in the definition of appropriate technology

Análise das ocorrências de escorregamento por meio de imagens Geoeye em trecho da faixa de dutos Rio de Janeiro - Belo Horizonte

The analysis of natural processes, such as landslides, has a great importance for the prevention of accidents in pipelines, since it might compromise its security, with serious social and environmental implications. Considering the large territorial dimensions that pipelines can reach, remote sensing tools have great applicability for data acquisition, allowing the analysis of large areas in regular time periods. This study aims to analyze the relations between the occurrence of landslides and its natural conditionings, on a stretch of the ORBEL pipeline, in the municipalities of Duque de Caxias, Nova Iguaçu and Belford Roxo – Rio de Janeiro. GeoEye sensor system images were used with spatial resolution of 0.5 m, from November/2009, January/2010 and March/2010, that are months of summer rains. The work involved the characterization of the study area and existing landslides, through bibliographic data collection; the application of visual analysis techniques for the extraction of landslide scars and fractures; preparation of maps for the landslide constraints and preparation of the susceptibility map. In the images from November only three landslide scars were extracted, while in January there were 166 and 111 in March. Difficulties were found with the shading in the images. From the relations among landslide scars, lithological units, relief systems, slope, downhill profile and the generated map of landslide susceptibility, presented in 1:70,000 scale, it was possible to conclude that slope is the main determinant of the process, allied secondarily to downhill profile, relief systems and lithology

O ensino de língua inglesa nos primeiros anos do ensino fundamental: uma abordagem transdisciplinar

This study is a reflexive review of theories about the teaching of English to children in Elementary School, a suggestion to teach English through the Fairy Tales and Fables, associated with the study of Transversal Themes suggested by the plot in the selected stories. Based on the Communicative Approach to language were conducted a few classes with students of the 4th year of Elementary School in a private school of Bauru city. A bibliographic study was conducted in Applied Linguistics, Philosophy of Education, Psychoanalysis, Approaches to teaching Foreign Language and Theories related to foreign language acquisition

Concilier les données qualitatives et quantitatives: un défi pour les recherches en acquisition du langage

What is the role of qualitative data? How should mixed approaches be considered? Is it necessary to complement the quantitative approach by the qualitative approach (Maziére et al., 2010) or the opposite? How can these two approaches be combined in a Language Acquisition research? What are the possibilities of generalization that these approaches provide? Besides those necessary theoretical discussions, our starting point is a qualitative research on the acquisition of the plural morpheme in Brazilian Portuguese (BP) in children between 1 year 11 months old and 2 years 7 months old (Hilário, 2012), whose linguistic production is intrinsically connected to their dialogic aspect (Bakhtin & Vološinov, 1973) and to the interaction among interlocutors (Bruner, 2004; Vygotsky, 1986). In this research through the usage of a computational tool (CLAN) it is expected to have more visibility of the quantitative results even if they are in a qualitative approach. Although, it should be taken into account the fact that each approach can achieve valid and relevant results (Valsiner 2000), i.e., with any given method it is possible to reach a kind of generalization (statistical or analytical).