Avaliação do pool de plasma caseiro como controle normal para o tempo de tromboplastina parcial ativada (TTP)

INTRODUÇÃO: A utilização correta de um plasma-controle para a comparação com o plasma do paciente nos testes de coagulação é fundamental para a garantia de um resultado seguro dessas provas laboratoriais. OBJETIVO: O presente estudo analisou a viabilidade do uso de um pool de plasma caseiro, realizado com cinco (P5) e 20 (P20) amostras a partir de pacientes normais, para ser utilizado como controle normal do tempo de tromboplastina parcial (TTP). MATERIAL E MÉTODO: Os dois pools de plasma caseiro foram analisados em relação a um controle normal comercial (AP). Foram 10 dias de experimento e a cada dia os dois pools caseiro eram feitos. Para cada dia foi feito o TTP de P5, P20 e AP. Todos os pacientes com solicitação de TTP, em cada dia do experimento, tiveram a relação de tempos (R) determinada frente a P5, P20 e AP. As ferramentas estatísticas utilizadas foram média (X), análise de variância e teste de Tukey. RESULTADOS: A análise estatística demonstrou que os valores de TTP são significativamente diferentes entre AP e P5 e entre AP e P20, mas não há diferença significativa entre P5 e P20. Quando a relação de tempos foi analisada, não houve diferença significativa entre AP, P5 e P20. CONCLUSÃO: O estudo demonstrou que pode ser utilizado como controle normal um pool de plasma caseiro, feito a partir de cinco ou 20 amostras.

Relevância de exames de rotina em pacientes de baixo risco submetidos a cirurgias de pequeno e médio porte

JUSTIFICATIVA E OBJETIVOS: A avaliação pré-operatória tem como objetivos diminuir a morbimortalidade do paciente cirúrgico, o custo do atendimento perioperatório e a ansiedade pré-operatória. A partir da avaliação clínica deve-se definir a necessidade de exames complementares e estratégias para reduzir o risco anestésico-cirúrgico. O objetivo deste trabalho foi avaliar o benefício de exames de rotina pré-operatório de pacientes de baixo risco em cirurgias de pequeno e médio porte. MÉTODOS: Trata-se de um estudo descritivo, transversal, com 800 pacientes atendidos no consultório de avaliação pré-anestésica do Hospital Santo Antonio, Salvador, BA. Foram incluídos pacientes de 1 a 45 anos, estado físico ASA I, que seriam submetidos a cirurgias eletivas de pequeno e médio porte. Avaliaram-se alterações no hemograma, coagulograma, eletrocardiograma, RX de tórax, glicemia, função renal e dosagem de sódio e potássio e as eventuais mudanças de conduta que ocorreram decorrentes dessas alterações. RESULTADOS: Dos 800 pacientes avaliados, 97,5% fizeram hemograma, 89% coagulograma, 74,1% eletrocardiograma, 62% RX de tórax, 68% glicemia de jejum, 55,7% dosagens séricas de ureia e creatinina e 10,1% dosagens de sódio e potássio séricos. Desses 700 pacientes, 68 (9,71%) apresentaram alteração nos exames pré-operatórios de rotina e apenas 10 (14,7%) dos considerados alterados tiveram conduta pré-operatória modificada, ou seja, solicitação de novos exames, interconsulta ou adiamento do procedimento. Nenhuma das cirurgias foi suspensa. CONCLUSÃO: Observou-se que excessivos exames complementares são solicitados no pré-operatório, mesmo em pacientes jovens, de baixo risco cirúrgico, com pouca ou nenhuma interferência na conduta perioperatória. Exames aboratoriais padronizados não são bons instrumentos de screening de doenças, além de gerar gastos elevados e desnecessários.

Distribution transformers modeling with angular displacement: actual values and per unit analysis

In this work a detailed modeling of three-phase distribution transformers aimed at complementing well-known approaches is presented. Thus, incidence of angular displacement and tapping is taken into account in the proposed models, considering both actual values and per unit. The analysis is based on minimal data requirement: solely short-circuit admittance is needed since three-phase transformers are treated as non-magnetically-coupled single-phase transformers. In order to support the proposed methodology, results obtained through laboratory tests are presented.

Exame do fluido peritoneal e hemograma de eqüinos submetidos à laparotomia e infusão intraperitoneal de carboximetilcelulose

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

Avaliação de recomendações normativas sobre o uso de ensaios no controle de qualidade de fabricação de geossintéticos

A utilização de materiais poliméricos designados por geossintéticos tem aumentando significativamente nos últimos anos na Engenharia Civil. Para desempenhar adequadamente a função para a qual foram projetados, os geossintéticos devem ser submetidos a um rigoroso processo de controle de qualidade durante a fabricação. Discussões sobre a freqüência e os principais tipos de ensaios de laboratório utilizados nesse processo de controle para dois tipos de geossintéticos, os geotêxteis e as geomembranas, os materiais mais utilizados da famíla dos geossintéticos, são abordados no presente trabalho. As análises efetuadas com base em normas disponíveis no Brasil, nos EUA e na Europa mostram que no cenário nacional não há recomendações normativas sobre o controle de qualidade para a maioria das aplicações de geotêxteis e geomembranas, sendo o assunto pouco discutido na literatura técnica. No cenário internacional, as normas Européias se destacam como o conjunto de práticas mais completo para ensaios de controle de qualidade de fabricação, considerando os diversos tipos de aplicação dos geossintéticos na Engenharia Civil.

Capacidade de retenção de barreiras de proteção produzidas com solo arenoso estabilizado quimicamente

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

Thermal degradation of geomembranes after exposure to heat

HDPE and PVC geomembranes are sensitive to changes in their properties when in contact with high temperatures. The effects of hot temperature on polymeric geomembranes are assessed by the ASTM D794 and ASTM D5721.This paper brings an analysis of degradation of the Poly Vinyl Chloride (PVC) and High Density Poly Ethylene (HDPE) geomembranes when exposed to conventional and air oven after specific periods.. Mechanical and physical properties were evaluated. OIT tests were also performanced to evaluate the level of oxidation degradation occurred on the HDPE geomembranes. Geomembranes of two thicknesses were tested: 1.0, 2.0 nun (PVC) and 0.8, 2.5 mm, (HDPE). The results obtained show, for example, that after the last period of exposure, the PVC geomembranes (1.0, 2.0 mm) were more rigid and stiffer than fresh samples. The HDPE geomembranes, on the other hand, when exposed to heat presented increases in deformation. OIT tests showed efficient to detect some level of degradation on the HDPE geomembranes.

Efficiency of geotextile filters in dewatering wastes (sludge) from water treatment works

This paper evaluates the efficiency of geotextile filters for sludge from a compact water treatment plant (WTP). The key aspects required in the methodology of selection and designing geotextile filters for sludge from dewatering was investigated based on laboratory tests results. The analyses were supported by the measured filtrated volume of water and turbidity resulting from variable head permeability tests carried out in two geotextiles and using the conventional granular filter (sand and gravel). The results of the present study showed that more than 75% of the dewatering sludge can be filtrated with low turbidity, which permits that this water can return to the treatment plan in order to be reuse in another cycle. The reduced volume of sludge retained by the geotextile that is transferred to the drying pound increases its efficiency by reducing the drying time. The low volume of the dry waste can be removed and the geotextile can be easily cleaned or replaced when needed. These procedures significantly reduce the volume of water needed in dewatering and also avoids waste discharges in the environment.

Influence of domestic sewage leakage on the collapse of tropical soils

In the studied region, 35% of the soil collapses are related to leakage from sewage ducts. The paper describes the soils from this part of Brazil and a series of laboratory tests undertaken using water and domestic sewage fluid as the wetting agents. It is considered that the presence of soaps and detergents as recorded by the sodium concentration facilitates the densification of the soils and hence has a major effect on the surface settlement/collapse.

Aggressive behaviour of cherubism in a teenager: 4-years of clinical follow-up associated with radiographic and histological features

Cherubism is a rare hereditary fibro-osseous childhood disease characterized by bone degradation and fibrous tissue replacement at the angles of the mandible and at the tuberosity areas of the maxilla that leads to prominence of the lower face and an appearance reminiscent of the cherub's portrayal in Renaissance art. This disease has an autosomal dominant hereditary characteristic. The purpose of this report is to analyse laboratory tests, clinicopathological and radiographic features of cherubism and its intraoral manifestations in a patient during 4-years of follow-up, correlating the features observed in this case with those of the literature. Also discussed is the atypical and aggressive behaviour of this case during puberty.

A Non-Destructive Testing Based on Electromagnetic Measurements and Neural Networks for the Inspection of Concrete Structures

This paper presents a new non-destructive testing (NDT) for reinforced concrete structures, in order to identify the components of their reinforcement. A time varying electromagnetic field is generated close to the structure by electromagnetic devices specially designed for this purpose. The presence of ferromagnetic materials (the steel bars of the reinforcement) immersed in the concrete disturbs the magnetic field at the surface of the structure. These field alterations are detected by sensors coils placed on the concrete surface. Variations in position and cross section (the size) of steel bars immersed in concrete originate slightly different values for the induced voltages at the coils.. The values for the induced voltages were obtained in laboratory tests, and multi-layer perceptron artificial neural networks with Levemberg-Marquardt training algorithm were used to identify the location and size of the bar. Preliminary results can be considered very good.

Hematological, hepatic, and renal evaluation in Aotus azarai infulatus

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Estudo de dosagem de tijolos de solo-cimento com adição de resíduos de construção e demolição

An evaluation of the composition of soil cement bricks with construction and demolition waste. Sustainable development requires the existence of a production network that includes the reuse of construction waste for new materials. Current analysis investigates an optimal soil-cement composition made up of construction and demolition waste for the manufacture of pressed bricks. Soil-cement bricks were manufactured from construction and demolition wastes (CDW), A-4 classified fine sandy soil and cement CP II Z 32. Laboratory tests, comprising test compaction, optimum water content and maximum dry specific weight, consistency limits, grain size distribution and linear shrinkage, were made to characterize the materials researched. Compressive strength and absorption tests were also undertaken in different combinations of composition. Results showed that the application of CDW improved soil-cement qualities and reduced shrinkage of the material used.

Anomalous flow behaviour of bauxite tailings

This paper deals with the anomalous flow behaviour observed in two bauxite tailings pumping systems, with 450 mm and 680 mm outer diameter. In order to enlarge the pipeline lengths in the field, tests were carried out in a laboratory test-loop in order to try to understand the anomalous (intermittent) flow behaviour and to solve the problem. Based on data obtained from these laboratory tests and using a generalized REYNOLDS number it was possible to obtain results that fit the MOODY ROUSE diagram.

Indices de atividade da doença inflamatória do intestino: indicadores clínicos e laboratoriais.

The quantification of the degree of activity of inflammatory bowel disease is assuming growing importance nowadays. The activity index of the disease can be attained by clinical and laboratorial indicators. For ulcerative colitis the mostly used clinical parameters are daily bowel movements and presence of bloody diarrhea whereas albumin, hemoglobin, ESR and positive acute phase protein measurements are the laboratory parameters. For Crohn's disease activity besides the daily bowel movements the presence of abdominal pain and discomfort sensation are also frequently used whereas the C-reactive protein is the most used laboratory test which is able to detect the disease reactivation even before the appearance of any clinical sign. The combinations of clinical signs with the laboratory tests earned the sympathy of the specialists and the set of ensembled indicators has been recognized by the author's name. In this sense, the classification of the ulcerative colitis activity originally proposed by Truelove and Witts deserves presently a wide acceptance whereas such agreement is still lacking for Crohn's disease activity. In the mean time, the Bristol index is clinically the most feasible, once the Crohn's disease activity index and the Van Hees index are considered too complex. However the latter indexes are still useful mainly for comparisons among multicentric data. It seems that the currently existing clinical signs used for Crohn's disease activity would be quantitatively improved by adding some easily made laboratory tests such as C-reactive protein.