Urgent Endovascular Treatment of Thoraco-abdominal Aneurysms Using a Sandwich Technique and Chimney Grafts - A Technical Description

Introduction: So far the only endovascular option to treat patients with thoraco abdominal aortic aneurysms is the deployment of branched grafts. We describe a technique consisting of the deployment of standard off-the- shelf grafts to treat urgent cases.Material and Methods: The sandwich technique consists of the deployment of ViaBahn chimney grafts in combination with standard thoracic and abdominal aortic stent grafts. The chimney grafts are deployed using a transbrachial and transaxillary access. These coaxial grafts are placed inside the thoracic tube graft. After deployment of the infrarenal bifurcated abdominal graft a bridging stent-a short tube graft is positioned inside the thoracic graft further stabilizing the chimney grafts.Results: 5 patients with symptomatic thoraco abdominal aneurysms were treated. There was one Type I endoleak that resolved after 2 months. In all patients 3 stentgrafts had to be used When possible all visceral and renal branches were revascularized. A total number of 17 arteries were reconnected with covered branches. During follow up we lost one target vessel the right renal artery.Conclusion: The sandwich technique in combination with chimney grafts permits a total endovascular exclusion of thoraco abdominal aortic aneurysms. In all cases off-the shelf products and grafts could be used. The number of patients treated so far is still too small to draw further more robust conclusions with regard to long term performance and durability. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

Different nutritional-state indicators of HIV-positive individuals undergoing antiretroviral therapy

This study aimed at learning about the nutritional profile of HIV-positive individuals undergoing antiretroviral therapy and at comparing the performance of nutritional-state indicators. A transversal study was performed on 94 patients attending the Tropical Diseases Outpatient Hospital of Botucatu Medical School (FMB)-UNESP. The body mass index (BMI) and the classification by Papini-Berto (PB) were used to evaluate nutritional state, aiming at detecting malnutrition and obesity. The waist-to-hips ratio (W/HR) and waist circumference (WC) were adopted for identification of abdominal obesity and lipodystrophy. According to BMI, most of the individuals were eutrophic, followed by 30.9% overweight and 6.4% malnourished. By using the PB classification, the frequency of malnourished increased (22.3%). The analysis of the PB classification in relation to BMI indicated that the former presented high sensitivity and good specificity for malnutrition diagnosis, namely 100% and 83%, respectively. The prevalence of abdominal obesity was 7.44% according to WC, and a higher prevalence (38.3%) was observed when taking W/HR into account. There was significant positive association between nutritional diagnosis according to PB and T CD4(+) lymphocyte. The results support the use of PB classification for malnutrition detection as well as that of BMI and W/HR for overweight and fat redistribution.

Genetic group x ambient temperature interaction effects on physiological responses and growth performance of rabbits

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

Índices técnicos correspondentes à velocidade crítica e à máxima velocidade de 30 minutos em nadadores com diferentes níveis de performance aeróbia

O principal objetivo deste estudo foi verificar o efeito do nível de performance aeróbia na relação entre os índices técnicos correspondentes à velocidade crítica (VC) e à velocidade máxima de 30 minutos (V30) em nadadores. Participaram deste estudo, 23 nadadores do gênero masculino com características antropométricas similares, divididos segundo o nível de performance aeróbia em grupo G1 (maior performance) (n = 13) e G2 (menor performance) (n = 10). Os indivíduos tinham pelo menos quatro anos de experiência no esporte e treinavam um volume semanal de 30.000 a 45.000m. A VC foi determinada através do coeficiente angular da regressão linear entre as distâncias (200 e 400m) e seus respectivos tempos. A V30 foi determinada através da máxima distância realizada em um teste de 30 minutos. Todas as variáveis foram determinadas no nado crawl. A VC foi significantemente maior do que a V30 no grupo G1 (1,30 ± 0,04 vs. 1,23 ± 0,06m.s-1) e no G2 (1,17 ± 0,08 vs. 1,07 ± 0,06m.s-1). As duas variáveis foram maiores no grupo G1. As taxas de braçada correspondentes à VC (TBVC) e à V30 (TBV30) obtidas nos grupos G1 (33,07 ± 4,34 vs. 31,38 ± 4,15 ciclos.min-1) e G2 (35,57 ± 6,52 vs. 33,54 ± 5,89 ciclos.min-1) foram similares entre si. A TBVC foi significantemente menor no grupo 1 do que no grupo 2, enquanto que a TBV30 não foi diferente entre os grupos. Os comprimentos de braçada correspondentes à VC (CBVC) e à V30 (CBV30) foram significantemente maiores no grupo G1 (2,41 ± 0,33 vs. 2,38 ± 0,30m.ciclo-1) do que no G2 (2,04 ± 0,43 vs. 1,97 ± 0,40m.ciclo-1), e similares entre si nos dois grupos. As correlações (r) entre a VC e a V30 e as variáveis técnicas correspondentes às duas velocidades foram significantes em todas as comparações (0,68 a 0,91). Portanto, a relação entre a velocidade e as variáveis técnicas correspondentes à VC e à V30 não é modificada pelo nível de performance aeróbia.

Validade do teste de 30 minutos (T-30) na determinação da capacidade aeróbia, parâmetros de braçada e performance aeróbia de nadadores treinados

O objetivo do presente estudo foi verificar a utilização da velocidade de 30 minutos (VT-30), freqüência de braçada (fB), comprimento de braçada (CB) e índice de braçada (IB), obtidos no teste T-30, como métodos não-invasivos para determinação da performance aeróbia e técnica de nadadores treinados. Catorze nadadores submeteram-se a três esforços de 400m (85, 90 e 100% do esforço máximo) para determinação da velocidade de limiar anaeróbio (VLan) correspondente à concentração fixa de 3,5mM de lactato e um esforço máximo de 30 minutos (VT-30). fB, CB e IB foram calculados nos 10m centrais da piscina (nado limpo) para o teste T-30 (fBT-30, CBT-30 e IBT-30) e progressivo. Através da relação entre VLan e parâmetros de braçada no teste progressivo, determinaram-se freqüência de braçada de limiar (fBLan), comprimento de braçada de limiar (CBLan) e índice de braçada de limiar (IBLan). O tempo para realizar 400m em máximo esforço foi considerado como parâmetro de performance (P400). Não foi encontrada diferença significativa entre VLan (1,29 ± 0,07m.s-1) e VT-30 (1,29 ± 0,08m.s-1), que ainda apresentaram alta correlação (r = 0,90). Os valores de fBLan (33,6 ± 4,14 ciclos/min) e fBT-30 (34,9 ± 3,53 ciclos/min) e de CBLan (2,09 ± 0,20m/ciclo) e CBT-30 (2,09 ± 0,20m/ciclo) também não foram significativamente diferentes. Correlações significativas (p < 0,05) também foram encontradas entre VT-30 e P400 (r = 0,95); fBLan e fBT-30 (r = 0,73); CBLan e CBT-30 (r = 0,89) e IBLan e IBT-30 (r = 0,94). Conclui-se que a VT30 se mostrou confiável para o monitoramento do treinamento, predição da performance e determinação de parâmetros relacionados à técnica de nadadores.

Performance of a reciprocal shaker in mechanical dispersion of soil samples for particle-size analysis

A dispersão da amostra de solo é uma etapa fundamental da análise granulométrica, sendo realizada mediante o uso de dispersantes químicos e agitação mecânica. O objetivo deste trabalho foi avaliar a eficiência de mesa agitadora reciprocante de baixa rotação na dispersão mecânica de amostras de solos de diferentes classes texturais. Foram realizadas análises granulométricas em 61 amostras com quatro repetições, empregando o método da pipeta para determinação da fração argila e tamisagem para determinação das frações areia grossa, areia fina e areia total, sendo o silte determinado por diferença. Na avaliação de desempenho, os resultados obtidos com uso da mesa agitadora reciprocante (MAR) foram comparados com dados disponíveis para as mesmas amostras oriundos de relatórios do Ensaio de Proficiência IAC para Laboratórios de Análises de Solos - Prolab/IAC. Análises de acurácia foram realizadas com base nos valores dos intervalos de confiança definidos para cada fração granulométrica componente de cada amostra ensaiada. Indicadores gráficos também foram utilizados na comparação de dados, por meio de dispersão e ajuste linear. A estatística descritiva indicou preponderância de baixa variabilidade em mais de 90 % dos resultados obtidos para as amostras de texturas arenosa, média e argilosa e em 68 % dos obtidos para as amostras de textura muito argilosa, indicando boa repetibilidade dos resultados obtidos com a MAR. Média variabilidade foi mais frequentemente associada à fração silte, seguida da fração areia fina. Os resultados das análises de sensibilidade indicam acurácia de 100 % nas três frações granulométricas - areia total, silte e argila - para todas as amostras analisadas pertencentes às classes texturais muito argilosa, argilosa e média. Para as nove amostras de textura arenosa, a acurácia média foi de 85,2 %, e os maiores desvios ocorreram em relação à fração silte. Nas aproximações lineares, coeficientes de correlação igual (silte) ou superiores (areia total e argila) a 0,93, bem como diferenças menores do que 0,16 entre os coeficientes angulares das retas e o valor unitário, indicam alta correlação entre os resultados de referência (Prolab/IAC) e os obtidos nos ensaios com a MAR. Conclui-se pelo desempenho satisfatório da mesa agitadora reciprocante de baixa rotação para dispersão mecânica de amostras de solo de diferentes classes texturais para fins de análise granulométrica, permitindo recomendar o uso alternativo do equipamento quando se emprega agitação lenta. As vantagens do uso do equipamento nacional incluem o baixo custo, a possibilidade de análise simultânea de grande número de amostras e o uso de frascos comuns, de vidro ou de plástico, baratos e de fácil reposição.

Simulation of the energy performance of maize production integrated to pig farming

Foi avaliado o desempenho energético da suinocultura integrada à produção de milho em grão em sistema de plantio direto mecanizado. Nesta concepção de integração proposta, os dejetos suínos são utilizados como fertilizantes na produção de milho. O sistema foi delimitado envolvendo as atividades associadas ao manejo dos suínos e de produção do milho (manejo do solo, cultivo e colheita). O período de análise considerado foi de um ano, o que possibilita a produção de três lotes de suínos e duas safras de milho. Para avaliar o desempenho energético, foram criados três indicadores: eficiência energética, eficiência de uso de fontes não renováveis e o custo de energia não renovável para a produção de proteína. As entradas energéticas são compostas pelos insumos e pela infraestrutura, utilizados na criação dos suínos e na produção de milho, e pela radiação solar incidente no agrossistema. Já as saídas são representadas pelos seus produtos (suínos terminados e o milho). Os resultados obtidos nas simulações apontam que a integração melhora o desempenho energético das granjas suinícolas, aumentando a eficiência energética (186%) e a eficiência não renovável (352%), além de reduzir o custo de energia não renovável para a produção de proteína (‑58%).

Evaluation of the performance of pharmacists in terms of providing health assistance at a university hospital

OBJETIVE: This study aimed to assess the practices of pharmacists in Hospital Care. Method - we interviewed 20 pharmacists from the Pharmacy Division by applying a structured instrument, in September 2005. This instrument addressed aspects related to the main activities at the Hospital Pharmacy, which were assessed according to indicators organized into five areas: sector management, hospital pharmacotechniques, committee activities, information and pharmacotherapeutic follow-up, as well as teaching and research activities.RESULTS: the Pharmacy Division considered all structural aspects under analysis as essential for the good development and application of its services. We found that some essential services, such as the Medication Information Service and Pharmacotherapeutic Follow-up, were absent. Pharmacist professionals were dissatisfied about human resource and physical structure dimensioning, and they presented as not very active in terms of Pharmaceutical Care.CONCLUSION: Results indicate that care is still centered on the drug, with few clinical activities. We suggest reformulations in service management, particularly in the management of pharmacists.

Performance of constructed wetland system for public water supply

The project is being conducted in the town of Analândia, São Paulo, Brazil. The constructed wetlands system for water supply consists of a channel with floating aquatic macrophytes, HDS system (Water Decontamination with Soil - Patent PI 850.3030), chlorinating system, filtering system and distribution. The project objectives include investigating the process variables to further optimize design and operation factors, evaluating the relation of nutrients and plants development, biomass production, shoot development, nutrient cycling and total and fecal coliforms removal, comparing the treatment efficiency among the seasons of the year; and moreover to compare the average values obtained between February and June 1998 (Salati et al., 1998) with the average obtained for the same parameters between March and June 2000. Studies have been developed in order to verify during one year the drinking quality of the water for the following parameters: turbidity, color, pH, dissolved oxygen, total of dissolved solids, COD, chloride, among others, according to the Ministry of Health's Regulation 36. This system of water supply projected to treat 15 L s-1 has been in continuous operation for 2 years, it was implemented with support of the National Environment Fund (FNMA), administered by the Center of Environmental Studies (CEA-UNESP), while the technical supervision and design were performed by the Institute of Applied Ecology. The actual research project is being supported by FAPESP.

GPS performance in the quantification of integrated water vapor in Amazonian regions

The Amazonian regions are characterized by large space-time variability in the humidity fields due to the intense convective process in those areas associated with the great humidity potential generated by high temperatures. An experiment denominated RACCI/DRY-TO-WET (RAdiation, Cloud, and Climate Interactions in the Amazonia during the DRY-TO-WET Transition Season) was carried out in the Brazilian Amazonian Region in 2002. The IWV values from GPS and other techniques, such as radiosondes, radiometer and humidity sounding satellites were used in this experiment to supply subsidies to evaluate the aerosols influence in the associated processes modifications to seasonality of atmospheric water vapor. Those regions are one of the most humid of the planet, where IWV (Integrated Water Vapor) average values are in the order of 50 kg/m2. As according the literature the IWV quantification using GPS has not been explored in those circumstances, the objective this paper is to present the preliminary results obtained in the evaluation of the GPS performance in Amazonian Regions when comparing with other techniques. The tendency measurement values indicated that the IWV values from GPS tend to be larger than those from radiosondes and smaller than those from radiometer. On the other hand, IWV values from GPS are very close of the average values supplied by radiosondes and radiometer. Due to the great amount of atmospheric water vapor existent in this region, the results obtained in the experiment in percentile terms are quite better than those found in the literature, which are around of 10%.

Performance of different genotypes of vegetable soybeans in Jaboticabal-SP

The study was conducted in the field, in the experimental area of the Section of Crop Production and Aromatic Medicinal Plants, belonging to the Faculty of Agricultural and Veterinary Sciences, Jaboticabal Campus-SP. The aim of the study was to assess the performance of seven genotypes of vegetable soybeans in Jaboticabal-SP. The experiment was carried out in a complete randomized block design with seven treatments (genotypes) and four replications. The genotypes examined were: CNPSOI, JLM003, JLM010, JLM018, JLM019, JLM024 and BRS216. The seeds were obtained from EMBRAPA-Soja and EMBRAPA- Hortaliças, and planted in Styrofoam trays with 128 cells containing Plantmax Hortaliças® as substrate. Transplanting occurred 10 d after seeding when the seedlings showed 2 or 3 definitive leaves and about 12 cm in height, demonstrating that the soil had been properly prepared according to the recommendations for this crop. Pests and diseases were adequately controlled in the event of their occurrence in the experimental area and in accordance with technical recommendations for the chemical products utilized. Collections were carried out based on the maturation of the pods, according to the scale of Fehr and Caviness (1977) adapted by Costa and Marchezan (1982), when the pods reached the reproductive stage R6. The parameters determined were mean precocity, height of the first pod, mean number of pods per plant, mean number of seeds per pod, fresh weight of 100 seeds and total yield of immature grains. Based on the results obtained, the genotypes JLM003 and JLM010 were found to be most indicated for growing vegetable soybeans, because of their capacity to produce immature grains of 1090 and 848 g·m-2, respectively, and fresh weights for 100 seeds of 62.20 and 68.19 g, respectively.

Properties advanced of the silicon nitride based ceramics and recent performance on automotive parts manufacture by machining process: Advanced Ceramics, demand Forecast

Automotive parts manufacture by machining process using silicon nitride-based ceramic tool development in Brazil already is a reality. Si 3N4-based ceramic cutting tools offer a high productivity due to their excellent hot hardness, which allows high cutting speeds. Under such conditions the cutting tool must be resistant to a combination of mechanical, thermal and chemical attacks. Silicon nitride based ceramic materials constitute a mature technology with a very broad base of current and potential applications. The best opportunities for Si3N 4-based ceramics include ballistic armor, composite automotive brakes, diesel particulate filters, joint replacement products and others. The goal of this work was to show latter advance in silicon nitride manufacture and its recent evolution on machining process of gray cast iron, compacted graphite iron and Ti-6Al-4V. Materials characterization and machining tests were analyzed by X-Ray Diffraction, Scanning Electron Microscopy, Vickers hardness and toughness fracture and technical norm. In recent works the authors has been proved to advance in microstructural, mechanical and physic properties control. These facts prove that silicon nitride-based ceramic has enough resistance to withstand the impacts inherent to the machining of gray cast iron (CI), compacted graphite iron (CGI) and Ti-6Al-4V (6-4). Copyright © 2008 SAE International.

Brazilian solar water heating systems evaluation

The Brazilian National Electricity Conservation Program - PROCEL - runs regular surveys in the electric-energy-consumption market. These studies are used as valuable data to better plan the actions of this program. These data also evaluate the program's performance by identifying the level of penetration of the most efficient electric equipment within the residential sector. PROCEL's main lines of action is to promote and make available the most efficient technologies. Based on the results from the latest survey, it is estimated that 24% of the electric-energy consumption of the residential sector is used by electric shower devices, which instantaneously heat the water that flows through them, normally using an electric resistance of 5 kW. These are an important factor in a country where electric-heating devices are present in about 73% of Brazilian households. Keeping that in mind, the purpose of this work is to present the main results of the Brazilian Solar-Water-Heating-Systems Evaluation, finished in 2010, where 535 installations were visited and more than 50 researchers from different universities participated in the project. Moreover, seven Brazilian cities were selected to be studied. The information was collected from field research and statistically treated. The collected information focused on the adequacy of the project to the household, installation, operation and life cycle of the systems, as well as the users' satisfaction level. Technical questionnaires were developed to summarize all the required information, such as a Web site designed to organize and manage the data collected and a Matlab application that performed the dimensioning and F-chart systems evaluation. Quality indicators were created through a full system monitoring, with thermographic analysis and evaluation of shading influence at the system's efficiency, using the Ecotect software.

Predicting academic success of engineering students in technical drawing from working memory

Tests on spatial aptitude, in particular Visualization, have been shown to be efficient predictors of the academic performance of Technical Drawing stu-dents. It has recently been found that Spatial Working Memory (a construct defined as the ability to perform tasks with a figurative content that require si-multaneous storage and transformation of information) is strongly associated with Visualization. In the present study we analyze the predictive efficiency of a bat-tery of tests that included tests on Visualization, SpatialWorking Memory, Spatial Short-term Memory and Executive Function on a sample of first year engineering students. The results show that Spatial Working Memory (SWM) is the most important predictor of academic success in Technical Drawing. In our view, SWM tests can be useful for detecting as early as possible those students who will require more attention and support in the teaching-learning process.

Análises técnicas e econômicas no sistema de integração lavoura-pecuária submetido à adubação nitrogenada

Sustainable agriculture, reduced production costs and adding value to the system are achieved through the use of agricultural areas throughout the year, in integrated or mixed system. The study aimed to determine the technical coefficients to estimate and evaluate the operational cost and profitability indicators of the consortium of corn with two species of Brachiaria (B. brizantha, MG-5 and B. ruziziensis). The crops were submitted to N rates (0, 100, 200, 300 e 400kg ha-1year-1) at sidedressing, using urea, and winter common bean in succession, in crop-livestock integration under no-tillage, in irrigated conditions, in 2008/2009 agricultural year in Cerrado region (Selvíria - MS). The experiment was conducted in a randomized complete block design with four replications in a 2 x 5factorial. It was concluded thatcathe inputs were the components that most increased the producing cost of corn and common bean in the ILP study. The total operational cost has increased as a function of increasing doses of N. In all treatments the levels of profitability were positive indicating the viability of the system. The treatment that showed the best technical and economic performance was intercropped with corn and B. brizantha, fertilized with 100kg ha-1year-1N and common bean in succession.