Epidemiology of healthcare-associated infections among patients from a hemodialysis unit in southeastern Brazil

Patients submitted to hemodialysis are at a high risk for healthcare-associated infections (HAI). Presently there are scarce data to allow benchmarking of HAI rates in developing countries. Also, most studies focus only on bloodstream infections (BSI) or local access infections (LAI). Our study aimed to provide a wide overview of HAT epidemiology in a hemodialysis unit in southeastern Brazil. We present data from prospective surveillance carried out from March 2010 through May 2012. Rates were compared (mid-p exact test) and temporally analyzed in Shewhart control charts for Poisson distributions. The overall incidence of BSI was 1.12 per 1000 access-days. The rate was higher for patients performing dialysis through central venous catheters (CVC), either temporary (RR = 13.35, 95% CI = 6.68-26.95) or permanent (RR = 2.10,95% CI = 1.09-4.13), as compared to those with arteriovenous fistula. Control charts identified a BSI outbreak caused by Pseudomonas aeruginosa in April 2010. LAI incidence was 3.80 per 1000 access-days. Incidence rates for other HAI (per 1000 patients-day) were as follows: upper respiratory infections, 1.72; pneumonia, 1.35; urinary tract infections, 1.25; skin/soft tissues infections, 0.93. The data point out to the usefulness of applying methods commonly used in hospital-based surveillance for hemodialysis units. (C) 2013 Elsevier Editora Ltda. All rights reserved.

MOISTURE SORPTION CHARACTERISTICS OF PINEAPPLE PROCESSING WASTE: SHELL AND CENTRAL CYLINDER

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

Physical activity, adiposity and hypertension among patients of public healthcare system

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

Healthcare-associated infections: challenges to public health in Brazil

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

Phosphorus reduction by sifting fish waste meal

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

An innovative material based on natural rubber and leather tannery waste to be applied as antistatic flooring

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

Influence of inoculum on performance of anaerobic reactors for treating municipal solid waste

The influence of bovine rumen fluid inoculum during anaerobic treatment of the organic fraction of municipal solid waste (MSW) was studied in this work. The parameters adopted for evaluation were the biostabilization constant of total volatile solids (TVs) and the biostabilization time of the chemical oxygen demand (COD) applied to the reactors. The work was realized in four anaerobic batch reactors of 20 1 capacity each, during a period of 365 days. The proportions between MSW/inoculum loaded in the reactors were Reactor A (100%/0%), Reactor B (95%/5%), Reactor C (90%/10%) and Reactor D (85%/15%). The necessary time for biostabilization of half of the applied COD was 459, 347, 302 and 234 days and the average of methane concentration in the biogas produced was 3.6%, 13.0%, 25.0% and 42.6% for Reactors A, B, C and D, respectively. The data obtained affirm that the inoculum used substantially improved the performance of the process. (C) 2004 Elsevier Ltd. All rights reserved.

Physical and mechanical properties of particleboard bamboo waste bonded with urea formaldehyde and castor oil based adhesive

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

Análise do Mapa da Cadeia de Valor em um Hospital do Vale do Paraíba

The Lean Thinking is a method used by various industries in order to eliminate waste and ensure quality for the customer. In the current scenario, Lean has been used in other areas such as the hospital in which many tools are being adopted in order to improve its internal processes. One such tool is the Value Stream Mapping, which proved to be an effective tool in industrial environments, and is being adopted by several hospitals. Thus, this paper presents a case study on the use of this tool in a sector of a hospital in the Vale do Paraíba, evaluating its importance, its impacts, positive and negative points and future projections. This is in the context of Lean Healthcare, a new model based on the principles of Lean Thinking which has been adopted by several hospitals and clinics throughout Brazil successfully

Comparative Studies of Bacillus thuringiensis var. israelensis Metabolism in Different Concentrations of Cassava Flour Processing Waste Based Media

Techniques of production of enthomopatogenic bacteria are developed aiming to increase the productivity and to reduce the costs of the fermentative process. Like this, it has been using agroindustrial wastes or by-products as nutrient sources in culture medium, having been used, in this study, the manipueira, a by-product of the processing of the cassava flour. Fermentations were performed in flasks of Erlenmeyer of 500 mL containing 250 mL of culture media, conditioned in shaker at 180 r.p.m. and 28°C, and the media were composed by manipueira, in concentrations that varied between 400 and 1000 mL/L. The time of the process varied between 48 and 120 hours. They appraised the following parameters: cellular growth, the production of spores, the reduction of organic matter (COD analysis) and the variation of reduction sugar. Although there was a proportional cellular growth to the manipueira concentration, the production of spores was similar in all the cases, at the end of the process, in spite of the smallest speed of production of the same ones in the highest concentrations. In relation to the variation of COD, it has, also, a percentile minor of reduction in the highest concentrations. In the analysis of variation of reduction sugars, the higher concentrations are the ones that they present larger slowness in the reduction of this.

Bioactive compounds of the lipid fractions of agro-industrial waste

This study aimed at evaluating the oils extracted from seeds originating from agro-industrial waste, in order to identify the presence of bioactive compounds. Therefore, determinations of fatty acid profile, triacylglycerols, tocopherol composition, phytosterols, phenolic compounds, total carotenoids, and antioxidant capacity were performed in the oils of grape, guava, melon, passion fruit, pumpkin, soursop, and tomato seeds. Antioxidant capacity analysis was performed by the methods DPPH• , ABTS•+, FRAP, and β-carotene/linoleic acid, besides measure of oxidative stability in the oils. The oils showed to be predominantly unsaturated with high percentage of linoleic essential fatty acid (38.8 to 79.4%), besides presenting significant quantities of tocopherols, phytosterols, and phenolic compounds. Tomato and guava oils showed better results in the antioxidant capacity tests and pumpkin oil had higher induction period in the oxidative stability test (65.3 h). The results obtained in this study collect information that enables the use of new alternative sources of vegetable oils, obtained from agroindustrial waste, which may serve as raw material for food, chemical, and pharmaceutical industries.

Characterization and thermal study of organic extracts of urban solid waste

The urban residues put in landfill of the city of Sa˜o Carlos-SP, Brazil, in 2004 represent 58.7 % of decomposed organic material. The aim of this research was to characterize samples of urban solid waste and its organic extracts targeting the use of this residue without damaging the environment. The curves were obtained in a nitrogen atmosphere, a heating rate of 20 C min-1 , the temperature of 30–600 C. In the original sample after humidity loss, an event occured concerning the water constitution in the TG curve with an endothermic peak in the DTA curve. There was a presence of inorganic residue in the ashes. The organic matter present in the USR sample disposed in the landfill is constituted by several polarity, organics compounds from the degradation of lignin, cellulose, lipids, and other materials which thermal stabilities are distinct. The hexane extract features in its constitution two fatty acids, stearic and triacontano´ic, which are nonpolar compounds originating from bacteria present in the residue. The acids groups in extract hexane also were evidenced by X-ray diffraction and FTIR.

Ethyl biodiesel: Microwave irradiation aiding ethanolysis of waste cooking oil.

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

Phenol oxidation by mushroom waste extracts: a kinetic and thermodynamic study

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)