Predicting vasospasm after aneurismal subarachnoid hemorrhage with C reactive protein levels

Aim: The interest of inflammatory marker increased in the last years, even in preventing clinical outcome after subarachnoid hemorrhage (SAH). Our objective was to study the relationships between C-reactive protein levels and clinical outcome and the development of cerebral vasospasm after aneurismal SAH. Methods: One hundred adult patients with aneurismal SAH were prospectively evaluated. Glasgow Coma Scale (GCS) score, Hunt and Hess grade, Fisher grade, CT scans, digital subtraction angiography studies, transcranial doppler (TCD) and daily neurological examinations were recorded. Serial serum CRP measurements were obtained on daily between admission and 10th days. Glasgow Outcome Scale (GOS) and the modified Rankin Scale (mRS) were used to predict outcome. Results: A progressive increase in the CRP levels from the admission to the 3rd postictal day was observed, followed by a slow decrease until the 9th day. Hemodynamic changes in TCD were associated with higher serum CRP levels. Patients with lower GCS scores presented with increased CRP levels. Patients with higher Hunt and Hess grades on admission developed significantly higher CRP serum levels. Patients with higher admission Fisher grades showed increased levels of CRP. A statistically significant inverse correlation was established in our series between CRP serum levels and GOS and mRS scores on discharge and CRP levels. Conclusion: Increased CRP levels were strongly associated with poor clinical outcome. CRP levels can predict cerebral vasospasm and delayed ischemic deficits with higher statistic significance. There are relationships between hemodynamic chances in TCD and higher CRP levels.

Medições de áreas por fotografias aéreas, em escala nominal, comparadas com a área obtida em fotografias com escalas corrigidas por meio de um SIG

Land use management has becoming a very important activity. Aerial photo interpretation is a basic resource and constitutes in a technique which enables infinite refining. Agricultural development and land use require a careful initial planning in order not only to protect them against superficial changing provoked by natural phenomenon but also to gradually develop its productive capacity. For the efficiency of land management, it is necessary to access correct and detailed information which can be available through aerial images of remote sensing. The use of vertical aerial photography through Remote Sensing has become more common in boundary survey projects, management and exploration, mainly because it substitutes, with lots of advantage, for cartographic bases, besides offering detailed characteristics, eliminating access difficulties in inaccessible areas, as well as facilitating a tridimensional view once it increases map efficiency and accuracy by combining field and laboratory work with photography interpretation. This work, using panchromatic aerial photography in nominal scale 1:25000 (1962), 1:45000 (1977) , and approximate nominal scale of 1:30.000, originating from aerial survey obtained in 2005, aimed at showing through the Geographic Information System (GIS) the possibility of developing a more complete and accurate analysis of the area values, obtained directly from photos without scale correction, and after comparing it with area values obtained from aerial photography with correct scale referred in IGC (Brazilian Cartography and Geography Institute) guidelines, resulting in an error coefficient which shows area differences through two proposed study. Considering the aerial photography in three different years: 1962, 1977 and 2005 it is possible to affirm that the 2005’s images presented lower values of area difference (43, 48 square meters) than determined area values in reference chart and the 2005’s colored images has facilitated the photo interpretation of the landscape, becoming accurate the confronting traces and among land owners and consequently offering precision during land marking.

A legitimação das avaliações em larga escala no discurso sobre gestão educacional

Pós-graduação em Educação - FFC

Influência da escala espacial na diversidade beta de anuros considerando diferentes ecoregiões da Mata Atlântica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Educação humanista: um estudo sobre o desempenho dos alunos de 5º e 9º anos do Ensino Fundamental em avaliações em larga escala de Matemática

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Energia escura e formação de estruturas em larga escala

Pós-graduação em Física - IFT