Efeitos da higienização brônquica nas variáveis cardiorrespiratórias de pacientes em ventilação mecânica

INTRODUCTION: During mechanical ventilation (MV), the airways may accumulate secretions. Patients are submitted to Respiratory Therapy (RT) and tracheal aspiration when in MV, alone or associated, to eliminate these secretions. OBJECTIVE: The objective was to compare the effects of different protocols of bronchial hygiene in blood pressure, heart rate, oxygen saturation and respiratory rate of patients undergoing MV. MATERIALS AND METHODS: We conducted a prospective, randomized, controlled crossover, with intentional non-probabilistic sample in the Medical School Hospital of Marília. We included patients in invasive MV who were submitted to three different bronchial hygiene protocols: PP - physiotherapy protocol (manual chest compression and manual hyperinflation); AP - aspiration protocol; and PP + AP. Respiratory rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), oxygen saturation and heart rate were evaluated in three moments: before (M1), immediately after (M2) and 30 minutes after (M3) for each protocol. The differences among protocols and times were assessed using ANOVA and post hoc Student Newman-Keus (p < 0.05). RESULTS: We studied eighteen 71.2 ± 13.9 year-old patients with 15.1 ± 17.7 days of MV. There were no differences among protocols. There was a significant decreasing in SBP (p = 0.0261) and DBP (p = 0.0119) from M2 to M3 in the aspiration protocol. CONCLUSION: There was a decrease of blood pressure on MV patients after 30 minutes of aspiration and no change in the other variables, and there was no difference among protocols.

Caracterização mecânica de uma porcelana de aplicação convencional e uma prensada para recobrimento de infraestruturas de zircônia e o efeito do método de resfriamento na resistência à flexão biaxial do conjunto zircônia/porcelana

Pós-graduação em Reabilitação Oral - FOAR

Caracterização mecânica e microestrutural do aço MARAGING 300, soldado a plasma e submetidas a reparos

Pós-graduação em Engenharia Mecânica - FEG

Caracterização microestrutural e mecânica de trilhos ferroviários soldados de topo por caldeamento

Pós-graduação em Engenharia Mecânica - FEIS

Caracterização mecânica e térmica de compósitos naturais modificados com ciclodextrina e fibras vegetais utilizando como matriz uma resina termofixa DGEBA/TETA

Pós-graduação em Ciência dos Materiais - FEIS

Resistência mecânica à penetração em latossolo vermelho após sucessivos cortes mecanizas de cana-de-açúcar

Pós-graduação em Agronomia (Produção Vegetal) - FCAV

Efeitos dentoesqueléticos do tratamento da classe II utilizando o aparelho de Herbst associados à mecânica Straight-wire

This study compared the effect of the treatment protocol for correcting Class Il malocclusion using the Herbst appliance followed by full fixed Straigh-wire mechanics, in two populations, one Brazilian and one of North American origin As a untreated control sample the data from the University of Michigan Elementary and Secondary School Growth Study (UMGS) was used. Our sample was composed of 12 males and 12 females, with initial mean age of 12 years 7 months and final mean ages of 15 years and 3 months. The Michigan patients comprised 21 females and 7 males, with an initial mean age of 11 years and 9 months and final mean age of 14 years and 4 months. The control sample was paired in number, sex and age to the treated Michigan sample. ln both treated groups, lateral cephalometric radiographs were obtained before the Herbst appliance was cemented and at the end of the fixed appliance phase, The first comparison involved the Brazil group and the untreated controls, which demonstrated that the association of the Herbst appliance followed by fixed Straight-wire appliances provoked positive effects on the dentofacial complex, improving pre-existing maxillo-mandibular relationships, besides increasing dentoalveolar compensations which contributed to correct the malocclusion. The second comparison, involved the Brazl1ian and North-American patients treated with the same protocol. Although the pre-treatment comparison showed that the two groups were not similar in all aspects, they presented almost identical therapeutic modifications, which indicate that the effect of' treatment was very similar. These results point out that, in Class ll treatment, the combination of Herbst/Straight-wire mechanics produce consistent and systematic effects, correcting or minimizing possible skeletal imbalances

Caracterização mecânica e estrutural de um dispositivo PDLC baseado em hidrogéis de PAAm e cristal líquido liotrópico LP/DeOH/H2O

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

Efeitos da Fisioterapia Respiratória na Mecânica Respiratória de Pacientes com Acidente Vascular Encefálico Ventilados Mecanicamente

Patients who went through a Stroke may require mechanical ventilation (MV) in the acute phase of the disease and, on MV, they may show alterations in the respiratory mechanic. Physiotherapy techniques are applied in patients on MV to improve their respiratory mechanic. Thus, the purpose of this study was to evaluate the effects of the Respiratory Physiotherapy into the dynamic compliance (Cdyn), static compliance (Cst) and airway resistance (Rwa) in Stroke patients on MV. In order to do that, patients with Stroke diagnostic on MV were evaluated, before and after the use of Physiotherapy techniques (manual rib-cage compression, thoracic decompression, zero end expiratory pressure and suctioning). Cdyn, Cst and Rwa were the researched variables. Statistical Analysis was made using Paired T-Test with statistical significance with p-values no greater than 5%. Eleven patients were part of the study, with an average of 64,6±12,5 years old. Cdyn increased after physiotherapy from 29,3±16,1 ml/cmH2O to 33,8±16,7 ml/cmH2O (p=0,03). Cst also increased from 44,4±20,7 ml/cmH2O to 54,0±26,6 ml/cmH2O (p=0,024). No significant difference was detected for Rwa between the before and after moments (Before – 8,0±3,2 cmH2O/l/s, After – 7,3±2,25 cmH2O/l/s; p=0,45). It was possible to conclude that both dynamic and static compliance increased after physiotherapy, but the airway resistance did not increase in patients with stroke on mechanical ventilation.

Efeitos da Ventilação Mecânica não Invasiva sobre a Modulação Autonômica Cardíaca

This review is intended to gather together recent studies that explore the effects of different types of noninvasive ventilation (NIV) on the autonomic nervous system, assessed through heart rate variability (HRV). A search for papers was conducted in the PubMed, PEDro, SciELO and Lilacs databases with the following descriptors: noninvasive ventilation, CPAP ventilation, intermittent positive pressure breathing and autonomic nervous system, for the period between 2008 and 2012. After eliminating papers not addressing the topic, we selected six studies, of which five applied NIV in CPAP mode and one used biphasic positive airway pressure. In general, the findings suggest that NIV promotes changes in autonomic modulation that are dependent on the conditions of the subjects analyzed and the time when these rates are assessed, meaning acute or long-term effects.

Caracterização de superfície, adesiva e mecânica de uma zircônia parcialmente estabilizada por ítria em função da partícula ou do momento do jateamento

Pós-graduação em Reabilitação Oral - FOAR

Preparação e caracterização estrutural, mecânica e anelástica de ligas do sistema Ti-Ta contendo oxigênio intersticial, para uso biomédico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo de tempos e métodos em uma microempresa prestadora de serviços de usinagem mecânica

This paper aims to survey data to analyze the productive capacity of a machining process of rolling bearings by methods-time measurement, in order to identify its bottlenecks and propose improvements in the system. The production times at the company are not known, the method of separation of operations and identification of its activities and the timing of production times and setup become points of departure for this paper. The results from this method of analysis provide clarity in identifying system weaknesses and by them it was possible to carry out the proposals for improvement in some process steps. The implementation of the improvements was not performed, but with the goals of this work was made possible to raise relevant information of the analyzed system

Caracterização físico-mecânica de painel de MDP produzido com madeira de Eucalipto e Bracatinga

This work is the production of particleboard of particles reconstituted from MDP (Medium Density Particleboard) adding particles in the inner layer of Mimosa Scarelli, popularly known as bracatinga, the ratios of 0%, 25%, 50%, 75% and 100%. The panel produced is composed of three layers, two external particles with smaller particle size and an inner layer composed of particles of larger particle sizes. Assays were performed based on physical and mechanical NBR 14.810/2006 for the determination of the board density, thickness swelling, water absorption, moisture content, bending strength, shear strength and residual moisture, and testing of particle size not existing in the standard cited. The results were analyzed and compared the results of the commercial boards made from 100% eucalyptus, based on the limits specified by the ABNT NBR 14.810/2006. The values of the tests were close to the normative specifications indicating positively the production of MDP with wood decay.

Mecânica quântica e sua relação com terapias alternativas

Este trabalho propôs uma discussão crítica sobre os conceitos e fenômenos da Mecânica Quântica (MQ) empregados na explicação cientifíca que dá suporte quanto ao princípio de funcionamento de algumas terapias alternativas ou sobre a elaboração de seus respectivos medicamentos, em especial, Homeopatia e Cura Quântica. Essa discussão se faz importante para munir o leitor com argumentos sólidos calcados na teoria quântica e confrontá-los coma as ideias de simpatizantes leigos dessas terapias. Portanto, o trabalho visou descrever fatos históricos que tornaram possível a construção teórica da Mecânica Quântica, elaborou um resumo da loso a dominante que norteava o pensamento imediatamente anterior a MQ e o conflito que se seguiu em decorrência das implicações deste novo ramo da Física. Explorou o paradoxo EPR e o consequente teorema de John Bell sobre as desigualdades até chegar no experimento de Alain Aspect envolvendo laser para responder de forma prática e definitiva o paradoxo EPR. Finalmente, o trabalho apresentou um resumo das abordagens e argumentações defendidas pelos proponentes das terapias alternativas e confrontou com os conceitos da Mecânica Quântica, para enfim apresentar ao público um estudo científico sobre Homeopatia e Cura Quântica, e compreender os limites e equívocos empregados a essas terapias