159 resultados para Troca gasosa pulmonar
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Pós-graduação em Fisioterapia - FCT
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Pós-graduação em Fisioterapia - FCT
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB
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This paper describes the occurrence of cor triatriatum sinister, a rare cardiac malformation in dogs, associated with pulmonary edema and pulmonary hypertension in a 5-year-old Poodle female with history of acute dyspnea and cyanosis. The animal presented acute respiratory failure, heart failure with low cardiac output, progressing to acute tubular necrosis and death. The diagnosis was made posmortem due to the clinical instability of the dog. This malformation was diagnosed by the subdivision of the left atrium into two compartments separated by an abnormal fibromuscular membrane, absence of structural abnormalities of the mitral valve and thickening of pulmonary artery tunica media associated with renal tubular degeneration. The occurrence of cor triatriatum in dogs is most common in the right atrium, defined as cor triatriatum dexter. Additionally, pulmonary arterial hypertension associated with this malformation is described only in humans with this heart defect.
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The main feature of pulmonary emphysema is airflow obstruction resulting from the destruction of the alveolar walls distal to the terminal bronchioles. Existing clinical approaches have improved and extended the quality of life of emphysema patients. However, no treatment currently exists that can change the disease course and cure the patient. The different therapeutic approaches that are available aim to increase survival and/or enhance the quality of life of emphysema patients. In this context, cell therapy is a promising therapeutic approach with great potential for degenerative pulmonary diseases. In this protocol proposition, all patients will be submitted to laboratory tests, such as evaluation of heart and lung function and routine examinations. Stem cells will be harvested by means of 10 punctures on each anterior iliac crest, collecting a total volume of 200 mL bone marrow. After preparation, separation, counting and labeling (optional) of the mononuclear cells, the patients will receive an intravenous infusion from the pool of Bone Marrow Mononuclear Cells (BMMC). This article proposes a rational and safe clinical cellular therapy protocol which has the potential for developing new projects and can serve as a methodological reference for formulating clinical application protocols related to the use of cellular therapy in COPD. This study protocol was submitted and approved by the Brazilian National Committee of Ethics in Research (CONEP - Brazil) registration number 14764. It is also registered in ClinicalTrials.gov (NCT01110252). (c) 2013 Sociedade Portuguesa de Pneumologia. Published by Elsevier Espana, S.L. All rights reserved.
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Patients with Chronic Obstructive Pulmonary Disease may have muscle dysfunction, which ultimately reduce the functional capacity. Neuromuscular electrical stimulation (NMES) is a technique that can be effective in these patients, and implies low overload to the cardiorespiratory system. The aim of this study was to investigate the effects of NMES on muscle strength and cardiorespiratory fitness in COPD patients. Five patients (2 men, 3 women) were evaluated, with a mean age of 70.40 ± 6.61 years, and underwent anamnesis, anthropometric measurements, spirometry, pulmonary function, cardiopulmonary functional capacity and muscle strength in the lower limbs. After the evaluations, the patients were enrolled in a program of electrical stimulation of the quadriceps muscles, performed 3 times per week for 5 weeks. Each session lasted for 30 minutes, being reassessed at the end of the 15 sessions. Statistically significant response is observed to gain strength in lower limb (p = 0.005), but no significant responses were observed for the distance in six minute walking test before and after the test protocol for electrical stimulation. Showing that with NMES was located just gain muscle strength without effects on functional capacity, and there are few studies that investigate these effects, so further studies are needed to investigate this relationship.
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Introduction: The pulmonary rehabilitation (PR) is composed of aerobic and resisted exercises that improve the functional capacity to the exercise, life quality and decrease respiratory symptoms in subjects with chronic pulmonary disease. Objective: Assess the effects of a combined PR program in the cardiorespiratory function and peripheral muscle strength in subjects with chronic pulmonary disease. Method: Patients with chronic pulmonary disease were submitted to the PR program, which was developed on 24 sessions of 60 minutes (three times per week). The program was composed of aerobic exercises (two times per week) and resisted exercises (once a week). Before and after the PR the patients were submitted to manovacuometry in order to measure the maximum inspiratory pressure (MIP) and the maximum expiratory pressure (MEP), ventilometry, peek expiratory flow (PEF), six minute walking test (6MWT) and one maximum repetition (1RM). The data are presented in absolute frequency, percentage and mean±standard deviation. The t Student test was used to compare data before and after the PR and the ANOVA test to compare before, after and predicted distances in the 6MWT (p<0.05). Results: Seven patients were part of this study, 85.70% of women, 71.40% with pulmonary emphysema diagnosis. The mean age was 69.43±5.59 years old, the height was 1.61±0.07 m, the mean weight was 66.20±8.40 kg and the body mass index mean was 25.50±2.48 kg/m². From the variables assessed, the MEP increased from 79.71±13.69 to 84.42±12.83 cmH2O (p=0,03), the PEF increase from 255.71±66.3 to 320.00±93.63 l/min (p=0,03) and the distance in the 6MWT from 415.28±47.90 to 483,79±79,77 m (p=0,02). The load in the 1RM test in the reverse peck deck exercise (before - - 17.10±8.10kg; after – 210.40±9.00kg), knee in leg extension machine (before – 17.10±9.50kg; after – 26.40±13.10kg) and hip extensors (right before – 48.60±22.10kg; after – 62.90±19.30kg; and left before – 46.40±20.10kg; after – 62.10±18.20kg) increased significantly (p<0,05). Conclusion: After the PR program there was improvement in the expiratory muscular strength, in the lower limbs strength and in the functional capacity. Besides that, there was a reduction in the airflow obstruction of the subjects with chronic pulmonary disease.
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Introduction: Obesity is a risk factor for postoperative pulmonary complications. Overweight can alter respiratory mechanics and decrease lung volumes and capacities. Bariatric surgery (BS) has been used as treatment for morbid obesity, but this surgery can lead to respiratory complications. Objective: To evaluate pulmonary function in morbid obese patients undergoing bariatric surgery. Methods: The patients were submitted to pulmonary function testing, including slow and forced vital capacity (SVC and FVC), forced expiratory volume in the first second (FEV1), Tiffenau index (FEV1/FVC), forced expiratory flow 25-75% (FEF25-75%) and maximal inspiratory and expiratory pressure (MIP and MEP). Descriptive analysis was performed. Results: We evaluated 18 patients, mean age of 37.33 ± 11.23 years, height 1.65 ± 0.09 m, weight 125.92 ± 25.24 kg and BMI 46.34 ± 9 20 kg/m2 , SVC 100.64 ± 22.91%, FVC 102.04 ± 21.82%, FEV1 104.85 ± 22.16%, FEV1 /FVC 83.54 ± 6.63% and FEF25-75% 84.47 ± 25.74%, 99.75 ± 24.55 for MIP and MEP 102.12 ± 25.06 cmH2O. Conclusion: The bariatric surgery candidates had normal values for manovacuometry and spirometry.
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Pós-graduação em Química - IQ
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De todas as operações, a agitação de fluidos, a troca de calor em tanques e a mistura de pós são, sem dúvida, as mais usuais, principalmente, na indústria de alimentos. Embora exigindo um estudo em separado, é comum estas operações unitárias estarem presentes, em instantes diferentes, no mesmo processo de fabricação. O propósito deste trabalho é enfatizar procedimentos de projeto para problemas práticos nas indústrias de processos envolvendo estas três operações. O modelo matemático proposto para a agitação de fluidos foi aplicado na substituição das tradicionais âncoras por impelidores de pás retas e inclinadas no processamento do suco concentrado de laranja. Observou-se que o tempo de permanência do suco no tanque de resfriamento caiu de quarenta para cinco minutos em decorrência da maior ação de mistura provocada pelas pás retas. O modelo proposto acompanha bem as exigências de potências requeridas pelo suco na medida em que é resfriado...(Resumo completo, clicar acesso eletrônico abaixo)
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A regulação da temperatura corpórea, diante de variações da temperatura ambiente e/ou da taxa de produção de calor metabólico, envolve mecanismos reguladores da taxa de troca de calor entre o animal e o ambiente. Um destes mecanismos consiste na modulação da temperatura superficial de áreas especificas do corpo do animal, via ajustes vasomotores, que podem atuar tanto no sentido de promover a dissipação de calor (em uma situação de aumento da temperatura) quanto na retenção deste (em uma situação de queda de temperatura). Neste contexto, alguns animais exibem partes do corpo, como orelhas, membros, cauda, etc. que funcionam de maneira otimizada para realizar esta troca de calor. Nestes casos, estas partes são referidas como “janelas térmicas” e possuem em comum três características básicas: 1 - alta área superficial; 2 - baixo isolamento térmico; 3 – boa vascularização e controle do fluxo sanguineo na dependência da temperatura. Recentemente, o uso do bico como uma janela térmica foi descrito para o tucano-toco, Ramphastos toco (Aves, Ramphastidae), revelando ser esta uma estrutura com a maior capacidade de troca térmica já identificada. Naquele estudo, porém, a temperatura superficial das aves (bico) foi monitorada enquanto elas eram submetidas a mudanças bastante lentas (ao longo de várias horas) da temperatura ambiente, de forma que a dinâmica temporal da resposta exibida pelas aves permanecia ainda bastante desconhecida. Além disso, sabe-se que os membros das aves também atuam como importantes vias para troca de calor com o ambiente, e no caso do tucano toco, a regulação da temperatura superficial desses apêndices frente a variações da temperatura não tinha sido estudada. Portanto, o objetivo do presente estudo foi investigar a velocidade com que os ajustes vasomotores subjacentes à modulação... (Resumo completo, clicar acesso eletrônico abaixo)
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The purpose of this work was to define the processes through which the cooling of thermoplastics parts occur inside the mold cavity in an injection process. The plastic materials have become more widespread in the automobile industry and, among its manufacturing processes, injection moulding develops quickly, allowing the manufacturing of quality parts in great volumes. Data was collected from the injection of Volkswagen Gol NF 23X (Gol Generation 5). Using approximated methods for calculation for the heat Exchange inside the mould, in the cooling system, the required water flow was determined to properly cool the parts. Comparing the obtained value with Project specifications, it was verified that the method, in spite of incurring in some mistakes, is efficient in determining the flow of cooling fluid and serves as a verification tool for the parameters defined on project, and can be applied to simple projects. The definition of the cooling system, in practice, is dependent on innumerable variables and each case must be approached in itself, since the parameters for one product may not be ideal for another
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The Exercise Induced Pulmonar Haemorrhage (EIPH) affect a large amount of atlethe horses. It affects the horse's performance in any kind of competition and it can represent incresead spending of money or even an economic loss. Thoroughbred horses are the most affectef breed by EIPH because of intensive activity. Meanwhile any other kind of horse breed that is involved in athletic competition can also be affected by EIPH as well. In this brief work we are presenting the most common causes and factors from the EIPH as well the prevention and some types of treatment available nowadays
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It is known that there is a wide variety of bioavailable trace metals in aquatic systems, and its determination is fundamental to predict impacts to organisms in these environments. However, the determination of the total concentration of chemicals in aquatic systems, despite its importance, does not provide necessary information for decision making or even may lead to misinterpretation of the procedures and potential risks to the system in question. This study aimed to use the technique of diffusion in thin films by concentration gradients (DGT) to evaluate the anion exchange membrane Whatman DE 81 as binder alternative in determining Cr (VI). Experiments were carried out to determine the diffusion coefficients for the material used diffusion (agarose gel). The behaviors of the binders were analyzed before the main variables of the systems, immersion time, pH and ionic strength. Then was made the assessment of potential interferences, to finally proceed with testing using actual samples in the laboratory and in situ
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB