Comparison between actual and predicted postoperative stair-climbing test, walk test and spirometric values in patients undergoing lung resection

OBJETIVO: Verificar se os testes: Volume Expiratório Forçado no 1º segundo (VEF1), Teste de Caminhada de 6 minutos (TC6) e Teste de Escada (TE) se alteram proporcionalmente ao pulmão funcionante ressecado. MÉTODOS: Foram incluídos pacientes candidatos a toracotomia para ressecção pulmonar. No pré-operatório (pré) e no mínimo três meses após a cirurgia (pós), realizaram espirometria, TC6 e TE. O TE foi realizado em escada com 12,16m de altura. O tempo para subir todos os degraus o mais rápido possível foi chamado tempo de escada (tTE). Os cálculos dos valores dos testes preditos para o pós-operatório (ppo) foram realizados conforme o número de segmentos funcionantes perdidos. Os valores pré, ppo e pós foram comparados entre si para cada teste. Estatística: foi utilizada a análise de variância para medidas repetidas (ANOVA), com significância de 5%. RESULTADOS: Foram estudados 40 pacientes. A ressecção pulmonar variou desde o ganho de dois segmentos funcionantes até a perda de 9. Os valores pré, ppo e pós foram respectivamente: VEF1 -pré = 2,6±0,8L, ppo = 2,3±0,8L, pós = 2,3±0,8L (VEF1pré > VEF1ppo = VEF1pós), TC6-pré = 604±63m, ppo = 529±103m, pós = 599±74m (TC6pré = TC6pós > TC6ppo), tTE-pré = 32,9±7,6s, ppo = 37,8±12,1s, pós = 33,7±8,5s (tTEpré = tTEpós < tTEppo). CONCLUSÃO: Nas ressecções pulmonares, este grupo de pacientes perdeu função pulmonar medida através da espirometria, mas não perdeu a capacidade de exercício, medida através dos testes de escada e caminhada.

Distribution transformers modeling with angular displacement: actual values and per unit analysis

In this work a detailed modeling of three-phase distribution transformers aimed at complementing well-known approaches is presented. Thus, incidence of angular displacement and tapping is taken into account in the proposed models, considering both actual values and per unit. The analysis is based on minimal data requirement: solely short-circuit admittance is needed since three-phase transformers are treated as non-magnetically-coupled single-phase transformers. In order to support the proposed methodology, results obtained through laboratory tests are presented.

Actual Brazilian habitations in wood: A technology in development or a question of fashion?

Over the past few years there have significantly been increased the articles that approach the constructions in wood or with structure in wood in the specialized Brazilian magazines. This increase brings up indications that the incorporated values to these habitations are modifying, however it is not so simple to conclude that these issues can be associated to the development of incorporated technologies to the constructive system. The work presents, firstly, a survey performed in these publications that had the objective to verify which the constructive systems in wood is being more executed, under which cultural and technician standards. From that survey it was performed a study of the habitations constructed in mixing system whose structures are timbers and walls in masonry. The aesthetic and cultural questions involved are argued considering mainly that these habitations belong to a social class whose purchasing power increased.

La gripe en adultos en américa latina, situación actual y tendencias futuras: Una declaración de consenso

In Latin America, adult influenza is a serious disease that exacts a heavy burden in terms of morbidity, mortality, and cost. Although much has been written about the disease itself, relatively little information has been compiled on what could be done to reduce its impact across the region, particularly from the perspective of clinicians with firsthand experience in confronting its effects. To fill this data gap, in 2011, the Pan American Health and Education Foundation (PAHEF) and the U.S.-based nonprofit Fighting Infectious Diseases in Emerging Countries (FIDEC) organized a conference and convened a panel of Latin American scientistclinicians with experience and expertise in adult influenza in the region to 1) discuss the major issues related to the disease and 2) develop and produce a consensus statement summarizing its impact as well as current efforts to diagnose, prevent, and treat it. The consensus panel concluded a more concerted and better-coordinated effort was needed to reduce the adverse impact of seasonal influenza and future pandemics, including more surveillance, more active involvement by both governmental and nongovernmental organizations, and a much greater effort to vaccinate more adults, especially those at high risk of contracting the disease. In addition, a new approach for diagnosing influenza was recommended.

Determining large scale actual evapotranspiration using agro-meteorological and remote sensing data in the northwest of Sao Paulo State, Brazil

The best irrigation management depends on accurate estimation of reference evapotranspiration (ET0) and then selection of the appropriate crop coefficient for each phenological stage. However, the evaluation of water productivity on a large scale can be done by using actual evapotranspiration (ETa), determined by coupling agrometeorological and remote sensing data. This paper describes methodologies used for estimating ETa for 20 centerpivots using three different approaches: the traditional FAO crop coefficient (K-c) method and two remote sensing algorithms, one called SEBAL and other named TEIXEIRA. The methods were applied to one Landsat 5 Thematic Mapper image acquired in July 2010 over the Northwest portion of the Sao Paulo State, Brazil. The corn, bean and sugar cane crops are grown under center pivot sprinkler irrigation. ET0 was calculated by the Penman-Monteith method with data from one automated weather station close to the study site. The results showed that for the crops at effective full cover, SEBAL and TEIXEIRA's methods agreed well comparing with the traditional method. However, both remote sensing methods overestimated ETa according to the degree of exposed soil, with the TEIXEIRA method presenting closer ETa values with those resulted from the traditional FAO K-c method. This study showed that remote sensing algorithms can be useful tools for monitoring and establishing realistic K-c values to further determine ETa on a large scale. However, several images during the growing seasons must be used to establish the necessary adjustments to the traditional FAO crop coefficient method.

Estado actual del blanqueamiento: sigue siendo un tratamiento seguro? review

The demand for cosmetic dentistry, including teeth whitening, has increased in recent years. The home teeth whitening and in-office, are widely used in dental practice. The mechanism by which it works is by oxidation of the chromogenic existing tooth structure. This is an effective and minimally invasive procedure that achieves tooth lighten the color, however, may cause alterations in the enamel surface, such as a dental permeability increase. Another effect caused by this procedure is tooth sensitivity, being the most common side effect, up to 65% of individuals have had a secondary effect at least once during treatment. This sensitivity and gingival irritation caused by bleaching may vary depending on the patient and used bleaching product