Determinant factors for mortality of patients receiving mechanical ventilation and effects of a protocol muscle training in weaning

Introduction: Prognostic factors are used in the Intensive Care Unit (ICU) to predict morbidity and mortality , especially in patients on mechanical ventilation (MV ) . Training protocols are used in MV patients with the aim of promoting the success of the weaning process. Objective: To assess which variables determine the outcome of patients undergoing mechanical ventilation and compare the effects of two protocols for weaning. Method: Patients under MV for more than 48 hours had collected the following information: sex, age , ideal weight, height , Acute Physiology and Chronic Health Evaluation (APACHE II), risk of mortality, Glasgow Coma Scale (GCS) and index Quick and perfunctory (IRRS) breathing. Patients with unsuccessful weaning performed one of weaning protocols: Progressive T - tube or tube - T + Threshold ® IMT. Patients were compared for outcome (death or non- death in the ICU ) and the protocols through the t test or Mann-Whitney test was considered significant when P <0.05. Results: Of 128 patients evaluated 56.25% were men, the mean age was 60.05 ± 17.85 years and 40.62 % patients died, and they had higher APACHE II scores, mortality risk, time VM and IRRS GCS and the lower value (p<0.05). The age, initial and final maximal inspiratory pressure, time of weaning and duration of MV was similar between protocols. Conclusion: The study suggests that the GCS, APACHE II risk of mortality, length of MV and IRRS variables determined the evolution of MV patients in this sample. Not found differences in the variables studied when comparing the two methods of weaning.

Annual, seasonal and spatial variation of abundance of the shrimp Artemesia longinaris (Decapoda : Penaeoidea) in south-eastern Brazil

The influence of several environmental factors oil the abundance and spatial-temporal distribution of the shrimp Artemesia longinaris were investigated from January 1998 to December 1999 in the Ubatuba region of São Paulo State, Brazil. Collections were performed monthly in the bays of Ubatumirim (UBM), Ubatuba (UBA) and Mar Virado (MV). Six sampling transects were estabilshed in each bay, four were parallel to the shore line, and two were next to the rocky shores. A commercial shrimp fishing boat equipped with two 'double-rig' nets was used. A total of 11,503 individuals was collected, including 1633 from UBM, 6344 from UBA and 3526 from MV the majority of the captured specimens came from the deeper areas (15 to 20 m) with high salinity (34 to 36 ppt). The highest abundance of A. longinaris in Ubatuba bay was recorded in areas where fine and very fine sand comprised more than 70% of the sediment. Moreover, the abundance of A. longinaris followed a seasonal trend, being higher during the summer, when intrusions of cold South Atlantic Coastal Waters (SACW) are frequent. Thus, type of sediment, temperature and salinity are determinant factors in the distribution of A. longinaris in the studied region.

Queen Replacement in Mischocyttarus (Monocyttarus) cassununga (Hymenoptera, Vespidae, Mischocyttarini): a Particular Case

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

NMR study of styrene-butadiene rubber (SBR) and TiO2 nanocomposites

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

Influência das variáveis antropométricas nas respostas cardiorrespiratórias de crianças durante o esforço

O objetivo deste estudo foi verificar a influência das diferentes dimensões corporais de meninos de 11 a 13 anos de idade, nas respostas cardiorrespiratórias, ao longo dos estágios de um teste incremental de esforço máximo em cicloergômetro. Vinte meninos realizaram um teste incremental máximo em cicloergômetro com carga inicial de 30 W e incrementos subsequentes de 30 W a cada três minutos. As variáveis respiratórias foram medidas respiração-a-respiracão através de um analisador metabólico de gases. A frequência cardíaca foi constantemente monitorada durante o teste. Os grupos foram divididos a posteriori em função da carga máxima atingida no teste incremental (90 ou 120 W) e em função da massa corporal (maior ou menor que 45 kg). As seguintes variáveis foram mensuradas continuamente: frequência respiratória, volume corrente, ventilação, consumo de oxigênio absoluto e relativo, produção absoluta de gás carbônico, frequência cardíaca e equivalente ventilatório de oxigênio. Foi concluído que as variáveis antropométricas, especialmente estatura e massa corporal, mostram-se estreitamente relacionadas às respostas cardiorrespiratórias, apresentando-se como fatores determinantes e limitantes do desempenho, devendo ambas ser consideradas para a prescrição e prática de exercícios físicos desta população pediátrica.

Ecological distribution of the shrimp Pleoticus muelleri (Bate, 1888) (Decapoda : Penaeoidea) in southeastern Brazil

The abundance and ecological distribution of the shrimp Pleoticus muelleri as a function of certain environmental factors were investigated from January 1998 through December 1999 in the region of Ubatuba, São Paulo, Brazil. The collections were made monthly in the bays of Ubatumirim (UBM), Ubatuba (UBA) and Mar Virado (MV). Each bay was divided into six sampling transects, four transects parallel to the shoreline and two near the rocky shores on the opposite side. We employed a commercial shrimp boat equipped with two double-rig nets. A total of 6252 shrimp were collected, including 3321 from MV, 1467 from UBM, and 1464 from UBA. Most of the shrimp were caught in the deeper, higher-salinity areas. The high abundance of P. muelleri observed in the southern part of the region studied was related to a sediments with a higher percentage of silt and clay. The numbers of P. muelleri were positively correlated with periods of cooler temperatures. Thus, temperature and the type of sediment were determinant factors in the distribution of P. muelleri in this region.

The pernicious cycle of vlus in brazil: Epidemiology, pathogeny and auxiliary healing methods

Venous leg ulcers (VLUs) represent the most advanced stage of chronic venous insufficiency. Despite the large body of knowledge available regarding the risk factors and aetiopathogeny of the condition, patients referred to public health care systems in developing countries often do not receive adequate diagnosis or early treatment, leading to clinical evolution and disease recurrence. This review collates updated information about the epidemiology, risk factors, aetiopathogeny, diagnosis, ulcer healing methods and determinant factors of the pernicious cycle of VLUs in developing countries, with a focus on the Brazilian setting.

A constituição e a atuação de grupos, tribos, gangues e galeras no entorno de uma escola pública de ensino médio: uma coexistência possível?

Pós-graduação em Educação Escolar - FCLAR

O mapa conceitual na avaliação do processo ensino-aprendizagem na Odontologia

Pós-graduação em Odontologia Preventiva e Social - FOA

O índice de desenvolvimento da educação básica (IDEB) e as dimensões associadas à qualidade da educação na escola pública municipal

Pós-graduação em Educação - FFC

Resposta fenotípica integrada do morcego frugívoro Artibeus lituratus (Chiroptera, phyllostomidae) frente à redução da qualidade da dieta

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

História e filosofia da ciência na pesquisa em ensino de ciências no Brasil: manutenção de um mito?

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Incidentes relacionados a medicamentos em uma instituição hospitalar: subsídios para a gestão

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Phox2b-expressing retrotrapezoid neurons and the integration of central and peripheral chemosensory control of breathing in conscious rats

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