281 resultados para baixo débito cardíaco


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Endometriose é definida como a presença de tecido endometrial funcionante fora da cavidade endometrial e do miométrio. É uma doença comum, de causas multifatoriais, porém o envolvimento do trato urinário baixo é raro. A ressonância magnética tem elevada sensibilidade, especificidade e acurácia no diagnóstico da endometriose do trato geniturinário baixo, principalmente por permitir a identificação das lesões de permeio a aderências e a avaliação da extensão das lesões subperitoneais. Neste estudo são ilustrados, sob a forma de ensaio iconográfico, os principais achados à ressonância magnética do envolvimento por endometriose do trato urinário baixo.

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Os tumores cardíacos constituem condição rara, com incidência entre 0,17 e 28/10.000 na população geral. Os rabdomiomas são os tumores mais frequentes no período pré-natal. Este trabalho tem como objetivo relatar o caso de um feto com 31 semanas de gestação que apresentava tumoração intracardíaca de grandes dimensões, com graves repercussões clínicas.

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OBJETIVO: Analisar o valor do diagnóstico precoce de alterações hemodinâmicas em hemorragias e eventos hipóxico-isquêmicos pela avaliação de imagens e mensuração do índice de resistência por meio da ultrassonografia craniana com Doppler em neonatos prematuros de muito baixo peso. MATERIAIS E MÉTODOS: Cinquenta neonatos prematuros de muito baixo peso foram submetidos a ultrassonografia craniana com Doppler com a técnica transfontanela anterior e transtemporal sequenciais. RESULTADOS: Foram detectadas alterações cerebrais em 32% dos prematuros, sendo 22% com hemorragia intracraniana, 8% com leucomalácia periventricular e 2% com toxoplasmose. Dentre os 34 casos (68%), do total de neonatos, nos quais não foram detectadas lesões cerebrais pela ultrassonografia craniana, 18 (53%) apresentaram alterações no índice de resistência. O índice de resistência variou conforme a época do exame. CONCLUSÃO: Existe correlação entre a presença de alterações na hemodinâmica cerebral e subsequente desenvolvimento de hemorragias e lesões hipóxico-isquêmicas, pela mensuração do índice de resistência. Alterações do índice de resistência, embora não preditoras de morte, estão relacionadas com a gravidade do quadro clínico em neonatos prematuros de muito baixo peso.

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OBJETIVO: Avaliar a relação entre o uso de vestimenta de proteção radiológica e a diminuição da dose absorvida de radiação ionizante, reforçando a eficácia do seu uso tanto para pacientes quanto para indivíduos ocupacionalmente expostos. MATERIAIS E MÉTODOS: O estudo foi desenvolvido utilizando-se o método de revisão integrativa de literatura, e teve como materiais: 21 artigos, 2 livros, 1 tese, 1 trabalho de conclusão de curso, 1 programa de computador, 4 pesquisas em base de dados (Instituto Brasileiro de Geografia e Estatística e Departamento de Informática do Sistema Único de Saúde) e 2 diretrizes de proteção radiológica. RESULTADOS: A utilização da vestimenta de proteção radiológica, teoricamente, reduz 86% a 99% a dose absorvida. Na prática, a redução nos pacientes pode ser de 88% na radiologia convencional e chegar a 95% no exame tomográfico. Nos indivíduos ocupacionalmente expostos, a redução durante um cateterismo cardíaco é em torno de 90% e durante uma cirurgia ortopédica é de 75%. CONCLUSÃO: Conforme demonstrado em várias pesquisas, o uso de vestimenta de proteção radiológica é eficaz e de baixo custo e reduz a dose desnecessária nos pacientes e nos indivíduos ocupacionalmente expostos. Logo, sua utilização é necessária para a implementação de um efetivo programa de proteção radiológica em um serviço de radiodiagnóstico.

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Among in situ techniques, the electrochemical quartz crystal microbalance (EQCM) is a powerful tool for the study of electrochemical reactions that produce mass changes in the electrode/solution interface. This review present some systems in which the EQCM combined with classical electrochemical techniques, gives relevant information for understanding the charge transport process at a molecular level. The aim of this review is to do a brief description of experimental arrangements, with emphasis on some special cares that must be considered by the users. Secondly, some chosen electrochemical systems where the technique was successfully applied are discussed. Finally, a brief analysis of electroacoustic impedance experiments was done in order to show when the Sauerbrey equation can be used.

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This work describes the construction of a home-made low-cost reactor, using easily available materials, capable of destroying efficiently dissolved organic matter. Just 30 minutes of irradiation were sufficient to destroy more than 99% of the humic acids present in a solution of 4 mg C L-1. Copper speciation was evaluated in natural waters of different salinities to test the reactor's efficiency in destroying organically complexed metal species. The effect of the organic matter concentration, salinity, dissolved oxygen and temperature in the photo-oxidation process is discussed.

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Probably one of the most difficult and challenging aspects of measuring trace metals in natural waters is to avoid contamination during sampling, manipulation and analysis. This work discusses how to avoid contamination using simple procedures, and considers alternative methods to purify deionised water and low grade reagents to enable accurate determination of trace metals in natural waters in a common laboratory. Measurements were performed by cathodic stripping voltammetry and copper was used as a model metal to test the procedures. It was possible to evaluate copper speciation in natural waters even when total dissolved copper concentration was as low as 1.5 nmol L-1. The methods' accuracy was confirmed by analysis of certified seawater.

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A simple and low cost device (ca. US$ 150) that comprises two photodiodes fixed in lab-made Perspex flow cell is proposed for chemiluminescence measurements. The characteristics of the device (large observation window and reduced thickness) allow maximizing the amount of the emitted radiation detected. A sensitivity improvement of ca. 50 % was observed by employing two photodiodes for signal measurements. The performance of the device was assessed by the oxidation of luminol by hydrogen peroxide, yielding a linear response within the range of 2.50 to 500 µmol L-1 H2O2. The detection limit was estimated as 0.8 µmol L-1 hydrogen peroxide which is comparable with those obtained by using equipments based on photomultipliers.

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Thermal baths to decrease ambient temperature are an indispensable tool for most research and teaching laboratories, especially those in tropical or equatorial regions. A simple and inexpensive thermal bath has been developed based on a scratched compressor. It has three possible setups for cooling: sample immersed into the bath, sample flowing through the bath, and cooling liquid flowing in a jacket around the sample. It has been tested for 40 months. The temperature ranges from room temperature to 0 °C, when using water. The repeatability is better than 3% and the precision varies from 0.5% to 2%.

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Silica gel is widely used as adsorbent for isolating and purifying natural compounds. Intensive use and high cost make this process expensive and generate solid residues contaminated with many different organic compounds. In the present work a simple method for recycling silica was investigated, by using Advanced Oxidative Processes. Silica gel was treated with H2O2/solar light and compared with a sample treated by conventional methods (high temperature and oxidation with KMnO4). High temperature treatment changes the structure of the silica and, consequently, the separation efficiency. Oxidation by using KMnO4 requires multiple steps and produces residues, including manganese and oxalic acid. The method using H2O2/solar light to recuperate silica gel does not modify its separation efficiency and is less expensive than the traditional methods. Additionally, HPLC and GC-MS analysis indicate that H2O2/solar light eliminates all residues of the silica gel.

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A digital multimeter (~U$ 240.00 on the national market) connected to a microcomputer by a RS-232 serial interface is proposed for data acquisition in equipment with analog output. Data are measured at the rate of 2 points per second and stored in text files by the software that accompanies the device, running in a Windows environment. The performance of the multimeter was verified by monitoring the transient signals generated in flow injection systems associated with fluorimetric, spectrophotometric and flame photometric detection. In addition, the performance of the proposed device was similar to that attained by employing an interface card with a 12-bit analog-to-digital converter for acquisition of the signals generated by a capillary electrophoresis equipment with oscillometric detection.

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Thin layer chromatography is a quick, inexpensive and effective way of screening mixtures of non-volatile organic compounds and it is highly recommended for analytical studies. Inspection of plates under ultraviolet light for the detection of colourless compounds should be performed before any further chemical methods are applied. Construction of a low-cost UV-viewing cabinet with lamp employing parts easily found on the local market is described.

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A microcontrolled, portable and inexpensive photometer is described. It uses six light-emitting diodes (LEDs) as radiation sources and a phototransistor as detector, as well as a microcontroller (PIC - Programmable Controller of Interruption). This device provided total autonomy to the proposed photometer, which was successfully applied to determination of Fe2+ in ferrous syrups and of seven clinical biochemical parameters. As the components are cheap (~U$30.00) and easy to find, the proposed photometer is an economical alternative for routine chemical analyses in small laboratories, for research and teaching. Being portable and microcontrolled, it allows doing field chemical analyses.

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An overview of the current literature on the chemical processes involved in the ion formation from low molecular weight organic compounds by electrospray ionization mass spectrometry is given.