Readjustment of abdominal computed tomography protocols in a university hospital: impact on radiation dose

AbstractObjective:To assess the reduction of estimated radiation dose in abdominal computed tomography following the implementation of new scan protocols on the basis of clinical suspicion and of adjusted images acquisition parameters.Materials and Methods:Retrospective and prospective review of reports on radiation dose from abdominal CT scans performed three months before (group A – 551 studies) and three months after (group B – 788 studies) implementation of new scan protocols proposed as a function of clinical indications. Also, the images acquisition parameters were adjusted to reduce the radiation dose at each scan phase. The groups were compared for mean number of acquisition phases, mean CTDIvol per phase, mean DLP per phase, and mean DLP per scan.Results:A significant reduction was observed for group B as regards all the analyzed aspects, as follows: 33.9%, 25.0%, 27.0% and 52.5%, respectively for number of acquisition phases, CTDIvol per phase, DLP per phase and DLP per scan (p < 0.001).Conclusion:The rational use of abdominal computed tomography scan phases based on the clinical suspicion in conjunction with the adjusted images acquisition parameters allows for a 50% reduction in the radiation dose from abdominal computed tomography scans.

Spontaneous rupture of ovarian cystadenocarcinoma: pre- and post-rupture computed tomography evaluation

AbstractEpithelial ovarian tumors are the most common malignant ovarian neoplasms and, in most cases, eventual rupture of such tumors is associated with a surgical procedure. The authors report the case of a 54-year-old woman who presented with spontaneous rupture of ovarian cystadenocarcinoma documented by computed tomography, both before and after the event. In such cases, a post-rupture staging tends to be less favorable, compromising the prognosis.

Computed tomography angiography in patients with active gastrointestinal bleeding

Abstract Gastrointestinal bleeding represents a common medical emergency, with considerable morbidity and mortality rates, and a prompt diagnosis is essential for a better prognosis. In such a context, endoscopy is the main diagnostic tool; however, in cases where the gastrointestinal hemorrhage is massive, the exact bleeding site might go undetected. In addition, a trained professional is not always present to perform the procedure. In an emergency setting, optical colonoscopy presents limitations connected with the absence of bowel preparation, so most of the small bowel cannot be assessed. Scintigraphy cannot accurately demonstrate the anatomic location of the bleeding and is not available at emergency settings. The use of capsule endoscopy is inappropriate in the acute setting, particularly in the emergency department at night, and is a highly expensive method. Digital angiography, despite its high sensitivity, is invasive, presents catheterization-related risks, in addition to its low availability at emergency settings. On the other hand, computed tomography angiography is fast, widely available and minimally invasive, emerging as a promising method in the diagnostic algorithm of these patients, being capable of determining the location and cause of bleeding with high accuracy. Based on a critical literature review and on their own experience, the authors propose a computed tomography angiography protocol to assess the patient with gastrointestinal bleeding.

Reação de geração de oxigênio em eletrodos de Mn2O3 suportados em aço inoxidável

A study of the kinetics of oxygen evolution in alkaline conditions from ceramic films of Mn2O3 supported on stainless steel was carried out. This study has been done through the determination of transfer coefficients, Tafel slopes and exchange currents using potentiodynamic and quasi-potentiostatic measurements. The activation energy was determined as a function of the overpotential and, additionally, the electrode active surface was estimated. The results are consistent with data already published for other electrodes, implying that the methods used in this work were reliable and precise.

Eletrocatálise das reações de oxidação de hidrogênio e de redução de oxigênio

This work discusses the electrocatalytic processes taking place in the polymer electrolyte fuel cell electrodes, specifically the hydrogen oxidation reaction (HOR) and the oxygen reduction reaction (ORR), because these are clear examples of electrochemical reactions favored by the use of electrocatalysts. Since the gaseous reactants are very little soluble in the electrolyte, the use of special electrodes, named gas diffusion electrodes, is required to promote easy and continuous access of reactant gases to the electrocatalytic sites. Besides this, other important aspects such as the use of spectroscopic techniques and of theoretical models to improve the knowledge of the electrocatalytic systems are shortly discussed.

Óleo da castanha de caju: oportunidades e desafios no contexto do desenvolvimento e sustentabilidade industrial

The new millennium is marked by a growing search for renewable fuels and alternative raw materials from biomass in the petrochemicals industry. However, there are many challenges to overcome regarding technological and human resources aspects. In this scenario, cashew nut oil, which is rich in natural phenols, is considered to be very promising for the development of synthetic and functional products and as a feedstock for production of fine chemicals and a wide variety of new materials.

Otto R. Gottlieb e as conexões com o Brasil de Ernest Wenkert

Prof. Ernest Wenkert's connections with Brazil on this side of the Atlantic Ocean involved two important links: Profs. Jayr de Paiva Campello and Otto R. Gottlieb. The former, along with Prof. Giuseppe Cilento, was one of those responsible for setting up the Institute of Chemistry of UNICAMP, while Otto Gottlieb was the great pioneer of Natural Products Chemistry in Brazil. The bridge between these two professors and Wenkert paved the way for several Brazilian chemists to visit the USA, and was also important for bringing some PhDs to Brazil.

Alguns momentos do debate sobre as teorias do 'não-si' e das 'duas verdades' na história da filosofia buddhista

O artigo reconstrói alguns momentos salientes do desenvolvimento das doutrinas do 'não-si' e das 'duas verdades' na história da filosofia buddhista, desde as formulações originárias do buddhismo de base, às conclusões alcançadas por Nāgārjuna, o fundador da escola mahāyāna do Madhyamaka. Ao longo dessa sintética reconstrução, algumas passagens das Mūlamadhyamikakārikās de Nāgārjuna, cruciais para entender a sua (controversa) concepção epistemológica, mostrar-se-ão semelhantes, no tocante à estruturação e ao desenvolvimento do discurso, à primeira parte das Milinda Pañha, um diálogo para-canônico que escolhe uma abordagem apofática para tratar o tema da 'verdade última'. Tal paralelismo formal entre as passagens dos dois textos sugere a possibilidade de uma correspondência 'substancial' entre a concepção nagarjuniana e aquela das Milinda Pañha no que se refere ao 'ultimamente verdadeiro'.

AS DUAS VERDADES DE NĀGĀRJUNA NOS COMENTÁRIOS DE BHĀVIVEKA E CANDRAKĪRTI

RESUMO Entre os vários pontos da obra de Nāgārjuna que deram origem a análises e discussões, o tema das 'duas verdades' é um dos mais controversos. Com efeito, dentro da ampla bibliografia dedicada a essa temática, são muitas, e amiúde divergentes, as tentativas de explicar o que Nāgārjuna entendesse - no verso 24.8 das suas Mūla-madhyamaka-kārikā (MMK) - com as expressões 'verdade convencional' e 'verdade suprema'. Esses pontos de vista interpretativos, entretanto, frequentemente, parecem prescindir daquele que talvez seja o critério mais confiável para dirimir as controvérsias relativas às MMK: i. e., a leitura dos comentários indianos às mesmas MMK. Em contraste com essa tendência, este escrito objetiva investigar as passagens do Prajñāpradīpa e das Prasannapadā onde encontramos explicações, respectivamente de Bhāviveka e de Candrakīrti, que dizem respeito às duas verdades. O resultado dessa pesquisa se apresentará como nitidamente favorável à interpretação da doutrina das duas verdades que, em outros escritos, chamei de 'pedagógica'.

Survival of Lactobacillus rhamnosus probiotic strains in peach jam during storage at different temperatures

The survival of six probiotic wild strains of Lactobacillus rhamnosus was compared with that of a type strain during 78 days of storage at 25 and 5 ºC in peach synthetic medium (PSM) and commercial peach jam (PJ). Changes in viable cell counts, pH values, sugar content, and colour parameters were monitored. All strains exhibited better performances in PJ than in PSM, showing count values higher than 7 Log cfu g-1 up to 78 days of storage at 5 ºC. Almost all wild strains remained above the critical value of 6 Log cfu g-1 in samples stored at 25 ºC up to 45 days, while the Lb. rhamnosus GG type strain, used as control, was not able to survive later than 15 days. In the synthetic medium used, the strains showed better survival in the samples incubated at 25 ºC, remaining viable above the critical level up to 45 days of storage, except for the strain H12. The probiotic cultures added to jam did not significantly change the colour parameters of the product; however the metabolism of lactobacilli did cause changes in the pH and in the composition of sugars.

Aloe vera extract as a promising treatment for the quality maintenance of minimally-processed table grapes

The effect of an edible film obtained from a commercial Aloe vera extract, on the quality maintenance of minimally processed grapes belonging to three different cultivars (Sugar One, Victoria and Black Magic) was evaluated by enzymatic (PPO, PME, β-GAL), physicochemical (pH, acidity, °Brix), and sensorial methods. All the analyzed parameters were measured in extracts obtained from minimally processed grapes packaged in ordinary atmosphere and stored at 4 °C for 15 days. Samples dipped into Aloe vera showed significant differences (p≤0.05) compared to untreated ones. The determination of such parameters and the evaluation of consumer acceptability were helpful to determine the effectiveness of the post-harvest treatment with Aloe vera for a storage period of 15 days.

Differenza epistemologica e identità ontologica tra Saṃsāra e Nirvāṇa nel pensiero buddhista

La differenza tra i concetti di saṃsāra e nirvāṇastabilita dal Buddha (VI-V sec. a.C.) nel suo primo sermone sembra essere messa in discussione dall'equiparazione dei due termini effettuata da Nāgārjuna (II sec. d.C.) in un passaggio-chiave delle sue MK. Questo articolo, in primo luogo, difende la tesi che la contraddizione sia soltanto apparente e che la relazione, di differenza o di identità, tra le due dimensioni dipende dal registro filosofico, rispettivamente epistemologico e ontologico, usato - in entrambi i casi per finalità soteriologiche - dal Buddha e da Nāgārjuna. In secondo luogo, cercheremo di provare che, in ogni caso, l'ontologia di Nāgārjuna, lungi dall'essere una novità filosofica o un'evoluzione rispetto al pensiero del fondatore del buddhismo è, al contrario, una delle possibili applicazioni della dottrina del non-sé (anātma-vāda) - probabilmente il contributo più importante e originale del pensiero buddhista alla storia della filosofia universale - esposta dal Buddha nel suo secondo sermone.

Contro le borie "ritornanti": per un sano uso della critica

L'Autore ritiene che la critica vichiana delle borie non si riferisca solo a nazioni, culture e teorie filosofico-teologiche concentrate a discutere sull'origine oscura e favolosa dei tempi e sulla relazione tra storia sacra e storie profane. Ma è anche un dispositivo etico-filosofico che invita l'umanità, ormai al culmine del processo di incivilimento, a guardarsi da ogni forma di boria delle nazioni (in termini contemporanei: superbia etnocentrica), così come da ogni manifestazione boriosa da parte dei dotti (ovvero da ogni forma di filosofia e di teoria astrattamente antropocentrica).

Kant and zeno of elea: historical precedents of the "sceptical method"

For Kant's interpretation of Zeno in KrV A502-507/B530-535, scholars have usually referred to Plato's Phaedrus (261d); in reality the sources Kant uses are, on one hand, Brucker (who depends in turn on the pseudo-Aristotelian De Melisso, Xenophane, et Gorgia, 977 b 2-21), and, on the other, Plato's Parmenides (135e6-136b1) and Proclus' commentary on it, as quoted by Gassendi in a popular textbook he wrote on the history of logic.