(Table 1, page 1376) Chemical analyses of manganese nodules and crusts from the Pacific Ocean

A compilation of chemical analyses of Pacific Ocean nodules using an x-ray fluorescence technique. The equipment used was a General Electric XRD-5 with a tungsten tube. Lithium fluoride was used as the diffraction element in assaying for all elements above calcium in the atomic table and EDDT was used in conjunction with a helium path for all elements with an atomic number less than calcium. Flow counters were used in conjunction with a pulse height analyzer to eliminate x-ray lines of different but integral orders in gathering count data. The stability of the equipment was found to be excellent by the author. The equipment was calibrated by the use of standard ores made from pure oxide forms of the elements in the nodules and carefully mixed in proportion to the amounts of these elements generally found in the manganese nodules. Chemically analyzed standards of the nodules themselves were also used. As a final check, a known amount of the element in question was added to selected samples of the nodules and careful counts were taken on these samples before and after the addition of the extra amount of the element. The method involved the determination and subsequent use of absorption and activation factors for the lines of the various elements. All the absorption and activation factors were carefully determined using the standard ores. The chemically analyzed samples of the nodules by these methods yielded an accuracy to at least three significant figures.

Mikrofaunistisch-lithologische Untersuchungen der Hilssandstein-Region (Apt/Alb) im Raum Salzgitter-Goslar

So gut sich im nördlichen Harzvorland die Sandstein- Fazies des Hilssandsteins als morphologisch herausragende Schichtrippe kartieren ließ, so problematisch ist bis heute ihre genaue stratigraphische Position geblieben. Die von STROMBECK (1856, Tab.S.493) aufgestellten Schichtgruppen Hilssandstein und Minimuston verwendete noch STOLLEY (1937, S.1,54) in stratigraphischem Sinn, obgleich es sich um Fazieseinheiten handelt, deren Grenzen durchaus schräg zu den biostratigraphischen Zonen verlaufen können. Beispiele für die Richtigkeit dieses Prinzips lieferten die Beobachtungen am Flammenmergel des Hils und der Sackmulde (JORDAN & SCHMIDT 1968): Die Bildungszeit der Flammenmergel-Fazies beginnt nach neuer Zonengliederung (COLLIGNON 1965) nicht zugleich mit dem Ober-Alb, sindern erst im unteren Ober-Alb und reicht bis zum Cenoman, kann aber auch schon im Ober-Alb beendet sein. Ein ähnliches Verhalten wurde daher auch von der Quarzsandstein-Fazies des Hilssandsteins im Raum Salzgitter-Goslar vermutet. Seltene Vorkommen von Acanthohoplites milletianus D'ORB. in den Steinbrüchen von Ostlutter und in der Sandgrube bei Goslar waren für BODE & SCHROEDER (1912 - 1926) bei ihrer geologischen Kartenaufnahme der Beweis für Unter-Gault (= Unter-Alb) -Alter des Sandsteins. Bei der Auswertung der Bohrungen im Gebiet von Hornburg grenzte SEITZ (1943, S.355,398) die Quarzsandstein Fazies mit dem Gaultkonglomerat nach unten gegen tonige Apt-Serien ab und stellte die obere Faziesgrenze des Hilssandsteins gegen Minimuston nach einem Leymeriellen Fund etwa in die Mitte des oberen Unter-Albs. Weiter östlich durchgeführte mikropaläontologische Beobach- tungsn in der Unterkreide am Kleinen Fallstein (BACH 1965) bestätigten, daß hier die Quarzsandschüttung bereits im Unter-Alb beendet war. Im Westen des Untersuchungsgebietes soll die Quarzsandschüttung im Hils nach BRINKMANN (1937, S.15) im Ober-Apt, örtlich sogar im Ober-Hauterive (FRATSCHNER 1950, S.31) begonnen und nach einem Hoplites-Fund (BRINKMANN 1937, S.15) bis ins oberste Mittel-Alb angedauert haben. Den Hilssandstein der Sackmulde stell- tein JORDAN & SCHMIDT (1968, S.428) ins Unter-Alb, vermuteten aber dessen Sedimentationsbeginn im Ober-Apt. Im Untersuchungsgebiet dieser Arbeit wurde das Unter- Alb-Alter des Hilssandsteins von DEWIEL (1951, S.39) unter anderem in der Finkeikuhle (bei Salzgitter-Bad) angezweifeit: Seines Erachtens ist dort die gesamte, ungefähr 50 m mächtige, tonig-sandige Folge mit Sandsteinbänken in ihrem oberen Teil dem Ober-Apt zuzuordnen. Er unterstrich damit WEIGELTs (1923, S.44/45) Auffassung von einer zumindest partiellen Zugehörigkeit des Sandsteins zum hohen Neokom. Abgesehen von der guten Übereinstimmung in der Datierung der Hilssandstein-Region des Kleinen Fallsteins nach Makro- wie Mikrofauna, gaben die zum Teil widersprüchlichen Altersangaben für dieselbe Schichtregion in den anderen Gebieten Südniedersachsens Anlaß zur Skepsis. Das hiesige Institut machte es sich daher zur Aufgabe, die stratigraphische Stellung des Hilssandsteins zunächst im Hils (SEILER 1973) und im Raum Salzgitter-Goslar erneut zu untersuchen. Die hier bearbeiteten Aufschlüsse (Abb.l) (Bl. Ringelheim, Salzgitter, Lutter a.B., Goslar) liegen im wesentlichen im Ausstrich der Unterkreide an den Flanken der Innerste-Mulde (gelegentlich auch Ringelheimer Mulde genannt). Bekanntlich entstand diese asymmetrische, mit Kreide-Sedimenten gefüllte Mulde durch halokinetisch modifizierte junge (?subherzynische) tektonische Bewegungen (s. KÖLBEL 1944). An ihrer Westflanke und in der Harzrandzone westlich Goslar bildet der Hilssandstein eine Schichtrippe und überlagert transgressiv Trias- und Jura-Schichten. - An seiner Basis treten örtlich (z.B. SO Ortshausen, SW Neuwallmoden) geringmächtige Brauneisenstein-Phosphorit- Lagen auf, deren Zugehörigkeit zum Neokom- oder Gaultkonglomerat bisher nicht sicher war. An der östlichen Muldenflanke ist der Hilssandstein in Tagesaufschlüssen aus zwei Gebieten bekannt: a) im Kreuzungsbereich der rheinisch streichenden Ringel- heimer Störungszone (KÖLBEL 1944, S.82) mit dem eggisch bis steil-herzynisch streichenden Salzgitterer Sattel in der Umgebung von Gitter und Grube "Finkeikuhle", b) am Südende des Salzgitterer Sattels. - Hier, wie auch am Südteil der östlichen Sattelflanke bei Groß-Döhren und Weddingen (Aufschluß 5: "Morgenstern"), liegt der Hilssandstein samt Gaultkonglomerat transgressiv auf den erzführenden Serien der tieferen Unterkreide.

High Prevalence of bla(CTX-M) Extended Spectrum Beta-Lactamase Genes in Klebsiella pneumoniae Isolates from a Tertiary Care Hospital: First report of bla(SHV-12), bla(SHV-31), bla(SHV-38), and bla(CTX-M-15) in Brazil

The aim of this study was to investigate the presence and prevalence of bla(TEM), bla(SHV), and bla(CTX-M) and bla(GES)-like genes, responsible for extended spectrum beta-lactamases (ESBLs) production in clinical isolates of Klebsiella pneumoniae collected from a Brazilian tertiary care hospital. Sixty-five ESBL producing K. pneumoniae isolates, collected between 2005 and 2007, were screened by polymerase chain reaction (PCR). Identification of bla genes was achieved by sequencing. Genotyping of ESBL producing K. pneumoniae was performed by the enterobacterial repetitive intergenic consensus-PCR with cluster analysis by the Dice coefficient. The presence of genes encoding ESBLs was confirmed in 59/65 (90.8%) isolates, comprising 20 bla(CTX-M-2), 14 bla(CTX-M-59), 12 bla(CTX-M-15), 9 bla(SHV-12), 1 bla(SHV-2), 1 bla(SHV-2a), 1 bla(SHV-5), and 1 bla(SHV-31) genes. The ESBL genes bla(SHV-12), bla(SHV-31), and bla(CTX-M-15), and the chromosome-encoded SHV-type beta-lactamase capable of hydrolyzing imipenem were detected in Brazil for the first time. The analysis of the enterobacterial repetitive intergenic consensus-PCR band patterns revealed a high rate of multiclonal bla(CTX-M) carrying K. pneumoniae isolates (70.8%), suggesting that dissemination of encoding plasmids is likely to be the major cause of the high prevalence of these genes among the K. pneumoniae isolates considered in this study.

Arterial pulse pressure variation predicting fluid responsiveness in critically ill patients (Retracted article. See vol. 31, pg. 542, 2009)

In critically ill patients, it is important to predict which patients will have their systemic blood flow increased in response to volume expansion to avoid undesired hypovolemia and fluid overloading. Static parameters such as the central venous pressure, the pulmonary arterial occlusion pressure, and the left ventricular end-diastolic dimension cannot accurately discriminate between responders and nonresponders to a fluid challenge. In this regard, respiratory-induced changes in arterial pulse pressure have been demonstrated to accurately predict preload responsiveness in mechanically ventilated patients. Some experimental and clinical studies confirm the usefulness of arterial pulse pressure as a useful tool to guide fluid therapy in critically ill patients.

Texto para discuss??o 31: custos no servi??o p??blico

O texto analisa o gasto p??blico e aspectos hist??ricos do seu desenvolvimento no Brasil, defendendo sua apura????o para o desenvolvimento de uma administra????o p??blica mais efic??z.

Resolu????o n?? 12, de 31 de outubro de 2014: estabelece a Pol??tica de Seguran??a da Informa????o e Comunica????es - PoSIC no ??mbito da ENAP

A Escola Nacional de Administra????o P??blica (Enap) publicou, no dia 31 de outubro de 2014, a Resolu????o n?? 12, que estabelece a Pol??tica de Seguran??a da Informa????o e Comunica????es (PoSIC). A PoSIC institui diretrizes estrat??gicas, responsabilidades e compet??ncias, visando assegurar a disponibilidade, integridade, confidencialidade e autenticidade das informa????es produzidas ou custodiadas pela Enap, de modo a preservar os seus ativos e sua imagem institucional. A Pol??tica trata do uso e compartilhamento do conte??do de dados, informa????es e documentos no ??mbito da Enap, em todo o seu ciclo de vida - cria????o, manuseio, divulga????o, armazenamento, transporte e descarte. O objetivo ?? garantir a continuidade de seus processos cr??ticos, em conformidade com a legisla????o vigente, normas pertinentes, requisitos regulamentares e contratuais, valores ??ticos e as melhores pr??ticas de seguran??a da informa????o e comunica????es.

Evolução de 31 crianças submetidas à ressecção bilateral das glândulas submandibulares e ligadura dos ductos parotídeos para controlar a sialorréia

OBJETIVOS: Avaliar a segurança da ressecção bilateral das glândulas submandibulares e ligadura dos ductos parotídeos em crianças para reduzir a saliva, a eficácia e as complicações em médio e longo prazo no tratamento da sialorréia. FORMA DE ESTUDO: Coorte longitudinal. MATERIAL E MÉTODO: Trinta e uma crianças, com idades entre 6 e 13 anos (média de 7,6 anos), com múltiplas deficiências de etiologia neurológica foram submetidas à ressecção bilateral das glândulas submandibulares e ligadura dos ductos parotídeos, para controle da sialorréia, entre dezembro de 1999 a dezembro de 2005, e seguimento médio de 36 meses. RESULTADOS: O critério de sucesso foi o estabelecido por Wilkie, e 87% das crianças tiveram resultados excelentes e bons, sendo a morbidade insignificante e a principal complicação foi o edema temporário na região parotídea. CONCLUSÃO: A ressecção bilateral das glândulas submandibulares e a ligadura dos ductos parotídeos constituem técnica segura e eficaz para ser realizada em crianças, com 87% de sucesso no controle da sialorréia.

Unesp Informa, 2012, número 31

Boletim elaborado pela Assessoria de Comunicação e Imprensa da Reitoria da UNESP

Unesp Ciência, 2012, ano 3, número 31

Revista elaborada pela Assessoria de Comunicação e Imprensa da Reitoria da UNESP

Infective endocarditis (IE) first diagnosed at autopsy: analysis of 31 cases in Ribeirão Preto, Brazil

Thirty one infective endocarditis (IE) fatal cases whose diagnosis was first obtained at autopsy were studied. The clinical data of these patients (Group 1) showed significant differences compared to other 141 IE cases (Group 2). The average age of 53 years in Group 1 patients was 18 years higher than that of Group 2. The Group 1 patients had a low frequency of IE predisposing heart disease. Both patient groups presented fever (about 87%), but a significant low frequency of cardiac murmur (25.8%) was observed in Group 1 patients and echocardiography tests were performed in only 16.1%, suggesting that IE diagnosis was not suspected. Likewise, although most Group 1 patients appeared with severe acute illness, they did not present the classic IE clinical presentation. Blood cultures were performed in only 64.5% of the Group 1 patients. However, bacteria were isolated in 70% of these blood cultures and Staphylococcus aureus was isolated in 71.4%. The bacteria attacked mitral and aortic valves. Complications such as embolizations and cardiac failure occurred in almost half of the cases and they also presented with infections of the lungs, urinary tract, and central nervous system. Medical procedures were performed in practically all fatal cases whose diagnosis was first obtained at autopsy. Sepsis occurred in about half of the patients and it was followed by shock in more than 25%. This form of IE must be suspected in mature and in old febrile hospitalized patients having infection predisposing diseases, embolization, and suffering medical procedures.