Enhanced Recovery After Surgery program for elective abdominal surgery at three Victorian hospitals

The aim of this study was to evaluate the anaesthesia care of an enhanced recovery after surgery (ERAS) program for patients having abdominal surgical in Victorian hospitals. The main outcome measure was the number of ERAS items implemented following introduction of the ERAS program. Secondary endpoints included process of care measures, outcomes and hospital stay. We used a before-and-after design; the control group was a prospective cohort (n=154) representing pre-existing practice for elective abdominal surgical patients from July 2009. The introduction of a comprehensive ERAS program took place over two months and included the education of surgeons, anaesthetists, nurses and allied health professionals. A post-implementation cohort (n=169) was enrolled in early 2010. From a total of 14 ERAS-recommended items, there were significantly more implemented in the post-ERAS period, median 8 (interquartile range 7 to 9) vs 9 (8 to 10), P <0.0001. There were, however, persistent low rates of intravenous fluid restriction (25%) and early removal of urinary catheter (31%) in the post-ERAS period. ERAS patients had less pain and faster recovery parameters, and this was associated with a reduced hospital stay, geometric mean (SD) 5.7 (2.5) vs 7.4 (2.1) days, P=0.006. We found that perioperative anaesthesia practices can be readily modified to incorporate an enhanced recovery program in Victorian hospitals.

Evolution of strain-induced precipitates in a model austenitic Fe-30Ni-Nb steel and their effect on the flow behaviour

The present work investigated the evolution of strain-induced NbC precipitates in a model austenitic Fe-30Ni-Nb steel deformed at 925 °C to a strain of 0.2 during post-deformation holding between 3 and 1000 s and their effect on the reloading flow stress. The precipitate particles preferentially nucleated on the nodes of the periodic dislocation networks constituting microband walls. Holding for 10 s resulted in the formation of fine, largely coherent NbC particles with a mean diameter of ∼5 nm, which displayed a cube-on-cube orientation relationship with austenite and caused the maximum increase in the reloading steady-state flow stress. A further increase in the holding time from 30 to 1000 s led to the formation of semi-coherent, gradually coarser and more widely spaced particles with a mean diameter of 8 nm and above, which led to a gradual decrease in the reloading steady-state flow stress. The holding time increase resulted in progressive disintegration of the dislocation substructure and dislocation annihilation through static recovery processes, which was also reflected by the measured softening fractions. The precipitate particle shape changed during post-deformation annealing from elliptical to faceted octahedral and subsequently to tetra-kai-decahedral. © 2014 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

Wettability investigation of UV/oand acid functionalized MWCNT and MWCNT/PMMA nanocomposites by contact angle measurement

The dispersion state of individual MWCNT in the polymer matrix influences the mechanical, thermal, and electrical properties of the resulting composite. One method of obtaining a good dispersion state of MWCNT in a polymer matrix is to functionalize the surface of MWCNT using various treatments to enhance the surface energy and increase the dispersibility of MWCNT. In this study, wettability and surface energy of UV/Oand acid-treated multiwall carbon nanotubes (MWCNTs) and its polymethyl methacrylate (PMMA) polymer nanocomposites were measured using contact angle analysis in various solvent media. Contact angle analysis was based on ethylene glycol-water-glycerol probe liquid set and data was further fitted into geometric mean (Fowkes), van Oss-Chaudhury-Good (GvOC), and Chang-Qing-Chen (CQC) models to determine both nonpolar and acid base surface energy components. Analysis was conducted on MWCNT thin films subjected to different levels of UV/Oand acid treatments as well as their resulting MWCNT/PMMA nanocomposites. Contact angle analysis of thin films and nanocomposites revealed that the total surface energy of all samples was well fitted with each other. In addition, CQC model was able to determine the surface nature and polarity of MWCNT and its nanocomposites. Results indicated that the wettability changes in the thin film and its nanocomposites are due to the change in surface chemistry. Finally, electrical properties of nanocomposites were measured to investigate the effect of surface functionality (acid or basic) on the MWCNT surfaces.

Optimal fire histories for biodiversity conservation

Fire is used as a management tool for biodiversity conservation worldwide. A common objective is to avoid population extinctions due to inappropriate fire regimes. However, in many ecosystems, it is unclear what mix of fire histories will achieve this goal. We determined the optimal fire history of a given area for biological conservation with a method that links tools from 3 fields of research: species distribution modeling, composite indices of biodiversity, and decision science. We based our case study on extensive field surveys of birds, reptiles, and mammals in fire-prone semi-arid Australia. First, we developed statistical models of species' responses to fire history. Second, we determined the optimal allocation of successional states in a given area, based on the geometric mean of species relative abundance. Finally, we showed how conservation targets based on this index can be incorporated into a decision-making framework for fire management. Pyrodiversity per se did not necessarily promote vertebrate biodiversity. Maximizing pyrodiversity by having an even allocation of successional states did not maximize the geometric mean abundance of bird species. Older vegetation was disproportionately important for the conservation of birds, reptiles, and small mammals. Because our method defines fire management objectives based on the habitat requirements of multiple species in the community, it could be used widely to maximize biodiversity in fire-prone ecosystems. © 2014 Society for Conservation Biology.

Functionalization of hollow mesoporous silica nanoparticles for improved 5-fu loading

 Hollow mesoporous silica nanoparticles were successfully fabricated and functionalized with appropriate silanes. After modifications, amine, carboxyl, cyano, and methyl groups were grafted onto the nanoparticles and all functionalized hollow mesoporous silica nanoparticles maintained a spherical and hollow structure with a mean diameter of ~120 nm and a shell thickness of ~10 nm. The loading capacity of the hollow mesoporous silica nanoaprticles to the anticancer drug, 5-fluorouracil, can be controlled via precise functionalization. The presence of amine groups on the surface of nanoparticles resulted in the highest loading capacity of 28.89%, due to the amine functionalized nanoparticles having a similar hydrophilicity but reverse charge to the drug. In addition, the change in pH leads to the variation of the intensity of electrostatic force between nanoparticles and the drug, which finally affects the loading capacity of amine functionalized hollow mesoporous silica nanoparticles to some extent. Higher drug loading was observed at pH of 7.4 and 8.5 as 5-fluorouracil becomes more deprotonated in alkaline conditions. The improved drug loading capacity by amine functionalized hollow mesoporous silica nanoparticles has demonstrated that they can become potential intracellular 5-fluorouracil delivery vehicles for cancers.

Caracterização para o beneficiamento do carvão de Candiota

O presente trabalho apresenta estudos sistemãticos da caracterização do carvão de Candiota em termos do seu beneficiamento. O carvão de Candiota possui caracteristicas de moabilidade que o indicam como bastantefriável. A geração de finos (-28 malhas) atinge valores superiores a 20% independente do grau de britagem . As distribuições granulométricas resultantes da britagem do carvão obedecem a equação de ROSIN-RAIIMLER-BENNETT, dentro do intervalo previsto (frações menores do ue -4 malhas e maiores do que 100 malhas). Os valores de n e d ' não variam significativamente com a abertura do britador o, que evidencia sua friabiliade. foram estabelecidas equações que relacionam aberturado britador, coeficientes de distribuição e diâmetro médio.Estudos rni croscópicos demonstraram que, o grau de d i-s seminação da matéria inorgânica é muitointenso , e sua liberação atinge malhas muito pequenas (provavelmente menores do que 400 malhas). O teor de cinzas, como por exemplo do grau de disseminação, não variou significativamente com a diminuição de tamanho, como acontece com outros carvões. Foram estabelecidos dois critérios de liberação das particulas em função da quantidade de matéria carbonosa presente nas unidades mistas (20 - 80% e 5 - 95%, respectivamente). Estes indices de partyculas mistas (5 - 95% de matéria carbonosa) mantiveram-se constantes até tamanhos aproximados de 115 malhas, para logo diminuirem nas frações menores. Ainda assim, para frações menores do que 53 micrômetro a quantidade de mistos ( 5 - 95%) foi de 34%. As curvas de lavabilidade deste carvão (tanto da fração grossa quanto afina), reflexo das caracteristicas anteriores, indicam-no como de muito dificil beneficiamento (lavagem). Isto basicamente é devido ao alto grau de "near gravity matterial" presente e de seu grau de liberação. 0s testes de jigagem por bateladas, bem como outros processos de beneficiamento, demonstraram a dificuldade do beneficiamento deste carvão. O melhor teste de jigagem por bateladas, obteve uma recuperação de materia carbonosa de 73, 21 com um teor de cinzas de 45,51 no concretado (alimentação contendo 50% de cinzas). de 37,59% de cinzas (alimentação de 50% de cinzas). Propõe-se, finalmente, um circuito de beneficiamento convencional do carvão de Candiota, incluindo uma classificação do carvão ROM com o objetivo de separar a alimentação em duas frações (+28 e -28 malhas), seguido de um processo de beneficiamento das frações grosseiras por meios densos (tanques), e um tratamento das frações finas por hidrociclonagem. Os resultados obtidos concluem que o carvão de Candiota é o mais dificil de ser lavado dentre os carvões sul-brasileiros devido ao alto teor de cinzas e ao grau de disseminação, sendo que este teor de cinzas não varia muito com a granulometria, o que implica em um grau de liberação muito baixo. Sugere- se como outra alternativa no seu beneficiamento, o estudo de processos não convencionais que incluem um alto grau de cominuiçáo ate completa liberação.

Desenvolvimento de uma formulação cólon específica visando o tratamento da colite ulcerativa

Micro and nanoparticulate systems as drug delivery carriers have achieved successful therapeutic use by enhancing efficacy and reducing toxicity of potent drugs. The improvement of pharmaceutical grade polymers has allowed the development of such therapeutic systems. Microencapsulation is a process in which very thin coatings of inert natural or synthetic polymeric materials are deposited around microsized particles of solids or around droplets. Products thus formed are known as microparticles. Xylan is a natural polymer abundantly found in nature. It is the most common hemicellulose, representing more than 60% of the polysaccharides existing in the cell walls of corn cobs, and is normally degraded by the bacterial enzymes present in the colon of the human body. Therefore, this polymer is an eligible material to produce colon-specific drug carriers. The aim of this study was to evaluate the technological potential of xylan for the development of colon delivery systems for the treatment of inflammatory bowel diseases. First, coacervation was evaluated as a feasible method to produce xylan microcapsules. Afterwards, interfacial cross-linking polymerization was studied as a method to produce microcapsules with hydrophilic core. Additionally, magnetic xylan-coated microcapsules were prepared in order to investigate the ability of producing gastroresistant systems. Besides, the influence of the external phase composition on the production and mean diameter of microcapsules produced by interfacial cross-linking polymerization was investigated. Also, technological properties of xylan were determined in order to predict its possible application in other pharmaceutical dosage forms

Poly(Lactide-co-Glycolide) Nanocapsules Containing Benzocaine: Influence of the Composition of the Oily Nucleus on Physico-Chemical Properties and Anesthetic Activity

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

Identificação e avaliação de propriedades de polissacarídeos sulfatados de diferentes fontes naturais que possibilitem sua aplicabilidade biotecnológica

Sulfated polysaccharides (SP) are widely distributed in animals and seaweeds tissues. These polymers have been studied in light of their important pharmacological activities, such as anticoagulant, antioxidant, antitumoral, anti-inflammatory, and antiviral properties. On other hand, SP potential to synthesize biomaterials like as nanoparticules has not yet been explored. In addition, to date, SP have only been found in six plants and all inhabit saline environments. However, the SP pharmacological plant activities have not been carrying out. Furthermore, there are no reports of SP in freshwater plants. Thus, do SP from marine plants show pharmacological activity? Do freshwater plants actually synthesize SP? Is it possible to synthesize nanoparticles using SP from seaweed? In order to understand this question, this Thesis was divided into tree chapters. In the first chapter a sulfated polysaccharide (SPSG) was successfully isolated from marine plant Halodule wrightii. The data presented here showed that the SPSG is a 11 kDa sulfated heterogalactan contains glucose and xylose. Several assays suggested that the SPSG possessed remarkable antioxidant properties in different in vitro assays and an outstanding anticoagulant activity 2.5-fold higher than that of heparin Clexane® in the aPTT test; in the next chapter using different tools such as chemical and histological analyses, energy-dispersive X-ray analysis (EDXA), gel electrophoresis and infra-red spectroscopy we confirm the presence of sulfated polysaccharides in freshwater plants for the first time. Moreover, we also demonstrate that SP extracted from E. crassipes root has potential as an anticoagulant compound; and in last chapter a fucan, a sulfated polysaccharide, extracted from the brown seaweed was chemically modified by grafting hexadecylamine to the polymer hydrophilic backbone. The resulting modified material (SNFuc) formed nanosized particles. The degree of substitution for hydrophobic chains of 1H NMR was approximately 93%. SNFfuc-TBa125 in aqueous media had a mean diameter of 123 nm and zeta potential of -38.3 ± 0.74 mV, measured bydynamic light scattering. Tumor-cell (HepG2, 786, H-S5) proliferation was inhibited by 2.0 43.7% at SNFuc concentrations of 0.05 0.5 mg/ mL and RAEC non-tumor cell line proliferation displayed inhibition of 8.0 22.0%. On the other hand, nanogel improved CHO and RAW non-tumor cell line proliferation in the same concentration range. Flow cytometric analysis revealed that this fucan nanogel inhibited 786 cell proliferation through caspase and caspaseindependent mechanisms. In addition, SNFuc blocks 786 cell passages in the S and G2-M phases of the cell cycle

Interferência de caruru-de-mancha sobre características de crescimento e produção da beterraba

A beterraba (Beta vulgaris), importante hortaliça cultivada no Brasil, é muito suscetível à interferência de plantas daninhas, sendo Amaranthus viridis uma das principais espécies encontradas em áreas de horticultura. O objetivo deste trabalho foi estudar a resposta da beterraba à competição com diferentes densidades de A. viridis, por meio da avaliação de características de crescimento e produção da cultura. Um experimento em caixas, com área útil de 0,25 m², foi conduzido em Jaboticabal-SP, Brasil, mantendo-se constante oito plantas por caixa de beterraba em convivência com 0, 1, 2, 3, 4 e 6 plantas por caixa de A. viridis. A cultura da beterraba foi muito suscetível à interferência imposta por plantas de A. viridis, tendo sua área foliar, número de folhas, massa seca de folhas, diâmetro médio da raiz e massa fresca de raízes significativamente reduzidos mesmo em baixas densidades populacionais da planta daninha; a massa fresca de raízes foi a mais sensível à interferência.

(-)-Hinokinin-loaded poly(d,l-lactide-co-glycolide) microparticles for Chagas disease

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Estimativa da erodibilidade do solo para fins conservacionistas na microbacia córrego do Tijuco, SP

The soil erodibility factor is represented by the integrated effect of processes that regulate the water infiltration, soil resistance and the transport of soil particles. Therefore, this study had as objective to estimate the soil erodibility in the Corrego do Tijuco watershed, São Paulo State, Brazil, for guiding farmers in decision making for application of techniques for soil conservation. The soil samples were collected in a regular spacing of 500 m, resulting in a total of 310 points in a 0-20.0 m depth in an area of approximately 8,000 ha. For the estimation of soil erodibility (K) was applied a mathematical model which takes into account the soil organic matter content, the sand and silt size fractions, the soil permeability, and the particle mean diameter for each point of soil sampling. Estimated values greater than 0.040 Mg ha h ha(-1) MJ(-1) mm(-1) were considered very high for this factor. In areas with greater degree of erodibility occurs the Argisols order predominance, that shows high susceptibility to the development of interrill erosion due to its remarkable performance in relation to textural gradient, thereby, the interrill erosion rates can be very intensive due to rapid saturation of upper horizon, increasing the erosion process. At the Latosols (Oxisols) areas were also observed high soil erodibility values that under inappropriate conditions of soil occupation, concentrating runoff of rain water, leading to appear deep gullies.

Habitat use, reproductive traits and social interactions in a stream-dweller treefrog endemic to the Brazilian Cerrado

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Observation of the embryonic development in Pseudoplatystoma coruscans (Siluriformes: Pimelodidae) under light and scanning electron microscopy

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

Muscular Dystrophy in Dogs: Does the Crossing of Breeds Influence Disease Phenotype?

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