Presión arterial en preescolares de la localidad de Usaquén en Bogotá

Introducción: La hipertensión arterial es un problema de salud pública tanto en países industrializados como en vía de desarrollo. Su prevalencia en la infancia viene en aumento por lo que es relevante determinarla en niños preescolares a nivel local. Objetivo: Determinar la prevalencia de hipertensión arterial en niños de tres a cinco años de una cohorte de 14 hogares infantiles del ICBF de la localidad de Usaquén en Bogotá. Materiales y métodos: Se realizó un estudio de corte transversal analítico, utilizando la base de datos de un ensayo aleatorizado y controlado del año 200913, y se evaluaron las cifras de tensión arterial de acuerdo a sexo, edad, talla y su correlación con el IMC con un nivel de confianza del 95% y precisión del 1%. Se calcularon las medias, desviaciones estándar, percentiles y prevalencia. Resultados: Se obtuvo una muestra de 1035 casos, encontrándose una prevalencia de 4,5% de HTA sistólica, 10,4% de diastólica, ambas en estadio I; teniendo en cuenta tanto sistólica como diastólica, fue de 11,6% en estadio I. Se determinaron los valores de presión arterial sistólica y diastólica en cuartiles de acuerdo a edad, sexo y talla. El coeficiente de correlación entre el IMC y los niveles de presión arterial sistólica y diastólica fueron de 0.0992 y 0.0362 respectivamente. Conclusión: La prevalencia de HTA general fue de 11,6%, predominando la diastólica en estadio I en niños preescolares. No se encontró correlación entre el IMC y las cifras de tensión arterial sistólica y diastólica.

Adherencia a antibioterapia prequirúrgica en intervenciones torácicas y abdominales en el Hospital Universitario San Jorge, de Pereira

Objetivos: determinar la adherencia al protocolo de antibioterapia prequirúrgica en pacientessometidos a cirugías torácicas y abdominales del Hospital Universitario San Jorge, de Pereira.Materiales y métodos: estudio descriptivo observacional que recogió información de todos lospacientes intervenidos quirúrgicamente entre el 1 de abril y el 31 de junio de 2010. La informaciónse tomó de historias clínicas considerando las variables edad, sexo, tipo de intervención quirúrgica,hora, día de la semana, antimicrobianos empleados comparados con los recomendados porlas guías institucionales. El análisis se hizo mediante SPSS 19.0 para Windows. Resultados: sehicieron 211 cirugías, con predominio de hombres (52,6%) y edad promedio de 45,2 ± 19,9 años.La adherencia a guías de profilaxis antibiótica prequirúrgica fue de 44,5% de los procedimientos.Las variables sexo masculino (OR: 2,2; IC 95%: 1,220-4,063, p=0,009), cirugía de urgencias (OR:2,1; IC 95%: 1,136-3,889, p=0,018) y fines de semana (OR: 2,3; IC 95%: 1,090-5,255, p=0,03)se asociaron de manera estadísticamente significativa con falta de adherencia. Conclusiones: seidentificó una baja adherencia a las guías de antibioterapia prequirúrgica, asociada con cirugíasde urgencia y de fines de semana. Se debe intervenir con educación y realimentación el equipohumano que trabaja en estas condiciones para mejorar el cumplimiento de las guías.

Manifestaciones de la excepcionalidad en colombia y su incidencia en el derecho a la protesta

En Colombia la protesta y la manifestación social han sido objeto de control y represión por parte del Estado en contextos de excepcionalidad. Así, este artículo expone, a la luz de dos casos de protesta, la relación de contradicción que existe entre los estados de excepción y la protección de los derechos humanos, específicamente del derecho a la protesta y la reunión.

Derecho internacional, acuerdo humanitario y resolución pacífica del secuestro

La presente obra expone, de forma crítica, el problema del secuestro, teniendo como modelo el caso colombiano. Sigue el método propuesto por el reconocido investigador para la paz, el noruego Johan Galtung, según el cual, para la resolución de un conflicto puede acudirse al sistema de análisis que tiene la ciencia médica para tratar una enfermedad. En este sentido, frente a lo que corresponde al diagnóstico del secuestro, se presenta su historia, las cifras, los datos oficiales, la realidad del cautiverio y los riesgos que implica un rescate militar. En lo que respecta a la prognosis del secuestro, se da una mirada a los antecedentes de negociación y rescate militar, tanto en Colombia como en el mundo: la pragmática política de intercambio de Israel, la posición del gobierno español en los secuestros de barcos pesqueros por Piratas somalíes, la masacre de Munich, el rescate con gases asfixiantes del Teatro de Moscú, el de la Escuela de Beslán, las tomas de las Embajadas de Japón en el Perú, de República Dominicana en Colombia, del Palacio de Justicia, la Operación Jaque, entre otros.

Fatores De Riscos Psicossociais no Instituto Nacional de Emergência Médica-INEM: Delegações Centro e Sul

No âmbito do Mestrado em Gestão da Prevenção de Riscos Laborais, procede-se a uma investigação com vista à identificação dos Fatores de Riscos Psicossociais nos trabalhadores dos Serviços Administrativos e de Emergência das Delegações Centro e Sul do Instituto Nacional de Emergência Médica - INEM. Pretende-se colmatar essa lacuna visto que o INEM, até então, nunca efetuou nenhuma avaliação dos Fatores de Riscos Psicossociais, sendo que as investigações realizadas no instituto são relativas ao stresse ocupacional. A pesquisa exploratória e descritiva, com enfoque simultaneamente quantitativo e qualitativo, concretiza-se mediante a realização de entrevistas semiestruturadas às chefias de cada delegação e aplicação do questionário F-Psico versão 3.0 (Escala de Valoración de los riesgos psicosociales do Instituto Nacional de Seguridad e Higiene en el Trabajo – INSHT) aos trabalhadores dos serviços do Centro e do Sul do INEM. Participaram do estudo 185 trabalhadores, sendo 10% pertencentes à Delegação Centro e 14% pertencentes à Delegação Sul. Com os resultados obtidos pretende-se propor medidas preventivas, com vista a contribuir para a eliminação ou redução dos Riscos Psicossociais identificados. / Regarding the Masters Degree in Prevention of Labor Risk Management, an investigation aimed to identify the Psychosocial Risk Factors in the emergency and administrative workers in the Central and Southern Delegations of the National Institute of Medical Emergency. Aimed fill the gap because the National Institute of Medical Emergency, till then, never made any assessment of Psychosocial Risk Factors, and the investigations performed in the institute are related to occupational stress. The research which is simultaneously quantitative and qualitative, descriptive and exploratory will be will held bearing in mind the semi-structured interviews to the employers of each delegation and application of the Psychosocial Risk Factors identification questionnaire F-Psico 3.0 to the services workers of the central and southern delegations of de National Institute of Medical Emergency. The study included 185 workers, with 10% belonging to the Central Delegation and 14% belonging to the Southern Delegation. With the results we will propose preventive or corrective measures to eliminate or reduce the Psychosocial Risks identified.

A feasible study of EEG-driven assistive robotic system for stroke rehabilitation

Stroke is a medical emergency and can cause a neurological damage, affecting the motor and sensory systems. Harnessing brain plasticity should make it possible to reconstruct the closed loop between the brain and the body, i.e., association of the generation of the motor command with the somatic sensory feedback might enhance motor recovery. In order to aid reconstruction of this loop with a robotic device it is necessary to assist the paretic side of the body at the right moment to achieve simultaneity between motor command and feedback signal to somatic sensory area in brain. To this end, we propose an integrated EEG-driven assistive robotic system for stroke rehabilitation. Depending on the level of motor recovery, it is important to provide adequate stimulation for upper limb motion. Thus, we propose an assist arm incorporating a Magnetic Levitation Joint that can generate a compliant motion due to its levitation and mechanical redundancy. This paper reports on a feasibility study carried out to verify the validity of the robot sensing and on EEG measurements conducted with healthy volunteers while performing a spontaneous arm flexion/extension movement. A characteristic feature was found in the temporal evolution of EEG signal in the single motion prior to executed motion which can aid in coordinating timing of the robotic arm assistance onset.

Exclusão social: gestão estratégica de pessoas em duas subsidiárias de uma empresa multinacional

The present study of case empirically investigates the existence of indicators that suggest the social exclusion preoccupation from the organizations with a strategic management of human resources focus. The objects of study are two subsidiaries of a multinational enterprise in emergency and first-aid services area. One of them is Portuguese and the other is a Brazilian one. This exploratory research has used a sectional way with a longitudinal perspective, since it has considered a specific verified data referring to 2004 and 2005 years, beyond the deeper interviews with actual managers to an evaluation of these studied perception and its authentication. Our indicators identification sources were principally the individual and social rights and duties broaching and the fundamental guarantees disposed in the Brazilian and Portuguese Constitutions as such as the European Constitution project. The results appoint to great differences of management between both subsidiaries, being the Brazilian one closer to our research proposes, as such as suggest us that the human resource areas, still acting in an instrumentalist way, establish a great barrier to better practices in social inclusion and they would be unprepared for a management with the focus in the employees. Although our study has been realized in a specific activity enterprise, we believe that our results can stimulate the realization of other investigations with the same objectives. In this way, we contribute to a better comprehension of the social exclusion causes and the organizations participations in this process.

Períodos de interferência das plantas daninhas em algodoeiro de fibra colorida ‘BRS Safira’

This study aimed to determine the late-season presence of weeds in reddish brown cotton (cultivar BRS Safira) and the critical times for removing weeds. The experiment was carried out in the area of Empresa Brasileira de Pesquisa Agropecuária (EMBRAPA) in Missao Velha-CE, Brazil, located at 7 degrees 42'07" S latitude and 39 degrees 24'18" WGr. longitude, during the 2007/2008 season. The treatments consisted of two control groups: weed-free crop during the initial period after crop emergency, and crop kept with weeds during initial period after plant emergency. Both consisted, 0; 20; 40; 60; 80 e 120 days after crop emergency (DAE), the weed community was evaluated by two phytosociological indices (relative dominance and relative importance). Regression analysis was performed as the model of sigmoidal Boltzman, using data from productivity separately within each type of competition, to identify the critical periods of competition, considering 2; 5 and 10% reduction in yield. The community of weeds was composed by 21 species, standing out among them: Richardia grandiflora, Amaranthus deflexus, Eleusine indica, Merremia aegyptia, Eragrotis pilosa, Cenchrus echinatus and Waltheria indica. Considering 2; 5 and 10% reduction in yield fiber as acceptable, the critical period before weed interference were, respectively, 8; 14 and 20 DAE. The critical period of weed interference, for those same levels of losses, were respectively, 100; 82 and 60 days.

Emergência de capim-carrapicho e picão-de-flor com diferentes profundidades de semeadura em duas épocas

With the purpose to study the emergence of Cenchrus echinatus L. and Cosmos sulphureus Cav. in response to time and depth of sowing, two experiments were conducted in uncontrolled environmental conditions in the months of June and September 2009. Cenchrus echinatus L. and Cosmos sulphureus Cav seeds were sown at different depths (0, 1, 3, 5, 7 and 9 cm). The experiments were conducted in pots, with five replications of 50 seeds per pot, followed by evaluation of the emergence percentage and emergence speed index (ESI). The highest percentage of emergency and higher EVR were observed up to 5 cm depth and the species Cosmos sulphureus Cav. was more sensitive to temperature variations due to the time of sowing of the species C. equinatus.

Cardiovascular effects of desflurane following acute hemorrhage in dogs

Objective: To determine the cardiovascular effects of desflurane in dogs following acute hemorrhage.Design: Experimental study.Animals: Eight mix breed dogs.Interventions: Hemorrhage was induced by withdrawal of blood until mean arterial pressure (MAP) dropped to 60 mmHg in conscious dogs. Blood pressure was maintained at 60 mmHg for 1 hour by further removal or replacement of blood. Desflurane was delivered by facemask until endotracheal intubation could be performed and a desflurane expiratory end-tidal concentration of 10.5 V% was maintained.Measurements and main results: Systolic, diastolic, and mean arterial blood pressure (SAP, DAP and MAP), central venous pressure (CVP), cardiac output (CO), stroke volume (SV), cardiac index (0), systemic vascular resistance (SVR), heart rate (HR), respiratory rate (RR), partial pressure of carbon dioxide in arterial blood (PaCO2), and arterial pH were recorded before and 60 minutes after hemorrhage, and 5, 15, 30, 45 and 60 minutes after intubation. Sixty minutes after hemorrhage, SAP, DAP, MAP, CVP, CO, Cl, SV, PaCO2, and arterial pH decreased, and HR and RR increased when compared with baselines values. Immediately after intubation, MAP and arterial pH decreased, and PaCO2 increased. Fifteen minutes after intubation SAP, DAP, MAP, arterial pH, and SVR decreased. At 30 and 45 minutes, MAP and DAP remained decreased and PaCO2 increased, compared with values measured after hemorrhage. Arterial pH increased after 30 minutes of desflurane administration compared with values measured 5 minutes after intubation.Conclusions: Desflurane induced significant changes in blood pressure and arterial pH when administered to dogs following acute hemorrhage.

Continuous infusion of ketamine in hypovolemic dogs anesthetized with desflurane

Objective: To evaluate the cardiorespiratory effects of continuous infusion of ketamine in hypovolemic dogs anesthetized with desflurane.Design: A prospective experimental study.Animals: Twelve mixed breed dogs allocated into 2 groups: saline (n=6) and ketamine (n=6).Interventions: After obtaining baseline measurements (time [T] 0) in awake dogs, hypovolemia was induced by the removal of 40 mL of blood/kg over 30 minutes. Anesthesia was induced and maintained with desflurane (1.5 minimal alveolar concentration) and 30 minutes later (T75) a continuous intravenous (IV) infusion of saline or ketamine (100 mu g/kg/min) was initiated. Cardiorespiratory evaluations were obtained 15 minutes after hemorrhage (T45), 30 minutes after desflurane anesthesia, and immediately before initiating the infusion (T75), and 5 (T80), 15 (T90), 30 (T105) and 45 (T120) minutes after beginning the infusion.Measurements and main results: Hypovolemia (T45) reduced the arterial blood pressures (systolic arterial pressure, diastolic arterial pressure [DAP] and mean arterial pressure [MAP]), cardiac (CI) and systolic (SI) indexes, and mean pulmonary arterial pressure (PAP) in both groups. After 30 minutes of desflurane anesthesia (T75), an additional decrease of MAP in both groups was observed, heart rate was higher than T0 at T75, T80, T90 and T105 in saline-treated dogs only, and the CI was higher in the ketamine group than in the saline group at T75. Five minutes after starting the infusion (T80), respiratory rate (RR) was lower and the end-tidal CO(2) (ETCO(2)) was higher compared with values at T45 in ketamine-treated dogs. Mean values of ETCO(2) were higher in ketamine than in saline dogs between T75 and T120. The systemic vascular resistance index (SVRI) was decreased between T80 and T120 in ketamine when compared with T45.Conclusions: Continuous IV infusion of ketamine in hypovolemic dogs anesthetized with desflurane induced an increase in ETCO(2), but other cardiorespiratory alterations did not differ from those observed when the same concentration of desflurane was used as the sole anesthetic agent. However, this study did not evaluate the effectiveness of ketamine infusion in reducing desflurane dose requirements in hypovolemic dogs or the cardiorespiratory effects of ketamine-desflurane balanced anesthesia.

Influência da profundidade de semeadura e da compactação do solo sobre a semente na produtividade do amendoim

A profundidade de semeadura e a compactação do solo sobre a semente são específicas para cada cultura e dependem de vários atributos. Assim, objetivou-se avaliar a influência da compactação do solo sobre a semente e de diferentes profundidades de semeadura em um LATOSSOLO VERMELHO Eutroférrico típico na emergência e produtividade do amendoim. As cargas verticais impostas para compactação foram 0; 98,1; 196,2 e 294,3 N e as profundidades de semeadura de 0,04, 0,06 e 0,08 m. A compactação do solo na linha de semeadura não interferiu na produtividade da cultura. As profundidades de 0,04 e 0,06 m foram mais favoráveis para o desenvolvimento da cultura do amendoim. A interação profundidade versus compactação não apresentou correlação.

Desempenho de uma semeadora-adubadora direta, em função da velocidade de eslocamento e do tipo de manejo da biomassa da cultura de cobertura do solo

O objetivo do presente trabalho foi estudar o desempenho de uma semeadora-adubadora, operando em duas velocidades sobre a palhada da cultura do milheto (Pennisetum glaucum (L.) R. Brown), após diferentes manejos, na semeadura direta da cultura da soja (Glycine Max L.). O experimento foi realizado com seis tratamentos, em esquema fatorial, delineados em blocos ao acaso, com quatro repetições. Os tratamentos combinaram três manejos (triturador de palhas tratorizado, rolo- faca e herbicida) com duas velocidades de deslocamento da semeadora-adubadora (5,2 e 7,3 km h-1). Foram analisadas as seguintes variáveis: acúmulo e decomposição de massa seca do milheto, índice de emergência da cultura da soja, uniformidade de distribuição longitudinal de sementes, capacidade de campo efetiva da semeadora-adubadora e produtividade da soja. Os resultados mostraram que não houve diferença na decomposição da massa de milheto após os manejos e que esses, juntamente com a velocidade de deslocamento do conjunto trator-semeadora-adubadora, não influenciaram no número de dias para a emergência das plântulas de soja e na distribuição longitudinal das sementes. A capacidade de campo efetiva da semeadora-adubadora foi maior na velocidade mais alta. O rendimento de grãos não diferiu significativamente nos tratamentos estudados.

Escarificação ácida na superação da dormência de sementes de pau ferro (Caesalpinea ferrea Mart.ex Tu. var. leiostachya Benth.)

Seeds of Caesalpinea ferrea Mart. ex Tu. var. leiostachya Benth. present low and irregular germination due to dormancy caused by the impermeability of the tegument. With the purpose to determine an efficient method to accelerate and uniformize seed germination, they were submitted to different immersion periods (0, 5, 10, 15, 20, 25 and 30 minutes) in sulfuric acid (95-98%), influence emergency and vigor (first count, speed index, medium time and relative frequency of emergency, length and dry matter of the seedlings). The experiment was carried out under greenhouse conditions with an experimental design of completely randomized, with seven treatments and four replications. The pre-conditioning of the seeds with immersion in concentrated sulfuric acid was efficient to overcoming seed dormancy, by increasing the percentage and speed emergency, the first count of emergency, length and dry matter of seedlings and reduction in the medium time for emergency. The efficiency of this chemical treatment with concentrated sulfuric depends on the immersion time, and 10 to 20 minutes were the most adequate to provide larger emergency uniformity percentages and vigor.

Emergência de plântulas de Erythrina velutina em diferentes posições e profundidades de semeadura

Com o objetivo de estudar a influência da posição e da profundidade de semeadura sobre a emergência de plântulas e o vigor de sementes de mulungu foram instalados testes de germinação em areia sob ambiente protegido. Os tratamentos, representados pela posição e pela profundidade de semeadura das sementes em relação ao substrato foram os seguintes: semente com o hilo voltado para baixo, para cima e para o lado nas profundidades de 1 a 5cm. Cada um dos tratamentos constou de quatro repetições de 25 sementes, avaliados pelo teste de emergência, vigor da primeira contagem, velocidade de emergência, comprimento e massa seca do hipocótilo e das raízes. Os resultados mostraram que, para o mulungu, a profundidade de semeadura dever ser entre 1 e 2cm e, a melhor posição foi aquela em que as sementes ficaram com o hilo voltado para baixo.