Procalcitonina e interleicina-6 em crianças com diagnóstico de sepse e choque séptico

Sepse é causa comum de mortalidade e morbidade em unidades de tratamento intensivo, sendo atualmente entendida como a resposta sistêmica à infecção, resposta esta caracterizada por duas ou mais das seguintes manifestações: temperatura corporal > 38°C ou < 36°C; taquicardia; taquipnéia; e alteração da contagem de células brancas (leucocitose ou leucopenia) ou mais de 10% de formas imaturas. Entretanto, tem sido descrito que os elementos que caracterizam a resposta sistêmica são muito sensíveis, insuficientemente específicos e não levam em consideração o avanço do entendimento da fisiopatologia da doença. Além disso, a sepse tem fisiopatologia complexa, o que dificulta ainda mais o diagnóstico, principalmente em crianças. O diagnóstico rápido e a instituição de tratamento o mais cedo possível são imperativos nos pacientes sépticos. Consequentemente, vários marcadores laboratoriais têm sido estudados, sendo que dos vários mediadores envolvidos na sepse, procalcitonina (PCT) e interleucina-6 (IL-6) têm despertado interesse pela possibilidade de auxiliar no diagnóstico e no estabelecimento da gravidade de pacientes adultos com sepse ou choque séptico, sendo que a PCT já foi incluída entre os critérios diagnósticos de sepse nestes indivíduos. Em pediatria... (Resumo completo, clicar acesso eletrônico abaixo)

Análise comparativa de softwares de simulação de onda de cheia e corridas de massa

This scientific research aimed at presenting a comparative analysis of softwares used to represent the processes of flood wave and debris flow. For this, a literature review was performed on these processes and on simulation models used to represent them. Then, a research on scientific database and developers’ websites was performed to identify the softwares used to simulate these processes. This step was performed based on specific criteria such as the type of simulation performed by the software, its practical applications and a user friendly interface. A free distribution and totally functional software was chosen and its simulation mechanisms were tested through a simulation exercise and the results interpreted based on data on measured in the Basin of Ribeirão Marins section Monjolinho located in Piracicaba - SP. With respect to the processes, it was sought to present the dynamics, constraints, parameters and variables used to understand them and for the simulation models were presented the conceptual aspects of mathematical modeling including the steps of the simulation process and the different types of simulation models used to represent them. In total, 20 softwares were identified, and the software object of analysis was the ABC 6 that performs simulation of flood wave. Through the simulation exercise, it was observed that were presented overestimated values of flow compared to measured data in the basin. For both hypotheses were raised about the causes of the discrepancy between the observed and simulated flow. It has been concluded that the simulation process consisted of a complex procedure where generalizations, misrepresentations and simplifications may occur due to the data used and the method adopted, but it is a useful tool in planning and decision making in various types of studies and environmental projects

Direcionamento de peptídeos tolerogênicos da proteína de choque térmico 60 para células dendríticas utilizando anticorpos anti-DEC-205

A indução de tolerância imunológica em situações altamente desejadas como no transplante e em doenças autoimunes permanece um grande desafio para pesquisa científica de tradução. Nesse contexto, o estudo das proteínas do choque térmico (HSPs) e seus peptídeos vêm trazendo informações relevantes sobre o controle da reposta imune. Dados da literatura mostram que alguns de seus peptídeos apresentam propriedades imunorreguladoras, como os peptídeos N3 e N7 da HSP60. Além disso, tem se mostrado que a apresentação de antígenos em contextos específicos por células dendríticas (DCs) pode favorecer o estabelecimento da tolerância imunológica. Dessa forma, o direcionamento dos peptídeos tolerogênicos da HSP60, N3 e N7, in vivo, para DCs, com o intuito de essas células apresentarem esses peptídeos em um contexto imunorregulador, pode induzir um estado de tolerância. Assim, nesse trabalho, tivemos como objetivo a produção de anticorpos (Acs) contra o receptor DEC-205 de DCs conjugados com os peptídeos N3 e N7 da HSP60. Esses Acs, ao se ligarem ao DEC-205 nas DCs, podem ser fagocitados, processados e por fim apresentados a células T em um contexto imunorregulador. Para tal, foram realizadas transfecções de células HEK-293T e CHO com plasmídeos codificando as cadeias leve e pesada dos respectivos Acs a fim de se obter essas proteínas recombinantes. Podemos observar que as células HEK apresentaram uma produção mais eficiente dos Acs quando comparadas com as células CHO (120 vs 30 ng/ml, respectivamente), apesar disso a produção dos Acs ficou abaixo do esperado impossibilitando a realização ensaios in vivo. Além disso, realizamos um ensaio de ligação do Ac anti-DEC-N7 a superfície de DCs e observamos que os Acs produzidos apresentam capacidade de se ligarem a superfície dessas células. Concluímos que os anticorpos recombinantes anti-DEC-205 são capazes... (Resumo completo, clicar acesso eletrônico abaixo)

Fractografia quantitativa e o conceito de tenacidade à fratura para a análise do efeitodo choque térmicos em TiO2

The present study evaluated the use of semicircular bending test (SCB) as an alternative to conventional bending test to examine the effect of thermal shock. Still, studies the behavior of fracture surfaces generated by monofractal behavior analysis, which allows us to evaluate the contributions of the microstructure and the mechanical context in forming reliefs during the crack propagation. The fractal analysis is made from elevation maps obtained by reconstruction method by extension of the focus stacks of digital images acquired in microscope. The specimens used were samples semicircular pressed TiO2 (rutile) with and without heat shock, prepared for testing mode I loading. Were also produced, specimens in the form of bars for Weibull statistical analysis. From the three-point bending test, we found the variation of fracture toughness between the samples after the heat shock and natural condition. The SCB test was feasible for the analysis of thermal shock resistance. The results showed that the value of the fracture toughness decreases as the heat shock treatment

Ação dos inotrópicos e vasopressores na estabilização hemodinâmica em cães com choque séptico

Septic shock remains one of the most common challenges for the small animal practicing, presenting high mortality rates frequently associated with late identification of this syndrome, as well as an inappropriate treatment. In general, disruption of homeostasis occurs with an intense activation of inflammatory cascade, which leads to a damage to endothelial cells and an exposure to these cytokines, which will result in vasodilation and increased capillary permeability. Thus, there is a drop in blood pressure, even after aggressive fluid resuscitation. Therefore, drugs such as vasopressors, which act by increasing systemic vascular resistance, and inotropes, which have an effect on heart pump, should be administered in order to raise blood pressure, ensuring adequate tissue perfusion. The objective of this review was to gather information about the various drugs used in vasopressors/inotropes therapy, trying to explain the role of each one in different situations, in order to increase the survival rate in dogs affected with septic shock

Choque

The shock, now known as a clinical syndrome due to a systemic breakdown in tissue perfusion leading to cellular hypoxia, metabolic changes and consequently organ dysfunction, is a condition that affects both humans and animals and should be classified as an emergency. For its dynamic course the therapy becomes a challenge, all the time time spared in diagnosis and treatment is essential to save the patient's life, so knowledge of its physiopathology can become of great value, and in order to clarify it better, shock has been divided didactically into: cardiogenic, hypovolemic, distributive, and obstructive, so the best approach may be chosen to this situation, noting that the therapy in general is the sum of several procedures that aims to compensate for the animal so that the underlying cause of shock may be treated

Espalhamento coulombiano relativístico próximo das condições de simetria de spin e pseudospin

Pós-graduação em Física - FEG

Influência do desbalanceamento da onda retangular na liga de alumínio 6063-T6 soldada pelo processo TIG-CA

Pós-graduação em Ciência e Tecnologia de Materiais - FC

O estudo de caos na propagação do raio de som em um guia de onda no oceano

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Simulações de onda de cheia na sub-bacia do Ribeirão Claro - SP

Watersheds are considered important study units when it comes to environmental planning, with regard to the optimal use of water resources. Water scarcity is predicted and feared by many societies, and proves to be an increasingly tangible problem nowadays. Still from the perspective of extreme events, this dissertation considers the study of flood waves in the sub-basin of the stream Claro, which belongs to the Corumbataí watershed. - SP, since thay can also have devastating effects for the population, A Decision Support System for Flood Routing Analysis in Complex Basins, ABC 6 software was applied in order to obtain hydrographs and peak flows in the sub-basin of the stream Claro, for return periods of 10 and 100 years, aiming to comprise events of different magnitudes. The model Soil Conservation Service (SCS) and the triangular SCS hydrograph were adopted for the simulations. Simultaneously, the Kokei Uehara method was applied for the obtainment of peak flow values under the same conditions, seeking to compare results. Data collection was performed using geoprocessing tools. For data entry in ABC 6, the fragmentation of sub-basin of the stream Claro was necessary, which generated 7 small watersheds, in order to fulfill a software demand, as the maximum drainage area it accepts is 50km² for each watershed analyzed. For RT = 10 and 100 years, respectively, the results of peak flow with use of ABC 6 were 46.10 and 95.45 m³/s, while for Kokei Uehara method, the results were 47.17 and 65.26 m³/s. The adoption of a single value of discretization time for all watersheds was indicated as limitation of ABC 6, which interfered in the final results. Kokei method Uehara considered the sub-basin of the stream Claro as a whole, which reduced the error accumulation probability

Utilização do choque osmótico na avaliação da viabilidade de sêmen criopreservado de ovinos

This study evaluated the use of hipoosmotic swelling test (HOST) with deionized water (0 mOsmol), as a method of post thaw ram semen evaluation and correlate their findings with different techniques of semen evaluation. Therefore, twenty semen samples of 20 different adult rams were assessed as for kinetic sperm parameters through computerized system (IVOS 12, Hamiton Thorn Biosciences, Beverly, MA, EUA) and subjective analysis. The sperm membranes viability was carried out by the association of fluorescent probes (propidium iodide, JC-1 and FITC-PSA). The structural integrity of the plasma membrane was also studied through supravital test with eosin and the functional integrity of membrane evaluated by doing the hipoosmotic swelling test with deionized water (0 mOsmol), in the following proportions: One part of semen for 10 (HOST 10), 50 (HOST 50) and 100 (HOST 100) parts of water. After semen dilution in the different proportions it was fixed in formalin-buffered saline and analyzed with regard to percentage of HOST reactive sperm (bent/coiled). The percentage of reaction obtained for HOST 10 (33,1%); HOST 50 (32,8%) and HOST 100 (31,8%) did not differ significantly. HOST 10 presented positive correlation with the plasma membrane integrity by the EOS (r = 0,80; p < 0,05). Positive correlations between HOST 50 and HOST 100 with sperm subpopulation with membrane integrity by fluorescence were observed (r = 0,83 and r = 0,85; p < 0,01). The findings suggest that the HOST with deionized water can provide additional information for post thawing ram sperm viability evaluation.