Double-lumen catheter in the right jugular vein induces two sub-endothelial abscesses in an unusual place, the transition between the superior vena cava and the right atrium: a case report

Endocarditis is a type of infection that is common in internal medicine wards and in haemodialysis clinics. The location that is most affected are the heart valves. Herein, we report a case of an uncommon abscess, a sub-endothelial abscess between the transition of the superior vena cava and the right atrium. There were several emboli to the lung and foot, and the agent was related to Staphylococcus aureus and a double-lumen catheter. Usually, this type of abscess is located in valves, either the tricuspid valve if related to catheters or injection drug use or the mitral valve if related to other causes. An exhaustive review was made, but we found no information about the location of this abscess and the rarity of the event motivating the report of infection.

Caracterização estrutural da mineralização da mina de Fazenda Nova - GO

The study area is includes in the geological context of Arenópolis Magmatic Arc, a region where there are neoproterozoic associations of granodioritic and tonalitic composiotion. (Ortogneisses of the western Goiás) and sequences metavolcanic-sedimentary (Jaupaci Metavolcanic-sedimentary Sequence ). In the mapped area, both units are covered by a cover-laterite. The Ortogneisses from Goiás West consist of a source granodioritic gneisses, corresponding to the Biotite granodiorite gneisse, and also by tonalitic gneiss composition corresponding to Metatonalit. The Jaupaci Metavolcanic-sedimentary Sequence is formed by Chlorite Schist (Metabasalt), Biotite Schist (Metadacite) and Sericite Schist (Metarhyolite), and even intrusions Sin/Tardi e Post Tectonic, granite to diorite composition (Diorites), and alson tonalitic (Bacilandia Tonalite). Post tectonic intrusions are observed, wich were Hornblend Diorite Porphyry and Lamprophyres, Structural analysis allowed the identification of three deformational events, Dn-1, Dn and Post-Dn. The first event is associated with a bygone foliation, lineation which generates an intersectional event, generating the foliation Sn, this being the most important structure in the study area, generating even the type mineral lineation and stretch. The last deformational event is characterized by folds on different scales, affecting the Sn foliation. The rocks of the region have features s active hydrothermal and regional metamorphism, and are composed os assembly indicative of mineralogical facies metamorphism Green Schist, in chlotite zone, with evidence of retro metamorphism. Locally there are sulfides as pyrite, arsenopyrit and pyrhotite, and te mineralization is associated with the arsenopyrite

Estimation of hourly, daily and monthly mean diffuse radiation based on MEO shadowring correction

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

Avaliação da tenacidade à fratura de diferentes sistemas cerâmicos

Although ceramics present high compressive strength, they are brittle materials due to their low tensile strength so they have lower capacity to absorb shocks. This study evaluated the fracture toughness of different ceramic systems, which refers to the ability of a friable material to absorb defformation energy. Three ceramic systems were investigated. Ten cylindrical samples (5,0mm x 3,0mm), were obtained from each ceramic material as follows: G1- 10 samples of Vitadur Alpha (Vita-Zahnfabrik); G2- 10 samples of IPS Empress2 (Ivoclar-Vivadent); G3- 10 samples of In-Ceram Alumina (Vita-Zahnfabrik). Fracture toughness values were collected upon indentation tests that were performed under a heavy load. A microhardness tester (Digital Microhardness Tester FM) utilized a 500gf load cell during 10seconds to perform four impressions on each sample. Statistically significant results were observed (ANOVA and Kruskal-Wallis tests). In-Ceram Alumina presented the highest median toughness values (2,96N/m3/2), followed by Vitadur Alpha (2,08N/m3/2) and IPS Empress2 (1,05N/m3/2). It may be concluded that different ceramic systems present distinct fracture toughness values, thus In-Ceram is capable of absorbing superior stress when compared to Vitadur Alpha and IPS Empress2.

A comparison of microhardness of indirect composite restorative materials

The purpose of this study was to compare the microhardness of four indirect composite resins. Forty cylindrical samples were prepared according to the manufacturer s recommendations using a Teflon mold. Ten specimens were produced from each tested material, constituting four groups (n=10) as follows: G1 - Artglass; G2 - Sinfony; G3 - Solidex; G4 - Targis. Microhardness was determined by the Vickers indentation technique with a load of 300g for 10 seconds. Four indentations were made on each sample, determining the mean microhardness values for each specimen. Descriptive statistics data for the experimental conditions were: G1 - Artglass (mean ±standard deviation: 55.26 ± 1.15HVN; median: 52.6); G2 - Sinfony (31.22 ± 0.65HVN; 31.30); G3 - Solidex (52.25 ± 1.55HVN; 52.60); G4 - Targis (72.14 ± 2.82HVN; 73.30). An exploratory data analysis was performed to determine the most appropriate statistical test through: (I) Levene's for homogeneity of variances; (II) ANOVA on ranks (Kruskal-Wallis); (III) Dunn's multiple comparison test (0.05). Targis presented the highest microhardness values while Sinfony presented the lowest. Artglass and Solidex were found as intermediate materials. These results indicate that distinct mechanical properties may be observed at specific materials. The composition of each material as well as variations on polymerization methods are possibly responsibles for the difference found in microhardness. Therefore, indirect composite resin materials that guarantee both good esthetics and adequate mechanical properties may be considered as substitutes of natural teeth.

As aglomerações produtivas de calçados, folheados e de jóias do CRAJUBAR (CE): formação, produção, trabalho, implicações socioespaciais

Pós-graduação em Geografia - IGCE

Modelagem da irradiação direta na incidência normal em Botucatu: aprendizado de máquina, estatístico e linke

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

The biopsychosocial processes in autism spectrum disorder

Abstract Background Autism is a disorder characterized by pervasive social and communicative impairments, repetitive and stereotyped behaviors and restricted interests. Its causes and effects have been researched from various neurocognitive theoretical perspectives and with the aid of neuroimaging technology. We aimed to describe biopsychosocial processes characteristic of the Autism Spectrum Disorders. Method Literature review using Medline and Scopus databases published between 2001 and 2011, with the keywords "autism", "theory of mind", "executive functions", "central coherence" and “fMRI”. Results The studies found were plotted and organized into tables and an explanatory diagram of the main findings was produced. Conclusions The most popular neurocognitive theories are still unable to fully explain the characteristics of the complications that autistic spectrum disorder causes to the quality of life of individuals living with autism. The association of clinical research and neuroimaging may contribute to a better understanding of the functioning of the brain affected by the disorder.

Ausência de estreita associação entre qualidade de vida e capacidade de exercício na hipertensão arterial pulmonar

FUNDAMENTO: Na hipertensão arterial pulmonar (HAP) a qualidade de vida relacionada saúde (QVRS) tem sido investigada em curtos períodos de tempo (semanas), mas pouco se sabe sobre a perspectiva do paciente no médio e longo prazo. OBJETIVO: Analisar o estado de pacientes em terapias específicas de HAP durante um ano de observação, em termos de QVRS, e investigar se possíveis associações entre a capacidade de exercício (CE) e a QVRS persistem no médio prazo. MÉTODOS: Trinta e quatro pacientes em terapias para a HAP (bosentan e/ou sildenafil) foram selecionados (idade de 14 a 58 anos, mediana de 35,5 anos, classe funcional II ou III), e avaliados no momento basal, e 3, 6, 9 e 12 meses depois, usando o teste de caminhada de 6 minutos e questionário SF-36 de QVRS. RESULTADOS: A distância percorrida nos seis minutos não mudou durante o acompanhamento (387 - 432 metros, valores da mediana, p=0.2775), o mesmo para a classe funcional e saturação periférica de oxigênio. Os escores SF-36 também se mantiveram estáveis, com a saúde física sempre pior que a saúde mental. Das 40 possíveis associações entre a CE e QVRS, apenas 12 foram significativas (30%, p<0,05). A previsão de uma QVRS severamente deprimida com base em uma distância percorrida de 235 metros foi específica em >90%, mas sensível em <43%. CONCLUSÃO: Os pacientes com HAP que se mantêm estáveis em termos da CE também parecem fazê-lo em termos de QVRS. Contudo, CE e QVRS não têm ligação consistente com o tempo, e devem ser analisadas como diferentes perspectivas no paciente individual.

Os hibridismos estético-culturais na caixa visagens nordestinas, do grupo paraibano Cabruêra

O objetivo deste artigo é analisar os aspectos estético-culturais que caracterizam como híbridas três fotografias e três canções da caixa Visagens nordestinas (2012), da banda paraibana Cabruêra. A caixa contém o livro de fotos Nordeste desvelado e o CD Nordeste oculto e as temáticas centrais são a religiosidade e a cultura popular nordestina A pesquisa é exploratória com análise semiótica como metodologia, baseada nos conceitos do semioticista Iúri Lótman. Nas canções Padre Cícero, Pena Dourada e Druidas do agreste e nas respectivas fotos relacionadas às faixas musicais (intituladas: 1 - Feira de artesanato da Igreja do Socorro, 2 - Crianças de tribo seminômade e 3 - Joaquim Mulato, líder do grupo de penitentes), o hibridismo foi observado nas relações entre os códigos visual, sonoro e textual, na sonoridade do sitar indiano, nos objetos, indumentárias e temas religiosos, nos elementos indígenas, tudo permeado pelos códigos da cultura popular nordestina.

Trissoralen um medicamento de baixa dosagem: estudos termoanalíticos da compatibilidade do fármaco-excipientes e determinação de parâmetros de qualidade para cápsulas magistrais

The trioxsalen (Tri) is a low-dose drug used in the treatment of psoriasis and other skin diseases. The aim of the study was applying the thermal analysis and complementary techniques for characterization, evaluation of the trioxsalen stability and components of manipulated pharmaceutical formulations. The thermal behavior of the Tri by TG/DTG-DTA in dynamic atmosphere of synthetic air and nitrogen showed the same profile with a melting peak followed by a volatilization-related event. From the curves TG / DTG is observed a single stage of mass loss. By heating the drug in the stove at temperatures of 80, 240 and 260 °C, it had no change in chemical structure through the techniques of XRD, HPLC, MIR, OM and SEM. From the non-isothermal and isothermal TG kinetic studies was possible to calculate the activation energy and reaction order for the Tri. The drug showed good thermal stability. Studies on drug-excipient compatibility showed interaction of trissoralen with sodium lauryl sulfate 1:1. There was no interaction with aerosol, pregelatinized starch, sodium starch glycolate, cellulose, croscarmellose sodium, magnesium stearate, lactose and mannitol.The characterization of three trioxsalen formulations at concentrations of 2.5, 5, 7.5, 10, 12.5 and 15 mg was performed by DSC, TG / DTG, XRD, NIR and MIR. The PCA classification method based on spectral data from the NIR and MIR of trissoralen formulations allows successful differentiation into three groups. The formulation 3 was the one that best showed analytical profile with the following composition of aerosil excipients, pre-gelatinized starch and cellulose. The activation energy of the volatilization process of the drug was determined in binary mixtures and formulation 3 through fitting and isoconversional methods. The binary mixture with sodium starch glycolate and lactose showed differences in kinetic parameters compared to the drug isolated. The thermoanalytical techniques (DSC and TG / DTG) were shown to be promising methodologies for quantifying trioxsalen obtained by the linearity, selectivity, no use solvents, without sample preparation, speed and practicality.

Influência da granulometria e taxas de filtração no tratamento de água utilizando dupla filtração

The contamination of water sources of public drinking by waste originated by anthropogenic activities has brought various risks to human health. Among the consequences of such activities can highlight the bloom of microalgae and cyanobacteria, which have the potential to produce toxins dangerous to humans, and the presence of humic substances that are generated by the decomposition of natural organic matter (NOM), such as vegetation. When found in water sources for public supply, present negative aspects conferring high color, odor and taste. The double filtration technology has good efficiency in water with the presence of cyanobacteria and different quality variations. Therefore, this study aimed to evaluate the behavior of the technique of double filtration with pre-oxidation for water purifiers the lagoon of Extremoz-RN, which currently has high concentrations of cyanobacteria. The research is summarized in four phases: the first phase turned to static tests in jarteste equipment in the laboratory and subsequent phases were tested in the Pilot Plant of Double Filtration. For the second and third stage filtration rates were tested filtration rates of 120 and 180 m3 / m2 .day for ascending boulders filters and 160 and 240 m3 / m2 .day in the filters in quick sand descendants. The last phase aimed to evaluate the double filtration with pre-oxidation. The results demonstrated that the system could produce double filtration in all trials of good quality water according to the Decree nº. 2914/11 of the Ministry of Health. The use of preoxidation favored the removal of microcystin and color at the end of the tests, reaching a percentage of color removal around 60%. The analysis of variance in the data, enabled prove that the filtration rates of 180 m3 / m2.d the gravel filter and 240 m3 /m2 .d in rapid filters, were the most significant for the removal of turbidity. The ascending filter of boulder 4 with particle size finer filter layer showed the best performance and the best means of turbidity and apparent color. The rapid filter downward 1 was more efficient in removing turbidity reaching removal about 100%