Estratégias analíticas para determinação de fósforo por espectrometria de absorção atômica com fonte contínua de alta resolução

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeitos da pressão do balonete de tubos traqueais contendo ou não válvula reguladora de pressão sobre a mucosa traqueal, durante anestesia com óxido nitroso no cão

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

Índice biespectral, variáveis intracranianas e cardiovasculares em cães anestesiados com diferentes doses de infusão de propofol, associados ou não ao óxido nitroso

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

Avaliação de genotoxicidade e estresse oxidativo em profissionais recém-expostos aos resíduos de gases anestésicos

Pós-graduação em Cirurgia Veterinária - FCAV

DNA damage and antioxidant status in medical residents occupationally exposed to waste anesthetic gases

PURPOSE:To investigate the effects of occupational exposure to waste anesthetic gases on genetic material and antioxidant status in professionals during their medical residency. METHODS:The study group consisted of 15 medical residents from Anesthesiology and Surgery areas, of both genders, mainly exposed to isoflurane and to a lesser degree to sevoflurane and nitrous oxide; the control group consisted of 15 young adults not exposed to anesthetics. Blood samples were drawn from professionals during medical residency (eight, 16 and 22 months of exposure to waste anesthetic gases). DNA damage was evaluated by comet assay, and antioxidant defense was assessed by total thiols and the enzymes glutathione peroxidase (GPX), superoxide dismutase (SOD) and catalase (CAT). RESULTS:When comparing the two groups, DNA damage was significantly increased at all time points evaluated in the exposed group; plasma thiols increased at 22 months of exposure and GPX was higher at 16 and 22 months of exposure. CONCLUSION:Young professionals exposed to waste anesthetic gases in operating rooms without adequate scavenging system have increased DNA damage and changes in redox status during medical residency. There is a need to minimize exposure to inhalation anesthetics and to provide better work conditions.

The oxidation of hydroxylamine on Pt-, and Pd-modified Au electrodes in aqueous electrolytes: Electrochemical and in situ spectroscopic studies

The electrooxidation of hydroxylamine, NH2OH, in 0.1 M phosphate buffer (PB, pH = 7) on Pt-, and Pd-modified Au electrodes prepared by galvanic displacement of underpotential deposited Cu, was investigated by electrochemical techniques and three and in situ vibrational probes, substrate-induced surface enhanced Raman scattering, SI-SERS, surface enhanced infrared absorption, SEIRAS, and Fourier transform infrared reflection-absorption, IRAS, spectroscopies. Analyses of the results obtained made it possible to identify at low overpotentials, solution phase (sol) and adsorbed (ads) nitric oxide, NO, as well as solution phase nitrous oxide, N2O. As the potential was increased, the peak(s) ascribed to NO(ads) gained in intensity and new features associated with NO2−(ads) and NO2−(sol) were clearly discerned. Further excursion toward higher potentials yielded an additional peak assigned to NO2(ads). This behavior is analogous to that found for bare Au electrodes in a potential region in which the metal is at least partially oxidized under otherwise the same experimental conditions.

The Lanz® endotracheal tube decreases tracheal injury in dogs

Purpose: To determine, in dogs anesthetized with nitrous oxide (N2O), whether the endotracheal tube (ETT) cuffed with a Lanz® pressure regulating valve decreases the tracheal consequences of tracheal intubation. Methods: Sixteen mixed-breed dogs were allocated to two groups according to the ETT used: Control group (n = 8) - Rüsch ETT, and Lanz group (n = 8) - ETT with Lanz® pressure regulating valve. The ETT cuffs in both groups were inflated with air to an intracuff pressure of 30 cm H2O. Anesthesia was induced and maintained with pentobarbitone and N2O (1.5 L·min-1) and O2 (1 L·min-1). ETT cuff pressures were measured before (control) and 60, 120, and 180 min during N2O administration. The dogs were sacrificed, and biopsy specimens from four predetermined areas of the tracheal mucosa in contact with the ETT were collected for light and scanning electron microscopy (SM) examination. Results: Cuff pressures in the Control group were higher than in the Lanz group at all time points studied (P < 0.001), with an increase over time only in the Control group (P < 0.001). Median neutrophilic inflammatory infiltration values of the epithelial surface, and in the subepithelial layer in contact with the cuff, were higher in the Control group as compared to the Lanz group (3.0 vs 1.0 and 3.0 vs 1.5 respectively) (P < 0.05). On SM examination, median histological grades were higher in the Control group compared to Lanz group (2.9 vs 1.9 respectively), (P < 0.05). Conclusions: The Lanz® ETT decreases tracheal mucosal injury in dogs.

Avaliação de danos no material genético em anestesiologistas

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Emission of Methane by Eudrilus eugeniae and Other Earthworms from Brazil

Earthworms emit denitrification-derived nitrous oxide and fermentation-derived molecular hydrogen. The present study demonstrated that the earthworm Eudrilus eugeniae, obtained in Brazil, emitted methane. Other worms displayed a lesser or no capacity to emit methane. Gene and transcript analyses of mcrA (encoding the alpha subunit of methyl-CoM reductase) in gut contents of E. eugeniae suggested that Methanosarcinaceae, Methanobacteriaceae, and Methanomicrobiaceae might be associated with this emission.

Disproportionate single-species contribution to canopy-soil nutrient flux in an Amazonian rainforest

Rainfall, throughfall and stemflow were monitored on an event basis in an undisturbed open tropical rainforest with a large number of palm trees located in the southwestern Amazon basin of Brazil. Stemflow samples were collected from 24 trees with a diameter at breast height (DBH) > 5 cm, as well as eight young and four full-grown babassu palms (Attalea speciosa Mart.) for 5 weeks during the peak of the wet season. We calculated rainfall, throughfall and stemflow concentrations and fluxes of Na+, K+, Ca2+, Mg2+,, Cl-, SO42-, NO3- and H+ and stemflow volume-weighted mean concentrations and fluxes for three size classes of broadleaf trees and three size classes of palms. The concentrations of most solutes were higher in stemflow than in rainfall and increased with increasing tree and palm size. Concentration enrichments from rainfall to stemflow and throughfall were particularly high (81-fold) for NO3-. Stemflow fluxes of NO3- and H+ exceeded throughfall fluxes but stemflow fluxes of other solutes were less than throughfall fluxes. Stemflow solute fluxes to the forest soil were dominated by fluxes on babassu palms, which represented only 4% of total stem number and 10% of total basal area. For NO3-, stemflow contributed 51% of the total mass of nitrogen delivered to the forest floor (stemflow + throughfall) and represented more than a 2000-fold increase in NO3- flux compared what would have been delivered by rainfall alone on the equivalent area. Because these highly localized fluxes of both water and NO3- persist in time and space, they have the potential to affect patterns of soil moisture, microbial populations and other features of soil biogeochemistry conducive to the creation of hotspots for nitrogen leaching and denitrification, which could amount to an important fraction of total ecosystem fluxes. Because these hotspots occur over very small areas, they have likely gone undetected in previous studies and need to be considered as an important feature of the biogeochemistry of palm-rich tropical forest. (C) 2011 Elsevier B.V. All rights reserved.

Global modeling of pollutant transport and deposition from anthropogenic emission hot spots on global scale

Urban centers significantly contribute to anthropogenic air pollution, although they cover only a minor fraction of the Earth's land surface. Since the worldwide degree of urbanization is steadily increasing, the anthropogenic contribution to air pollution from urban centers is expected to become more substantial in future air quality assessments. The main objective of this thesis was to obtain a more profound insight in the dispersion and the deposition of aerosol particles from 46 individual major population centers (MPCs) as well as the regional and global influence on the atmospheric distribution of several aerosol types. For the first time, this was assessed in one model framework, for which the global model EMAC was applied with different representations of aerosol particles. First, in an approach with passive tracers and a setup in which the results depend only on the source location and the size and the solubility of the tracers, several metrics and a regional climate classification were used to quantify the major outflow pathways, both vertically and horizontally, and to compare the balance between pollution export away from and pollution build-up around the source points. Then in a more comprehensive approach, the anthropogenic emissions of key trace species were changed at the MPC locations to determine the cumulative impact of the MPC emissions on the atmospheric aerosol burdens of black carbon, particulate organic matter, sulfate, and nitrate. Ten different mono-modal passive aerosol tracers were continuously released at the same constant rate at each emission point. The results clearly showed that on average about five times more mass is advected quasi-horizontally at low levels than exported into the upper troposphere. The strength of the low-level export is mainly determined by the location of the source, while the vertical transport is mainly governed by the lifting potential and the solubility of the tracers. Similar to insoluble gas phase tracers, the low-level export of aerosol tracers is strongest at middle and high latitudes, while the regions of strongest vertical export differ between aerosol (temperate winter dry) and gas phase (tropics) tracers. The emitted mass fraction that is kept around MPCs is largest in regions where aerosol tracers have short lifetimes; this mass is also critical for assessing the impact on humans. However, the number of people who live in a strongly polluted region around urban centers depends more on the population density than on the size of the area which is affected by strong air pollution. Another major result was that fine aerosol particles (diameters smaller than 2.5 micrometer) from MPCs undergo substantial long-range transport, with about half of the emitted mass being deposited beyond 1000 km away from the source. In contrast to this diluted remote deposition, there are areas around the MPCs which experience high deposition rates, especially in regions which are frequently affected by heavy precipitation or are situated in poorly ventilated locations. Moreover, most MPC aerosol emissions are removed over land surfaces. In particular, forests experience more deposition from MPC pollutants than other land ecosystems. In addition, it was found that the generic treatment of aerosols has no substantial influence on the major conclusions drawn in this thesis. Moreover, in the more comprehensive approach, it was found that emissions of black carbon, particulate organic matter, sulfur dioxide, and nitrogen oxides from MPCs influence the atmospheric burden of various aerosol types very differently, with impacts generally being larger for secondary species, sulfate and nitrate, than for primary species, black carbon and particulate organic matter. While the changes in the burdens of sulfate, black carbon, and particulate organic matter show an almost linear response for changes in the emission strength, the formation of nitrate was found to be contingent upon many more factors, e.g., the abundance of sulfuric acid, than only upon the strength of the nitrogen oxide emissions. The generic tracer experiments were further extended to conduct the first risk assessment to obtain the cumulative risk of contamination from multiple nuclear reactor accidents on the global scale. For this, many factors had to be taken into account: the probability of major accidents, the cumulative deposition field of the radionuclide cesium-137, and a threshold value that defines contamination. By collecting the necessary data and after accounting for uncertainties, it was found that the risk is highest in western Europe, the eastern US, and in Japan, where on average contamination by major accidents is expected about every 50 years.

Lachgas : Stellenwert gestern, heute, morgen

"Lachgas: Stellenwert gestern, heute, morgen" ist die Dissertation von Frau Dr. med. Susanne Maier. Dies ist die erste wissenschaftliche Arbeit, die die gesamte bisherige Literatur zu Lachgas seit Anbeginn der medizinischen Nutzung aufwendig aufgearbeitet hat. Nach dem dies Buch erschien, fingen viele europäische Kliniken an, den Lachgasgebrauch zu hinterfragen. In Folge verschwand dieses "Narkosegas" nun weltweit aus immer mehr OPs. Mangels Evidenz, welches diese Arbeit belegt, wird sicherlich absehbar dies Gas ganz aus der Humanmedizin (Schulmedizin) verschwinden. Im Rahmen eines Expertenmeetings nach der Veröffentlichung zeichnete sich dies bereits ab.

Untersuchung von Mischungs- und Transportprozessen in der oberen Troposphäre - unteren Stratosphäre basierend auf in-situ Spurengasmessungen

Die obere Troposphäre / untere Stratosphäre (UTLS: Upper Troposphere / Lower Stratosphere)ist die Übergangsgregion zwischen den dynamisch, chemisch und mikrophysikalisch sehr verschiedenen untersten Atmosphärenschichten, der Troposphäre und der Stratosphäre. Strahlungsaktive Spurengase, wie zum Beispiel Wasserdampf (H2O), Ozon (O3) oder Kohlenstoffdioxid (CO2), und Wolken in der UTLS beeinflussen das Strahlungsbudget der Atmosphäre und das globale Klima. Mögliche Veränderungen in den Verteilungen und Konzentrationen dieser Spurengase modifizieren den Strahlungsantrieb der Atmosphäre und können zum beobachteten Klimawandel beitragen. Ziel dieser Arbeit ist es, Austausch- und Mischungsprozesse innerhalb der UTLS besser zu verstehen und damit Veränderungen der Spurengaszusammensetzung dieser Region genauer prognostizieren zu können. Grundlage hierfür bilden flugzeuggetragene in-situ Spurengasmessungen in der UTLS, welche während der Flugzeugmesskampagnen TACTS / ESMVal 2012 und AIRTOSS - ICE 2013 durchgeführt wurden. Hierbei wurde bei den Messungen von AIRTOSS - ICE 2013 das im Rahmen dieser Arbeit aufgebaute UMAQS (University of Mainz Airborne QCLbased Spectrometer) - Instrument zur Messung der troposphärischen Spurengase Distickstoffmonoxid (N2O) und Kohlenstoffmonoxid (CO) eingesetzt. Dieses erreicht bei einer zeitlichen Auflösung von 1 s eine Messunsicherheit von 0,39 ppbv und 1,39 ppbv der N2O bzw. CO-Mischungsverhältnisse. Die hohe Zeitauflösung und Messgenauigkeit der N2O- und CO- Daten erlaubt die Untersuchung von kleinskaligen Austauschprozessen zwischen Troposphäre und Stratosphäre im Bereich der Tropopause auf räumlichen Skalen kleiner 200 m. Anhand der N2O-Daten von AIRTOSS - ICE 2013 können in-situ detektierte Zirruspartikel in eisübersättigter Luft oberhalb der N2O-basierten chemischen Tropopause nachgewiesen werden. Mit Hilfe der N2O-CO-Korrelation sowie der Analyse von ECMWF-Modelldaten und der Berechnung von Rückwärtstrajektorien kann deren Existenz auf das irreversible Vermischen von troposphärischen und stratosphärischen Luftmassen zurückgeführt werden. Mit den in-situ Messungen von N2O, CO und CH4 (Methan) von TACTS und ESMVal 2012 werden die großräumigen Spurengasverteilungen bis zu einer potentiellen Temperatur von Theta = 410 K in der extratropischen Stratosphäre untersucht. Hierbei kann eine Verjüngung der Luftmassen in der extratropischen Stratosphäre mit Delta Theta > 30 K (relativ zur dynamischen Tropopause) über den Zeitraum der Messkampagne (28.08.2012 - 27.09.2012) nachgewiesen werden. Die Korrelation von N2O mit O3 zeigt, dass diese Verjüngung aufgrund des verstärkten Eintrages von Luftmassen aus der tropischen unteren Stratosphäre verursacht wird. Diese werden über den flachen Zweig der Brewer-Dobson-Zirkulation auf Zeitskalen von wenigen Wochen in die extratropische Stratosphäre transportiert. Anhandrnder Analyse der CO-O3-Korrelation eines Messfluges vom 30.08.2012 wird das irreversible Einmischen von Luftmassen aus der tropischen Stratosphäre in die Extratropen auf Isentropen mit Theta > 380 K identifiziert. Rückwärtstrajektorien zeigen, dass der Ursprung der eingemischten tropischen Luftmassen im Bereich der sommerlichen Antizyklone des asiatischen Monsuns liegt.

A Decision-Tree-Based Approach to Smoke Spike Detection in a Heavy-Duty Diesel Engine

Smoke spikes occurring during transient engine operation have detrimental health effects and increase fuel consumption by requiring more frequent regeneration of the diesel particulate filter. This paper proposes a decision tree approach to real-time detection of smoke spikes for control and on-board diagnostics purposes. A contemporary, electronically controlled heavy-duty diesel engine was used to investigate the deficiencies of smoke control based on the fuel-to-oxygen-ratio limit. With the aid of transient and steady state data analysis and empirical as well as dimensional modeling, it was shown that the fuel-to-oxygen ratio was not estimated correctly during the turbocharger lag period. This inaccuracy was attributed to the large manifold pressure ratios and low exhaust gas recirculation flows recorded during the turbocharger lag period, which meant that engine control module correlations for the exhaust gas recirculation flow and the volumetric efficiency had to be extrapolated. The engine control module correlations were based on steady state data and it was shown that, unless the turbocharger efficiency is artificially reduced, the large manifold pressure ratios observed during the turbocharger lag period cannot be achieved at steady state. Additionally, the cylinder-to-cylinder variation during this period were shown to be sufficiently significant to make the average fuel-to-oxygen ratio a poor predictor of the transient smoke emissions. The steady state data also showed higher smoke emissions with higher exhaust gas recirculation fractions at constant fuel-to-oxygen-ratio levels. This suggests that, even if the fuel-to-oxygen ratios were to be estimated accurately for each cylinder, they would still be ineffective as smoke limiters. A decision tree trained on snap throttle data and pruned with engineering knowledge was able to use the inaccurate engine control module estimates of the fuel-to-oxygen ratio together with information on the engine control module estimate of the exhaust gas recirculation fraction, the engine speed, and the manifold pressure ratio to predict 94% of all spikes occurring over the Federal Test Procedure cycle. The advantages of this non-parametric approach over other commonly used parametric empirical methods such as regression were described. An application of accurate smoke spike detection in which the injection pressure is increased at points with a high opacity to reduce the cumulative particulate matter emissions substantially with a minimum increase in the cumulative nitrogrn oxide emissions was illustrated with dimensional and empirical modeling.

[Analgesia for pediatric patients. Standards and special aspects]

In this paper we describe the assessment and medical treatment of pain in children according to the concept of the Centre of Pediatrics and Adolescent Medicine at the university of Freiburg, Germany. Opiate therapy in children as well as novel data about the association of paracetamol (acetaminophen) and wheezing/asthma bronchiale in children are discussed. Special aspects of analgesia for painful procedures and a nitrous oxide/oxygen mixture which has been recently introduced in Germany are described. The second part of the paper presents results of our prospective study about continuous infusion of fentanyl and midazolam in a fixed combination in 19 critically ill patients with a median age of 46 months, 40% of these patients had an ARDS. The mortality rate was 21%. A median dose of fentanyl of 3.9 microg/kg/h (midazolam 0.26 mg/kg/h) was infused. The fentanyl serum level (median 4.2 ng/ml, range 1.7-17.8 ng/ml) correlated significantly with the administered dose while the midazolam serum levels (median 911 ng/ml, range 234-4 651 ng/ml) correlated neither with the administered dose nor with any of the analysed parameters. Conclusion: A standard protocol for the assessment and treatment of pain should be established in every pediatric hospital. The data about the association of asthma bronchiale and paracetamol cannot be interpreted conclusively, but show that even for well known substances clinical trials may lead to new awareness. The study data about continuous infusion of fentanyl and midazolam show a good correlation of the fentanyl application to serum levels, while midazolam appears to be not the optimal substance for continuous sedation in this setting.