Estudo dosimétrico para implementação da técnica radioterapêutica volumetric modulated arc therapy (VMAT)

Dissertação para obtenção do Grau de Mestre em Engenharia Biomédica

Os processos criativos na aprendizagem da técnica do violoncelo no ensino vocacional de música

Relatório de estágio de mestrado em Ensino de Música

Interrupção do arco aórtico tipo B em uma paciente com síndrome de olho de gato

Relatamos um caso de paciente com Síndrome do Olho de Gato (Cat Eye Syndrome-CES) e interrupção do arco aórtico tipo B, um achado típico na síndrome da deleção 22q11.2. A análise cromossômica e a técnica de hibridização fluorescente in situ (FISH) mostraram um cromossomo marcador isodicêntrico supranumerário com bi-satélite derivado do cromossomo 22. O segmento de 22pter a 22q11.2 no cromossomo supranumerário encontrado em nosso paciente não estava em sobreposição com a região deletada em pacientes com a síndrome da deleção 22q11.2. Entretanto, o achado de interrupção do arco aórtico tipo B não é usual na CES, mas é um defeito cardíaco freqüente na síndrome da deleção 22q11.

Guía para la incubación y alevinaje de trucha arco iris Oncorhynchus mykiss

Considerando este potencial y asociándolo con el uso exitoso de la trucha arco iris (Oncorhynchus mykiss) en actividades acuícolas en las zonas altoandinas del Perú, el Imarpe, dentro del Presupuesto por Resultados 2013 y 2014, a través de la meta Asistencia Técnica en Zonas Altoandinas y Amazónicas - Región Ayacucho, ha ejecutado el proyecto “Implementación de módulos prefabricados para la incubación de ovas importadas y obtención de alevinos de trucha arco iris”. Se inició las actividades con una evaluación e identificación de las zonas, cuyas características topográficas y de abastecimiento de agua fueron ideales para la incubación de ovas embrionadas de trucha arco iris. En tal sentido, las zonas identificadas fueron los Distrito de Socos, Chungui y Huanta.

Canulacion arterial axilar versus femoral para cirugía del arco aórtico

Objetivo: Determinar si la canulación arterial axilar para perfusión selectiva anterograda cerebral (PSAC) con hipotermia moderada reduce la morbilidad, mortalidad y el pronóstico neurológico en pacientes llevados a cirugía del arco aórtico. Pacientes y métodos: Se hace una revisión retrospectiva de 2 cohortes de pacientes a quienes se les realizo cirugía del arco aórtico urgente o electiva, para comparar dos técnicas de canulación arterial diferente; la canulación axilar para perfusión selectiva anterograda cerebral con hipotermia moderada y la canulación femoral con hipotermia profunda, en un periodo de tiempo comprendido entre Diciembre del 2002 y Agosto del 2008 en el servicio de cirugía cardiovascular de la Fundación Cardioinfantil Instituto de Cardiología. Resultados: 68 pacientes, 50 hombres y 18 mujeres fueron llevados a cirugía de arco aórtico 19 pacientes (27%) con diagnóstico de aneurisma de aorta ascendente y arco aórtico y 49 pacientes (72%) con disección aortica tipo A aguda o crónica. A 55 pacientes (80.9%) se les hizo canulación axilar y a 13 pacientes (19,1%) se les hizo canulación femoral. No se encontraron diferencias en las variables preoperatorias entre los dos grupos. La mortalidad global fue de 13,2% (9 pacientes), todas las muertes se presentaron en pacientes con diagnóstico de disección aortica tipo A. El 55% de los pacientes (38/68) se operaron de urgencia. No se presentaron diferencias estadísticamente significativas en la mortalidad entre el grupo de canulación axilar, 8 muertes (14,5%) y el grupo de canulación femoral 1 muerte (7,7%) con (p=0.5). No se encontraron diferencias en la incidencia de déficit neurológico permanente entre los dos grupos, presentándose solamente dos pacientes con accidente cerebrovascular ambos en el grupo de canulación axilar (P=0.48). Conclusiones: la canulación axilar con perfusión cerebral selectiva anterograda en hipotermia moderada representa un método seguro de protección cerebral, con una mortalidad aceptable y una incidencia baja de complicaciones neurológicas permanentes, no encontramos diferencias en la mortalidad o la aparición de eventos neurológicos, cuando se comparo con la técnica de canulación arterial femoral. No se presentaron complicaciones asociadas al sitio de canulación en ninguno de los dos grupos.

Construção, caracterização e aplicação de eletrodos para descarga por arco de cátodo oco

The system built to characterize electrodes and, consequently, deposited fine films are constituted by a hollow cathode that works to discharges and low pressures (approximately 10-3 to 5 mbar), a source DC (0 to 1200 V), a cylindrical camera of closed borossilicato for flanges of stainless steel with an association of vacuum bombs mechanical and spread. In the upper flange it is connected the system of hollow cathode, which possesses an entrance of gas and two entrances for its refrigeration, the same is electrically isolated of the rest of the equipment and it is polarized negatively. In front of the system of hollow cathode there is a movable sample in stainless steel with possibility of moving in the horizontal and vertical. In the vertical, the sample can vary its distance between 0 and 70 mm and, in the horizontal, can leave completely from the front of the hollow cathode. The sample and also the cathode hollow are equipped with cromel-alumel termopares with simultaneous reading of the temperatures during the time of treatment. In this work copper electrodes, bronze, titanium, iron, stainless steel, powder of titanium, powder of titanium and silício, glass and ceramic were used. The electrodes were investigated relating their geometry change and behavior of the plasma of the cavity of hollow cathode and channel of the gas. As the cavity of hollow cathode, the analyzed aspects were the diameter and depth. With the channel of the gas, we verified the diameter. In the two situations, we investigated parameters as flow of the gas, pressure, current and applied tension in the electrode, temperature, loss of mass of the electrode with relationship at the time of use. The flow of gas investigated in the electrodes it was fastened in a work strip from 15 to 6 sccm, the constant pressure of work was among 2.7 to 8 x 10-2 mbar. The applied current was among a strip of work from 0,8 to 0,4 A, and their respective tensions were in a strip from 400 to 220 V. Fixing the value of the current, it was possible to lift the curve of the behavior of the tension with the time of use. That curves esteem in that time of use of the electrode to its efficiency is maximum. The temperatures of the electrodes were in the dependence of that curves showing a maximum temperature when the tension was maximum, yet the measured temperatures in the samples showed to be sensitive the variation of the temperature in the electrodes. An accompaniment of the loss of mass of the electrode relating to its time of use showed that the electrodes that appeared the spherical cavities lost more mass in comparison with the electrodes in that didn't appear. That phenomenon is only seen for pressures of 10-2 mbar, in these conditions a plasma column is formed inside of the channel of the gas and in certain points it is concentrated in form of spheres. Those spherical cavities develop inside of the channel of the gas spreading during the whole extension of the channel of the gas. The used electrodes were cut after they could not be more used, however among those electrodes, films that were deposited in alternate times and the electrodes that were used to deposit films in same times, those films were deposited in the glass substrata, alumina, stainless steel 420, stainless steel 316, silício and steel M2. As the eletros used to deposit films in alternate time as the ones that they were used to deposit in same times, the behavior of the thickness of the film obeyed the curve of the tension with relationship the time of use of the electrode, that is, when the tension was maximum, the thickness of the film was also maximum and when the tension was minimum, the thickness was minimum and in the case where the value of the tension was constant, the thickness of the film tends to be constant. The fine films that were produced they had applications with nano stick, bio-compatibility, cellular growth, inhibition of bacterias, cut tool, metallic leagues, brasagem, pineapple fiber and ornamental. In those films it was investigated the thickness, the adherence and the uniformity characterized by sweeping electronic microscopy. Another technique developed to assist the production and characterization of the films produced in that work was the caloteste. It uses a sphere and abrasive to mark the sample with a cap impression, with that cap form it is possible to calculate the thickness of the film. Through the time of life of the cathode, it was possible to evaluate the rate of waste of its material for the different work conditions. Values of waste rate up to 3,2 x 10-6 g/s were verified. For a distance of the substratum of 11 mm, the deposited film was limited to a circular area of 22 mm diameter mm for high pressures and a circular area of 75 mm for pressure strip. The obtained films presented thickness around 2,1 µm, showing that the discharge of arch of hollow cathode in argon obeys a curve characteristic of the tension with the time of life of the eletrodo. The deposition rate obtained in this system it is of approximately 0,18 µm/min

Análise comparativa na influência da técnica de moldagem funcional em arcos parcialmente edêntulos sobre os pontos de contato oclusais, a integridade da fibromucosa e a extensão da base da prótese

There is a lack of clinical studies evaluating techniques of functional impression for partially edentulous arches. The aim of this double-blind non-randomized controlled clinical trial was to compare the efficacy of altered cast impression (ACI) and direct functional impression (DFI) techniques. The efficacy was evaluated regarding the number of occlusal units on denture teeth, mucosa integrity at 24-hour follow-up and denture base extension. The sample included 51 patients (female and male) with mean age of 58.96 years treated at Dental Department of UFRN. The patients, exhibiting edentulous maxilla and mandibular Kennedy class I, were divided into two groups (group ACI, n=29; group DFI, n=22). Clinical evaluation was based on the number of occlusal units on natural and/or artificial teeth, mucosa integrity at 24-hour follow-up, and denture base extension. Statistical analysis was conducted using the software SPSS 17.0® (SPSS Inc., Chicago, Illinois). Student T-test was used to reveal association between number of occlusal units and impression technique while chi-square test showed association between mucosa integrity and impression technique. Fischer s exact test was applied for association between denture base extension and impression technique at 95% level of significance. No significant difference was observed between the groups regarding number of occlusal units, mucosa integrity and denture base extension. The altered cast technique did not provide significant improvement in comparison to the direct technique when the number of occlusal units, mucosa integrity and denture base extension

Estudo da microestrutura e da resistência à corrosão integranular em chapas soldadas de aços inoxidáveis austeníticos série 304L após goivagem ao arco elétrico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Tratamento conservador de fratura de arco zigomátio: uma visão conservadora

Introduction: The zygomatic maxillary complex is the second most affected area of the face due to injuries, surpassed only by the nasal bones. The zygomatic arch fracture is under the direct action of trauma (punch, head butt), its fragile structure, losing its normal convex curvature in the temporal area. Objective: To report a case, using a reduction technique of zygomatic arch fracture using a hook or Ginestet Barros. Case report: A male patient, 25 years of age, leukoderma, showing zygomatic arch fracture right. The patient underwent closed reduction with the hook adapted to the skin. The patient was instructed to keep care of the region for at least four weeks

Aspectos anatómicos-funcionales del remate al arco con el empeine en el fútbol

El remate es la acción técnica individual que culmina generalmente tras una jugada colectiva, que consiste en impactar el balón hacia el arco rival, con el objetivo de convertir un gol. Entre los remates más comunes del fútbol, podemos encontrar: el remate con el empeine, con cara interna y externa del pie, con la cabeza, de volea, etc. Los remates pueden realizarse cuando el jugador se encuentra parado o en el transcurso de la carrera, luego de una jugada individual o en equipo. Los tiros también dependen de la dirección con la que viene el balón en relación con la posición del jugador y de la altura en el momento del contacto. Teniendo en cuenta las distintas variedades de remates, analizaremos los contenidos anatómicos y funcionales que enmarcan el remate con empeine total dentro de un gesto técnico específico. El tronco y la pelvis son segmentos articulares, ligamentarios y musculares claves para el análisis técnico ya que participan de la estabilidad en el momento de la acción técnica. Es necesario discernir entre la pierna de apoyo y la de ejecución, ya que requieren de determinados músculos que le posibilitan a cada una su accionar y es fundamental conocer la implicancia de estos músculos en el cuerpo en movimiento para tener conciencia en nuestras prácticas y poder aprovechar tales conocimientos para una mejor labor docente

Aspectos anatómicos-funcionales del remate al arco con el empeine en el fútbol

El remate es la acción técnica individual que culmina generalmente tras una jugada colectiva, que consiste en impactar el balón hacia el arco rival, con el objetivo de convertir un gol. Entre los remates más comunes del fútbol, podemos encontrar: el remate con el empeine, con cara interna y externa del pie, con la cabeza, de volea, etc. Los remates pueden realizarse cuando el jugador se encuentra parado o en el transcurso de la carrera, luego de una jugada individual o en equipo. Los tiros también dependen de la dirección con la que viene el balón en relación con la posición del jugador y de la altura en el momento del contacto. Teniendo en cuenta las distintas variedades de remates, analizaremos los contenidos anatómicos y funcionales que enmarcan el remate con empeine total dentro de un gesto técnico específico. El tronco y la pelvis son segmentos articulares, ligamentarios y musculares claves para el análisis técnico ya que participan de la estabilidad en el momento de la acción técnica. Es necesario discernir entre la pierna de apoyo y la de ejecución, ya que requieren de determinados músculos que le posibilitan a cada una su accionar y es fundamental conocer la implicancia de estos músculos en el cuerpo en movimiento para tener conciencia en nuestras prácticas y poder aprovechar tales conocimientos para una mejor labor docente

Aspectos anatómicos-funcionales del remate al arco con el empeine en el fútbol

El remate es la acción técnica individual que culmina generalmente tras una jugada colectiva, que consiste en impactar el balón hacia el arco rival, con el objetivo de convertir un gol. Entre los remates más comunes del fútbol, podemos encontrar: el remate con el empeine, con cara interna y externa del pie, con la cabeza, de volea, etc. Los remates pueden realizarse cuando el jugador se encuentra parado o en el transcurso de la carrera, luego de una jugada individual o en equipo. Los tiros también dependen de la dirección con la que viene el balón en relación con la posición del jugador y de la altura en el momento del contacto. Teniendo en cuenta las distintas variedades de remates, analizaremos los contenidos anatómicos y funcionales que enmarcan el remate con empeine total dentro de un gesto técnico específico. El tronco y la pelvis son segmentos articulares, ligamentarios y musculares claves para el análisis técnico ya que participan de la estabilidad en el momento de la acción técnica. Es necesario discernir entre la pierna de apoyo y la de ejecución, ya que requieren de determinados músculos que le posibilitan a cada una su accionar y es fundamental conocer la implicancia de estos músculos en el cuerpo en movimiento para tener conciencia en nuestras prácticas y poder aprovechar tales conocimientos para una mejor labor docente

Construção, caracterização e aplicação de eletrodos para descarga por arco de cátodo oco

The system built to characterize electrodes and, consequently, deposited fine films are constituted by a hollow cathode that works to discharges and low pressures (approximately 10-3 to 5 mbar), a source DC (0 to 1200 V), a cylindrical camera of closed borossilicato for flanges of stainless steel with an association of vacuum bombs mechanical and spread. In the upper flange it is connected the system of hollow cathode, which possesses an entrance of gas and two entrances for its refrigeration, the same is electrically isolated of the rest of the equipment and it is polarized negatively. In front of the system of hollow cathode there is a movable sample in stainless steel with possibility of moving in the horizontal and vertical. In the vertical, the sample can vary its distance between 0 and 70 mm and, in the horizontal, can leave completely from the front of the hollow cathode. The sample and also the cathode hollow are equipped with cromel-alumel termopares with simultaneous reading of the temperatures during the time of treatment. In this work copper electrodes, bronze, titanium, iron, stainless steel, powder of titanium, powder of titanium and silício, glass and ceramic were used. The electrodes were investigated relating their geometry change and behavior of the plasma of the cavity of hollow cathode and channel of the gas. As the cavity of hollow cathode, the analyzed aspects were the diameter and depth. With the channel of the gas, we verified the diameter. In the two situations, we investigated parameters as flow of the gas, pressure, current and applied tension in the electrode, temperature, loss of mass of the electrode with relationship at the time of use. The flow of gas investigated in the electrodes it was fastened in a work strip from 15 to 6 sccm, the constant pressure of work was among 2.7 to 8 x 10-2 mbar. The applied current was among a strip of work from 0,8 to 0,4 A, and their respective tensions were in a strip from 400 to 220 V. Fixing the value of the current, it was possible to lift the curve of the behavior of the tension with the time of use. That curves esteem in that time of use of the electrode to its efficiency is maximum. The temperatures of the electrodes were in the dependence of that curves showing a maximum temperature when the tension was maximum, yet the measured temperatures in the samples showed to be sensitive the variation of the temperature in the electrodes. An accompaniment of the loss of mass of the electrode relating to its time of use showed that the electrodes that appeared the spherical cavities lost more mass in comparison with the electrodes in that didn't appear. That phenomenon is only seen for pressures of 10-2 mbar, in these conditions a plasma column is formed inside of the channel of the gas and in certain points it is concentrated in form of spheres. Those spherical cavities develop inside of the channel of the gas spreading during the whole extension of the channel of the gas. The used electrodes were cut after they could not be more used, however among those electrodes, films that were deposited in alternate times and the electrodes that were used to deposit films in same times, those films were deposited in the glass substrata, alumina, stainless steel 420, stainless steel 316, silício and steel M2. As the eletros used to deposit films in alternate time as the ones that they were used to deposit in same times, the behavior of the thickness of the film obeyed the curve of the tension with relationship the time of use of the electrode, that is, when the tension was maximum, the thickness of the film was also maximum and when the tension was minimum, the thickness was minimum and in the case where the value of the tension was constant, the thickness of the film tends to be constant. The fine films that were produced they had applications with nano stick, bio-compatibility, cellular growth, inhibition of bacterias, cut tool, metallic leagues, brasagem, pineapple fiber and ornamental. In those films it was investigated the thickness, the adherence and the uniformity characterized by sweeping electronic microscopy. Another technique developed to assist the production and characterization of the films produced in that work was the caloteste. It uses a sphere and abrasive to mark the sample with a cap impression, with that cap form it is possible to calculate the thickness of the film. Through the time of life of the cathode, it was possible to evaluate the rate of waste of its material for the different work conditions. Values of waste rate up to 3,2 x 10-6 g/s were verified. For a distance of the substratum of 11 mm, the deposited film was limited to a circular area of 22 mm diameter mm for high pressures and a circular area of 75 mm for pressure strip. The obtained films presented thickness around 2,1 µm, showing that the discharge of arch of hollow cathode in argon obeys a curve characteristic of the tension with the time of life of the eletrodo. The deposition rate obtained in this system it is of approximately 0,18 µm/min

Síntese e estudo de ortossilicatos de zinco luminescentes com aplicação da técnica sol-gel

Usually, the concepts of the Sol-Gel technique are not applied in experimental chemistry courses. This work presents a feasible experiment for chemistry instruction, which involves the synthesis of luminescent materials - Zn2SiO4, with and without Mn2+ as a dopant - by the Sol-Gel technique. The obtained materials were analyzed by scanning electron microscopy, X-Ray diffraction, IR spectroscopy and luminescence measures by UV-vis spectroscopy. The results allow the students to confirm the luminescent properties of the zinc orthosilicate luminophores as well as the structural features expected from literature data.

Sistema MINUS® - técnica minimamente invasiva para o tratamento das fraturas transtrocanterianas do fêmur

The MINUS system was developed as a minimally invasive procedure that uses a diaphyseal cephalic extramedullary implant for the treatment of transtrochanteral fractures of the femur in elderly patients. The implant consists of a sliding screw coupled to a plate adapted to the minimally invasive technique. The surgical access is approximately three centimeters in length located on the lateral surface of the hip, below the projection of the small trochanter. A perfectly adapted instrument was used for the procedure, which also requires the use of an image intensifier, reducing surgery time and rate of bleeding. The objective of this study is to present a new instrument and implant, developed specifically for treatment with the minimally invasive technique, reducing the length of the conventional surgical access from 10 to three centimetres. This new implant was given the commercial name of MINUS System.