Tempo de circulação extracorpórea como fator risco para insuficiência renal aguda

OBJETIVO: A insuficiência renal aguda (IRA) no pósoperatório (PO) de cirurgia cardíaca é complicação grave. O objetivo deste trabalho é avaliar o tempo de circulação extracorpórea (CEC) como fator de risco para IRA. MÉTODO: Foram avaliados 116 pacientes de um único centro, submetidos a cirurgia cardíaca com CEC. Foram avaliados os dados demográficos, características clínicas, variáveis intra e pós-operatórias. A creatinina sérica e o clearance de creatinina foram avaliados até o 5ºPO. IRA foi definida como necessidade de diálise. Os pacientes foram estratificados em dois grupos: grupo CEC< 70 min e grupo CEC> 90min. RESULTADOS: O aumento médio da creatinina sérica no PO foi 0,18+0,41 no grupo CEC<70min e 0,42+0,44 no grupo CEC>90min (p=0,005). Diálise foi necessária em 1,3% dos pacientes do grupo CEC<70min, e em 12,5% do grupo CEC> 90min (p=0,018). O risco relativo para diálise foi 1,12 (IC 95%, 1,00-1,20) para CEC>90min. Não houve diferença para mortalidade (5,2 versus 7,5%, p=0,631). CONSLUSÃO: O desenvolvimento de IRA no pós-operatório de cirurgia cardíaca foi observado em pacientes com tempo de CEC superior a 90 minutos, embora o clearance de creatinina não tenha demonstrado alteração entre os grupos.

Idade materna como fator de risco: estudo com primigestas na faixa etária igual ou superior a 28 anos

Trata-se de estudo transversal, cujo objetivo foi analisar a idade materna como fator de risco ou não, através da verificação de intercorrências na gestação, parto e puerpério de primigestas com idade igual ou superior a 28 anos e das condições de nascimento e alta de seus recém-nascidos, comparando-as com o grupo de primigestas na faixa etária de 20 a 27 anos. Foi realizado em Botucatu/S.P., no período de janeiro de 1990 a junho de 1995. A análise estatística, discutida ao nível de 5% de significância, foi realizada através da prova de Mann-Whitney, teste de Goodman e avaliação do risco relativo e risco relativo corrigido, através da técnica de Mantel-Haenszel. Concluiu-se que a idade materna igual ou superior a 28 anos não constituiu fator de risco gestacional, puerperal e intra-parto mas, por outro lado, foi fator de risco, mesmo após controlado o tipo de parto, para as seguintes intercorrências perinatais: taquipnéia transitória do recém-nascido, cianose generalizada ao nascer e infecção neonatal.

Mitose como fator prognóstico para biópsia de linfonodo sentinela em melanoma fino

Paciente, sexo feminino, 23 anos, com melanoma extensivo superficial em dorso, Breslow 0,35 mm, Clark II, sem ulcerações e com 2 mitoses / mm². Foi submetida à ampliação de margem e biópsia de dois linfonodos sentinela (axila esquerda). O exame anatomopatológico mostrou micrometástases, no seio subcapsular de ambos. Seguindo a recomendação do American Joint Commitee on Cancer 2009, a paciente foi submetida à linfadenectomia axilar total, sem outros linfonodos metastáticos. A aplicação da dermatoscopia vem permitindo maior precisão diagnóstica de melanoma cutâneo, contribuindo para maior proporção de melanoma fino ao diagnóstico. A taxa mitótica foi incluída como um importante fator prognóstico para melanomas finos pelo American Joint Commitee on Cancer 2009, sugerindo biópsia para esses pacientes

Exposição ao ruído ocupacional como fator de risco para acidentes do trabalho

OBJETIVO: Verificar se a exposição ocupacional ao ruído é fator de risco relevante para acidentes do trabalho. MÉTODOS: Estudo de caso-controle de base populacional. Os dados foram coletados entre 16/5/2002 e 15/10/2002, na cidade de Botucatu, Estado de São Paulo. Os casos foram definidos como trabalhadores que sofreram acidentes ocupacionais típicos nos últimos 90 dias, identificados por intermédio de amostragem aleatória sistemática de domicílios residenciais. Os controles foram trabalhadores não acidentados, aleatoriamente alocados a partir da mesma população que originou os casos, emparelhados na razão 3:1 segundo sexo, faixa etária e setor censitário de moradia. Ajustou-se um modelo de regressão logística múltipla, tendo como variável independente a exposição ocupacional ao ruído, controlada por covariáveis de interesse. RESULTADOS: Foram analisados 94 casos e 282 controles. Ajustando-se um modelo de regressão logística condicional múltipla observou-se que trabalhar sempre e às vezes exposto a ruído intenso associou-se a um risco relativo de acidentar-se de 5,0 (IC 95%: 2,8-8,7; p<0,001) e 3,7 (IC 95%: 1,8-7,4; p=0,0003), respectivamente, tendo como referência trabalhar não exposto a ruído, controlado para diversas covariáveis. CONCLUSÕES: Com base nos resultados encontrados, justifica-se o investimento em programas de conservação auditiva particularmente voltados para o controle da emissão de ruídos na fonte. Essas medidas objetivam não apenas a manutenção da saúde auditiva, mas também a diminuição da acidentabilidade dos trabalhadores.

Influência do fator de crescimento semelhante à insulina I (IGF-I) adicionado ao meio fluido sintético de tuba uterina (SOF) sobre a maturação in vitro de oócitos caninos (Canis familiaris)

The follicular growth and oocyte maturation knowledge are very important to the development and improvement of new biotechnologies such as in vitro fertilization and somatic cell nuclear transfer. In order to the necessity of clarify the basic mechanisms related to canine oocyte maturation, this investigation focuses on the evaluation of the effect of insulin-like growth factor-i (IGF-I), added to synthetic oviductal fluid medium (SOF) on the in vitro maturation of domestic dog oocytes. Thirty-seven bitches undergoing ovariohysterectomy for castration or due to pathological conditions of the uterus were selected as oocytes' donors (n=875). The oocytes were allocated in the following groups: MO (stained in the collection's time), Control (72h in SOF) and Experimental (72h in SOF plus 100 ng IGF-I). After 72 hours of maturation the oocytes' nuclear status were assessed by Hoechst 33342 dye. The best results in terms of oocyte harvest were observed in those juvenile donors,, females in estrus, nuliparous and pure breeds. No significant differences were observed between treatments control (SOF) or experimental (IGF-I).

Competência em informação: um fator crítico para a comunicação na atualidade

Information is one of the most essential raw materials of the journalist. Therefore, for a positive professional development in all means of communication, one must use it with quality. Thus, the development of information proficiency can help with the execution of the job in a more efficient and responsible manner. All of which is indispensable facing the importance of the journalistic discourse as a mediator nowadays, as well as the challenges that the journalist faces with the advent of new information and communication technologies.

Sazonalidade, tarifa mais conveniente e fator de carga em indústria de processamento de cana

This paper represents the results of the work carried out in order to study the condition of seasonal consumer, the load factor and the more convenient tariff for a sugar mill located in the Vale do Paranapanema, SP, Brazil. Therefore, data of consume and registered demand were collected during the quadriennium 1990 to 1994. The studies showed that the factory did not maintain the condition of seasonal consumer of electric energy during the analysed period. Low values of the load factor observed in the period showed a non rational use of electric energy supplied by the concessionary. The results showed that only in one situation (load retired in top equal to 90%) the most convenient tariff is the horo-sazonal azul. In the other situations the most convenient tariff is the conventional one.

Novos conversores retificadores Sepic ZCS-PWM, operando como abaixadores de tensao, com elevados rendimento e fator de potencia - um estudo comparativo

A comparative evaluation regarding a new zero-current-switching (ZCS) pulse width modulated (PWM) Sepic rectifier, operating in voltage step-down mode, employing two different techniques, in order to obtain high power factor and reduced total harmonic distortion (THD) at the input current, is presented. The methods are those in continuous-current mode operation, known as peak current mode control with slope compensation, and average-current mode control. The principle of operation, the theoretical analysis, a design example and the main experimental results are presented for both proposed control techniques.

Relação peso-comprimento e fator de condição para Cichla cf. ocellaris e Cichla monoculus (Perciformes, Cichlidae) no reservatório de Volta Grande, Rio Grande - MG/SP

The aim of this paper was to analyze the length-weight relationship and the condition factor of two species of cichlids (Cichla cf. ocellaris and Cichla monoculus) (Perciformes, Cichlidae) that were inducted in Volta Grande Reservoir, Rio Grande. There was no difference in the length-weight relationship between the sexes for Cichla cf. ocellaris and Cichla monoculus. The allometric condition factor showed a fall in the spring and another smaller one in the winter. It happens when these fishes change their feeding activity. In the spring all the reproductive behavior are developed and, in the winter, there is a shortage of prey. The variation of the relative condition factor followed the variation of the allometric condition factor due to the low contribution of the gonads weight and the small amount of accumulated fat in the total weight. The length distribution, length-weight relationship and condition factor of these fishes vary in accordance with the time of introduction into the reservoir, the characteristics of the ecosystem as well as the interactions among the species at these sites.

Fator de crescimento derivado de plaquetas humanas obtido por uma metodologia rápida e de baixo custo

Human platelet-derived growth factor (PDGF) was purified from lysates of clinically outdated human platelets by ionic exchange chromatography in CM-Sepharose. The eluated fraction was submitted to the Immunoblot/Slot Blot assay using anti-PDGF-AA and anti-PDGF-BB polyclonal antibodies and was evaluated as to its biological activity through the test of [H 3]-thymidine incorporation in NIH/3T3 cell line fibroblasts in culture. The Immunoblot/Slot Blot assay using anti-PDGF-AA and anti-PDGF-BB antibodies proved the presence of the PDGF in chromatographic cationic fraction. The comparison of biological activities between fiblobrast stimulation assay using recombinant PDGF-AB and partially purified PDGF was demonstrated in 165.796 and 157.567 cpm, respectively. This result, proved the potent mitogenic effect of partially purified PDGF and consequently their evidence about the wound healing activity.

Relação peso-comprimento e fator de condição de Brycon opalinus (Pisces, Characiformes) no Parque Estadual da Serra do Mar-Núcleo Santa Virgínia, Mata Atlântica, Estado de São Paulo, Brasil

In this study, the length-weight relationship and the condition factor of Brycon opalinus were analyzed in three rivers within the Santa Virgínia Unit, at Serra do Mar State Park, in São Paulo State. The different conditions in these three environments were evidenced, such as the seasonality, reproductive period, and the differences between females and males according to the parameters which evidenced the best physiological condition of the fish. In this species, the condition factor varied along the seasons at all three collection sites. The length of the first gonadal maturation and the reproductive period were long, with the highest intensity in the spring and summer.

Relação peso-comprimento e fator de condição de Salminus hilarii Valenciennes 1850 (Osteichthyes, Characidae) em um trecho da bacia do rio Sorocaba, Estado de São Paulo, Brasil

The length-weight relationship and condition factor of Salminus hilarii were analyzed in a section of the lower part of the Sorocaba river basin, São Paulo State. By studying male, female and immature individuals separately, different length-weight patterns were found for each. The same happened when distinct seasonal variations of the relationships were compared, related to feeding alterations and to the reproductive period of the species.

Relação peso-comprimento e fator de condição de Cichla kelberi (Perciformes, Cichlidae) introduzidos em um lago artificial no sudeste Brasileiro

The length-weight relationship and condition factor for Cichla kelberi introduced in an artificial lake in southeastern Brazil were analyzed. By studying separately the male, female and immature individuals, different length-weight patterns were found to happen among them. The same happened when distinct seasonal variations were compared. They are related to feeding alterations and me reproductive periods. The length-weight relationship and condition factor for these fishes vary in accordance with the time of introduction, population size, the characteristics of the ecosystem, sexual maturity, as well as the intra- and interspecific interactions.

Proposição e validações de equações para estimativa da erosividade de dois municípios do estado de São Paulo

The equations and extrapolation use to localities whose characteristics of soil and climate, even if partial, distinguish the town to which they were generated, still permeate in studies to estimate the rainfall erosivity (EI 30). This work has objective to propose and validate mathematical equations to estimate the rainfall erosivity of two cities of Sao Paulo State's. The adjusted to estimate obtaining and validate data of equations of erosivity (EI 30) according to values of coefficient of rain (Rc) were obtained from pluviographic and pluviometric rainfall data, respectively, using of distinct historical rainfall series. Mutiple comparisions test and confidence intervals were performed to compare absolute average of EI 30, pluviometric data (Pp), and Rc. The correlation between EI 30 and Rc was verified by of Pearson correlation coefficient. Test of the hypothesis of equality between population variance was used to compare the equations. Pluviometrics data of historical series rainfall data different than those that the models were generated were used to validate and to assess the performance of the equations, proposed of this study and compare them with another equation already consolidated in literature. The results show that for the conditions under which the study was conducted, the simple linear equations, shown to be the most appropriate to estimate the rainfall erosivity these two cities. According to the test of the hypothesis of equality variances between populations, the equations adjusted for each city differ statistically so that the rainfall erosivity of each city must be estimated by their respective equation.

Conversor CA-CA de elevado fator de potência para aplicações com geradores de Ímã permanente

This paper proposes and describes a high power factor AC-AC converter for naval applications using Permanent Magnet Generator (PMG). The three-phase output voltages of the PMG vary from 260 Vrms (220 Hz) to 380 Vrms (360 Hz), depending on load conditions. The proposed converter consists of a Y-/ΔY power transformer, which provides electrical isolation between the PMG and remaining stages, and a twelve-pulse uncontrolled rectifier stage directly connected to a single-phase inverter stage, without the use of an intermediary DC-DC topology. This proposal results in more simplicity for the overall circuitry, assuring robustness, reliability and reduced costs. Furthermore, the multipulse rectifier stage is capable to provide high power factor and low total harmonic distortion for the input currents of the converter. The single-phase inverter stage was designed to operate with wide range of DC bus voltage, maintaining 120 Vrms, 60 Hz output. The control philosophy, implemented in a digital signal processor (DSP) which also contains protection routines, alows series connections between two identical converters, achieving 240 Vrms, 60 Hz total output voltage. Measured total harmonic distortion for the AC output voltage is lower than 2% and the input power factor is 0.93 at 3.6kW nominal load. © 2010 IEEE.