Mini Nutritional Assessment predicts gait status and mortality 6 months after hip fracture.

The aim of the present study was to evaluate the Mini Nutritional Assessment (MNA), the Nutritional Risk Screening (NRS) 2002 and the American Society of Anesthesiologists Physical Status Score (ASA) as predictors of gait status and mortality 6 months after hip fracture. A total of eighty-eight consecutive patients over the age of 65 years with hip fracture admitted to an orthopaedic unit were prospectively evaluated. Within the first 72 h of admission, each patient's characteristics were recorded, and the MNA, the NRS 2002 and the ASA were performed. Gait status and mortality were evaluated 6 months after hip fracture. Of the total patients, two were excluded because of pathological fractures. The remaining eighty-six patients (aged 80·2 (sd 7·3) years) were studied. Among these patients 76·7 % were female, 69·8 % walked with or without support and 12·8 % died 6 months after the fracture. In a multivariate analysis, only the MNA was associated with gait status 6 months after hip fracture (OR 0·773, 95 % CI 0·663, 0·901; P= 0·001). In the Cox regression model, only the MNA was associated with mortality 6 months after hip fracture (hazard ratio 0·869, 95 % CI 0·757, 0·998; P= 0·04). In conclusion, the MNA best predicts gait status and mortality 6 months after hip fracture. These results suggest that the MNA should be included in the clinical stratification of patients with hip fracture to identify and treat malnutrition in order to improve the outcomes.

On the electrochemical behavior of Cu-16%Zn-6.5%Al alloy containing the β'-phase (martensite) in borate buffer

In this work, the electrochemical behavior of Cu-16(wt.%)Zn-6.5(wt.%)Al alloy containing the β'-phase (martensite) was studied in borate buffer solution (pH 8.4) by means of open-circuit potential (EOC), electrochemical impedance spectroscopy (EIS) and cyclic voltammetry (CV). The alloy EOC was -0.29 V vs. Hg/HgO/OH-, similar to that of pure copper in this medium, indicating that the processes which occur on the alloy surface are mainly governed by copper. EIS response was related to the dielectric and transmission properties of the complex oxide layer. The CVs showed peaks concerning the redox reactions for copper and zinc. These peaks were assigned to the formation and reduction of copper and zinc species. Furthermore, they showed that the copper oxidation was suppressed by the presence of zinc and aluminum in the alloy composition. The copper and zinc oxidation to form complex oxide layers and the reduction of the different metallic oxides generated in the anodic potential scan suggest that a solid state reaction could determine the metallic oxide formation. © 2013 Elsevier Ltd. All rights reserved.

Molecular epidemiology of methicillin-resistant Staphylococcus aureus in a burn unit from Brazil

Methicillin-resistant Staphylococcus aureus (MRSA) poses a threat for patients in burn units. Studies that mix epidemiological designs with molecular typing may contribute to the development of strategies for MRSA control. We conducted a study including: molecular characterization of Staphylococcal Chromosome Cassette mecA (SCCmec), strain typing with pulsed field gel electrophoresis (PFGE) and detection of virulence genes, altogether with a case-case-control study that assessed risk factors for MRSA and for methicillin-susceptible S. aureus (MSSA), using S. aureus negative patients as controls. Strains were collected from clinical and surveillance cultures from October 2006 through March 2009. MRSA was isolated from 96 patients. Most isolates (94.8%) harbored SCCmec type III. SCCmec type IV was identified in isolates from four patients. In only one case it could be epidemiologically characterized as community-associated. PFGE typing identified 36 coexisting MRSA clones. When compared to MSSA (38 isolates), MRSA isolates were more likely to harbor two virulence genes: tst and lukPV. Previous stay in other hospital and admission to Intensive Care Unit were independent risk factors for both MRSA and MSSA, while the number of burn wound excisions was significantly related with the former (OR = 6.80, 95%CI = 3.54-13.07). In conclusion, our study found polyclonal endemicity of MRSA in a burn unit, possibly related to importing of strains from other hospitals. Also, it pointed out to a role of surgical procedures in the dissemination of MRSA strains. © 2013 Elsevier Ltd and ISBI. All rights reserved.

Ferroelectric and structural instability of (Pb,Ca)TiO3 thin films prepared in an oxygen atmosphere and deposited on LSCO thin films which act as a buffer layer

Structural, microstructural and ferroelectric properties of Pb0.90Ca0.10TiO3 (PCT10) thin films deposited using La0.50Sr0.50CoO3 (LSCO) thin films which serve only as a buffer layer were compared with properties of the thin films grown using a platinum-coated silicon substrate. LSCO and PCT10 thin films were grown using the chemical solution deposition method and heat-treated in an oxygen atmosphere at 700 °C and 650 °C in a tube oven, respectively. X-ray diffraction (XRD) and Raman spectroscopy results showed that PCT10 thin films deposited directly on a platinum-coated silicon substrate exhibit a strong tetragonal character while thin films with the LSCO buffer layer displayed a smaller tetragonal character. Surface morphology observations by atomic force microscopy (AFM) revealed that PCT10 thin films with a LSCO buffer layer had a smoother surface and smaller grain size compared with thin films grown on a platinum-coated silicon substrate. Additionally, the capacitance versus voltage curves and hysteresis loop measurement indicated that the degree of polarization decreased for PCT10 thin films on a LSCO buffer layer compared with PCT10 thin films deposited directly on a platinum-coated silicon substrate. This phenomenon can be described as the smaller shift off-center of Ti atoms along the c-direction 〈001〉 inside the TiO6 octahedron unit due to the reduction of lattice parameters. Remnant polarization (P r ) values are about 30 μC/cm2 and 12 μC/cm2 for PCT10/Pt and PCT10/LSCO thin films, respectively. Results showed that the LSCO buffer layer strongly influenced the structural, microstructural and ferroelectric properties of PCT10 thin films. © 2013 Elsevier Ltd and Techna Group S.r.l.

Fabricação e caracterização morfológica de filmes layer-by-layer de DODAB/FTALOCIANINA de níquel

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Identificação e mapeamento de cavas e pilhas de bota-fora de mineração como unidade geológico-geotécnica no município de Estiva Gerbi - SP

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Níveis séricos de vitamina A em crianças de 6-71 meses de idade em uma Unidade Básica de Saúde no município de Botucatu - SP

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

Estudo da influência do resfriamento em revestimento de liga Stellite 6 aplicada pelo processo TIG

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo da geometria e cinemática das rochas sedimentares arqueanas da mina do Igarapé do Azul – Carajás-PA

Mina de Manganês do Igarapé Azul posiciona-se geologicamente no interior do feixe da Falha Carajás, na porção central do Sistema Transcorrente de Carajás. O depósito do Manganês do Azul relaciona-se a rochas sedimentares pelíticas do Membro Azul, na base da Formação Águas Claras (Arqueano), em contato discordante, acima do Grupo Grão Pará (Nogueira et al, 1995). Três frentes de lavra a céu aberto estão atualmente em andamento na área: (1) Mina Principal (Mina 1), (2) Mina 2 e (3) Mina 3. Nestes locais encontram-se excelentes afloramentos de siltitos intercalados com argilitos e arenitos finos, intercalados com níveis manganesíferos. Essas rochas estão organizadas em conjuntos de dobras e falhas normais e inversas sob deformação heterogênea, particionada em diferentes escalas. As seções geológicas realizadas nas frentes de lavra mostram a predominância de siltitos intercalados com argilitos em contato com rochas pelíticas manganesíferas e minério (bióxido de Mn). Nessas rochas são comuns estruturas primárias tipo hummocky, estratificações cruzadas, e laminações plano-paralelas. O acamamento centimétrico a métrico (em média de 30 a 50 cm ) representa a principal estrutura primária, usada como marcador de deformação, observada nas rochas. A Mina do Igarapé Azul encontra-se dividida em dois blocos, separados por falha normal com rejeito de até dezenas de metros, com o bloco norte alto em relação ao bloco sul. O bloco sul encontra-se pouco deformado, apresentado uma regularidade no acamamento que mergulha com ângulos suaves para sul, colocando a camada de minério sucessivamente em níveis mais profundos na direção S. No bloco norte o acamamento apresenta um comportamento heterogêneo. A deformação é mais expressiva nessa região, estando o nível de minério deformado por dobras e falhas inversas. Além da cinemática vertical, as falhas apresentam deslocamento conjugado destral dando a essas feições um caráter oblíquo. Essa região pode ser definida como um corredor de deformação. O corredor observado no bloco norte, de acordo com os domínios principais separados pelas falhas anteriormente descritas, possui orientação NW-SE, com aproximadamente um quilômetro de extensão, sendo caracterizado por dobras assimétricas curvilineares com eixos de mergulhos suaves (10° a 25°) para NW e SE. Essas dobras são seccionadas por falhas normais sinuosas NW-SE e/ou E-W, com baixo ângulo de mergulho (em torno de 10° a 30°), subordinadas a transcorrências destrais, gerando em escala de detalhes feições como drag folds. Observam-se ainda falhas inversas retas e/ou sinuosas NW-SE e zonas de falhas sub-verticalizadas WNW -ESE. As dobras individuais nesta área são estruturas do tipo reversas, flexurais e com geometria en echelon com orientação semelhante às dobras curvilineares: eixos com baixo ângulo de mergulho (10° a 25°) e caimento para SE. O conjunto de feições anteriormente descrito desenha, em escala quilométrica, um antiforme aberto, provavelmente resultante da acomodação do acamamento em resposta a deformação dessas falhas. O paralelismo entre feições observadas na área da Mina do Igarapé Azul e os lineamentos maiores que desenham a Falha Carajás em planta sugere uma relação com dois importantes episódios deformacionais ocorridos durante a história tectônica da Falha Carajás. As falhas normais associadas a componente direcional destral, de maior expressividade da área da mina, estariam relacionadas ao episódio de transtensão destral responsável pela instalação da Falha Carajás anterior a 2.6 Ga (Pinheiro, 1997). As dobras, as falhas de cavalgamento e as zonas de falhas sub-verticalizadas estariam relacionados a deformações sob regime de transpressão sinistral, um segundo evento atuante na região, responsável pela reativação e inversão da maioria das estruturas próximas à zona da Falha Carajás (Pinheiro, 1997; Pinheiro & Holdsworth, 2000; Lima, 2002).

Estudo in vitro da eficácia do gel de EDTA 24% na remoção de smear layer e exposição de fibras colágenas da superfície radicular

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avalição comparativa das intercorrências dialíticas de pacientes com lesão ranal aguda submetidos a sessões de hemodiálise prolongada de 6 e 10 horas

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Feed type for induced molting of commercial layer hens

An experiment employing three hundred and twenty 81-week-old Lohmann LSL commercial-breed hens was conducted to compare alternative induced-molting methods with the conventional method (fasting). Induced molting lasted 28 days at most, production and quality being monitored for four periods of 28 days thereafter. A completely randomized experimental design with five treatments, eight replicates of eight birds each per plot was adopted. The following experimental treatments were applied until a loss of 26% of body weight was reached: T1 - fasting, T2 - wheat bran ad libitum, T3 - rice bran ad libitum, T4 - cracked rice ad libitum, T5 - ground alfalfa ad libitum. Birds were then fed production diet ad libitum, except for those on treatment T1 (fasting) which received 30, 60 and 100 g/bird/day and then feed ad libitum. During induced molting the birds were exposed to a natural photoperiod and at day 28 that period was increased by 30 minutes/week until reaching 16 hours of light/day. The characteristics evaluated during induced molting were: feed intake, body weight changes and laying percentage. In the post-molt period, performance (feed intake, laying percentage, egg weight, egg mass, feed conversion ratio per dozen and per egg mass and percentage of broken eggs) and egg quality (specific gravity, eggshell breaking strength, percentages of eggshell, yolk, and albumen, eggshell thickness, yolk color and Haugh unit) were evaluated. Every 28 days one egg was collected from each repetition for three consecutive days for quality assessment. The use of rice bran and wheat bran is viable as molting inducers since the birds given those treatments display performance and egg quality similar to those fasted during the induced molting and also because these ingredients promote easier handling, eliminates the need for grinding and feed-mixing equipment and, being less aggressive, provide greater bird welfare.

Epidemiology of healthcare-associated infections among patients from a hemodialysis unit in southeastern Brazil

Patients submitted to hemodialysis are at a high risk for healthcare-associated infections (HAI). Presently there are scarce data to allow benchmarking of HAI rates in developing countries. Also, most studies focus only on bloodstream infections (BSI) or local access infections (LAI). Our study aimed to provide a wide overview of HAT epidemiology in a hemodialysis unit in southeastern Brazil. We present data from prospective surveillance carried out from March 2010 through May 2012. Rates were compared (mid-p exact test) and temporally analyzed in Shewhart control charts for Poisson distributions. The overall incidence of BSI was 1.12 per 1000 access-days. The rate was higher for patients performing dialysis through central venous catheters (CVC), either temporary (RR = 13.35, 95% CI = 6.68-26.95) or permanent (RR = 2.10,95% CI = 1.09-4.13), as compared to those with arteriovenous fistula. Control charts identified a BSI outbreak caused by Pseudomonas aeruginosa in April 2010. LAI incidence was 3.80 per 1000 access-days. Incidence rates for other HAI (per 1000 patients-day) were as follows: upper respiratory infections, 1.72; pneumonia, 1.35; urinary tract infections, 1.25; skin/soft tissues infections, 0.93. The data point out to the usefulness of applying methods commonly used in hospital-based surveillance for hemodialysis units. (C) 2013 Elsevier Editora Ltda. All rights reserved.

Stability-indicating thin-layer chromatographic method for determination of darunavir in complex darunavir-beta-cyclodextrin in the presence of its degradation products

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

SeP hole injection layer for devices based on organic materials

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)