Prevalência de Fatores de Risco Cardiovascular em Pacientes em Hemodiálise - O Estudo CORDIAL

Fundamentos: Há uma carência de dados epidemiológicos sobre o perfil de risco cardiovascular nos pacientes renais crônicos em hemodiálise no Brasil. Objetivo: O estudo CORDIAL foi planejado para avaliar fatores de risco cardiovascular e acompanhar a evolução de uma população em programa de hemodiálise numa cidade metropolitana do Brasil. Métodos: Todos os pacientes em hemodiálise por doença renal crônica nos quinze centros de nefrologia de Porto Alegre foram considerados para inclusão na fase inicial do estudo CORDIAL. Dados clínicos, laboratoriais e demográficos foram obtidos nos registros médicos, e em entrevistas individuais estruturadas realizadas com todos os pacientes por pesquisadores treinados. Resultados: Foram incluídos 1215 pacientes (97,3% de todos os que estavam em hemodiálise na cidade de Porto Alegre). A média de idade era 58,3 anos, 59,5% eram homens e 62,8% eram brancos. A prevalência de fatores de risco cardiovascular encontrada foi 87,5% para hipertensão, 84,7% para dislipidemia, 73,1% para sedentarismo, 53,7% para tabagismo e 35,8% para diabetes. Em uma análise multivariada ajustada, sedentarismo (p = 0,032; RP 1,08 - IC95%: 1,01-1,15), dislipidemia (p = 0,019; RP 1,08 - IC95%: 1,01-1,14), e obesidade (p < 0,001; RP 1,96 - IC95%: 1,45-2,63) foram mais frequentes em mulheres; e hipertensão (p = 0,018; PR 1,06 - IC95%: 1,01-1,11) e tabagismo (p = 0,006; RP 2,7 - IC95%: 1,79-4,17) foram mais frequentes naqueles com menos de 65 anos. Sedentarismo apresentou uma associação independente com tempo em diálise inferior a 12 meses (p < 0,001; RP 1,23 - IC95%: 1,14-1,33). Conclusão: Pacientes em hemodiálise nesta metrópole do sul do Brasil apresentaram uma prevalência elevada de fatores de risco cardiovascular similar a diversos países do hemisfério norte.

Impuls und Transfer : literarische Feldbildungsprozesse in Magdeburg im 17. und 18. Jahrhundert

Magdeburg, Univ., Fak. für Geistes-, Sozial- und Erziehungswiss., Diss., 2007

Efeitos do arsênico sôbre a cultura do algodoeiro em terra arenosa

The authors studied the action of arsenic, in the form of lead arsenate and sodium arsenite, on cotton in white sandy soil of Piracicaba, State of S. Paulo, Brazil. The experiment was carried out in Mitscherlich pots, applying increasing quantities of the above mentioned compounds. The following conclusions were reached: sodium arsenite is more toxic than lead arsenate. 48 pounds per acre of lead arsenate and 16 pounds per acre of sodium arsenite reduced the vegetative development and the production of cotton. The roots were more seriously affected than the aerial parts. Sandy soils were sensitive to arsenic toxicity. The arsenic mobilization in the soil seems to depend upon factors such as, the a- cidity, the concentration of Fe2O3, CaO, P2O5 and soil colloids, both clay and humus components. The authors suggest, based on their own experiment and after a detailed study of the literature, the use of organic insecticids which may not leave toxic residues, rotation of crops, application of lime and reduction of arsenical sprays to a mini mum. Arsenic compounds should not be used in soils destined to the cultivation of food plants. Rice should not be planted in soils contaminated by arsenic compounds during several years of cotton cultivation. Future experiments are planed, using other soils such as "terra roxa", in Mitscherlich pots and in field plots.

Microdeterminação do arsênico

Studying the application of those methods of microanalysis which avoid costly instalations and atempting to combine high precision with low cost, the author recomends a new method consisting of the following : a) exposure of a surface of 530.66 mm2 of Zn to the action of the acid. b) instalation of 3 series of HgBr2 paper in test tubes with an internal diameter of respectively 3,5 and 9 mm. c - mouting between two slides, covering the margins (with parafin etc.) with parafin in order to conserve the results of the determination without change due to the action of light or moisture. d) the results can be compared at a level of 0.00001 mgr. A203 or 0.000007575 mgr. As.

Arsenicais e inseticidas orgânicos sôbre o algodoeiro em terras roxa e arenosa

The authors carried out a series of pots and plots experiments applying arsenical and organic insecticides to cotton plants cultivated in "terra roxa" and in a sandy soil. The first results were presented in 1947, to the la. Reunião Brasileira de Ciência do Solo (First Brazilian Congress of Soil Science); they pointed out the danger resulting from the accumulation of arsenic in soils due to the constant applications of arsenicais to control cotton pests; in the course of the time, the amount of residual arsenic in the soil would determine a decrease in cotton yield caused by its toxic effect on the crop. The following conclusions were drawn from the last three experiments: 1) the field experiment conducted in a sandy soil to which lead arseniate was applied in increasing rates produced a reduction of 50 per cent in the yield (the three highest doses were responsible for this result); by this way, the pot experiment published in 1947 was confirmed); 2) in the pot experiment with "terra roxa" toxic effects appeared only in the plants receiving the last dosis of lead arsenate; this result is explained quite naturally by a considerable absorption of the AsO4 --- ion by "terra roxa" colloidal material; furthermore the CaO, P2O5 and Fe2O3 content and the pH value (higher) would decrease the arsenate solubilization in the soil considered; 3) the pot experiment with organic insecticides applied in the rates usually employed in the control of cotton pests, showed that 10% D.D.TD. and 2.5% Rotenone did not affect cotton plants cultivated in a sandy soil; however we agree with FOSTER (1951), in the point that both mineral and organic insecticides must be applied in the minimum amount as possible; we also think that experiments like those should be carried out with the known insecticides, in several soil conditions and with many crops in order to determine the maximum limits of tolerancy.

Aspectos histopatológicos da encefalite aguda toxoplásmica: (humana e experimental)

Realizaram os Autores um estudo histopatológico de dois casos de encefalite aguda toxoplásmica humana mostrando a distribuição dos acúmulos inflamatórios, nitidamente em relação com rêde vascular, a composição celular dêstes acúmulos e a sua histogênese. Os resultados são discutidos e comparados com material experimental de coelhos.

La Phoronomia (1716) de Jacob Hermann (1678 -1733): entre la filosofía natural y la mecánica analítica

La "Phoronomia", primer libro de mecánica escrito tras los "Principia", es representativo del proceso de transición que transformó la dinámica a principios del XVIII y que concluye con la "Mecánica" de Euler (1736). Está escrita en estilo geométrico y algebraico, y mezcla los conceptos y métodos de Leibniz y Newton de forma idiosincrásica. En esta obra se encuentra por primera vez la segunda ley de Newton escrita en la forma en que hoy la conocemos, así como un intento de construcción de la estática y la dinámica de sólidos y fluidos basado en reglas generales diferenciales.

Raising the Level of Moral Thinking among Managers Will Not Help. Kohlberg's Conventionality and Systemic Ethical Flaws in Business

Business ethicists often assume that unethical behavior arises when individuals deviate from the norms and responsibilities that are institutionalized to frame economic activities. People's greed motivates them to violate the rules of the game. In Kohlberg's terms, it is assumed that such actors make decisions in a preconventional way and act opportunistically. In this article, we propose an alternative interpretation of deviant behavior, arguing that such behavior does not result from a lack of conventional moral guidance but rather from the fact that characteristics attributed to preconventional morality by Kohlberg - the purely incentive and punishment driven opportunistic morality - have become the conventionalized morality. The prevailing norms that economic actors have internalized as their yardstick are those of the preconventional Homo economicus. Not the deviation from, but the compliance with the rules of the game explains many forms of harmful and illegal decisions made in corporations.