An ABC for decision making

The present study was aimed at proposing a systematic evaluation of cranial computed tomography, identifying the main aspects to be analyzed in order to facilitate the decision making process regarding diagnosis and management in emergency settings. The present descriptive study comprised a literature review at the following databases: Access Medicine and Access Emergency Medicine (McGraw- Hill Education); British Medical Journal Evidence Center; UptoDate; Bireme; PubMed; Lilacs; SciELO; ProQuest; Micromedex (Thomson Reuters); Embase. Once the literature review was completed, the authors identified the main diseases with tomographic repercussions and proposed the present system to evaluate cranial computed tomography images. An easy-to-memorize ABC system will facilitate the decision making in emergency settings, as it covers the main diseases encountered by intensivists and emergency physicians, and provides a sequential guidance about anatomical structures to be investigated as well as their respective alterations.

Aspiration pneumonia in children: an iconographic essay

Abstract In most cases of aspiration pneumonia in children, the disease is specific to this age group. Clinical and radiological correlation is essential for the diagnosis. The present pictorial essay is aimed at showing typical images of the most common etiologies.

Estudo fitoquímico e avaliação do potencial antidiabético do Cissus sicyoides L. (Vitaceae)

The effect of hydroalcoholic extracts (HE) obtained from leaves of Cissus sicyoides (CS) on glucose tolerance (GT) was investigated in rats treated with dexametasone (DEX). Our results showed that HE intensified the decreased GT promoted by (DEX). Additionally, the flavonoids kaempferol 3-O-rhamnoside and quercetin 3-O-rhamnoside, obtained from aerial parts of CS, were used to study the incorporation of glucose to glycogen in soleo muscle. The results showed that both flavonoids did not show effect on glycogen synthesis. Thus, our data, in contrast to popular believe, did not reveal antidiabetic activity to SC.

Produtos naturais para o controle da transmissão da dengue: atividade larvicida de Myroxylon balsamum (óleo vermelho) e de terpenóides e fenilpropanóides

The bioassay-guided fractionation of the hexane extract obtained from the medicinal plant Myroxylon balsamum (red oil) was conducted in preparative thin layer chromatography on silica gel. The obtained fractions and some terpenoids and phenylpropanoids were assayed as larvicidal on third instar Aedes aegypti larvae, NPPN colony. The results indicate that the sesquiterpene nerolidol was the active constituent in the extract and that the sesquiterpenes were more active than the monoterpenes and phenylpropanoids utilized in this study. Lipophilicity seems to be an important property for the activity since the compounds with hydroxyl, carbonyl and methoxyl groups were less active. The results confirm also that essential oils can be a good tool for the control of dengue.

Nanocompósitos cerâmicos a partir do processo de moagem mecânica de alta energia

Pb/Ti, Sn and Mg-based nanocomposite materials were prepared by the high-energy mechanical milling of commercial powders. The surface of these ceramic compounds was strongly influenced by the doping, diameter of the milling spheres and time of the mechanical milling (amorphization process). Such milling leads to the formation of nanocrystalline materials. The mechanical processing parameters of these compounds were investigated through Brunauer, Emmett and Teller isotherms, wide angle X-ray diffraction, transmission electron microscopy and CO2 adsorption.

Remoção dos corantes azul brilhante, amarelo crepúsculo e amarelo tartrazina de soluções aquosas utilizando carvão ativado, terra ativada, terra diatomácea, quitina e quitosana: estudos de equilíbrio e termodinâmica

This work compared activated carbon, activated earth, diatomaceous earth, chitin and chitosan to removal acid blue 9, food yellow 3 and FD&C yellow nº 5 dyes from aqueous solutions with different pH values (2-10). In the best process condition for each dye, equilibrium studies were carried out at different temperatures (from 298 to 328 K) and Langmuir, Freundlich, Redlich-Peterson, Temkin and Dubinin-Radushkevich models were fitted with experimental data. In addition, entropy change, Gibbs free energy change and enthalpy change were obtained in order to verify the thermodynamic adsorption behavior.

Citric acid as multifunctional agent in blowing films of starch/PBAT

Citric acid was used as a compatibilizer in the production of starch and PBAT films plasticized with glycerol and processed by blow extrusion. Films produced were characterized by WVP, mechanical properties, FT-IR-ATR and SEM. WPV ranged from 3.71 to 12.73×10-11 g m-1 s-1 Pa-1, while tensile strength and elongation at break ranged from 1.81 to 7.15 MPa and from 8.61 to 23.63%, respectively. Increasing the citric acid concentration improved WVP and slightly decreased film resistance and elongation. The films micrographs revealed a more homogeneous material with the addition of citric acid. However, the infrared spectra revealed little about cross-linking esterification reaction

Clones de Hevea brasiliensis de alta productividad caracterizados por resistencia a Microcyclus ulei en jardin clonal en el magdalena medio colombiano

Con el objetivo de introducir en la región del magdalena medio de Colombia nuevos clones de caucho (Hevea brasiliensis (Willd. ex A. Juss.) Müll. Arg.) de alta productividad y con resistencia al Mal de las Hojas, se evaluaron materiales un jardín clonal establecido en Cimitarra, Colombia en la región del magdalena medio. Se evaluó la incidencia y la severidad del ataque de Microcyclus ulei (P. Henn.) von Arx. según Garcia et al. (1). Se encontró resistencia completa al mal de las hojas para los clones CDC 312, FDR 4575, FDR 5597, FDR 5788 y MDF 180 y resistencia parcial para los clones FX 3864 y CDC 32. Los clones RRIM 901, PB 235 y PB 260 se mostraron como susceptibles. De acuerdo con los resultados, los clones con resistencia total y parcial se podrán recomendar para zonas preferenciales con restricción para el cultivo, una vez este comportamiento se corroboré en campo clonal. En cuanto a los clones susceptibles se pueden recomendar para zonas de escape al mal de las hojas en el Magdalena Medio Colombiano.

Avaliação da efetividade dos cursos preparatórios para residência médica

No Brasil, há um déficit de vagas para Residência Médica (RM) e maior concorrência em determinadas especialidades ou regiões, propiciando o crescimento dos Cursos Preparatórios (CPs) para provas de RM. Os acadêmicos, cada vez mais, deixam atividades curriculares em segundo plano e se matriculam nesses cursinhos. Mediante um questionário dirigido aos candidatos do concurso de RM do Hospital Universitário da Universidade Federal de Juiz de Fora (HU-UFJF), realizou-se um estudo para avaliar a efetividade da preparação de alunos em CPs. A adesão foi de 74,7% dos 368 concorrentes, sendo que a maioria freqüentou CPs (72%). Não houve diferença significativa de aprovação entre os candidatos que se prepararam em CPs e os que não os freqüentaram. Já a média das notas dos candidatos que freqüentaram CPs foi 4,07 pontos maior (66,89 contra 62,82, p < 0,05). Conclui-se que, no modelo tradicional de avaliação, cuja prova teórica corresponde a 90% da nota final, a preparação dos alunos que freqüentaram CPs é mais eficaz, o que enaltece a memorização em detrimento de habilidades médicas. Nesse contexto, pode-se considerar o modelo 50/50, em que a prova prática corresponde a 50% da nota final, uma proposta adequada.