1000 resultados para Pneumoperitônio, Gás carbônico, Sepse, Acidose, Leucócitos
Resumo:
Pós nanométricos SnO2.Nb2O5 foram estudados para o desenvolvimento de sensores de etanol. Estes pós foram preparados pelo método Pechini, caracterizados quanto à sua morfologia por difração de raios X, determinação de área superficial específica por BET e Microscopia Eletrônica de Transmissão e foram submetidos a testes de sensibilidade ao vapor de etanol. Foi estabelecida uma correlação entre a microestrutura do material, os efeitos do dopante e a resposta do sensor.
Resumo:
A desnutrição protéico-energética constitui problema comum aos pacientes com insuficiência renal crônica, influenciando diretamente na sua morbi-mortalidade. A acidose metabólica tem papel no catabolismo protéico, ativando a via proteolítica proteasoma-ubiquitina, dependente de adenosina trifosfato, e conjuntamente com glicocorticóides induz uma maior atividade na desidrogenase que degrada os aminoácidos de cadeia ramificada. Esta revisão teve como objetivo descrever o mecanismo pelo qual a acidose metabólica nos pacientes com insuficiência renal crônica promove o catabolismo protéico, favorecendo assim a desnutrição, bem como avaliar os efeitos do uso de bicarbonato de sódio na correção da acidose e conseqüentemente redução do catabolismo protéico. Pesquisas mostram melhora da acidose pelo uso de bicarbonato de sódio e conseqüente redução do catabolismo protéico na insuficiência renal crônica, podendo ser esta uma conduta promissora na atenuação da desnutrição nestes pacientes.
Resumo:
RESUMO - Os objetivos deste trabalho foram avaliar o sistema de monitoramento computadorizado da produção de gás in vitro e compará-lo com os métodos in vivo e in situ. Nos métodos de digestibilidade (MS), foram utilizadas amostras de silagens de milho com alto/baixo teor de MS, com/sem inoculante. Avaliando a digestibilidade das silagens, pelo gás produzido na fermentação, os resultados da extensão da degradação (A+D) foram: 21,5; 22,6; 22,1; e 20,9 mL de gás/100 mg MS, sem diferença significativa. Os coeficientes de determinação obtidos na produção de gás total, em relação ao potencial de degradação obtido in situ, mostraram-se elevados para silagem de milho com alta MS inoculada (R²= 0,99), alta MS não-inoculada (R²= 0,98), baixa MS inoculada (R²= 0,94) e baixa MS não-inoculada (R²=0,93). O desaparecimento da MS e/ou fibra em detergente neutro (FDN), quantificada pelo gás produzido no sistema in vitro/gás, apresentou resultados semelhantes aos demais métodos avaliados.
Resumo:
BACKGROUND AND OBJECTIVES: Pressure controlled ventilation (PCV) is available in anesthesia machines, but there are no studies on its use during CO 2 pneumoperitoneum (CPP). This study aimed at evaluating pressure-controlled ventilation and hemodynamic and ventilatory changes during CPP, as compared to conventional volume controlled ventilation (VCV). METHODS: This study involved 16 dogs anesthetized with thiopental, fentanyl and pancuronium, which were randomly assigned to two groups: VC - volume controlled ventilation (n=8) and PC - pressure controlled ventilation (n=8). Hemodynamic and ventilatory parameters were monitored and recorded in 4 moments: M1 (before CPP), M2 (30 minutes after CPP = 10 mmHg), M3 (30 minutes after CPP=15 mmHg) and M4 (30 minutes after deflation). RESULTS: With CPP, there has been significant increase in tidal volume in PC group; there has been increase in airway pressures (peak and plateau), decrease in compliance with increase in CPP pressure, increase in heart rate, maintenance of mean blood pressure with higher values in the VC group in all stages; there was also increase in right atrium pressure with significant decrease after deflation, decrease in arterial pH with minor variations in PC group, greater arterial pCO 2 stability in PC group, and no significant changes in arterial pO 2. CONCLUSIONS: There were some differences in hemodynamic and ventilatory data between both ventilation control modes (VC and PC). It is possible to use pressure controlled ventilation during CPP, but the anesthesiologist must monitor and take a close look at alveolar ventilation, adjusting inspiratory pressure to ensure proper CO 2 elimination and oxygenation. © Sociedade Brasileira de Anestesiologia, 2005.
Resumo:
The most frequent cause of vasodilatory shockis outcome from sepsis, a systemic inflammatory response to infection, characterized by hypotension, hyporeactivity to the catecholamines and disseminated intravascular coagulation. The commonest cause of sepsis has reported to be infection with Gram-negative bacteria, typically E. coli, resulting in the release of lipopolysaccharide (endotoxin) from the bacterial outer membrane during autolysis or death of these microorganisms, with the involvement of many mediators, including nitric oxide. Later it was found that plasma levels of vasopressin in sepsis patients were abnormally low and observed that some patients with advanced septic shock were extremely sensitive to the activity actions of exogenous vasopressin.
Resumo:
The current technological development made by the absorption refrigeration system is an economic and ambient alternative in comparison to the vapor cycle, possessing an advantage that uses thermal energy that is less noble. Chillers of absorption are used widely in the air conditioned industries, because they can be set in motion through hot water vapors that burn natural gas, solar energy, biomasses amongst others instead of electricity. These systems allow it to reduce the tips of electric demand and balance the rocking of energy demand. This work has had a main objective to simulate a absorption refrigeration cycle with lithium-water bromide solution using biogas of sanitary landfill, and mixtures of this with natural gas. These results shown to the energy viability of the system burning biogas and its mixtures with natural gas in the generator, when compared with equipments that uses traditional fuels (natural gas, oil diesel, amongst others), for operation the commercial chillers with 15 kW of the refrigeration capacity and temperature of the water in the entrance of 14°C and the exit of 7°C.
Resumo:
Context - Correction of voluminous hernias and large abdominal wall defects is a big challenge in surgical practice due to technical difficulties and the high incidence of respiratory and cardiovascular complications. Objectives - To present the authors experience with inducing progressive pneumoperitoneum preoperative to surgical treatment of voluminous hernias of the abdominal wall. Methods - Retrospective study of six patients who presented voluminous hernias of the abdominal wall and were operated after installation of a pneumoperitoneum. The procedure was performed by placing a catheter in the abdominal cavity at the level of the left hypochondrium with ambient air insufflation for 10 to 15 days. Results - Four of the six patients were female and two male. Ages ranged from 42 to 62 years. Hernia duration varied from 5 to 40 years. Four patients had incisional, one umbilical, and one inguinal hernias. Mean pneumoperitoneum time was 11.6 days. There were no complications related to pneumoperitoneum installation and maintenance. All hernias were corrected without technical difficulties. The Lichtenstein technique was used to correct the inguinal hernia, peritoneal aponeurotic transposition for one of the incisional hernias, with the rest corrected using polypropylene mesh. One death and one wall infection were observed post operatively. No recurrences were reported until now, in 4 to 36 months of follow-up. Conclusion - Preoperative progressive pneumoperitoneum is a safe and easy executed procedure, which simplifies surgery and reduces post-operative respiratory and cardiovascular complications. It is indicated for patients with hernias that have lost the right of domain in the abdominal cavity.
Resumo:
The present work showed the results of the biogas surface emissions from two large landfills. The study methodology consisted on escaping biogas analysis on the landfill surface, through the flux box and laboratory analysis. The total average emission of Bandeirantes Landfill was 0.00126 m3.CH4.m-2.h-1 and in Caieiras Landfill it was of 0.01222 m3.CH4.m-2.h-1. Those results were used to determinate the biogas escape both landfills. The total escape in Bandeirantes Landfill biogas accounted for 16% and in Caieiras, 35%. The conclusions demonstrated that there is a significant loss of biogas through the surface in both landfills, thus compromising the efficiency of the capture for using biogas.
Resumo:
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Resumo:
Pós-graduação em Anestesiologia - FMB
Resumo:
Pós-graduação em Ciência Animal - FMVA
Resumo:
Pós-graduação em Engenharia Mecânica - FEIS
Resumo:
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Resumo:
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Resumo:
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)