Efeito da posição do prematuro no desmame da ventilação mecânica

Objective: the purpose of this study was to determine the effects of prone positioning on cardiorespiratory stability and weaning outcome of preterm infants during weaning from mechanical ventilation. Methods: from January to December 1999, a sample of 42 preterm infants, with birthweight < 2,000 g, mechanically ventilated in the first week of life, were randomly divided, in the beginning of the weaning process, in two groups according to the position: supine position (n = 21) or prone position (n = 21). Heart rate, respiratory rate, transcutaneous oxygen saturation and ventilatory parameters were recorded every one hour. Length of the weaning process and complications were also assessed. Results: in both groups the mean gestational age was 29 weeks, most of the patients presented very low birthweight and respiratory distress syndrome. The mean length of the weaning process was 2 days. There were no differences between the groups regarding respiratory rate, heart rate and transcutaneous oxygen saturation, however, oxygen desaturation episodes were more frequent in supine position (p = 0.009). Ventilatory parameters decreased faster and reintubation was less frequent in the prone group (4% versus 33%). No adverse effects of prone positioning were observed. Conclusion: these results suggest that prone position is a safe and beneficial procedure during the weaning from mechanical ventilation and may contribute to weaning success in preterm infants.

Diagnóstico de uma área compactada por atividade minerária, na floresta amazônica, empregando métodos geoestatísticos à variável resistência mecânica à penetração do solo

A quite common problem in the recovery of degraded areas in the mineral exploration understands the compaction of the soil due to the intense traffic of machines and earth movement. The most common problem of the compaction of a degraded surface is: increase of the mechanical resistance to the penetration of the rooats, reduction of the aeration, alteration of the water flow and heat. Thus the present work had the basic objective of diagnosing the compaction of a degraded area by mining in a space way, through the mechanical resistance the way penetration to guide a future subsoiling in the place seeking recovery. Through the studies it was concluded that the kriging method in agreement with the space variation allows the division of the area studies in sub areas facilitating a future work to reduce cost and unnecessary interference to the atmosphere. The method was shown quite appropriate and it can be used in diagnosis of the compaction in a degraded area by mining, foreseeing subsoiling need.

Eficiencia y equidad en el sistema de salud chileno

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Educación, eficiencia y equidad

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Educación, eficiencia y equidad: una difícil convivencia

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En búsqueda de efectividad, eficiencia y equidad: las políticas del mercado de trabajo y los instrumentos de su evaluación

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Pequeñas y medianas empresas y eficiencia colectiva: estudios de caso en América Latina

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Gestión social: cómo lograr eficiencia e impacto en las políticas sociales

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Situación y perspectivas de la eficiencia energética en América Latina y el Caribe = Situation and perspectives on energy efficiency in Latin America and the Caribbean

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Indicadores de políticas públicas en materia de eficiencia energética en América latina y el Caribe

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Eficiencia energética en América Latina y el Caribe: avances y desafíos del último quinquenio

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Política de apoyo a las pequeñas y medianas empresas: análisis del Programa de Reconversión Empresarial para las Exportaciones

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Eficiencia y equidad en el sistema de salud chileno

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