Ocorrência de infecção hospitalar em idosos internados em hospital universitário

OBJETIVO: A infecção hospitalar é uma importante causa de morbidade e mortalidade na população idosa. O estudo realizado teve como objetivo avaliar a ocorrência e os fatores de risco da infecção hospitalar. MÉTODOS: Realizou-se estudo prospectivo em uma amostra de 322 idosos com 60 anos e mais, internados em um hospital universitário, entre setembro de 1999 e fevereiro de 2000. O cálculo da amostra foi feito pela fórmula de Fisher e Belle, com intervalo de confiança de 0,95%, de um total de 760 idosos internados, proporcionalmente ao número de pacientes em cada unidade de internação, no ano de 1997. Os critérios para definição da infecção hospitalar foram os do Center for Diseases and Prevention Control. Para a análise estatística dos dados foram utilizados o odds ratio e regressão logística. RESULTADOS: A taxa de infecção hospitalar encontrada foi de 23,6%. As topografias prevalentes de infecção hospitalar foram infecção respiratória (27,6%), do trato urinário (26,4%) e do sítio cirúrgico (23,6%). O tempo de internação dos pacientes sem infecção hospitalar foi de 6,9 dias e dos com infecção hospitalar foi de 15,9 (p<0,05). A taxa de mortalidade dos pacientes internados foi de 9,6% e a de letalidade dos pacientes com infecção hospitalar de 22,9% (p<0,05). Os fatores de risco encontrados para infecção hospitalar foram colangiografia (odds ratio (OR)=46,4, intervalo de confiança 95% (IC 95%)=4,4-485); diabetes melito (OR=9,9, IC 95%=4,4-22,3); doença pulmonar obstrutiva crônica (OR=8,3, IC 95%=2,9-23,7); cateterismo urinário (OR=5, IC 95%=2,7-11,8); internação com infecção comunitária (OR=3,9, IC 95%=1,7-8,9) e ventilação mecânica (OR=3,8, IC 95%=1,9-6,3). CONCLUSÕES: A infecção hospitalar apresentou incidência e letalidade elevadas e aumentou o tempo de internação dos idosos estudados.

Potencial mirmecológico na vetoração mecânica de helmintos em gatis

Vector potential of ants in mechanic dissemination of helminthes in a cat rescue center was analyzed in this study. Ants walking over cat's food and feces were collected and conditioned in distilled water. Cat feces were collected too. Ants were identified and the water where they were conditioned was observed on optic microscope. It was made the simple sedimentation technique to analyze feces. The results show that ants species Pheidole and Paratrechina can be potential vectors of nematode eggs, mainly Ascaridida, Toxocaridae.

Modificacoes na ação mecânica do coração isolado de cobaia por doses de propafenon capazes de alterar o eletrocardiograma

Inotropic effects of Propafenon were studied in isovolumic isolated guinea pig hearts submitted to infusion of the drug during 10 minutes. The dosages utilized caused: bradycardia, depression of AV nodal conduction and QRS widening. Simultaneously there was: decrease of the developed pressure (DP) and of the rate of rise of pressure (dp/dt), and elongation of the time of peak pressure. Since there was no clear relation between the heart rate and the inotropic indices (PD and dp/dt), it could be supposed that the depressor effect was not due to impairment of the chronotropism only. After the infusion of Propafenon, the chronotropic effect disapeared after 15 min, while the inotropic state presented a less satisfatory recuperation. The coronary output accompanied the myocardial metabolic needs, that is to say, there was a fall during the period of depressed cardiac function and a later tendency to increase during recovery.

Ação do diclofenaco de sódio, após a interrupção da peritonite estercorácea, no cólon de ratos. Estudo da resistência mecânica e do colágeno tecidual.

The objective of the present study was to investigate changes in colon wall in rats with fecal peritonitis (Per) associated with sodium diclofenac (SD) by studying breaking strength and tissue collagen concentration. The rats were divided into the following experimental groups: GROUP 1-SD: 60 animals injected intramuscularly with sodium diclofenac at the dose of 2 mg/kg body weight; GROUP 2-Per: 60 animals injected intraperitoneally with a suspension of human feces. Peritonitis was interrupted after six hours of evolution; GROUP 3-Per+SD: 60 animals injected intraperitoneally with a suspension of human feces and receiving SD according to the schedule used for Groups 1 and 2; CONTROL GROUP: 12 animals injected intramuscularly with physiological saline. The animals of Group 1, 2 and 3 were successively sacrificed 2, 4, 7, 14 and 21 days after interruption of peritonitis an/or the beginning of treatment. Under conditions of the experimental model and of the methods used, we conclude that sodium diclofenac, peritonitis and the peritonitis-sodium diclofenac association decrease the breaking strength and the concentration of tissue collagen in the colon segment.

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.

Avaliação estatística de métodos de poda aplicados em neurônios intermediários da rede neural MLP

There are several papers on pruning methods in the artificial neural networks area. However, with rare exceptions, none of them presents an appropriate statistical evaluation of such methods. In this article, we proved statistically the ability of some methods to reduce the number of neurons of the hidden layer of a multilayer perceptron neural network (MLP), and to maintain the same landing of classification error of the initial net. They are evaluated seven pruning methods. The experimental investigation was accomplished on five groups of generated data and in two groups of real data. Three variables were accompanied in the study: apparent classification error rate in the test group (REA); number of hidden neurons, obtained after the application of the pruning method; and number of training/retraining epochs, to evaluate the computational effort. The non-parametric Friedman's test was used to do the statistical analysis.

Uso de modelos lineales y no lineales para el estudio de la curva de lactancia en búfalos Murrah y sus cruces en sistemas de cría extensiva en el estado de São Paulo

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

Estatística de levantamentos epidemiológicos sobre cárie dentária, publicados no brasil e no exterior, de 1960 a 2001

The epidemiological surveys are important to the deployment, implementation and evaluation of projects and health actions in a community. The planning, goals, samples, team training/calibration, carrying out and publication of results are extremely important in the epidemiological surveys. Thus, the care with the sample and statistical analysis is fundamental for the results to be consistent and trustworthy in order to be able to be inferred for all the population. The aims of this study is to investigate the statistical methodology used in papers on dental caries epidemiological surveys published from 1960 to 2001. A bibliographical survey was carried out in BBO, MEDLINE and SCIELO databases. The papers found were analyzed with regards to the statistical methodology applied in the whole study, from the sampling to the tabling of data. Most studies (72.6%) only presented the number of elements that composed the sample, without explaining the planning involved in obtaining it.

Educação estatística no contexto da educação crítica

This article deals with the development of three competencies defined and studied in the context of Statistics Education (literacy, thinking and statistical reasoning). These competencies based on interpretation and understanding of critical information from real data are associated with an education geared toward the formation of critical citizenship and are in agreement with the principles that guide Critical Education. In this context, we consider Mathematical Modeling as a concrete possibility for integration between Critical Education and Education Statistics. We show that work with modeling projects in the classroom takes place in a context in which teaching is guided by the fundamentals of Critical Education. We present a project entitled Teaching Statistics and the financial market which illustrates the congruence between the objectives of Education Statistics and Critical Education.

A Pesquisa sobre o ensino de probabilidade e estatística no Brasil: Um exercício de metacompreensão

This article presents an exercise in meta-comprehension of what has been researched on teaching probability and statistics in Brazil. This research was based on the work on this subject presented in the third International Symposium for Research in Mathematics Education (III SIPEM). Articles were selected from the proceedings of the event analyzed hermeneuticly according to the procedures of phenomenology. We observed no evidence of clustering of research on this topic in terms of region or institutions, and we also emphasize that research on the teaching of Probability and Statistics needs to advance toward a theoretical discussion that transcends the subjects being studied and makes broader and deeper links between theory and practice. Findings also indicate that this sub-area of research in mathematics education is in the process of constituting itself.

Temperatura, escarificação mecânica e substrato na germinação de sementes das palmeiras juçara e açaí

The propagation of 'juçara' and 'açaí' is done by seeds, but there is a great desuniformity in the germination process. In this way, the objective of this study was to verify the effect of temperature, mechanical scarification and substrate on seed germination of both species. Two experiments were conducted in a completely randomized design, with four replications each consisting of 25 seeds. The first was conducted with 14 treatments in factorial scheme 7 x 2, seven temperatures (20, 25, 30, 35, 20-30 and 25-35 °C and natural condition), with and without mechanical scarification. The second was constituted of eight treatments in factorial scheme 4 x 2, four substrates (sand, vermiculite, coconut fiber and soil + manure), with and without mechanical scarification. Seeds of 'juçara' palm present the highest mean percentage and germination speed index in alternating temperatures of 20-30 and 25-35 °C and natural condition and in substrates sand, vermiculite and coconut fiber. Temperatures of 30, 35, 20-30 and 25-35 °C and natural condition in all substrates tested were the most favorable condition for 'açai' seeds. The scarification of the seeds was favorable to the germination process of 'juçara' whereas the seeds of açaí does not need to be scarified.

Variabilidade espacial da resistência mecânica do solo à penetração e umidade do solo em área cultivada com cana-de-açúcar na região de Humaitá, Amazonas, Brasil

The mechanical resistance to penetration (RP) is an attribute indicator of compaction was influenced by soil moisture. The objective of this study was to evaluate the spatial variability of soil resistance to penetration and soil moisture on area under cultivation of sugar cane in the region of Humaitá, Amazonas, Brazil. We conducted a sampling grid of 70x70 m where points were scored at regular intervals of 10 m, a total of 64 points. Soil samples were collected at depths of 0.00 to 0.15 m, 0.15 to 0.30 I 0.30 to 0.45 m for determination of soil moisture and soil resistance to penetration in the field. After analysis of these data analyzes were descriptive statistics and geostatistics. We conclude that all the variables studied showed spatial dependence and range values were higher than stipulated by the sampling grid and the RP and soil moisture showed a spatial relationship where lower values of PR concentrated on smaller values of soil moisture.