Efeitos da higienização brônquica nas variáveis cardiorrespiratórias de pacientes em ventilação mecânica

INTRODUCTION: During mechanical ventilation (MV), the airways may accumulate secretions. Patients are submitted to Respiratory Therapy (RT) and tracheal aspiration when in MV, alone or associated, to eliminate these secretions. OBJECTIVE: The objective was to compare the effects of different protocols of bronchial hygiene in blood pressure, heart rate, oxygen saturation and respiratory rate of patients undergoing MV. MATERIALS AND METHODS: We conducted a prospective, randomized, controlled crossover, with intentional non-probabilistic sample in the Medical School Hospital of Marília. We included patients in invasive MV who were submitted to three different bronchial hygiene protocols: PP - physiotherapy protocol (manual chest compression and manual hyperinflation); AP - aspiration protocol; and PP + AP. Respiratory rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), oxygen saturation and heart rate were evaluated in three moments: before (M1), immediately after (M2) and 30 minutes after (M3) for each protocol. The differences among protocols and times were assessed using ANOVA and post hoc Student Newman-Keus (p < 0.05). RESULTS: We studied eighteen 71.2 ± 13.9 year-old patients with 15.1 ± 17.7 days of MV. There were no differences among protocols. There was a significant decreasing in SBP (p = 0.0261) and DBP (p = 0.0119) from M2 to M3 in the aspiration protocol. CONCLUSION: There was a decrease of blood pressure on MV patients after 30 minutes of aspiration and no change in the other variables, and there was no difference among protocols.

Ultrassonografia transcraniana em cães hígidos: padronização da técnica e descrição anatômica

The study of the nervous system is increasing in Veterinary Medicine. Transcranial ultrasonography (TCUS) has the advantage of being a non-invasive and low cost method compared to computerized tomography (CT) and Magnetic Resonance Imaging (MRI). The temporal bone has been used as an acoustic window in TCUS in humans. This study aimed to correlate transcranial ultrasonographic images obtained through the temporal and occipital window with healthy dog's encephalic anatomy, and to standardize the technique. 37 adult mongrel dogs were used: 30 animals in vivo, in order to perform USTC screening and seven dog corpses for brain section as well as USTC planes. Data analysis was accomplished by the non parametric Wilcoxon test. Results obtained indicate that TCUS (in dorsal and oblique planes) is a viable method for brain evaluation in dogs weighting up to 10kg without anesthesia.

Pesque-solte: pesca repetitiva, variáveis hematológicas e parasitismo no peixe híbrido tambacu

The objective of this work was to evaluate the hematological and parasitological responses of tambacu (Colossoma macropomum x Piaractus mesopotamicus) subjected to catch-and-release stress and to different stocking densities in a catch-and-release system. Two hundred and ten fish with mean initial weight of 785.33±152.02 g and mean total length of 34.43±2.21 cm were maintained in ponds and divided into three groups: without fishing and low density (G1), with fishing and low density (G2), and with fishing and high density (G3). No significant differences were observed between the mean values for hemoglobin concentration, erythrocyte number, differential counting of leukocytes, and glucose. The fish from the G3 group showed higher parasite and thrombocyte numbers, and lower weight gain and hematocrit. The activity of catch-and-release, associated with high stocking density, can disrupt organic balance and animal performance, favoring parasitosis.

Variáveis hematológicas em tambaquis anestesiados com óleo de cravo e benzocaína

The objective of this work was to evaluate the anesthetic effect of clove oil and benzocaine on the hematology and osmotic fragility of erythrocytes in tambaqui (Colossoma macropomum). Thirty adult fish were evaluated in three treatments: a control, without anesthetic; anesthesia with clove oil at 50 mg L-1; and anesthesia with benzocaine at 100 mg L-1. Blood was collected for hemogram determination, and a test for the erithrocyte osmotic-fragility was applied. The utilized doses of clove oil and benzocaine are not appropriate for hematologic studies to establish reference values for tambaqui because they cause significant changes of the hematologic parameters, such as leukocytosis and iatrogenic hemolysis.

Padronização e melhoria de processos produtivos em empresas de panificação: estudo de múltiplos casos

An important tool for organizational change is the standardization of procedures for developing standards so that companies have greater control, thus providing a broad view of their processes and needs. This paper presents and analyzes a model of standard processes developed by the bakeries in PROPAN (Support Programme Bakery), detailing each stage of deployment to evaluate both its benefits for companies and employees and its shortcomings, to make proposals for improvements. Five bakeries were selected for this multi-case study, whose methodology consists of qualitative research using semi-structured interviews, on-site observations and document analysis. The main positive points of the model are the possibility of standardized recipes and procedures, a large decrease in wasted raw material and a significant increase in worker productivity. The main challenges are the lack of employee and owner commitment to the project, the lack of materials needed for deployment and the resistance of employees to change.

Estudo da filogenia dos anofelinos brasileiros do subgênero Nyssorhynchus e padronização da amplificação dos genes do receptor do peptídeo sexual (SPR) e do peptídeo sexual (SP)

Pós-graduação em Ciências Biológicas (Genética) - IBB

Vitamina D em mulhers adultas fumantes e ex-fumantes: ingestão, concentração sérica e associação com variáveis ecocardiográficas

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Analogia entre propriedades de alguns polinômios ortogonais em uma e em várias variáveis

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Previsão de demanda de cargas elétricas por seleção de variáveis stepwise e redes neurais artificiais

Pós-graduação em Engenharia Elétrica - FEIS

Citoinclusão de capa leucocitária e medula óssea de cães: padronização da técnica

The cell block technique is widely used and recognized by health professionals, but lacks in information regarding the specific contribution of this method to veterinary medicine. The cytology of bone marrow and buffy coat (cellular portion of the hole blood) are widely used in the diagnosis of neoplastic and nonneoplastic diseases, and also for the detection of infectious agents. Although the importance of these samples is widely recognized, there is no information about the use of buffy coat and bone marrow samples in the cell block procedure among the research material used for this paper. This work aims for the cell block standardization for canine buffy coat and bone marrow samples. We collected 110 buffy coat samples and 44 bone marrow samples for the cell block preparation, and 68.2% of buffy coat and bone marrow proved to be viable at the end of the procedure. The 95% ethanol fixatives along with the 20 minute processing steps (absolute ethanol, xilol and paraffin, 3 of each) were crucial for the quality of the material both in microtomy and optical microscopy. Mechanical separation of the buffy coat proved to be easy and cheap and was used to compose the cell block technique. In this research we emphasized the importance of cell block standardization in order to develop and easy, inexpensive and reproducible method, regardless of any of the professionals' limitations.

Contribuição dos impactos na saúde bucal e de variáveis sociodemográficas e clínicas na qualidade de vida relacionada à saúde

Pós-graduação em Reabilitação Oral - FOAR

Estudo da prevalência de disfunção craniomandibular segundo o índice de Helkimo tendo como variáveis: sexo, faixa etária e indivíduos tratados ou não ortodonticamente

One hundred non-patient dentistry students aged 17 to 25, were interviewed through questionnaire and were clinically examined in order to asses the prevalence and degree of severtty of Craniomandibular Dysfunction, through indeces which are subdivided into three classes: anaminestic index, clinical dysfunction index, and occlusal index. The following variables were introduced to the original indeces: sex, age, and whether the subjects had or had not received orthodontic treatment. The results showed that 42% of the subjects presented mild subjective symptoms whereas, no one showed severe subjective symptoms. Women, as well as the older subjects, showed a higher trend to presenting more subjective complaints. Subjects, whether treated orthodontically or not, showed a similar trend to having dysfunction symptoms. Fifty-six per cent of the subjects presented some score of clinical dysfunction, 25% of them showed moderate or severe clinical dysfunction. Women showed a statistically significant higher index. The older subjects trented to have indeces with more severe degrees. Orthodontic treatment suggested to have no influence on the clinical dysfunction index. Sixty-six per cent of the subjects showed a mild occlusal index and 11% a severe occlusal index. Sex, age, and orthodontic treatment did not show any significant difference as to the presence or absence of malocclusion

Influência do exercício físico sobre variáveis funcionais, morfológicas e moleculares do coração de ratos idosos

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Relações entre variáveis ambientais e anfíbios anuros em áreas de cerrado e floresta estacional semidecidual

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Desempenho de escolares rurais em narrativas escritas e possíveis relações com variáveis de perfil

The goal of this research was to characterize written stories, produced by students, without complaint of language development (oral and written), from pictographic support. In a specific way, it has been searched, in those stories, elements that could grant coherence, applying that performance with the participants’ profile variables. It was characterized as a descriptive-exploratory study, held at a rural municipal school in the State of Parana. Twenty-one (21) students of both genders and ages between seven and nine years old have participated in this study. Data collection consisted of two narratives requests: one oral, after being released, to the child, four pictures placed in sequence to form a story, and one written. This writing production had been taken for the analysis. The results have indicated that most children (71.42%) managed to produce coherent stories, seventeen (80%) in story 1 and thirteen (61%) in story 2. As to the relation of that coherence with the students’ profile in story 1, there has been no statistically significant association, for none of the analyzed variables (gender, age and education), whereas there has been a statistically significant association with gender in story 2 (p-value 0.027). It is considered that the use of the pictographic support in developing stories have been confirmed as a facilitating strategy for its construction, for it has enabled the production of coherent narratives.