Peritoneal dialysis in acute renal failure

The definition of adequate dialysis in acute renal failure (ARF) is complex and involves the time of referral to dialysis, dose, and dialytic method. Nephrologist experience with a specific procedure and the availability of different dialysis modalities play an important role in these choices. There is no consensus in literature on the best method or ideal dialysis dose in ARF. Peritoneal dialysis (PD) is used less and less in ARF patients, and is being replaced by continuous venovenous therapies. However, it should not be discarded as a worthless therapeutic option for ARF patients. PD offers several advantages over hemodialysis, such as its technical simplicity, excellent cardiovascular tolerance, absence of an extracorporeal circuit, lack of bleeding risk, and low risk of hydro-electrolyte imbalance. PD also has some limitations, though: it needs an intact peritoneal cavity, carries risks of peritoneal infection and protein losses, and has an overall lower effectiveness. Because daily solute clearance is lower with PD than with daily HD, there have been concerns that PD cannot control uremia in ARF patients. Controversies exist concerning its use in patients with severe hypercatabolism; in these cases, daily hemodialysis or continuous venovenous therapy have been preferred. There is little literature on PD in ARF patients, and what exists does not address fundamental parameters such as adequate quantification of dialysis and patient catabolism. Given these limitations, there is a pressing need to re-evaluate the adequacy of PD in ARF using accepted standards. Therefore, new studies should be undertaken to resolve these problems. Copyright © Informa Healthcare.

Ritmitos de itu: Petrografia e considerações paleodeposicionais

Rhythmite samples from Varvite Quarry and Park of Itu (SP), and well cores from Rafard (SP), were analyzed by optical microscopy to describe the petrographic characteristics of their light-colored (siltstone) and dark-colored (shale) laminae. The light-colored ones are essentially siltstones, commonly with traces of sands; the mineralogical composition is mainly quartz, with traces of feldspar and scarce mica; quartz or calcite cementation occurs in variable intensity, the first one being more intense in the Itu rhythmites; parallel laminations, internally normal graded or massive are the most common sedimentary structures in these rocks; bioturbations and dropstones are commonly observed in Itu rhythmites; contacts between siltstone laminae, and siltstone beds and shale laminae are commonly non-erosive and sharp. Considering this study and the macroscopic description of these rhythmites it was possible to clarify many questions about their composition, as the grain-size of the light-colored beds composed by silt with subordinate dropped sand, and the inappropriate use of the term varvite to the most of the Itu rhythmites. It was also important to reinforce their proglacial lacustrine origin, with random freezing of lacustrine surface water, and only sporadic ice-contact.

Influência da granulometria de grânulos de amido sobre a densidade aparente de extratos atomizados

Starches and modified starch derivations are used as carriers in the spray drying processing where apparent density is an important characteristic and should be controlled in dehydrated products for pharmaceutical use. In Brazil, the commercial starches are made from corn and cassava, but there are others with potential for extraction. The canna and taro starches were selected because they represent the extremes of granule size and thus allow the effect of this size on the apparent density of spray dried products to be tested. For comparison, commercial cassava and corn starches which are used in spray-drying and have granules of intermediate size, were also tested. The spray-drying process was carried out with a LabPlant SD 04 Spray Dryer, operating at a pressure of 6 lb/in2, air of 7,6 mL/minute, and 1 cm atomizing nozzle. The air inlet temperature was set at 200°C this model does not allow regulating outlet temperature. The spray-dryer products had boldo leaf extract as base, using the four starches as carrier. The dry product was evaluated for humidity, water activity (Aw), granulometry and apparent density. The results showed that the size of the particles, which was a consequence of the size of the starch granules, influenced the apparent density of the spray dried products, which as higher (694, 27 g/mL) for the canna starch and lower (456, 13 g/mL) for taro starch. Corn and cassava starches showed very close and intermediate values, 521,51 and 58,48 g/mL, which also represent the standard range of starch granule size.

Desempenho operacional de semeadora-adubadora em diferentes manejos da cobertura e da velocidade

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

MTA-induced neutrophil recruitment: a mechanism dependent on IL-1β, MIP-2, and LTB4

Objective: The objective of this study was to investigate the mediators and the resident peritoneal cells involved in the neutrophil migration (NM) induced by mineral trioxide aggregate (MTA) in mice. Study design: MTA (25 mg/cavity) was injected into normal and pretreated peritoneal cavities (PC) with indomethacin (IND), dexamethasone (DEX), BWA4C, U75302, antimacrophage inflammatory protein-2 (MIP-2), and anti-interleukin-1β (IL-1β) antibodies and the NM was determined. The role of macrophage (MO) and mast cells (MAST) was determined by administration of thioglycollate 3% or 48/80 compound, respectively. The concentration of IL-1β and MIP-2 exudates was measured by ELISA. Results: MTA induced dose- and time-dependent NM into mice PC, with the participation of MO and MAST. NM was inhibited by DEX, BWA4C, and U75302, as well as anti-MIP-2 and anti-IL-1β antibodies. In the exudates, IL-1β and MIP-2 were detected. Conclusions: This study suggests that MTA induces NM via a mechanism dependent on MAST and MO mediated by IL-1β, MIP-2, and LTB4. © 2008 Mosby, Inc. All rights reserved.

Digest of selected demographic and social indicators 1960-1994 for CDCC member countries

Includes bibliography

Administração pública: O pacto pela saúde como uma nova estratégia de racionalização das ações e serviços em saúde no Brasil

The health pact arises in the Brazilian scene after a number of attempts for the improvement of the Unified Health System (SUS), so as to consolidate social equity. In this perspective, this paper discusses the pact using documental analysis, in order to help the public administration process in Brazil. This new policy, still in the initial phase of implementation, is a unique reality and highly feasible for the improvement of national practices in public health. Its performance is intimately related to overcoming the political barriers inherent to each rank of the administration.

Multiplex PCR use for Staphylococcus aureus identification and oxacillin and mupirocin resistance evaluation

Oxacillin-resistant Staphylococcus aureus represents a serious problem in hospitals worldwide, increasing infected patients' mortality and morbidity and raising treatment costs and internment time. In this study, the results of using the Multiplex PCR technique to amplify fragments of the genes femA (specific-species), mecA (oxacillin resistance) and ileS-2 (mupirocin resistance) were compared with those of tests conventionally used to identify S. aureus isolates and ascertain their resistance to drugs. Fifty S. aureus strains were isolated from patients receiving treatment at UNOESTE University Hospital in Presidente Prudente, SP, Brazil. The 686 bp fragment corresponding to the gene femA was amplified and detected in all the isolates. On the other hand, the 310 bp fragment corresponding to the mecA gene was amplified in 29 (58%) of the isolates. All of the isolates showed sensitivity to mupirocin in the agar diffusion test, which was corroborated by the lack of any amplicon of the 456 bp fragment corresponding to the ileS-2 gene, in the PCR bands. The conventional tests to identify S. aureus and detect resistance to oxacillin and mupirocin showed 100% agreement with the PCR Multiplex results. The use of techniques for rapid and accurate identification of bacteria and assessment of their resistance may be valuable in the control of infection by resistant strains, allowing the rapid isolation and treatment of an infected patient. However, the results demonstrate that traditional phenotypic tests are also reliable, though they take more time.

Estrutura do capim-braquiária durante o diferimento da pastagem

This experiment was performed aiming to evaluate tiller population density, forage mass and its morphological components on pastures of Brachiaria decumbens cv. Basilisk. during deferment. The treatments encompassed four deferred grazing periods (18, 46, 74 and 121 days). A randomized block design with two replications was used. The numbers of vegetative tillers (VT), reproductive tillers (RT) and dead tillers (DT) in the pasture were determined. The masses of green leaf blade (GLBM), dead stem (DSM) and dead forage (DFM) were also determined. There was a reduction in the number of VT (from 1, 491 to 944 tiller m-2) during the deferment period. RT and DT numbers were not influenced by the deferment periods. Their averages were 211 and 456 tiller m-2, respectively. Longer deferring periods resulted in an increase in GSM (from 2, 965 to 4, 877 kg ha-1 of dry mass) and DFM (from 2, 324 to 4, 823 kg ha-1 of dry mass), but it did not influence GLBM (average of 2, 047 kg ha-1 of dry mass). In Viçosa, Minas Gerais State Brazil, Brachiaria decumbens cv. Basilisk pasture fertilized and deferred in the beginning of March must be kept deferred for about 70 days in order to conciliate both quality and quantity forage production.

Aporte del sistema educativo a la reducción de las brechas digitales, una mirada desde las mediciones PISA

Incluye bibliografía

Precipitates segmentation from scanning electron microscope images through machine learning techniques

The presence of precipitates in metallic materials affects its durability, resistance and mechanical properties. Hence, its automatic identification by image processing and machine learning techniques may lead to reliable and efficient assessments on the materials. In this paper, we introduce four widely used supervised pattern recognition techniques to accomplish metallic precipitates segmentation in scanning electron microscope images from dissimilar welding on a Hastelloy C-276 alloy: Support Vector Machines, Optimum-Path Forest, Self Organizing Maps and a Bayesian classifier. Experimental results demonstrated that all classifiers achieved similar recognition rates with good results validated by an expert in metallographic image analysis. © 2011 Springer-Verlag Berlin Heidelberg.

Dinámica poblacional y convivencia interétnica: el campesinado indígena mesoamericano en el presente

Incluye Bibliografía

Fluoride concentration in public water supply: 72 months of analysis

Known as one of the ten most important advances on Public Health in the 20th century, fluoridation of public water supply is a measure of wide population coverage, which is effective on caries control. The city of Araçatuba, in the Northwest region of the São Paulo state, Brazil, started public water supply fluoridation in 1972 and, based on the average annual highest temperature, has kept the fluoride concentration between 0.6 to 0.8 mgF/L. The purpose of this study was to analyze monthly the fluoride concentration in public water supply in the city of Araçatuba during 72 months. Water samples were collected monthly on weekdays, directly from the water distribution network, on pre-established locations and analyzed in duplicate between November 2004 and October 2010 at the Research Laboratory of the Nucleus for Public Health (NEPESCO) of the Public Health Graduate Program from Araçatuba Dental School/UNESP, Brazil, using an fluoride-specific electrode connected to an ion analyzer. From the total of samples (n=591), 67.2% (n=397) presented fluoride concentration between 0.6 and 0.8 mgF/L; 20.6% (n=122) below 0.6 mgF/L; 11.5% (n=68) between 0.8 and 1.2 mgF/L and 0.7% (n=4) above 1.2 mgF/L. Most samples showed fluoride levels within the recommended parameters. Minimal variation was observed among the analyzed collection locations, showing that the city has been able to control the fluoride levels in the public water supply and reinforcing the importance of surveillance and constant monitoring to assure the quality of the water delivered to the population.

Composição florística de angiospermas no carste do Alto São Francisco, Minas Gerais, Brasil

The occurence of carbonatic rocks defines a typical type of relief, called karst, that, by its geomorphology and hydrology, usually differs from the surrounding landscape. In the upper São Francisco river basin, some striking remnants of vegetation associated to karst can be found, which are locally knwon as Mata de Pains. In this region, a mosaic of different physiognomies, including forests and open areas, which present noteworthy plant diversity, composes the vegetation. The aim of this study is to provide an inventory of angiosperm species in areas of carbonatic rocks outcrops in the upper São Francisco river basin karst region, as well as analyze the floristic relationship of the study area with different Brazilian phytogeographic domains. Fieldwork was performed during the period of 2002 a 2006, when collections of fertile speciemns were done in areas associated to carbonatic rock outcrops. During the study, 1512 exsicates were incorporated to BHCB herbarium collection. A total of 456 angiosperm species were inventoried, distributed in 299 genera and 77 families. Herbaceous habit was better represented, with 161 species, followed by shrubs and trees (111 species each) and lianas (73 species). The flora of the study area presents more influence of the Mata Atlântica domain (Atlantic Rain Forest), followed by, in order of importance, Cerrado, Amazonia, Caatinga, Pantanal and Pampa. Floristic surveys in different karst regions inserted in different phytogeographic domains may, together, provide useful information in understanding the phytogeografic history of Neotropical vegetation.

Mechanochemical synthesis of yttrium manganite

Yttrium manganite (YMnO3) is a multiferroic material, which means that it exhibits both ferromagnetic and ferroelectric properties, so making it interesting for a variety of technological applications. In this work, single-phase YMnO3 was prepared for the first time by mechanochemical synthesis in a planetary ball mill. The YMnO3 was formed directly from the highly activated constituent oxides, Y 2O3 and Mn2O3, after 60 min of milling time. During prolonged milling, the growth of the particles occurred. The cumulative energy introduced into the system during milling for 60 min was 86 kJ/g. The X-ray powder-diffraction analysis indicates that the as-prepared samples crystallize with an orthorhombic (Pnma) YMnO3 structure. The morphology and chemical composition of the powder were investigated by SEM and FESEM. The magnetic properties of the obtained YMnO3 powders were found to change as a function of the milling time in a manner consistent with the variation in the nanocomposite microstructure. © 2012 Elsevier B.V. All rights reserved.