Patologias do compartimento iliopsoas: avaliação radiológica

Limite posterior do retroperitônio, o compartimento iliopsoas localiza-se externamente ao mesmo, sendo composto dos músculos psoas maior, psoas menor e ilíaco. O quadro de sintomas dos pacientes com acometimento patológico deste compartimento é amplo e inespecífico, podendo haver importante atraso no diagnóstico. Entretanto, na busca do diagnóstico etiológico das alterações do compartimento iliopsoas, sabemos que as infecções, os tumores e as hemorragias respondem pela quase totalidade das lesões. Por meio da avaliação retrospectiva de exames radiológicos de pacientes com patologias do iliopsoas e que tiveram o diagnóstico confirmado por exame anatomopatológico ou acompanhamento clínico, revisamos a anatomia deste compartimento, assim como as suas principais formas de acometimento, identificando sinais que auxiliem na diferenciação dos potenciais diagnósticos diferenciais. Na abordagem de cada patologia discutiremos os principais sinais radiológicos, como a presença de gás em abscessos piogênicos, alterações ósseas em corpos vertebrais nas lesões secundárias a tuberculose, comprometimento dos planos fasciais nas lesões tumorais e diferenças na densidade e intensidade de sinal dos hematomas nas diferentes fases de degradação da hemoglobina, entre outros. Dessa forma, procuramos apresentar casos que exemplifiquem as doenças mais freqüentes do compartimento iliopsoas, destacando a importância dos seus diferentes sinais, aproximando-nos de um diagnóstico etiológico específico.

L'utilisation des anticoagulants oraux directs chez les patients âgés : les limites de la médecine fondée sur les preuves [The use of the new direct oral anticoagulants among older subjects: The limits of the evidence-based medicine?].

The growing use of direct oral anticoagulants, in particular among older subjects, raises questions about the limits of the evidence-based medicine. The phase III studies that have validated the efficacy and the safety profile of these molecules (dabigatran, rivaroxaban, apixaban, edoxaban) in their both indications, the venous thromboembolic disease and the non-valvular atrial fibrillation raise concerns in four major fields: the financial support of pharmaceutical companies, the links of interest for many authors with the industry, the study design (exclusively non-inferiority studies), and the poor representativeness of the older subjects included. All these points are discussed, using data of sub-groups studies, post-marketing studies and recent meta-analysis. The lack of data for the very old subjects, with frailty or comorbidities, remains the main concern from these phase III studies.

Vers une prescription médicamenteuse appropriée chez les patients âgés à l'aide de STOPP/START.v2

STOPP/START est un outil d'optimisation de la prescription médicamenteuse chez les patients âgés. Mis à jour en 2015, cet article en présente une adaptation pratique pour la médecine générale, en français (www.louvainmedical.be, page d'accueil, rubrique didactique: accès libre), ainsi que les critères les plus fréquemment rencontrés chez des patients âgés fragiles.

Evolution de l'autonomie fonctionnelle et des capacités d'auto-soins des patients âgés hospitalisés en médecine gériatrique : mieux comprendre pour mieux agir en soins infirmiers

De part le vieillissement démographique, la proportion de personnes âgées augmente et, certaines d'entre-elles nécessiteront des soins en milieu hospitalier. Chez l'aîné, l'expérience d'une maladie et d'une hospitalisation augmente le risque de perte d'autonomie dans les activités de la vie quotidienne (AVQ) et peut compromettre le retour à domicile, diminuer la qualité de vie et mobiliser des ressources du système socio-sanitaire. En Suisse, une étude a établi l'ampleur du problème de la dépendance dans les AVQ à domicile. Cependant, peu de connaissances récentes sont disponibles sur la perte d'autonomie à l'hôpital et aucune sur les trajectoires dans les AVQ. But : Le but de cette étude est d'actualiser et compléter les savoirs sur la perte d'autonomie et les trajectoires dans les AVQ des personnes âgées hospitalisées dans un hôpital tertiaire de Suisse romande. Cadre théorique : La présente étude se base sur la théorie du déficit en auto-soin de Dorothea Orem. Méthode : Cette étude descriptive corrélationnelle est une analyse secondaire des données recueillies dans l'unité pilote du projet Soins Aigus aux Séniors entre août 2011 et janvier 2012. Le déficit en auto-soin dans les AVQ a été mesuré avec l'Index de Katz, les habiletés de base avec le MiniCog, le MiniGDS et le CAM et, les facteurs prédisposant étaient l'âge, le genre, l'entourage et l'aide à domicile ainsi que l'état de santé. L'échantillon de 209 patients présentait un âge moyen de 85.4 ans (SD 7.2) et une proportion de 72.7% de femmes. Résultats : Les principaux résultats montrent que la majorité des patients ont une perte d'autonomie dans les AVQ avant l'admission à l'hôpital (56.2%) et que près d'un patient sur six (14.5%) continue d'expérimenter un déficit en auto-soin durant l'hospitalisation. Les facteurs prédisposant à une trajectoire de déficit en auto-soin entre le domicile et la sortie de l'hôpital identifiés ont été : l'état confusionnel aigu (OR=6.00, IC 95% 1.83 - 19.63), la dépendance en auto-soin à domicile (OR=1.44, IC 95% 1.02 - 2.02) et, une trajectoire de déficit en auto-soin entre le domicile et l'entrée à l'hôpital (OR=14.82, IC 95% 4.83 - 45.46). Conclusion : Cette étude met en évidence que les personnes âgées hospitalisées expérimentent des déficits dans les AVQ et qu'un des facteurs favorisants est la présence d'un état confusionnel aigu. D'autres recherches sont nécessaires pour renforcer et compléter ces résultats.

Modificação por via enzimática da composição triglicerídica do óleo de piqui (Caryocar brasiliense Camb)

Piqui (Caryocar brasiliense Camb) oil was transformed into a cocoa butter-like fat through an enzymatic interesterification reaction using Lipozyme in the presence of stearic acid that was incorporated in the sn 1,3-3,1 position into triglyceride. Stearic acid incorporation was determined by HPLC, based on the quantification of the principal triglycerides (POP, POS e SOS) found in cocoa butter. The proposed process was feasible with a reaction time of 240 minutes with 10% of Lipozyme at 70ºC and substract weight ratio of 0,33 (stearic acid:piqui oil).

Identificação dos principais componentes do fungicida guazatine através da cromatografia a gás e cromatografia a gás acoplada com espectrometria de massas

Hexafluoroacetylaceton derivatives of some synthesized components of the guazatine fungicide were prepared, and their separation and identification performed through gas chromatography and gas chromatography-mass spectrometry. The chromatogram obtained from hexafluoroacetylacetone derivative of the commercial guazatine presented 14 major peaks, and 9 of them were identified through both techniques mentioned above.

Identificação por microscopia Raman de pigmentos da pintura a óleo "Retrato de Murilo Mendes" de Cândido Portinari

In the present work "ex situ"Raman microscopy was employed in the identification of some of the pigments present in the painting "Portrait of Murilo Mendes" by Cândido Portinari. In the investigated samples it was possible to identify unambiguously two pigments: Prussian blue and lapis-lazuli (or its synthetic analogue, ultramarine blue) - the former is observed together with organic substances, possibly used as dispersants, what suggests a further use of a mass for recover the painting.

Decomposição catalítica de óleo de soja em presença de diferentes zeólitas

The catalytic decomposition of soybean oil was studied in a fix bed reactor at 673 and 773 K and using amorphous silica-alumina and the zeolites USY, H-Mordenite and H-ZSM-5 as catalysts. Both the selectivity and the catalytic activity were determined by studying the product composition resulting from the chemical reactions. Physicochemical characteristics of the catalysts were obtained by X-ray fluorescence, Fourier Transform infrared spectroscopy, 29Si and 27Al Nuclear Magnetic Ressonance and textural analysis. The zeolites USY and H-ZSM-5, showing higher Brönsted acidity, yielded products with higher concentration in aromatic hydrocarbons, whereas with both H-Mordenite and amorphous silica-alumina the main products were paraffins.

Desenvolvimento de um detector piezelétrico para cromatógrafo a gás interfaceado a microcomputador

A piezoelectric detector based on a commercial quartz crystal of 3.57MHz is shown. A PTFE cell attached to the GC-column outlet holds the polymer-coated crystal, whose terminals were removed. Two TTL oscillators (reference and sensor) are used and the beating of their frequencies is monitored through a home-made counter card inserted in a microcomputer. The original thermal conductivity detector was also interfaced, but through a 12-bit analog-to-digital converter. In spite of the well-known fact that QCM has low sensitivity at high temperatures, results show significant peak deformation for low temperatures. In addition, the phenomenon is also dependent on the chemical composition of the absorbent film besides instantaneous partial pressure and chemical composition of the analyte.

A utilização do safrol, principal componente químico do óleo de sassafráz, na síntese de substâncias bioativas na cascata do ácido araquidônico: antiinflamatórios, analgésicos e anti-trombóticos

In this paper we describe the results of a research effort developed in Laboratório de Avaliação e Síntese de Substancias Bioativas (LASSBio, UFRJ) in the utilization of Brazilian abundant natural product, safrole (1), the principal chemical constituent of Sassafras oil (Ocotea pretiosa), as an attractive synthon to access different chemical class of bioactive compounds, as prostaglandins analogues, non-steroidal antiinflammatory agents and antithrombotic compounds.

Processo químico industrial de extração de óleo vegetal: um experimento de química geral

In this study we describe an experimental procedure based on a chemical industrial process of soya-bean oil extraction applied in general chemistry for undergraduate students. The experiment was planned according to the Science, Technology and Society (STS) approach to teach basic chemical concepts and provide grounding in the management of environmental care. The use of real life chemistry problems seems to salient the relevance of chemistry to our students and enhances their motivation to learn both the practical and theoretical components of the discipline.

Produção de biocombustível alternativo ao óleo diesel através da transesterificação de óleo de soja usado em frituras

In this work, the utilization of used frying oil for the production of biodiesel is presented. The performance of biodiesel in diesel engines, as well as the characterization of the emissions derived from this process, are also discussed and compared to the emissions derived from engines running on unused vegetable oils and conventional diesel.

Análise dos álcoois, ésteres e compostos carbonílicos em amostras de óleo fúsel

Analysis of alcohols, esters and carbonyl compounds were performed using HRGC and HPLC techniques in samples of fusel oils from three different Brazilian alcohol distilleries. High content of isoamyl alcohol (390 g.L-1), isobutyl alcohol (158 g.L-1), ethyl alcohol (28,4 g.L-1), methyl alcohol (16,6 g.L-1) and n-propyl alcohol (11,9 g.L-1) were found. These compounds represent 77 ± 8 % of the approximated weight of a liter of fusel oils. The obtained results show the feasibility of using fusel oils as low-cost raw material for the synthesis of chemicals.