Tratamento de fístulas enterocutâneas através de sistema a vácuo com alta pressão e dieta oral normal

Enterocutaneous fistulas are associated with prolonged hospital stay, high morbidity/mortality, and increase in hospital costs. This study aims to describe the use of a vacuum system and normal oral diet in dealing with this problem. Methods: Seventy-four consecutive patients with recent and defined external postoperative fistulas were analyzed. Abdominal imaging was used to exclude abscess and distal obstruction. The fistula tract was sealed with Foley catheter, connected to a negative pressure flask, changed daily for 5, 10 or 15 days, as necessary. Normal oral diet was permitted. Results: No patient died. Serum albumin and transferrin showed significantly higher levels at the end of treatment than at the beginning. The moderate and low-output fistulas had the best results (97% closed). Forty-eight (65%) fistulas closed after five days, 16(22%) after 10 days and 4(5%) after 15 days. Treatment failed in 6(8%) patients, who subsequently underwent surgery. Only one patient with low-output did not close her fistula. The cost of the treatment was US$ 41.75/day and it was considered cost effective. Conclusions: The vacuum system demonstrated good results in the treatment of fistulas. It included simplicity, low cost, short hospital stay, absence of skin breakdown, normal eating, good nutrition and activity patterns

Análise de confiabilidade de uma bomba centrífuga: aplicação na injeção de água para recuperação de petróleo

The oil industry`s need to produce with maximum efficiency, not to mention the safety and the environment aspects, encourages the optimization of processes. It makes them look for a level of excellence in acquisition of equipment, ensuring the quality without prejudice security of facilities and peoples. Knowing the reliability of equipment and that this stands for a system is fundamental to the production strategy to seeks the maximum return on investment. The reliability analysis techniques have been increasingly applied in the industry as strategy for predicting failures likelihood ensuring the integrity of processes. Some reliability theories underlie the decisions to use stochastic calculations to estimate equipment failure. This dissertation proposes two techniques associating qualitative (through expertise opinion) and quantitative data (European North Sea oil companies fault database, Ored) applied on centrifugal pump to water injection system for secondary oil recovery on two scenarios. The data were processed in reliability commercial software. As a result of hybridization, it was possible to determine the pump life cycle and what impact on production if it fails. The technique guides the best maintenance policy - important tool for strategic decisions on asset management.

Ensinando sobre a natureza da ciência: uma abordagem explícita e contextualizada a partir da história do vácuo

In last decades, the importance of including the contents of the Nature of Science (NOS) in Science Education has been emphasized. Several studies have focused on investigating the conceptions of NOS, supported by students and teachers, as well as design, implement and evaluate proposals that aim to provide a reflection on this theme in the educational context. Considering the complexity of such content, studies indicate the need for explicit and contextualized approaches and the History of Science (HS) is one of the possible paths to this inclusion. We started from the premise that, through a historical study, that aims to discuss the meaning and the basis of our "beliefs", we can know the process of building on what we "believe" and better understand its meaning. This thesis is part of this perspective, proposing to explore the History of the Vacuum, a themed high didactic potential still little used, in order to collaborate with the teaching content of NOS. We present actions on different fronts that originated three products in the context of this research. On the first front, we insert the research and production of instructional materials (three historical texts) to subsidize people interested in the implementation of HPS for educational context through this material. The relevance of this front is justified by the existence of gaps with regard to the production of such material for the context of teacher training. However, we consider that the preparation of instructional material of good quality and accessible does not guarantee that these resources will be used, if they will not be accompanied by discussions in teacher training, on how to use them, contexts and obstacles to be faced. The second part presented refers to the organization and implementation of a workshop for undergraduate students in physics and physics teachers, considering the instrumentalization of these individuals to the preparation and use of teaching strategies to approach aspects of NOS through episodes of History of the Vacuum, as well as the preparation of the text orientation for people interested in implementing the instructional material for secondary education. This guidance text contemplates the difficulties anticipated by the literature of the area and the main challenges faced by the participants about the didactic transposition of HPS for the educational context they were noted during the workshop. The relevance of this second front, in particular, is justified by the existence of gaps with regard to the inclusion of the theme of NOS and the HPS teacher training

Fontes primárias da história do vácuo e da pressão atmosférica na sala de aula: cartas e jornais históricos em articulação com o livro-texto do ensino médio

The use of the History and the Philosophy of Science (HPS) for the teaching of science and scientific subjects has been advocated in recent decades. It has been pointed out that the History of Science could make for a deeper learning of scientific concepts, since it would promote a contact with the problems which that knowledge has set out to solve. Furthermore, historical episodes would serve to put the discussions about the nature of scientific knowledge into context. With a view to explore those potentialities, the literature in the field has sought to identify the challenges and obstacles for the didactic transposition of subjects from the History of Science. Amongst many aspects, the deficiencies in the training of teachers, so that they can work with the insertion of HPS in the classroom have been highlighted. Another aspect that has been mentioned to be a challenge has to do with the didactic transposition of the Primary Sources, that is, of the original texts on the History of Science. The Primary Sources have significant potentialities: making a connection possible between scientists and concepts, showing the difficulties faced during scientific endeavors, perceiving the role of mistakes as obstacles to be surpassed, not as defeat, etc. On the other hand, there has been little exploration of these concepts in an educational context, due to their own peculiarities. The original texts are often hard to understand and their interpretation demands knowledge of the historical and scientific context in which they were written, as well as skills pertaining to the conduction of research in the field of the History of Science. With this scenario in mind, the research towards this Professional MSc degree starts from the challenge of elaborating and discussing proposals which could enable the didactical transposition of the Primary Sources. We have worked specifically with Primary Sources on the History of the Vacuum and of the Atmospheric Pressure, because of the insertion of these subjects in the Brazilian High School curriculum, in connection with the didactical textbooks. "Historic Journals" were made up from clippings of the original historical texts, as was a Didactical Unit, which takes the usual textbooks as a basis and contemplates using the Journals and the entire Primary Sources in High School. At last, we have elaborated and implemented a course designed for the preparation of teachers and for being an opportunity for the discussion of the feasibility of putting these kinds of proposal into practice

Implementação da técnica de difração de elétrons de baixa energia

The purpose of this study is to describe the implementation of the Low Energy Electron Diffaction (LEED) technique in the Laboratory of Magnetic Nanostructures and Semiconductors of the Department of Theoretical and Experimental Physics of the Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil. During this work experimental apparatus were implemented for a complete LEED set-up. A new vacuum system was also set up. This was composed of a mechanical pump, turbomolecular pump and ionic pump for ultra-high vacuum and their respective pressure measurement sensors (Pirani gauge for low vacuum measures and the wide range gauge -WRG); ion cannon maintenance, which is basically mini-sputtering, whose function is sample cleaning; and set-up, maintenance and handling of the quadrupole mass spectrometer, whose main purpose is to investigate gas contamination inside the ultra-high vacuum chamber. It should be pointed out that the main contribution of this Master's thesis was the set-up of the sample heating system; that is, a new sample holder. In addition to the function of sample holder and heater, it was necessary to implement the function of sustaining the ultra-high vacuum environment. This set of actions is essential for the complete functioning of the LEED technique

Testes cinemáticos em cosmologia com decaimento do vácuo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Anisotropias da radiação cósmica de fundo e vínculos em modelos com decaimento do vácuo

Many astronomical observations in the last few years are strongly suggesting that the current Universe is spatially flat and dominated by an exotic form of energy. This unknown energy density accelerates the universe expansion and corresponds to around 70% of its total density being usually called Dark Energy or Quintessence. One of the candidates to dark energy is the so-called cosmological constant (Λ) which is usually interpreted as the vacuum energy density. However, in order to remove the discrepancy between the expected and observed values for the vacuum energy density some current models assume that the vacuum energy is continuously decaying due to its possible coupling with the others matter fields existing in the Cosmos. In this dissertation, starting from concepts and basis of General Relativity Theory, we study the Cosmic Microwave Background Radiation with emphasis on the anisotropies or temperature fluctuations which are one of the oldest relic of the observed Universe. The anisotropies are deduced by integrating the Boltzmann equation in order to explain qualitatively the generation and c1assification of the fluctuations. In the following we construct explicitly the angular power spectrum of anisotropies for cosmologies with cosmological constant (ΛCDM) and a decaying vacuum energy density (Λ(t)CDM). Finally, with basis on the quadrupole moment measured by the WMAP experiment, we estimate the decaying rates of the vacuum energy density in matter and in radiation for a smoothly and non-smoothly decaying vacuum

Avaliação de meios filtrantes primários em filtro contínuo de tambor rotativo a vácuo para lodo de caldo de cana

Este estudo teve o objetivo de avaliar o comportamento de treze tipos de meios filtrantes primários desenvolvidos para uso na filtração a vácuo de lodo de caldo de cana, simulando as operações de formação e desidratação da torta em filtros contínuos de tambor rotativo a vácuo, empregados nas indústrias de açúcar e álcool do Brasil. Para tanto, foi desenvolvida uma planta-piloto anexa ao filtro de tambor rotativo a vácuo, na qual foram realizados todos os ensaios, com o objetivo de refletir a realidade das variáveis operacionais durante uma safra sucroalcooleira. Os resultados são apresentados, comparando-se as taxas de filtração, variando a pressão de formação da torta, temperatura e concentração de auxiliar filtrante, mostrando ao usuário um novo caminho para o melhoramento quantitativo e qualitativo, sem aumentar a área nominal da unidade de filtração.

Período de recuperação do investimento em bomba hidráulica de melhor rendimento em sistemas de bombeamento na tarifa horossazonal verde

Neste trabalho, ajustou-se um modelo matemático para quantificar o efeito da variação do rendimento da bomba hidráulica na variação dos custos de um sistema de bombeamento, na estrutura tarifária horossazonal verde (subgrupo A4) e o tempo de recuperação do capital investido no equipamento de maior rendimento. em seguida, o mesmo foi aplicado a um sistema de bombeamento para suprimento de um sistema de irrigação do tipo pivô central. As opções de rendimento da bomba hidráulica foram: 69,5% (bomba 1), 73% (bomba 2) e 78% (bomba 3), cujos custos de aquisição foram, respectivamente, R$ 6.176,00, R$ 8.479,00 e R$ 15.509,00. Os resultados da aplicação do modelo mostraram que: i) a substituição da bomba 1 pela bomba 2 foi viável, sendo o período de recuperação de capital 3,4 anos; ii) a substituição da bomba 1 pela bomba 3 foi viável, sendo o período de recuperação de capital 9,2 anos; iii) a substituição da bomba 2 pela bomba 3 foi inviável, sendo o período de recuperação de capital 21,1 anos superior ao período de amortização do investimento na avaliação econômica, considerado 15 anos.

Bloqueio contínuo do plexo lombar via posterior bilateral com bomba de infusão descartável: relato de caso

JUSTIFICATIVA E OBJETIVOS: O número de artroplastia total de quadril (ATQ) bilateral tem aumentado a cada ano. Analgesia pós-operatória pela infusão contínua perineural com anestésico local tem se mostrado favorável quando comparada com analgesia sistêmica. O uso de bombas elastoméricas tem aumentado a satisfação do paciente quando em comparação com os modelos eletrônicos. O objetivo deste relato foi descrever um caso de analgesia contínua bilateral do plexo lombar via posterior, com infusão contínua através de bomba elastomérica, em paciente submetido à uma artroplastia bilateral de quadril. RELATO do CASO: Paciente feminina, 46 anos, 65 kg, 162 cm, com artrite reumatoide e hipertensão arterial, estado físico ASA II, escalada para ser submetida a ATQ bilateral em um único estágio. Uso de corticosteroide por 13 anos. Hemoglobina = 10,1 g.dL-1, hematócrito = 32,7%. Monitoração de rotina. Raquianestesia com 15 mg de bupivacaína 0,5% isobárica. Anestesia geral com propofol (PFS) e remifentanil e intubação sem bloqueadores neuromusculares. ATQ direita e no final, bloqueio plexo lombar com estimulador e conjunto agulha 150 mm e injeção de 20 mL bupivacaína 0,2% e passagem de cateter. ATQ esquerda e, no final, mesmo procedimento. Estudado dispersão do anestésico e contraste. Instalado bomba elastomérica com bupivacaína 0,1% (400 mL) em velocidade de 14 mL.h-1. Transferida para Unidade de Cuidados Intensivos (UCI). Vinte e quatro horas após, nova bomba com a mesma solução. Nenhum bolus durante 50 horas. Após remoção de cateter, dor controlada por via oral com cetoprofeno e dipirona. CONCLUSÕES: O bloqueio bilateral contínuo periférico com infusão de bupivacaína a 0,1% com bombas elastoméricas é um procedimento seguro e efetivo em adultos.

Análise do fenômeno de cavitação em bomba centrífuga

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise da variabilidade do processo de filtração em filtros de tambor rotativo contínuo a vácuo para lodo de caldo de cana de açúcar

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação técnica e econômica do uso de injetor tipo Venturi associado à bomba centrífuga versus bomba do tipo pistão na quimigação via pivô central

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Determinação do tempo de vácuo, momento de coleta e posicionamento de extratores de cápsulas porosas em solo arenoso

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Associação de bactérias da família Enterobacteriaceae e Clostridium estertheticum com a deterioração blown pack em cortes cárneos embalados a vácuo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)