Estudo de resistência da bactéria Escherichia Coli a antibióticos em infecções urinárias na população da Região Autónoma da Madeira

As infecções do tracto urinário (ITU) são doenças infecciosas comuns e distinguem-se em dois grandes grupos: o das infecções do tracto urinário superior e o das infecções do tracto urinário inferior. O principal agente etiológico envolvido nas ITU é a bactéria Escherichia coli (E. coli), representando 80-95% dos invasores do tracto urinário na população em geral. É mais comum entre os adultos do sexo feminino, principalmente com actividade sexual, embora as crianças, mulheres grávidas e idosos também apresentam grande susceptibilidade. Paralelamente, a problemática da resistência aos antimicrobianos é um tema actual e muito debatido internacionalmente. Como tal, o presente estudo teve como principal objectivo contribuir para a identificação fiável da bactéria E. coli em infecções urinárias bem como a determinação do seu perfil de resistência a antibióticos. Os dados apresentados referem-se a um estudo efectuado entre Outubro de 2008 e Junho de 2009 no Laboratório de Análises Clínicas Castro Fernandes – MMC. Foram analisadas 6522 amostras de urina, das quais 390 corresponderam a uroculturas positivas. Verificou-se que o sexo feminino tem uma maior propensão para infecções urinárias, havendo uma tendência para o aumento das ITU com a idade. Na interpretação da cultura revelou-se importante a informação dada pelo exame cultural acerca do número de leucócitos. Concluiu-se que nas uroculturas cujo número de colónias foi superior a 105 com menos de três espécies de colónias diferentes na cultura, o número de leucócitos foi superior a 30 milhares de células por μL, o que sugere a existência de infecção urinária. No estudo do perfil de sensibilidade da bactéria E. coli isolada, para a família dos betalactâmicos (Ampicilina (AMP), Amoxicilina/Ácido Clavulânico (AMC), Piperacilina/Tazobactam (PIP/TZP)), família das cefalosporinas (Cefalotina (KF), Cefuroxima (CXM), Cefuroxima Acetil (CA), Cefotaxima (CTX), Ceftazidima (CAZ), Cefepima (FEP)), família dos aminoglicosídeos (Amicacina (AM), Gentamicina (GM), Tobramicina (TOB)) e para as nitrofurantoínas (F), verificou-se uma grande sensibilidade e pouca resistência em termos quantitativos, mas para a família das quinolonas (Ciprofloxacina (CIP), Levofloxacina (LEV), Norfloxacina (NOR)) e para os Trimetoprim/Sulfametoxazol (TMP/SMX) verificou-se resistências quantitativamente superiores aos das famílias anteriormente referidas, sugerindo valores convergentes aos da tendência europeia. Foram identificados famílias de fenótipos tais como: os beta-lactâmicos, os aminoglicosídeos, quinolonas, tetraciclinas, furanos e trimetoprim/sulfamidas.E. coli é um microganismo cujo fenótipo selvagem não tem resistências intrínsecas. Todas as resistências são adquiridas. Actualmente, a realização dos antibiogramas para E. coli tornou-se fundamental tendo em vista os factores ecológicos, genéticos, ambientais e pelo facto de que mais isolados são resistentes à maioria dos antibióticos. Como conclusão, este estudo permitirá alertar para um problema sério que é uma grande ameaça à Saúde Pública.

Estudo de sistemas vítreos para infiltração em alumina

The system in-Ceram Alumina, produced by VITA, consists in a technique of prepare of a substructure of ceramics to dental crowns. First burning is made in the alumina decanted by slip casting process under a stone die that reproduces the tooth prepared to receive a crown. In a second burning, alumina is infiltrated by vitreous system, giving to this set a high mechanic resistance. In this work, it s made a study of the composition of a new infiltrating material more used nowadays, giving to alumina desirable mechanics proprieties to its using like substructure of support to ceramic s crown used in the market today. The addition of Lanthanum oxide (frit A) and calcium oxide (frit B) was made in attempt to increase the viscosity of LZSA and to reduce fusion temperature. The frits were put over samples of alumina and took to the tubular oven to 1400ºC under vacuum for two groups (groups 1 and 2). For another two groups (groups 3 and 4) it was made a second infiltration, following the same parameters of the first. A fifth group was utilized like group of control where the samples of pure alumina were not submitted to any infiltrating process. Glasses manifested efficient both in quality and results of analysis of mechanic resistance, being perfectly compatible with oral environment in this technical requisite. The groups that made a second infiltration had he best results of fracture toughness, qualify the use in the oral cavity in this technical question. The average of results achieved for mechanic resistance to groups 1, 2, 3, 4 and 5 were respectively 98 MPa, 90 MPa, 144 MPa, 236 MPa and 23 MPa

Estudo da adição de argila expandida na formulação de concretos leves

Lightweight concrete has been the subject of several studies towards the development of new building materials. Emphasis has been given on the particle size effect and nature of aggregates used as raw materials. The present study includes an analysis of the materials that make this kind of concrete, analyzes of mechanical properties such as compressive and tensile strength, in addition to assessments of the interface concrete aggregate/matrix interface, porosity and absorption profile of chloride ions in lightweight concrete based on expanded clay. The experiments were carried out by molding cylindrical samples 100 mm in diameter and 200 mm in height. The dosage experiments were performed without additives or with the addition of minerals: (T1) 1: 2.01: 1.10: 0.78 (T2) 1: 2.00: 1.32 : 0.62 - (T3) 1 :1.93 :1.54: 0.47 (cement : sand : expanded clay 0500 : expanded clay 1506).The water to cement ratio was set to 0.43. Expanded clay minerals with different average particle sizes were used, i.e., 9.5 mm/0500 and 19 mm/1506. The larger aggregate was coated by a glassy layer, yielding lower water absorption characteristics to the concrete. The results showed that the use of light expanded clay aggregates is a technically interesting solution to the production of lightweight concrete for construction applications

Influência da vermiculita expandida na resistência à compressão e reologia de pastas cimentantes de poços de petróleo

Several problems related to the loss of hydraulic seal in oilwells, causing gas migration and/or contamination of the production zone by water, have been reported. The loss of the hydraulic seal is a consequence of cracks which can be occasioned either by the invasion of gas during the wait on cement or by the expansion of the casing causing the fracture of the cement sheath. In case of the pressure of the formation is higher than the pressure in the annulus, gas can migrate into the slurry and form microannulus, which are channels where gas migrates after the cement is set. Cracks can be also occasioned by the fracture of the cement sheath when it does not withstand the thermal and dynamic loads. In reservoirs where the oil is heavy, steam water injection operation is required in order to get the oil flowing. This operation increases the temperature of the casing, and then it expands and causes the fracture of the cement sheath in the annulus. When the failures on the cement are detected, remedial cementing is required, which raise costs caused by the interventions. Once the use of cement in the construction civil sector is older than its use in the petroleum sector, it is common to bring technologies and solutions from the civil construction and apply them on the petroleum area. In this context, vermiculite, a mineral-clay widely encountered in Brazil, has been used, on its exfoliated form, in the civil construction, especially on the manufacture of lights and fireproof concretes with excellent thermal and acoustical properties. It has already been reported in scientific journals, studies of the addition of exfoliated vermiculite in Portland cements revealing good properties related to oilwell cementing operations. Thus, this study aimed to study the rheological behavior, thickening time, stability and compressive strength of the slurries made of Portland cement and exfoliated vermiculite in 5 different compositions, at room temperature and heated. The results showed that the compressive strength decreased with the addition of exfoliated vermiculite, however the values are still allowed for oiwell cementing operations. The thickening time of the slurry with no exfoliated vermiculite was 120 min and the thickening time of the slurry with 12 % of exfoliated vermiculite was 98 min. The stability and the rheological behavior of the slurries revealed that the exfoliated vermiculite absorbed water and therefore increased the viscosity of the slurries, even though increasing the factor cement-water. The stability experiment carried out at 133 ºF showed that, there was neither sedimentation nor reduction of the volume of the cement for the slurry with 12 % of exfoliated vermiculite. Thus, the addition of exfoliated vermiculite accelerates the set time of the cement and gives it a small shrinkage during the wait on cement, which are important to prevent gas migration

Análise do comportamento reológico de pastas de cimento contendo resíduos de pneu para poços de petróleo

The low tenacity presented by the Portland cement pastes used in the oil wells cementation has been motivating several researches with attention focused on alternative materials. Additives have been developed to generate flexible pastes with mechanical resistance capable to support the expansions and retractions of the metallic covering of the wells that submit to the steam injection, technique very used to increase the recovery factor in oil reservoirs with high viscosity. A fresh paste with inadequate rheological behavior may commit the cementation process seriously, involving flaws that affect the performance of the paste substantially in the hardened state. This work proposes the elaboration and the rheological analysis of Portland cement pastes with addition of residues of rubber tire in several proportions, with the aim of minimizing the damages provoked in the hem cementing of these wells. By thermogravimetric analysis, the particles of eraser that go by the sieve of 0,5mm (35 mesh) opening and treated superficially with NaOH solution of 1 mol/L presented appropriate thermal resistance for wells that submit to thermal cyclic. The evaluation of the study based on the results of the rheological analysis of the pastes, complemented by the mechanical analysis, thickening, stability, tenor of free water and filtrate loss, being used as parameter a paste reference, without rubber addition. The results showed satisfactory rheology, passive of few corrections; considerable loss of mechanical resistance (traction and compression), compensated by earnings of tenacity, however with established limits for its application in oil wells; satisfactory stability, free water and thickening time

Estudo da zircônia reforçado com alumina

Ceramics materials have good properties including chemical stability, high hardness and wear resistance. Moreover, due to its fragility, can suffer failure under relatively low levels of tension. Actually zirconia is the material of choice in metal free dental prostheses used in dentistry due its inertia in physiological environment, good bending strength, hardness and fracture toughness. The alumina and mixed tungsten and titanium carbides additions, acting as reinforcement elements in the zirconia matrix, have as their main objective the improvement of mechanical properties of this material. In this work, samples of zirconia, zirconia with 30% wt of alumina and zirconia with 30% wt mixed carbides were analyzed. The samples were sintered by uniaxial hot pressing on 30 MPa pressure, for 1 hour in an argon atmosphere. They were physically characterized by porosity and density measurements, and mechanically by 3-points bending strength and Vickers microhardness. The X-ray diffraction was used for the phase identifications and microstructure was examined by scanning electron microscopy (SEM). The addition of mixed carbides as reinforcement elements in zirconia matrix provides improvements in all properties analyzed in this work. The alumina addition has dropped the zirconia strength, although it caused improvement in other properties

Análise de propriedades térmicas e mecânicas de compósitos de argamassa e resíduo de borracha

Although already to exist alternative technique and economically viable for destination of used tires, quantitative data on properties of constructive elements that use the rubber waste as aggregate still are restricted. In the present work, the waste proceeding from industry of retreading as material for manufacture of composite destined to the production of constructive elements was considered. Mechanical and thermal properties of mortar had been analyzed Portland cement with addition of waste without treatment, in the ratios of 10%, 20% and 30% in mass in relation to the mass of the cement, substituting the aggregate in the trace in mortar 1:5 mass cement and sand. The size of the used residue varied between 0,30mm and 4,8mm (passing in the bolter 4,8mm and being restrained in the one of 0,30mm), being it in the formats fibers and granular. The influences of the size and the percentage of residue added to the mortar (in substitution to the aggregate) in the thermal and mechanical properties had been considered. Assays of body-of-test in thestates had been become fullfilled cool (consistency index) and hardened (absorption of water for capillarity, strength the compression, traction and strength flexural). The work is centralized in the problem of the relation thermal performance /strength mechanics of used constructive systems in regions of low latitudes (Been of the Piauí), characterized for raised indices of solar radiation.

Estudo do comportamento plástico, mecânico, microestrutural e térmico do concreto produzido com resíduo de porcelanato

Population growth experienced in major cities, allied to society s need of infra-structure, especially ones related to habitational demands, increases the consumption of construction materials. As a consequence, consumption of natural resources itself. Thus, due to this process, concrete is one of the most produced materials in civil construction. This is also due to the great diversity of its application, easiness in its execution and adequate mechanical performance, as well as low production costs. Following the same tendencies in construction development, the ceramic industry has intensified the production of porcelain ceramic tiles and floors. These are achieved by a fine finishing and receive polishing at the end of the fabrication process. This work researched the use of porcelain residues in polishing for the production of concrete. All of which; due to economical and environmental issues. This process aims to prove adequate destiny for this type of residue, due to environmental issues, incorporating it to the concrete itself; all of which provides economy in consumption of the materials that constitute concrete. Thus, the main characteristics of concrete were investigated through the inclusion of different concentration of the porcelain residue as additional trait element. The residue rates incorporated to the trait varied from 10% to 50% in relation to the cement mass, in the traits with plastic additives and without plastic additives. It is observed that the inclusion of porcelain residue produced a meaningful alteration in the consistency of fresh concrete. This residue has a fine granulometry and it considerably absorbed the water used in the concrete spreading, influencing the way this material is dealt with. Thus, the value of cement striking decreases with the increase of residues present in trait. The maximal incorporation of the residue was of 50%, massively, for the same factor water/initial cement. The use of residues in concrete results in an 40% increase in the compression resistance. It is also proportional to residue concentration of porcelain in the trait. The microstructure was also favored once porosity and concrete absorption decreases with the use of this residue. The parameters demonstrate the quality and durability of the concrete produced with this residue. The use of porcelain residue in concrete composition has not produced meaningful thermal behavior changes. Thermal conductivity, heat capacity and thermal diffusivity have been maintained basically constant

Desevolvimento de nanocompósitos de poli(metacrilato de metila)/argila processados por mistura no estado fundido

Poly(methyl methacrylate)/clay nanocomposites were prepared by melt mixing using a montmorillonite-rich clay (MMT). The clay in natura was treated with acrylic acid to facilitate the dispersion in the polymer matrix. A masterbatch of PMMA/clay was prepared and combined with the pure PMMA and then subjected to extrusion process using singlescrew and twin-screw extruders followed by injection. Nanocomposites were processed with clay contents of 1, 3, 5 and 8 wt.%. The effect of shear processing on the morphology of the nanocomposites was evaluated by XRD, SEM and TEM. Thermal and mechanical properties of the nanocomposites were investigated through TGA, DSC, HDT, VICAT, tensile and impact tests, to evaluate the effect of the addition of clay to the PMMA matrix. Flammability tests were also conducted to investigate the effect of the addition of clay on the flame retardation properties. SEM images of the nanocomposites indicated the presence of clay agglomerates, which resulted in the reduction of properties such as thermal stability, mechanical strength and impact resistance, and increased the rate of burning for materials processed by both extrusion routes