Avaliação de métodos de triagem e de detecção fenotípica de ß-lactamase de espectro ampliado (ESBL)

The catalytic function of extended-spectrum β-lactamases can result in high degrees of bacterial resistance to β-lactamic antimicrobials and in the emergence of ESBL among the members of Enterobacteriaceae family, especially Klebsiella pneumoniae and Escherichia coli. This occurs due to the dissemination and emergence of new variants of these enzymes caused by the high utilization of antibiotics like broad-spectrum cephalosporins. The ESBL are β-lactamases capable of conferring bacterial resistance to the penicillins, 1st, 2nd and 3rd generation cephalosporins, and aztreonam (but not cephamycins and carbapenems) through the hydrolysis of these antibiotics. In view of this phenomenon, the exact screening and detection of the producers of ESBL are essential for the appropriate selection of the antimicrobial therapy. The purposes of this study were to evaluate the best antimicrobial for the selection of ESBL producers and to determine the best method for the detection of such microorganisms. We evaluated 200 sequential bacterial samples including the species Klebsiella pneumoniae (56.5%), Escherichia coli (34%), Proteus mirabilis (8.5%) and Klebsiella oxytoca (1%), previously characterized as ESBL producers between February and September 2008 in the Laboratory of Microbiology, Botucatu Medical School - UNESP, Botucatu, São Paulo State, Brazil. To select the ESBL-producer bacteria, we used the disks recommended by CLSI 2008, aztreonam (ATM), cefpodoxime (CPD), ceftriaxone (CRO), cefotaxime (CTX) and ceftazidime (CAZ), besides cefepime (FEP). ESBL production was confirmed by three methods: double disk screening, ESBL Etest®, and Vitek® automated system. The disks employed in the double disk screening were: penicillin associated with β-lactamase inhibitor, amoxicillin-clavulanic acid, and two β-lactamic antibiotics, ceftazidime and cefotaxime...(Complete abstract click electronic access below)

Caracterização do desempenho de escolares com e sem dificuldades de aprendizagem em tarefas de consciência fonológica

Learning to read and write at an early stage is the process of transferring the sound form of the spoken language for the graphical form of writing, a process, a time that in our system of alphabetical called writing, the letters are graphical representations in the level of phoneme. So that this representation occurs, it is necessary that the individual already can of some form perceive and manipulate the different sonorous segments of the word. This capacity of perception directed to the segments of the word calls Phonological Awareness. Thus, it was established had for objective to verify the pertaining to school performance of 1ª to 4ª series with and without of learning in Tests of Phonological Awareness. Fourth children with age average of 9 years and 3 months without learning disabilities had been submitted to the Protocol of Phonological Awareness (CIELO, 2002) using of this instrument had participated of this study 80 pertaining to school of both only the phonological tasks. The data received from quantiqualitative approach whose results were extracted inferences. The statistically significant results occurred in the tasks of Realism Face Detection, Syllables, Detecting Phonemes, Phonemic Synthesis and Reversal Phonemic. Based on the results we observed that children without learning difficulties performed better on all tasks mentioned above

Os vilelas: a ilustração do caipira na modernidade

This research The Vilelas: illustration of the modern quest redneck identity of the peasant represented by two layers of compact disc (CD) of Ivan Vilela, Paisagens (1998) and Dez Cordas (2007). The first brings new songs and the second, copyright music with readings. Both illustrated by an artist named Fernando Vilela. The covers, in a symbiosis with culture and their traditional behavior hillbilly show relevance to constitute a parallel with today's society and the day by day

Efeito da ativação física e química do gel clareador na velocidade de penetração do peróxido de hidrogênio: estudo in vitro

This study evaluated the effect of physical and chemical activation on the speed of penetration of hydrogen peroxide bleaching agents present in different concentrations through the enamel and dentin. One hundred and twenty bovine incisors were used, which were obtained enamel/dentin discs of the buccal surface, with 6 mm in diameter. The samples were divided into six groups: G1 - Hydrogen Peroxide Gel 20%, G2 - Hydrogen Peroxide Gel 20% with light activation, G3 - Hydrogen Peroxide Gel 20% with Manganese Gluconate; G4 - Hydrogen Peroxide Gel 35%; G5 - Hydrogen Peroxide Gel 35% with the light activation and G6 - Hydrogen Peroxide Gel 35% with Manganese Gluconate. The specimens were placed in a transparent support on which there was a substance sensitive to hydrogen peroxide immediately below and in contact with the specimen. After the procedures for applying the gel for each group, one video camera was positioned and operated to monitor the time of penetration of peroxide in each specimen. The recording ended after changing the color of the fluid revealed in all specimens and times were noted for comparison. ANOVA analysis showed that concentration and type of activation of bleaching gel significantly influenced the diffusion time of hydrogen peroxide (P 0.05). 35% hydrogen peroxide showed the lowest diffusion times compared to the groups with 20% hydrogen peroxide gel. The light activation of hydrogen peroxide decrease significantly the diffusion time compared to chemical activation. The highest diffusion time was obtained with 20% hydrogen peroxide chemically activated. The diffusion time of hydrogen peroxide was dependent on activation and concentration of hydrogen peroxide. The higher concentration of hydrogen peroxide diffused through dental tissues more quickly

Produção de carvão vegetal a partir da madeira de Eucalyptus saligna clone SI70 com tres anos e meio de idade

Charcoal is obtained from carbonization, much used in the steel industry for ore reduction, using as raw material the Eucalyptus. The present study aims to verify whether the main Eucalyptus saligna genetically modified produce quality charcoal with only 3.5 years old. The study was done with material collected from three trees, divided into five discs removed at 0, 25 , 50 , 75 and 100 % of the commercial height of the tree. The procedures adopted were based on standards published by ABNT. The results were satisfactory for the parameters: basic wood density with an average of 0.39 ± 0.0082 g / cm ³; volatile materials from coal with an average of 19.35 ± 3.27 %, fixed carbon content of the coal with an average of 75.62 ± 3.40 % and gross calorific value of coal with an average of 4694.43 cal / g, and unsatisfactory results for ash content averaging 5.03 ± 0.23 when compared to the values found in the literature. It was concluded that the studied wood is able to produce charcoal, but the factors of production should be better observed, such as heating time which exerted direct influence on the determination of ash content

Crescimeno de apatita na superfície da liga Ti-7, 5Mo empregando tratamento higrotérmico

The objective of the present work was to evaluate surface of experimental alloy Ti-7.5Mo after hydrothermal treatment. Ingots were obtained in arc melting furnace under an argon atmosphere and then homogenized under vacuum at 1100ºC for 86.4 ks to eliminate chemical segregation and after cold worked discs were cutting and grinding. For surface treatment, samples were immersed in a container with NaOH aqueous solution 5M, autoclaved, washed with distilled water. Followed, samples were heat treated and they were soaking in 5xSBF to form an apatite layer on the surface. Surfaces were investigated by, scanning electron microscopy, X-Rays powder diffraction, atomic force microscopy and contact angle, in order to evaluate the wettability of the alloy surface. The results were compared with our previous studies using the group of chemical surface treatments and results shows better condition is 120 minutes in the autoclave

Podcast e educação: um estudo de caso

Pós-graduação em Educação - IBRC

Estudo dos fatores de virulência e resistência à oxacilina em Staphylococcus spp. isolados de aspirado traqueal de pacientes em ventilação mecânica internados em UTI

Patients that are mechanically ventilated in ICUs are constantly exposed to different pathogens, which present multiantibiotic resistance. Among these microorganisms, is MRSA (Meticillin-Resistant Staphylococcus aureus) considered to be a therapeutic challenge due to its resistance to β-lactam antibiotics. Therefore, this study proposed to identify species of Staphylococcus spp. isolated from mechanically ventilated patients in ICU, the gene mecA detection and the genes of the enterotoxins A (sea), B (seb), C (sec-1) and D (sed) in samples of S. aureus, as well as the phenotypic resistance determination to oxacillin using the disc-diffusion method with discs of oxacillin and cefoxitin. The samples collection occurred during in a period of 19 months, obtaining samples from 232 patients. A percentage of 39% (70) of Gram-positive cocci were found; which 82,8% (58) were identified as Staphylococcus spp,. among these, 75,8% (44) corresponded to S. aureus species and 47,7% were identified as MRSA. It was found resistance to both drugs in 31,8% of the S. aureus samples, 16 (36,3%) had the gene sea and 11 (25%) had the sec-1 gene. Among the coagulase-negative staphylococci obtained, the species most found was S. epidermidis, corresponding to 43% (6). The results revealed that one of the most important etiologic agents of VAP amid the Gram-positive cocci is the species S. aureus, with special attention to MRSA. The presence of enterotoxins genes in S. aureus did not showed determinant role in VAP, but the presence of these superantigens can contribute worsening the patient’s prognosis, since they are associated with intense inflammatory response

Crescimento de apatita na superfície da liga Ti-25Ta empregando dois tipos de tratamento de superfície: biomimético e deposição de polímero por eletrofiação

Titanium and its alloys has been widely used as materials for metallic biomaterials implants are usually employed to restore the hard tissue function, being used for artificial joints and bones, synthetic plates, crowns, dental implants and screws . Objective of this work was the surface modification of Ti-alloy 25Ta from biomimetic surface treatment of employment and deposition of polymer by electrospinning. The league was obtained from the fusion of the pure elements in the arc furnace with controlled atmosphere. The ingots were subjected to heat treatment, cold forged and sectioned discs with 13 mm diameter and 3 mm thick. Two surface treatments was evaluated, biomimetic and electrospinning with PCL fiber. The biomimetic treatment was performed involving alkaline treatment for three molarities 1.5M, 3M and 5M with immersion in SBF. The electrospinning was performed using PCL polymer alloy surface after the alkali treatment Ti25Ta 1M. For this group the polymer coated surfaces were immersed in calcium phosphate containing solution for immobilization of apatite. The results were compared with previous studies using surface treatment group to verify hydroxyapatite formation on the sample surface and it is concluded that the best condition is biomimetic treatment with 5M alkali treatment and heat treatment at 80 ° C for 72 hours

Desenvolvimento de uma metodologia para elaboração de modelos de predição dos níveis de ruído do campo acústico de usinas hidrelétricas

Pós-graduação em Engenharia Mecânica - FEIS

Incorporação da apatita na superfície da liga Ti30ta empregando tratamento alcalino associado à eletrofiação de fibras de PCL

Pós-graduação em Engenharia Mecânica - FEG

A famacocinética e os efeitos sedativos e comportamentais dos cloridratos de xilazina e de detomidina, administrados por diferentes vias, em asininos Nordestinos (Equus sinus)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Extrato hidroalcoólico de Punica granatum Linn. sobre Staphylococcus spp. isolado de leite bovino

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise estrutural e bioquímica da hidroxiapatita submetida ao tratamento com fluoreto e polifosfatos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise comparativa da ação antimicrobiana dos cimentos endodônticos Acroseal, Sealapex e AH plus pós presa em biofilme de enterococcus faecalis

Pós-graduação em Ciência Odontólogica - FOA