Síntese e caracterização estrutural, magnética e térmica da hidroxiapatita dopada com ferro

In this work, composites were prepared using high energy mechanical milling from the precursors hydroxyapatite - HAp (Ca10(PO4)6(OH)2) and metallic iron ( -Fe ). The main goal here is to study composites in order to employ them in magnetic hyperthermia for cancer therapy. The produced samples were characterized by X-ray di raction (XRD), scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS), magnetization curves as a function of applied eld (MxH), and nally measurements of magnetic hyperthermia. The XRD patterns of the milled samples HAp/Fe revealed only the presence of precursor materials. The SEM showed clusters with irregular shapes. The magnetization curves indicated typical cases of weak ferromagnetic behavior. For samples submitted to grinding and annealing, the identi ed phases were: HAp (Ca10(PO4)6(OH)2), hematite (Fe2O3) and Calcium Iron Phosphate (Ca9Fe(PO4)7). Analyzing the results of MxH, there was a reduction of the saturation magnetization, given that the Fe was incorporated into HAp. Hysteresis curves obtained at 300 K are characteristics of samples possessing over a phase. At 77 K, the behavior of the hysteresis curve is in uenced by the presence of hematite, which is antiferromagnetic. Already at T = 4.2 K, it is observed a weak ferromagnetic behavior. Furthermore, there is the e ect of exchange bias. Regarding the magnetic hyperthermia, the results of temperature measurements as a function of the alternating eld are promising for applications in magnetic hyperthermia and other biomedical applications.

Evidências de validade do Millon Behavioral Medicine Diagnostic na avaliação de aderência terapêutica em pacientes com insuficiência cardíaca crônica

Chronic heart failure (CHF) is the final common pathway of most diseases affecting the heart, being responsible for a high level of mortality and hospitalization, as well as significant reduction in quality of life of those affected. Interventions that claim to optimize patient adherence to their medical regimen, and improve self-care behavior, have proven effective in preventing unplanned admissions and improves the outcome for patients, however, studies have shown the problem of non-adherence, and some psychological instruments have been used to show that traces indicate difficulties with treatment adherence. Having shown this, the aim of this work is to evaluate the evidence of validity of the Millon Behavioral Medicine Diagnostic (MBMD) in a population of patients with CHF. The study included individuals with CHF, males and females, between the age of 18 and 85 years, treated in a reference hospital in the city of NatalRN. A total of 120 patients answered, in addition to the MBMD, another questionnaire structured with sociodemographic aspects and clinical itens. The results indicated that the parameter of the MBMD reliability was satisfactory the most of extracted factors, and some scale. In terms of the population studied, we could verify that the disease was more prevalent in men, but women had the highest average in indicators related to negative health habits and depressed mood. Younger pacients and those who had no partner had the highest averages in groups of items that dealt with feelings of sadness and discouragement. Hasn’t been observed differences related to negative health habits and problematic adherence among patients in different functional classes. More studies in this research line, with a larger population and from other regions of the country, are needed in order to expand the data presented here

Não-extensividade no contexto da atividade magnética solar: o problema da assimetria hemisférica

Solar activity indicators, each as sunspot numbers, sunspot area and flares, over the Sun’s photosphere are not considered to be symmetric between the northern and southern hemispheres of the Sun. This behavior is also known as the North-South Asymmetry of the different solar indices. Among the different conclusions obtained by several authors, we can point that the N-S asymmetry is a real and systematic phenomenon and is not due to random variability. In the present work, the probability distributions from the Marshall Space Flight Centre (MSFC) database are investigated using a statistical tool arises from well-known Non-Extensive Statistical Mechanics proposed by C. Tsallis in 1988. We present our results and discuss their physical implications with the help of theoretical model and observations. We obtained that there is a strong dependence between the nonextensive entropic parameter q and long-term solar variability presents in the sunspot area data. Among the most important results, we highlight that the asymmetry index q reveals the dominance of the North against the South. This behavior has been discussed and confirmed by several authors, but in no time they have given such behavior to a statistical model property. Thus, we conclude that this parameter can be considered as an effective measure for diagnosing long-term variations of solar dynamo. Finally, our dissertation opens a new approach for investigating time series in astrophysics from the perspective of non-extensivity.

Síntese e caracterizações estrutural e magnética das ferritas de cobalto-manganês (Co1-xMnxFe2O4 E Co1,2Fe1,8-xMnxO4)

The cobalt-manganese ferrites (Co1¡xMnxFe2O4 and Co1,2Fe1,8¡xMnxO4) has a mixed structure of spinel type and it has been regarded as one of candidates for petitive wide variety of applications in devices from ultrasonic generation and detection, sensors, transformers, as well as in medical industry. Ferrites cobalt-manganese nanostructured were produced via mechanical alloying with subsequent heat treatment and were characterized by X-ray diffraction, X-ray fluorescence, scanning electron microscopy and magnetization. Samples of Co1¡xMnxFe2O4 and Co1,2Fe1,8¡xMnxO4 were obtained from the precursor powders Fe3O4, Co3O4 and Mn3O4 which were stoichiometrically mixed and ground by 10h and heat treated at 900°C for 2h. The diffraction confirmed the formation of the pure nanocrystalline phases to series Co1,2Fe1,8¡xMnxO4 with an average diameter of about 94nm. It was found that the lattice parameter increases with the substitution of Fe3Å by Mn3Å. The x-ray fluorescence revealed that the portions of metals in samples were close to the nominal stoichiometric compositions. The microstructural features observed in micrographs showed that the particles formed show very different morphology and particle size. The magnetic hysteresis measurements performed at low temperature showed that the saturation magnetization and remanence increased as the concentration of manganese, while the coercive field decreased. The anisotropy constant (Ke f ), was estimated from the data adjustments the law of approaching saturation. It was found that the anisotropy decreases substantially with the substitution of Fe by Mn.

Produção e estudo de multicamadas magnéticas em substrato flexível

Magnetic multilayers are the support for the production of spintronic devices, representing great possibilities for miniaturized electronics industry. having the control to produce devices as well as their physical properties from simple multilayer films to highly complex at the atomic scale is a fundamental need for progress in this area, in recent years has highlighted the production of organic and flexible spintronic devices. Because of this trend, the objective of this work was to produce magnetic multilayers deposited on flexible substrate using magnetron sputtering dc technique. Three sets of samples were prepared. The first set composed of the trilayer type CoFe=Cu(t)=CoFe with different thickness of the metallic spacer. The second set consists of two multilayer subgroups, CoFe=Cu in the presence of IrMn layer as a buffer and the next multilayer as cap layer. The third set consisting of non-magnetostrictive multilayer permalloy (Py=Ta and Py=Ag) on flexible substrate and glass. The magnetic properties, were investigated by magnetometry measurements, ferromagnetic resonance and magnetoimpedance (MI), measurements were carried out at room temperature with the magnetic field always applied on the sample plane. For structural analysis, the diffraction X-ray was used. The results of the trilayer showed a high uniaxial anisotropy field for the sample with a spacer of 4.2 nm. For the multilayer in the presence of IrMn layer as the buffer, the study of static and dynamic magnetic properties showed isotropic behavior. For the multilayer in the presence of IrMn layer as a cap, the results of static magnetic properties of the magnetic behavior exhibited a spin valve structure type. However there was a disagreement with results of ferromagnetic resonance measurements, which was justified by the contribution of the unstable and stable grain to the rotatable anisotropy and Exchange bias in ferromagneticantiferromagnetic interface. The third serie of samples showed similar results behavior for the MI Ag multilayers spacer in both substrates. There are also significant MI changes with the Ta spacer, possible associated with the compressive stress on the flexible substrate sample.

Efeitos dos exercícios aeróbio contínuo e intervalado na variabilidade da frequência cardíaca em adultos jovens saudáveis. Ensaio clínico aleatório

The high-intensity interval exercise has been described as an option for increasing physical activity and its use also being suggested in the therapeutic management of many conditions such as diabetes mellitus and heart failure. However, the knowledge of its physiological effects and parameters that can assure greater safety for interval exercise prescription; especially its effect on short- and medium-term (24 hours after exercise) exercise recovery, need to be clarified. This study objective was to evaluate the effect of continuous and interval aerobic exercise on the cardiac autonomic control immediate and medium term (24 hours), by assessing heart rate variability (HRV). The present study is a randomized crossover clinical trial in which healthy young individuals with low level of physical activity had the VFC 24 hours measured by a heart rate sensor and portable accelerometer (3D eMotion HRV, Kuopio, Finland) before and after continuous aerobic exercise (60-70% HR max, 21 min.) and interval exercise (cycle 1 min. 80-90% HR max, 2 min. at 50-60% HR max, duration 21 min.). HRV was measured in the time and frequency domain and the sympathovagal balance determined by the ratio LF / HF. Nonlinear evaluation was calculated by Shannon entropy. The data demonstrated delayed heart rate recovery immediate after exercise and lower HR after 24 hours compared to pre intervention values, especially in the interval exercise group. There was a tendency to higher predominance and representatives index values of sympathetic stimulation during the day in interval exercise group; however, without statistical significance. The study results help to clarify the effects of interval exercise on the 24 hours following interval exercise, setting parameters for prescription and for further evaluation of groups with metabolic and cardiovascular diseases.

Reabilitação cardíaca na insuficiência cardíaca crônica: efeitos de 12 semanas de treinamento intervalado x contínuo na função cardiopulmonar e qualidade de vida

Background: Cardiac Rehabilitation (CR) has effect on mortality in patients with heart failure (HF) chronic, and the exercise of the treatment of this patient. The most common exercise is ongoing training. Recently we have been studying the effects of interval training, but there is no consensus on the optimal dose of exercise. Objective: To evaluate the effects of interval aerobic training are superior to continuous aerobic training in patients with chronic HF. Methods: The clinical trial evaluated patients through cardiopulmonary test (CPX) and quality of life before and after the RC (3 times / 12 weeks). Patients were randomized into Group Interval Training (GTI - 85% of heart rate reserve - FCR), Continuous Training Group (GTC - 60% of HRR) and control group (CG) who received guidelines. Results: 18 patients were evaluated (mean age 44.7 ± 13.2 years and 35.2 ± 8.9% of left ventricular ejection fraction [LVEF]). Both groups were efficient to increase the peak VO2 and 15.1% (P = 0.02) in GTI and 16.1% (P = 0.01) GTC. As for the quality of life the GTI GTC showed improvement compared to the control group (P = 0.006). Hemodynamic mismatch events during the CPX were reduced after training in more GTC (patients 1 to 4) than in the GTI (5 to 3). Cardiac risk also decreased in the GTC (3 patients left the severe risk to take after training). Conclusion: Continuous training becomes more appropriate for improving fitness with little chance of developing cardiac event patients with chronic HF.

Anisotropia magnética em nanofilmes com assimetria cristalográfica

This Thesis comprises a theoretical study about the influence of the magnetocrystalline anisotropy on the static and dynamic magnetic properties of nanofilms: monolayers and trilayers coupled through the bilinear and biquadratic exchange fields, for situations in which the systems are grown in unusual [hkl] asymmetric directions. Using a theory based on a realistic phenomenological model for description of nanometric systems, we consider the total free magnetic energy including the Zeeman interaction, cubic and uniaxial anisotropies, demagnetizing and surface anysotropy energies, as well as the exchange terms. Numerical calculations are conducted by minimizing the total magnetic energy from the determination of equilibrium static configurations. We consider experimental parameters found in the literature to illustrate our results for Fe/Cr/Fe trilayer systems. In particular, a total of six different magnetic scenarios are analyzed for three regimens of exchange fields and the [211] and [321] asymmetric growth directions. After numerically minimize the total energy, we use the equilibrium configurations to calculate magnetization and magnetoresistance curves with the respective magnetic phases and corresponding critical fields. These results are also used to establish the boundary for occurrence of saturated states. Within the context of the spin waves, we solve the equation of motion for these systems in order to find the respective associated dispersion relations. The results show similar magnetization and magnetoresistance curves for both [211] and [321] growth scenarios, including an equivalent magnetic transition behavior. However, the combination of those peculiar symmetries and influence of the exchange energies results in attractive properties, including the generation of magnetic states as a function of the asymmetric degree imposed in the [hkl] growth orientations. There is also an increasing incompatibility between the values of saturation fields of magnetization and magnetoresistance for the cases in which a magnetic field acts along intermediate cubic anisotropic axes, particularly in the situations where the bilinear and biquadratic exchange fields are comparable. The dispersion relations and static results are consistent, the corresponding magnetic states are also present in both acoustic and optical modes. Furthermore, Goldstone excitations are also observed for that particular cases of a magnetic field acting in the intermediate axes, an effect related to transitions of second order and to the spontaneous symmetry breaking imposed by the combination of the biquadratic energy with the cubic and uniaxial anisotropies.

Caraterização funcional cardíaca por fonocardiografia

Atualmente o uso da tecnologia como auxílio ao diagnóstico médico faz parte da rotina de atendimento diário na prestação de cuidados de saúde nos hospitais. O recurso à tecnologia na assistência à saúde tem aumentado, e até mesmo nos casos em que uma examinação clínica detalhada fornece informações confiáveis o suficiente para o diagnóstico correto, os exames de diagnóstico têm assumido um papel central na prática clínica, o que aumentou, por consequência, os custos em saúde. A ausculta cardíaca clássica é uma poderosa ferramenta clínica que, apesar de ter algumas limitações, pode ser reforçada com a aquisição, armazenamento e processamento do sinal fonocardiograma (FCG) e com a sua caraterização funcional pelo uso de sons cardíacos e caraterísticas de forma quantitativa. Neste trabalho é apresentada a caraterização de FCGs normais através do uso da Transformada de Hilbert-Huang, permitindo a identificação de caraterísticas quantitativas que possam ser usadas como marcadores na análise da disfunção cardíaca através do FCG. Essa caraterização vai estabelecer marcadores normais de função cardíaca, cuja comparação com sons patológicos, irá contribuir para estabelecer uma avaliação de baixo custo na medicina cardiovascular.

Dispositivo de rotación de tubos de resonancia magnética nuclear

La invención un dispositivo especialmente diseñado para llevar a cabo la agitación de un tubo de resonancia magnética nuclear (RMN) que comprende: un soporte (2) al que está fijado un motor (3) eléctrico de eje horizontal; un adaptador (4) de tubos (100) de resonancia magnética nuclear fijado al eje del motor (3) eléctrico; un sensor Hall (5) dispuesto para detectar una posición inicial de dicho eje; un medio (6) de procesamiento conectado al motor (3) eléctrico y al sensor Hall (5); un módulo (7) de comunicaciones para llevar a cabo la programación del medio (6) de procesamiento; y una interfaz (8) de control y visualización conectada al medio (5) de procesamiento para operar el dispositivo (1) y visualizar datos acerca de su funcionamiento.

Resultados de la participación del Departamento de Medicina Transfusional sobre la indicación de sangre desplasmatizada durante el perioperatorio de cirugía cardíaca

Introducción: la transfusión de sangre desplasmatizada es una de las intervenciones más frecuente y variable durante la cirugía cardiaca. Esta puede ser beneficiosa, pero también puede provocar resultados adversos. La mayoría de los estudios en los últimos años han relacionado su administración con un aumento de la morbimortalidad. Material y métodos: realizamos un estudio retrospectivo, observacional, de casos y controles que analizó la asociación de la transfusión de sangre desplasmatizada con la aplicación de un protocolo de atención para optimizar la terapia transfusional en el perioperatorio de cirugía cardíaca. Resultados y conclusiones: mediante la aplicación de este protocolo se observó una disminución en la transfusión de sangre en el intraoperatorio sin producirse cambios en la mortalidad ni en los días de internación.

Fibrilación auricular en pacientes con insuficiencia cardíaca en el área de clínica del hospital Vicente Corral Moscoso durante los años 1980-1984

Doctor en Medicina y Cirugía

Variaciones de tensión arterial, frecuencia cardíaca, oximetría de pulso e incidencia de náusea y vómito postoperatorios producidos por la asociación propofol + fentanil vs. tiopental + fentanil en legrado uterino instrumental, Hospital Vicente Corral Moscoso, Cuenca 2007

Especialista en Anestesiología

Reabilitação e cirurgia cardíaca revisão sistemática da literatura

ntrodução: A cirurgia cardíaca pode ser definida como um processo de restauração e restituição das capacidades vitais, compatíveis com a capacidade funcional do coração dos pacientes que já apresentavam previamente doenças cardíacas. Dado o número crescente de pacientes submetidos a esta intervenção, torna-se pertinente a existência de programas de reabilitação para promoverem uma recuperação precoce após o evento cirúrgico. Objetivo: Identificar os efeitos da reabilitação na pessoa submetida a cirurgia cardíaca. Metodologia: Trata-se de uma revisão sistemática da literatura com base na evidência científica encontrada. Foram utilizadas como referências publicações em inglês, português e castelhano, publicados desde janeiro de 2005 a dezembro de 2015, contidas nas seguintes bases de dados eletrónicas: CINAHL Plus with Full Text; MEDLINE with Full Text; MedicLatina; Pubmed; Cochrane Database of Systematic Reviews; Academic Search Complete (via EBSCO); Scielo; no Repositório Científico de Acesso Aberto de Portugal (RCAAP). Resultados: Da análise dos 23 artigos é evidente a influência que os programas de reabilitação cardíaca têm para minimizar as complicações, em pacientes submetidos a cirurgia cardíaca. A reabilitação permite uma melhor qualidade de vida após a cirurgia, melhora as alterações físicas e psíquicas, níveis de ansiedade e depressão, entre outros. Esta pode ser implementada de forma segura, em diferentes meios e nas suas distintas fases. Conclusões: Com base na evidência científica que é categórica na confirmação dos benefícios e dos efeitos preventivos, percebe-se que a intervenção da reabilitação permite diminuir as complicações dos pacientes submetidos a cirurgia cardíaca e melhora a capacidade funcional com benefícios fisiológicos e psicológicos, resultando em melhoria da qualidade de vida.