Quilotórax traumático por ferimento penetrante do tórax

The authors report two cases of traumatic chylothorax. They were caused by gunshot wounds producing thorax transfixing injuries and lhe chilothorax was subsequently diagnosed during lhe thoracic drainage follow-up, a chilous colar was noticed in lhe drainage output. This was confirmed with a Sudam 111 stain. Both cases were treated conservatively with Total Parenteral Nutrition according to the current literature. One of the cases, in its evolution, required surgical treatment due to a persistent high output fistulae.

Ferimento transfixante de útero em gestante

In de past 50 years, maternal mortality rates have declined, in contrast, the number of deaths due to injury during pregnancy is on the rise. The authors report a case of 24° week pregnant woman victim of penetrating abdominal trauma by gunshot who sustained a grade I11 transfixing injury of the uterine fundus. Treatment was conservative regarding the fetus. Hysteroraphia of the injuries was executed with closure of both penetrating orifices. Obstetrical-gynecological evaluation and echogram documented letal viability in the post-operative period. Post-operative follow-up was performed with periodical echograms up to delivery on the ninth month. Clinical findings, treatment and follow-up will be discussed.

Pneumopericárdio após traumatismo penetrante: relato de três casos

Pneumopericardium after penetrating wound represents a high suspicion for cardiac wound. Some authors recommend thoracotomy to discharge a cardiac lesion. We present three cases of post-traumatic pneumopericardium one following a gunshot wound and two following a stab wound and discuss about diagnosis and treatment. None showed clinical signs of cardiac tamponade. Diagnosis was made by chest x-ray. Pneumopericardium was identified at the initial evaluation in two patients, who had concomitant hemothorax and underwent chest drainage. The patient with penetrating thoracic wound by gunshot pneumopericardium developed 24h after trauma. Treatment was directed to the associated lesions without specific measurements for pneumopericardium. This aproach was safe in these patients.

Videolaparoscopia no trauma abdominal

Despite the use of laparoscopy in abdominal trauma for several decades, it was only after the advent of video chip camera that an explosion of interest ocurred, giving rise to possibilities and perspectives not only in diagnosis but also in therapeutics. In trauma, its use has been gradually defined and experience has shown the benefits of the method in early diagnosis of visceral injuries as well as avoiding unnecessary laparotomies. Trauma laparoscopy is a safe method, can reduce negative and nontherapeutic laparotomies. The worrisome failure of laparoscopy to detect gastrintestinal injuries, specially small bowel lesions can be avoided with a mandatory and apropriated "run bowel" exploration. We believe that in hemodinamically stable patients, video laparoscopy is safely indicated in some situations in trauma, such as evaluation of diaphragmatic injuries in thoraco abdominal stab wounds and tangential gunshot wounds of anterior abdominal wall.

Hemobilia pós-trauma

Our objective is to report a case of a patient, with a thoraco-abdominal gunshot wound with right hemothorax and liver lesion in the right lobe. The liver and the diafragm were sutured and the chest was drained. On the 9th post operative day the patient had hematemesis, jaundice and pain in the right upper quadrant of the abdomen. The abdominal ultrasound image with Doppler, revealed arteriobiliary fistulae. The diagnosis of hemobilia was made and the patient underwent embolization of the fistulae by liver arteriography.

Hemoptise maciça 14 anos após ferimento por projétil de arma de fogo

A 54 - year-old male returned 14 years after a gunshot wound to the chest with intermitent hemoptysis that progressed to frank pulmonary hemorrhage. The complications of retained intrapulmonary foreign body are briefly reviewed.

Uso de balão intra-hepático para controle temporário da hemorragia em lesão da veia cava retro-hepática

Juxtahepatic veins, retrohepatic vena cava or major hepatic veins injuries carry a very high mortality rate regardless the technique used for its repair. Isolated survivor reports have for the most part been managed by vascular isolation techniques, usually with atriocaval shunt. We report one case with a unique management technique in a patient who sustained gunshot wound to the retrohepatic vena cava. Hemorrhage control had been obtained by intrahepatic balloon tamponade after others maneuvers have failed. The balloon was left in situ for two days as damaged control laparotomy principles and planned reoperation has been chosen.

Critical analysis of thoracotomies performed in the emergency room in 10 years

OBJECTIVE: To conduct a critical analysis of thoracotomies performed in the emergency rooms.METHODS: We analyzed mortality rates and survival as outcome variables, mechanism of injury, site of injury and anatomic injury as clinical variables, and gender and age as demographic variables of patients undergoing thoracotomy in the emergency room after traumatic injury.RESULTS: Of the 105 patients, 89.5% were male. The average age was 29.2 years. Penetrating trauma accounted for 81% of cases. The most common mechanism of trauma was wound by a firearm projectile (gunshot), in 64.7% of cases. Patients with stab wounds (SW) accounted for 16.2% of cases. Overall survival was 4.7%. Survival by gunshot was 1.4%, and by SW, 23.5%. The ERT following blunt trauma showed a 100%mortality.CONCLUSION: The results obtained in the Emergency Hospital of Porto Alegre POA-HPS are similar to those reported in the world literature.

Chorion biopsy in mongrel dogs

With the great development of the gestational studies in all of the species, we noticed the necessity of adaptations of these techniques for prenatal diagnosis in dogs. Based on this, we studied the feasibility of chorion biopsy guided by ultrasound. Our results demonstrated accuracy on the sex determination being 2 males and 12 females, as well as it would be possible to identify chromosome alteration due to the quality of samplings. Sex determination was accomplished with the identification of Y gene chromosomes in PCR technique. After the collection, fragments were prepared for light microscopy studies and revealed fetal chorion tissue, blood colloid and erythrocyte. In the whole material we found hemosiderin impregnations due to the hemolysis and to the residue of blood of the placental marginal hematomes. The submitted female dogs to this technique demonstrated normal puppy births without death.

Maidon ja heran mikrosuodatus

Työssä selvitettiin uudenaikaisten polymeerikalvojen soveltuvuutta maidon sekä heran mikrosuodatukseen. Kirjallisessa osassa perehdyttiin maidon ja heran koostumuksiin, mikrobikantoihin sekä erilaisiin maidon sekä heran rasvanpoisto- ja puhdistusmenetelmiin. Tämän lisäksi käsiteltiin mikrosuodatusmenetelmiä sekä niiden käyttöä heran ja maidon käsittelyssä meijeriteollisuudessa. Kokeellisessa osassa verrattiin kahdella eri suodatuslaitteistolla keraami- ja polymeerikalvojen suodatusominaisuuksia separoidun raakamaidon sekä heran poikkivirtausmikrosuodatuksessa. Tavoitteena oli erottaa suodatettavista liuoksista mikrobit sekä jäännösrasva ja tuottaa puhdasta, proteiinipitoista maitoa / heraa. Koeajoissa otetuista näytteistä analysoitiin ainesosakoostumus sekä mikrobipitoisuudet. Tuloksista määritettiin retentioarvot ja näiden perusteella vertailtiin polymeeri- ja keraamikalvojen erotustehokkuutta. Lisäksi kalvojen toimivuutta arvioitiin vuoarvojen avulla. Raakamaidon suodatuksissa polymeerikalvot pidättivät täydellisesti tai lähes täydellisesti jäännösrasvan ja mikrobit, mutta myös kaseiiniproteiinin. Tästä syystä yksikään polymeerikalvoista ei sovellu puhtaan maidon suodatukseen. Keraamikalvot soveltuvat tähän selkeästi paremmin ja yksikään toinen testatuista kalvoista ei päässyt samalle tasolle meijeriteollisuudessa jo käytössä olevan Membralox 1,4 μm -keraamikalvon kanssa. Heran suodatuksissa polymeerikalvot pidättivät täydellisesti tai lähes täydellisesti rasvan ja mikrobit, mutta keraamikalvo päästi huomattavasti enemmän haluttuja proteiineja permeaattiin. Membralox 0,8 μm -keraamikalvo pidätti täydellisesti mikrobit, mutta päästi jonkin verran jäännösrasvaa permeaattiin. Näin ollen kalvovalinta on kompromissi permeaatin puhtauden ja proteiinin saannon välillä. Keraamikalvojen vuohäviöt olivat merkittävästi pienemmät kuin polymeerikalvoilla molempien syöttöliuosten kanssa. Lisäksi keraamikalvojen puhdistus oli huomattavasti nopeampaa ja helpompaa. Tästä syystä keraamiset kalvot soveltuvat polymeerisiä paremmin maidon ja heran mikrosuodatukseen.

Hakkeen kuivaus ennen varastointia ja biopolttoaineterminaalin suunnittelu

Lempäälään aiotaan rakentaa uusi kaukolämpölaitos, jossa polttoaineena käytettäisiin haketta. Nykyään Lempäälässä tuotetaan kaukolämpöä maakaasulla, jonka käyttämisestä halutaan siirtyä käyttämään lähialueilta saatavaa biopolttoainetta. Tässä työssä halutaan selvittää, mitä hyötyjä saataisiin hakkeen koneellisesta kuivauksesta. Työn toisena tavoitteena on suunnitella ja pohtia biopolttoaineterminaalin rakentamista sekä käsitellä hakkeen varastointia yleensä. Työssä tutustutaan hakkeeseen aiheesta kertovan kirjallisuuden avulla. Työssä on myös laskettu hakkeen kuivauksesta saatavia hyötyjä hakkeen lämpöarvoon sekä energiatiheyteen. Erityisesti perehdytään metsätähdehakkeeseen, rankahakkeeseen, kuorihakkeeseen sekä sahanpuruun. Laskelmien tuloksista on havaittu, että suurin hyöty hakkeen energiatiheyden parantumisessa saadaan kun hake kuivataan 35 % kosteuspitoisuuteen. Tämän jälkeen energiatiheyden paraneminen tapahtuu hitaammin. Hakkeen kuivauksesta saadaan myös muita hyötyjä kuin energiatiheyden paraneminen. Kuivan hakkeen käsittelyn ja varastoinnin on havaittu olevan vaivattomampaa kuin märän hakkeen. Biopolttoaineterminaalin ja voimalaitoksen tulisi sijaita rinnakkain, jotta hakkeen kuivauksesta saadaan mahdollisimman kustannustehokasta. Näin ollen syntyisi myös säästöjä hakkeen kuljetuksen suhteen. Biopolttoaineterminaalin rakentamista varten tarvittaisiin tilaa alustavien laskelmien perusteella noin yksi hehtaari. Työssä on myös laskettu biopolttoaineterminaalin rakentamisesta aiheutuvia kustannuksia sekä hakkeen kuljetuksesta koituvia logistiikka kustannuksia. Haketerminaalin ja voimalaitoksen sijaintia Lempäälässä on myös kartoitettu.

Carryover effect of fomesafen, applied on edible bean, on sucessional maize

Carryove reffects of fomesafen on successional maize were studied in clay soil. Fomesafen was applied as postemergence at Five rate s (0; 0.12 5: 0.25 ; 0.37 5, and 0.5 kg/ha-1) to edible beans. Maize was planted 198 and 65 days after fomesafen application in 1992 and 212 and 65 days after fomesafen application in 1993. Fomesafen residues were detected in soils up to 20cm depth but residue concentration was higher in 0-10 cm soil depth. Fomesafen residues reduced leaf chlrophyll content and root volume of 10 days old maize when planted 65 days after application but were not affected when planted 212 days after application. However, the decreases in leaf chlorophyll and root volume did not affect the maize yield.

Effect of crop residues applied isolated or in combination on the germination and seedling growth of horse purslane (Trianthema portulacastrum)

Soil incorporation of crop residues can lead to weed suppression by posing allelopathic and physical effects. Allelopathic potential of the crops sorghum, sunflower, brassica applied as sole or in combination for horse purslane (Trianthema portulacastrum) suppression was evaluated in a pot investigation. Chopped crop residues alone and in combination were incorporated at 6 g kg-1 soil (12 t ha-1), and a weedy check was maintained. Germination traits time to start germination; time to 50% emergence, mean emergence time, emergence index and final germination percentage were negatively influenced by residue incorporation. Crop residues also exerted a pronounced negative influence on the shoot and root length of horse purslane. Significant suppression in leaf and root score and leaf area per plant was also observed. A combination of sorghum and sunflower residues accounted for maximum (71%) seedling mortality. Soil incorporation of allelopathic crop residues can be employed for horse purslane management.

Integration of sunflower (Helianthus annuus) residues with a pre-plant herbicide enhances weed suppression in broad bean (Vicia faba)

Field trial was conducted with the aim of utilizing allelopathic crop residues to reduce the use of synthetic herbicides in broad bean (Vicia faba) fields. Sunflower residue at 600 and 1,400 g m-2 and Treflan (trifluralin) at 50, 75 and 100% of recommended dose were incorporated into the soil alone or in combination with each other. Untreated plots were maintained as a control. Herbicide application in plots amended with sunflower residue had the least total weed count and biomass, which was even better than herbicide used alone. Integration of recommended dose of Treflan with sunflower residue at 1,400 g m-² produced maximum (987.5 g m-2) aboveground biomass of broad bean, which was 74 and 36% higher than control and recommended herbicide dose applied alone, respectively. Combination of herbicide and sunflower residue appeared to better enhance pod number and yield per unit area than herbicide alone. Application of 50% dose of Treflan in plots amended with sunflower residue resulted in similar yield advantage as was noticed with 100% herbicide dose. Chromatographic analysis of residue-infested field soil indicated the presence of several phytotoxic compounds of phenolic nature. Periodic data revealed that maximum suppression in weed density and dry weight synchronized with peak values of phytotoxins observed 4 weeks after incorporation of sunflower residues. Integration of sunflower residues with lower herbicide rates can produce effective weed suppression without compromising yield as a feasible and environmentally sound approach in broad bean fields.

Pressure filtration characteristics of enzymatically hydrolyzed biomass suspensions

Enzymatic hydrolysis of lignocellulosic polymers is likely to become one of the key technologies enabling industrial production of liquid biofuels and chemicals from lignocellulosic biomass. Certain types of enzymes are able to hydrolyze cellulose and hemicellulose polymers to shorter units and finally to sugar monomers. These monomeric sugars are environmentally acceptable carbon sources for the production of liquid biofuels, such as bioethanol, and other chemicals, such as organic acids. Liquid biofuels in particular have been shown to contribute to the reduction of net emissions of greenhouse gases. The solid residue of enzymatic hydrolysis is composed mainly of lignin and partially degraded fibers, while the liquid phase contains the produced sugars. It is usually necessary to separate these two phases at some point after the hydrolysis stage. Pressure filtration is an efficient technique for this separation. Solid-liquid separation of biomass suspensions is difficult, because biomass solids are able to retain high amounts of water, which cannot be readily liberated by mechanical separation techniques. Most importantly, the filter cakes formed from biomaterials are compressible, which ultimately means that the separation may not be much improved by increasing the filtration pressure. The use of filter aids can therefore facilitate the filtration significantly. On the other hand, the upstream process conditions have a major influence on the filtration process. This thesis investigates how enzymatic hydrolysis and related process conditions affect the filtration properties of a cardboard suspension. The experimental work consists of pressure filtration and characterization of hydrolysates. The study provides novel information about both issues, as the relationship between enzymatic hydrolysis conditions and subsequent filtration properties has so far not been considered in academic studies. The results of the work reveal that the final degree of hydrolysis is an important factor in the filtration stage. High hydrolysis yield generally increases the average specific cake resistance. Mixing during the hydrolysis stage resulted in undefined changes in the physical properties of the solid residue, causing a high filtration resistance when the mixing intensity was high. Theoretical processing of the mixing data led to an interesting observation: the average specific cake resistance was observed to be linearly proportional to the mixer shear stress. Another finding worth attention is that the size distributions of the solids did not change very dramatically during enzymatic hydrolysis. There was an observable size reduction during the first couple of hours, but after that the size reduction was minimal. Similarly, the size distribution of the suspended solids remained almost constant when the hydrolyzed suspension was subjected to intensive mixing. It was also found that the average specific cake resistance was successfully reduced by the use of filter aids. This reduction depended on the method of how the filter aids were applied. In order to obtain high filtration capacity, it is recommended to use the body feed mode, i.e. to mix the filter aid with the slurry prior to filtration. Regarding the quality of the filtrate, precoat filtration was observed to produce a clear filtrate with negligible suspended solids content, while the body feed filtrates were turbid, irrespective of which type of filter aid was used.