Comparação das variáveis hemodinâmicas durante o teste de caminhada de seis minutos e o teste de escada em adultos saudáveis

The effort test can be used to assess functional capacity, clinical hemodynamic and metabolic response at the effort, the risk of postoperative pulmonary complications and to assess the response of patients with lung diseases submitted to physiotherapy treatment. Among the stress tests we highlight the Six Minute Test Walk (6 MWT) and Stair Climbing Test (SCT), because they are easy to use and low cost. Especially the SCT is widely used in patients preoperatively. Objective: To compare the effects of six minute walk test and stair climbing test under the hemodynamic and oxygenation in healthy adults. Methods: We conducted a study with healthy subjects above 50 years. The fi rst performed was 6 MWT in quick step with encouragement, in a plan corridor of 30 meters, where the shade was determined the distance walked in 6 minutes, after 6 MWT was performed de SCT with encouragement, on a ladder in shade, consists of 44 steps, with 4 bids and bid by 11 steps, each step measured 16 cm in a total of 7.04 m of height, where the rise time was clocked. Before and after the two tests were measured respiratory rate, pulse, blood pressure and oxygen saturation. Results: We evaluated 21 patients with age 59.6 ± 5.4 years, 5 men and 16 women. The average distance covered on the 6MWT was 496.4 ± 102.2 meters and the average time in SCT 22.6 ± 5.4 seconds. The variables pulse, respiratory rate, systolic blood pressure and Borg scale presented a signifi - cant increase after the tests, however the variables oxygen saturation and diastolic blood pressure did not change signifi cantly. Conclusion: The variables pulse, respiratory rate, systolic blood pressure and Borg scale tests increased after six-minute walk test and stair climbing test but with greater signifi cance after the stair climbing test. Oxygen saturation and diastolic blood pressure did not change signifi cantly after the tests.

Função Pulmonar de pacientes submetidos a Cirurgia Bariátrica

Introduction: Obesity is a risk factor for postoperative pulmonary complications. Overweight can alter respiratory mechanics and decrease lung volumes and capacities. Bariatric surgery (BS) has been used as treatment for morbid obesity, but this surgery can lead to respiratory complications. Objective: To evaluate pulmonary function in morbid obese patients undergoing bariatric surgery. Methods: The patients were submitted to pulmonary function testing, including slow and forced vital capacity (SVC and FVC), forced expiratory volume in the first second (FEV1), Tiffenau index (FEV1/FVC), forced expiratory flow 25-75% (FEF25-75%) and maximal inspiratory and expiratory pressure (MIP and MEP). Descriptive analysis was performed. Results: We evaluated 18 patients, mean age of 37.33 ± 11.23 years, height 1.65 ± 0.09 m, weight 125.92 ± 25.24 kg and BMI 46.34 ± 9 20 kg/m2 , SVC 100.64 ± 22.91%, FVC 102.04 ± 21.82%, FEV1 104.85 ± 22.16%, FEV1 /FVC 83.54 ± 6.63% and FEF25-75% 84.47 ± 25.74%, 99.75 ± 24.55 for MIP and MEP 102.12 ± 25.06 cmH2O. Conclusion: The bariatric surgery candidates had normal values for manovacuometry and spirometry.

Estratégia educativa sobre prevenção de acidentes infantis para o ensino fundamental

Os acidentes infantis causam alta morbimortalidade. Embora preveníveis pela educação, são escassos os subsídios para atuar com o tema. O objetivo deste trabalho foi elaborar estratégia educativa sobre prevenção de acidentes infantis para o ensino fundamental. Participaram membros de um Grupo de Pesquisa, escolares de duas salas de 3ª série do ensino fundamental e as professoras. Utilizou-se literatura da área, materiais recicláveis e impressos. Realizaram-se reuniões para definição, elaboração e ensaio da estratégia, no Grupo de Pesquisa, e estudo piloto nas salas de aula. A estratégia resultante foi um Teatro de Fantoches abordando a prevenção de queimaduras infantis, com Folheto Avaliativo do Aluno para antes e após a ação e Questionário Avaliativo do Professor após a ação. Concluiu-se que a estratégia elaborada foi de fácil aplicação e boa aceitação, favorecendo a posterior aplicação e avaliação por professores.

Incidência de parada cardíaca e mortalidade durante anestesia em hospital universitário de atendimento terciário no período de 2005 a 2012

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito do diabete induzido por streptozotocin na matriz extracelular e no músculo estriado uretral em ratas prenhes

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

Obtenção e caracterização de suporte de regeneração óssea de dióxido de titânio

Due to complications caused by metallic implants in the replacement of bone tissue, the biological application of ceramics raised and became a viable alternative. The titania has the ability to promote bone tissue regeneration based on its structure, mechanical and biologically properties compatibility. The present work aims at obtaining and characterization of Titania (TiO2) porous ceramics produced by the polymeric sponge method (replica method). Polyurethane sponge with 10 ppi and 15 ppi (pores per linear inch) were used. The process differentiation is the air blower used to remove excess slurry. The ceramics sponges were dried in an oven, then pre-sintered at 1000 o C and sintered at 1450 o C. The effect of direct sintering at 1450 o C was also assessed. The percentage of solids used to prepare the slurry was 40 to 45% by weight. To increase the surface porosity of the sponge, 20% of starch was added. There was difficulty on controlling the thickness of the slurry layers on the sponge which resulted in the variation of samples mechanical resistance. Despite this, the results obtained are quite promising for the proposed use, indicating that it is possible to obtain titania sponges with an apparent porosity of around 60%, a bulk density ranging from 40 to 47% and a compressive strength resistance – that with better control of layers depositions – can vary from 1 to 4 MPa

Estresse oxidativo, alterações metabólicas e renais decorrentes da elevada ingestão de sacarose: efeito protetor da N-acetilcisteína (NAC)

Oxidative stress is related with physiopathology of diabetes mellitus type II and with its secondary complications, such as diabetic nephropathy. Thus, the purpose of this study was to examine the effects of n-acetylcysteine NAC, an antioxidant from Allium cepa, on oxidative stress, morphometrical and nutritional parameters and basal metabolism and energetic substrate utilization, serum glucose and oral glucose tolerance test (OGTT), and renal function of high-sucrose intake rats. Animals were initially divided into three groups. Rats in the control group (C; n=10) were given free access to a standard chow and water; (S; n=10) group received standard chow and 30% sucrose in its drinking water; (SN; n=5) group received standard chow and 2g/L NAC and 30% sucrose in its drinking water. After 25 days of treatments, rats were submitted to indirect calorimetry in fasted and feed states. After 30 days of treatments, rats from C and S groups were divided into four groups of five rats each. The (CC) and (SS) groups were given an intra-gastric dose 0,6mL saline (0,9%NaCl) and the (CNAC) and (SNAC) groups were treated with a intra-gastric dose of 0,6mL NAC (160g/day), and then everybody received a intra-gastric dose of glucose solution (20%) for the OGTT. Animals of S and SN groups have higher liquid consumption and lower food consumption than C group. Calorimetric analyses confirm that despite of the final body weight had not statistical difference among groups, S group have lower resting metabolic rate when compared to C and SN animals. Besides, S group has higher respiratory quotient, higher carbohydrate oxidation and lower lipid oxidation, both in fasted and feed states, than C and SN groups, evidencing the beneficial effect of NAC. Fasting plasma glucose is increased in SS and SNAC animals when compared to CC and CNAC, however SN group has glicemic level at 30 min before OGTT decreased when ...(Complete abstract click electronic access below)

Reflexão sobre prevenção de acidentes à criança no âmbito doméstico

The aim was to reflect what action to prevent accidents used by caregivers / participants in the home. This is a prospecive cross-sectional descriptive study conducted at the Pediatric Inpatient Unit, Hospital of the Medical School of Botucatu – Unesp, during the months from May to August 2010.A questionnaire was used in the form of check list (Annex I) on measures to prevent accidents. The participant chose two alternatives taking into consideration the order of priority in the prevention of accidents. This study shows that for the age group from 29 days to 2 years, the companions chose these preventive measures for falls, burns, poisoning and drowning, “do not put near the windows mobile” (27.8%), “no access the match, lighter and appliances (22.2%), leave toxic substances out of reach and sight of children (41.7%) and empty buckets, tubs and pools after use (27.8% ). Regarding the age group 2-6 years, the measures for these types of accidents were not put near the windows mobile (26.5%), do not have access to matches, lighters and household appliances (20.9% ), leave toxic products out of reach and sight of children (27.9%) and maintain tanks, tanks and wells or struck with some protection (20.2%). For ages 6 to 10 years, the measures chosen to more such accidents were dry liquid spilled on the ground (23.5%), do not have access to matches, lighters and household appliances (22.5% ), leave toxic products out of reach and sight of children (31%) and keep tanks, tanks and wells or struck with some protection (23.5%). One fact that attracted our attention was that the preventive measures most frequently used by caregivers, regardless of age, show results that differ in few alternatives. It is essential to the understanding of the escorts / participants on the importance of injury prevention. Even today is predominantly defined as accident, injury must be addressed through measures

Estudos estruturais por difração de raios X de fosfolipases A2 em presença de íons com importância funcional

Snakes from Bothrops genus are responsible for more than 90% of the ophidian accidents in Brazil. One of the main complications from this kind of accident is muscular necrosis, which is related to the action of phospholipases A2 and metalloproteases, two groups of enzymes found in the venom of these animals. Although this complication cannot be solved by serum therapy administration, a great number of studies have been performed with the attempt to know the pharmacological sites of these toxins aiming, in the future, the development of complementary treatments to serum therapy. This work proposes structural studies of bothropic phospholipases A2 (PLA2s) in the presence of ions relevant to their activity, using the X-ray crystallography technique. Recently, it was demonstrated ions, as manganese, calcium and others, interfere in the biological activity of the PLA2s. Particularly, Lys49-PLA2s in the presence of manganese ions have miotoxicity reduced. Asp49-PLA2s show catalytic activity dependent of calcium, although structural studies with a miotoxic Asp49-PLA2, BthTX-II, suggest a possible catalytic mechanism independent of calcium. Therefore, co-crystallization of BthTX-II in the presence of calcium ions and of PrTX-I in the presence of manganese ions were performed. Comparative structural studies among obtained results and others already published in the literature were performed aiming a better understanding of the structure-function relationship of these toxins. The BthTX-II with the presence of calcium do not show this ion in the loop of coordination of calcium, presence necessary to develop the catalyses. After comparison of this model with the native one, only one distortion was found, but no apparent relationship with the residues responsible for its activity. In the PrTX-I structure, regions candidates of manganese ions were also found... (Complete abstract click electronic access below)

Bloqueios anestésicos perineurais da região distal do membro torácico do equino para diagnóstico em claudicações

This work demonstrates the technique of perineural anesthetic blocks made in the distal forelimb of the horse, and also covers aspects relating to the interpretation of the results obtained with the procedure. The limit of the subject the distal forelimb of horses is explained by the distribution of common lameness, being more frequent in this region. The procedure is intended to provide analgesia to a region of the limb, causing the animal to stop limping or decrease the intensity of claudication temporarily, since this region is responsible for the claudication, allowing thus, the likely location of the lesion, which may be investigated by other helper methods to confirm the diagnosis. Besides the description of the technique, were approached concerning aspects to the location of the anatomical structures involved, materials needed, cares with the animals, and possible complications from the procedure

Avaliação dos custos da assistência de recém-nascidos de mães hipertensas no Hospital das Clínicas - UNESP - Botucatu

The Hypertension Arterial Gestationis is a of largest complications to the pregnant women, a time that is associated with to high risk of morbimortalidade fetal and maternal ;the term If referred the levels pressure equal or above of 140mmhg to the pressure systolic and of 90mmhg to the pressure diastolic (1).Hypertension in pregnancy can be classified into gestational hypertension, chronic hypertension, preeclampsia and eclampsia(3). This study aimed to calculate and analyze the cost of care of newborns of hypertensive mothers hospitalized in rooming, nursery and the neonatal intensive care unit (Neonatal UTI). It’s a study of exploratory, descriptive and quantitative data analysis, in newborns of mothers with hypertension, who underwent prenatal care in HCFMB, from January 1 to 31 in December 2010. The data analysis showed that the cost of care for newborn in rooming was R$ 38.62 for the control group and groups of hypertensive mothers were R$ 19.93 to R$ 37.38. The costs of care to the newborn in the nursery were R$ 1,781.81 for the control group and groups of hypertensive mothers were R$ 680.03 to 7544.10. The costs for the newborn who Neonatal UTI were R$ 7,468.60 for the control group and groups of hypertensive mothers were R$ 5,228.02 to R $ 18,372.75. The total costs of care for newborn in rooming, nursery and Neonatal UTI were R$ 916.15 for the control group, R$ 1,385.98 for the HAC group, R$ 327.23 for the group HAS, R$ 3,896.57 for the group of preeclampsia and R$ 6,326.54 for the group of eclampsia. Considerations It can be concluded that the costs of mothers with preeclampsia and eclampsia were higher, being conditions with increased risk of maternal-fetal morbidity / mortality, requiring care in intensive care unit and longer stay in hospital

Influência dos polimorfismos para o gene da sintase do óxido nitrico endotelial (eNOS) na pressão arterial e perfil lipídico em resposta ao treinamento físico em mulheres no climatério

A incidência de doenças cardiovasculares tem se constituído na maior causa de morbimortalidade em todo mundo, especialmente após os 50 anos de idade, e têm sido associadas à presença de polimorfismos em alguns genes, especialmente o gene da eNOS. Apesar das mulheres compartilharem com os homens os diversos fatores de risco para o desenvolvimento das doenças cardiovasculares, entre elas hipertensão arterial e dislipidemia, estudos epidemiológicos mostram que as mesmas, antes da menopausa, apresentam menor risco cardiovascular quando comparadas aos homens. Entretanto, após o período da menopausa há um aumento significativo na incidência de hipertensão arterial e suas complicações. Este fato parece estar relacionado a uma possível ação protetora exercida pelos hormônios sexuais femininos, sobretudo os estrogênios que apresentam queda abrupta no período da menopausa. O óxido nítrico (NO), produzido pelas células endoteliais através da enzima eNOS, desempenha importante papel no sistema cardiovascular, participando na regulação do fluxo sanguíneo, do remodelamento vascular e na atividade plaquetária. Assim, estudos envolvendo o gene responsável pela síntese da enzima eNOS, tem sido foco de várias pesquisas na tentativa de avaliar se a presença dos polimorfismos poderia predispor os indivíduos a maior incidência de doenças cardiovasculares. O polimorfismo do gene da eNOS na posição G894T/Glu298Asp localizado no éxon 7, implica na alteração da sequência protéica, tornando a proteína mais suscetível à clivagem, tendo consequências funcionais como a redução do NO demonstrando assim sua provável contribuição para a disfunção endotelial e consequente aumento da pressão arterial. Com relação ao Íntron 4 caracterizado por um Número Variável de Repetições em Tandem... (Resumo completo, clicar acesso eletrônico abaixo)

A influência da mídia no conceito de corpo

Esta monografia teve como objetivo demonstrar as diferentes concepções culturais do corpo ao longo de diferentes épocas e como os padrões sociais estabelecidos influenciam diretamente a maneira de visualizar esse corpo. Os meios de comunicação do século XX se desenvolveram de maneira vertiginosa, ficando mais acessíveis a população e aumentando a influência sobre esta. A geração fitness do início da década de 1980, que tinha como objetivo incentivar a prática de exercícios físicos para a população, acabou sendo amplamente divulgada pela mídia e exercendo grande influencia na sociedade. O padrão de corpo, bastante divulgado na sociedade atual, consiste em mulheres jovens, magras, e com o corpo bem delineado e homens fortes e musculosos. O corpo ficou banalizado. A mídia impõem o corpo ideal para toda a sociedade utilizando de inúmeras propagandas, com pessoas famosas e bem sucedidas relacionando muitas vezes o sucesso delas com o seu corpo. Várias pessoas acabam utilizando métodos nada saudáveis para a obtenção desse corpo ideal. Porém, isso pode causar inúmeras complicações de saúde e em alguns casos, a morte. O corpo perfeito, que deveria significar saúde, está virando sinônimo de doença e obsessão.

Subluxação atlantoaxial canina

The atlantoaxial subluxation or luxation is an instability of this articulation that produces excessive flexion of this joint causing the cranial aspect of the axis to rotate dorsally into the vertebral channel with subsequent spinal cord compression. This disorder is most commonly found in young small breed dogs. The diagnosis of this disease is done by survey radiographs, where there is a larger distance between the atlas dorsal arch and the axis spinal process characterize the atlantoaxial subluxation. Surgical stabilization is the treatment of choice and multiple implants show the best results to stabilize the atlantoaxial joint. The main complications are sudden death or implant failure. The sudden death happens because of cardiorespiratory arrest and it is most likely caused by brainstem iatrogenic trauma. However, a larger study comparing different surgical stabilization techniques should be performed to evaluate relative success rates in dogs that have the same initial neurologic status

Caracterização morfo-anatômica de beressol [Trimezia juncifolia (Klatt.) Benth]

A Trimezia juncifolia (Iridaceae) é encontrada nas regiões tropicais e subtropicais e possui características muito próximas das plantas do mesmo gênero e família. Ela é utilizada pela população de Botucatu, São Paulo, para a depuração do sangue, para feridas intermitentes e como antiinflamatório. Por possuir interesse econômico primordialmente ornamental, são raros os estudos que a caracteriza, facilitando as complicações que podem ocorrer por trocas de espécies. Por causa disso, este trabalho tem como objetivos descrever a morfologia externa da Trimezia juncifolia, visando a caracterização da droga vegetal, e a anatomia das raízes, bulbo, caule aéreo e escamas do bulbo, visando uma descrição microscópica farmacopeica. A caracterização morfológica da planta foi feita com o auxílio de estereomicroscópio binocular. Para o estudo anatômico de Trimezia juncifolia (beressol), foram selecionados exemplares que contenham raízes, caule subterrâneo, e caule aéreo. Os catafilos, bulbo, raízes e caule aéreo foram divididos em terço apical, médio e basal. Com ênfase no caule subterrâneo, o bulbo e as raízes tiveram as três frações analisadas, e o catafilo, as frações média e basal. Somente o terço médio do caule aéreo foi analisado.O material foi fixado em solução de glutaraldeído e formaldeído. Em seguida o material foi conduzido às etapas de inclusão em resina (metacrilato). O material incluído foi seccionado em micrótomo de rotação. As secções dispostas em lâminas foram coradas com azul de toluidina pH 6,8. Mesmo com a descrição das frações medianas da raiz, bulbo, catafilos e caule aéreo, ou escapo, na discussão deste trabalho foi dada ênfase à análise do caule subterrâneo e raízes. Mesmo que popularmente a fração utilizada da planta seja o bulbo, essa análise se faz necessária para auxiliar o controle de qualidade... (Resumo completo, clicar acesso eletrônico abaixo)