999 resultados para Beach Recovery


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

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INTRODUÇÃO: A decisão de quando iniciar a diálise em pacientes com lesão renal aguda (LRA) que apresentam síndrome urêmica está bem estabelecida, entretanto, com ureia < 200 mg/dl o melhor momento para iniciar a diálise torna-se incerto. OBJETIVO: Este estudo teve como objetivo avaliar a mortalidade e a recuperação da função renal em pacientes com LRA, cujo início da diálise ocorreu em diferentes níveis de ureia. MÉTODOS: Estudo retrospectivo desenvolvido em hospital escola, no estado de São Paulo, Brasil, envolvendo 86 pacientes submetidos à diálise. RESULTADOS: A diálise foi iniciada com uréia > 150 mg/dl em 23 pacientes (grupo I) e uréia > 150 mg/dl em 63 pacientes (grupo II). Hipervolemia e mortalidade foram mais frequentes no grupo I que no grupo II (65,2 x 14,2% - p < 0,05; 39,1 x 68,9% - p < 0,05, respectivamente). Entre os sobreviventes, a recuperação renal foi maior no grupo I (71,4 e 36,8%, respectivamente, p < 0,05). A análise multivariada mostrou risco independente de mortalidade relacionado à sepse, idade > 60 anos, diálise peritoneal e uréia > 150 mg/dl no início da diálise. CONCLUSÃO: Menor mortalidade e maior recuperação renal estão associadas com o diálise iniciada precocemente, conforme baixos níveis de ureia, em pacientes com LRA.

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background. The prevalence of resistance to imipenem and ceftazidime among Pseudomonas aeruginosa isolates is increasing worldwide.objective. Risk factors for nosocomial recovery ( defined as the finding of culture- positive isolates after hospital admission) of imipenemresistant P. aeruginosa ( IRPA) and ceftazidime- resistant P. aeruginosa ( CRPA) were determined.design. Two separate case- control studies were conducted. Control subjects were matched to case patients ( ratio, 2: 1) on the basis of admission to the same ward at the same time as the case patient. Variables investigated included demographic characteristics, comorbid conditions, and the classes of antimicrobials used.setting. The study was conducted in a 400- bed general teaching hospital in Campinas, Brazil that has 14,500 admissions per year. Case patients and control subjects were selected from persons who were admitted to the hospital during 1992 - 2002.results. IRPA and CRPA isolates were obtained from 108 and 55 patients, respectively. Statistically significant risk factors for acquisition of IRPA were previous admission to another hospital ( odds ratio [ OR], 4.21 [ 95% confidence interval {CI}, 1.40- 12.66];), hemodialysis Pp. 01 ( OR, 7.79 [ 95% CI, 1.59- 38.16];), and therapy with imipenem ( OR, 18.51 [ 95% CI, 6.30- 54.43];), amikacin ( OR, 3.22 Pp. 01 P !.001 [ 95% CI, 1.40- 7.41];), and/ or vancomycin ( OR, 2.48 [ 95% CI, 1.08- 5.64];). Risk factors for recovery of CRPA were Pp. 005 Pp. 03 previous admission to another hospital ( OR, 18.69 [ 95% CI, 2.00- 174.28];) and amikacin use ( OR, 3.69 [ 95% CI, 1.32- 10.35]; Pp. 01). Pp. 01conclusion. Our study suggests a definite role for several classes of antimicrobials as risk factors for recovery of IRPA but not for recovery of CRPA. Limiting the use of only imipenem and ceftazidime may not be a wise strategy to contain the spread of resistant P. aeruginosa strains.

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The coastal zone has been studied worldwide with a focus on the coastal erosion. In the present days, much of the world's coastlines are being affected by erosion, which causes great damage to the economy. This work had as study case the beaches of Areia Preta, Artistas, Meio and Forte located in Natal in Rio Grande do Norte. It shows as result the monitoring of the beach strip that makes possible to obtain quantitative and qualitative data, allows the study of the coastal dynamics of the beaches and the Recovery Project of the Areia Preta beach interference on adjacent beaches. This research was guided by the integrated analysis method on the systemic perspective. The pratical procedures adopted were: bibliographic research; fieldwork during eleven months (environmental characterization, collection of hydrodynamic data, topographic leveling, collection of sediments) and; sedimentological analysis of samples collected. By monitoring of the points A, B, C, D and E we were able to find the occurrence of the coastal erosion on their biggest part except by the C and D profiles. It was noted the need for the government to complete the hydraulic fill, as it made only 60% of the landfill planed. It was found that the spikes built on the beach of Areia Preta are preventing the natural transport of sediments that the longshore performs towards South-North. This interference is causing the lack of sediment on the beaches of Forte and Meio and their coastal erosion in consequence

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This dissertation includes the monitoring of coastal environmental dynamics at three points distinct from Ponta Negra beach, located on the South Coast of Natal, capital of Rio Grande do Norte, in the period June 2012 to May, 2013. For this, the following hypotheses were developed: Which actors morphodynamic and/or anthropogenic responsible for the changes in the study area? And yet, the configuration of the morphodynamic state of the beach, dissipative, reflective or intermediate? Faced with these questions , studies on the beach environment has its relevance as they may clarify the risks and responsibilities of anthropogenic intervention and also assist managers in more targeted action regarding the protection of praiais systems, since once committed, it is very difficult recover the environmental framework of the area, being greatly more feasible the development of multidisciplinary work plans that can guide human actions possible in search of an understanding to the harmonious interaction between society and the beach system. Its main goal is the understanding of the processes of coastal dynamics, methodological procedures that supported the implementation of this research were based on the object of study related literature associated with the collection of data resulting from beach profiles made monthly in spring tides (full moon), the hydrodynamic data and statistical quantification data (%) and size classification of sediment sediment after laboratory analysis. The results obtained from annual comparative tables of beach profiles, associated sedimentological analysis, indicated a positive sediment budget, tending to equilibrium for Point 01 and Point 02 negative. Have to Step 03 were added to the hydrodynamic data, which allowed also on a comparative framework, the perception of a depositional dynamics, with a tendency to decrease the accumulation of material at the end of the annual cycle. These data also allowed for the point 03, the calculation of the volume of material transported by the longshore current was around 104.280 m³/m, plus the Dean parameter which established a morphological state of the dissipative beach with specific prevalences for point 03. Thus, given the results presented in this work in a timely monitoring of coastal dynamics is expected that managers and public authorities can articulate multidisciplinary work plans, always aiming actions that seek understanding and effective commitment to the recovery of the harmonious interaction between society and Ponta Negra beach environment

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

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The objective of the present study was to evaluate the effects of double uterine flushing on the recovery of embryos/ova in cattle. Two hundred and ten embryo recovery procedures were conducted using a double uterine flushing method, and the results were compared with 432 conventional single-flushing procedures. Cyclic Limousin (n = 403) and Guzera (n = 239) donor cows received an intravaginal progesterone releasing device and 2 mg of estradiol benzoate on Day 0. Between Days 5 and 9, donors received decreasing doses of FSH, which ranged from 200 to 300 IU (Bos indicus) and 300 to 500 IU (Bos taut-us). on the afternoon of Day 7, donors received an injection of 500 mu g cloprostenol and progesterone implants were removed 12 It later (morning of Day 8). Artificial insemination was performed between 14 and 26 h after first detection of behavioral estrus. Cows were randomly assigned to have embryos recovered by a double-flushing method (n = 210) or the conventional single-flushing procedure (n = 432). For the double-flushing procedure, after first flushing the whole uterus with 1 L of Dubelco's Phosphate Buffered Saline (DPBS), a Foley catheter was positioned in the uterine body to permit refilling of the uterus with fresh DPBS (80-150 mL). The catheter was closed with the plunger of a disposable 5 mL syringe, and the donors were allowed to rest in a holding area for 30 min. Thereafter, a second flush was performed to recover the solution remaining in the uterus. Animals from the control group were subjected to a single uterine flush. From 2 10 double-flushing procedures, 1409 viable embryos were recovered. In comparison, from 432 cows receiving the single-flushing procedure, 1993 embryos were recovered. Double flushing increased (P < 0.05) the number of embryos recovered per procedure compared to single flushing (6.7 +/- 0.4 versus 4.6 +/- 0.2, respectively; mean +/- S.E.M.). When double flushing was performed, average recovered embryos/ova increased (P < 0.05) from 8.3 +/- 0.4 to 12.7 +/- 0.7 in Limousin and from 7.9 to 11.5 in Guzera. Also, utilization of double flushing increased (P < 0.05) the number of viable embryos from 4.7 +/- 0.3 to 6.9 +/- 0.5 in Limousin and from 4.5 +/- 0.4 to 6.4 +/- 0.7 in Guzera. Mean total embryos/ova was similar (P > 0.05) between the control group and after the first uterine flushing in the double-flushing group; therefore, both flushings were conducted efficiently. In conclusion, double uterine flushing increased embryo recovery in cattle. (C) 2004 Elsevier B.V. All rights reserved.

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