Úlcera de pressão em pacientes internados em um hospital universitário em Natal/RN: condições predisponentes e fatores de risco

The pressure ulcers (PU), also known as decubitus ulcers, are defined as injuries caused by the constant pressure exerted on a particular point of the body, causing impairment of blood supply with a decrease or interruption of tissue irrigation, causing occlusion of blood vessels and capillaries, ischemia and cell death. This is a descriptive study with longitudinal design, and panel type, with quantitative approach that aimed to examine the association between predisposing conditions (PC), intrinsic factors (IF) and extrinsic factors (EF) with the occurrence of PU, in hospitalized patients in the Intensive Care Unit (ICU), pain clinical, surgical clinical and neurology wards of a university hospital. The study population was composed of all patients who were restricted to bed during the period from December 2007 to February 2008. The study was approved by the Ethics Committee of HUOL / UFRN (No 135/07). The data-collection took place through a structured formulary of observation, data from medical records and physical examination of patients skins. The results were organized in SPSS 15.0 software, tabulated, categorized and analyzed by descriptive and inferential statistics. Of the 30 patients studied, 43.3% had been hospitalized in the pain clinical and surgical clinic wards, 20.0% in the ICU, 20.0% in the ICU / ward and 16.7% in neurology, being the length of hospitalization in those units of 7 to 18 days (63.3%) and from 19 to 30 days (36.7%), predominantly female and aged ≥ 60 years (60.0%). 19 PU were diagnosed in 43.3% of patients monitored, being 38.5% with one PU between 7 to 18 days and 46.2% with two or more between 19 to 30 days of hospitalization, showing significant relationship (ρ-value = 0029) between length of hospital stay and the number of PU. Was found an association of 35.7% of the PC (cardio-respiratory, hematological, metabolic and psychogenic), IF (age group, oedema, skin changes in humidity and change of body temperature) and EF (type of mattress and strength of body pressure) for all patients studied, statistically significant (ρ-value = 0001), between the average scores in patients with and without PU, with reason chance to 12.0 for the development of PU and there was moderate correlation ( r = 0618) in the presence of this association. Results show the influence of the multiplicity of factors and conditions on the occurrence of PU, which brings us to reflect on the assistance focused on prevention and reduction of these injuries which will encourage the reduction of hospitalization length, physical and psychological suffering, and the possibility of improving the clinical condition of the patient.

Efeito de surfatantes e pontas de pulverização na deposição de calda de pulverização em plantas de grama-seda

O objetivo deste trabalho foi avaliar os efeitos de surfatantes e pontas de pulverização na deposição da calda de pulverização em plantas de Cynodon dactylon. Os tratamentos foram dispostos em um esquema fatorial 2 x 5, sendo duas pontas de pulverização (XR 11002 e TX-VK 8) e cinco caldas de pulverização (sem surfatante e com os surfatantes Aterbane e Silwet a 0,05% e 0,1%). As caldas foram preparadas utilizando-se o corante FDC-1 a 1.500 ppm como traçador. O delineamento experimental foi o inteiramente casualizado, com 10 repetições. As aplicações foram realizadas através de um pulverizador estacionário a pressão constante e com consumo de calda de 150 L ha-1. A ponta de pulverização do tipo jato cônico vazio proporcionou maior deposição nas folhas de grama-seda, quando comparada com a ponta do tipo jato plano, independentemente do adjuvante utilizado. As maiores deposições ocorreram nas doses de 0,1%, para ambos os surfatantes, quando utilizada a ponta de jato plano e para o Silwet a 0,05% pulverizado com a ponta de jato cônico. A deposição de calda nas folhas foi menor quando da não-adição de surfatante, independentemente da ponta de pulverização utilizada.

Remoção conjugada de metais e óleo de água produzida

Petroleum can be associated or not with natural gas, but in both cases water is always present in its formation. The presence of water causes several problems, such as the difficulty of removing the petroleum from the reservoir rock and the formation of waterin-oil and oil-in-water emulsions. The produced water causes environmental problems, which should be solved to reduce the effect of petroleum industry in the environment. The main objective of this work is to remove simultaneously from the produced water the dispersed petroleum and dissolved metals. The process is made possible through the use of anionic surfactants that with its hydrophilic heads interacts with ionized metals and with its lipophilic tails interacts with the oil. The studied metals were: calcium, magnesium, barium, and cadmium. The surfactants used in this research were derived from: soy oil, sunflower oil, coconut oil, and a soap obtained from a mixture of 5wt.% coconut oil and 95wt.% animal fat. It was used a sample of produced water from Terminal de São Sebastião, São Paulo. As the concentration of the studied metals in produced water presented values close to 300 mg/L, it was decided to use this concentration as reference for the development of this research. Molecular absorption and atomic absorption spectroscopy were used to determine petroleum and metals concentrations in the water sample, respectively. A constant pressure filtration system was used to promote the separation of solid and liquid phases. To represent the behavior of the studied systems it was developed an equilibrium model and a mathematical one. The obtained results showed that all used surfactants presented similar behavior with relation to metals extraction, being selected the surfactant derived from soy oil for this purpose. The values of the partition coefficients between the solid and liquid phases " D " for the studied metals varied from 0.2 to 1.1, while the coefficients for equilibrium model " K " varied from 0.0002 and 0.0009. The removal percentile for oil with all metals associated was near 100%, showing the efficiency of the process

Describing fatigue crack growth and load ratio effects in Al 2524 T3 alloy with an enhanced exponential model

The fatigue crack behavior in metals and alloys under constant amplitude test conditions is usually described by relationships between the crack growth rate da/dN and the stress intensity factor range Delta K. In the present work, an enhanced two-parameter exponential equation of fatigue crack growth was introduced in order to describe sub-critical crack propagation behavior of Al 2524-T3 alloy, commonly used in aircraft engineering applications. It was demonstrated that besides adequately correlating the load ratio effects, the exponential model also accounts for the slight deviations from linearity shown by the experimental curves. A comparison with Elber, Kujawski and "Unified Approach" models allowed for verifying the better performance, when confronted to the other tested models, presented by the exponential model. (C) 2012 Elsevier Ltd. All rights reserved.

Variáveis fisiológicas e neuromusculares associadas com a performance aeróbia em corredores de endurance: efeitos da distância da prova

O objetivo deste estudo foi analisar a validade do consumo máximo de oxigênio (VO2max), velocidade associada ao VO2max (vVO2max), tempo de exaustão na vVO2max (Tlim), limiar anaeróbio (LAn), economia de corrida (EC) e força explosiva (FE) para predizer a performance aeróbia de corredores de endurance nas distâncias de 1.500m, 5.000m e 10.000m. Participaram deste estudo 11 corredores de endurance moderadamente treinados (28,36 ± 6,47 anos) que realizaram os seguintes testes: provas simuladas em uma pista de 400m em diferentes dias, nas distâncias de 10.000m, 5.000m e 1.500m; teste incremental máximo para determinar os índices VO2max, vVO2max, e LAn; um teste submáximo de carga constante para determinar a EC, seguido por um teste máximo também de carga constante a 100% da vVO2max para determinar o Tlim; e um teste de salto vertical para determinar a FE. de acordo com a análise de regressão múltipla, a vVO2max utilizada de forma isolada explicou 57% da variação de performance na prova de 1.500m. No entanto, quando o Tlim, a FE e a vVO2max foram analisados em conjunto, a explicação para a performance nessa prova foi de 88%. Nos 5.000m, o Tlim, a vVO2max e o LAn responderam por 88% da variação de performance (p < 0,05). Diferentemente, na prova de 10.000m, o LAn foi a única variável que apresentou capacidade de predição de performance. em conclusão, a predição da performance aeróbia de corredores moderadamente treinados por meio de variáveis fisiológicas e neuromusculares é dependente da distância da prova (1.500m, 5.000m e 10.000m)

Manejo químico das plantas daninhas Euphorbia heterophylla e Bidens pilosa em sistema de plantio direto da cultura de soja

Objetivou-se neste trabalho avaliar a eficácia agronômica e os efeitos fitotóxicos de herbicidas aplicados em pré-plantio no manejo de Euphorbia heterophylla e Bidens pilosa, em sistema de plantio direto da cultura de soja. O experimento foi desenvolvido na safra 2000/2001, na FEP-UNESP, no município de Selvíria-MS. A variedade de soja utilizada foi a 'Conquista', e o delineamento experimental adotado foi o de blocos ao acaso, com sete tratamentos e quatro repetições, com oito linhas da cultura, totalizando 20 m² cada parcela. Os tratamentos foram os seguintes: glyphosate (720 e 960 g ha-1), chlorimuron-ethyl + glyphosate (10 g + 720 e 960 g ha-1), glyphosate + 2,4-D (960 + 868 g ha-1) e testemunhas no mato e no limpo. As aplicações foram realizadas com pulverizador de pressão constante (CO2) de 45 lb pol-2, com barra equipada com quatro bicos do tipo leque Teejet 110.03 XR, espaçados de 0,5 m, e volume de calda de 250 L ha-1. Concluiu-se que os tratamentos testados são eficientes na dessecação de E. heterophylla e B. pilosa e seletivos às plantas de soja. O herbicida chlorimuron-ethyl (10 g ha-1) aplicado juntamente com o glyphosate, no manejo, proporciona ao tratamento um efeito residual significativo para E. heterophylla e B. pilosa, reduzindo a infestação das plantas daninhas durante o ciclo da cultura da soja.

Maximal lactate steady state in running mice: Effect of exercise training

1. Maximal lactate steady state (MLSS) corresponds to the highest blood lactate concentration (MLSSc) and workload (MLSSw) that can be maintained over time without continual blood lactate accumulation and is considered an important marker of endurance exercise capacity. The present study was undertaken to determine MLSSw and MLSSc in running mice. In addition, we provide an exercise training protocol for mice based on MLSSw.2. Maximal lactate steady state was determined by blood sampling during multiple sessions of constant-load exercise varying from 9 to 21 m/min in adult male C57BL/6J mice. The constant-load test lasted at least 21 min. The blood lactate concentration was analysed at rest and then at 7 min intervals during exercise.3. The MLSSw was found to be 15.1 +/- 0.7 m/min and corresponded to 60 +/- 2% of maximal speed achieved during the incremental exercise testing. Intra- and interobserver variability of MLSSc showed reproducible findings. Exercise training was performed at MLSSw over a period of 8 weeks for 1 h/day and 5 days/week. Exercise training led to resting bradycardia (21%) and increased running performance (28%). of interest, the MLSSw of trained mice was significantly higher than that in sedentary littermates (19.0 +/- 0.5 vs 14.2 +/- 0.5 m/min; P = 0.05), whereas MLSSc remained unchanged (3.0 mmol/L).4. Altogether, we provide a valid and reliable protocol to improve endurance exercise capacity in mice performed at highest workload with predominant aerobic metabolism based on MLSS assessment.

Interval training at 95% and 100% of the velocity at VO2 max: effects on aerobic physiological indexes and running performance

The objective of this study was to analyze the effect of two different high-intensity interval training (HIT) programs on selected aerobic physiological indices and 1500 and 5000 m running performance in well-trained runners. The following tests were completed (n = 17): (i) incremental treadmill test to determine maximal oxygen uptake (VO2max), running velocity associated with VO2 max (VVO2max), and the velocity corresponding to 3.5 mmol/L of blood lactate concentration (vOBLA); (ii) submaximal constant-intensity test to determine running economy (RE); and (iii) 1500 and 5000 m time trials on a 400 m track. Runners were then randomized into 95% vVO(2max) or 100% vVO(2max) groups, and undertook a 4 week training program consisting of 2 HIT sessions (performed at 95% or 100% vVO(2max), respectively) and 4 submaximal run sessions per week. Runners were retested on all parameters at the completion of the training program. The VO2 max values were not different after training for both groups. There was a significant increase in post-training vVO(2 max), RE, and 1500 in running performance in the 100% vVO(2 max) group. The vOBLA and 5000 m running performance were significantly higher after the training period for both groups. We conclude that vOBLA and 5000 m running performance can be significantly improved in well-trained runners using a 4 week training program consisting of 2 HIT sessions (performed at 95% or 100% vVO(2max)) and 4 submaximal run sessions per week. However, the improvement in vVO(2 max), RE, and 1500 in running performance seems to be dependent on the HIT program at 100% vVO(2 max).

Thermo-physical properties of cooked ham

Experimental studies were carried out to determine thermal conductivity (k), thermal diffusivity (alpha), specific heat at constant pressure (c(p)), and density (rho) of cooked ham as functions of both sample moisture content (M) and temperature (T). Thermal conductivity was measured using the heat-line-source probe, thermal diffusivity by Dickerson method, specific heat by differential scanning calorimeter, and density by pycnometer assembly. Temperature ranged from 3.0 degrees C to 74.0 degrees C, corresponding to the cooking process, and moisture ranged from 40.0 to 73.0% (w. b.). Equations are provided for alpha as a function of M, c(p) as a function of T, and rho as a function of both M and T. Results for thermal conductivity are compatible with those published in the literature.

Maximal lactate steady state concentration independent of pedal cadence in active individuals

The maximal lactate steady state (MLSS) is defined as the highest blood lactate concentration that can be maintained over time without a continual blood lactate accumulation. The objective of the present study was to analyze the effects of pedal cadence (50 vs. 100 rev min(-1)) on MLSS and the exercise workload at MLSS (MLSSworkload) during cycling. Nine recreationally active males (20.9 +/- 2.9 years, 73.9 +/- 6.5 kg, 1.79 +/- 0.09 m) performed an incremental maximal load test (50 and 100 rev min(-1)) to determine anaerobic threshold (AT) and peak workload (PW), and between two and four constant submaximal load tests (50 and 100 rev min(-1)) on a mechanically braked cycle ergometer to determine MLSSworkload and MLSS. MLSSworkload was defined as the highest workload at which blood lactate concentration did not increase by more than 1 mM between minutes 10 and 30 of the constant workload. The maximal lactate steady state intensity (MLSSintensity) was defined as the ratio between MLSSworkload and PW. MLSSworkload (186.1 +/- 21.2 W vs. 148.2 +/- 15.5 W) and MLSSintensity (70.5 +/- 5.7% vs. 61.4 +/- 5.1%) were significantly higher during cycling at 50 rev min(-1) than at 100 rev min(-1), respectively. However, there was no significant difference in MLSS between 50 rev min(-1) (4.8 +/- 1.6 mM) and 100 rev min(-1) (4.7 +/- 0.8 mM). We conclude that MLSSworkload and MLSSintensity are dependent on pedal cadence (50 vs. 100 rev min(-1)) in recreationally active individuals. However, this study showed that MLSS is not influenced by the different pedal cadences analyzed.

Effects of Strength Training on Running Economy

The objective of this study was to compare the effect of different strength training protocols added to endurance training on running economy (RE). Sixteen well-trained runners (27.4 +/- 4.4 years; 62.7 +/- 4.3 kg; 166.1 +/- 5.0 cm), were randomized into two groups: explosive strength training (EST) (n = 9) and heavy weight strength training (HWT) (n = 7) group. They performed the following tests before and after 4 weeks of training: 1) incremental treadmill test to exhaustion to determine of peak oxygen uptake and the velocity corresponding to 3.5 mM of blood lactate concentration; 2) submaximal constant-intensity test to determine RE; 3) maximal countermovernent jump test and; 4) one repetition maximal strength test in leg press. After the training period, there was an improvement in RE only in the HWT group (HWT = 47.3 +/- 6.8 vs. 44.3 +/- 4.9 ml.kg(-1) -min(-1); EST = 46.4 +/- 4.1 vs. 45.5 +/- 4.1 ml.kg(-1) .min(-1)). In conclusion, a short period of traditional strength training can improve RE in well-trained runners, but this improvement can be dependent on the strength training characteristics. When comparing to explosive training performed in the same equipment, heavy weight training seems to be more efficient for the improvement of RE.

MAXIMAL LACTATE STEADY-STATE INDEPENDENT of RECOVERY PERIOD DURING INTERMITTENT PROTOCOL

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

Cobertura da cultura da soja pela calda fungicida em função, de pontas de pulverização e volumes de aplicação

The goal of this research was to evaluate two tips of spraying nozzles (hollow cone nozzle and two flat fan nozzle annexed to a nozzle body DUO) and three spray volumes (100, 150 and 200 dm3 ha-1), whose application was for the control of the Asian soybean rust. An area of 288 m 2 was used, with a randomized blocks design in a factorial 2×3 with 4 repetitions, total of 24 experimental parcels of 12 m2. For the spraying with hydraulical nozzles a costal spray of constant pressure kept by C02 compressed with bar of 2 m was used. The analysis of the covering percentage was carried through by means of the use of hidro-sensible paper, that was placed in three position of the plant what it represents, in height, the third superior, average and inferior of the canopy. For both the third no interaction between the evaluated factors, was found and meither difference statistics between the spraying tips and the volumes. In absolute values the twin flat fan nozzle DUO presented minimum difference of covering in relation to the hollow cone nozzle, and for the spray volume of 200 dm3 ha -1 presented greater covering percentage.

Tax performance and reform in the Organization of Eastern Caribbean States (OECS)

Includes bibliography

The Mode of Action of Recombinant Mycobacterium tuberculosis Shikimate Kinase: Kinetics and Thermodynamics Analyses

Tuberculosis remains as one of the main cause of mortality worldwide due to a single infectious agent, Mycobacterium tuberculosis. The aroK-encoded M. tuberculosis Shikimate Kinase (MtSK), shown to be essential for survival of bacilli, catalyzes the phosphoryl transfer from ATP to the carbon-3 hydroxyl group of shikimate (SKH), yielding shikimate-3-phosphate and ADP. Here we present purification to homogeneity, and oligomeric state determination of recombinant MtSK. Biochemical and biophysical data suggest that the chemical reaction catalyzed by monomeric MtSK follows a rapid-equilibrium random order of substrate binding, and ordered product release. Isothermal titration calorimetry (ITC) for binding of ligands to MtSK provided thermodynamic signatures of non-covalent interactions to each process. A comparison of steady-state kinetics parameters and equilibrium dissociation constant value determined by ITC showed that ATP binding does not increase the affinity of MtSK for SKH. We suggest that MtSK would more appropriately be described as an aroL-encoded type II shikimate kinase. Our manuscript also gives thermodynamic description of SKH binding to MtSK and data for the number of protons exchanged during this bimolecular interaction. The negative value for the change in constant pressure heat capacity (ΔCp) and molecular homology model building suggest a pronounced contribution of desolvation of non-polar groups upon binary complex formation. Thermodynamic parameters were deconvoluted into hydrophobic and vibrational contributions upon MtSK:SKH binary complex formation. Data for the number of protons exchanged during this bimolecular interaction are interpreted in light of a structural model to try to propose the likely amino acid side chains that are the proton donors to bulk solvent following MtSK:SKH complex formation. © 2013 Rosado et al.