Dialysis complications in acute kidney injury patients treated with prolonged intermittent renal replacement therapy sessions lasting 10 versus 6 hours: results of a randomized clinical trial

Prolonged intermittent renal replacement therapy (PIRRT) has emerged as an alternative to continuous renal replacement therapy in the management of acute kidney injury (AKI) patients. This trial aimed to compare the dialysis complications occurring during different durations of PIRRT sessions in critically ill AKI patients. We included patients older than 18 years with AKI associated with sepsis admitted to the intensive care unit and using noradrenaline doses ranging from 0.3 to 0.7 mu g/kg/min. Patients were divided into two groups randomly: in G1, 6-h sessions were performed, and in G2, 10-h sessions were performed. Seventy-five patients were treated with 195 PIRRT sessions for 18 consecutive months. The prevalence of hypotension, filter clotting, hypokalemia, and hypophosphatemia was 82.6, 25.3, 20, and 10.6%, respectively. G1 was composed of 38 patients treated with 100 sessions, whereas G2 consisted of 37 patients treated with 95 sessions. G1 and G2 were similar in male predominance (65.7 vs. 75.6%, P=0.34), age (63.6 +/- 14 vs. 59.9 +/- 15.5 years, P=0.28) and Sequential Organ Failure Assessment score (SOFA; 13.1 +/- 2.4 vs. 14.2 +/- 3.0, P=0.2). There was no significant difference between the two groups in hypotension (81.5 vs. 83.7%, P=0.8), filter clotting (23.6 vs. 27%, P=0.73), hypokalemia (13.1 vs. 8.1%, P=0.71), and hypophosphatemia (18.4 vs. 21.6%, P=0.72). However, the group treated with sessions of 10h were refractory to clinical measures for hypotension, and dialysis sessions were interrupted more often (9.5 vs. 30.1%, P=0.03). Metabolic control and fluid balance were similar between G1 and G2 (blood urea nitrogen [BUN]: 81 +/- 30 vs. 73 +/- 33mg/dL, P=1.0; delivered Kt/V: 1.09 +/- 0.24 vs. 1.26 +/- 0.26, P=0.09; actual ultrafiltration: 1731 +/- 818 vs. 2332 +/- 947mL, P=0.13) and fluid balance (-731 +/- 125 vs. -652 +/- 141mL, respectively) . In conclusion, intradialysis hypotension was common in AKI patients treated with PIRRT. There was no difference in the prevalence of dialysis complications in patients undergoing different durations of PIRRT.

Indicadores de qualidade e composição de leite informal comercializado na região Sudeste do Estado de São Paulo

The informal milk is recognized as the product marketed without inspection. We evaluated the microbiological quality, nutritional ingredients and substances inhibiting bacterial growth in 100 informal samples from cows milk, marketed in the southwest region of the state of Sao Paulo, Brazil. It was found that 77% of Somatic Cell Count (SCC) and 86% of Total Bacterial Count (TBC) of the samples were at odds with the maximum values required by Instruction Rules 62 of the Ministry of Agriculture and Livestock Supply. It was identified to solids contents in disagreement (36%), protein (23%), fat (38%), nonfat dry extract (43%) and 73% urea nitrogen. In 59% of the samples was detected residues of the bacterial growth inhibitors. Were isolated 240 strains of micro-organisms with a prevalence of enterobacteria, streptococci, staphylococci and fungi. The informal milk is marketed in the region without the minimum hygienic conditions and present risks to public health, and represents serious socio-economic problem for the region.

How can an invasive grass affect fire behavior in a tropical savanna? A community and individual plant level approach

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

The spin-orbit resonant problem including core-mantle gravitational coupling

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

Covalent immobilization of laccase in green coconut fiber and use in clarification of apple juice

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Prevalence of dyslipidemia in adolescents: comparison between definitions

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Transparent organic-inorganic nanocomposites membranes based on carboxymethylcellulose and synthetic clay

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

Synergist interaction between angiotensin II and DOCA on sodium and water balance in rats

Blockade of central angiotensin receptors with the specific antagonist [Leu8]-ANG II abolished water ingestion and water and sodium excretion induced by infusion of angiotensin II (ANGII) into the lateral ventricle (LV) of rats. The antagonist reduced but did not suppress the salt appetite induced by ANGII infusion. Subcutaneous injection of deoxycorticosterone acetate (DOCA) caused increases in water and 3% NaCl ingestion and decreases in sodium excretion. When central ANGII infusion was combined with peripheral DOCA, the water intake was similar to that induced by ANGII alone and the ingestion of 3% NaCl was increased, whereas sodium excretion was inhibited. When ANGII was infused alone, a detailed temporal analysis of fluid and sodium balance showed a negative balance similar those saline controls that persisted throughout the experiment. Combined administration of ANGII and DOCA induce significant changes in water and sodium balance. Sodium and water maintained a positive balance through out the 8-h experiment. The data support an interaction of central ANGII and DOCA on sodium intake and water and sodium balance. © 1994.

A relação das habilidades sociais educativas e das práticas educativas maternas com os problemas de comportamento em adolescentes

Conselho Nacional de Desenvolvimento Cientifico e Tecnológico (CNPq)

Baixo desempenho e enriquecimento da interação: propostas de Feuerstein e mediação da aprendizagem

This text is the result of a larger study into the role of the mother tongue in the construction of school knowledge, with a view to promoting gains in the performance of teenagers. The three objectives in this particular paper are: (1) to address Feuerstein's ideas, how the mother tongue interrelates with specific content, and the management of pedagogical interaction; (2) to illustrate enriched interaction during interventions by the researcher; and (3) to point out that supervised internship actions may help underachieving students. This is done in light of an interpretive analysis of the specialized literature, course books, reports and notes concerning interventions with students, and video and audio recordings. The analysis of interactions and student output following the researcher's interventions reveals increased awareness and change regarding school knowledge and how speaking/writing about specific content may enhance their performance in the completion of pedagogical tasks.

Imagem de tensor de difusão na epilesia de lobo temporal mesial

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

Investigação do Ângulo de Fase como preditor da resposta virológica em pacientes portadores de hepatite C

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Regiões de estabilidade no ambiente de um sistema de asteroide triplo

This work was developed from the study by Araujo, R.A.N. et al. Stability regions around the components of the triple system 2001 SN263. (Monthly Notices Of The Royal Astronomical Society, 2012, v. 423(4), 3058-3073 p.) where it was studied the stable and unstable regions system (2001 SN263), which is a triple asteroid system, and these are celestial orbiting our sun. Being close to the Earth is characterized as NEA (Near-Earth Asteroids), asteroids and which periodically approach the Earth's orbit, given that there is great interest in the study and exploitation of these objects, it is the key can carry features that contribute to better understand the process of formation of our solar system. Study the dynamics of bodies that govern those systems proves to be greatly attractive because of the mutual gravitational perturbation of bodies and also by external disturbances. Recently, NEA 2001 SN263 was chosen as a target of Aster mission where a probe is sent for this triple system, appearing therefore the need for obtaining information for characterizing stable regions internal and external to the system, with respect to the effects of radiation pressure. First, this study demonstrated that the integrator used showed satisfactory results of the orbital evolution of bodies in accordance with previous studies and also the characterization of stable and unstable regions brought similar results to the study by Araujo et al. (2012). From these results it was possible to carry out the implementation of the radiation pressure in the system in 2001 SN263, in a region close to the central body, where the simulations were carried out, which brought as a result that the regions before being characterized as stable in unstable true for small particles size from 1 to 5 micrometers. So the next orbital region to the central body and the ... ( Complete abstract click electronic access below)

Harbor Porpoise (Phocoena phocoena) Abundance in Alaska: Bristol Bay to Southeast Alaska, 1991-1993

Between 1991 and 1993, Alaska harbor porpoise (Phocoena phocoena) abundance was investigated during aerial surveys throughout much of the coastal and offshore waters from Bristol Bay in the eastern Bering Sea to Dixon Entrance in Southeast Alaska. Line-transect methodology was used, and only those observations made during optimal conditions were analyzed. Survey data indicated densities of 4.48 groups/100 km2, or approximately 3,531 harbor porpoises (95% C.I. 2,206-5,651) in Bristol Bay and 0.54 groups/100 km2, or 136 harbor porpoises (95% C.I. 11-1,645) for Cook Inlet. Efforts off Kodiak Island resulted in densities of 1.85 groups/100 km2, or an abundance estimate of 740 (95% C.I. 259-2,115). Surveys off the south side of the Alaska Peninsula found densities of 2.03 groups/100 km2 and an abundance estimate of 551 (95% C.I. 423-719). Surveys of offshore waters from Prince William Sound to Dixon Entrance yielded densities of 4.02 groups/100 km’ and an abundance estimate of 3,982 (95% C.I. 2,567-6,177). Combining all years and areas yielded an uncorrected density estimate of 3.82 porpoises per 100 km2, resulting in an abundance estimate of 8,940 porpoises (CV = 13.8%) with a 95% confidence interval of 6,746-11,848. Using correction factors from other studies to adjust for animals missed by observers, the total number of Alaska harbor porpoises is probably three times this number.

Trade Adjustment Assistance for Farmers Available 2010

The American Recovery and Reinvestment Act (ARRA) of 2009 has re-authorized and modified the Trade Adjustment Assistance for Farmers program. The statute authorizes an appropriation of not more than $90 million per year for the next three fiscal years. The TAA for Farmers program helps producers of raw agricultural commodities (farmers, ranchers or fishermen) who have experienced significant declines in price or production, adjust to the changing economic environment brought on by import competition. The program provides benefits to eligible producers in the form of educational assistance, as well as up to $12,000 per producer in cash benefits to help create and implement business adjustment plans.