Uudet kuvailusäännöt ja tietokantojen 0-alueen konversio

Esitys Arto-päivässä 9.5.2012

Estudo experimental comparando o uso do 2-octil cianoAcrilato ao nylon 4-0 na sutura da pele

OBJETIVO: Comparar o 2-octil cianoacrilato com o fio de "nylon" no fechamento da pele em ratos. MÉTODOS: Vinte e cinco ratos da linhagem Wistar, foram submetidos à incisão de 3 cm de cada lado do abdome. A síntese foi feita utilizando em um dos lados o "nylon" 4.0, pontos intradérmicos, e do outro o 2-octil cianoacrilato. Após sete dias, o fio foi removido e as incisões, analisadas quanto às complicações. Após 40 dias, o resultado da cicatriz foi avaliado. Os ratos foram sacrificados, as cicatrizes foram ressecadas, fixadas e enviadas ao patologista, sem informação sobre qual o método utilizado. RESULTADOS: Houve dois óbitos durante a anestesia e um tardio. O tempo de operação foi de 136 segundos com a cola e 176 segundos, com o "nylon" (P=0,003). Dentre as 50 operações realizadas, as complicações foram: um hematoma com cada método (P=0,80), quinze deiscências da cola contra 11 do "nylon" (P=0,20), sete cicatrizes de aspecto ruim ou razoável da cola contra quatro do "nylon" (P=0,30), três infecções na cola contra duas (P=0,40). Ao exame patológico, a mediana da largura da cicatriz foi de 1.119 micra com a cola e 1.800 com o "nylon" (P=0,40). A espessura foi de 1.795 contra 1.705 micra (P=0,40). CONCLUSÃO: O 2-octil cianoacrilato apresentou o mesmo aspecto cicatricial, a mesma resistência e as mesmas complicações que a sutura com o "nylon" 4.0, porém permitindo redução no tempo cirúrgico.

Post-industrial 2.0 – Social Web as the second coming of the post-industrial society

This study presents a review of theories of the so-called post-industrial society, and proposes that the concept of post-industrial society can be used to understand the recent developments of the World Wide Web, often described as Web 2.0 or social Web. The study combines theories ranging from post-war management science and cultural studies to software development, and tries to build a holistic view of the development of the post-industrial society, and especially the Internet. The discourse on the emergence of a post-industrial society after the World Wars has addressed the ways in which the growing importance of information, and innovations in digital communications technology, are changing our society. It is furthermore deeply connected with the discourse on the postmodern society, which emphasizes cultural fragmentation, intertextuality, and pluralism. The Internet age is characterized by increasing masses of information that are managed through various technologies. While 1990s Internet technologies often used the network as a traditional broadcasting channel with added interactivity, Web 2.0 technologies are specifically designed to utilize the network model by facilitating communication between various services and devices, and analyzing the relationships between users and objects in order to produce intelligent insight. The wide adoption of the Internet, and recently of Internet-enabled mobile devices, is furthermore continuously producing new ways of communicating, consuming, and producing. Applications of the social Web, such as social media or social networking services, are permanently changing our traditional social, cultural, and economic practices. The study first presents an overview of the post-industrial society, the Internet, and the concept of Web 2.0. Then the concept of social Web is described with an analysis of the term social media, the brief histories of the interactive Web and social networking services, and a description of the concept ―long tail‖, used to represent the masses of information available in the Web that do not receive mainstream attention. Finally, methods for retrieving and filtering information, modeling social and cultural relationships, and communicating with customers, are presented.

Incidência de infecção do sítio cirúrgico com o preparo pré-operatório utilizando iodopolividona 10% hidroalcoólica e clorexidina alcoólica 0,5%

OBJETIVO: analisar a incidência de infecção do sítio cirúrgico, quando o preparo pré-operatório da pele foi realizado com iodopolividona 10% em solução hidroalcoólica e clorexidina 0,5% alcoólica, MÉTODOS: estudo longitudinal randomizado, a partir de variáveis obtidas de pacientes submetidos à operações limpas e potencialmente contaminadas. Os envolvidos foram alocados em dois grupos. No grupo 1 (G1) participaram 102 pacientes com pele preparada com iodopolividona e do grupo 2 (G2) 103 que utilizaram clorexidina. No terceiro, sétimo e 30º dia de pós-operatório avaliou-se o sítio cirúrgico, buscando-se sinais de infecção. RESULTADOS: os dados relacionados ao perfil clínico como: diabete melito, tabagismo, alcoolismo, dados hematológicos (Hb, VG e leucócitos), idade e sexo, e as variáveis relativas como: número de dias de internamento pré-operatório, tricotomia, topografia da incisão, antibioticoprofilaxia e a participação de residentes na operação, não foram evidenciadas como fatores predisponentes a infecção do sítio cirúrgico. Dois pacientes do G1 e oito do G2 submetidos à operações limpas apresentaram algum tipo de infecção (p=0,1789), cinco do G1 e três do G2 submetidos à operações potencialmente contaminadas apresentaram algum tipo de infecção (p=0,7205). CONCLUSÃO: a incidência de infecção do sítio cirúrgico em operações classificadas como limpas e potencialmente contaminadas, cujo preparo da pele foi feito com iodopolividona 10% em solução hidroalcoólica e clorexidina alcoólica 0,5%, foi semelhante.

0-visio - teoriasta käytännöksi : Varsinais-Suomen ja Satakunnan maakuntien liikenneturvallisuussuunnitelma 2012-2016

Liikenneturvallisuus syntyy eri osapuolten toiminnan ja yhteistyön tuloksena. Poliitikot päättävät yhteiskunnan suunnittelusta ja liikennejärjestelmästä, suunnittelijat toteuttavat poliitikkojen tekemiä päätöksiä, virkamiehet laativat lakiehdotuksia ja sääntöjä, ELY-keskus ja kunnat vastaavat teistä ja niiden kunnosta, poliisi valvoo liikennesääntöjen noudattamista, Liikenneturva tiedottaa ja kouluttaa, yritykset, yhteisöt ja yksityiset ihmiset tilaavat ja käyttävät kuljetuspalveluja ja kaikki kuntalaiset osallistuvat liikenteeseen. Liikenneturvallisuussuunnitelma toimii työkaluna Varsinais-Suomen ja Satakunnan liikenneturvallisuustyössä. Alueellisen liikenneturvallisuustyön nollavisio ja tavoitteet asetettiin valtakunnallisen liikenneturvallisuussuunnitelman, alueen nykytila-analyysin sekä suunnitelman laadinnan aikana sidosryhmien kanssa käydyn keskustelun pohjalta. Nollavision mukaan kenenkään ei tarvitse kuolla tai loukkaantua vakavasti liikenteessä. Lisäksi visiona on vastuullinen liikkuminen, joka myös koetaan turvalliseksi. Seitsemän kohdan ohjelmaan nollavision toteuttamiseksi on tiivistetty tärkeimmät toimet. Yksilöityihin toimenpiteisiin on kirjattu maankäytön suunnitteluun, kestävään liikkumiseen, liikenneympäristöön ja liikennekäyttäytymiseen liittyviä toimenpiteitä. Lisäksi liikenneturvallisuusyhteistyöhön kohdistuvia toimenpiteitä sisältyy suunnitelmaan. Toimenpiteiden toteuttamisen vastuu- ja yhteistyötahoja on useita. Toimenpiteet kohdistuvat alueen tielläliikkujiin, organisaatioihin ja päätöksentekijöihin. Pitkän aikavälin ja valtakunnallisen tason toimenpiteet edesauttavat liikenneturvallisuuden kehittymistä toivottuun suuntaan. Vaikutustarkastelu osoittaa, että asetettujen tavoitteiden saavuttaminen vaatii laajaa keinovalikoimaa, usean toimijan välistä yhteistyötä sekä resursseja liikenneturvallisuustyöhön. Tämä liikenneturvallisuussuunnitelma haastaa eri hallinnonalat, viranomaiset, järjestöt ja yritykset omalta osaltaan toteuttamaan toimia, jotka vievät kohti nollavisiota. Suunnitelman toteutuminen edellyttää, että sillä on kuntien ja päättäjien tuki. Varsinais-Suomen ja Satakunnan liikenteen tulevaisuus kehittyy suunnitelman mukaisesti, jos liikenteen vastuunkantajat sitoutuvat suunnitelman vision periaatteisiin ja pitävät elämää suojelevia arvoja toimintansa perustana.

Hiperatividade do detrusor: comparação entre oxibutinina, eletroestimulação funcional do assoalho pélvico e exercícios perineais. Estudo randomizado

OBJETIVO: avaliar e comparar os efeitos da oxibutinina, da eletroestimulação e dos exercícios perineais no tratamento da hiperatividade do detrusor. MÉTODOS: foram randomizadas mulheres com idade variando de 35 a 80 anos, predominantemente brancas. As pacientes foram randomizadas nos grupos: Oxibutinina (n=22), Eletroestimulação (n=21) e Exercícios Perineais (n=21). Os grupos eram semelhantes quanto à raça (p=0,948), idade (p=0,747), estado hormonal (p=0,813), tempo de sintomatologia (p=0,789), cirurgias prévias para correção de incontinência urinária (p=0,993) e índice de massa corpórea (p=0,897). Avaliaram-se antes e depois do tratamento o estudo urodinâmico, o diário miccional, a presença de urgência e a satisfação. A duração do tratamento foi de 12 semanas consecutivas. Para análise estatística, utilizaram-se os testes do chi2 de Pearson, análise de variância (ANOVA) e o t-pareado. RESULTADOS: na avaliação do diário miccional, houve diminuição da urge-incontinência e dos absorventes utilizados nos três grupos (p<0,05) e diminuição da freqüência miccional no Grupo Oxibutinina (p=0,014). Observou-se redução dos episódios de noctúria nos Grupos Oxibutinina (p=0,003) e Eletroestimulação (p=0,036). Na comparação entre as três técnicas, a análise desses dados foi semelhante (p>0,05). A urgência desapareceu em 63,6% das pacientes do Grupo Oxibutinina, em 52,4% das do Grupo Eletroestimulação e em 57,1% das pacientes do Grupo Exercícios Perineais, resultado semelhante entre os grupos (p=0,754). A avaliação subjetiva mostrou que 77,3, 52,4 e 76,2% estavam satisfeitas nos Grupos Oxibutinina, Eletroestimulação e Exercícios Perineais, respectivamente, após o tratamento, sem diferença entre os grupos (p=0,142). A cura urodinâmica foi observada em oito (36,4%) das pacientes do Grupo Oxibutinina, 12 (57,1%) do Grupo Eletroestimulação e em 11 (52,4%) das mulheres tratadas com exercícios perineais, o que foi semelhante quando se compararam os grupos entre si (p=0,358). A diminuição da perda urinária correlacionou-se com a satisfação das pacientes (p<0,05). CONCLUSÃO: os tratamentos foram igualmente eficazes; a diminuição da perda urinária influenciou a satisfação das pacientes.

Seiberling hinnasto N:o 15 6.0.1933

kuv., 11 x 14 cm

Fatores perinatais associados a recém-nascidos de termo com pH<7,1 na artéria umbilical e índice de Apgar <7,0 no 5º minuto

OBJETIVO: Avaliar os fatores perinatais associados a recém-nascidos de termo com pH<7,1 na artéria umbilical e índice de Apgar no 5º min<7,0. MÉTODOS: Estudo retrospectivo com delineamento caso-controle, realizado após revisão dos prontuários de todos os nascimentos ocorridos entre setembro/1998 e março/2008, no Hospital Geral de Caxias do Sul. Foi considerado fator de inclusão os recém-nascidos de termo que apresentaram índice de Apgar no 5º min <7,0 e pH de artéria umbilical <7,1. Na análise univariada foi utilizado o teste t de Student e Mann-Whitney para as variáveis contínuas, o teste do c² para as variáveis dicotômicas e estimativa de risco pelo odds ratio (OR). Foi utilizado um valor de p<0,05 como estatisticamente significativo. RESULTADOS: De um total de 15.495 nascimentos consecutivos observaram-se 25 neonatos (0,16%) de termo com pH<7,1 na artéria umbilical e índice de Apgar no 5º min <7,0. Apresentaram associação significativa com o evento acidótico a apresentação pélvica (OR=12,9; p<0,005), parto cesáreo (OR=3,5; p<0,01) e cardiotocografia intraparto alterada (OR=7,8; p<0,02). Dentre as características fetais, associaram-se o déficit de base (-15,0 versus -4,5; p<0,0001), necessidade de internação em unidade de terapia intensiva neonatal (OR=79,7; p<0,0001) e necessidade de reanimação (OR=12,2; p<0,0001). CONCLUSÃO: Baixo índice de Apgar no 5º min de vida associado a pH<7,1 na artéria umbilical pode predizer desfechos neonatais desfavoráveis.

Effects of topical 0.2% Cyclosporine A on corneal neovascularization induced by xenologous amniotic membrane implantation into a corneal stroma micropocket of rats

The objective of the study was to evaluate the topical effects of 0.2% Cyclosporine A (CsA) on corneal neovascularization of rats following surgical implantation of equine amniotic membrane into a corneal stroma micropocket. The implantation of xenologous amniotic membrane was performed bilaterally in 90 rats. In the same day of the surgery each right eye started receiving topical CsA twice a day. The left eye received no medication and served as a control. The evaluation of corneal neovascularization was performed by computerized image analysis and histopathological evaluation at 1, 3, 7, 15, 30 and 60 days postoperatively. For the image analysis 10 animals were used per time period, and for the histopathological examination, five animals were used per time period. Image analysis found that corneal neovascularization began on the 3rd postoperative day, reached its peak on the 7th day, and then progressively and rapidly decreased. Statistic analysis indicated that neovascularization of the CsA treated eye on the 7th day was significantly higher than that observed in untreated eyes. On the 30th day, however, this pattern was reversed with the neovascularization observed in the CsA treated eyes declining to the low levels observed on the 3rd day. The degree of neovascularization in the untreated eyes on the 30th day declined to the baseline levels found on day 3 at the 60th day. Histopathological analysis indicated that deposition of collagen in the implanted tissue was completed by the 15th day. Therefore, we concluded that (1) equine amniotic membrane in rat corneal stroma produced an intense neovascularization until the 15th day postoperatively and then regressed, (2) deposition of collagen of the implanted tissue was completed on the 15th day postoperatively, and (3) use of CsA was associated with increase in the corneal neovascularization initially, followed by a quick and intense regression.

DEVELOPING SOCIAL CAPITAL WITHIN COMPANIES THROUGH ENTERPRISE 2.0

Whereas external social media has been studied, hyped and integrated into companies´ strategies, an insignificant concentration has been put on internal social solutions, which companies provide increasingly to their personnel. An enterprise focusing solely on the benefits of external social media might end up underestimating the true potential embedded in social business. The purpose of this thesis was to examine how social collaboration can be depicted as a structuration process in an Enterprise 2.0 environment. Furthermore, this thesis sought to reveal the benefits, challenges and possibilities of social business. This thesis focused on researching Enterprise 2.0 at the workplace. The studied Enterprise 2.0 solution was IBM Connections. The qualitative research methodology was an extensive case study. Three companies took part into this thesis and all in all 12 employees were interviewed. Additionally, seven IBM Social Business Experts were interviewed in order to receive a better understanding of the phenomenon. Three research questions were designed to fulfill the purpose of this thesis. The research questions were: 1. How are the dimensions of social capital structured through collaboration? 2. How does agency form in Enterprise 2.0? 3. How does social collaboration emerge as a result of the interplay between agency and dimensions of social capital in an Enterprise 2.0 environment and creates outcomes such as trust, identification and knowledge? The main research findings indicate that social collaboration increases trust, identification and knowledge by giving employees more capabilities to do their work. Consequently, social collaboration increases company performance by making individuals and groups more effective. The support of top management is crucial in making Enterprise 2.0 successful, because it is more a cultural than a technological change. Power agency, the lack of top management support and old established work ways such as email and databases work as barriers to social collaboration.

Cellular immune response of Curraleiro Pé-duro and Nellore calves following Mycobacterium bovis-BCG vaccination

The present study aimed to assess the CD4, CD8 and γδ blood levels for Curraleiro Pé-duro, as well as the specific IFN-γ response after BCG vaccination using flow cytometry. The specific immune response against BCG was also evaluated by tuberculin skin test, performed before and 45 days after the vaccination. For comparison purposes, the same parameters were investigated on Nellore calves, an exotic bovine with resistance previously demonstrated. Naturally, Curraleiro Pé-duro animals had greater levels of CD4, CD8 and γδ lymphocytes (p<0.05). In response to vaccine, Curraleiro Pé-duro showed greater ability to respond specifically to BCG, generating resistance profile (Th1), evidenced by greater number of antigen specific CD4+ cells producing IFN-γ (p<0.05) and also higher tuberculin skin test reaction (p<0.05). Additionally, vaccinated Curraleiro Pé-duro calves had higher CD4 cells numbers than both Nellore control (p<0.05) and vaccinated groups (p<0.05). Curraleiro Pé-duro calves' higher basal lymphocytes blood level and stronger response in both IFN-γ and tuberculin skin test parameters probably play a positive role on protection/resistance to Mycobacterium bovis.

Distribution of immune response cells in the pelvic urethra and the prepuce of rams

The pathogens of the reproductive system in the male can penetrate and establish by ascending route, from to the prepuce to the urethra, accessory glands, epididymis and testicles. The aim of this paper is determine the distribution and number of cells involved in the immune response in prepuce and pelvic urethra of rams, without apparent clinical alterations in testicle, epididymis and prepuce. The distribution of some of the cells involved in the immune response at the level of the prepuce and the pelvic urethra was quantified in four one-year-old rams seronegative for B. ovis and A. seminis and without apparent lesions in the testicles, the epididymis, and the prepuce. At the moment of slaughter, samples were taken from the preputial fornix and the pelvic urethra and placed in 10% formalin and under freezing conditions. CD4, CD8, WC1, CD45RO, CD14 and CD1b cells were demonstrated by immunohistochemistry, and immunoglobulin-containing cells (ICC) of the IgA, IgG and IgM classes were demonstrated by immunofluorescence. The labeled cells present in the mucosa of both organs were counted with an image analyzer. The total number of cells was compared between both tissues and differentially between the epithelium and the connective tissue of the mucosa. Significant differences were found in the total number of CD4, CD45RO, and WC1 lymphocytes, in CD14 macrophages, and CD1b dendritic cells, with mean values being greater in the fornix than in the urethra (p<0.05) in all cases. Only dendritic cells were found in the prepuce. No differences were found in the number of CD8 lymphocytes between both organs. The ratio between each cell type in the connective and the intraepithelial tissues and between organs was 10/1 for CD4 in the fornix (p<0.05), against 7/1 in the urethra (p<0.05), while CD8 had a 1/1 distribution in both mucosae. The WC1 ratio was 5/1 in both mucosae (p<0.05). CD45RO labeling was 19/1 in the prepuce (p<0.05) and 1/1 in the urethra. IgA-containing cells did not show differences in the total number of cells in both tissues. In the urethra, no IgG-containing cells were observed and IgM-containing cells were scarce; in contrast, both cell types were present in the prepuce, in amounts greater than in the urethra (p<0.05). IgA-, IgG-, and IgM-containing cells were located in both organs in the mucosal connective tissue. The presence of antigen-presenting cells, macrophages, and dendritic cells, as well as of lymphocytes CD4, CD8 TCR γδ (WC1), IgA-, IgG and IgM positive cells, and CD45RO cells suggests that both mucosae may behave as inductive and effector sites for the mucosal immune response.