Efeitos da higienização brônquica nas variáveis cardiorrespiratórias de pacientes em ventilação mecânica

INTRODUCTION: During mechanical ventilation (MV), the airways may accumulate secretions. Patients are submitted to Respiratory Therapy (RT) and tracheal aspiration when in MV, alone or associated, to eliminate these secretions. OBJECTIVE: The objective was to compare the effects of different protocols of bronchial hygiene in blood pressure, heart rate, oxygen saturation and respiratory rate of patients undergoing MV. MATERIALS AND METHODS: We conducted a prospective, randomized, controlled crossover, with intentional non-probabilistic sample in the Medical School Hospital of Marília. We included patients in invasive MV who were submitted to three different bronchial hygiene protocols: PP - physiotherapy protocol (manual chest compression and manual hyperinflation); AP - aspiration protocol; and PP + AP. Respiratory rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), oxygen saturation and heart rate were evaluated in three moments: before (M1), immediately after (M2) and 30 minutes after (M3) for each protocol. The differences among protocols and times were assessed using ANOVA and post hoc Student Newman-Keus (p < 0.05). RESULTS: We studied eighteen 71.2 ± 13.9 year-old patients with 15.1 ± 17.7 days of MV. There were no differences among protocols. There was a significant decreasing in SBP (p = 0.0261) and DBP (p = 0.0119) from M2 to M3 in the aspiration protocol. CONCLUSION: There was a decrease of blood pressure on MV patients after 30 minutes of aspiration and no change in the other variables, and there was no difference among protocols.

Alloxan diabetes alters the tensile strength, morphological and morphometric parameters of abdominal wall healing in rats

PURPOSE:To investigate the effects of alloxan diabetes on the abdominal wall healing of rats undergoing laparotomy.METHODS:Ninety-six male Wistar rats weighing between 200 and 300 grams, divided into two groups: non-diabetic group (G1) and another with untreated diabetes (G2). Three months after diabetes induction, the animals underwent a 5cm-long- laparotomy and 5.0 nylon monofilament suture. After the surgery, 12 animals from each group were euthanized on days 4, 14, 21 and 30 corresponding to the moments M1, M2, M3 and M4. In each moment a fragment of the abdominal wall containing the scar was removed for tensile strength measurement, histological and morphometric study. Clinical and biochemical parameters were also analyzed.RESULTS:G2 animals showed parameters compatible with severe diabetes and decreased plasma levels of insulin. The tensile strength in G2 was significantly smaller in M2 and M4, with a tendency to fall in the other two. Through light microscope, diabetic animals showed more difficulty to increase collagen density and contraction. G2 animals showed high cellularity of fibroblasts in later healing moments, with collagen thinning in M2 and M4.CONCLUSION:The abdominal wound healing in untreated diabetic animals was altered and led to a higher incidence of dehiscence and infections.

Avaliação dos padrões de vitalidade neonatal, hemogasometria e eletrocardiografia em equinos da raça Paint Horse

Pós-graduação em Medicina Veterinária - FMVZ

Caracterização mecânica e térmica de compósitos naturais modificados com ciclodextrina e fibras vegetais utilizando como matriz uma resina termofixa DGEBA/TETA

Pós-graduação em Ciência dos Materiais - FEIS

Estudo de propagação de ondas em planície de inundação para elaboração de plano de ação emergencial de barragens: UHE Três irmãos estudo de caso

Pós-graduação em Engenharia Civil - FEIS

Evaluation of Renal Protection From High Doses of Melatonin in an Experimental Model of Renal Ischemia and Reperfusion in Hyperglycemic Rats

Background. Melatonin is a free radical scavenger with important actions in the study of renal ischemia and reperfusion (I/R). This study evaluated possible renal protection of high doses of melatonin in an experimental model of I/R in which rats were submitted to acute hyperglycemia under anesthesia with isoflurane.Method. Forty-four male Wistar rats, weighing more than 300 g, were randomly divided into 5 groups: G1, sham (n = 10); G2, melatonin (n = 10; 50 mg.kg(-1)); G3, hyperglycemia (n = 9; glucose 2.5 g.kg(-1)); G4, hyperglycemia/melatonin (n = 10; 2.5 g.kg(-1) glucose + melatonin 50 mg.kg(-1)); and G5, I/R (n = 5). In all groups, anesthesia was induced with 4% isoflurane and maintained with 1.5% to 2.0% isoflurane. Intraperitoneal injection of melatonin (G1, G4), glucose (G3, G4), or saline (G1, G5) was performed 40 minutes before left renal ischemia. Serum plasma values for creatinine and glucose were determined at baseline (M1), immediately following reperfusion (M2), and 24 hours after completion of the experiment (M3). Histological analysis was performed to evaluate tubular necrosis (0-5).Results. Serum glucose was higher at M2 in the groups supplemented with glucose, hyperglycemia (356.00 +/- 107.83), and hyperglycemia/melatonin (445.3 +/- 148.32). Creatinine values were higher at T3 (P = .0001) for I/R (3.6 +/- 0.37), hyperglycemia/melatonin (3.9 +/- 0.46), and hyperglycemia (3.71 +/- 0.69) and lower in the sham (0.79 +/- 0.16) and melatonin (2.01 +/- 1.01) groups, P < .05. Histology showed no necrosis injury in the G1, lesion grade 2 in the G2, and severe acute tubular necrosis in the G3: (grade 4), G4: (grade 5) and G5: (grade 4) groups (P < .0001).Discussion. Melatonin protected the kidneys submitted to I/R in rats without hyperglycemia; however, this did not occur when the I/R lesion was associated with hyperglycemia.Conclusions. Due to its antioxidant and antiapoptotic action, melatonin was able to mitigate, but not prevent acute tubular necrosis in rats with hyperglycemia under anesthesia by isoflurane.

Thermochemical equilibrium modeling of a biomass downdraft gasifier: Constrained and unconstrained non-stoichiometric models

The objective of this work is to develop a non-stoichiometric equilibrium model to study parameter effects in the gasification process of a feedstock in downdraft gasifiers. The non-stoichiometric equilibrium model is also known as the Gibbs free energy minimization method. Four models were developed and tested. First a pure non-stoichiometric equilibrium model called M1 was developed; then the methane content was constrained by correlating experimental data and generating the model M2. A kinetic constraint that determines the apparent gasification rate was considered for model M3 and finally the two aforementioned constraints were implemented together in model M4. Models M2 and M4 showed to be the more accurate among the four developed models with mean RMS (root mean square error) values of 1.25 each.Also the gasification of Brazilian Pinus elliottii in a downdraft gasifier with air as gasification agent was studied. The input parameters considered were: (a) equivalence ratio (0.28-035); (b) moisture content (5-20%); (c) gasification time (30-120 min) and carbon conversion efficiency (80-100%). (C) 2014 Elsevier Ltd. All rights reserved.

Thermochemical equilibrium modeling of biomass downdraft gasifier: Stoichiometric models

The aim of this work is to develop stoichiometric equilibrium models that permit the study of parameters effect in the gasification process of a particular feedstock. In total four models were tested in order to determine the syngas composition. One of these four models, called M2, was based on the theoretical equilibrium constants modified by two correction factors determined using published experimental data. The other two models, M3 and M4 were based in correlations, while model M4 was based in correlations to determine the equilibrium constants, model M3 was based in correlations that relate the H-2, CO and CO2 content on the synthesis gas. Model M2 proved to be the more accurate and versatile among these four models, and also showed better results than some previously published models. Also a case study for the gasification of a blend of hardwood chips and glycerol at 80% and 20% respectively, was performed considering equivalence ratios form 0.3 to 0.5, moisture contents from 0%-20% and oxygen percentages in the gasification agent of 100%, 60% and 21%. (C) 2013 Elsevier Ltd. All rights reserved.

Two Polyketides from a Co-culture of Two Marine-derived Fungal Strains

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

Estimativa da necessidade de nitrogênio em cobertura no feijoeiro IAC Alvorada com clorofilômetro portátil

The aims of this study was evaluated the efficiency of nitrogen sufficiency index (NSI) calculated with base on the measures relative chlorophyll index (RCI) leaves, measured with portable chlorophyll meter, as an indicator of time of sidedressing N fertilization and verify which value of NSI (90% and 95%) is the most appropriate to indicate the moment of N fertilization on common bean cultivar IAC Alvorada. An experiment with five N managements (M1: 200 kg ha(-1) N (40 kg at sowing + 80 kg at 15 days after emergency (DAE) + 80 kg 30 DAE); M2: 100 kg ha(-1) N (20 kg at sowing + 40 kg at 15 DAE + 40 kg at 30 DAE); M3: 20 kg ha(-1) N at sowing + 30 kg ha(-1) when chlorophyll meter readings indicated NSI < 95%; M4: 20 kg ha(-1) N at sowing + 30 kg N ha(-1) N when chlorophyll meter readings indicated NSI <90% and, M5: control (without N application)) and four replications was carried out in the rainy and dry growing seasons of the agricultural year 2009/10, in Botucatu, Sao Paulo State, Brazil. The variables RCI, aboveground dry matter, leaf N concentration, yield components, grain yield, and N use efficiency were evaluated. The NSI of 90%, calculated based on monitoring of RCI in common bean leaves with chlorophyll meter, was more effective than 95% to define need for N sidedressing in common bean cultivar IAC Alvorada, reducing the N application and improving the use efficiency of applied N.

Evapotranspiração e eficiência do uso da água no primeiro ciclo produtivo da figueira 'Roxo de valinhos' submetida a cobertura morta

Evaluated the evapotranspiration (ETc) and the efficiency of water use (USA) by the fig tree 'Purple Valinhos' submitted to irrigation and mulching (bagacilho of sugar cane crushed) in the first production cycle, at conditions of Botucatu, St. Paul. We used the method of soil water balance and to obtain the reference evapotranspiration method was used Montheit FAO Penman 56. For the assessment of crop coefficients (kc) we adopted the following phenological distribution: phase 1 - between transplanting and 20% of the vegetative (DV), ii) phase 2 - 20 to 80% DV, and iii) phase 3 - fruiting. Observe the cumulative ETc 409.4 and 465.8 mm in 254 days after transplanting (DAT) and averages of 1.47 and 1.67 mm day(-1), with and without mulching (CC and SC). The crop coefficients (kc) mediums were 0.16, 0.43 and 0.49 for SC and 0.18, 0.44 and 0.50 for CC, in phases 1 and 3, respectively. The EUA values decrease with increasing the volume of water received and ranged between 1.65 and 3.32 kg of green figs per m(3) of water for irrigated SC and CC.

Desenvolvimento, validação e confiabilidade de uma escala de dor aguda pós-operatória em bovinos

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

Quantificação de citocinas no soro e homogenato da pata na intoxicação experimental com veneno de Bothropoides jararaca em ratos Wistar tratados com soroterapia e Mikania glomerata

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

The effect of sets and repetitions of the spirometer by flow in cardiorespiratory parameters

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

Relationship between chronological and bone ages and pubertal stage of breasts with bone biomarkers and bone mineral density in adolescents

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