1000 resultados para Feridas - Tratamento


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OBJETIVO: Analisar os resultados do tratamento de uma série consecutiva de pacientes submetidos a tratamento endovascular de doenças da aorta torácica. Foram observados o sucesso técnico, o sucesso terapêutico, a morbimortalidade e a taxa de complicações perioperatórias e de reintervenções. MATERIAIS E MÉTODOS: Estudo retrospectivo, realizado em um centro de referência, no período de janeiro de 2010 a julho de 2011, em que foram analisados pacientes submetidos a correção endovascular de doenças da aorta torácica. A população foi dividida em dois grupos: grupo 1 (G1) - aneurismas de aorta torácica verdadeiros, úlcera aórtica e pseudoaneurisma; grupo 2 (G2) - dissecção aórtica tipo B crônica. RESULTADOS: Em um total de 55 pacientes tratados, 29 pertenciam ao G1 e 26, ao G2. As idades médias foram 66,8 ± 10 e 56,4 ± 7 anos, respectivamente. Os sucessos técnico e terapêutico foram, respectivamente, 86,3% e 68,6% no G1 e 100% e 74% no G2. A mortalidade perioperatória foi 10,3% no G1 e 7,6% no G2, com taxa de mortalidade anual de 10,3% no G1 e de 19,3% no G2. As taxas de reintervenções foram 10,3% e 15,3%, respectivamente. CONCLUSÃO: Em nosso estudo, o tratamento endovascular das doenças da aorta torácica demonstrou ser um método viável e associado a aceitáveis taxas de complicações.

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The contribution of the industrial activities to the environmental contamination phenomena is evident. Great efforts are dedicated to the establishment of methodologies which permits an adequate treatment of the produced effluents, as a manner of minimizing the environmental impact of these wastes. The methodologies based on photocatalytic processes are very promise alternatives, because permits degradation of a great number of chemical substances of high toxic potential, without the use of other chemicals. The present work is an overview about the principal environmental aspects related with the paper and cellulose industry and the main alternatives employed for the reduction of environmental impact produced for its residues. The principal results of the photocatalytic treatment of this kind of effluents using metallic semiconductors is also showed.

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Prostaglandins (PG's), produced from arachidonic acid metabolism, are potent mediators of inflammation. Nonsteroidal anti-inflammatory (NSAIDs) exert their effects by inhibition of prostaglandin endoperoxide synthase (PGHS) enzyme, which catalyses the first committed step in arachidonic acid metabolism. Two isoforms of PGHS are known: PGHS-1, constitutively expressed in most tissues, and is responsible for physiological production of PG's. The second isoform, PGHS-2, is induced by cytokines, mitogens and endotoxins in inflammatory cells, and appears to be responsible for the elevated production of PG's during inflammation. With the recent discovery of the inducible PGHS (PGHS-2), the medicinal chemist now possesses a novel target for designing therapeutic agents that could provide suitable anti-inflammatory activity without the ulcerogenic and renal side effects associated with currently available NSAIDs, all of which inhibit both PGHS-1 and PGHS-2.

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This review article on mercury compounds deals with the differences on toxicity of different forms of this metal, the Brazilian regulation for its disposal and the usual methods of determination. Besides that, the text gives special emphasis on the methods used for the treatment and disposal of residues containing mercury, as well as the new developments being made in this area.

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The toxic character of organochloride compounds, their habitual presence in many industrial effluents, and mainly the low efficiency of the current remediation processes, are important aspects that have been promoted to study new degrading technologies. Among the great number of new physical and chemical alternatives, the photochemical and electrochemical processes have been played an important role, mainly due to their high degradation capacity through relatively low-cost procedures. In these contexts biological processes, the use of white-rot fungi, or even ligninolytic enzymes produced from them, are also very promising alternatives. However, the necessity of long reaction time and the high cost of the enzyme production process are some of the drawbacks that difficult the definitive consolidation of these processes.

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High levels of Fe and Mn present in some soils and compost organic matter decrease the resolution of 13C NMR spectra of humic substances. Addition of KCl up to a concentration of 0,03 mol L-1 to humic substances extracts followed by centrifugation is an efficient method of eliminating clays and minerals containing high levels of paramagnetic metals such as Fe and Mn thus increasing the resolution of 13C NMR spectra.

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The catalytic combustion of methane on alumina supported palladium catalysts was studied. It has been reported that the activity of the catalyst increases with its time on line, despite of an increase of the palladium particle size. However, different preparation, pretreatment and testing conditions can be the reason for the observed different results. An experimental design, which allows to verify the influence of several parameters at the same time with a good statistical quality, was used. A Plackett-Burman design was selected for the screening of the variables which have an effect on the increase of the catalyst activity.

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Textile effluents, when not correctly treated, cause a high impact to the environment. The main recalcitrant compounds present in textile effluent are represented by the synthetic dyes, used during the fibber dying process. Among others, the azo dyes are considered the most harmful due to its mutagenic and carcinogenic character. In the present work we reported a revision study on the new tendencies for remediation of textile effluents, mainly to degrade the recalcitrant compounds. For this purpose, chemical, physical, photochemical, biological and combined processes were investigated.

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The chemical durability of the Li2O-ZrO2-BaO-SiO2 system was examined by determination of the Vickers hardness. The dependence of hardness and of the chemical resistance with BaO addition was investigated. The experimental results indicate that the hardness increases with the BaO content. The samples surface's morphology submitted to the chemical treatment in acidic (H2SO4) and basic (KOH) solution was accompanied by scanning electron microscopy. The chemical durability of the materials with BaO showed better than the glass ceramic without this content. These materials treated with H2SO4 solution showed a preferential attack to the silica rich sites.

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A problem often encountered in cancer therapy is the presence of tumor cell subpopulation that are resistant to treatment. Solid tumors frequently contain hypoxic cells that are resistant to killing by ionizing radiation and also by many chemotherapeutic agents. However, these hypoxic cells can be exploited for therapy by non-toxic hypoxic-activated prodrugs. Bioreductive drugs require metabolic reduction to generate cytotoxic metabolites. This process is facilitated by appropriate reductases and the lower oxygen conditions present in solid tumors. The unique presence of hypoxic cells in human tumors provides an important target for selective cancer therapy.

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Alzheimer's disease (AD) is a neurodegenerative disease characterized by cognite impairment and personality changes. The development of drugs for the treatment of the cognitive deficits of AD has focused on agents which counteract loss in cholinergic activities. These symptons of AD have been successfully treated with acetylcholinesterase (AchE) inhibitors (eg. galanthamine). There still is great interest in finding better AchE inhibitors. We use Ellmann's microplate assay and silica gel thin-layer chromatography (TLC) to screen natural products from plants as new sources of AchE inhibitors.

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Depression is a widespread humor disturbance promoted mainly by depletion of biogenic neurotransmitter amines involved in the CNS synapses. Effective drug treatments for depression have been available for more than forty years. Despite its remarkable structural diversity, this paper discuss under the medicinal chemistry point of view, all different classes of "monoamine based" antidepressant drugs, emphasizing the rational design, structure-activity relationships (SAR), biotransformation and physico-chemical properties related with antidepressant activity and molecular mechanism of action.

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Antimony preparations are the drugs of choice for the treatment of leishmaniasis over 90 years, a disease that currently affects 12 million people worldwide. Its introduction was based on 19th century concepts of therapeutic effects of metal salts as arsenicals and other metals, most of them abandoned due to toxic effects or better drugs. In the last three decades, there was a great improvement in the knowledge of cell biology and immunology of those infections, but chemotherapy has not been improved in the same strength. The structure and mechanism of action of the two pentavalent antimonial drugs of choice, meglumine antimoniate and sodium stibogluconate, are not well known and the contamination of those pharmaceutical by toxic contaminants have been verified.

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The basic principles of UV irradiation as sample pre-treatment step and its potential for inorganic analysis are illustrated and discussed through significant examples from the literature. Not only does this overview cover the classical applications of this technique in the decomposition of organic matter in electroanalysis, but it also presents recent trends, including the increasing interest in employing UV irradiation in flow analytical systems, successful attempts to enhance its effectiveness and the coupling with chromatographic and spectroscopic methodologies. Furthermore, a number of relevant cases of UV-driven derivatization reactions involving photo-sensitive inorganic species are presented, showing some convenient options to perform fast and reliable determination of inorganic and organic analytes.

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Polyaniline (PAni) is one of the most studied conducting polymer. It can be synthesized by two methods: electrochemical or chemical oxidation. The chemical oxidation is more adequate to produce large quantities of polymer. Regardless of the synthesis scale, the treatment of the residues before its final destination is very important and necessary because it contains toxic aniline derivatives (carcinogens in some cases), acids and inorganic salts, both with low toxicity. In this work we discuss the methods used to treat these residues and to eliminate and discard the toxic substances. These were extracted from the reaction residues by using activated coal and the pH of the residue was neutralized.