739 resultados para Ventilação mandatória intermitente sincronizada


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The aim of this study was to evaluate the effects of residual leaf area index (rLAI), years of evaluation and grazing cycles on the accumulation and disappearance of forage, and changes in the pasture structure of xaraes palisadegrass submitted to grazing intensities and intermittent stocking in two summers. The experiment was carried out at the Faculdade de Ciencias Agrarias e Veterinaria of Unesp, Campus of Jaboticabal, SP and the intensities of grazing were defined by four rLAI: 0.8, 1.3, 1.8 and 2.3. When the canopy intercepted 95% of incident light, the animals were placed on the pasture for grazing and kept until the rLAI target has been reached. Pastures were grazed by non-lactating Holstein cows (Bos Taurus Taurus L.), using the technique of mob-stocking. It was evaluated the canopy height, accumulation, disappearance and morphological components of forage and rest period. Residual leaf area index from 1.3 to 1.8 are the best in the accumulation and disappearance of forage and pasture structure. It is observed variability of the accumulation and disappearance of forage and pasture structure for years of assessment and grazing cycles within each year.

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This review is intended to gather together recent studies that explore the effects of different types of noninvasive ventilation (NIV) on the autonomic nervous system, assessed through heart rate variability (HRV). A search for papers was conducted in the PubMed, PEDro, SciELO and Lilacs databases with the following descriptors: noninvasive ventilation, CPAP ventilation, intermittent positive pressure breathing and autonomic nervous system, for the period between 2008 and 2012. After eliminating papers not addressing the topic, we selected six studies, of which five applied NIV in CPAP mode and one used biphasic positive airway pressure. In general, the findings suggest that NIV promotes changes in autonomic modulation that are dependent on the conditions of the subjects analyzed and the time when these rates are assessed, meaning acute or long-term effects.

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The main objective of this study was to analyze the reliability of blood lactate concentration ([La]), oxygen uptake (VO2) and heart rate (FC) in an intermittent protoco, performed at 95%VO2max with passive or active recovery in untrained subjects. Participated of this study, active healthy males with 20 to 25 years, which were doing aerobic exercises witha weekly frequency of 3 sessions at least. The individulas performed, in different days, the following protocols in a cyclergometer: 1) An incremental test until exhaustion to determine maximal oxygen uptake (VO2max) and the intensity at VO2max; b) Two transitions at 95%VO2max for the determination of the VO2 kinetics parameters and; c) Two intermittent tests until exhaustion, with repetitions at 95% IVO2max and with durantion defined as being half of the duration of the slow component. The duration of the recovery was half of the duration of the effort (effort:pause of 2:1). This test was performed with passive (GP) and active recovery (GA). The VO2 and FC were measured continulously in both tests. Blood collections were performed for the determination of the [La]. There was significant correlação in both groups for VO2 (ATIVA - 0.94, PASSIVA - 0.75), [La] (ATIVA - 0.83, PASSIVA - 0.90) and FC (0.93) only for the passive group. Thus, it can be concluded that the cardiorrespiratory and metabolic responses present good realiability in an intermittent exercise with active or passive recovery

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Patients that are mechanically ventilated in ICUs are constantly exposed to different pathogens, which present multiantibiotic resistance. Among these microorganisms, is MRSA (Meticillin-Resistant Staphylococcus aureus) considered to be a therapeutic challenge due to its resistance to β-lactam antibiotics. Therefore, this study proposed to identify species of Staphylococcus spp. isolated from mechanically ventilated patients in ICU, the gene mecA detection and the genes of the enterotoxins A (sea), B (seb), C (sec-1) and D (sed) in samples of S. aureus, as well as the phenotypic resistance determination to oxacillin using the disc-diffusion method with discs of oxacillin and cefoxitin. The samples collection occurred during in a period of 19 months, obtaining samples from 232 patients. A percentage of 39% (70) of Gram-positive cocci were found; which 82,8% (58) were identified as Staphylococcus spp,. among these, 75,8% (44) corresponded to S. aureus species and 47,7% were identified as MRSA. It was found resistance to both drugs in 31,8% of the S. aureus samples, 16 (36,3%) had the gene sea and 11 (25%) had the sec-1 gene. Among the coagulase-negative staphylococci obtained, the species most found was S. epidermidis, corresponding to 43% (6). The results revealed that one of the most important etiologic agents of VAP amid the Gram-positive cocci is the species S. aureus, with special attention to MRSA. The presence of enterotoxins genes in S. aureus did not showed determinant role in VAP, but the presence of these superantigens can contribute worsening the patient’s prognosis, since they are associated with intense inflammatory response

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Pós-graduação em Odontologia Restauradora - ICT

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Pós-graduação em Bases Gerais da Cirurgia - FMB

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

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)