Evaluación del Rocuronio Mediante Aceleromiografía en Pacientes con Sobrepeso u Obesidad

Introducción El rocuronio es un relajante muscular utilizado en la práctica anestésica diaria en la que la dosis depende del peso corporal. Se ha demostrado que en el paciente obeso se debe calcular en base a el peso ideal y no al peso real; sin embargo, no hay claridad de como esto modifica el tiempo de latencia y recuperación del medicamento en esta población. Metodología Se realizó un estudio observacional prospectivo para evaluar los resultados de la aceleromiografía en pacientes con sobrepeso u obesidad comparados con pacientes con IMC normal. Los desenlaces fueron tiempo de latencia, tiempo duración 25 y tiempo de recuperación de la función neuromuscular. Resultados Se incluyeron 40 pacientes por medio de muestreo por conveniencia con una relación de 1:1 según peso corporal. No hubo diferencias significativas en las condiciones de la población a diferencia de la clasificación de ASA y el IMC (p=0,03). En el tiempo de latencia no hubo diferencias significativas (p=0.31) ni en el tiempo duración 25, y al evaluar los tiempos de recuperación del bloqueo neuromuscular se encontró una diferencia significativa en los pacientes con sobrepeso (p=0.01). Ningún paciente requirió reversión farmacológica del rocuronio. Discusión Se puede afirmar que existe una disminución en la duración de acción del rocuronio en pacientes con IMC elevado, significativamente menor a la descrita en la literatura para las dosis aplicadas. La dosificación basada en peso ideal puede realmente ser insuficiente en el paciente con sobrepeso u obesidad para alcanzar la duración clínica de este medicamento.

Phase separation and gap bowing in zinc-blende InGaN, InAlN, BGaN, and BAlN alloy layers

We present first-principles calculations of the thermodynamic and electronic properties of the zinc-blende ternary InxGa1-xN. InxAl1-xN, BxGa1-xN, and BxAl1-xN alloys. They are based on a generalized quasi-chemical approximation and a pseudopotential-plane-wave method. T-x phase diagrams for the alloys are obtained, We show that due to the large difference in interatomic distances between the binary compounds a significant phase miscibility gap for the alloys is found. In particular for the InxGa1-xN alloy, we show also experimental results obtained from X-ray and resonant Raman scattering measurements, which indicate the presence of an In-rich phase with x approximate to 0.8. For the boron-containing alloy layers we found a very high value for the critical temperature for miscibility. similar to9000 K. providing an explanation for the difficulties encountered to grow these materials with higher boron content. The influence of a biaxial strain on phase diagrams, energy gaps and gap bowing of these alloys is also discussed. (C) 2002 Elsevier B.V. B.V. All rights reserved.

Reconstruction of the Environmental Quality Fuzzy Index

In the world stage, the environmental condition has been a big public policies issue. A clear understanding of the parameters that determine the state of the environment is essential for estimation of the quality of life of the population, not least since ecosystems are highly complex. Consequently, definition of public policies demands the use of evaluation tools that can combine and quantify information in a clear way. The use of indicators and indices that are able to translate the complexity of environmental conditions in cities into simpler terms has been increasingly effective in decision-making, since they assist in general evaluation of the situation in question, identification of priority actions and anticipation of future trends. In an attempt to evaluate the environmental conditions of the Brazilian city, Sorocaba, an Environmental Quality Fuzzy Index (IFQAmb) was proposed. In this work this methodology is improved. After reviewing the IFQAmb methodology, a number of changes in the index are proposed. Additional variables are suggested, derived from a State Environment Department program whose objective is to grant municipalities the title of Municipio Verde e Azul (Green and Blue City). In addition, a new rule base is being drafted to enable consideration of all possibilities, since in the existing version the use of specific criteria eliminates a significant number of rules. The changes seek to define with clarity and precision the conceptual aspects and structure of the IFQAmb, so that it can provide an even more effective evaluation of environmental performance, guiding future actions in order to improve the living conditions of the population of Sorocaba.

(Table 3) Stable oxagen isotope record of planktonic foraminifera from Central Walvish Ridge

Above the Walvis Ridge, in the SE Atlantic Ocean, we collected living plantkic foraminifera from the upper water column using depth stratified plantkon tows. The oxygen isotope composition (d18Oc) in shells of foraminifera and shell concentration profiles show seasonal and depth habitats of individual species. The tow results are compared with the average annual deposition d18Oc from sediment traps and the interannual average d18Oc of fossil specimens in top sediments at the same site. The species Globigerinita glutinata best reflects the austral winter/spring sea surface temperature (SST). Its d18Oc signal in top sediments remains pristine. In contrast, tow results also show that Globigerinoides ruber continues to calcify below the surface mixed layer (SML), i.e., down to the deep chlorophyll maximum (DCM); hence its d18Oc signature of exported specimens reflects the SST only when SML incorporates the DCM. Deep tow and sediment trap results show that both Globorotalia truncatulinoides and Globorotalia inflata record the temperature between 150 and 350 m, depending on the season and the shell size. However, for all fossil taxa in sediments apart from Globigerinita glutinata, we observe a positive d18Oc shift with respect to the sediment trap and plankton tow values, likely related to the interannual flux changes and deep encrustation.

Effects of elevated CO2 on fish behaviour undiminished by transgenerational acclimation

Behaviour and sensory performance of marine fishes are impaired at CO2 levels projected to occur in the ocean in the next 50-100 years, and there is limited potential for within-generation acclimation to elevated CO2. However, whether fish behaviour can acclimate or adapt to elevated CO2 over multiple generations remains unanswered. We tested for transgenerational acclimation of reef fish olfactory preferences and behavioural lateralization at moderate (656 µatm) and high (912 µatm) end-of-century CO2 projections. Juvenile spiny damselfish, Acanthochromis polyacanthus, from control parents (446 µatm) exhibited an innate avoidance to chemical alarm cue (CAC) when reared in control conditions. In contrast, juveniles lost their innate avoidance of CAC and even became strongly attracted to CAC when reared at elevated CO2 levels. Juveniles from parents maintained at mid-CO2 and high-CO2 levels also lost their innate avoidance of CAC when reared in elevated CO2, demonstrating no capacity for transgenerational acclimation of olfactory responses. Behavioural lateralization was also disrupted for juveniles reared under elevated CO2, regardless of parental conditioning. Our results show minimal potential for transgenerational acclimation in this fish, suggesting that genetic adaptation will be necessary to overcome the effects of ocean acidification on behaviour.

Français 1089

Contient : 1° « Opuscule contenant : Le vray Epilogue des principaulx autheurs qui ont escript en la philosophie naturelle pour l'augmentation des metaulx », par « M. D. ZECAIRES » ; 2° « La glorieuse Marguerite », par « Me ARNAULT DE VILLENEUFVE », traduction de « J. CERASIUS, Condonois »

Na 50 Nachlass Arthur Schopenhauer - 'Schopenhauer-Archiv', 1089 - Weiterleitung eines Briefes der Buchhandlung Hermann

1 Seite

Na 50 Nachlass Arthur Schopenhauer - 'Schopenhauer-Archiv', 1086 - Organisation des Treffens in Dresden

2 Seiten