Tratamento de fístulas enterocutâneas através de sistema a vácuo com alta pressão e dieta oral normal

Enterocutaneous fistulas are associated with prolonged hospital stay, high morbidity/mortality, and increase in hospital costs. This study aims to describe the use of a vacuum system and normal oral diet in dealing with this problem. Methods: Seventy-four consecutive patients with recent and defined external postoperative fistulas were analyzed. Abdominal imaging was used to exclude abscess and distal obstruction. The fistula tract was sealed with Foley catheter, connected to a negative pressure flask, changed daily for 5, 10 or 15 days, as necessary. Normal oral diet was permitted. Results: No patient died. Serum albumin and transferrin showed significantly higher levels at the end of treatment than at the beginning. The moderate and low-output fistulas had the best results (97% closed). Forty-eight (65%) fistulas closed after five days, 16(22%) after 10 days and 4(5%) after 15 days. Treatment failed in 6(8%) patients, who subsequently underwent surgery. Only one patient with low-output did not close her fistula. The cost of the treatment was US$ 41.75/day and it was considered cost effective. Conclusions: The vacuum system demonstrated good results in the treatment of fistulas. It included simplicity, low cost, short hospital stay, absence of skin breakdown, normal eating, good nutrition and activity patterns

Construção e caracterização de um sistema de desbastamento iônico

Este trabalho trata do desenvolvimento de um equipamento de desbastamento iônico aplicado ao afinamento de amostras para análise com a técnica de microscopia eletrônica de transmissão (MET). A técnica de MET é uma das mais importantes para a caracterização da microestrutura de praticamente todas as classes de materiais sólidos. Contudo, esta técnica requer amostras suficientemente finas (espessuras típicas da ordem de 100 nm) para que os elétrons transmitidos proporcionem informação relevante da microestrutura. Com exceção do sistema de vácuo, todos os demais componentes do equipamento (fonte de íons, câmara de vácuo, fonte de alta tensão e suporte mecânico das amostras) foram construídos na UFRGS. O equipamento foi testado através da preparação de amostras de silício. As amostras obtidas apresentam áreas de observação amplas e suficientemente finas permitindo uma caracterização microestrutural detalhada mesmo com feixes de elétrons acelerados com potencial de 120 kV. Além disso, os valores de taxa de desbaste em torno de 1,5 mm/h foram obtidos em amostras bombardeadas com íons de Ar+ acelerados com um potencial de 6 kV. Tais resultados mostram que o equipamento tem uma performance semelhante a um equipamento comercial A segunda contribuição do trabalho foi a de introduzir um estudo sistemático sobre a formação de camadas amorfas e a produção de átomos auto intersticiais dentro da região cristalina das amostras de silício. Trata-se de um assunto atual pois tais efeitos ainda não são bem conhecidos. Apesar do estudo ter sido realizado em um material específico (Si), os resultados obtidos podem ser aproveitados como modelo para outros materiais. A formação de camadas amorfas foi caracterizada em função dos parâmetros: ângulo de incidência e energia do feixe de íons de Ar+ e temperatura da amostra durante a irradiação. A produção e/ou injeção de átomos auto intersticiais na região cristalina foi estudada em função do ângulo de incidência e da energia do feixe de íons. Os resultados mostram que a espessura da camada amorfa cresce com o aumento da energia e do ângulo de incidência do feixe e com a diminuição da temperatura do alvo. A taxa de produção de átomos intersticiais dentro da região cristalina apresenta um máximo para ângulos em torno de 15° independentemente da energia do feixe de íons.

Caracterização de superfícies de titânio modificado por oxidação à plasma

Recent years have seen a significant growth in surface modifications in titanium implants, resulting in shorter healing times in regions with low bone density. Among the different techniques, subtraction by chemical agents to increase oxidation has been applied for surface treatment of dental implants. However, this technique is generally unable to remove undesirable oxides, formed spontaneously during machining of titanium parts, raising costs due to additional decontamination stages. In order to solve this problem, the present study used plasma as an energy source to both remove these oxides and oxidize the titanium surface. In this respect, Ti disks were treated by hollow cathode discharge, using a variable DC power supply and vacuum system. Samples were previously submitted to a cleaning process using an atmosphere of Ar, H2 and a mixture of both, for 20 and 60 min. The most efficient cleaning condition was used for oxidation in a mixture of argon (60%) and oxygen (40%) until reaching a pressure of 2.2 mbar for 60 min at 500°C. Surfaces were characterized by scanning electron microscopy (SEM), X-ray diffraction (XRD), atomic force microscopy (AFM), adhesion and cell proliferation. SEM showed less cell spreading and a larger number of projections orfilopodia in the treated samples compared to the control sample. AFM revealed surface defects in the treated samples, with varied geometry between peaks and valleys. Biological assays showed no significant difference in cell adhesion between treated surfaces and the control. With respect to cell proliferation, the treated surface exhibited improved performance when compared to the control sample. We concluded that the process was efficient in removing primary oxides as well as in oxidizing titanium surfaces

Estudo eritroleucométrico e proteinograma sérico do sangue do cordão umbilical e jugular de eqüinos ao nascimento e de suas respectivas mães

Colheram-se amostras de sangue do cordão umbilical (SCU) e do sangue circulante de cinco eqüinos neonatos, imediatamente após o nascimento, e o sangue da própria mãe, utilizando-se um sistema a vácuo. O material foi submetido à contagem global de hemácias e leucócitos e à determinação do volume globular e da concentração de hemoglobina; à contagem diferencial de leucócitos em esfregaços sangüíneos; e ao cálculo dos índices eritrocitométricos. Foram realizadas a dosagem de proteínas séricas totais e a eletroforese das proteínas séricas em gel de agarose. Não houve diferenças significativas entre os parâmetros do SCU e do sangue da jugular dos potros. No SCU dos potros observaram-se valores mais elevados para contagem global de hemácias (9,75x10(6)/µl), dosagem de hemoglobina (14,65g/dl) e concentração de hemoglobina corpuscular média (37,23g/dl); e valores menores para volume corpuscular médio (40,50fl), proteína total (4,37g/dl), alfa-globulinas (0,65g/dl), beta-globulinas (1,10g/dl), gama-globulinas (0g/dl) e contagens global (5,40 x 10³/µl) e diferencial de leucócitos, exceto contagem de neutrófilos bastonetes e monócitos, quando comparados com os valores obtidos no sangue de suas mães.

Desenho e Construção de um protótipo gerador de jato de plasma frio a pressão atmosférica para aplicações biomédicas

Research for better performance materials in biomedical applications are constants. Thus recent studies aimed at the development of new techniques for modification of surfaces. The low pressure plasma has been highlighted for its versatility and for being environmentally friendly, achieving good results in the modification of physic chemical properties of materials. However, it is requires an expensive vacuum system and cannot able to generate superficial changes in specific regions. Furthermore, it is limits their use in polymeric materials and sensitive terms due to high process temperatures. Therefore, new techniques capable of generating cold plasma at atmospheric pressure (APPJ) were created. In order to perform surface treatments on biomaterials in specific regions was built a prototype capable of generating a cold plasma jet. The prototype plasma generator consists of a high voltage source, a support arm, sample port and a nozzle through which the ionized argon. The device was formed to a dielectric tube and two electrodes. This work was varied some parameters such as position between electrodes, voltage and electrical frequency to verify the behavior of glow discharges. The disc of titanium was polished and there was a surface modification. The power consumed, length, intensity and surface modifications of titanium were analyzed. The energy consumed during the discharges was observed by the Lissajous figure method. To check the length of the jets was realized with Image Pro Plus software. The modifications of the titanium surfaces were observed by optical microscopy (OM ) and atomic force microscopy (AFM ). The study showed that variations of the parameters such as voltage, frequency and geometric position between the electrodes influence the formation of the plasma jet. It was concluded that the plasma jet near room temperature and atmospheric pressure was able to cause modifications in titanium surface

Implementação da técnica de difração de elétrons de baixa energia

The purpose of this study is to describe the implementation of the Low Energy Electron Diffaction (LEED) technique in the Laboratory of Magnetic Nanostructures and Semiconductors of the Department of Theoretical and Experimental Physics of the Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil. During this work experimental apparatus were implemented for a complete LEED set-up. A new vacuum system was also set up. This was composed of a mechanical pump, turbomolecular pump and ionic pump for ultra-high vacuum and their respective pressure measurement sensors (Pirani gauge for low vacuum measures and the wide range gauge -WRG); ion cannon maintenance, which is basically mini-sputtering, whose function is sample cleaning; and set-up, maintenance and handling of the quadrupole mass spectrometer, whose main purpose is to investigate gas contamination inside the ultra-high vacuum chamber. It should be pointed out that the main contribution of this Master's thesis was the set-up of the sample heating system; that is, a new sample holder. In addition to the function of sample holder and heater, it was necessary to implement the function of sustaining the ultra-high vacuum environment. This set of actions is essential for the complete functioning of the LEED technique

Avaliação da laparoscopia na aspiração folicular em fêmeas caprinas pré-púberes e adultas com ou sem estimulação ovariana hormonal

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

Collective effects in light scattering from cold strontium clouds

A cold atomic cloud is a versatile object, because it offers many handles to control and tune its properties. This facilitates studies of its behavior in various circumstances, such as sample temperature, size and density, composition, dimensionality and coherence time. The range of possible experiments is constrained by the specifications of the atomic species used. In this thesis presents the work done in the experiment for laser cooling of strontium atoms, focusing on its stability, which should provide cold and ultracold samples for the study of collective effects in light scattering. From the initial apparatus, innumerous changes were performed. The vacuum system got improved and now reached lower ultra high vacuum due to the pre-baking done to its parts and adding a titanium-sublimation stage. The quadrupole trap were improved by the design and construction of a new pair of coils. The stability of the blue, green and red laser systems and the loss prevention of laser light were improved, giving rise to a robust apparatus. Another important point is the development of homemade devices to reduce the costs and to be used as a monitor of different parts of an cold atoms experiment. From this homemade devices, we could demonstrate a dramatic linewidth narrowing by injection lock of an low cost 461 nm diode laser and its application to our strontium experiment. In the end, this improved experimental apparatus made possible the study of a new scattering effect, the mirror assisted coherent back-scattering (mCBS).

Um sensível espectrômetro de massa de fonte sólida e sua aplicação à análise de K, Rb e Sr

Um espectrômetro de massa de fonte sólida de alta sensibilidade e construído de vidro Pyrex é descrito com detalhe. Um sistema de vácuo convencional, constituído de uma bomba mecânica e uma bomba de difusão de mercúrio de duplo estágio, possibilita obter-se, após cerca de 6 horas de contínuo bombeamento, pressão adequada para início de análise de materiais sólidos pela técnica de ionização térmica. Por esta técnica, quantidades tão pequenas quanto alguns micromicrogramas de potássio ou rubídio podem ser analisadas, enquanto que para estrôncio, quantidades tão pequenas quanto 0,1 μg podem ser dosadas. É apresentada também a precisão média obtida na análise desses elementos, bem como a precisão na medida das razões isotópicas. Finalmente, uma série de resultados obtidos em diferentes tipos de rochas empregando-se tal aparelho, é submetida a estudos estatísticos para melhor aquilatar o comportamento do mesmo.

Analise de viabilidade técnica-econômica na substituição de um sistema combinado de geração de vapor-vácuo por bombas secas

Pós-graduação em Engenharia Mecânica - FEG

Efeitos da embalagem em ar, sob vácuo e em atmosfera modificada sobre a qualidade de filetes de peixe-porco Balistes capriscus

Dissertação de mest, Tecnologia de Alimentos, Instituto Superior de Engenharia, Univ. do Algarve, 2013

Estudo da aplicação de um sistema frigorífico de absorção movido a energia solar na Ilha do Príncipe

Dissertação de mest., Energias Renováveis e Gestão de Energia (Tecnológica), Faculdade de Ciências e Tecnologia, Univ. do Algarve, 2012

Fluxograma de processo de sulfitação pelo sistema de multijato

Curso de Tecnologia Sucroalcooleira. Disciplina de Tecnologia de Produção de Açúcar. Fluxograma. Dimensão: 2516x1270. Tamanho: 186Kb.

Estudo da síntese e sinterização de pós compósitos do sistema Ta-Cu

Ta-Cu bulk composites combine high mechanical resistance of the Ta with high electrical and thermal conductivity of the Cu. These are important characteristics to electrical contacts, microwave absorber and heat skinks. However, the low wettability of Ta under Cu liquid and insolubility mutual these elements come hard sintering this composite. High-energy milling (HEM) produces composite powders with high homogeneity and refines the grain size. This work focus to study Ta-20wt%Cu composite powders prepared by mechanical mixture and HEM with two different conditions of milling in a planetary ball mill and then their sintering using hydrogen plasma furnace and a resistive vacuum furnace. After milling, the powders were pressed in a steel dye at a pressure of 200 MPa. The cylindrical samples pressed were sintered by resistive vacuum furnace at 10-4torr with a sintering temperature at 1100ºC / 60 minutes and with heat rate at 10ºC/min and were sintered by plasma furnace with sintering temperatures at 550, 660 and 800ºC without isotherm under hydrogen atmosphere with heat rate at 80ºC/min. The characterizations of the powders produced were analyzed by scanning electron microscopy (SEM), x-ray diffraction (XRD) and laser granulometry. After the sintering the samples were analyzed by SEM, XRD and density and mass loss tests. The results had shown that to high intense milling condition produced composite particles with shorter milling time and amorphization of both phases after 50 hours of milling. The composite particles can produce denser structure than mixed powders, if heated above the Cu melting point. After the Cu to arrive in the melting point, liquid copper leaves the composite particles and fills the pores

Análise da influência de superfícies refletivas nas perdas de calor de sistema térmicos

The use of reflective surfaces functioning as thermal insulator has grown significantly over the years. Reflective thermal insulator are materials that have several characteristics such as low emissivity, low absorptivity and high reflectivity in the infrared spectrum. The use of these materials has grown a lot lately, since it contains several important radioactive properties that minimize the heat loss of thermal systems and cooling systems that are used to block the heat on the roof of buildings. A system made of three surfaces of 316 stainless steel mirror was built to analyze the influence of reflective surfaces as a way to reduce the heat loss and thereby conserve the energy of a thermal system. The system was analyzed both with and without the presence of vacuum, and then compared with a system that contained glass wool between the stainless steel mirror walls, since this isolator is considered resistive and also broadly used around the world in thermal systems. The reflectivity and emissivity of the surfaces used were also measured in this experiment. A type K thermocouple was fixed on the wall of the system to obtain the temperature of the stainless steel mirror surfaces and to analyze the thermal behavior of each configuration used. The results showed an efficiency of 13% when the reflective surfaces were used to minimize the heat loss of the thermal system. However, the system with vacuum had the best outcome, a 60% efficiency. Both of these were compared to the system made of glass wool as a thermal insulator