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Abstract Background: Currently, there is no uniform and official terminology in Portuguese for reflectance confocal microscopy analysis, despite the increasing number of Brazilian dermatologists using this new tool. Objective: To present the terminology in Brazilian Portuguese for the description of reflectance confocal microscopy and establish the first Brazilian consensus on terms related to normal skin and cutaneous tumors. Methods: 10 Brazilian specialists from different institutions and states of Brazil were selected to evaluate the best corresponding terms in Portuguese for normal skin, melanocytic and non-melanocytic tumors. The terms used were translated from international consensuses in the English language. The modified Delphi method was used to create the consensus in 3 steps. Results: The terms considered the most appropriate in the Portuguese language to describe the findings of normal skin, melanocytic and non-melanocytic lesions in the reflectance confocal microscopy analysis were presented. Study limitations: The limitations of the present study include the number of participants and limited regional representation (only two of the five Brazilian regions were represented). Conclusion: This Brazilian consensus represents an opportunity for dermatologists and physicians specializing in cutaneous oncology to become familiar with reflectance confocal microscopy, propagating the technique in clinical and research environments to stimulate national and international publications on this subject.

https://doi.org/10.1016/j.abd.2023.05.001

Recommendations for modernizing infant vaccination schedules with combination vaccines in Colombia and Peru
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Torres-Martinez, Carlos

; Chaparro, Eduardo

; Mariño, Ana-Cristina

; Falleiros-Arlant, Luiza Helena

; Camacho-Moreno, Germán

; Castillo, María E.

; Garces, Carlos

; Coronell, Wilfrido

; Somocurcio, Roberto

Revista Panamericana de Salud Pública

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2023, Volume 47 elocation e24

Abstract: Es Pt En | Text: Es Pt En | PDF: Es | PDF: Pt | PDF: En

RESUMEN El objetivo de este artículo es considerar los desafíos que se enfrentan en Colombia y Perú con respecto a la vacunación y el papel de las vacunas combinadas pediátricas para superar estos desafíos. Los obstáculos para incluir vacunas nuevas con más antígenos siguen siendo evidentes en algunos lugares de estos países, donde las enfermedades prevenibles por vacunación en menores de 1 año continúan siendo un grave problema. Entre los desafíos se incluye la heterogeneidad de la cobertura de vacunación en cada país y en los países vecinos, lo que puede contribuir con que se registren tasas bajas de cobertura de vacunación; el impacto adverso de la migración interna de personas no vacunadas, lo que ha favorecido la reaparición de enfermedades prevenibles por vacunación; la escasez de vacunas, y el impacto de la pandemia del coronavirus de tipo 2 causante del síndrome respiratorio agudo grave (SARS-CoV-2) y los consiguientes cambios en los recursos de atención médica. Para mejorar la cobertura de las vacunas pediátricas en Colombia y Perú será necesario integrar de manera generalizada en los calendarios de vacunación vacunas combinadas con antígenos de difteria, tétanos, tos ferina acelular, poliovirus inactivados, Haemophilus influenzae tipo b y hepatitis B con una serie primaria de tres dosis administradas a los 2, 4 y 6 meses de edad, seguida de un refuerzo a los 18 meses de edad. Esas vacunas desempeñan un papel esencial en la prevención de la difteria, el tétanos y la tos ferina; la erradicación de la polio; y el refuerzo contra H. influenzae tipo b.

RESUMO O objetivo deste artigo foi avaliar os desafios da vacinação na Colômbia e no Peru e o papel das vacinas pediátricas combinadas na superação de tais desafios. Os obstáculos para incluir novas vacinas com mais antígenos permanecem visíveis em partes desses países, onde doenças imunopreveníveis em lactentes continuam a ser um grande problema. Os desafios incluem a heterogeneidade da cobertura vacinal dentro de cada país e nos países vizinhos, o que pode contribuir para baixas taxas de cobertura vacinal; o impacto adverso da migração interna de pessoas não vacinadas, o que favoreceu o ressurgimento de doenças imunopreveníveis; a escassez de vacinas; e o impacto da pandemia de síndrome respiratória aguda grave do coronavírus 2 (SARS-CoV-2) e mudanças relacionadas nos recursos de atenção à saúde. Para melhorar a cobertura das vacinas pediátricas na Colômbia e no Peru, será necessário assegurar sua integração generalizada em esquemas de vacinas combinadas contendo antígenos de difteria, tétano, pertussis acelular, poliovírus inativado, Haemophilus influenzae tipo B e hepatite B, com uma série primária de três doses aplicadas aos 2, 4 e 6 meses de idade seguidas de um reforço aos 18 meses de idade. Tais vacinas desempenham papéis importantes na prevenção da difteria, tétano e coqueluche; na erradicação da poliomielite; e no reforço contra H. influenzae tipo b.

ABSTRACT The objective of this article was to consider the vaccination challenges in Colombia and Peru and the role of pediatric combination vaccines in overcoming these challenges. Barriers to including new vaccines with more antigens remain apparent in parts of these countries, where vaccine-preventable diseases in infants continue to be a major problem. The challenges include the heterogeneity of vaccine coverage within each country and in neighboring countries, which can contribute to poor rates of vaccination coverage; the adverse impact of the inward migration of unvaccinated individuals, which has favored the re-emergence of vaccine-preventable diseases; vaccine shortages; and the impact of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and the associated shifts in health care resources. To improve the coverage of pediatric vaccines in Colombia and Peru, it will be necessary to ensure the widespread integration into vaccine schedules of combination vaccines containing diphtheria, tetanus, acellular pertussis, inactivated poliovirus, Haemophilus influenzae type b and hepatitis B antigens with a three-dose primary series delivered at 2, 4 and 6 months of age followed by a booster at 18 months of age. Such vaccines play important roles in preventing diphtheria, tetanus and pertussis; eradicating polio; and providing boosting against H. influenzae type b.

https://doi.org/10.26633/rpsp.2023.24

Solid waste generation model validation and economic loss estimation due lack of recycling
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ÁSPET, CAIO T.

; DIAS, DAVID M.

; MARTINEZ, CARLOS B.

; PARANHOS, ANTONIO C.

Anais da Academia Brasileira de Ciências

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2022, Volume 94 N. 3 elocation e20210207

Abstract: En | Text: En | PDF: En

Abstract Urban Solid Waste Management (USWM) is one of the components that influences in the sustainable cities. It is a fundamental factor in achieving the Sustainable Development Goals (SDGs), 2030 agenda. This paper work aims to validate a mathematical model for solid waste generation and to estimate the economic loss due lack of recycling in the city of Campo Grande, State of Mato Grosso do Sul/Brazil. The model adopted was developed by Dias et. al. (2012), which allows projecting the mass of waste to be generated by the inhabitants from socioeconomic indicators, such as per capita income, social classes and size of population in a specific urban territory. Besides, waste composition was analyzed to determinate the value and share of the gravimetric characterization, in order to estimate the economic loss in areas, which there are no selective collection of Household Solid Waste (HSW). The model showed strong adherence, when compared to the real mass of HSW collected. The economic loss due to selective collection approaches nearly 9.6 million US$, or about 11 US$ per person per year. The study can provide support for economic evaluation of project sand public policies related to USWM executed in any other city with similar characteristics.

https://doi.org/10.1590/0001-3765202220210207

Bursera graveolens essential oil: Physiochemical characterization and antimicrobial activity in pathogenic microorganisms found in Kajikia audax
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Noel-Martinez, Kevin Carlos

; Cruz, Gerardo Juan Francisco

; Solis-Castro, Rosa Liliana

Scientia Agropecuaria

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jul 2021, Volume 12 N. 3 Pages 303 - 309

Abstract: En | Text: En | PDF: En

Abstract Essential oils are products from aromatic plants, which, due to their biological, allelopathic, antioxidant and antimicrobial effects, are important for food preservation. Kajikia audax is a fish of great commercial importance, however, it is highly perishable, requiring strategies to extend its shelf life. In vitro antimicrobial activity of Bursera graveolens essential oil was determined against microorganisms isolated from K. audax. Essential oil was extracted by steam distillation, obtaining a yield of 1.25%, a density of 0.83 g/ml and a refractive index of 1.473°, in addition, it was determined by GC-MS that D-limonene (77.6%) is the majority compound. Antimicrobial tests showed that the minimum inhibitory concentration (MIC) for Aeromonas salmonicida and Pichia kudriavzevii was 1.62 mg/ml and 6.48 mg/ml respectively, and the minimum bactericidal concentration (MBC) was 25.92 mg/ml for both microorganisms. Pseudomonas aeruginosa showed total resistance against the concentrations used. B. graveolens essential oil turned out to be a potential product to control the growth of microorganisms isolated from K. audax, however, it should be tested against species of the genera Vibrio, Flavobacterium, Shewanella, Lactococcus and Streptococcus that cause spoiling of hydrobiological products.

https://doi.org/10.17268/sci.agropecu.2021.033

Desarrollo y evaluación de una base de datos in house para la identificación rápida de Burkholderia contaminons por EM MALDI-TOF
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Cipolla, Lucía

; Rocca, Florencia

; Armitano, Rita I

; Martinez, Claudia

; Almuzara, Marisa

; Faccone, Diego

; Vay, Carlos

; Prieto, Mónica

Revista argentina de microbiología

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sep 2019, Volume 51 N. 3 Pages 255 - 258

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

MALDI-TOF (matrix assisted laser desorption ionization-time of flight) mass spectrometry (MS) proved to be a robust tool for the identification of numerous taxonomic groups. However, it has limitations. A key advantage of this technique is the flexibility for the incorporation of protein profiles of microorganisms not included in the commercial database. Due to the prevalence of Burkholderia contaminans in fibrocystic patients in Argentina and the fact that rapid and reliable microbiological diagnosis is crucial in them, MALDI-TOF MS emerges as a strategic tool. The aim of this work was to develop an additional database with peptide spectra of reference isolates of B. contaminans. This database demonstrated to be successful for the identification of 97% of the isolates analyzed. Therefore, MALDI-TOF MS with the extended database was a useful tool for the identification and differentiation of other related species to B. contaminans.

La espectrometría de masas (EM) (matrix assisted laser desorption ionization-time of flight) MALDI-TOF demostró ser una herramienta robusta para la identificación de numerosos grupos taxonómicos. No obstante, presenta limitaciones. Una ventaja clave de la técnica es la flexibilidad para la incorporación de espectros proteicos de microorganismos ausentes en la base de datos comercial. Dada la prevalencia de Burkholderia contaminans en los pacientes fibroquísticos en Argentina, y a que en ellos es crucial el diagnóstico microbiológico rápido y confiable, la EM MALDI-TOF surge como una herramienta estratégica. El objetivo del trabajo fue desarrollar una base de datos adicional con espectros peptídicos de aislamientos de referencia de B. contaminans. La misma demostró ser exitosa para la identificación del 97% de los aislamientos analizados. Por lo cual la EM MALDI-TOF con la base de datos extendida resultó ser una herramienta útil para la identificación y diferenciación de otras especies relacionadas a B. contaminans.

https://doi.org/10.1016/j.ram.2018.09.001 185 downloads

Abrasive effects of sediments on impellers of pumps used for catching raw water
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Serrano, Rodrigo O. P.

; Castro, Ana L. P. de

; Rico, Edwin A. M.

; Pinto, Maria A.

; Viana, Edna M. de F.

; Martinez, Carlos B.

Revista Brasileira de Engenharia Agrícola e Ambiental

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sep 2018, Volume 22 N. 9 Pages 591 - 596

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Neste estudo analisou-se a capacidade abrasiva dos sedimentos do leito do Rio Acre, Brasil, no desgaste de 3 materiais ferrosos diferentes utilizados na fabricação de rotores de bombas centrífugas, utilizados na captação de água bruta. Para determinar o modo de desgaste e a relação do coeficiente de desgaste específico do material (k), em função da concentração de sedimentos, foram realizados ensaios em abrasômetro de esfera rotativa em amostras de aço SAE 8620, ferro fundido nodular e em ferro fundido cinzento, usando como suspensões abrasivas as concentrações de 1, 2, 3, 5 e 10 g L-1 de sedimento em água destilada. O volume de desgaste em função da velocidade relativa do fluxo da água em relação às pás do rotor foi estimado matematicamente. Os resultados mostraram que: i) As formas semiangulares e semiarredondadas dos sedimentos do Rio Acre produziram evidencias de microssulcamento e deformação plástica nas três ligas metálicas; ii) O aço SAE 8620 mostrou maior resistência ao desgaste abrasivo do que as amostras de ferros fundidos cinzento e nodular; e iii) O aumento do volume de desgaste decorrente da aumento da concentração de sedimento e da velocidade relativa que a mistura (água + sedimento) para pelas pás do rotor.

ABSTRACT This study presents an analysis of the abrasive effects of sediments from the bed of the Acre River, Brazil, on the wear of three different ferrous materials employed in the manufacture of impellers of centrifuge pumps used to catch raw water. In order to evaluate the abrasive wear and specific wear coefficient (k) as a function of sediment concentration, tests were conducted in samples of SAE 8620 steel, nodular cast iron and gray cast iron by using a rotary-ball abrasion meter. These tests employed abrasive slurry with concentration of 1, 2, 3, 5 and 10 g L-1 of sediments in distilled water. The volume of worn material as a function of the relative velocity of water flow in relation to the impeller blades was mathematically estimated. The experimental results showed that: i) The semi-angular and semi-rounded shapes of the sediments from the Acre River produced evidence of micro-grooving and plastic deformation in the three metallic alloys; ii) SAE 8620 steel showed higher resistance to abrasive wear than samples of gray and nodular cast iron; iii) the increase in the volume of worn material due to increment in sediment concentration and the relative velocity of the mixture (water + sediment) to the rotor pads.

https://doi.org/10.1590/1807-1929/agriambi.v22n9p519-596 1006 downloads

Adubação fosfatada no feijoeiro cultivado sob palhada de Brachiaria brizantha cv. Marandu
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Silva, João Vitor de Souza

; Cruz, Simério Carlos Silva

; Alovisi, Alessandra Mayumi Tokura

; Kurihara, Carlos Hissao

; Xavier, Warless Domingos

; Martinez, Matheus Andrade

Revista Ceres

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mar 2018, Volume 65 N. 2 Pages 181 - 188

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO A aplicação de fertilizante fosfatado é indispensável para obtenção de produções sustentáveis de feijão, sendo o fósforo (P) necessário praticamente em todo seu ciclo. Por essa razão, alternativas de manejo da cultura estão sendo utilizadas, visando ao melhor aproveitamento desse nutriente, dentre elas, o uso da braquiária como planta de cobertura. Objetivou-se, com esta pesquisa, avaliar a dinâmica do fósforo no solo, com e sem a presença de Brachiaria brizantha cv. Marandu como planta de cobertura, bem como avaliar a resposta do feijoeiro à adubação fosfatada. Utilizou-se o delineamento em blocos ao acaso, com arranjo de parcelas subdivididas; as parcelas foram compostas por doses de P2O5 (0; 50; 100; 200 e 400 kg ha-1), por via do superfosfato triplo, e as subparcelas foram compostas por presença e ausência de braquiária como planta de cobertura, anteriormente ao cultivo do feijoeiro. Foram obtidas amostras de solo, aos 15 e 30 dias após a semeadura do feijoeiro. Nas amostras coletadas, efetuou-se o fracionamento de fósforo no solo, pela técnica de Hedley. Nas plantas de feijoeiro, avaliaram-se o teor de fósforo na folha e a produtividade de grãos. A adubação fosfatada e o cultivo de Brachiaria brizantha cv. Marandu como planta de cobertura proporcionam aumentos dos teores de P-lábil do solo, aos 15 e 30 DAS do feijoeiro, e de P-plábil (P pouco lábil) do solo somente aos 15 DAS do feijoeiro. A presença da Brachiaria brizantha cv. Marandu, como planta de cobertura, aumenta os teores de P da folha do feijoeiro, com consequente ganho de 18% na produtividade de grãos.

ABSTRACT The application of phosphate fertilizer is indispensable for the achievement of sustainable bean production, and P is necessary practically in the entire cycle. Thus, cultural management alternatives have been used in the best use of this nutrient, among them the use of Brachiaria as cover crop. The objective of this research was to evaluate the dynamics of phosphorus in the soil with and without the presence of Brachiaria brizantha cv. Marandú as cover crop, and the bean response to phosphorus fertilization. We used a randomized block design with a split plot arrangement; the plots were composed of P2O5 doses (0, 50, 100, 200, and 400 kg ha-1) via triple superphosphate; and the subplots were composed of the presence and absence of Brachiaria as previous cover crop cultivation of beans. Soil samples were taken at 15 and 30 days after sowing (DAS) bean. In the samples, phosphorus fractionation in soil was carried out by the Hedley technique. Phosphorus content was evaluated in the leaf and grain yield of bean plants. The phosphorus fertilization and cultivation of Brachiaria brizantha cv. Marandú as cover crop provided changes in the levels of labile P of soil at 15 and 30 DAS bean, and labile P of soil only at 15 DAS bean. The presence of B. brizantha cv. Marandú as cover crop increases the P content in the bean leaf with consequent grain yield gain of 18%.

https://doi.org/10.1590/0034-737x201865020010 1227 downloads

Celebration of 60th anniversary of Brazilian Society for Microbiology
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Martinez, Marina B.

; Taborda, Carlos P.

Brazilian Journal of Microbiology

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dec 2016, Volume 47 Suppl. 1 Pages 1 - 2

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.bjm.2016.10.014 498 downloads

El Rol del Empowerment en el Éxito Empresarial
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Cálix, Carlos Geovany

; Martinez, Lisana B.

; Vigier, Hernán P.

; Nuñez, José Jairo

Investigación administrativa

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jun 2016, Volume 45 N. 117

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract The aim of this study is to analyze whether the business success could be explained from the empowerment as a management tool and a set of specific variables of each company, such as age, sector, size and level of earned income. We work with an own database that gathers information from 120 companies of the city of La Ceiba, Honduras. Based on the theoretical framework of the Theory of Resources and Capabilities, probit and ordinal probit econometric models were applied. The results are consistent and show that the empowerment is a significant variable to business success, as the variables: age, size and level of income received.

Resumen El objetivo del presente estudio es analizar si el éxito empresarial puede ser explicado a partir del empowerment como herramienta de gestión y un conjunto de variables particulares de cada empresa, tales como: antigüedad, sector, tamaño y nivel de ingresos percibidos. Trabajamos con una base de datos propia que reúne información de 120 empresas de la ciudad de La Ceiba, Honduras. Basados en el marco teórico de referencia de la Teoría de Recursos y Capacidades, se aplicaron modelos econométricos probit y probit ordinal. Los resultados son consistentes y muestran que el empowerment es una variable significativa del éxito empresarial al igual las variables: antigüedad, tamaño y nivel de ingresos percibidos.

12626 downloads

10.

Uso de imagens MODIS no monitoramento do fluxo de sedimentos no reservatório de Três Marias
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Pinto, Carlos E. T.

; Menezes, Paulo H. B. J.

; Martinez, Jean-Michel

; Roig, Henrique L.

; Villar, Raúl A. E.

Revista Brasileira de Engenharia Agrícola e Ambiental

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may 2014, Volume 18 N. 5 Pages 507 - 516

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Objetivou-se, neste trabalho, monitorar o fluxo de entrada de sedimentos no braço do Rio Indaiá no reservatório de Três Marias, MG, com base em dados das imagens de satélites. Foram adquiridas séries temporais de 12 anos das imagens MODIS (Terra e Aqua), compostas de 8 dias. Estimativas de reflectância da superfície foram calculadas usando-se o algoritmo MOD3R. Dados hidrossedimentométricos da estação de monitoramento do Rio Indaiá foram integrados às análises para se entender a relação entre as respostas das imagens de satélites e as medições de campo. Os resultados apontaram uma forte relação entre os dados de reflectância e a descarga sólida calculada no Rio Indaiá; há, também, uma forte variação da reflectância ao longo do braço do reservatório no sentido da montante à jusante, com altos valores de reflectância à montante e valores baixos à jusante. O percentual de registros válidos estimados nas imagens MODIS atendeu aos requisitos de monitoramento do fluxo de sedimentos enquanto as estimativas de reflectância da água mostraram grande potencial em relacionar as respostas espectrais das imagens de satélites com a variação da descarga sólida de sedimento no braço do Rio Indaiá.

This study presents the monitoring of the sediment discharge from the Indaiá River into the Três Marias reservoir, based on the use of satellite images. A 12-year time series of MODIS 8-day image composites (Terra and Aqua on-board sensors) was used in this study. Estimates of the water surface reflectance were calculated using the algorithm MOD3R. River suspended sediment discharge records made available from the CEMIG hydroelectric company were integrated in the analysis to understand the variability of the remote sensing reflectance. The results showed a strong relationship between the reflectance data and the Indaiá river solid discharge. A strong variation of the reflectance is assessed within the reservoir (upstream towards downstream), with high reflectance values upstream (near the river mouth) and low reflectance values downstream. The estimated percentage of valid records in MODIS images met the requirements for monitoring the flow of sediment. Estimates of water reflectance show great potential in relating the sedimentation processes within the Reservoir as a function of time.

3864 downloads

11.

Downstream passage of fish larvae and eggs through a small-sized reservoir, Mucuri river, Brazil
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Pompeu, Paulo S.

; Nogueira, Lorena B.

; Godinho, Hugo P.

; Martinez, Carlos B.

Zoologia (Curitiba)

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dec 2011, Volume 28 N. 6 Pages 739 - 746

Abstract: En | Text: En | PDF: En

In South America, one important symptom of the failure of fish passages to sustain fish migratory recruitment is the inability of eggs and larvae to reach the nurseries. This is especially so when the breeding areas are located upstream of a reservoir, and the floodplain is downstream of the dam. Therefore, the transport of fish larvae and eggs across reservoir barriers is a key factor in the development of effective conservation strategies. In this paper, we evaluate the potential for migratory fish larvae and egg transportation across a small size reservoir in eastern Brazil. We sampled fish daily between 15th October 2002 and 15th February 2003 (spawning period) in the Mucuri River, immediately upstream of the reservoir and downstream of the Santa Clara Power Plant dam. Our study was the first to indicate the possibility of successful larval passage through the reservoir of a hydroelectric reservoir and dam in South America, and showed that the passage of migratory fish larvae was associated significantly with residence time of water in the reservoir. The relatively short water residence time and elevated turbidity of the Santa Clara's reservoir waters during the rainy season certainly contributed to the successful passage, and can be considered as key factors for a priori evaluations of the feasibility of a downstream larval passage.

3248 downloads

12.

Effect of artificial aging on polymeric surge arresters and polymer insulators for electricity distribution networks
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Ferreira, Carlos A.

; Coser, E.

; Angelini, Joceli M. G.

; Rossi, José A. D.

; Martinez, Manuel L. B.

Polímeros

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2011, Volume 21 N. 5 Pages 436 - 442

Abstract: En | Text: En | PDF: En

A study was conducted to evaluate new and laboratory-aged samples of surge arresters and anchorage polymeric insulators, for 12 and 24 kV networks, which are used by the Rio Grande Energia (RGE). Power Utility Polymeric compounds were analyzed by Differential Scanning Calorimetry (DSC), Thermogravimetric Analysis (TG), Dynamic-Mechanic Analysis (DMA), Fourier Transformed Infrared Spectroscopy (FTIR) and Scanning Electronic Microscopy (SEM) to verify changes in the insulator properties due to degradation occurred during the experiments. The analyses were carried out before and after 6 months of aging in laboratory devices (weatherometer, 120 °C, salt spray, immersion in water). After the aging experiments, high-voltage electrical tests were also conducted: a radio interference voltage test and, simultaneously, the total and the internal leakage currents were measured to verify the surface degradation of the polymeric material used in the housing. The impulse current test was applied with current values close to 5, 10 and 30 kA, in order to force an internal degradation. Results showed that only surface degradation is detected at the polymer. The main properties of the parts were not affected by the aging. It confirms that polymer insulator and surge arrestor are appropriate for use in electricity distribution networks.

4147 downloads

13.

Classificação dos periódicos no Sistema Qualis da Capes: a mudança dos critérios é urgente!
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Andriolo, Adagmar

; Barbosa, Alfredo José Afonso

; França Netto, Antonio Spina

; Hernandez, Arnaldo José

; Camargos, Aroldo F.

; Barraviera, Benedito

; Kadunc, Bogdana Victoria

; Caramelli, Bruno

; Campos, Carlos Eduardo Aguilera

; Brites, Carlos Roberto

; Braile, Domingo M.

; Goldenberg, Dov Charles

; Kimura, Edna T

; Marchiori, Edson

; Vieira, Eduardo de Paula

; Sampaio, Francisco J. B.

; Jotz, Geraldo Pereira

; Camanho, Gilberto

; Friedman, Gilberto

; Cerri, Giovanni Guido

; Duarte, Ivomar Gomes

; Costa, Izelda Maria Carvalho

; Mello Júnior, João Ferreira de

; Faintuch, Joel

; Martinez, José Antônio Baddini

; Livramento, José Antonio

; Manso, José Eduardo Ferreira

; Battistella, Linamara Rizzo

; Machado, Luís dos Ramos

; Moreira, Luiz Felipe P.

; Gebrim, Luiz Henrique

; Madeira, Marcelo

; Riberto, Marcelo

; Bastos, Marcus

; Falcão, Mário Cícero

; Silva, Mauricio Rocha e

; Ruiz, Milton Artur

; Shibata, Milton K.

; Santiago, Mittermayer Barreto

; Martins, Regina Helena Garcia

; Procianoy, Renato Soibelmann

; Baroudi, Ricardo

; Fuller, Ricardo

; Viebig, Ricardo Guilherme

; Nitrini, Ricardo

; Dedivitis, Rogério

; Damião, Ronaldo

; Lianza, Sergio

; Rode, Sigmar de Mello

; Yoshida, Winston Bonetti

; Handar, Zuher

Revista Brasileira de Hematologia e Hemoterapia

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feb 2010, Volume 32 N. 1 Pages 1 - 3

Abstract: Pt | Text: Pt | PDF: Pt

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14.

The role of invasive therapies in elderly patients with acute myocardial infarction
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Nicolau, José C.

; Lemos, Pedro A.

; Wajngarten, Maurício

; Giraldez, Roberto R.

; Serrano Jr., Carlos V.

; Martinez, Eulógio E.

; Baracioli, Luciano M.

; Kalil, Roberto

; Jatene, Fábio B.

; Dallan, Luis A.

; Puig, Luis B.

; Stolf, Noedir A.

Clinics

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jun 2009, Volume 64 N. 6 Pages 553 - 560

Abstract: En | Text: En | PDF: En

INTRODUCTION: In elderly patients with acute myocardial infarction, very little is known about the role of surgical myocardial revascularization and percutaneous coronary intervention (invasive therapies - IT), especially in the context of long-term outcomes after hospital discharge. METHODS: We analyzed 1588 patients with MI who had been included prospectively in a databank and followed for up to 7.5 years. In this population, 548 patients were >70 years old (elderly group - EG), and 1040 were <70 years of age (younger group - YG); 1088 underwent IT during hospitalization, and the remaining 500 were treated medically (conservative therapy - CT). Patients were monitored either by visit or by phone at least once a year. A standard questionnaire was administered to all patients. The impact of IT was analyzed with both non-adjusted and adjusted models. RESULTS: By the end of the follow-up period, the survival rates for the IT and CT groups were, respectively, 71.9% versus 47.2% in the global population (hazard ratio=0.55, P<0.001), 81.5% versus 66.6% in the YG (hazard ratio=0.68, P=0.018) and 48.8% versus 20.3% in the EG (hazard ratio=0.58, P<0.001). In the adjusted models, the hazard ratios were 0.62 (P<0.001) in the global population, 0.74 in the YG (P=0.073) and 0.64 (P=0.001) in the EG. CONCLUSION: Long-term follow-up of patients with myocardial infarction revealed that IT during the in-hospital phase was at least as effective in elderly patients as in younger patients.

1536 downloads

15.

Randomized trial of total fundoplication and fundal mobilization with or without division of short gastric vessels: a short-term clinical evaluation
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Farah, José Francisco de Mattos

; Grande, José Carlos Del

; Goldenberg, Alberto

; Martinez, Júlio César

; Lupinacci, Renato Arione

; Matone, Jacques

Acta Cirúrgica Brasileira

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dec 2007, Volume 22 N. 6 Pages 422 - 429

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

OBJETIVO: Comparar os resultados imediatos e curto prazo segundo a secção ou não dos vasos gástricos curtos. MÉTODOS: Estudo prospectivo randomizado com 90 pacientes selecionados em dois grupos: 46 (grupo A) sem secção e 44 (Grupo B) com secção dos vasos gástricos curtos, seguidos de hiatoplastia e fundoplicatura total por laparoscopia. Analisaram-se os resultados até um ano de pós-operatório. RESULTADOS: Os dois grupos eram homogêneos quanto aos critérios demográficos e aos relacionados á doença do refluxo gastroesofágico. Não houve diferença quanto á morbidade ou tempo de internação, porém o tempo cirúrgico foi maior no Grupo B (80,2 minutos contra 94,1 minutos, p=0,021). Disfagia transitória foi mais freqüente no Grupo A (46,6% versus 23,2%,p=0,012), porém na avaliação final de primeiro ano do pós-operatório não existindo diferença quanto á disfagia persistente, reoperação ou recidiva. CONCLUSÃO: Não houve melhora quando da secção rotineira para a mobilização do fundo gástrico para a realização da fundoplicatura total por laparoscopia.

PURPOSE: Evaluate short results after fundoplication procedure, concerning the division of short gastric vessels. METHODS: A prospective randomization of 90 patients with indication for hiatoplasty and total fundoplication with fundus mobilization was performed. They were divided into two groups: no SGV division (group A, n= 46) and with SGV division (Group B, n=44), although in both groups the gastric fundus was mobilized to perform a floppy valve. Early outcome with clinical follow up (1 year) was observed. RESULTS: Both groups were similar regarding preoperative parameters and severity of gastroesophageal reflux disease (GERD). No difference in morbidity was observed during hospital stay. Nevertheless, the median operating time was 80,2 minutes in group A and 94,1 minutes (p=0,021) in Group B. Transitory dysphagia during the first year was significantly lower in group B (46,6% versus 23,2%, p=0,012). However, in 12 months clinical outcome was similar in both groups (clinical symptoms of GERD, persistent dysphagia and reoperations). CONCLUSION: There was no improvement in routine division of SGV in total fundoplication procedure when the gastric fundus was mobilized.

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