ABSTRACT Introduction: Surgical training will be complemented by digitalisation, as the COVID 19 pandemic continues (1). Proximie is an augmented reality (AR) platform that can display up to 4 native camera views, with live or semi live telementoring. It can optimise ergonomics of the surgeon at the console (2), and robotic instrument orientation. We describe the utilisation of Proximie as a step-by-step guide in a robotic assisted radical prostatectomy (RARP). Surgical Technique: Author V. P. performed a transperitoneal multiport da Vinci Xi RARP with the Proximie platform: a laptop computer, multiple HD webcams, microphones and speakers. Using an HDMI cable to the Intuitive Surgical tower, output display from the console and an additional laparoscopic tower is shown. Each webcam was mounted to the side armrests of the console, directed at the surgeon's hands. An independent ‘drop in’ laparoscope via an additional 5mm left upper quadrant port was utilised. Observers can visualise the AR platform's recordings on a laptop and/or smartphone. A PTZ (pan-tilt-zoom) camera can capture the operating room, bedside assistant, ports and patient position. Our video demonstrates three of four camera views for posture, forearm, wrist, hand, and finger orientation, relative to the translated robotic steps. A pincer grasp of the endowrist manipulator during anastomosis allows optimal robotic wrist rotation. The second laparoscopic camera view demonstrated intracorporeal angles of robotic arm and bedside assistant's instrument position for critical steps such as nerve sparing and anastomosis (3). The console time was 100 minutes, no intraoperative complications, or delay in image transmission occurred with utilising the platform. Considerations: An AR platform can create deeper learning for RARP in real time or recorded sessions. Two-way verbal and visual communication with ability to annotate on screen, allows long distance mentoring. The platform's utility can be accessed in anywhere, to project surgeons beyond their immediate environment. This allows for democratisation of access to high volume institutions and their evolution of techniques (4), to assist patients globally. Potential developments are artificial intelligence (AI) networks analysing repository of such recorded data, to identify intraoperative hand motion and robotic instrument tracking. AR is a pertinent building block to enhance robotic training, skill dissemination, precision medicine (5) and surgery overall.

Density, viscosity and calorific values are important physical properties to affect the utilization of biofuel. In this work, mixtures of farnesane and a “jet fuel”, QAv-1, were used to study the variation of density and kinematic viscosity as a function of the volumetric fraction of farnesane and temperature. Experimental measurements were carried out for nineteen farnesane blends and pure farnesane and QAv-1, at four temperatures in the range of 293 - 323 K. Variation of high heating (HHV) and low heating (LHV) values were also determined for different blends of farnesane/QAv-1. Several empirical correlations were used to predict the density, the kinematic viscosity, HHV and LHV values. By using some of these empirical correlations, the estimated values of those three properties studied are in excellent agreement with the experimental data, with low absolute average prediction error.

The analysis of ventilatory efficiency in cardiopulmonary exercise testing has proven useful for assessing the presence and severity of cardiorespiratory diseases. During exercise, efficient pulmonary gas exchange is characterized by uniform matching of lung ventilation with perfusion. By contrast, mismatching is marked by inefficient pulmonary gas exchange, requiring increased ventilation for a given CO2 production. The etiology of increased and inefficient ventilatory response to exercise in heart disease is multifactorial, involving both peripheral and central mechanisms. Exercise training has been recommended as non-pharmacological treatment for patients with different chronic cardiopulmonary diseases. In this respect, previous studies have reported improvements in ventilatory efficiency after aerobic exercise training in patients with heart disease. Against this background, the primary objective of the present review was to discuss the pathophysiological mechanisms involved in abnormal ventilatory response to exercise, with an emphasis on both patients with heart failure syndrome and coronary artery disease. Secondly, special focus was dedicated to the role of aerobic exercise training in improving indices of ventilatory efficiency among these patients, as well as to the underlying mechanisms involved.

The oxygen uptake efficiency slope (OUES) is a submaximal index incorporating cardiovascular, peripheral, and pulmonary factors that determine the ventilatory response to exercise. The purpose of this study was to evaluate the effects of continuous exercise training and interval exercise training on the OUES in patients with coronary artery disease. Thirty-five patients (59.3±1.8 years old; 28 men, 7 women) with coronary artery disease were randomly divided into two groups: continuous exercise training (n=18) and interval exercise training (n=17). All patients performed graded exercise tests with respiratory gas analysis before and 3 months after the exercise-training program to determine ventilatory anaerobic threshold (VAT), respiratory compensation point, and peak oxygen consumption (peak VO2). The OUES was assessed based on data from the second minute of exercise until exhaustion by calculating the slope of the linear relation between oxygen uptake and the logarithm of total ventilation. After the interventions, both groups showed increased aerobic fitness (P<0.05). In addition, both the continuous exercise and interval exercise training groups demonstrated an increase in OUES (P<0.05). Significant associations were observed in both groups: 1) continuous exercise training (OUES and peak VO2 r=0.57; OUES and VO2 VAT r=0.57); 2) interval exercise training (OUES and peak VO2 r=0.80; OUES and VO2 VAT r=0.67). Continuous and interval exercise training resulted in a similar increase in OUES among patients with coronary artery disease. These findings suggest that improvements in OUES among CAD patients after aerobic exercise training may be dependent on peripheral and central mechanisms.

A nanotecnologia é um campo emergente de ciência com o potencial de criar novos materiais e estratégias envolvendo a manipulação de materiais em escala nanométrica (<100nm). Uma vez que as propriedades das nanopartículas dependem do seu tamanho, elas vêm introduzido um novo paradigma na farmacoterapia – a possibilidade de entregar drogas a células-alvo com o mínimo de efeitos colaterais sistêmicos e toxicidade. A presente revisão fornece um resumo de achados publicados, especialmente no que concerne às formulações de nanopartículas para doenças pulmonares. Os dados disponíveis têm mostrado alguns benefícios da terapia com nanopartículas no desenvolvimento da doença e remodelamento pulmonar em doenças respiratórias. Entretanto, há uma grande diferença entre os conceitos de nanomedicina, os dados experimentais publicados e a realidade clínica. Além disso, estudos são necessários para determinar o potencial da nanoterapia e a toxicidade sistêmica de nanomateriais para o uso futuro em humanos.

Nanotechnology is an emerging science with the potential to create new materials and strategies involving manipulation of matter at the nanometer scale (<100 nm). With size-dependent properties, nanoparticles have introduced a new paradigm in pharmacotherapy – the possibility of cell-targeted drug delivery with minimal systemic side effects and toxicity. The present review provides a summary of published findings, especially regarding to nanoparticle formulations for lung diseases. The available data have shown some benefits with nanoparticle-based therapy in the development of the disease and lung remodeling in respiratory diseases. However, there is a wide gap between the concepts of nanomedicine and the published experimental data and clinical reality. In addition, studies are still required to determine the potential of nanotherapy and the systemic toxicity of nanomaterials for future human use.

Manganita de lantânio dopada com estrôncio (LSM) e cromita (LSC) em pó, bem como as correspondentes amostras não dopadas, foram sintetizadas pelo método de combustão, usando dois diferentes combustíveis (ureia e glicina). A ignição da mistura reacional com ureia leva mais tempo e a temperatura máxima é maior do que usando glicina, para as amostras dopadas. Os cálculos teóricos de calor de reação e temperatura de chama adiabática indicam condições favoráveis à combustão. No entanto, a calcinação é uma etapa essencial para uma boa cristalização da fase perovskita. Os padrões de difração de raios X mostraram a formação apenas da fase perovskita para as amostras sintetizadas com uréia. Os tamanhos de cristalitos estão na faixa de 19-25 nm, com valores menores quando a ureia é usada como combustível. Análises de microscopia eletrônica de varredura mostraram a presença de aglomerados, formados por partículas finas de diferentes formas. A análise termogravimétrica revelou que a perda de peso é muito maior para as manganitas, com queima completa dos orgânicos em 850-900 ºC.

Lanthanum strontium manganite (LSM) and chromite (LSC) powders, as well as the corresponding non-doped samples, were synthesized by the combustion method, using two different fuels (urea and glycine). The ignition of the reagent mixture with urea takes a longer time and the maximum temperature is higher than using glycine, for doped samples. The theoretical calculations of exothermic heat and adiabatic flame temperatures indicate favorable conditions for combustion to occur. However, calcination is an essential step for a good crystallization of perovskite phase. X-ray diffraction patterns showed formation of only perovskite phase for the samples synthesized with urea. The crystallite sizes are in the range of 19-25 nm, with smaller values when urea was used as fuel. Scanning electron microscopy showed the presence of agglomerates, formed by fine particles of different shapes. Thermogravimetric analysis revealed that the weight loss is much higher for manganites, with complete burn out of organics at 850-900 ºC.

A fotoluminescência de filmes finos de 1-(3-metilfenil)-1,2,3,4-tetrahidroquinolina-6-carboxialdeído-1,1'-difenilhidrazona foi monitorada em função da irradiação com luz UV. A intensidade da emissão decresce exponencialmente com o tempo de exposição, sugerindo degradação das amostras. Com o objetivo de investigar os mecanismos de degradação e determinar a estrutura eletrônica desse material orgânico usado com sucesso como camada transportadora de buracos na fabricação de diodos orgânicos emissores de luz (OLEDs), foram empregadas as técnicas de fotoabsorção e de fotoemissão nas bordas 1s do carbono e do nitrogênio bem como na banda de valência. A influência da luz solar foi simulada usando radiação síncrotron não-monocromática. Após exposição, todos os espectros apresentam um decréscimo nos sinais de fotoabsorção e de fotoemissão, que é menos acentuado na borda do carbono, apresentando, entretanto, um decréscimo drástico na borda do nitrogênio e na região de valência. O estudo sugere que a perda de nitrogênio é a principal causa para a quebra do sistema π, levando, dessa forma, à falha do dispositivo fabricado com esse composto.

Photoluminescence (PL) emission of 1-(3-methylphenyl)-1,2,3,4-tetrahydroquinoline-6-carboxyaldehyde-1,1 -diphenylhydrazone (MTCD) thin films was monitored as a function of UV irradiation, and it was found to decrease exponentially with the exposure time. In order to gain insight into the degradation mechanisms and evaluate the electronic structure of this organic material used with good results as hole transporting layer (HTL) in the fabrication of organic light emitting diodes (OLEDs), synchrotron radiation-based photoabsorption and photoemission techniques at the carbon and nitrogen 1s edges as well as at the valence band were employed. The influence of sunlight was simulated using non-monochromatized synchrotron radiation. After exposure all the spectra show a decrease of the photoabsorption and photoemission signals, however, while it is less accentuated at the carbon edge, at the nitrogen edge and at the valence region it decreases drastically. The loss of nitrogen is suggested to be the main step in the disruption of the π system, leading to the failure of the devices fabricated with this compound as hole transporting layer.

O propósito deste trabalho foi determinar os parâmetros cinéticos de decomposição térmica para uma amostra de propelente base simples e base dupla. Os dados obtidos pela calorimetria exploratória diferencial foram ajustados para o modelo cinético de pseudo-primeira ordem de Flynn, Wall e Ozawa. Os respectivos parâmetros obtidos foram: BS REX 1200 (Ea) (2,3 ± 0,2) 10² kJ mol-1 e (A) 1,34 10(25) min-1; BD-111 (Ea) (1,6 ± 0,1) 10² kJ mol-1 e (A) 3,31 10(17) min-1. O espectro de infravermelho da amostra de propelente base dupla indicou a presença de salicilato, justificando o comportamento de decomposição observado na respectiva curva térmica.

The purpose of this work was to determine the kinetics parameters of the thermal decomposition of a sample single-base (BS) and double-base (BD) propellants. The experimental data obtained by differential scanning calorimetry (DSC) were adjusted to the pseudo-first order kinetic model of Flynn, Wall and Ozawa. The respective parameters obtained are: BS REX 1200 (Ea) (2.3 ± 0.2) 10² kJ mol-1 and (A) 1.34 10(25) min-1; BD-111 (Ea) (1.6 ± 0.1) 10² kJ mol-1 and (A) 3.31 10(17) min-1. IR spectrum has confirmed the presence of salicilate in the double-base (BD) propellant and some correlations corroborate the conclusions about the decomposition mechanism.

Este trabalho tem como propósito avaliar a cinética de consumo do estabilizante 2NDPA presente em uma amostra de propelente tipo base-dupla (BD). Tópicos relativos ao método analítico empregado e, a interferências na cinética de consumo do estabilizante pela nitroglicerina e o salicilato de chumbo presente no propelente, também são abordados. Foram obtidos, ainda, os parâmetros cinéticos de consumo do 2NDPA. Para isto, foi empregada a técnica da Cromatografia Líquida de Alta Eficiência (CLAE). Os dados experimentais foram bem ajustados para uma cinética de pseudoprimeira ordem. A energia de ativação (Ea) e o fator pré-exponencial (A) determinados foram, respectivamente, (1,22 ± 0,42) 10² kJ mol-1 e (10(16) ±10(6)) dia-1.

The purpose of this work was to study the kinetic depletion of stabilizers 2-NDPA in double-base propellants. Topics relatives at analytic method utilized and interferences in kinetic of depletion of stabilizers by presence of nitroglycerine and lead salicylate are presented. The kinetics parameters of depletion of stabilizers were determined by High Performance Liquid Chromatography (HPLC). The experimental data were adjusted to a pseudo-first kinetic model. The activation energy (Ea) and the pre-exponential factor (A) calculated were (1.22 ± 0.42) 10² kJ mol-1 and (10(16) ± 10(6)) day-1, respectively.

Photon stimulated ion desorption (PSID) from condensed carbon dioxide has been studied for photon excitation energies ranging from 93 to 193 eV. PSID studies have been performed at the Brazilian synchrotron light source (LNLS), Campinas, during a multi-bunch operation mode of the storage ring. The results showed that after photon excitation several ions desorbed from the CO2 films: C+ , O+ , CO+ and O2+. PSID experiments showed that ion desorption was enhanced only at the Si resonance excitations. When the thickness of the CO2 was ~ 500 L or higher, almost no desorption yield was observed. The study of the dependence of the relative partial ion yield on the photon excitation showed that the X-ray induced Electron Stimulated Desorption (XESD) mechanism has to be invoked to explain the origin of the desorbed ions in the energy region studied.

Foram avaliados cinco grupos genéticos quanto à eficiência bionutricional (índice resultante da primeira função canônica de uma análise bivariada que envolveu ganho de peso e consumo de matéria seca) sendo seis animais da raça Nelore (N), cinco 1/2Romosinuano-1/2Caracu (RSC), quatro 1/2Senepol-1/2Caracu (SEC), quatro 1/2Belmont Red-1/2Caracu (BRC) e sete 1/2Valdostana-1/2Nelore (VAN). Não foi observada diferença significativa no desempenho dos animais mestiços Caracu, cuja média de eficiência bionutricional foi 519,8. O Nelore apresentou a menor eficiência bionutricional, 425,07, e os animais F1 Valdostana-Nelore, 499,30. Tendência semelhante foi observada para o ganho de peso. Os mestiços que envolveram raças européias adaptadas (RSC, SEC, BRC) apresentaram média de ganho de peso de 1,69kg/dia, enquanto os F1s Valdostana-Nelore alcançaram 1,57kg/dia e os da raça Nelore 1,29kg/dia. Não houve diferença no consumo diário de matéria seca entre os grupos genéticos, média de 7,76kg de MS ingerida/dia. Os grupos genéticos apresentaram conversão alimentar semelhante, com média de 4,87kg de MS ingerida/kg de ganho de peso.

Five genetic groups were evaluated by bio-nutritional efficiency (index obtained from the first canonical function in a bivariate analysis encompassing weight gain and dry matter intake): six Nellore (N), five 1/2Romosinuano-1/2Caracu (RSC), four 1/2Senepol-1/2Caracu (SEC), four 1/2Belmont Red-1/2 Caracu (BRC) and seven 1/2Valdostana-1/2Nellore (VAN). No differences were observed among the Caracu crosses for bio-nutritional efficiency, which averaged 519.8. Nellore showed the smallest performance (425.07), while the Vasdostana-Nellore F1's averaged 499.30. Similar trend was observed for daily weight gain. The crossbred animals involving European adapted breeds (RSC, SEC, BRC) showed an average gain of 1.69kg/day, while the F1's Valdostana-Nelore and the Nellore gains were, respectively, 1.57kg/day and 1.29kg/day. No difference for dry matter (DM) intake among genetic groups which averaged 7.76kg DM intake/day was observed. As far as feed conversion is concerned, no difference among genetic groups, which averaged 4.87kg of DM intake/kg of weight gain, was observed.

Background: The analysis of mitochondrial DNA restriction site polymorphisms assigns most Latin American aborigines to four haplogroups. These are characterized by determined polymorphic restriction sites and a deletion of 9 base pairs in the intergenic region V. Aim: To study the distribution of mitochondrial DNA haplogroups in Chilean aboriginal groups, as well as in the mixed population of Santiago. Material and methods: One hundred twenty Aymara subjects and 23 Atacameño subjects from the Northern part of Chile and 162 randomly chosen subjects residing in Santiago were studied. DNA was extracted from peripheral lymphocytes. Mitochondrial DNA was amplified by means of polymerase chain reaction. Results: The frequency of haplogroup B decreases from north to south. Aymaras in the north have the highest frequency (64%) and it is absent among the Yamanas (previously studied) in the extreme South. Haplogroups C and D show an inverse tendency. It is noteworthy that 84% of mitochondrial haplogroups of the mixed population of Santiago are of Amerindian origin whereas the Y-chromosomes are mainly European. Conclusions: The peculiar distribution of haplotypes indicate that the population of Santiago is the result of an asymmetric mating system in which the females ancestors were mainly Amerindian and the male ancestors mainly European (Rev Méd Chile 2002; 130: 125-31)

Os autores estudaram um caso humano de febre amarela silvestre, sob os aspectos clínico, laboratorial e epidemiológico. O paciente apresentava febre (39ºC), calafrios, sudorese, cefaléia, dor lombar, mialgia, dor abdominal em epigástrio, náuseas, vômitos, diarréia e prostração. Relatava permanência em área onde foram constatados casos de febre amarela silvestre e não havia histórico de vacinação anterior. Frente às suspeitas que levaram à investigação do vírus da febre amarela, foram colhidas várias amostras de sangue no curso da doença. As amostras do 5º, 7º e 10º dias foram submetidas a provas de isolamento e quantificação do vírus, o que possibilitou o estudo da viremia. Empregando-se os testes de MAC-ELISA (detecção de IgM), Fixação de Complemento (FC), Inibição de Hemaglutinação (IH) e teste de Neutralização (N), foi observada a resposta imune para anticorpos específicos nas amostras do 7º ao 26º dias. Os resultados mostraram que no 5º e 7º dias havia persistência da fase virêmica, com títulos elevados. Ao término desta fase, com o aparecimento de anticorpos específicos, foi observado um agravamento do quadro clínico, com sangramento de mucosas. Os autores alertam para a possibilidade de ocorrerem epidemias urbanas em áreas com alta infestação de Aedes aegypti.

The authors report the clinical, laboratorial and epidemiological aspects of a human case of jungle yellow fever. The patient suffered from fever, chills, sweating, headaches, backaches, myalgia, epigastric pains, nausea, vomiting, diarrhea and prostration. He was unvaccinated and had been working in areas where cases of jungle yellow fever had been confirmed. Investigations concerning the yellow fever virus were performed. Blood samples were collected on several days in the course of the illness. Three of these samples (those obtained on days 5,7 and 10) were inoculated into suckling mice in attempt to isolate virus and to titrate the viremia level. Serological surveys were carried out by using the IgM Antibodies Capture Enzyme Linked Immunosorbent Assay (MAC-ELISA), Complement Fixation (CF), Hemagglulinalion Inhibition (HI) and Neutralization (N) tests. The yellow fever virus, recovered from the two first samples and the virus titration, showed high level of viremia. After that, specific antibodies appeared in all samples. The interval between the end of the viremia and the appearance of the antibodies was associated with the worsening of clinical symptoms, including bleeding of the mucous membrane. One must be aware of the risk of having a urban epidemics in areas where Aedes aegypti is found in high infestation indexes.