Organização estratégica de plataforma para caracterização espacial de riscos no setor agropecuário e agroflorestal.

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Paraquat Intoxication – experience of an Internal Medicine ward for 18 years

Introduction: Paraquat is a contact herbicide commercially available since 1962. Paraquat intoxication (PI) is usually voluntary and highly lethal, since there is no effective antidote. Toxicity occurs through cyclic redox reactions, damaging mainly the kidneys and lungs. Aim, material and methods: featuring the clinical presentation, management and outcome of patients with PI over an 18 years period (from the 01st January 1993 to the 31st December 2010) through the retrospective analysis of clinical files and comparing the survivors and the deceased. Results: Thirty-one cases of Paraquat intoxication were included, with a male: female ratio 1:1. Age range from 13 to 80 years, mean age 42.4years (±18.7).All intoxications were voluntary and by oral route. There was statistical difference in the amount ingested (22.1 mL vs. 72.7 mL, p<0.0005). A non-significant trend to a longer delay until getting medical attention in the deceased group (1.6 h vs. 3.2 h, p=0.091). Statistical significance was found between mortality and leukocytosis, hypocapnea, hypoxemia, LDH, alkaline phosphatase and AST. There was no difference between groups according to treatment options, although hemocarboperfusion was used more often in the deceased group (53.9% vs. 66.7%, p=0.471) and corticosteroids in the survivor group (61.5% vs. 44.4%, p=0.350). Mortality rate was 58.1% (66.7% in the first 72 hours), due to respiratory insufficiency and multiple organ failure. Variable levels of pulmonary fibrosis occurred in 38.5% of the survivors. Discussion & Conclusion: Paraquat intoxication has a poor prognosis with limited efficiency of treatment approaches. The relation between Paraquat in the urine and the time elapsed after ingestion is the main determinant factor in the prognosis. In this study the presence of dyspnea, hypocapnea and hypoxemia was linked to a bad prognosis. There was no statistical difference between the available treatment options

Plataforma de logística.

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Efeito primeira noite na polissonografia de ambulatório: será uma realidade?

Projeto IPL/2017/E2SLEEP/ESTeSL/711030A estrutura do sono pode sofrer alterações na primeira noite do estudo polissonográfico devido à exposição a um novo ambiente. Alguns autores defendem a necessidade de se excluir da análise dos dados a noite de adaptação ao laboratório uma vez que estes podem não refletir a realidade. A maioria das evidências disponíveis são resultado de estudos polissonográficos realizados em laboratório do sono, não existindo dados atuais no que concerne a estudos ambulatórios em casas particulares. O objetivo deste estudo é comparar os dados subjetivos e objetivos entre a primeira e segunda noite de uma polissonografia (PSG) de ambulatório.info:eu-repo/semantics/publishedVersio

Nonparametric estimation of conditional transition probabilities in a non-Markov illness-death model

One important goal in multi-state modeling is the estimation of transition probabilities. In longitudinal medical studies these quantities are particularly of interest since they allow for long-term predictions of the process. In recent years signi ficant contributions have been made regarding this topic. However, most of the approaches assume independent censoring and do not account for the influence of covariates. The goal of the paper is to introduce feasible estimation methods for the transition probabilities in an illness-death model conditionally on current or past covariate measures. All approaches are evaluated through a simulation study, leading to a comparison of two di erent estimators. The proposed methods are illustrated using real a colon cancer data set.This research was nanced by FEDER Funds through Programa Operacional Factores de Competitividade COMPETE and by Portuguese Funds through FCT - Funda ção para a Cência e a Tecnologia, within Projects Est-C/MAT/UI0013/2011 and PTDC/MAT/104879/2008. We also acknowledge nancial support from the project Grants MTM2008-03129 and MTM2011-23204 (FEDER support included) of the Spanish Ministerio de Ciencia e Innovaci on and 10PXIB300068PR of the Xunta de Galicia. Partial support from a grant from the US National Security Agency (H98230-11-1-0168) is greatly appreciated

Development and Optimization of an Online SPE-HPLC-FD Method for Quantification of Fluoroquinolones in Wastewater Effluents

Fluoroquinolones are antimicrobial agents widely found in environmental matrices and extensively studied due to their persistence and implications for multiresistant bacteria. The presence of fluoroquinolones in the environment is mainly due to the incapability of wastewater treatment plants (WWTPs) to completely remove those compounds. The amount of fluoroquinolones released through effluents depends on the type of treatment used by the WWTPs. So, accurate analytical methods to quantify those compounds on WWTPs process and in effluents are crucial. Solid phase extraction (SPE) coupled to liquid chromatography is a straightforward technique that provides analyte extraction, cleanup, separation and detection while providing a good reproducibility and efficiency. The purpose of this work was the establishment of a novel method for quantification of Ofloxacin, Norfloxacin, Ciprofloxacin and Moxifloxacin on WWTPs effluents using on-line SPE. Samples were injected directly on a restricted access material column LichroCart 25-4 Lichrospher® RP-18 ADS (25 μm) and then transferred to an analytical column Luna PFP (2) (150 x 4.6 mm ID, 100 Å, 3 μm) for separation in isocratic mode with a mixture of 0.1% triethylamine in water (acidified to pH = 2.2 with trifluoroacetic acid) and ethanol as mobile phase; column oven was set at 45ºC. The detection was performed by fluorescence with an excitation wavelength of 290 nm and an emission wavelength of 460 nm. The injection volume of 100 μL of previous preconcentrated sample was compared with larger volume injection of only filtered effluent samples. The study was conducted with effluent samples collected from a municipal WWTP in the north of Portugal

Cortes histológicos em duas variedades de bananeira (Musa spp.) submetidas ao déficit hídrico.

A banana é produzida em mais de 130 países, com uma produtividade de aproximadamente 100 milhões de toneladas. O Nordeste brasileiro representa 40% da produção nacional. No entanto, possui como fator limitante para expansão da bananicultura, a falta de disponibilidade de água na maioria das suas áreas para plantio