THE QUALITY OF THE NURSING CARE TROUGH A SURGICAL PERIOD ACCORDING TO CLIENTS’ FEEDBACK

Este estudo faz parte de um projeto do Grupo de Estudos Multiprofissional em Saúde do Adulto do Departamento de Enfermagem da UFPR. Teve como objetivo avaliar a qualidade dos cuidados de enfermagem prestados durante o período perioperatório segundo a opinião do cliente cirúrgico adulto, em um Hospital Universitário da cidade de Curitiba. Foram entrevistados 86 clientes de ambos os sexos submetidos a cirurgia geral, com capacidade de interação pessoal e que aceitaram participar voluntariamente da pesquisa. Os resultados demonstram que os maiores desvios quanto a qualidade dos cuidados foram quanto ao período pré-operatório imediato, principalmente caracterizados como ações menores nas atividades da área expressiva. Por outro lado, os cuidados de enfermagem na sala de recuperação anestésica foram os que mais se aproximaram de padrões de qualidade de cuidados humanizados.The Quality of the Nursing Care Through a Surgical Period According to Clients’ Feedback. This study is part of a project of the Multiprofessional Study Group on Adult Health of the Nursing Department at the UFPR. It aimed at evaluating the quality of the nursing care delivered through a surgical period at a University Hospital in the city of Curitiba, according to the opinion of surgical adult clients. Eight six (86) clients were interviewed, both sexes, who had gone through surgery, capable of personal interaction and voluntary participants of the research. The results demonstrated that the major quality biases occurred during the pre-surgical care period, characterized mostly by minor actions in the expressive field. On the other hand, nursing care at the postoperating room approached the quality standards demanded by the humanistic care

Application of Nanofiltration to the Treatment of Acid mine Drainage Waters

This study investigated the separation of uranium and other elements in high concentrations from acid mine waters at Caldas Uranium Mining, in the southeast of Brazil, using nanofiltration membranes. Nanofiltrarion is widely used in water treatment due to the lower energy requirements and higher yields than reverse osmosis. Separation characteristics are dependent on both the molecular size and charge of the dissolved species in the feed solution as well as membrane properties. In this investigation the potential of nanofiltration to removed dissolved species like uranium from acid mine water drainage was measured. Two composite aromatic polyamide commercially membranes of FilmTec/Dow were tested and it found that uranium rejections of greater than 90% and also showed potential for the separation of aluminum and manganese

Características morfológicas e estudo da vascularização do corpo lúteo cíclico de cabras ao longo do ciclo estral

Corpus luteum is a temporary endocrine gland that regulates either the estrous cycle and pregnancy. It presents extreme dependency on the adequate blood supply. This work aims to evaluate goat corpus luteum (CL) vascular density (VD) over the estrous cycle. For that purpose, 20 females were submitted to estrus synchronization/ovulation treatment using a medroxyprogesterone intra-vaginal sponge as well as intramuscular (IM) application of cloprostenol and equine chorionic gonadotrophine (eCG). After sponge removal, estrus was identified at about 72hs. Once treatment was over, female goats were then subdivided into 4 groups (n=5 each) and slaughtered on days 2, 12, 16 and 22 after ovulation (p.o). Ovaries were collected, withdrawn and weighted. CL and ovaries had size and area recorded. Blood samples were collected and the plasma progesterone (P4) was measured through RIA commercial kits. The VD was 24.42±6.66, 36.26±5.61, 8.59±2.2 and 3.97±1.12 vessels/mm² for days 2, 12, 16 and 22 p.o, respectively. Progesterone plasma concentrations were 0.49±0.08, 2.63±0.66, 0.61±0.14 and 0.22±0.04ng/ml for days 2, 12, 16 e 22 p.o, respectively. Studied parameters were affected by the estrous cycle phase. Values greater than 12 p.o were observed. In the present work we observed that ovulation occurred predominantly in the right ovary (70% of the animals), which in turn presented bigger measures than the contra lateral one. There is a meaningful relationship between the weight and size of the ovary and these of CL (r=0.87, r=0.70, respectively, p<0.05). It is possible to conclude that morphology of goat's ovaries and plasma progesterone concentration changed according to estrous cycle stages. We propose these parameters can be used as indicators of CL functional activity.O corpo lúteo é uma glândula endócrina temporária que regula tanto o ciclo estral quanto a prenhez, apresentando extrema dependência de aporte sanguíneo adequado. Objetivaram-se avaliar mudanças morfométricas dos ovários e densidade vascular (DV) dos corpos lúteos (CL) de cabras ao longo do ciclo estral (AOLC). Vinte animais foram submetidos ao tratamento para indução/sincronização do estro, usando esponjas intravaginais commedroxiprogesterona, associadas a aplicações intramusculares de cloprostenol e gonadotrofina coriônica eqüina. Após remoção das esponjas, o estro foi identificado em aproximadamente de 72h. Concluído o tratamento, as cabras foram subdivididas em 4 grupos (n=5 cada) para abate nos dias 2, 12, 16 e 22 após ovulação (p.o.). Posteriormente, foram retirados os ovários e realizadas as mensurações de peso, tamanho e área do órgão e dos CL. Amostras de sangue foram coletadas e a progesterona sérica (P4) mensurada utilizando-se RIA convencional. A DV média dos CL AOLC foi 24,42±6,66; 36,26±5,61; 8,59±2,2 e 3,97±1,12 vasos/mm2 para os dias 2, 12, 16 e 22 p.o., respectivamente. A concentração média de P4 foi de 0,49±0,08; 2,63±0,66; 0,61±0,14 e 0,22±0,04ng/ml para os dias 2, 12, 16 e 22 p.o., respectivamente. Os parâmetros em estudo também se mostraram afetados pela fase do ciclo estral, sendo observados os maiores (p < 0,05) valores no dia 12 p.o. Neste experimento, a ovulação ocorreu predominantemente no ovário direito (70% dos animais), o qual apresentou medidas maiores que o contralateral. Observou-se ainda alta correlação significativa entre o peso do ovário e o do CL (r=0,87; p<0,05) e entre o tamanho destes órgãos (r=0,70; p<0,05). Conclui-se que, a morfologia dos ovários de cabras e a concentração sérica de progesterona variam em função da fase do ciclo estral e podem ser utilizadas como parâmetro na avaliação funcional do órgão

Is SAPS 3 better than APACHE II at predicting mortality in critically ill transplant patients?

OBJECTIVES: This study compared the accuracy of the Simplified Acute Physiology Score 3 with that of Acute Physiology and Chronic Health Evaluation II at predicting hospital mortality in patients from a transplant intensive care unit. METHOD: A total of 501 patients were enrolled in the study (152 liver transplants, 271 kidney transplants, 54 lung transplants, 24 kidney-pancreas transplants) between May 2006 and January 2007. The Simplified Acute Physiology Score 3 was calculated using the global equation (customized for South America) and the Acute Physiology and Chronic Health Evaluation II score; the scores were calculated within 24 hours of admission. A receiver-operating characteristic curve was generated, and the area under the receiver-operating characteristic curve was calculated to identify the patients at the greatest risk of death according to Simplified Acute Physiology Score 3 and Acute Physiology and Chronic Health Evaluation II scores. The Hosmer-Lemeshow goodness-of-fit test was used for statistically significant results and indicated a difference in performance over deciles. The standardized mortality ratio was used to estimate the overall model performance. RESULTS: The ability of both scores to predict hospital mortality was poor in the liver and renal transplant groups and average in the lung transplant group (area under the receiver-operating characteristic curve = 0.696 for Simplified Acute Physiology Score 3 and 0.670 for Acute Physiology and Chronic Health Evaluation II). The calibration of both scores was poor, even after customizing the Simplified Acute Physiology Score 3 score for South America. CONCLUSIONS: The low predictive accuracy of the Simplified Acute Physiology Score 3 and Acute Physiology and Chronic Health Evaluation II scores does not warrant the use of these scores in critically ill transplant patients

CAG Repeat Size Influences the Progression Rate of Spinocerebellar Ataxia Type 3

Objective: In spinocerebellar ataxia type 3/Machado-Joseph disease (SCA3/MJD), the expanded cytosine adenine guanine (CAG) repeat in ATXN3 is the causal mutation, and its length is the main factor in determining the age at onset (AO) of clinical symptoms. However, the contribution of the expanded CAG repeat length to the rate of disease progression after onset has remained a matter of debate, even though an understanding of this factor is crucial for experimental data on disease modifiers and their translation to clinical trials and their design. Methods: Eighty-two Dutch patients with SCA3/MJD were evaluated annually for 15 years using the International Cooperative Ataxia Rating Scale (ICARS). Using linear growth curve models, ICARS progression rates were calculated and tested for their relation to the length of the CAG repeat expansion and to the residual age at onset (RAO): The difference between the observed AO and the AO predicted on the basis of the CAG repeat length. Results: On average, ICARS scores increased 2.57 points/year of disease. The length of the CAG repeat was positively correlated with a more rapid ICARS progression, explaining 30% of the differences between patients. Combining both the length of the CAG repeat and RAO as comodifiers explained up to 47% of the interpatient variation in ICARS progression. Interpretation: Our data imply that the length of the expanded CAG repeat in ATXN3 is a major determinant of clinical decline, which suggests that CAG-dependent molecular mechanisms similar to those responsible for disease onset also contribute to the rate of disease progression in SCA3/MJD. ANN NEUROL 2020

Detection of biogenic amines in mead of social bee

Mead is an alcoholic beverage, resulting from the fermentation of honey and water, although it is an old drink, some fermentation products are still unknown. Biogenic amines have driven research on food and beverages due to their toxicity and capacity to cause damage to the human health. This study aimed to evaluate the presence of biogenic amines in mead from honey of two species of social bees, using different fining agents (bentonite, banana peel flour, and passion fruit peel flour) and storage in oak barrel for 120 days. We observed the presence of three biogenic amines for each type of mead. Putrescine was reported only in samples of mead of Apis mellifera. Tryptamine and histamine were not detected, while tyramine was observed in the mead samples of honey from Melipona quadrifasciata anthidioides. Samples clarified with fruit peels increased the number of amines. In the analysis of the histamine, used as standard, obtained limits of detection and quantification of 2.47 mg/L and of 7.48 mg/L, respectively. In this study, the amines observed remained below the limit of detection, and did not pose a risk to consumers. The finings used demonstrated a profile similar to the control mead, and its use was satisfactory.We thank the National Council of Technological and Scientific Development (Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq) under Grant (305885/2017 to C.A.L.C.). This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brazil (CAPES) - Finance Code 001. We also thank the Fundação de Amparo a Pesquisa do Estado da Bahia - FAPESB, under Grant 8797/2015.info:eu-repo/semantics/publishedVersio

Prime Focus Spectrograph - Subaru's future -

The Prime Focus Spectrograph (PFS) of the Subaru Measurement of Images and Redshifts (SuMIRe) project has been endorsed by Japanese community as one of the main future instruments of the Subaru 8.2-meter telescope at Mauna Kea, Hawaii. This optical/near-infrared multi-fiber spectrograph targets cosmology with galaxy surveys, Galactic archaeology, and studies of galaxy/AGN evolution. Taking advantage of Subaru's wide field of view, which is further extended with the recently completed Wide Field Corrector, PFS will enable us to carry out multi-fiber spectroscopy of 2400 targets within 1.3 degree diameter. A microlens is attached at each fiber entrance for F-ratio transformation into a larger one so that difficulties of spectrograph design are eased. Fibers are accurately placed onto target positions by positioners, each of which consists of two stages of piezo-electric rotary motors, through iterations by using back-illuminated fiber position measurements with a wide-field metrology camera. Fibers then carry light to a set of four identical fast-Schmidt spectrographs with three color arms each: the wavelength ranges from 0.38 {\mu}m to 1.3 {\mu}m will be simultaneously observed with an average resolving power of 3000. Before and during the era of extremely large telescopes, PFS will provide the unique capability of obtaining spectra of 2400 cosmological/astrophysical targets simultaneously with an 8-10 meter class telescope. The PFS collaboration, led by IPMU, consists of USP/LNA in Brazil, Caltech/JPL, Princeton, & JHU in USA, LAM in France, ASIAA in Taiwan, and NAOJ/Subaru.Comment: 13 pages, 11 figures, submitted to "Ground-based and Airborne Instrumentation for Astronomy IV, Ian S. McLean, Suzanne K. Ramsay, Hideki Takami, Editors, Proc. SPIE 8446 (2012)

Comparison in the Trichoderma longibrachiatum xyloglucanase production using tamarind (Tamarindus indica) and jatobá (Hymenaea courbaril) seeds: factorial design and immobilization on ionic supports

in the control of the stretching and expansion of the plant cell wall. There are five types of enzymes known to be capable of cleaving the linear chain of xyloglucan, the most famous of them being the xyloglucanase (XEG). The immobilization can be used to solve problems related to stability, besides the economic benefits brought by the possibility of repeated use and recovery, decreasing the costs of production. Therefore, this study aims the optimization of the production of a xyloglucanase from Trichoderma longibrachiatum, with the aid of factorial design, using tamarind (Tamarindus indica) and jatobá (Hymenaea courbaril) seeds as carbon source; and the immobilization of the enzyme on ionic supports, such as MANAE (monoamino-N-aminoethyl), DEAE (diethylaminoethyl)-cellulose, CM (carboxymethyl)-cellulose and PEI (polyethyleneimine). High concentrations of carbon source in the culture medium, especially tamarind seeds, were the most favorable conditions for the greater activity of the xyloglucanase from T. longibrachiatum. The scaling up from Erlenmeyer flasks to the bioreactor was an essential strategy to increase the content of secreted enzyme. Regarding the biochemical characterization of the crude extract, the optimal temperature was 50-55 °C and the optimal pH 5.0. Regarding the stabilities to pH and to temperature, the enzyme was not stable for prolonged periods, which was crucial for the performing of immobilization on ionic resins (CM-cellulose, DEAE-cellulose, MANAE, and PEI), being the first time described in literature the immobilization of a xyloglucanase on these supports.We thank the Fundação de Amparo à Pesquisa do estado de São Paulo (process 2018/07522-6; 2014/50884-5), and Conselho Nacional de Dsenvolvimento Científico (process 301963/2017-7; 465319/2014-9).info:eu-repo/semantics/publishedVersio

INFLUÊNCIA DA UNIFORMIDADE DA PARTÍCULA DE MILHO SOBRE O DESEMPENHO ZOOTÉCNICO E DIGESTIBILIDADE DE NUTRIENTES DA DIETA DE FRANGOS DE CORTE

A crescente demanda por proteína animal impulsiona o setor avícola a otimizar a produção com vistas à nutrição, um dos fatores mais importantes nesta indústria, seja pelo custo ou pela resposta animal frente à qualidade da ração. Deste modo, objetivou-se avaliar a influência do diâmetro geométrico médio (DGM) da partícula do milho e a forma física da ração (farelada e peletizada) sobre o desempenho zootécnico e digestibilidade dos nutrientes da ração em frangos de corte. Foram utilizados 3.600 frangos machos ROSS 91, avaliados entre 14 a 39 dias de idade, alojados em 72 boxes com 50 animais cada e 9 repetições por tratamento na granja da Seara Alimentos em Timbé do Sul. O estudo foi aprovado pelo Comitê de Ética no Uso de Animais do Instituto Federal Catarinense – Campus Araquari sob o protocolo nº 218/2018. O delineamento foi inteiramente casualizado em arranjo fatorial 2 X 4, sendo duas formas físicas da ração, farelada e peletizada, e quatro intervalos de DGMs (DGM1: 0,819-0,824; DGM2: 1,022-1,084; DGM3: 1,154-1,248; DGM4: 1,250-1,312) em mm. O DGM do milho foi obtido por moagem, peneiramento específico e cálculo Granucalc® para compor a ração. Foi realizada a pesagem individual dos frangos com 14, 21, 30 e 39 dias de idade e da ração consumida em balança digital para determinar ganho de peso (GP), consumo de ração (CR) e conversão alimentar (CA). Foi determinada a digestibilidade ileal dos nutrientes de 144 aves aos 34 dias de idade, por meio de coleta da digesta ileal (5 cm anteriores a junção ileocecal, extensão de 30 cm do intestino). As coletas foram avaliadas para proteína bruta, extrato etéreo, energia bruta, matéria orgânica e cinza insolúvel em ácido no Laboratório de Nutrição Animal da Universidade da Federal do Paraná. Todos os dados foram submetidos ao teste de Shapiro Wilk, sendo o ganho de peso, conversão alimentar e consumo de ração submetidos à análise de variância e o teste de Tukey. As aves alimentadas com raçãopeletizada apresentaram melhor GP (2,37±0,005 Kg) comparada a ração farelada (2,31±0,005 Kg) (P&lt;0,05), além disso a dieta peletizada proporcionou melhor Índice de Conversão Alimentar (1,593) quando comparada a ração farelada (1,614) (P&lt;0,001). Foram observados melhores resultados para GP em dietas com DGM2, DGM3 e DGM4 (P&lt;0,001), independente da forma física da ração. Porém na fase de 30 a 39 dias de idade, o GP das aves que consumiram ração farelada (935,25g) foi maior comparado a ração peletizada (914g), da mesma forma que para o CR. Para a CA os melhores resultados foram encontrados para os DGM2, DGM3 e DGM4 em todo período do experimento (P&lt;0,05). Não foi observado diferença na digestibilidade dos nutrientes da dieta para granulometria e a forma física da ração (P&gt;0,05). Conclui-se que aves alimentadas com dietas peletizadas obtiveram melhor desempenho zootécnico, e com ranulometria do milho a partir do DGM2 (1,022-1,084 mm), apresentaram melhor GP e CA, independente da forma física da ração. Não houve influência dos tratamentos sobre a digestibilidade dos nutrientes da dieta de frangos de corte