CONHECIMENTO TEÓRICO DE GRADUANDOS SOBRE PARADA CARDIORRESPIRATÓRIA NO SUPORTE BÁSICO DE VIDA

Objetivo: identificar o conhecimento teórico de graduandos de cursos que não são da saúde sobre parada cardiorrespiratória no suporte básico de vida. Método: pesquisa descritiva e exploratória de natureza quantitativa realizada com graduandos de universidade pública localizada no Noroeste do Paraná, em 2019. Para coleta dos dados, utilizou-se questionário, contendo caracterização do sujeito e dez questões referentes ao reconhecimento e atendimento de situações de parada cardiorrespiratória e reanimação cardiopulmonar. Os dados foram tabulados e analisados. Resultados: não se consideraram aptos para atendimento de evento de parada cardiorrespiratória 94,0% dos participantes; 92,6% não sabiam detectar essa condição; e 95,5% não souberam qual conduta adotar. Conclusão: o conhecimento teórico de graduandos de cursos que não são da saúde sobre parada cardiorrespiratória foi insuficiente e é necessário treinamento para leigos em situações de emergência, para que o atendimento seja iniciado correta e imediatamente, sem postergar acionamento de serviço médico de emergência. Descritores: Conhecimento. Parada Cardíaca. Reanimação Cardiopulmonar. Emergências

Violência contra crianças, adolescentes e mulheres: desfecho de casos atendidos em um hospital ensino

Objective: knowing the outcome of violence victims assistance at a teaching hospital, in the northwest of Parana (Brazil), in 2009. Method: exploratory- descriptive study, in which the Notification Forms, the Individual Forms of Domestic, Sexual Violence and/or other kinds of Violence of 18 victims, filed in the hospital, were audited. Results: the forms belonged to women, victims of sexual violence (72.3%). All the biochemical examinations recommended were carried out; emergency contraception was conducted in six cases (33.3%) and 83.3% of the victims were advised to have laboratory monitoring, but at the first return, 53.3% of the victims had abandoned it. No register of communication networks between the hospital and the health care was found. Conclusion: studies concerning the assistance that violence victims receive in health service units should be stimulated, for more specific prevention actions and for improving the way victims are treated at health service unitsObjetivo: conocer el desenlace de la atención a víctimas de violencia atendidas en un hospital escuela del Noroeste del Paraná en el año de 2009. Método: estudio descriptivo-exploratorio, con análisis documental de 18 fichas de Notificación/Investigación Individual de Violencia Doméstica, Sexual y/u Otras Violencias, archivadas en el Núcleo de Vigilancia Epidemiológica del hospital. Resultados: las fichas eran de mujeres víctimas de violencia sexual el (72,3%). En la asistencia fueron realizados todos los exámenes bioquímicos preconizados, la contracepción de emergencia fue realizada en seis casos el (33,3%) y el (83,3%) recibió encaminamiento para acompañamiento ambulatorio. En el primer regreso hubo desistimiento del 53,3%, pero no fueron encontrados registros de comunicación entre hospital y unidades básicas de salud para la búsqueda activa de los casos. Consideraciones finales: estudios que pretenden la atención de estas víctimas en los servicios de salud, para acciones más específicas de prevención, de acogida y de acompañamiento en los servicios de referencia, deben ser estimulados.Objetivo: Conhecer o desfecho do atendimento a vítimas de violência, atendidas em um hospital ensino do Noroeste do Paraná no ano de 2009. Método: Estudo descritivo-exploratório, com análise documental de 18 fichas de Notificação/Investigação Individual de Violência Doméstica, Sexual e/ou Outras Violências, arquivadas no Núcleo de Vigilância Epidemiológica do hospital. Resultados: As fichas eram de mulheres vítimas de violência sexual (72,3%). Na assistência, foram realizados todos os exames bioquímicos preconizados, a contracepção de emergência foi realizada em seis casos (33,3%) e 83,3% recebeu encaminhamento para acompanhamento ambulatorial. Entretanto, no primeiro retorno, houve desistência de 53,3%, mas não foram encontrados registros de comunicação entre o hospital e as unidades básicas de saúde para busca ativa dos casos. Considerações finais: Estudos que visem o atendimento de vítimas de violência nos serviços de saúde, para ações mais específicas de prevenção, de acolhimento e de acompanhamento nos serviços de referência, devem ser estimulados

Tratamento de ferida causada por foliculite de depilação: relato de caso / Treatment of wound caused by depilation folliculitis: case report

Trata-se de um relato de caso de paciente portador de ferida aguda em região perianal decorrente de uma foliculite por depilação. O paciente foi acompanhado por docentes e discentes do curso de enfermagem da Universidade Estadual de Maringá por meio de um projeto de extensão realizado no Ambulatório de Especialidades do Hospital Universitário de Maringá. O desenvolvimento da lesão foi favorecido pela exposição do tecido, reutilização de lâminas de barbear, processo infeccioso e fatores locais, como sudorese, calor e fricção. O paciente foi atendido presencialmente em quatro consultas e de forma remota durante duas semanas. Ao término do acompanhamento notou-se uma cicatrização quase completa da lesão, sugerindo que a abordagem escolhida foi correta e eficaz. No processo de avaliação e tratamento de feridas a atuação do enfermeiro é indispensável, portanto, projetos e ações educativas que favoreçam o ensino-aprendizagem na temática são extremamente importantes para incrementar o processo formativo do profissional

Haematological and Biochemical Profile of Balb-c Mice

Background: Animal models are widely used in scientific research because of the ability to generate information from an organism like everything under a given experimental condition. Hematological and biochemical tests in laboratory animals are essential for the validation of several scientific studies. In addition, it standardizes physiological values   for these animals according to their sex, age, lineage, environment, and nutritional status. The present work aims to establish reference values   for biochemical and hematological standards in Balb/c mice, for males and females.Materials, Methods & Results: A total of 50 male and female mice were used at reproductive age. The procedures for collecting, processing, and analyzing the samples were standardized.  The collected blood samples were immediately transferred to eppendorf tubes containing heparin, and intended for hematological and biochemical evaluation. The hematological evaluation consisted of Red blood cell count (RBC), Leukocyte counts (WBC), Platelet counts (PLT), Hematocrit (HCT), Hemoglobin concentration (HGB), Mean corpuscular volume (MCV), and Mean corpuscular hemoglobin concentration (MCHC). Already the quantified biochemical parameters were: urea, creatinine, alanina aminotransaminase (ALT), aspartato aminotransaminase (AST) and fosfatase alcalina (FAL). The differential leukocyte count was also performed. Hematological results obtained for males and females were: 9.19 ± 3.35 (106/mm³) and 7.3 ± 2.01(106/mm³) of RBC; 35.8 ± 6.7% and 38.44 ± 3.93% of HCT; 11.51 ± 2.17 g/dL and 11.85 ± 1.56 g/dL of HGB; 45.83 ± 15.03 fL and 60.26 ± 18.25 fL of VCM; 31.80 ± 1.15% and 31.88 ± 0.99% of MCHC; and, 5380 ± 1994.21(10³/mm³) and 3564 ± 1071(10³/mm³) of WBC.  The platelet counts were 878.92 ± 84.19 and 678.28 ± 227.21, for males and females respectively. And for differential leukocyte counts, for males and females: eosinophils 2.12 ± 1.09% and 2.16 ± 1.71%; monocytes 2.84 ± 1.03% and 2.68 ± 1%; lymphocytes 68 ± 8.36% and 71.76 ± 5.9%; neutrophils 27.04 ± 8.55% and 22.96 ± 5.54%. Basophils were not quantified in the samples. As for the biochemical parameters, values of 54.16 ± 27.8 UI/L and 29.72 ± 4.4 UI/L of  ALT; 89.56 ± 47.73 UI/L and 71.32 ± 8.12 UI/L of AST; 3.76 ± 2.08 UI/L and 2.32 ± 0.85 UI/L of  FAL; 31.76 ± 21.08 mg/dL and 41.48 ± 13.61 mg/dL of urea; and 0.76 ± 0.18 mg/dL and 0.44 ± 0.11 mg/dL of creatinine.Discussion: The mean corpuscular volume, mean corpuscular hemoglobin concentration, leukocyte, and platelet counts diverged from those   found in literature. For the biochemical values, it was observed that creatinine values were different from those exhibited by other authors. Such divergences might be explained by the activity of endocrine organs, such as the production and/or release of activation/differentiation factors, and stress, applied methodology, lineage, or individual variability.  In addition, differences in the methodologies applied may be responsible for variations in hematological and biochemical values, requiring the standardization of the equipment and reagents used, as well as the adoption of a range that represents the minimum and maximum values within the normal physiological standard for given mouse lineage. In conclusion, the values presented in the present work are within the variation curve for rodents, and can be used as reference for other studies that use these animals

Optimasi Portofolio Resiko Menggunakan Model Markowitz MVO Dikaitkan dengan Keterbatasan Manusia dalam Memprediksi Masa Depan dalam Perspektif Al-Qur`an

Risk portfolio on modern finance has become increasingly technical, requiring the use of sophisticated mathematical tools in both research and practice. Since companies cannot insure themselves completely against risk, as human incompetence in predicting the future precisely that written in Al-Quran surah Luqman verse 34, they have to manage it to yield an optimal portfolio. The objective here is to minimize the variance among all portfolios, or alternatively, to maximize expected return among all portfolios that has at least a certain expected return. Furthermore, this study focuses on optimizing risk portfolio so called Markowitz MVO (Mean-Variance Optimization). Some theoretical frameworks for analysis are arithmetic mean, geometric mean, variance, covariance, linear programming, and quadratic programming. Moreover, finding a minimum variance portfolio produces a convex quadratic programming, that is minimizing the objective function ðð¥with constraintsð ð 𥠥 ðandð´ð¥ = ð. The outcome of this research is the solution of optimal risk portofolio in some investments that could be finished smoothly using MATLAB R2007b software together with its graphic analysis

Search for heavy resonances decaying to two Higgs bosons in final states containing four b quarks

A search is presented for narrow heavy resonances X decaying into pairs of Higgs bosons (H) in proton-proton collisions collected by the CMS experiment at the LHC at root s = 8 TeV. The data correspond to an integrated luminosity of 19.7 fb(-1). The search considers HH resonances with masses between 1 and 3 TeV, having final states of two b quark pairs. Each Higgs boson is produced with large momentum, and the hadronization products of the pair of b quarks can usually be reconstructed as single large jets. The background from multijet and t (t) over bar events is significantly reduced by applying requirements related to the flavor of the jet, its mass, and its substructure. The signal would be identified as a peak on top of the dijet invariant mass spectrum of the remaining background events. No evidence is observed for such a signal. Upper limits obtained at 95 confidence level for the product of the production cross section and branching fraction sigma(gg -> X) B(X -> HH -> b (b) over barb (b) over bar) range from 10 to 1.5 fb for the mass of X from 1.15 to 2.0 TeV, significantly extending previous searches. For a warped extra dimension theory with amass scale Lambda(R) = 1 TeV, the data exclude radion scalar masses between 1.15 and 1.55 TeV

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Search for supersymmetry in events with one lepton and multiple jets in proton-proton collisions at root s=13 TeV

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Measurement of the top quark mass using charged particles in pp collisions at root s=8 TeV

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Electroweak production of two jets in association with a Z boson in proton-proton collisions root s =13 TeV

A measurement of the electroweak (EW) production of two jets in association with a Z boson in proton-proton collisions at root s = 13 TeV is presented, based on data recorded in 2016 by the CMS experiment at the LHC corresponding to an integrated luminosity of 35.9 fb(-1). The measurement is performed in the lljj final state with l including electrons and muons, and the jets j corresponding to the quarks produced in the hard interaction. The measured cross section in a kinematic region defined by invariant masses m(ll) > 50 GeV, m(jj) > 120 GeV, and transverse momenta P-Tj > 25 GeV is sigma(EW) (lljj) = 534 +/- 20 (stat) fb (syst) fb, in agreement with leading-order standard model predictions. The final state is also used to perform a search for anomalous trilinear gauge couplings. No evidence is found and limits on anomalous trilinear gauge couplings associated with dimension-six operators are given in the framework of an effective field theory. The corresponding 95% confidence level intervals are -2.6 <cwww/Lambda(2) <2.6 TeV-2 and -8.4 <cw/Lambda(2) <10.1 TeV-2. The additional jet activity of events in a signal-enriched region is also studied, and the measurements are in agreement with predictions.Peer reviewe