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1.
Rev. colomb. gastroenterol ; 36(supl.1): 47-51, abr. 2021. graf
Article in Spanish | LILACS | ID: biblio-1251546

ABSTRACT

Resumen La neumatosis quística intestinal se refiere a la presencia de gas dentro de la pared del intestino delgado o grueso, puede ser asintomática y potencialmente mortal cuando se presentan complicaciones. Las causas de esta entidad incluyen enfermedades pulmonares, sistémicas, intestinales, medicamentosas, causas iatrogénicas y traumáticas. Se presenta el caso de un hombre de 35 años de edad sin antecedentes de importancia que consultó por dolor en el hemiabdomen inferior, con un diagnóstico imagenológico de neumatosis quística intestinal, neumoperitoneo y peritonitis, complicación secundaria a esta patología, por lo que se realizó el manejo quirúrgico, laparotomía y resección de segmento colónico, que se analizó histopatológicamente y se confirmó el diagnostico; finalmente, fue dado de alta después de finalizar el tratamiento antibiótico.


Abstract Cystic intestinal pneumatosis refers to the presence of gas within the wall of the small or large intestine. It can be asymptomatic and life-threatening when complications occur. The causes of this entity include pulmonary, systemic, intestinal, drug, iatrogenic and traumatic factors. The following is the case of a 35-year-old man who presented with pain in his lower hemiabdomen and had no previous medical history. Imaging scans showed intestinal cystic pneumatosis and secondary pneumoperitoneum and peritonitis. The patient was taken to laparotomy, and a colonic segment was resected and sent to pathology. The diagnosis was confirmed by a biopsy. The patient was discharged after completing antibiotic treatment.


Subject(s)
Humans , Male , Adult , Peritonitis , Pneumatosis Cystoides Intestinalis , Gases , Intestine, Large , Intestine, Small
3.
Biosci. j. (Online) ; 36(5): 1498-1506, 01-09-2020. tab
Article in English | LILACS | ID: biblio-1147328

ABSTRACT

The aim of this study was to evaluate the effect of ammoniation by urea on the nutritional value of elephant grass hay harvested after flowering. A completely randomized design, in double factorial designs with an additional treatment: 4 urea doses (2, 4, 6 and 8%) x 2 treatment periods (30 and 45 days) + 1 (Control) with four replicates each, was employed. Dry matter, ash, ether extract, neutral detergent fiber, acid detergent fiber, cellulose, lignin, neutral detergent fiber corrected for the ash and the protein, total nitrogen, acid detergent insoluble nitrogen, neutral detergent insoluble nitrogen, non-protein nitrogen, in vitro gas production and carbohydrates fractionation were analyzed. The treatments influenced the contents of DM, EE, NDF, ADF, lignin, cellulose, NDFap, fraction A + B1, fraction B2, fraction C, TN, NPN, ADIN, NDIN, L and Vf2. There was a positive linear effect of urea dose for NDF, ADIN, NDIN and L, positive linear effect on fraction A + B1, NT and NPN, and positive quadratic effect for Vf2, with absolute maximum point of 4.5%. Elephant grass hay harvested after flowering has its nutritional value improved, with a minimum dose of 4.5% urea on a dry matter basis.(AU)


Objetivou-se avaliar o efeito da amonização com ureia sobre o valor nutritivo do feno de capim elefante colheitado após florescimento. O estudo foi delineado, em esquema fatorial duplo com um tratamento adicional: 4 doses de ureia (2, 4, 6 e 8%) x 2 período de tratamento (30 e 45 dias) + 1 tratamento controle, com 4 repetições cada. As variáveis analisadas foram: matéria seca (MS), cinzas, extrato etéreo (EE), fibra em detergente neutro (FDN) e ácido (FDA), FDN corrigida para cinzas e proteínas (FDNcp), celulose, lignina, nitrogênio total (NT), nitrogênio insolúvel em detergente ácido (NIDA) e neutro (NIDN), nitrogênio não proteico (NNP). Produção de gases in vitro proveniente dos carboidratos não fibrosos (Vf1) e fibrosos (Vf2), taxa de fermentação dos carboidratos não fibrosos (k1) e fibrosos (k2) e tempo de colonização bacteriana do substrato (L), além do fracionamento de carboidratos. Os tratamentos influenciaram os teores de MS, EE, FDN, FDA, lignina, celulose, FDNcp, fração A + B1, fração B2, fração C dos carboidratos, NT, NNP, NIDA, NIDN, L e Vf2. Houve efeito linear decrescente de dose de ureia para FDNcp, NIDA, NIDN e L, crescente para fração A+B1, NT e NNP, e, quadrático crescente de dose de ureia para Vf2, com ponto máximo absoluto de 4,5% de ureia obtido após derivar a equação de regressão aos 45 dias de tratamento do feno. Concluindo que feno de capim elefante colheitado após florescimento tem seu valor nutricional melhorado, com dose mínima de 4,5% de ureia em base da matéria seca.(AU)


Subject(s)
Urea , Pennisetum , Nutritive Value , In Vitro Techniques , Carbohydrates , Gases , Nitrogen
4.
Acta bioquím. clín. latinoam ; 54(2): 117-124, jun. 2020. graf, tab
Article in Spanish | LILACS | ID: biblio-1130586

ABSTRACT

El estudio de gases en sangre involucra pruebas relacionadas con el equilibrio ácido-base y estado de oxigenación (pH, pO2, SO2, pCO2, HCO3 -). Además, en los equipos multiparamétricos se realizan otras determinaciones (mediciones relacionadas) como: Na+, K+, Cl-, Ca2+, glucosa y lactato. El objetivo de este trabajo fue comparar los resultados de medición de dos tipos de recipientes (tipo 2: jeringa preparada en el laboratorio con heparinato de Na+ líquido diluido y tipo 3: microtubo con heparinato de Li líquido) contra el recipiente recomendado por el CLSI en su guía 46-A2 (tipo 1: jeringa con heparinato de Li liofilizado balanceado con zinc). El análisis se hizo desde un punto de vista estadístico y clínico para establecer la posibilidad de usar indistintamente estos tres tipos de recipientes. Se analizaron un total de 254 muestras. Para evaluar la aceptación clínica de los resultados se tomó como estándar de calidad la variabilidad biológica. No se encontraron diferencias clínicamente significativas en los analitos del recipiente tipo 2 respecto del tipo 1, excepto para Ca2+. Se rechazaron desde el punto de vista clínico varios analitos del recipiente tipo 3. En conclusión, el uso del recipiente tipo 3 fue inapropiado. Sin embargo, el recipiente tipo 2 sería apto para el análisis de este tipo de muestras.


Blood gas analysis involves tests related to the acid-base balance and oxygenation state (pH, pO2, SO2, pCO2, HCO3 -). In multiparametric equipment, some ion and metabolite (related measurements) are performed: Na+, K+, Cl-, Ca²+, glucose and lactate. The objective of this study was to compare two types of containers (type 2: syringe prepared in the laboratory with diluted liquid sodium heparinate and type 3: microtube with liquid lithium heparinate) against the container recommended by CLSI in its guide 46-A2 (type 1: syringe with lyophilized lithium heparinate balanced with inc). The analysis was made from a statistical and clinical point of view to establish the possibility of indiscriminately using these three types of containers. A total of 254 samples were analyzed. To establish the clinical acceptance of the results, the biological variability quality standard was used. No clinically significant differences were found in the analytes of the type 2 container compared to type 1, except for Ca+. Several analytes of the type 3 container were rejected from the clinical point of view. In conclusion, the use of the type 3 container is inappropriate; however, the type 2 container would be suitable for the analysis of this type of samples.


O estudo de gases em sangue envolve testes relacionados com o equilíbrio ácido-base e estado de oxigenação (pH, pO2, SO2, pCO2, HCO3 -). Além disso, nos equipamentos multiparâmetros, outras determinações (medições relacionadas) como: Na+ , K+, Cl-, Ca2+, glicose e lactato são realizadas. O objetivo deste trabalho foi comparar os resultados de medição de dois tipos de recipientes (tipo 2: seringa preparada no laboratório com heparinato de Na+ líquido diluído e tipo 3: microtubo com heparinato de Li líquido) contra o recipiente recomendado pelo CLSI em seu guia 46-A2 (tipo 1: seringa com heparinato de Li liofilizado equilibrado com zinco). A análise foi feita do ponto de vista estatístico e clínico, para estabelecer a possibilidade de utilização indiscriminada desses três tipos de recipientes. Um total de 254 amostras foram analisadas. Para avaliar a aceitação clínica dos resultados, a variabilidade biológica foi tomada como padrão de qualidade. Não foram encontradas diferenças clinicamente significativas nos analitos do recipiente tipo 2 em relação ao tipo 1, exceto para Ca²+. Vários analitos do recipiente tipo 3 foram rejeitados do ponto de vista clínico. Em conclusão, o uso do contêiner tipo 3 foi inadequado. No entanto, o recipiente tipo 2 seria apto para a análise deste tipo de amostras.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Syringes , Acid-Base Equilibrium , Blood Gas Analysis , Quality Management , Hydrogen-Ion Concentration , Sodium , Zinc , Measurements, Methods and Theories , Blood , Lactic Acid , State , Equipment and Supplies , Gases , Glucose , Laboratories
5.
Rev. argent. cir ; 111(4): 302-304, dic. 2019. ilus
Article in Spanish | LILACS | ID: biblio-1057375

ABSTRACT

La neumatosis intestinal es una entidad poco frecuente. Se caracteriza por la presencia de gas en la subserosa o submucosa, o en ambas, a través del tracto gastrointestinal. Presentamos dos casos en los cuales el motivo de consulta fue dolor abdominal generalizado asociado a reacción peritoneal. Se realizó tomografía computarizada (TC) en ambos casos, donde se evidenciaron distensión intestinal, neumatosis intestinal y neumatosis portal. Posteriormente se llevó acabo laparotomía de urgencia y se encontró necrosis intestinal con isquemia mesentérica, hallazgo compatible con imágenes tomográficas. Ambos pacientes fallecieron (uno durante el acto quirúrgico y el otro en el posquirúrgico inmediato).


Pneumatosis intestinalis is a rare condition characterized by the presence of gas in the submucosa or subserosa of the intestinal wall. We report two cases associated with generalized abdominal pain and rebound tenderness. The computed tomography (CT) scans in both cases showed bowel distention, pneumatosis intestinalis and portal venous gas. Both patients underwent emergency surgery which demonstrated bowel necrosis with mesenteric ischemia, consistent with the CT images. Both patients died (one during surgery and the other in the immediate postoperative period).


Subject(s)
Humans , Abdominal Pain , Abdomen, Acute , Pneumatosis Cystoides Intestinalis , General Surgery , Gastrointestinal Tract , Gases
6.
Salud pública Méx ; 61(5): 698-700, sep.-oct. 2019. graf
Article in Spanish | LILACS | ID: biblio-1127334

ABSTRACT

Resumen El sargazo es un ecosistema marino milenario que circula en el sentido de las manecillas del reloj en el Océano Atlántico. A partir de 2011, el alga flotante que lo compone ha comenzado a recalar en playas de 19 países del Caribe, con consecuencias ambientales, sanitarias y económicas que deben atenderse con urgencia.


Abstract Sargassum constitutes an ancient marine ecosystem that circulates clockwise on the Atlantic Ocean. Upon 2011, the pelagic seaweed which is the main component of sargassum started to reach beaches on 19 Caribbean countries, with environmental, health and economic impacts that need to be addressed urgently.


Subject(s)
Bathing Beaches , Ecosystem , Sargassum/growth & development , Hydrogen Sulfide/toxicity , Water Movements , Atlantic Ocean , Caribbean Region , Sargassum/chemistry , Environmental Exposure , Gases/toxicity
7.
Rev. cuba. reumatol ; 21(2): e62, mayo.-ago. 2019. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1093814

ABSTRACT

Introducción: el ozono es un gas médico descrito desde el siglo XIX que ha tenido su evolución hasta a la fecha en cuanto a sus aplicaciones y su utilidad en diversas enfermedades por su actuación a nivel molecular y en disímiles enfermedades asociadas a procesos dolorosos de origen inflamatorio como los presentes en las hernia discales de la columna vertebral. Método: estudio retrospectivo con 20 pacientes atendidos en la consulta externa de Neurocirugía del Hospital Miguel Enríquez desde de Diciembre 2016 hasta Abril 2017 con el diagnostico de una radiculopatía cervical por hernia discal. Se le aplicó 10 ML de ozono con una concentración 22 mg/litro tres veces en la semana durante 10 semanas solamente se utilizó este tipo de terapia; obteniendo mejoría en 15 pacientes. Resultados: predominando los mayores de 51 años para un 50 por ciento, en nuestra serie predominó el sexo femenino para un 80 por ciento. En cuanto al cuadro clínico prevaleció la disminución de la fuerza muscular para un 60 por ciento en 12 pacientes, seguidos del dolor cervical y el interescapular para un 75 por ciento y 55 por ciento respectivamente. Se halló mejoría en 15 pacientes para un 75 por ciento y en los otros 5, en tres pacientes no continuaron el tratamiento y en dos no se obtuvo mejoría. Conclusiones: tenemos otra alternativa en la aplicación del ozono por el espacio interescalénico como tratamiento analgésicos y antiinflamatorio en las radiculopatía por hernia discales cervicales(AU)


Introduction: Ozone is a medical gas described since the nineteenth century that has had its evolution up to date in terms of its applications and its usefulness in various diseases for its performance at the molecular level and dissimilar diseases associated with painful processes of inflammatory origin such as those present in herniated discs of the spine. Method: Retrospective study with 20 patients assisted in the outpatient consultation of the Miguel Enríquez Hospital from December 2016 to April 2017 with the diagnosis of a cervical radiculopathy by herniated disc. 10 ML of ozone applied with a concentration of 22 mg/liter three times in the week for 10 weeks only this type of therapy used getting improvement in 15 patients. Results: predominating the older than 51 years for 50 percent, in our series predominated the female sex for 80 percent .As for the clinical picture, decreased muscle strength was prevailed for 60 percent in 12 patients, followed by cervical pain and interescapular for 75 percent and 55 percent respectively. We found improvement in 15 patients for 75 percent and in the other 5, in 3 patients did not continue the treatment and in two, no improvement obtained. Conclusions: We have another alternative in the application of ozone by the intercalenic space as analgesic and anti-inflammatory treatment in cervical herniated discus radiculopathy(AU)


Subject(s)
Humans , Middle Aged , Aged , Aged, 80 and over , Outpatients , Referral and Consultation , Neck Pain , Muscle Strength/physiology , Gases/therapeutic use , Analgesics/therapeutic use , Intervertebral Disc Displacement/therapy , Retrospective Studies
8.
Rev. cuba. med. mil ; 48(2): e226, abr.-jun. 2019.
Article in Spanish | LILACS, CUMED | ID: biblio-1126620

ABSTRACT

Introducción: A nivel mundial, existe un incremento de las intoxicaciones por monóxido de carbono recibidas en los servicios de urgencia. En Cuba no es frecuente este tipo de intoxicación y existe desconocimiento para su diagnóstico precoz. El monóxido de carbono es un gas inodoro, incoloro, no irritante a las mucosas y altamente tóxico para el hombre. Es un contaminante de la atmósfera terrestre y el agente causal más frecuente de la intoxicación por gases. Objetivo: Describir la intoxicación por monóxido de carbono en un paciente atendido en el Hospital Militar;Dr. Mario Muñoz Monroy de Matanzas, Cuba. Caso clínico: Paciente masculino de 19 años de edad que inhala en un área cerrada, de forma accidental, los gases de la combustión de un vehículo durante 30 minutos. Permaneció en el lugar de la exposición sin medios de protección individual por un período de tres horas y comenzó con síntomas correspondientes a una intoxicación moderada por monóxido de carbono. Ingresó en la sala de cuidados intermedios para tratamiento. Conclusiones: El paciente tuvo una evolución favorable, tratado con oxígeno normobárico e hiperbárico(AU)


Introduction: Worldwide, there is an increase in poisonings by carbon monoxide received in emergency services. In Cuba this type of intoxication is not frequent and there is ignorance for its early diagnosis. Carbon monoxide is an odorless, colorless gas, not irritating to mucous membranes and highly toxic to man. It is a pollutant of the Earth's atmosphere and the most frequent causative agent of gas poisoning. Objective: To describe carbon monoxide poisoning in a patient treated at the Military Hospital Dr. Mario Muñoz Monroy from Matanzas, Cuba. Clinical case: A 19-year-old male patient inhaled in a closed area, accidentally, the combustion gases of a vehicle for 30 minutes. He remained in the place of exposure without means of individual protection for a period of three hours and began with symptoms corresponding to moderate intoxication by carbon monoxide. He was admitted at intermediate care ward for treatment. Conclusions: The patient had a favorable evolution, treated with normobaric and hyperbaric oxygen(AU)


Subject(s)
Humans , Male , Adult , Carbon Monoxide Poisoning/diagnosis , Glechoma hederacea/pharmacology , Combustion/adverse effects , Gases/adverse effects
9.
Rev. Assoc. Med. Bras. (1992) ; 65(5): 678-681, May 2019. graf
Article in English | LILACS | ID: biblio-1012972

ABSTRACT

SUMMARY OBJECTIVE: We describe the case of a diabetic patient who developed vertebral osteomyelitis and bilateral psoas abscess with gas formation due to klebsiella pneumoniae. METHODS: A 64-year-old woman with a 4-year history of type-2 diabetes mellitus was admitted to the Emergency Department. The subject had a 2-day history of high-grade fever associated with chills and a 5-hour history of consciousness. She received empirical treatment with febrifuge, after which her fever decreased. RESULTS: Her fever recurred after an interval of three hours. A computed tomography scan of the abdomen revealed vertebral osteomyelitis and bilateral psoas muscle abscess with gas formation. Blood culture and purulent fluid described the growth of the Klebsiella pneumoniae. The patient received antibiotic therapy and bilateral drainage therapy after the drainage catheter was placed into the abscess cavity by CT-guidance. Due to the serious damage to the vertebral column and permanent pain, the patient underwent minimally invasive internal spinal fixation and recovered successfully. CONCLUSION: A case of vertebral osteomyelitis and bilateral psoas abscess with gas formation caused by Klebsiella pneumoniae in a diabetic patient. Antibiotic therapy, drainage, and minimally invasive internal spinal fixation were performed, which enabled a good outcome.


RESUMO OBJETIVO: Descrever o caso de uma paciente diabética que desenvolveu osteomielite vertebral e abcesso bilateral do psoas com formação de gás causada por klebsiella pneumoniae. MÉTODOS: Uma mulher de 64 anos de idade, com 4 anos de histórico de diabetes mellitus tipo 2, foi admitida no Serviço de Emergência. A paciente apresentava um quadro de dias de febre alta acompanhada de calafrios e um histórico de 5 horas de consciência. Ela recebeu tratamento empírico com antitérmico, após o qual a febre diminuiu. RESULTADOS: A febre retornou após um intervalo de três horas. Uma tomografia computadorizada do abdome revelou osteomielite vertebral e abcesso bilateral do músculo psoas com formação de gás. A cultura do sangue e o fluido purulento revelaram o crescimento de Klebsiella pneumoniae. A paciente recebeu antibióticos e terapia de drenagem bilateral após o cateter de drenagem ser posicionado na cavidade do abscesso com auxílio de TC. Devido a sérios danos à coluna vertebral e a dor permanente, a paciente foi submetida à fixação vertebral interna minimamente invasiva e recuperou-se com sucesso. CONCLUSÃO: Um caso de osteomielite vertebral e abscesso do psoas bilateral com a formação de gás causada por Klebsiella pneumoniae em uma paciente diabética. Antibioticoterapia, drenagem e fixação vertebral interna minimamente invasiva foram realizadas, o que permitiu um bom resultado.


Subject(s)
Humans , Female , Osteomyelitis/surgery , Spinal Diseases/surgery , Klebsiella Infections/surgery , Psoas Abscess/surgery , Diabetes Complications/surgery , Klebsiella pneumoniae/pathogenicity , Osteomyelitis/microbiology , Spinal Diseases/microbiology , Klebsiella Infections/microbiology , Tomography, X-Ray Computed/methods , Drainage/methods , Reproducibility of Results , Treatment Outcome , Psoas Abscess/microbiology , Diabetes Complications/microbiology , Gases/metabolism , Middle Aged
10.
Article in English | WPRIM | ID: wpr-786240

ABSTRACT

BACKGROUND: General anesthesia with intravenous or inhalation anesthetics reduces respiratory functions. We investigated the effects of propofol, desflurane, and sevoflurane on postoperative respiratory function tests.METHODS: This single-center randomized controlled study was performed in a university hospital from October 2015 to February 2017. Ninety patients scheduled for endoscopic endonasal transsphenoidal pituitary surgery were randomly categorized into either of these three groups: propofol (n = 30, the Group TIVA), desflurane (n = 30, the Group D) or sevoflurane (n = 30, the Group S). We analyzed the patients before, after, and 24 h following surgery, to identify the following parameters: forced expiratory volume in 1 second (FEV₁) %, forced vital capacity (FVC) %, FEV₁/FVC, and arterial blood gases (ABG). Furthermore, we also recorded the intraoperative dynamic lung compliance and airway resistance values.RESULTS: We did not find any significant differences in FEV₁ values (primary outcome) among the groups (P = 0.336). There was a remarkable reduction in the FEV₁ and FVC values in all groups postoperatively relative to the baseline (P < 0.001). The FVC, FEV₁/FVC, ABG analysis, compliance, and airway resistance were similar among the groups. Intraoperative dynamic compliance values were lower at the 1st and 2nd hours than those immediately after intubation (P < 0.001).CONCLUSIONS: We demonstrated that propofol, desflurane, and sevoflurane reduced FEV₁ and FVC values postoperatively, without any significant differences among the drugs.


Subject(s)
Airway Resistance , Anesthesia, General , Anesthetics, Inhalation , Compliance , Forced Expiratory Volume , Gases , Humans , Intubation , Lung Compliance , Propofol , Prospective Studies , Respiratory Function Tests , Vital Capacity
11.
Bio sci (En linea) ; 2(3): 51-60, 2019. ilus.
Article in Spanish | LILACS, LIBOCS | ID: biblio-1050378

ABSTRACT

Sucre ciudad turística que alberga una gran riqueza cultural distribuida en los diferentes museos e instituciones que contienen información de Bolivia como sucede con los Archivos y Biblioteca Nacionales de Bolivia que cuentan con una amplia colección en archivos con documentos que datan desde tiempos de la colonia e incluso libros que conllevan más de mil años de antigüedad cuyas características motivaron la presente investigación que con base en otra desarrollada el 2016 donde se identificaron microorganismos causantes del deterioro en archivos coloniales del Archivo y Biblioteca Nacionales de Bolivia, tiene el objetivo de identificar microorganismos presentes en archivos coloniales del Archivo y Biblioteca Nacionales de Bolivia previamente desinfectados en cámara de gas inerte; la investigación se realizó entre octubre del 2017 y mayo del 2018. Para su desarrollo se adoptó un estudio descriptivo, observacional y de corte transversal tomando como objeto de estudio 20 archivos coloniales ya estudiados que contienen microorganismos degradantes, mismos que fueron previamente desinfectados en la cámara de gas inerte para la toma de muestra y posterior análisis laboratorial destinado a validar la efectividad de la cámara. Se encontró mayor porcentaje de bacterias con relación a los hongos, por lo que la eficacia de cámara de gas inerte es mayor contra los hongos, quedando así validada la cámara. Los resultados alcanzados servirán para proponer alternativas de tratamiento no solo a los archivos sino a todos los documentos contenidos en el Archivo y Bibliotecas Nacionales de Bolivia a fin de preservar nuestra Historia hacia futuras generaciones y no perder nuestra riqueza cultural de Bolivia y el Mundo.


Sucre tourist city that houses a great cultural wealth distributed in the different museums and institutions that contain information from Bolivia as it happens with the National Archives and Library of Bolivia that have an extensive collection in archives with documents dating from colonial times and even books that carry more than a thousand years old whose characteristics motivated the present investigation that based on another one developed in 2016 where microorganisms causing the deterioration in colonial archives of the National Archive and Library of Bolivia were identified, have the objective of identifying microorganisms present in archives Colonial National Archives and Library of Bolivia previously disinfected in inert gas chamber; the investigation was conducted between October 2017 and May 2018 For its development, a descriptive, observational and cross-sectional study was adopted, taking as an object of study 20 colonial archives already studied that contain degrading microorganisms, which were previously disinfected in the inert gas chamber for sampling and subsequent laboratory analysis. to validate the effectiveness of the camera. A higher percentage of bacteria was found in relation to fungi, so the efficiency of the inert gas chamber is higher against fungi, thus validating the chamber. The results achieved will serve to propose treatment alternatives not only to the archives but to all the documents contained in the Archive and National Libraries of Bolivia in order to preserve our History towards future generations and not lose our cultural wealth of Bolivia and the World.


Subject(s)
Bacteria , Filing , Gases , Libraries
12.
Einstein (Säo Paulo) ; 17(2): eAO4533, 2019. graf
Article in English | LILACS | ID: biblio-1001901

ABSTRACT

ABSTRACT Objective To evaluate the feasibility and applicability of a low-cost cryotherapy system. Methods Experimental study with 25kg Landrace pigs submitted to a longitudinal cervico-thoraco-abdominal incision for exposure of the trachea, thorax and abdomen. The tissues were frozen by continuous spray application at different periods of time (5, 10 and 15 seconds). Spray cryotherapy was performed using a fluorinated gas (tetrafluorethane) delivered at - 47°C temperature (DermaFreeze®, Emdutos; ANVISA registration 80409950001; price R$ 394,00). via an adapted, disposable 1.8mm cholangiography catheter (Olympus; price R$ 280,00). The specimens were resected for histopathological analysis. Results Thirty samples were obtained from ten different organs and divided according to spray cryotherapy application time. System activation for 5, 10 or 15 seconds led to consumption of 14g, 27g and 40g of gas respectively (average gas consumption, 2.7g/s using a 1.8mm catheter). The system comprising a spray tube and catheter proved user-friendly and effective, with constant gas dispersion and adequate tissue freezing. In spite of effective freezing, microscopy failed to reveal tissue changes. This may have reflected methodological constraints precluding evaluation at tissue damage peak time (48 hours). Conclusion The low-cost spray cryotherapy system proved feasible and safe.


RESUMO Objetivo Avaliar a exequibilidade e a aplicação de um sistema de baixo custo de crioterapia. Métodos Estudo experimental realizado com um suíno da raça Landrace, 25kg, submetido à cervicotoracolaparotomia longitudinal, com exposição de traqueia, tórax e abdome. Procedemos ao congelamento das estruturas em tempos diferentes (5, 10 e 15 segundos) com jato contínuo. A crioterapia foi realizada com gás fluoretado (tetrafluoretano), na forma de spray em tubo, que atinge a temperatura de -47°C (DermaFreeze®, Emdutos; registro ANVISA 80409950001; preço R$ 394,00). A este tubo, adaptamos um cateter descartável de colangiografia de 1,8mm (Olympus; preço R$ 280,00). As peças foram ressecadas para análise histopatológica. Resultados Foram obtidas 30 amostras em 10 órgãos diferentes, divididos em três intervalos de tempo distintos. Quando o sistema foi acionado por 5 segundos, gastaram-se 14g de gás; por 10 segundos, 27g; e por 15 segundos, 40g; o gasto médio foi de 2,7g/s pelo cateter de 1,8mm. O sistema confeccionado com tubo de gás e cateter proporcionou resultado efetivo, com dispersão adequada e constante do gás, congelamento adequado e de fácil execução. Apesar da técnica evidenciar congelamento efetivo, na microscopia não houve alteração tecidual. Isso ocorreu porque o pico de lesão tecidual por congelamento ocorre após 48 horas, o que não foi possível avaliar por este método proposto. Conclusão O sistema de crioterapia em spray de baixo custo foi exequível e seguro.


Subject(s)
Animals , Cryotherapy/methods , Gases/pharmacology , Swine , Time Factors , Reproducibility of Results , Cryotherapy/economics , Cryotherapy/instrumentation , Catheters , Freezing
13.
Rev. méd. Chile ; 146(12): 1384-1389, dic. 2018. tab, graf
Article in Spanish | LILACS | ID: biblio-991347

ABSTRACT

Background: Measuring the carbon footprint (CF) makes it possible to estimate the contribution of clinical activity to global warming. Aim: To measure the emitter components of CO2 equivalents (CO2e) at the Hospital Base, Puerto Montt (HBPM). Material and methods: Descriptive study with data collected retrospectively between January and December 2016 from the HBPM database. The data analyzes direct and indirect emissions as well as other indirect emissions beyond the organizational limits. Results: Of the 9,660.3 tons of CO2e emitted by the HBPM in 2016, 46% were derived from consumption of electricity, 29% derived from the generation of residues, and 10% from clinical gas consumption, of which Sevoflurane was the greatest contributor. Conclusions: Clinical gases are a significant source of CO2e emissions. Sevoflurane alone is in fourth place in CO2e emissions at the HBPM. Estimating the CF produced by HBPM is the first step in the discussion of measures to reduce the environmental impact of our activity.


Subject(s)
Humans , Greenhouse Effect/statistics & numerical data , Carbon Footprint/statistics & numerical data , Gases/chemistry , Hospitals/statistics & numerical data , Chile , Environmental Monitoring/methods , Retrospective Studies
14.
Article in Korean | WPRIM | ID: wpr-716694

ABSTRACT

Weather may alter the concentrations of pollens which can subsequently influence the occurrence of allergic diseases. Many studies have demonstrated that greenhouse gases increase pollen concentration. Daily fluctuations in the pollen concentration have to do with a variety of meteorological factors such as temperature, rainfall and sunshine amount; therefore, it is complicated. At least more than 10 weather elements that affect the concentration of pollen. Earlier pollination and rising pollen concentrations have been reported in many countries. Most studies have focused on analysis of their relationships with local meteorological and climatic factors. Observed pollen data at locations representing a wide range of geographic and climatic conditions should be analyzed statistically to identify pollination date, pollen season length, and annual mean and peak values of daily concentrations of pollen. The seasonal and regional variations of pollen have also been changed in South Korea with climate change. There were evaluated sensitization rate to pollen in South Korea since 1997. Sensitization rates for weed and tree pollens are increased in Korean children, especially with increasing pollen concentration of ragweed and Japanese hop. It has been demonstrated that urbanization correlate with the increasing pollen allergies. However, the effects of environmental change on allergic diseases have not yet been completely understood. Recently there have been many epidemiological studies on the relationship between allergic diseases and climate changes. Previous studies suggest that climate changes interact with and affect pollen allergy, which in turn increases the frequency and severity of allergic disease.


Subject(s)
Ambrosia , Asian Continental Ancestry Group , Child , Climate Change , Climate , Epidemiologic Studies , Gases , Humans , Korea , Meteorological Concepts , Pollen , Pollination , Rhinitis, Allergic, Seasonal , Seasons , Sunlight , Trees , Urbanization , Weather
15.
Safety and Health at Work ; : 159-163, 2018.
Article in English | WPRIM | ID: wpr-714883

ABSTRACT

BACKGROUND: Fatigue and sleepiness are inter-related and common among road transport drivers. In this study, sleep deprivation and fatigue among chemical transportation drivers were examined. METHODS: A cross-sectional study surveying 107 drivers from three hazardous types of chemical production and transportation industries (nonflammable gases, flammable gases, and flammable liquids) was conducted. Data on sleep deprivation were collected using questionnaires of the Stanford Sleeping Scale and the Groningen Sleep Quality Scale. Fatigue was assessed using an interview questionnaire and a flicker fusion instrument. RESULTS: Chemical drivers had a mean sleeping scale (Stanford Sleeping Scale) of 1.98 (standard deviation 1.00) and had a mean score of 1.89 (standard deviation 2.06) on the Groningen Sleep Quality Scale. High-risk drivers had higher scores in both the Stanford Sleeping Scale and the Groningen Sleep Quality Scale with a mean score of 2.59 and 4.62, respectively, and those differences reached statistical significance (p < 0.05). The prevalence of fatigue, as assessed through a critical flicker fusion analyzer, subjective fatigue question, and either of the instruments, was 32.32%, 16.16%, and 43.43%, respectively. Drivers who slept <7 hours and had poor sleep quality were found to have more fatigue than those who slept enough and well. Drivers who had a more sleepiness score resulted in significantly more objective fatigue than those who had a less sleepiness score. CONCLUSION: Sleep quality and sleeping hour can affect a driver's fatigue. Optimization of work–rest model should be considered to improve productivity, driver retention, and road safety.


Subject(s)
Cross-Sectional Studies , Efficiency , Fatigue , Flicker Fusion , Gases , Prevalence , Sleep Deprivation , Thailand , Transportation
16.
Article in Korean | WPRIM | ID: wpr-758534

ABSTRACT

The causal relationship between cigarette smoking during pregnancy and adverse maternal and child health outcomes, such as preterm birth, low birth weight, and sudden infant death syndrome are well known. In addition, cigarette compounds are neurotoxic even at extremely low levels. Thirdhand smoke (THS) is the contamination that persists after secondhand tobacco smoke has been emitted into air. It refers to the tobacco-related gases and particles that become embedded in materials such as carpets, walls, furniture, blankets, and toys. THS is not strictly smoke but chemicals that adhere to surfaces from which they can be released back into the air, undergo chemical transformations, and/or accumulate. The concept of THS is a relatively new phenomenon in the environmental and public health field. Currently, the hazards of THS are not as well documented as the hazards of secondhand smoke. Furthermore, its health effects and biological effects are largely unknown. This review summarizes recent research progress in reproductive toxicology studies that use animal models and in vitro systems, studies of environmental contamination by THS, human exposure studies, and priorities for further research. Future research must be conducted to facilitate hazard identification, and exposure and risk assessment to address its health effect on susceptible populations, such as pregnant women and children. In addition, policies and laws concerning tobacco smoke will need to be reviewed and possibly revised with the role of THS considered as an indispensable component of a broader tobacco control strategy in maternal and child health.


Subject(s)
Child Health , Child , Female , Floors and Floorcoverings , Gases , Humans , In Vitro Techniques , Infant, Low Birth Weight , Infant, Newborn , Interior Design and Furnishings , Jurisprudence , Maternal Health , Models, Animal , Play and Playthings , Pregnancy , Pregnant Women , Premature Birth , Public Health , Risk Assessment , Smoke , Smoking , Sudden Infant Death , Tobacco , Tobacco Products , Tobacco Smoke Pollution , Toxicology
17.
Cienc. Trab ; 19(60): 183-187, dic. 2017. tab, graf
Article in Spanish | LILACS | ID: biblio-890090

ABSTRACT

RESUMEN: 21. Con el software SLAB VIEW se realizaron modelaciones para determi nar cuantitativamente los riesgos hacia los trabajadores y comunidad por emisiones accidentales de gas licuado de petróleo, desde fuentes de uso y almacenamiento, dentro del radio urbano de Los Ángeles (Chile). Se modelaron 23 fuentes con categoría de riesgo grave, clase "C" y las 3 fuentes con categoría muy grave, clase "D", identificadas con la meto dología APELL, aplicada en el estudio de Silva et. al (2016). 22. 23. Se evaluó el comportamiento espacial y temporal de las fugas de gas para estanques identificados con capacidades de 2 m3, 4 m3, 11 m3 y 49 m3 utilizando promedios estacionales de variables meteorológicas consideradas en un periodo de evaluación de cinco años. Se utiliza ron variables de tiempo de fuga evaluando su comportamiento en 1, 3 y 5 minutos, con el fin de identificar las condiciones del peor escenario. Como resultado se obtiene que el comportamiento de la nube depende de la estabilidad atmosférica, siendo la condición esta ble donde concentraciones de interés permanecen por más tiempo alcanzando mayores distancias y que el peor escenario para una fuga son las bajas temperaturas y las condiciones atmosféricas estables. Como conclusión, puede establecerse que en la zona de estudio exis ten estanques que son potencialmente peligrosos por deflagración para trabajadores y la comunidad; sin embargo, los tiempos de expo sición no generan peligros por exposición aguda.


ABSTRACT: 28. With the SLAB VIEW software, modeling wasperformed to determine quantitatively the risks to workers and the community from acciden tal releases of liquefied petroleum gas, from sources use and storage, within the urban radius of Los Angeles (Chile). 23 sources with a severe risk category class "C" and the 3 very severe risk category class "D" identified with the APELL methodology, applied in the study by Silva et al. (2016), were modeled. 29. 30. The spatial and temporal behavior of the gas leaking for tanks iden tified with capacities of 2m3, 4m3, 11m3 and 49m3 were evaluated using seasonal averages of meteorological variables considered in a five - year evaluation period. Leakage time variables were used evaluating their behavior in 1, 3 and 5 minutes in order to identify worst-case conditions. As a result it is obtained that the behavior of the cloud depends on the atmospheric stability, being the stable condition where concentrations of interest remain longer reaching greater distances and that the worst scenario for a leak is the low temperatures and the stable atmospheric conditions. As a conclusion, it can be established that in the study area, there are ponds that are potentially dangerous due to deflagration for workers and the com munity, however, exposure times do not generate hazards due to acute exposure.


Subject(s)
Humans , Risk Management , Software , Occupational Risks , Gas Exhaust/prevention & control , Gases/adverse effects , Seasons , Temperature , Wind , Petroleum , Chile , Occupational Exposure/prevention & control , Risk Assessment , Urban Area , Atmospheric Stability , Gases/analysis , Humidity
18.
Con-ciencia (La Paz) ; 5(2): 29-42, nov. 2017. il., tab.
Article in Spanish | LILACS | ID: biblio-1178823

ABSTRACT

El presente estudio describe la estandarización del método para la cuantificación de alcohol en sangre por Cromatografía Gaseosa con Detector de Ionización de llama y espacio de cabeza. La separación del alcohol de una matriz compleja como la sangre fue llevada a cabo de manera exitosa utilizando una columna ELITE-1, la fase móvil o gas de arrastre es una mezcla de hidrógeno y aire, inyector split y detector de ionización de llama. El método fue validado con los siguientes parámetros: especificidad, linealidad, precisión, exactitud, límite de detección y límite de cuantificación. También se realizó la prueba de aptitud del sistema. El método fue específico para el alcohol, la respuesta fue lineal en el rango de 0,125 ­ 1,0 mg/mL de concentración del analito. El valor del coeficiente de variación o desviación estándar relativa (C.V. o DSR) para la precisión fue óptimo. La recuperación media fue de 99,06%. Y el límite de detección y cuantificación resultaron óptimos para la cuantificación de alcohol en sangre en el rango definido. Finalmente el método cromatográfico fue correlacionado con el método analítico (previamente validado) actualmente utilizado en la División de Dosage Etílico del Instituto de Investigaciones Técnicas de la Universidad Policial Mariscal Antonio José de Sucre, mediante el análisis estadístico de las respuestas analíticas de ambos métodos se obtuvo una muy buena correlación por lo que se concluye que el método cromatográfico puede ser utilizado para los fines consiguientes.


The present study describes the standardization of the method for the quantification of alcohol in blood by Gas Chromatography with Flame Ionization Detector and headspace. The separation of the alcohol from a complex matrix such as blood was successfully carried out using an ELITE-1 column, the mobile phase or entrainment gas is a mixture of hydrogen and air, split injector and flame ionization detector. The method was validated with the following parameters: specificity, linearity, precision, accuracy, limit of detection and limit of quantification. The system fitness test was also performed. The method was alcohol specific, the response was linear in the range of 0.125 - 1.0 mg / mL analyte concentration. The value of the coefficient of variation or relative standard deviation (C.V. or DSR) for precision was optimal. The mean recovery was 99.06%. And the limit of detection and quantification were optimal for the quantification of blood alcohol in the defined range. Finally the chromatographic method was correlated with the enzymatic method (previously validated) currently used in the Ethical Dosage Division of the Institute of Technical Investigations of the Mariscal Antonio José de Sucre Police University, through the statistical analysis of the analytical responses of both methods a very good correlation was obtained by which it is concluded that the chromatographic method can be used for the consequent purposes.


Subject(s)
Chromatography , Chromatography, Gas , Ethanol , Water Purification , Dosage , Reference Parameters , Gases , Methods
19.
An. acad. bras. ciênc ; 89(1,supl): 445-456, May. 2017. tab, graf
Article in English | LILACS | ID: biblio-886648

ABSTRACT

ABSTRACT This study investigated the anesthetic potential of the essential oil (EO) of Aloysia polystachya in juveniles of dusky grouper (Epinephelus marginatus). Fish were exposed to different concentrations of EO of A. polystachya to evaluate time of induction and recovery from anesthesia. In the second experiment, fish were divided into four groups: control, ethanol and 50 or 300 µL L−1 EO of A. polystachya, and each group was submitted to induction for 3.5 min and recovery for 5 or 10 min. The blood gases and glucose levels showed alterations as a function of the recovery times, but Na+ and K+ levels did not show any alteration. In conclusion, the EO from leaves of A. polystachya is an effective anesthetic for dusky grouper, because anesthesia was reached within the recommended time at EO concentrations of 300 and 400 µL L−1. However, most evaluated blood parameters showed compensatory responses due to EO exposure.


Subject(s)
Animals , Catfishes/blood , Plant Oils/pharmacology , Oils, Volatile/pharmacology , Biomarkers/blood , Verbenaceae/chemistry , Anesthetics/pharmacology , Bicarbonates/blood , Hemoglobins/analysis , Plant Leaves/chemistry , Gases/blood , Glucose/analysis , Hematocrit , Hydrogen-Ion Concentration , Metals, Alkali/blood
20.
Clinics ; 72(2): 87-94, Feb. 2017. tab, graf
Article in English | LILACS | ID: biblio-840048

ABSTRACT

OBJECTIVE: To present our experience in the management of patients with infected pancreatic necrosis without drainage. METHODS: The records of patients with pancreatic necrosis admitted to our facility from 2011 to 2015 were retrospectively reviewed. RESULTS: We identified 61 patients with pancreatic necrosis. Six patients with pancreatic necrosis and gas in the retroperitoneum were treated exclusively with clinical support without any type of drainage. Only 2 patients had an APACHE II score >8. The first computed tomography scan revealed the presence of gas in 5 patients. The Balthazar computed tomography severity index score was >9 in 5 of the 6 patients. All patients were treated with antibiotics for at least 3 weeks. Blood cultures were positive in only 2 patients. Parenteral nutrition was not used in these patients. The length of hospital stay exceeded three weeks for 5 patients; 3 patients had to be readmitted. A cholecystectomy was performed after necrosis was completely resolved; pancreatitis recurred in 2 patients before the operation. No patients died. CONCLUSIONS: In selected patients, infected pancreatic necrosis (gas in the retroperitoneum) can be treated without percutaneous drainage or any additional surgical intervention. Intervention procedures should be performed for patients who exhibit clinical and laboratory deterioration.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Anti-Bacterial Agents/therapeutic use , Gases , Pancreatitis, Acute Necrotizing/drug therapy , Retroperitoneal Space , Length of Stay , Pancreatitis, Acute Necrotizing/diagnostic imaging , Retrospective Studies , Tomography, X-Ray Computed
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