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1.
Electron. j. biotechnol ; 44: 58-59, Mar. 2020. ilus
Article in English | LILACS | ID: biblio-1087710

ABSTRACT

BACKGROUND: Methanol can be effectively removed from air by biofiltration (Shareefdeen et al., 1993; Babbitt et al., 2009 [1,2]). However, formaldehyde is one of the first metabolic intermediates in the consumption of methanol in methylotrophic microorganisms (Negruta et al., 2010 [3]), and it can be released out of the cell constituting a secondary emission. RESULTS: The total removal of methanol was achieved up to input loads of 263 g m−3 h−1 and the maximum elimination capacity of the system was obtained at an empty bed residence times of 90 s and reached 330 g m−3 h−1 at an input methanol load of 414 g m−3 h−1 and 80% of removal efficiency. Formaldehyde was detected inside the biofilter when the input methanol load was above 212 g m−3 h−1 . Biomass in the filter bed was able to degrade the formaldehyde generated, but with the increase of the methanol input load, the unconsumed formaldehyde was released outside the biofilter. The maximum concentration registered at the output of the system was 3.98 g m−3 when the methanol load was 672 g m−3 h−1 in an empty bed residence times of 60 s. CONCLUSIONS: Formaldehyde is produced inside a biofilter when methanol is treated in a biofiltration system inoculated with Pichia pastoris. Biomass present in the reactor is capable of degrading the formaldehyde generated as the concentration of methanol decreases. However, high methanol loads can lead to the generation and release of formaldehyde into the environment.


Subject(s)
Pichia/chemistry , Methanol/chemistry , Formaldehyde/analysis , Volatilization , Biological Filters , Biomass , Bioreactors , Environment
2.
Braz. j. biol ; 79(3): 423-431, July-Sept. 2019. tab, graf
Article in English | LILACS | ID: biblio-1001462

ABSTRACT

Abstract The usage of aquatic plants represents an alternative in the treatment of residues originating from swine. In these systems, one of the N removal methods is the ammonium (NH4 +) uptake and volatilization of ammonia (NH3). In this way, the objective of this work was to evaluate the volatilization rates of NH3 in waste treatment systems swine fluids (SSF) with aquatic macrophytes, as well as the concentration of NH 4+ present in the swine fluids. The experiment was carried out at Campus II/UNOESTE. The treatment systems were composed of 16 boxes of PVC and characterized as: T1 = Control sample 50% of SSF/50% of water; T2 = 50% SSF/50% water + Eichhornia crassipes (Mart.) Solms; T3 = 50% SSF/50% water + Pistia stratiotes L.; T4 = 50% SSF/50% water + Salvinia auriculata Aubl. The design was randomized blocks, with 4 treatments and 4 replicates. The hydrogen potential (pH) and the NH4 + content of the effluent were analyzed weekly, and the volatilization of NH 3 by means of collectors installed in each treatment unit. The presence of aquatic macrophytes promoted the reduction of NH4+ concentration and of the pH values ​​of swine fluids, and this resulted in the reduction of NH3 volatilization rates to the environment, with emphasis on the system with Eichhornia crassipes (Mart.) Solms, which presented the lowest rate of volatilization.


Resumo A utilização de plantas aquáticas representa uma alternativa no tratamento de resíduos oriundos da suinocultura. Nestes sistemas, uma das formas de remoção de nitrogênio (N) é a absorção de amônio (NH4+) pelas plantas, entretanto, também ocorre a volatilização de amônia (NH3). Dessa forma, o objetivo do trabalho foi avaliar as taxas de volatilização de NH3 em sistemas de tratamentos de dejetos líquidos de suínos (DLS) com macrófitas aquáticas, bem como a concentração de NH4+ presente nos dejetos. O experimento foi realizado em área de ambiente aberto no Campus II/UNOESTE. Os sistemas de tratamento foram constituídos de 16 caixas de PVC e caracterizados como: T1 = Testemunha 50% de DLS/50% de água; T2 = 50% de DLS/50% de água + Eichhornia crassipes (Mart.) Solms; T3 = 50% de DLS/50% de água + Pistia stratiotes L.; T4 = 50% de DLS/50% de água + Salvinia auriculata Aubl. O delineamento adotado foi em blocos casualizados, com 4 tratamentos e 4 repetições. Foram analisados o potencial hidrogeniônico (pH) e o teor de NH4 + do efluente semanalmente, e a volatilização de NH3 por meio de coletores instalados em cada unidade de tratamento. A presença das macrófitas aquáticas proporcionou a redução da concentração de NH4+ e dos valores de pH dos dejetos líquidos de suínos, e isto resultou na redução das taxas de volatilização de NH 3 ao meio ambiente, com destaque ao sistema com Eichhornia crassipes (Mart.) Solms, que apresentou a menor taxa de volatilização.


Subject(s)
Animals , Waste Disposal, Fluid , Araceae/metabolism , Eichhornia/metabolism , Ammonia , Manure/analysis , Swine , Volatilization , Biodegradation, Environmental , Random Allocation , Water Consumption (Environmental Health) , Industrial Waste/analysis , Animal Husbandry
3.
Ciênc. Saúde Colet ; 24(6): 2043-2052, jun. 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1011815

ABSTRACT

Resumo A integração entre os níveis de atenção é um desafio contínuo mesmo em sistemas de saúde consolidados e de alta performance. A reestruturação do sistema público de saúde do Distrito Federal, baseado no fortalecimento da Atenção Primária à Saúde (APS), na reconfiguração da atenção especializada (ambulatorial e hospitalar) e de sua rede de urgência e emergência, trouxe como desafio a necessidade de integração entre esses níveis. Fez-se necessária a criação de um dispositivo que desempenhasse o papel de "gatekeeper" conduzindo o acesso equânime, transparente e seguro para a atenção especializada e hospitalar. Neste sentido, foi estruturado o Complexo Regulador em Saúde do Distrito Federal (CRDF) e suas Centrais de Regulação (CR), orientados para a execução de um processo regulatório de acesso para os serviços de internação hospitalar, ambulatorial (procedimentos e consultas especializadas), cirurgias eletivas, alta complexidade, transporte sanitário, urgências e transplantes de pacientes do Distrito Federal e de fora dele. Este artigo descreve o processo de implantação e de implementação do CRDF e de suas CR, de forma a refletir sobre as potencialidades e desafios de seu papel enquanto instrumento de integração entre os níveis assistenciais de saúde.


Abstract The integration among levels of care is a continuous challenge even in consolidated and high performance health systems. The reform of public health system of Distrito Federal, based on the strengthening of primary health care associated to the reconfiguration of specialized attention (ambulatory and hospital) and of its of urgency and emergence network brought, as a challenge, the need for integration between these levels. Thus, became necessary to create an instrumentto perform the role of gatekeeper, leading to equanimous, transparent and safe access to specialized and hospital care. Thus, the Regulatory Complex in Health of Distrito Federal (CRDF) and its Regulatory Centers (CR) were created to carry out the regulatory process of access to care services, such as hospitalization, ambulatory care (procedures and specialized consultations), elective surgeries, complex procedures, sanitary transport, urgencies and transplants of patients of the Federal District and outside it. This article describes the process of the CRDF implementation and its CRs, aiming to reflect on the potential and challenges of its role as an instrument of integration among the levels of care.


Subject(s)
Animals , Pheromones/isolation & purification , Stomach/chemistry , Tilia , Flowers , Honey/analysis , Pheromones/chemistry , Volatilization , Bees , Plant Extracts/chemistry
4.
São Paulo; s.n; s.n; 2019. 98 p. graf, tab.
Thesis in English | LILACS | ID: biblio-1049035

ABSTRACT

In this study, 83 wines considered by experts as representatives of the following commercial categories: "Argentinean Malbec (AM)", "Brazilian Merlot (BM)", "Uruguayan Tannat (UT)" and "Chilean Carménère (CC)" were analyzed according to their composition of phenolic, volatiles and semi-volatiles compounds. The objective was to identify the chemical compounds profile that characterized each commercial category. From about 600 peaks obtained by chromatographic techniques, 169 were identified and 53 of them were selected for multivariate statistical analysis. Four clusters, designated as "Chemical Categories" were obtained. Chemical Category 2 and Chemical Category 4 were composed by 90% of CC and 68% of AM respectively, Chemical Category 3 grouped mostly CC (50%) and BM (36%), while Chemical Category 1 showed predominance of AM (37%) and UT (30%). Based on the chemical classification, CC wines were characterized by higher content of Isopentyl lactate, Isobutyl alcohol, Ionone, malvidin and gallic acid and lower content of rutin, quercetin and resveratrol. On the other side, AM wines showed higher concentration of myricetin. UT wines had the highest antioxidant activity, higher content of quercetin, epicatechin, rutin and also the highest amount of all semi-volatiles detected in the negative mode, while BM wines only showed the highest concentration of catechin, petunidin and all semi-volatiles detected in the positive mode. Considering that phenolic and volatile compounds are strictly associated to the wines sensory characteristics, these data can contribute to establish criteria for further wines authentication and typification


Neste estudo, 83 vinhos considerados por especialistas como representantes das seguintes categorias comerciais: "Malbec Argentino (AM)", "Merlot Brasileiro (BM)", "Tannat Uruguaio (UT)" e "Carménere Chileno (CC)" foram analisados de acordo com a sua composição de compostos fenólicos, voláteis e semi-voláteis. O objetivo foi identificar a combinação dos compostos químicos que caracteriza cada categoria comercial. De cerca de 600 picos obtidos por técnicas cromatográficas, 169 foram identificados e 53 deles foram selecionados para análise estatística multivariada. Quatro clusters, designados como "Categorias Químicas" foram obtidos. A Categoria Química 2 e a Categoria Química 4 foram compostas por 90% de CC e 68% de AM respectivamente, a Categoria Química 3 agrupou principalmente CC (50%) e BM (36%), enquanto a Categoria Química 1 mostrou predominância de AM (37%) e UT (30%). Com base na classificação química, os vinhos CC foram caracterizados por apresentarem maior teor de lactato isopentílico, álcool isobutílico, ionona, malvidina e ácido gálico e menor teor de rutina, quercetina e resveratrol. Por outro lado, os vinhos AM apresentaram maior concentração de miricetina. Os vinhos UT apresentaram a maior atividade antioxidante, maior teor de quercetina, epicatequina, rutina e também a maior quantidade de todos os semi-voláteis detectados no modo negativo, enquanto os vinhos BM apresentaram a maior concentração de catequina, petunidina e todos os semi-voláteis detectados no modo positivo. Considerando que compostos fenólicos e voláteis estão estritamente associados às características sensoriais dos vinhos, esses dados podem contribuir para o estabelecimento de critérios para posterior autenticação e tipificação de vinhos sul americanos


Subject(s)
Wine/analysis , Wine/statistics & numerical data , Volatilization , Algorithms , Chemical Compounds/classification , Phenolic Compounds/analysis , Antioxidants
5.
Biomedical Engineering Letters ; (4): 223-229, 2018.
Article in English | WPRIM | ID: wpr-714460

ABSTRACT

Optically-triggered phase-transition droplets have been introduced as a promising contrast agent for photoacoustic and ultrasound imaging that not only provide significantly enhanced contrast but also have potential as photoacoustic theranostic molecular probes incorporated with targeting molecules and therapeutics. For further understanding the dynamics of optical droplet vaporization process, an innovative, methodical analysis by concurrent acoustical and ultrafast optical recordings, comparing with a theoretical model has been employed. In addition, the repeatability of the droplet vaporization-recondensation process, which enables continuous photoacoustic imaging has been studied through the same approach. Further understanding the underlying physics of the optical droplet vaporization and associated dynamics may guide the optimal design of the droplets. Some innovative approaches in preclinical studies have been recently demonstrated, including sono-photoacoustic imaging, dual-modality of photoacoustic and ultrasound imaging, and super-resolution photoacoustic imaging. In this review, current development of optically triggered phase-transition droplets and understanding on the vaporization dynamics, their applications are introduced and future directions are discussed.


Subject(s)
Methods , Models, Theoretical , Molecular Probes , Theranostic Nanomedicine , Ultrasonography , Volatilization
6.
J. appl. oral sci ; 26: e20170161, 2018. graf
Article in English | LILACS | ID: biblio-893692

ABSTRACT

Abstract Objectives The aim of this study was to reveal the mechanisms by which zinc ions inhibit oral malodor. Material and Methods The direct binding of zinc ions to gaseous hydrogen sulfide (H2S) was assessed in comparison with other metal ions. Nine metal chlorides and six metal acetates were examined. To understand the strength of H2S volatilization inhibition, the minimum concentration needed to inhibit H2S volatilization was determined using serial dilution methods. Subsequently, the inhibitory activities of zinc ions on the growth of six oral bacterial strains related to volatile sulfur compound (VSC) production and three strains not related to VSC production were evaluated. Results Aqueous solutions of ZnCl2, CdCl2, CuCl2, (CH3COO)2Zn, (CH3COO)2Cd, (CH3COO)2Cu, and CH3COOAg inhibited H2S volatilization almost entirely. The strengths of H2S volatilization inhibition were in the order Ag+ > Cd2+ > Cu2+ > Zn2+. The effect of zinc ions on the growth of oral bacteria was strain-dependent. Fusobacterium nucleatum ATCC 25586 was the most sensitive, as it was suppressed by medium containing 0.001% zinc ions. Conclusions Zinc ions have an inhibitory effect on oral malodor involving the two mechanisms of direct binding with gaseous H2S and suppressing the growth of VSC-producing oral bacteria.


Subject(s)
Zinc/pharmacology , Halitosis/drug therapy , Hydrogen Sulfide/antagonists & inhibitors , Anti-Bacterial Agents/pharmacology , Time Factors , Bacteria/growth & development , Bacteria/drug effects , Volatilization , Zinc/chemistry , Microbial Sensitivity Tests , Chlorides/chemistry , Reproducibility of Results , Statistics, Nonparametric , Culture Media , Halitosis/microbiology , Hydrogen Sulfide/analysis , Hydrogen Sulfide/metabolism , Hydrogen Sulfide/chemistry , Acetates/chemistry , Anti-Bacterial Agents/chemistry
7.
Article in English | LILACS | ID: biblio-844733

ABSTRACT

ABSTRACT: Aim: Determine the influence of time of passive evaporation of the solvent in a universal adhesive on the hydraulic conductance and permeability of dentin in an ex vivo human model. Henceforth, 60 healthy non-occluding third molars, indicated for therapeutic extraction/removal, of informed and consented patients aged between 18 and 30 years, were used here in. First, extracted teeth were incorporated into epoxy resin blocks and then dentin disks (1mm +/- 0.1 mm thick) were prepared. Dentin was acid etched with 35% ortho-phosphoric acid for 15 seconds in order to remove the smear layer and obtain permeable dentin. Samples were then randomized and divided into 5 groups (n=12). A Single Bond Universal adhesive layer with different time of passive evaporation of the solvent was then applied: GC=10 seconds, G1=30 seconds, G2=60 seconds, G3=300 seconds and G4=50 minutes. Finally, the flow rate was measured using a diffusion chamber, a model previously proposed by Pashley et al. Results: The obtained hydraulic conductance averages were as follows: GC=0.00052, G1=0.00018, G2=0.00006, G3=0.00005, G4=0.00005 expressed in uL•cm-2•min-1cm•H2O-1. For comparisons between groups, ANOVA and post hoc Tukey (ρ<0.05) tests were applied, resulting in a statistically significant difference between the GC group and all experimental groups (ρ <0.05). An influence of solvent passive evaporation thereby reducing hydraulic conductance in the experimental groups, was detected.


Subject(s)
Adhesives/chemistry , Dentin-Bonding Agents/chemistry , Volatilization , Water/chemistry
8.
Article in Korean | WPRIM | ID: wpr-209566

ABSTRACT

PURPOSE: To evaluate the surgical results of punctoplasty using thermal vaporization in patients with punctual stenosis. METHODS: We retrospectively reviewed the charts of 84 patients who underwent punctoplasty using thermal vaporization via a radiofrequency surgical unit (Ellman surgitron®; Ellman International Inc., Oceanside, NY, USA) from 2012 to 2015. The final surgical results included the success rates, postoperative complications, and punctual size and shape. RESULTS: A total of 123 eyes and 219 puncta of 84 patients were included in this study. The average age was 53.5 years with a mean follow-up period of 32.2 months. Before surgery, the mean punctum diameter was 0.24 mm. After surgery, the mean punctum diameter was 2.59 mm. At last follow-up, 207 puncta (95%) were found to be patent, while 9 puncta (4%) became stenotic again. The anatomic success rate was 95%. During fluorescein dye disappearance tests after surgery, 3 eyes (2.4%) were grade 3, 5 eyes (4%) were grade 2, 3 eyes (2.4%) were grade 1, and 112 eyes (91%) were grade 0. If grades 1 or 0 were defined as functional success, then the functional success rate was 115/123 eyes (93.5%). After punctoplasty, 110 eyes (89.4%) showed no signs of epiphora. However, 5 eyes (4.1%) showed intermittent epiphora and 8 eyes (6.5%) showed persistent epiphora. According to a survey study on tearing, the functional success rate was 115/123 eyes (93.4%). CONCLUSIONS: After punctoplasty using thermal vaporization, high anatomic and functional success rates were achieved, with the two success rates being almost identical. No significant complications were reported postoperatively.


Subject(s)
Constriction, Pathologic , Fluorescein , Follow-Up Studies , Humans , Lacrimal Apparatus Diseases , Postoperative Complications , Retrospective Studies , Tears , Volatilization
9.
Article in English | WPRIM | ID: wpr-222838

ABSTRACT

PURPOSE: To evaluate the impact of photoselective vaporization of the prostate (PVP) with a 120-W GreenLight high-performance system on erectile function in a 2-year follow-up study. MATERIALS AND METHODS: One hundred seventy-seven patients who underwent PVP during 2008 to 2012 were analyzed retrospectively. The patients were divided into 5 groups according to their preoperative 5-item International Index of Erectile Function (IIEF-5) scores: Group I (IIEF-5: 5~7, n=28), II (IIEF-5: 8~11, n=47), III (IIEF-5: 12~16, n=43), IV (IIEF-5: 17~21, n=34), and V (IIEF-5: 22~25, n=25). The patients were assessed before surgery and 6, 12, and 24 months after the PVP. Their International Prostate Symptom Score/quality of life, maximum urinary flow rate/post-void residual urine volume, and IIEF-5 scores were measured at each visit. RESULTS: The mean age and presence of hypertension were significantly different among the 5 groups. Perioperative parameters and postoperative complication rates showed no statistical differences. After PVP, voiding parameters were significantly improved in all the groups and sustained during the 2-year follow-up. The postoperative IIEF-5 scores fell slightly overall, while group V showed the largest significant deterioration. In multivariate analysis, body mass index (BMI) was the only independent predictor of decreased erectile function after PVP. CONCLUSIONS: Erectile function declined in all the groups after PVP, with the most extensive deterioration observed in patients with normal erectile function preoperatively. Preoperative BMI was the only independent risk factor for a meaningful decrease in erectile function after PVP.


Subject(s)
Body Mass Index , Erectile Dysfunction , Follow-Up Studies , Humans , Hypertension , Laser Therapy , Male , Multivariate Analysis , Postoperative Complications , Prostate , Prostatic Hyperplasia , Retrospective Studies , Risk Factors , Volatilization
10.
Article in Korean | WPRIM | ID: wpr-156629

ABSTRACT

Benign prostatic hyperplasia (BPH) is one of the most common urological diseases in men after middle age. The most common surgical treatment of BPH is transurethral prostatectomy. Recently, because of the rapid development of lasers, they have been used for the treatment of BPH. The treatment of BPH using lasers has been shown to lead to significant improvements in symptoms and to have excellent therapeutic effects. It is widely used as a minimally invasive treatment of BPH because of the risk and complications associated with transurethral prostate resection. Currently, 3 kinds of lasers are generally used in the treatment of BPH in Korea: potassium-titanyl-phosphate, holmium, and thulium lasers. With developments in laser technology, surgical procedures have improved continuously. The most common surgical procedures are holmium laser enucleation of the prostate (HoLEP), photoselective vaporization of the prostate (PVP), and thulium laser enucleation of the prostate. HoLEP is an effective surgical procedure for large prostates. PVP is safe for patients who are elderly, are in poor general health, or are taking anticoagulants. Thulium laser enucleation of prostate has advantages over PVP and HoLEP surgery due to specific characteristics of the laser and the surgical method. Compared with transurethral prostate resection, laser-based surgical procedures require shorter hospitalization and Foley catheter insertion periods. HoLEP and PVP are safe and effective methods for the surgical treatment of BPH. Therefore, if more data are accumulated from research into these methods, they will become the standard surgical treatments for prostate hyperplasia.


Subject(s)
Aged , Anticoagulants , Catheters , Holmium , Hospitalization , Humans , Hyperplasia , Korea , Lasers, Solid-State , Male , Methods , Middle Aged , Prostate , Prostatic Hyperplasia , Therapeutic Uses , Thulium , Transurethral Resection of Prostate , Urologic Diseases , Volatilization
11.
Biosci. j. (Online) ; 32(1): 108-114, jan./fev. 2016. tab
Article in English | LILACS | ID: biblio-965254

ABSTRACT

The efficacy of pesticide applications is related to the spread and evaporation time of the droplets deposited on the target. This study evaluates the evaporation of spray droplets containing thiamethoxam and adjuvants on different surfaces and at different levels of relative air humidity. A climate controlled chamber was set up with a digital microscope to produce images of droplet evaporation. Three surfaces (hydrophilic, lipophilic and hydrophobic), five solutions (water, thiamethoxam, thiamethoxam + mineral oil, thiamethoxam + vegetable oil, thiamethoxam + surfactant) and three air humidity levels (45%, 60% and 75%) were evaluated. The surface tension of these solutions was also measured. It was found that all of the insecticide solutions reduced surface tension, that air humidity, target surface and spray formulation influenced spray evaporation and that surfactants reduced the evaporation time of droplets on natural lipophilic surfaces.


A eficácia de uma aplicação de produto fitossanitário está relacionada ao espalhamento e ao tempo de evaporação das gotas depositadas sobre o alvo. O presente trabalho teve como objetivo avaliar a evaporação de gotas depositadas em distintas superfícies, a partir de caldas contendo tiametoxam e adjuvantes, em diferentes umidades relativas do ar. Foi montada uma estrutura a partir de uma câmara climática de condições controladas e um microscópio digital para análise de imagens da evaporação de gotas. Foram avaliadas, em três superfícies (hidrofílica, hidrofóbica e lipofílica), cinco soluções (água, tiametoxam, tiametoxam + óleo mineral, tiametoxam + óleo vegetal, tiametoxam + espalhante) e três umidades relativas do ar (45%, 60% e 75%). Também foi realizada análise da tensão superficial destas soluções. Com base nos resultados obtidos, todas as soluções inseticidas reduziram a tensão superficial da calda; a umidade relativa do ar, a estrutura da superfície alvo e a formulação da calda do produto fitossanitário influenciaram a evaporação de gotas em superfície; e o uso de surfactantes reduziu o tempo de evaporação de gotas depositadas em superfície natural lipofílica.


Subject(s)
Pesticides , Volatilization , Evaporation
12.
Article in English | WPRIM | ID: wpr-168311

ABSTRACT

Surgical fires require an ignition source, oxidizer, and fuel. The pulsed dye laser (PDL) has been shown to be effective in the treatment of hypertrophic scars and keloids in dermatology. With the increasing number of applications of CO2, laser as ignition source has been associated with operating room fires in the otorhinolaryngologic field. There have been many case reports on PDL-induced fires in dermatology, but until now, there were no reports in the larynx. We describe a 57-year-old patient diagnosed with laryngeal hyperkeratosis treated by PDL-assisted laryngomicrosurgery. In this case, we experienced incidental PDL tip flaring during pulsed dye laser vaporization.


Subject(s)
Cicatrix, Hypertrophic , Dermatology , Fires , Humans , Keloid , Larynx , Lasers, Dye , Microsurgery , Middle Aged , Operating Rooms , Volatilization
13.
Article in English | WPRIM | ID: wpr-62242

ABSTRACT

PURPOSE: The aim of this study was to evaluate the efficacy of a multimedia informed consent (IC) presentation on the understanding and satisfaction of patients who were scheduled to receive 120-W green-light high-performance system photoselective vaporization of the prostate (HPS-PVP). MATERIALS AND METHODS: A multimedia IC (M-IC) presentation for HPS-PVP was developed. Forty men with benign prostatic hyperplasia who were scheduled to undergo HPS-PVP were prospectively randomized to a conventional written IC group (W-IC group, n=20) or the M-IC group (n=20). The allocated IC was obtained by one certified urologist, followed by a 15-question test (maximum score, 15) to evaluate objective understanding, and questionnaires on subjective understanding (range, 0~10) and satisfaction (range, 0~10) using a visual analogue scale. RESULTS: Demographic characteristics, including age and the highest level of education, did not significantly differ between the two groups. No significant differences were found in scores reflecting the objective understanding of HPS-PVP (9.9±2.3 vs. 10.6±2.8, p=0.332) or in subjective understanding scores (7.5±2.1 vs. 8.6±1.7, p=0.122); however, the M-IC group showed higher satisfaction scores than the W-IC group (7.4±1.7 vs. 8.4±1.5, p=0.033). After adjusting for age and educational level, the M-IC group still had significantly higher satisfaction scores. CONCLUSIONS: M-IC did not enhance the objective knowledge of patients regarding this surgical procedure. However, it improved the satisfaction of patients with the IC process itself.


Subject(s)
Education , Humans , Informed Consent , Male , Multimedia , Prospective Studies , Prostate , Prostatic Hyperplasia , Surgical Procedures, Operative , Volatilization
14.
Article in English | WPRIM | ID: wpr-39528

ABSTRACT

PURPOSE: To perform a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing monopolar transurethral resection of the prostate (MTURP) and photoselective vaporization of the prostate (PVP) in order to provide the most up-to-date and reliable recommendations possible. MATERIALS AND METHODS: Relevant RCTs were identified from electronic databases for meta-analysis of the surgical outcomes and complications of MTURP and PVP. Meta-analytical comparisons were made using qualitative and quantitative syntheses. The outcome variables are presented as odds ratios with 95% confidence intervals (CIs). RESULTS: In total, 11 articles were included in this comparative analysis of PVP versus MTURP. Most of the recently published studies exhibited low risk in terms of quality assessment. MTURP was superior to PVP regarding operative time; however, with regard to catheterization and hospitalization time, the mean differences were -1.39 (95% CI=-1.83~-0.95, p<0.001) and -2.21 (95% CI=-2.73~-1.69, p<0.001), respectively, in favor of PVP. PVP was superior to MTURP with regard to transfusion rate and clot retention, but no statistically significant differences were found with regard to acute urinary retention and urinary tract infection. The long-term complications of bladder neck contracture and urethral stricture showed no statistically significant differences between PVP and MTURP. Long-term functional outcomes, including the International Prostate Symptom Score and maximum flow rate, likewise did not display statistically significant differences between PVP and MTURP. CONCLUSIONS: Based on our findings, we believe that PVP should be considered as an alternative surgical procedure for treating male lower urinary tract symptoms secondary to benign prostatic hyperplasia.


Subject(s)
Catheterization , Catheters , Contracture , Hospitalization , Humans , Lower Urinary Tract Symptoms , Male , Neck , Odds Ratio , Operative Time , Prostate , Prostatic Hyperplasia , Transurethral Resection of Prostate , Urethral Stricture , Urinary Bladder , Urinary Retention , Urinary Tract Infections , Volatilization
15.
Article in Korean | WPRIM | ID: wpr-654234

ABSTRACT

Operating room fires are a rare but preventable danger in modern operating rooms. But sometimes accidental fires in operating room can be life threatening. Surgical fires require an ignition source, oxidizer, and fuel. Recently, laser as an ignition source in the presence of anesthetic gases has been associated with operating room fires in otorhinolaryngologic field. We describe a 30-year-old patient diagnosed with recurrent laryngeal papillomatosis treated by CO2 laser-assisted laryngomicrosurgery. In this case, we experienced endotracheal tube flaring during CO2 vaporization and then incidental endotracheal tube firing due to CO2 laser under high O2 circumference. Shortly after removal of firing endotracheal tube, the anesthesiologist considered careful re-intubation. To minimize the risk of operating room fires, surgeons must familiarize with the common possibilities where fire is known to occur. Furthermore, the prevention of operating room firing should be strongly considered during all operations using lasers.


Subject(s)
Adult , Anesthetics, Inhalation , Fires , Humans , Larynx , Lasers, Gas , Operating Rooms , Papilloma , Volatilization
16.
Article in English | WPRIM | ID: wpr-108814

ABSTRACT

PURPOSE: The aim of the present study was to evaluate preoperative acute urinary retention (AUR) as a factor affecting the outcomes of patients who underwent photoselective vaporization of the prostate (PVP), both in terms of overall effectiveness and the postoperative incidence of AUR. MATERIALS AND METHODS: Baseline prostate characteristics were obtained for patients who underwent PVP, including prostate-specific antigen (PSA) levels, transrectal ultrasound findings, voiding diary parameters, the International Prostate Symptoms Score (IPSS), and uroflowmetry parameters. These parameters were assessed two weeks, one month, three months, six months, and three years postoperatively. Subjects were divided into AUR and non-AUR groups based on the preoperative occurrence of AUR. RESULTS: Of the 476 patients, 91 had at least one episode of preoperative AUR. The AUR group was found to be significantly older and to have significantly higher PSA levels, lower body mass indices, and larger prostates. At one year of follow-up, the total IPSS was 7.6+/-6.8 in the AUR group and 11.4+/-8.2 in the non-AUR group, with the AUR group showing a more significant improvement. In the non-AUR group, 17 of the 385 patients (4.4%) experienced postoperative retention, compared to 16 of the 91 patients (17.6%) patients in the AUR group. CONCLUSIONS: Almost all patients exhibited improvements in subjective and objective voiding parameters following PVP, regardless of the presence of preoperative urinary retention. Patients with a preoperative history of AUR had a higher risk of postoperative retention.


Subject(s)
Follow-Up Studies , Humans , Incidence , Laser Therapy , Lower Urinary Tract Symptoms , Prostate , Prostate-Specific Antigen , Ultrasonography , Urinary Retention , Volatilization
17.
Article in English | WPRIM | ID: wpr-103870

ABSTRACT

BACKGROUND: The erbium:yttrium scandium gallium garnet (Er:YSGG) laser differs from other laser techniques by having a faster and higher cure rate. Since the Er:YSGG laser causes an appropriate proportion of ablation and coagulation, it has advantages over the conventional carbon dioxide (CO2) laser and the erbium-doped yttrium aluminum garnet (Er:YAG) laser, including heating tendencies and explosive vaporization. This research was conducted to explore the effects and safety of the Er:YSGG laser. METHODS: Twenty patients participated in the pilot study of a resurfacing system using a 2,790-nm Er:YSGG laser. All patients received facial treatment by the 2,790-nm Er:YSGG laser system (Cutera) twice with a 4-week interval. Wrinkle reduction, reduction in pigment inhomogeneity, and improvement in tone and texture were measured. RESULTS: Study subjects included 15 women and five men. Re-epithelization occurred in all subjects 3 to 4 days after treatment, and wrinkle reduction, reduction in pigment inhomogeneity, and improvement in tone and texture within 6 months of treatment. CONCLUSIONS: The 2,790-nm YSGG laser technique had fewer complications and was effective in the improvement of scars, pores, wrinkles, and skin tone and color with one or two treatments. We expect this method to be effective for people with acne scars, pore scars, deep wrinkles, and uneven skin texture and color.


Subject(s)
Ablation Techniques , Acne Vulgaris , Aluminum , Carbon Dioxide , Cicatrix , Female , Gallium , Heating , Hot Temperature , Humans , Laser Therapy , Lasers, Solid-State , Male , Pilot Projects , Rejuvenation , Scandium , Skin , Volatilization , Yttrium
18.
Article in English | WPRIM | ID: wpr-20258

ABSTRACT

OBJECTIVES: This study determined the effect of the air-stream application time and the bonding technique on the dentin bond strength of adhesives with different solvents. Furthermore, the content and volatilization rate of the solvents contained in the adhesives were also evaluated. MATERIALS AND METHODS: Three adhesive systems with different solvents (Stae, SDI, acetone; XP Bond, Dentsply De Trey, butanol; Ambar, FGM, ethanol) were evaluated. The concentrations and evaporation rates of each adhesive were measured using an analytical balance. After acid-etching and rinsing, medium occlusal dentin surfaces of human molars were kept moist (conventional) or were treated with 10% sodium hypochlorite for deproteinization. After applying adhesives over the dentin, slight air-stream was applied for 10, 30 or 60 sec. Composite cylinders were built up and submitted to shear testing. The data were submitted to ANOVA and Tukey's test (alpha = 0.05). RESULTS: Stae showed the highest solvent content and Ambar the lowest. Acetone presented the highest evaporation rate, followed by butanol. Shear bond strengths were significantly affected only by the factors of 'adhesive' and 'bonding technique' (p < 0.05), while the factor 'duration of air-stream' was not significant. Deproteinization of dentin increased the bond strength (p < 0.05). Stae showed the lowest bond strength values (p < 0.05), while no significant difference was observed between XP Bond and Ambar. CONCLUSIONS: Despite the differences in content and evaporation rate of the solvents, the duration of air-stream application did not affect the bond strength to dentin irrespective of the bonding technique.


Subject(s)
Acetone , Adhesives , Dental Bonding , Dentin , Dentin-Bonding Agents , Humans , Molar , Sodium Hypochlorite , Solvents , Volatilization
19.
Salud colect ; 10(3): 301-312, sep.-dic. 2014.
Article in Spanish | LILACS | ID: lil-733291

ABSTRACT

Para analizar la incorporación del género al campo de la salud, consideramos la producción científica, las políticas y programas de salud, además de las prácticas profesionales en el cotidiano de los servicios. Estos distintos planos de abordaje resultan necesarios por las diversas posibilidades que cada uno de ellos presenta ante dicha incorporación. En la producción científica, se identifica el crecimiento de la perspectiva de género, pero con baja inscripción metodológica del concepto; en las políticas y programas de salud, una ausencia de transversalidad y una presencia de inestabilidad temporal; y, en las prácticas profesionales, una incorporación más anclada en saberes prácticos que en la dimensión técnico-científica. El conjunto de las dificultades genera distintas tensiones en el desempeño cotidiano de los profesionales, entre la base científico-tecnológica y la base moral de la intervención.


We examine the incorporation of the gender perspective in the health field, considering scientific production, health policies and programs and everyday professional practices within the health services. These distinct layers are necessary given the different possibilities each presents for the incorporation of gender. In scientific production, we identify increasing inclusion of the gender perspective, but with little methodological use of the concept; in health policies and programs, the incorporation of the gender perspective is not comprehensive and varies temporally; and in professional practices, incorporation is anchored more in practical knowledge than in a technical and scientific basis. In the daily work of health professionals, this set of difficulties generates different tensions regarding the scientific and technological basis and the moral basis for intervention.


Subject(s)
Humans , Fruit/chemistry , Odorants/analysis , Psidium/chemistry , Chromatography, Gas , Costa Rica , Cyclohexenes , Esters/analysis , Gas Chromatography-Mass Spectrometry , Monoterpenes/analysis , Sesquiterpenes , Smell , Taste , Terpenes/analysis , Volatilization
20.
J. appl. oral sci ; 22(4): 294-301, Jul-Aug/2014. tab, graf
Article in English | LILACS | ID: lil-718289

ABSTRACT

Objective: To evaluate the influence of solvent evaporation in the kinetics of water diffusion (water sorption-WS, solubility-SL, and net water uptake) and nanoleakage of adhesive systems. Material and Methods: Disk-shaped specimens (5.0 mm in diameter x 0.8 mm in thickness) were produced (N=48) using the adhesives: Clearfil S3 Bond (CS3)/Kuraray, Clearfil SE Bond - control group (CSE)/Kuraray, Optibond Solo Plus (OS)/Kerr and Scotchbond Universal Adhesive (SBU)/3M ESPE. The solvents were either evaporated for 30 s or not evaporated (N=24/per group), and then photoactivated for 80 s (550 mW/cm2). After desiccation, the specimens were weighed and stored in distilled water (N=12) or mineral oil (N=12) to evaluate the water diffusion over a 7-day period. Net water uptake (%) was also calculated as the sum of WS and SL. Data were submitted to 3-way ANOVA/Tukey's test (α=5%). The nanoleakage expression in three additional specimens per group was also evaluated after ammoniacal silver impregnation after 7 days of water storage under SEM. Results: Statistical analysis revealed that only the factor "adhesive" was significant (p<0.05). Solvent evaporation had no influence in the WS and SL of the adhesives. CSE (control) presented significantly lower net uptake (5.4%). The nanoleakage was enhanced by the presence of solvent in the adhesives. Conclusions: Although the evaporation has no effect in the kinetics of water diffusion, the nanoleakage expression of the adhesives tested increases when the solvents are not evaporated. .


Subject(s)
Dental Leakage , Dentin-Bonding Agents/chemistry , Resin Cements/chemistry , Solvents/chemistry , Water/chemistry , Analysis of Variance , Bisphenol A-Glycidyl Methacrylate/chemistry , Materials Testing , Solubility/drug effects , Time Factors , Volatilization
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