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1.
Nanotechnology ; 34(45)2023 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-37536304

RESUMO

In magnetic tunnel junctions based on iron oxide nanoparticles the disorder and the oxidation state of the surface spin as well as the nanoparticles functionalization play a crucial role in the magnetotransport properties. In this work, we report a systematic study of the effects of vacuum annealing on the structural, magnetic and transport properties of self-assembled ∼10 nm Fe3O4nanoparticles. The high temperature treatment (from 573 to 873 K) decomposes the organic coating into amorphous carbon, reducing the electrical resistivity of the assemblies by 4 orders of magnitude. At the same time, the 3.Fe2+/(Fe3++Fe2+) ratio is reduced from 1.11 to 0.13 when the annealing temperature of the sample increases from 573 to 873 K, indicating an important surface oxidation. Although the 2 nm physical gap remains unchanged with the thermal treatment, a monotonous decrease of tunnel barrier width was obtained from the electron transport measurements when the annealing temperature increases, indicating an increment in the number of defects and hot-spots in the gap between the nanoparticles. This is reflected in the reduction of the spin dependent tunneling, which reduces the interparticle magnetoresistance. This work shows new insights about influence of the nanoparticle interfacial composition, as well their the spatial arrangement, on the tunnel transport of self-assemblies, and evidence the importance of optimizing the nanostructure fabrication for increasing the tunneling current without degrading the spin polarized current.

2.
Biotechnol Rep (Amst) ; 37: e00787, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36818378

RESUMO

Selenium nanoparticles (SeNPs) have antimicrobial and antifungal activity. SeNPs using Se resistant bacteria is a low cost and eco-friendly technology. Fungal contamination of wood during drying is one of the main causes of economic losses in the wood industry. The bacterium Delftia sp. 5 resistance to Se and its ability to produce SeNPs able to inhibit the growth of the wood brown-rotting fungus Oligoporus pelliculosus was analyzed. The strain showed an optimal SeNPs production when selenite concentration was 160 mg L -1. The SeNPs were spherical with an average size 192.33 ± 8.6 nm and a zeta potential of -41.4 ± 1.3 nm. The SeNPs produced by Delftia sp. 5 (33.6 ± 0.1 mg L -1 Se) inhibited the growth of O. pelliculosus in agar plates and in Nothofagus pumilio (Lenga) wood samples. Delftia sp. 5 SeNPs could be used for embedding lenga wood prior to drying for preventing the growth of the deteriorating fungi O. pelliculosus.

3.
Microbiol Spectr ; 10(4): e0102622, 2022 08 31.
Artigo em Inglês | MEDLINE | ID: mdl-35770982

RESUMO

The investigation of antibodies raised against different severe acute respiratory syndrome coronavirus (SARS-CoV-2) antigens can help to determine the extent of previous SARS-CoV-2 infections in the population and track the humoral response to vaccination. Therefore, serological surveys can provide key information to better manage the pandemic and/or to implement the most effective vaccination program. Here we describe a time series anti-nucleocapsid, anti-spike IgG serological survey analysis in the city of Matinhos, PR, Brazil during the year of 2021. Seroconversion rates to the nucleocapsid antigen were not influenced by gender or age. The serological data support that the coronavirus disease 2019 (COVID-19) infection rate is ~50% higher than official numbers. Furthermore, by applying serological data, the corrected infection fatality rate was estimated to be lower than 2.4% in contrast with the official estimative of 3.6%. The rates of IgG reactive to spike antigen resembled the curve of the fraction the population that had taken the second vaccine dose. Up to 82% of spike seroconversion was detected in the end of 2021, confirming the effectiveness of the COVID-19 vaccination program in the city. This SARS-CoV-2 serological study unraveled the SARS-CoV-2 infection rates and the response to vaccination in the city of Matinhos. IMPORTANCE The investigation of antibodies raised against SARS-CoV-2 can help to determine the extent of previous SARS-CoV-2 infections and track the humoral response to vaccination. Here we describe a time series anti-nucleocapsid, anti-spike IgG serological survey in the city of Matinhos, PR, Brazil during the year of 2021. The data depicted the progression of SARS-CoV-2 infections in the city allowing the correction of the number of citizens who experienced COVID-19 and the disease fatality rate. The seroconversion rates to the spike antigen resembled the curve of the fraction of the population that had taken the second vaccine dose, thereby confirming the effectiveness of the COVID-19 vaccination program in the city.


Assuntos
COVID-19 , SARS-CoV-2 , Anticorpos Antivirais , Brasil/epidemiologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , Vacinas contra COVID-19 , Humanos , Imunoglobulina G , Soroconversão , Glicoproteína da Espícula de Coronavírus , Fatores de Tempo , Vacinação
4.
Vaccines (Basel) ; 11(1)2022 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-36679871

RESUMO

(1) Background: COVID-19 vaccination in Brazil has been performed mostly with CoronaVac (Sinovac), ChAdOx1-S (AstraZeneca-University of Oxford) and BNT162b2 (Pfizer-BioNTech) vaccines. The titers of IgG antibodies reactive to the SARS-CoV-2 spike protein correlate with vaccine efficacy. Studies comparing vaccine immunogenicity in a real-world scenario are lacking. (2) Methods: We performed a population-based study to analyze the immunoglobulin G response to different COVID-19 vaccines. Citizens older than 18 years (n = 2376) provided personal data, a self-declaration of any previous COVID-19 positive tests and information regarding COVID-19 vaccination: the vaccine popular name and the date of each dose. Blood samples were collected and the levels of IgG reactive to SARS-CoV-2 antigens were determined and compared between different vaccine groups. (3) Results: The seroconversion for anti-spike IgG achieved > 95% by February 2022 and maintained stable until June 2022. Higher anti-spike IgG titers were detected in individuals vaccinated with BNT162b2, followed by ChAdOx1-S and CoronaVac. The anti-spike IgG response was negatively correlated with age and interval after the second dose for the BNT162b2 vaccine. Natural infections boosted anti-spike IgG in those individuals who completed primary vaccination with ChAdOx1-S and CoronaVac, but not with BNT162b2. The levels of anti-spike IgG increased with the number of vaccine doses administered. The application of BNT162b2 as a 3rd booster dose resulted in high anti-spike IgG antibody titers, despite the type of vaccine used during primary vaccination. (4) Conclusions: Our data confirmed the effectiveness of the Brazilian vaccination program. Of the vaccines used in Brazil, BNT162b2 performed better to elicit anti-spike protein IgG after primary vaccination and as a booster dose and thus should be recommended as a booster whenever available. A continuous COVID-19 vaccination program will be required to sustain anti-spike IgG antibodies in the population.

5.
Nanotechnology ; 32(43)2021 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-34265759

RESUMO

Spinel LiMn2O4is a promising cathode material for lithium-ion batteries. However, bulk LiMn2O4commonly suffers from capacity fading due to the dissolution of Mn into the electrolyte during cycling. Moreover, bulk LiMn2O4exhibits a low Li+diffusion coefficient that limits the volume available to Li+storage. Herein, we report the synthesis of small hollow porous LiMn2O4nanostructures with a mean size of 51 nm exhibiting exposed (111) planes, assembled by nanoparticles of about 6 nm in size. The morphological features of these nanostructures ensure a large contact area between the material and the electrolyte, shorten the pathways for Li+diffusion and provide effective accommodation of the volume change during cycling. Therefore, these hollow nanostructures exhibit improved discharge capacity retention (nearly 82% after 200 cycles) and a greater Li+diffusion coefficient (3.46 × 10-7cm s-1) compared with that of bulk LiMn2O4.

6.
Astrobiology ; 21(6): 692-705, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33819428

RESUMO

Formation of oxygen-based free radicals from photochemical decomposition of hydrogen peroxide (H2O2) on Mars may be a key factor in the potential survival of terrestrial-like organisms on the red planet. Martian conditions that generate reactive oxygen species involve the decomposition of H2O2 at temperatures of around 278 K under relatively high doses of C-band ultraviolet radiation (UVC). This process is further amplified by the presence of iron oxides and perchlorates. Photosynthetic organisms exhibit a number of evolutionary traits that allow them to withstand both oxidative stress and UVC radiation. Here, we examine the effect of free radicals produced by the decomposition of H2O2 under emulated martian conditions on the viability of Scenedesmus dimorphus, a unicellular alga that is resistant to UVC radiation and varying levels of perchlorate and H2O2, both of which are present on Mars. Identification and quantification of free radicals formed under these conditions were performed with Electron Paramagnetic Resonance spectroscopy. These results were correlated with the viability of S. dimorphus, and the formation of oxygen-based free radicals and survival of the alga were found to be strongly dependent on the amount of H2O2 available. For H2O2 amounts close to those present in the rarefied martian environment, the products of these catalytic reactions did not have a significant effect on the algal population growth curve.


Assuntos
Marte , Scenedesmus , Meio Ambiente Extraterreno , Peróxido de Hidrogênio , Espécies Reativas de Oxigênio , Raios Ultravioleta
7.
Nanotechnology ; 32(6): 065703, 2020 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-33210620

RESUMO

In this work it is shown a precise way to optimize the heat generation in high viscosity magnetic colloids, by adjusting the Néel relaxation time in core/shell bimagnetic nanoparticles, for magnetic fluid hyperthermia (MFH) applications. To pursue this goal, Fe3O4/Zn x Co1-x Fe2O4 core/shell nanoparticles were synthesized with 8.5 nm mean core diameter, encapsulated in a shell of ∼1.1 nm of thickness, where the Zn atomic ratio (Zn/(Zn + Co) at%) changes from 33 to 68 at%. The magnetic measurements are consistent with a rigid interface coupling between the core and shell phases, where the effective magnetic anisotropy systematically decreases when the Zn concentration increases, without a significant change of the saturation magnetization. Experiments of MFH of 0.1 wt% of these particles dispersed in water, in Dulbecco modified Eagles minimal essential medium, and a high viscosity butter oil, result in a large specific loss power (SLP), up to 150 W g-1, when the experiments are performed at 571 kHz and 200 Oe. The SLP was optimized adjusting the shell composition, showing a maximum for intermediate Zn concentration. This study shows a way to maximize the heat generation in viscous media like cytosol, for those biomedical applications that require smaller particle sizes.

8.
Nanotechnology ; 2020 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-33086203

RESUMO

In this work it is shown a precise way to optimize the heat generation in high viscosity magnetic colloids, by adjusting the Néel relaxation time in core/shell bimagnetic nanoparticles, for Magnetic Fluid Hyperthermia applications. To pursue this goal, Fe3O4/ZnxCo1-xFe2O4 core/shell nanoparticles were synthesized with 8.5 nm mean core diameter, encapsulated in a shell of ~1.1 nm of thickness, where the Zn atomic ratio (Zn/(Zn+Co) at%) changes from 33 at% to 68 at%. The magnetic measurements are consistent with a rigid interface coupling between the core and shell phases, where the effective magnetic anisotropy systematically decreases when the Zn concentration increases, without a significant change of the saturation magnetization. Experiments of magnetic fluid hyperthermia of 0.1 wt% of these particles dispersed in water, DMEM (Dulbecco modified Eagles minimal essential medium) and a high viscosity butter oil, result in a large specific loss power (SLP), up to 150 W/g, when the experiments are performed at 571 kHz and 200 Oe. The SLP was optimized adjusting the shell composition, showing a maximum for intermediate Zn concentration. This study shows a way to maximize the heat generation in viscous media like cytosol, for those biomedical applications that requiere smaller particle sizes .

9.
Nanoscale ; 11(39): 18393-18406, 2019 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-31573583

RESUMO

Iron oxide nanoparticles (IONPs) are frequently used in biomedical applications due to their magnetic properties and putative chemical stability. Nevertheless, their well-known ability to mimic some features of the peroxidase enzyme activity under specific conditions of pH and temperature could lead to the formation of potentially harmful free radical species. In addition to the intrinsic enzyme-like activity of IONPs, the buffer solution is an important external factor that can alter dramatically the IONP activity because the buffer species can interact with the surface of the particles. In our study, IONP activity was evaluated in different buffering solutions under different experimental conditions and predominant free radical species were measured by electron paramagnetic resonance using the spin-trap 5,5-dimethyl-1-pyrroline N-oxide (DMPO). The formation kinetics of the reactive oxygen species were studied by UV-visible spectroscopy with TMB and DAB peroxidase substrates. We found that the highest catalytic oxidation of peroxidase substrates and free radical generation were achieved in acetate buffer, while phosphate buffer inhibited the peroxidase-like activity of IONPs in a concentration dependent manner. When emulating the physiological conditions, a lower catalytic activity was observed at pH 7.4 when compared to that at pH 5.0. Also, in phosphate buffered saline (PBS), we observed an enhancement in the peroxidase substrate oxidation rate that was not accompanied by an increase in DMPO/adduct formation which could be related to a non-specific oxidation catalyzed by the chloride ion. Similar observations were found after the addition of a bicarbonate to HEPES buffer. TMB oxidation did not occur when the reaction was conducted with free iron ions from metal salts with the same concentration of the IONPs (0.33 Fe2+ and 0.66 Fe3+). However, we observed even higher catalytic activities than those when doubling the IONP concentration when they are combined with the free iron salts. These results indicate that biological buffering solutions need to be carefully considered when evaluating IONP catalytic activity and their potential toxicological effects since under physiological conditions of pH, salinity and buffering species, the peroxidase-like activity of IONPs is dramatically reduced.


Assuntos
Nanopartículas de Magnetita/química , Peroxidase/química , Espécies Reativas de Oxigênio/química , Soluções Tampão , Espectroscopia de Ressonância de Spin Eletrônica , Oxirredução
10.
Exp Parasitol ; 199: 59-66, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30825498

RESUMO

Fasciolosis is a zoonotic world widely distributed disease caused by the liver fluke Fasciola hepatica, which affects animals and occasionally humans. On the other hand, natural iron oxide particles like magnetite are commonly found in soils where they participate in a wide range of environmental processes like organic matter decomposition, the adsorption of ions and molecules, and chemical reactions that involve the participation of soil living microorganisms. Since Fasciola eggs become soil components after being released with the infected animal faeces, this study focused on the characterization of the natural interaction between natural sub-micrometric magnetite particles and F. hepatica eggs. Our results indicate that particle binding to the F. hepatica egg depends on the particle size and it is also related to the exposed surface area since any condition that favors particle agglomeration leads to the reduction of the particle-eggshell binding intensity. Interestingly, this binding was avoided when proteins or phosphate were incorporated to the incubation solution, but not after formaldehyde fixation of eggs. Finally, when eggs were exposed to an external magnet after being incubated with magnetite particles, they were attracted to it without particles being detached, indicating a strong type of bonding between them. Therefore, the results presented here give new insights in order to improve the possibility of harvesting F. hepatica eggs by using magnetic materials.


Assuntos
Fasciola hepatica/metabolismo , Óxido Ferroso-Férrico/metabolismo , Animais , Ensaio de Desvio de Mobilidade Eletroforética , Fasciolíase/parasitologia , Fasciolíase/veterinária , Fezes/parasitologia , Fixadores/farmacologia , Formaldeído/farmacologia , Concentração de Íons de Hidrogênio , Nanopartículas de Magnetita/ultraestrutura , Microscopia Eletrônica de Transmissão , Distribuição Normal , Óvulo/metabolismo , Tamanho da Partícula , Peroxidase/análise , Fosfatos/farmacologia , Proteínas/farmacologia , Ovinos , Doenças dos Ovinos/parasitologia , Solo/química , Solo/parasitologia , Espectrometria por Raios X
11.
Sci Rep ; 9(1): 3992, 2019 03 08.
Artigo em Inglês | MEDLINE | ID: mdl-30850704

RESUMO

The Linear Response Theory (LRT) is a widely accepted framework to analyze the power absorption of magnetic nanoparticles for magnetic fluid hyperthermia. Its validity is restricted to low applied fields and/or to highly anisotropic magnetic nanoparticles. Here, we present a systematic experimental analysis and numerical calculations of the specific power absorption for highly anisotropic cobalt ferrite (CoFe2O4) magnetic nanoparticles with different average sizes and in different viscous media. The predominance of Brownian relaxation as the origin of the magnetic losses in these particles is established, and the changes of the Specific Power Absorption (SPA) with the viscosity of the carrier liquid are consistent with the LRT approximation. The impact of viscosity on SPA is relevant for the design of MNPs to heat the intracellular medium during in vitro and in vivo experiments. The combined numerical and experimental analyses presented here shed light on the underlying mechanisms that make highly anisotropic MNPs unsuitable for magnetic hyperthermia.

12.
Nanoscale ; 11(7): 3164-3172, 2019 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-30520920

RESUMO

We report a simple and effective way to control the heat generation of a magnetic colloid under alternate magnetic fields by changing the shell composition of bimagnetic core-shell Fe3O4/ZnxCo1-xFe2O4 nanoparticles. The core-shell structure constitutes a magnetically-coupled biphase system, with an effective anisotropy that can be tuned by the substitution of Co2+ by Zn2+ ions in the shell. Magnetic hyperthermia experiments of nanoparticles dispersed in hexane and butter oil showed that the magnetic relaxation is dominated by Brown relaxation mechanism in samples with higher anisotropy (i.e., larger concentration of Co within the shell) yielding high specific power absorption values in low viscosity media as hexane. Increasing the Zn concentration of the shell, diminishes the magnetic anisotropy, which results in a change to a Néel relaxation that dominates the process when the nanoparticles are dispersed in a high-viscosity medium. We demonstrate that tuning the Zn contents at the shell of these exchange-coupled core/shell nanoparticles provides a way to control the magnetic anisotropy without loss of saturation magnetization. This ability is an essential prerequisite for most biomedical applications, where high viscosities and capturing mechanisms are present.

13.
Nanoscale ; 9(29): 10240-10247, 2017 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-28696450

RESUMO

In order to explore an alternative strategy to design exchange-biased magnetic nanostructures, bimagnetic core/shell nanoparticles have been fabricated by a thermal decomposition method and systematically studied as a function of the interface exchange coupling. The nanoparticles are constituted by a ∼3 nm antiferromagnetic (AFM) CoO core encapsulated in a ∼4 nm-thick Co1-xZnxFe2O4 (x = 0-1) ferrimagnetic (FiM) shell. The system presents an enhancement of the coercivity (HC) as compared to its FiM single-phase counterpart and exchange bias fields (HEB). While HC decreases monotonically with the Zn concentration from ∼21.5 kOe for x = 0, to ∼7.1 kOe for x = 1, HEB exhibits a non-monotonous behavior being maximum, HEB ∼ 1.4 kOe, for intermediate concentrations. We found that the relationship between the AFM anisotropy energy and the exchange coupling energy can be tuned by replacing Co2+ with Zn2+ ions in the shell. As a consequence, the magnetization reversal mechanism of the system is changed from an AFM/FiM rigid-coupling regime to an exchange-biased regime, providing a new approach to tune the magnetic properties and to design novel hybrid nanostructures.

14.
Sci Rep ; 6: 38733, 2016 12 07.
Artigo em Inglês | MEDLINE | ID: mdl-27924942

RESUMO

This work aims to demonstrate the need for in silico design via numerical simulation to produce optimal Fe3O4-based magnetic nanoparticles (MNPs) for magnetic hyperthermia by minimizing the impact of intracellular environments on heating efficiency. By including the relevant magnetic parameters, such as magnetic anisotropy and dipolar interactions, into a numerical model, the heating efficiency of as prepared colloids was preserved in the intracellular environment, providing the largest in vitro specific power absorption (SPA) values yet reported. Dipolar interactions due to intracellular agglomeration, which are included in the simulated SPA, were found to be the main cause of changes in the magnetic relaxation dynamics of MNPs under in vitro conditions. These results pave the way for the magnetism-based design of MNPs that can retain their heating efficiency in vivo, thereby improving the outcome of clinical hyperthermia experiments.

15.
Nanomedicine ; 12(4): 909-919, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26767515

RESUMO

Superparamagnetic iron oxide nanoparticles (SPIONS) were synthesized by thermal decomposition of an organometallic precursor at high temperature and coated with a bi-layer composed of oleic acid and methoxy-polyethylene glycol-phospholipid. The formulations were named SPION-PEG350 and SPION-PEG2000. Transmission electron microscopy, X-ray diffraction and magnetic measurements show that the SPIONs are near-spherical, well-crystalline, and have high saturation magnetization and susceptibility. FTIR spectroscopy identifies the presence of oleic acid and of the conjugates mPEG for each sample. In vitro biocompatibility of SPIONS was investigated using three cell lines; up to 100µg/ml SPION-PEG350 showed non-toxicity, while SPION-PEG2000 showed no signal of toxicity even up to 200µg/ml. The uptake of SPIONS was detected using magnetization measurement, confocal and atomic force microscopy. SPION-PEG2000 presented the highest internalization capacity, which should be correlated with the mPEG chain size. The in vivo results suggested that SPION-PEG2000 administration in mice triggered liver and kidney injury. FROM THE CLINICAL EDITOR: The potential use of superparamagnetic iron oxide nanoparticles (SPIONS) in the clinical setting have been studied by many researchers. The authors synthesized two types of SPIONS here and investigated the physical properties and biological compatibility. The findings should provide more data on the design of SPIONS for clinical application in the future.


Assuntos
Materiais Revestidos Biocompatíveis/administração & dosagem , Nanopartículas de Magnetita/administração & dosagem , Polietilenoglicóis/administração & dosagem , Animais , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Materiais Revestidos Biocompatíveis/química , Compostos Férricos/administração & dosagem , Compostos Férricos/química , Humanos , Rim/efeitos dos fármacos , Fígado/efeitos dos fármacos , Nanopartículas de Magnetita/química , Camundongos , Ácido Oleico/química , Polietilenoglicóis/química , Difração de Raios X
16.
Nanotechnology ; 25(35): 355704, 2014 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-25120018

RESUMO

The control of the size of bimagnetic nanoparticles represents an important step toward the study of fundamental properties and the design of new nanostructured magnetic materials. We report the synthesis and the structural and magnetic characterization of bimagnetic CoO/CoFe2O4 core/shell nanoparticles. The material was fabricated by a seed-mediated growth high-temperature decomposition method with sizes in the range of 5-11 nm. We show that the core/shell morphology favours the crystallinity of the shell phase, and the reduction of the particle size leads to a remarkable increase of the magnetic hardening. When the size is reduced, the coercive field at 5 K increases from 21.5 kOe to 30.8 kOe, while the blocking temperature decreases from 388 K to 167 K. The size effects on the magnetic behaviour are described through a phenomenological model for strongly ferri-/antiferromagnetic coupled phases.

17.
Nanotechnology ; 20(4): 045606, 2009 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-19417326

RESUMO

We report a single-step chemical synthesis of iron oxide hollow nanospheres with 9.3 nm in diameter. The sample presents a narrow particle diameter distribution and chemical homogeneity. The hollow nature of the particles is confirmed by HRTEM and HAADF STEM analysis. Electron and x-ray diffraction show that the outer material component is constituted by 2 nm ferrite crystals. Mössbauer data provide further evidence for the formation of iron oxide with high structural disorder, magnetically ordered at 4.2 K and superparamagnetism at room temperature. An unusual magnetic behavior under an applied field is reported, which can be explained by the large fraction of atoms existing at both inner and outer surfaces.

18.
Rev. Col. Bras. Cir ; 34(5): 321-325, set.-out. 2007. tab
Artigo em Português | LILACS | ID: lil-467891

RESUMO

OBJETIVO: Analisar os fatores implicados na conversão da colecistectomia laparoscópica. MÉTODO: Análise retrospectiva dos protocolos dos pacientes submetidos a colecistectomia laparoscópica no período de janeiro de 2000 a dezembro de 2004. RESULTADOS: Foram realizadas 1734 colecistectomias laparoscópicas neste período. A taxa de conversão foi de 5,7 por cento, sendo de 5,44 por cento nas cirurgias eletivas e de 14 por cento nas cirurgias de urgência. (p=0,019). Não houve diferença na taxa de conversão em relação ao sexo, 7,46 por cento nos pacientes do sexo masculino e 5,39 por cento do sexo feminino. (p=0,178). A conversão foi necessária em 4,41 por cento dos pacientes com menos de 60 anos e em 11,11 por cento dos pacientes maiores de 60 anos (p=0,01). O principal motivo responsável pela conversão foi inflamação e aderência entre as estruturas do pedículo biliar (42,53 por cento), outras causas foram coledocolitíase (17,24 por cento) e suspeita ou lesão da via biliar (9,19 por cento). Um tempo operatório maior que 120 minutos foi observado em 71,43 por cento dos pacientes convertidos, e em apenas 8,2 por cento dos pacientes não-convertidos. Dos pacientes convertidos 79,31 por cento tiveram alta após 48 horas, e entre os pacientes não-convertidos apenas 10,8 por cento tiveram alta após este período.(p=0,001). CONCLUSÃO: Os fatores de risco para conversão observados neste estudo foram idade> 60 anos, cirurgia em caráter de urgência e pacientes com colecistite aguda.


BACKGROUND: This study has the objective to evaluate factors implied with conversion from laparoscopic to open procedures. METHOD: We retrospectively analyzed the patients' records submitted to laparoscopic cholecystectomy, from January 2000 to December 2004. RESULTS: One thousand seven hundred and thirty four laparoscopic cholecystectomies were performed during this period. The total conversion rate was 5.7 percent, scheduled surgery was 5.44 percent and emergency surgery was 14 percent (p=0.019). Male patients had a conversion rate of 7.46 percent and female patients had a conversion rate of 5.39 percent. (p=0.178). Patients older than 60 need conversion in 11.11 percent, and among patients younger than 60, the rate was 4.41 percent. (p=0.01). The main cause of conversion was inflammation/adherence in the structures of the gallbladder pedicle, and was responsible for 42.53 percent, choledocholithiasis accounted for 17.24 percent, and suspicion or bile duct injury corresponded to 9.19 percent. An operative time longer than 120 minutes was observed in 71.43 percent of converted patients, and 8.2 percent of non-converted ones. In the converted group, 79.31 percent were discharged more than 48 hours after surgery, and in the non-converted group, 10.8 percent were discharged after this period. (p=0,001). CONCLUSION: The risk factor observed in this study was age older than 60 years, emergency surgery and acute cholecystitis. The identification of these factors can help estimate the difficulty of the procedure and permit the surgeon to give better information to the patients about the risk of conversion.

19.
Rev. méd. Minas Gerais ; 15(1): 16-20, jan.-mar. 2005. tab
Artigo em Português | LILACS | ID: lil-569734

RESUMO

Objetivos: Avaliar a prevalência do uso de bebidas alcoólicas e outras drogas em adolescentes escolares. Material e método: Estudo do tipo transversal, com dados retrospectivos sobre o uso de bebidas alcoólicas e outras drogas, fornecidos por alunos, com idade de 13 a 19 anos, de escola no interior de Minas Gerais. Utilizado questionário anônimo, auto-aplicável e de preenchimento voluntário. Resultados: Foram estudados 866 adolescentes. A prevalência do uso de álcool foi de 77,2%, sendo que, deste total, 57,1% usaram-no pela primeira vez entre os 13 e 15 anos. As bebidas mais utilizadas foram cerveja e vinho. O local mais freqüente do primeiro contato com o álcool foi a "rua" (50,2%) seguido do domicílio (24,2%). As companhias mais freqüentes foram membros da própria família (28%) e amigos (25,7%). Dos que experimentaram bebida alcoólica, 44,9% usam-na, atualmente, menos de uma vez por semana; 38,1% não a usam e 16,8% usam-na, pelo menos, uma vez por semana. Em relação ao uso de outras substâncias, 13,0% já consumiram fumo e 3,9%, maconha. Observou-se associação estatisticamente significativa entre o uso de bebida alcoólica e o uso de tabaco (p=0,000); entretanto não se verificou associação entre o consumo de bebida e o sexo (p=0,190). Conclusões: Encontrada alta prevalência de uso de bebidas alcoólicas, e prevalência significativa, porém menor do que em outros estudos, do uso de outras drogas, em alunos de 13 a 19 anos, sendo necessária a realização de ações preventivas eficazes, direcionadas especialmente aos usuários de bebidas alcoólicas.


Objective: To evaluate the prevalence of alcoholic beverages and other drugs among teenager students. Methods: Cross-sectional study with retrospective data about use of alcoholic beverages and other drugs provided by students, 13 to 19 years old, from a school in Gouveia, Minas Gerais. Volunteers filled out a self-applicable non-identifiable questionnaire. Results: The sample consisted of 866 teenagers. The prevalence of alcohol use was 77.2%; 57.1% had this first contact berween 13 and 15 years old. The most common alcoholic beverages were beer and wine. "Street" (50.2%) was he most frequent place of first contact followed by home (24.2%). The most frequent companies were family members (28.0%) and friends (25,7%). Out of the students exposed to alcoholic beverage, presently 38.1, 44.9, and 16.8%, do not drink, drink less than once a week, or drink less than once a week, respectively. Regarding other substances, 13.0 and 3.9% have already consumed tobacco and marijuana, respectively. The association berween alcoholic beverage and the use of tobacco was statistically significant (p=0.001); no association was found between alcoholic beverage and gender (p=0.190). Conclusions: A high prevalence of alcoholic use was detected among 13-19 years old students in Gouveia, MG, even though with a lower prevalence when compared with other reported studies with teen-agers. Preventive actions are necessary, especially regarding alcoholic beverages.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Cannabis , Inquéritos e Questionários , Tabagismo
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