As denunciantes de violência conjugal e os serviços prestados por uma Deam segundo sua equipe de profissionais / Marital violence complainants and the services provided by a womenn's police station according its staff

Investigou-se a percepção dos funcionários de uma Deam sobre as mulheres denunciantes e as implicações dessa percepção na avaliação do serviço que realizam. A Análise Temática de Conteúdo realizada nas entrevistas individuais com os 14 profissionais da equipe gerou as categorias: “Pobre mulher” e “Casos raros” caracterizam denunciantes e denúncias mais e menos frequentes; “Por que elas falam?” e “Por que outras se calam?” agregam aspectos relevantes para denunciar a violência sofrida (medo, filhos, dependência afetivo-financeira, controle da violência). Desistências do processo e reincidências de violência geram frustração profissional, a qual parece ser favorecida, também, pelas percepções sobre as usuárias e sobre decisões de denúncia. Destaca-se a importância da formação adequada e do apoio psicossocial para essas equipes (AU)

Evaluación de las condiciones de intubación traqueal en pacientesobesos mórbidos: succinilcolina frente a rocuronio / Evaluation of tracheal intubation conditions in morbidly obese patients: a comparison of succinylcholine and rocuronium

OBJETIVOS: Comparar las condiciones de intubacióntraqueal en obesos mórbidos a los 60 segundos, tras laadministración de succinilcolina y rocuronio calculadossegún el peso real o el peso ideal.MÉTODO: Evaluamos pacientes con Índice de MasaCorporal (IMC) igual o superior a 40 kg/m2 y sin otroscriterios de intubación difícil. Inducción con fentanil ypropofol, calculados según el peso real. Asignados a unode cuatro grupos para la intubación traqueal: Grupo I: 1mg.kg–1 de succinilcolina según el peso ideal; Grupo II: 1mg.kg–1 de succinilcolina según el peso real; Grupo III:0,6 mg.kg–1 de rocuronio según el peso ideal y Grupo IV:0,6 mg.kg–1 rocuronio según el peso real. 60 segundos después,se realizó la intubación traqueal, con registro de lascondiciones de intubación de acuerdo con escala clínica.RESULTADOS: Se incluyeron 80 pacientes con IMCmedio de 47,5 kg m–2. La incidencia de intubación difícilfue de 3,75%. Todos los pacientes fueron intubados. Lascondiciones de laringoscopia, la posición y los movimientosde las cuerdas vocales fueron semejantes en loscuatro grupos. La “reacción al insuflado del neumotaponamiento”mostró diferencias, con desventaja para elGIII, que presentó movimientos leves de los miembros,movimiento diafragmático y tos sostenida durante másde 10 segundos.CONCLUSIÓN: Estos resultados sugieren que la administraciónde succinilcolina calculada según el peso real oel peso ideal y de rocuronio calculado según el peso realpueden ofrecer condiciones clínicamente aceptables parala intubación traqueal en pacientes obesos mórbidos sincriterios de intubación difícil (AU)

OBJETIVE: To compare tracheal intubation conditionsin morbidly obese patients 60 seconds after administrationof succinylcholine or rocuronium doses based onreal weight or ideal weight.METHOD: We evaluated patients with a body massindex (BMI) of 40 kg·m-2 or more but no other indicationsof difficult-intubation risk. Induction was performedunder fentanyl and propofol at doses calculated based onreal weight. Patients were assigned to 1 of 4 groups fortracheal intubation. Group 1 received 1 mg ofsuccinylcholine per kilogram of ideal weight, group 2received 1 mg of succinylcholine per kilogram of realweight, group 3 received 0.6 mg of rocuronium perkilogram of ideal weight, and group 4 received 0.6 mg ofrocuronium per kilogram of real weight. Trachealintubation was performed 60 seconds later and intubationconditions were recorded using a clinical scoring system.RESULTS: Eighty patients with a mean BMI of 47.5kg·m-2 were enrolled. The difficult intubation rate was3.75%. All patients were intubated. Laryngoscopyconditions and position and movement of vocal cordswere similar in all 4 groups. Reaction to cuff inflationrevealed intergroup differences; group 3 presented slightlimb movements, diaphragm movement, and sustainedcough for more than 10 seconds.CONCLUSION: These results suggest that administrationof succinylcholine calculated based on real weightor ideal weight and rocuronium based on real weight canprovide clinically acceptable conditions for trachealintubation in morbidly obese patients with no other difficult-intubation criteria (AU)

Chemical and biological properties of endotoxin from leptospira interrogans serovars canicola and icterohaemorrhagiae

Endotoxin-like activity was extracted with phenol-chloroform-petroleum ether (PCP) from Leptospira interrogans serovars icterohaemorrhagiae and canicola. Chemical analysis of leptospiral cells obtained from the PCP extract i9ndicated the following distribution of lipopolysaccharide (LPS), protein and polysaccharide in mg/ml:3.0, 4.5 anmd 1.0 for icterohaemorrhagiae and 3.,3, 5.6 and for canicola. The preparations presented several biological activities: positive Limulus test (1.0 pg/ml) for icterohaemorraahagiae and canicola PCP extract and 0.5 pg/ml for E. coli 0111:B4 LPS, lethality for chicken embryos (LD 50 45, 25 and 1.0) for ecterohaemorrhagiae, canicola and E. coli 0111:B4 LPS, pyrogenicity in rabbits with an average increase in rectal temperature of 0.6 grade C, 0.9 grade C and 2.2 grade C for canicola, icterohaemorrhagiae and E. coli 0111: B4 LPS, reacted with complement inhibiting the lysis of sheep red blood cells 62%, 75% and 90% for 2.0 ug/ml of icterohaemorrhagiae, canicola PCP extract and E. coli 0111:B4 LPS. The PCP extract showed no cytotoxicity on chicken embryo fibroblasts and epithelial cells