Perfil bacteriológico de superficies y equipos en un servicio de Fisioterapia / Bacteriological profile of surfaces and equipment in a Physiotherapy Unit

Objetivo: Determinar el perfil bacteriológico en superficies de trabajo, aditamentos y equipos del área de Fisioterapia de una institución prestadora de salud de nivel 1 de complejidad en salud de la ciudad de Popayán, Cauca, Colombia, durante el mes de diciembre del 2015. Métodos: Se realizó un estudio descriptivo a partir de la toma de 13 muestras elegidas al azar entre superficies de trabajo, aditamentos y equipos del área de fisioterapia, el aislamiento se realizó a partir de medios de cultivos no selectivos y la identificación bacteriana por técnicas manuales. Resultados: De 13 muestras obtenidas, el 38,5 por mil fueron negativas y el 61,5 por mil fueron positiva, en las cuales en el 53,9 por mil se encontraron estafilococos coagulasa negativa y en el 7,6 por mil se aísla Micrococcus sp. y Bacillus sp. Conclusiones: La desinfección de las superficies de trabajo, aditamentos y equipos debe realizarse con un agente de mayor eficacia y potencia contra bacterias grampositivas, a fin de reducir contaminación de material inertes y posibles infecciones cruzadas

Objective: To determine the bacteriological profile in work areas, fittings, and equipment of the Physiotherapy area of Popayán, Cauca, Colombia. Methods: A descriptive study was performed based on 13 randomly selected samples from work surfaces, fittings, and equipment in the physiotherapy area. The isolation was performed using non-selective culture media, and bacterial identification was by using manual techniques. Results: Of the 13 samples obtained, 38.5 per-mille were negative and 61.5 per-mille were positive, in which 53.9 per-mille were coagulase negative staphylococcus, and 7.6 per-mille isolated Micrococcus sp. and Bacillus sp. Conclusions: Disinfection of work surfaces, fixtures and equipment should be performed with a more effective and potent agent against gram-positive bacteria, in order to reduce contamination of inert material and possible cross-infection

Alcohol abusive use increases facial trauma?

BACKGROUND: Trauma is among the main death causes and morbidity in the world and is often related to the use of alcohol and its abuse has reached massive proportions, no matter if the country is developed or not, being considered as public health problem. Since there are very few randomized and prospective studies in literature about the association of facial trauma and the use of alcohol, this study aims to investigate the impact of alcohol use in facial trauma. MATERIAL AND METHODS: This was a prospective and cross sectional study, involving facial trauma patients attended at Oral Maxillofacial Surgery Division of a State Hospital. Variables included patient's profile, trauma etiology, facial region involved, type of injury and treatment and days of hospitalization. AUDIT test was applied to identify risks and damages of alcohol use and chemical dependence. Absolute distribution, uni and mutilvaried percentages were made for data evaluation. Pearson's qui-squared and Fisher's Exact tests were also used. RESULTS: One hundred patients were evaluated. The patient's mean age was 33.50 years-old, 48% had between 17 and 29 years old, 28% had 30 to 39, and 24% 40 or more. Most of them were male (86%). The most frequent etiology was traffic accident (57%), the extraoral area was most committed (62%), the most frequent type of injury was fractures (78%) and the most affected bone was the mandible (36%). More than half of the patients (53%) had surgical treatment. 38% had their discharge from hospital right after the first attendance. The AUDIT most frequent answer was "moderate use" (46%) and use at risk (39%). There was significant difference between the use of alcohol (AUDIT) and hematoma (0.003) and number of days of hospitalization (p=0.005). CONCLUSIONS: In this study it was not observed association between alcohol consumption using the AUDIT and trauma etiology, but patient victims of traffic accidents were classified as with risk in the scale. Most of the trauma were caused by traffic accidents using motorcycles and occurred in young aged men.

Characteristics of a tandem system of ionization chambers in X-ray beams, mammography level.

Two parallel plate ionization chambers (inserted in slab phantoms) recently assembled at IPEN were studied in relation to their operational characteristics for use in quality control of X-ray beams, mammography level. The chambers present only one difference: one has an inner collecting electrode made of graphite and the other, of aluminum. These chambers make up a tandem system, which may be employed to verify X-ray beams energy constancy, by the confirmation of half-value layers and effective energies, and to determinate air kerma rates. The chambers presented good results for the operational tests, as recommended internationally.

Preliminary study of human breast tissue using synchrotron radiation combining WAXS and SAXS techniques.

Using synchrotron radiation, we combined simultaneously wide angle X-ray scattering (WAXS) and small angle X-ray scattering (SAXS) techniques to obtain the scattering profiles of normal and neoplastic breast tissues samples at the momentum transfer range 6.28 nm(-1)

Evaluation of subject contrast and normalized average glandular dose by semi-analytical models.

In this work, two semi-analytical models are described to evaluate the subject contrast of nodules and the normalized average glandular dose in mammography. Both models were used to study the influence of some parameters, such as breast characteristics (thickness and composition) and incident spectra (kVp and target-filter combination) on the subject contrast of a nodule and on the normalized average glandular dose. From the subject contrast results, detection limits of nodules were also determined. Our results are in good agreement with those reported by other authors, who had used Monte Carlo simulation, showing the robustness of our semi-analytical method.

Application of a wrist dosimeter prototype for radiation monitoring ((153)Sm) during a therapeutic procedure simulation.

Gamma and beta radiation emitting radiopharmaceuticals are handled in nuclear medicine services, and in many cases there is only individual monitoring of gamma radiation. In this paper, the results obtained using a wrist dosimeter prototype (CaSO(4):Dy+Teflon pellets) show that the doses for workers occupationally exposed to beta radiation from (153)Sm are not negligible. It is important that this dose is evaluated, and it has to be taken into consideration in the individual monitoring system.

Performance of a prototype of an extrapolation minichamber in various radiation beams.

An extrapolation minichamber was developed for measuring doses from weakly penetrating types of radiation. The chamber was tested at the radiotherapeutic dose level in a beam from a (90)Sr+(90)Y check source, in a beam from a plane (90)Sr+(90)Y ophthalmic applicator, and in several reference beams from an X-ray tube. Saturation, ion collection efficiency, stabilization time, extrapolation curves, linearity of chamber response vs. air kerma rate, and dependences of the response on the energy and irradiation angle were characterized. The results are satisfactory; they show that the chamber can be used in the dosimetry of (90)Sr+(90)Y beta particles and low-energy X-ray beams.

Effect of oral ingestion of an extract of the herb Uncaria tomentosa on the biodistribution of sodium pertechnetate in rats.

The aim of the present study was to determine the effect of the oral ingestion of an extract of the herb Uncaria tomentosa (cat's claw) on the biodistribution of the radiobiocomplex sodium pertechnetate (Na99mTcO4) in rats. The animals (male Wistar rats, 2 months old, 180-220 g), were treated (1 mL) with an U. tomentosa extract (32 mg/mL, N = 5) or 0.9% NaCl solution (control, N = 5) for 7 days. After this period, Na99mTcO4 (3.7 MBq, 0.3 mL) was injected through the ocular plexus and after 10 min the rats were killed, the organs isolated and counted in a well-gamma counter. A significant (P < 0.05) alteration in Na99mTcO4 uptake i) from 0.57 +/- 0.008 to 0.39 +/- 0.06 %ATI/organ (P < 0.05) and from 0.57 +/- 0.17 to 0.39 +/- 0.14 %ATI/g (P < 0.05) was observed in the heart, ii) from 0.07 +/- 0.02 to 0.19 +/- 0.07 %ATI/g in the pancreas, and iii) from 0.07 +/- 0.01 to 0.18 +/- 0.07 %ATI/g (P < 0.05) in muscle after treatment with this extract. Although these results were obtained with animals, caution is advisable in the interpretation of the nuclear medicine examination when the patient is using this herb. This finding is probably an example of drug interaction with a radiopharmaceutical, a fact that could lead to misdiagnosis of the examination in clinical practice with unexpected consequences for the patient.

Effect of oral ingestion of an extract of the herb Uncaria tomentosa on the biodistribution of sodium pertechnetate in rats

The aim of the present study was to determine the effect of the oral ingestion of an extract of the herb Uncaria tomentosa (cat's claw) on the biodistribution of the radiobiocomplex sodium pertechnetate (Na99mTcO4) in rats. The animals (male Wistar rats, 2 months old, 180-220 g), were treated (1 mL) with an U. tomentosa extract (32 mg/mL, N = 5) or 0.9 percent NaCl solution (control, N = 5) for 7 days. After this period, Na99mTcO4 (3.7 MBq, 0.3 mL) was injected through the ocular plexus and after 10 min the rats were killed, the organs isolated and counted in a well-gamma counter. A significant (P < 0.05) alteration in Na99mTcO4 uptake i) from 0.57 ± 0.008 to 0.39 ± 0.06 percentATI/organ (P < 0.05) and from 0.57 ± 0.17 to 0.39 ± 0.14 percentATI/g (P < 0.05) was observed in the heart, ii) from 0.07 ± 0.02 to 0.19 ± 0.07 percentATI/g in the pancreas, and iii) from 0.07 ± 0.01 to 0.18 ± 0.07 percentATI/g (P < 0.05) in muscle after treatment with this extract. Although these results were obtained with animals, caution is advisable in the interpretation of the nuclear medicine examination when the patient is using this herb. This finding is probably an example of drug interaction with a radiopharmaceutical, a fact that could lead to misdiagnosis of the examination in clinical practice with unexpected consequences for the patient.

Experimental model to assess possible medicinal herb interaction with a radiobiocomplex: qualitative and quantitative analysis of kidney, liver and duodenum isolated from treated rats.

Ginkgo biloba extract (EGb) has been used as a medicinal herb. Several biological properties have been associated with this extract, especially, in the increase of the blood flow, in the action as platelet activating factor antagonism and in the prevention of the membrane against the damage caused by free radicals. Radiobiocomplexes have been utilized in various nuclear medicine procedures helping in the diagnosis and/or treatment of human diseases. Many substances have been reported to affect the bioavailability of different radiobiocomplexes. The aim of this work was to evaluate the possible influence of an EGb on the bioavailability of the sodium pertechnetate (99mTcO4Na) and on the morphometry of some organs isolated from rats. These animals were treated with EGb and 99mTcO4Na was injected. The animals were sacrificed, the organs isolated, counted in a well counter and the percentage of radioactivity per gram of each organ was calculated. The results showed that EGb decreased the uptake of the 99mTcO4Na in the duodenum (P<0.05). Moreover, morphometric analysis has revealed significant modifications (P<0.05) on kidney, liver and duodenum due to the cited treatment. It is speculated that the substances present in the EGb could act directly or generate metabolites capable to promote changes in organs (kidney, liver and duodenum), however, only significant alteration in the uptake of the 99mTcO4Na in the duodenum.

Use of composites of topaz-glass as TSEE and TL dosemeters.

The properties of the thermally stimulated exoelectron emission (TSEE) and thermoluminescent (TL) emission of topaz-glass composites were studied with the aim of using them as solid-state dosemeters. The TSEE response was studied as a function of radiation energy and as a function of absorbed dose. Topaz-glass composites presented a linear TL and TSEE response to dose within a range of 0.01-1 Gy. The topaz-glass composites presented higher TSEE peaks than topaz-Teflon pellets. In the dosimetry of radiotherapic fields normally the responses of the topaz-glass dosemeters are comparable to topaz-Teflon pellets. The results confirmed that these new dosemeters can be useful in monitoring the quality of the radiation sources. This dose mapping technique is particularly useful in investigating dose distribution throughout a planned target volume.

Topical tacrolimus in Hailey-Hailey disease.

Hailey-Hailey disease, or familial benign chronic pemphigus, is a rare relapsing-remitting autosomal-dominant epidermal blistering disease. It preferentially affects females and is characterized by recurrent vesicles and erosions in the intertriginous areas. There are several topical corticosteroid therapeutic options, which are often limited in their use by their secondary effects and localization of the lesions. We report a case of a 60-year-old woman with Hailey-Hailey disease involving axillary, groin, cervical, antecubital, inframammary and abdominal folds. She was treated with 0.1% tacrolimus ointment, applied twice daily, with clinical improvement in 2 weeks and total remission in 4 weeks. She remains asymptomatic after a 10-month follow-up period.

A special ionisation chamber for quality control of diagnostic and mammography X ray equipment.

A quality control program for X ray equipment used for conventional radiography and mammography requires the constancy check of the beam qualities in terms of the half-value layers. In this work, a special double-faced parallel-plate ionisation chamber was developed with inner electrodes of different materials, in a tandem system. Its application will be in quality control programs of diagnostic and mammography X ray equipment for confirmation of half-value layers previously determined by the conventional method. Moreover, the chamber also may be utilised for measurements of air kerma values (and air kerma rates) in X radiation fields used for conventional radiography and mammography. The chamber was studied in relation to the characteristics of saturation, ion collection efficiency, polarity effects, leakage current, and short-term stability. The energy dependence in response of each of the two faces of the chamber was determined over the conventional radiography and mammography X ray ranges (unattenuated beams). The different energy response of the two faces of the chamber allowed the formation of a tandem system useful for the constancy check of beam qualities.

Inactivation of classical swine fever virus: association of hydrostatic pressure and ultraviolet irradiation.

Reversible pressure-induced disassembly of several viruses has suggested the idea of using hydrostatic pressure to suppress virus infectivity. In this study, the effects of high hydrostatic pressure and ultraviolet (UV) irradiation were investigated on classical swine fever virus (CSFV) in an attempt to eliminate residual infectivity. The structural modifications were followed by intrinsic fluorescence and biological activity assays. The kinetics of CSFV inactivation showed that pressure-induced inactivation was not enough to eliminate viral infectivity. However, when pressure was applied in association with UV irradiation no infectious focus was observed. The application of these two methods against CSFV can be an attractive inactivation strategy for the development of a vaccine.

Commercial glass for high doses using different dosimetric techniques.

Glass samples were tested for use in high-dose dosimetry in radiation processing. The main dosimetric characteristics were determined: lower detection threshold, reproducibility, response to gamma radiation of 60Co and thermal decay at room temperature, with the use of a densitometer, spectrophotometer and thermoluminescence reader. The results show that this kind of material could be useful for dosimetry in several applications of ionising radiation, taking into account its thermal fading.

Performance of pellets and composites of natural colourless topaz as radiation dosemeters.

The aim of the present work is to investigate the possibility of using the properties of the thermoluminescent emission (TL) of Brazilian natural topaz for dosimetric applications. Topaz is an aluminium fluorsilicate with general composition of Al2(SiO4)(F,OH)2 found with relative abundance in Brazil and in other parts of the world. Topaz from Santo Antonio do Jacinto, Minas Gerais. Brazil, was used in this work, in the form of pellets of topaz mixed with Teflon and composites made with topaz embedded in a glass matrix. The TL sensitivity was tested between 10(-4) and 10(4) Gy. The TL peak intensity increases with the dose before saturation, which occurs around 2 kGy. The peak intensity showed a strong dependence with radiation energy. The effect of visible light and the behaviour of the TL signals after successive irradiation-reading-annealing cycles are presented and discussed.

Dosimetric characterisation of Brazilian natural stones using the thermally stimulated exoelectron emission technique.

A thermally stimulated exoelectron emission (TSEE) measuring system developed and constructed at IPEN was used to verify the feasibility of the use of Brazilian natural semi-precious stones, such as jasper. amethyst, agate (blue and rose) and quartz (rose and white) for gamma and X radiation detection. Its counting system consists of a 2pi windowless gas-flow proportional counter, and the heating system is formed by a temperature programmer that provides linear heating of the samples. The samples were tested in gamma and in X radiation beams and evaluated in relation to their main dosimetric characteristics, as TSEE glow curves, calibration curves and energy dependence. The TSEE results are compared with those of thermoluminescence. The results obtained show the usefulness of Brazilian natural stones as dosimetric materials, using the thermoluminescence and thermally stimulated exoelectron emission techniques.

Influence of thermal treatments on the response decay of glass radiation detectors.

Commercial transparent glass has received attention in relation to its use as a gamma radiation detector. This kind of material presents a strong post-irradiation thermal decay at room temperature, which is a problem for high dose dosimetry purposes. This effect may be avoided by taking measurements always at the same time after irradiation of the glass samples. However, in this work effort has been given to this material characteristic, submitting the glass samples to different thermal treatments. The best results were obtained with a post-irradiation treatment at 130 degrees C during 10 min. This procedure seems to destroy the unstable entities responsible for the initial strong decay of the sample response, showing acceptable stability as a function of room temperature storage time.

Calibration of kVp meters used in quality control tests in diagnostic radiology by spectrometry.

A non-invasive calibration methodology of quality control instruments for diagnostic radiology was established and applied to different kinds of commercial kVp meters. The method uses the measurement of the spectrum endpoint as a reference. The results showed a variation of 10% between the responses of the instruments calibrated and the spectrometric system, a fact that demonstrates the need for instrument calibration.

Characterization of Al2O3 sintered pellets for dosimetric applications in radiotherapy.

Al2O3 sintered pellets were tested in relation to their thermoluminescent properties, to investigate the possibility of their use for dosimetry in the radiotherapy cases of 60Co and x-radiation. The material is inexpensive and has a glow peak at about 280 degrees C, a linear dose response between 0.1 and 100 Gy, suitable reproducibility and a low detection limit. The thermoluminescent response can easily be corrected for fading and the energy dependence, when necessary.