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Assessment of the Effects of Manual Chest Compression Technique on Atelectasis in Infants: A Randomized Clinical Trial

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International Journal of Clinical Medicine 2014年第9期5卷 507-513页

作者： Natania Florentino Diniz1] evelim leal de freitas dantas gomes1] Cristiane Aparecida Moran1] Silvana Alves Pereira1] Livia Maria de Andrade Martins1] Luciana Carnevalli Pereira1] Universidade Nove de Julho(UNINOVE) Sao PauloBrazil 2Universidade Federal do Rio Grande do Norte(UFRN/FACISA)Santa CruzBrazil

Objectives: To evaluate the effect of manual chest compression (MCC) in the variables of oxygenation, hemodynamic and respiratory effeteness in infants suffering from respiratory diseases with atelectasis. Methods: Controlled clinical trial, in which 38 infants were evaluated,19 ineach study group (group A: atelectasis and group B: control). Data were measured before, immediately after and 10 minutes after the end of the technique’s application. Results: The average age was of 5.05 months. There was an increase of RR in group A immediately after the application of the technique and signs of respiratory distress with a decrease in the oxygen saturation. Conclusion: There was a reduction in SpO2, an increase of RR and a worsening of clinical signs of respiratory distress. Given this, one may consider that there is a controversy about the benefits, mechanism of action, physiological and therapeutic effects of MCC when applied to infants.

关键词： Pulmonary Atelectasis Physiotherapy Modality Respiratory Therapy Infant Infant Care Clinical Trials

Analysis of Autonomic, Respiratory and Motor Function of Infants in Pre- and Post-Liver Transplantation

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International Journal of Clinical Medicine 2014年第21期5卷 1384-1391页

作者： denise de Souza Rolim évelim leal de freitas dantas gomes Andrea de Oliveira Franco Queiroga Juliana Angi Roche Audrey Borghi-Silva Luciana Maria Malosá Sampaio Hospital Sírio-Libanês S&atildeo Paulo Brazil Post-Graduation Program Science Rehabilitation Nove de Julho University S&atildeo Paulo Brazil Cardiopulmonary Physiotherapy Laboratory Federal University of S&atildeo Carlos S&atildeo Carlos Brazil

Purpose: Children with liver impairment are likely to develop changes in autonomic nervous function and delay in motor development. The assessment and identification of these dysfunctions may allow an appropriate physiotherapeutic care. Method: Cross sectional study of 18 infants, 11 controls and 7 infants (post-liver transplantation) with an average age of 10 ± 4.5 months, was evaluated in pre- and post-liver transplant. All infants underwent to assessments of motor skills, body composition, chest and abdominal motion, and cardiac autonomic modulation was measured by heart rate variability. Results: Motor delay and malnutrition were found in all infants. The gravity index (PELD)—pediatric end-stage liver disease—showed a negative correlation with the Alberta Infant Motor Scale (r = 0.83, p = 0.01). In addition, reduced parasympathetic modulation was demonstrated by the rMSSD, SD1 and ApEn, pre- and post-transplant. Conclusion: Infants with liver disease, even after transplantation, have delay in motor development, as well as changes in their nutritional and autonomic dysfunction.

关键词： Autonomic Nervous System Liver Transplant AIMS Respiratory System

Recycling process and proto-kimberlite melt metasomatism in the lithosphere-asthenosphere boundary beneath the Amazonian Craton recorded by garnet xenocrysts and mantle xenoliths from the Carolina kimberlite

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Geoscience Frontiers 2022年第5期13卷 89-105页

作者： Fernanda Gervasoni Tiago Jalowitzki Marcelo Peres Rocha Ricardo Kalikowski Weska Eduardo Novais-Rodrigues Rodrigo Antonio de freitas Rodrigues Yannick Bussweiler Elisa Soares Rocha Barbosa Jasper Berndt Elton Luiz dantas Valmir da Silva Souza Stephan Klemme Centro de Engenharias Universidade Federal de Pelotas(UFPel)PelotasBrazil Programa de Pós-graduação em Geociências Universidade Federal do Rio Grande do SulPorto AlegreBrazil Programa de Pós-graduação em Geologia Instituto de GeociênciasUniversidade de Brasília(UnB)BrasíliaBrazil Faculdade de Geociências Universidade Federal do Mato Grosso(UFMT)CuiabáBrazil Institut für Geologie und Mineralogie Universität zu KölnGermany Faculdade de Ciências e Tecnologia Universidade Federal de Goiás(UFG)Aparecida de GoiâniaBrazil Institut für Mineralogie Universität MünsterMünsterGermany

Here we present new data on the major and trace element compositions of silicate and oxide minerals from mantle xenoliths brought to the surface by the Carolina kimberlite,Pimenta Bueno Kimberlitic Field,which is located on the southwestern border of the Amazonian *** also present Sr-Nd isotopic data of garnet xenocrysts and whole-rocks from the Carolina *** xenoliths are mainly clinopyroxenites and *** of the clinopyroxenites were classified as GPP–PP–PKP(garnet-phlogopite peridotite,phlogopite-peridotite,phlogopite-K-richterite peridotite)suites,and two clinopyroxenites(eclogites)and two garnetites are relicts of an ancient subducted *** and pressure estimates yield 855–1102℃ and 3.6–7.0 GPa,*** are enriched in light rare earth elements(LREE)(La_(N)/Yb_(N)=5–62;Ce_(N)/Sm_(N)=1–3;where N=primitive mantle normalized values),they have high Ca/Al ratios(10–410),low to medium Ti/Eu ratios(742–2840),and low Zr/Hf ratios(13–26),which suggest they were formed by metasomatic reactions with CO_(2)-rich silicate *** with high TiO_(2)(>2.0 wt.%),Al_(2)O_(3)(>12.0 wt.%),and FeOt(5.0–13.0 wt.%)resemble those found in the groundmass of kimberlites,lamproites and ***,phlogopite with low TiO_(2)(de)and PIC(phlogopite-ilmenite-clinopyorxene)*** GPP-PP-PKP suite of xenoliths,together with the clinopyroxene and phlogopite major and trace element signatures suggests that an intense proto-kimberlite melt metasomatism occurred in the deep cratonic lithosphere beneath the Amazonian *** Sr-Nd isotopic ratios of pyrope xenocrysts(G3,G9 and G11)from the Carolina kimberlite are characterized by high ^(143)Nd/^(144)Nd(0.51287–0.51371)and eNd(+4.55 to+20.85)accompanied with enriched ^(87)Sr/^(86)Sr(0.70405–0.71098).These results suggest intera

关键词： Carolina kimberlite K-rich mantle xenoliths Ancient subducted slab Proto-kimberlite melt metasomatism

Growth of Pepper under Different Concentration of the Solutions Used in the Hydroponic System

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Agricultural Sciences 2018年第8期9卷 925-935页

作者： Felipe Guedes de Souza Guilherme de freitas Furtado Antonio Ramos Cavalcante Lucia Helena Garófalo Chaves Josely dantas Fernandes José Amilton Santos Júnior department of Agricultural Engineering Federal University of Campina Grande Campina Grande Brazil department of Agricultural Engineering Federal Rural University of Pernambuco Recife Brazil

Water availability is a fundamental condition for sustainable agriculture. However, a satisfactory water condition is not always possible in terms of quantity and quality in certain regions, such as the Brazilian semi-arid region. Thus, the purpose of this extremely important research was to evaluate the growth of cv. All Big with six combinations of wastewater plus saline (WW + SW) and two nutrient solution percentages, in a low-cost hydroponic system. The experiment was carried out in a greenhouse at the department of Agricultural Engineering at Federal University of Campina Grande. A completely randomized experimental design was used, with treatments arranged in a factorial scheme (6 × 2), with 5 replications, being the treatments composed by the combination of six proportions of wastewater with saline water (50%/50%;60%/40%;70%/30%;80%/20%;90%/10%;100% of wastewater) and two nutrient solution concentration (80% and 100%), totalizing 60 experimental units. The biometric variables were analyzed at 55 and 96 days after sowing, namely: plant height (PH), stem diameter (SD), leaf number (LN) and leaf area (LA). The interaction between the concentration of the nutrient solution and the ratio of the saline water with wastewater was influenced in the behavior of peppers (cv. All Big) biometric variables. The nutrient solution prepared at 80% of its normal concentration had better performance in the development of plants when mixed with the proportions of water containing more wastewater. The proportion 30% saline water and 70% wastewater (30/70) with concentration of 80% of the nutrient solution obtained better satisfactory results in the studied biometric variables.

关键词： Capsicum annuum L. Saline Water Wastewater Nutrient Solution

delivery of essential pediatric congenital surgical care within Brazil’s universal health coverage system:a national survey of pediatric surgeons

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World Journal of Pediatric Surgery 2023年第3期6卷 136-146页

作者： Paul R Truche Abbie E Naus Fabio Botelho Julia Ferreira Alexis Bowder Luke Caddell Kathrin Zimmerman Isabella Maria de freitas Faria Bellisa Caldas Lopes Eduardo Corrêa Costa Fernanda Lage Lima dantas Augusto J S A Cavalcante Carlos A L B Carvalho Simone Abib David P Mooney Nivaldo Alonso Program in Global Surgery and Social Change Harvard Medical SchoolBostonMassachusettsUSA department of Surgery Rutgers Robert Wood Johnson Medical SchoolNew BrunswickNew JerseyUSA department of Pediatric Surgery McGill UniversityMontrealQuébecCanada department of Surgery Medical College of WisconsinMilwaukeeWisconsinUSA Division of Otolaryngology-Head and Neck Surgery Department of SurgeryUniversity of Wisconsin-Madison School of Medicine and Public HealthMadisonWisconsinUSA School of Medicine UFMGBelo HorizonteMinas GeraisBrazil department of Pediatric Surgery Instituto de Medicina Integral Professor Fernando FigueiraRecifeBrazil department of Pediatric Surgery Hospital de Clinicas de Porto AlegrePorto AlegreBrazil department of Pediatric Surgery Federal University of AcreRio BrancoBrazil department of Pediatric Surgery Hospital Santa Casa de Belo HorizonteBelo HorizonteBrazil department of Pediatric Surgery Federal University of Mato GrossoCuiabaBrazil department of Pediatric Surgery UNIFESPSao PauloBrazil department of Pediatric Surgery Boston Children's HospitalBostonMassachusettsUSA department of Plastic Surgery University of São Paulo Institute of Biomedical SciencesSao PauloBrazil

Objective In this study,we assess the delivery of congenital pediatric surgical care under Brazil’s system of universal health coverage and evaluate differences in delivery between public and private *** A cross-sectional national survey of pediatric surgeons in Brazil was *** were asked which of 23 interventions identified through the Disease Control Priorities 3(Surgical Interventions for Congenital Anomalies)they perform and to report barriers faced while providing surgical *** were weighted by state and stratified by sector(public vs private).Results A sample of 352 responses was obtained and weighted to represent 1378 practicing pediatric surgeons registered in Brazil during the survey time.73%spend the majority of their time working in the public sector(‘SistemaÚnico de Saúde’and Foundation hospitals),and most of them also work in the private ***,Brazilian pediatric surgeons have the expertise to provide thoracic,abdominal,and urologic *** working mostly in the public sector were more likely to report a lack of access to essential medications(25%vs 9%,pde congenital pediatric surgical care.

关键词： pediatric survey Brazil

definition of the Portuguese frameworks with international relevance as an input for the European geological heritage characterisation

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Episodes 2005年第3期28卷 177-186页

作者： J. Brilha C. Andrade A. Azeredo F.J.A.S. Barriga M. Cachāo2 H. Couto P.P. Cunha J.A. Crispim P. dantas L. V. Duarte M. C freitas H.M. Granja M.H. Henriques P. Henriques L. Lopes J. Madeira J.M.X. Matos F. Noronha J. Pais J. Pifarra M.M. Ramalho J.M.R.S. Relvas A. Ribeiro A. Santos V.F.Santos P. Terrinha University of Minho University of Lisbon National Natural History Museum University of Porto University of Coimbra Portuguese Speleological Society INETInovacāo University of évora New University of Lisbon League for Nature Protection University of Algarve

This work constitutes the first contribution for the systematisation of geological heritage knowledge in Portugal, following the international recommendations for the characterisation of geological heritage （IUGS, ProGEO）. The application of the ProGEO methodology has resulted in the creation of fourteen frameworks with international relevance, established by consensus among the Portuguese geological community. The description of each category in this paper is not exhaustive and only the most relevant scientific settings are presented. The following are the three key outcomes of this work： i） At a national level, the most important geosites are identified, indicating where geoconservation efforts should be prioritised based on scientific justification; ii） At a regional level, conditions have been developed to foster dialogue with Spanish colleagues in order to create Iberian frameworks; iii） At an international level, it is now possible to integrate Portuguese geosites into the global inventories promoted by IUGS, UNESCO, and ProGEO.

关键词：葡萄牙欧洲地质条件地质图地形特征