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Biomedical subjects

J C Fernandes

Publications and source records attributed to J C Fernandes.

44 records · Page 3Linked to original sources

Heavy metal contents of paddy fields of Alcácer do Sal, Portugal.

Recent claims of metal contamination in the lower reaches of the Sado River, in the Alcácer do Sal region, Portugal, a major rice-producing area were investigated by carrying out metal surveys in the area. The elements Fe, Mn, Zn, Cu and Pb were measured in the soil and in rice plant parts--roots, shoots and grain--as well as in some weeds growing in the Sado banks, near the paddy fields. Results showed that the metal contents of paddy soils were similar to background concentrations, with the exception of Zn and Cu, which were above those concentrations and reached their highest levels at Vale de Guizo, the monitored station located furthest upstream in the Sado River. At some sites, plant roots accumulated relatively large amounts of Fe, Mn, Zn and Cu, but the shoot levels of these metals were within the normal range for rice plants. It is possible that varying, but significant, amounts of Fe associated with the roots were in the form of ferric hydroxide plaque covering their surfaces. Copper levels in the shoots of rice were below the normal contents cited for this plant in the literature. Metal levels of river sediments collected near Vale de Guizo seem to corroborate the possibility of some metal contamination in the Sado River, most probably derived from pyrites mining activity in the upper zone of the Sado basin.

Copper↗

Detection of rejection after heart transplantation. A computerized precordial mapping experience.

A low-cost modular compact personal computer-based system for surface precordial mapping (SPM) developed by the authors was used to detect rejection periods, documented by endomyocardial biopsy (EB), in heart transplant patients on cyclosporine A therapy. Data were collected with a matrix of 35 Ag-AgCl electrodes positioned over the precordio with anatomical references within 12 hours of EB. For each acquisition the authors computed the root mean square waveform from all signals collected to assess the accuracy of the maximum value of the RMS waveform (mRMS) parameter to detect rejection episodes. A mRMS variation of 20% in consecutive mapping acquisitions was the decision criterion. In EB, only presence or absence of acute rejection was considered. Eleven heart transplant patients were studied and 46 acquisitions were done. The mRMS obtained with SPM showed a sensitivity of 69% and a specificity of 91%, with a positive predictive value of 75% and negative value of 88%. The results indicate that surface precordial mapping may be promising for monitoring rejection.

Adolescent↗

[Computerized precordial mapping--the Mapcard system].

A computerized Data Acquisition System conceived and built by LNETI/DEE in cooperation with Department of Cardiology of Hospital Santa Cruz, and its application to processing and representation of cardiac precordial maps (MAPCARD SYSTEM), was described. A description was made about the evolution on cardiac maps, their main areas of interest, pointing to future ways. With this economic and easy to use system, important perspectives of hospital utilization are opened, in the fields of non invasive diagnostic and clinical research technics.

Cardiology↗

[Trends in HIV/AIDS-related knowledge, attitudes, and practices in a Rio de Janeiro slum population].

The study aims to evaluate the present stage of knowledge, attitudes, and behavior related to HIV/AIDS in the population of Rio de Janeiro's Rocinha slum, the target of a control program over the last 6 years. We interviewed two hundred and ten people of both sexes, ranging from 13 to 49 years of age, and the results were compared with those of a study conducted in 1990 with the same methodology and sample size. The analysis showed an association between single males and more preventive behavior. Misconceptions about the role of mosquito bites and blood donation in the transmission of HIV persist, almost in the same proportion. Comparing the two samples, there was a significant increase in the role of HIV/AIDS education provided by schools, and the study also identified an increase in the rates and regularity of condom use. More efforts should be made to reduce misconceptions about HIV transmission and the vulnerability of couples. The study also highlights the need for more consistent policies related to condom distribution to the general population.

Acquired Immunodeficiency Syndrome↗

[Efficacy and safety of nebulized L-epinephrine associated with dexamethasone in postintubation laringitis]

OBJECTIVE: To assess the efficacy and safety of the use of nebulized L-epinephrine associated with dexamethasone in postintubation laryngitis. METHODS: We carried out a prospective, randomized, double-blind, placebo controlled study with two cohorts of patients with postintubation laryngitis graded 3 to 6 by Downes-Raphaelly score during two years. Our population was divided into two groups: A and B; both groups received intravenous dexamethasone and two doses of nebulized saline; however, only group B received L-epinephrine. The efficacy was assessed by Downes-Raphaelly score. The side effects of L-epinephrine were evaluated according to the occurrence of cardiac arrhythmia, increased blood pressure, and average heart rate of group B in comparison to group A. RESULTS: Twenty-two patients were included in group A (average score = 4.8) and 19 in group B (average score = 5.2). During treatment, 3 patients in group A presented a score of 8 and were reintubated. This group also showed higher mean clinical scores than group B during the first two hours of the protocol; these results were not statistically significant. No side effects were observed due to epinephrine. The gas blood measurements were adequate in both groups, but better in the control group. CONCLUSIONS: We did not observe increased efficacy for the treatment of postintubation laryngitis when nebulized L-epinephrine was used simultaneously with intravenous dexamethasone. Some indicators, however, did present a favorable trend when combined therapy was used and should be submitted to further evaluation.

Journal Article↗

[Therapeutic of septic children with purpuric presentation with two antibiotic schedules]

OBJECTIVE: The authors evaluate the therapeutic efficacy of two antibiotic schedules, ceftriaxone alone and the combined use of ampicillin and chloramphenicol, in the treatment of septic children with purpuric presentation.METHODS: A randomized open clinical trial was conducted including septic children with purpuric presentation treated at a pediatric intensive care unit from April 1988 to June 1992. All cases with systemic purpura standing for less than a week were included in one of two groups, except for those recently hospitalized or with previous hemorrhagic disturbs. Patients in group A received ampicillin and chloramphenicol and those in group B were given ceftriaxone. Quantitative parameters were adopted to compare the efficacy of the two antibiotic schedules: sensitivity of bacteria isolated at blood and liquor cultures, complications, therapeutic procedures, period of hospitalization, and sequelae.RESULTS: 19 cases were included in the group A and 16 in group B, both homogenous on clinical-laboratorial aspects. The parameters evaluated did not show different efficacy between the two antimicrobial schedules tested, except for the number of complications observed during hospitalization, which was higher among the children that received ampicillin and chloramphenicol. The overall mortality for the patients treated was 13.8%, excluded the undernourished. CONCLUSIONS: The authors verify similar clinical therapeutic efficacy with the combined use of ampicillin and chloramphenicol or ceftriaxone, as observed previously. It must be pointed that the number of complications detected during hospitalization were higher in the group that received the combined antibiotic schedule. Low mortality in the present study may be attributed to the early diagnosis and therapeutic measures adopted at the pediatric intensive care unit.

Journal Article↗

Lithium ion strengthening of dental porcelain.

The effects of experimental lithium-containing ion exchange pastes on dental porcelain were compared with a commercial ion strengthening paste. Maximum biaxial flexure strength using the experimental pastes was obtained by firing lithium paste containing 200 g per L lithium sulphate dihydrate for 45 minutes at 750 degrees C onto the surface of the porcelain. However, the commercial paste produced the greatest strengthening overall.

Aluminum Oxide↗