Relationship between clinical-epidemiological parameters and outcomes of patients with COVID-19 admitted to the intensive care unit: a report from a Brazilian hospital.

Background: People in low-income countries, especially those with low socio-economic conditions, are likelier to test positive for SARS-CoV-2. The unequal conditions of public health systems also increase the infection rate and make early identification and treatment of at-risk patients difficult. Here, we aimed to characterize the epidemiological profile of COVID-19 patients in intensive care and identify laboratory and clinical markers associated with death.

Fibular strut graft placement for an open distal femur fracture with a critical bone defect: A case report.

Case: We herein present a case involving a 23-year-old man with an open fracture of the distal portion of the left femoral diaphysis, substantial bone loss, and soft tissue injuries. He was initially treated with antibiotics, limb stabilization, and surgical debridement. On the sixth day, he underwent internal fixation and fibular strut graft placement for bone defect restoration.

Automated, Web-Based Solution for Bidirectional EHR-Infusion Pump Communication.

Smart Agent is a web-based solution for establishing bidirectional communication between an infusion pump and an electronic health record (EHR). It eliminates the need for clinician double check of medication administration using an infusion pump. Because the clinician already is using the EHR to review patient health information and update status, the addition of the web service would help eliminate the potential for human error when using a manual system.

Ionic Conductivity, Diffusion Coefficients, and Degree of Dissociation in Lithium Electrolytes, Ionic Liquids, and Hydrogel Polyelectrolytes.

The conductive and diffusional behavior of electrolytes in media with different dielectric and viscoelastic properties is investigated. A revised model to separate the contribution of dissociated and nondissociated species to the diffusion coefficients determined with NMR is proposed. Impedance spectroscopy is used to measure the ionic conductivity of lithium salts in aqueous medium, ionic liquids in aprotic solvents, and hydrogel polyelectrolytes.

Ion diffusion coefficients model and molar conductivities of ionic salts in aprotic solvents.

In the study of the electric properties of electrolytes, the determination of the diffusion coefficients of the species that intervene in the charge transport process is of great importance, particularly that of the free ions (D(+) and D(-)), the only species that contribute to the conductivity. In this work we propose a model that allows, with reasonable assumptions, determination of D(+) and D(-), and the degree of dissociation of the salt, α, at different concentrations, using the diffusion coefficients experimentally obtained with NMR. Also, it is shown that the NMR data suffice to estimate the conductivity of the electrolytes.

[An overview of oculocutaneous albinism: TYR gene mutations in five Colombian individuals].

Introduction: Oculocutaneus albinism is a pigment-related inherited disorder characterized by hypopigmentation of the skin, hair and eyes, foveal hypoplasia and low vision. To date, 230 mutations in the TYR gene have been reported as responsible for oculocutaneus albinism type 1 worldwide. TYR gene encodes the enzyme tyrosinase involved in the metabolic pathway of melanin synthesis.

Determination of carbon dioxide transport coefficients in liquids and polymers by NMR spectroscopy.

In liquids and in polymeric membranes, a precise determination of their transport properties is of paramount importance. In this work, an NMR method to measure sequentially the solubility and diffusion coefficients of carbon dioxide in liquids (n-alkanes and 1-alkanols) and in polymer membranes (polyethylene, polybutadiene, and polycarbonate) is described. The results show that NMR measurements are very reproducible and in good agreement with those determined by other methods.

Surface modification of sepiolite in aqueous gels by using methoxysilanes and its impact on the nanofiber dispersion ability.

Surface modification reactions on needle-like sepiolite using alkyl and functional silanes have been carried out in the form of aqueous gels. In contrast with modifications in organic solvents, reactions in water make it possible to modify the surface of almost-individual sepiolite fibers and produce either a continuous coating or a nanotexturization of the sepiolite fiber surface, depending on the reaction conditions. This clean procedure substitutes advantageously organic solvent surface modifications and allows the tuning of surface properties such as specific surface area, wetting behavior, and chemical functionalization.

Microwave versus conventional heating in the grafting of alkyltrimethoxysilanes onto silica particles.

The scope of this work is the comparative analysis in terms of grafting rate, structure of the grafted layer, and wetting behavior of three series of silica nanoparticles modified with alkyltrimethoxysilanes by using conventional heating with and without acid catalysis, and microwave irradiation. A comprehensive characterization of the grafted layer by means of Fourier transform infrared (FTIR), microanalysis, and solid state NMR techniques has shown that microwave irradiation provokes a pronounced increase in the loading rate compared to conventional heating. This microwave effect is outstanding in the case of the reactions with methyltrimethoxysilane, because of the acceleration of the condensation rate.

[Disclosing the virus, hiding the patients: follow-up tests (CD4 and VL) and the physician-patient relationship in the AIDS setting].

The aim of this study is to discuss the meanings associated with the CD4 lymphocyte count and HIV plasma viral load (VL) for patients living with AIDS and the attending physicians, seeking to analyze the impacts of the increasing use of these tests in the treatment setting. A qualitative study was performed in two HIV/AIDS referral centers with participant observation and semi-structured interviews with 27 patients living with AIDS and four physicians. Observation of the medical consultations showed that they are quick, objective, and centered on the CD4 and VL test results, thus reinforcing a hegemonic view of medical knowledge and a biomedical perspective that instrumentalizes their practice.

Influence of structural chemical characteristics on polymer chain dynamics.

A comparative study of the dielectric relaxation behavior of two structurally close polymers containing aliphatic-aromatic side groups was carried out in order to get a better understanding on how slight differences in chemical structure affect the molecular responses to perturbation fields. Specifically, chain dynamics of poly(2-acryloyloxyethyl-2-naphthalene-2-ylacetate) and poly(2-methacryloyloxyethyl-2-naphthalene-2-ylacetate) were studied by broadband dielectric spectroscopy in the frequency range of 10(-2)-10(8) Hz and temperature window of 298-403 K. Also, the relaxation behavior of (2-acetyloxyethyl-2-naphthalene-2-ylacetate), model compound of the polymer side groups, was analyzed.

Use of p-toluenesulfonic acid for the controlled grafting of alkoxysilanes onto silanol containing surfaces: preparation of tunable hydrophilic, hydrophobic, and super-hydrophobic silica.

The modification of Aerosil 200 has been carried out using methoxysilanes in toluene reflux, with p-toluenesulfonic acid as the catalyst. Both trimethoxyalkyl silanes (methyl, ethyl, propyl, butyl, hexyl, octyl, and octadecyl) and trialkylmethoxy silanes (trimethyl and dimethyloctyl) have been used. The surface has been studied by 29Si NMR, 13C NMR, elemental analysis, thermogravimetry, water contact angle, and BET analysis.

[Chromobacteriosis in Ilhéus, Bahia: epidemiologic, clinical and laboratorial investigation].

In April/2004, a group of people traveled to a farm in a town in the south of Bahia and afterwards, three teenagers from the same family developed symptoms of severe septicemia and two died. The Health Department carried out an epidemiologic, clinical, laboratory and environmental investigation that resulted in the identification of Chromobacterium violaceum, in biological material from one of them, water and soil. This is the first report of the disease in Bahia State.

Suppression of dioxin mediated aryl hydrocarbon receptor transformation by ethanolic extracts of propolis.

Present study demonstrated that the ethanolic extracts of propolis containing higher concentrations of flavonoids suppressed 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD)-induced aryl hydrocarbon receptor transformation in a dose-dependent manner. The IC(50) values of propolis group 3 and group 12 were 1.2 and 3.