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2. Use of Ozonized Water in the Prevention of Surgical Site Infection in Children Undergoing Cardiovascular Surgery

Author

Alexandre Noboru Murakami, Ulisses Alexandre Croti, Bruna Cury Borim, Carlos Henrique De Marchi, Rouse Mary Rossini Murakami, Margarete Teresa Gottardo de Almeida, Rafael da Silva Policarpo, Fabiana Nakamura Avona, and Moacir Fernandes de Godoy

Subjects
Ozone, Cross Infection, Congenital Heart Defects, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

ABSTRACT Introduction: Since the reduction of healthcare-associated infections has been a focus for quality patient care, this study aimed to evaluate the surgical site infection rate of children who underwent cardiovascular surgery after implementation of ozonized water system for hand and body hygiene allied to previously implemented preventive measures. Methods: Two uniformly comparable groups of pediatric patients underwent cardiovascular surgery. Group A (187) patients were operated prior to installation of ozonized water system (March 1 to August 31, 2019), and group B (214) patients were operated after installation of ozonized water system (October 1, 2019, to March 31, 2020). Ozonized water was used for professional hand hygiene and patient body hygiene. Results: There was statistical significance for surgical site infection reduction in group B (P=0.0289), with a relative risk of 0.560 (95% confidence interval = 0.298 to 0.920), inferring the risk of being diagnosed with surgical site infections in group B was 44% less than in group A. There was no statistical significance regarding mechanical ventilation time (P=0.1998) or mortality (P=0.4457). Conclusion: Ozonized water for professional hand hygiene and patient body hygiene was an adjuvant combined with traditional preventive methods to reduce the risk of surgical site infection, although no impact on hospital stay or mortality was observed.

Published
2023
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3. Water activation products generation and transport in DEMO divertor

Author

P. Chiovaro, A. Quartararo, P. Avona, G. Bongiovì, P.A. Di Maio, S. Giambrone, I. Moscato, and E. Vallone

Subjects
neutronics, fluid-dynamics, DEMO divertor, Nuclear and particle physics. Atomic energy. Radioactivity, QC770-798
Abstract

In water-cooled nuclear reactors, the issue of neutron-activated products transport along the primary heat transfer system (PHTS) is very demanding, as it is a coupled neutronic/fluid-dynamic problem requiring a challenging balance between accuracy and reasonable computational time. This work addresses the transport of water activation products in large hydraulic circuits. Regarding the nuclear calculations, the assessment of the production rates of the radioisotope concentrations has been performed by Monte Carlo analyses adopting the MCNP5.1.6 code, while for the transportation calculations, an innovative method has been expressly developed. It foresees a one-dimensional nodalization, in a MATLAB-Simulink environment, of the hydraulic circuit considered with a computational fluid-dynamic (CFD) characterization (by ANSYS CFX code) of the nodes under neutron flux, that is the components where radioisotopes are formed, and the highest gradients of concentration are present. The method was compared with one-dimensional models not supported by fluid-dynamic analysis. The results of this comparison showed that in cases involving fairly complicated geometries and radioisotopes with a small half-life, CFD analyses are necessary to achieve adequate accuracy. The procedure was applied to very large and rather complex hydraulic circuits like the divertor PHTSs of DEMO fusion reactor to obtain the concentrations of the activation products of the water constituents ( ^16 N, ^17 N, ^19 O, ^14 C, ^41 Ar) along such systems.

Published
2024
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5. Modified Senning Procedure for Treatment of Transposition of the Great Arteries with Crisscross Heart.

Author

Pereira de Godoy, Ana Carolina, Maroneze Brun, Marilia, Nakamura Avona, Fabiana, De Marchi, Carlos Henrique, and Croti, Ulisses Alexandre

Subjects
TRANSPOSITION of great vessels, CONGENITAL heart disease, ATRIAL septal defects, HEART, WEIGHT gain, HEART failure, RIGHT heart atrium
Abstract

Clinical data: A nine-month-old female infant diagnosed with transposition of the great arteries with symptoms of heart failure associated with cyanosis and difficulty in gaining weight was referred to our center with late diagnosis (at nine months of age). Chest radiography: Cardiomegaly; attenuated peripheral vascular markings. Electrocardiography: Sinus rhythm with biventricular overload and aberrantly conducted supraventricular extra systoles. Echocardiography: Wide atrial septal defect, ventricular axis torsion with concordant atrioventricular connection and discordant ventriculoarterial connection. Computed tomography angiography: Concordant atrioventricular connection, right ventricle positioned superiorly and left ventricle positioned inferiorly; discordant ventriculoarterial connection with right ventricle connected to the aorta and left ventricle connected to pulmonary artery. Diagnosis: Crisscross heart is a rare congenital heart defect, accounting for 0.1% of congenital heart diseases. It consists of the 90° rotation of ventricles' axis in relation to their normal position; therefore, ventricles are positioned in the superior-inferior direction rather than anterior-posterior. Most cases have associated cardiac anomalies, and in this case, it is associated with transposition of the great arteries. The complexity and rarity of its occurrence make diagnosis and surgical treatment challenging. Operation: Modified Senning procedure using the pericardial sac in the construction of a tunnel from pulmonary veins to the right atrium. Cardiopulmonary bypass time of 147 minutes with nine minutes of total circulatory arrest. [ABSTRACT FROM AUTHOR]

Published
2024
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10. Hydrocarbons removal from real marine sediments: Analysis of degradation pathways and microbial community development during bioslurry treatment

Author

A, Avona, M, Capodici, D, Di Trapani, M G, Giustra, P, Greco Lucchina, L, Lumia, G, Di Bella, S, Rossetti, B, Tonanzi, G, Viviani, Avona, A, Capodici, M, Di Trapani, D, Giustra, M G, Greco Lucchina, P, Lumia, L, Di Bella, G, Rossetti, S, Tonanzi, B, and Viviani, G

Subjects
Geologic Sediments, Bioremediation, Contaminated marine sediment, Hydrocarbon pollution, Microbial community, Slurry reactor, Biodegradation, Environmental, Petroleum, Environmental Engineering, Settore ICAR/03 - Ingegneria Sanitaria-Ambientale, Microbiota, Soil Pollutants, Environmental Chemistry, Pollution, Waste Management and Disposal, Hydrocarbons, Soil Microbiology
Abstract

In this study, real marine sediments polluted by petroleum compounds were treated by means of a bioslurry pilot scale reactor. The treatment performance was evaluated by measuring the removal of total petroleum hydrocarbon (TPH), coupled to further analyses required to understand the mechanisms involved in the biodegradation process. The maximum TPH-removal efficiency reached 86 % at the end of experiments. Moreover, high throughput 16S RNA gene sequencing was used to describe the microbiome composition in sediment prior to, and after, bioslurry treatment, in order to identify the taxa mostly entailed in the TPH removal process. The raw sediment was mostly colonized by members of Sulfurimonas genus; after bioslurry treatment, it was noticed a shift in the microbial community composition, with Proteobacteria phylum dominating the remediation environment (high increase in terms of growth for Hydrogenophaga and Sphingorhabdus genera) along with the Phaeodactylibacter genus (Bacteroidetes). Furthermore, the assessment of gaseous emissions from the system allowed to quantify the volatile hydrocarbon component and, consequently, to obtain a more accurate evaluation of TPH-removal pathway by the bioslurry system. Finally, phytotoxicity tests on sediment samples highlighted an increase of the treated sample quality status compared to the untreated one.

Published
2022

11. Use of Ozonized Water in the Prevention of Surgical Site Infection in Children Undergoing Cardiovascular Surgery.

Author

Noboru Murakami, Alexandre, Alexandre Croti, Ulisses, Cury Borim, Bruna, Henrique De Marchi, Carlos, Rossini Murakami, Rouse Mary, Gottardo de Almeida, Margarete Teresa, da Silva Policarpo, Rafael, Nakamura Avona, Fabiana, and Fernandes de Godoy, Moacir

Subjects
SURGICAL site infections, NOSOCOMIAL infections, WATER use, HAND care & hygiene, CHILD patients, CONGENITAL heart disease, CARDIOVASCULAR surgery, HOSPITAL mortality
Abstract

Introduction: Since the reduction of healthcare-associated infections has been a focus for quality patient care, this study aimed to evaluate the surgical site infection rate of children who underwent cardiovascular surgery after implementation of ozonized water system for hand and body hygiene allied to previously implemented preventive measures. Methods: Two uniformly comparable groups of pediatric patients underwent cardiovascular surgery. Group A (187) patients were operated prior to installation of ozonized water system (March 1 to August 31, 2019), and group B (214) patients were operated after installation of ozonized water system (October 1, 2019, to March 31, 2020). Ozonized water was used for professional hand hygiene and patient body hygiene. Results: There was statistical significance for surgical site infection reduction in group B (P=0.0289), with a relative risk of 0.560 (95% confidence interval = 0.298 to 0.920), inferring the risk of being diagnosed with surgical site infections in group B was 44% less than in group A. There was no statistical significance regarding mechanical ventilation time (P=0.1998) or mortality (P=0.4457). Conclusion: Ozonized water for professional hand hygiene and patient body hygiene was an adjuvant combined with traditional preventive methods to reduce the risk of surgical site infection, although no impact on hospital stay or mortality was observed. [ABSTRACT FROM AUTHOR]

Published
2023
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13. CIGARROS ELETRÔNICOS X CIGARROS TRADICIONAIS: A PERCEPÇÃO DOS JOVENS UNIVERSITÁRIOS

Author

de Abreu e Lima Melo Filho, Artur, primary, Maciel Gonçalves, Hérya, additional, Cristina Colagiovanni Vetorazzo, Isabel, additional, Camilo Cardoso, Lara, additional, Veiga Faria, Tamara, additional, Colombelli Pacca, Felipe, additional, Luiza Mendes Amorim Caparroz, Ana, additional, Buzon Borrasca, Thiago, additional, Nakamura Avona, Fabiana, additional, Quessada, Flavio, additional, and Gaspar Bottino Quicoli, Ronaldo, additional

Published
2023
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14. A CONDUTA MÉDICA PERANTE O PACIENTE AUTISTA

Author

Guimarães Amaral, Bianca, primary, Araujo Cavalcante, Carolina, additional, de Lima Lopes, Juliana, additional, Valério de Aquino, Ransés, additional, Iembo, Tatiane, additional, Luiza Mendes Amorim Caparroz, Ana, additional, Carlos Machado, Renato, additional, Nakamura Avona, Fabiana, additional, and Costa Palmeira, Roberta, additional

Published
2023
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15. Use of Ozonized Water in the Prevention of Surgical Site Infection in Children Undergoing Cardiovascular Surgery

Author

Murakami, Alexandre Noboru, primary, Croti, Ulisses Alexandre, additional, Borim, Bruna Cury, additional, De Marchi, Carlos Henrique, additional, Murakami, Rouse Mary Rossini, additional, Almeida, Margarete Teresa Gottardo de, additional, Policarpo, Rafael da Silva, additional, Avona, Fabiana Nakamura, additional, and Godoy, Moacir Fernandes de, additional

Published
2023
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17. A PRÁTICA DA MEDITAÇÃO COMO FERRAMENTA PARA O DESENVOLVIMENTO PSICOSSOCIAL DE CRIANÇAS NO JARDIM DA INFÂNCIA: ESTUDO COMPARATIVO COM CROSSOVER

Author

Luisa Kaled Ratacheski, Ana, primary, Correia Torres, Leonardo, additional, Ruiz Paschoal, Victória, additional, Veiga Faria, Tamara, additional, Luiza Mendes Amorim Caparroz, Ana, additional, Jorge Corsino de Paula, Renata, additional, Nakamura Avona, Fabiana, additional, and Aparecido Borghi, Fabio, additional

Published
2023
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18. SEQUELAS NEUROLÓGICAS CAUSADAS EM PACIENTES PEDIÁTRICOS PÓS COVID-19

Author

Copelli Wolf, Gabriela, primary, Bess de Almeida Bettega, Leonardo, additional, Luiza Mendes Amorim Caparroz, Ana, additional, Jorge Corsino de Paula, Renata, additional, Nakamura Avona, Fabiana, additional, Possebon, Angelica, additional, Costa Palmeira, Roberta, additional, and Suely Batista Siqueira De Moraes, Regina, additional

Published
2023
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19. HÁBITOS ALIMENTARES E OBESIDADE INFANTIL: UMA PROPOSTA DE ORIENTAÇÃO PARA PAIS E ALUNOS DE ESCOLAS PÚBLICAS

Author

Lair Braga, Abiézer, primary, Dadalt, Luisa, additional, Chaves Meirelles, Rafaela, additional, Barbosa Novaes Marques, Norma, additional, Colombelli Pacca, Felipe, additional, Luiza Mendes Amorim Caparroz, Ana, additional, Nakamura Avona, Fabiana, additional, Judite Alves Arruda, Andiara, additional, Regina Goulart Bernardes, Ely, additional, and Costa Palmeira, Roberta, additional

Published
2023
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21. INVESTIGAÇÃO SOBRE A EFICÁCIA DA HOMEOPATIA CONTRA A ANSIEDADE

Author

Alves Azevedo Teixeira, Alessa, primary, Campos Primo, Beatriz, additional, Nogarotto Cembranelli, Ítalo, additional, Rodrigues Santi, Lívia, additional, Colombelli Pacca, Felipe, additional, Mendes da Silva, Mariana, additional, Laguna Neto, Daniel, additional, Nakamura Avona, Fabiana, additional, and Martini Romano, Eduardo, additional

Published
2023
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22. ALIMENTAÇÃO SAUDÁVEL COMO PREVENÇÃO AO DIABETES NA INFÂNCIA

Author

Alves Azevedo Teixeira, Alessa, primary, Campos Primo, Beatriz, additional, Nogarotto Cembranelli, Ítalo, additional, Rodrigues Santi, Lívia, additional, Barbosa Novaes Marques, Norma, additional, Colombelli Pacca, Felipe, additional, Luiza Mendes Amorim Caparroz, Ana, additional, Nakamura Avona, Fabiana, additional, and Costa Palmeira, Roberta, additional

Published
2023
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23. A COMPREENSÃO DOS ALUNOS DE MEDICINA SOBRE DOENÇAS VIRAIS TRANSMITIDAS POR VIAS RESPIRATÓRIAS

Author

Fernanda Marin Machado Silveira, Maria, primary, Delgado Dadalt, Luisa, additional, Navarro dos Anjos, Giovanna, additional, Ribeiro Fracasso, Mariana, additional, Colombelli Pacca, Felipe, additional, Cortez Ferreira Pinheiro, Bruna, additional, Regina Lopes Cunha, Andrea, additional, Nakamura Avona, Fabiana, additional, Pedro De Carvalho Tauyr, Emanuel, additional, and Possebon, Angelica, additional

Published
2023
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36. Qualidade de vida, após operação de Fontan, em crianças e adolescentes portadores de cardiopatias congênitas

Author

Camargo, Matheus Pileggi, primary, Marchi, Carlos Henrique de, additional, Godoy, Moacir Fernandes de, additional, Barufi, Alexandra Regina Siscar, additional, Avona, Fabiana Nakamura, additional, Bodini, André Luis de Andrade, additional, Policarpo, Rafael da Silva, additional, Borim, Bruna Cury, additional, and Croti, Ulisses Alexandre, additional

Published
2022
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38. Mengubah Sampah Organik Menjadi Eco Enzym Multifungsi: Inovasi di Kawasan Urban

Author

Cucuk Wawan Budiyanto, Annisa Yasmin, Annona Nura Fitdaushi, Asa Qubaila Sitta Zidna Rizqia, Avona Rara Safitri, Devita Nurul Anggraeni, Kharimah Heba Farhana, Maryam Quatly Alkatiri, Yoga Yudha Perwira, and Yoshan Ardhi Pratama

Abstract

The waste in urban areas was the concern in the KKN UNS Membangun. Around 80% of the total amount of waste generated is dominated by organic waste which is only seen as waste that has no economic value. Therefore, the community service activity of KKN UNS Membangun Desa Kelompok 37. Sangkrah Village was carried out in the form of socialization and training in the manufacture of eco-enzyme multipurpose liquid. Organic waste can be processed into eco enzyme which is useful as a cleaning liquid, wound treatment, and plant fertilizer. Socialization activities and training on the manufacture of eco-enzyme multipurpose liquid were carried out offline in Sangkrah Village, Pasar Kliwon District, Surakarta, Central Java, Indonesia by implementing strict health protocols. Socialization activities and training on the making of eco enzyme were attended by representatives of the residents to prevent crowds. This activity aims to make the Sangkrah Village community able to utilize organic waste so that it can be used and even can add to the economic value of the surrounding community.

Published
2022
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40. Mengubah Sampah Organik Menjadi Eco Enzym Multifungsi: Inovasi di Kawasan Urban

Author

Budiyanto, Cucuk Wawan, primary, Yasmin, Annisa, additional, Fitdaushi, Annona Nura, additional, Rizqia, Asa Qubaila Sitta Zidna, additional, Safitri, Avona Rara, additional, Anggraeni, Devita Nurul, additional, Farhana, Kharimah Heba, additional, Alkatiri, Maryam Quatly, additional, Perwira, Yoga Yudha, additional, and Pratama, Yoshan Ardhi, additional

Published
2022
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41. Qualidade de vida, após operação de Fontan, em crianças e adolescentes portadores de cardiopatias congênitas

Author

Matheus Pileggi Camargo, Carlos Henrique de Marchi, Moacir Fernandes de Godoy, Alexandra Regina Siscar Barufi, Fabiana Nakamura Avona, André Luis de Andrade Bodini, Rafael da Silva Policarpo, Bruna Cury Borim, and Ulisses Alexandre Croti

Subjects
General Medicine
Abstract

Objetivo: Avaliar a qualidade de vida de crianças e adolescentes portadores de cardiopatias congênitas com fisiologia univentricular após operação de Fontan. Métodos: Aplicado o módulo cardíaco do questionário Pediatric Quality of Life Inventory TM (PedsQLTM 3.0) em indivíduos de 8 a 18 anos e que haviam realizado a operação de Fontan. Realizada análise estatística descritiva e inferencial utilizando-se dos testes exato de Fisher, t não pareado e Mann-Whitney. Admitiu-se erro alfa de 5%. Resultados: O questionário foi aplicado em 10 indivíduos com a operação de Fontan e em 27 sem cardiopatia (grupo controle). A média de idade geral foi de 12,7 anos. Foi detectada qualidade de vida reduzida de forma geral no grupo Fontan em relação ao controle. Destaque para o eixo que avaliou autoimagem e aparência perante a sociedade na qual obteve-se notas muito próximas e, em alguns critérios, até maiores para o grupo Controle. Também relevante o excesso no uso de anticoagulantes de difícil manejo no grupo Fontan. Conclusão: A qualidade de vida das crianças e adolescentes portadoras de cardiopatias congênitas de fisiologia univentricular após operação de Fontan mostrou-se reduzida e as medidas a nível multidisciplinar podem ser aperfeiçoadas a fim de impactar positivamente de uma forma geral.

Published
2022
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42. Preliminary insights about the treatment of contaminated marine sediments by means of bioslurry reactor: Process evaluation and microbiological characterization

Author

Gaetano Di Bella, Daniele Di Trapani, Marco Capodici, Lucia Lumia, Maria Gabriella Giustra, Pietro Greco Lucchina, Alessia Avona, Gaspare Viviani, Avona A., Capodici M., Di Trapani D., Giustra M.G., Greco Lucchina P., Lumia L., Di Bella G., and Viviani G.

Subjects
Geologic Sediments, Bioaugmentation, Environmental Engineering, Settore ICAR/03 - Ingegneria Sanitaria-Ambientale, Sediment, Biomass, Contamination, Pollution, Hydrocarbons, chemistry.chemical_compound, Biodegradation, Environmental, Petroleum, Bioremediation, chemistry, Microbial population biology, Environmental chemistry, Bioaugmentation, Bioremediation, Contaminated marine sediments, Hydrocarbon pollution, Microbial community, Humans, Environmental Chemistry, Environmental science, Total petroleum hydrocarbon, Microcosm, Waste Management and Disposal, Ecosystem
Abstract

Contaminated marine sediments represent a critical threat towards human health and ecosystems, since they constitute a potential reservoir of toxic compounds release. In the present study, a bioslurry reactor was studied for the treatment of real marine sediments contaminated by petroleum hydrocarbons. The experimental campaign was divided in two periods: in the first period, microcosm trials were carried out to achieve useful indicators for biological hydrocarbon removal from sediments. The microcosm trials highlighted that the inoculum of halotolerant allochthonous bacteria provided the highest performance followed by autochthonous biomass. Based on the achieved results, in the second experimental period a bioslurry reactor was started up, based on a semisolid stirred tank reactor (STR) operated in batch mode. The process performances have been evaluated in terms of total petroleum hydrocarbon (TPH) removal, coupled with the characterization of microbial community through a Next Generation Sequencing (NGS) and phytotoxicity tests through the Germination Index (GI) with Lepidium Sativum seeds. The achieved results showed good hydrocarbons removal, equal to 40%, with a maximum removal rate of 220 mgTPH kg-1 d-1, but highlighting that high contaminant concentrations might affect negatively the overall removal performance. In general, the observed results were encouraging towards the feasibility of biological treatment of marine sediments contaminated by hydrocarbons. The microbiological analysis allowed the identification of taxa most involved in the degradation of TPH, highlighting after the treatment a shift in the microbial community from that of the raw sediment.

Published
2022
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