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Hydrophobic organic pollutants in aqueous environments are challenging to biodegrade due to limited contact between microorganisms, the pollutants and the electron acceptor, particularly under anaerobic or anoxic conditions. Here, we propose a novel strategy that uses inexpensive, dual-function elemental sulfur (S0) to enhance biodegradation. Using petroleum hydrocarbons as the target pollutants, we demonstrated that hydrophobic and nonpolar S° can concentrate hydrocarbons while simultaneously serving as an electron acceptor to enrich hydrocarbon-degrading bacteria. The permeable reactive barrier filled with S0 effectively removed petroleum hydrocarbons. In addition to rapid adsorption, we discovered, for the first time, that petroleum hydrocarbons underwent efficient biodegradation through the reduction of S0. Specifically, n-alkanes were degraded by 80 % to 90 % and polycyclic aromatic hydrocarbons by 40 % to 95 %. These degradation rates were 17 % to 30 % and 26 % to 43 % higher, respectively, compared to those observed without S0. Consecutive subcultures combined with untargeted metabolomics analysis revealed that bacteria capable of dissimilatory sulfur reduction enhanced the fermentation process. These bacteria provided electrons to the metabolic network, which facilitated the mineralization of petroleum hydrocarbons. Our findings highlight the significant potential of S° for removing hydrophobic organic pollutants in oxygen-free environments, demonstrate the feasibility of integrating adsorption, biodegradation, and electron supply to enhance pollutant removal.

Introduction Surgery is a cost-effective public health intervention. Access to safe surgery is a basic human right. However, there are still significant disparities in the access to and safety of surgical and anaesthesia care between low-income and middle-income countries and high-income countries. The Latin American Surgical Outcomes Study in Paediatrics (LASOS-Peds) is an international, observational, 14-day cohort study to investigate the incidence of 30-day in-hospital complications following elective or emergency paediatric surgery in Latin American countries.Methods and analysis LASOS-Peds is a prospective, international, multicentre observational study of paediatric patients undergoing both elective and non-elective surgeries and procedures, inpatient and outpatient, including those performed outside the operating room. The primary outcome is the incidence of in-hospital postoperative complications up to 30 days after surgery. Secondary outcomes include intraoperative complications and the need for intensive care unit admission.Ethics and dissemination This study received approval from the Institutional Review Board of the coordinating centre (Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo) as well as from all the participating centres. The study results are expected to be published in peer-reviewed journals and disseminated at international conferences.Trial registration number NCT05934682.

Consumer choice and satisfaction are very important for the hotel industry. For guests, food has a big impact on satisfaction and so does breakfast. The objective of this work is to know what the pre ferences of guests in a hotel breakfast are and how this varies according to their characteristics. An online questionnaire was sent using social media to hotel guests (n=626). Most respondents live in Europe (62%) and they prefer fruit juices (37%) and pastries (37%) while non-European residents suggested fruits (58%) and dairy products (39%) as the main preferences. Respondents aged over 55 years old have also preferences for fruits and dairy products, whereas guests aged 18-34 prefer pastries. For families traveling with children, bread was preferred for breakfast. Moreover, guests between the ages of 18 and 34 prefer lactose -free foods; and vegans or vegetarians or guests between the ages of 35 and 54 prefer gluten-free foods; whereas those 35 or younger prefer sugar foods. Most women prefer lactose-free food and non-Europeans give more importance to low-carbohydrate food while Europeans prefer lactose-free food and vegetarians or vegans. Breakfast is a meal valued by guests. Knowing the preferences of the guests following the profile of each one will be an asset for hotel projects that can satisfy and retain their customers. As far as we are aware, this is the first assessment of travellers about their preferences in hotels breakfast.

Summary: Background: The Paediatric Difficult Intubation Collaborative identified multiple attempts and persistence with direct laryngoscopy as risk factors for complications in children with difficult tracheal intubations and subsequently engaged in initiatives to reduce repeated attempts and persistence with direct laryngoscopy in children. We hypothesised these efforts would lead to fewer attempts, fewer direct laryngoscopy attempts and decrease complications. Methods: Paediatric patients less than 18 years of age with difficult direct laryngoscopy were enrolled in the Paediatric Difficult Intubation Registry. We define patients with difficult direct laryngoscopy as those in whom (1) an attending or consultant obtained a Cormack Lehane Grade 3 or 4 view on direct laryngoscopy, (2) limited mouth opening makes direct laryngoscopy impossible, (3) direct laryngoscopy failed in the preceding 6 months, and (4) direct laryngoscopy was deferred due to perceived risk of harm or poor chance of success. We used a 5:1 propensity score match to compare an early cohort from the initial Paediatric Difficult Intubation Registry analysis (August 6, 2012–January 31, 2015, 785 patients, 13 centres) and a current cohort from the Registry (March 4, 2017–March 31, 2023, 3925 patients, 43 centres). The primary outcome was first attempt success rate between cohorts. Success was defined as confirmed endotracheal intubation and assessed by the treating clinician. Secondary outcomes were eventual success rate, number of attempts at intubation, number of attempts with direct laryngoscopy, the incidence of persistence with direct laryngoscopy, use of supplemental oxygen, all complications, and severe complications. Findings: First-attempt success rate was higher in the current cohort (42% vs 32%, OR 1.5 95% CI 1.3–1.8, p

O conceito de beleza segue padrões em que a aparência jovem da pele é extremamente valorizada. No entanto, o envelhecimento cutâneo trata-se de um processo natural que ocorre devido a fatores intrínsecos (genéticos, hormonais) e extrínsecos (radiação solar, poluição, má alimentação), que resultam em manifestações como flacidez, rugas, marcas de expressão, manchas e ressecamento da pele. Os produtos magistrais são fortes aliados nesses tipos de tratamentos, pois permite aos prescritores associações de ativos que atuam em todas as manifestações de uma pele envelhecida, promovendo o seu rejuvenescimento, por meio de ativos firmadores, clareadores, hidratantes, antioxidantes, dentre outros. Esse trabalho objetivou traçar o perfil das formulações magistrais que foram dispensadas para o tratamento/prevenção do envelhecimento cutâneo. Como metodologia foi realizado um estudo descritivo, transversal, qualitativo, a partir da coleta de informações do Livro Geral de Formulações aviadas de março de 2021 a maio de 2021 de uma farmácia de manipulação de Vitória -ES. A pesquisa constatou que 16,4% das formulações de uso tópico são para envelhecimento cutâneo, sendo 64,6% dessas formulações prescritas por dermatologista, na qual apresenta como público predominantemente as mulheres. Os ativos de maior frequência foram ácido hialurônico, Cerasomosides e Hyaxel® e as formas farmacêuticas mais empregadas foram creme (27,3%) e gel (21,8%). No requisito, associações entre os ativos, 23,85% apresentaram incompatibilidades. Diante dos resultados obtidos faz-se necessário a constante atuação e capacitação do farmacêutico com o propósito de evitar possíveis erros nas formulações, que possam vir a prejudicar a efetividade e a segurança do tratamento, impactando na saúde do paciente.

To determine the importance guests give to breakfast when choosing and returning hotels and hotel managers’ perception on this topic. Relevance of consumer behavior and satisfaction for marketing in hospitality. Two different online questionnaires sent to hotel guests (n=626) and to European managers (n=112). Namely for European guests, breakfast is among the 3 main attributes when choosing a hotel. Online information about breakfast influences breakfast’s ranking and the prospect of returning. Most managers recognize breakfast as important for guests’ choosing process. Breakfast is valued by hotel guests when they travel and managers should convey more descriptions of breakfast online. This is the first assessment both of travelers and managers regarding the value of breakfast for choosing and returning to hotels.

Cordia trichotoma é uma espécie de grande interesse econômico, contudo as informações de suas necessidades nutricionais ainda são incipientes. Dessa forma, objetivou-se avaliar a eficiência e doses adequadas de fontes de fertilizantes para produção de mudas de Cordia trichotoma. O experimento foi conduzido em delineamento inteiramente casualizado, em fatorial 3x5, com três fontes de fertilizantes, sendo dois adubos de liberação lenta e uma fonte prontamente solúvel (MAP, combinado com KCl), nas doses de 0, 50, 100, 150 e 200%, em relação a dose recomendada. Aos 270 dias, realizou-se a mensuração das variáveis altura, diâmetro de coleto, massa seca e Índice de Qualidade de Dickson. Para cada variável, foi realizado o cálculo da dose máxima de eficiência técnica (DMET). O uso de MAP e KCl proporcionou crescimento superior das mudas em relação às fontes de ALL, para todas as variáveis avaliadas. As médias de DMET encontradas para o ALL1, ALL2 e MAP e KCl foram de 195%, 190% e 120%, respectivamente. Assim, recomenda-se o uso de MAP e KCl, na dose de 120%, ou seja, 0,08 g L-1 de KCl e 0,12 g L-1 de MAP para fertilização de mudas de Cordia trichotoma.

Os adubos de liberação lenta (ALL) encontram-se em desenvolvimento mundial, e são caracterizados como adubos inteligentes, com alto grau de tecnologia e capazes de liberar os nutrientes para a planta por longo período. Dessa forma, ele reduz a perda de adubo por lixiviação e volatização, aumentando a eficiência de absorção pela planta. O seu uso na agricultura tem demonstrado ganhos satisfatórios em produtividade, com possibilidade de contenção de gastos com insumos e mão de obra. Devido às vantagens de sua utilização, esta revisão visa esclarecer a classificação destes fertilizantes e conhecer a dinâmica do seu uso no setor florestal. O uso dos ALL já é consolidado no setor florestal, na fase de produção de mudas, possibilitando maior crescimento das plantas em viveiro. O uso dos ALL em plantios florestais ainda é incipiente, devido à carência de estudos para seu uso com espécies florestais. Entretanto, já se encontra na literatura alguns estudos com resultados preliminares, com aumento do crescimento inicial e economia de insumos. Dessa forma, acreditamos que o uso desta tecnologia de fertilizantes pode gerar melhoria da qualidade das culturas e aumento da produtividade, além da minimização dos impactos ambientais.

The objective of this work was to evaluate the initial response of Cordia trichotoma seedlings to increasing doses of phosphorus application. The experiment was carried out in a randomized block design, with five treatments (0, 150, 300, 450 and 600 mg dm-3 of P) in five replications. It was evaluated at 30, 60, 90 and 180 days at height, stem diameter, robustness index (H/DC), shoot dry mass (MSPA), root system dry mass (MSR), MSPA/MSR, total dry mass (MST) and the Dickson Quality Index (IQD). Furthermore, the maximum technical efficiency doses (DMET) were calculated. The variables showed a quadratic growth behavior for all variables, demonstrating the importance of fertilization with P in the growth of seedlings. However, the dose of 600 mg dm-3 showed symptoms of toxicity in the seedlings. The indicated DMET for fertilization with P was 221.43 mg dm-3, at 180 days.

RESUMO O objetivo deste artigo é relatar uma experiência da atuação em Psicologia Escolar em uma escola pública da cidade de João Pessoa. Ancora-se nos pressupostos da abordagem Histórico-Cultural de Vigotski, considerando o psicólogo como mediador das relações e dos conhecimentos. Em uma perspectiva de atuação preventiva e institucional, a intervenção foi realizada por profissionais da Psicologia junto a professores, tutores e oficineiros da escola, e o foco foi a educação sexual, visando instrumentalizá-los sobre o tema para possibilitar uma abordagem adequada às demandas das crianças. A experiência mostrou que a formação com os profissionais da escola tem o potencial de promover novas reflexões e possibilidades de atuação em sala de aula. Além disso, corroborou a perspectiva do papel do profissional de Psicologia como mediador das reflexões, dos processos formativos e de mudanças nas metodologias, ainda que nesse processo haja obstáculos e dificuldades.

Abstract Fertilization in the seedling production phase is essential to form quality seedlings. Thus, the aim of this study was to evaluate the appropriate doses of two slow-release fertilizers (SRF1 and SRF2) and their nutrient leaching behavior. For this, five different doses of fertilizers were tested. 0, 2, 4, 6, and 8 kg m-³. The height, stem diameter, leaf area, shoot dry mass, root system dry mass, total dry mass, and the Dickson Quality Index were measured, and for each variable the maximum dose of technical efficiency was determined. In addition, was evaluated the electrical conductivity, over time, for determinate the leaching of the nutrients. All the variables had satisfactory growth for field planting. However, the SRF2 resulted in greater seedling growth and also experienced less nutrient loss by leaching, when compared with the SRF1. The both fertilizers could be utilized to seedlings production, at doses of 4.00 kg m-³.

Objective: Predictors of subclinical inflammatory obesity (SIO) can be important tools for early therapeutic interventions in obesity-related comorbidities. Waist circumference (WC) and BMI have different SIO sensitivity. We aimed to i) identify SIO predictors and ii) investigate whether CD16+ monocytes are associated with BMI- (generally) or WC-defined (centrally) obesity. Methods: Anthropometric and metabolic/endocrine (namely catecholamines, adrenaline and noradrenaline) parameters were evaluated, and CD16+ monocytes were studied by flow cytometry in the peripheral blood from 63 blood donors, and compared and correlated to each other. Multiple linear regression analysis was performed to identify variables that best predict SIO. Results: CD16+ monocyte counts were similar in BMI and WC groups. CD16+ monocytes from centrally obese (CO) showed a more inflammatory pattern, as compared to non-CO subjects. WC was sensitive to lipidemia and, in CO subjects, lipidemia was associated with a more inflammatory phenotype of CD16+ monocytes. These differences were not noticed between BMI groups. Adrenaline was correlated with CD16+ monocyte expansion with a lower inflammatory pattern. Leptin, very low-density lipoprotein cholesterol (VLDL-C), and CD14 expression of CD16+ monocytes were found to be CO predictors. Conclusions: WC-, but not BMI-defined obesity, was associated with a more inflammatory pattern of CD16+ monocytes, without monocyte expansion, suggesting that a monocyte maturation process rather than an independent arise of CD16+ monocytes occurs in CO. Thus, in a population with low cardiovascular risk, leptin, VLDL-C, and CD14 expression of CD16+ monocytes predict CO, constituting a putative tool for screening of SIO.

The construction industry represents an important part of the global economy but is known for many issues such as harmful emissions, low productivity, waste generation, poor ergonomics, and construction incidents and accidents. A logistical view has proved to be a solid basis for improving construction performance while construction logistics centres (CLC) are gaining interest and proposing more services such as Kitting. Since the CLC-kitting-based approach is a new phenomenon, it is still a relatively unexplored topic. Hence, this paper addresses how this configuration could be applied to construction projects and what are its related costs information. The research design is based on a single case study showing the CLC-kitting use by a French general contractor in a student housing project. Data has been collected through site visits, observations, project documents, and discussions conducted with construction managers and logistics planners. Data analysis identified realized effects from deploying CLC-kitting in construction projects. Therefore, recommendations are provided, at both strategic and operational levels, which can be leveraged in similar projects. Finally, an identification of constructions logistics costs shows their distribution along the supply chain and was evaluated at 14.7% over material purchasing price.

ABSTRACT. Marques A.P.L., Botteon R.C.C.M., Machado C.H., Medeiros B.P., Assis J.D., Barros J.P.N. & Araújo F.L. [Differential count of cells in the milk of cows with subclinical mastitis with the colorations of May-Grünwald Giemsa and Gram.] Contagem diferencial de células no leite de vacas com mastite subclínica com as colorações de May-Grünwald Giemsa e Gram. Revista Brasileira de Medicina Veterinária, 38(Supl.2):123-127, 2016. Programa de Pós-Graduação em Medicina Veterinária, Universidade Federal Rural do Rio de Janeiro, Instituto de Veterinária, Departamento de Medicina e Cirurgia Veterinária, BR 465, Km 7, Seropédica, RJ 23897-970, Brasil. E-mail: marquesapl@ufrrj.br Somatic cell count (SCC) determines the amount of leucocytes and epithelial cells present in milk. It is used for monitoring the subclinical mastitis in the herd. Various tests can be used for SCC. For convenience and accuracy there is the electronic counting by flow cytometry. Microscopic slides count is the standard method for the determination of SCC in raw milk with the classic method described by Prescot and Breed (1910). This study aimed to evaluate the differential cell count in milk of cows with subclinical mastitis, by optical microscopy, in slides stained by May Grunwald-Giemsa and Gram. In both staining the cells showed morphological changes. However, the unidentifiable cell percentage did not exceed 10% enhancing the applicability of the differential cell counts, as used in leucocytes in hematologic smears. There were small variations in the counts with the two colorations. There was a predominance of neutrophils (˃60%), followed by lymphocytes (˃25%) consistent with the characterization of the samples as coming from rooms with subclinical mastitis. May Grunwald- -Giemsa stain showed similar results to Gram. The main differences between the colorations are based on the amplitude and intensity of staining, the Gram stain which stood out. In Gram staining of cytological entire background and other elements were evidenced. The Gram had the advantage of circular voids view corresponding to fat, enabling setting on the presence of neutrophils in milk for a long time, in some samples and identification of bacteria was easily accomplished. It is concluded that the viability staining Gram alternatively, and further is used as a complementary color, which would increase the representation of counts and the ability of observations of other elements in the sample.

The purpose of this paper is to synthesize current practices and procedures on the prevention of backing fatalities in highway work zones. First, general work zone safety hazards are reviewed, particularly blind areas are identified. Second, engineering controls currently in use are examined and explained to help understand what steps can be taken to prevent future backing fatalities. Third, administrative controls (including signalers, drivers, and workers-on-foot training) are also discussed. Fourth, existing technology controls are reviewed for use in aiding equipment operators in identifying when pedestrian personnel are in dangerous areas around their equipment (i.e., back-up camera, radar). Fifth, recommendations are made based on the comprehensive review of the backover fatality prevention techniques in construction work zones and the conducted testing results of several commercially available systems. Recommendations on engineering and technology controls are discussed, with detailed information such as improving internal traffic control plans, and integrating technology with traffic control plans. Information and drawings are provided to illustrate how to design work zones, and the internal traffic flow diagrams are created using the integrated technology available, and site specific characteristics. The drawings represent examples of using different types of technology, in different scenarios using the proper legend, as well as using the proper general and technology notes to help explain the traffic control plan, ensuring that full comprehension is made. Recommendations on administrative controls are also given such as how to conduct safety meetings, electing safety officers, how to set regulations and guidelines for workers, and how to handle training. Training should be used as a backover fatality prevention method for pedestrian workers, flaggers, spotters, and equipment operators. Finally, a summary and discussion of future research directions are also given.

Apresentar a ação de extensão relacionada a um instrumento do Estatuto da Cidade é a finalidade desta comunicação. O objetivo da ação é auxiliar o Conselho Municipal da Cidade na realização da análise do Estudo de Impacto de Vizinhança, contribuindo assim com a qualificação das decisões do conselho. A metodologia consiste em um conjunto de procedimentos que são realizados para elaborar o parecer a ser submetido ao conselho e pode ser resumido em: recebimento, identificação e registro do EIV; localização do empreendimento e/ou atividade e georreferenciamento; anotação em banco de dados; identificação da área de influência social, urbanística, ambiental; confrontação dos dados apresentados; análise dos impactos e identificação dos problemas; diagnóstico e crítica dos problemas identificados; elaboração de sugestões para correção; registro das conclusões e sugestões no banco de dados; e elaboração de relatório em linguagem usual para apresentação aos membros do conselho, com indicação de voto. A ação está em seu segundo ano e tem como resultados parciais a apresentação de quatro relatórios ao conselho, bem como a participação nas discussões sobre outros EIVs, que foram relatados por outros membros do conselho, e ainda a análise de vários projetos de lei que tratam de questões urbanísticas. Foi organizada uma mesa redonda, em 2012, para discutir como os EIVs estão sendo realizados pelos municípios na região de Londrina e como as entidades acadêmicas estão apoiando estes trabalhos. Pode-se concluir que a ação tem possibilitado articular o ensino e a extensão, contribuindo positivamente para a formação dos alunos, articulando também a pesquisa, existindo espaço para ações extensionistas na área dos problemas urbanísticos, que podem ser aproveitados pela academia qualificando os discentes e a comunidade, para tomarem decisões mais competentes sobre a cidade e aturem decisivamente na democratização e construção da cidadania.

Dopamine (DA) may be involved in central obesity (CO), an inflammatory condition, through its role in the central nervous system and in periphery, where it may affect immune cell function through five different DA receptors (DR). Whether dopaminergic pathways in peripheral immune cells are implicated in the inflammatory condition linked to CO is however unknown.In a cohort of blood donors with and without CO, categorized by waist circumference (WC) (CO: WC ≥ 0.80 m in women and ≥ 0.94 m in men), we studied the expression of DR and tyrosine hydroxylase (TH), the rate-limiting enzyme in the synthesis of DA, in peripheral blood mononuclear cells (PBMCs) and their relation with anthropometric and metabolic/endocrine and inflammatory parameters. DR D1-5 and TH expression was assessed by semi quantitative real-time PCR. As inflammatory markers we investigated the immunophenotype of monocyte subsets by flow cytometry, staining for CD14, CD16, CD11b and CD36.CO individuals showed higher plasma levels of leptin and higher inflammatory pattern of monocytes compared with non-CO. PBMC expression of DR D2, DR D4 and DR D5 as well as of TH were lower in CO in comparison with non-CO. DR D2, and DR D5 expression correlated with lower WC and weight, and with lower inflammatory pattern of monocytes, and TH expression correlated with lower WC. DR D4 expression correlated with lower plasma levels of glycosylated hemoglobin, and DR D2 expression correlated with lower CO.Results show that CO is associated with peripheral inflammation and downregulation of dopaminergic pathways in PBMCs, possibly suggesting DR expressed on immune cells as pharmacological targets in obesity for better metabolic outcome.

PURPOSE: To compare analgesia traditionally used for thoracic sympathectomy to intrapleural ropivacaine injection in two different doses. METHODS: Twenty-four patients were divided into three similar groups, and all of them received intravenous dipyrone. Group A received intravenous tramadol and intrapleural injection of saline solution. Group B received intrapleural injection of 0.33% ropivacaine, and Group C 0.5% ropivacaine. The following aspects were analyzed: inspiratory capacity, respiratory rate and pain. Pain was evaluated in the immediate postoperative period by means of the visual analog scale and over a one-week period. RESULTS: In Groups A and B, reduced inspiratory capacity was observed in the postoperative period. In the first postoperative 12 hours, only 12.5% of the patients in Groups B and C showed intense pain as compared to 25% in Group A. In the subsequent week, only one patient in Group A showed mild pain while the remainder reported intense pain. In Group B, half of the patients showed intense pain, and in Group C, only one presented intense pain. CONCLUSION: Intrapleural analgesia with ropivacaine resulted in less pain in the late postoperative period with better analgesic outcomes in higher doses, providing a better ventilatory pattern.OBJETIVO: Comparar a analgesia tradicionalmente utilizada para simpatectomia videotoracoscópica à injeção intrapleural de ropivacaína em duas doses diferentes. MÉTODOS: Vinte e quatro pacientes foram distribuídos em três grupos semelhantes, e todos eles receberam dipirona endovenosa. O grupo A recebeu tramadol endovenoso e injeção intrapleural de solução salina. O grupo B recebeu injeção intrapleural de ropivacaína a 0,33%, e Grupo C ropivacaína a 0,5%. Os aspectos analisados foram: capacidade inspiratória, freqüência respiratória e dor. A dor foi avaliada no período pós-operatório por meio da escala visual analógica e durante o período de uma semana. RESULTADOS: Nos grupos A e B, a redução da capacidade inspiratória foi observada no período pós-operatório. Nas primeiras 12 horas de pós-operatório, apenas 12,5% dos pacientes nos grupos B e C apresentaram dor intensa em comparação a 25% no Grupo A. Na semana seguinte, apenas um paciente do grupo A apresentou dor leve, enquanto o restante relatou dor intensa. No Grupo B, metade dos pacientes apresentou dor intensa, e no Grupo C, apenas um apresentou intensa dor. CONCLUSÃO: A analgesia intrapleural com ropivacaína resultou em menos dor no pós-operatório tardio com os melhores resultados analgésicos nas doses mais altas, proporcionando um melhor padrão ventilatório.

Status epilepticus after allogeneic hematopoietic cell transplantation (alloHCT) is rare. The authors report a case involving a 65-year-old man with nonconvulsive status epilepticus 34 days after umbilical cord blood transplantion for chronic lymphocytic leukemia. Cerebrospinal fluid and serum were positive for human herpesvirus 6 (HHV6). Magnetic resonance imaging of the brain showed symmetric T2 hyper-intensity bilaterally in the mesial temporal lobes, and T2 hyperintensi-ties and restricted diffusion of bilateral putamina. Despite aggressive anticonvulsive therapy, his seizures only abated with initiation of ganciclovir therapy. The patient completed six weeks of combination antiviral therapy (ganciclovir and foscarnet). His cognitive function gradually improved and, after prolonged rehabilitation, the patient was discharged home with residual intermittent memory loss but otherwise functional. HHV6 should be considered in the differential diagnosis of nonconvulsive status epilepticus after alloHCT, especially in patients with hyponatremia. Empirical antiviral therapy targeting HHV6 should be administered to these patients.

As áreas de conflito definidas pelo mau uso do solo vem causando sérios problemas ao meio ambiente, resultando em desequilíbrio ecológico e desgaste dos recursos naturais, especialmente quando se refere às áreas de preservação permanente, que têm importância fundamental para os ecossistemas de equilíbrio e preservação dos recursos hídricos. O planejamento é um fator chave para o controle dos impactos ambientais ao meio ambiente. Este estudo teve como objetivo avaliar os conflitos de uso do solo em áreas de preservação permanente na microbacia hidrográfica do ribeirão do Morro Grande, Bofete (SP), utilizando Sistema de Informação Geográfica e imagens de satélite do LANDSAT – 5 de 2010, em escala 1:50000. Os resultados mostram que dos 330,12ha das áreas de preservação permanente, 69,75ha são conflitantes, sobretudo por pastagem (85,93%) e reflorestamento (13,55%). Os SIG’s IDRISI Selva e Cartalinx juntamente com as técnicas de geoprocessamento demonstraram ágilidade e eficiência na identificação, quantificação e edição de mapas de uso do solo, preservação permanente e de conflitos em áreas de preservação permanente.

O trabalho visou obter o mapeamento das classes de declive e de solos da microbacia do Ribeirão Santo Antonio – São Manuel (SP), para posteriormente ser gerado o mapa de capacidade de uso das terras, com o intuito de avaliar a utilização dos solos presentes, respeitando suas limitações. Desta forma, pode-se detectar áreas que estão sendo utilizadas de maneira inadequada e que merecem maior atenção e cuidado por parte dos proprietários e do poder público, no sentido de proteger ou recuperar os recursos naturais existentes. Os resultados obtidos demonstram a integração das ferramentas de geoprocessamento, que facilitam a coleta e processamento dos dados, melhoram o resultado final por permitir o armazenamento digital, além de facilitar o trabalho no caso de necessidade de alterações nas bases de dados. As classes de declive ocorrentes na microbacia mostraram que áreas planas (declive de 0 a 3%), suavemente onduladas (declive de 3 a 6%) e forte ondulado (declive de 12 a 20%), representam 4059,16ha (94,70%) da área da microbacia. O solo mais significativo encontrado na área é o Latossolo Vermelho, com 3306,69ha (77%). O mapa de capacidade de uso das terras mostrou o grande potencial do solo, e a necessidade dos princípios conservacionistas.

CONTEXT AND OBJECTIVE: Anesthesiologist-patient relationships are established preoperatively and intraoperatively. These are opportunities for providing correct information about anesthesia/anesthesiologists, thereby improving outcomes. The aim here was to evaluate patients' perceptions about anesthesiologists before anesthesia and to identify whether the anesthetic care would change such perceptions. DESIGN AND SETTING: Prospective cross-sectional study using data obtained in 2007-2008, at a tertiary university hospital. METHODS: 518 patients aged 16 years or over were interviewed before and after anesthesia exposure. A questionnaire was used to determine patient characteristics and perceptions of anesthesia/anesthesiologists. RESULTS: The patients were 16-89 years of age and 59.8% had attended elementary school. 79.1% said that anesthesiologists were specialized physicians. Anesthesiologists' roles were associated with loss of consciousness (35.5% pre-anesthesia; 43.5% post-anesthesia), pain relief (29.7% pre-anesthesia, 31.7% post-anesthesia), vital sign monitoring (17.6% pre-anesthesia, 35% post-anesthesia; P < 0.05); and drug administration (10.8% pre-anesthesia, 43.9% post-anesthesia; P < 0.05). The level of confidence in the physician was rated high (82.2% and 89.8% pre- and post-anesthesia, respectively; P < 0.05) or intermediate (5.8% and 6.6% pre- and post-anesthesia, respectively; P < 0.05). The care provided by anesthesiologists was classified as: elucidating (52.8%), encouraging (52.6%), neutral (10.2%) and careless (0.8%). CONCLUSION: Patients' perceptions of anesthesiologists' roles were fairly good, but improvements in this relationship still need to be pursued, to achieve better outcomes. Anesthetic care was important in providing information, confidence and reassurance among patients, regarding their perceptions. Anesthesiologists should not miss opportunities to provide excellent professional care for patients, thereby improving anesthesia outcomes and their image.