Desempenho de diferentes métodos de estimativa da evapotranspiração de referência diária em Uberlândia, MG.

O conhecimento da evapotranspiração de referência é base fundamental para dimensionar e manejar racionalmente a irrigação. Muitas são as metodologias de estimativas dessa variável. Neste trabalho foram avaliados alguns métodos de estimativa da evapotranspiração de referência para as condições climáticas de Uberlândia. Os métodos avaliados foram os de Thornthwaite, Camargo, Hargreaves-Samani, Priestley-Taylor e do tanque classe A. As evapotranspirações diárias estimadas por esses métodos foram correlacionas com as obtidas pelo método padrão (Penman-Monteith FAO-56) através de índices estatísticos. O método de Priestley-Taylor apresentou ótimo desempenho enquanto que Thornthwaite e Hargreaves-Samani tiveram desempenho considerado bom. Já para o método de Camargo atribuiu-se desempenho apenas regular enquanto que o método do tanque classe A apresentou péssimo desempenho. Os métodos de Thornthwaite e Hargreaves-Samani apresentam-se como uma alternativa para se estimar a evapotranspiração de referência especialmente quando se dispõe apenas dos dados de temperatura do ar

Desempenho de fitas gotejadoras aplicando rejeito da osmose reversa da indústria de cera de carnaúba

Water scarcity and the search for alternative water reuse are challenges faced in the Brazilian semi-arid region. The objective of this study was to predict the risk of clogging of drippers based on water quality attributes and to analyze the effects of industrial residual water and supply water on their hydraulic performance. Two experimental benches were set up in a completely randomized design, in split-split plots, with three replicates. Plots contained the types of water (supply water and reverse osmosis reject), subplots contained the types of non-pressure-compensating drippers (NST - 1.6 L h-1, NSL - 1.6 L h-1 and NDT - 1.7 L h-1) and sub-subplots contained the evaluation times of the distribution uniformity coefficient and relative flow rate (0, 20, 40, 60, 80, 100, 120, 140 and 160 hours). At times 0, 80 and 160 hours, the attributes pH, electrical conductivity, total suspended solids, total dissolved solids, calcium, magnesium, iron and manganese were characterized in both types of water. The data were subjected to descriptive analysis, ANOVA and Tukey test at 5% probability level. In residual water, the attributes that represented a risk of clogging for drippers were pH, electrical conductivity, magnesium and total dissolved solids, while in supply water only pH represented risk. The interaction between types of water and operating time significantly affected both hydraulic performance indicators, but there was no significant effect of the dripper type factor.A escassez hídrica e a busca por alternativas de reúso da água são desafios enfrentados no semiárido brasileiro. Objetivou-se, com este trabalho, predizer o risco de obstrução de gotejadores por atributos de qualidade da água e analisar os efeitos das águas residual de indústria e de abastecimento no desempenho hidráulico de gotejadores. Para isso, foram montadas duas bancadas experimentais, onde o delineamento utilizado foi o inteiramente casualizado em parcelas subsubdivididas com três repetições. Tendo nas parcelas os tipos de água (água de abastecimento e rejeito da osmose reversa), nas subparcelas os tipos de gotejadores não autocompensantes (NST - 1,6 L h-1, NSL - 1,6 L h-1 e NDT - 1,7 L h-1) e nas subsubparcelas os tempos de avaliação do coeficiente de uniformidade de distribuição e da vazão relativa (0, 20, 40, 60, 80, 100, 120, 140 e 160 horas). Nos tempos 0, 80 e 160 horas efetuou-se a caracterização dos atributos pH, condutividade elétrica, sólidos suspensos totais, sólidos dissolvidos totais, cálcio, magnésio, ferro e manganês nos dois tipos de água. Os dados foram submetidos à análise descritiva, ANOVA e teste de Tukey à 5% de probabilidade. Na água residual os atributos que representaram risco de obstrução para gotejadores foram o pH, condutividade elétrica, magnésio e sólidos dissolvidos totais, enquanto na água de abastecimento somente o pH. A interação tipos de águas e tempo de operação afetou significativamente os dois indicadores de desempenho hidráulico, entretanto não houve efeito significativo do fator tipos de gotejadores

Síndrome do Quebra-Nozes (“nutcracker”): abordagem multiprofissional / Nutscracker Syndrome (“nutcracker”): multidisciplinary approach

A síndrome de quebra-nozes também conhecida como nutcracker, é uma variação anatômica caracterizada pela compressão da veia renal esquerda, entre a aorta abdominal e a artéria mesentérica superior, resultando no refluxo dessa veia e das veias gonadais esquerda VGE. Objetivou-se, apresentar abordagem multiprofissional aplicada a uma paciente diagnósticada com síndrome do quebra-nozes Trata-se de relato de caso, de uma paciante diagnosticada com síndrome de quebra-nozes  residente na capital do estado do Ceará. A paciente buscou assistência médica relatando dor suprapúbica e em flanco esquerdo associado a hematúria e infecção do trato urinário. Foi submetida aos exames de imagem, onde necessitou de avaliação médica especializada, sendo diagnosticada com síndrome de quebra-nozes. O quadro de dor persistente se resolveu mediante a nefrectomia esquerda. Portanto, percebeu-se que a síndrome de quebra-nozes impactou negativamente na qualidade de vida da paciente em estudo, fazendo necessário de uma assistência multiprofissional imediata, resolutiva e sobretudo, de qualidade

Overactive bladder-18 years - Part I

Overactive bladder syndrome is one of the lower urinary tract dysfunctions with the highest number of scientific publications over the past two decades. This shows the growing interest in better understanding this syndrome, which gathers symptoms of urinary urgency and increased daytime and nighttime voiding frequency, with or without urinary incontinence and results in a negative impact on the quality of life of approximately one out of six individuals - including both genders and almost all age groups. The possibility of establishing the diagnosis just from clinical data made patients' access to specialized care easier. Physiotherapy resources have been incorporated into the urological daily practice. A number of more selective antimuscarinic drugs with consequent lower adverse event rates were released. Recently, a new class of oral drugs, beta-adrenergic agonists has become part of the armamentarium for Overactive Bladder. Botulinum toxin injections in the bladder and sacral neuromodulation are routine modalities of treatment for refractory cases. During the 1st Latin-American Consultation on Overactive Bladder, a comprehensive review of the literature related to the evolution of the concept, epidemiology, diagnosis, and management was conducted. This text corresponds to the first part of the review Overactive Bladder 18-years.Univ Fed Sao Paulo, EPM, Rua Dr Oscar Monteiro Barros 617-141, BR-05641010 Sao Paulo, SP, BrazilUniv Sao Paulo, Dept Urol, BR-05508 Sao Paulo, SP, BrazilFac Med ABC, Dept Urol, Sao Paulo, SP, BrazilUniv Los Andes, Dept Urol, Bogota, ColombiaEscuela Med, Dept Urol, Mexico City, DF, MexicoHosp Clin Jose San Martin, Catedra Urol, Buenos Aires, DF, ArgentinaMae de Deus Ctr Hosp, Dept Urol, Porto Alegre, RS, BrazilUniv Fed Ciencias Saude Porto Alegre, Porto Alegre, RS, BrazilAC Camargo Hosp, Dept Urol, Sao Paulo, BrazilHosp Clin Fuerza Area Chile, Santiago, ChileInst Mexicano Seguro Social, Mexico City, DF, MexicoHosp Souza Aguiar, Dept Urol, Rio De Janeiro, RJ, BrazilComplejo Med Policial Churruca Visca, Serv Urol, Buenos Aires, DF, ArgentinaCtr Policlin Valencia Vina, Valencia, VenezuelaHosp Pablo Tobon Uribe, Medellin, ColombiaClin Indisa, Serv Urol, Providencia, ChileCtr Reabilitacao & Readaptacao Dr Henriqe Santill, Goiania, Go, BrazilHosp Univ Caracas, Serv Urol, Caracas, VenezuelaUniv Fed Ceara, Div Urol, Fortaleza, Ceara, BrazilUniv Fed Sao Paulo, EPM, Rua Dr Oscar Monteiro Barros 617-141, BR-05641010 Sao Paulo, SP, BrazilWeb of Scienc

Overactive bladder-18 years - Part II

Traditionally, the treatment of overactive bladder syndrome has been based on the use of oral medications with the purpose of reestablishing the detrusor stability. The recent better understanding of the urothelial physiology fostered conceptual changes, and the oral anticholinergics - pillars of the overactive bladder pharmacotherapy - started to be not only recognized for their properties of inhibiting the detrusor contractile activity, but also their action on the bladder afference, and therefore, on the reduction of the symptoms that constitute the syndrome. Beta-adrenergic agonists, which were recently added to the list of drugs for the treatment of overactive bladder, still wait for a definitive positioning - as either a second-line therapy or an adjuvant to oral anticholinergics. Conservative treatment failure, whether due to unsatisfactory results or the presence of adverse side effects, define it as refractory overactive bladder. In this context, the intravesical injection of botulinum toxin type A emerged as an effective option for the existing gap between the primary measures and more complex procedures such as bladder augmentation. Sacral neuromodulation, described three decades ago, had its indication reinforced in this overactive bladder era. Likewise, the electric stimulation of the tibial nerve is now a minimally invasive alternative to treat those with refractory overactive bladder. The results of the systematic literature review on the oral pharmacological treatment and the treatment of refractory overactive bladder gave rise to this second part of the review article Overactive Bladder - 18 years, prepared during the 1st Latin-American Consultation on Overactive Bladder.Univ Fed Sao Paulo, EPM, Sao Paulo, SP, BrazilUniv Sao Paulo, Dept Urol, BR-05508 Sao Paulo, SP, BrazilFac Med ABC, Dept Urol, Sao Paulo, SP, BrazilUniv Los Andes, Dept Urol, Bogota, ColombiaEscuela Med Mil, Dept Urol, Mexico City, DF, MexicoHosp Clin Jose San Martin, Catedra Urol, Buenos Aires, DF, ArgentinaMae de Deus Ctr Hosp, Dept Urol, Porto Alegre, RS, BrazilUniv Fed Ciencias Saude Porto Alegre, Porto Alegre, RS, BrazilAC Camargo Hosp, Dept Urol, Sao Paulo, SP, BrazilHosp Clinico Fuerza Area Chile, Santiago, ChileInst Mexicano Seguro Social, Mexico City, DF, MexicoHosp Souza Aguiar, Dept Urol, Rio De Janeiro, RJ, BrazilComplejo Med Policial Churruca Visca, Serv Urol, Buenos Aires, DF, ArgentinaCtr Policlin Valencia Vina, Valencia, VenezuelaHosp Pablo Tobon Uribe, Medellin, ColombiaClin Indisa, Serv Urol, Providencia, ChileCtr Reabilitacao & Readaptacao Dr Henriqe Santill, Goiania, Go, BrazilHosp Univ Caracas, Serv Urol, Caracas, VenezuelaUniv Fed Ceara, Div Urol, Fortaleza, Ceara, BrazilUniv Fed Sao Paulo, EPM, Sao Paulo, SP, BrazilWeb of Scienc

Overactive bladder – 18 years – part I

ABSTRACT Traditionally, the treatment of overactive bladder syndrome has been based on the use of oral medications with the purpose of reestablishing the detrusor stability. The recent better understanding of the urothelial physiology fostered conceptual changes, and the oral anticholinergics – pillars of the overactive bladder pharmacotherapy – started to be not only recognized for their properties of inhibiting the detrusor contractile activity, but also their action on the bladder afference, and therefore, on the reduction of the symptoms that constitute the syndrome. Beta-adrenergic agonists, which were recently added to the list of drugs for the treatment of overactive bladder, still wait for a definitive positioning – as either a second-line therapy or an adjuvant to oral anticholinergics. Conservative treatment failure, whether due to unsatisfactory results or the presence of adverse side effects, define it as refractory overactive bladder. In this context, the intravesical injection of botulinum toxin type A emerged as an effective option for the existing gap between the primary measures and more complex procedures such as bladder augmentation. Sacral neuromodulation, described three decades ago, had its indication reinforced in this overactive bladder era. Likewise, the electric stimulation of the tibial nerve is now a minimally invasive alternative to treat those with refractory overactive bladder. The results of the systematic literature review on the oral pharmacological treatment and the treatment of refractory overactive bladder gave rise to this second part of the review article Overactive Bladder – 18 years, prepared during the 1st Latin-American Consultation on Overactive Bladder

Overactive bladder – 18 years – Part II

ABSTRACT Traditionally, the treatment of overactive bladder syndrome has been based on the use of oral medications with the purpose of reestablishing the detrusor stability. The recent better understanding of the urothelial physiology fostered conceptual changes, and the oral anticholinergics – pillars of the overactive bladder pharmacotherapy – started to be not only recognized for their properties of inhibiting the detrusor contractile activity, but also their action on the bladder afference, and therefore, on the reduction of the symptoms that constitute the syndrome. Beta-adrenergic agonists, which were recently added to the list of drugs for the treatment of overactive bladder, still wait for a definitive positioning – as either a second-line therapy or an adjuvant to oral anticholinergics. Conservative treatment failure, whether due to unsatisfactory results or the presence of adverse side effects, define it as refractory overactive bladder. In this context, the intravesical injection of botulinum toxin type A emerged as an effective option for the existing gap between the primary measures and more complex procedures such as bladder augmentation. Sacral neuromodulation, described three decades ago, had its indication reinforced in this overactive bladder era. Likewise, the electric stimulation of the tibial nerve is now a minimally invasive alternative to treat those with refractory overactive bladder. The results of the systematic literature review on the oral pharmacological treatment and the treatment of refractory overactive bladder gave rise to this second part of the review article Overactive Bladder – 18 years, prepared during the 1st Latin-American Consultation on Overactive Bladder