PURPOSE:To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.METHODS: Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in Sao Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars.RESULTS: Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was $18.352.27; the cost for the deceased patients was $18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at $5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%.CONCLUSION: Mortality did not affect costs, and supplies were the largest cost component.

Objetivou-se, neste trabalho, avaliar a produção e qualidade de botões de rosa cultivar Vega ( Rosa sp. ), cultivada sob cobertura plástica com diferentes anos de uso. Para tanto foram selecionados 15 vãos de estufas com plásticos colocados em 1998, 1999, 2002, 2003, e testemunha (sem uso anterior), com três repetições, avaliados por duas maneiras: na primeira os frutos foram colhidos através de uma poda (como procedimento do cultivo comercial); na segunda foi realizada uma poda rasa em uma área de 1 m² para poder acompanhar o crescimento da haste floral desde o início da formação até a fase de botão floral. No primeiro caso foram realizadas 4 coletas ao longo do período do experimento, nas quais foram coletadas 4 hastes florais por tratamento, totalizando 60 flores por data de coleta. No segundo caso foi avaliado o aparecimento dos botões florais dos novos brotos em quatro datas até a formação das hastes florais comerciais, e então coletadas 13 hastes florais por tratamento. Não houve diferença estatística entre os anos de uso dos plásticos de 1998, 1999, 2002 e 2003 nas variáveis: comprimento, diâmetro e comprimento dos botões florais, massa fresca e seca das pétalas, para as condições e cultivar analisados. Com isso o produtor ganha um período maior de utilização do plástico gerando um custo menor, sem perdas na produção.

The aim of this study was to evaluate the production and quality of floral buds of rose cv. Vega (Rosa sp.) cultivated underneath a plastic film used as greenhouse covering, with different years of use. In order to evaluate the bud production and quality, 15 greenhouse gaps with plastic covering dating from 1998, 1999, 2002, 2003, were selected; and the control covering (never used before) with three replications each. Two types of evaluation were made for this analysis: the first one, the fruits were harvested by means of pruning (as the commercial use standard procedure); in the second evaluation a clear cut pruning was conducted in an area of 1m² with the purpose of determining the development of the flower buds from the pruning to the commercial flower stalk. On the first evaluation, 4 harvestings were conducted during the entire experiment period, in which 4 flower stalks per treatments were collected, totaling 60 flowers per collecting date. On the second evaluation, floral buds emerging on new shoots were determined in four different dates until commercial flower stalks complete formation was achieved, then 13 flower stalks per treatment were collected. There was no statistical difference among the plastic films with different years of use regarding stalk length and diameter, flower bud diameter and length, dry and fresh petal mass under the analyzed conditions and cultivars, translating into a larger period of plastic covering use without loss in the production at a low production cost.