Circular chemistry (CC) is an approach for establishing chemical processes to become truly circular and sustainable. It adopts the principles of circular economy (CE), employing life cycle approaches and systems thinking, which help to understand and address the sustainability issues of chemical processes and products. Within this whole context, it is possible to identify some problems of the current lifestyle, such as plastic waste disposal, CO2 emission, e-waste, among others, which need to be addressed accordingly. The reuse provided, well-structured within the context of circular chemistry, can bring benefits in all spheres: social, environmental and economic. Thus, the purpose of this revision is to present CE and CC as the pillars for a sustainable development, bringing discussions about: CE and CC systems; sustainable chemistry; and chemistry 4.0, which embeds digitization, sustainability, and circular economy in industrial chemical processes. Through the knowledge of chemistry, both CC and CE can contribute with innovative methods and processes which maximize benefits, eliminating, or, at least, reducing adverse impacts, thus contributing to construct a mutually beneficial relationship between science and society, its surroundings, and the environment. Therefore, implementing this new model is an opportunity that challenges the human imagination in building a better world.

Ternary oxide silica-alumina-zirconia (SiO2/Al2O3/ZrO2) obtained by the sol-gel process was applied as novel adsorbent of ions in aqueous solution. Batch isotherms were performed using standard CuII, CdII and CaII solutions at variable pH and different concentrations. Adsorption capacity was best at weakly acidic pH. The maximum adsorption capacities were 2.28 mg g−1 for CaII, 9.89 mg g−1 for CdII, and 14.88 mg g−1 for CuII. The adsorption data fitted well to the single and dual-site Langmuir-Freundlich isotherm models. However, since the adsorption is very low in the sites with high energy, the single-site Langmuir-Freundlich provided a good fit as well. Whereas, the site responsible for the most ion adsorption was assigned to the Zr−OH group. A real sample of produced water was also tested. The new adsorbent showed a wide ability to retain many metal ions (alkali-earth, transition, and p-block metals) and even some anions were also caught by the adsorbent. The ternary oxide silica-alumina-zirconia was found to be a promising alternative adsorbent for metal ions in aqueous media.

Abstract As part of an ongoing process to fully assess the potential for friction stir welding (FSW) to be used in the aerospace industry, an attempt was made to produce double sided FSW joints at traverse speeds equal or higher than 5 mm/s of AA2050-T84 12.7 mm thick plates for high-volume production applications. With an emphasis on weld quality, the local and global mechanical properties were evaluated and correlated with microstructure of the welding area. Sound welds with no volumetric defects were obtained for tool traverse speeds up to 12 mm/s, resulting in yield and ultimate tensile strengths corresponding to 65% and 77% of base material, respectively. The metallurgical and mechanical characterization demonstrate that density of Cu-rich precipitates has a first order effect on micro-hardness variation. In the stir zone the dissolution temperature of this precipitate is achieved and its volume fraction is greatly reduced. The remaining precipitates seems to be partially dissolved and undergone a significant thickening at the welding zones in which the process temperature has not reached the dissolution temperature. Weld fractures after tensile tests were observed to start in the region of hardness minima.

Resumo O objetivo deste estudo foi conhecer as características físicas, químicas e nutricionais de frutos de Rubus sellowii (Rosáceas), conhecida como amora-preta, planta nativa principalmente do Rio Grande do Sul (RS), Brasil. Para isso, foram selecionadas três populações diferentes desta planta e frutas foram analisadas por meio de umidade, cinza, acidez titulável, pH, lipídios, fibras, carboidratos, proteínas, carotenóides, licopeno, ácido ascórbico, aminograma e digestibilidade in vitro. As frutas apresentaram alta acidez (3,28 g por cento), cinzas e proteínas (1,02 e 0,93 g por cento) e maior ácido ascórbico (38,43 mg por 100 g) em comparação com as cultivares Rubus. Devido às propriedades nutricionais de Rubus sellowii , elas proporcionam benefícios para a saúde humana.

Abstract The aim of this study was to know the physical, chemical and nutritional characteristics of Rubus sellowii (Rosaceae) fruits, known as blackberry, native plant mainly to Rio Grande do Sul State (RS), Brazil. For this, three different populations of this plant were selected and the fruits were analyzed through moisture, ash, titratable acidity, pH, lipids, fibers, carbohydrates, proteins, carotenoids, lycopene, ascorbic acid, aminogram and in vitro digestibility. Fruits showed high acidity (3.28 percent), ash and protein (1.02 and 0.93 percent) and higher ascorbic acid (38.43 mg per 100 g) if compared to Rubus cultivars. Due to Rubus sellowii nutritional properties, they provide benefits to human health.

RESUMO Púrpura trombocitopênica trombótica (PTT) é uma síndrome hemorrágica grave caracterizada por trombocitopenia, anemia hemolítica microangiopática e oclusão microvascular, bem como por sintomas associados que podem ou não estar presentes, como febre, comprometimento neurológico variável e comprometimento renal. A fisiopatologia implicada na doença envolve a deficiência, seja por inibição autoimune ou defeito genético, seja pela atividade de uma metaloproteinase (ADAMTS-13), responsável pela clivagem de multímeros do fator de von Willebrand (FvW). O tratamento consiste na plasmaférese e, em casos agudos graves ou recorrentes, associa-se a corticoterapia e imunossupressores. Neste artigo, abordaremos um relato de caso sobre essa doença, cuja paciente foi atendida inicialmente em pronto-socorro, sendo em seguida internada em uma unidade de terapia intensiva (UTI) de um hospital público de referência da cidade de São Paulo, Brasil. Todos os critérios clínicos diagnósticos foram completamente preenchidos, facilitando a abordagem terapêutica da paciente. O relato evidencia que a rápida intervenção, quando se faz o diagnóstico precoce, evolui com bom prognóstico, devendo esta patologia estar presente como diagnóstico diferencial no cotidiano médico.

ABSTRACT Thrombocytopenic thrombotic purpura (TTP) is a severe hemorrhagic syndrome characterized by thrombocytopenia, microangiopathic hemolytic anemia and microvascular occlusion, besides the associated symptoms that may or may not be present: fever, neurological and renal impairment. The pathophysiology involves the autoimmune or genetic deficiency of a metalloproteinases activity (ADAMTS-13), responsible for the von Willebrand Factor cleavage. The treatment is based on plasmapheresis; and in acute or recurrent cases, corticosteroids and immunosuppressants are associated. In this article, we will discuss a case report about this disease, initially treated in the Emergency Room and followed in the Intensive Care Unit of a public reference hospital in São Paulo city, Brazil. All clinical diagnostic criteria were completely filled, facilitating the therapeutic approach of the patient. The report evidences that rapid intervention when made early diagnosis evolves with a good prognosis, and this pathology must be present as a differential diagnosis in the medical routine.

ABSTRACT Objectives The increase in HIV transmissibility in non-ulcerative sexually transmitted infection is already well-established. It is estimated that symptomatic carriers of N. gonorrhoeae and C. trachomatis have a relative risk of 4.8-fold and 3.6-fold, respectively, for the sexual acquisition of HIV. This type of evaluation for asymptomatic urethritis is necessary to reinforce strategies to combat HIV transmission. This study aims to assess the prevalence of patients with asymptomatic urethritis among men diagnosed with HIV-1 and determine the risk factors associated with this infection. Methods We enrolled a total of 115 male patients aged 18 years or older who have been diagnosed with HIV infection and have no symptoms of urethritis or other sexually transmitted infections and who have been evaluated between May and August 2015 in a follow-up visit at the Immunology Outpatient Clinic of a Brazilian University Hospital. Results Four asymptomatic patients were positive for C. trachomatis and were considered asymptomatic carriers of urethritis. Prevalence was 3.47%. Patients who were positive for C. trachomatis urethritis had a lower mean age (p = 0.015). Conclusion The presence of asymptomatic sexually transmitted infection is a challenge in clinical practice. We recommend that, in outpatient practice, the habit of inquiring on previous sexual behavior to obtain more information about risks and associations with asymptomatic sexually transmitted infection, a routine physical examination and complementary tests to detect STI pathogens should be performed to discard these conditions. The development of rapid tests for this purpose should also be encouraged.

ABSTRACT A prevalence of 3.47% of asymptomatic Chlamydia trachomatis urethritis has been previously reported among males living with HIV infection in Brazil. This study aims to assess the recurrence of C. trachomatis urethritis three years later in the same cohort of patients and analyze associated risk factors. A total of 115 male patients diagnosed with HIV infection, with no symptoms of urethritis and observed since May of 2015 in followup visits were enrolled. They had urine samplers tested by PCR for C. trachomatis and N. gonorrhoeae between February and March 2018. Results: Three of the four patients who had asymptomatic C. trachomatis urethritis three years before were recurrently positive for C. trachomatis urethritis. Two new patients were diagnosed as positives, accounting for a total asymptomatic C. trachomatis urethritis prevalence of 4.34%. The prevalence during the whole study was 5.21%. The relative risk for a new urethritis episode among those previously diagnosed with urethritis is RR=41.62 (95% CI: 9.42-183.84), p < 0.01. Patients who presented asymptomatic urethritis anytime and who were recurrently positive for C. trachomatis had a lower mean age (p<0.01). Married individuals were protected regarding asymptomatic urethritis [p<0.01, OR = 0.04 (0.005-0.4)] and had lower risk to develop recurrence [p<0.01, RR = 0.86 (0.74-0.99)]. Illicit drugs users had risk associated to asymptomatic urethritis [p=0.02, OR= 5.9 (1.03-34)] and higher risk to develop recurrence [p<0.01, RR=1.1 (1-1.22)]. Conclusion: The recurrence of asymptomatic C. trachomatis urethritis after treatment among males living with HIV infection in Brazil can be considered high and should not be neglected.

Lung transplantation is a well-established treatment for advanced lung diseases. In children, the diseases that most commonly lead to the need for a transplantation are cystic fibrosis, pulmonary hypertension, and bronchiolitis. However, the number of pediatric lung transplantations being performed is low compared with the number of transplants performed in the adult age group. The objective of this study was to demonstrate our experience with pediatric lung transplants over a 10-year period in a program initially designed for adults.

Sistemas microemulsionados (MES) oferecem inúmeras vantagens como liberadores de fármacos já que favorecem a absorção do princípio ativo e são, em muitos casos, mais eficientes do que outros métodos de liberação de substâncias bioativas. Neste trabalho, um MES foi obtido visando uma formulação para uso tópico, contendo extrato etanólico de própolis (PEE). Neste estudo, Diagramas de fase pseudoternários foram utilizados para caracterização das regiões de microemulsão, bem como para definição da região de Winsor IV do sistema PEE-MES (Tween 80 como tensoativo e álcool etílico como co-tensoativo, em baixo percentual). Os resultados obtidos indicaram que o melhor sistema microemulsionado contém C/S (cotensoativo/tensoativo) na razão 1,0, fornecendo uma microemulsão do tipo O/A com ampla região de Winsor IV. A formulação PEE-MES poderá vir a ser utilizada comercialmente para uso tópico no combate a inflamações de boca e garganta. Considerando o amplo uso de própolis em formulações convencionais, onde sua solubilidade representa um dos maiores problemas, o sistema PEE-MES disponibiliza este produto natural para aplicações farmacológicas, com boa solubilidade em um sistema microemulsionado do tipo O/A. Adicionalmente, o efeito bactericida do sistema PEE-MES foi comprovado e uma nova metodologia de extração de própolis é apresentada.

Microemulsion systems (MES) offer advantages as drug delivery systems, among them favour drug absorption, being in most case more efficient than other methods in delivering of drug. In this work a new MES was obtained in order to be applied as a pressurized aerosol formulation containing bee propolis ethanolic extract (PEE). For that, pseudoternary phase diagrams were used to characterize the microemulsions boundaries and also to define the Winsor IV microemulsion region of the PEE-MES system containing Tween 80 as surfactant and the cosurfactant ethyl alcohol in small percentage. The obtained results indicated that the best MES was composed by Tween 80 and ethyl alcohol with C/S (cosurfactant/surfactant) ratio equal to 1.0, since it provided a large boundaries in the obtained O/W microemulsion region. This PEE-MES formulation, in which bee propolis consisting as oil phase, is herein designed for topical uses (PEE-MES spraying) in order to treat mouth and throat inflammatory infections. Considering the very large uses of bee propolis in conventional vehicles, MES type of delivery system has to be compatible with achieving the highest drug aim loadings, determined substantially by the specific MES application (drug solubilization in water systems) improving in this case, propolis farmacological aplications. Additionally, PEE-MES antibacterial effect was evidenced and the microemulsion system PEE-MES was also used as newest chemical approach for extraction of bee propolis material from resinous hive.

O trabalho teve por objetivo avaliar a demanda energética de uma semeadora-adubadora, em função do tipo e manejo da cultura de cobertura vegetal e da profundidade da haste de deposição de adubo. Foi utilizado um trator Valtra BM100, instrumentado, para tracionar uma semeadora-adubadora de precisão equipada com quatro fileiras de semeadura espaçadas de 0,9 m para cultura de milho. O experimento foi conduzido em parcelas subsubdivididas, na área experimental do Laboratório de Máquinas e Mecanização Agrícola (LAMMA) da UNESP-Jaboticabal, utilizando duas culturas de cobertura (mucuna-preta e crotalária), três manejos dessas coberturas, sendo dois mecânicos (triturador de palhas e rolo-faca) e um químico (pulverização com herbicida), realizados 120 dias após a semeadura das culturas de cobertura e três profundidades da haste de deposição do adubo (0,11; 0,14 e 0,17 m), perfazendo 18 tratamentos, com quatro repetições, totalizando 72 observações. Foram avaliados os parâmetros velocidade de deslocamento, patinagem, força na barra de tração, força de pico, potência na barra de tração, potência de pico e consumo de combustível. Pôde-se concluir que a força na barra de tração foi menor para as profundidades de 0,11 e 0,14 m da haste sulcadora de adubo, o mesmo ocorrendo para força de pico, potência na barra de tração e consumo volumétrico. O consumo específico foi menor na profundidade de 0,17 m da haste sulcadora de adubo. As culturas de cobertura e seus manejos não interferiram no desempenho das máquinas estudadas.

The purpose of this work was evaluating the energetic demand of a seeder-fertilizer machine as a function of the type and handling of vegetal covering culture and of the fertilizer deposition shank depth. A Valtra BM100 tractor was used implemented to pull a high precision seeder-fertilizer machine with four ranks of seeding, spaced 0.9 m for maize culture. Experiment was conducted with design in randomized blocks in factorial plots, in the Laboratory of Machines and Agricultural Mechanization experimental area (LAMMA) of UNESP-Jaboticabal, using two covering cultures (black-mucuna and crotalaria), three handlings of this covering, two mechanical (straw crusher and roller knife) and one chemical (pulverization of herbicide), performed 120 days after seeding of covering cultures and three depths of fertilizer deposition shank, completing 18 treatments, with four repetitions, totaling 72 observations. Parameters of displacement speed, gliding, force on traction bar, peak force, power on pulling bar and fuel consumption were evaluated. It was possible to conclude that force on traction bar was less for depths of 0.11 and 0.14 m of fertilizer plough shank, the same occurring for peak force, power on traction bar and volumetric consumption. The specific consumption was lower at a depth of 0.17 m of fertilizer plough shank. Covering cultures and their handlings did not interfere in the performance of machines under inquiry.

Este trabalho compara o teor de água do solo, entre Janeiro de 2004 e Abril de 2005, em resultado da aplicação de 3 técnicas de controlo da vegetação herbácea em olivais jovens: cobertura com luzerna, Medicago spp. (L), mobilização tradicional (M) e não mobilização (N). A área em estudo localiza-se na Herdade dos Lameirões (DRAAl), Safara, a leste de Moura, envolvendo 6 parcelas de olival (var. “Galega”) situadas numa encosta com 4-5% de declive, num Solo Calcário Vermelho Para Barro derivado de calcários não compactos associados a xistos (Vc‘), Cambissolo Vértico-Calcárico (Crómico) na terminologia WRBSR. A humidade do solo foi objecto de três tipos de monitorização: irregular (humidade gravimétrica), principalmente na camada 0-10 cm; periódica, quase quinzenal, com sondas PR1 (Delta-T)* até aos 40 cm; e contínua, com as mesmas sondas e profundidades anteriores. Atendendo às limitações das sondas PR1 em solos argilosos, os resultados são analisados comparativamente. O tratamento L teve uma redução mais rápida da humidade na camada 0 a 20 cm nos períodos com maior desenvolvimento vegetativo e durante o Inverno de 2005 (com temperaturas mínimas muito baixas, grandes amplitudes térmicas diárias e extrema secura). O tratamento M evidencia maior descontinuidade do perfil hídrico dos 10-20 cm para os 20-30 cm, indiciando menor drenagem para as camadas subjacentes aos 20 cm. O mesmo tratamento registou maiores variações de humidade entre os 0 e os 20 cm, durante o Verão de 2004, em que se manteve com solo nu, diferença que pode dever-se a uma maior intercepção e evaporação pelos resíduos vegetais existentes à superfície nos tratamentos L e N. O tratamento N indicia um perfil hídrico mais homogéneo: a ausência de mobilizações permite uma maior variação da humidade nas camadas subjacentes aos 20 cm do que no tratamento M e o controlo da vegetação (com herbicida na linha e corte na entrelinha) origina menores perdas de humidade entre os 0 e os 20 cm do que no tratamento L. (* Referência apenas com fins informativos).

This paper compares results of soil water content, measured between January of 2004 and April of 2005, under 3 different methods of soil management and weed control in young olive orchards: alfalfa cover, Medicago spp. (L), conventional tillage (M), and no tillage (N). This study is being carried out in trials of olive orchards set up near Moura, Alentejo. The plots used for soil water measurements are located on a slope with 4-5% gradient with a Calcaric-Vertic Cambisol (Chromic), according to the WRBSR. Soil water content was measured with three different methods and frequencies: irregular, by the gravimetric method, mainly for the 0-10 cm layer; periodic, approximately twice a month, with a probe PR1 (Delta-T)* from 0 to 40 cm depth, and continuously, with the same probes and depths. Considering the limitations of PR1 probes for clayey soils, results are discussed comparatively. Alfalfa treatment reveals a quicker decrease of the soil water content for the layer 0 to 20 cm on periods of greater plant growth, and also during the winter of 2005 (with very low minimum temperatures, high daily thermal amplitudes and extreme dryness). Conventional tillage shows some signs of greater discontinuity in soil water content profile between 10-20 cm and 20-30 cm layers, suggesting worse drainage around 20 cm depth. Soil under conventional tillage was kept bare during the summer of 2004 and showed greater variation on soil water content between 0 and 20 cm. This difference might be the result of a greater amount of intercepted rain, trapped on the mulch residues at soil surface, on the alfalfa and no tillage treatments. The soil under no tillage shows a more homogeneous soil water profile: no tillage allows a greater variation of soil water content under 20 cm depth than the conventional tillage, and weed control makes a lower soil water loss above 20 cm depth than the alfalfa cover. (* Mention made only for information).

Os montados são sistemas de uso múltiplo, em que as várias produções estão em equilíbrio dinâmico no espaço e no tempo. Esta organização espacial e temporal conduziu à manutenção do sistema produtivo pela redução dos riscos inerentes a cada produção, face à variabilidade climática característica do clima mediterrânico. Os montados são característicos do sul de Portugal, sendo mais frequentes os de sobreiro. Nos montados de sobro a produção principal é normalmente a cortiça, aliada à pecuária e/ou à agricultura. De referir ainda o importante papel que estes sistemas têm de protecção do solo e da água, conservação de habitats e biodiversidade e amenidades. A manutenção do potencial produtivo do montado está associada à sua resiliência, sendo especialmente dependente do solo. A identificação das fragilidades do sistema permitiu dar indicações para uma gestão sustentada dos montados de sobro.

“Montados” are systems where several productions are in dynamic equilibrium both in space and time. This spatial and temporal organisation enabled the system maintenance by the hazard control of each production, which is related with the climatic variability of the Mediterranean climate. The “montados” are characteristic of the south of Portugal, where the cork oak is the mostly frequent. In the cork oak “montados” the main production is cork, mostly associated with grazing and/or agriculture. It should also be stated the important role of the “montado” in the soil and water conservation, habitat and biodiversity conservation and amenities. The maintenance of the “montado” productive potential is associated to their resilience, which is especially dependent on the soil. The identification system fragilities allow pointing out guide lines for the sustainable management of the cork oak “montados”.

Dados do Registro Internacional de Transplante de Medula Óssea, International Bone Marrow Transplant Registry (IBMTR) contribuem para o progresso do transplante de medula óssea (TMO) em todo o mundo. Neste artigo relatamos a experiência brasileira em leucemia mielóide aguda e comparamos os resultados do TMO com os dados internacionais. Foi realizado um estudo retrospectivo com dados de tratamento de LMA com o TMO de 16 instituições brasileiras. A análise estatística dos transplantes da modalidade autogênica (TMO auto) e alogênica (TMO alo) foi realizada com o método de Kaplan-Meier e log-rank. Todos os valores de p foram bicaudados. Foram avaliados os dados de 731 pacientes (205 TMO auto e 526 TMO alo). A mediana de sobrevida global dos pacientes submetidos ao TMO auto foi superior à dos submetidos ao TMO alo (1.035 vs 466 dias, p=0,0012). A origem das células-tronco (OCT) no TMO alo em 73% dos pacientes foi de medula óssea (CTMO), em 23% de sangue periférico (CTSP) e em 4% de cordão umbilical. No TMO auto, a OCT foi 63% de CTSP, 22% CTMO e 15% de ambas as fontes. A OCT não teve impacto na sobrevida global (SG). Não houve diferença na SG também entre os pacientes segundo a classificação FAB no TMO alo, mas os pacientes com LMA M3 com o TMO auto tiveram SG longa. Como esperado, a principal causa de óbito entre os pacientes do TMO auto foi relacionada à recidiva de doença (60%), enquanto no TMO alo as principais causas foram a doença enxerto versus hospedeiro e infecções (38%). Em ambos os grupos foi observada SG mais longa nos pacientes tratados em primeira remissão completa (1RC) quando comparados aos de segunda remissão (2RC) e outras fases (p<0,0001), tendo sido observado SG mais longa nos pacientes com LMA de novo quando comparados aos de LMA secundária. No TMO alo a SG foi mais longa com doadores aparentados (538 versus 93 dias p=0,001). A SG foi mais curta nos pacientes que utilizaram irradiação corpórea total no regime de condicionamento (p=0,0001). No TMO alo foram observados mais pacientes com doença avançada (60%) enquanto no grupo de TMO auto 24% eram da morfologia M3, o que pode explicar a diferença de SG entre os grupos. O resultado do estudo está em concordância com os dados do IBMTR. Considerando a natureza do estudo, retrospectivo e multicêntrico, os resultados devem ser analisados com cautela.

Data from the International Bone Marrow Transplant Registry (IBMTR) contribute for the improvement of Bone Marrow Transplant (BMT) worldwide. We studied the Brazilian experience in BMT for AML to compare this with international data. We performed a retrospective study by sending questionnaires to 16 BMT centers regarding clinical and treatment variables. Statistical analyses concerning autologous BMT (autoBMT) and allogeneic BMT (alloBMT) were performed using the Kaplan-Meier method and the log-rank test. All p-values were two-tailed. We collected data from 731 patients (205 autoBMT and 526 alloBMT). Median overall survival (OS) for autoBMT patients was longer than alloBMT patients (1035 vs. 466 days, p=0.0012). AlloBMT stem cell source (SCS): 73% bone marrow stem cell (BMSC), 23% peripheral blood stem cells (PBSC) and 4% umbilical cord blood. Among the autoBMT patients, the SCS was 63% PBSC, 22% BMSC and 15% both. The SCS did not impact on OS. There was no difference in OS between different FAB classifications in the alloBMT group, but in the autoBMT the M3 patients had longer survival. As expected, the main cause of mortality among autoBMT patients was related to disease relapse (60%), while in the alloBMT, to infection (38%). In both groups we found longer OS in first complete remission (1CR) compared to second (2CR) and other (p<0.0001), and longer OS in de novo AML than in secondary. In the alloBMT group we found more patients with advanced disease (60%), while in the autoBMT group, we found more M3 patients (24%), which could explain the difference in OS. Most of our results are in accordance with IBMTR data. One should consider the fact that this is a retrospective study and our findings should be analysed with caution.

A manutenção dos tratores agrícolas pode ser considerada um conjunto de procedimentos que visa a manter o equipamento nas melhores condições de funcionamento, propiciando aumento da vida útil, evitando danos prematuros, eliminando os já observados e concorrendo para maior segurança no trabalho. Essa conduta, apesar de simples, exige atenção e cuidado semelhante ou até maior quando comparado a outro veículo automotor. O presente trabalho teve por objetivo analisar a regularidade e a qualidade da manutenção dos tratores da Fazenda de Ensino, Pesquisa e Produção da UNESP - Jaboticabal, utilizados para os mais variados tipos de trabalho, como aração, gradagem, pulverização e jardinagem, e avaliar a condição técnica dos operadores responsáveis pelas máquinas. Os resultados indicam que a manutenção diária não foi eficiente, o que pode resultar em redução da vida útil das máquinas. Quanto aos operadores, notou-se baixo grau de conhecimento técnico com relação à manutenção dos tratores e falta de treinamento específico.

The maintenance of agricultural tractors can be considered as being a group of procedures that seeks to maintain the equipment in the best operation conditions, propitiating an increase of the useful life of them, avoiding premature damages, eliminating the already observed ones and competing for a larger safety in the work. This conduct in spite of simple, demand attention and care similar or even bigger when compared to other self-driven vehicle. The present work had for objective to analyze the regularity and quality of the maintenance of the tractors from the Fazenda de Ensino, Pesquisa e Produção of the University of São Paulo State, used for the most varied work types, as plowing, harrowing, pulverization and gardening and through questionnaire, to evaluate the technical condition of the responsible operators for the machines. The results showed that the daily maintenance it was not efficient, which can result in reduction of the useful life of the machines. About the operators, it was noticed a low degree of technical knowledge related to referring subjects of the maintenance of the tractors and the lack of specific training.

BACKGROUND: Pathogen frequency and resistance patterns may vary significantly from country to country and also in different hospitals within a country. Thus, regional surveillance programs are essential to guide empirical therapy and infection control measures. METHODS: Rank order of occurrence and antimicrobial susceptibility of pathogenic species causing bloodstream infections (BSI), lower respiratory tract infections (LRTI), wound or skin and soft tissue infections (WSSTI), and urinary tract infections (UTI) in hospitalized patients were determined by collecting consecutive isolates over a specified period of time, as part of the SENTRY Antimicrobial Resistance Surveillance Program (SENTRY). All isolates were tested by reference broth microdilution. RESULTS AND CONCLUSIONS: A total of 3,728 bacterial strains were obtained from January, 1997, to December, 1999, from 12 Brazilian hospitals located in 4 states. The largest number of isolates were obtained from patients with BSI (2,008), followed by LRTI (822 cases), UTI (468 cases), and WSSTI (430 cases). Staphylococcus aureus was the most frequently isolated pathogen in general (22.8% - 852 isolates), followed by E. coli (13.8% - 516 cases) and Pseudomonas aeruginosa (13.3% - 496 cases). Staphylococcus aureus was also the most common species isolated from BSI (23.6%) and WSSTI (45.8%), and P. aeruginosa was the most frequent species isolated from patients with LRTI (29.4%). The main bacterial resistance problems found in this study were: imipenem resistance among P. aeruginosa (69.8% susceptibility) and Acinetobacter spp. (88.1% susceptibility); ESBL production among K. pneumoniae (48.4%) and E. coli (8.9%); resistance to third generation cephalosporins among Enterobacter spp. (68.1% susceptible to ceftazidime) and oxacillin resistance among S. aureus (34.0%) and coagulase negative staphylococci (80.1%). Only the carbapenems (88.1% to 89.3% susceptibility) showed reasonable activity against the Acinetobacter spp. isolates evaluated.