OBJECTIVES: We designed a cohort study to describe characteristics and outcomes of patients with coronavirus disease (COVID-19) admitted to the intensive care unit (ICU) in the largest public hospital in Sao Paulo, Brazil, as Latin America becomes the epicenter of the pandemic. METHODS: This is the protocol for a study being conducted at an academic hospital in Brazil with 300 adult ICU beds dedicated to COVID-19 patients. We will include adult patients admitted to the ICU with suspected or confirmed COVID-19 during the study period. The main outcome is ICU survival at 28 days. Data will be collected prospectively and retrospectively by trained investigators from the hospital’s electronic medical records, using an electronic data capture tool. We will collect data on demographics, comorbidities, severity of disease, and laboratorial test results at admission. Information on the need for advanced life support and ventilator parameters will be collected during ICU stay. Patients will be followed up for 28 days in the ICU and 60 days in the hospital. We will plot Kaplan-Meier curves to estimate ICU and hospital survival and perform survival analysis using the Cox proportional hazards model to identify the main risk factors for mortality. ClinicalTrials.gov: NCT04378582. RESULTS: We expect to include a large sample of patients with COVID-19 admitted to the ICU and to be able to provide data on admission characteristics, use of advanced life support, ICU survival at 28 days, and hospital survival at 60 days. CONCLUSIONS: This study will provide epidemiological data about critically ill patients with COVID-19 in Brazil, which could inform health policy and resource allocation in low- and middle-income countries.
Reactive blends of metallocene polyolefin elastomers (POE)/polypropylene (PP) with 60/40 composition were prepared with an organic peroxide, 2,5-dimethyl-2,5-di-(t-butylperoxy)hexane, and a bis-azide derivative, diphenyloxid-4,4'-bis(sulfonylazide) (BSA). Ethylene-1-butene (EB) and ethylene-1-octene (EO) copolymers and elastomeric polypropylene (ePP) were used as the elastomeric phase. The effect of elastomeric phase on the thermal, rheological, morphological and mechanical properties of the thermoplastic vulcanizates (TPVs) or dynamic vulcanizates were studied. All TPVs depicted pseudoplastic behavior and blends cured with azide curative showed higher viscosities. The TPVs showed both dispersed and continuous phase morphology that depends on the elastomeric phase type revealing a limited degree of compatibility between PP and the elastomers EO or EB. On the other hand, the TPV PP/ePP showed a uniform morphology suggesting an improved compatibility. Substantial changes observed in physical properties were explained on the basis of blends' morphology and dynamic vulcanization. The results confirm that the mechanical properties are more influenced by the elastomeric phase than by the curative agent. This study revealed a broad new range of opportunities for POE-based TPVs.
The aim of this work is to obtain polymer precursors based on styrene copolymers with distinct degrees of sulfonation, as an alternative material for fuel cell membranes. Acetyl sulfate was used to carry out the sulfonation and the performance of the polyelectrolyte was evaluated based on the content of acid polar groups incorporated into the macromolecular chain. Polymeric films were produced by blending the sulfonated styrene-indene copolymer with poly(vinylidene fluoride). The degree of sulfonation of the polymer was strongly affected by the sulfonation reaction parameters, with a direct impact on the ionic exchange capacity and the ionic conductivity of the sulfonated polymers and the membranes obtained from them. The films produced with the blends showed more suitable mechanical properties, although the conductivity of the membranes was still lower than that of commercially available membranes used in fuel cells.
Alginate beads (ALG) crosslinked with calcium and coated with cashew gum (GC) were prepared and loaded with an essential oil from Croton zehntneri Pax et Hoffm (Cz). The beads were characterized by FTIR, thermal properties, with respect to their size, shape, larvicide loading, swelling, and in vitro and in vivo release kinetics. Results showed that beads with ALG:Cz =1:1 relative ratio showed higher loading and encapsulation efficiency, although presenting a faster release kinetics. On the other hand, ALG beads coated with GC showed Q values from 10 to 12, representing a significant increase in the hydrophilic character of the matrix. Infrared spectroscopy and thermal analysis confirmed the presence of essential oil encapsulated in beads. Morphologic investigation by SEM revealed a highly spherical and porous surface. The in vitro profile showed that the Cz oil encapsulated had a prolonged release in ALG-GC beads, probably due to the crosslinking. In vivo tests showed that the mortality degree was related to the mass of the beads, where beads having oil content from 1.81 to 4.25 mg caused larvae mortalities from 72 to 100% after 24 h. The control release system was found to be effective up to 70 days. These results showed that ALG-GC beads loaded with Cz are promising candidate for the control of Stegomyia aegypti larvae.
Esferas de alginato (ALG) reticuladas com cálcio e revestidas com goma do cajueiro (GC) foram preparadas e dopadas com óleo essencial de Croton zehntneri Pax et Hoffm (Cz), visando a seu emprego como larvicida para combate ao vetor da dengue. As esferas foram caracterizadas estruturalmente por espectroscopia de infravermelho, análise térmica, microscopia eletrônica de varredura e em relação aos seus parâmetros de transporte líquido, dopagem, embebição (Q) e cinética de liberação in vitro e in vivo. Os resultados revelaram que as esferas possuem morfologia com uma alta regularidade esférica, com superfície porosa. A matriz ALG:Cz =1:1 apresentou maior dopagem e eficiência de encapsulamento e valores de Q entre 10 e 12. O perfil de liberação do óleo encapsulado apresentou-se mais prolongado nas esferas contendo goma do cajueiro, ALG-GC:Cz =1:1. A taxa de mortalidade de larvas de Stegomyia aegypti para teores de 1,81 a 4,25 mg de óleo nas esferas resultou em valores na faixa de 72 a 100%, após 24 h. A matriz polimérica mostrou-se efetiva para proteção do principio ativo até cerca de 70 dias, com perdas da ordem de 35%. A análise térmica revelou que a incorporação de Cz e GC resulta em uma matriz polimérica termicamente mais estável.
Blends of polypropylene and thermoplastic elastomers (TPEs) of styrene-butadiene-styrene (SBS) and styrene-ethylene-co-butene-styrene (SEBS) triblock copolymers were prepared to evaluate the effect of the elastomer and its concentration on the material properties. For this purpose, a polypropylene homopolymer (PP-H) and a propylene-ethylene random copolymer (PP-R) were used to evaluate the matrix effect on the tensile properties and morphology of the blends. The addition of TPEs to PP promotes increase on impact resistance and the PP-R/SEBS 10%wt blend showed the best balance in stiffness-impact resistance. The morphology of binary blends was similar to elastomeric domains dispersed into the PP matrix and changed as the TPE type and concentration varied. The size of SEBS domains was more homogeneous than the SBS' in both PP matrices due to the high affinity between the polyolefinic EB (ethylene-butene) middle block of the SEBS with the PP amorphous fraction.
Blendas de polipropileno e elastômeros termoplásticos (TPEs), estireno-b-butadieno-b-estireno (SBS) e estireno-b-etileno-co-butileno-b-estireno(SEBS) foram preparadas com o objetivo de avaliar a influência do tipo e da concentração do elastômero nas propriedades mecânicas e na morfologia das blendas. Foram utilizados dois tipos de polipropileno, um homopolímero de propileno (PP-H) e um copolímero randômico de propileno-etileno (PP-R), sendo avaliado também o efeito das características da matriz termoplástica. O elastômero termoplástico aumentou a resistência ao impacto do PP, e a variação da rigidez das blendas foi dependente somente da quantidade de TPE adicionada, sendo estas comparativamente mais rígidas que aquelas com igual teor de elastômero convencional, tipo EPDM e EPR. A blenda com melhor balanço rigidez-impacto foi aquela de PP-R com 10% de SEBS. As blendas do copolímero de propileno-etileno com os TPEs apresentaram maior deformação do que aquelas com o homopolímero, devido à natureza menos cristalina da matriz do copolímero de propileno. As blendas tanto do homo quanto do copolímero de propileno com SEBS ficaram mais homogêneas em função da maior afinidade do bloco central poliolefínico EB (etileno-co-butileno) do primeiro com a região amorfa da matriz, sendo esta mais significativa no PP-R.