There is increasing evidence that neurofilament light chain (NF-L) can be considered as a biomarker for neuro-axonal damage. This polypeptide can be released into the cerebrospinal fluid (CSF) and the blood, where it can be quantified. The concentration of NF-L is elevated in patients with multiple sclerosis (MS) and psychiatric disorders. We aimed to investigate the NF-L levels in the CSF from treated MS patients and the relationship with depression or anxiety. The study involved three groups: control group (individuals without inflammation), the relapse-remitting multiple sclerosis (RRMS)-untreated group, and the RRMS-Fingo group (RRMS patients who were treated with fingolimod). MS disability was assessed by the Expanded Disability Status Scale, and depression and anxiety were evaluated by a neuropsychologist, using the Hospital Anxiety and Depression Scale, the Beck Depression Inventory-II, and the Beck Anxiety Inventory. Individual CSF samples were collected to measure NF-L levels. The results of the statistical analysis on levels of NF-L in the CSF of control subjects, RRMS-untreated patients, and RRMS-Fingo patients were significant. The relationship between depression and anxiety in RRMS-Fingo patients and NF-L levels was not statistically significant. In conclusion, MS events such as anxiety and depression appear to contribute to the onset of clinical relapses, subclinical cases, and neurodegeneration.

Abstract: Medicinal plants have long been used as an alternative to traditional drugs for the treatment of inflammatory conditions due to the classical side effects and restricted access of various commercially available drugs, such as steroids (GCs) and nonsteroidal anti-inflammatory drugs (NSAIDs). Sambucus australis is a Brazilian herb that is commonly used to treat inflammatory diseases; however, few studies have examined the use of this species in the treatment of inflammatory conditions. The present study aims to evaluate the potential anti-inflammatory activity of S. australis in vitro. We established spleen cell cultures stimulated with pokeweed mitogen (PWM) to evaluate the production of proinflammatory cytokines, such as IL-4, IL-5, IFN-y, and IL-10 (by ELISA), and the expression of the transcription factor NF-kB (by RT-PCR). In addition, we evaluated the levels of nitric oxide in macrophage cultures and the membrane-stabilizing activity of S. australis methanolic extract (EMSA). Treatment with EMSA at concentrations of 100, 50, 25 and 12.5 µg/ml significantly decreased IL-4 (p<0.001) and IL-5 (p<0.001) levels. Treatment with 100 µg/ml EMSA reduced IFN-у (p<0.001) levels. Moreover, at 100 mg/ml, EMSA also increased IL-10 production and reduced NF-kB expression (p<0.01). In macrophage cultures stimulated with LPS, EMSA decreased nitric oxide levels (p<0.001) at all concentrations tested (100, 50, 25 and 12.5 µg/ml). Additionally, EMSA had a protective effect in the erythrocyte membrane stabilization assay. Taken together, these results suggest that S. australis has anti-inflammatory potential in vitro, characterized by the reduction of both inflammatory cytokines and the expression of NF-kB along with the up-regulation of IL-10.

Resumo Este estudo investigou com observações e modelagem usando dados diários de Radiação de Onda Longa (ROL) a fase positiva favorável à atividade convectiva associada à variabilidade atmosférica intrassazonal de baixa frequência conhecida com Oscilação de Madden-Julian (OMJ) entre a região do Indico-Pacífico (INDI-PAC) e Nordeste do Brasil (NEB) entre os meses de novembro a maio no período de 1982 a 2013. O modelo usado foi global Ocean-Land-Atmosphere Model - OLAMV3.3, e para as observações foram usados dados observados por satélites gerados pelo Climate Prediction Center/National Ocean Atmospheric Admistration. O objetivo foi verificar o tempo do deslocamento da banda zonal dessas oscilações de convecção desde seu pulso inicial, região INDI-PAC até chegar sobre o NEB. Aplicou-se o método de filtragem de dados conhecido como Filtro de Lanczos na banda de 20-70 dias com a finalidade de eliminar oscilações altas (escalas sinóticas) e baixas freqüências (anuais ou mais). Características espectrais usando análises de Ondeletas mostraram que essas oscilações entre 20-70 dias, no período de novembro a maio, têm um espectro de energia máximo nos dados observados centrado no período de 8-16 pêntadas, final de dezembro e início de abril. O OLAM mostrou um adiantamento desse pico de máxima energia na região INDI-PAC e uma extensão na data de chegada no NEB, significando um atraso, sendo essa data para final de abril e maio.

Abstract This study investigated with observations and modeling using daily data of Long-Wave Radiation (RLW) the favorable phase to the convective activity associated with the low-frequency intrassazonal atmospheric variability known with Madden-Julian Oscillation (MJO) between the Indian Pacific region (INDI-PAC) and Northeastern Brazil (NEB) from November to May period of 1982 to 2013. The model used was the Global Ocean-Land-Atmosphere Model (OLAMV3.3) and observations were used for data generated by satellites by the Climate Prediction Center / National Ocean Atmospheric Admistration. The objective was to verify the time of the zonal band shift of these convective oscillations from its initial pulse, INDI-PAC region until reaching NEB. The data filtering method known as Lanczos Filter was applied in the band of 20-70 days in order to eliminate high oscillations, synoptic scales) and low frequencies (annual or more). Spectral characteristics using Wavelet analyzes showed that these oscillations between 20-70 days, from November to May, have a maximum energy spectrum in the observed data centered in the period of 8-16 pentads, end of December and beginning of April. The OLAM showed an advance of this maximum energy peak in the INDI-PAC region and an extension on the date of arrival in the NEB, meaning a delay, being that date for the end of April and May of this maximum of energy on the NEB.

RESUMO Aleloquímicos são substâncias liberadas por certas espécies vegetais no ambiente que influenciam a germinação e o desenvolvimento de outras plantas. O objetivo desse estudo foi avaliar o potencial fitotóxico de Cleome guianensis Aubl., bem como determinar o grau de estresse oxidativo causado em Senna occidentalis L. Para isso, o óleo das folhas de C. guianensis, nas concentrações 0,5 µg/mL, 1,0 µg/mL, 2,5 µg/mL e 5,0 µg/mL, em solução de 5 ml foi testado em bioensaios de germinação e de crescimento da raiz primária e do hipocótilo de S. occidentalis. Os indivíduos de S. occidentalis foram macerados, homogeneizados e submetidos a ensaios de quantificação da catalase, peroxidase, SOD e de peroxidação lipídica. Os resultados indicam que todas as concentrações do óleo volátil causaram um efeito negativo sobre a germinação e crescimento de S. occidentalis. Na concentração 5,0 µg/mL, houve 56% de inibição da germinação e 83% de inibição de crescimento do hipocótilo. Ainda, o óleo aumentou a atividade das enzimas induzidas pelo estresse oxidativo catalase, peroxidase e superóxido dismutase (SOD). Quanto à peroxidação lipídica, o óleo nas concentrações 1,0 µg/mL, 2,5 µg/mL e 5,0 µg/mL aumentou a produção de malondialdeído. Sendo assim, conclui-se que C. guianensis apresenta aleloquímicos que influenciam na germinação e no crescimento de S. occidentalis, além de aumentar a atividade das enzimas catalase, peroxidase, SOD e a produção de malondialdeído em S. occidentalis. Dessa forma, sugere-se a realização de estudos sobre o perfil químico do óleo a fim de descobrir as substâncias responsáveis por tais resultados e consolidar o potencial fitotóxico de C. guianensis.

ABSTRACT Allelochemicals inhibit the germination and growth of other plants. The purpose of this study was to assess the phytotoxic potential of Cleome guianensis Aubl., as well as determine the degree of oxidative stress caused in Senna occidentalis L. For this purpose, oil from the leaves of C. guianensis in concentrations of 0.5 µg/mL, 1.0 µg/mL, 2.5 µg/mL, and 5.0 µg/mL were tested in bioassays on the germination and growth of S. occidentalis. Specimens of S. occidentalis were macerated, homogenized, and submitted to catalase, peroxidase, superoxide dismutase (SOD), and lipid peroxidation quantification tests. Results showed that all concentrations of the volatile oil had a negative effect on S. occidentalis germination and growth. In the 5.0 µg/mL concentration, the oil inhibited 56% of germination and 83% of hypocotyl growth. In addition, the oil increased the activity of the enzymes induced by oxidative stress: catalase, peroxidase, and superoxide dismutase SOD. For lipid peroxidation, the oil in the 1.0 µg/mL, 2.5 µg/mL and 5.0 µg/mL concentrations increased the production of malondialdehyde. In addition, C. guianensis presents allelochemicals that influence the germination and growth of S. occidentalis, also enhancing activity of the catalase, peroxidase, and SOD enxymes, as well as malondialdehyde production in S. occidentallis. Hence, further studies of the chemical profile of this oil should be performed in order to discover which allelochemicals are responsible for these results and consolidate the phytotoxic potential of C. guianensis.

The prevalence of gender and age related pattern of the different types of prosthetic restorations are important variables to be estimated. The aim of this study was to evaluate the profile of age and gender in patients rehabilitated with dental prostheses on School of Dentistry during five years. Were evaluated 638 records of patients who received fixed prosthesis (FP), removable partial (RP) or total dentures (T). Rehabilitated patients with RP had their prostheses classified into dental-mucous-supported (DM) or tooth-supported (D). To analyze the results, patients were divided into 2 groups: A) >50 years or B) <50 years. Data were statistically analyzed by Fisher's exact test or chi Square (p<0.05). No statistical significance relation to age and types of prostheses was observed. On RP, 47% was D and 53% DM, there was no statistically significant difference. It was possible to conclude that the rehabilitation of greater number of the teeth increases with age and is prevalent in all periods of adulthood, especially in women.

La prevalencia de sexo y el padrón de edad relacionado a los diferentes tipos de rehabilitaciones protésicas son variables importantes que deben ser estudiadas. De esta manera, el objetivo de este estudio fue evaluar el perfil de edad y género en pacientes rehabilitados con prótesis dentales en un curso de Odontología durante un periodo de cinco años. Fueron evaluados 638 fichas de pacientes que recibieron prótesis parcial fija (PPF), prótesis parcial removible (PPR) y prótesis total (PT). Las prótesis de los pacientes rehabilitados con PPR fueron clasificadas en dentomucosoportada (DM) o dentosoportadas (D). Para el análisis de los resultados, los pacientes fueron divididos en 2 grupos: A) >50 años y B) <50 años. Los datos fueron analizados estadísticamente por el test exacto de Fisher o chi-cuadrado (p<0,05). No se observaron diferencias significativas en relación a la edad y tipo de prótesis. Para la PPF 74% fueron <50 años, para la PPR 52%, >50 años y para la PT 92%, >50 años. En todas las prótesis, existió una mayor prevalencia del género femenino. Con relación a la clasificación de las PPRs, 47% fueron D y 53% DM, sin identificar diferencias estadísticamente significativas. De esta manera se puede concluir que la necesidad de rehabilitación de un mayor numero de elementos dentales aumenta con la edad, siendo prevalente en todos los periodos de la vida adulta, principalmente, en mujeres.

Croton zehntneri (Euphorbiaceae) é uma planta aromática nativa da região Nordeste do Brasil. O monoterpenóide Estragol (ESL) foi isolado por métodos cromatográficos clássicos a partir do óleo essencial (OE) das folhas de C. zehntneri e caracterizado por CG-DIC e CG-EM, tendo seu potencial antimicrobiano e citotóxico avaliado. A análise do OE permitiu a identificação de 100% dos constituintes integrados, cujo rendimento foi cerca de 1.8%. Os principais componentes identificados foram: eucaliptol, estragol (84.7%) e espatulenol. A dosagem de 50 μg/disco de ESL apresentou halos de inibição bastante expressivos frente a bactérias gram positiva e fungos. O ESL apresentou toxicidade frente a Artemia salina com CL50 e CL90 de 4,54 e 8,47 μg mL-1. Entretanto, nos testes de inibição tumoral (células humanas), não houve inibição satisfatória em nenhuma das linhagens de células humanas cancerígenas (MCF-7, HEP-2 e NCIH292).

Croton zehntneri (Euphorbiaceae) is a native aromatic plant from Northeast region of Brazil. The monoterpenoid estragole (ESL) has been isolated by classical chromatographic methods from the essential oil (EO) of C. zehnteneri leaves and characterized by GC-FID and GC-MS, its antimicrobial and cytotoxic potentials being assessed. The analysis of the EO enabled the identification of 100% of the integrated constituents, of which yield was about 1.8%. The main components identified were: eucalyptol, estragole (84.7%) and spathulenol. The dosage of 50 μg/disk of ESL presented fairly significant zones of inhibition against Gram-positive bacteria and fungi. The ESL presented toxicity against Artemia salina with LC50 and LC90 of 4,54 and 8,47 μg mL-1. However, in tumor inhibition assays (human cells), there were no rewarding inhibition in any of the human cancer cell lines (MCF-7, HEP-2 and NCI-H292).

São José da Figueira is a rural community which economy is based on small-sized family-owned agricultural and dairy farms. Rural communities often possess medicinal plant knowledge because not only does the rural lifestyle promote this but also because these communities coexist with a wide variety of plants. The aim of this study was to survey the knowledge of the community on plants and their medicinal uses. For data collection, semi-structured interviews and guided tours were carried out. Data were analyzed through the Major Use Agreement. All of the 34 informants were women. Plants were the first choice for use for primary health care by 75% of the interviewees. Of the total of 165 species identified, most species are exotic (45%), obtained by collection in home gardens (88%), and of herbaceous habits (65.7%). Leaves were the plant parts most often used (52%). Decoction was the most widely used form of preparation (41%), and oral intake was cited most often (66.4%). Leonurus sibiricusshowed the highest value of Major Use Agreement (77.3%), in agreement with its popular use to treat diarrhea. The information obtained in this study showed that women in the community have extensive knowledge regarding medicinal plants. The home garden is a space where useful medicinal plants are maintained, and is the main location where these plants are gathered.

OBJETIVO: Descrever a densidade mineral óssea (DMO) e conteúdo mineral ósseo (CMO) de crianças e adolescentes que vivem com o vírus da imunodeficiência humana e comparar com os dados do National Health and Nutrition Examination Survey IV (NHANES IV). MÉTODO: Participaram do estudo48 crianças e adolescentes (sete a 17 anos de idade) com infecção pelo vírus da imunodeficiência humana adquirida por transmissão vertical. A DMO e o CMO foram mensurados pela absorciometria por dupla emissão de raios-X, calculando-se escores-z com base nos dados do NHANES IV. Nos prontuários médicos foram obtidas as informações dos parâmetros clínicos e laboratoriais da infecção pelo vírus da imunodeficiência humana. Foram ainda avaliada a atividade física, a ingestão de cálcio e a maturação esquelética. Utilizaram-se procedimentos da estatística descritiva e inferencial, estabelecendo níveis de significância de 5%. RESULTADOS :Os pacientes soropositivos demonstraram valores inferiores comparados aos dados do NHANES IV em todos os escores-z da massa óssea (média = -0,52 a -1,22, dp = 0,91 e 0,84, respectivamente). Com base no z-DMOsubtotal, há uma prevalência de 16,7% de crianças e adolescentes com massa óssea reduzida para a idade. Indivíduos que utilizaram inibidores de protease apresentaram um z-DMOtotal inferior, comparado ao grupo que não utilizou (-1,31 vs. -0,79; p = 0,02). Não foram encontradas diferenças na massa óssea em relação ao nível de atividade física e ingestão de cálcio. CONCLUSÕES: Na presente amostra, crianças e adolescentes que vivem com o vírus da imuno deficiência humana possuem baixa massa óssea para idade, e o uso de inibidores de protease parece estar relacionado a tais reduções.

OBJECTIVE: To describe bone mineral density (BMD) and bone mineral content (BMC) in children and adolescents infected with the human immunodeficiency virus (HIV), and to compare them with data from the National Health and Nutrition Examination Survey IV (NHANES IV). METHOD: The study included 48 children and adolescents (7 to 17 years old) infected with HIV through vertical transmission. BMC and BMD were measured by dual energy absorptiometry X-ray, by calculating z-scores based on data from NHANES IV. The information on clinical and laboratory parameters of infection by HIV was obtained from medical records. Physical activity, calcium intake, and skeletal maturation were also assessed. Descriptive and inferential statistical procedures were used, with levels of significance set at 5%. RESULTS: Seropositive patients presented lower values compared to data from NHANES IV in all z-scores of bone mass (mean = -0.52 to -1.22, SD = 0.91 and 0.84, respectively). Based on the subtotal z-BMD, there was a prevalence of 16.7% of children and adolescents with low bone mass for age. Individuals using protease inhibitors presented a lower total z-BMD when compared to the group that did not use (-1.31 vs. -0.79, p = 0.02). There were no bone mass differences in relation to physical activity and calcium intake. CONCLUSIONS: In the present sample children and adolescents living with HIV have low bone mass for age, and the use of protease inhibitors appears to be related to such decreases.

Potamotrygon tatianae sp. nov., é descrita do Río Madre de Díos, Peru, alto da bacia do Río Madeira. Essa nova espécie é distinta de todas as espécies congenéricas por uma combinação única de caracteres, incluindo sua coloração dorsal formada por um padrão vermicular de cor bege a marrom escuro, relativamente delgado e altamente convoluto, uma única fileira mediana dorsal de espinhos sobre a cauda e uma cauda relativamente longa posteriormente aos ferrões caudais. Potamotrygon tatianae sp. nov., ocorre em simpatria com outras espécies de Potamotrygon (P. falkneri, P. orbignyi and P. motoro). Da espécie similar P. falkneri, P.tatianae sp. nov., é também distinguida pela ausência de manchas circulares, reniformes e ovais, por sua cauda proporcionalmente mais longa, por apresentar espinhos caudais em uma única fileira irregular e por caracteres dos canais ventrais da linha lateral, dentículos dérmicos e neurocrânio. De P. orbignyi, a nova espécie é distinguida pela ausência de um padrão reticulado no dorso do disco e pela presença de duas cartilagens angulares. De P. motoro, P. tatianae sp. nov., é separada pela ausência de ocelos formados por anéis negros concêntricos intensos, pelo aspecto mais achatado da cabeça e disco e pela presença de dentes menores e mais numerosos. A descoberta de uma espécie nova que é semelhante a uma outra espécie congenérica que possui um padrão de colorido dorsal semelhante, um caráter muito variável nesta espécie, ressalta a importância de examinar séries grandes de indivíduos e de análises morfológicas detalhadas para revelar a natureza potencialmente críptica da diversidade dentro da família.

Potamotrygon tatianae sp. nov., is described from Río Madre de Díos, Peru, upper Rio Madeira basin. The new species is distinguished from all congeners by a unique combination of characters, including its dorsal color pattern formed by a relatively slender, highly convoluted, beige to dark brown vermicular pattern, a single row of dorsal tail spines, and a relatively longer tail posterior to caudal stings. Potamotrygon tatianae sp. nov., occurs sympatrically with other species of Potamotrygon (P. falkneri, P. orbignyi and P. motoro). From the similar species P. falkneri, P. tatianae sp. nov., is further distinguished by the absence of circular, reniform, and oval spots, by its proportionally much longer tail, by having dorsal tail spines in one irregular row, and by features of the ventral lateral-line canal, dermal denticles and neurocranium. From P. orbignyi, the new species is distinct by lacking a reticulate pattern on dorsal disc and by the presence of two angular cartilages. From P. motoro, P. tatianae sp. nov., is further separated by the lack of ocelli formed by strong black concentric rings, by the more flattened aspect of its head and disc, and by having smaller and more numerous teeth. The discovery of a new species that so closely resembles a congeneric form in color pattern, a feature highly variable within the latter, highlights the importance of examining large series of individuals and of detailed morphological analyses in revealing the potentially highly cryptic nature of the diversity within the family.

Este texto trata de algumas reflexões que julgamos importantes e que estão atreladas à formação cultural do enfermeiro-docente. São apresentados os conceitos de semi-cultura e teoria imanente de Adorno, bem como crítica reflexiva à industria cultural. Também é exposto o conceito de modernidade de Habermas. Focalizamos a formação do individuo e os tabus associados ao magistério. Ao final, com o auxílio das leituras desses pensadores, sugerimos algumas questões voltadas à formação profissional do enfermeiro enquanto docente.

Este texto trata de algunas reflexiones que juzgamos importantes y que están juntos para la formación cultural del profesor. Son presentados los conceptos de semicultura y teoría inmanente de Adorno, así como crítica reflexiva a la industria cultural. También es expuesto el concepto de modernidad de Habermas. Focalizamos la formación del persona y los tabúes asociados al magisterio. Al final, con el auxilio de las lecturas de esos pensadores, sugerimos algunas cuestiones orientadas a la formación profesional del enfermero docente.

RESUMO As fluoroquinolonas são um grupo de substâncias químicas sintéticas com atividade antimicrobiana, com extensiva aplicação tanto na medicina humana como também na medicina veterinária, consideradas importantes armas no combate a organismos Gram-negativos, Grampositivos e as últimas gerações destes agentes antimicrobianos chegam a ser ativas contra as bactérias anaeróbias. Atualmente é uma das maiores classes de agentes antimicrobianos sendo utilizadas, mundialmente, no tratamento de infecções de origem bacteriana. As suas indicações terapêuticas evoluíram da aplicação em infecções urinárias a aplicações nas mais variadas infecções. Este grupo de fármacos foi se desenvolvendo de forma a ultrapassar grande parte das suas adversidades, possuindo hoje um espectro de ação bastante abrangente, boa disponibilidade oral, melhor difusão para os tecidos, uma meia vida maior e uma toxicidade consideravelmente reduzida. Esta revisão reúne informações atuais sobre as propriedades físico-químicas, farmacocinética, metabolismos de ação e de resistência das fluoroquinolonas de uso veterinário.

ABSTRACT The fluoroquinolones are a group of synthetic chemicals with antimicrobial activity. They have extensive application in human medicine and also in veterinary medicine, are considered important weapons in fighting Gram-negative and Gram-positive microorganism, and the latest generation of these antimicrobial agents is also active against the anaerobic bacteria. Nowadays it is one of the largest classes of antimicrobial agents globally in use to treat bacterial infections. Its therapeutic indications developed from application in urinary infections to nearly all infections in the body. This group of drugs has been developed in order to overcome most of its adversities, having nowadays, a larger spectrum of action, good oral availability and better dissemination to the tissues, increased half-life and toxicity considerably reduced This review brings together current information about the physical-chemical properties, pharmacokinetics and metabolism of action and resistance of fluoroquinolones for veterinary use.

Several young ostrich, including nestlings, with lassitude and inappetence followed by death or victim of sudden death were immediately brought to diagnosis at an Animal Health Laboratory. At necropsy, animals presented hemorrhage and altered content of the vitelline sac, and necrotic foci in the small intestine; one animal showed necrotic pleuropneumonia with psammomatosus bodies in the lung parenchyma. The cultures from different samples revealed Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae, Serratia marcescens, Enterobacter aglomerans, and Pseudomonas mendocina. It was suggested one case of septicemia in an animal with exclusive growth of K. pneumoniae isolated from samples of small intestine, lung, and liver.

In this work the characteristics of corrosion and inhibition of 1008 stainless steel in 0.5 mol.L-1 H2SO4 were investigated by physical and electrochemical methods. Organic compounds containing the heteroatom of N as benzotriazole (BTAH), tolytriazole (TTAH) and mixtures of BTAH + TTAH were used as corrosion inhibitors. The techniques used were: open circuit potential, anodic potentiodynamic polarization measurements, chronoamperometry, electrochemical impedance spectroscopy, weight loss and optical microscopy. The anodic polarization showed that the increase of both concentrations BTAH or TTAH diminishes the current density in all the potential anodic range studied; these results together with the weight loss measurements suggest that the inhibitors act by blocking the surface and that the interaction among them is only of destructive nature when inhibiting efficiency is approximated 100%, revealing that at low concentration both inhibitors act without affecting the mechanisms of the cathodic processes, but the anodic polarization curves in presence of the TTAH showed a strong inhibitive effect in all the potential range studied. However, both gravimetric and electrochemical results suggest a synergic effect for the inhibitive efficiency of the mixture 1.10-3 mol.L-1 BTAH + 1.10-3 mol.L-1 TTAH.

OBJETIVO: Avaliar a associação entre tempo de ventilação mecânica e variáveis antropométricas, clínicas e de função pulmonar, precocemente, em lactentes com insuficiência respiratória por bronquiolite viral aguda em ventilação mecânica invasiva, e a evolução temporal das variáveis significativamente correlacionadas. MÉTODOS: Foram estudados 29 lactentes admitidos na unidade de terapia intensiva pediátrica do Hospital de Clínicas da UNICAMP, com diagnóstico de bronquiolite viral aguda, definido por critérios clínicos e radiológicos. Lactentes com doenças crônicas ou instabilidade hemodinâmica foram excluídos. Todas as medidas foram feitas entre 24 e 72 horas em ventilação mecânica, usando capnografia volumétrica e análise dos gases sangüíneos. O tempo de ventilação mecânica foi dividido em: menor ou igual que 7 dias e maior que 7 dias. A associação entre o tempo de ventilação e as variáveis analisadas foi determinada pelo coeficiente de correlação de Spearman (r s) RESULTADOS: O tempo de ventilação mecânica apresentou correlação positiva significativa com a PaCO2 (r s = 0,45, p = 0,01) e com o índice de ventilação (r s = 0,51, p = 0,005), e negativa com o pH (r s = -0,40, p = 0,03). Índice de ventilação com valor de 37, avaliado do primeiro ao quinto dia, foi associado a risco progressivamente aumentado de tempo de ventilação mecânica maior que 7 dias (OR = 4,2 no primeiro dia a 15,71 no quarto dia) CONCLUSÕES: Índice ventilatório, PaCO2 e pH, precocemente medidos, foram associados com tempo prolongado em ventilação mecânica, refletindo a gravidade do distúrbio ventilatório e necessidade de suporte.

OBJECTIVE: To evaluate the association between time on mechanical ventilation and anthropometric, clinical and pulmonary function variables, measured early, in infants on invasive mechanical ventilation with acute respiratory failure due to viral bronchiolitis, and the temporal progression of variables with significant correlations. METHODS: Twenty-nine infants admitted to the pediatric intensive care unit of UNICAMP university hospital were studied. Acute viral bronchiolitis was defined according to clinical and radiological criteria. Children with chronic diseases and those that were hemodynamically unstable were excluded. All measurements were taken after 24 to 72 hours' mechanical ventilation, using volumetric capnography and blood gas analysis. Mechanical ventilation time was divided into: < 7 days and > 7 days. Association between time on mechanical ventilation and the variables analyzed was determined by Spearman's Correlation Coefficient (r s). RESULTS: Time on mechanical ventilation showed a significant positive correlation with PaCO2 (r s = 0.45, p = 0.01) and ventilation index (r s = 0.51, p = 0.005), and a negative correlation with pH (r s = -0.40, p = 0.03). Ventilation indices of 37, measured between day one and day five, was associated with a progressively increased risk of more than 7 days on mechanical ventilation (OR = 4.2 on the first day to 15.71 on the fourth day). CONCLUSION: Ventilation index, PaCO2 and pH, measured early, were associated with prolonged mechanical ventilation, reflecting the severity of ventilatory disturbance and the need for support.