Guilherme Henrique - Academia.edu (original) (raw)

Papers by Guilherme Henrique

measurements. University hospitals. Objective Vancomycin-resistant Enterococcus (VRE) is today on... more measurements. University hospitals. Objective Vancomycin-resistant Enterococcus (VRE) is today one of the principal microorganisms implicated in nosocomial infections. Thus, a study was carried out with the objective of evaluating its epidemiology at a tertiary-level teaching hospital. Methods This was a three-year retrospective epidemiological study conducted from 2000 to 2002. Samples of VRE-positive clinical cultures at a 660-bed university hospital were analyzed. The incidence of VRE and the main anatomical sites and hospital units from which it was isolated were defined. Differences between the variables over the three years of the study were verified, and these were considered significant when p<0.05. Results There was a progressive increase in the vancomycin resistance in the clinical cultures that were positive for Enterococcus spp., over the three years of the study. In 2000, 9.5 % of the samples were vancomycin-resistant, and this increased to 14.7 % in 2001 and 15.8 % ...

The cadastral database contains all important information about the cadastral unit or land parcel... more The cadastral database contains all important information about the cadastral unit or land parcel, both physical data and socioeconomic data. The Brazilian cities, in their great majority, don't get to maintain a building cadastre with trustworthy data, mainly in areas of great urban expansion. This fact causes a deficient outturn and in consequence a smaller volume of investments by municipal government in benefit to the local population. Although in Brazil there are mechanisms that allow to the municipal districts to obtain the federal government's resources to implant cadastral updating politics, the results aren’t efficient. In many cases, with the obtained resources, practically carry out a new cadastral surveying of the municipal district, that generate high costs and it contributes by updating in short periods of time not be accomplished. That also happens because a lot of cadastral updating methodologies don't make use of new technologies and approaches that c...

Trata-se da reunião bibliográfica sobre o tema de inspeção predial, seus conceitos, suas consider... more Trata-se da reunião bibliográfica sobre o tema de inspeção predial, seus conceitos, suas considerações na legislação e em normas técnicas, metodologia a ser seguida, buscando resultar na inspeção predial de maior qualidade. O estudo do método da norma de inspeção predial do IBAPE, seguido pela proposta de modificação no método e análise dos resultados. Por fim, é proposto um laudo técnico de inspeção predial do estudo de caso realizado no Edifício Garagem

Brazilian Journal of Development, 2020

Efeito da adubação orgânica sob o perfilhamento de mudas pré-brotadas de cana-de-açúcar Effect of... more Efeito da adubação orgânica sob o perfilhamento de mudas pré-brotadas de cana-de-açúcar Effect of organic fertilization under the perdaughtering of pre-sprouted sugarcane seedlings

Revista Eletrônica de Educação, 2016

Este relato de experiência apresenta situações envolvendo o trabalho de futuros professores de cu... more Este relato de experiência apresenta situações envolvendo o trabalho de futuros professores de cursos da área das ciências exatas com o software Geogebra. Este trabalho foi feito a partir de um curso de extensão universitária cujo intuito foi introduzir os estudantes em um ambiente de geometria dinâmica e explorar potencialidades de sua utilização em aulas de matemática do Ensino Fundamental e Médio. Neste texto, serão destacados episódios ocorridos durante o curso, evidenciando determinadas tarefas investigativas no ambiente computacional que foram exploradas pelos participantes. Em particular, será destacado um episódio em que situações inesperadas colocaram os futuros professores no que a literatura denomina de zona de risco.

Agradeço ao CNPq (Processo 132251/2006-0) e à Capes pela bolsa concedida para a realização deste ... more Agradeço ao CNPq (Processo 132251/2006-0) e à Capes pela bolsa concedida para a realização deste trabalho. Ao Professor Flávio por me aceitar como orientando, pela amizade e consideração ao longo desses anos de crescimento e amadurecimento. A Dra. Ana Paula V. Pereira que, além da amizade, me iniciou na biologia marinha e me apresentou os caminhos já trilhados por ela.

Ostomy/wound management, 2010

Sickle-cell disease is the most prevalent genetic disease in the Brazilian population. Lower limb... more Sickle-cell disease is the most prevalent genetic disease in the Brazilian population. Lower limb ulcers are the most frequent cutaneous complications, affecting 8% to 10% of the patients. These ulcers are usually deep and may take many years to heal. Evidence about the effectiveness of systemic or topical treatment of these wounds is limited, apart from stabilization of the anemia. A 28-year old woman with sickle-cell disease was admitted for treatment of three deep chronic lower leg ulcers. All wounds had tendon exposure and contained firmly adherent fibrin slough. Following surgical debridement and before grafting, the wounds were managed with three different dressings: a rayon and normal saline solution dressing, a calcium alginate dressing covered with gauze, and negative pressure therapy. All three wounds healed successfully and their grafts showed complete integration; only the rayon-dressed wound required a second debridement. The alginate and rayon-dressed wounds recurred a...

The Annals of occupational hygiene, Jan 30, 2015

Healthcare workers (HCWs) are at a high risk for exposure to pathogens in the workplace. The obje... more Healthcare workers (HCWs) are at a high risk for exposure to pathogens in the workplace. The objective of this study was to evaluate HCW adherence to follow-up after occupational exposure to blood and body fluids at a tertiary care university hospital in the city of São Paulo, Brazil. Data were collected from 2102 occupational exposures to blood and body fluids reports, obtained from the Infection Control Division of the Universidade Federal de São Paulo/Escola Paulista de Medicina/Hospital São Paulo, in São Paulo, Brazil, occurring between January of 2005 and December of 2011. To evaluate adherence to post-exposure follow-up among the affected HCWs, we took into consideration follow-up visits for serological testing. For HCWs exposed to materials from source patients infected with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV), as well as from source patients of unknown serological status, follow-up serological testing was scheduled for 3 an...

Revista Odonto Ciência (Online), 2010

Purpose: This study evaluated the inflammatory reaction caused by the implantation of iodoform an... more Purpose: This study evaluated the inflammatory reaction caused by the implantation of iodoform and calcium hydroxide in the back of rats. These drugs may be used as intracanal dressings to eliminate residual bacteria of the root canal system. Methods: Twenty albinic rats (Rattus norvegicus, var Wistar) were divided into four groups: control group 1 (CG1) had normal skin; control group 2 (CG2) had wounded tissue without drugs; in groups 3 and 4, iodoform (IG) and calcium hydroxide (CHG) were inserted into the wounds, respectively. After 3, 5 and 11 days, slices of the implanted areas were macroscopically and microscopically observed regarding to their qualitative and quantitative aspects. Results: In the macroscopical analysis, the CHG showed a large area of necrosis and swelling, which progressively decreased; in the IG the presence of iodoform surrounded by normal tissue was observed. The qualitative and quantitative histological analysis showed that IG promoted a shorter delay in the inflammatory response than the CHG. Conclusion: The inflammatory reaction for iodoform had a peak period five days after the drug insertion. By comparison, calcium hydroxide showed a very large area of necrosis that could only be partially eliminated after eleven days.

Brazilian Journal of Infectious Diseases, 2005

Vancomycin-resistant enterococci (VRE) are important pathogens causing nosocomial infections, and... more Vancomycin-resistant enterococci (VRE) are important pathogens causing nosocomial infections, and there is reason for concern about their resistance and great ability to spread in hospital environments, especially intensive-care units (ICU). To determine the prevalence of rectal colonization by VRE, and the risk factors associated with their presence, rectal surveillance swabs were taken from patients under treatment in two intensive-care units (one medical and another both medical and surgical) at São Paulo Hospital, over a two-year period. Thirty-three percent of the 147 patients evaluated had VRE. The only significant variable in the logistic regression was the length of stay in the ICU.

Revista Odonto Ciência, 2011

Purpose: The aim of this study was to verify the antimicrobial effect of calcium hydroxide and io... more Purpose: The aim of this study was to verify the antimicrobial effect of calcium hydroxide and iodoform on Enterococcus faecalis with different exposure times evaluating the bacterial morphologic alterations. Methods: The antibacterial action was investigated in culture broth after zero, seven, fourteen and twenty-one days. Five mL samples were analyzed morphologically on the seventh day by transmission electron microscopy. The data of the antibacterial test were analyzed by Fisher's exact test. Results: The results revealed that between the seventh and fourteenth day, there was a decrease in bacterial growth with both medicaments (P=0.098), where they were eliminated between the fourteenth and twenty-first day. Transmission electronic microscopy showed alterations in the morphologic structures. Conclusion: It concluded that both medicaments kill Enterococcus faecalis, with an exposure time of 7 to 14 days, where no cell viability is seen after this period due to irreversible alterations in bacterial cell morphology.

2007 Latin American Network Operations and Management Symposium, 2007

Abstract—Recently there ,is a ,growing ,interest in accessing network measurement and status data... more Abstract—Recently there ,is a ,growing ,interest in accessing network measurement and status data across multiple domains, inorder to detect eventual network problems which can hinder the,use ,of advanced ,applications. Diversity on network technologies, technical solutions and network managers add to the complexity of providing ,such information. In order ,to facilitate the performance data access and visualization, some initiatives have been

Acta Cirurgica Brasileira, 2006

PURPOSE:To investigate the influence of 650 nm GaAlAs laser on the action of bone morphogenetic p... more PURPOSE:To investigate the influence of 650 nm GaAlAs laser on the action of bone morphogenetic protein (BMP) in bone defects produced in rat femurs. METHODS: The sample consisted of 12 male albino Wistar rats (Rattus norvegicus). The animals were randomly divided into four experimental groups. After undergoing anesthesia, the fur was removed from the lateral face of the right thigh and surgical dissection was performed to view the femur region. A bone defect was created using a spherical diamond-tipped drill bit. In groups 1 and 2, the defect was filled with a paste of Gen-Tech bone-inducing substance. The animals were treated with GaAlAs laser, at a predetermined dose of joules/cm² for 80 seconds, over an area of 1 cm². Groups 2 and 4 were used as controls. Bone samples were removed to perform histological procedures and morphometric analyses on the 7th, 14th and 21st days after the operation. The results obtained were subjected to statistical analysis using ANOVA variance accordi...

Revista de Medicina, 2010

RESUMO: As porfirias são doenças incomuns e de herança genética na maior parte dos casos. As porf... more RESUMO: As porfirias são doenças incomuns e de herança genética na maior parte dos casos. As porfirias são divididas em eritropoiéticas, hepáticas agudas e hepáticas crônicas. Os subtipos de maior relevância clínica são a porfiria cutânea tarda e a porfiria intermitente aguda. O diagnóstico das porfirias pode ser bastante difícil, dada a sobreposição de quadros clínicos e achados bioquímicos. A precisão do diagnóstico depende da dosagem de porfirinas urinárias e fecais, da análise da atividade enzimática de eritrócitos e, eventualmente, da pesquisa de mutações. O objetivo do presente artigo é realizar revisão literária das porfirias, com ênfase no diagnóstico e tratamento de seus diversos subtipos.

Boletim GEPEM, 2012

Resumo Este artigo está organizado em quadros e trata do professor de Matemática e da investigaçã... more Resumo Este artigo está organizado em quadros e trata do professor de Matemática e da investigação em sala de aula de Matemática. Discute-se o papel do professor de Matemática na investigação no contexto atual escolar, explicitando de que forma a Educação Matemática pode contribuir, para que ocorra autonomia na produção e investigação do conhecimento matemático, buscando ressaltar a validade da intersubjetividade nas práticas da Educação Matemática.

Revista de Medicina, 2008

A insuficiência cardíaca é uma síndrome complexa definida pela falência do coração em proporciona... more A insuficiência cardíaca é uma síndrome complexa definida pela falência do coração em proporcionar suprimento adequado de sangue às necessidades metabólicas tissulares, ou fazê-lo por meio de elevadas pressões de enchimento. Geralmente, resulta de disfunção estrutural ou funcional do coração que compromete a sua capacidade de comportar o volume de enchimento diastólico de sangue ou de realizar sua ejeção. Caracteriza-se por disfunção ventricular e alterações da regulação neurohumoral, acompanhada de sintomas de cansaço aos esforços, retenção hídrica e redução da expectativa de vida. Em nosso meio, a sobrevida da insuficiência cardíaca com o tratamento clínico é estimada em 84%, 63% e 52%, em um, dois e cinco anos, respectivamente. Tem-se observado que a insuficiência cardíaca apresenta maior mortalidade do que muitas modalidades de câncer, como bexiga, mama e próstata,perdendo apenas ao câncer de pulmão. Na fase avançada da doença o transplante cardíaco é a única forma de tratamento...

Revista de Saúde Pública, 2005

OBJETIVO: O enterococo resistente à vancomicina é atualmente um dos principais microorganismos im... more OBJETIVO: O enterococo resistente à vancomicina é atualmente um dos principais microorganismos implicados em infecções nosocomiais. Assim, realizou-se estudo com o objetivo de avaliar sua epidemiologia em um hospital terciário de ensino. MÉTODOS: Trata-se de um estudo epidemiológico retrospectivo, realizado de 2000 a 2002, que analisou amostras de culturas clínicas positivas para enterococo resistente à vancomicina (VRE) em um hospital universitário com 660 leitos. Procurou-se definir sua incidência e os principais sítios e unidades de isolamento. Foi verificada a significância entre as variáveis nos três anos de estudo, sendo considerado como significante p<0,05. RESULTADOS: Houve aumento progressivo na resistência à vancomicina nas culturas clínicas positivas para Enterococcus spp. nos três anos de estudo. Em 2000, 9,5% das amostras eram resistentes à vancomicina, com aumento para 14,7% em 2001 e 15,8% em 2002. As unidades com maior número de isolados foram respectivamente: pro...

Memórias do Instituto Oswaldo Cruz, 2004

Multi-resistant gram-negative rods are important pathogens in intensive care units (ICU), cause h... more Multi-resistant gram-negative rods are important pathogens in intensive care units (ICU), cause high rates of mortality, and need infection control measures to avoid spread to another patients. This study was undertaken prospectively with all of the patients hospitalized at ICU,

Infection Control & Hospital Epidemiology, 2007

We analyzed the impact of introducing an alcohol-based hand gel and an educational program on han... more We analyzed the impact of introducing an alcohol-based hand gel and an educational program on hand hygiene adherence among healthcare workers in an intensive care unit. Adherence to hand hygiene was significantly higher after the intervention for the night shift work period (P = .001), among nursing assistants (P = .001), among nurses (P = .007) on weekend days (P = .016), and for invasive procedures (P = .012).