Comparison between 100-g glucose tolerance test and two other screening tests for gestational diabetes: combined fasting glucose with risk factors and 50-g glucose tolerance test

CONTEXTO E OBJETIVO: A falta de consenso sobre os protocolos de rastreamento e diagnóstico do diabetes gestacional, associada às dificuldades na realização do teste oral simplificado do diabete gestacional (o teste de tolerância a 100 g de glicose, considerado padrão-ouro) justificam a comparação com alternativas. O objetivo deste trabalho é comparar o teste padrão-ouro a dois testes de rastreamento: associação de glicemia de jejum e fatores de risco (GJ + FR) e o teste oral simplificado de tolerância a 50 g de glicose (TTG 50 g), com o teste de tolerância a 100 g de glicose (TTG 100 g). TIPO DE ESTUDO E LOCAL: Estudo de coorte longitudinal, prospectivo, realizado no Serviço de Ginecologia e Obstetrícia do Hospital Universitário da Universidade Federal de Mato Grosso do Sul. MÉTODOS: 341 gestantes foram submetidas aos três testes. Calcularam-se os índices de sensibilidade (S), especificidade (E), valores preditivos (VPP e VPN), razões de probabilidade (RPP e RPN) e resultados falsos (FP e FN), positivos e negativos da associação GJ + FR e do TTG 50 g em relação ao TTG 100 g. Compararam-se as médias das glicemias de uma hora pós-sobrecarga (1hPS) com 50 e 100 g. Na análise estatística, empregou-se o teste t de Student, com limite de significância de 5%. RESULTADOS: A associação GJ + FR encaminhou mais gestantes (53,9%) para a confirmação diagnóstica que o TTG 50 g (14,4%). Os dois testes foram equivalentes nos índices de S (86,4 e 76,9%), VPN (98,7 e 98,9%), RPN (0,3 e 0,27) e FN (15,4 e 23,1%). As médias das glicemias 1hPS foram semelhantes, 106,8 mg/dl para o TTG 50 g e 107,5 mg/dl para o TTG 100 g. CONCLUSÕES: Os resultados da eficiência diagnóstica associados à simplicidade, praticabilidade e custo referendaram a associação GJ + FR como o mais adequado para o rastreamento. A equivalência das glicemias de 1hPS permitiram a proposição de um novo protocolo de rastreamento e diagnóstico do diabete gestacional, com menores custo e desconforto.

Estimativa do custo energético e contribuição das diferentes vias metabólicas na canoagem de velocidade

O desempenho na canoagem de velocidade depende da capacidade de o organismo regenerar ATP em grandes quantidades e a altas taxas, a partir das diferentes vias metabólicas. Assim, o objetivo do presente estudo foi combinar dois modelos bioenergéticos, um genérico denominado de potência crítica e outro específico para a canoagem, proposto por Zamparo et al. (1999), na tentativa de produzir estimativas de aptidão aeróbia e anaeróbia para essa modalidade, bem como estabelecer estimativas não-invasivas da contribuição dos sistemas aeróbio e anaeróbio para diferentes distâncias percorridas. Para tanto, 11 atletas de canoagem (16,0 ± 1,2 anos; 174,0 ± 2,4cm; 65,2 ± 4,4kg), do sexo masculino, percorreram diferentes distâncias (500, 1.000 e 1.790m), na máxima velocidade possível, em embarcações do tipo K-1, em um lago com águas calmas. As informações obtidas foram inicialmente convertidas em quantidades geradas de trabalho (kJ) e potência interna (W). Posteriormente, os valores individuais estimados foram aplicados às três equações preditivas da potência crítica (PCrit) e capacidade de trabalho anaeróbio (CTAnaer). Por fim, os valores produzidos foram transformados em unidades de equivalentes de oxigênio para a estimativa da contribuição aeróbia (equivalente de O2 para a PCrit x tempo para a distância) e anaeróbia (equivalente de O2 para a CTAnaer x tempo para a distância), nas diferentes distâncias. A contribuição aeróbia relativa encontrada para as diferentes distâncias analisadas (500, 1.000 e 1.790m) foi de 60,6, 78,6 e 89,4%, respectivamente. Os resultados encontrados confirmaram as informações produzidas anteriormente por outras investigações, o que sugere que os procedimentos adotados neste estudo podem fornecer estimativas confiáveis sobre a participação das vias energéticas no desempenho de canoagem.

NONDEGENERATE UMBILICS, THE PATH FORMULATION and GRADIENT BIFURCATION PROBLEMS

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

SINGULARITY THEORY and FORCED SYMMETRY BREAKING IN EQUATIONS

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

On pairs of regular foliations in R(3) and singularities of map-germs

We study germs of pairs of codimension one regular foliations in R(3) . We show that the discriminant of the pair determines the topological type of the pair. We also consider various classifications of the singularities of the discriminant.

Torsion and gravitation: A new view

According to the teleparallel equivalent of general relativity, curvature and torsion are two equivalent ways of describing the same gravitational field. Though equivalent, they act differently: curvature yields a geometric description, in which the concept of gravitational force is absent whereas torsion acts as a true gravitational force, quite similar to the Lorentz force of electrodynamics. As a consequence, the right-hand side of a spinless-particle equation of motion (which would represent a gravitational force) is always zero in the geometric description, but not in the teleparallel case. This means that the gravitational coupling prescription can be minimal only in the geometric case. Relying on this property, a new gravitational coupling prescription in the presence of curvature and torsion is proposed. It is constructed in such a way to preserve the equivalence between curvature and torsion, and its basic property is to be equivalent to the usual coupling prescription of general relativity. According to this view, no new physics is connected with torsion, which is just an alternative to curvature in the description of gravitation. An application of this formulation to the equations of motion of both a spinless and a spinning particle is discussed.

Teleparallel equivalent of non-Abelian Kaluza-Klein theory

Based on the equivalence between a gauge theory for the translation group and general relativity, a teleparallel version of the non-Abelian Kaluza-Klein theory is constructed. In this theory, only the fiber-space turns out to be higher dimensional, spacetime being kept always four dimensional. The resulting model is a gauge theory that unifies, in the Kaluza-Klein sense, gravitational and gauge fields. In contrast with the ordinary Kaluza-Klein models, this theory defines a natural length scale for the compact submanifold of the fiber space, which is shown to be of the order of the Planck length.

Dirac's hole theory versus quantum field theory

Dirac's hole theory and quantum field theory are usually considered equivalent to each other. The equivalence, however, does not necessarily hold, as we discuss in terms of models of a certain type. We further suggest that the equivalence may fail in more general models. This problem is closely related to the validity of the Pauli principle in intermediate states of perturbation theory.

Do static sources respond to massive scalar particles from the Hawking radiation as uniformly accelerated ones do in the inertial vacuum?

We examine the recently found equivalence for the response of a static scalar source interacting with a massless Klein-Gordon field when the source is (i) static in Schwarzschild spacetime, in the Unruh vacuum associated with the Hawking radiation, and (ii) uniformly accelerated in Minkowski spacetime, in the inertial vacuum, provided that the source's proper acceleration is the same in both cases. It is shown that this equivalence is broken when the massless Klein-Gordon field is replaced by a massive one.

Spin 1 fields in Riemann-Cartan space-times via Duffin-Kemmer-Petiau theory

We consider massive spin 1 fields, in Riemann-Cartan space-times, described by Duffin-Kemmer-Petiau theory. We show that this approach induces a coupling between the spin 1 field and the space-time torsion which breaks the usual equivalence with the Proca theory, but that such equivalence is preserved in the context of the Teleparallel Equivalent of General Relativity.

The sl(2) affine Toda model coupled to the matter: solitons and confinement

The so-called conformal affine Toda theory coupled to the matter fields (CATM), associated to the (s) over capl(2) affine Lie algebra, is studied. The conformal symmetry is fixed by setting a connection to zero, then one defines an off-critical model, the affine Toda model coupled to the matter (ATM). Using the dressing transformation method we construct the explicit forms of the two-soliton classical solutions, and show that a physical bound soliton-antisoliton pair (breather) does not exist. Moreover, we verify that these solutions share some features of the sine-Gordon (massive Thirring) solitons, and satisfy the classical equivalence of topological and Noether currents in the ATM model. We show, using bosonization techniques that the ATM theory decouples into a sine-Gordon model and a free scalar. Imposing the Noether and topological currents equivalence as a constraint, one can show that the ATM model leads to a bag model like mechanism for the confinement of the color charge inside the sine-Gordon solitons (baryons).

Duality between non-commutative Yang-Mills-Chem-Simons and non-Abelian self-dual models

By introducing an appropriate parent action and considering a perturbative approach, we establish, up to fourth order terms in the field and for the full range of the coupling constant, the equivalence between the non-commutative Yang-Mills-ChernSimons theory and the non-commutative, non-Abelian self-dual model. In doing this, we consider two different approaches by using both the Moyal star-product and the Seiberg-Witten map. (C) 2003 Elsevier B.V. B.V. All rights reserved.

Bose-Einstein condensation and free DKP field

The thermodynamical partition function of the Duffin-Kemmer-Petiau theory is evaluated using the imaginary-time formalism of quantum field theory at finite temperature and path integral methods. The DKP partition function displays two features: (i) full equivalence with the partition function for charged scalar particles and charged massive spin 1 particles; and (ii) the zero mode sector which is essential to reproduce the well-known relativistic Bose-Einstein condensation for both theories. (C) 2003 Published by Elsevier B.V.

Global analysis of the post-SNO solar neutrino data for standard and nonstandard oscillation mechanisms

What can we learn from solar neutrino observations? Is there any solution to the solar neutrino anomaly which is favored by the present experimental panorama? After SNO results, is it possible to affirm that neutrinos have mass? In order to answer such questions we analyze the current available data from the solar neutrino experiments, including the recent SNO result, in view of many acceptable solutions to the solar neutrino problem based on different conversion mechanisms, for the first time using the same statistical procedure. This allows us to do a direct comparison of the goodness of the fit among different solutions, from which we can discuss and conclude on the current status of each proposed dynamical mechanism. These solutions are based on different assumptions: (a) neutrino mass and mixing, (b) a nonvanishing neutrino magnetic moment, (c) the existence of nonstandard flavor-changing and nonuniversal neutrino interactions, and (d) a tiny violation of the equivalence principle. We investigate the quality of the fit provided by each one of these solutions not only to the total rate measured by all the solar neutrino experiments but also to the recoil electron energy spectrum measured at different zenith angles by the Super-Kamiokande Collaboration. We conclude that several nonstandard neutrino flavor conversion mechanisms provide a very good fit to the experimental data which is comparable with (or even slightly better than) the most famous solution to the solar neutrino anomaly based on the neutrino oscillation induced by mass.

Some remarks on the coupling prescription of teleparallel gravity

By using a nonholonomic moving frame version of the general covariance principle, an active version of the equivalence principle, an analysis of the gravitational coupling prescription of teleparallel gravity is made. It is shown that the coupling prescription determined by this principle is always equivalent with the corresponding prescription of general relativity, even in the presence of fermions. An application to the case of a Dirac spinor is made.