Possible association between Carney complex and multiple endocrine neoplasia type 1 phenotypes

Complexo de Carney (CNC) e neoplasia endócrina múltipla tipo 1 (MEN1) são formas de neoplasias endócrinas múltiplas de herança autossômica dominante. O diagnóstico do CNC ocorre quando dois critérios maiores (lentiginose, doença nodular pigmentosa primária das adrenais, mixomas cardíacos e cutâneos, acromegalia, neoplasia testicular, carcinoma de tireóide) são observados e/ou um critério maior associado a um critério suplementar (familiar afetado, mutação do gene PRKAR1A) ocorre. Por outro lado, o diagnóstico de MEN1 dá-se pela detecção de dois ou mais tumores localizados na glândula hipofisária, paratireóide e/ou células pancreáticas. O presente caso descreve um homem de 55 anos, com diagnóstico de acromegalia, hiperparatireoidismo primário e carcinoma papilífero de tireóide, exibindo critérios diagnósticos para as duas condições descritas. Embora possa ter ocorrido apenas uma associação esporádica, ou a acromegalia per se tenha predisposto ao carcinoma papilífero, novos mecanismos moleculares podem estar envolvidos.

A suplementação de L-carnitina não promove alterações na taxa metabólica de repouso e na utilização dos substratos energéticos em indivíduos ativos

OBJETIVO: Avaliar o efeito da suplementação de L-carnitina, por 30 dias, sobre a taxa metabólica de repouso (TMR) e oxidação de ácidos graxos livres (AGL), em repouso e exercício. SUJEITOS E MÉTODOS: Vinte e um voluntários ativos (40 a 58 anos) com sobrepeso foram randomizados em dois grupos: suplementado (GS; N = 11; 1,8 g/dia de L-carnitina) e placebo (GP; N = 10; maltodextrina). Foi feita avaliação da ingestão calórica, antropometria, determinação da TMR, VO2máx, quociente respiratório e AGL plasmáticos. RESULTADOS: Não houve diferença significativa na ingestão (-244,66 vs. -126,00 kcal/dia), composição corporal (-0,07 vs. -0,17 kg/m²), TMR (0,06 vs. -0,02 kcal/ dia), quociente respiratório em repouso (3,69 vs. -1,01) e exercício (0,01 vs. -0,01) e VO2máx (0,50 vs. 1,25 mL/kg/min) para o grupo GS em relação ao GP. Houve aumento dos AGL em repouso no GP (0,27), porém sem diferenças no exercício para os grupos. CONCLUSÃO: Não houve efeito da L-carnitina em nenhuma das variáveis analisadas no estudo.

Prática de atividades físicas e custo do tratamento ambulatorial de diabéticos tipo 2 atendidos em unidade básica de saúde

OBJETIVOS: Observar se existem diferenças nos valores monetários destinados aos procedimentos de saúde para o tratamento de pacientes diabéticos tipo 2 quando estratificados em diferentes níveis de atividade física habitual. SUJEITOS E MÉTODOS: Cento e vinte um diabéticos tipo 2 foram avaliados em duas unidades básicas de saúde de Bauru, SP. Atividade física foi avaliada por meio de entrevista. Retroagindo um ano ao dia da avaliação, por meio de notas fiscais, foram computados valores de exames, medicamentos e consultas médicas e de enfermagem. RESULTADOS: Quando comparados aos diabéticos ativos, os sedentários apresentaram gastos com consultas em clínico-geral 63% superiores (p = 0,017). Gastos com medicamentos para o tratamento de outras doenças também foram superiores em diabéticos sedentários (p = 0,001). CONCLUSÕES: Quando comparados de acordo com a prática de atividades físicas, diabéticos tipo 2 com menor prática de atividades físicas apresentam maiores custos com serviços médicos e consumo de medicamentos.

Reproductive physiology, and physical and sexual development of female offspring born to diabetic dams

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

Oncogenic osteomalacia: loss of hypophosphatemia might be the key to avoid misdiagnosis

A osteomalacia oncogênica é um diagnóstico clínico desafiador, caracterizado pela perda renal de fosfato e baixos níveis de 1,25-di-hidroxivitamina D3, ocorrendo na presença de um tumor produtor de altos níveis de fator de crescimento de fibroblasto 23. No entanto, é possível que se trate muito mais de uma falha de diagnóstico clínico do que propriamente uma doença rara. Os autores relatam o caso de um homem de 42 anos com histórico de fraqueza muscular progressiva por cinco anos e restrição à cadeira de rodas, sem diagnóstico. Seus exames laboratoriais evidenciavam baixos níveis de fósforo. A remoção cirúrgica de um hemangiopericitoma detectado previamente em cavidade nasal levou à resolução completa dos sintomas. Os autores enfatizam que, mesmo com a etiologia já evidenciada, o paciente consultou diversos clínicos no decorrer dos cinco anos até que fossem instituídos o diagnóstico e o tratamento adequados. Arq Bras Endocrinol Metab. 2012;56(8):570-3

Quadro citológico vaginal, concentração plasmática de progesterona durante a gestação e medidas fetais em paca (Cuniculus paca Linnaeus, 1766)

Em 27 pacas (Cuniculus paca Linnaeus, 1766) objetivou-se descrever aos 30, 60 e 90 dias (D) de prenhez diagnosticada por ultrassonografia (US), os tipos celulares do epitélio vaginal em esfregaços vaginais, relatar as condições de abertura da vulva e as características do muco vaginal, determinar a concentração plasmática de progesterona (P4) por radioimunoensaio, e ainda, mensurar por ultrassonografia (US) o diâmetro biparietal (DBP) fetal aos 60 e 90 dias de prenhez. No D30, 40% das amostras exibiram células (com características estrogênicas) superficiais e presença de núcleos nus. Nos D60 e D90, células parabasais, intermediárias, superficiais e naviculares estavam presentes nas mesmas proporções, mas células endocervicais foram descritas em apenas 73,9% e 69% das amostras daqueles dias, respectivamente. No D30 a maior proporção de células naviculares e superficiais diferiu (p < 0,05) em relação aos outros tipos celulares presentes. O muco vaginal apresentou-se cristalino e fluido em 100% e em 70% das fêmeas nos D30 e D60, respectivamente. Observou-se o vestíbulo vaginal aberto em torno de 50% das fêmeas em todos os dias de exames. Valores mínimos detectáveis de P4 foram obtidos em 72% e em 83% das fêmeas, enquanto que as médias das medidas dos DBP foram 1,25 cm (± 0,16) e 2,34 cm (± 0,25) nos D60 e D90, respectivamente. O quadro citológico vaginal nos D30, D60 e D90 e o DBP fornecem elementos que contribuem para diagnóstico de gestação em pacas. A concentração de P4 demonstra a necessidade de maiores estudos da endocrinologia da gestação em pacas.

Repetibilidade de resposta superovulatória em vacas de raça Holandesa

The purpose of this study was to estimate the repeatability of transferable embryos in Holstein cows and to evaluate the effects of the year, season and order of the superovulation on the number of total structures, transferable embryos, non-transferable embryos and ovules. Four hundred and eighty-six superovulations were used in the analysis. The year of superovulation affected significantly all traits (P<0.01); however, we did not find effects of the season of the year. Superovulation order affected the total structures (P<0.01) and non-transferable embryos (P<0.05). The repeatability of the transferable embryo was 0.28 +/- 0.05. Positive correlations were found among total structures and transferable embryos (0.73) and total structure and ovule (0.51).

Uso da ciclofosfamida em modelo de imunodepressão experimental em ovinos

Cyclophosphamide (CY) was used to evaluate the effect on the immune system of sheep. Castred adult rams were divided into 3 groups, with 6 animals each one. Group I (day 0) and Group II (day 1) were treated with CY (40 mg/kg, single dose, IV), and Group III was not treated and remained as control. All groups were immunized on day 0 with B19 brucellosis vaccine. on day 6, all animals were bled and serum agglutination test for brucellosis antibodies detection was performed. During 7 days blood lymphocyte counts and electrophoresis gammaglobulin dosage were daily performed. The results showed statistical decrease of immune response. Low serum titers of brucellosis antibodies were found in Groups I and II, and lymphopenia and hypogammaglobulinemia were also found in these groups. A high mortality rate (40%) occurred in the treated animals.

Perfil sorológico anti-Brucella abortus em bezerras vacinadas com amostras B19

The serological profiles of 33 female bovines, vaccinated at three to eight months of age with the B19 standard strain of Brucella abortus, were studied over a period of 728 days, using the following agglutination procedures: plate agglutination, tube agglutination, rose bengal plate and mercaptoethanol test. Maximum levels of antibodies detected reached by the plate agglutination and tube agglutination tests were found between the 14(th) and 42(nd) day, and with mercaptoethanol test, between the 28(th) and 42(nd) day. Anti-Brucella antibodies decreased thereafter. At 182 days after vaccination, five suspected animals and one positive were detected by the plate agglutination test, while by the tube agglutination test, only one animal was suspected and another one was positive. During the same period, positive reactions were found in six animals by means of the mercaptoethanol test, and five positives by the rose bengal test. By means of tube agglutination and plate agglutination tests, the animals became serologically negative at 245 and 273 days, respectively, after the vaccination, based on the rules adopted for the vaccinated animals. Using the mercaptoethanol and rose bengal plate tests, all the animals were found to be negative at 308 days after vaccination.

Teores de cobre, ferro, manganês e zinco no fígado e pâncreas de caprinos semi-confinados e confinados

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Ácidos orgânicos e microbiota cecal anaeróbia no controle da infecção experimental de frangos por Salmonella typhimurium e Salmonella enteritidis

The aim of this investigation was to study the effect of organic acids and/or anaerobic cecal microflora (ACM) on systemic and digestive infection of broilers by Salmonella typhimurium and S. enteritidis. ACM was used without previous bacterial identification. The treatment with ACM increased the resistance to Salmonella spp infection. Infection was more evident in caeca, followed by rectum and crop and did not interfere on body weight of broilers. Treated and control groups showed the same degree of infection at the end of the experiment. The use of ACM isolated or combined with acetic acid, reduced the colonization of the chick's digestive system by S. typhimurium and S. enteritidis. Acetic acid added to ACM did not potentiate the reduction of digestive system colonization. Except for the crop, the isolated use of acetic, propionic or formic acids did not reduce S. typhimurium and S. enteritidis, in caeca and rectum. The use of organic acids and ACM had little effect on reduction of caecum pH. The treatment with ACM reduced the quantity of S. enteritidis in the faeces. The reduction of caecum pH did not reduce the quantity of S. enteritidis in faeces. S. enteritidis was much more invasive than S. typhimurium and use of organic acids and ACM had little effect on reduction of systemic infection.

Ação de antibióticos e quimioterápicos sobre alguns agentes baxterianos da mastite bovina, isolados da água utilizada no processo de obtenção do leite

Three strains of Staphylococcus aureus, 73 coagulase negative Staphylococcus and 28 Escherichia coli strains,isolated from water samples from 10 dairy farms, were tested for ''in vitro'' sensitivity to antibiotics and chemotherapeutics. The results showed that all samples isolated presented resistance to at least one active drug tested. The percentage of S. aureus, coagulase negative Staphylococcus and E. coli strains that exhibited resistance to the three active drugs were 100.00%, 84.93% and 71.43%, respectively. These results are important mainly due to the role of water as a vehicle for transmission of mastitis bacterial agents during the milking process.

Efeito da palpação retal e da frequencia de inseminações na fertilidade de éguas inseminadas com sêmen fresco diluído

Forty-two mares were randomly assigned in a 3 x 2 factorial experiment which included three intervals between rectal palpation (6/6h, 12/12h and once a day palpation) and two frequencies of inseminations (daily or every other day). The mares were inseminated with semen from only one stallion, diluted in minimal contamination extender. There were no differences in the conception rate at first cycle, conception/cycle, conception total, efficiency of pregnancy in either system of rectal palpation, independently of the frequency of insemination utilized. Also there were no differences among intervals of rectal palpation concerning the following reproductive characteristics: number of cycles/mare, cycles/pregnant mare, cycles/ pregnancy, pregnancy/cycle, number of inseminations/mare, inseminations/ pregnant mare and insemination/open mare. There were no differences in pregnancy rate at first cycle, pregnancy rate/cycle, pregnancy rate total and efficiency of pregnancy between the two frequency of insemination. However, the frequency of insemination influenced the number of inseminations/mare, number of inseminations/ pregnant mare and inseminations/open mare. The highest values were observed with the mares inseminated daily. Therefore, insemination every other day can be recommended. If necessary the mare may be palpated rectally at intervals of six hours without reducing the pregnancy rate.

Condição imunológica de bovinos das raças Holandesa e Nelore frente a Babesia bovis e B. bigemina em duas regiões do Estado de São Paulo

The immunological reply of a population to an infectious agent can vary between races and handling of this population. Regional research becomes important, in order to know the interrelation between the agent and its host. In this way, the occurrence of immunoglobulins of class G, anti-Babesia bovis and anti-Babesia bigemina in the Nelore (Bos indicus) and Hostein breed (Bos taurus), was investigated in two regions of the State of São Paulo, 300 km distant from each other. For the indirect method of ELISA, 1, 161 bovine serum samples were tested. The medium frequencies of antibodies showed that in the two regions exists an enzootic stability for B. bovis in both breeds studied; even so there was a tendency of marginal area for the Nelore breed in one of the regions. Regarding B. bigemina, in both regions exists enzootic stability for the Hostein and enzootic instability for the Nelore breed. Therefore, acute cases of the disease or specific outbreaks by B. bigemina infection in the Nelore breed may occur in these regions.

Microbiological analyses of poultry litter used for ruminant feeding

The aims of this study were to estimate the changes in total bacterial counts (TBC) in poultry litter samples, consisting of rice hulls, after storage, and to identify pathogenic bacteria. For the countings Plate Count agar (Difco) was used. Enrichment and selective media such as blood agar, MacConkey, Baird Parker, brain and heart agar, and egg yolk solid media, and cooked meat and brain and heart infusion, incubated under aerobic or anaerobic conditions were used to isolate Staphylococcus aureus, Salmonella sp, Clostridium perfringens, C. botulinum, C. chauvoei, Campylobacter sp, Escherichia coli, and Corynebacterium sp. Litter samples were collected from the houses of the Veterinary School experimental aviary. A fully randomized experimental design was used with four treatments and four replications, for a total of 16 samples. A decrease in TBC was detected when treatment T1 (zero days of storage) was compared with treatments T2 (14 days of storage). on the other hand the treatments T3 (28 days of storage) and T4 (42 days of storage) presented significantly superior counting in relation to treatment T1. Some pathogenic bacteria of Enterobacteriaceae such as Escherichia coil, Proteus, Arizona, Providencia, Edwardsiella, as well as Staphylococcus aureus, S. epidermidis, different species of genus Clostridium as C. perfringens, C. sordelli, C. chauvoei, C. tetani and C. novyi as well as some strains of Corynebacterium pyogenes were isolated.