Logistic regression analysis of potential prognostic factors for pulmonary thromboembolism

Objective: To identify potential prognostic factors for pulmonary thromboembolism (PTE), establishing a mathematical model to predict the risk for fatal PTE and nonfatal PTE.Method: the reports on 4,813 consecutive autopsies performed from 1979 to 1998 in a Brazilian tertiary referral medical school were reviewed for a retrospective study. From the medical records and autopsy reports of the 512 patients found with macroscopically and/or microscopically,documented PTE, data on demographics, underlying diseases, and probable PTE site of origin were gathered and studied by multiple logistic regression. Thereafter, the jackknife method, a statistical cross-validation technique that uses the original study patients to validate a clinical prediction rule, was performed.Results: the autopsy rate was 50.2%, and PTE prevalence was 10.6%. In 212 cases, PTE was the main cause of death (fatal PTE). The independent variables selected by the regression significance criteria that were more likely to be associated with fatal PTE were age (odds ratio [OR], 1.02; 95% confidence interval [CI], 1.00 to 1.03), trauma (OR, 8.5; 95% CI, 2.20 to 32.81), right-sided cardiac thrombi (OR, 1.96; 95% CI, 1.02 to 3.77), pelvic vein thrombi (OR, 3.46; 95% CI, 1.19 to 10.05); those most likely to be associated with nonfatal PTE were systemic arterial hypertension (OR, 0.51; 95% CI, 0.33 to 0.80), pneumonia (OR, 0.46; 95% CI, 0.30 to 0.71), and sepsis (OR, 0.16; 95% CI, 0.06 to 0.40). The results obtained from the application of the equation in the 512 cases studied using logistic regression analysis suggest the range in which logit p > 0.336 favors the occurrence of fatal PTE, logit p < - 1.142 favors nonfatal PTE, and logit P with intermediate values is not conclusive. The cross-validation prediction misclassification rate was 25.6%, meaning that the prediction equation correctly classified the majority of the cases (74.4%).Conclusions: Although the usefulness of this method in everyday medical practice needs to be confirmed by a prospective study, for the time being our results suggest that concerning prevention, diagnosis, and treatment of PTE, strict attention should be given to those patients presenting the variables that are significant in the logistic regression model.

Catch-per-unit-effort: which estimator is best?

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

A Survey of mid and large bodied mammals in Núcleo Caraguatatuba, Serra do Mar State Park, Brazil

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

Modificação no posicionamento do paciente para o procedimento para prolapso e hemorroidas (PPH): Decúbito ventral com coxim e membros inferiores afastados

Our aim is to present a modification in patient placement on surgical table for the treatment of prolapsed hemorrhoids by using PPH technique. We propose a modified jackknife position for PPH procedure where the surgeon stays between patient's legs. The modified jackknife position may provide better surgical field with better view of the dentate line which facilitates pursestring confection. In Brazil, the majority of the surgeons prefer lithotomic position for PPH technique based on Longo's first reports. In our opinion, modified jackknife position provides both better surgical field for pursestring placement and better view of the staple line after PPH firing.

Pharmacokinetics of dexmedetomidine administered intravenously in isofluraneanesthetized cats

Objective-To determine the pharmacokinetics of dexmedetomidine administered as a short-duration IV infusion in isoflurane-anesthetized cats. Animals-6 healthy adult domestic female cats. Procedures-Dexmedetomidine hydrochloride was injected IV (10 μg/kg over 5 minutes [rate, 2 μg/kg/min]) in isoflurane-anesthetized cats. Blood samples were obtained immediately prior to and at 1, 2, 5, 6, 7, 10, 15, 30, 60, 90, 120, 240, and 480 minutes following the start of the IV infusion. Collected blood samples were transferred to tubes containing EDTA, immediately placed on ice, and then centrifuged at 3,901 X g for 10 minutes at 4°C. The plasma was harvested and stored at -20°C until analyzed. Plasma dexmedetomidine concentrations were determined by means of liquid chromatography-mass spectrometry. Dexmedetomidine plasma concentration-time data were fitted to compartmental models. Results-A 2-compartment model with input in and elimination from the central compartment best described the disposition of dexmedetomidine administered via short-duration IV infusion in isoflurane-anesthetized cats. Weighted mean ± SEM apparent volume of distribution of the central compartment and apparent volume of distribution at steady-state were 402 ± 47 mL/kg and 1,701 ± 200 mL/kg, respectively; clearance and terminal half-life (harmonic mean ± jackknife pseudo-SD) were 6.3 ± 2.8 mL/min/kg and 198 ± 75 minutes, respectively. The area under the plasma concentration curve and maximal plasma concentration were 1,061 ± 292 min·ng/mL and 17.6 ± 1.8 ng/mL, respectively. Conclusions and Clinical Relevance-Disposition of dexmedetomidine administered via short-duration IV infusion in isoflurane-anesthetized cats was characterized by a moderate clearance and a long terminal half-life.

Bats (Mammalia: Chiroptera) in urban fragments of Maringá, Paraná, Brazil

Bat assemblages in two urban fragments of Maringá city, north of the state of Paraná, southern Brazil, were inventoried. These fragments, Parque do Ingá (48 ha) and Parque Florestal dos Pioneiros (59 ha), are located in a subtropical region covered by semideciduous Atlantic forest. Bats were sampled with mist-nets from August 2006 to July 2007, over 24 nights (12 hours a night), adding up to a total of 30,240 h.m2 of net effort. A total of 839 individuals were captured belonging to 10 species and four families. Artibeus lituratus was the most abundant species (66% of the sample). The observed richness represents 22% of the bat species recorded for the state, 24% of the bat species occurring in the seasonal semideciduous forest of Paraná, 26% of the species previously recorded in urban environments in Brazil, and 83.4% of the estimated richness by Jackknife 1 (n= 12 species). Studies that provide data on richness and abundance of bat species in urban fragments are becoming increasingly important, but are still poorly available in Brazil. This habitat is especially interesting because anthropogenic pressure can be harmful to bat assemblages, reducing their diversity. © 2013 Check List and Authors.

Agregação e viés em medidas de diversidade: uma abordagem computacional intensiva

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Ecossistemas de referência para restauração de matas ciliares: existem padrões de biodiversidade, estrutura florestal e atributos funcionais?

A utilização de ecossistemas naturais como meta a ser atingida e a seleção de indicadores para monitoramento dos projetos são temas controversos na ciência e na prática da restauração. Analisamos a vegetação ripária em quatro remanescentes de Floresta Estacional Semidecidual, para verificar se alguns atributos dessas comunidades se repetem em diferentes locais, podendo ser referência para esta região fitogeográfica. Instalamos dez parcelas de 100 m² em cada local, amostramos plantas lenhosas com altura ≥ 0,5 m, divididas em estrato regenerante (DAP < 5 cm) e estrato arbóreo (DAP ≥ 5 cm) e classificamos as espécies com base em atributos funcionais, raridade e status de ameaça. Contabilizamos lianas, pteridófitas e árvores com epífitas. As variáveis estruturais de densidade (estrato arbóreo e regenerante e árvores com epífitas), área basal e cobertura de copas não diferiram entre locais. Foram pouco variáveis entre as áreas a riqueza rarefeita para 100 indivíduos no estrato arbóreo, a riqueza total estimada por Jackknife e as proporções de espécies raras, tolerantes à sombra, de crescimento lento e zoocóricas. Porém, analisando-se a proporção de indivíduos na comunidade, somente a tolerância à sombra foi pouco variável. Para as outras variáveis analisadas não existem padrões que possam ser considerados referência para esta região fitogeográfica. No entanto, ainda que para algumas variáveis existam padrões, sua utilização como meta da restauração depende de: 1) prazos longos para monitoramento de projetos e, sobretudo, 2) estudos que demonstrem que os ecossistemas restaurados podem, um dia, igualar aos ecossistemas pré-existentes.

Alpha and beta diversity of lepidoptera in eucalyptus plantations in the amazonian region of Brazil

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Computer intensive methods for controlling bias in a generalized species diversity index

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Análise filogenética comportamental: o caso dos mustelídeos

Pós-graduação em Biociências - FCLAS

Big, bad, and beautiful: phylogenetic relationships of the horned frogs (Anura: Ceratophryidae)

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

Multivariate morphometrics and allometry and allometry in a polymorphic ant

In this paper we describe how morphological castes can be distinguished using multivariate statistical methods combined with jackknife estimators of the allometric coefficients. Data from the polymorphic ant, Camponotus rufipes, produced two distinct patterns of allometric variation, and thus two morphological castes. Morphometric analysis distinguished different allometric patterns within the two castes, with overall variability being greater in the major workers. Caste-specific scaling variabilities were associated with the relative importance of first principal component. The static multivariate allometric coefficients for each of 10 measured characters were different between castes, but their relative magnitudes within castes were similar. Multivariate statistical analysis of worker polymorphism in ants is a more complete descriptor of shape variation than, and provides statistical and conceptual advantages over, the standard bivariate techniques commonly used.

Assembleia, frugivoria e biologia reprodutiva de morcegos em áreas restauradas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)