Estudos bionomicos de Cavernicola lenti Barrett & Arias, 1985 (Hemiptera, Reduviidae, Triatominae)

In the biological study, the development of the biological cycle of the insect under different feeding conditions was evaluated. The insects were fed on either mouse blood (c) or pigeon blood (p) using two types of rearing techniques (individual or group) at 28(graus) C and 90% relative humidity (which is equivalent to their natural environment). A fifth cycle studied, was fed on mouse blood reared on group, and mantained at laboratory environmental temperature. In the five cycles analyzed, it was found that groups on mouse blood at near natural conditions developed more rapidly (between 60 and 73 days) and had a lower rate of mortality (16.66%). The daily handling and changes in environment, of the individually reared insects, for observation of biological characteristics (no. and duration of bloodmeal, defecation and first fed of each stage) had a negative influence. None of the individuals fed on mouse or pigeon blood reached adult hood. It was found that the longevity and the fertility rate were significantly superior on couples maintained individually on mouse blood. These males had an average lifespan of 110,26 days and the females had an average lifespan of 104,46 days. The average number of eggs laid by each female was 21,26. Four couples kept in groups (five couples in each group) under the same condition, the longevity for males was 51,86 days and for females was 81,06 days. An average of 10,5 eggs were laid by each female. However, the percentage of fertile eggs was higher in couples kept in groups (72.15%) than in the individual couples (57.68%).

Changes in clinical and laboratory findings at the time of diagnosis of primary hyperparathyroidism in a University Hospital in São Paulo from 1985 to 2002

In contrast to most developed countries, most patients with primary hyperparathyroidism in Brazil are still symptomatic at diagnosis. However, we have been observing a change in this pattern, especially in the last few years. We evaluated 104 patients, 77 females and 27 males aged 11-79 years (mean: 54.4 years), diagnosed between 1985 and 2002 at a University Hospital. Diagnosis was made on the basis of clinical findings and of high total and/or ionized calcium levels, high or inappropriate levels of intact parathyroid hormone and of surgical findings in 80 patients. Patients were divided into three groups, i.e., patients diagnosed from 1985 to 1989, patients diagnosed from 1990 to 1994, and patients diagnosed from 1995 to 2002. The number of new cases diagnosed/year increased from 1.8/year in the first group to 6.0/year in the second group and 8.1/year in the third group. The first group comprised 9 patients (mean serum calcium ± SD, 13.6 ± 1.6 mg/dl), 8 of them (88.8%) defined as symptomatic. The second group comprised 30 patients (mean calcium ± SD, 12.2 ± 1.63 mg/dl), 22 of them defined as symptomatic (73.3%). The third group contained 65 patients (mean calcium 11.7 ± 1.1 mg/dl), 34 of them symptomatic (52.3%). Patients from the first group tended to be younger (mean ± SD, 43.0 ± 15 vs 55.1 ± 14.4 and 55.7 ± 17.3 years, respectively) and their mean serum calcium was significantly higher (P < 0.05). All of symptomatic patients independent of group had higher serum calcium levels (12.4 ± 1.53 mg/dl, N = 64) than asymptomatic patients (11.4 ± 1.0 mg/dl, N = 40). Our data showed an increase in the percentage of asymptomatic patients over the years in the number of primary hyperparathyroidism cases diagnosed. This finding may be due to an increased availability of diagnostic methods and/or to an increased awareness about the disease.