Uma comparação entre a intervenção coronariana percutânea de resgate e primária realizadas no infarto agudo do miocárdio: relato multicêntrico de 9.371 pacientes

OBJETIVO: Análise comparativa dos resultados hospitalares em pacientes infartados reperfundidos por meio de uma intervenção coronariana percutânea de resgate ou primária. MÉTODOS: Selecionados pacientes consecutivos, submetidos a uma intervenção percutânea no infarto do miocárdio (< 24h), entre 1997 e 2000, incluídos no registro nacional multicêntrico CENIC, comparando os resultados hospitalares, entre aqueles submetidos ao procedimento de resgate (n=840) ou primário (n=8.531). RESULTADOS: Os pacientes que realizaram intervenção de resgate eram significativamente mais jovens, com infarto anterior, associado à presença de disfunção ventricular, porém com menor porcentual de doença coronariana multiarterial, comparados aos primários. As taxas de implante de stents foram similares (56,9% vs. 54,9%; p=0,283), mas o sucesso do procedimento foi menor nos casos de resgate (88,1% vs. 91,2%; p<0,001), cursando com maior mortalidade (7,4% vs. 5,6%; p=0,034), comparado à intervenção primária; nova revascularização (< 0,5%), cirurgia de emergência (< 0,3%) e reinfarto (< 2,6%) foram similares. A análise multivariada identificou o procedimento de resgate como preditor de mortalidade ao final da fase hospitalar [RC (IC=95%) = 1,60 (1,17-2,19); p=0,003]. CONCLUSÃO: Neste registro nacional, a intervenção de resgate apresentou uma maior mortalidade hospitalar, comparada ao procedimento primário.

Nutrição mineral de gramíneas tropicais III: deficiência de macronutrientes na produção de matéria seca e na composição mineral do milheto forrageiro (Pennisetum americanum)

Plantas de milheto forrageiro, em condições controladas, foram submetidas a tratamentos em soluções nutritivas completa e com emissão de N, P, K, Ca, Mg e S, tendo como objetivos avaliar a produção de matéria, a concentração dos nutrientes na planta, bem como estabelecer o quadro sintomatológico das carências nutricionais. As produções de matéria seca alcançaram os seguintes valores (g): completo = 55,8; -N = 2,1; -P = 2,8; -K = 9,5; -Ca = 41,9; -Mg = 35,7 e -S 53,4. Os valores analíticos encontrados nas folhas de plantas sadias e deficientes foram: N% - 3,21-2,07; P% - 0,38 - 0,09; K% - 2, 19-0,54; Ca% - 0,52-0,16; Mg% -0,48-0,04; S% - 0,24-0,12. Plantas deficientes em nitrogênio, fósforo, potássio e magnésio não produziram espigas. Foi obtido o quadro sintomatológico completo, das carências dos macronutrientes.

Nutrição mineral de hortaliças: LXXVII. demanda de nutrientes por uma cultura de rúcula

De uma bem conduzida plantação de rúcula (Euruca sativa var. Cultivada) foram coletadas plantas aos 20, 27, 34 e 41 dias de idade. As plantas foram lavadas e divididas em folhas e raízes. Postas a secar a 80°C e analisadas para N, P, K, Ca, Mg, S, B, Cu, Fe , Mn e Zn pelos métodos convencionais de laboratório. Observou-se que o crescimento, expresso em produção de matéria seca, é crescente até os 34 dias, estabilizando-se após este período. A análise química mostrou que a concentração de K e Ca é elevada atingindo 2,19% para este último elemento aos 41 dias de idade da planta. Para os micronutrientes chama atenção a elevada concentração de zinco nas folhas atingindo 229 ppm aos 41 dias de idade. Uma área cultivada de 10 m² extrai pelas folhas , que é parte exportada as seguintes quantidades de elementos: 20 g de N, 1,86 g de P, 22,1 g de K, 7,56 g de Ca , 1,77 g de Mg, 1,99 g de S, 17,7 mg de B, 7,8 mg de Cu , 475,6 mg de Fe, 14,3 mg de Mn e 37,7 mg de Zn.

Occult hepatitis B virus infection among injecting drug users in the Central-West Region of Brazil

The prevalence of occult hepatitis B virus (HBV) infection was investigated in 149 hepatitis B surface antigen (HBsAg) negative injecting drug users (IDUs) in the Central-West Region of Brazil. Of these individuals, 19 were positive for HBV DNA, resulting in an occult HBV infection prevalence of 12.7% (19/149); six of these 19 individuals had anti-HBV core and/or anti-HBV surface antibodies and 13 were negative for HBV markers. All IDUs with occult hepatitis B reported sexual and/or parenteral risk behaviours. All HBV DNA-positive samples were successfully genotyped. Genotype D was the most common (17/19), followed by genotype A (2/19). These findings reveal a high prevalence of occult HBV infection and the predominance of genotype D among IDUs in Brazil's Central-West Region.

Parasite load and risk factors for poor outcome among children with visceral leishmaniasis. A cohort study in Belo Horizonte, Brazil, 2010-2011

Clinical and laboratory risk factors for death from visceral leishmaniasis (VL) are relatively known, but quantitative real-time polymerase chain reaction (qPCR) might assess the role of parasite load in determining clinical outcome. The aim of this study was to identify risk factors, including parasite load in peripheral blood, for VL poor outcome among children. This prospective cohort study evaluated children aged ≤ 12 years old with VL diagnosis at three times: pre-treatment (T0), during treatment (T1) and post-treatment (T2). Forty-eight patients were included and 16 (33.3%) met the criteria for poor outcome. Age ≤ 12 months [relative risk (RR) 3.51; 95% confidence interval (CI) 1.89-6.52], tachydyspnoea (RR 3.46; 95% CI 2.19-5.47), bacterial infection (RR 3.08; 95% CI 1.27-7.48), liver enlargement (RR 3.00; 95% CI 1.44-6.23) and low serum albumin (RR 7.00; 95% CI 1.80-27.24) were identified as risk factors. qPCR was positive in all patients at T0 and the parasite DNA was undetectable in 76.1% of them at T1 and in 90.7% at T2. There was no statistical association between parasite load at T0 and poor outcome.

Health risk behavior pattern among students from Cartagena, Colombia: prevalence and associated variables

The aim of the study was to determine the prevalence and variables associated with the pattern of risky health behavior (PRHB) among adolescent students in Cartagena, Colombia. A cross-sectional study was designed to investigate PRHB in a random cluster sample of students from middle and high schools. The associations were adjusted by logistic regression. A total of 2,625 students participated in this research, with ages from 10 to 20 years, mean=13.8 years (SD=2.0), and 54.3% were women. A total of 332 students reported PRHB (12.7%, 95%CI 11.4–14.0). Age over 15 years (OR=2.19, 95%CI 1.72–2.79), not being heterosexual (OR=1.98, 95%CI 1.36-2.87), poor/mediocre academic performance (OR=1.87, 95%CI 1.47–2.38), family dysfunction (OR=1.78, 95%CI 1.40–2.28) and male gender (OR=1.58, 95%CI 1.24–2.01) were associated with PRHB. One in every eight students presented a PRHB. It is important to pay greater attention to students who are over 15 years of age, male, not heterosexual, with a poor/mediocre academic performance and a dysfunctional family.

Arterial hypertension and associated factors in patients submitted to myocardial revascularization

OBJECTIVE To identify the prevalence of arterial hypertension and associated factors in patients submitted to myocardial revascularization. METHOD Cross-sectional study using the database of a hospital in São Paulo (SP, Brazil) containing 3010 patients with coronary artery disease submitted to myocardial revascularization. A multiple logistic regression was performed to identify variables independently associated with hypertension (statistical significance: p<0.05). RESULTS Prevalence of hypertension was 82.8%. After the variables were adjusted, the associated factors were as follows: age, odds ratio (OR): OR=1.01; 95% confidence interval (CI): CI:1.00-1.02; female gender: (OR=1.77;CI:1.39-2.25); brown-skin race: (OR=1.53;CI:1.07-2.19); obesity: (OR=1.53;CI:1.13-2.06); diabetes: (OR=1.90;CI:1.52-2.39); dyslipidemia: (OR=1.51;CI:1.23-1.85); and creatinine>1.3: (OR=1.37;CI:1.09-1.72). CONCLUSION A high prevalence of arterial hypertension and association with both non-modifiable and modifiable factors was observed.

Terrestrial arthropods from tree canopies in the Pantanal of Mato Grosso, Brazil

Terrestrial arthropods from tree canopies in the Pantanal of Mato Grosso, Brazil. This study represents a contribution to the knowledge of the diversity of arthropods associated to the canopy of Vochysia divergens Pohl (Vochysiaceae). Three trees individuals were sampled during two seasonal periods in this region: a) by spraying one tree canopy during high water (February); b) by fogging two tree canopies during low water (September/October). The 15,744 arthropods (183.2±38.9 individuals/m²) obtained from all three trees (86 m²) represented 20 taxonomic orders, 87.1% were Insecta, and 12.9% Arachnida. The dominant groups were Hymenoptera (48.5%; 88.9 individuals/m²), mostly Formicidae (44.5%; 81.4 individuals/m²), followed by Coleoptera (14.0%; 25.5 individuals/m²) and Araneae (10.2%; 19.5 individuals/m²), together representing 62.5% of the total catch. Fourteen (70%) of all orders occurred on three trees. Dermaptera, Isoptera, Neuroptera, Odonata, Plecoptera and Trichoptera were collected from only one tree. Of the total, 2,197 adult Coleoptera collected (25.5±11.3 individuals/m²), 99% were assigned to 32 families and 256 morphospecies. Nitidulidae (17.9% of the total catch; 4.6 individuals/m²), Anobiidae (16.7%; 4.3 individuals/m²), Curculionidae (13.2%; 3.4 individuals/m²) and Meloidae (11.4%; 2.9 individuals/m²) dominated. The communitiy of adult Coleoptera on V. divergens indicated a dominance of herbivores (37.8% of the total catch, 127 spp.) and predators (35.2%, 82 spp.), followed by saprophages (16.2%, 32 spp.) and fungivores (10.8%, 15 spp.). The influence of the flood pulse on the community of arboreal arthropods in V. divergens is indicated by the seasonal variation in evaluated groups, causing changes in their structure and composition.

Soil Water Potentials and Capsicum annuum L. under Salinity

ABSTRACT Investigations into water potentials in the soil-plant system are of great relevance in environments with abiotic stresses, such as salinity and drought. An experiment was developed using bell pepper in a Neossolo Flúvico (Fluvent) irrigated with water of six levels of electrical conductivity (0, 1, 3, 5, 7 and 9 dS m-1) by using exclusively NaCl and by simulating the actual condition (using a mixture of salts). The treatments were arranged in a randomized block design, in a 6 × 2 factorial arrangement, with four replicates. Soil matric (Ψm) and osmotic (Ψo) potentials were determined 70 days after transplanting (DAT). Soil total potential was considered as the sum of Ψm and Ψo. Leaf water (obtained with the Scholander Chamber) and osmotic potentials were determined before sunrise (predawn) and at noon at 42 and 70 DAT. There were no significant differences between the salt sources used in the irrigation water for soil and plant water potentials. The supply of salts to the soil through irrigation water was the main factor responsible for the decrease in Ψo in the soil and in bell pepper leaves. The total potential of bell pepper at predawn reached values of -1.30 and -1.33 MPa at 42 and 70 DAT, respectively, when water of 9 dS m-1 was used in the irrigation. The total potential at noon reached -2.19 MPa. The soil subjected to the most saline treatment reached a water potential of -1.20 MPa at 70 DAT. There was no predawn equilibrium between the total water potentials of the soil and the plant, indicating that soil potential cannot be considered similar to that of the plant. The determination of the osmotic potential in the soil solution should not be neglected in saline soils, since it has strong influence on the calculation of the total potential.

Performance of Holstein heifers fed sugarcane silages treated with urea, sodium benzoate or Lactobacillus buchneri

The objective of this work was to evaluate the performance of heifers fed sugarcane silages produced with and without additives. Thirty-two Holstein heifers were randomly assigned, in a block design, to evaluate rations (46% silage; 54% concentrate; 12% crude protein) containing silages treated with (fresh basis) urea (0.5%), sodium benzoate (0.1%) or Lactobacillus buchneri (3.64x10(5) cfu g-1 ). Inoculation with L. buchneri improved daily gain (1.24 vs. 0.94 kg day-1 ), and the addition of benzoate resulted in better feed conversion (7.6 vs. 9.4 kg of dry matter per kg of live weight), in relation to the untreated silage (control). Treatments did not affect dry matter intake (mean of 2.19% of live weight). Rations containing silages treated with benzoate or L. buchneri showed lower cost per kg of weight gain. Treatment with urea did not improve animal performance, but the cost per kg of weight gain was lower than that of the control ration.

Constituintes químicos voláteis e não-voláteis de Cochlospermum vitifolium (Willdenow) Sprengel

The essential oils from leaves, root bark and root wood of Cochlospermum vitifolium were investigated for the first time. The oils were obtained by hydrodistillation and analyzed by GC/MS. The main volatile constituents were beta-caryophyllene (8.2 - 46.5%), beta-bisabolene (11.5 - 29.3%), gamma-muurolene (28.4%), alpha-humulene (26.0%), 1-hydroxy-3-hexadecanone (16.2 - 19.5%) and beta-pinene (10.6%). Phytochemical analysis of the root bark and root wood extracts yielded excelsin, pinoresinol, narigenin, aromadendrin, galic acid and a triacylbenzene, along with beta-sitosterol and stigmasterol and their D-glucosides. The structures of all compounds were determined by analyses of the spectroscopic data (NMR and MS), and comparison with the literature.

Caracterización del proceso de adsorción de 3-cloro fenol desde solución acuosa sobre carbon activado por calorimetria de inmersión

The immersion enthalpy of activated carbon in 3-chlorophenol solutions, of 100 mg L-1, is determined at different pH values between 3 and 11 with results between 37.6 and 21.2 J g-1. The 3-chlorophenol adsorbed quantities on the activated carbon during the calorimetric experience, are between 1.13 and 2.19 mg g-1, for different pH values of the solution. The 3-chlorophenol adsorbed quantity and the immersion enthalpy decrease by increasing of the pH solution, while increasing the adsorbed quantity increases the immersion enthalpy value.

Caracterização de isolados de Phytophthora drechsleri, agente causal da podridão mole de raízes de mandioca

O presente trabalho teve como objetivo caracterizar nove isolados de Phytophthora sp. obtidos de mandioca (Manihot esculenta), através da morfologia e morfometria das estruturas propagativas e crescimento micelial em diferentes temperaturas e avaliar sua patogenicidade. Os esporângios produzidos em extrato de solo não esterilizado mostraram-se ovóides, não papilados, persistentes, formados em esporangióforos não ramificados ou em simpódio, com dimensões de 24,6 - 57,4 µ x 14,8 - 37,7 µm e relação comprimento/largura de 1,0 - 2,6. Os clamidósporos foram raros. Os oósporos obtidos em cultura monospórica em V8 ágar eram apleuróticos, com 13,1 - 34,4 µm de diâmetro. Oogônios mostraram-se esféricos e mediram 19,7 - 41,0 µm de diâmetro; anterídios anfígenos, com dimensões de 8,2 - 24,6 µm x 8,2 - 19,7 µm. O maior diâmetro das colônias ocorreu a 25 ºC em V8 ágar. Os isolados patogênicos às plantas e raízes destacadas de mandioca inoculados foram identificados como Phytophthora drechsleri.

Otimização da produção de biodiesel a partir de óleo de coco babaçu com aquecimento por microondas

As reações sob aquecimento por microondas geralmente apresentam significativa redução no tempo de reação e elevados rendimentos. Portanto, o objetivo desse trabalho foi adaptar um forno de microondas doméstico de forma adequada e segura para realização de reações de transesterificação, e otimizar o processo de produção de biodiesel por microondas usando óleo de coco babaçu como matéria prima. Para este fim, foi usado um planejamento composto central no qual se variou o tempo de irradiação, concentração de KOH e razão óleo:metanol. Análises estatísticas foram feitas para avaliarem a significância do modelo usado. As condições experimentais ótimas foram: razão óleo:metanol, 8,59, concentração de KOH, 2,19%, tempo de irradiação, 70 segundos, dando rendimento de aproximadamente 100%.

Índices de área verde e cobertura vegetal para as praças do Municipio de Vinhedo, SP

Neste estudo, objetivou-se a obtenção, para o Município de Vinhedo (SP), de índices que auxiliem a indicação da ocupação dos espaços urbanos pela vegetação. Foi realizado o levantamento das praças localizadas dentro dos bairros e das árvores (altura, diâmetro da copa e circunferência à altura do peito) contidas nessas praças. Os índices de área verde calculados foram: Índice de Áreas Verdes Total (IAVT), Índice de Áreas Verdes para Parque da Vizinhança (IAVPV), Índice de Áreas Verdes para Parque de Bairro (IAVPB), Índice de Áreas Verdes Utilizáveis (IAVU), Índice de Área Verde por Bairro (AVB) e Índice de Cobertura Vegetal (ICV). O Município de Vinhedo apresentou pouca variação entre os índices IAVT = 2,19 m² e IAVU = 1,95 m², indicando que a maioria das áreas verdes era utilizável. O IAVT de Vinhedo estava abaixo do mínimo de 15 m²/habitante para áreas verdes públicas destinadas à recreação, sugerido pela Sociedade Brasileira de Arborização Urbana.