Dipyridamole stress myocardial perfusion by computed tomography in patients with left bundle branch block

Abstract Background: Functional tests have limited accuracy for identifying myocardial ischemia in patients with left bundle branch block (LBBB). Objective: To assess the diagnostic accuracy of dipyridamole-stress myocardial computed tomography perfusion (CTP) by 320-detector CT in patients with LBBB using invasive quantitative coronary angiography (QCA) (stenosis ≥ 70%) as reference; to investigate the advantage of adding CTP to coronary computed tomography angiography (CTA) and compare the results with those of single photon emission computed tomography (SPECT) myocardial perfusion scintigraphy. Methods: Thirty patients with LBBB who had undergone SPECT for the investigation of coronary artery disease were referred for stress tomography. Independent examiners performed per-patient and per-coronary territory assessments. All patients gave written informed consent to participate in the study that was approved by the institution’s ethics committee. Results: The patients’ mean age was 62 ± 10 years. The mean dose of radiation for the tomography protocol was 9.3 ± 4.6 mSv. With regard to CTP, the per-patient values for sensitivity, specificity, positive and negative predictive values, and accuracy were 86%, 81%, 80%, 87%, and 83%, respectively (p = 0.001). The per-territory values were 63%, 86%, 65%, 84%, and 79%, respectively (p < 0.001). In both analyses, the addition of CTP to CTA achieved higher diagnostic accuracy for detecting myocardial ischemia than SPECT (p < 0.001). Conclusion: The use of the stress tomography protocol is feasible and has good diagnostic accuracy for assessing myocardial ischemia in patients with LBBB.

Determinação do sexo em pintos da raça Rhode Island Red

Examinando 201 pintos de um dia da raça Rhode Island Red, de rebanho selecionado pela postura e considerando diversos caracteres, principalmente os relacionados com a côr da penugem, conseguimos acertar em 197, numa proporção de 98,01%, não relatada da bibliografia que conhecemos. Julgamos como mais importantes, os seguintes caracteres : mancha clara na asa notada em 100% dos machos e 6,30% das fêmeas; o anel claro na perna ocorreu em 91,80% dos machos e 3,70% das fêmeas. Estas duas particularidades, sòmente, permitem separação de sexo superior a 96%. O sinal junto ao ângulo posterior do olho foi observado em 95,10% das fêmeas e 36,70% dos machos; ponta da asa escura não ocorreu em um macho sequer, mas em 53.20% das fêmeas; ponta da asa clara foi notada em todos os machos e em 46,80% das fêmeas. Os demais caracteres mencionados no quadro, constituem elementos auxiliares de menor valor mas devem ser examinados para se esclarecerem dúvidas. Os erros decorreram de se dar mais importância à pinta escura na cabeça que ao anel claro na perna e à mancha no bordo da asa. O presente trabalho contribui para o esclarecimento do assunto principalmente por considerar o anel claro da perna e o sinal escuro próximo ao ângulo posterior do olho, caracteres valiosos e ainda não apontados anteriormente. Ainda mais, a observação metódica e conjunta de um grande número de atributos relacionados com o dimorfismo sexual constitui um subsídio ao esclarecimento de tão interessante questão.

Análise do tamanho e da forma do ôvo em galinhas das raças Rhode Island Red e Light Sussex e do híbrido entre essas duas raças

Size and shape in eggs of Rhode Island Red and Light Sussex breeds and in the hibrid Rhode x Sussex were studied. These characters are influenced by quantitative genes. Major and minor diameter were used for estimating size of the eggs and the ratio minor/major diameter for shape indice. It was found, in the material analyzed, that: a) the eggs laid by the sa- me chick are pratically uniform; b) the correlation coeficient between major and minor diameter is weak; c) Rhode Island Red has short eggs than Light Sussex; d) short eggs is dominant on long eggs; e) egg shape is the same in Rhode Island Red and Light Sussex breeds and different in the hibrid, which has rounder eggs than the breeds.

Comparação das raças Rhode Island Red, Light Sussex e seu mestiço: ovos, pintos e frangos

The breeds Light Sussex, Rhode Island Red and the hibrid Light Sussex x Rhode Island Red, from the Poultry Department of "Luiz de Queiroz" School of Agriculture, at Piracicaba, S. Paulo, were studied in this paper, Tre authors, analysing eggs, pullets and chick growing arrived to the following conclusion: a) eggs of the Light Sussex breed were haevier; b) the Light Sussex breed was early maturing; c) the cross studied did not show hibrid vigor.

Estudo de correlação entre a postura e dimensões da bacia em Rhode Island Red

The AA. have studied, in this paper, the correlation of egg production in yearling R. I. R. pullets and the difference between the pelvic bones, an between the pelvic bones and keel. The distances between those bones were measured by the fingers. It was suggested an index = spread of pelvic x spread of keel bone. These three data were compared with the last 30 days production and with the production to date - six months. Comparisons have been made with 285 pullets. The AA. have concluded: (a) there is a positive correlation between the spread of the pelvic bones and the last 30 days (r = + 0,23 and pr = + 0,16); (b) there is not correlation of the distance between the pelvic bories to the keel and the last 30 days (r = + 0,11 and pr = - 0,01; (c) there is positive correlation of the distance between the pelvic bones to the keel and last six months production (r = + 0,27 and pr = + 0,19); (d) the correlation of the index sugested pratically equals correlation between pelvic bones (r = + 0,27 and pr = + 0,19); (e) correlation between last 30 days production and the total egg production is high (r = + 0,55 and pr = 0,53). Is is stated that spread of the pelvic bones is a low index of actual production and the distance of the keel a low index of total egg production in R. I. R. pullets. The last month real production is a better index of the total egg production.

Doses and methods of distribution of potassium chloride on soybean crop (Glycine max (L.) Merrill) in a red latosol, affecting soil salinity, grain production and chemical composition of leaves

The present work deal t wi th an experiment under field conditions and a laboratory test of soil incubation the objectives were as follows: a. to study effects on soybean grain product ion and leaf composition of increasing doses of potassium chloride applied into the soil through two methods of distribution; b. to observe chemical modifications in the soils incubated with increasing doses of potassium chloride; and, c. to correlate field effects with chemical alterations observed in the incubation test, The field experiment was carried out in a Red Latosol (Haplustox) with soybean cultivar UFV - 1. Potassium chloride was distributed through two methods: banded (5 cm below and 5 cm aside of the seed line) and broadcasted and plowed-down. Doses used were: 0; 50; 100 and 200 kg/ha of K2O. Foliar samples were taken at flowering stage. Incubation test were made in plastic bags with 2 kg of air dried fine soil, taken from the arable layer of the field experiment, with the following doses of KC1 p,a. : 0; 50; 100; 200; 400; 800; 1,600; 3.200; 6,400 and 12,800 kg/ha of K(2)0. In the conditions observed during the present work, results allowed the following conclusions: A response by soybean grain production for doses of potassium chloride, applied in both ways, banded or broadcasted, was not observed. Leaf analysis did not show treatment influence over the leaf contents for N, P, K, Ca, Mg, and CI, Potassium chloride salinity effects in both methods of distribution for all the tested closes were not observed.

Study of some parameters affecting the in vitro cultivation of Plasmodium falciparum within saimiri sciureus red blood cells

The in vitro growth and multiplication of the erythrocytic stages of Plasmodium falciparum within Saimiri sciureus (squirrel monkey) red blood cells have been studied. Various parameters, such as the origin of the red blood cells and serum supplement, nature of the buffer, influence of the final pH of the medium, role of proteose peptone and glucose addition, were investigated. The selection of the best culture conditions led to the obtention of a reproducible in vitro growth of two parasite cycles in Saimiri erythrocytes, which is an useful achievement for in vitro studies. Our failure to establish a continuous culture line for longer than 19 days, could be explained by a dramatic increasing of osmotic fragility of the Saimiri red blood cells related to their small size.

Microphallus fonti sp. n. (Digenea: Microphaliidae) from the red swamp crawfish in southern United States

A new species of digenean, Microphallus fonti, is described from the red swamp crawfish in Lousiania, U.S.A. It has a small pharynx and a rudimentary gut like M. opacus and a possibly related species from crayfishes, but it differs from them by its relatively large male copulatory papilla and a conspicuous metraterm.

Human B19 parvovirus infetion: an example of multiple pathogenic effects determined by differences in host susceptibility

B19 infection offers some general lessons about human viruses and their possible effects on the human host, as follows: (1) Ubiquitous apparently benign viruses may have severe effects on a compromissed host. The virus may be invariable but the host can have diverse susceptibilities. (2) B19 and some other human viruses (through for none is the evidence so clear as for B19) have narrowly targetted effects. The host cell of B19 is a specialised progenitor of mature red cells: impairment of the function of this cell by B19 may cause profound anaemia. (3) The 'normal'host response to B19 may also cause disease, though this is slef limiting. (4) The effects of malfunction of the virus'target cell are exacerbated when the immune response is impaired by congenital or acquired immunodeficiency, immunosupressive therapy or, in the case of the fetus, developmental immaturity that allows the virus to persist.

Granulocyte macrophage colony-stimulating factor enhances the modulatory effect of cytokines on monocyte-derived multinucleated giant cell formation and fungicidal activity against Paracoccidioides brasiliensis

Multinucleated giant cells (MGC) are cells present in characteristic granulomatous inflammation induced by intracellular infectious agents or foreign materials. The present study evaluated the modulatory effect of granulocyte macrophage colony-stimulating factor (GM-CSF) in association with other cytokines such as interferon-gamma (IFN-γ), tumour necrosis factor-alpha, interleukin (IL)-10 or transforming growth factor beta (TGF-β1) on the formation of MGC from human peripheral blood monocytes stimulated with Paracoccidioides brasiliensis antigen (PbAg). The generation of MGC was determined by fusion index (FI) and the fungicidal activity of these cells was evaluated after 4 h of MGC co-cultured with viable yeast cells of P. brasiliensis strain 18 (Pb18). The results showed that monocytes incubated with PbAg and GM-CSF plus IFN-γ had a significantly higher FI than in all the other cultures, while the addition of IL-10 or TGF-β1 had a suppressive effect on MGC generation. Monocytes incubated with both pro and anti-inflammatory cytokines had a higher induction of foreign body-type MGC rather than Langhans-type MGC. MGC stimulated with PbAg and GM-CSF in association with the other cytokines had increased fungicidal activity and the presence of GM-CSF also partially inhibited the suppressive effects of IL-10 and TGF-β1. Together, these results suggest that GM-CSF is a positive modulator of PbAg-stimulated MGC generation and on the fungicidal activity against Pb18.