Air pollution and cardiovascular hospital admissions in a medium-sized city in São Paulo State, Brazil

The objective of the present study was to estimate the contribution of environmental pollutants to hospital admissions for cardiovascular disease. A time series ecological study was conducted on subjects aged over 60 years and living in São José dos Campos, Brazil, with a population near 700,000 inhabitants. Hospital admission data of public health patients (SUS) were obtained from DATASUS for the period between January 1, 2004 and December 31, 2006, according to the ICD-10 diagnoses I20 to I22 and I24. Particulate matter with less than 10 µm in aerodynamic diameter, sulfur dioxide and ozone were the pollutants examined, and the control variables were mean temperature and relative humidity. Data on pollutants were obtained from the São Paulo State Sanitary Agency. The generalized linear model Poisson regression with lags of up to 5 days was used. There were 1303 hospital admissions during the period. Exposure to particulate matter was significantly associated with hospitalization for cardiovascular disease 3 days after exposure (RR = 1.006; 95%CI = 1.000 to 1.010) and an increase of 16 µg/m³ was associated with a 10% increase in risk of hospitalization; other pollutants were not associated with hospitalization. Thus, it was possible to identify the role of exposure to particulate matter as an environmental pollutant in hospitalization for cardiovascular disease in a medium-sized city inSoutheastern Brazil.

Effect of L-carnitine on exercise performance in patients with mitochondrial myopathy

Exercise intolerance due to impaired oxidative metabolism is a prominent symptom in patients with mitochondrial myopathy (MM), but it is still uncertain whether L-carnitine supplementation is beneficial for patients with MM. The aim of our study was to investigate the effects of L-carnitine on exercise performance in MM. Twelve MM subjects (mean age±SD=35.4±10.8 years) with chronic progressive external ophthalmoplegia (CPEO) were first compared to 10 healthy controls (mean age±SD=29±7.8 years) before they were randomly assigned to receive L-carnitine supplementation (3 g/daily) or placebo in a double-blind crossover design. Clinical status, body composition, respiratory function tests, peripheral muscle strength (isokinetic and isometric torque) and cardiopulmonary exercise tests (incremental to peak exercise and at 70% of maximal), constant work rate (CWR) exercise test, to the limit of tolerance [Tlim]) were assessed after 2 months of L-carnitine/placebo administration. Patients with MM presented with lower mean height, total body weight, fat-free mass, and peripheral muscle strength compared to controls in the pre-test evaluation. After L-carnitine supplementation, the patients with MM significantly improved their Tlim (14±1.9 vs 11±1.4 min) and oxygen consumption ( V ˙ O 2 ) at CWR exercise, both at isotime (1151±115 vs 1049±104 mL/min) and at Tlim (1223±114 vs 1060±108 mL/min). These results indicate that L-carnitine supplementation may improve aerobic capacity and exercise tolerance during high-intensity CWRs in MM patients with CPEO.

Diabetes mellitus affects the biomechanical function of the callus and the expression of TGF-beta1 and BMP2 in an early stage of fracture healing

Transforming growth factor beta 1 (TGF-β1) and bone morphogenetic protein-2 (BMP-2) are important regulators of bone repair and regeneration. In this study, we examined whether TGF-β1 and BMP-2 expressions were delayed during bone healing in type 1 diabetes mellitus. Tibial fractures were created in 95 diabetic and 95 control adult male Wistar rats of 10 weeks of age. At 1, 2, 3, 4, and 5 weeks after fracture induction, five rats were sacrificed from each group. The expressions of TGF-β1 and BMP2 in the fractured tibias were measured by immunohistochemistry and quantitative reverse-transcription polymerase chain reaction, weekly for the first 5 weeks post-fracture. Mechanical parameters (bending rigidity, torsional rigidity, destruction torque) of the healing bones were also assessed at 3, 4, and 5 weeks post-fracture, after the rats were sacrificed. The bending rigidity, torsional rigidity and destruction torque of the two groups increased continuously during the healing process. The diabetes group had lower mean values for bending rigidity, torsional rigidity and destruction torque compared with the control group (P<0.05). TGF-β1 and BMP-2 expression were significantly lower (P<0.05) in the control group than in the diabetes group at postoperative weeks 1, 2, and 3. Peak levels of TGF-β1 and BMP-2 expression were delayed by 1 week in the diabetes group compared with the control group. Our results demonstrate that there was a delayed recovery in the biomechanical function of the fractured bones in diabetic rats. This delay may be associated with a delayed expression of the growth factors TGF-β1 and BMP-2.

Embalagens alternativas para café solúvel

O objetivo deste trabalho foi estimar a vida útil de café solúvel em novas opções de potes plásticos através de modelo matemático, que relaciona o aumento de umidade do produto, com a barreira à umidade da embalagem. Os potes plásticos foram caracterizados quanto às dimensões, à capacidade volumétrica, à taxa de permeabilidade ao vapor d'água (TPVA) e ao torque de abertura. Caracterizou-se os dois tipos de café solúvel (aglomerado e em pó) quanto à umidade inicial e crítica e à isoterma de sorção de umidade. Os potes plásticos de poliéster (PET) mostraram-se cerca de dez vezes mais permeáveis que os de polipropileno (PP). Observou-se aglomeração nos produtos com 7,0% b.s. de umidade a 30ºC, mas a umidade crítica foi considerada como sendo de 5,0% b.s., que é o teor fixado pela legislação. Os resultados indicaram que, nos potes de PP, os períodos de vida útil dos cafés solúveis aglomerado e em pó foram superiores a 1,8 anos e 2,5 anos, respectivamente, a 30ºC/80%UR. Entretanto, o uso de potes de poliéster (PET) não se mostrou viável devido aos baixos períodos de vida útil estimados a 30ºC/80%UR (inferiores a 4 meses).

Processamento de amido de milho em câmara de mistura

Misturas de amido de milho e água nas proporções 70:30, 80:20 e 90:10% (p/p) foram submetidas a processamento a 90°C, sob diferentes velocidades de rotação (20, 40, 80 e 100rpm), em câmara de mistura Rheomix 600 equipada com rotores do tipo "roller". A influência do teor de água e da velocidade de rotação dos rotores no processamento do amido de milho foi investigada por meio de curvas de torque e de temperatura fornecidas pelo reômetro de torque Rheocord 9000. Análises em Analisador Rápido de Viscosidade e por microscopia óptica de luz polarizada foram realizadas, a fim de complementar as informações registradas pelas curvas de torque e de temperatura. Os resultados mostraram que o teor de água e a rotação empregada no processamento exercem influência significativa nas características do amido processado. Os menores teores de água (10 e 20% p/p) e as velocidades de rotação mais elevadas (80 e 100rpm) contribuíram para a maior degradação do amido. Nas misturas com teor de água de 30% (p/p), sob as velocidades de rotação empregadas, a função plastificante da água contribuiu para minimizar o efeito do cisalhamento, já que a degradação do amido não foi observada. Nesses casos, a estrutura granular do amido foi preservada em grande parte durante o processamento.

Effect of sugar and water contents on non-expanded cassava flour extrudates

The effects of sucrose and water contents on cassava flour processed by extrusion at varied concentrations of sucrose (0-20% w/w) and water (28-42% w/w) were studied by applying response surface methodology. The extrusion of the mixtures was performed in a twin screw extruder fitted to a torque rheometer. The specific mechanical energy (SME) dissipated inside a conical twin-screw extruder was measured. Water absorption index (WAI), water solubility index (WSI) and paste viscosity readings (cold viscosity (CV), peak viscosity (PV), breakdown (BD) and set back (SB)) during a gelatinization-retrogradation cycle measured in a Rapid Visco Analyzer were determined on non-directly extruded products. The results indicated that SME and WSI decreased as a function of water and sucrose contents. WAI and pasting properties were influenced by water content. A non antiplasticizing effect of the sucrose content was observed on pasting properties, suggesting that sucrose did not reduce the availability of water available for gelatinizing cassava flour during the extrusion process. The nature of the optimum point was characterized as a saddle point for WAI, WSI, PV and BD, whereas SME showed a maximum and CV and SB a minimum. The results indicated to be valuable for the production of non-expanded cassava flour extrudates with desirable functional properties for specific end users.