Characterization of the in vivo cardiac electrophysiologic effects of high-dose cocaine in closed-chest, anesthetized dogs with normal hearts

OBJECTIVE: To characterize the cardiac electrophysiologic effects of cocaine. METHODS: In 8 dogs (9-13 kg), electrophysiologic parameters and programmed stimulation were undertaken using transvenous catheters at baseline, and after cocaine intravenous infusion (12 mg/kg bolus followed by 0.22 mg/kg/min for 25 minutes). RESULTS: Cocaine plasma levels (n=5) rose to 6.73± 0.56 mg/mL. Cocaine did not affect sinus cycle length and arterial pressure. Cocaine prolonged P wave duration (54±6 vs 73±4 ms, P<0.001), PR interval (115±17 vs 164±15 ms, P<0.001), QRS duration (62±10 vs 88±14 ms, P<0.001), and QTc interval (344±28 vs 403±62 ms, P=0.03) but not JT interval (193±35 vs 226±53 ms, NS). Cocaine prolonged PA (9±6 vs 23±8 ms, P<0.001), AH (73±16 vs 92±15 ms; P=0.03), and HV (35±5 vs 45±3ms; P<0.001) intervals and Wenckebach point (247±26 vs 280±28 ms, P=0.04). An increase occurred in atrial (138±8 vs 184± 20 ms; P<0.001) and ventricular (160±15 vs 187±25 ms; P=0.03) refractoriness at a cycle length of 300 ms. Atrial arrhythmias were not induced in any dog. Ventricular fibrillation (VF) was induced in 2/8 dogs at baseline and 4/8 dogs after cocaine. CONCLUSION: High doses of cocaine exert significant class I effects and seem to enhance inducibility of VF but not of atrial arrhythmias.

Idade e distúrbios psicológicos: variáveis associadas à disfunção sexual no período pós-infarto

OBJETIVO: As informações sobre a disfunção sexual (DS) após o infarto do miocárdio (IM) são esparsas, principalmente em nosso meio e em relação aos seus preditores. Avaliamos pacientes de ambos os sexos, com vida sexual ativa e sem disfunção sexual prévia ao IM, para estudar a incidência de DS após o IM, e identificar as possíveis variáveis associadas às mesmas. MÉTODOS: Estudamos consecutivamente 43 pacientes, utilizando questionários estruturados para diagnóstico das DS e dos distúrbios psicológicos (DP). Analisamos a influência dos fatores de risco clássicos para aterosclerose, dos DP e do uso de medicamentos na ocorrência de DS até o sexto mês após o IM. RESULTADOS: Após o IM, 91% dos pacientes reiniciaram a atividade sexual. Vinte e seis pacientes (60%) apresentaram disfunção sexual até o 6º mês da alta hospitalar (9 com ejaculação precoce, 15 com disfunção erétil e 20 com desejo sexual hipoativo). Os pacientes com DP apresentaram disfunção sexual em maior freqüência que aqueles sem DP (100%x47%, p=0,001). O grupo com disfunção sexual era significativamente mais velho que o grupo sem disfunção sexual: 53±8,9 anos versus 47±8,7 anos (p=0,04). CONCLUSÃO: Os pacientes apresentaram significativa redução da freqüência da atividade sexual e elevada incidência de DS após o infarto agudo do miocárdio. A presença de DP e a idade mais elevada estiveram associadas à maior incidência de DS após o infarto.

Atividade sexual pós-infarto do miocárdio: tabu ou desinformação?

FUNDAMENTO: O retorno à atividade sexual após síndrome coronária aguda (SCA), apesar da importância clínica e social, é assunto pouco abordado pela equipe de saúde, e que tem recebido pouca ênfase durante a internação. A disfunção erétil tem sido uma queixa freqüente entre pacientes cardiopatas, aliada a dúvidas sobre a segurança no retorno à atividade sexual após evento cardiovascular. OBJETIVO: Descrever o conhecimento dos pacientes quanto ao infarto agudo do miocárdio (IAM) e às orientações recebidas para o retorno à atividade sexual. MÉTODOS: Estudo transversal realizado entre junho e julho de 2005. Foram incluídos pacientes que se encontravam no sexto dia pós-IAM. Foi aplicado um instrumento relacionado ao conhecimento sobre o IAM, à freqüência e às expectativas de retorno à atividade sexual no período pós-alta hospitalar. RESULTADOS: Foram incluídos 96 pacientes, dos quais 70% eram do sexo masculino, com média de idade de 59 ± 12 anos, e 80% eram vítimas de primeiro infarto agudo do miocárdio. Desses pacientes, 96% desconheciam as manifestações clínicas e as possíveis limitações provocadas pelo IAM, 63% relataram ter vida sexual ativa antes do evento, 60% tinham dúvidas quanto ao retorno à atividade sexual após a alta, e apenas 4% dos pacientes receberam orientações pelos profissionais de saúde durante o período de internação. CONCLUSÃO: Nossos achados indicam que as orientações dispensadas pela equipe aos pacientes durante a internação são subótimas, no que tange tanto ao IAM quanto ao retorno à atividade sexual. A atualização da equipe de saúde, principalmente dos enfermeiros que despendem mais tempo com os pacientes, são estratégias que podem melhorar esses resultados.

Evaluation of Sexual Dimorphism in the Efficacy and Safety of Simvastatin/Atorvastatin Therapy in a Southern Brazilian Cohort

Background: Dyslipidemia is the primary risk factor for cardiovascular disease, and statins have been effective in controlling lipid levels. Sex differences in the pharmacokinetics and pharmacodynamics of statins contribute to interindividual variations in drug efficacy and toxicity. Objective: To evaluate the presence of sexual dimorphism in the efficacy and safety of simvastatin/atorvastatin treatment. Methods: Lipid levels of 495 patients (331 women and 164 men) were measured at baseline and after 6 ± 3 months of simvastatin/atorvastatin treatment to assess the efficacy and safety profiles of both drugs. Results: Women had higher baseline levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) compared with men (p < 0.0001). After treatment, women exhibited a greater decrease in plasma TC and LDL-C levels compared with men. After adjustment for covariates, baseline levels of TC and LDL-C influenced more than 30% of the efficacy of lipid-lowering therapy (p < 0.001), regardless of sex. Myalgia [with or without changes in creatine phosphokinase (CPK) levels] occurred more frequently in women (25.9%; p = 0.002), whereas an increase in CPK and/or abnormal liver function was more frequent in in men (17.9%; p = 0.017). Conclusions: Our results show that baseline TC and LDL-C levels are the main predictors of simvastatin/atorvastatin therapy efficacy, regardless of sex. In addition, they suggest the presence of sexual dimorphism in the safety of simvastatin/atorvastatin. The effect of sex differences on receptors, transporter proteins, and gene expression pathways needs to be better evaluated and characterized to confirm these observations.

Circulatory and Ventilatory Power: Characterization in Patients with Coronary Artery Disease

Background:Circulatory power (CP) and ventilatory power (VP) are indices that have been used for the clinical evaluation of patients with heart failure; however, no study has evaluated these indices in patients with coronary artery disease (CAD) without heart failure.Objective:To characterize both indices in patients with CAD compared with healthy controls.Methods:Eighty-seven men [CAD group = 42 subjects and healthy control group (CG) = 45 subjects] aged 40–65 years were included. Cardiopulmonary exercise testing was performed on a treadmill and the following parameters were measured: 1) peak oxygen consumption (VO2), 2) peak heart rate (HR), 3) peak blood pressure (BP), 4) peak rate-pressure product (peak systolic HR x peak BP), 5) peak oxygen pulse (peak VO2/peak HR), 6) oxygen uptake efficiency (OUES), 7) carbon dioxide production efficiency (minute ventilation/carbon dioxide production slope), 8) CP (peak VO2 x peak systolic BP) and 9) VP (peak systolic BP/carbon dioxide production efficiency).Results:The CAD group had significantly lower values for peak VO2 (p < 0.001), peak HR (p < 0.001), peak systolic BP (p < 0.001), peak rate-pressure product (p < 0.001), peak oxygen pulse (p = 0.008), OUES (p < 0.001), CP (p < 0.001), and VP (p < 0.001) and significantly higher values for peak diastolic BP (p = 0.004) and carbon dioxide production efficiency (p < 0.001) compared with CG. Stepwise regression analysis showed that CP was influenced by group (R2 = 0.44, p < 0.001) and VP was influenced by both group and number of vessels with stenosis after treatment (interaction effects: R2 = 0.46, p < 0.001).Conclusion:The indices CP and VP were lower in men with CAD than healthy controls.

Larvae of Alaus myops, A. oculatus, Chalcolepidius porcatus, Hemirhipus apicalis and generic larval characterization (Elateridae, Agrypninae, Hemirhipini)

Larva of Hemirhipus Latreille, 1825 is herein described for the first time. Larvae of Chalcolepidius porcatus (Linnaeus, 1767), from Peru, and Hemirhipus apicalis Candèze, 1857, from Argentina, are described and of Alaus myops (Fabricius, 1801), from USA (Illinois and Maryland), and A. oculatus (Linnaeus, 1758), from USA (Illinois and Florida), are redescribed and illustrated. A comparison among the known larvae in each genus is presented. An historical review and the larval characterization of five genera and fourteen species of Hemirhipini genera are also included.

Sexual dimorphism in Liolaemus occipitalis (Iguania, Tropiduridae)

The sexual dimorphism in size, morphology and color of the lizard Liolaemus occipitalis Boulenger, 1885 was studied. Thirty-two adult males and twenty-eight adult females were sampled from a population in the Jardim do Éden beach, near Tramandaí, Rio Grande do Sul, Brazil. Size related sexual dimorphism occurred in all compared body dimensions. The largest female was 59.6 mm in snout-vent length, and the largest male was 69.3 mm. Males and females also presented differences in ventral and dorsal color pattern, and in the presence of pre-cloacal pores. The results suggest that, in Liolaemus occipitalis, sexual dimorphism in size is determined by sexual selection, competition between males and by the high energetic cost for females a few months after hatching.

Chromosomal characterization of Pseudonannolene strinatii (Spirostreptida, Pseudonannolenidae)

The chromosomes of the cave millipede Pseudonannolene strinatii Mauriès, 1974 were investigated. The diploid chromosome number was found to be 2n=16, XX/XY; the C-banding technique revealed a large amount of heterochromatin while the silver staining technique (Ag-NOR) evidenced the presence of heteromorphism of the NORs in some cells.

The stridulatory setae of Acanthoscurria suina (Araneae, Theraphosidae) and their possible role in sexual communication: an experimental approach

Specialized setae placed on proximal segments of appendages in tarantulas have been related to sound production (stridulation), used in defense or sexual communication. The surface structure of called stridulatory setae of Acanthoscurria suina Pocock, 1903 was studied by SEM. Three morphological types of setae were recognized and at least two of them could be involved in stridulation. Their role in sexual communication was tested by experimental removal. Our results showed no differences in the sexual success between the setaeless and control individuals. Consequently, a defensive function for stridulatory setae seems to be more likely than a sexual function.

Maturidade sexual das fêmeas de Callinectes danae (Crustacea, Decapoda, Portunidae) nos estuários dos rios Botafogo e Carrapicho, Itamaracá, PE, Brasil

Callinectes danae (Smith, 1869), siri-azul, constitui um importante recurso pesqueiro nos estuários dos rios Botafogo e Carrapicho. O objetivo do presente estudo foi estimar a maturidade sexual das fêmeas de C. danae. Os espécimes foram capturados, entre outubro de 2003 a junho de 2004, com auxílio de um barco de pesca equipado com rede de arrasto do tipo "wing-trawl" e arrastados durante 5 minutos. No laboratório, os siris foram contados, numerados, sexados, pesados e mensurados. A largura da carapaça (LC) foi medida na base do espinho lateral e a largura do abdome (LA) mensurada na altura da articulação do quinto esternito abdominal. Um total de 596 fêmeas de C. danae foram analisadas: 417 (69,97%) no rio Botafogo e 179 (30,03%) no Carrapicho; as fêmeas não-ovígeras apresentaram LC de 18,38 a 101 mm (59,14 ± 13,65 mm) e 26,70 a 83,48 mm (59,16 ± 13,77 mm), nos respectivos rios; a LC de fêmeas ovígeras foi de 57,04 a 83,30 mm (67,68 ± 6,56 mm). As médias de larguras das carapaças não apresentaram diferenças estatisticamente significativas O conhecimento da maturidade sexual das fêmeas de Callinectes danae é de grande importância para o seu manejo e conservação. O L50 gonadal foi estimado em 63,58 mm (chi2 = 140,47; g.l. = 1; p < 0,01) e 61,59 mm (chi2 = 90,94; g.l. = 1; p < 0,01) e o L50 morfológico foi de 57,13 mm (chi2 = 484,51; g.l. = 1; p < 0,01) e 56,46 mm (chi2 = 257,82; g.l. = 1; p < 0,01), nos estuários dos rios Botafogo e Carrapicho, respectivamente. Em ambos os estuários, a maturidade morfológica de fêmeas de C. danae ocorreu antes da maturidade gonadal e para garantir que esta espécie seja manejada com êxito, sugere-se que a pesca seja permitida apenas em indivíduos com largura da carapaça superior a 65 mm.

Cranial sexual discrimination in hatchling broad-snouted caiman (Caiman latirostris)

Broad-snouted caiman (Caiman latirostris) hatchlings present a consistent sexual dimorphism in their cranium shape and size. Male hatchlings have smaller crania than females. Using multivariate statistical analyses it is possible to discriminate sex in broad-snouted caiman hatchlings by their cranial shape with a reasonable efficiency. The understanding of sexual dimorphism of crocodilian hatchlings might be possibly improved by experimental approach considering, genetic and phenotypic variables such as incubation temperature and clutch of origin.

Relative growth and morphological sexual maturity of Chasmagnathus granulatus (Crustacea, Varunidae) from a mangrove area in southeastern Brazilian coast

The relative growth and morphological sexual maturity of Chasmagnathus granulatus Dana, 1851 are presented for the first time to a mangrove population. The crabs were obtained during low tide periods, in the mangrove of Jabaquara Beach, Paraty, Rio de Janeiro, Brazil. All crabs in intermolt stage were sexed and had their body parts measured as follows: body height (BH), carapace length (CL) and width (CW), major cheliped propodus height (PH) and length (PL) for each sex, gonopod length (GL) and abdomen width (AW) for males and females, respectively. The relative growth was described using the allometric equation y=ax b and the size at onset sexual maturity was achieved using the software Mature I. The size of specimens ranged from 4.1 mm to 39.5 mm CW. The growth pattern was different between sexes in the cheliped relationships; the relationships BH vs. CW evidenced positive allometry for juveniles; PL vs. CW and PH vs. CW positive allometry for most crabs except juvenile females; AW vs. CW and GL vs. CW evidenced positive allometry for juveniles and isometry for adults. The relationships that best indicated the change from the juvenile to the adult phase were PH vs. CW for males and AW vs. CW for females. The size in which 50% of males from this population are mature is at 19.7 mm of CW (F=144.14; p<0.05) and for females it is at 19.2 mm of CW (F=166.54; p<0.05). The sizes obtained in this mangrove population are larger than those from previous studies, that could be attributed to a species plasticity concerning the habitat structure.