Hypertension and clustering of cardiovascular risk factors in a community in Southeast Brazil: the Bambuí Health and Ageing Study

OBJECTIVE - A population-based prospective study was analysed to: a) determine the prevalence of hypertension; b) investigate the clustering of other cardiovascular risk factors and c) verify whether older differed from younger adults in the pattern of clustering. METHODS - The data comprised a representative sample of the population of Bambuí, Brazil. Multiple logistic regression was used to investigate the independent association between hypertension and selected factors. RESULTS - A total of 820 younger adults (82.5%) and 1494 older adults (85.9%) participated in this study. The overall prevalence of hypertension was 24.8% (SE=1.4 %), being higher in women (26.9±1.5%) than in men (22.0± 1.7%) (p=0.033). Hypertension was positively and significantly associated with physical inactivity, overweight, hypercholesterolemia hyperglycemia and hypertriglyceridemia. The coexistence of hypertension with 4 or more of these risk factors occurred 6 times more than expected by chance, after adjusting for age and sex (OR=6.3; 95%CI: 3.4-11.9). The pattern of risk factor clustering in hypertensive individuals differed with age. CONCLUSION - Our results reinforce the need to increase detection and treatment of hypertension and to approach patients' global risk profiles.

Polymerase chain reaction detection of LeishmaniaDNA in skin biopsy samples in Sri Lanka where the causative agent of cutaneous leishmaniasis is Leishmania donovani

Leishmania donovani is the known causative agent of both cutaneous (CL) and visceral leishmaniasis in Sri Lanka. CL is considered to be under-reported partly due to relatively poor sensitivity and specificity of microscopic diagnosis. We compared robustness of three previously described polymerase chain reaction (PCR) based methods to detectLeishmania DNA in 38 punch biopsy samples from patients presented with suspected lesions in 2010. Both, Leishmaniagenus-specific JW11/JW12 KDNA and LITSR/L5.8S internal transcribed spacer (ITS)1 PCR assays detected 92% (35/38) of the samples whereas a KDNA assay specific forL. donovani (LdF/LdR) detected only 71% (27/38) of samples. All positive samples showed a L. donovani banding pattern upon HaeIII ITS1 PCR-restriction fragment length polymorphism analysis. PCR assay specificity was evaluated in samples containing Mycobacterium tuberculosis, Mycobacterium leprae, and human DNA, and there was no cross-amplification in JW11/JW12 and LITSR/L5.8S PCR assays. The LdF/LdR PCR assay did not amplify M. leprae or human DNA although 500 bp and 700 bp bands were observed in M. tuberculosis samples. In conclusion, it was successfully shown in this study that it is possible to diagnose Sri Lankan CL with high accuracy, to genus and species identification, using Leishmania DNA PCR assays.

Efeito do potássio na fase de rustificação de mudas clonais de eucalipto

A aplicação de K está muitas vezes relacionada ao processo de rustificação, que tem por objetivo adaptar a muda às condições de plantio no campo. Neste sentido, este experimento foi conduzido visando avaliar o efeito do K na qualidade de mudas de três clones híbridos de Eucalyptus (E. grandis x E. urophylla). O experimento foi instalado no viveiro de mudas da empresa CENIBRA. As doses de potássio utilizadas foram: 0, 249, 747, 1494 e 2988 mg L-1. Aos 87 e 88 dias, foram avaliadas a altura da parte aérea, incremento em diâmetro de colo, relação altura da parte aérea/diâmetro de colo, concentração de K nas folhas e a relação N/K nas folhas. A aplicação de K na fase de rustificação aumentou, até determinada dose, o diâmetro de colo para os três clones avaliados, mas não se verificou influência do K na altura. A ausência de K resultou nos maiores valores da relação altura: diâmetro de colo para os três clones avaliados, ao passo que em mudas onde o K foi aplicado, esta relação apresentou valores menores e semelhantes. A aplicação de doses crescentes de K aumentou as concentrações foliares do nutriente. Todos os tratamentos apresentaram valores da relação N/K dentro do considerado adequado, exceto na maior dose de K aplicada. Conclui-se que, durante a fase de rustificação, a adubação potássica é recomendável, sendo indicada a dose de 249 mg L-1 de K por proporcionar os maiores valores em incremento de diâmetro de colo.

Control de Commelina erecta L. con herbicidas postemergentes con el objetivo de su uso en cultivos de soja transgénica

O presente trabalho teve como objetivo avaliar a eficácia dos herbicidas aplicados em pósemergência em plantas de soja, para o controle de Commelina erecta L. O experimento foi conduzido sob condições de casa-de-vegetação. A aplicação foi realizada quando as plantas encontravam-se no estádio de seis folhas. Foram feitas 6 repetições com os seguintes tratamentos, com as doses em i.a./ha: 1) glyphosate (1494 g), 2) tifensulfuron methyl (6 g), 3) chlorimuron ethyl (10 g), 4) benazolin (300 g), 5) flumiclorac pentil (30 g), 6) bentazon (480 g), 7) lactofen (156 g), 8) fomesafen ( 200 g), 9) oxifluorfen (480 g), 10) imazethapyr (80 g), 11) fluoroglicofen (48 g) e testemunha sem aplicação. Foram feitas avaliações visuais e medições da altura das plantas aos 7 e aos 14 dias e, avaliação de matéria seca aos 28 dias após da aplicação. Os dados avaliados foram analisados através do ANOVA. Todos os tratamentos diferiram significativamente em relação à testemunha, ao nível de 5% de probabilidade (Teste LSD). Os herbicidas glyphosate (100% de mortalidade) e imazethapyr (67% de mortalidade de plantas) diferiram com os demais tratamentos. Chlorimuron ethyl, bentazon e lactofen também mostraram ser eficientes causando reduções maiores de 80% do peso de massa seca das plantas daninhas. Benazolin e flumiclorac pentil foram os de menor eficácia até quando causaram reduções de 50 e 60% de matéria seca da planta daninha.

Detection of renal dysfunction based on serum creatinine levels in a Brazilian community: the Bambuí Health and Ageing Study

There are few population-based studies of renal dysfunction and none conducted in developing countries. In the present study the prevalence and predictors of elevated serum creatinine levels (SCr > or = 1.3 mg/dl for men and 1.1 mg/dl for women) were determined among Brazilian adults (18-59 years) and older adults (>60 years). Participants included all older adults (N = 1742) and a probabilistic sample of adults (N = 818) from Bambuí town, MG, Southeast Brazil. Predictors were investigated using multiple logistic regression. Mean SCr levels were 0.77 ± 0.15 mg/dl for adults, 1.02 ± 0.39 mg/dl for older men, and 0.81 ± 0.17 mg/dl for older women. Because there were only 4 cases (0.48%) with elevated SCr levels among adults, the analysis of elevated SCr levels was restricted to older adults. The overall prevalence of elevated SCr levels among the elderly was 5.09% (76/1494). The prevalence of hypercreatinemia increased significantly with age (chi² = 26.17, P = 0.000), being higher for older men (8.19%) than for older women (5.29%, chi² = 5.00, P = 0.02). Elevated SCr levels were associated with age 70-79 years (odds ratio [OR] = 2.25, 95% confidence interval [CI]: 1.15-4.42), hypertension (OR = 3.04, 95% CI: 1.34-6.92), use of antihypertensive drugs (OR = 2.46, 95% CI: 1.26-4.82), chest pain (OR = 3.37, 95% CI: 1.31-8.74), and claudication (OR = 3.43, 95% CI: 1.30-9.09) among men, and with age >80 years (OR = 4.88, 95% CI: 2.24-10.65), use of antihypertensive drugs (OR = 4.06, 95% CI: 1.67-9.86), physical inactivity (OR = 2.11, 95% CI: 1.11-4.02) and myocardial infarction (OR = 3.89, 95% CI: 1.58-9.62) among women. The prevalence of renal dysfunction observed was much lower than that reported in other population-based studies, but predictors were similar. New investigations are needed to confirm the variability in prevalence and associated factors of renal dysfunction among populations.

The effect of a low dose of clenbuterol on rat soleus muscle submitted to joint immobilization

The aim of the present study was to evaluate the effect of joint immobilization on morphometric parameters and glycogen content of soleus muscle treated with clenbuterol. Male Wistar (3-4 months old) rats were divided into 4 groups (N = 6 for each group): control, clenbuterol, immobilized, and immobilized treated with clenbuterol. Immobilization was performed with acrylic resin orthoses and 10 µg/kg body weight clenbuterol was administered subcutaneously for 7 days. The following parameters were measured the next day on soleus muscle: weight, glycogen content, cross-sectional area, and connective tissue content. The clenbuterol group showed an increase in glycogen (81.6%, 0.38 ± 0.09 vs 0.69 ± 0.06 mg/100 g; P < 0.05) without alteration in weight, cross-sectional area or connective tissue compared with the control group. The immobilized group showed a reduction in muscle weight (34.2%, 123.5 ± 5.3 vs 81.3 ± 4.6 mg; P < 0.05), glycogen content (31.6%, 0.38 ± 0.09 vs 0.26 ± 0.05 mg/100 mg; P < 0.05) and cross-sectional area (44.1%, 2574.9 ± 560.2 vs 1438.1 ± 352.2 µm²; P < 0.05) and an increase in connective tissue (216.5%, 8.82 ± 3.55 vs 27.92 ± 5.36%; P < 0.05). However, the immobilized + clenbuterol group showed an increase in weight (15.9%; 81.3 ± 4.6 vs 94.2 ± 4.3 mg; P < 0.05), glycogen content (92.3%, 0.26 ± 0.05 vs 0.50 ± 0.17 mg/100 mg; P < 0.05), and cross-sectional area (19.9%, 1438.1 ± 352.2 vs 1724.8 ± 365.5 µm²; P < 0.05) and a reduction in connective tissue (52.2%, 27.92 ± 5.36 vs 13.34 ± 6.86%; P < 0.05). Statistical analysis was performed using Kolmogorov-Smirnov and homoscedasticity tests. For the muscle weight and muscle glycogen content, two-way ANOVA and the Tukey test were used. For the cross-sectional area and connective tissue content, Kruskal-Wallis and Tukey tests were used. This study emphasizes the importance of anabolic pharmacological protection during immobilization to minimize skeletal muscle alterations resulting from disuse.