Resultados imediatos da cirurgia de revascularização miocárdica: comparação entre homens e mulheres

OBJETIVO: Avaliar a morbimortalidade de homens e mulheres submetidos à cirurgia de revascularização miocárdica isolada e os fatores relacionados às diferenças eventualmente encontradas. MÉTODOS: Análise comparativa de 2032 pacientes, 1402 (69%) homens e 630 (31%) mulheres submetidos consecutivamente à cirurgia, de janeiro 1999 a dezembro 2002. RESULTADOS: As mulheres apresentaram idade média mais elevada, maior número de fatores de risco e taxas de angina instável. Enxertos com artéria torácica interna foram mais freqüentemente usados nos homens, 85,6% vs. 78,3%, p<0,001. Não houve diferenças nas taxas de complicações pós operatórias, exceto as infecções, mais freqüentes nas mulheres. A mortalidade hospitalar foi de 4,1% e 6,3%, para homens e mulheres respectivamente, p=0,026. Na análise multivariada o sexo feminino não foi identificado como fator prognóstico independente para óbito, assim como o uso de enxertos com artéria torácica não foi também isoladamente identificado como fator protetor, porém a interação sexo-artéria torácica interna foi significativa; foram ainda selecionados, idade (OR 1,03; [IC] 95% 1,01 a 1,06; p=0,004), insuficiência renal no pré-operatório (OR 1.82; [IC] 95% 1,07 a 3,11; p=0,028) e cirurgia de urgência/emergência (OR 2,85; [IC] 95% 1,32 a 6,14; p=0,008). CONCLUSÃO: O sexo feminino apresentou maior mortalidade operatória porém não se mostrou fator prognóstico independente para óbito; o uso de enxertos com artéria torácica mostrou-se protetor; pacientes mais idosos, com insuficiência renal e em situação emergencial apresentaram maiores índices de óbito hospitalar.

Microsatellite markers for population genetic studies of the blowfly Chrysomya putoria (Diptera: Calliphoridae)

The investigation of the genetic variation and population structure of Chrysomya species is of great interest for both basic and applied research. However, very limited genetic information is available for this genus across its geographical distribution. Here, we describe 12 polymorphic microsatellite loci isolated from Chrysomya putoria with expected heterozygosities ranging from 0.1402-0.8312. These markers are of potential applied interest for forensic entomologists and for the characterisation of the genetic structure of C. putoria from recently colonised regions, with great promise for understanding the colonisation dynamics and spread of the genus Chrysomya in the New World.

Weed interference periods in the 'Fécula Branca' cassava

This study aimed to determine the periods of weed interference in the first cycle of 'Fécula Branca' cassava. The experiment was arranged in a randomized block design, with four repetitions. The treatments consisted of eight periods of weed control (25, 50, 75, 100, 125, 150, and 175 days after planting - DAP) and eight periods of coexistence between the weed community and the crop (25, 50, 75, 100, 125, 150, and 175), besides control without weeds and control with weeds until harvest (322 DAP). The predominant weed species with higher relative importance were: Avena sativa, Sorghum halepense, Conyza Canadensis, Euphorbia heterophylla, Raphanus raphanistrum, and Commelina benghalensis. It was concluded that, accepting losses of 1% for root and starch production, the period before interference (PBI) was 66 and 70 DAP; the total period of interference prevention (TPIP) was 88 and 91 DAP and the critical period of interference (CPI) was between 66-88 and 70-91 DAP, respectively. For losses of 5% for root and starch production, the PBI was 87 and 88 DAP, and the TPIP 80 and 81 DAP, respectively; in this case, there was no CPI. Considering the average prices of R$ 218.90 t-1 and R$ 1,191.84 t-1, paid in 2012 for root and starch production, respectively, and control cost of R$ 300.00 ha-1 , the root and starch production for the period prior to economic loss (WEEPPEL) could be estimated to be 20 and 24 DAP, respectively.

Competition periods of crabgrass with rice and soybean crops

Determining the periods of weed competition with crops helps the producer to choose the most appropriate time to use weed control practices. This strategy allows for the reduction of the number of herbicide applications, reducing costs and the environmental impact of pesticides. The objectives were to determine the period before the interference (PBI) of crabgrass (Digitaria ciliaris) competing with flooded rice, the critical period of interference prevention (CPIP) of crabgrass with soybean and the effects of competition on the grains yield and their components. Experiments were conducted with the coexistence of BRS Querência rice cultivar with crabgrass, for periods of 0, 7, 14, 21, 28, 35, and 110 days after emergency (DAE) and Fundacep 53RR soybean cultivar, whose periods of coexistence and control of crabgrass were 0, 7, 14, 21, 28, 35, and 156 DAE. Rice can grow with crabgrass infestation until 18 DAE, while soybean should remain free from the presence of crabgrass in the period between 23 and 50 DAE. The grain yield and its components, in the crops studied, are affected when grown with crabgrass.

A majority of Brazilian patients with rheumatoid arthritis HLA-DRB1 alleles carry both the HLA-DRB1 shared epitope and anti-citrunillated peptide antibodies

The objective of the present study was to evaluate the contribution of the shared epitope (SE), the rheumatoid arthritis (RA) protection model, and the occurrence of anti-cyclic citrullinated peptide (anti-CCP) antibodies in RA patients from a genetically diverse population. One hundred and forty Brazilian RA patients and 161 matched controls were typed for HLA-DRB1 alleles using amplified DNA hybridized with sequence-specific oligonucleotide probes or primers. Patients were stratified according to the presence or absence of SE (DRB1*0401, *0404, *0405, *0101, *1001, and *1402), of the DERAA alleles (DRB1*0103, *0402, *1102, *1103, *1301, *1302, and *1304), and X (all other alleles). Anti-CCP antibodies were measured by ELISA. The combined frequency of SE-positive alleles was significantly greater (76.4 vs 23.6%, P < 0.0001) than the controls. The SE/SE and SE/X genotypes were over-represented (P < 0.0001, OR = 6.02) and DERAA/X was under-represented in RA patients (P < 0.001, OR = 0.49), whereas the frequencies of the SE/DERAA, X/X and X/DERAA genotypes were not significantly different from controls. The frequency of anti-CCP antibodies was higher in SE-positive patients than in SE-negative patients (64.6 vs 44.7%, P = 0.03; OR = 2.25). Although the Brazilian population is highly miscegenated, the results of this study support the findings observed in most genetically homogeneous populations with RA; however, they are not mutually exclusive but rather complementary. The participation of DRB1-DERAA alleles in protection against RA was also observed (OR = 0.4; 95%CI = 0.23-0.68).