Ocorrência de diabetes melito em mulheres com hiperglicemia em gestação prévia

OBJETIVO: Verificar a freqüência com que ocorria intolerância à glicose (diabetes melito e tolerância à glicose diminuída) em mulheres cuja gestação foi acompanhada e avaliada quanto à tolerância à glicose. MÉTODOS: Num período de até 12 anos da gestação-alvo, de um total de 3.113 gestantes acompanhadas em um serviço de obstetrícia, 551 foram selecionadas por meio de um processo randômico, proporcional à representação dos grupos. Foram avaliadas 529, assim constituídas: 250 normotolerantes à glicose, grupo IA; 120 com hiperglicemia diária, grupo IB; 72 com o teste oral de tolerância à glicose alterado, grupo IIA; e 87 com o teste oral de tolerância à glicose alterado e hiperglicemia diária, grupo IIB. A avaliação constava da medida da glicemia de jejum, que entre 110 e 125 mg/dL, era seguida pelo teste oral de tolerância à glicose. RESULTADOS: A freqüência de ocorrência de diabetes foi 1,6, 16,7, 23,6 e 44,8% nos grupos IA, IB, IIA e IIB, respectivamente (IA <[IB=IIA]<IIB; p<0,05). Tal diferença entre os grupos se manteve nos primeiros quatro biênios. As mulheres do grupo IA diferiram das dos demais grupos em idade, paridade e história familiar de diabetes. CONCLUSÃO: Glicemias (perfil glicêmico) elevadas assim como o teste oral de tolerância à glicose alterado durante a gestação são igualmente eficazes em predizer o futuro desenvolvimento de diabetes materno; quando ambos os testes são alterados, tal prognóstico se agrava significativamente.

Fatores de risco para macrossomia fetal em gestações complicadas por diabete ou por hiperglicemia diária

OBJETIVO: identificar fatores de risco para a macrossomia fetal na população de gestantes portadoras de diabete ou hiperglicemia diária. MÉTODOS: estudo retrospectivo, tipo caso-controle, incluindo 803 pares de mães e recém-nascidos desta população específica, distribuídos em dois grupos: macrossômicos (casos, n=242) e não macrossômicos (controles, n=561). Foram comparadas variáveis relativas à idade, paridade, peso e índice de massa corporal (IMC), ganho de peso (GP), antecedentes de diabete, hipertensão arterial e tabagismo, tipo e classificação do diabete e indicadores do controle glicêmico no terceiro trimestre. As médias foram avaliadas pelo teste F e as variáveis categorizadas foram submetidas à análise univariada, utilizando-se o teste do chi². Os resultados significativos foram incluídos no modelo de regressão múltipla, para identificação do risco independente de macrossomia, considerando-se OR, IC 95% e valor de p. Para todas as análises foi estabelecido o limite de significância estatística de 5% (p<0,05). RESULTADOS: observou-se associação significativa entre macrossomia e GP maior que 16 kg, IMC >25 kg/m², antecedentes pessoais, obstétricos e, especificamente, o de macrossomia, classificação nos grupos de Rudge (IB e IIA + IIB), média glicêmica (MG) >120 mg/dL e média de glicemia pós-prandial >130 mg/dL no terceiro trimestre. Na análise de regressão múltipla, o GP >16 kg (OR=1,79; IC 95%: 1,23-1,60), o IMC >25 kg/m² (OR=1,83; IC 95%: 1,27-2,64), o antecedente pessoal de diabete (OR=1,56; IC 95%: 1,05-2,31) e de macrossomia (OR=2,37; IC 95%: 1,60-3,50) e a MG >120 mg/dL no terceiro trimestre (OR=1,78; IC 95%: 1,13-2,80) confirmaram risco independente para macrossomia nestas gestações de risco. CONCLUSÃO: o GP superior a 16 kg, o IMC maior ou igual a 25 kg/m², a MG superior a 120 mg/dL no terceiro trimestre e a presença de antecedentes pessoais de diabete ou de macrossomia foram identificados como fatores de risco para macrossomia fetal em gestantes portadoras de diabete ou de hiperglicemia diária.

Age-related changes in muscle fiber type frequencies and cross-sectional areas in straightbred and crossbred rabbits

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Morphologic alterations resulting from denervation of the diaphragm in rats

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Heart failure increases atrogin-1 and MuRF1 gene expression in skeletal muscle with fiber type-specific atrophy

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Histochemical differences in the responses of predominantly fast-twitch glycolytic muscle and slow-twitch oxidative muscle to veratrine

The aim of this study was to investigate if the Na+-channel activating alkaloid veratrine is able to change the oxidative and m-ATPase activities of a fast-twitch glycolytic muscle (EDL, extensor digitorum longus) and slow-twitch oxidative muscle (SOL, soleus) in mice. Oxidative fibers and glycolytic fibers were more sensitive to veratrine than oxidative-glycolytic fibers 15, 30 and 60 min after the i.m. injection of veratrine (10 ng/kg) with both showing an increase in their metabolic activity in both muscles. In EDL, the m-ATPase reaction revealed a significant (p < 0.001) decrease (50%) in the number of type IIB fibers after 30 min while the number of type I fibers increased by 550%. Type I fibers decreased from 34% in control SOL to 17% (50% decrease) in veratrinized muscles, with a 10% decrease in type IIA fibers within 15 min. A third type of fiber appeared in SOL veratrinized muscle, which accounted for 28% of the fibers. Our work gives evidence that the changes in the percentage of the fiber types induced by veratrine may be the result, at least partially, from a direct effect of veratrine on muscle fibers and else from an interaction with the muscle type influencing distinctively the response of a same fiber type. Based on the results obtained in the present study the alterations in EDL may be related to the higher number of Na+ channels present in this muscle whereas those in SOL may involve an action of veratrine on mitochondria. Although it is unlikely that the shift of enzymes activities induced by veratrine involves genotypic expression changes an alternative explanation for the findings cannot be substantiated by the present experimental approach. (C) 2002 Elsevier B.V. Ltd. All rights reserved.

Down-regulation of MyoD gene expression in rat diaphragm muscle with heart failure

Diaphragm myopathy has been described in patients with heart failure (HF), with alterations in myosin heavy chains (MHC) expression. The pathways that regulate MHC expression during HF have not been described, and myogenic regulatory factors (MRFs) may be involved. The purpose of this investigation was to determine MRF mRNA expression levels in the diaphragm. Diaphragm muscle from both HF and control Wistar rats was studied when overt HF had developed, 22 days after monocrotaline administration. MyoD, myogenin and MRF4 gene expression were determined by RT-PCR and MHC isoforms by polyacrylamide gel electrophoresis. Heart failure animals presented decreased MHC IIa/IIx protein isoform and MyoD gene expression, without altering MHC I, IIb, myogenin and MRF4. Our results show that in HF, MyoD is selectively down-regulated, which might be associated with alterations in MHC IIa/IIx content. These changes are likely to contribute to the diaphragm myopathy caused by HF.

Ten-dimensional supergravity constraints from the pure spinor formalism for the superstring

It has recently been shown that the ten-dimensional superstring can be quantized using the BRST operator Q = philambda(alpha)d(alpha), where lambda(alpha) is a pure spinor satisfying; lambdagamma(m)lambda = 0 and dalpha is the fermionic supersymmetric derivative. In this paper, the pure spinor version of superstring theory is formulated in a curved supergravity background and it is shown that nilpotency and holomorphicity of the pure spinor BRST operator imply the on-shell superspace constraints of the supergravity background. This is shown to lowest order in alpha' for the heterotic and Type II superstrings, thus providing a compact pure spinor version of the ten-dimensional superspace constraints for N = 1 Type IIA and Type IIB supergravities. Since quantization is straightforward using the pure spinor version of the superstring, it is expected that these methods can also be used to compute higher-order alpha' corrections to the ten-dimensional superspace constraints. (C) 2002 Elsevier B.V. B.V. All rights reserved.

N=2 sigma models for Ramond-Ramond backgrounds

Using the U(4) hybrid formalism, manifestly N = (2,2) worldsheet supersymmetric sigma models are constructed for the type-IIB superstring in Ramond-Ramond backgrounds. The Kahler potential in these N = 2 sigma models depends on four chiral and antichiral bosonic superfields and two chiral and antichiral fermionic superfields. When the Kahler potential is quadratic, the model is a free conformal field theory which describes a flat ten-dimensional target space with Ramond-Ramond flux and non-constant dilaton. For more general Kahler potentials, the model describes curved target spaces with Ramond-Ramond flux that are not plane-wave backgrounds. Ricci-flatness of the Kahler metric implies the on-shell conditions for the background up to the usual four-loop conformal anomaly.

Covariant multiloop superstring amplitudes

In this article, the multiloop amplitude prescription using the super-Poincare invariant pure spinor formalism for the superstring is reviewed. Unlike the RNS prescription, there is no sum over spin structures and surface terms coming from the boundary of moduli space can be ignored. Massless N-point multiloop amplitudes vanish for N < 4, which implies (with two mild assumptions) the perturbative finiteness of superstring theory. Also, R-4 terms receive no multiloop contributions in agreement with the Type IIB S-duality conjecture of Green and Gutperle. (c) 2005 Published by Elsevier SAS on behalf of Academie des sciences.

Superstring in a pp-wave background at finite temperature. TFD approach

A thermodynamical analysis for the type IIB superstring in a pp-wave background is considered. The thermal Fock space is built and the temperature SUSY breaking appears naturally by analyzing the thermal vacuum. All the thermodynamical quantities are derived by evaluating matrix elements of operators in the thermal Fock space. This approach seems to be suitable to study thermal effects in the BMN correspondence context. (C) 2004 Elsevier B.V. All rights reserved.

Quantum states, thermodynamic limits, and entropy in M theory

We discuss the matching of the BPS part of the spectrum for a (super) membrane, which gives the possibility of getting the membrane's results via string calculations. In the small coupling limit of M theory the entropy of the system coincides with the standard entropy of type IIB string theory (including the logarithmic correction term). The thermodynamic behavior at a large coupling constant is computed by considering M theory on a manifold with a topology T-2 x R-9. We argue that the finite temperature partition functions (brane Laurent series for p not equal 1) associated with the BPS p-brane spectrum can be analytically continued to well-defined functionals. It means that a finite temperature can be introduced in brane theory, which behaves like finite temperature field theory. In the limit p --> 0 (point particle limit) it gives rise to the standard behavior of thermodynamic quantities.

Entropy and thermodynamic limits in M-theory

The matching of the BPS part of the (super) membrane's spectrum enables one to obtain membrane's results via string calculations. We compute the thermodynamic behavior at large coupling constant by considering M-theory on a manifold with topology T-2 X R-9. In the small coupling limit of M-theory the entropy coincides with the standard entropy of type IIB strings. We claim that the finite temperature partition functions associated with BPS p-brane spectrum can be analytically continued to well-defined functionals. This means that finite temperature can be introduced in brane theory. For the point particle limit (p --> 0) the entropy has the standard behavior of thermodynamic quantities.

Towards brane-antibrane inflation in type IIA: the holographic MQCD mode

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Finite dimensional vertex

The spectrum of linearized excitations of the Type IIB SUGRA on AdS(5) x S-5 contains both unitary and non-unitary representations. Among the non-unitary, some are finite-dimensional. We explicitly construct the pure spinor vertex operators for a family of such finite-dimensional representations. The construction can also be applied to in finite-dimensional representations, including unitary, although it becomes in this case somewhat less explicit.