Efeito da dieta hipocalórica no perfil metabólico e composição corporal de mulheres com e sem Síndrome Metabólica e genótipo Pro12Pro do gene PPARγγ2

A obesidade é uma doença crônica não transmissível, caracterizada pelo excesso de gordura corporal. Então, a gordura acumulada na região abdominal promove resistência à insulina e conseqüentemente alterações metabólicas as quais em conjunto configuram o quadro de síndrome metabólica (SM). O genótipo Pro12Pro parece estar relacionado à menor sensibilidade à insulina, desencadeando o processo fisiopatológico da SM. Então, o objetivo deste trabalho foi avaliar o efeito de uma dieta hipocalórica sobre o perfil metabólico e composição corporal de mulheres com e sem SM com genótipo Pro12Pro no gene PPARγ2. O presente estudo trata-se de um ensaio clínico, onde mulheres entre 30 e 45 anos, obesas grau I, sem SM (n=23) e com SM (n=7) foram submetidas à dieta hipocalórica por 90 dias. A identifica��ão do genótipo foi realizada por reação em cadeia da polimerase (PCR). No início e nos dias 30, 60 e 90 foram avaliados peso corporal, massa magra (MM), massa gorda (MG), componentes da SM, uricemia, insulinemia, leptinemia, adiponectinemia, os índices HOMA-IR e QUICKI. O consumo energético foi avaliado nas 12 semanas de tratamento. Foi utilizado o teste t de Student para amostras independentes foi utilizado para comparar os grupos entre si, e o modelo pareado para comparar a evolução dentro de cada grupo em relação ao início do estudo. Todas as mulheres apresentaram genótipo Pro12Pro. O grupo com SM apresentou menor HDL-c (44,43,2 vs. 56,82,4 mg/dL, p=0,013), e maior triglicerídeo (180,926,7 vs. 89,76,6mg/dL, p=0,014) e VLDL-c (36,25,3 vs. 17,91,3mg/dL, p=0,014) no início do estudo. Ambos os grupos apresentaram redução ponderal (-3,30,7% grupo sem SM e - 4,20,9% grupo com SM) e da circunferência da cintura (-2,40,5% grupo sem SM e - 5,91,4% grupo com SM) significativas. O grupo sem SM reduziu da MG progressivamente até os 90 dias (37,00,8 para 36,60,5%, p=0,02), e com isso aumentou MM (62,00,5 para 63,40,5%, p=0,01), o grupo com SM também reduziu MG ao longo do estudo (32,62,3 para 29,62,4%, p<0,01) e aumentou MM significativamente (62,21,0 para 64,31,3%). A pressão arterial sistólica reduziu no primeiro mês de tratamento no grupo sem SM (de 120,41,8 para 112,32,1 mmHg, p<0,01). No que diz respeito aos parâmetros metabólicos, o grupo sem SM mostrou redução da insulinemia (32,54,2 para 25,92,4U/mL, p=0,05) e aumento da adiponectinemia (4,70,6 para 5,10,8 ng/mL, p=0,02) aos 30 dias, do colesterol total (180,25,8 para 173,85,4 mg/dL, p=0,04), e da leptina (27,01,9 para 18,21,4 ng/mL, p<0,01) aos 60 dias, porém, houve redução do QUICKI aos 90 dias (0,390,03 para 0,350,01, p=0,01). No grupo com SM, a leptinemia reduziu aos 60 dias (20,31,9 para 14,71,1 ng/mL, p=0,01) e a adiponectinemia aos 90 dias (5,71,2 para 7,11,4 ng/mL, p<0,01), também houve remissão de 57,1% dos casos de SM. Sugerimos que, a dieta hipocalórica foi eficaz na redução do peso corporal e da MG, principalmente a localizada na região abdominal. Conseqüentemente, houve melhora considerável do perfil metabólico relacionado à obesidade no grupo sem SM, e também dos marcadores de sensibilidade à insulina e cardioprotetores relacionados à SM, além da remissão dos casos de SM.

Epidemiologia das infecções causadas por Staphylococcus aureus resistente a meticilina com perfil comunitário (CA-MRSA) em pacientes atendidos em um hospital terciário no Rio de Janeiro

O Staphylococcus aureus resistente a meticilina (MRSA) foi inicialmente descrito como um patógeno associado a infecções relacionadas à assistência em saúde; porém, um clone de MRSA, o CA-MRSA emergiu na comunidade e está atualmente incrementando nos hospitais. O objetivo desta tese foi descrever aspectos relacionados com a epidemiologia das infecções por cepas CA-MRSA no Hospital Universitário Pedro Ernesto da Universidade do Estado do Rio de Janeiro (HUPE/UERJ), avaliando especificamente fatores de risco relacionado com as infecções por CA-MRSA. Usando informações das bases de dados do laboratório de microbiologia, da farmácia e da Comissão para Controle da Infecção Hospitalar do HUPE/UERJ foi realizado um estudo retrospectivo de infecções/colonizações por cepas de S. aureus (fevereiro 2005 a Julho 2011). Foi realizado um estudo caso e controle, utilizando como casos os pacientes com infecções por cepas CA-MRSA. Na avaliação da susceptibilidade aos antimicrobianos usados em infecções graves por MRSA (vancomicina, teicoplanina, daptomicina e linezolida), foram determinadas as concentrações inibitórias mínimas (CIM) das amostras por diferentes metodologias (testes de difusão em agar, microdiluição em caldo e E-test). Nas analises das tendências temporais da apresentação dos subtipos de MRSA, usando um critério fenotípico para classifica��ão das cepas MRSA, foi observada uma diminuição do número de cepas de MRSA multirresistente (HA-MRSA) (p<0.05). Também foi observada uma tendência ao aumento de cepas não-multirresistentes (CA-MRSA), mas sem alcançar a significância estatística (p = 0.06) igual que os S. aureus sensíveis a meticilina (MSSA) (p = 0.48). Não houve associação entre o subtipo de MRSA e a mortalidade devida à infecção por cepas MRSA. Uma idade acima de 70 anos (OR: 2.46, IC95%: 0.99 - 6.11), a presença de pneumonia adquirida no hospital (OR: 4.94, IC95%: 1.65 -14.8), a doença pulmonar obstrutiva crônica (OR: 6.09, IC95% 1.16 31.98) e a leucemia (OR: 8.2, IC95%: 1.25 54.7) foram fatores de risco associadas à mortalidade nas infecções por cepas de S. aureus. Usando curvas de Kaplan-Meier, foi observada uma tendência ao aumento da mortalidade em infecções causadas por MSSA na primeira semana, porém sem alcançar significância estatística (p = 0.07). Não foram observadas amostras MRSA com susceptibilidade intermediaria a vancomicina, linezolida, daptomicina ou teicoplanina. A dinâmica das infecções por S. aureus no HUPE/UERJ mudou durante o período de estudo, com menor número de episódios infecciosos causados por cepas de MRSA multirresistentes. Existe uma tendência ao aumento das cepas não-multirresistentes de MRSA entanto que a taxa de infecções por MSSA permaneceu estável no período do estudo. O perfil de resistência dos estafilococos não teve associação com a mortalidade

Fish assemblages associated with three types of artificial reefs: density of assemblages and possible impacts on adjacent fish abundance

We evaluated the effectiveness of wooden artificial reefs (ARs) as fish habitat. Three types of ARs, made of cedar logs, broadleaf tree logs, and PVC pipes, respectively, were deployed in triplicate at 8-m depth off Maizuru, Kyoto Prefecture, Sea of Japan, in May 2004. Fish assemblages associated with each of the nine ARs were observed by using SCUBA twice a month for four years. Fish assemblages in the adjacent habitat were also monitored for two years before and four years after reef deployment. In the surveyed areas (ca. 10 m2) associated with each of the cedar, broadleaf, and PVC ARs, the average number of fish species was 4.14, 3.49, and 3.00, and the average number of individuals was 40.7, 27.9, and 20.3, respectively. The estimated biomass was also more greater when associated with the cedar ARs than with other ARs. Visual censuses of the habitat adjacent to the ARs revealed that the number of fish species and the density of individuals were not affected by the deployment of the ARs. Our results support the superiority of cedar as an AR material and indicate that deployment of wooden ARs causes no reduction of fish abundance in adjacent natural reefs.

Transitions in the morphological features, habitat use, and diet of young-of-the-year goosefish (Lophius americanus)

This study was designed to improve our understanding of transitions in the early life history and the distribution, habitat use, and diets for young-of-the-year (YOY) goosefish (Lophius americanus) and, as a result, their role in northeastern U.S. continental shelf ecosystems. Pelagic juveniles (>12 to ca. 50 mm total length [TL]) were distributed over most portions of the continental shelf in the Middle Atlantic Bight, Georges Bank, and into the Gulf of Maine. Most individuals settled by 50−85 mm TL and reached approximately 60−120 mm TL by one year of age. Pelagic YOY fed on chaetognaths, hyperiid amphipods, calanoid copepods, and ostracods, and benthic YOY had a varied diet of fishes and benthic crustaceans. Goosefish are widely scattered on the continental shelf in the Middle Atlantic Bight during their early life history and once settled, are habitat generalists, and thus play a role in many continental shelf habit

Implications of using On-Farm Flood Flow Capture to recharge groundwater and mitigate flood risks along the Kings River, CA

Two large hydrologic issues face the Kings Basin, severe and chronic overdraft of about 0.16M ac-ft annually, and flood risks along the Kings River and the downstream San Joaquin River. Since 1983, these floods have caused over $1B in damage in today’s dollars. Capturing flood flows of sufficient volume could help address these two pressing issues which are relevant to many regions of the Central Valley and will only be exacerbated with climate change. However, the Kings River has high variability associated with flow magnitudes which suggests that standard engineering approaches and acquisition of sufficient acreage through purchase and easements to capture and recharge flood waters would not be cost effective. An alternative approach investigated in this study, termed On-Farm Flood Flow Capture, involved leveraging large areas of private farmland to capture flood flows for both direct and in lieu recharge. This study investigated the technical and logistical feasibility of best management practices (BMPs) associated with On-Farm Flood Flow Capture. The investigation was conducted near Helm, CA, about 20 miles west of Fresno, CA. The experimental design identified a coordinated plan to determine infiltration rates for different soil series and different crops; develop a water budget for water applied throughout the program and estimate direct and in lieu recharge; provide a preliminary assessment of potential water quality impacts; assess logistical issues associated with implementation; and provide an economic summary of the program. At check locations, we measured average infiltration rates of 4.2 in/d for all fields and noted that infiltration rates decreased asymptotically over time to about 2 – 2.5 in/d. Rates did not differ significantly between the different crops and soils tested, but were found to be about an order of magnitude higher in one field. At a 2.5 in/d infiltration rate, 100 acres are required to infiltrate 10 CFS of captured flood flows. Water quality of applied flood flows from the Kings River had concentrations of COC (constituents of concern; i.e. nitrate, electrical conductivity or EC, phosphate, ammonium, total dissolved solids or TDS) one order of magnitude or more lower than for pumped groundwater at Terranova Ranch and similarly for a broader survey of regional groundwater. Applied flood flows flushed the root zone and upper vadose zone of nitrate and salts, leading to much lower EC and nitrate concentrations to a depth of 8 feet when compared to fields in which more limited flood flows were applied or for which drip irrigation with groundwater was the sole water source. In demonstrating this technology on the farm, approximately 3,100 ac-ft was diverted, primarily from April through mid-July, with about 70% towards in lieu and 30% towards direct recharge. Substantial flood flow volumes were applied to alfalfa, wine grapes and pistachio fields. A subset of those fields, primarily wine grapes and pistachios, were used primarily to demonstrate direct recharge. For those fields about 50 – 75% of water applied was calculated going to direct recharge. Data from the check studies suggests more flood flows could have been applied and infiltrated, effectively driving up the amount of water towards direct recharge. Costs to capture flood flows for in lieu and direct recharge for this project were low compared to recharge costs for other nearby systems and in comparison to irrigating with groundwater. Moreover, the potentially high flood capture capacity of this project suggests significant flood avoidance costs savings to downstream communities along the Kings and San Joaquin Rivers. Our analyses for Terranova Ranch suggest that allocating 25% or more flood flow water towards in lieu recharge and the rest toward direct recharge will result in an economically sustainable recharge approach paid through savings from reduced groundwater pumping. Two important issues need further consideration. First, these practices are likely to leach legacy salts and nitrates from the unsaturated zone into groundwater. We develop a conceptual model of EC movement through the unsaturated zone and estimated through mass balance calculations that approximately 10 kilograms per square meter of salts will be flushed into the groundwater through displacing 12 cubic meters per square meter of unsaturated zone pore water. This flux would increase groundwater salinity but an equivalent amount of water added subsequently is predicted as needed to return to current groundwater salinity levels. All subsequent flood flow capture and recharge is expected to further decrease groundwater salinity levels. Second, the project identified important farm-scale logistical issues including irrigator training; developing cropping plans to integrate farming and recharge activities; upgrading conveyance; and quantifying results. Regional logistical issues also exist related to conveyance, integration with agricultural management, economics, required acreage and Operation and Maintenance (O&M).

Southern California's megaflood event of ca. 1605 AD linked to large-scale atmospheric forcing

A distinct, 1- to 2-cm-thick flood deposit found in Santa Barbara Basin with a varve-date of 1605 AD ± 5 years testifies to an intensity of precipitation that remains unmatched for later periods when historical or instrumental records can be compared against the varve record. The 1605 AD ± 5 event correlates well with Enzel's (1992) finding of a Silver Lake playa perennial lake at the terminus of the Mojave River (carbon-14-dated 1560 AD ± 90 years), in relative proximity to the rainfall catchment area draining into Santa Barbara Basin. According to Enzel, such a persistent flooding of the Silver Lake playa occurred only once during the last 3,500 years and required a sequence of floods, each comparable in magnitude to the largest floods in the modern record. To gain confidence in dating of the 1605 AD ± 5 event, we compare Southern California's sedimentary evidence against historical reports and multi-proxy time-series that indicate unusual climatic events or are sensitive to changes in large-scale atmospheric circulation patterns. The emerging pattern supports previous suggestions that the first decade of the 17th century was marked by a rapid cooling of the Northern Hemisphere, with some indications for global coverage. A burst of volcanism and the occurrence of El Nino seem to have contributed to the severity of the events. The synopsis of the 1605 AD ± 5 years flood deposit in Santa Barbara Basin, the substantial freshwater body at Silver Lake playa, and much additional paleoclimatic, global evidence testifies for an equatorward shift of global wind patterns as the world experienced an interval of rapid, intense, and widespread cooling.

Effect of analytical conditions in wavelength dispersive electron microprobe analysis on the measurement of strontium-to-calcium (Sr/Ca) ratios in otoliths of anadromous salmonids

The use of strontium-to-calcium (Sr/Ca) ratios in otoliths is becoming a standard method to describe life history type and the chronology of migrations between freshwater and seawater habitats in teleosts (e.g. Kalish, 1990; Radtke et al., 1990; Secor, 1992; Rieman et al., 1994; Radtke, 1995; Limburg, 1995; Tzeng et al. 1997; Volk et al., 2000; Zimmerman, 2000; Zimmerman and Reeves, 2000, 2002). This method provides critical information concerning the relationship and ecology of species exhibiting phenotypic variation in migratory behavior (Kalish, 1990; Secor, 1999). Methods and procedures, however, vary among laboratories because a standard method or protocol for measurement of Sr in otoliths does not exist. In this note, we examine the variations in analytical conditions in an effort to increase precision of Sr/Ca measurements. From these findings we argue that precision can be maximized with higher beam current (although there is specimen damage) than previously recommended by Gunn et al. (1992).

Decadal climate variability over the North Pacific and North America: dynamics and predictability [abstract]

EXTRACT (SEE PDF FOR FULL ABSTRACT): The dynamics and predictability of decadal climate variability over the North Pacific and North America are investigated by analyzing various observational datasets and the output of a state-of-the-art coupled ocean-atmosphere general circulation model, which was integrated for 120 years.

The influence of climate on phytoplankton communities in the upper San Francisco estuary

EXTRACT (SEE PDF FOR FULL ABSTRACT): The 1977 climate shift was characterized by low chlorophyll a concentrations and a shift in phytoplankton community composition throughout the upper San Francisco Bay estuary. ... For climate to be a driving force in phytoplankton communities, it must affect mechanisms that control biomass and community composition. The influence of climate on environmental conditions and phytoplankton community composition among water-year types was examined using 19 years of physical, chemical, and phytoplankton data collected monthly at 15 stations throughout the estuary.