Causes développementales dans la variabilité de l'efficacité et de la toxicité des antalgiques en pédiatrie [Developmental causes in variability of efficacy and toxicity of analgesics in pediatrics]

The intensity of pain perception and its sensibility to analgesic drugs is highly variable and unpredictable between individuals. Drug disposition varies during development due to the physiological maturation of enzymatic systems and physiological processes responsible for the absorption, distribution, elimination and effect at the site of action. Many of those developmental variables are not yet clearly defined, but their consideration is important for avoiding potential risks of ineffective or toxic treatment. Implications of those developmental changes for day-to-day clinical practice depend on the age of the child, on the type of drug, on the underlying disease and on the potential co-administration of other chemicals.

Absorção de manganês em soja RR sob efeito do glifosate

Foi levantada a hipótese de que o glifosate aplicado à soja resistente ao herbicida poderia alterar a eficiência de absorção e translocação do nutriente na planta. Com o objetivo de estudar o acúmulo e distribuição do Mn, assim como a cinética de absorção de Mn pela soja geneticamente modificada sob efeito da aplicação de glifosate, foram conduzidos dois experimentos. No primeiro, os tratamentos foram constituídos por duas cultivares de soja quase isogênicas cultivadas em solução nutritiva (Conquista e Valiosa RR com aplicação ou não do herbicida). As concentrações de Mn empregadas na solução nutritiva foram: 0; 0,085; 0,125; 0,250; e 0,500 mg L-1. Após 25 dias de cultivo, parte do total de plantas de soja transgênica foi pulverizada com o herbicida. No segundo experimento, para avaliação da cinética de absorção do Mn da cultivar Valiosa RR, as plantas foram pulverizadas com glifosate aos 26 dias de cultivo nas doses de 0, 15 e 960 g ha-1 e.a. Constatou-se que a transgenia para resistência ao herbicida não altera a nutrição mangânica na cultivar de soja Valiosa RR. Mesmo reduzindo a massa de matéria seca de raiz, o glifosate não interfere na absorção e no transporte de Mn na planta de soja transgênica. Quanto à absorção do Mn pela cultivar transgênica, os parâmetros cinéticos Km, Vmáx. e Cmín. não são alterados pelo herbicida aplicado via foliar.

Validation of a wrist monitor for accurate estimation of RR intervals during sleep.

While the incidence of sleep disorders is continuously increasing in western societies, there is a clear demand for technologies to asses sleep-related parameters in ambulatory scenarios. The present study introduces a novel concept of accurate sensor to measure RR intervals via the analysis of photo-plethysmographic signals recorded at the wrist. In a cohort of 26 subjects undergoing full night polysomnography, the wrist device provided RR interval estimates in agreement with RR intervals as measured from standard electrocardiographic time series. The study showed an overall agreement between both approaches of 0.05 ± 18 ms. The novel wrist sensor opens the door towards a new generation of comfortable and easy-to-use sleep monitors.

La variabilité chirurgicale en Suisse : différences intercantonales observées pour trois interventions

En Suisse, la variabilité géographique de la consommation de soins chirurgicaux est un domaine encore inexploré. Ce rapport examine de manière descriptive trois interventions chirurgicales réalisées en Suisse entre 2003 et 2005 : la prothèse partielle ou totale de hanche, la prothèse de genou et la cure de hernie discale. Il se concentre sur les caractéristiques démographiques des patients opérés, leur diagnostic et les différences des taux d'intervention selon les cantons. Les résultats sont présentés sous forme de taux bruts, de taux standardisés et de cartes géographiques de distribution.

Variabilité des concentrations plasmatiques de l'angiotensinogène et risque d'hypertension artérielle chez le rat transgénique [Variability of plasma angiotensinogen levels and risk of hypertension in a transgenic rat model].

AIM: Genetic polymorphisms of the human angiotensinogen gene are frequent and may induce up to 30% increase of plasma angiotensinogen concentrations with a blood pressure increase of up to 5mmHg. Their role for the pathogenesis of human arterial hypertension remains unclear. High plasma angiotensinogen levels could increase the sensitivity to other blood pressure stressors. METHODS: Male transgenic rats with a 9-fold increase of plasma angiotensinogen concentrations and male non-transgenic rats aged 10 weeks were treated or not with NG-Nitro-L-arginine-methyl ester for 3 weeks in their drinking water (n=3/group). Systolic blood pressure and body weight were measured at baseline and at the end of the study when left ventricular weight and ventricular expression of angiotensin I-converting enzyme and procollagen Iα1 were determined (polymerase chain reaction). RESULTS: At baseline, transgenic rats had +18mmHg higher bood pressure and -8% lower body weight compared to non-transgenic rats (P<0.05) without significant changes for the vehicle groups throughout the study (P>0.05). NG-Nitro-L-arginine-methyl ester increased blood pressure, left ventricular weight and left ventricular weight indexed for body weight by +41%, +17.6% and +18.6% (P<0.05) in transgenic and +25%, +5.3% and +6.7% (P>0.05) in non-transgenic rats compared to untreated animals, respectively. Cardiac gene expression showed no differences between groups (P>0.05). CONCLUSION: Increased plasma angiotensinogen levels may sensitize to additional blood pressure stressors. Our preliminary results point towards an independent role of angiotensinogen in the pathogenesis of human hypertension and associated end-organ damage.