Submitral left ventricular aneurysm. Case report and review of published Brazilian cases

Submitral left ventricular aneurysm is a cardiac pathology widely recognized, but relatively unknown, occurred almost exclusively in African black patients. Although still this idea of racial prevalence exists, cases have been described in patients of all the races. Ten Brazilian cases were reported. One of them was presented inside an Italian paper that refers the surgical treatment of a Brazilian patient of black race. We reported one more submitral left ventricular aneurysm case in a brown female patient, with antecedents of peripheral thromboembolism initially not identified as consequence of the cardiac pathology.

Effectiveness of primary angioplasty in the treatment of acute myocardial infarction. Analysis of in-hospital and late outcomes in 135 consecutive cases

OBJECTIVE: Evaluate early and late evolution of patients submitted to primary coronary angioplasty for acute myocardial infarction. METHODS: A prospective study of 135 patients with acute myocardial infarction submitted to primary transcutaneous coronary angioplasty (PTCA). Success was defined as TIMI 3 flow and residual lesion <50%. We performed statistical analyses by univariated, multivariated methods and survival analyze by Kaplan-Meier. RESULTS: PTCA success rate was 78% and early mortality 18,5%. Killip classes III and IV was associated to higher mortality, odds ratio 22.9 (95% CI: 5,7 to 91,8) and inversely related to age <75 years (OR = 0,93; 95% CI: 0.88 to 0.98). If we had chosen success flow as TIMI 2 and had excluded patients in Killip III/IV classes, success rate would be 86% and mortality 8%. The survival probability at the end or study, follow-up time 142 ± 114 days, was 80% and event free survival 35%. Greater survival was associated to stenting (OR = 0.09; 0.01 to 0.75) and univessel disease (OR = 0.21; 0.07 to 0.61). CONCLUSION: The success rate was lower and mortality was higher than randomized trials, however similar to that of non randomized studies. This demonstrated the efficacy of primary PTCA in our local conditions.

Epidemiological study of congenital heart defects in children and adolescents: analysis of 4,538 cases

OBJECTIVE: To analyze the frequency and prevalence of congenital heart defects in a tertiary care center for children with heart diseases. METHODS: We carried out an epidemiological assessment of the first medical visit of 4,538 children in a pediatric hospital from January 1995 to December 1997. All patients with congenital heart defects had their diagnoses confirmed at least on echocardiography. The frequency and prevalence of the anomalies were computed according to the classification of sequential analysis. Age, weight, and sex were compared between the groups of healthy individuals and those with congenital heart defects after distribution according to the age group. RESULTS: Of all the children assessed, 2,017 (44.4%) were diagnosed with congenital heart disease, 201 (4.4%) with acquired heart disease, 52 (1.2%) with arrhythmias, and 2,268 (50%) were healthy children. Congenital heart diseases predominated in neonates and infants, corresponding to 71.5% of the cases. Weight and age were significantly lower in children with congenital heart defects. Ventricular septal defect was the most frequent acyanotic anomaly, and tetralogy of Fallot was the most frequent cyanotic anomaly. CONCLUSION: Children with congenital heart defects are mainly referred during the neonatal period and infancy with impairment in gaining weight. Ventricular septal defect is the most frequent heart defect.

Study of the cardiac alterations in HIV-infected children consequent to the antiretroviral therapy: prospective study of 47 cases

OBJECTIVE: Detect of cardiac alterations in children with AIDS and compare their evolution with the administration of only one anti-retroviral and the recent cases who received drugs in combination. METHODS: We prospectively studied 47 children in 3 groups: group 1, 20 cases treated only with zidovudine; group 2, 10 patients treated initially with zidovudine and later with a combination of drugs and in group 3, 17 patients, who receiced two or three since the beginning. In all patients it was done chest X-ray, EKG and echocardiography every 6 months and after death complete pathological study. RESULTS: Among the 45 patients cases 26 (57%) were index cases. Malnutrition, diarrhea tachycardia, signs of congestive heart failure, pericardial effusion, abnormal ventricular repolarization and arrhythmias were more frequent in group 1. Echocardiographic abnormalities were present in 10 (50%) children of group 1. They were less frequent in the others two groups. In regard to the outcome in group 1, two patients had worsening of sings of cardiomyopaty and 4 died. Cardiac dysfunction in all cases of group 2 and 3 improved with the medication. CONCLUSION:- The children who received combination and their cardiac alterations had more favorable outcome than those who received only one drug.

Intrauterine ductus arteriosus constriction: analysis of a historic cohort of 20 cases

OBJECTIVE: To describe the relative incidence, presentation, and evolvement of fetuses with early ductus constriction. METHODS: Twenty fetal echocardiograms indicating ductus constriction were reviewed in a population of 7000 pregnants. RESULTS: The cases were divided into group A (related to maternal use of cyclooxygenase inhibitors [n=7] and group B (idiopathics [n=13]). Mean gestational age was 32.5±3.1 (27-38) weeks and maternal age was 28.2±8.5 (17-42) years. Mean systolic velocity in the ductus was 2.22±0.34 (1.66-2.81) m/s, diastolic velocity 0.79±0.28 (0.45-1.5) m/s, and pulsatility index 1.33±0.36 (0.52-1.83). Two cases of ductal occlusion were noted. In 65% of the cases, an increase occurred in the right cavities; in 90% of the cases, tricuspid or pulmonary regurgitation, or both, occurred, with functional pulmonary atresia in 1 case. Diastolic velocity was greater in group A (1.13±0.33) than in group B (0.68±0.15) (P=0.008). The other data were similar in the 2 groups. The evolvement was not favorable in 4 patients from group B, including 1 death and 2 cases of persistent pulmonary hypertension. CONCLUSION: The high incidence of idiopathic constriction of the ductus arteriosus suggests that its diagnosis is underestimated and that many cases of persistence of fetal circulation in newborns may be related to constriction of the ductus arteriosus not diagnosed during intrauterine life. Group B had a lower severity but a risk of an unfavorable evolvement, suggesting a distinct alteration.

Dosagem dos níveis de NT pro-BNP nas afecções pericárdicas e sua utilidade como método complementar de avaliação de restrição diastólica. Experiência inicial de 25 casos: 25 cases

OBJETIVO: Determinar se os níveis de NT pro-BNP encontram-se elevados em pacientes com afecções pericárdicas e avaliar a sua relação com medidas ecocardiográficas de disfunção diastólica. MÉTODOS: Vinte e cinco pacientes foram divididos em dois grupos: 1) derrame pericárdico (DP), 15 pacientes; 2) pericardite constritiva (PC), 10 pacientes. Foi constituído um grupo controle de 30 indivíduos sem doença cardíaca. O grau de derrame pericárdico foi avaliado pelo ecocardiograma bidimensional e a restrição avaliada pelo Doppler pulsátil do fluxo mitral. O diagnóstico de PC foi confirmado por meio da ressonância magnética. Os níveis de NT pro-BNP foram medidos por imunoensaio com detecção por eletroquimioluminescência. RESULTADOS: Dos 15 pacientes com DP, 14 apresentavam DP importante e apenas 1, moderado. Log NT pro-BNP esteve aumentado no DP (p <0,05), com média de log 2,31 pg/ml e PC (p <0,05), com média de log 2,67 pg/ml, quando comparados ao grupo controle, média de log 1,32 pg/ml. Não houve diferença entre DP e PC (p = 0,149). O log NT pro-BNP correlacionou-se com o pico de velocidade da onda E (r = 0,845; p = 0,001) e com a relação E/A (r=0,717; p= 0,003). CONCLUSÃO: O NT pro-BNP encontra-se aumentado nas afecções pericárdicas e apresenta relação com o grau de disfunção diastólica, podendo servir como método adicional na quantificação de restrição.

Poéticas y políticas de los cuerpos juveniles. Tres estudios en caso en Córdoba. The poetics and politics of youths' bodies.Three cases studies.

¿Qué formas adquieren los cuerpos de los jóvenes bajo las actuales condiciones de producción? ¿Cuáles son sus poéticas? ¿Qué relaciones de fuerza se realizan en estas formas? ¿Cómo se inscriben en los cuerpos las relaciones de dominación, el "ethos" y la cosmovisión de un grupo social? Estas son algunas de las cuestiones que orientan el presente proyecto, interesado en explorar y describir sistemáticamente los procesos sociales del devenir "joven" en Córdoba. La investigación aborda algunas de las problemáticas propias de los jóvenes en tanto grupo social heterogéneo y diferenciado a partir del análisis de las prácticas de producción, consumo, interpretación y circulación de bienes culturales asociados con la diversión y el tiempo libre. Los tres objetos empíricos, localizados en la ciudad de Córdoba, son:o las salidas nocturnas de jóvenes estudiantes universitarios o la formación y el entrenamiento de los bailarines clásicos en el Teatro del Libertador Gral. San Martín. o las prácticas de entretenimiento y socialización lúdica entre los jóvenes de la comunidad de sordos de Córdoba.La hipótesis central de la investigación sostiene que la música y el baile tienen la capacidad de producir las identidades que nombran. Esta producción de cuerpos y subjetividades se realizaría en las performances sociales ("las salidas nocturnas" y "fiestas de la comunidad sorda") y las performances artísticas (clases, ensayos y funciones de ballet) donde se da la interacción entre las identidades actuadas por los sujetos y las ofrecidas por las diferentes músicas, bailes y movimientos corporales. En este sentido, proponemos que las performances articulan una particular identidad cuando quienes la protagonizan experimentan que la música y el baile se "ajusta" a la trama argumental que organiza sus narrativas identitarias.ObjetivosGENERAL:o Describir, de modo denso, las prácticas y representaciones implicadas en el proceso de materialización de los cuerpos y relacionarlas con los procesos de subjetivación y formación de identidades juveniles. ESPECÍFICOS.o Explorar la relación entre las diversas formas de consumo cultural en la formación de un estilo de vida y en la formación de identidades colectivas. o Describir los procesos de entrenamiento de los bailarines de música clásica.o Analizar los procesos de comunicación no verbal entre jóvenes de la comunidad sorda.Materiales y métodos.Para realizar esta investigación se construirá por medio de técnicas cuali y cuantitativas un corpus heterogéneo de materiales textuales, gráficos y audiovisuales, así como de entrevistas en profundidad, de experiencias etnográficas de observación participante y de investigación cuantitativa. Dicho corpus recibirá un tratamiento diferencial según el soporte y género, pero en todos los casos trabajando desde una matriz de análisis que considere los procesos de construcción de sentido y las relaciones entre cuerpo, subjetividad e identidad. En el análisis de los datos se pondrán en juego herramientas conceptuales tomadas de la Antropología Simbólica, la Antropología de la Danza, el Análisis del Discurso, la Sociología del Arte y los Estudios de la Performance. Resultados esperados.Se espera elaborar indicadores para medir la producción, circulación y consumo de bienes simbólicos. El desenvolvimiento del proyecto permitirá también la formación de recursos humanos en investigación y se contempla presentaciones a reuniones científicas, publicación en revistas nacionales e internacionales y la elaboración de dos libros. Por último se implementarán actividades de capacitación y asesoramiento para instituciones relacionados con los jóvenes. Importancia del ProyectoLos resultados de la investigación permitirán una interpretación más comprehensiva de los sentidos que poseen para jóvenes cordobeses problemáticas sociales como las adicciones, el alcoholismo, la salud sexual y reproductiva, las prácticas discriminatorias o los usos de las nuevas tecnologías.

Desarrollo tecnológico de germoplasma a partir de plantas nativas ornamentales: los casos de Glandularia y Solidago. Technological development of native ornamental germoplasm: the cases of Solidago and Glandularia genera.

Un importante número de especies ornamentales que se cultivan en el mundo derivan de germoplasma Sudamericano. El uso de Recursos Genéticos nativos para el desarrollo de plantas ornamentales ha sido escasamente explotado en Argentina, por lo que el país no ha tenido beneficio alguno. El sector depende de variedades desarrolladas en el exterior lo que implica el pago de regalías inclusive para el caso de variedades derivadas de especies nativas argentinas. Las poblaciones naturales (distintas especies de Glandularia, distintos ecotipos de Solidago) presentan, una considerable variabilidad en distintos caracteres vegetativos y reproductivos que les permiten sobrevivir en ambientes con distintas condiciones climáticas, edáficas, bióticas, etc. Es por ello que, a partir de dicha variabilidad existente en las poblaciones naturales, será posible seleccionar individuos con caracteres de alto valor ornamental. Si bien el valor ornamental de los géneros Glandularia y Solidago es reconocido, no se han realizado avances en el conocimiento de su biología floral o su potencialidad para generar variabilidad en el país, aunque se conoce el éxito económico de las variedades comerciales desarrolladas en el exterior. Los objetivos del presente proyecto serán lograr avances en la obtención de variedades ornamentales o clones noveles a partir de especies nativas a través de la selección de genotipos superiores e hibridaciones interespecíficas en Glandularia y la domesticación, caracterización y selección de clones superiores y/o noveles en Solidago. La metodología para lograr dichos objetivos será: recolección de germoplasma en zonas de distribución, identificación taxonómica, domesticación, caracterización y mejoramiento genético clásico. Los resultados obtenidos permitirán determinar la aptitud combinatoria de las especies del género Glandularia, como así también aportar elementos científicos básicos para encarar futuros trabajos de mejoramiento, entre ellos, se deberá poder identificar las barreras a la hibridación interespecífica (pre o post cigóticas). Estos conocimientos resultan básicos e indispensables en el momento de establecer estrategias racionales para la superación de las barreras a la hibridación. En el género Solidago, los resultados obtenidos son permitirán establecer una base genética lo suficientemente amplia como para establecer los lineamientos necesario para el logro de nuevas variedades ornamentales. A partir de este proyecto se podrá disponer de material con distintos grados de desarrollo: colecciones de los géneros Glandularia y Solidago caracterizadas, domesticadas y materiales avanzados en el mejoramiento. Estos productos contribuirán al mayor conocimiento de la flora nativa ornamental, colaborarán con la sustentabilidad del sistema agroecológico, permitirán la formación de recursos humanos, el fortalecimiento del grupo y su integración con el sector productivo.

Preparació de materials híbrids orgànico-inorgànics a partir de sals d'imidazoli

Estudi elaborat a partir d’una estada a l’ Ecole Nationale Supérieure de Chimie de Montpellier, França, durant 2006. S’han sintetitzat materials híbrids orgànico-inorgànics mitjançant el procés sol-gel i altres estratègies sintètiques. En alguns casos, s’ha intentat estructurar aquests materials, ja sigui per autoestructuració o per mitjà de tensioactius. Com a catalitzadors de les reaccions d'hidròlisi i policondensació s’han utilitzat àcids, bases i fluorurs. Els materials obtinguts s’han caracteritzat mitjançant diferents tècniques: BET (Brunauer-Emmett-Teller), TEM (microscopia electrònica de transmissió), SEM (microscòpia electrònica de rastreig), raigs X en pols , IR i RMN (ressonància magnètica nuclear) en estat sòlid. Amb aquests materials es pretén preparar catalitzadors heterogenis de Pd per reaccions d’acoblament creuat, i de Ru per reaccions de metàtesi. També s’han sintetitzat sals d'imidazoli amb cadenes hidrocarbonades llargues amb l'objectiu de preparar gels de sílice amb aquestes molècules atrapades dins la matriu inorgànica. Aquests materials s’utilitzaran com a organocatalitzadors i també es prepararan els corresponents catalitzadors de Pd per reaccions de Heck, Suzuki i Sonogashira. Les sals d’imidazoli s’han utilitzat com a tensioactius en la preparació de gels de sílice estructurats. Aquestes molècules han resultat ser cristalls líquids i s’han caracteritzar mitjançant DSC (differential scanning calorimetry), microscopia òptica i raigs X.

Payments for environmental services in watersheds: insights from a comparative study of three cases in Central America

We have compared three cases of payments for water-related environmental services (PES) in Central America, in terms of socioeconomic background, opportunity costs of forest conservation and stakeholders’ perceptions on the conditions of water resources and other issues. We found that, in general, the foregone benefits from land uses alternative to forest cover are larger than the amount paid, which apparently contradicts the economic foundation of PES schemes. A number of possible explanations are explored. The results also suggest that trade-offs between different environmental and social goals are likely to emerge in PES schemes, posing some doubts on their ability to be multipurpose instruments for environmental improvement and rural development. We also found that PES schemes may work as a conflictresolution instrument, facilitating downstream -upstream problem solving, though at the same time they might introduce changes in social perceptions of property rights.

Why did London become the main money market? Monetary Policy, Arbitrage and European Money Market Integration in 18th century

How did the leading capital market start to attract international bullion? Why did London become the main money market? Monetary regulations, including the charges for minting money and the restrictions on bullion exchange, have played the key role in defining the direction of the flow of international bullion. Countries that abolished minting charges and permitted the free movement of bullion were able to attract international bullion, and countries that applied minting taxes suffered an outflow of bullion. In these cases monetary authorities tried to limit bullion movement through prohibitions on domestic bullion exchange at a free price, and tariffs and quantitative restrictions on bullion exports. The paper illustrates the logic of international monetary flow in the 18th century, using empirical evidence for England, France and Spain. The first section defines and measures monetary policy, and the second section introduces minting charges into the arbitrage equation in order to explain the logic of bullion flow between the pairs of nations England-France, England-Spain and France-Spain. The conclusion emphasises the importance of monetary policy in the creation of leading money markets.

Protistas "incerta sedis" de ofídios do Brasil: Toddia França, 1912 e Pirhemocyton Chatton & Blanc, 1914: estudo comparativo

Dentre 683 serpentes procedentes de diferentes pontos do Brasil, 16 (2,4%) apresentaram em seu sangue (em glóbulos vermelhos maturos e imaturos) Toddia ou Pirhemocyton. Denominamos provisoriamente Toddia os parasitos encontrados em Bothrops moojeni, B. pradoi, B. jararaca e Chironius flavolineatus e Pirhemocyton os encontrados em B. alternatus; fornecemos a primeira referência nestes hospedeiros. Estes parasitos foram estudados comparativamente com o objetivo de estabelecermos a extensão de suas afinidades. Com Toddia de B. moojeni realizamos técnica citoquímica para caracterização de ácidos nucleicos e encontramos positividade apenas para DNA. As maiores afinidades entre os parasitos estudados residiam nas características dos corpúsculos cromáticos e alterações celulares que determinam; observarmos quase total identidade nas maneiras como os parasitos da mesma espécie de serpente se apresentaram. Constatamos a coexistência de inclusões globóides, cristalóides e formas intermediárias associada aos parasitos de B. pradoi e B. alternatus; em C. flavolineatus encotnramos além dos cristais, raríssimas formas intermediárias entre estes e globóides. Afinidades entre Toddia e Pirhemocyton abrangendo o tipo de inclusão contrariam as descrições originais, tornando pouco válida esta separação genérica. Discutimos também os fundamentos da criação das espécies e a possível natureza virótica destes parasitos.

The viral nature of Toddia França, 1912

Toddia França, 1912 under the light microscope occurs as inclusion corpuscles in the cytoplasm of erythrocytes of cold-blooded vertebrates sometimes accompanied by crystalloid bodies. Its position among the protozoans or the viruses has been discussed by some authors, but remained unclear. To elucidate this problem we studied Toddia from a Brazilian frog (Leptodactylus ocellatus) by electron microscopy. In the cytoplasm of the infected cells we found no protozoan, but rather virus-like particles often hexagonal in outline, averaging 195 nm excluding their two involving membranes, and presenting a central area of variable electron density. Particles at different stages of development were generally found around or on area lighter density than the cytoplasm. which resembled a virus synthesis site. At high magnification, the nuclear or cytoplasmic crystals allied to Toddia resembled the crystalline lattice of the inclusion bodies associated with the polyhedrosis viruses and poxviruses from insects, of the capsules of granulosis viruses and of other protein crystals in ultrathin sections. Cytochemical tests in Toddia corpuscles displayed exclusively the presence of deoxyribonucleic acid. These findings indicate that Toddia is not a protozoan and demonstrate that it is in all probability a viral inclusion corpuscle. Taking into account the nucleic acid type found in its structure (DNA) and the hexagonal shape usually shown in ultrathin sections by its component particles, which have a cytoplasmic site of synthesis and assembly, we tentatively relate Toddia with the so-called "Icosahedral Cytoplasmic Deoxyriboviruses". We believe that the present paper gives the first report of virus-like particles in L. ocellatus.

The microps group of Lutzomyia França with descriptions of two new species from South America (Diptera: Psychodidae: Phlebotominae)

Six species of phlebotomine sand flies in the genus Lutzomyia França from South America are included in the newly-created species group microps. References and illustrations of the species are given, including descriptions of two new forms - L. nematoducta n.sp., male and female from northern Brazil, and l. preclara n.sp. male from Colombia and Peru. The males in the species group microps are keyed.

The vertical dispersión of Anopheles (Kerteszia) cruzi in a forest in southern Brazil suggests that human cases of malaria of simian origin might be expected

By staining females of Anopheles cruzi with fluorescent coloured powders in a forest in the State of Santa Catarina, we showed that they move from canopy to ground and vice-versa to feed. This suggests that in areas where this mosquito is a vector of human and simian malarias sporadic infections of man with monkey plasmodia might be expected.