Repolarização ventricular em pacientes diabéticos: caracterização e implicações clínicas

FUNDAMENTO: O diabetes mellitus é uma doença crônica muito comum e ultimamente tem apresentado um considerável aumento da prevalência e incidência. Os diabéticos apresentam uma grande mortalidade cardiovascular na qual as arritmias ventriculares malignas parecem estar implicadas. OBJETIVO: Este trabalho propõe o estudo dos efeitos do diabetes nos parâmetros da repolarização ventricular responsáveis pelo aumento da suscetibilidade a arritmias ventriculares malignas e/ou morte súbita. MÉTODOS: Foi selecionado um grupo de 110 diabéticos e outro de 110 controles com a mesma distribuição de idade, sexo e raça. Avaliaram-se os parâmetros da repolarização ventricular QTmáx, QTméd, QTmín, QTc máx, QTc méd, QTc mín, dispersão de QT e de QTc, intervalo Tpeak-Tend e jTpeak-jTend (D II, V2 e V5), dispersão de Tpeak-Tend e de jTpeak-jTend. A aquisição do eletrocardiograma (ECG) foi efetuada pelo mesmo operador e a avaliação pelos mesmos observadores. Os intervalos QT foram corrigidos segundo a fórmula de Bazzet. RESULTADOS: Foram encontrados em diabéticos valores significativamente superiores aos controles de QTc máx (p < 0,001), QTc méd (p < 0,001), dispersão de QT (p < 0,001), dispersão de QTc (p < 0,001), dispersão de Tpeak-Tend (p < 0,001) e dispersão de jTpeak-jTend (p < 0,001). Em diabéticos verificaram-se valores prolongados do intervalo QTc (5,5%), dispersão de QT (0,9%), dispersão de QTc (0%), intervalo Tpeak-Tend (7,3%), intervalo jTpeak-jTend (6,4%), dispersão de Tpeak-Tend (16,4%) e dispersão de jTpeak-jTend (12,7%). Nos controles não se verificaram valores prolongados de nenhum parâmetro. CONCLUSÃO: Concluímos que o diabetes causa prolongação e dispersão espacial da repolarização, podendo contribuir para maior instabilidade elétrica ventricular da qual as arritmias ventriculares malignas poderão ser a expressão clínica expectável.

Análise estatística da distribuição de Poisson

The general properties of POISSON distributions and their relations to the binomial distribuitions are discussed. Two methods of statistical analysis are dealt with in detail: X2-test. In order to carry out the X2-test, the mean frequency and the theoretical frequencies for all classes are calculated. Than the observed and the calculated frequencies are compared, using the well nown formula: f(obs) - f(esp) 2; i(esp). When the expected frequencies are small, one must not forget that the value of X2 may only be calculated, if the expected frequencies are biger than 5. If smaller values should occur, the frequencies of neighboroughing classes must ge pooled. As a second test reintroduced by BRIEGER, consists in comparing the observed and expected error standard of the series. The observed error is calculated by the general formula: δ + Σ f . VK n-1 where n represents the number of cases. The theoretical error of a POISSON series with mean frequency m is always ± Vm. These two values may be compared either by dividing the observed by the theoretical error and using BRIEGER's tables for # or by dividing the respective variances and using SNEDECOR's tables for F. The degree of freedom for the observed error is one less the number of cases studied, and that of the theoretical error is always infinite. In carrying out these tests, one important point must never be overlloked. The values for the first class, even if no concrete cases of the type were observed, must always be zero, an dthe value of the subsequent classes must be 1, 2, 3, etc.. This is easily seen in some of the classical experiments. For instance in BORKEWITZ example of accidents in Prussian armee corps, the classes are: no, one, two, etc., accidents. When counting the frequency of bacteria, these values are: no, one, two, etc., bacteria or cultures of bacteria. Ins studies of plant diseases equally the frequencies are : no, one, two, etc., plants deseased. Howewer more complicated cases may occur. For instance, when analising the degree of polyembriony, frequently the case of "no polyembryony" corresponds to the occurrence of one embryo per each seed. Thus the classes are not: no, one, etc., embryo per seed, but they are: no additional embryo, one additional embryo, etc., per seed with at least one embryo. Another interestin case was found by BRIEGER in genetic studies on the number os rows in maize. Here the minimum number is of course not: no rows, but: no additional beyond eight rows. The next class is not: nine rows, but: 10 rows, since the row number varies always in pairs of rows. Thus the value of successive classes are: no additional pair of rows beyond 8, one additional pair (or 10 rows), two additional pairs (or 12 rows) etc.. The application of the methods is finally shown on the hand of three examples : the number of seeds per fruit in the oranges M Natal" and "Coco" and in "Calamondin". As shown in the text and the tables, the agreement with a POISSON series is very satisfactory in the first two cases. In the third case BRIEGER's error test indicated a significant reduction of variability, and the X2 test showed that there were two many fruits with 4 or 5 seeds and too few with more or with less seeds. Howewer the fact that no fruit was found without seed, may be taken to indicate that in Calamondin fruits are not fully parthenocarpic and may develop only with one seed at the least. Thus a new analysis was carried out, on another class basis. As value for the first class the following value was accepted: no additional seed beyond the indispensable minimum number of one seed, and for the later classes the values were: one, two, etc., additional seeds. Using this new basis for all calculations, a complete agreement of the observed and expected frequencies, of the correspondig POISSON series was obtained, thus proving that our hypothesis of the impossibility of obtaining fruits without any seed was correct for Calamondin while the other two oranges were completely parthenocarpic and fruits without seeds did occur.

Variação do número e da distribuição dos espinhos nos frutos da Mamoneira (Ricinus communis, L)

1) O caráter presença de espinhos nos frutos da mamoneira é determinado por um par de fatores dominantes SS, sendo a forma recessiva ss, inerme. A interação alélica nao é bem intermediária, havendo uma predominância do fator S. Êste resultado foi anteriormente constatado por HARLAND (7), PEAT (8), DOMINGO (2), GURGEL (4) e FERNANDES (3). 2) A constatação da segregação 1 SS : 2 Ss : 1 ss foi feita após extensivas contagens de espinhos, tanto na forma paternal, como também no Fl, F2 e "back-cross". Por essas contagens foi verificado que existem variedades com números diferentes de espinhos, podendo-se distinguir dois tipos: variedades que têm muitos espinhos, com uma média aproximada de 170 espinhos por fruto e variedades que têm um número médio de espinhos, com uma média aproximada de 113 espinhos por fruto. 3) Embora a segregação dos fatores S e s seja monofatorial, todavia foi constadada por uma análise estatística detalhada, a presença de gens modificadores agindo na geração F2, introduzidos pelos tipos paternais. Assim, o segregante SS no F2, tem mais espinhos do que o pai homozigoto da mesma constituição. 4) Foram encontrados dois novos gens cal e ca2, com interação não alélica do tipo de polimeria complementar duplo-recessiva, dando no F2 uma segregação de 15 com espinhos uniformes : 1 com espinho careca, no "back-cross" uma segregação de 3 com espinhos uniformes : 1 com espinho careca. Estes gens determinaram, nos frutos com espinhos, a formação de zonas sem espinhos, ou como denominamos, "carecas". Estes novos fatores foram encontrados numa única variedade, de n.° 51, conhecida por laciniada, em virtude da for- ma especial de suas fôlhas. Esta variedade é de côr verde, apresenta cera na haste e possui numerosos cachos, porém pequenos. Ê tida como planta ornamental e foi originalmente importada de Erfurt, Alemanha. 5) Mesmo nas variedades inermes foi constatada a presença dos gens Cal e Ca2, para distribuição uniforme de espinhos, embora nas ditas variedades não se possa identificar a sua presença, em virtude do gen s ser epistático recessivo sobre Cal e Ca2. 6) Uma vez que os fatores S e CalCa2 sao independentes, isto é, possivelmente situados em cromosômios diferentes, fazendo-se o cruzamento de variedades com espinho careca x variedades sem espinho, obtem-se o PI com número de espinhos intermediário e distribuição uniforme. No F2 obtém-se a segregação de 45 com espinho uniforme : 3 com espinho careca : 16 sem espinho e no "back-cross" a segregação de 3 com espinho uniforme : 1 com espinho careca : 4 sem espinho.

Raça de galinhas "piracicaba" I: hereditariedade dos caracteres pescoço pelado e plumagem preta

The characters naked neck and black plumage proved to be due to single genes in a group of chicks growing at the Poultry Department of "Luiz de Queiroz" School of Agriculture, Piracicaba, Brasil. The two characters segregate independently and the animals with known genetical constitution will be used in the formation of a local breed.

Uma raça cromossômica natural de Tityus bahiensis (Scorpiones-Buthidae)

A natural chromosomal race of Tityus babiensis (Scorpiones Buthidae) is described in the present paper. Five males and seven females received from St. Joaquim, State of S. Paulo, gave the following interesting results: All the spermatogonia of the five males were provided with 9 chromosomes of different sizes. All primary spermatocytes showed at metaphase one independent bivalent of normal shape and a complex group formed by 7 chromosomes which have exchanged parts. Some of the chromosomes associated in the complex group, to Judge by their behavior, were composed of fragments of three different chromosomes, being thus paired with three other members of the compound group. The manner in which all the 7 components of the group have paired with each other showed to be very constant. They gave always origin to a double-cross configuration, the longst branch of which being formed by a long chromosome paired with two components of the group and with a third chromosome that did not belong to the group. The chromosomes of the independent bivalent separate regularly, going to different poles. From the 7 elements of the compound group, 4 go to one pole and 3 to the opposite one. Consequently, secondary spermatocytes with 4 and 5 chromosomes are produced. The females, so far as it can be inferred from the study of the follicular cells of the ovariuterus, have 10 chromosomes. These females are, therefore, considered as being monogametic, that is, as producing eggs with 5 chromosomes. A sex-determining mechanism arose in this manner, the spermatozoa with 5 chromosomes giving origin to females and those with 4 to males. The fact that the sex chromosome is one of the elements taking part in the formation of the group, seems highly interesting to the author. Tetraploid cysts have been occasionally found in the testis. In one individual the chromosomes of the tetraploid primary spermatocytes behaved as expected, forming a group of 14 elements, and two independent pairs or a tetravalent group In another individual, the chromosomes of the tetraploid cells have formed two independent groups of 7, and two independent pairs, as if both chromosomal sets were by their turn entirely independent frcm one another. This fact is certainly not devoid of special interest. The males as well as the females studied in this paper differed in nothing from the typical members of the species. The unique differential character of the new race is found in the umber and behavior of its chromosomes. It is highly remarkable that the occurrences which have transformed the 6 chromosomes normally present in the species into a new set of 9 elements, 7 of which have been profoun- dly altered in their structure, do not show any influence on the morphology of the organism. This fact, together with those found in the salivary-chromosomes races of Drosophila and Sciara. compromises strongly the genetical concept of position effects.

Determinação do sexo em pintos da raça Rhode Island Red

Examinando 201 pintos de um dia da raça Rhode Island Red, de rebanho selecionado pela postura e considerando diversos caracteres, principalmente os relacionados com a côr da penugem, conseguimos acertar em 197, numa proporção de 98,01%, não relatada da bibliografia que conhecemos. Julgamos como mais importantes, os seguintes caracteres : mancha clara na asa notada em 100% dos machos e 6,30% das fêmeas; o anel claro na perna ocorreu em 91,80% dos machos e 3,70% das fêmeas. Estas duas particularidades, sòmente, permitem separação de sexo superior a 96%. O sinal junto ao ângulo posterior do olho foi observado em 95,10% das fêmeas e 36,70% dos machos; ponta da asa escura não ocorreu em um macho sequer, mas em 53.20% das fêmeas; ponta da asa clara foi notada em todos os machos e em 46,80% das fêmeas. Os demais caracteres mencionados no quadro, constituem elementos auxiliares de menor valor mas devem ser examinados para se esclarecerem dúvidas. Os erros decorreram de se dar mais importância à pinta escura na cabeça que ao anel claro na perna e à mancha no bordo da asa. O presente trabalho contribui para o esclarecimento do assunto principalmente por considerar o anel claro da perna e o sinal escuro próximo ao ângulo posterior do olho, caracteres valiosos e ainda não apontados anteriormente. Ainda mais, a observação metódica e conjunta de um grande número de atributos relacionados com o dimorfismo sexual constitui um subsídio ao esclarecimento de tão interessante questão.

Comportamento da raça Light Sussex em Piracicaba

Na Seção Técnica de Avicultura e Cunicultura desta Escola foram feitas durante três anos observações sobre o comportamento da raça Light Sussex, em contraste sobretudo com a Rhode I. Red. Verificou-se ser mais precoce no desenvolvimento, mais pesada, de carne mais tenra, de maior intensidade e menor persistência de postura, de menor fertilidade, do maior precocídade de postura, de maior predisposição ao choco e de maiores ovos. Apresenta boas qualidades de adaptação e criação que a tomam muito recomendável para as pequenas criações caseiras ou dos sitios, no mesmo sistema em que é geralmente criada na Inglaterra. Só excepcionalmente convirá a uma granja industrial preocupar-se com sua criação em larga escala.

Raça de galinhas "piracicaba": II. "Pedigree" das aves puras para os caracteres pescoço pelado e plumagem preta

The pedigree of chickens homozygous for black plumage and naked and now obtained in the Poultry Department of the "Luiz de Queiroz" School of Agriculture, was traced in this paper. The animals will be used in the formation of the new local breed called "Piracicaba PPPP", (Pescoço Pelado Preta de Piracicaba), which we propose to start with selection of others morphological characters and mainly the economical ones: egg laying, early maturing and soft-meated chickens.

Raça em formação de galinhas de plumagem azul e ovos azuis

This paper deals with the inheritance of black, blue and blue-splashed plumage in poultry. The material analysed had its origin in the State of Goias, Brazil and the genetical data seems to indicate the interaction of a single pair of genes as in the Andalusian fowls and other blue breeds. The dominant gene for blue egg is also present in the material and selection is now being directed to isolate a breed with blue plumage and blue eggs, named "Tudo Azul", what in Portuguese means all blue (plumage and eggs) and corresponds, in braziliian slang, to the expression "O. K." used in the United States. The commercial possibility of the chickens, as judging by its, laying capacity, is emphasized.

Raça em formação de galinhas de plumagem azul e ovos azuis - II. Teste de cruzamento

The data reported in this paper are in accordance with the hypothesis previously established (2) of the interaction of a main pair of alleles as controlling the inheritance of black, blue and blue-splashed plumage in chickens received from the State of Goias, Brazil. The black plumage is relatively uniform but the blue and blue splashed plumages indicate the action of other genes regulating the lack of uniformity.

Estudos sôbre a coloração da gema de ôvo de galinhas - IV. Efeito da raça e da quantidade de milho amarelo na ração

This paper deals with experiments on the yolk color of chicken eggs. The results obtained can be summarized as follows: a) no differences were observed when different breeds (S. C. W. Leghorn and Rhode Island Red) were fed whith the same ration: yellow corn grains or green feed. b) 30% of yellow corn grain (orange or yellow) in the ration are sufficient to give satisfactory color to the yolk eggs.

Raça de galinha "P P P P" (Pescoço Pelado Preta Piracicaba) III - Efeitos da consanguinidade

Four years of inbreeding and its effects on fertility, hatchability, viability and egg production in the new bred "PPPP" (Pescoço Pelado Preta Piracicaba) (naked neck and black plumage, Piracicaba) were reported in this paper. It was observed a decrease in fertility, hatchability, viability and egg production as the inbreeding increases. The black plumage naked neck homozygozous chickens are now submitted to a system of uncontrolled mating in the hope that the natural selection will reduce some of the undesirable factors providing abundant material for pedigree control.

Estudo sôbre a variação da produção leiteira na raça holandesa malhada de preto

The authors studied the effects of calving time, season and time elapsed after calving on milk production of the Holstein Friesian Breed of the "Escola Superior de Agricultura "Luiz de Queiroz" (Piracicaba, Brasil), 180 lactation periods of 300 days were studied, with 15 calvings in each month. Statistical analysis of the data proved : 1. That calving in May, June, July or August, that is, in the driest months, the cows give a milk production 17,3% larger than calving in December, January, February, March or April. August is the best month for calving, and February is the worst. 2. Spring is the most favorable, and Autumn the most unfavorable season for milk production. 3. The decrease of milk production during the lactation period depends largely on calving time. But, on the whole, linear regression can be used as a good aproximation, with a correlation coefficient r = - 0,9926 and a monthly decrease, per month elapsed after calving, of 8,06 percent of the general mean. 4. Diagram 1 shows the effects of calving month on milk production. The limits of 5%, 1% and l%o of probabilities are given there.

Estudos sôbre a distribuição do radiozinco no tomateiro (Lycopersicum esculentum)

The present paper relates a few experiments carried out to study the distribution of radiozinc in tomato seedlings as well its translocation in adult plants. 1 Tomato seedlings grown in nutrient solution were given during two weeks ca. 0.2 microcuries of Zn65C112; the seedlings were then harvested, and after careful washing of the roots with distiled water and diluted HC1, a radioautograph was taken (Fig. 1); this shows that the whole seedling, including the first cotyledon leaves are active; the Zn65 is preferentially concentrated, however, in the root system; this fact suggests that finding by ROSSITER (1953) that the roots of plants growing under natural conditions had a very high concentration of zinc is not due to soil contamination being ascribable to the physiology of such micronutrient. 2. The translocation of radiozinc was demonstrated by three different ways. In the first case, Zn65Cl2 was supplied to the nutrient solution during four weeks; three weeks after the addition of the radiozinc was discontinued, the newer leaves were detached and a radioautograph was taken (Fig. 2); the activity therein found shows that translocation occurred from the old leaves to the young ones. In the next experiment, identical procedure was followed but, instead of a radioautograph, different parts of the plant were ashed and counted; it was verified that 66.6 per cent of the activity supplied was absorbed; due to a great fixation within the roots only 5,6 per cent was translocated to the newer organs. In the third trial, Zn65C12 was directly applied to both upper and lower surfaces of medium aged leaves; counting the separated organs revealed that: 24.2 per cent of the activity applied hab been absorbed; however, 13.7 per cent translocated to the rest of the plant including to the roots. The author wishes to express his gratitude to Dr. P. R. Stout, Chairman, Dept. of Plant Nutrition, University of California, Berkeley and to Mr. A. B. Carlton for their help during part of this work. O autor agradece ao Laboratório de Isótopos da Universidade de São Paulo, na pessoa do Dr. T. Eston, o fornecimento do Zn65 usado neste trabalho.