Causes of resistant hypertension detected by a standardized algorithm

Resistant hypertension (RH) is characterized by blood pressure above 140 × 90 mm Hg, despite the use, in appropriate doses, of three antihypertensive drug classes, including a diuretic, or the need of four classes to control blood pressure. Resistant hypertension patients are under a greater risk of presenting secondary causes of hypertension and may be benefited by therapeutical approach for this diagnosis. However, the RH is currently little studied, and more knowledge of this clinical condition is necessary. In addition, few studies had evaluated this issue in emergent countries. Therefore, we proposed the analysis of specific causes of RH by using a standardized protocol in Brazilian patients diagnosed in a center for the evaluation and treatment of hypertension. The management of these patients was conducted with the application of a preformulated protocol which aimed at the identification of the causes of resistant hypertension in each patient through management standardization. The data obtained suggest that among patients with resistant hypertension there is a higher prevalence of secondary hypertension, than that observed in general hypertensive ones and a higher prevalence of sleep apnea as well. But there are a predominance of obesity, noncompliance with diet, and frequent use of hypertensive drugs. These latter factors are likely approachable at primary level health care, since that detailed anamneses directed to the causes of resistant hypertension are applied. © 2012 Livia Beatriz Santos Limonta et al.

Antinociceptive and Behavioral Effects of Methadone Alone or in Combination with Detomidine in Conscious Horses

The antinociceptive and behavioral effects of methadone (MET) alone or combined with detomidine (DET) were studied in horses. Intravenous treatments were randomly administered in a two-phase crossover study. In phase 1, six horses were treated with saline (control) or 0.2 or 0.5 mg/kg methadone (MET0.2; MET0.5, respectively). In phase 2, six horses were treated with 0.01 mg/kg DET alone or with DET combined with 0.2 mg/kg MET (DET/MET0.2). Thermal nociceptive threshold (TNT) and electrical nociceptive thresholds (ENT) were recorded by using a heat projection lamp and electrodes placed in the coronary band of the thoracic limbs, respectively. Spontaneous locomotor activity (SLA) was studied by movement sensors in the stall (phase 1). Chin-to-floor distance was assessed in phase 2. In phase 1, the TNT increased significantly for 30 minute after MET0.5 but not after saline or MET0.2. Hyperesthesia and ataxia were observed in 2 of 6 and 6 of 6 horses after MET0.2 and MET0.5, respectively. SLA increased significantly for 120 minutes after MET in a dose-dependent way, but not after placebo. In phase 2, DET and DET/MET0.2 significantly increased the TNT and ENT above baseline for 15 and 30 minutes, respectively; thresholds were significantly higher with DET/MET0.2 than with DET at the same times. Chin-to-floor distance decreased significantly from baseline for 30 minutes, and no excitatory behavior was observed in both treatments. Although the higher dose of MET induced short-acting antinociception, the associated adverse effects may contraindicate its clinical use. The lower dose of MET potentiated DET-induced antinociception without adverse effects, which might be useful under clinical circumstances. © 2013 Elsevier Inc. All rights reserved.

Efeitos da hidratação sobre a modulação autonômica e parâmetros cardiorrespiratórios durante e após exercício físico de longa duração

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeitos da administração peridural de neostigmina associada ou não a clonidina sobre a concentração alveolar mínima do isoflurano em cães

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

Efeitos antinociceptivos, cardiorrespiratórios e gastrointestinais da detomidina associada ou não à metadona em equinos

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

Desenvolvimento de filtros solares a partir de complexos metálicos de Zn2+ e/ou Ce3+ com quercetina para protetores solares

Pós-graduação em Química - IQ

Complexos de európio e /ou de zinco com ácido 3-piridinocarboxílico

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Complexos triazólicos de Pd(II): síntese, caracterização e atividade biológica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Complexos de rutênio (II) contendo ligantes nitrogenados como fotossensibilizadores em células solares

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Comparação dos efeitos do sufentanil e da clonidina administrados por via endovenosa para sedação em pacientes submetidos a cateterismo cardíaco

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise da influência do calço e do movimento de inclinação lateral da coluna vertebral em indivíduos com escoliose idiopática

Pós-graduação em Ciências da Motricidade - IBRC

Bioprospecção e caracterização químico-funcional de compostos orgânicos da baixas massas molecularesde venenos das vespas sociais: Agelaia pallipes pallipes, Agelaia vicina e Polybia paulista (Hymenoptera - Vespidae)

Pós-graduação em Ciências Biológicas (Biologia Celular e Molecular) - IBRC

Efeitos cardiorrespiratórios da infusão contínua de amitraz ou de romifidina em equinos anestesiados com isofluorano. Determinação das concentrações plasmáticas do amitraz

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

Síntese, estrutura e propriedades de complexos de molibdênio, prata e chumbo com ácido 'alfa'-hidroxicarboxílicos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Novas espécies moleculares e supramoleculares de cobre (II) contendo aminas bidentadas: síntese, caracterização estrutural e investigação do comportamento vapocrômico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)