Facilitation de la procédure d’ablation de fibrillation auriculaire persistante après restauration du rythme sinusal pré-procédure : une étude multicentrique comparative

L’ablation de fibrillation auriculaire (FA) persistante est associée à des temps de procédure plus longs et à un moindre succès par rapport à l’ablation de FA paroxystique. Nous avons posé l’hypothèse que la restauration et le maintien du rythme sinusal ≥ 1 mois pré-procédure faciliteraient la terminaison de la FA et amélioreraient le succès de la procédure. Méthodes: Nous avons conduit une étude rétrospective comparant deux cohortes de patients consécutifs se présentant en FA persistante pour première ablation de FA : le groupe rythme sinusal (RS) avec restauration et maintien du rythme RS ≥ 1 mois pré-procédure (Groupe RS; N=40) et un groupe contrôle de patients en FA pré ablation (Groupe contrôle; N=40), apparié selon le sexe, l’âge, la longueur maximale de durée de FA. Une ablation de type en paliers (“stepwise”) a été réalisée dans les deux groupes (avec FA induite en début de procédure dans le groupe RS). Le succès a été défini par l’absence de récidive de FA ou de tachycardie atriale sans anti arythmique après un suivi minimal de 12 mois post procédure. Résultats: Durant la procédure de index d’ablation de FA, le cycle de FA était plus long dans le groupe RS par rapport au groupe contrôle (183±32 vs 166±20 ms, P=0.06) suggérant un remodelage inverse. Dans le groupe RS, la FA a été terminée plus fréquemment par l’ablation (95.0% vs 77.5%, P<0.05) et a demandé une ablation moins extensive avec moins d’ablation des électrocardiogrammes fragmentés (40.0% vs 87.5%, p<0.001) et moins de lésions linéaires (42.5% vs 82.5%, p<0.001). Les durées moyennes de procédure (199.8±69.8 vs 283.5±72.3 minutes, P<0.001), de fluoroscopie (51.0±24.9 vs 96.3±32.1 minutes, P<0.001), et de radiofréquence (47.5±18.9 vs 97.0±30.6 minutes, P<0.001) ont été plus courtes dans le groupe RS. Les succès cliniques ont été comparables dans les deux groupes après la première (55.0% vs 45.0%, P=0.28) et la dernière procédure (80.0% vs 70.0%, P=0.28), après une durée moyenne de suivi comparable (21.1±9.7 mois).

Análisis de los factores políticos que incidieron en la participación de los partidos kurdos PDK y UPK en la guerra de Irak 2003–2009

Este estudio de caso se enfoca en identificar cuales fueron los factores que motivaron la participación de los partidos kurdos PDK y UPK en la invasión a Irak 2003 – 2009. Con base en los supuestos teóricos de autores realistas K.Waltz, M. Ayoob y liberales y R. Keohane y J. Nye, se estudian las dinámicas y las interacciones que permitieron establecer un acercamiento con los Estados Unidos con un énfasis específico en los intereses políticos de los partidos kurdos. El kurdistán iraquí llega a ser el área clave para el acercamiento de la potencia a la zona y los intereses políticos permitieron establecer un escenario de cooperación e interdependencia, incrementando tanto la participación como la autonomía de los kurdos en las dinámicas del país y de la región.

Effect of intensive vs. free range production on the fat and fatty acid composition of whole birds and edible portions of retail chickens in the UK

The primary objective was to compare the fat and fatty acid contents of cooked retail chickens from intensive and free range systems. Total fat comprised approximately 14, 2.5, 8, 9 and 15 g/100 g cooked weight in whole birds, skinless breast, breast with skin, skinless leg and leg meat with skin, respectively, with no effect of intensive compared with free range systems. Free range breast and leg meat contained significantly less polyunsaturated fatty acids (n-6 and n-3) than did those from intensive rearing and had a consistently higher n-6/n-3 ratio (6.0 vs. 7.9). Generally, the concentrations of long chain n-3 fatty acids were considerably lower than those reported in earlier research studies. Overall, there was no evidence that meat from free range chickens had a fatty acid profile that would be classified as healthier than that from intensively reared birds and indeed, in some aspects, the opposite was the case. (C) 2011 Elsevier Ltd. All rights reserved.

Effects of forage type and extruded linseed supplementation on methane production and milk fatty acid composition of lactating dairy cows

Replacing dietary grass silage (GS) with maize silage (MS) and dietary fat supplements may reduce milk concentration of specific saturated fatty acids (SFA) and can reduce methane production by dairy cows. The present study investigated the effect of feeding an extruded linseed supplement on milk fatty acid (FA) composition and methane production of lactating dairy cows, and whether basal forage type, in diets formulated for similar neutral detergent fiber and starch, altered the response to the extruded linseed supplement. Four mid-lactation Holstein-Friesian cows were fed diets as total mixed rations, containing either high proportions of MS or GS, both with or without extruded linseed supplement, in a 4 × 4 Latin square design experiment with 28-d periods. Diets contained 500 g of forage/kg of dry matter (DM) containing MS and GS in proportions (DM basis) of either 75:25 or 25:75 for high MS or high GS diets, respectively. Extruded linseed supplement (275 g/kg ether extract, DM basis) was included in treatment diets at 50 g/kg of DM. Milk yields, DM intake, milk composition, and methane production were measured at the end of each experimental period when cows were housed in respiration chambers. Whereas DM intake was higher for the MS-based diet, forage type and extruded linseed had no significant effect on milk yield, milk fat, protein, or lactose concentration, methane production, or methane per kilogram of DM intake or milk yield. Total milk fat SFA concentrations were lower with MS compared with GS-based diets (65.4 vs. 68.4 g/100 g of FA, respectively) and with extruded linseed compared with no extruded linseed (65.2 vs. 68.6 g/100 g of FA, respectively), and these effects were additive. Concentrations of total trans FA were higher with MS compared with GS-based diets (7.0 vs. 5.4 g/100 g of FA, respectively) and when extruded linseed was fed (6.8 vs. 5.6 g/100 g of FA, respectively). Total n-3 FA were higher when extruded linseed was fed compared with no extruded linseed (1.2 vs. 0.8 g/100 g of FA, respectively), whereas total n-6 polyunsaturated FA were higher when feeding MS compared with GS (2.5 vs. 2.1 g/100 g of FA, respectively). Feeding extruded linseed and MS both provided potentially beneficial decreases in SFA concentration of milk, and no significant interactions were found between extruded linseed supplementation and forage type. However, both MS and extruded linseed increased trans FA concentration in milk fat. Neither MS nor extruded linseed had significant effects on methane production or yield, but the amounts of supplemental lipid provided by extruded linseed were relatively small.

Exercise reduces inhibitory neuroactivity and protects myenteric neurons from age-related neurodegeneration

The practice of regular exercise is indicated to prevent some motility disturbances in the gastrointestinal tract, such as constipation, during aging. The motility alterations are intimately linked with its innervations. The goal of this study is to determine whether a program of exercise (running on the treadmill), during 6 months, has effects in the myenteric neurons (NADH- and NADPH-diaphorase stained neurons) in the colon of rats during aging. Male Wister rats 6 months (adult) and 12 months (middle-aged) old were divided into 3 different groups: AS (adult sedentary), MS (middle-aged sedentary) and MT (middle-aged submitted to physical activity). The aging did not cause a decline significant (p > 0.05) of the number of NADH-diaphorase stained neurons in sedentary rats (AS vs. MS group). In contrast, a decline of 3 1% was observed to NADPH-diaphorase stained neurons. Thus, animals that underwent physical activity (AS vs. MT group) rescued neurons from degeneration caused by aging (total number, density and profile of neurons did not change with age - NADH-diaphorase method). On the other hand, physical activity augmented the decline of NADPH-diaphorase positive neurons (total number, density and profile of neurons decreased). Collectively, the results show that exercise inhibits age-related decline of myenteric neurons however, exercise augments the decline of neurons with inhibitory activity (nitric oxide) in the colon of the rats. (c) 2008 Elsevier B.V. All rights reserved.

Função autonômica em pacientes portadores de lipodistrofia generalizada congênita - sindrome de berardinelli - SEIP

A Síndrome de Berardinelli-Seip ou Lipodistrofia Generalizada Congênita (LGC) é uma doença rara, com transmissão autossômica recessiva, caracterizada principalmente pela ausência quase total de tecido adiposo. Os pacientes afetados apresentam resistência a insulina, dislipidemia e hipertensão arterial. Estudos têm evidenciado que estas alterações metabólicas interferem na modulação autonômica para o nó sinusal. O principal objetivo deste estudo foi investigar a modulação autonômica em pacientes portadores de LGC, através da variabilidade de freqüência cardíaca (VFC), pelo método linear de domínio de tempo na Eletrocardiografia Dinâmica de 24 horas e estabelecer um critério relativamente simples, não invasivo, para diagnóstico de disfunção autonômica nestes pacientes. Participou voluntariamente deste estudo transversal, um grupo de pacientes portadores de LGC (n=18) na faixa etária de 9,3 a 39,8 anos (21,3 ± 8,3) cuja variabilidade de freqüência cardíaca foi comparada com um grupo de pacientes controles (n=19) com idade de 9,3 a 39,1 anos (21,4 ± 7,8). Todos os voluntários foram submetidos à avaliação clínica, laboratorial, antropométrica e análise de VFC no domínio de tempo através de eletrocardiografia dinâmica de 24 horas. Para análise dos dados relativos aos índices temporais de VFC foram utilizados o MeanRR, SSDN e rMSSD. Pacientes com LGC apresentavam aumento da pressão arterial comparados com indivíduos do grupo controle (sistólica, 131,1 vs 106,3 mmHg, p<0,05); diastólica, 85,0 vs 68,2 mmHg, p<0,05) e 10 tinham critérios para diagnóstico de Hipertensão Arterial e Hipertrofia do Ventrículo Esquerdo. Os níveis de glicose, triglicerídeos, colesterol e HOMA-R eram elevados e 12 pacientes tinham critérios para diabetes mellitus tipo 2. Comparado com os controles, pacientes com LGC tinham diminuição dos índices MeanRR (639,8 vs 780,5 ms, p<0,001), SDNN (79,2 vs 168,5 ms, p<0,001), e rMSSD (15,8 vs 59,6 ms, p<0,001). Em pacientes com LGC, a redução da VFC foi independente de distúrbios metabólicos e hemodinâmicos. Os resultados de nosso experimento indicam que pacientes com LGC apresentavam modulação autonômica anormal caracterizada pelo aumento da freqüência cardíaca e pronunciada redução da VFC, independente de distúrbios metabólicos e hemodinâmicos observados nesta síndrome. O caráter multidisciplinar desse estudo fica contemplado pela interação de profissionais de diversas áreas como: cardiologia, endocrinologia, metabolismo, neurologia, nutrição, etc

Influência da corrente de pulso, do tempo de pulso e diâmetro de gota sobre a estabilidade da transferência metálica no processo MIG-P

To obtain a process stability and a quality weld bead it is necessary an adequate parameters set: base current and time, pulse current and pulse time, because these influence the mode of metal transfer and the weld quality in the MIG-P, sometimes requiring special sources with synergistic modes with external control for this stability. This work aims to analyze and compare the effects of pulse parameters and droplet size in arc stability in MIG-P, four packets of pulse parameters were analysed: Ip = 160 A, tp = 5.7 ms; Ip = 300 A and tp = 2 ms, Ip = 350 A, tp = 1.2 ms and Ip = 350 A, tp = 0.8 ms. Each was analyzed with three different drop diameters: drop with the same diameter of the wire electrode; droplet diameter larger drop smaller than the diameter of the wire electrode. For purposes of comparison the same was determined relation between the average current and welding speed was determined generating a constant (Im / Vs = K) for all parameters. Welding in flat plate by simple deposition for the MIG-P with a distance beak contact number (DBCP) constant was perfomed subsequently making up welding in flat plate by simple deposition with an inclination of 10 degrees to vary the DBCP, where by assessment on how the MIG-P behaved in such a situation was possible, in addition to evaluating the MIG-P with adaptive control, in order to maintain a constant arc stability. Also high speed recording synchronized with acquiring current x voltage (oscillogram) was executed for better interpretation of the transfer mechanism and better evaluation in regard to the study of the stability of the process. It is concluded that parameters 3 and 4 exhibited greater versatility; diameters drop equal to or slightly less than the diameter of the wire exhibited better stability due to their higher frequency of detachment, and the detachment of the drop base does not harm the maintenance the height of the arc

Fractal correlation of heart rate variability in obese children

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

Interferindo com oscilações de alta frequência no hipocampo epiléptico: consequências para as crises espontâneas

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Phosphatidylcholine and Sphingomyelin Profiles Vary in Bos taurus indicus and Bos taurus taurus In Vitro- and In Vivo-Produced Blastocysts

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

Resistance training for explosive and maximal strength: Effects on early and late rate of force development

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

Influência da ingestão alimentar nas concentrações plasmáticas de insulina e progesterona, e na expressão de de enzimas hepáticas envolvidas no metabolismo de progesterona em ovelhas pré-púberes

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

Variação temporal da biomassa e da composição química da macrófita aquática Crinum procerum

Macrófitas aquáticas têm grande importância na dinâmica dos ecossistemas aquáticos através de sua alta produtividade e sua participação na cadeia de herbivoria e detritívora. Através de estudos da sazonalidade da biomassa e da composição química dessas plantas é possível avaliar seu papel no ecossistema inferindo sobre seu período de crescimento e estoque de nutrientes. Em regiões tropicais a biomassa vegetal apresenta pequena ou ausente variação sazonal devido à pouca variação de temperatura e fotoperíodo, diferentemente das regiões temperadas onde estas variações ambientais são marcantes refletindo em sazonalidades na biomassa. Os objetivos deste trabalho foram avaliar se a biomassa e a composição química de Crinum procerum apresentam padrão de variação temporal. E ainda, avaliar se a disponibilidade de nutrientes (N-total e P-total) no sedimento se relaciona ao seu teor na macrófita. As plantas aquáticas foram coletadas (quadrado de 0,25 m²) em quintuplicata em um banco monoespecífico no rio Branco, bacia do rio Itanhaém, litoral sul de SP, na primavera (nov. 2009/10), verão (fev. 2010/11), outono (mai. 2010/11) e inverno (jul. 2010/11), totalizando oito coletas. As plantas foram secas em estufa para obtenção da biomassa e análise de sua composição química (nitrogênio, fósforo, carboidratos solúveis, lipídeos, polifenóis e fração de parede celular). O teor de N-total e P-total do sedimento do estande também foi obtido. O maior valor médio de biomassa total (parte aérea e parte submersa) ocorreu na primavera/09 (1696,97 g.m-2) e os menores valores médios ocorreram nos invernos/10 e 11 (respectivamente, 825,95 g.m-2 e 565,29 g.m-2). No outono/11 o teor médio de N-total (2,16 %MS) na biomassa vegetal foi o mais elevado e o de P-total (0,048 %MS) foi o menor entre as demais estações. A disponibilidade de N-total e P-total no sedimento... (Resumo completo, clicar acesso eletrônico abaixo)

Glicerina bruta substituindo o milho em dietas de baixo amido na terminação de cordeiros

Pós-graduação em Zootecnia - FCAV

Fontes de ácidos graxos insaturados na alimentação de vacas leiteiras no período seco

Pós-graduação em Zootecnia - FCAV