Índices de obesidade central e fatores de risco cardiovascular na síndrome dos ovários policísticos

Fundamento: A obesidade abdominal apresenta elevada prevalência em mulheres com síndrome dos ovários policísticos (SOP) e está associada a um aumento do risco cardiovascular. Objetivo: Verificar a acurácia da circunferência da cintura (CC), da relação cintura-quadril (RCQ), da relação cinturaestatura (RCEST) e do índice de conicidade (índice C), no que se refere à detecção de fatores de risco cardiovascular (FRCV) em mulheres com SOP. Métodos: Por meio de estudo transversal, foram alocadas 102 mulheres (26,5 ± 5 anos) com diagnóstico de SOP, de acordo com o consenso de Rotterdam. O colesterol total (CT), os triglicerídeos (TG), o LDL-colesterol (LDL-C), o HDLcolesterol (HDL-C), a glicemia de jejum, a glicemia após teste oral de tolerância à glicose (TOTG) e a pressão arterial (PA) foram avaliados em todas as pacientes, além das variáveis antropométricas. Resultados: A relação cintura-estatura foi o marcador que apresentou correlações positivas significativas com o maior número de FRCV (PA, TG e glicemia após TOTG), destacando-se ainda a correlação negativa com HDL-C. Todos os marcadores antropométricos avaliados se correlacionaram positivamente com PA, enquanto CC e RCQ apresentaram correlação positiva também com TG. No tocante à acurácia para detecção de FRCV, os indicadores antropométricos considerados apresentaram taxas de sensibilidade superiores a 60%, com destaque para a RCEST, que apresentou sensibilidade superior a 70%. Conclusão: A RCEST demonstrou ser o indicador antropométrico com a melhor acurácia para a predição de FRCV. Nesse sentido, propõe-se a inclusão desse parâmetro de fácil mensuração na avaliação clínica para o rastreamento de mulheres com SOP e FRCV----------------------ABSTRACT Background: Women with polycystic ovary syndrome (PCOS) present a high prevalence of abdominal obesity, which is associated with an increased cardiovascular risk. Objective: To verify the accuracy of the waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR) and the conicity index (CI) in the detection of cardiovascular risk factors (CVRF) in women with PCOS. Methods: The present transversal study allocated 102 women (26.5 ± 5 years) with a diagnosis of PCOS, according to the Rotterdam criteria. Total cholesterol (TC), triglycerides (TG), LDL-cholesterol (LDL-C), HDL-cholesterol (HDL-C), fasting glucose, glucose after the oral glucose tolerance test (OGTT) and blood pressure (BP) were evaluated in all patients, in addition to the anthropometric variables. Results: The WHtR was the marker that presented significant positive correlations with the highest number of CVRF (BP, TG and post-OGTT glucose), whereas there was a negative correlation with HDL-C. All the evaluated anthropometric markers were positively correlated with BP, whereas WC and WHR also presented a positive correlation with TG. Regarding the accuracy for the detection of CVRF, the anthropometric markers presented a sensibility > 60%, especially the WHtR, which had a sensibility > 70%. Conclusion: The WHtR showed to be the most accurate anthropometric indicator for the prediction of CVRF. In this sense, we propose the inclusion of this easily-measured parameter in the clinical assessment for the screening of women with PCOS and CVRF

Uma reavaliação do pensamento lógico de George Boole à luz da história da matemática

The aim of the present study is to reevaluate the logical thought of the English mathematician George Boole (1815 - 1864). Thus, our research centers on the mathematical analysis of logic in the context of the history of mathematics. In order to do so, we present various biographical considerations about Boole in the light of events that happened in the 19th century and their consequences for mathematical production. We briefly describe Boole's innovations in the areas of differential equations and invariant theory and undertake an analysis of Boole's logic, especially as formulated in the book The Mathematical Analysis of Logic, comparing it not only with the traditional Aristotelian logic, but also with modern symbolic logic. We conclude that Boole, as he intended, expanded logic both in terms of its content and also in terms of its methods and formal elaboration. We further conclude that his purpose was the mathematical modeling of deductive reasoning, which led him to present an innovative formalism for logic and, because the different ways it can be interpreted, a new conception of mathematics

Structural and functional properties of Bp-LAAO, a new L-amino acid oxidase isolated from Bothrops pauloensis snake venom

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

Deletion of Epstein-Barr virus latent membrane protein 1 gene in United States and Brazilian Hodgkin's disease and reactive lymphoid tissue: High frequency of a 30-bp deletion

A 30-basepair (bp) deletion in the Epstein-Barr virus (EBV) latent membrane protein 1 (LMP1) gene has been reported in nasopharyngeal carcinoma and EBV-associated malignant lymphomas. Prior studies have found the deletion in about 10% to 28% of cases of Hodgkin's disease (HD), particularly in cases with aggressive histology. We studied the prevalence of 30-bp LMP1 gene deletion in EBV-positive HD in the United States (US) (12 cases) and Brazil (26 cases) with comparison to reactive lymphoid tissues (21 cases) and HD without EBV-positive Reed-Sternberg cells (15 cases). We studied the status of the LMP1 gene by Southern blot hybridization of polymerase chain reaction (PCR) products obtained after amplification with primers spanning the site of the deletion. We also performed EBV typing, EBER1 in situ hybridization, and LMP1 protein immunohistochemistry. EBV was detected in 12/26 (46%) cases of HD from the US and 26/27 (96%) cases of Brazilian HD. The 30-bp LMP1 gene deletion was observed in 4/12 (33%) cases of EBV-positive HD from US, and 12/26 (46%) cases of Brazilian EBV-positive HD, including 3 cases of type B EBV, as compared with 12/21 (57%) reactive lymphoid tissues and 9/15 (60%) cases of EBV-negative HD. US and Brazilian HD showed a higher prevalence of the 30-bp LMP1 gene deletion, compared with studies of others. The unexpected finding of high incidence of 30-bp deletion in LMP1 gene in reactive lymphoid tissue and HD without EBV-positive Reed-Sternberg cells suggests that this deletion may not be relevant to HD pathogenesis in most cases. Copyright (C) 1997 by W.B. Saunders Company.

Early Miocene bivalves from the Cape Melville Formation, King George Island, West Antarctica

Seven species of marine bivalves, including six new taxa, are described from the Cape early Miocene Melville Formation which crops out on the Melville Peninsula, King George Island, West Antarctica. The bivalve assemblage includes representatives of the families Nuculidae, Ennucula frigida sp. nov., E. musculosa sp. nov.; Malletidae, Neilo (Neilo) rongelii sp. nov.; Sareptidae, Yoldia peninsularis sp. nov.; Limopsidae, Limopsis psimolis sp. nov.; Hiatellidae, Panopea (Panopea) sp. cf. P. regularis; and Pholadomyoida (Periploma acuta sp. nov.). Species studied come from four sedimentary sections measured in the upper part of the unit. Detailed morphologic features of nuculoid and areoid species are exceptionally well preserved and allow for the first time reconstruction of muscle insertions as well as dentition patterns of Cenozoic taxa. Known geological distribution of the species is in agreement with the early Miocene age assigned to the Cape Melville Formation. The bivalve fauna from Cape Melville Formation is the best known from Antarctic Miocene rocks, a time of complex geologic, paleogeographic and paleoclimatic changes in the continent. The new fauna introduces new taxonomic and palaeogeographic data that bear oil the question of opening of sea gateways and distribution of Cenozoic biota around Antarctica.

Seasonal testicular changes in Dendropsophus minutus Peters, 1872 (Anura, Hylidae)

The reproductive cycle in anurans may be either continuous or discontinuous. These differences may be connected to seasonal climate changes and/or to anthropic activity. Forty adult male individuals of the Dendropsophus minutus species were collected during one year, in the municipality of Chapada dos Guimaraes (Mato Grosso, Brazil). The testicles were studied under light and transmission electron microscopy. No variations were observed when the diameter of the seminiferous tubules and the thickness of the interstitial tissue were studied. However, changes in spermatogenesis were conspicuous and indicated that the reproductive cycle of D. minutus in Chapada dos Guimaraes is discontinuous and seems related to variations in air temperature and rainfall.

Spatial variability models of CO2 emissions from soils colonized by grass (Deschampsia antarctica) and moss (Sanionia uncinata) in Admiralty Bay, King George Island

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Invertebrates from the Low Head Member (Polonez Cove Formation, Oligocene) at Vaureal Peak, King George Island, West Antarctica

Eight taxa of marine invertebrates, including two new bivalve species, are described from the Low Head Member of the Polonez Cove Formation (latest early Oligocene) cropping out in the Vaureal Peak area, King George Island, West Antarctica. The fossil assemblage includes representatives of Brachiopoda (genera Neothyris sp. and Liothyrella sp.), Bivalvia (Adamussium auristriatum sp. nov., ?Adamussium cf. A. alanbeui Jonkers, and Limatula (Antarctolima) ferraziana sp. nov.), Bryozoa, Polychaeta (serpulid tubes) and Echinodermata. Specimens occur in debris flows deposits of the Low Head Member, as part of a fan delta setting in a high energy, shallow marine environment. Liothyrella sp., Adamussium auristriatum sp. nov. and Limatula ferraziana sp. nov. are among the oldest records for these genera in King George Island. In spite of their restrict number and diversification, bivalves and brachiopods from this study display an overall dispersal pattern that roughly fits in the clockwise circulation of marine currents around Antarctica accomplished in two steps. The first followed the opening of the Tasmanian Gateway at the Eocene/Oligocene boundary, along the eastern margin of Antarctica, and the second took place in post-Palaeogene time, following the Drake Passage opening between Antarctic Peninsula and South America, along the western margin of Antarctica.

Spatial and temporal variability in soil CO2-C emissions and relation to soil temperature at King George Island, maritime Antarctica

Few studies have examined the effects of temperature on spatial and temporal trends in soil CO2-C emissions in Antarctica. In this work, we present in situ measurements of CO2-C emissions and assess their relation with soil temperature, using dynamic chambers. We found an exponential relation between CO2 emissions and soil temperature, with the value of Q10 being close to 2.1. Mean emission rates were as low as 0.026 and 0.072 g of CO2-C m-2 h-1 for bare soil and soil covered with moss, respectively, and as high as 0.162 g of CO2-C m-2 h-1 for soil covered with grass, Deschampsia antarctica Desv. (Poaceae). A spatial variability analysis conducted using a 60-point grid, for an area with mosses (Sannionia uncianata) and D. antarctica, yielded a spherical semivariogram model for CO2-C emissions with a range of 1 m. The results suggest that soil temperature is a controlling factor on temporal variations in soil CO2-C emissions, although spatial variations appear to be more strongly related to the distribution of vegetation types. © 2010 Elsevier B.V. and NIPR.

Continuous measurement of cerebral oxygen saturation (rSO 2) for assessment of cardiovascular status during hemorrhagic shock in a swine model

Background: Early trauma care is dependent on subjective assessments and sporadic vital sign assessments. We hypothesized that near-infrared spectroscopy-measured cerebral oxygenation (regional oxygen saturation [rSO 2]) would provide a tool to detect cardiovascular compromise during active hemorrhage. We compared rSO 2 with invasively measured mixed venous oxygen saturation (SvO2), mean arterial pressure (MAP), cardiac output, heart rate, and calculated pulse pressure. Methods: Six propofol-anesthetized instrumented swine were subjected to a fixed-rate hemorrhage until cardiovascular collapse. rSO 2 was monitored with noninvasively measured cerebral oximetry; SvO2 was measured with a fiber optic pulmonary arterial catheter. As an assessment of the time responsiveness of each variable, we recorded minutes from start of the hemorrhage for each variable achieving a 5%, 10%, 15%, and 20% change compared with baseline. Results: Mean time to cardiovascular collapse was 35 minutes ± 11 minutes (54 ± 17% total blood volume). Cerebral rSO 2 began a steady decline at an average MAP of 78 mm Hg ± 17 mm Hg, well above the expected autoregulatory threshold of cerebral blood flow. The 5%, 10%, and 15% decreases in rSO 2 during hemorrhage occurred at a similar times to SvO2, but rSO 2 lagged 6 minutes behind the equivalent percentage decreases in MAP. There was a higher correlation between rSO 2 versus MAP (R =0.72) than SvO2 versus MAP (R =0.55). Conclusions: Near-infrared spectroscopy- measured rSO 2 provided reproducible decreases during hemorrhage that were similar in time course to invasively measured cardiac output and SvO2 but delayed 5 to 9 minutes compared with MAP and pulse pressure. rSO 2 may provide an earlier warning of worsening hemorrhagic shock for prompt interventions in patients with trauma when continuous arterial BP measurements are unavailable. © 2012 Lippincott Williams & Wilkins.