Testosterone Deficiency Increases Hospital Readmission and Mortality Rates in Male Patients with Heart Failure

Background:Testosterone deficiency in patients with heart failure (HF) is associated with decreased exercise capacity and mortality; however, its impact on hospital readmission rate is uncertain. Furthermore, the relationship between testosterone deficiency and sympathetic activation is unknown.Objective:We investigated the role of testosterone level on hospital readmission and mortality rates as well as sympathetic nerve activity in patients with HF.Methods:Total testosterone (TT) and free testosterone (FT) were measured in 110 hospitalized male patients with a left ventricular ejection fraction < 45% and New York Heart Association classification IV. The patients were placed into low testosterone (LT; n = 66) and normal testosterone (NT; n = 44) groups. Hypogonadism was defined as TT < 300 ng/dL and FT < 131 pmol/L. Muscle sympathetic nerve activity (MSNA) was recorded by microneurography in a subpopulation of 27 patients.Results:Length of hospital stay was longer in the LT group compared to in the NT group (37 ± 4 vs. 25 ± 4 days; p = 0.008). Similarly, the cumulative hazard of readmission within 1 year was greater in the LT group compared to in the NT group (44% vs. 22%, p = 0.001). In the single-predictor analysis, TT (hazard ratio [HR], 2.77; 95% confidence interval [CI], 1.58–4.85; p = 0.02) predicted hospital readmission within 90 days. In addition, TT (HR, 4.65; 95% CI, 2.67–8.10; p = 0.009) and readmission within 90 days (HR, 3.27; 95% CI, 1.23–8.69; p = 0.02) predicted increased mortality. Neurohumoral activation, as estimated by MSNA, was significantly higher in the LT group compared to in the NT group (65 ± 3 vs. 51 ± 4 bursts/100 heart beats; p < 0.001).Conclusion:These results support the concept that LT is an independent risk factor for hospital readmission within 90 days and increased mortality in patients with HF. Furthermore, increased MSNA was observed in patients with LT.

In vitro und in vivo Untersuchungen zur funktionellen Bedeutung der Cathepsine B, K und L bei der systemischen AA- und AL-Amyloidose

Magdeburg, Univ., Medizin. Fak., Diss., 2007

Estudos sobre o «vermelhão» do algodoeiro (III)

In several cotton crops areas of the State of S. Paulo it was observed, during the years of 1948, 1949, and 1951, the appearance of a purple color of the leaves; the color appears in the opening of the bolls and was correlated with a decrease of production. The opinions concerning the cause of such abnormality were very different and sometimes contradictory; certain investigators attributed the disease to insect attack, others to bad climatic conditions whereas others to a potassium deficiency now called "fome de potássio" (potash hunger); our ideas on the subject is another one. We think that the disease is caused by lack of a suitable supply of magnesium. This opinion is largely based on the syntomatology found in the literature. To study the problem, several experiments were carried out, namely: 1. pot experiments using soil collected in areas where the disorder had appeared; 2. pot experiments controlling the water supply; 3. sand culture experiments omitting either potassium or magnesium; 4. leaf analysis of plant matrial collected troughout the Piracicaba County; 5. plot experiments with the varieties Texas, Express, and I.A. 817 Campinas. The first four experiments were discussed elsewhere. To study the point 5 an experiment was carried out, with the following treatments : 1 - NPKCaMg (no K added) - Mg supplied as MgSO4 (a soluble form); 2 -NPKCa (no Mg added); 3 -NPKCaMg (complete) - Mg supplied as MgSO4; 4 - NPKCaMg (complete) - Mg supplied as dolomitic limestone (a slightly soluble form) as a rate 2.5 higher than in the treatment 1 and 3. Organic matter as cottonseed meal was applied in the proportion of 500 kg per hectare. The experimental design was randomized blocks with 4 replications and the results can be summarized as follows: 1 the I.A 817 variety was the most strongly affected by the physiological disorder, with severe decrease in yield; 2. the disease occurred more frequently in the minus magnesium treatment; 3. dolomitic limestone is so effective as magnesium sulfate in the control of the disease as well in the raising of the yield; 4. in the minus K treatment it was observed a marked occurrence of the typical symptoms of potassium deficiency (cotton rust); 5. magnesium was actually, in the experimental conditions the responsible for the purple color (vermelhão) of the cotton leaves.

Alterações morfológicas e citológicas do cafeeiro (Coffea arabica L, var. Bourbon (B. Rodr.) Choussy) cultivado em solução nutritiva decorrentes das deficiências e excessos dos macronutrientes

The present work was carried out in order to study: (1) the symptoms of deficiency and excess of macronutrients (N, P, K, Ca, S, Mg) in the coffee plant (Coffea arabica L. var. Mundo novo); (2) the modifications induced by those treatments in the hystological make up of the leaves; (3) the effects of deficiency and excess on the growth and in the chemical composition of the plants. Young coffee plants were grown in nutrient solution, three treatments being used, namely: complete solution (HOAGLAND & ARNON, 1950), deficient solution, in which a giVen element was omitted, and solution with 3 times the concentration of the element under study. The main conclusions can be summaryzed as follows. 1. SYMPTOMS. Clear cut symptoms of malnutrition were observed in the treatments: -N, -P, +P, -Ca, -Mg, -S and +S; the signals - and + stared respectively for deficient and excess level. 2. HISTOLOGICAL EFFECTS. The most definite alterations took place in the treatments +P, -Mg and +S. Usually the characteristics of the chloroplasts were affected: loss of the green color and coalescence into irregular bodies.

Sintomas externos (morfológicos) e internos (anatômicos), observados em folhas de goiabeira (Psidium guajava L.), de plantas cultivadas em solução nutritiva com carência dos macronutrientes

The present work was carried out in order to study: (1) The symptoms of deficiency of macronutrients (N, P, K, Ca, Mg, S) in guava (Psidium guajava L.). (2) The modifications induced by those treatments in the histological make up of the leaves. Young guava plants were grown in nutrient solution two treatments being used, namely: complete solution (HOAGLAND and ARNON, 1950), deficient solution, in which a given element was ommitted. The main conclusions can be summaryzed as follows. a) Symptoms Clear cut symptoms of malnutrition were observed in the treatments: -N, -P, -Ca, -K, -Mg, and -S. The signal - stared respectively for deficient level. b) Histological effects Usually the characteristics of the chloroplasts were affected: loss of the green and coalescence into irregular bodies.

A relação k/mg em fôlhas de algodoeiro cultivado em condição de campo

In this paper the author presents the results of a study on the K and Mg correlations in cotton leaves from an experiment carried out under field condition. He concluded that the percentages of those elements vary in an inverse ratio. It is possible that K had depressed the Mg absorption by plants.

Estudos sôbre a Alimentação Mineral do Abacaxí (Ananas sativus) Sch

Pineapple plants when grown in the greenhouse by the sand culture technique in order to study the effects of deficiencies of macronutrients in growth, yield, leaf and fruit composition, the main results were the following. As a result of the several treatments, yield decreased in the order: Complete Minus Mg Minus S Minus Ca Minus K; nitrogen and phosphorus deficiente plants did not bear fruit. Leaf analyses (see Table 5-1) showed that the ommission of given element from the nutrient solution always caused a decrease in its level in the green tissue. As seen in Table 5-2 the lack of macronutrients had certain effects on fruit composition: acidity increased in all cases excet in the minus Mg fruits; ash usually decreased reaching its lowest valued in fruits from the minus K plants; when compared to fruits picked in the "normal" plants, those lacking K showed a marked decrease both in brix and in total sugars as well; sulfur deficiency also brought a net reduction in the sugar content. Table 5-1. Levels of macronutrients found in pinapple leaves. Elements Treatment Percent of dry matter Nitrogen (N) Complete 1.29 Minus N 0.78 Phosphorus (P) Complete 0.12 Minus P .05 Potassium (K) Complete 2.28 Minus K 0.16 Calcium (Ca) Complete 1.19 Minus Ca 1.10 Magnesium (Mg) Complete 0.41 Minus Mg .29 Sulfur (S) Complete 1.00 Minus S .65 Table 5-2. Effects of macronutrients deficiency in yield and fruit characteristics. Treatment Ave. weight of Acidity As per Brix Total sugars fruits (gm) per cent cent per cent Complete 1.031 1.16 0.40 14.7 10.8 Minus N no fruit was produced Minus P no fruit was produced Minus K 246 1.44 0.26 11.9 8.3 Minus Ca 513 1.40 0.35 17.8 14.3 Minus Mg 957 0.97 0.38 15.4 13.0 Minus S 576 1.42 0.46 17.1 6.5

Estudo comparativo das domácias de fôlhas normais e domácias de fôlhas cujas plantas foram cultivadas com deficiências e excessos de micronutrientes (Fe, Mn, Mo, e Cu), em Coffea arabica L. variedade caturra K. M. C.

1. Quanto às características morfológicas, as domácias nas folhas tratadas não apresentaram diferenças apreciáveis, a não ser quanto à forma do orifício de entrada ou bôca, que ora é circular, ora é eliptico. Foram assinalados pelos nas adjacências da domácia. 2. Sob o ponto de vista anatômico, anotei na estrutura pequenas alterações na epiderme que reveste o interior da câmara e canal, constando de diferenças quanto ao tamanho, uniformidade, grau de cutinização e aspectos diversos nas- paredes externas das células. O tecido envolvente apresentou variações no número de camadas e na forma irregular de suas células.

Efeitos de diferentes níveis de N, P e K sôbre cacaueiros jovens (Theorema cacao L.) em solução nutritiva

Cocoa seedlings were grown in nutrient solution in order to find out the effects of the levels of N, P, K in the substrate on growth, symptoms and chemical composition of the leaves. A 3x3x3 factorial design was used. The following conclusions can be drawn. 5.1. Among the three elements under study, only nitrogen had a positive, significant effect on growth as measured by height and dry weight. 5.2. The level of a given elements in the leaves did increase when its level in the nutrient solution was raised. On the other hand the N content was positively affected by the concentration of P in the substrate. 5.3. A decrease in the N/P and K/P rations in the leaves was observed when the nutrient solutions had, res-respectively, absence of K and N and high level both of K and N. The N/K ratio increased with the level of P in the substrate. 5.4 A highly significant positive correlation was found between N content in the leaves and dry weight. This was not the case however, insofar P and K are considered - no correlation whatsoever was observed.

A relação K/Mg em plantas jovens de laranjeira (Citrus sinensis L., Var. D.A.C)

A análise das folhas das plantas revelaram que a absorção de Mg e de K aumentaram com a concentração do elemento respectivo na solução. O Mg não interferiu na absorção do K nos tratamentos correspondentes à omissão e dose 2 deste nutriente; nos tratamentos correspondentes à dose 1, 48 p.p.m. de Mg nas, soluções nutritivas estimularam a absorção de K. O K inibiu a absprção de Mg nos tratamentos correspondentes às doses 0 e 2 deste elemento: quanto na presença da dose 1, 234, p.p.m. de K nas soluções nutritivas determinaram maior concentração de Mg nas folhas. O K teve ação antagônica sobre o Ca; o Mg teve efeito semelhante só quando na presença da dose mais elevada de K. Na ausência desse elemento ou na presença de 234 p.p.m. dele o efeito do Mg foi quadrático.

Estudos sôbre a alimentação mineral do cafeeiro: XXI. efeito da adubação N, P, K e orgânica na composição mineral do grão e na qualidade da bebida. (2a. Nota)

O efeito da adubaçao NPK e da matéria orgânica na composição mineral do grão e na qualidade da bebida (prova de xícara) foi estudado. Verificou-se que a adubação fosfatada e o uso da matéria orgânica não influiram nas características mencionadas. A adubação nitrogenada e potássica aumentou o teor dos elementos correspondentes no grão e prejudicou pouco mas, significativamente a qualidade da bebida. Esses dados devem ser encarados com cautela e tidos apenas como preliminares.

Efeito de concentrações de macronutrientes N, P e K No aumento do espessamento da parede dos traqueídos Pinnus Elliottii (plantas em vasos)

Neste trabalho os autores apresentam os resultados dos efeitos dos níveis de N, P e K no aumento do comprimento e da espessura da parede dos traqueídos de Pinnus elliottii. A análise estatística mostra que alto nível de N parece indicar uma diminuição no comprimento e na espessura dos traqueídos, enquanto que os efeitos do P e K não se mostram bem definidos, provàvelmente por se tratar de material muito jovem, com apenas dois anos de idade, sob efeito dos tratamentos.

The relation of the concentration of macronutrients in the substrate and in the foliage to cell wall thickness and cellulose concentration in the xylem of slash pine (Pinus elliotti)

Sand culture experiments, using a sub-irrigation technique, were installed in order to find out the effects of the macronutrients N, P, K, Ca, Mg and S on growth, aspect, mineral composition, length of fibers, thickness of cell wall and cellulose concentration in slash pine. The aim was to obtain, under controlled conditions, basic information which could eventually lead to practical means designed to increase the rate of growth and to make of slash pine a richer source of cellulose. Nitrogen, Phosphorus, Potassium Experiment A 3 x 3 x 3 factorial design with two replicates was used. Nitrogen was supplied initially at the levels of 25, 50 and 100 ppm; phosphorus was given at the rates of 5, 10 and 20 ppm; potassium was supplied at the rates of 25, 50 and 100 ppm; six months after the experiment was started the first level for each element was dropped to zero. Others macro and all micronutrients were supplied at uniform rates. Fifteen hours of illumination per day were provided. The experimental technique for growing the slash pine seedlings proved quite satisfactory. Symptoms of deficiency of nitrogen, phosphorus and potassium were observed, described and recorded in photographs and water colors. These informations will help to identify abnormalities which may appear under field conditions. Chemical analysis of the several plant parts, on the other hand, give a valuable means to assess the nutritional status of slash pine, thus confirming when needed, the visual diagnosis. The correctness of manurial pratices, on the other hand, can be judged with the help of the analytical data tabulated. Under the experimental conditions nitrogen caused the highest increases on growth, as measured by increments in height and dry weights, whereas the effects of phosphorus and potassium were less marked. Cellulose concentration was not significantly affected by the treatments used. Higher levels of N seemed to decrease both length of fiber elements and the thickness of cell wall. The effects of P and K were not well defined. Calcium, Magnesium, Sulfur Experiment A 3 x 3 x 3 factorial design with two replicates was used. Calcium was supplied initially at the levels of 12.5, 25 and 50 ppm; magnesium and sulfur were given at the rates of 6, 12.5 and 25 ppm. Other macro and micronutrients were supplied at uniform rates, common to all treatments. Three months after starting the experiment the first level for each element was dropped to zero. Symptoms of deficiency of calcium, magnesium and sulfur were observed, described and recorded as in the case of the previous experiment. Chemical analysis were made, both for mineral content and cellulose concentration. Length of fibers and thickness of cell wall were measured. Both calcium and magnesium increase height, sulfur failing to give significant response. Dry weight was beneficially affected by calcium and sulfur. The levels of calcium, magnesium and sulfur in the needles associated with deficiency and maximum growth are comparable with those found in the literature. Cellulose concentration increased when the level of sulfur in the substrate was raised. The thickness of cell wall was negatively affected by the treatments; no effect was observed with regards to length of fibers.

The zoological magazine : or journal of natural history, being a series of miscellaneous articles, original and translated, on interesting subjects in Zoology, &c.. [edited by R. Owen, afterwards Sir R. Owen, K.C.B.].

1 - 6