Rapid and long-lasting antidepressant-like effects of ketamine and their relationship with the expression of brain enzymes, BDNF, and astrocytes

Ketamine (KET) is an N-methyl-D-aspartate (NMDA) antagonist with rapid and long-lasting antidepressant effects, but how the drug shows its sustained effects is still a matter of controversy. The objectives were to evaluate the mechanisms for KET rapid (30 min) and long-lasting (15 and 30 days after) antidepressant effects in mice. A single dose of KET (2, 5, or 10 mg/kg, po) was administered to male Swiss mice and the forced swim test (FST) was performed 30 min, 15, or 30 days later. Imipramine (IMI, 30 mg/kg, ip), a tricyclic antidepressant drug, was used as reference. The mice were euthanized, separated into two time-point groups (D1, first day after KET injection; D30, 30 days later), and brain sections were processed for glycogen synthase kinase-3 (GSK-3), histone deacetylase (HDAC), brain-derived neurotrophic factor (BDNF), and glial fibrillary acidic protein (GFAP) immunohistochemical assays. KET (5 and 10 mg/kg) presented rapid and long-lasting antidepressant-like effects. As expected, the immunoreactivities for brain GSK-3 and HDAC decreased compared to control groups in all areas (striatum, DG, CA1, CA3, and mainly pre-frontal cortex, PFC) after KET injection. Increases in BDNF immunostaining were demonstrated in the PFC, DG, CA1, and CA3 areas at D1 and D30 time-points. GFAP immunoreactivity was also increased in the PFC and striatum at both time-points. In conclusion, KET changed brain BDNF and GFAP expressions 30 days after a single administration. Although neuroplasticity could be involved in the observed effects of KET, more studies are needed to explain the mechanisms for the drug's sustained antidepressant-like effects.

Mites occurrence on Pachira aquatica Aubl. including aspects of external mouthpart morphology of Brachytydeus formosa (Acari: Tydeidae) / Ocorrência de ácaros em Paquira aquatica Aubl. incluindo aspectos morfológicos do aparato bucal de Brachytydeus formosa (Acari: Tydeidae)

Abstract Pachira aquatica Aubl. is commonly used as an ornamental plant in urban areas of Brazil. The objective of the study was to investigate the occurrence of mites on P. aquatica, with emphasis on Brachytydeus formosa (Cooreman), and to describe aspects the external features of its mouthpart. The study was conducted in 2012 in Jaboticabal, State of São Paulo, Brazil. Ten trees of P. aquatica were selected for the experiment. Approximately 130 leaflets were collected from each tree, which were located in different quadrants (north, south, east, and west) and strata (upper, middle, and lower). The leaflets were placed in paper bags and transported to the laboratory. The mites were prepared on optical microscope slides. A total of eleven species of mites were found, belonging to eight different families. The species and genera of the organisms included B. formosa, Eutetranychus banksi (McGregor), Agistemus sp., Tyrophagus putrescentiae (Schrank, 1781), Brevipalpus phoenicis (Geijskes), Brevipalpus sp., Cheletogenes sp., Iphiseiodes zuluagai Denmark & Muma, Euseius sp., Neoseiulus sp., and only one specimen from the Bdellidae family. The predominant species was B. formosa, with 8,142 mites equally distributed among the four quadrants and mostly in the middle and upper strata of the plant. B. formosa mites from leaflets of P. aquatica were separated for the study of the external mouthpart morphology by scanning electron microscopy (SEM).

Resumo Pachira aquatica Aubl. é frequentemente utilizada como planta ornamental em áreas urbanas no Brasil. O objetivo do trabalho foi conhecer os ácaros associados a P. aquatica com ênfase em Brachytydeus formosa (Cooreman), bem como descrever alguns aspectos morfológicos do seu aparato bucal. O estudo foi realizado em 2012, em Jaboticabal, estado de São Paulo, Brasil. Foram selecionadas dez árvores de P. aquatica para realização do experimento. Cerca de 130 folíolos foram coletados de cada árvore localizados em diferentes quadrantes (norte, sul, leste e oeste) e estratos (superior, médio e inferior). Os folíolos foram colocados em sacos de papel e transportados para o laboratório. Os ácaros foram preparados em lâminas de microscopia óptica. No total foram encontradas onze espécies de ácaros, pertencentes a oito famílias. As espécies encontradas foram B. formosa, Eutetranychus banksi (McGregor), Agistemus sp., Tyrophagus putrescentiae (Schrank, 1781), Brevipalpus phoenicis (Geijskes), Brevipalpus sp., Cheletogenes sp., Iphiseiodes zuluagai Denmark & Muma, Euseius sp., Neoseiulus sp., e apenas um exemplar da família Bdellidae. A espécie predominante foi B. formosa, com 8.142 ácaros igualmente distribuídos nos quatro quadrantes e principalmente nos estratos médio e superior da planta. Ácaros de B. formosa dos folíolos de P. aquatica foram separados para o estudo da morfologia externa do aparato bucal utilizando-se microscopia eletrônica de varredura (SEM).

Comparação entre dois protocolos de tratamento de ceratoconjuntivite seca experimentalmente induzida em coelhos / Comparison of two treatment protocols of experimentally induced keratoconjunctivitis sicca in rabbits

O objetivo deste estudo foi avaliar e comparar a eficácia de dois protocolos de tratamento de ceratoconjuntivite seca (CCS) experimentalmente induzida em coelhos: uma formulação oftálmica tópica composta por álcool polivinílico 1,4%, adicionado com acetilcisteína 10% e pilocarpina 1% (AAP), e outro protocolo com o uso do óleo de semente de linhaça (OL) tópico em forma de colírio, durante 12 semanas. Foram utilizados 15 coelhos machos, adultos, da raça Nova Zelândia, alocados aleatoriamente em três grupos: grupo C (controle), grupo AAP (formulação oftálmica) e grupo L (OL tópica). Os animais foram avaliados semanalmente pelo teste lacrimal de Schirmer, teste de fluoresceína e teste de Rosa Bengala; uma vez por mês, pelo exame de citologia esfoliativa ocular; ao final do experimento, pela análise histopatológica da córnea e conjuntiva. Os resultados demonstraram que houve um aumento maior na produção lacrimal quando utilizada a formulação oftálmica, e uma resolução mais rápida das úlceras de córnea, bem como diminuição no número de células desvitalizadas quando utilizado o óleo de semente de linhaça, além de aumento no número de células caliciformes em ambos os grupos de tratamento. A associação desses dois protocolos pode ser no futuro uma alternativa no tratamento da CCS.

The objective of this study was to evaluate and compare the effectiveness of two treatment protocol of experimentally induced keratoconjunctivitis sicca (KCS) in rabbits, a topical ophthalmic formulation composed by 1.4% povinilic alcohol added with 10% acetylcysteine and 1% pilocarpine (AAP) and another protocol with the topical use of the linseed seed oil (LO) in eye drop form f or 12 weeks. Fifteen male New Zealand white rabbits were aleatory allocated in 3 groups: Group C (Control), Group AAP (ophthalmic formulation) and Group L (LO topical). The animals were evaluated weekly using the Schirmer's tear test, fluorescein test and Rose Bengal test monthly for ocular cytology, and at the end of the experiment for histopathological analysis of cornea and conjunctive. The results demonstrated that there was a larger increase in the tear production when the ophthalmic formulation was us ed and a faster rapid resolution of corneal ulcers and decrease in the number of devitalized cells when linseed seed oil was used, besides an increase in the number of caliciform cells in both treatment groups. The association of those two protocols can be a future alternative in the treatment of KCS.

Aproveitamento de soro lácteo na formulação de bebidas com frutas e hortaliças / The use of whey in the formulation of beverages with fruits and vegetables

O uso do soro lácteo como complemento na formulação de alimentos visando ao seu aproveitamento é uma alternativa para a obtenção de novos produtos. Neste trabalho, desenvolveram-se bebidas à base de soro oriundo de queijo coalho tipo A com frutas e hortaliças. Na formulação das bebidas, utilizaram-se diferentes proporções entre soro lácteo, frutas e hortaliças, com adição de 10% de açúcar. Seis bebidas foram formuladas e submetidas a um teste de preferência, e as três primeiras colocadas foram submetidas a um teste de aceitação sensorial. As três preferidas foram as bebidas sabor graviola, morango e goiaba. A bebida sabor graviola obteve aceitação com as melhores notas nos atributos sensoriais cor, sabor, aparência e qualidade global, seguida pela formulação de sabor morango, mas sem diferença significativa (P>0,05). A bebida sabor goiaba teve o diferencial no atributo odor e superou as bebidas sabor graviola e morango (P<0,05). Conclui-se que é viável a elaboração de bebidas à base de soro de queijo coalho com frutas.

The use of whey as complement in food formulation aiming it's an alternative for the attainment of new products. The aim of this work was developed a type A curd cheese whey derived drink with fruits and vegetables. On drink's formulation was used different ratios of whey, fruits and vegetables, with 10% of sugar. Six drinks were formulated and submited to a preference test. The three best drinks were submitted to a acceptance test. The three best drinks were graviola, strawberry and guava flavours. The graviola one had the greater acceptability with best grades in color's sensory attributes, flavor, appearance and overall quality, following the strawberry flavor, but without significant difference (P<0,05). The guava dink had it's differential on scent character, overcoming the graviola and strawberry drinks (P<0,05). In conclusion we can say that whey-based drink with fruits is viable.

Desempenho e características de carcaças de cordeiros suplementados com diferentes níveis de resíduo de biodiesel / Performance and characteristics of lamb carcass supplemented with differents levels of biodiesel residues

Estudou-se a suplementação de dietas de cordeiros confinados com resíduo de biodiesel, utilizando-se 25 ovinos, SRD, machos, castrados, com média de peso de 20kg. O delineamento experimental foi de blocos ao acaso, com cinco repetições por tratamento e esquema de parcelas subdivididas para os dados de biometria. O experimento teve a duração de 70 dias. As dietas eram compostas de 34% de volumoso e 61% de concentrado, à base de milho, soja, minerais e 5% de óleo de dendê ou resíduo de biodiesel, em percentagens crescentes - zero, 25, 50, 75 e 100%. Os animais foram abatidos ao final do experimento para avaliação da carcaça. Foram observados efeitos significativos (P<0,05) de percentagem de inclusão do resíduo, para as variáveis de desempenho e biometria demonstrados nos efeitos lineares crescentes das equações de regressão, assim como para peso da carcaça quente (PCQ) -, com médias de 14; 15,92; 16,14; 16,42 e 18,02% - e peso da carcaça fria (PCF) -, com médias de 13,12; 14,78; 15,06; 15,70 e 17,25% -, para dietas com, respectivamente, 0, 25, 50, 100% de resíduo de biodiesel de dendê. A utilização de resíduo de biodiesel de dendê na alimentação de cordeiros em crescimento é alternativa para aumentar a densidade energética de suas dietas.

Diet supplementation with biodiesel residues of confined lambs, utilizing 25 sheep, without definite breed pattern (WDB), male, castrated, with average weight of 20kg was studied. The experimental design was random blocks, with 5 repetitions per treatment and a split plot scheme toward biometrics data. The experiment lasted 70 days. The diets were composed of 34% of roughage and 61% of concentrate, based on corn, soy, mineral and 5% of oil palm kernel or biodiesel residues, in increasing percentages - zero, 25, 50, 75 and 100%. The animals were slaughtered at the end of the experiment for carcass evaluation. Significant effects (P<0.05) of percentage inclusion of residues were observed for the performance and biometrics variables demonstrated in the crescent linear effect of the regression equations, as well as for the hot carcass weight (HCW) - with an average of 14; 15.92; 16.14; 16.42 and 18.02%; and the cold carcass weight (CCW) - with an average of 13.12; 14.78; 15.06; 15.70 and 17.25% for diets, respectively, containing 0, 25, 50, 75, 100% of palm kernel biodiesel residues. The palm kernel biodiesel residue utilization in feeding growing lambs is an alternative to increase the energetic density in their diets.

Reversal of the anticoagulant and anti-hemostatic effect of low molecular weight heparin by direct prothrombin activation

Lopap, found in the bristles of Lonomia obliqua caterpillar, is the first exogenous prothrombin activator that shows serine protease-like activity, independent of prothrombinase components and unique lipocalin reported to interfere with hemostasis mechanisms. To assess the action of an exogenous prothrombin activator reversing the anticoagulant and antihemostatic effect induced by low molecular weight heparin (LMWH), male New Zealand rabbits (N = 20, weighing 3.8-4.0 kg) allocated to 4 groups were anticoagulated with 1800 IU/kg LMWH (iv) over 2 min, followed by iv administration of saline (SG) or recombinant Lopap (rLopap) at 1 µg/kg (LG1) or 10 µg/kg (LG10), 10 min after the injection of LMWH, in a blind manner. Control animals (CG) were treated only with saline. The action of rLopap was assessed in terms of activated partial thromboplastin time (aPTT), prothrombin fragment F1+2, fibrinogen, and ear puncture bleeding time (BT) at 5, 10, 15, 17, 20, 30, 40, 60, and 90 min after initiation of LMWH infusion. LG10 animals showed a decrease of aPTT in more than 50% and BT near to normal baseline. The level of prothrombin fragment F1+2 measured by ELISA had a 6-fold increase with rLopap treatment (10 µg/kg) and was inversely proportional to BT in LMWH-treated animals. Thus, Lopap, obtained in recombinant form using E. coli expression system, was useful in antagonizing the effect of LMWH through direct prothrombin activation, which can be a possible strategy for the reversal of bleeding and anticoagulant events.

Differences in Evolution of Children with Non-severe Acute Lower Respiratory Tract Infection With and Without Radiographically Diagnosed Pneumonia.

Objective: To identify differences in the evolution of children with non-severe acute lower respiratory tract infection between those with and without radiographically diagnosed pneumonia. Design: Prospective cohort study. Setting: A public university pediatric hospital in Salvador, Northeast Brazil. Patients: Children aged 2-59 months. Methods: By active surveillance, the pneumonia cases were prospectively identified in a 2-year period. Each case was followed-up for changes in various clinical symptoms and signs. Demographic, clinical and radiographic data were recorded in standardized forms. Exclusion was due to antibiotic use in the previous 48 hours, signs of severe disease, refusal to give informed consent, underlying chronic illness, hospitalization in the previous 7 days or amoxicillin allergy. Chest X-ray (CXR) was later read by at least 2 independent pediatric radiologists. Main Outcome Measures: Radiographic diagnosed pneumonia based on agreed detection of pulmonary infiltrate or pleural effusion in 2 assessments. Results: A total of 382 patients receiving amoxicillin were studied, of whom, 372 (97.4%) had concordant radiographic diagnosis which was pneumonia (52%), normal CXR (41%) and others (7%). By multivariate analysis, age (OR=1.03; 95% CI: 1.02- 1.05), disease ≥ 5days (OR = 1.04; 95% CI: 1.001-1.08), reduced pulmonary expansion (OR = 3.3; 95% CI: 1.4-8.0), absence of wheezing (OR = 0.5; 95% CI: 0.3-0.9), crackles on admission (OR = 2.0; 95% CI: 1.2-3.5), inability to drink on day 1 (OR = 4.2; 95% CI: 1.05-17.3), consolidation percussion sign (OR = 7.0; 95% CI: 1.5-32.3), tachypnea (OR = 2.0; 95% CI: 1.09-3.6) and fever (OR = 3.6; 95% CI: 1.4-9.4) on day 2 were independently associated with pneumonia. The highest positive predictive value was at the 2nd day of evolution for tachypnea (71.0%) and fever (81.1%). Conclusion: Persistence of fever or tachypnea up to the second day of amoxicillin treatment is predictive of radiographically diagnosed pneumonia among children with non-severe lower respiratory tract diseases.

New multilocus sequence typing of MRSA in São Paulo, Brazil

An increased incidence of nosocomial and community-acquired infections caused by methicillin-resistant Staphylococcus aureus (MRSA) has been observed worldwide. The molecular characterization of MRSA has played an important role in demonstrating the existence of internationally disseminated clones. The use of molecular biology methods in the surveillance programs has enabled the tracking of MRSA spread within and among hospitals. These data are useful to alert nosocomial infection control programs about the potential introduction of these epidemic clones in their areas. Four MRSA blood culture isolates from patients hospitalized at two hospitals in the city of São Paulo, Brazil, were analyzed; one of them was community acquired. The isolates were characterized as SCCmec, mecA and PVL by PCR, pulsed-field gel electrophoresis (PFGE) profile and molecular sequence typing (MLST) genotyping. The isolates presented type IV SCCmec, and none proved to be positive for PVL. The isolates showed a PFGE profile similar to the pediatric clone. MLST genotyping demonstrated that the isolates belonged to clonal complex 5 (CC5), showing a new yqiL allele gene, resulting in a new sequence typing (ST) (1176). Our results showed that strains of MRSA carrying a new ST are emerging in community and nosocomial infections, including bacteremia, in São Paulo, Brazil.

Intubação difícil em crianças: aplicabilidade do índice de Mallampati / Difficult intubation in children: applicability of the Mallampati index

JUSTIFICATIVA E OBJETIVOS: A preocupação de estar diante de uma via aérea difícil trouxe à tona a necessidade de se desenvolverem testes preditivos de intubação difícil. Tais testes foram, primariamente, desenvolvidos para populações adultas. Nos pacientes pediátricos, os estudos existentes sempre trataram de pacientes com malformações congênitas, politraumatizados e recém-nascidos. O objetivo deste trabalho foi verificar, em pacientes na faixa etária de 4 a 8 anos, a aplicabilidade do teste preditivo de intubação difícil mais comumente utilizado em adultos, o índice de Mallampati, correlacionando-o com o índice de Cormack-Lehane. MÉTODO: Foram estudados 108 pacientes com idades entre 4 e 8 anos, ASA I, sem quaisquer tipos de malformações anatômicas, síndromes genéticas ou déficits cognitivos. Os pacientes foram submetidos, durante a avaliação pré-anestésica, ao índice de Mallampati. Após a indução anestésica, realizava-se a avaliação do índice de Cormack-Lehane. Nos testes estatísticos p < 0,05, foi considerado significativo. RESULTADOS: O índice de Mallampati apresentou correlação significativa com o índice de Cormack-Lehane. A sensibilidade e a especificidade do índice de Mallampati foram, respectivamente, de 75,8 por cento e 96,2 por cento, mas o intervalo de confiança da sensibilidade foi muito grande. CONCLUSÕES: O índice de Mallampati se mostrou aplicável em crianças de 4 a 8 anos.

BACKGROUND AND OBJECTIVES: The concern of facing difficult airways brought the need of developing predictive testing for difficult intubation. Those tests were developed primarily for adult populations. In pediatric patients studies always focus on patients with congenital malformation, polytraumatized, and newborns. The objective of the present study was to determine the applicability of the predictive test used more often in adults, the Mallampati index, in patients 4 to 8 years old, correlating it with the Cormack-Lehane index. METHODS: One hundred and eight patients 4 to 8 years of age, ASA I, without any type of congenital malformation, genetic syndromes or cognitive deficits were evaluated. The Mallampati index was applied to patients during the pre-anesthetic evaluation. Evaluation of the Cormack-Lehane index was performed after anesthetic induction. A p < 0.05 was considered significant. RESULTS: The Mallampati index showed a significant correlation with the Cormack-Lehane index. The sensitivity and specificity of the Mallampati index were 75.8 percent and 96.2 percent respectively, but the sensitivity showed a wide confidence interval. CONCLUSIONS: The Mallampati index was proven to be applicable in children 4 to 8 years old.

JUSTIFICATIVA Y OBJETIVOS: La preocupación de estar frente a una vía aérea difícil, nos hizo desarrollar test predictivos de intubación difícil. Esos test fueron en principio desarrollados para las poblaciones adultas. En los pacientes pediátricos, los estudios existentes siempre trataron a pacientes con malformaciones congénitas, politraumatizados y recién nacidos. El objetivo de este trabajo fue la verificación en pacientes entre los 4 a los 8 años de edad, la aplicabilidad del test predictivo de intubación difícil que es más a menudo utilizado en los adultos, y el índice de Mallampati, correlacionándolo con el índice de Cormack-Lehane. MÉTODO: Se estudiaron 108 pacientes con edades los 4 y los 8 años, ASA I, sin ningún tipo de malformaciones anatómicas, síndromes genéticos o déficits cognitivos. Durante la evaluación preanestésica, los pacientes se sometieron al índice de Mallampati. Después de la inducción anestésica, se realizó la evaluación del índice de Cormack-Lehane. En los test estadísticos p < 0,05 fue considerado significativo. RESULTADOS: El índice de Mallampati presentó una correlación significativa con el índice de Cormack-Lehane. La sensibilidad y la especificidad del índice de Mallampati fueron respectivamente, de 75,8 por ciento y 96,2 por ciento, pero el intervalo de confianza de la sensibilidad fue mucho mayor. CONCLUSIONES: El índice de Mallampati fue aplicable en niños de 4 a 8 años.

Prevalence and epidemiology of chronic hepatitis C among prisoners of Mato Grosso do Sul State, Brazil

In Mato Grosso do Sul state, Brazil, the number of prisoners has increased in the recent years and the control of hepatitis C virus (HCV) has become more complex. The aim of the present study was to estimate the prevalence and identify the genotypes of HCV in prisoners as well as the factors associated with this infectious disease. Thereby, 443 men and 243 women from prisons were interviewed and subjected to blood collection. Anti-HCV reactive samples were analyzed by RT-PCR and genotyped. The overall seroprevalence of HCV infection was 4.8 percent (95 percentCI: 3.4 to 6.8 percent). Furthermore, the prevalence was higher in: men, injecting drug users, tattooed persons, those who were more than 50 years old, individuals who have been arrested multiple times, people with previous history of sexually transmitted disease (STD), persons who received blood transfusions or those with HIV/AIDS. The prevalence of RNA HCV by PCR was 3.0 percent (95 percentCI: 1.7 to 4.2 percent). Moreover, the coinfection of HIV and HCV was 33.3 percent. In addition, genotype 1 was the most frequent (85 percent) followed by genotype 3 (15 percent). The screening strategy for HCV and other infectious diseases in inmates is important as it establishes an early diagnosis, opportunity for treatment and allows the breaking of the transmission chain.

Avaliação da ansiedade e depressão no período pré-operatório em pacientes submetidos a procedimentos cardíacos invasivos / Evaluación de la ansiedad y depresión en el período preoperatorio en pacientes sometidos a procedimientos cardíacos / Evaluation of preoperative anxiety and depression in patients undergoing invasive cardiac procedures

JUSTIFICATIVA E OBJETIVOS: A avaliação específica da ansiedade e da depressão não está incluída na rotina de avaliação pré-operatória, o que faz com que em situações como as doenças cardíacas, em que o estado emocional dos pacientes pode estar modificado pela própria doença, possam não ser diagnosticadas. O objetivo do estudo foi comparar o nível e a prevalência de ansiedade e depressão em pacientes com doença cardíaca a serem submetidos a procedimentos invasivos e/ou cirúrgicos, utilizando a Escala Hospitalar de Ansiedade e Depressão (Hospital Anxiety and Depression Scale - HAD). MÉTODO: Após a aprovação pelos Comitês de Ética, foram incluídos 96 pacientes, estado físico ASA II e III, que constituíram três grupos: estudo eletrofisiológico (EEF), implante de marcapasso (MP) e revascularização do miocárdio (RM). Os escores considerados "ponto de corte" foram: escala HAD-ansiedade (HAD-A) com ansiedade > 9; escala HAD-depressão (HAD-D) com depressão > 9. RESULTADOS: Os grupos foram homogêneos quanto às variáveis sociodemográficas. Observou-se diferença estatística significativa entre os três grupos (p = 0,006; p = 0,034) quanto ao nível e prevalência de ansiedade (HAD-A) e na comparação do nível de ansiedade grupo a grupo verificou-se diferença significativa entre os grupos EEF × RM e EEF × MP (p < 0,05). A comparação dos três grupos quanto ao nível e prevalência de depressão (HAD-D) não mostrou diferença estatística significativa. CONCLUSÕES: Os pacientes com doença cardíaca a serem submetidos a estudo eletrofisiológico, implante de marcapasso e revascularização do miocárdio têm diferença dos níveis e prevalência de ansiedade, mas não apresentam diferença em relação aos níveis e prevalência de depressão.

BACKGROUND AND OBJECTIVES: Specific assessment of anxiety and depression is not included in routine preoperative evaluation; therefore, in cases of cardiac diseases in which the emotional status of the patient may be modified by the disease those disorders may not be diagnosed. The objective of the present study was to compare the level and prevalence of anxiety and depression in patients with cardiac disease undergoing invasive and/or surgical procedures using the Hospital Anxiety and Depression Scale - HAD. METHODS: After approval by the Ethics Committee, 96 patients, physical status ASA II and III, were divided in three groups: electrophysiological study (EPS), pacemaker (PM) placement, and myocardial revascularization (MR). "Cutting points" were as follows: HAD-anxiety scale (HAD-A) with anxiety > 9; HAD-depression scale (HAD-D) with depression > 9. RESULTS: All three groups were homogenous regarding sociodemographic parameters. Statistically significant differences were observed among the three groups (p = 0.006; p = 0.034) in the level and prevalence of anxiety (HAD-A); and in the intergroup comparison of the anxiety level significant differences were observed between the EPS x MR and EPS x PM groups (p < 0.05). Significant differences in the level and prevalence of depression (HAD-D) among the study groups were not observed. CONCLUSIONS: Patients with cardiac diseases undergoing electrophysiological studies, pacemaker implantation, and myocardial revascularization have different levels and prevalence of anxiety, but they do not show differences in the level and prevalence of depression.

JUSTIFICATIVA Y OBJETIVOS: La evaluación específica de la ansiedad y de la depresión no está incluida en la rutina de evaluación preoperatoria, lo que hace con que en algunas situaciones como las enfermedades cardiacas, en que el estado emocional de los pacientes puede estar modificado por la propia enfermedad, puedan no quedar diagnosticadas. El objetivo del estudio fue comparar el nivel y la prevalencia de ansiedad y depresión en pacientes con enfermedad cardiaca a ser sometidos a procedimientos invasivos y/o quirúrgicos, utilizando la Escala Hospitalaria de Ansiedad y Depresión (Hospital Anxiety and Depression Scale - HAD). MÉTODO: Después de la aprobación por parte de los Comités de Ética, se incluyeron 96 pacientes, estado físico ASA II y III, que constituyeron tres grupos: estudio electrofisiológico (EEF), implante de marcapaso (MP) y revascularización del miocardio (RM). Las puntuaciones consideradas "punto de corte" fueron las siguientes: escala HAD-ansiedad (HAD-A): con ansiedad > 9; escala HAD-depresión (HAD-D): con depresión > 9. RESULTADOS: Los grupos fueron homogéneos en cuanto a las variables sociodemográficas. Se observó una diferencia estadística significativa entre los tres grupos (p = 0,006; p = 0,034) en lo concerniente al nivel y a la prevalencia de ansiedad (HAD-A) y en la comparación del nivel de ansiedad grupo a grupo, se verificó la diferencia significativa entre los grupos EEF x RM y EEF x MP (p < 0,05). La comparación de los tres grupos en cuanto al nivel y a la prevalencia de Depresión (HAD-D) no arrojó diferencia estadística significativa. CONCLUSIONES: Los pacientes con enfermedad cardiaca a ser sometidos a estudio electrofisiológico, implante de marcapaso y revascularización del miocardio, tienen diferencia de los niveles y prevalencia de ansiedad, pero no presentan diferencia con relación a los niveles y a la prevalencia de depresión.

Serum electrolyte changes in pediatric patients stung by scorpions

Scorpion sting is a health problem in some places of Mexico. The clinical manifestations of scorpion envenomation are variable and include metabolic alterations. Hyperkalemia is the most frequently reported metabolic alteration. We conducted a prospective, observational, descriptive and transversal study in an emergency room at Hospital del Niño Morelense, Mexico. Eighty-two patients were included and classified as mild (17 percent) moderate (33 percent) and severe (46 percent). The mean serum level of sodium was 146.4meq/l, standard deviation (SD) 5.58; potassium 3.86meq/l, SD 0.53, and calcium 9.55mg/dl, SD 0.76. We found 30.4 percent hypernatremia, 12 percent hypokalemia, 10.9 percent abdominal distension, and 14.6 percent visual alterations.

Effects of experimental amitraz intoxication in cats

This work studied the effects of experimental amitraz intoxication in cats. Sixteen cats were randomly divided equally into two groups: amitraz group - animals received 1.5 percent amitraz at 1mg/kg IV; and the control group - animals without amitraz. Physiological parameters from blood, cardiorespiratory system, and sedation indicators were quantified over time up to 360 minutes. Blood profile, urea, creatinine, alananine aminotransferase and aspartate aminotransferase were not affected by amitraz. Sedation, loss of reflexes, hypothermia, bradycardia, bradyarrhythmia, hypotension, bradypnea, mydriasis, besides transitory hyperglycemia, hypoinsulinemia and decrease of cortisol levels were observed in cats experimentally exposed to amitraz. The alpha2-adrenergic effects induced by amitraz intoxication in cats are very similar to the same effects reported in others species, contributing with more information about this type of intoxication to veterinary toxicology

Este trabalho estudou os efeitos da intoxicação experimental por amitraz em 16 gatos, distribuídos, aleatoriamente, em dois grupos: grupo amitraz - animais receberam amitraz a 1,5 por cento na dose de 1,0 mg/kg IV; e grupo controle - animais sem amitraz. Parâmetros fisiológicos sangüíneos, do sistema cardiorespiratório e de sedação foram aferidos até 360min. Perfil sangüíneo, uréia, creatinina, alanina aminotransferase e aspartato aminotransferase não foram afetados pelo amitraz. Sedação, perda de reflexos, hipotermia, bradicardia, bradiarritmias, hipotensão, bradipnéia, midríase, além de transitória hiperglicemia, hipoinsulinemia e diminuição dos níveis de cortisol, foram observados nos gatos experimentalmente expostos ao amitraz. Os efeitos alfa 2-adrenérgicos induzidos pela intoxicação por amitraz em gatos são muito similares aos mesmos efeitos relatados em outras espécies, contribuindo com mais informações dessa intoxicação para a toxicologia veterinária

Balance de energía, composición corporal y actividad física en preescolares eutróficos y obesos / Energy balance, body composition and physical activity in eutrophic and obese preschool children

En Chile, se ha producido un incremento importante de la obesidad como consecuencia de una acelerada transición nutricional, pasando rápidamente de una situación de pre-transición -con predominio de la desnutrición como principal problema de salud pública-a uno de post-transición, con predominio de la obesidad. Esta situación se ha observado principalmente en niños, adultos y embarazadas.

Balance de energia, composición corporal y actividad física en preescolares eutróficos y obesos / Energy balance, body composition and physical activity in eutrophic and obese preschool children

Objetivo: Comparar balance energético, composición corporal y actividad física en párvulos eutróficos y obesos, de 3 a 5 años, asistentes a jardines infantiles JUNJI. Metodología: Se compararon entre eutróficos y obesos: el gasto energético total (GET) con agua doblemente marcada (ADM); la ingesta energética (IE) por pesaje en jardín y registro en el hogar, más la actividad fásica en jardín con sensor de movimiento TRITRAC. Resultados: GET fue mayor en niños obesos (p = 0,006). IE en el jardín fue mayor para obesos de ambos sexos (p = 0,0001), IE en el hogar (semana) fue mayor en niños obesos (p = 0,0001) y en fin de semana IE fue mayor en niñas y niños obesos (p = 0,0001). En actividad física en el jardin, los niños eutróficos tuvieron mayor actividad moderada intensa (p = 0,02). Conclusiones: El hogar condiciona una mayor ingesta energía de los niños obesos. La actividad física tiende a ser sedentaria en el jardín infantil. Un proceso de intervención educativa que busque cambiar esta situación, debe considerar a la familia y educadores

Parasite fauna monitoring of matrinxã Brycon amazonicus (Spix & Agassiz, 1829) raised in an intensive husbandry system in a stream channel in the state of Amazonas, Brazil

The matrinxã, Brycon amazonicus, is one of the main species being used for aquaculture and fishery activities in the Amazonian region, yet little is known about the parasites that cause its diseases. The present study monitored parasite fauna infesting an intensive husbandry system in a stream channel. The collections were carried out monthly from September, 1997 to January, 1998. Water quality parameters, fish removal procedures, as well as biometry and anaesthetic data were observed in order to monitor the management conditions. Of the 80 sampled fish, 71 (89 percent) were infested with four Monogenoidea species (Anacanthorus spiralocirrus, Jainus amazonensis, Tereancistrum kerri and Trinibaculum brazilensis), 12 (15 percent) one of Nematoda Spirocamallanus inopinatus, and three (3.75 percent) with the Copepoda Ergasilus bryconis. Monogenoidea presented the highest prevalence and intensity of infestation. The Kruskall-Wallis non-parametric variance analysis showed a significant difference (P < 0.05) in the monthly parasite indexes of A. spiralocirrus, J. amazonensis and T. brazilensis, however no significant difference (P > 0.05) was detected for T. kerri. Evaluation of the management conditions pointed out that monthly capture anaesthesia and hauling procedures may have been responsible for some of the clinical signals such as loss of scales, erosion and no pigments on the caudal fin and cornea opacity, which were the most frequently found injuries in husbandry.

O matrinxã Brycon amazonicus, é uma espécie amplamente cultivada na região Amazônica, entretanto, as doenças parasitárias são praticamente desconhecidas. Este estudo teve como objetivo monitorar mensalmente a fauna parasitológica e as condições de manejo em sistema de cultivo intensivo em canal de igarapé. As coletas foram realizadas mensalmente, durante os meses de setembro de 1997 a janeiro de 1998. O monitoramento das condições de manejo foi realizado observando-se os parâmetros de qualidade de água, procedimentos de despesca, biometrias e anestesia. Oitenta (80) peixes foram amostrados, dos quais, 71 (89 por cento) encontravam-se parasitados com quatro espécies de monogenóideos (Anacanthorus spiralocirrus, Jainus amazonensis, Tereancistrum kerri e Trinibaculum brazilensis), 12 (15 por cento) com o nematóide Spirocamallanus inopinatus e três (3,75 por cento) com o ergasilídeo Ergasilus bryconis. Os monogenóideos apresentaram os maiores valores de prevalências e intensidades de infestação. A análise de variância não paramétrica de Kruskall-Wallis revelou uma diferença significativa (P < 0,05) nos índices parasitários mensais de A. spiralocirrus, J. amazonensis e T. brazilensis, porém para T. kerri não foi detectado diferença significativa (P > 0,05). A avaliação das condições de manejo indicaram que os procedimentos mensais de captura, anestesia e transporte podem ter sido responsáveis por alguns dos sinais clínicos observados durante o cultivo. Os mais freqüentes foram: perda de escamas, erosão e despigmentação da nadadeira caudal e opacidade de córnea.

Controle bacteriológico de carne caprina para elaboração de hambúrguer caprino defumado / Bacteriological control of goat meat to elaboration of smoked goat hamburger

Realizaram-se avaliações bacteriológicas da matéria-prima utilizada na elaboração de um produto cárneo caprino tipo hambúrguer defumado, antes e após sanitização. A carne foi tratada por aspersão, com uma solução de ácidos orgânicos contendo 2 por cento de ácido acético, 1 por cento de ácido lático, 0,25 por cento de ácido cítrico e 0,1 por cento de ácido ascórbico, e armazenada sob refrigeração. As análises bacteriológicas foram realizadas no dia 0 e aos 7 e 14 dias após defumação. Na carne, no dia 0, a contagem de coliformes fecais estava acima do limite permitido pela legislação vigente, mas sete dias após a sanitização, esse parâmetro estava dentro dos limites permitidos. No produto final todos os parâmetros bacteriológicos encontraram-se dentro dos padrões higiênico-sanitários.

In order to obtain a safe goat smoked hamburger, bacteriological analysis of the raw material was performed before and after sanitation. Meat was sprayed with a solution of organic acids containing 2 percent acetic acid, 1 percent lactic acid, 0.25 percent citric acid and 0.1 percent ascorbic acid and, after that, stored under refrigeration. Bacteriological analysis was carried out on days 0, 7 and 14 after goat smoked hamburger processing. In meat, on day 0, the fecal coliform count was above legal limits, but on day 7 after sanitation this parameter was these limits. In the final product, all the results of the bacteriological parameters were according to the sanitary-hygienic standards.

Additional markers to refine the World Health Organization algorithm for diagnosis of pneumonia.

INTRODUCTION: WHO guidelines for primary care of children with tachypnea indicate that all should receive antibiotics for presumed pneumonia. These guidelines have led to excessive antibiotic use. OBJECTIVE: To examine the value of history of previous respiratory distress, chest indrawing and fever, and response to bronchodilator(BD) to refine these guidelines. DESIGN: Prospective study. SETTING: Urban tertiary care hospital. SUBJECTS: Children, between the ages of 6 and 59 months, presenting with cough and tachypnea. METHODS: 182 children were enrolled. Each child had a chest X-ray that was read by two blinded, independent radiologists. Discordance between the two radiologists led to excluding 17 patients. The remaining 165 children were examined for fever and/or chest indrawing, and if they had a history of previous respiratory distress, challenge with a BD. The association of persistent tachypnea after BD and presence of pulmonary infiltrates was recorded. RESULTS: The median age was 22 months (mean 25.1 +- 14.5 mo) and 75.8% were aged greater than 1 year. There were 58.8% males. Previous respiratory distress occurred in 65.0% and 79.2% of children aged less than 1 year and 1 year, respectively. Pneumonia was radiologically diagnosed in 26/165 (15.8%). 2/40 (5 %) of children without a history of previous respiratory distress had pneumonia diagnosed. Of 125 children with history of previous respiratory distress, pneumonia was identified in 24 (19.2 %). Persistence of tachypnea after BD was associated with pulmonary infiltrate in 14/24 (58.3%), whereas, tachypnea persisted in 32/101 (31.7%) children without pulmonary infiltrates (P = 0.02). The negative predictive value of resolution of tachypnea was 87.3% (95% CI 77.5 93.4). BD non-response was most useful in children without fever and/or with chest indrawing to indicate pneumonia as the cause of the tachypnea. CONCLUSION: This study indicates that by adding the simple procedures of a history of previous respiratory distress, recording of fever and chest indrawing, and observing the response to bronchodilators, pneumonia can be reliably identified in children presenting with tachypnea and cough. It is probable that this approach to management of children with cough and tachypnea could reduce unnecessary use of antibiotics.

Balance de energía, composición corporal y actividad física en preescolares eutróficos y obesos / Energy balance, body composition and physical activity in eutrophic and obese preschool children

Objetivo: Comparar balance energético, composición corporal y actividad física en párvulos eutróficos y obesos, de 3 a 5 años, asistentes a jardines infantiles JUNJI. Metodología: Se compararon entre eutróficos y obesos: el gasto energético total (GET) con agua doblemente marcada (ADM); la ingesta energética (IE) por pesaje en jardín y registro en el hogar, más la actividad física en jardín con sensor de movimiento TRITRAC. Resultados: GET fue mayor en niños obesos (p = 0,006). IE en el jardín fue mayor para obesos de ambos sexos (p = 0,0001), IE en el hogar (semana) fue mayor en niños obesos (p = 0,0001) y en fin de semana IE fue mayor en niñas y niños obesos (p = 0,0001). En actividad física en el jardín, los niños eutróficos tuvieron mayor actividad moderada intensa (p = 0,02). Conclusiones: El hogar condiciona una mayor ingesta energía de los niños obesos. La actividad física tiende a ser sedentaria en el jardín infantil. Un proceso de intervención educativa que busque cambiar esta situación, debe considerar a la familia y educadores.