Inappropriate screening of obstructive coronary artery disease during pre-anesthesia assessment of candidates for non-cardiac surgery

Preoperative evaluation in elective surgeries has been associated with successful surgical treatment. However, there is no solid scientific evidence that screening for coronary artery disease (CAD) reduces surgical risk. The aims of this study were to describe the frequency of inappropriate investigation of obstructive CAD induced by pre-anesthetic assessment in individuals without cardiovascular symptoms (candidates for low- to intermediate-risk surgeries) and to evaluate predictors of this conduct. We performed a retrospective evaluation of medical records of anesthesiology services from patients undergoing pre-anesthesia assessment between May 2015 and May 2016, including those with functional capacity ≥4 metabolic equivalents without a diagnosis of heart disease. A total of 778 medical records (47±16 years of age, 62.6% female) were studied. A private hospital performed 50.1% of the surgeries and 60.4% were of intermediate risk. Only 2.7% (95%CI: 1.7-4.1%) were screened for CAD, and 91% of these requests were mediated by cardiology consultations performed during pre-anesthetic testing visits. Factors associated with screening for CAD were hypertension, diabetes, moderate systemic disease (ASA III), cardiac consultation, previous diagnosis of CAD, and admission to a private hospital. Independent predictors were private hospitals (OR: 3.9; 95%CI: 1.3-11.0), ASA III (OR: 5.3; 95%CI: 1.7-16.2), and hypertension (OR: 3.8; 95%CI: 1.5-9.8). The frequency of inappropriate requests for CAD screening in asymptomatic individuals without untreated systemic diseases was low in pre-anesthetic visits. Although infrequent, screening for CAD is more common in the private setting, in patients with poorer health status, and is usually prescribed during cardiology consultation.

Padronização de uma PCR para diagnóstico molecular de Microsporum canis em amostras de pelos e crostas de cães e gatos / Standardization of a pcr for molecular diagnosis of microsporum canis in samples of fur and crusts of dogs and cats

Objetivou-se neste estudo padronizar um protocolo de reação em cadeia da polimerase (PCR) para detecção de Microsporum canis em amostras de pelos e/ou crostas de cães e gatos. Foram selecionadas 48 amostras previamente identificadas por meio de cultura. Destas, 23 foram positivas para dermatófitos no cultivo. Padronizou-se a PCR a partir de primers desenhados para o alvo M. canis. Sessenta e um por cento (14/23) das amostras positivas para dermatófitos foram identificadas como M. canis em cultura. Desse total, 71,4% (10/14) apresentaram um fragmento de 218pb compatível com o esperado para a espécie fúngica alvo dessa reação. Observou-se uma sensibilidade de 71,4% e especificidade de 100% na PCR, além de uma boa concordância entre essas técnicas de diagnóstico (Kappa: 0,78; P<0,0001). O protocolo utilizado neste estudo apresentou alta especificidade na detecção de M. canis diretamente de amostras de pelos e/ou crostas de cães e gatos, viabilizando um diagnóstico mais rápido e específico, podendo esse protocolo ser empregado como um método confirmatório para agilizar a detecção de M. canis.(AU)

The aim of this study was to standardize a Polymerase Chain Reaction protocol (PCR) for the detection of Microsporum canis in fur and/or crusts of dogs and cats. 48 samples previously identified by culture were selected. Of these, 23 were positive for dermatophytes in culture. PCR was standardized from drawn primers whose target is M. canis. A total of 61% (14/23) of the dermatophyte positive samples were identified as M. canis in culture. Of this total, 71.4% (10/14) presented a fragment of 218bp compatible with that expected for the fungal species target of the reaction. A sensitivity of 71.4% and specificity of 100% in the PCR were observed, in addition to a good agreement between the techniques (Kappa: 0.78; P<0.0001). The protocol used in this study showed high specificity in the detection of M. canis directly from fur and/or crusts of dogs and cats, making possible a faster and more specific diagnosis. This protocol could be used as a confirmatory method, speeding the detection of M. canis.(AU)

Water quality assessment of the Sinos River – RS, Brazil / Qualidade da água do Rio dos Sinos – RS, Brasil

Worldwide environmental pollution is increasing at the same rate as social and economic development. This growth, however, is disorganized and leads to increased degradation of water resources. Water, which was once considered inexhaustible, has become the focus of environmental concerns because it is essential for life and for many production processes. This article describes monitoring of the water quality at three points along the Sinos River (RS, Brazil), one in each of the upper, middle and lower stretches. The points were sampled in 2013 and again in 2014. The water samples were analyzed to determine the following physical and chemical parameters plus genotoxicity to fish: metals (Cr, Fe, Al), chemical oxygen demand, biochemical oxygen demand, chlorides, conductivity, total suspended solids, total phosphorous, total and fecal coliforms, pH, dissolved oxygen, turbidity, total Kjeldahl nitrogen nitrate and ammoniacal nitrogen. Genotoxicity was tested by exposing individuals of the species Astyanax jacuhiensis to water samples and then comparing them with a control group exposed to water from the public water supply. The results confirmed the presence of substances with genotoxic potential at the sample points located in the middle and lower stretches of the river. The results for samples from the upper stretch, at P1, did not exhibit differences in relation to the control group. The physical and chemical analyses did not detect reductions in water quality in the lower stretch, as had been expected in view of the large volumes of domestic and industrial effluents discharged into this part of the river.

Resumo A poluição ambiental aumenta mundialmente, no mesmo ritmo que o desenvolvimento social e econômico. Este crescimento é, muitas vezes, desorganizado e proporciona um aumento da degradação dos recursos hídricos. Água, que já foi considerado inesgotável, tornou-se o foco das preocupações ambientais, pois é essencial para a vida e para muitos processos de produção. Este artigo aborda o monitoramento da qualidade da água, em três pontos do Rio dos Sinos, compreendendo o trecho superior, médio e inferior. Os pontos foram monitorados entre 2013 e 2014. As amostras de água foram analisadas para determinar os parâmetros físico-químicos complementarmente a genotoxicidade em peixes: metais (Cr, Fe, Al), demanda química de oxigenio, demanda bioquímica de oxigênio, cloretos, condutividade, sólidos suspensos totais, fósforo total, coliformes totais e fecais, pH, oxigênio dissolvido, turbidez, nitrogênio total Kjeldahl, nitrato e nitrogênio amoniacal. A avaliação de genotoxicidade foi conduzida pela exposição à água de diferentes pontos do rio de indivíduos da espécie Astyanax jacuhiensis. O grupo controle foi exposto à água de abastecimento público. Os resultados confirmam a presença de substâncias com potencial genotóxico nos pontos localizados nos trechos médio e inferior. No trecho superior, ponto 1, não houve diferenças em relação ao grupo controle. A diminuição da qualidade da água do trecho inferior quando comparada com o superior também foi confirmada através das análises físico-químicas, as quais indicaram uma redução na qualidade da água nos trechos inferiores, como o esperado devido ao grande escoamento de esgotos domésticos e industriais neste trecho do rio.

Water quality assessment of the Sinos River RS, Brazil

Worldwide environmental pollution is increasing at the same rate as social and economic development. This growth, however, is disorganized and leads to increased degradation of water resources. Water, which was once considered inexhaustible, has become the focus of environmental concerns because it is essential for life and for many production processes. This article describes monitoring of the water quality at three points along the Sinos River (RS, Brazil), one in each of the upper, middle and lower stretches. The points were sampled in 2013 and again in 2014. The water samples were analyzed to determine the following physical and chemical parameters plus genotoxicity to fish: metals (Cr, Fe, Al), chemical oxygen demand, biochemical oxygen demand, chlorides, conductivity, total suspended solids, total phosphorous, total and fecal coliforms, pH, dissolved oxygen, turbidity, total Kjeldahl nitrogen nitrate and ammoniacal nitrogen. Genotoxicity was tested by exposing individuals of the species Astyanax jacuhiensis to water samples and then comparing them with a control group exposed to water from the public water supply. The results confirmed the presence of substances with genotoxic potential at the sample points located in the middle and lower stretches of the river. The results for samples from the upper stretch, at P1, did not exhibit differences in relation to the control group. The physical and chemical analyses did not detect reductions in water quality in the lower stretch, as had been expected in view of the large volumes of domestic and industrial effluents discharged into this part of the river.

Resumo A poluição ambiental aumenta mundialmente, no mesmo ritmo que o desenvolvimento social e econômico. Este crescimento é, muitas vezes, desorganizado e proporciona um aumento da degradação dos recursos hídricos. Água, que já foi considerado inesgotável, tornou-se o foco das preocupações ambientais, pois é essencial para a vida e para muitos processos de produção. Este artigo aborda o monitoramento da qualidade da água, em três pontos do Rio dos Sinos, compreendendo o trecho superior, médio e inferior. Os pontos foram monitorados entre 2013 e 2014. As amostras de água foram analisadas para determinar os parâmetros físico-químicos complementarmente a genotoxicidade em peixes: metais (Cr, Fe, Al), demanda química de oxigenio, demanda bioquímica de oxigênio, cloretos, condutividade, sólidos suspensos totais, fósforo total, coliformes totais e fecais, pH, oxigênio dissolvido, turbidez, nitrogênio total Kjeldahl, nitrato e nitrogênio amoniacal. A avaliação de genotoxicidade foi conduzida pela exposição à água de diferentes pontos do rio de indivíduos da espécie Astyanax jacuhiensis. O grupo controle foi exposto à água de abastecimento público. Os resultados confirmam a presença de substâncias com potencial genotóxico nos pontos localizados nos trechos médio e inferior. No trecho superior, ponto 1, não houve diferenças em relação ao grupo controle. A diminuição da qualidade da água do trecho inferior quando comparada com o superior também foi confirmada através das análises físico-químicas, as quais indicaram uma redução na qualidade da água nos trechos inferiores, como o esperado devido ao grande escoamento de esgotos domésticos e industriais neste trecho do rio.

Estimativa do intervalo pós-morte em um canino (Canis lupus familiaris Linnaeus 1758) pela entomologia forense em Cabedelo-PB, Brasil: relato de caso / Estimate of postmortem interval through forensic entomology in a canine (Canis lupus familiaris Linnaeus 1758) in Cabedelo-PB, Brazil: case report

O intervalo pós-morte (IPM) é um instrumento importante de diagnóstico relacionado à prática forense. O uso de insetos tem sido relatado como um modo eficiente para estimá-lo, quando o cadáver encontra-se em estágio avançado de decomposição. Objetivou-se com este trabalho estimar o IPM com base em evidências entomológicas em um canino. Foram coletadas larvas de moscas no cadáver e encaminhadas ao laboratório de entomologia, onde foram criadas e eclodiram adultos da espécie Chrysomya albiceps (Wiedemann, 1819). Somando-se os dados abióticos de temperatura e umidade relativa do local de coleta e do local de criação, estimou-se um IPM mínimo de 3,34 dias do momento da postura dos ovos pelas moscas até a coleta das larvas. Com base nos resultados obtidos, conclui-se que a entomologia forense, como ferramenta para estimativa do IPM, mostrou-se eficaz e determinante na elucidação do caso em questão.

The postmortem interval (PMI) is an important tool for diagnosis related to the forensic practice. The use of insects has proved to be an efficient diagnosis tool when the cadaver is in advanced decomposition stage. The objective of this work was to estimate PMI based on entomological evidence in a canine. Fly larvae was collected from the cadaver and forwarded to the Entomology laboratory. The fly larvae were reared and hatched adults of Chrysomya albiceps (Wiedemann 1819). With these insects and the abiotic data of temperature and relative humidity, from the places of collection and rearing larvae, a minimum PMI of 3.34 days from the laying of eggs by the flies until the time that we collected the larvae was obtained. The results show that Forensic Entomology as tool to estimate PMI is decisive and effective in the elucidation of the case.

Efeito do extrato aquoso e etanólico do angico preto sobre larvas de Rhipicephalus (Boophilus) microplus / The effect of aqueous and ethanolic extracts from the angico Preto about larvae of Rhipicephalus (Boophilus) microplus

Rhipicephalus (Boophilus) microplus representa um grande problema na bovinocultura e o uso de acaricidas é a medida de controle profilático e terapêutico mais comum contra esses ectoparasitos. Os principais problemas relacionados com essa prática dizem respeito ao desenvolvimento de linhagens resistentes de carrapatos. Assim, objetivou-se determinar o efeito de extratos da casca de Anadenanthera macrocarpa sobre as larvas de R. (B.) microplus, obtidas de um pool de ovos, acondicionadas em tubo de polietileno. De acordo com os resultados, o extrato aquoso na concentração de 8,26mg.mL-1 causou 85% de mortalidade nas primeiras 12 horas. Quanto ao extrato etanólico, observou-se maior mortalidade nas concentrações 12,5; 6,25 e 1,56mg.mL-1, em torno de 84%, percentuais semelhantes ao amitraz. Os controles negativos não apresentaram mortalidade durante o experimento. Assim, tanto o extrato aquoso como o extrato etanólico apresentaram efeito larvicida, embora o extrato etanólico tenha sido mais eficiente para a espécie, podendo ser uma alternativa no controle desse ectoparasito.

Rhipicephalus (Boophilus) microplus represents a major problem in cattle breeding and the use of acaricides is the most common prophylactic and therapeutic control measure against these ectoparasites. The main problems with this practice relate to the development of resistant strains of ticks. Thus, the objective was to determine the effect of bark extracts from Anadenanthera macrocarpa on the larvae of R.(B.) microplus, obtained from a pool of eggs packed in a polyethylene tube. According to the results, the aqueous extract at a concentration of 8.26mg.mL-1caused 85% mortality in the first 12 hours. As for the ethanolic extract, higher mortality of about 84%, a percentage similar to amitraz, was observed at concentrations of 12.5mg.mL-1, 6.25mg.mL-1 and 1.56mg.mL-1. The negative controls showed no mortality during the experiment. Thus, both the aqueous and ethanolic extracts showed larvicidal activity, although the ethanolic extract has been more efficient and could be an alternative to control this ectoparasite.

Embryonic and larval development of Jundiá (Rhamdia quelen, Quoy & Gaimard, 1824, Pisces, Teleostei), a South American Catfish

The jundiá (Rhamdia quelen, Quoy & Gaimard) is an endemic South American fish species. Because this species supports cold winters and grows faster during warm months, it has begun to be viewed as an ideal species for fish production in southern South America. In the present study, jundiá oocytes used were obtained by extrusion from females after hormone injection. Soon after hydration, the eggs were transferred to 50 L conic glass incubators, with constant and controlled water influx. Samples of fertilized eggs were transferred to Petri dishes and, examined under a stereoscopic microscope, were spherical, demersal, and non-adhesive with defined perivitelline space and resistant chorion. Cleavage stages occurred during the first 3.5 h. After hatching, larvae were transferred to 200 L glass fiber incubators. First signs of embryo movement were observed 21 h after fertilization; larval eclosion occurred 30.5 h after fertilization. Present findings may provide a basis for studies aimed at determining the complete ontogeny of jundiá and may be useful in eco-toxicological studies.

O jundiá (Rhamdia quelen, Quoy & Gaimard) é uma espécie endêmica da América do Sul. Por ser adaptada ao frio do inverno e ter um crescimento rápido durante os meses quentes, o jundiá é uma espécie adequada para aqüicultura no sul da América do Sul. Muitos aspectos da fisiologia reprodutiva, larvicultura, hematologia, fisiologia da resposta ao estresse, têm sido recentemente estudados. Os ovócitos utilizados neste estudo foram obtidos pela extrusão de fêmeas após indução hormonal. Logo após a hidratação, foram transferidos para incubadoras cônicas de vidro com capacidade para 50 L, com fluxo de água constante e controlado. Amostras de ovos fertilizados foram colocadas em placas de Petri e examinadas através de estereomicroscópio. Os ovos eram esféricos, demersais e não-adesivos, com espaço perivitelino definido e córion resistente. Os estágios de clivagem ocorreram durante as 3,5 primeiras horas. Após a eclosão, as larvas foram transferidas para incubadoras de fibra de vidro de 200 l. Os primeiros sinais de movimento embrionário foram observados 21 h após a fertilização, e a eclosão das larvas ocorreu 30,5 h após a fertilização. Estes resultados podem servir como base para muitos estudos, objetivando o conhecimento da ontogenia completa do jundiá, e para aplicação em estudos ecotoxicológicos.

Isolation and intracellular localization of insulin-like proteins from leaves of Bauhinia variegata

Evidence based on immunological cross-reactivity and anti-diabetic properties has suggested the presence of insulin-like peptides in plants. The objective of the present study was to investigate the presence of insulin-like proteins in the leaves of Bauhinia variegata ("pata-de-vaca", "mororó"), a plant widely utilized in popular medicine as an anti-diabetic agent. We show that an insulin-like protein was present in the leaves of this plant. A chloroplast protein with a molecular mass similar to that of bovine insulin was extracted from 2-mm thick 15 percent SDS-PAGE gels and fractionated with a 2 x 24 cm Sephadex G-50 column. The activity of this insulin-like protein (0.48 mg/mL) on serum glucose levels of four-week-old Swiss albino (CF1) diabetic mice was similar to that of commercial swine insulin used as control. Further characterization of this molecule by reverse-phase hydrophobic HPLC chromatographic analysis as well as its antidiabetic activity on alloxan-induced mice showed that it has insulin-like properties. Immunolocalization of the insulin-like protein in the leaves of B. variegata was performed by transmission electron microscopy using a polyclonal anti-insulin human antibody. Localization in the leaf blades revealed that the insulin-like protein is present mainly in chloroplasts where it is also found associated with crystals which may be calcium oxalate. The presence of an insulin-like protein in chloroplasts may indicate its involvement in carbohydrate metabolism. This finding has strengthened our previous results and suggests that insulin-signaling pathways have been conserved through evolution.

Oral triiodothyronine for the prevention of thyroid hormone reduction in adult valvular cardiac surgery

Treatment of non-thyroidal illness by intravenous triiodothyronine (T3) after cardiac surgery causes a disproportional elevation of hormone levels. The administration of oral T3, which has never been studied in this context, could cause physiological hormone levels. The aim of this study was to test oral T3 for the prevention of T3 reduction during the postoperative period of valvular cardiac surgery in adults. Eighteen patients who underwent cardiac surgery for valvular disease with invasive hemodynamic monitoring were randomly assigned to 2 groups: the T group received oral T3 (N = 8), 25 æg three times/day, initiated 24 h before surgery and maintained for 48 h and the NT group (N = 10) received placebo. Serum T3, thyroxine and thyrotropin were determined at baseline, 1 h before surgery, within 30 min of cardiopulmonary bypass and 6, 12, 24, and 48 h after removal of the aortic cross-clamp. Baseline T3 was similar in both groups (T: 119 ± 13; NT: 131 ± 9 ng/dL). Serum T3 increased during the first 24 h in the T group compared to the NT group (232 ± 18 vs 151 ± 13 ng/dL; P < 0.001). In the NT group, T3 was reduced by 24 percent (P = 0.007) 6 h after removal of the aortic cross-clamp, confirming the non-thyroidal illness syndrome. There were no differences in clinical or hemodynamic parameters between groups. Administration of oral T3 prevented its serum reduction after valvular cardiac surgery in adults, with normal serum levels for 48 h without disproportional elevations.

A protein with amino acid sequence homology to bovine insulin is present in the legume Vigna unguiculata (cowpea)

Since the discovery of bovine insulin in plants, much effort has been devoted to the characterization of these proteins and elucidation of their functions. We report here the isolation of a protein with similar molecular mass and same amino acid sequence to bovine insulin from developing fruits of cowpea (Vigna unguiculata) genotype Epace 10. Insulin was measured by ELISA using an anti-human insulin antibody and was detected both in empty pods and seed coats but not in the embryo. The highest concentrations (about 0.5 ng/æg of protein) of the protein were detected in seed coats at 16 and 18 days after pollination, and the values were 1.6 to 4.0 times higher than those found for isolated pods tested on any day. N-terminal amino acid sequencing of insulin was performed on the protein purified by C4-HPLC. The significance of the presence of insulin in these plant tissues is not fully understood but we speculate that it may be involved in the transport of carbohydrate to the fruit

The leaves of green plants as well as a cyanobacterium, a red alga, and fungi contain insulin-like antigens

We report the detection of insulin-like antigens in a large range of species utilizing a modified ELISA plate assay and Western blotting. We tested the leaves or aerial parts of species of Rhodophyta (red alga), Bryophyta (mosses), Psilophyta (whisk ferns), Lycopodophyta (club mosses), Sphenopsida (horsetails), gymnosperms, and angiosperms, including monocots and dicots. We also studied species of fungi and a cyanobacterium, Spirulina maxima. The wide distribution of insulin-like antigens, which in some cases present the same electrophoretic mobility as bovine insulin, together with results recently published by us on the amino acid sequence of an insulin isolated from the seed coat of jack bean (Canavalia ensiformis) and from the developing fruits of cowpea (Vigna unguiculata), suggests that pathways depending on this hormone have been conserved through evolution

Recuperaçäo de Brucella abortus do leite in natura procedente de vacas soropositivas dos municípios de Pedra e Venturosa - PE: aspectos de saúde pública / Recovery of Brucella abortus of the raw milk from animals having seropositive Pedra e Venturosa counties - PE

Com o objetivo de recuperar Brucella abortus do leite, utilizaram-se 14 amostras de leite in natura de fêmeas bovinas soropositivas para brucelose procedentes de sete propriedades rurais situadas nos municípios de Pedra e Venturosa - PE. As amostras de leite foram centrifugadas a 1431,04 g por trinta minutos, obtendo sobrenadante e sedimento que foram semeados em ágar brucela, contendo antibióticos e antifúngicos, isolando-se apenas uma amostra de Brucella abortus do sedimento, correspondendo a 7,14 por cento dos animais estudados. Os sedimentos obtidos da centrifugaçäo foram tratados com antibióticos e antifúngicos e inoculados em cobaias, por via intraperitoneal. Das vinte e oito cobaias inoculadas cinco (17,85 por cento) apresentaram reaçäo sorológica positiva nos testes de soroglutinaçäo rápida (SAR), soroaglutinaçäo lenta (SAL) e 2-mercaptoetanol (2-ME), demonstrando uma possível infecçäo destes animais pela Brucella abortus presente no leite, apesar do isolamento bacteriano em órgäos como baço, fígado, linfonodo, pulmöes e testículos ter sido obtido em apenas uma amostra. A pesquisa de aglutininas anti-Brucella abortus em soros de humanos observou-se que oito amostras (21,05 por cento) apresentaram reaçäo de 1:100, em pelo menos uma das provas utilizadas na detecçäo de anticorpos, sugerindo possível infecçäo dos humanos através do consumo do leite e subprodutos in natura.

Lima bean (Phaseolus lunatus) seed coat phaseolin is detrimental to the cowpea weevil (Callosobruchus maculatus)

The presence of phaseolin (a vicilin-like 7S storage globulin) peptides in the seed coat of the legume Phaseolus lunatus L. (lima bean) was demonstrated by N-terminal amino acid sequencing. Utilizing an artificial seed system assay we showed that phaseolin, isolated from both cotyledon and testa tissues of P. lunatus, is detrimental to the nonhost bruchid Callosobruchus maculatus (F) (cowpea weevil) with ED50 of 1.7 and 3.5 percent, respectively. The level of phaseolin in the seed coat (16.7 percent) was found to be sufficient to deter larval development of this bruchid. The expression of a C. maculatus-detrimental protein in the testa of nonhost seeds suggests that the protein may have played a significant role in the evolutionary adaptation of bruchids to legume seeds

Inhibitory effect of cadmium acetate on synaptosomal ATP diphosphohydrolase (EC 3.6.1.5; apyrase) from adult rat cerebral cortex

ATP diphosphohydrolase (EC 3.6.1.5; apyrase) is an enzyme that can promote ATP and ADP hydrolysis to AMP plus inorganic phosphate and depends on divalent cations such as Ca2+ or Mg2+. In previous papers we described this enzyme in the synaptosomal fraction from the central and peripheral nervous system. The present report examines whether cadmium acetate could affect the in vitro activity of the enzyme in the synaptosomal fraction from the cerebral cortex of adult male Wistar rats. Cadmium (Cd2+), a heavy metal with neurotoxic effects, inhibited the enzyme in a concentration-dependent manner. All concentrations tested (0.05-1.0 mM) significantly inhibited the hydrolysis of both substrates (ATP and ADP), with the exception of 0.05 mM on ATP hydrolysis. The kinetic data indicate a noncompetitive inhibition between the cations Cd2+ and Ca2+.