Pediatric patients head-up-tilt-test with pharmacological challenge, it is safe? / Mesa inclinada en pacientes pediátricos con reto farmacológico, ¿es seguro?

Abstract Syncope in pediatrics represents an important cause of visits to the emergency units. For this reason, excluding a cardiac or malignant origin is essential at the time of the initial approach to determine what is the next step in management, or if they need to be referred to a pediatric cardiologist and/or electrophysiologist. Vasovagal syncope is the most frequent cause of syncope in pediatrics, in which a detailed clinical history is enough to make the diagnosis. If no diagnosis is concluded by the history, or if it is necessary to define the hemodynamic response of the patients, the head-up-tilt-test is indicated; this will trigger syncope due to an orthostatic stress caused by the angulated table (passive phase). If a negative response remains, it can be followed by a pharmacologic challenge to trigger the hemodynamic response, which is still controversial in pediatrics. The pharmacologic challenge increases the sensitivity with a slight reduction in test specificity. Although there is not a specific drug for the challenge in pediatric patients yet, the most commonly drugs used are nitrates and isoproterenol, the latter related to a great number of adverse effects. Sublingual administration of nitrates in the challenge has been proven to be ideal, effective, and safe in this specific age group. The aim of this article is to make a literature search to demonstrate the effectiveness and safety of the pharmacologic challenge during the head-up-tilt-test in pediatrics, emphasizing a study conducted at the National Institute of Cardiology with isosorbide dinitrate.

Resumen El síncope en edades pediátricas representa una causa importante en las visitas a unidades de urgencias, por lo que excluir un origen cardíaco o maligno es fundamental al momento del abordaje inicial para determinar la conducta a seguir o la necesidad de derivar al cardiólogo pediatra o electrofisiólogo. El síncope vasovagal (SVV) es la causa más frecuente de síncope en pediatría, para cuyo diagnóstico basta una historia clínica detallada. Cuando ésta no es suficiente para determinar el diagnóstico de síncope reflejo o es necesario definir el tipo de respuesta que lo origina, está indicada una prueba de mesa inclinada que produce un estrés ortostático por la angulación y ello desencadena un síncope (fase pasiva). En pruebas no concluyentes está indicado un reto farmacológico para precipitar la respuesta hemodinámica, pero aún es un tema de controversia en edades pediátricas. El reto farmacológico incrementa la sensibilidad de la prueba, con una ligera reducción de la especificidad. Si bien no existe todavía un medicamento específico para la población pediátrica, los más empleados son los nitratos y el isoproterenol, este último relacionado con un mayor número de efectos adversos. La administración sublingual de los nitratos utilizados ha demostrado ser ideal, efectiva y segura en los pacientes pediátricos. El objetivo del artículo es realizar una revisión de las publicaciones médicas que demuestran la efectividad y seguridad del reto farmacológico durante la prueba de mesa inclinada en pacientes pediátricos, con énfasis en un estudio conducido en el Instituto Nacional de Cardiología con dinitrato de isosorbida (DNIS).

A novel application of nano eggshell/titanium dioxide composite on occluding dentine tubules: an in vitro study

Abstract To synthesize Nano eggshell-titanium-dioxide (EB@TiO2) biocomposite and to evaluate its effectiveness in occluding opened dentine tubules. EB@TiO2 was synthesized and characterized using X-ray diffraction (XRD), and Transmission Electron Microscope (TEM). Sixteen simulated bovine dentine discs were prepared and randomly assigned into four groups according to the following treatment (n = 4): Group 1: No treatment; Group 2: eggshell powder; Group 3: EB@TiO2; Group 4: Sensodyne. These were then agitated in a solution of 1g powder and 40mL water for 3hours. Thereafter, each dentine discs from the respective groups were post-treated for 5 min with 2wt% citric acid to test their acid resistant characteristics. Scanning Electron Microscope (SEM) was used to observe the effectiveness of occluded dentine pre-and post-treatment. The cytotoxicity of the synthesized EB@TiO2 was tested using NIH 3T3 assay. ANOVA was used to evaluate the mean values of the occluded area ratio and the data of MTS assay. This was followed by a multi-comparison test with Bonferroni correction (α = .05). The XRD confirmed that EB@TiO2 was successfully modified through ball-milling. The TEM revealed the presence of both spherical and irregular particle shape powders. The SEM result showed that EB@TiO2 could effectively occlude open dentine tubules. Equally, the result demonstrated that EB@TiO2 exhibited the highest acid resistant stability post-treatment. NIH 3T3 assay identified that EB@TiO2 had little effect on the NIH 3T3 cell line even at the highest concentration of 100µg/ml. This study suggests that the application of EB@TiO2 effectively occluded dentine tubules and the occlusion showed a high acid resistant stability.

Viabilidad y germinación de semillas de Hechtiaperotensis (Bromeliaceae) / Viability and germination of Hechtia perotensis (Bromeliaceae) seed

ResumenPoblaciones endémicas de Hechtiaperotensis se han descrito en Puebla y Veracruz, México. La recolección de semillas de buena calidad permite su uso en conservación, investigación y restauración ecológica. Algunos compuestos para evaluar la calidad de las semillas silvestres y endémicas, como nitrato de potasio (KNO3) y ácido giberílico (AG3), se utilizan para incrementar la germinación de las semillas y disminuir la latencia. La prueba de cloruro de trifeniltetrazolio (tetrazolio) se correlaciona con la viabilidad de las semillas porque se basa en la actividad de las deshidrogenasas de tejidos vivos que catalizan la respiración mitocondrial. El objetivo de este estudio fue conocer el tamaño y el peso de las cápsulas y las semillas y la germinación y viabilidad de las semillas de H. perotensis recolectadas en Veracruz en 2012 y 2015. Las hipótesis fueron (1) que la germinación y la viabilidad de las semillas son independientes del año de recolecta, (2) que hay una concentración adecuada de tetrazolio para identificar la viabilidad de las semillas y (3) que el pretratamiento con KNO3 o AG3 incrementa la germinación de las semillas. La germinación se evaluó con un diseño completamente al azar con tres tratamientos (testigo y promotores de la germinación KNO3 0.2 % y AG3 500 mg/L), cuatro tratamientos para la prueba de viabilidad (testigo, 0.2, 0.5 y 1.0 % de tetrazolio) y seis repeticiones de cada tratamiento. La germinación se evaluó en 100 semillas y la viabilidad en 25. Los resultados entre y dentro de años se analizaron con ANDEVA y prueba de comparación múltiple de medias de Tukey. La proporción de semillas no germinadas se cuantificó junto con el número de plántulas normales y anormales, semillas con embrión viable o sin él, y con viabilidad baja o sin viabilidad. En promedio la muestra recolectada en 2012 tuvo 36 % de semillas con embrión viable, 7 con viabilidad baja, 24 % no viables y 33 % sin embrión. Este resultado fue significativamente diferente al de 2015, que presentó 87 % de embriones viables, 10 % con viabilidad baja, 0 % no viables y 3 % sin embrión. La germinación también fue significativamente diferente entre los años (22 y 92 %). Los tratamientos pregerminativos no modificaron la germinación. La germinación y la viabilidad de las semillas de H. perotensis varían significativamente entre los años de recolecta.

Abstract:Endemic populations of Hechtiaperotensis have been described in Puebla and Veracruz, Mexico. Good quality seed collections can be used in conservation, research and ecological restoration. To evaluate seed quality of wild and endemic species, some compounds are used as effective promoters of germination, such as potassium nitrate (KNO3) and gibberellic acid (AG3), because they increase seed germination capacity and reduce latency. The triphenyl tetrazolium chloride (tetrazolium) test correlates seed viability because it is based on the activity of dehydrogenases in live tissues that catalyze mitochondrial respiration. The objective of this study was to obtain information on size and weight of capsules and seeds and seed germination and viability of H.perotensis, collected in Veracruz in the year 2012 and 2015. The hypotheses were 1) that seed germination and viability are independent of the year of collection, 2) that there is a tetrazolium concentration that can identify seed viability better than others, and 3) that pretreatment with KNO3 or AG3 improves seed germination. Seed germination was assessed using a completely randomized design with three treatments (control and the germination promoters 0.2 % KNO3 and 500 mg/L AG3), four treatments for the viability test (control, 0.2, 0.5 and 1.0 % of tetrazolium) and six replicates for each treatment. A total of one hundred seeds for germination experiments, and 25 seeds for the viability test were used. The results between and within years were analyzed with ANOVA and multiple comparison with the Tukey test. The proportion of non-germinated seeds was quantified along with the number of normal and abnormal seedlings, seeds with viable embryo, seeds without embryo, and seeds with low or no viability. On average, for the 2012 collected sample, 36 % had viable embryos, 7 % had low viability, 24 % were not viable and 33 % had no embryo. This result was significantly different from the 2015 sample, for which 87 % of seed showed viable embryos, 10 % had low viability, 0 % was not viable and 3 % had no embryo. Seed germination was also significantly different between years (22 and 92 %) Pregerminative treatments did not improve germination. Seed germination and viability of H. perotensis significantly varied between years of seed collection. Rev. Biol. Trop. 65 (1): 153-165. Epub 2017 March 01.

Effect of carbon and nitrogen sources on in vitro flower and fruit formation and withanolides production in Withania somnifera (L.) Dunal.

We studied the influence of sucrose and nitrogen concentration on in vitro flowering and fruit setting in elongated shoots of Withania somnifera. BA (1.5 mg/l) and IAA (0.3 mg/l) on MS medium supplemented with 4% sucrose showed 67% of in vitro flower induction frequency, 9 flowers/shoot, 4 fruits/shoot and 11 seeds/fruit in elongated-shoots. Different concentrations of nitrogen sources (L-glutamine, adenine sulphate, ammonium nitrate, potassium nitrate and sodium nitrate 5-25 mg/l) were tested in combination with 4% sucrose and BA at 1.5 mg/l and IAA at 0.3 mg/l. Highest number of flowers (20 flowers/shoot; 2.2-fold) and fruits (16 fruits/shoot; 3.39-fold), fruit setting (12 seeds/fruit; 1.08-fold) at a higher frequency (88 %) were achieved on MS medium augmented with 15 mg/l adenine sulphate with same PGRs and sucrose concentration. The maximum production of withanolide A (0.68 mg/g DW) and withanolide B (0.77 mg/g DW) was recorded in in vitro fruits. Highest accumulation of withaferin A (2 mg/g DW) was quantified from in vitro flowers, whereas, it was low in in vitro fruits (0.49 mg/g DW withaferin A). However, withanone (0.23 mg/g DW) was found accumulated uniformly in both in vitro flowers and fruits compared to control.

Physical-chemical characteristics of whitening toothpaste and evaluation of its effects on enamel roughness

This in vitro study evaluated the physical-chemical characteristics of whitening toothpastes and their effect on bovine enamel after application of a bleaching agent (16 percent carbamide peroxide). Physical-chemical analysis was made considering mass loss by desiccation, ash content and pH of the toothpastes. Thirty bovine dental enamel fragments were prepared for roughness measurements. The samples were subjected to bleaching treatments and simulated brushing: G1. Sorriso Dentes Brancos (Conventional toothpaste), G2. Close-UP Whitening (Whitening toothpaste), and G3. Sensodyne Branqueador (Whitening toothpaste). The average roughness (Ra) was evaluated prior to the bleaching treatment and after brushing. The results revealed differences in the physical-chemical characteristics of the toothpastes (p < 0.0001). The final Ra had higher values (p < 0.05) following the procedures. The mean of the Ra did not show significant differences, considering toothpaste groups and bleaching treatment. Interaction (toothpaste and bleaching treatment) showed significant difference (p < 0.0001). The whitening toothpastes showed differences in their physical-chemical properties. All toothpastes promoted changes to the enamel surface, probably by the use of a bleaching agent.

Influence of nitric oxide on in vitro growth, survival, steroidogenesis, and apoptosis of follicle stimulating hormone stimulated buffalo (Bubalus bubalis) preantral follicles

Effect of sodium nitroprusside (SNP), a nitric oxide (NO) donor, on in vitro survival, growth, steroidogenesis, and apoptosis of buffalo preantral follicles (PFs) was investigated. PFs (200~250 microm) were isolated by micro-dissection and cultured in 0 (control), 10(-3), 10(-5), 10(-7), and 10(-9) M SNP. To examine the reversible effect of SNP, PFs were cultured with 10(-5) M SNP + 1 mM Nomega-nitro-L-arginine methyl ester (L-NAME) or 1.0 microg hemoglobin (Hb). The results showed that greater concentrations of SNP (10(-3), 10(-5), 10(-7) M) inhibited (p < 0.05) FSH-induced survival, growth, antrum formation, estradiol production, and oocyte apoptosis in a dose-dependent manner. However, a lower dose of SNP (10(-9) M) significantly stimulated (p < 0.05) the survival, growth, antrum formation, follicular oocyte maturation, and stimulated progesterone secretion compared to the control. A combination of SNP + L-NAME promoted the inhibitor effect of SNP while a SNP + Hb combination reversed this effect. Nitrate and nitrite concentrations in the culture medium increased (p < 0.05) in a dose-dependent manner according to SNP concentration in the culture medium. At higher concentrations, SNP had a cytotoxic effect leading to follicular oocyte apoptosis whereas lower concentrations have stimulatory effects. In conclusion, NO exerts a dual effect on its development of buffalo PFs depending on the concentration in the culture medium.

Evaluación del molibdato y nitrato sobre bacterias sulfato-reductoras asociadas a procesos de corrosión en sistemas industriales / Evaluation of molybdate and nitrate on sulphate-reducing bacteria related to corrosion processes in industrial systems

Se estudió la cinética de crecimiento de bacterias sulfato-reductoras (BSR) y la biotransformación de sulfato a sulfuro de hidrógeno bajo condiciones de laboratorio, para establecer el efecto inhibitorio de sales de molibdato y nitrato de sodio. Los microorganismos estudiados fueron aislados del agua de producción contenida en un sistema de transporte de gas natural, donde se encontraban relacionados con procesos de corrosión influenciada microbiológicamente. Con 5 mM de molibdato se obtuvo una reducción de células libres a niveles no detectables y de seis órdenes de magnitud en las biopelículas, con una disminución del sulfuro de alrededor del 100%. Con 75 mM de nitrato se observó una reducción de cuatro y dos órdenes de magnitud en las células libres y en las adheridas en forma de biopelículas, respectivamente, con una disminución del sulfuro de alrededor del 80%. La reducción de la tasa de corrosión observada sustenta la posibilidad de emplear estas sales como biocidas no convencionales no contaminantes del medio ambiente, para el control y mitigación efectiva de los procesos de biocorrosión interna de tanques de almacenamiento y de líneas de transporte en sistemas industriales de gas natural y petróleo.

The sulfate-reducing bacteria growth kinetics and the biotransformation of sulfate into hydrogen sulfide were studied under laboratory conditions, using batch and continuous assays to determine the effect of molybdate and nitrate as metabolic inhibitors. The microorganisms were isolated from water coming from a natural gas dehydration plant, where they were associated with Microbiologically Influenced Corrosion (MIC) processes, and later cultured in planktonic and sessile states. The addition of 5 mM molybdate showed a growth reduction to levels of non - detectable floating cells and a six order of magnitude reduction in biofilms, concomitant with a sulfide decrease of around 100% in all cultures inhibited by this compound. The addition of 75 mM nitrate showed a four order of magnitude reduction in free bacterial cells and a two order of magnitude reduction in adhered bacterial cells, respectively, as well as a sulfide decrease of around 80%. The decreased corrosion rate detected suggests that these inorganic salts could be nonconventional biocides for an effective and environmentally non contaminant way of controlling and mitigating internal biocorrosion processes in storage tanks and pipelines in natural gas and petroleum industrial systems.

Efeitos hemodinâmicos agudos sobre a circulação e sobre o desempenho do coração dos principais medicamentos usados em cardiologia: 30 anos de experiência / Acute hemodynamic effect of the main cardiovascular drugs on the heart and the circulation: a 30 year experience

Neste artigo apresentamos nossa contribuição na implementação do Laboratório de Hemodinâmica do Hospital de Clínicas de Porto Alegre, dotado de instrumentos de informática para armazenamento de dados e obtenção de variáveis hemodinâmicos imediatas, bem como aspectos metodológicos e os resultados dos efeitos hemodinâmicos sobre a circulação e sobre o desempenho do coração, durante cateterismo cardíaco, dos principais medicamentos usados em cardiologia. Inicialmente, comparamos de forma duplo-cego os efeitos dos contrastes para selecionar os melhores contrastes disponíveis no meio. Em seqüência, passamos a identificar os índices mais confiáveis para avaliar o desempenho do coração para serem usados como indicadores fiéis nas investigações com os medicamentos. Nos estudos que realizamos com os nitratos, demonstramos que eles melhoravam a motilidade dos segmentos isquêmicos do ventrículo esquerdo. O estudo com a amiodarona, demonstrou que o medicamento tinha propriedades semelhantes aos betabloqueadores. O estudo com os antagonistas do cálcio demonstrou que a nifedipina tinha um efeito predominantemente vasodilatador sobre a circulação sistêmica e pulmonar e o verapamil, propriedades inotrópicas negativas. Com o ensaio clínico com o uso de verapamil em paciente portadores de miocardiopatia primária dilatada, demonstramos que os 15 pacientes, acompanhados durante cinco anos, tiveram evolução favorável. Posteriormente, passamos a utilizar o verapamil por via venosa em pacientes com angina refratária aos nitratos durante cateterismo cardíaco. Todos os pacientes responderam favoravelmente ao novo tratamento. O estudo com a digoxina em pacientes com cardiopatia isquêmica demonstrou que o medicamento aumenta as resistências vasculares sistêmica e pulmonar. O trabalho com o dipiridamol demonstrou que esse medicamento aumenta a freqüência cardíaca, a contratilidade miocárdica e o débito cardíaco. O trabalho duplo-cego com o uso do pindolol e o propranolol, por via endove...

Comparative effectiveness of CaNa3DTPA and tiron along with alpha-tocopherol against beryllium-induced biochemical alterations in rats.

The therapeutic efficacy of chelating agents CaNa3DTPA (calcium trisodium diethylene triamine penta acetic acid) and Tiron (sodium-4,5-dihydroxy-1,3-benzene disulphonate) with and without antioxidant, alpha-Tocopherol was evaluated in the treatment of beryllium-induced toxicity in female albino rats. The animals were exposed to beryllium (as beryllium nitrate) at a dose of 1 mg/kg (ip) once a day for 28 consecutive days followed by chelation therapy by CaNa3DTPA (0.1 mM/kg, ip) and Tiron (471 mg/kg, ip) with and without alpha-Tocopherol (25 mg/kg, orally) for 5 consecutive days after toxicant administration. Tissue biochemistry revealed severe alterations in liver and kidney. A significant fall in total protein and glycogen contents, alkaline phosphatase, adenosine tri-phosphatase and succinic dehydrogenase level was noticed. On the contrary, an elevation in acid phosphatase was recorded. The significant rise in hepatic lipid peroxidation and decreased level of hepatic reduced glutathione showed toxicity due to beryllium. CaNa3DTPA with alpha-Tocopherol showed moderate therapeutic efficacy while Tiron in combination with alpha-Tocopherol exerted statistically more beneficial effects to reverse biochemical alterations in different variables altered due to beryllium intoxication.

Ghost protein damage by peroxynitrite and its protection by melatonin

We have studied the effect of peroxynitrite (ONOO-) on the membrane cytoskeleton of red blood cells and its protection by melatonin. Analysis of the protein fraction of the preparation by SDS-PAGE revealed a dose-dependent (0-600 µM ONOO-) disappearance at pH 7.4 of the main proteins: spectrin, band 3, and actin, with the concomitant formation of high-molecular weight aggregates resistant to reduction by ß-mercaptoethanol (2 percent) at room temperature for 20 min. These aggregates were not solubilized by 8 M urea. Incubation of the membrane cytoskeleton with ONOO- was characterized by a marked depletion of free sulfhydryl groups (50 percent at 250 µM ONOO-). However, a lack of effect of ß-mercaptoethanol suggests that, under our conditions, aggregate formation is not mediated only by sulfhydryl oxidation. The lack of a protective effect of the metal chelator diethylenetriaminepentaacetic acid confirmed that ONOO--induced oxidative damage does not occur only by a transition metal-dependent mechanism. However, we demonstrated a strong protection against cytoskeletal alterations by desferrioxamine, which has been described as a direct scavenger of the protonated form of peroxynitrite. Desferrioxamine (0.5 mM) also inhibited the loss of tryptophan fluorescence observed when the ghosts were treated with ONOO-. Glutathione, cysteine, and Trolox® (1 mM), but not mannitol (100 mM), were able to protect the proteins against the effect of ONOO- in a dose-dependent manner. Melatonin (0-1 mM) was especially efficient in reducing the loss of spectrin proteins when treated with ONOO- (90 percent) at 500 µM melatonin). Our findings show that the cytoskeleton, and in particular spectrin, is a sensitive target for ONOO-. Specific antioxidants can protect against such alterations, which could seriously impair cell dynamics and generate morphological changes

Effect of nitrate on nodulation and n2-fixation of lupinus mutabilis mutants at different growth stages

Uma das principais técnicas usadas para estudar o efeito inibidor do NO3 na fixaçäo biológica do N2, tem sido o uso de mutantes de estirpes de Rhizobium ou de plantas hospedeiras que näo apresentam o padräo usual de nodulaçäo. Este estudo foi conduzido usando genótipos parentais e mutantes de Lupinus mutabilis, submetidos a dois níveis de NO3: 0 e 5mM, com duas épocas de colheita: sete e dez semanas após emergência. A concentraçäo de 5mM revelou-se da maior importância na inibiçäo da nodulaçäo inicial de Lupinus, apesar de os dados demonstrarem que os mutantes L-114 e L-105 foram mais eficientes quanto a nodulaçäo, N-total e atividade da nitrogenase que a cv. SCG-25, e podem permitir um aumento da fixaçäo de N2. Mas näo houve diferenças na atividade da glutamina sintetase (GS) dos nódulos entre os mutantes L-114, L-105 e a cv. SCG-25, quando as plantas näo receberam NO3, mas na presença de NO3 houve tendência para os mutantes, especialmente para os L-114, apresentarem maior atividade de GS. Isto indica que o mutante L-114 tem uma maior capacidade de assimilaçäo do N fixado, associada com um maior suprimento de carboidratos disponíveis, como indicado pela atividade da PEP-carboxilase. Portanto, a tolerância parcial ao NO3 apresentada pelos mutantes L-114 e L-105 está associada com o fenótipo hipernodulante. Esta sugestäo pode ser observada de reduçäo de acetileno, que foram maiores para o mutante L-114 que para a cv. SCG-25, na presença ou na ausência de NO3

Nitratos. Um enigma cardiovascular dos anos 90 / Nitrates

Revisao sobre os aspectos historicos e farmacologicos basicos dos nitratos com enfase em suas indicacoes consagradas en estados anginosos e no infartop do miocardio, bem como definicao das principais normatizacoes modernas para a obtencao dos melhores resultados medicos no emprego destes compostos: menor dosagem maior intervalo prescricional e tentativa de reposicao sulfidrica, com selecao individualizada de casos. O futuro do emprego de nitratos em cardiologia deveria compreender o emprego de formulacoes seguras e estaveis.

Aspectos básicos da trajetória clínica dos nitratos / Basic aspects of clinical trajetory of nitrates

Os nitratos säo as drogas mais antigas empregadas no tratamento da angina pectoris. A sua trajetória no mundo da terapia clínica encerra acontecimentos marcantes, visto que estes fármacos enfrentaram período de franco questionamento concernente à sua eficácia terapêutica antianginosa, contudo o decorrer dos tempos, além de inúmeras investigaçöes realmente bem conduzidas, puderam resgatar o seu valor clínico, fato amplamente revisto neste trabalho.

Analise critica dos medicamentos utilizados no tratamento do IAM / Critical review of medical therapy in acute myocardial infarction

Nesta revisao, os autores discorrem sobre o tratamento convencional do infarto agudo do miocardio, comentando em detalhes as particularidades dos varios farmacos empregados na fase aguda desta importante entidade nosologica

Farmacologia dos nitratos / Pharmacology of nitrates

Os nitratos säo drogas utilizadas nas afecçoes cardiovasculares, desde o século passado. Quimicamente säo ésteres de ácido nìtrico (HNO) ou nitroso (HNO) apresentando as ligaçöes C-O-N. Estes fármacos atuam promovendo vasodilataçöes periférica e coronária, levando deste modo a um aumento da oferta e a uma diminuiçäo do consumo de O. Assim, apresentam grande aplicaçäo na terapia da angina. Os mecanismos de açäo dos nitratos ainda näo se encontram totalmente esclarecidos, necessitando-se assim de novos estudos que visem ampliar o grau de conhecimento sobre a farmacodinâmica destes compostos, desta forma tornando seu uso mais eficaz na terapia cardiovascular

Inhibition of cytokinesis by lead (Pb2+) in a centric diatom.

Effect of inorganic and organo lead has been studied on the mitosis of a centric diatom Cyclotella meneghiniana f. unipunctata. Binucleate cells were formed in the presence of different concentrations of Pb2+ (1.0, 2.0, 3.0 and 5.0 mM) due to inhibition of cell plate formation. Lead at 5.0 mM concentration was more inhibitory than the other concentrations. Organo lead was a powerful depressant of cytokinesis than inorganic lead. Failure of cytokinesis might be due to disruption of microtubules. Formation of distinct nuclei delayed post incubation cell divisions suggest partial damage of mitotic spindles.

Nitratos no tratamento da insuficiência cardíaca congestiva / Nitrate therapy for congestive heart failure

The author made a review about the use of nitrates in congestive heart failure and commented the drug's resistance and effect of vasodilator therapy on mortality in patients with severe chronic heart failure