Diabetes, atherosclerosis, and stenosis by AI

OBJECTIVEThis study evaluates the relationship between atherosclerotic plaque characteristics (APCs) and angiographic stenosis severity in patients with and without diabetes. Whether APCs differ based on lesion severity and diabetes status is unknown.RESEARCH DESIGN AND METHODSWe retrospectively evaluated 303 subjects from the Computed TomogRaphic Evaluation of Atherosclerotic Determinants of Myocardial IsChEmia (CREDENCE) trial referred for invasive coronary angiography with coronary computed tomographic angiography (CCTA) and classified lesions as obstructive (≥50% stenosed) or nonobstructive using blinded core laboratory analysis of quantitative coronary angiography. CCTA quantified APCs, including plaque volume (PV), calcified plaque (CP), noncalcified plaque (NCP), low-density NCP (LD-NCP), lesion length, positive remodeling (PR), high-risk plaque (HRP), and percentage of atheroma volume (PAV; PV normalized for vessel volume). The relationship between APCs, stenosis severity, and diabetes status was assessed.RESULTSAmong the 303 patients, 95 (31.4%) had diabetes. There were 117 lesions in the cohort with diabetes, 58.1% of which were obstructive. Patients with diabetes had greater plaque burden (P = 0.004). Patients with diabetes and nonobstructive disease had greater PV (P = 0.02), PAV (P = 0.02), NCP (P = 0.03), PAV NCP (P = 0.02), diseased vessels (P = 0.03), and maximum stenosis (P = 0.02) than patients without diabetes with nonobstructive disease. APCs were similar between patients with diabetes with nonobstructive disease and patients without diabetes with obstructive disease. Diabetes status did not affect HRP or PR. Patients with diabetes had similar APCs in obstructive and nonobstructive lesions.CONCLUSIONSPatients with diabetes and nonobstructive stenosis had an association to similar APCs as patients without diabetes who had obstructive stenosis. Among patients with nonobstructive disease, patients with diabetes had more total PV and NCP.Cardiolog

Poison to pest: An approach from cognitive anthropology on occupational exposure, health effects and quality of life of pesticide applicators rural informal sector [Veneno para plagas: Una aproximaci�n desde la antropolog�a cognitiva sobre exposici�n laboral, efectos en salud y calidad de vida de los aplicadores de plaguicidas del sector informal rural]

Objective: To explore the cultural dimensions of the concept of exposure to pesticides, health, impact on health and quality of life in rural pesticide applicators in the informal sector. Materials and methods: An exploratory study was conducted in six Atlantic's municipalities. Forty four subjects were selected during 2010 and 2011. It worked qualitative technique: free list. It was investigated terms associated with the concepts of pesticide, health effect, health status and quality of life. Consensus analysis was applied visual techniques, factorization and principal component analysis with ANTHROPAC dimensional v4.0 program was performed. Results: Health is related to be healthy and stay alive. They don't identify side effects. The concept of quality of life was related to have health, family and job. There was no cultural consensus about health, and the relative does not think anything about the pesticide or � spray is normal�. Cultural consensus exists against: pesticide exposure and toxicity of some of them. The pesticide protects crops from pests but also kills other animals that help the biological control. There are cultural consensus in the previous practice of consumption of milk and sugar cane before spraying. Conclusion: The study of the meanings, believes, values and practices from pesticide applicators informal workers in rural areas, have a very different approach to formal workers with the same trade. Believes and values were observed to be considered when making occupational health policies

Poison to pest: An approach from cognitive anthropology on occupational exposure, health effects and quality of life of pesticide applicators rural informal sector [Veneno para plagas: Una aproximación desde la antropología cognitiva sobre exposición laboral, efectos en salud y calidad de vida de los aplicadores de plaguicidas del sector informal rural]

Objective: To explore the cultural dimensions of the concept of exposure to pesticides, health, impact on health and quality of life in rural pesticide applicators in the informal sector. Materials and methods: An exploratory study was conducted in six Atlantic's municipalities. Forty four subjects were selected during 2010 and 2011. It worked qualitative technique: free list. It was investigated terms associated with the concepts of pesticide, health effect, health status and quality of life. Consensus analysis was applied visual techniques, factorization and principal component analysis with ANTHROPAC dimensional v4.0 program was performed. Results: Health is related to be healthy and stay alive. They don't identify side effects. The concept of quality of life was related to have health, family and job. There was no cultural consensus about health, and the relative does not think anything about the pesticide or « spray is normal». Cultural consensus exists against: pesticide exposure and toxicity of some of them. The pesticide protects crops from pests but also kills other animals that help the biological control. There are cultural consensus in the previous practice of consumption of milk and sugar cane before spraying. Conclusion: The study of the meanings, believes, values and practices from pesticide applicators informal workers in rural areas, have a very different approach to formal workers with the same trade. Believes and values were observed to be considered when making occupational health policies

Eficiência agronômica de rizóbios selecionados e diversidade de populações nativas nodulíferas em Perdões (MG): II - feijoeiro Agronomic efficiency of selected rhizobia strains and diversity of native nodulating populations in Perdões (MG - Brazil): II - beans

O feijão (Phaseolus vulgaris L.) é um dos principais constituintes da dieta do brasileiro, por ser excelente fonte protéica e, portanto, um produto agrícola de grande importância econômico-social. A interação do feijoeiro com bactérias fixadoras de N atmosférico pode aumentar a produtividade e diminuir os custos de produção. No presente trabalho, avaliou-se, no campo, a eficiência agronômica de estirpes previamente selecionadas de rizóbio em simbiose com o feijoeiro, comparadas à estirpe recomendada para a produção de inoculantes comerciais (CIAT 899). A diversidade fenotípica da população nativa foi avaliada pela análise das características culturais e pela análise de proteína total por eletroforese em gel poliacrilamida (SDS-PAGE). Verificou-se que a inoculação no campo com as estirpes UFLA 02-100, UFLA 02-86 e UFLA 02-127 promoveu rendimento de grãos semelhante ao da testemunha, com 70 kg ha-1 de N, e à inoculação com a estirpe de referência CIAT 899. Não houve relação entre os grupos fenotípicos de perfil protéico total e caracterização cultural constituídos pelas estirpes nativas do solo. As populações nativas que nodularam feijão mostraram-se bastante diversas fenotipicamente e não incluíram estirpes similares às estirpes introduzidas como inoculantes.<br>Common bean (Phaseolus vulgaris L.) is an economically and socially highly relevant staple food and an excellent protein source for the Brazilian population. Symbiosis of beans and N2 fixing bacteria can increase yields and decrease yield costs. The first aim of this study was to evaluate the agronomic efficiency of previously selected rhizobia strains compared to the recommended strain (CIAT 899). Phenotypic diversity of rhizobia native populations was evaluated by cultural characteristics and analysis of total protein profiles by polyacrilamide gel electrophoresis (SDS-PAGE). Field inoculations with strains UFLA 02-100, UFLA 02-86 and UFLA 02-127 increased grain yields similarly to the control with 70 kg ha-1 N-urea and strain CIAT 899, compared to the control without inoculation and mineral N. No relation was observed between the phenotypic grouping according to cultural characteristics or protein profiles. Native bean-nodulating populations are quite diverse and do not include strains similar to the strains introduced as inoculants

Gametogênese e dinâmica da reprodução de Anodontites trapesialis (Lamarck) (Unionoida, Mycetopodidae) no lago Baía do Poço, planície de inundação do rio Cuiabá, Mato Grosso, Brasil Gametogenesis and dynamics of the reproduction of Anodontites trapesialis (Lamarck) (Unionoida, Mycetopodidae) from Baia do Poço Lake at the Cuiabá River wetland, Mato Grosso, Brazil

O ciclo reprodutivo de Anodontites trapesialis foi estudado entre os meses de maio de 1998 a abril de 1999. Análises quantitativas dos elementos celulares revelaram que a espécie é exclusivamente hermafrodita com folículos masculinos e femininos separados. A gametogênese é contínua com picos de maturação e eliminação de gametas durante a estação seca. A ovogênese tem seu período de maturação máxima em abril e maio, momento em que óvulos maduros são observados preenchendo os folículos e gonoductos. A espermatogênese foi reconhecida por uma fase proliferativa com células em desenvolvimento e apresentou seu período de maturação entre abril e julho. Estas células se diferenciaram dando origem às mórulas espermáticas e espermatozóides livres, organizando a série espermática radial. Durante o período de liberação dos gametas, a maioria dos folículos apresentou agregados de espematozóides formando esferas espermáticas as "spermballs", as quais caracterizam a espécie como espermatozeugmata.<br>The reproductive cycle of Anodontites trapesialiswas studied from May 1998 to April 1999. Quantitative analysis of the sexual cycle revealed that the species is exclusively hermaphrodite with separate male and female follicles. Gametogenesis is continuous with peaks of maturation and elimination of gametes during dry season. The period of maximum maturation of the oogenesis was in April and May, when mature oocytes were observed filling the follicles and gonoducts. Spermatogenesis was recognized by a proliferation phase with developing cells with period of maturation since April to July. These cells started to differentiate giving origin to spermatic morulae and free spermatozoa organizing the radial spermatic series. During the period of discharge of the gamets, the majority of follicles presented aggregates of spermatozoa forming the spermballs, which characterize the species as spermatozeugmata

Stress Myocardial Perfusion Imaging vs Coronary Computed Tomographic Angiography for Diagnosis of Invasive Vessel-Specific Coronary Physiology: Predictive Modeling Results From the Computed Tomographic Evaluation of Atherosclerotic Determinants of Myocardial Ischemia (CREDENCE) Trial

Key PointsQuestionAre atherosclerotic plaque measurements associated with physiologic measures of invasive fractional flow reserve? FindingsIn this analysis of the CREDENCE clinical trial that included 612 patients, nonobstructive and obstructive measures of atherosclerotic plaque were significantly associated with invasive fractional flow reserve. A comprehensive set of atherosclerotic plaque features improved the accuracy of classifying vessel-specific reduced fractional flow reserve vs rest/stress myocardial perfusion imaging measurements. MeaningUsing coronary computed tomographic angiography for detection of atherosclerotic plaque features associated with coronary physiology may improve diagnostic certainty and guide clinical management of symptomatic patients.ImportanceStress imaging has been the standard for diagnosing functionally significant coronary artery disease. It is unknown whether novel, atherosclerotic plaque measures improve accuracy beyond coronary stenosis for diagnosing invasive fractional flow reserve (FFR) measurement. ObjectiveTo compare the diagnostic accuracy of comprehensive anatomic (obstructive and nonobstructive atherosclerotic plaque) vs functional imaging measures for estimating vessel-specific FFR. Design, Setting, and ParticipantsControlled clinical trial of diagnostic accuracy with a multicenter derivation-validation cohort of patients referred for nonemergent invasive coronary angiography. A total of 612 patients (64 [10] years; 30% women) with signs and symptoms suggestive of myocardial ischemia from 23 sites were included. Patients were recruited from 2014 to 2017. Data analysis began in August 2018. InterventionsPatients underwent invasive coronary angiography with measurement of invasive FFR, coronary computed tomographic angiography (CCTA) quantification of atherosclerotic plaque and FFR by CT (FFR-CT), and semiquantitative scoring of rest/stress myocardial perfusion imaging (by magnetic resonance, positron emission tomography, or single photon emission CT). Multivariable generalized linear mixed models were derived and validated calculating the area under the receiver operating characteristics curve. Main Outcomes and MeasuresThe primary end point was invasive FFR of 0.80 or less. ResultsOf the 612 patients, the mean (SD) age was 64 (10) years, and 426 (69.9%) were men. An invasive FFR of 0.80 or less was measured in 26.5% of 1727 vessels. In the derivation cohort, CCTA vessel-specific factors associated with FFR 0.80 or less were stenosis severity, percentage of noncalcified atheroma volume, lumen volume, the number of lesions with high-risk plaque (>= 2 of low attenuation plaque, positive remodeling, napkin ring sign, or spotty calcification), and the number of lesions with stenosis greater than 30%. Fractional flow reserve-CT was not additive to this model including stenosis and atherosclerotic plaque. Significant myocardial perfusion imaging predictors were the summed rest and difference scores. In the validation cohort, the areas under the receiver operating characteristic curve were 0.81 for CCTA vs 0.67 for myocardial perfusion imaging (P<.001). Conclusions and RelevanceA comprehensive anatomic interpretation with CCTA, including quantification of obstructive and nonobstructive atherosclerotic plaque, was superior to functional imaging in the diagnosis of invasive FFR. Comprehensive CCTA measures improve prediction of vessel-specific coronary physiology more so than stress-induced alterations in myocardial perfusion. Trial RegistrationClinicalTrials.gov Identifier: NCT02173275.This analysis of the CREDENCE trial compares the diagnostic accuracy of comprehensive anatomic (obstructive and nonobstructive atherosclerotic plaque) vs functional imaging measures for estimating vessel-specific fractional flow reserve.Cardiolog