T wave abnormalities, high body mass index, current smoking and high lipoprotein (a) levels predict the development of major abnormal Q/QS patterns 20 years later. A population-based study

BACKGROUND: Most studies on risk factors for development of coronary heart disease (CHD) have been based on the clinical outcome of CHD. Our aim was to identify factors that could predict the development of ECG markers of CHD, such as abnormal Q/QS patterns, ST segment depression and T wave abnormalities, in 70-year-old men, irrespective of clinical outcome. METHODS: Predictors for development of different ECG abnormalities were identified in a population-based study using stepwise logistic regression. Anthropometrical and metabolic factors, ECG abnormalities and vital signs from a health survey of men at age 50 were related to ECG abnormalities identified in the same cohort 20 years later. RESULTS: At the age of 70, 9% had developed a major abnormal Q/QS pattern, but 63% of these subjects had not been previously hospitalized due to MI, while 57% with symptomatic MI between age 50 and 70 had no major Q/QS pattern at age 70. T wave abnormalities (Odds ratio 3.11, 95% CI 1.18–8.17), high lipoprotein (a) levels, high body mass index (BMI) and smoking were identified as significant independent predictors for the development of abnormal major Q/QS patterns. T wave abnormalities and high fasting glucose levels were significant independent predictors for the development of ST segment depression without abnormal Q/QS pattern. CONCLUSION: T wave abnormalities on resting ECG should be given special attention and correlated with clinical information. Risk factors for major Q/QS patterns need not be the same as traditional risk factors for clinically recognized CHD. High lipoprotein (a) levels may be a stronger risk factor for silent myocardial infarction (MI) compared to clinically recognized MI

Análise quantitativa e qualitativa do nível de conhecimento dos alunos do curso de fisioterapia sobre a atuação do fisioterapeuta em saúde pública Quantitative and qualitative analysis of the level of knowledge from the physiotherapy student's course, about the performance of the physiotherapist in public health

Fisioterapia é a ciência da saúde que estuda, previne e trata os distúrbios cinéticos funcionais em órgãos e sistemas do corpo humano. O objetivo deste estudo é verificar a expectativa dos alunos do primeiro ao quinto semestre de fisioterapia sobre a atuação do fisioterapeuta em saúde pública e a expectativa desses alunos quanto à inserção do profissional de fisioterapia no Programa de Saúde da Família (PSF). Trata-se de estudo realizado na Faculdade Marechal Rondon, com 107 alunos, tendo como critério de exclusão os alunos do sétimo semestre. Foi usado um questionário, contendo onze questões, sendo oito de múltipla escolha e três dissertativas. Os dados passaram por tratamento estatístico, em que foram utilizadas a análise descritiva através do programa Microsoft Excel 2003 e análise do discurso do sujeito coletivo. A respeito da atuação do fisioterapeuta no Sistema Único de Saúde (SUS), 44% dos alunos consideram muito importante, 36% consideraram que o papel do fisioterapeuta no PSF é muito importante, enquanto 24% dos alunos consideram não saber informar quanto à eficácia de seu atendimento. Os alunos consideram importante a atuação do fisioterapeuta no SUS e PSF, mas pouco tem conhecimento sobre a atuação do fisioterapeuta em saúde pública.<br>Physiotherapy is the science of health that studies, prevents and takes care of the functional kinetic disturbs in essential organs and system of human body. The objective was to examine the expectation of students at 1st, 3rd and 5th semester of physiotherapy course about the physiotherapist activity in public health and the expectancy on the Family Health Program (PSF). The study took place in Marechal Rondon College, with 107 students, having as exclusion criterion the students from the 7th semester. A questionnaire with 11 questions was used being, eight multiple option questions and three discursive questions. For the statistic analysis, it was used the descriptive method with Microsoft Excel 2003 Program and speech's analysis of the collective subject. In relation to the physiotherapist actuation in the Unified Health System (SUS) 44% of students think it is very important, 36% think that the physiotherapist function in the PSF is very important whereas 24% of students thinks don't know about the efficiency of its attendance. The students think that the physiotherapist in the SUS and PSF is important, but a little of them have knowledge about the physiotherapist performance in Public Health

Antimicrobial and Cell-Penetrating Peptides: How to Understand Two Distinct Functions Despite Similar Physicochemical Properties

Antimicrobial and cell-penetrating peptides are both classes of membrane-active peptides sharing similar physicochemical properties. Both kinds of peptides have attracted much attention owing to their specific features. AMPs disrupt cell membranes of bacteria and display urgently needed antibiotic substances with alternative modes of action. Since the multidrug resistance of bacterial pathogens is a more and more raising concern, AMPs have gained much interest during the past years. On the other side, CPPs enter eukaryotic cells without substantially affecting the plasma membrane. They can be used as drug delivery platforms and have proven their usefulness in various applications. However, although both groups of peptides are quite similar, their intrinsic activity is often different, and responsible factors are still in discussion. The aim of this chapter is to summarize and shed light on recent findings and concepts dealing with differences and similarities of AMPs and CPPs and to understand these different functions