Uma Nova Curva no Fio-Guia para Implantaçao Prática e Rápida da Extremidade do Eletrodo no Septo Interatrial Alto ou no Fascículo de Bachmann

A fibrilaçao atrial (FA) é a arritmia mais frequente na prática clínica diária, com altas porcentagens de morbidade e mortalidade. Alguns estudos que compararam a duraçao da onda P, os tempos de recuperaçao e a dispersao dos períodos refratários efetivos durante a estimulaçao em diferentes sítios das aurículas concluíram que, para prevenir a FA, os melhores locais para o implante de eletrodos sao as aurículas e o septo interatrial alto (SIA). Entretanto, é necessário desenvolver ferramentas com boa relaçao custo-eficácia, seguras e de uso fácil, que requeiram o mínimo de treinamento e que permitam implantar os eletrodos nos sítios considerados ótimos. As curvas clássicas pré-formadas, incluindo o formato em J usado para implantes de eletrodos no apêndice atrial direito, nao sao adequadas para a implantaçao no SIA alto, tornando o procedimento árduo e demorado. Apresenta-se uma curva apropriada ao implante de eletrodos no SIA alto, assim como a técnica que deve ser utilizada para sua inserçao correta. A curva é de fácil manuseio e a técnica permite abreviar o tempo e facilitar o procedimento de implante

Uma Nova Curva no Fio-Guia para Implantaçao Prática e Rápida da Extremidade do Eletrodo no Septo Interatrial Alto ou no Fascículo de Bachmann

A fibrilaçao atrial (FA) é a arritmia mais frequente na prática clínica diária, com altas porcentagens de morbidade e mortalidade. Alguns estudos que compararam a duraçao da onda P, os tempos de recuperaçao e a dispersao dos períodos refratários efetivos durante a estimulaçao em diferentes sítios das aurículas concluíram que, para prevenir a FA, os melhores locais para o implante de eletrodos sao as aurículas e o septo interatrial alto (SIA). Entretanto, é necessário desenvolver ferramentas com boa relaçao custo-eficácia, seguras e de uso fácil, que requeiram o mínimo de treinamento e que permitam implantar os eletrodos nos sítios considerados ótimos. As curvas clássicas pré-formadas, incluindo o formato em J usado para implantes de eletrodos no apêndice atrial direito, nao sao adequadas para a implantaçao no SIA alto, tornando o procedimento árduo e demorado. Apresenta-se uma curva apropriada ao implante de eletrodos no SIA alto, assim como a técnica que deve ser utilizada para sua inserçao correta. A curva é de fácil manuseio e a técnica permite abreviar o tempo e facilitar o procedimento de implante

Biologic Activity and Biotechnological Development of Natural Products

Rod Juscelino Kubitschek, BR-68903419 Macapa, AP, BrazilUniversidade Federal de São Paulo, Inst Ciencias Ambientais, BR-09972270 Diadema, SP, BrazilUniv Fed Fluminense, Fac Farm, Dept Tecnol Farmaceut, BR-24241002 Niteroi, RJ, BrazilUniv Antilles Guyane, Inst Enseignement Super Guyane, F-97337 Cayenne, FranceUniversidade Federal de São Paulo, Inst Ciencias Ambientais, BR-09972270 Diadema, SP, BrazilWeb of Scienc

New distributional records of Mecoptera (Insecta) from Colombia

We present new distributional records for two Colombian species of Bittacidae. Pazius convolutus García-García & Cadena-Castañeda, 2015 and Bittacus panamensis Byers, 1958 previously known from Cundinamarca department are herein newly recorded from Santander and Magdalena, respectively. In addition, we recorded Bittacus pignatelli Navás, 1932 in Colombia for the first time, increasing the number of species of Mecoptera in the country. Comments about mating behavior of P. convolutus, as well as a distribution map and a check-list of Colombian species of Mecoptera are included

High level expression and facile purification of recombinant silk-elastin-like polymers in auto induction shake flask cultures

Silk-elastin-like polymers (SELPs) are protein-based polymers composed of repetitive amino acid sequence motifs found in silk fibroin (GAGAGS) and mammalian elastin (VPGVG). These polymers are of much interest, both from a fundamental and applied point of view, finding potential application in biomedicine, nanotechnology and as materials. The successful employment of such polymers in such diverse fields, however, requires the ready availability of a variety of different forms with novel enhanced properties and which can be simply prepared in large quantities on an industrial scale. In an attempt to create new polymer designs with improved properties and applicability, we have developed four novel SELPs wherein the elastomer forming sequence poly(VPGVG) is replaced with a plastic-like forming sequence, poly(VPAVG), and combined in varying proportions with the silk motif. Furthermore, we optimised a simplified production procedure for these, making use of an autoinduction medium to reduce process intervention and with the production level obtained being 6-fold higher than previously reported for other SELPs, with volumetric productivities above 150 mg/L. Finally, we took advantage of the known enhanced stability of these polymers in developing an abridged, non-chromatographic downstream processing and purification protocol. A simple acid treatment allowed for cell disruption and the obtention of relative pure SELP in one-step, with ammonium sulphate precipitation being subsequently used to enable improved purity. These simplified production and purification procedures improve process efficiency and reduce costs in the preparation of these novel polymers and enhances their potential for application.This work was financially supported by the European Comission via the 7th Framework Programme project EcoPlast (FP7-NMP-2009-SME-3, collaborative project number 246176), by Portuguese funding from FEDER through POFC – COMPETE and PEst project C/BIA/UI4050/2011 (Portugal), by MICINN (MAT 2009-14195-C03-03, IT2009-0089, ACI2009-0890, MAT2010-15310 and MAT2010-15982), the JCyL (VA034A09, VA030A08 and VA049A11-2) and CIBER-BBN. E.C. (Spain). Raul Machado was the receiver of a fellowship from Fundação para a Ciência e Tecnologia (SFRH/BD/36754/2007), co-funding by FSE through QREN/POPH (Portugal). Tony Collins is thankful to the Fundação para a Ciência e Tecnologia for its support through Programa Ciência 2008.info:eu-repo/semantics/publishedVersio

Parathyroidectomy after kidney transplantation: short- and long-term impact on renal function

INTRODUCTION: Kidney transplantation corrects endocrine imbalances. Nevertheless, these early favorable events are not always followed by rapid normalization of parathyroid hormone secretion. A possible deleterious effect of parathyroidectomy on kidney transplant function has been reported. This study aimed to compare acute and longterm renal changes after total parathyroidectomy with those occurring after general surgery. MATERIALS AND METHODS: This was a retrospective case-controlled study. Nineteen patients with persistent hyperparathyroidism underwent parathyroidectomy due to hypercalcemia. The control group included 19 patients undergoing various general and urological operations. RESULTS: In the parathyroidectomy group, a significant increase in serum creatinine from 1.58 to 2.29 mg/dl (P < 0.05) was noted within the first 5 days after parathyroidectomy. In the control group, a statistically insignificant increase in serum creatinine from 1.49 to 1.65 mg/dl occurred over the same time period. The long-term mean serum creatinine level was not statistically different from baseline either in the parathyroidectomy group (final follow-up creatinine = 1.91 mg/dL) or in the non-parathyroidectomy group (final follow-up creatinine = 1.72 mg/dL). CONCLUSION: Although renal function deteriorates in the acute period following parathyroidectomy, long-term stabilization occurs, with renal function similar to both preoperative function and to a control group of kidney-transplanted patients who underwent other general surgical operations by the final follow up

MBL2 gene polymorphisms and its relation to infection in Brazilian systemic lupus erythematosus patients : a 10-years followup study

Introduction: Systemic lupus erythematosus (SLE) is a multifactorial disease and MBL2 genetic variants, which are associated to differential peripheral MBL levels, potentially affect its etiology and increase infection risk in this population. Objective: To evaluate the potential association of MBL2 polymorphisms of the coding and promoter gene region and haplotypes on hospitalization, number of admission and days of admission for major infection causes in Brazilian SLE patients. Methods: 325 SLE patients from a southern Brazilian outpatient SLE clinic were genotyped in 2006 for MBL2 gene polymorphisms from coding and promoter region (rs1800450, rs1800451, rs5030737, rs11003125, and rs7096206) and followed until 2016. Clinical and laboratory data from each patient were obtained and information regarding the need for hospitalization, the number of admissions and number of days admitted for infection treatment were compiled and compared with MBL2 gene polymorphisms and haplotypes. A linear regression analysis was constructed considering the variables of bivariate which demonstrated an association (p<0.05) and variables which had a theoretical basement. Results: No difference was found in polymorphism prevalence when comparing the group that was admitted for infection treatment and the group who did not. Allele C, and haplotypes LY and HY correlated with more infection hospitalizations [wild-type homozygosis for C: 2 (IQR 1–3), heterozygosis for C: 3 (IQR 2–6) p=0.038; LY 2 (IQR 1–3) p=0.049; HY 2 (IQR 1–3) p=0.005] and haplotype HY carriers stayed fewer days in hospital for infection treatment: 18 (IQR 10–38) p=0.041. When linear regression was applied HY associated with shorter admission time for infections ( 18.11 days, p=0.021) and HY ( 1.52 admission, p 0.001) carriers with older age at diagnosis had less admissions for infection (HY regression model: 0.42, p=0.006; LY regression model 0.04, p=0.010; 0.04, p=0.013). Conclusion: The presence of the HY promoter haplotype associated to fewer in hospital care for infection treatment probably due to higher MBL plasma levels. Also, HY haplotype and older age at SLE diagnosis is related to less admissions for infection. This factor should be taken into consideration, since infection is a very import cause of mortality in SLE patients being also related to aggressive immunosuppressive treatment

Feasibility, safety and accuracy of dobutamine/atropine stress echocardiography for the detection of coronary artery disease in renal transplant candidates

OBJECTIVE: To evaluate the feasibility, safety and accuracy of dobutamine/atropine stress echocardiography (DASE) for the detection of coronary artery desease (CAD) in renal transplant candidates. METHODS: Patients candidates to renal transplant were submitted consecutively to DASE and coronary angiography. The adopted angiographic criteria for CAD were an obstructive lesion of > 50% and > 70%. RESULTS: 148 patients underwent the DASE and the coronary angiography. Mean age was 52 ± 9 years, 69% of the patients were males; 27% had diabetic nephropathy and 73% had LVH; 63% were asymptomatic; 36% and 22% presented coronary obstructions > 50% and 70%, respectively. The DASE performance was 91% and major complication rate was 2.7%. The sensibility, specificity and accuracy for the diagnosis of coronary obstruction > 50% were 53% (CI:45-61), 87% (CI:81-93), and 75% (CI:63-83) respectively. For coronary obstruction > 70% these values were, respectively, 71% (CI:64-92), 85% (CI:79-91) and 81% (CI:75-87). The sensibility to detect univessel and multivessel disease was 41% (CI:19-63) and 78% (CI:64-92), respectively. CONCLUSION: The DASE was practical and safe; however, it presented a poor result for the detection of CAD regarding obstructions > 50%. It can be a useful screening for the detection of CAD in candidates with obstructions > 70% and multivessel disease.OBJETIVO: Avaliar a exeqüibilidade, a segurança e a acurácia diagnóstica do ecocardiograma sob estresse (EEDA) com dobutamina/atropina em candidatos a transplante renal. MÉTODOS: Pacientes candidatos a transplante renal com e sem nefropatia diabética realizaram EEDA e cineangiocoronariografia. Consideraram-se dois pontos de corte para doença arterial coronariana (DAC): > 50% e > 70% de obstrução de uma artéria epicárdica. RESULTADOS: Cento e quarenta e oito pacientes realizaram o EEDA e a angiografia coronariana. A média de idade foi de 52±9 anos, 69% eram do sexo masculino, 27% tinham nefropatia diabética, e 73%, HVE; 63% estavam assintomáticos, 36% e 22% apresentaram obstruções coronarianas > 50% e > 70%, respectivamente. A exeqüibilidade foi de 91% e houve 2,7% de complicações maiores. Obtiveram-se as seguintes médias de sensibilidade, especificidade e acurácia, considerando obstrução coronariana > 50%: 53% (IC:45-61), 87% (IC:81-93), e 75% (IC:63-83), respectivamente. Para obstrução >70%, 71% (IC:64-92), 85% (IC:79-91) e 81% (IC:75-87). A sensibilidade para diagnosticar doença uniarterial foi 41% (IC:19-63) e doença multiarterial, 78% (IC:64-92). CONCLUSÃO: O EEDA foi exeqüível e seguro; entretanto, foi ineficiente para rastreamento de DAC, considerando obstruções > 50%, mas pode ser útil para detecção de DAC em pacientes com obstruções > 70% e doença multiarterial.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Hospital do Rim e HipertensãoUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Hospital São PauloUNIFESP, EPM, Hospital do Rim e HipertensãoUNIFESP, EPM, Hospital São PauloSciEL

Matrix metalloproteinase gene polymorphisms and susceptibility to systemic sclerosis

The major pathological hallmark of the systemic sclerosis (SSc) is skin and internal organ fibrosis, which results from normal tissue architecture alterations and extracellular matrix (ECM) protein deposition. ECM components are degraded by matrix metalloproteinases (MMP). Promoter region polymorphisms in MMP genes may influence gene expression, resulting in an imbalance between ECM protein production and degradation. Here, we analyzed MMP1 -1607 1G/2G (rs1799750), MMP3 -1171 5A/6A (rs3025058), and MMP9 -1562 C/T (rs3918242) polymorphisms in relation to susceptibility to SSc and its clinical features. The patient group included 98 individuals with longstanding or recently diagnosed disease, meeting the American College of Rheumatology or LeRoy and Medsger criteria for SSc; the control group included 100 healthy blood donors. All participants were of European descent. Genotyping was performed by polymerase chain reaction followed by restriction digestion. Genotype and allele frequencies of MMP polymorphisms were similar between the two groups. In secondary analyses, significantly higher frequency of 1G/2G genotype from MMP1 polymorphism was observed for patients testing positive for antinuclear autoantibodies (P = 0.007), while 1G/1G genotype was associated with interstitial lung disease development (P = 0.018). The 6A/6A genotype from MMP3 polymorphism was absent in patients with calcinosis (P = 0.011), while the MMP3 5A/5A genotype correlated with the presence of anti-topoisomerase I antibodies (P = 0.009) and reduced diffusing capacity for carbon monoxide (P = 0.024). These results suggest that MMP polymorphisms are not associated with SSc susceptibility, although MMP1 and MMP3 variants are associated with specific SSc clinical and laboratory features

Combined effects of CXCL8 and CXCR2 gene polymorphisms on susceptibility to systemic sclerosis

A previous study suggested that the CXCR2 (+1208) TT genotype was associated with increased risk of systemic sclerosis (SSc). In the present study, we investigated the influence of variation in the CXCL8 and CXCR2 genes on susceptibility to SSc and combined the variant alleles of these genes to analyze their effects on SSc. Methods: One fifty one patients with SSc and 147 healthy bone marrow donors were enrolled in a casecontrol study. Blood was collected for DNA extraction; typing of CXCL8 (251) T/A and CXCR2 (+1208) T/ C genes was made by polymerase chain reaction with sequence specific primers (PCR-SSP), followed by agarose gel electrophoresis. Results: The CXCR2-TC genotype was significantly less frequent in patients (23.8% versus 55.1% in controls; P < 0.001, OR = 0.26, 95%CI = 0.15–0.43), whereas the CXCR2-CC genotype was significantly more frequent (44.4% versus 22.4% in controls; P < 0.001, OR = 2.76, 95%CI, 1.62–4.72). When CXCR2 and CXCL8 combinations were analyzed, the presence of CXCR2 T in the absence of CXCL8 A (CXCR2 T+/CXCL8 A) was more frequent in patients than in controls (34.5% versus 3.5%; P < 0.001, OR = 14.50, 95%CI = 5.04– 41.40). However, CXCR2 TT and CXCL8 A were significantly more common in controls (100%) than in patients (58.3%) (P < 0.001). Likewise, the presence of CXCR2 TC and CXCL8 A was more frequent in controls (95.1%) than in patients (75%) (P = 0.004). Furthermore, the CXCR2-CC genotype in CXCL8 A was more frequent in patients (59.7% versus 0% in controls; P < 0.001, adjusted OR = 98.67, 95%CI = 6.04– 1610.8). In patients, a high frequency was observed in combination with the CXCL8 TA and AA genotypes (P < 0.001; OR = 28.92), whereas in controls, there was a high frequency of combination with CXCL8 T (P < 0.001; OR = 0.03) and TT (P < 0.001; OR = 0.01). ). Conclusions: These findings suggest a protective role of CXCL8 (251) A in the CXCR2 (+1208) TT and TC genotypes and an increased risk of CXCL8 (251) A in association with the CXCR2 (+1208) CC genotype in SSc patient