Analysis of factors associated with extremity ulceration in diabetic subjects with peripheral neuropathy

Peripheral neuropathy is the main risk factor for foot ulceration in diabetic subjects. This study examined the association of peripheral arterial disease (PAD) with foot ulceration in a sample of diabetic subjects with peripheral neuropathy, and also if inflammatory markers would be associated with this event. We evaluated 32 type 2 diabetic individuals with abnormal 10-g monofilament exam, who were stratified in 2 groups according to history or presence of lower extremities ulcer. The group with ulcer (n = 18) included the ones that had active or cicatrized ulcer, or some lower-extremity amputation due to ulcer complications. In addition to the neurological examination and monofilament test, they were submitted to biothesiometry, lower extremity vascular assessment with Doppler, and laboratory determinations. No difference between the groups was found concerning sex distribution, mean age, and duration of diabetes diagnosis. The group with ulcer showed higher mean values of height (1.70 ± 0.06 vs. 1.63 ± 0.11 m, p = 0.044), vibration perception threshold measured in medial malleolli (40.9 ± 13.0 vs. 30.6 ± 12.3 V, p = 0.040) than the group without ulcer. The groups did not differ regarding the mean values of the inflammatory markers. Response to patellae reflex was worse in the group with ulcer (p = 0.047), in which a higher proportion of individuals with abnormal toe-brachial index (p = 0.030) was observed as compared to those without ulcer. We concluded that PAD is associated with the presence of ulcer in neuropathic subjects. The assessment of digital arteries flow in lower limbs (in great toe) contributed to detect such association. Association of diabetic foot ulcers and inflammatory markers was not observed, but cannot be excluded due to limitations of sample size. Prospective studies should examine the sensitivity of the toe-brachial index to identify PAD in diabetic individual at risk of ulceration.A neuropatia periférica é o principal fator de risco para ulceração em pé de indivíduos diabéticos. Este estudo testou a associação de doença arterial periférica (DAP) à ulceração do pé em amostra de pacientes com neuropatia sensório-motora simétrica distal e se marcadores inflamatórios subclínicos também se associariam a esse evento. Foram avaliados 32 indivíduos diabéticos tipo 2 com exame do monofilamento de 10 g alterado, estratificados em 2 grupos segundo a história ou presença de úlcera nas extremidades inferiores. O grupo com úlcera (n = 18) incluiu aqueles que apresentavam úlcera ativa ou cicatrizada, ou que tiveram alguma amputação em membro inferior decorrente de complicações da úlcera. Além do exame neurológico e monofilamento, foram submetidos a bioestesiometria, avaliação vascular com Doppler e exames laboratoriais. Os grupos foram semelhantes quanto à distribuição dos sexos, média de idade e tempo de diabetes. O grupo com úlcera apresentou valores médios de altura (1,70 ± 0,06 vs. 1,63 ± 0,11 m; p = 0,044) e limiar de percepção vibratória no maléolo medial (40,9 ± 13,0 vs. 30,6 ± 12,3 V; p = 0,040) mais elevados que o sem a úlcera. Os grupos não diferiram entre si quanto à média dos marcadores inflamatórios. A resposta do reflexo patelar foi também pior no grupo com úlcera (p = 0,047), no qual se observou maior proporção de indivíduos com o índice hálux-braquial alterado (p = 0,030) quando comparado ao sem úlcera. Conclui-se que a DAP está associada à presença de úlcera (atual ou pregressa) em membros inferiores de indivíduos diabéticos neuropatas. A pesquisa de alteração de fluxo de artérias digitais de membro inferior (no hálux) contribuiu para detectar tal associação. Associação de neuropatia ulcerada a marcadores inflamatórios não foi observada, não sendo possível excluí-la devido às limitações do tamanho da amostra. Estudos prospectivos deverão examinar a sensibilidade do índice hálux-braquial para identificar DAP em indivíduos diabéticos sob risco de ulceração.Universidade Federal de São Paulo (UNIFESP) Programa de Pós-Graduação em Ciências EndocrinológicasUniversidade Federal de São Paulo (UNIFESP) Programa de Pós-Graduação em Cirurgia VascularUniversidade de São Paulo Faculdade de Saúde Pública Departamento de NutriçãoUNIFESP, Programa de Pós-Graduação em Ciências EndocrinológicasUNIFESP, Programa de Pós-Graduação em Cirurgia VascularSciEL

The Milky Way Bulge: Observed properties and a comparison to external galaxies

The Milky Way bulge offers a unique opportunity to investigate in detail the role that different processes such as dynamical instabilities, hierarchical merging, and dissipational collapse may have played in the history of the Galaxy formation and evolution based on its resolved stellar population properties. Large observation programmes and surveys of the bulge are providing for the first time a look into the global view of the Milky Way bulge that can be compared with the bulges of other galaxies, and be used as a template for detailed comparison with models. The Milky Way has been shown to have a box/peanut (B/P) bulge and recent evidence seems to suggest the presence of an additional spheroidal component. In this review we summarise the global chemical abundances, kinematics and structural properties that allow us to disentangle these multiple components and provide constraints to understand their origin. The investigation of both detailed and global properties of the bulge now provide us with the opportunity to characterise the bulge as observed in models, and to place the mixed component bulge scenario in the general context of external galaxies. When writing this review, we considered the perspectives of researchers working with the Milky Way and researchers working with external galaxies. It is an attempt to approach both communities for a fruitful exchange of ideas.Comment: Review article to appear in "Galactic Bulges", Editors: Laurikainen E., Peletier R., Gadotti D., Springer Publishing. 36 pages, 10 figure

3-amino-1,2,4-triazole induces quick and strong fat loss in mice with high fat-induced metabolic syndrome

BACKGROUND: Obesity is a growing epidemic with limited effective treatments and an important risk factor for several diseases such as metabolic syndrome (MetS). In this study, we aimed to investigate the effect of 3-amino-1,2,4-triazole (ATZ), an inhibitor of catalase and heme synthesis, in a murine model for MetS. METHODS: Male C57BL/6 mice with high-fat diet-induced MetS received ATZ (500 mg·kg(-1)·24 h(-1)) for 12 weeks. RESULTS: The HFD group showed increased blood pressure and body weight, enhanced fat deposition accompanied by an increase in adipocyte diameter, and decreased lipolysis in white adipose tissue (WAT). The expression of genes related to inflammation was increased in WAT of the HFD group. Concurrently, these mice exhibited an increase in leptin, nonesterified fatty acid (NEFA), insulin, and glucose in plasma, coupled with glucose intolerance and insulin resistance. Strikingly, ATZ prevented the increase in blood pressure and the HFD-induced obesity as observed by lower body weight, WAT index, triglycerides, NEFA, and leptin in plasma. ATZ treatment also prevented the HFD-induced increase in adipocyte diameter and even induced marked atrophy and the accumulation of macrophages in this tissue. ATZ treatment also improved glucose metabolism by increasing glucose tolerance and insulin sensitivity, GLUT4 mRNA expression in WAT in parallel to decreased insulin levels. CONCLUSIONS: In the context of HFD-induced obesity and metabolic syndrome, the fat loss induced by ATZ is probably due to heme synthesis inhibition, which blocks adipogenesis by probably decreased RevErbα activity, leading to apoptosis of adipocytes and the recruitment of macrophages. As a consequence of fat loss, ATZ elicits a beneficial systemic antiobesity effect and improves the metabolic status

Nutritional evaluation of elephant-grass silages with byproduct of annato

The objective of the present study was to evaluate the nutritional value of elephant-grass silages containing annato byproduct. Twenty intact rams were distributed in a complete randomized block design with five diets (0; 4; 8; 12 and 16% annato byproduct in the silage) and four replications and used to estimate the intake, apparent nutrient digestibility, content of total digestible nutrients and nitrogen balance. The addition of annato byproduct raised the intakes of dry matter (DM), organic matter (OM), crude protein (CP), neutral detergent fiber (NDF), acid detergent fiber (ADF), ether extract (EE), total carbohydrates (TC), non-fibrous carbohydrates (NFC) and total digestible nutrients (TDN), in body weight (%BW) and in metabolic weight (g kg-1BW0.75). The digestibilities of DM (55.95%), OM (58.19%), CP (45.34%), NDF (52.79%), ADF (45.79%), EE (34.96%) and NFC (99.86%) were not influenced by the addition of annato byproduct. The inclusion of annato byproduct in elephant-grass silage increased digestibility of total carbohydrates, the TDN content and the nitrogen balance. The aditions of annato byproduct at levels up to 16% of the elephant grass silage natural matter improves nutrient intake and nitrogen balance.Objetivou-se avaliar o valor nutritivo de silagens de capim-elefante contendo subproduto do processamento do urucum. Vinte ovinos machos, não-castrados, foram distribuídos em delineamento inteiramente casualizado com cinco dietas (0; 4; 8; 12 e 16% de subproduto de urucum na silagem) e quatro repetições, e utilizados para estimar o consumo, a digestibilidade aparente de nutrientes, o teor de nutrientes digestíveis totais e o balanço de nitrogênio. A adição de subproduto de urucum elevou os consumos de matéria seca (MS), matéria orgânica (MO), proteína bruta (PB), fibra em detergente neutro (FDN), fibra em detergente ácido (FDA), extrato etéreo (EE), carboidratos não-fibrosos (CNF), carboidratos totais e nutrientes digestíveis totais (NDT), tanto em relação ao peso vivo (%PV) quanto em relação ao peso metabólico (g kg-1PV0,75). As digestibilidades de MS (55,95%), MO (58,19%), PB (45,34%), FDN (52,79%), FDA (45,79%), EE (34,96%) e CNF (99,86%) não foram influenciadas pela adição de subproduto de urucum. A inclusão de subproduto de urucum na silagem de capim-elefante promoveu aumento na digestibilidade dos carboidratos totais, no teor de NDT e no balanço de nitrogênio. A adição de subproduto de urucum em níveis de até 16% da matéria natural na ensilagem de capim-elefante melhora o consumo de nutrientes e o balanço de nitrogênio

Physiological ripening of Anadenanthera colubrina (Vellozo) Brenan seeds

Abstract: The seed physiological maturity knowledgment is critical determine its maximum production and physiological quality. The objective of this study was to determine the ideal time to harvest by evaluating seeds physiological maturity. Seventeen weekly harvests of fruits and seeds from matrices located in the Brazilian city of Botucatu, SP, were performed from May to September 2001. Fruits size and weight, seed water content and dry matter, and germination and emission of primary root were evaluated. Seeds showed maximum dimension in the thirteenth week of collection, while the highest fruit weight was obtained in the twelfth week of collection. Water content decreased over time. Seeds dry matter showed its highest value in the sixteenth week harvest, while germination percentage showed its highest value between the fourteenth and fifteenth week harvest. The percentage of primary root emission was observed with maximum value in the tenth week harvest. Based on the results, it is concluded that the best Anadenanthera colubrina harvest season occurs between the fourteenth and fifteenth weeks

Estimativa da radiação global incidente em superfícies inclinadas por modelos isotrópicos e índice de claridade

O objetivo deste trabalho foi avaliar o desempenho de modelos isotrópicos de estimativa do total de radiação incidente em superfícies inclinadas e propor estimativas com base nas correlações entre os índices de claridade horizontais e inclinados, em diferentes condições de cobertura de céu, em Botucatu, SP. Foram avaliadas superfícies com inclinação de 12,85º, 22,85º e 32,85º, pelos modelos isotrópicos propostos por Liu & Jordan, Revfeim, Jimenez & Castro, Koronakis, a teoria Circunsolar, e a correlação entre os índices de claridade horizontais e inclinados, para diferentes condições de cobertura de céu. O banco de dados de radiação global utilizado corresponde ao período de 1998 a 2007, com intervalos de 4/1998 a 8/2001 para a inclinação de 22,85º, de 9/2001 a 2/2003 para 12,85º e de 1/2004 a 12/2007 para 32,85º. O desempenho dos modelos foi avaliado pelos indicadores estatísticos erro absoluto médio, raiz quadrada do quadrado médio do erro e índice "d" de Wilmott. Os modelos de Liu & Jordan, Koronakis e de Revfeim apresentaram os melhores desempenhos em dias nublados, em todas as inclinações. As coberturas de céu parcialmente difuso e parcialmente aberto, nos maiores ângulos de inclinação, apresentaram as maiores dispersões entre valores estimados e medidos, independentemente do modelo. As equações estatísticas apresentaram bons resultados em aplicações com agrupamentos de dados mensais