Cardiovascular assessment of diabetic patients

INTRODUCTION: Type 2 diabetes is a cardiovascular disease. The morbidity and mortality among these patients are primarily due to cardiovascular diseases. There are many guidelines regarding clinical evaluation of cardiovascular disease in those patients. Implementation of these guidelines has been an argued subject. Our objective in this paper is to describe what basal cardiovascular evaluation has been carried out at a specialized university Diabetes Center. SUBJECTS AND METHODS: Data were collected from February to October 2006 of 121 type 2 diabetes individuals who were enrolled at the Diabetes Center of Federal University of São Paulo. We analyzed the type of cardiovascular disease evaluation that they had been submitted in the year that preceded the consultation. RESULTS: We have observed a high prevalence of several other cardiovascular risk factors in this population. The cardiovascular evaluations during this period has shown 36% of the patients had not been submitted to any cardiovascular test, 17% had been submitted to resting electrocardiogram and 27% of the patients had been submitted to exercise test. Rest echocardiogram, pharmacologic stress echocardiogram, myocardial perfusion scintigraphy, and coronary angiography have been carried out in a much lesser ratio. CONCLUSION: Our data has shown the variability and limitations on boarding diagnosing of DAC in university environment patients and point us the necessity of constructing defined and directed directives for the peculiarities of the Brazilian population and health system.INTRODUÇÃO: Baseado no conhecimento atual sobre o diabetes tipo 2 (DM), considerado como um estado de doença cardiovascular, várias diretrizes surgem no intuito de sugerir uma avaliação cardiovascular rotineira nesses indivíduos, na tentativa de se detectar precocemente a doença arterial coronariana (DAC). Neste trabalho, objetivamos descrever qual avaliação cardiovascular basal fora realizada em um período de seguimento dos mesmos, dentro de um centro universitário especializado no tratamento de diabetes, adequado para a realidade brasileira. SUJEITOS E MÉTODOS: Anotamos dados clínicos do prontuário de 121 pacientes portadores de DM tipo 2 atendidos no Centro de Diabetes da Universidade Federal de São Paulo (UNIFESP) e confrontamos com o tipo de avaliação cardiovascular a que os mesmos haviam sido submetidos no ano que precedia a consulta. RESULTADOS: Observamos que na população estudada havia uma alta prevalência de outros fatores de risco cardiovasculares associados. Quanto às avaliações cardiovasculares realizadas no período, cerca de 36% dos pacientes não realizaram nenhum teste cardiológico, 17% foram submetidos ao eletrocardiograma de repouso e 27% dos pacientes foram submetidos ao teste ergométrico. Exames como ecocardiograma em repouso ou sob stress farmacológico, cintilografia de perfusão do miocárdio e cinecoronariografia foram realizados em menor proporção. CONCLUSÃO: Nossos dados mostraram a variabilidade e limitações na forma de abordagem diagnóstica de DAC de pacientes acompanhados em ambiente universitário e nos apontam para a necessidade de construir diretrizes mais bem definidas e dirigidas para as peculiaridades da população e sistema de saúde brasileiros.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Centro de DiabetesUNIFESP, EPM, Centro de DiabetesSciEL

Dynamic mechanical behavior of starch-based scaffolds in dry and physiologically simulated conditions: effect of porosity and pore size

The three-dimensional scaffolds of a blend of starch and poly(L-lactic) acid, SPLA70, were produced using compression molding of polymer/salt mixture followed by leaching of salt. One series of scaffolds were prepared with varying polymer-to-salt ratio while keeping the salt size constant, and the other series of scaffolds were prepared with varying salt sizes while keeping the polymer-to-salt ratio constant. The X-ray microcomputed tomography and scanning electron microscopy assay were used to analyze the porous morphologies, porosity and distribution of porosity of the porous scaffolds. Salt-free and integrated SPLA70 scaffolds with porosities ranging from 74% to 82% and pore sizes of 125–250 to 500–1000 lm can be fabricated using the present fabrication technique. The water uptake of the SPLA70 scaffolds increases with increasing porosities and also with increasing pore size. In dry state, the storage modulus decreases with increasing porosity and also with increasing pore size. The normalized modulus values are related to normalized density of the scaffolds by a power-law function with an exponent between 2 and 3. For the immersed scaffolds under physiological conditions, the storage modulus was less dependent on porosity and pore size. However, the loss factor increased significantly compared with dry state measurements. The present study clearly shows that the mechanical performance of porous polymeric constructs in dry and in immersed state is completely different, and for comparison with biomechanical performance of tissues, the tests should ideally be performed in immersed state

Latex peptidases of Calotropis procera for dehairing of leather as an alternative to environmentally toxic sodium sulfide treatment

Dehairing of crude leather is a critical stage performed at the beginning of its processing to obtain industrially useful pieces. Tanneries traditionally apply a chemical process based on sodium sulfide. Since this chemical reactive is environmentally toxic and inefficiently recycled, innovative protocols for reducing or eliminating its use in leather depilation are welcomed. Therefore, latex peptidases from Calotropis procera (CpLP) and Cryptostegia grandiflora (CgLP) were assayed for this purpose. Enzyme activity on substrates representative of skin such as hide powder azure (UHPA), elastin (UE), azocollagen (UAZOCOL), keratin (UK), and epidermis (UEP) was determined, while depilation activity was assayed on cow hide. Only CpLP was active against keratin (13.4 UK) and only CgLP was active against elastin (0.12 UE). CpLP (93.0 UHPA, 403.6 UAZOCOL, 36.3 UEP) showed higher activity against the other substrates than CgLP (47.6 UHPA, 261.5 UAZOCOL, 8.5 UEP). In pilot assays, CpLP (0.05% w/v with sodium sulfite 0.6% w/v as activator) released hairs from cow hide pieces. Macroscopic and microscopic analyses of the hide revealed that the dehairing process was complete and the leather structure was preserved. The proteolytic system of C. procera is a suitable bioresources to be exploited by tanneries.Fil: Lopez, Laura Maria Isabel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto Nacional de Tecnología Industrial. Centro de Investigación y Desarrollo del Cuero. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Centíficas. Centro de Investigación y Desarrollo del Cuero; ArgentinaFil: Viana, Carolina A.. Universidade Estadual Do Ceara; BrasilFil: Errasti, María Eugenia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto Nacional de Tecnología Industrial. Centro de Investigación y Desarrollo del Cuero. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Centíficas. Centro de Investigación y Desarrollo del Cuero; ArgentinaFil: Garro, María Laura. Instituto Nacional de Tecnología Industrial. Centro de Investigación y Desarrollo del Cuero. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Centíficas. Centro de Investigación y Desarrollo del Cuero; ArgentinaFil: Martegani, José Eduardo. Instituto Nacional de Tecnología Industrial. Centro de Investigación y Desarrollo del Cuero. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Centíficas. Centro de Investigación y Desarrollo del Cuero; ArgentinaFil: Mazzilli, German Ariel. Instituto Nacional de Tecnología Industrial. Centro de Investigación y Desarrollo del Cuero. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Centíficas. Centro de Investigación y Desarrollo del Cuero; ArgentinaFil: Freitas, Cléverson D. T.. Universidade Estadual Do Ceara; BrasilFil: Araújo, Ídila M. S.. EMBRAPA Agrotropical; BrasilFil: da Silva, Rafaela O.. Universidade Estadual Do Ceara; BrasilFil: Ramos, Márcio V.. Universidade Estadual Do Ceara; Brasi

Purification and characterization of a collagenase from Penicillium sp. UCP 1286 by polyethylene glycol-phosphate aqueous two-phase system

Collagenases are proteolytic enzymes capable of degrading both native and denatured collagen, reported to be applied in industrial, medical and biotechnological sectors. Liquid-liquid extraction using aqueous two-phase system (ATPS) is one of the most promising bioseparation techniques, which can substitute difficult solid-liquid separation processes, offering many advantages over conventional methods including low-processing time, low-cost material and low-energy consumption. The collagenase produced by Penicillium sp. UCP 1286 showed a stronger affinity for the bottom salt-rich phase, where the highest levels of collagenolytic activity were observed at the center point runs, using 15.0% (w/w) PEG 3350 g/mol and 12.5% (w/w) phosphate salt at pH 7.0 and concentration. The enzyme was characterized by thermal stability, pH tolerance and effect of inhibitors, showing optimal collagenolytic activity at 37 °C and pH 9.0 and proved to be a serine protease. ATPS showed high efficiency in the collagenase purification, confirmed by a single band in SDS/PAGE, and can in fact be applied as a quick and inexpensive alternative method.This work was supported by the National Council of Technological and Scientific Development (CNPq) and Coordination for the Improvement of Higher Education Personnel (CAPES). Sara Silvério also acknowledges her post-doc grant (SFRH/BPD/88584/2012) from FCT (SFRH/BPD/88584/2012) (Portuguese Science and Technology Foundation), Portugal

Identificação e avaliação em campo do feromônio sexual de uma população brasileira de Spodoptera cosmioides

O objetivo deste trabalho foi identificar o feromônio sexual de Spodoptera cosmioides e avaliar se existe atração cruzada em Spodoptera sp. (Lepidoptera: Noctuidae). Extratos de glândulas de S. cosmioides foram analisados por GC-FID e GC-MS. A ação dos compostos encontrados nas glândulas foi avaliada por meio de bioensaios em túnel de vento e eletrofisiologia. Em campo, testaram-se diferentes armadilhas feromonais: com feromônio comercial de S. frugiperda; com acetato de (9Z)-9-tetradecenila (Z9-14:OAc) e acetato de (9Z,12E)-9,12-tetradecadienila (Z9,E12-14:OAc); com duas fêmeas de S. cosmioides; e controle com hexano. Quatro acetatos foram identificados nas glândulas de fêmeas de S. cosmioides como Z9-14:OAc, Z9,E12-14:OAc, (11Z)-acetato de hexadecenila e acetato de hexadecila (16:OAc), mas somente os dois primeiros acetatos induziram resposta eletrofisiológica nas antenas de machos de S. cosmioides. Nos bioensaios em túnel de vento, machos de S. cosmioides e S. frugiperda responderam em maior número à mistura de coespecíficos; no entanto, houve atração cruzada, uma vez que 47% dos machos de S. frugiperda e 25% dos machos de S. cosmioides responderam à mistura heteroespecífica. Nos experimentos em campo, S. frugiperda e S. cosmioides mostraram o mesmo padrão de resposta observado nos bioensaios em túnel de vento. Em resumo, os componentes do feromônio sexual de S. cosmioides são Z9-14:OAc e Z9,E12-14:OAc, que são importantes para conferir espécie-especificidade do feromônio, e há atração cruzada entre S. cosmioides e S. frugiperda mediada por feromônios.The objective of this work was to identify the sex pheromone of Spodoptera cosmioides and to evaluate whether there is pheromone cross-attraction in Spodoptera sp. (Lepidoptera: Noctuidae). Spodoptera cosmioides gland extracts were analyzed by GC-FID and GC-MS. Wind tunnel and electrophysiology experiments were conducted to evaluate the role of gland compounds. In the field, different pheromone traps were tested: S. frugiperda commercial lure; (9Z)-9-tetradecenyl acetate (Z9-14:OAc) and (9Z,12E)-9,12-tetradecadienyl acetate (Z9,E12-14:OAc) trap; two females of S. cosmioides trap; and hexane control trap. Four acetates were identified in the S. cosmioides female gland extracts as Z9-14:OAc, Z9,E12-14:OAc, (11Z)-11-hexadecenyl acetate (Z11-16:OAc) and hexadecyl acetate (16:OAc), but only the first two acetates induced electrophysiological responses from S. cosmioides male antennae. In wind tunnel experiments, S. cosmioides and S. frugiperda males responded more strongly to conspecific blends; however, there was some cross-attraction, as 47% males of S. frugiperda and 25% males of S. cosmioides responded to heterospecific blends. In field experiments, S. frugiperda and S. cosmioides showed the same response pattern as observed in the wind tunnel bioassays. In summary, the sex pheromone components of S. cosmioides are Z9-14:OAc and Z9,E12-14OAc; they are important for conferring species specificity, and there is pheromone-mediated cross attraction between S. frugiperda and S. cosmioides

Variability in herbivore-induced defence signalling across different maize genotypes impacts significantly on natural enemy foraging behaviour

‘Smart’ plants that release volatile defence compounds in response to pest damage, and which recruit beneficial natural enemies, offer an opportunity for exploiting biological control in future crop protection strategies. Using six maize genotypes, Zapalote Chico (‘landrace’), Mirt2A, Sintético Spodoptera (SS), L3, and two commercial hybrids BRS 4103 and BRS 1040, the aim of this work was to evaluate maize responses to larval damage from the fall armyworm Spodoptera frugiperda, a major maize pest in Brazil, and the ability of the egg parasitoid Telenomus remus to respond to HIPVs induced by S. frugiperda damage. Y-tube olfactometer bioassays with T. remus showed preferential responses to the S. frugiperda-induced volatiles of SS and BRS 4103 compared to constitutive volatiles of the same genotypes, but to none of the other genotypes tested. Chemical analysis of maize volatile extracts showed that SS produced more volatile compounds in response to S. frugiperda damage, followed by BRS 4103. In addition, higher levels of mono, homo-, or sesquiterpenes, together with green leaf volatiles (GLVs) were the most attractive blend for T. remus; however, there was no attraction when only GLVs were produced in higher levels. In summary, these results show that volatile defence signalling produced by maize plants due to S. frugiperda damage varies significantly depending on maize genotype and this variability influences T. remus foraging behaviour

Multiplex Real-Time PCR Assay Using TaqMan Probes for the Identification of Trypanosoma cruzi DTUs in Biological and Clinical Samples

Background: Trypanosoma cruzi has been classified into six Discrete Typing Units (DTUs), designated as TcI–TcVI. In order to effectively use this standardized nomenclature, a reproducible genotyping strategy is imperative. Several typing schemes have been developed with variable levels of complexity, selectivity and analytical sensitivity. Most of them can be only applied to cultured stocks. In this context, we aimed to develop a multiplex Real-Time PCR method to identify the six T. cruzi DTUs using TaqMan probes (MTq-PCR).Methods/Principal Findings: The MTq-PCR has been evaluated in 39 cultured stocks and 307 biological samples from vectors, reservoirs and patients from different geographical regions and transmission cycles in comparison with a multi-locus conventional PCR algorithm. The MTq-PCR was inclusive for laboratory stocks and natural isolates and sensitive for direct typing of different biological samples from vectors, reservoirs and patients with acute, congenital infection or Chagas reactivation. The first round SL-IR MTq-PCR detected 1 fg DNA/reaction tube of TcI, TcII and TcIII and 1 pg DNA/reaction tube of TcIV, TcV and TcVI reference strains. The MTq-PCR was able to characterize DTUs in 83% of triatomine and 96% of reservoir samples that had been typed by conventional PCR methods. Regarding clinical samples, 100% of those derived from acute infected patients, 62.5% from congenitally infected children and 50% from patients with clinical reactivation could be genotyped. Sensitivity for direct typing of blood samples from chronic Chagas disease patients (32.8% from asymptomatic and 22.2% from symptomatic patients) and mixed infections was lower than that of the conventional PCR algorithm.Conclusions/Significance: Typing is resolved after a single or a second round of Real-Time PCR, depending on the DTU. This format reduces carryover contamination and is amenable to quantification, automation and kit production.This work received financial support from the Ministry of Science and Technology of Argentina [PICT 2011-0207 to AGS] and the National Scientific and Technical Research Council in Argentina (CONICET) [PIP 112 2011-010-0974 to AGS]. Work related to evaluation of biological samples was partially sponsored by the Pan-American Health Organization (PAHO) [Small Grants Program PAHO-TDR]; the Drugs and Neglected Diseases Initiative (DNDi, Geneva, Switzerland), Wellcome Trust (London, United Kingdom), SANOFI-AVENTIS (Buenos Aires, Argentina) and the National Council for Science and Technology in Mexico (CONACYT) [FONSEC 161405 to JMR]