Multivariable evaluation of maternal hemodynamic profile in pregnancy complicated by fetal growth restriction: prospective study.

OBJECTIVE: To evaluate the association between fetal growth restriction (FGR) and maternal hemodynamic parameters using multivariable analysis, adjusting for major confounding factors, such as hypertensive disorders of pregnancy (pre-eclampsia and gestational hypertension). METHODS: A prospective cohort study was conducted between January 2013 and April 2016. Two cohorts of patients were recruited, between 24 and 39 weeks of gestation, in a high-risk outpatient setting. These cohorts comprised 49 appropriate-for-gestational-age singleton fetuses and 93 that were FGR (abdominal circumference (AC) at recruitment in the second half of pregnancy ≤ 10th percentile with a previous normal AC at 20-22 weeks). Maternal echocardiography was performed at the time of enrolment and included hemodynamic parameters of systolic and diastolic function and cardiac remodeling indices. Data were analyzed using a multivariable generalized linear model to estimate the association of FGR with maternal hemodynamic parameters after adjusting for significant confounding factors. RESULTS: In the multivariable analysis, after adjustment for hypertensive disorders of pregnancy and smoking, FGR was associated with a 14% increase in maternal total vascular resistance, 16% reduction in cardiac output, 13% reduction in left ventricular mass and 11% reduction in heart rate; similar results were observed for the corresponding indexed parameters. Hypertensive disorders of pregnancy in the absence of FGR were associated with a 25% increase in total vascular resistance, 16% increase in left ventricular mass and 14% reduction in diastolic function; similar results were observed for the corresponding indexed parameters. CONCLUSION: FGR is significantly and independently associated with several maternal hemodynamic parameters, even after adjustment for major confounding factors, such as hypertensive disorders of pregnancy. Copyright © 2018 ISUOG. Published by John Wiley & Sons Ltd.

Is Planting Trees Enough? The Effect of Different Types of Reforestation on the Offspring of Trypoxylon (Trypargilum) lactitarse (Hymenoptera: Crabronidae) in the Southern Amazon.

The deforestation has led to local loss of species and important ecosystem services performed by them, causing ecological and economic losses. It is proposed that the reforestation of such areas aims to reduce those impacts. However, particularly in the tropics, little is known about the real success of different types of reforestation in the recovery of the species, and especially of the population parameters. Here we evaluated whether different types of reforestations affect Trypoxylon (Trypargilum) lactitarse Saussure (Hymenoptera: Crabronidae) in terms of abundance, percentage of emergence, proportion of males, fluctuating asymmetry, and foraging capacity. We compared primary forest (control) data to data collected in five different habitats: pasture, secondary forest, and tree plantations of Teak, Ficus, and a mixture of native species. The abundance of T. lactitarse was higher in tree plantations than in pasture. However, among the analyzed parameters, Teak plantation presented lower emergence percentage and the majority of individuals born were males. The emerged females in this habitat showed higher asymmetry and lower foraging capacity. Ficus showed lower individual abundance and mixed plantation showed lower emergence percentage, with both plantation types showing higher male emergence. On the other hand, in secondary forest, the analyzed parameters did not differ in relation to the primary forest, being the habitat more efficient in relation to those with tree planting. The changes in population parameters of T. lactitarse in different reforestations and particularly on Teak monocultures were probably attributed to indirect effects, such as low food availability and inadequate environmental conditions.

Differential Recruitment of Camponotus femoratus (Fabricius) Ants in Response to Ant Garden Herbivory.

Although several studies have shown that ants can recognize chemical cues from their host plants in ant-plant systems, it is poorly demonstrated in ant gardens (AGs). In this interaction, ant species constantly interact with various epiphyte species. Therefore, it is possible to expect a convergence of chemical signals released by plants that could be acting to ensure that ants are able to recognize and defend epiphyte species frequently associated with AGs. In this study, it was hypothesized that ants recognize and differentiate among chemical stimuli released by AG epiphytes and non-AG epiphytes. We experimentally simulated leaf herbivore damage on three epiphyte species restricted to AGs and a locally abundant understory herb, Piper hispidum, in order to quantify the number of recruited Camponotus femoratus (Fabricius) defenders. When exposed to the AG epiphytes Peperomia macrostachya and Codonanthe uleana leaves, it was observed that the recruitment of C. femoratus workers was, on average, respectively 556% and 246% higher than control. However, the number of ants recruited by the AG epiphyte Markea longiflora or by the non-AG plant did not differ from paper pieces. This indicated that ants could discern between chemicals released by different plants, suggesting that ants can select better plants. These results can be explained by evolutionary process acting on both ants' capability in discerning plants' chemical compounds (innate attraction) or by ants' learning based on the epiphyte frequency in AGs (individual experience). To disentangle an innate behavior, a product of classical coevolutionary process, from an ant's learned behavior, is a complicated but important subject to understand in the evolution of ant-plant mutualisms.

Transcutaneous electrical nerve stimulator for procedural pain associated with intravenous needlesticks.

Venipuncture continues to be considered a painful and unpleasant experience for those receiving medical treatment. A prospective study investigating whether the application of a transcutaneous electrical nerve stimulator (TENS) decreases the complaints of pain and unpleasantness with i.v. needle insertion was conducted using a group of 71 subjects who were double-blinded and randomized to one of three groups: TENS, placebo-TENS, and control. This article gives an overview of this research and describes its findings.