ABSTRACT
Hypoxemia is a frequent complication after coronary artery bypass graft (CABG) with cardiopulmonary bypass (CPB), usually attributed to atelectasis. Using computed tomography (CT), we investigated postoperative pulmonary alterations and their impact on blood oxygenation. Eighteen non-hypoxemic patients (15 men and 3 women) with normal cardiac function scheduled for CABG under CPB were studied. Hemodynamic measurements and blood samples were obtained before surgery, after intubation, after CPB, at admission to the intensive care unit, and 12, 24, and 48 h after surgery. Pre- and postoperative volumetric thoracic CT scans were acquired under apnea conditions after a spontaneous expiration. Data were analyzed by the paired Student t-test and one-way repeated measures analysis of variance. Mean age was 63 ± 9 years. The PaO2/FiO2 ratio was significantly reduced after anesthesia induction, reaching its nadir after CPB and partially improving 12 h after surgery. Compared to preoperative CT, there was a 31 percent postoperative reduction in pulmonary gas volume (P < 0.001) while tissue volume increased by 19 percent (P < 0.001). Non-aerated lung increased by 253 ± 97 g (P < 0.001), from 3 to 27 percent, after surgery and poorly aerated lung by 72 ± 68 g (P < 0.001), from 24 to 27 percent, while normally aerated lung was reduced by 147 ± 119 g (P < 0.001), from 72 to 46 percent. No correlations (Pearson) were observed between PaO2/FiO2 ratio or shunt fraction at 24 h postoperatively and postoperative lung alterations. The data show that lung structure is profoundly modified after CABG with CPB. Taken together, multiple changes occurring in the lungs contribute to postoperative hypoxemia rather than atelectasis alone.
Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Apnea , Cardiac Surgical Procedures/adverse effects , Cardiopulmonary Bypass/adverse effects , Lung , Analysis of Variance , Apnea/etiology , Body Water , Pulmonary Atelectasis/complications , Tomography, X-Ray ComputedABSTRACT
The germination response of Ocotea pulchella (Nees) Mez seeds to light, temperature, water level and pulp presence is introduced. The laboratory assays were carried out in germination chambers and thermal-gradient apparatus, whereas the field assays were performed in environments with distinct light, temperature and soil moisture conditions within a permanent parcel of Restinga forest of the Parque Estadual da Ilha do Cardoso, Cananéia, São Paulo. The seeds do not exhibit dormancy, they are non photoblastic, and a loss of viability in dry stored seeds can be related to a decrease in water content of the seed. The presence of the pulp and the flooded substratum influenced negatively the germination of O. pulchella seeds tested in the laboratory. Otherwise, light and temperature probably are not limiting factors of the germination of O. pulchella seeds in the natural environment of Restinga. The optimum temperature range for germination of Ocotea pulchella seeds was 20 to 32 ºC, the minimum or base temperature estimated was 11 ºC and the maximum ranged between 33 and 42 ºC. The isotherms exhibited a sigmoidal pattern well described by the Weibull model in the sub-optimal temperature range. The germinability of O. pulchella seeds in the understorey, both in wet and dry soil, was higher than in gaps. Germination was not affected by fluctuations in soil moisture content in the understorey environment, whereas in gaps, germination was higher in wet soils. Thus, the germination of this species involves the interaction of two or more factors and it cannot be explained by a single factor.
É apresentada a germinação de sementes de Ocotea pulchella (Nees) Mez em resposta a: luz, temperatura, nível de água e presença de polpa. Os ensaios de laboratório foram realizados em câmaras de germinação e em equipamento de gradiente térmico, e os de campo, em ambientes com diferentes condições de luz, temperatura e umidade no solo, em uma parcela permanente em floresta de Restinga no Parque Estadual da Ilha do Cardoso, Cananéia, São Paulo. As sementes de Ocotea pulchella não possuem dormência, são afotoblásticas, e a perda de viabilidade de sementes armazenadas a seco pode estar relacionada a um decréscimo no seu conteúdo de água. A presença da polpa e o substrato alagado afetaram negativamente a germinação de O. pulchella em laboratório. Luz e temperatura não são provavelmente fatores limitantes da germinação de sementes de O. pulchella no ambiente natural da Restinga. A faixa térmica ótima de germinação foi de 20 a 32 ºC; a temperatura mínima ou base foi estimada em 11 ºC; e a temperatura máxima variou de 33 a 42 ºC. As isotermas na faixa térmica infraótima exibem padrão sigmoidal e foram bem descritas pelo modelo de Weibull. A germinabilidade no sub-bosque, tanto em solo com maior umidade como em solo mais seco, foi maior do que em clareira. No sub-bosque não houve diferença na germinação em relação a variações na umidade do solo, ao passo que em clareiras a germinabilidade foi maior em solo mais úmido. Assim, a germinação dessa espécie deve ser função da interação de fatores, não podendo ser explicada apenas por um único fator.
Subject(s)
Germination/physiology , Ocotea/growth & development , Brazil , Desert Climate , Humidity , Laboratories , Light , Ocotea/physiology , Seasons , Temperature , WaterABSTRACT
Two hundred and fifty-two specimens of Ochetosoma heterocoelium (Travassos, 1921) (Trematoda: Digenea: Ochetosomatidae) were detected in the mouth and esophagus of the snake Chironius exoletus (Linnaeus, 1758) (Ophidia: Colubridae) at the serpentarium of the Center for the Study of Venoms and Venomous Animals (CEVAP) of Säo Paulo State University (UNESP) in Botucatu, State of Säo Paulo, Brazil.
Subject(s)
Animals , Female , Bothrops , Elapidae/parasitology , Esophagus/parasitology , Trematoda/parasitology , Brazil/epidemiology , Helminths/parasitology , Helminths/pathogenicityABSTRACT
This report documents a case of a melanic specimen of Crotalus durissus terrificus (Laurenti, 1768) found in Bofete, Säo Paulo State, Brazil. The authors describe this melanic snake, determine the electrophoretic pattern of its venom, and compare the venom of this specimen against that of normal Crotalus durissus terrificus. This report is very important because melanism is a rare chromatic anomaly.