Silicea terra200cH evaluated by two different spectroscopy methods: a pilot study

Spectroscopy has been shown to bea useful method to study the physicochemical properties of homeopathic preparations. Aim: In this pilot study, we comparedtwo methods (photon scattering and visible-light spectroscopy) in the physicalevaluation of Silicea terra200cH. Methodology: Italian test: Two sampleshave been examinedand compared: Silicea terra200cH and Sac lac200cH, both preparedin water solution, diluted and succussed according to German Homeopathic Pharmacopoeia(Cemon Lab, Italy).Lactose was includedbecause the first 3 potencies of Silicea terraaremadeby trituration in lactosepowder.Measurements were made using an innovative Charge-Coupled Device (CCD) camera developedby Daniele Gullà, called MIRA/CORA(proprietary name). Slight variations in chrominance and luminance due to micro-vibrational 3D phenomenawere analyzed.Allmeasurements have been performed in a dark room at a constant temperature of 22°C +/-0,2°C usingafilter with very narrow spectral bands (10 nm).The measurements have been repeated three times on both Silicea terra200cH and Sac lac200cHwithin a few minutes aftereach other.Brazilian test: In the second test, performed in Brazil, variations in absorbance were used to identify Silicea terra200cH compared with Sac lac200cH andcompared withanother control solution of non-succussed 30% alcohol, using six solvatochromic dyes, following the method developed by Cartwright [1,2]. Both homeopathic samples were imported from Italy(the same sample bottles used in the Italian test),in Brazil they have beendiluted 1:100 in 30% hydro-alcoholic solution, and submitted to 100 succussions using an automatic mechanical arm (Denise, AUTIC, Brazil) prior to being tested. Samples were inserted into dyes solutions and evaluated by visible spectroscopy (FEMTO Spectrophotometer, Brazil). Dyes were prepared in ethanol P.A., according to previous established methods [3]. Three series in triplicate were performed and the results were analyzed by ANOVA / Tukey, comparing both samples and the unsuccussed 30% hydroalcoholic control solution.Results: Italian test: Measurements of the mean entropy of the signals, statistically elaborated with T Student test,yielded a two tailed p value < 0.05, where the entropy of the signal recorded from the Silicea terra200cHsample was statistically lower than the 200cH Sac lacsample.Brazilian test: Among all tested dyes, only BDN(4-(Bis-(4-(dimethylamino)-phenyl)methylene)-1(4H)-naphthalenone) showed aninteraction with Silicea terra200cH, reproducing the conclusions obtained in [3].Conclusions: Two different spectroscopic methods were able to show signal differences betweenSilicea terra200cH andSac lac200cH, suggesting that changes in solvent organization could be involved in the homeopathic signaling process, along withchanges in dipole moments of solvent and dyes. The results are potentially in line witha recent publishedpaper [4], that supportsthe propositionthatthe lower entropy of the verum signal compared with controls could beexplained by increased coherent vibrations of the verum sample, as theoretically explained in previous literature [5].

Benzodiazepine partially reverses tonic-clonic seizures induced by thiocolchicoside.

Seizures are a disorder caused by structural brain lesions, life-threatening metabolic derangements, or drug toxicity. The present study describes the behavior related to proconvulsant activity induced by thiocolchicoside (TCC) in rats and investigates the electrocorticographic patterns of this behavior and the effectiveness of classic antiepileptic drugs used to control these seizures. Forty-nine adult male Wistar rats were used and divided into two phases of our experimental design: 1) evaluation of seizure-related behavior and electrocorticographic patterns induced by TCC and 2) evaluation of the efficacy of classical antiepileptic drugs to control the proconvulsive activity caused by TCC. Our results showed that TCC induced tonic-clonic seizures that caused changes in electrocorticographic readings, characteristic of convulsive activity, with average amplitude greater than that induced by pentylenetetrazole. Treatment with anticonvulsants, especially diazepam, reduced the electrocorticographic outbreaks induced by TCC. The results suggested that TCC caused seizures with increased power in brain oscillations up to 40 Hz and that diazepam may partially reverse the effects.

Benzodiazepine partially reverses tonic-clonic seizures induced by thiocolchicoside

Seizures are a disorder caused by structural brain lesions, life-threatening metabolic derangements, or drug toxicity. The present study describes the behavior related to proconvulsant activity induced by thiocolchicoside (TCC) in rats and investigates the electrocorticographic patterns of this behavior and the effectiveness of classic antiepileptic drugs used to control these seizures. Forty-nine adult male Wistar rats were used and divided into two phases of our experimental design: 1) evaluation of seizure-related behavior and electrocorticographic patterns induced by TCC and 2) evaluation of the efficacy of classical antiepileptic drugs to control the proconvulsive activity caused by TCC. Our results showed that TCC induced tonic-clonic seizures that caused changes in electrocorticographic readings, characteristic of convulsive activity, with average amplitude greater than that induced by pentylenetetrazole. Treatment with anticonvulsants, especially diazepam, reduced the electrocorticographic outbreaks induced by TCC. The results suggested that TCC caused seizures with increased power in brain oscillations up to 40 Hz and that diazepam may partially reverse the effects.

The effects of implementing management practices on somatic cell count levels in bovine milk.

Somatic cell count (SCC) can be used as a proxy for the prevalence of mastitis in a herd, reflecting the hygiene conditions and management practices on dairy farms, and thus an indicator of milk quality. In this study, we investigated how the adoption of management practices in milking systems can contribute to the reduction of SCC levels and improve milk quality. We collected data regarding management practices from 91 dairy farms in three municipalities of southeastern Pará: Parauapebas, Curionópolis, and Eldorado dos Carajás. Fifty milliliters of milk from each farm were collected in bottles containing bronopol, to preserve SCC. An exploratory factorial analysis (EFA) was performed to reduce the number of variables (management techniques) on dairy farms to some latent factors. We then used the selected factors to estimate the bovine mastitis management index to classify farms according to their use of technology and management techniques. Our results showed that most of the farmers (65.9%) used management techniques inefficiently in their systems, resulting in a significant loss of product quality, while only 3.3% had adopted the full set of techniques. The EFA results demonstrated that simple management practices including regular cleaning of the milking lines, a strip cup test, the California mastitis test, and washing teats with water before milking could be adopted to improve milk quality. However, in scenarios where the regulations become more rigorous, most farmers are unable to meet the maximum allowable SCC requirements, necessitating management innovations to reduce SCC. Therefore, the dissemination of knowledge, technical assistance, and access to new technologies is essential for improving management practices, and thus milk quality.

Adenocarcinoma pulmonar associado à infecção por Mycobacterium sp. em vaca - relato de caso / [Pulmonary adenocarcinoma associated with infection by Mycobacterium sp. in a cow - case report]

Descrevem-se os aspectos clínicos, anatomopatológicos, imuno-histoquímicos, microbiológicos e moleculares de um caso de adenocarcinoma pulmonar associado à infecção por Mycobacterium sp. em uma vaca. O animal apresentou hiporexia, emagrecimento, vocalizações, postura ortopneica, ingurgitamento da jugular, estase venosa positiva, gemido expiratório e morte. Na necropsia, os pulmões estavam aumentados e apresentavam, na superfície pleural, nódulos branco-amarelados, firmes, multifocais a coalescentes, interpostos por áreas avermelhadas. Ao corte, os nódulos aprofundavam-se ao parênquima e possuíam múltiplos focos de aspecto caseoso e friável e áreas de mineralização. O saco pericárdico e os linfonodos traqueobrônquicos, ilíacos, lombares aórticos e mamários apresentavam lesões semelhantes. Histologicamente, observou-se neoformação carcinomatosa associada a áreas multifocais de necrose e mineralização. As células neoplásicas foram fortemente imunomarcadas pelo anticorpo antipancitoqueratina AE1/AE3. Na cultura microbiológica de fragmentos dos pulmões, houve crescimento de colônias bacterianas compatíveis com micobactérias atípicas. O sequenciamento molecular submetido ao BLASTn identificou o Mycobacterium sp. WCM 7299 (ID: gb|KJ873243.1|).(AU)

The clinical, anatomopathological, immunohistochemical, microbiological and molecular aspects of a case of pulmonary adenocarcinoma associated with infection by Mycobacterium sp. in a cow are described. The animal presented hyporexia, weight loss, vocalizations, orthopneic posture, jugular engorgement, positive venous stasis, expiratory groaning and death. At necropsy, the lungs were enlarged and presented firm, multifocal to coalescent yellowish nodules, interposed by reddish areas on the pleural surface. At cut, the nodules deepened to the parenchyma and had multiple foci of caseous and friable appearance and areas of mineralization. The pericardial sac and tracheobronchial, iliac, aortic lumbar and mammary lymph nodes showed similar lesions. Histologically, a carcinomatous neoformation, associated with multifocal areas of necrosis and mineralization, was observed. Neoplastic cells were strongly immunolabelled by anti-PanCytokeratin antibody AE1/AE3. Microbiological culture of lung fragments showed growth of bacterial colonies compatible with atypical mycobacteria. Molecular sequencing submitted to BLASTn identified the Mycobacterium sp. WCM 7299 (ID: gb|KJ873243.1|).(AU)

Fcγ-RI, Fcγ-RII and IL-10 as predictive biomarkers for post-therapeutic cicatrization time in monocytes from cutaneous leishmaniasis patients.

Cutaneous leishmaniasis (CL) treatment is based on therapy with Glucantime® , yet, there are few laboratory methods to monitor its success. In this study, ex vivo and in vitro evaluations of peripheral blood monocytes were performed in a longitudinal study to characterize the impact of Glucantime® on overall phenotypic/functional features of these cells from CL patients to identify predictive biomarkers for post-therapeutic monitoring by flow cytometry. The ex vivo evaluation from CL patients demonstrated a modulatory profile before treatment, with a decrease in TLR-2, FcγRII, HLA-DR, CD86, IFN-γR, TNF, IL-12, NO, and an increase in FcγRIII and IL-10R. Conversely, treatment changes some of these biomarker expressions by decreasing FcγRIII and IL-10R and increasing IFN-γR, IL-12 and NO. Moreover, an in vitro analysis of these patients showed a reduced phagocytic capacity of Leishmania braziliensis and higher levels of IL-10 and TGF-ß modulating functional profile. Regardless of the compromised L. braziliensis phagocytic capacity, treatment re-established the production of IL-12, IL-10, TGF-ß and NO at the basal level. Notably, monocytes from patients with early cicatrization showed enhanced FcγRI and FcγRII expressions and reduced IL-10, which was further corroborated by a baseline fold change analysis. Finally, the logistic regression model emphasized the performance of FcγRI, FcγRII and IL-10 as robust predictive biomarkers for post-therapeutic cicatrization during cutaneous leishmaniasis.

Association between biomechanical alterations and migratory ability of semaphorin-3A-treated thymocytes.

BACKGROUND: Class 3 semaphorins are soluble proteins involved in cell adhesion and migration. Semaphorin-3A (Sema3A) was initially shown to be involved in neuronal guidance, and it has also been reported to be associated with immune disorders. Both Sema3A and its receptors are expressed by most immune cells, including monocytes, macrophages, and lymphocytes, and these proteins regulate cell function. Here, we studied the correlation between Sema3A-induced changes in biophysical parameters of thymocytes, and the subsequent repercussions on cell function. METHODS: Thymocytes from mice were treated in vitro with Sema3A for 30min. Scanning electron microscopy was performed to assess cell morphology. Atomic force microscopy was performed to further evaluate cell morphology, membrane roughness, and elasticity. Flow cytometry and/or fluorescence microscopy were performed to assess the F-actin cytoskeleton and ROCK2. Cell adhesion to a bovine serum albumin substrate and transwell migration assays were used to assess cell migration. RESULTS: Sema3A induced filopodia formation in thymocytes, increased membrane stiffness and roughness, and caused a cortical distribution of the cytoskeleton without changes in F-actin levels. Sema3A-treated thymocytes showed reduced substrate adhesion and migratory ability, without changes in cell viability. In addition, Sema3A was able to down-regulate ROCK2. CONCLUSIONS: Sema3A promotes cytoskeletal rearrangement, leading to membrane modifications, including increased stiffness and roughness. This effect in turn affects the adhesion and migration of thymocytes, possibly due to a reduction in ROCK2 expression. GENERAL SIGNIFICANCE: Sema3A treatment impairs thymocyte migration due to biomechanical alterations in cell membranes.

Synergic and antagonistic relationship between MMP-2 and MMP-9 with fibrosis and inflammation in Chagas' cardiomyopathy.

Cardiomyopathy is the most important clinical manifestation in the chronic phase of Chagas' disease because of its frequency, severity and impact on morbidity and mortality. The extracellular matrix degradation during cardiac remodeling in Trypanosoma cruzi infection is driven by matrix metalloproteinases (MMPs), primarily the MMP-2 and MMP-9 gelatinases. MMPs also regulate some molecules related to inflammation, such as growth factors, cytokines and chemokines. The involvement of MMP-2 and MMP-9 is not yet fully understood in Chagas' disease. It has been proposed that the gelatinases may have opposite effect on inflammation/regulation and cardiac remodeling. MMP-2 would participate in regulation, offering a protective role for cardiac damage in asymptomatic patients and would be a good marker for the initiation of changes in the heart. On the other hand, MMP-9 can be used as a marker for serious changes on the heart and would be associated with inflammation and fibrosis. Here, we consolidate all characteristics involving MMP-2 and MMP-9 in Chagas' disease based on current studies to clarify their participation on the inflammation/regulation and fibrosis, and the synergistic or antagonistic role between them.

Lipoprotein (a) and cardiovascular risk factors in children and adolescents / Lipoproteina (a) y factores de riesgo cardiovascular en ninos y adolescentes / Lipoproteina (a) e fatores de risco cardiovascular em criancas e adolescentes

OBJECTIVE: To review the relationship between lipoprotein (a) [Lp(a)] and other risk factors for cardiovascular disease (CVD) in children and adolescents. DATA SOURCES: This systematic review included studies from 2001 to 2011, a ten-year time period. Epidemiological studies with children and/or adolescents published in English, Portuguese or Spanish and fully available online were included. The searches were performed in Science Direct, PubMed/Medline, BVS (Biblioteca Virtual em Saúde) and Cochrane Library databases, using the following combination of key-words: "lipoprotein a" and "cardiovascular diseases" and "obesity". DATA SYNTHESIS: Overall, 672 studies were obtained but only seven were included. Some studies assessed the family history for CVD. In all of them, Lp(a) levels were increased in patients with family history for CVD. There was also a positive correlation between Lp(a) and LDL-cholesterol, total cholesterol, and apolipoprotein B levels, suggesting an association between Lp(a) levels and the lipid profile. CONCLUSIONS: The evidence that CVD may originate in childhood and adolescence leads to the need for investigating the risk factors during this period in order to propose earlier and possibly more effective interventions to reduce morbidity and mortality rates. .

OBJETIVO: Revisar la relación de la lipoproteína (a) {Lp(a)} con otros factores de riesgo para enfermedades cardiovasculares (ECV) en niños y adolescentes. FUENTES DE DATOS: Se trata de una revisión sistemática, realizada de julio a agosto de 2011, con estudios del periodo de 2001 a 2011, caracterizando un recorte temporal de diez años. Se incluyeron estudios epidemiológicos realizados en niños y/o adolescentes, publicados en inglés, portugués o español, disponibles integralmente en línea. Se realizó la búsqueda en las bases de datos Science Direct, PubMed/Medline, Biblioteca Virtual en Salud y Biblioteca Cochrane, utilizándose la combinación de los descriptores "lipoproteína a", "enfermedades cardiovasculares" y "obesidad". SÍNTESIS DE LOS DATOS: Se encontraron 672 estudios, pero solamente siete fueron incluidos en la revisión. Algunos trabajos evaluaron el histórico familiar para ECV. En todos, los niveles de Lp (a) eran aumentados en los pacientes con ese histórico. Se observó además la correlación positiva entre Lp(a) y colesterol LDL, colesterol total y apolipoproteína B, sugiriendo una asociación entre concentraciones de Lp(a) y perfil lipídico. CONCLUSIONES: La evidencia de que las ECV pueden tener su origen en la infancia y adolescencia lleva a la necesidad de investigar los factores de riesgo en ese periodo, para planear intervenciones cada vez más tempranas y, posiblemente, más efectivas, reduciendo la morbimortalidad. .

OBJETIVO: Revisar a relação da lipoproteína (a) [Lp(a)] com outros fatores de risco para doenças cardiovasculares (DCV) em crianças e adolescentes. FONTES DE DADOS: Revisão sistemática, com estudos do período de 2001 a 2011, caracterizando um recorte temporal de dez anos. Incluíram-se estudos epidemiológicos realizados com crianças e/ou adolescentes, publicados em inglês, português ou espanhol, disponíveis integralmente on-line. Realizou-se a busca nas bases de dados Science Direct, PubMed/Medline, Biblioteca Virtual em Saúde e Biblioteca Cochrane, utilizando-se a combinação dos descritores "lipoproteína a" e "doenças cardiovasculares" e "obesidade". SÍNTESE DOS DADOS: Encontraram-se 672 estudos, porém apenas sete foram incluídos na revisão. Alguns trabalhos avaliaram o histórico familiar para DCV. Em todos, os níveis de Lp(a) eram aumentados nos pacientes com esse histórico. Observou-se também correlação positiva entre Lp(a) e colesterol LDL, colesterol total e apolipoproteína B, sugerindo uma associação entre concentrações de Lp(a) e perfil lipídico. CONCLUSÕES: A evidência de que as DCV podem ter sua origem na infância e na adolescência leva à necessidade de se investigarem os fatores de risco nesse período, para planejar intervenções cada vez mais precoces e, possivelmente, mais efetivas, reduzindo a morbimortalidade. .

Lipoprotein (a) and cardiovascular risk factors in children and adolescents.

OBJECTIVE: To review the relationship between lipoprotein (a) [Lp(a)] and other risk factors for cardiovascular disease (CVD) in children and adolescents. DATA SOURCES: This systematic review included studies from 2001 to 2011, a ten-year time period. Epidemiological studies with children and/or adolescents published in English, Portuguese or Spanish and fully available online were included. The searches were performed in Science Direct, PubMed/Medline, BVS (Biblioteca Virtual em Saúde) and Cochrane Library databases, using the following combination of key-words: "lipoprotein a" and "cardiovascular diseases" and "obesity". DATA SYNTHESIS: Overall, 672 studies were obtained but only seven were included. Some studies assessed the family history for CVD. In all of them, Lp(a) levels were increased in patients with family history for CVD. There was also a positive correlation between Lp(a) and LDL-cholesterol, total cholesterol, and apolipoprotein B levels, suggesting an association between Lp(a) levels and the lipid profile. CONCLUSIONS: The evidence that CVD may originate in childhood and adolescence leads to the need for investigating the risk factors during this period in order to propose earlier and possibly more effective interventions to reduce morbidity and mortality rates.

Breast cancer in southern Brazil: association with past dietary intake.

OBJECTIVE: To determine possible associations between the risk of breast cancer in Brazilian women and demographic, social and economical variables, and past dietary intake. METHODS: A case-control study was conducted in Joinville, Santa Catarina, Brazil, between june and november 2003 involving a group of 33 women recently diagnosed with breast cancer and a control group of 33 healthy women volunteers. Personal details, health history and past dietary intake were obtained via questionnaires and interviews. Data between groups were compared using chi2, Fisher, and Student's t test, whilst associations were evaluated using a non-conditional logistic regression method and odds ratio (OR). RESULTS: Statistically significant differences between the two groups were revealed with respect to age distribution (P = 0.007), family income level (P = 0.02), educational level (P < 0.0001) and attainment of menopause (P < 0.0001). After adjustment, with regard to family income level, of the data concerning past dietary intake, the consumption of pig lard (OR = 6.32) and fatty red meat (OR = 3.48) were found to be associated with an increase in the risk of breast cancer. The regular ingestion of apples (OR = 0.30), watermelons (OR = 0.31), tomatoes (OR = 0.16), plain cakes (OR = 0.30) and desserts (OR = 0.20) afforded some degree of protection against the development of the disease. CONCLUSIONS: Age (> 45 years), low family income (< $520/month), poor educational level (primary school level or lower) and past regular consumption of pork fat and fatty meat may be factors associated with an increased risk of breast cancer.

Acute pulmonary and hematological effects of two types of particle surrogates are influenced by their elemental composition.

Several epidemiological studies have consistently demonstrated significant associations between ambient levels of particulate matter and lung injury and cardiovascular events with increased morbidity and mortality. Particle surrogates (PS), such as residual oil fly ash (ROFA), have been widely used in experimental studies aimed at characterizing the mechanisms of particle toxicity. Since PS composition varies depending on its source, studies with different types of PS may provide clues about the relative toxicity of the components generated by high-temperature combustion process. In this work, we have studied the effects of nasal instillation of increasing doses of different PS in mice: saline, carbon, and two types of particle surrogates. PS type A (PSA) was the ROFA collected from the waste incinerator of our university hospital; PS type B (PSB) was collected from the electrostatic precipitator of a large steel company and thus had an elevated metal content. After 24h, we analyzed hematological parameters, fibrinogen, bronchoalveolar lavage, bone marrow, and pulmonary histology. Nasal instillation of the two types of PS-induced leucopenia. PSB elicited a greater elevation of plasma fibrinogen levels. Bone marrow and pulmonary inflammatory changes were more intense for PSA. We concluded that the PS composition modulates acute inflammatory changes more significantly than the mass for these two types of PS.

Heumann-Hötzel model for aging revisited.

Since its proposition in 1995, the Heumann-Hötzel model has remained as an obscure model of biological aging. The main arguments used against it were its apparent inability to describe populations with many age intervals and its failure to prevent a population extinction when only deleterious mutations are present. We find that with a simple and minor change in the model these difficulties can be surmounted. Our numerical simulations show a plethora of interesting features: the catastrophic senescence, the Gompertz law and that postponing the reproduction increases the survival probability, as has already been experimentally confirmed for the drosophila fly.

Intracoronary brachytherapy in the treatment of in-stent restenosis. Initial experience in Brazil.

Intracoronary brachytherapy using beta or gamma radiation is currently the most efficient type of therapy for preventing the recurrence of coronary in-stent restenosis. Its implementation depends on the interaction among interventionists, radiotherapists, and physicists to assure the safety and quality of the method. The authors report the pioneering experience in Brazil of the treatment of 2 patients with coronary in-stent restenosis, in whom beta radiation was used as part of the international multicenter randomized PREVENT study (Proliferation REduction with Vascular ENergy Trial). The procedures were performed rapidly and did not require significant modifications in the traditional techniques used for conventional angioplasty. Alteration in the radiological protection devices of the hemodynamic laboratory were also not required, showing that intracoronary brachytherapy using beta radiation can be incorporated into the interventional tools of cardiology in our environment.

Time evolution of the Partridge-Barton model.

The time evolution of the Partridge-Barton model in the presence of the pleiotropic constraint and deleterious somatic mutations is exactly solved for arbitrary fecundity in the context of a matricial formalism. Analytical expressions for the time dependence of the mean survival probabilities are derived. Using the fact that the asymptotic behavior for large time t is controlled by the largest matrix eigenvalue, we obtain the steady state values for the mean survival probabilities and the Malthusian growth exponent. The mean age of the population exhibits a t-1 power law decayment. Some Monte Carlo simulations were also performed and they corroborated our theoretical results.

Exact solution of an evolutionary model without aging.

We introduce an age-structured asexual population model containing all the relevant features of evolutionary aging theories. Beneficial as well as deleterious mutations, heredity, and arbitrary fecundity are present and managed by natural selection. An exact solution without aging is found. We show that fertility is associated with generalized forms of the Fibonacci sequence, while mutations and natural selection are merged into an integral equation which is solved by Fourier series. Average survival probabilities and Malthusian growth exponents are calculated and indicate that the system may exhibit mutational meltdown. The relevance of the model in the context of fissile reproduction groups like many protozoa and coelenterates is discussed.

Sinusite em pacientes alergicos / Sinusitis in allergic patients

Os autores apresentam uma revisao sobre a sinusite em pacientes alergicos, destacando as caracteristicas anatomicas dos seios da face, os diferentes mecanismos fisiopatogenicos envolvidos, os achados clinicos e metodos diagnosticos na faixa etaria pediatrica. A importancia das sinusites neste grupo de pacientes tambem e abordada

[24-hour antihypertensive efficacy of nitrendipine]. / Eficácia anti-hipertensiva da nitrendipina por 24 horas.

PURPOSE: To evaluate the efficacy of nitrendipine 20 mg OD in mild to moderate hypertensive subjects. PATIENTS AND METHODS: Twenty patients followed for 90 days. The protocol was a double blind placebo control trial using 24 hours ambulatory blood pressure monitoring system for pressure and heart rate observations. After 15 days without any drug patients were randomly assigned to the study divided into two subgroups: one remained 30 days using placebo and the other nitrendipine. After a new 15 days washout period there was a cross over of the study groups and then other 30 days of follow-up. RESULTS: The 24 hours mean systolic blood pressure decreased (p less than 0.0001) with nitrendipine (127.7 +/- 8 mmHg) in relation to placebo (139.2 +/- 8 mmHg); the mean diastolic blood pressure decreased (p less than 0.0001) with nitrendipine (84.6 +/- 4 mmHg) in relation to placebo (90.7 +/- 5 mmHg). There were no significant changes on heart rate and body weight. CONCLUSION: Nitrendipine seems to be a safe and efficient antihypertensive agent for 24 hours blood pressure control. The drug can decrease blood pressure levels without significant changes over the circadian pattern of the 24 hours blood pressure curve and without unwanted drop of blood pressure levels.

Fratura em eqüino: tratamento com fixador externo tipo Ilizarov / Horse fracture: treatment with Ilizarov type external fixatives

A idéia do uso de fixadores externos em fraturas é antiga, porém com resultados precários, devido à falta de noçöes precisas sobre a biofisiologia da formaçäo do calo ósseo. Ilizarov revolucionou os conceitos até entäo aceitos como verdadeiros pelas mais respeitadas escolas de ortopedia do mundo. O fixador Externo Circular tipo Ilizarov até o presente momento näo foi usado em grandes animais, pelo menos em pesquisas feitas na literatura a disposiçäo. Pelo resultado excepcional obtido, concluímos que qualquer tipo de fratura que permita a colocaçao do fixador circular poderá ser estabilizada e curada, evitando o sacrifício do animal

Alternate Wenckebach conduction through the right bundle branch.

This case report describes a patient with chronic chagasic myocarditis who presented with a unique tachycardia-dependent or phase 3 aberrant ventricular conduction. The electrocardiogram showed sinus tachycardia with sequences of alternate and progressive right bundle branch block, that is, Wenckebach periods of alternate beats. We postulated the existence of functional longitudinal dissociation in atrioventricular conduction axis, responsible for the alternant normal and Wenckebach beats.