Hypertension defined by the 2017 ACC/AHA guideline is more accurate than 2018 ESC/ESH for detecting early vascular aging in young adults.

ABSTRACT: Determine the most accurate diagnostic criteria of arterial hypertension (AH) for detecting early vascular aging (EVA) defined by pulse wave velocity (PWV) higher than ≥9.2 m/s.Cross-sectional study of a birth cohort started in 1978/79. The following data were collected between April 6, 2016 and August 31, 2017 from 1775 participants: demographic, anthropometric, office blood pressure (BP) measurement, biochemical risk factors, and PWV. A subsample of 454 participants underwent 24-hour ambulatory BP monitoring. The frequencies of AH, and BP phenotypes were calculated according to both guidelines. BP phenotypes (white-coat hypertension, masked hypertension (MHT), sustained hypertension (SH) and normotension) were correlated with risk factors and subclinical target organ damage after adjustment for confounders by multiple linear regression. Receiver operating characteristic curves were constructed to determine the best BP threshold for detecting EVA.A higher frequency of AH (45.1 vs 18.5%), as well as of SH (40.7 vs 14.8%) and MHT (28.9 vs 25.8%) was identified using the 2017 ACC/AHA criteria comparing with 2018 ESC/ESH. EVA was associated with the higher-risk BP phenotypes (SH and MHT, P < .0001) in both criteria. There was a higher accuracy in diagnosing EVA, with the 2017 ACC/AHA criteria. Analysis of the receiver operating characteristic curves showed office BP cutoff value (128/83 mm Hg) for EVA closer to the 2017 ACC/AHA threshold.The 2017 AHA/ACC guideline for the diagnosis of AH, and corresponding ambulatory BP monitoring values, is more accurate for discriminating young adults with EVA. Clinical application of PWV may help identify patients that could benefit from BP levels <130/80 mm Hg.

Biochemical and molecular biomarkers in integument biopsies of free-ranging coastal bottlenose dolphins from southern Brazil.

Adverse effects of exposure to persistent organic pollutants (POPs) threaten the maintenance of odontocete populations. In southern Brazil, coastal bottlenose dolphins from the Laguna Estuarine System (LES) and Patos Lagoon Estuary (PLE) were sampled using remote biopsies during the winter and summer months. Levels of bioaccumulated POPs were measured in the blubber. The activities of glutathione S-transferase (GST), glutathione reductase (GR), glutathione peroxidase (GPx), and superoxide dismutase (SOD) were also quantified, as were the mRNA transcript levels of aryl hydrocarbon receptor (AhR), AhR nuclear translocator (ARNT), cytochrome P450 1A1-like (CYP1A1), metallothionein 2A (MT2A), GST-π, GPx-4, GR, interleukin 1 alpha (IL-1α), and major histocompatibility complex II (MHCII) in the skin. In general, levels of POPs were similar among sites, sexes, ages and seasons. For most animals, total polychlorinated biphenyl (ΣPCBs) levels were above the threshold level have physiological effects and pose risks to cetaceans. The best-fitting generalized linear models (GLMs) found significant associations between GR, IL-1α and GPx-4 transcript levels, SOD and GST activities, and total polybrominated diphenyl ether (ΣPBDEs) and pesticide levels. GLMs and Kruskal-Wallis analyses also indicated that there were higher transcript levels for most genes and lower GST activity in the winter. These results reinforce the need to consider the influence of environmental traits on biomarker values in wildlife assessments.

Novel and highly sensitive SYBR® Green real-time pcr for poxvirus detection in odontocete cetaceans.

Poxviruses are emerging pathogens in cetaceans, temporarily named 'Cetaceanpoxvirus' (CePV, family Poxviridae), classified into two main lineages: CePV-1 in odontocetes and CePV-2 in mysticetes. Only a few studies performed the molecular detection of CePVs, based on DNA-polymerase gene and/or DNA-topoisomerase I gene amplification. Herein we describe a new real-time PCR assay based on SYBR® Green and a new primer set to detect a 150 bp fragment of CePV DNA-polymerase gene, also effective for conventional PCR detection. The novel real-time PCR was able to detect 5 up to 5 × 106 copies per reaction of a cloned positive control. Both novel PCR methods were 1000 to 100,000-fold more sensitive than those previously described in the literature. Samples of characteristic poxvirus skin lesions ('tattoo') from one Risso's dolphin (Grampus griseus), two striped dolphins (Stenella coeruleoalba) and two Guiana dolphins (Sotalia guianensis) were all positive to both our novel real time- and conventional PCR methods, even though three of these animals (a Risso's dolphin, a striped dolphin, and a Guiana dolphin) were previously negative to the conventional PCRs previously available. To our knowledge, this is the first real-time PCR detection method for Cetaceanpoxvirus, a much more sensitive tool for the detection of CePV-1 infections.

Genetic divergence between two phenotypically distinct bottlenose dolphin ecotypes suggests separate evolutionary trajectories.

Due to their worldwide distribution and occupancy of different types of environments, bottlenose dolphins display considerable morphological variation. Despite limited understanding about the taxonomic identity of such forms and connectivity among them at global scale, coastal (or inshore) and offshore (or oceanic) ecotypes have been widely recognized in several ocean regions. In the Southwest Atlantic Ocean (SWA), however, there are scarce records of bottlenose dolphins differing in external morphology according to habitat preferences that resemble the coastal-offshore pattern observed elsewhere. The main aim of this study was to analyze the genetic variability, and test for population structure between coastal (n = 127) and offshore (n = 45) bottlenose dolphins sampled in the SWA to assess whether their external morphological distinction is consistent with genetic differentiation. We used a combination of mtDNA control region sequences and microsatellite genotypes to infer population structure and levels of genetic diversity. Our results from both molecular marker types were congruent and revealed strong levels of structuring (microsatellites FST = 0.385, p < .001; mtDNA FST =  0.183, p < .001; ΦST = 0.385, p < .001) and much lower genetic diversity in the coastal than the offshore ecotype, supporting patterns found in previous studies elsewhere. Despite the opportunity for gene flow in potential "contact zones", we found minimal current and historical connectivity between ecotypes, suggesting they are following discrete evolutionary trajectories. Based on our molecular findings, which seem to be consistent with morphological differentiations recently described for bottlenose dolphins in our study area, we recommend recognizing the offshore bottlenose dolphin ecotype as an additional Evolutionarily Significant Unit (ESU) in the SWA. Implications of these results for the conservation of bottlenose dolphins in SWA are also discussed.

Social sounds produced by franciscana dolphins, Pontoporia blainvillei (Cetartiodactyla, Pontoporiidae).

Franciscana dolphin (Pontoporia blainvillei) whistles were documented for the first time during 2003-2013 in Babitonga Bay estuary, South Brazil, together with burst pulses. Recordings were made from small boats under good sea conditions, and recording equipment that allowed analysis of sounds up to 96 kHz. The recordings were made in the presence of 2-31 franciscana dolphins. During 23 h and 53 min, 90 whistles and 51 burst pulse series were recorded. Although Guiana dolphins (Sotalia guianensis) inhabit nearby waters, none were observed in the area during the recordings. The authors recorded ten types of whistles. The initial frequency varied between 1.6 and 94.6 kHz, and the final frequency varied between 0.7 and 94.5 kHz; the authors were not able to determine if dolphin whistles exceeded the 96 kHz recording limit of the authors' equipment, although that is likely, especially because some whistles showed harmonics. Whistle duration varied between 0.008 and 0.361 s. Burst pulses had initial frequencies between 69 and 82.1 kHz (77 ± 3.81). These results showed that P. blainvillei produces whistles and burst pulses, although they seem to be produced infrequently.

Hipertensão arterial sistêmica primária / Essential arterial hypertension

Hipertensão Arterial Sistêmica (HAS) é doença de alta prevalência e determinante de alta morbidade e mortalidade senão adequadamente diagnosticada e apropriadamente tratada. O diagnóstico depende da medida correta da pressão arterial (PA) utilizando-se atualmente métodos alternativos à medida convencional de consultório como a Monitorização Ambulatorial da Pressão Arterial (MAPA) ou a Monitorização Residencial da Pressão Arterial (MRPA). Uma adequada estratificação do risco adicional ao valor da PA obtido é indispensável para uma planificação do tratamento e o alcance das metas desejadas para cada grupo de indivíduos. Manter os pacientes sob tratamento é necessário e desejável para que os benefícios auferidos com o tratamento, medicamentoso e não medicamentoso, sejam obtidos.

Systemic Arterial Hypertension (SAH) is a highly prevalent disease causing high morbidity and mortalityif not adequately diagnosed and properly treated.The diagnosis depends on a correct measurement of arterial blood pressure (ABP), with alternative methods to the conventional office measurement being currently used, such as Ambulatory Blood Pressure Monitoring (ABPM) or Home Blood Pressure Monitoring (HBPM). An appropriate stratification of the additional risk besides the ABP value is essential for treatment planning and for achieving the desired goals for each group of individuals. It is necessary and desirable to maintain the patients under treatment in order to obtain the benefits derived from pharmacological or non-pharmacological treatment.

Occupation pattern of a harbor inlet by the estuarine dolphin, Sotalia guianensis (P. J. Van Bénéden, 1864) (Cetacea, Delphinidae)

The occupation pattern of Sotalia guianensis in São Francisco do Sul harbor inlet, in Babitonga bay, southern Brazil, was studied between September 1996 and June 1998. A total of 200 h of naturalistic observations and 141.2 h of estuarine dolphin systematic observations were made using binoculars 7 x 50. At each three minutes interval, data about number of individuals and behavior were registered. The population used the harbor inlet intensively, mainly for fishing activities. Ebb tide was responsible for a higher occupation index. Considering the months analyzed, the higher occupation index occurred in May, and in January the lower occurrence was observed. The mean group size was four individuals.

Os padrões de ocupação da enseada do porto de cargas de São Francisco do Sul, no interior da Baía da Babitonga, sul do Brasil, pela população de botos cinza Sotalia guianensis foi estudada entre setembro/1996 e junho/1998. Totalizou-se 200 horas de observações naturalísticas e 141.2 horas de observação sistemática na área, utilizando-se binoculares 7 x 50. Foram registrados a cada intervalo de 3 minutos dados sobre o número de indivíduos presentes e comportamento. A população utilizou intensamente a enseada do porto, principalmente para atividades de pesca. A maré enchente foi responsável por maiores taxas de ocupação. Dentre os meses analisados, maio foi o mês com maior média nas taxas de ocupação, e janeiro o mês de menor ocorrência. O tamanho de grupo médio na área foi de quatro indivíduos.

Notas sobre a distribuição, tamanho de grupo e comportamento do golfinho Tursiops truncatus (Cetacea: Delphinidae) na Ilha de Santa Catarina, sul do Brasil / Notes on the distribution, group size and behavior of the bottlenose dolphin,Tursiops truncatus(Cetacea: Delphinidae) in the coast of the Island of Santa Catarina, southern Brazil

A ecologia do golfinho-nariz-de-garrafa (Tursiops truncatus) é pouco documentada no Brasil. O objetivo deste trabalho é fornecer dados sobre a distribuição, tamanho de grupo e comportamento de T. truncatus a partir de avistagens oportunistas realizadas nas adjacências da Ilha de Santa Catarina, sul do Brasil. Em cada observação de grupos da espécie foram registrados: localidade, data e hora, tamanho de grupo e comportamento. Foram observados 71 grupos entre 1989 e 2005, em todos os meses do ano. A espécie foi observada em toda região costeira da Ilha de Santa Catarina, utilizando uma grande variedade de hábitats. O tamanho de grupo variou entre 1 e 200 indivíduos, com uma média de aproximadamente 8 indivíduos (moda = 2). Interações com pelo menos três espécies de aves marinhas também foram observadas, além de outros comportamentos. Os dados obtidos sugerem que a espécie é comum ao longo da costa da Ilha de Santa Catarina, possui uma grande plasticidade no uso de hábitats, além de um conjunto variado de comportamentos.

The ecology of the bottlenose dolphin (Tursiops truncatus) is scarcely documented in Brazil. The objective of this article is to present information about the distribution, group size and behavior of T. truncatus collected oportunistically around the Island of Santa Catarina. Locality, date and time, group size and behavior were registered after each opportunistic sighting. Seventy-one groups were observed between 1989 and 2005, in all months of the year. The species was sighted along all the coast of the island, using a great variety of habitats including protected bays and exposed beaches. Group size varied from 1 to 200 individuals, with a mean group size of approximately 8 individuals (mode = 2). Interactions with three species of sea birds were also documented. Data presented here suggest that the species is common around the Island of Santa Catarina, has a great plasticity in habitat use, and a varied behavior repertoire.

Hipertensão mascarada / Masked hypertension

A hipertensão mascarada (HM) caracteriza-se pela ocorrência de pressão arterial (PA) de consultório normal, porém persistentemente elevada quando observada pela monitorização ambulatorial da pressão arterial (MAPA) ou por meio da medida residencial da pressão arterial (MRPA). Apresenta prevalência entre 8% e 23%, ou até mais elevada em indivíduos hipertensos e com PA controlada. Está relacionada à maior lesão em órgãos-alvo e a eventos cardiovasculares se comparada a indivíduos normotensos(NT), com risco relativo (RR) ao redor de dois nas principais metanálises. Fatores como idade, sexo, IMC, estresse, tabagismo ou abuso de álcool estão freqüentemente relacionados à presença de HM. Ainda é matéria de discussão se a HM é mero fenômeno estatístico ligado à variabilidade da PA ou a entidade clínica que merece ser identificada e caracterizada, assim como seu tratamento.

ABSTRACT: Masked hypertension (MH) is characterized by the occurrence of normal arterial blood pressure (ABP) measured in a doctor’s office but persistently elevated when observed by Ambulatory Blood Pressure Monitoring (ABPM) or by Home Blood Pressure Measurement (HBPM). The prevalence of MH is 8 to 23%, or even higher among hypertensive individuals with controlled ABP. Masked hypertension is related to greater target organs damage and to cardiovascular events compared to normotensive individuals, with a relative risk (RR) of about 2 in the main meta-analyses. Risk factors such as age, sex, Body Mass Index, stress, smoking habit or alcohol abuse are frequently related to the presence of MH. It is still a matter of debate whether MH is simply a statistical phenomenon linked to ABP variability or is a clinical entity that should be identified and characterized, and whether it should be treated.