A method for collecting eggs of Pseudocapillaria tomentosa (Nematoda: Capillariidae) from zebrafish Danio rerio and efficacy of heat and chlorine for killing the nematode's eggs.

Pseudocapillaria tomentosa is a common pathogen of zebrafish (Danio rerio) in research facilities. We developed a method to collect and concentrate the nematode eggs using a modified sugar centrifugation method and documented their normal development. Embryonating stages with blastomere formation followed by elongation of the embryo prior to larva formation cumulated in developed larvae inside the eggs and hatching after 5-10 day. We then evaluated the efficacy of heat and chlorine to kill them based on a larva development assay. Eggs were exposed to 40, 50, 60 °C for 30 min and 1 h. Chlorine treatment was performed at 100, 250, 500, 1000, 3000 and 6000 ppm for 10 min. Samples exposed to 40 °C for 30 min or 1 h showed incidences of larvated eggs similar to controls. In contrast, no larvation occurred with eggs exposed to either 50 or 60 °C for 30 min or 1 h. Remarkably, in repeated assays, samples exposed to low doses of chlorine (100, 250, 500 and 1000 ppm for 10 min) showed significantly higher incidence of larvation than controls. Eggs treated with 3000 ppm for 10 min did not develop larvae, and no eggs were found after 6000 ppm treatment.

Reproducibility and accuracy of gated SPECT for determination of left ventricular volumes and ejection fraction: experimental validation using MRI.

UNLABELLED: Quantitative gated SPECT (QGS) has been used for computation of left ventricular volumes and ejection fraction. This study evaluated, first, the effect of injected dose, time of imaging, and background activity on the reproducibility of QGS and, second, the accuracy of QGS, compared with cine MRI, for determining left ventricular volumes and ejection fractions in dogs with and without perfusion defects. METHODS: Sixteen dogs were subjected to either chronic occlusion of the circumflex artery (group I, no perfusion defect) or acute occlusion of the anterior descending coronary artery (group II, perfusion defect). Both groups underwent serial MRI and SPECT. RESULTS: ( QGS was very reproducible using the automated program (r = 0.99997). Correlation between left ventricular ejection fraction (LVEF) at 15 and 45 min was poor after the low-dose injection (r = 0.54; SE = 9%) and only fair after the high-dose injection (r = 0.77; SE = 5%). Correlation was poor in the presence of significant background activity (r = 0.36; SE = 12%). Correlation between QGS left ventricular volumes and MRI was good for group I (end-diastolic volume, r = 0.86; end-systolic volume, r = 0.81) and only fair for group II (end-diastolic volume, r = 0.66; end-systolic volume, r = 0.69). The overall LVEF correlation between QGS and MRI was poor (r = 0.51). QGS LVEF (mean +/- SD, 42% +/- 3%) overestimated MRI LVEF (29% +/- 2%). CONCLUSION: QGS provides a highly reproducible estimate of LVEF. However, QGS is affected by changes in background activity, time of imaging, and injected dose. In the presence of perfusion defects, QGS overestimated volume relative to MRI. The correlation between QGS- and MRI-derived LVEF was poor in this canine model.

Transvenous closure of patent ductus arteriosus with Ivalon plugs. Multicenter experience with a new technique.

RATIONALE AND OBJECTIVE: The authors assess the clinical efficacy of transvenous closure of patent ductus arteriosus (PDA) with a new plug consisting of Ivalon foam and a platinum/iridium frame with four aortic and two pulmonary nitinol struts. The most widely used devices for transcatheter treatment of PDA (Porstmann plug, Rashkind umbrella, Botallo occluder, coils) have specific limitations inherent to their design (e.g., transarterial approach, residual shunts, limited retrieval). METHODS: Between 1994 and 1997, PDA closure was attempted in 33 children and 67 adolescents and adults in 7 clinical centers; PDA diameter was 2 to 11 mm. Plug diameter was 6 to 20 mm, and 8 to 16 F venous sheaths were used for insertion. RESULTS: Placement was successful in 98% (with a single plug in 88%, and a second or third plug in 10%) and unsuccessful in 2%. Plugs were retrieved after malpositioning in 12 of 12 patients and after pulmonary embolization in 2 of 3 patients. One patient underwent surgery for removal of an embolized plug. Complete PDA closure was proved by aortography and color Doppler echocardiography in 85% (40 of 43 patients with a PDA 2-3.9 mm, 30 of 36 patients with a PDA 4-5.9 mm, and 15 of 21 patients with a PDA 6-11 mm). During a median follow-up interval of 16 months, there were no complications (infection, hemolysis, fracture, embolization). CONCLUSION: The new plug device can be used successfully in patients with a PDA diameter up to 11 mm. Further investigations are underway to determine the definite clinical value of this technique.

[Amiodarone in heart insufficiency]. / Amiodarona na insuficiência cardíaca.

The purpose of this study was to analyse the effects of amiodarone on the treatment of cardiac failure. The effects of 200 mg/day of amiodarone were assessed in 18 patients with a history of cardiac failure. Functional class, heart rate, blood pressure, left ventricular ejection fraction, heart size, treadmill exercise tolerance and electrocardiogram were assessed before and eight weeks after the use of amiodarone, and the side effects were monitored. In 18 patients receiving amiodarone, the functional class and heart rate decreased significantly (p < 0.05) from 2.7 +/- 0.4 to 1.2 +/- 0.4 and 103 +/- 15 to 69 +/- 8.5 beats/min respectively. The ejection fraction and the exercise tolerance increased significantly (p < 0.05) from 29.2 +/- 5.5% to 41.5% and from 379.8 +/- 271 sec to 897.8 +/- 350.8 sec respectively. The incidence of atrial and ventricular arrhythmias decreased significantly and no side effects were observed. Amiodarone appears to produce benefits in patients with cardiac failure with atrial and ventricular arrhythmias.

[Amiodarone in cardiac failure]. / Amiodarona na insuficiência cardíaca.

PURPOSE: To analyse the effects of amiodarone on the treatment of cardiac failure. METHODS: The effects of 200 mg/day of amiodarone were assessed in 18 patients with a history of cardiac failure. Functional class, heart rate, blood pressure, left ventricular ejection fraction, heart size, treadmill exercise tolerance and electrocardiogram were assessed before and eight weeks after the use of amiodarone, and the side effects were monitored. RESULTS: In 18 patients receiving amiodarone, the functional class and heart rate decreased significantly (p < 0.05) from 2.7 +/- 0.4 to 1.2 +/- 0.4 and 103 +/- 15 to 69 +/- 8.5 bpm respectively. The ejection fraction and the exercise tolerance increased significantly (p < 0.05) from 29.2 +/- 5.5% to 41.5% and from 379.8 +/- 271 sec to 897.8 +/- 350.8 sec, respectively. The incidence of atrial and ventricular arrhythmias decreased significantly and no side effects were observed. CONCLUSION: Amiodarone appears to produce benefits in patients with cardiac failure with atrial and ventricular arrhythmias.

[Silent coronary artery-left ventricular fistula and acute myocardial ischemia]. / Fístula silenciosa das artérias coronárias para o ventrículo esquerdo e isquemia miocárdica aguda.

A 65-year-old woman developed severe coronary insufficiency associated with papillary muscle dysfunction. She was submitted to cineangiocoronarography which ruled out obstructive coronary disease. Coronarography revealed a communication between the coronary arteries and the left ventricle, but a coronary arterial fistula was not seen. The possibility of this uncommon form of coronary drainage to the left ventricle, named silent fistula, being the cause of myocardial ischemia related to the coronary steal phenomenon is discussed.

[National screening for phenylketonuria, congenital hypothyroidism and congenital adrenal hyperplasia]. / Rastreio nacional da fenilcetonúria, hipotiroidismo congénito e hiperplasia congénita das suprarrenais.

In Portugal the screening for phenylketonuria (PKU) and congenital hypothyroidism (CH) was begun towards the end of 1979, and by 1990 59 cases of PKU and 227 cases of CH had been detected. The early initiation of treatment and the observed mental and motor development, point towards a normal development in these children. A trial screen for congenital adrenal hyperplasia was carried out in 100.000 newborns, from which it was concluded that, under the present conditions, screening at a national level is not justified. A similar study is currently being undertaken for biotinidase deficiency and cystic fibrosis. The results ares discussed, as are the cost/benefits evaluations.

Degradabilidade ruminal e digestibilidade intestinal da proteína de capim-elefante com três idades de corte / Rumen degradability and intestinal digestibility of protein of elephant-grass at three cutting ages

Determinaram-se a degradabilidade potencial (DP) e a digestibilidade intestinal da proteína não degradada no rúmen (DIPNDR) do capim-elefante em diferentes idades de rebrote (30, 45 e 60 dias) e comparou-se a técnica do saco de náilon móvel (in situ) com o método de três estádios (in vitro). Para tanto, utilizaram-se seis novilhos mestiços canulados no rúmen e duodeno alimentados exclusivamente com capim-elefante picado. O ensaio de degradabilidade foi realizado com amostras do capim incubadas no rúmen por 3, 6, 9, 12, 24, 48, 72, 96 e 120h. A digestibilidade intestinal foi determinada utilizando-se os resíduos de incubação por 24 horas. Na técnica in situ os resíduos em sacos de náilon foram colocados no duodeno e recuperados nas fezes. No método in vitro, os resíduos foram submetidos à digestão com HCl-pepsina-pancreatina. Em amostras de capim com idades de 30, 45 e 60 dias foram observados valores de DP da proteína de 87,5; 87,8 e 83,8 por cento, respectivamente. A DIPNDR variou com a idade do capim e foi semelhante entre os métodos in situ e in vitro somente para o capim com 60 dias. O método in situ apresentou estimativa de digestibilidade intestinal mais coerente com as mudanças na composição química do capim-elefante decorrentes do envelhecimento.

The potential degradability (PD) and intestinal digestibility of ruminal escape protein (IDREP) of elephant-grass at 30, 45, and 60 days of regrowth were determined and the mobile bag technique (in situ) was compared to the three-stage method (in vitro). Thus, six cross-bred steers with rumen and duodenum canulas were used and fed exclusively with chopped elephant grass. The degradability trial was carried out with grass samples incubated in rumen by 3, 6, 9, 12, 24, 48, 72, 96, and 120 h. The intestinal digestibility was determined using 24-h ruminal incubation residue. In the in situ technique, residues in nylon bags were placed in duodenum and recovered in feces. In the in vitro method, residues were digested with solution of HCl-pepsin-pancreatin. In samples of grass at 30, 45, and 60 days of age, the values of protein PD were 87.5, 87.8, and 83.8 percent, respectively. The IDREP ranged with grass age and it was similar between in situ and in vitro methods only for 60-day old grass. Considering the changes in elephant-grass chemical composition due to aging, the in situ method supplied a more coherent estimative of intestinal digestibility.

Fistula arteriovenosa coronária traumática. Relato de caso / Traumatic coronary arteriovenous fistula. Case report

E relatado e discutido um caso de fistula traumatica da arteria descendente anterior para o ventriculo direito, causada por ferimento penetrante do torax, acompanhada de hemotorax esquerdo e hemopericardio, exigindo intervencao cirurgica de urgencia.Alem disso, infarto antero-septal e volumoso aneurisma ventricular surgiram, associados com perfuracao da parede anterior do ventriculo esquerdo, parcialmente tamponada por coagulo pulsatil. Houve rapida recuperacao e evolucao assintomatica durante mais de 15 meses com a terapeutica conservadora

O valor da biópsia endomiocárdica no diagnóstico diferencial entre endomiocárdio fibrose do ventrículo esquerdo e a cardiomiopatia hipertrófica artificial / The value of endomyocardial biopsy in diferential diagnostic between endomyocardial fibrosis of left ventricle and apical hypertrophic cardiomyopathy

Relatar-se o valor da biópsia endomiocárdica no diagnóstico diferencial das cardiomiopatias restritivas entre a endomiocardio fibrose do ventrículo esquerdo e a cardiomiopatia hipertrófica apical.