RCAAP Repository
Optimized data-driven pipeline for digital mapping of quantitative and categorical properties of soils in Colombia
ABSTRACT Soil maps provide a method for graphically communicating what is known about the spatial distribution of soil properties in nature. We proposed an optimized pipeline, named dino-soil toolbox, programmed in the R software for mapping quantitative and categorical properties of legacy soil data. The pipeline, composed of four main modules (data preprocessing, covariates selection, exploratory data analysis and modeling), was tested across a study area of 14,537 km 2 located between the departments of Cesar and Magdalena, Colombia. We assessed the feasibility of the toolbox to model three soil properties: pH at two depth intervals (0.00-0.30 and 0.30-1.00 m), soil taxonomy (great group) and taxonomic family by particle-size, according to a set of 25 environmental factors derived from auxiliary layers of climate, land cover and terrain. As a result, we successfully deployed the proposed semi-automatic and sequential pipeline, yielding rapid digital soil mapping (DSM) outputs across the study area. By providing multiple outputs such as tables, charts, maps, and geospatial data in four main modules, the pipeline offers considerable robustness to support outcomes and analysis of a DSM project. Future studies might be interesting to expand on further machine learning frameworks for predictive modeling of soil properties such as ensembles and deep learning models, which have shown a high performance for DSM.
2021
Coca-Castro,Alejandro Gutierrez-Díaz,Joan Sebastián Camacho,Victoria López,Andrés Felipe Escudero,Patricia Serrato,Pedro Karin Vargas,Yesenia Devia,Ricardo García,Juan Camilo Franco,Carlos González,Janeth
Occurrence of arbuscular mycorrhizal fungi in leaf litter and roots of shaded coffee plantations under organic and conventional management
ABSTRACT Evidence of arbuscular mycorrhizal fungal colonization of mat litter in various ecosystems plus previous reports of external mycelium of those fungi and mycorrhizal roots in litter from coffee plants and shade trees on coffee plantations suggest that they have a relationship with closed direct nutrient cycling between organic matter and living roots. This relationship was first proposed more than 50 years ago. Mycorrhizal symbiosis in tropical crops is affected by agricultural management practices. This study aimed to assess the occurrence of arbuscular mycorrhizal fungi in leaf litter from three shaded Colombian coffee agroecosystems under organic and conventional management. One is managed chemically, one organically, and one with a combined use of organic and chemical inputs. Leaf litter and roots were collected from the three coffee plots at three decomposition stages. Each plot represented a distinct fertilization and tree dominance pattern different from the other two plots. Arbuscular mycorrhizal fungi were found in decomposing leaves. The chemically managed plot showed statistical differences (p<0.05) with respect to the other plots, it had the greatest amounts of arbuscular mycorrhizal fungal root colonization (48.76–70.51 %), litter colonization (36.2–69.91 %), external mycelium length (28.66–48.33 m g-1), and spore number (451.27–681.2 spores in 20 g of dry soil). In contrast, conditions on the combined management coffee plot results in smaller means of the variables evaluated. Arbuscular mycorrhizal fungal root colonization and nitrogen content of leaf litter varied among the decomposition stages (p<0.05). Litter quality of different tree species may have influenced colonization of plant matter within each plot. We found evidence of typical structures of arbuscular mycorrhizal fungi within and among decomposing leaf litter and roots growing into the mat litter in tropical agroecosystems. This supports the thought that these fungi have a role in carbon and nutrient recycling, which are influenced by agricultural management practices and plant population composition.
2021
Díaz-Ariza,Lucía Ana Rivera,Emma Lucía Sánchez,Natalia
Outstanding impact of Azospirillum brasilense strains Ab-V5 and Ab-V6 on the Brazilian agriculture: Lessons that farmers are receptive to adopt new microbial inoculants
ABSTRACT For decades, researchers around the world search for strategies aiming at higher sustainability in agriculture. The microbial inoculants or biofertilizers are biotechnological products used for different purposes, the main one being to totally or partially replace chemical fertilizers, with an emphasis on N-fertilizers, reducing costs of production and decreasing the contamination of the soil, water, and atmosphere. Depending on the microorganism and the inoculated crop, inoculants can also induce plant protection to abiotic and biotic stresses and positively modify their physiology. Although inoculation studies and the use of inoculants by farmers date more than a century ago, they have gained more notoriety in the past decade. Brazil has a long tradition in the use of rhizobial inoculants, especially for the soybean crop, but it was only in 2009 that the first commercial inoculant carrying the plant-growth-promoting Azospirillum brasilense strains Ab-V5 (=CNPSo 2083) and Ab-V6 (=CNPSo 2084), identified by our research group, reached the market. One decade after the release of these two strains, 10.5 million doses were commercialized for grasses, including corn, wheat, rice, and pastures of brachiarias, and co-inoculation of legumes, such as soybean and common bean. Several research groups in Brazil presented impressive results of increases in root growth, biomass production, grain yield, uptake of nutrients and water, and increased tolerance to abiotic stresses due to the inoculation with Ab-V5 and Ab-V6. In this review, we gathered the results obtained so far in one decade with these two strains in several grasses and legume crops, confirming their versatility and indicating that with convincing, reliable, and consistent results, the Brazilian farmers are receptive to the adoption of new sustainable technologies based on microorganisms.
2021
Santos,Mariana Sanches Nogueira,Marco Antonio Hungria,Mariangela
Rock size fragments reduction allow including their effect on water retention properties determined with a dew point potentiometer
ABSTRACT The relation between water content and water potential is a key soil hydraulic property. The presence of rock fragments in soils can affect this property in bulk soil. In this study, we focused on the relation property determined with a WP4 dew point potentiometer. The objective was to evaluate the hypothesis that breaking large gravel-size particles into smaller fragments is a suitable strategy for accurate WP4 measurements in coarse materials without affecting the retention properties. Ten initial samples of basalt rock fragments with different weathering degrees were collected from the A horizon of an Entisol (Neossolo). Rock fragments initially sized between 38 to 4 mm were successively fractured into smaller fragments (size classes of 4-2, 1-0.25, and <0.25 mm). For each size class, the retention properties (water content versus water potential) were determined with WP4 equipment. No significant effect of fragment size was detected on the determined retention properties. Using supplementary water retention data from a previous study, we found an overestimation of water retention at -1.5 MPa ranging from 0.08 to 0.12 g g-1 when rock fragments were removed, which is of the order of magnitude to the available water capacity of several soils. This study showed that fragments larger than the diameter of the WP4 sample cup could be broken to sizes smaller between 4 and 0.25 mm without affecting the retention properties. This is a suitable strategy to allow accurate WP4 measurements in coarse materials while considering the effect of such coarse material on retention properties.
2021
Gubiani,Paulo Ivonir Pereira,Caroline Andrade Cauduro,Jussara Santoli Campbell,Colin Rivera,Leonardo Pigatto,Cassiano Salin França,Jéssica Silveira
Characterization and manipulation of montmorillonite properties towards technological and environmental applications
ABSTRACT The combination of pillarization and charge neutralization with Li+ can make montmorillonite an important support material for industry and decontamination of pollutants in soil and water. Montmorillonite characterization techniques were described in detail, and pillarization procedures were used, after Li+ saturation, to modify and manipulate the chemical and mineralogical surface properties of this montmorillonite. Eight samples were produced: 1) natural montmorillonite (Chisholm Mine - MMT); 2) Li+ saturated montmorillonite (MMTLi); 3) polyethylene glycol (PEG) Al-pillared montmorillonite (AlPEG); 4) PEG Al-pillared montmorillonite saturated with Li (AlPEGLi); 5) Al-pillared montmorillonite with 14 h contact time (Al14h); 6) Al-pillared montmorillonite Al14h saturated with Li (Al14hLi); 7) Al-pillared montmorillonite with 0 h contact time (Al0h); and 8) Al-pillared montmorillonite Al0h saturated with Li (Al0hLi). The natural sample was identified as interlayered montmorillonite composed of chlorite layers or with a high degree of Al-hydroxy filling. Concerning the total permanent charges, 70 % occurred by isomorphic substitution of Al3+ by Mg2+ in octahedral layer and 30 % of Si4+ by Al3+ in tetrahedral layer. The pillarization method using the PEG produced a small number of stable pillars. The new milder pillarization method (Al0h) did not cause damage in the formation of Al-hydroxy. In this method, the resulting pillars were more homogeneous in size. Thereby, the Al0h Li method has been shown to produce a supporting material with a constant interlayer spacing, increased of the specific surface area (SSA), and drastic reduction of the cation exchange capacity (CEC) as compared to MMT. This modified mineral can be used in, for example, decontamination of polluted water with nonionic organic pollutants.
2021
Melo,Vander Freitas Salata,Regiane Abate,Gilberto Azevedo,Antonio Carlos Kummer,Larissa
Estimating lateral flow in double ring infiltrometer measurements
ABSTRACT The steady infiltration rate of soil profiles is commonly determined for irrigation and soil conservation planning, but the divergence of methods reduces the reliability of measurements. In this study, the steady infiltration rate measured with a double ring infiltrometer (isr-dri) in different layers of a soil profile was compared between layers and with the steady vertical saturated flow rate estimated by the Richards equation (isr-hy). The measurements of isr-dri at the top of the A, E, and Bt horizons were compared to each other and also compared with the isr-hy to detect the occurrence of lateral flow in double ring infiltrometer measurements. The isr-dri in the A horizon (236 mm h-1) was around 10 times higher than in the Bt horizon (20 mm h-1), which implies in a lateral flow of almost 90 % in the surface horizon. The occurrence of lateral flow in double ring infiltrometer measurements was also shown by comparing isr-dri with the vertical saturated flow rate estimated with the Richards equation, isr-hy. The main conclusion is that isr-dri measured at the soil surface overestimates the steady infiltration rate of soil profiles when underlying horizons are less permeable and more restrictive to water flow. In these cases, the use of an effective saturated hydraulic conductivity of the soil profile would imply inaccurate planning of drainage, irrigation, and soil conservation designs.
2021
Boeno,Daniel Gubiani,Paulo Ivonir Lier,Quirijn de Jong Van Mulazzani,Rodrigo Pivoto
Mulching films affecting soil bacterial and fungal communities in a drip-irrigated potato soil
ABSTRACT Film mulching is an effective water-saving and yield-increasing measure for potato production in Northwest China. However, the response mechanism of microbial communities to mulching films in the soil is still unclear. In this study, polyethylene film mulching (PM), biodegradable film mulching (BM), liquid film mulching (LM), and non-mulching (NM) were applied on the drip-irrigated soil to investigate the effects of mulching films on soil bacterial and fungal communities through DNA sequencing, Pearson correlation analysis, and redundancy analysis. The results showed that LM treatment significantly increased the contents of soil mineral N (SMN), dissolved organic carbon (DOC), and dissolved organic nitrogen (DON) (p<0.05) in comparison with NM. The soil treated with LM presented high bacterial OTUs (operational taxonomic units), Chao1, ACE, and Shannon indices; however, the same indexes of fungi were low in LM and BM treatments. At the phylum level, Proteobacteria, Actinobacteria, and Chloroflexi were dominant bacterial communities. The LM treatment increased the OTUs of Proteobacteria ; PM treatment increased the OTUs of Actinobacteria and Chloroflexi. Ascomycota was the dominant fungal community, which were decreased in soil under mulching films. In terms of soil properties, DON was closely correlated (p<0.05) with the microbial OTUs, Chao1, and ACE indices. The DOC and SWC (soil water content) contributed 51.2 % to the change of bacterial structure; however, the fungal structure was less sensitive to the variation of soil properties. Our results indicate that liquid film mulching favors increasing the diversity and abundance of dominant bacterial species, which were associated with the variation of soil properties.
2021
Wang,Wen Han,Lu Zhang,Xiong
Mycorrhizal inoculation and phosphorus fertilization show contrasts on native species of the Brazilian Atlantic Forest and Cerrado
ABSTRACT Restoration of degraded sites by using native plants like Plathymenia reticulata Benth. and Melanoxylon brauna Schot. is advisable. However, seedlings of both species, when raised on commercial substrates, may present low survival. This study aimed to evaluate the growth of seedlings under inoculation with arbuscular mycorrhizal fungi (AMF). The seedlings were raised on soil sampled from near an adult plant of the same species. The P. reticulata and M. brauna seedlings were grown with or without the inoculation of a mix of three species of AMF (Rhizophagus clarus, Claroideoglomus etunicatum, and Gigaspora albida), and five doses of P (0, 50, 150, 300, and 450 mg dm-3 of P). All seedlings were inoculated with Bradyrhizobium sp., isolated from each species. After 90 days, P. reticulata inoculated with AMF showed higher growth and nutrient content than those uninoculated, and the maximum plant growth was obtained when received 160 to 280 mg dm-3 of P. On the other hand, no effects of AMF inoculation or phosphate fertilization were observed on M. brauna. For both species, no effect of inoculation was observed on mycorrhizal colonization, and M. brauna, unlike P. reticulata presented a considerable number of nodules. We conclude that inoculation with AMF and P fertilization improves the growth of P. reticulata seedlings but does not promote the growth of M. brauna; presenting the necessity to investigate each species.
2021
Prates Júnior,Paulo Moreira,Bruno Coutinho Silva,Marliane de Cássia Soares da Diogo,Nayron Vilela Luz,José Maria Rodrigues da Jordão,Thuany Cerqueira Paiva,Haroldo Nogueira de Kasuya,Maria Catarina Megumi
Terracing increases soil available water to plants in no-tillage
ABSTRACT Several management practices can increase soil water storage capacity, but their effectiveness to minimize the adverse effects of drought depends on their potential to increase the soil available water to plants. Terracing is an effective option to increase soil water storage, but its effect on available water to plants in no-tillage system is still a knowledge gap. In this study, we monitored soil water content at eight layers down to 1.6 m in two zero-order paired catchments for 16 months. Presence of five broad-based terraces in one of the catchments was the main difference between the two. Water availability to plants over time was expressed as a fraction of available water capacity (FAW). Positive differences of FAW between the terraced and non-terraced catchments were noticed over periods of rainfall shortage, but they were barely perceptible in periods of abundant rainfall. Over the 16 months, the frequency of FAW higher than 0.75 was between 46 and 50 % in the non-terraced catchment, and between 67 and 75 % in the terraced catchment. This benefit of terracing is more noticeable in thicker upper-section of the soil profile evaluated and with greater number of terraces upstream from the point of observation. We concluded that terracing in no-tillage turn excess rainfall into noticeable positive increases in available water to plants in the following periods of rainfall shortage.
2021
Freitas,Letiéri da Rosa Gubiani,Paulo Ivonir Mulazzani,Rodrigo Pivoto Minella,Jean Paolo Gomes Londero,Ana Lúcia
Shaking settings to reduce the breakdown of Entisol fragile particles in texture analysis
ABSTRACT Finding the proper shaking setting to ensure total particle dispersion without altering the content of sand, silt and clay in soils composed of fragile particles such as saprolite fragments is still a research gap. This study aimed to identify the best shaking setting to optimize particle dispersion and minimize particle change in samples of Entisol (Neossolos). Samples were dispersed using an electric mixer at 12,000 rpm for 5, 15, 30 and 60 min, a horizontal shaker at 150 cycles min-1 for 1, 2, 4, 8 and 16 h with and without the use of nylon spheres, and an ultrasonic shaker at 70 and 110 J mL-1 for approximately 20 and 30 min, respectively. All the treatments affected particle distribution. Coarse sand reduced up to 14 % and clay content increased up to 18 % with the horizontal shaker with nylon spheres and the electric mixer. These changes were attributed to the breakdown of saprolite fragments, which represented around 1/3 of the coarse sand. Our results showed that the best setting was the horizontal shaker at 150 cycles min-1 for 1 to 2 h without using nylon spheres. This option allowed optimizing particle dispersion and minimizing changes in particle size distribution.
2021
Gubiani,Paulo Ivonir Almeida,Thiago Assunsão de Mulazzani,Rodrigo Pivoto Pedron,Fabrício de Araújo Suzuki,Luis Eduardo Akiyoshi Sanches Pereira,Caroline Andrade
Use of nuclear techniques in soil science: A literature review of the Brazilian contribution
ABSTRACT This review presents the basic research and some applications of the gamma-ray attenuation, neutron gauges, and 137Cs fallout techniques for studying soil physical processes and properties. The selected studies aimed to give the readers a general idea of the use of these nuclear techniques carried out by Brazilian researchers in the past decades. It is expected to assist future researchers by identifying knowledge gaps and opportunities for applying the methods presented here. Around 100 studies were selected for this review. The papers dealing with gamma-ray attenuation are mostly related to the analysis of soil radiation interactions, the measurement of basic soil physical properties, the evaluation of hydraulic conductivity, water retention curve, and soil mechanical analysis. Neutron gauge applications are related to monitoring the water distribution and balance at the field scale, procedures for calibrating the existing gauge for the Brazilian soils, and analyzing the spatial and temporal variability of the soil water content. The 137Cs methodology involves studies about the erosion and sediment deposition in small watersheds and riparian zones, the spatial variability of 137Cs inventories at reference sites, and the measurement of sediment spatial distributions. Future studies with the gamma-ray attenuation methodology should focus on a better comprehension of the photon interaction with the soil and a correct selection of photon energies to investigate contrasting soils. This is mandatory for adopting it as a reliable tool for soil characterization. This review also revealed that the challenges for the future use of the 137Cs fallout technique involve the continuous decrease of the 137Cs activity worldwide, including in Brazil. Advances in detection systems (gamma spectrometers) will be required to overcome this issue. Future studies should focus on the use of correction factors related to the enrichment of fine particles during the transport of sediments to improve the estimates obtained through the conversion models. The use of neutron gauges to detect soil water content at the field scale depends on the adoption of reliable calibration curves. Then, comprehending how soil properties alter this curve and how it affects the water balance is a study of great interest. Motivated by strict regulations on the use of radioactive materials, the adoption of gauges with less activity is becoming a new goal. Thus, the development of more effective systems of neutron detection is crucial.
2021
Pires,Luiz Fernando Cássaro,Fábio Augusto Meira Correchel,Vladia
A New Use for the Amplatzer Duct Occluder Device
We report a case in which the Amplatzer device for percutaneous occlusion of ductus arteriosus was successfully used for occluding a large systemic-pulmonary collateral vessel in a patient who had previously undergone surgery for correction of pulmonary atresia and ventricular septal defect (Rastelli technique), and was awaiting the change of a cardiac tube. In the first attempt, the device embolized to the distal pulmonary bed and, after being rescued with a Bitome, it was appropriately repositioned with no complications and with total occlusion of the vessel.
2002
Pedra,Carlos A. C. Sousa,Luciano N. Pilla,Carlo B. Fontes,Valmir F.
Caso 3/2002 - Instituto do Coração do Hospital das Clínicas da FMUSP
No summary/description provided
2002
Atik,Edmar
Left Ventricular Hypertrophy Evaluation in Obese Hypertensive Patients: Effect of Left Ventricular Mass Index Criteria
PURPOSE: To evaluate left ventricular mass (LVM) index in hypertensive and normotensive obese individuals. METHODS: Using M mode echocardiography, 544 essential hypertensive and 106 normotensive patients were evaluated, and LVM was indexed for body surface area (LVM/BSA) and for height² (LVM/h²). The 2 indexes were then compared in both populations, in subgroups stratified according to body mass index (BMI): <27; 27-30; > or = 30kg/m². RESULTS: The BSA index does not allow identification of significant differences between BMI subgroups. Indexing by height² provides significantly increased values for high BMI subgroups in normotensive and hypertensive populations. CONCLUSION: Left ventricular hypertrophy (LVH) has been underestimated in the obese with the use of LVM/BSA because this index considers obesity as a physiological variable. Indexing by height² allows differences between BMI subgroups to become apparent and seems to be more appropriate for detecting LVH in obese populations.
2002
Rosa,Eduardo Cantoni Moysés,Valdir Ambrósio Sesso,Ricardo Cintra Plavnik,Frida Liane Ribeiro,Fernando Flexa Kohlmann,Nárcia E. B. Ribeiro,Artur Beltrame Zanella,Maria Tereza Kohlmann Jr.,Osvaldo
Analysis of the Prevalence of Ventricular Late Potentials in the Late Phase of Myocardial Infarction Based on the Site of Infarction
OBJECTIVE: The initial site of myocardial infarction (MI) may influence the prevalence of ventricular late potentials (VLP), high-frequency signals, due to the time course of ventricular activation. The prevalence of VLP in a period of more than 2 years after acute MI was assessed focusing on the initially injured wall . METHODS: The prevalence of VLP in a late phase after MI (median of 924 days) in anterior/antero-septal and inferior/infero-dorsal wall lesion was analyzed using signal-averaged electrocardiogram in time domain. The diagnostic performance of the filters employed for analysis on was tested at high-pass cut-off frequencies of 25 Hz, 40 Hz and 80 Hz. RESULTS: The duration of the ventricular activation and its terminal portion were larger in inferior than anterior infarction, at high-pass cut-off frequencies of 40 Hz and 80 Hz. In patients with ventricular tachycardia, these differences were more remarked. The prevalence of ventricular late potentials was three times greater in inferior than anterior infarction. CONCLUSION: Late after myocardial infarction, the prevalence and the duration of ventricular late potentials are greater in lesions of inferior/infero-dorsal than anterior/antero-septal wall confirming their temporal process, reflecting their high-frequency content.
2002
Benchimol-Barbosa,P. R. Sousa,Marcos Oliveira de Barbosa,Eduardo Correa Bomfim,Alfredo de Souza Ginefra,Paulo Nadal,Jurandir
Pharmacological Therapy for Myocardial Infarction in the Elderly: An 8-year Analysis
OBJECTIVE:To assess the changes in the medicamentous treatment of elderly patients hospitalized with acute myocardial infarction occurring over an 8-year period. METHODS:We retrospectively analyzed 379 patients above the age of 65 years with acute myocardial infarction who were admitted to the coronary unit of a university-affiliated hospital from 1990 to 1997. The patients were divided into 2 groups, according to the period of time of hospital admission as follows: group 1 - from 1990 to 1993; and group 2 - from 1994 to 1997. RESULTS:The use of beta-blockers (40.8%chi 75.2%, p<0.0001) and angiotensin-converting enzyme inhibitors (42% chi59.5%, p=0.001) was significantly greater in group 2, while the use of calcium antagonists (42% chi 18.5%, p<0.0001) and general antiarrhythmic drugs (19.1% chi 10.8%, p=0.03) was significantly lower. No significant difference was observed in regard to the use of acetylsalicylic acid, thrombolytic agents, nitrate, and digitalis in the period studied. The length of hospitalization was shorter in group 2 (13.4±8.9 days chi 10.5±7.5 days, p<0.001). The in-hospital mortality was 35.7% in group 1 and 26.6% in group 2 (p=0.07). CONCLUSION: Significant changes were observed in the treatment of elderly patients with acute myocardial infarction, with a greater use of beta-blockers and angiotensin-converting enzyme inhibitors and a lower use of calcium antagonists and antiarrhythmic drugs in group 2. The length of hospitalization and the mortality rate were also lower in group 2, even though the reduction in mortality was not statistically significant.
2002
Makdisse,Márcia Regina Pinho Matsushita,Andrea de M. Gonçalves Júnior,Iran Miranda,Odete Gomes,Ana Cristina Cartocci,Monica M. Covre,Silvia Carvalho,Antonio Carlos de Camargo
Assessment of Thromboembolism After the Cox-Maze Procedure for Chronic Atrial Fibrillation Secondary to Mitral Valve Lesion
OBJECTIVE: To assess the occurrence of late thromboembolism after surgical repair of chronic atrial fibrillation (AF) simultaneously with repair of mitral valve using the Cox-Maze procedure. METHODS: 69 patients underwent Cox 3 procedure, with no cryoablation simultaneously with mitral valvuloplasty or prosthesis. Mean age was 49.9±13.2 years. Mean follow-up was of 31.7±19 months. Types of lesion were as follows: 33 (48%) stenoses, 23 (33%) insufficiencies, and 13 (19%) double lesions. Procedures were: 64 (93%) valvuloplasties, 3 (4%) biological and 2 (3%) mechanical prosthesis placement. There were 9 (13%) patients with previous systemic embolism and 2 (3%) had left atrial thrombi. RESULTS: Early mortality was 7% and late 1%. 2 patients (3%) were reoperated for mitral placement. At last evaluation, 10 patients (15%), were in AF. The remaining 59 (85%) were either in sinus / atrial rythm (74%) or under pacing (12%). There were no occurrence of early or late, systemic or pulmonary embolism. Permanent anticoagulation was employed in 16 cases, 10 in regular rythm and 6 in AF. The remaining 47 (75%), 2 in AF and 45 in regular rythm, did not receive anticoagulants. CONCLUSIONS: These results are in accordance with others series, where the occurrence of embolism was rare after maze procedure. Permanent systemic anticoagulation seems to be unnecessary in those cases.
2002
Kalil,Renato A. K. Nesralla,Paula L. M. Lima,Gustavo G. Leiria,Tiago L. Abrahão,Rogério Moreno,Paulo Prates,Paulo R. Sant'Anna,João R. M. Nesralla,Ivo A.
Heart Weight and Heart Weight/Body Weight Coefficient in Malnourished Adults
OBJECTIVE: To compare the heart weight and the heart weight/body weight coefficient of adults with and without chronic malnutrition. METHODS: In an initial case series of 210 autopsies performed in adults, we recorded body and heart weights and calculated the heart weight/body weight coefficients (HW/BW x 100). The exclusion criteria were as follows: positive serology for Chagas' disease, edema, obesity, heart diseases, hepatopathies, nephropathies, and systemic arterial hypertension. Malnutrition was characterized as a body mass index <18.5kg/m². Differences with p<0.05 were considered significant. RESULTS: Individuals in the malnourished (n=15) and control (n=21) groups were statistically different, respectively, in regard to body mass index (15.9±1.7 versus 21.3±2.5kg/m²), heart weight (267.3±59.8 versus 329.1±50.4g), and the HW/BW coefficient (0.64±0.12 versus 0.57±0.09%). A positive and significant correlation was observed between heart weight and body mass index (r=0.52), and between heart weight and body weight (r=0.65). CONCLUSION: Malnourished individuals have lighter hearts and a greater HW/BW coefficient than non-malnourished individuals do. These findings indicate a possible preservation of the myocardium in relation to the intensity of weight loss associated with the probable relative increase in cardiac connective tissue and heart blood vessels.
2002
Cunha,Daniel Ferreira da Cunha,Selma Freire de Carvalho da Reis,Marlene Antônia dos Teixeira,Vicente de Paula Antunes
Acute Myocardial Infarction: The First Manifestation of Ischemic Heart Disease and Relation to Risk Factors
OBJECTIVE: To assess the association between cardiovascular risk factors and acute myocardial infarction as the first manifestation of ischemic heart disease, correlating them with coronary angiographic findings. METHODS: We carried out a cross-sectional study of 104 patients with previous acute myocardial infarction, who were divided into 2 groups according to the presence or absence of angina prior to acute myocardial infarction. We assessed the presence of angina preceding acute myocardial infarction and risk factors, such as age >55 years, male sex, smoking, systemic arterial hypertension, lipid profile, diabetes mellitus, obesity, sedentary lifestyle, and familial history of ischemic heart disease. On coronary angiography, the severity of coronary heart disease and presence of left ventricular hypertrophy were assessed. RESULTS: Of the 104 patients studied, 72.1% were males, 90.4% were white, 73.1% were older than 55 years, and 53.8% were hypertensive. Acute myocardial infarction was the first manifestation of ischemic heart disease in 49% of the patients. The associated risk factors were systemic arterial hypertension (RR=0.19; 95% CI=0.06-0.59; P=0.04) and left ventricular hypertrophy (RR=0.27; 95% CI=0,.8-0.88; P=0.03). The remaining risk factors were not statistically significant. CONCLUSION: Prevalence of acute myocardial infarction as the first manifestation of ischemic heart disease is high, approximately 50%. Hypertensive individuals more frequently have symptoms preceding acute myocardial infarction, probably due to ventricular hypertrophy associated with high blood pressure levels.
2002
Manfroi,Waldomiro Carlos Peukert,Carolina Berti,Clarissa Bacha Noer,Clarissa Gutierres,Danielle de Ávila Silva,Felipe Theodoro Bezerra Gaspar Carvalho da
Clinical Profile, Predictors of Mortality, and Treatment of Patients after Myocardial Infarction, in an Academic Medical Center Hospital
OBJECTIVE: To evaluate clinical profiles, predictors of 30-day mortality, and the adherence to international recommendations for the treatment of myocardial infarction in an academic medical center hospital. METHODS: We retrospectively studied 172 patients with acute myocardial infarction, admitted in the intensive care unit from January 1992 to December 1997. RESULTS: Most patients were male (68%), white (97%), and over 60 years old (59%). The main risk factor for coronary atherosclerotic disease was systemic blood hypertension (63%). Among all the variables studied, reperfusion therapy, smoking, hypertension, cardiogenic shock, and age were the predictors of 30-day mortality. Most commonly used medications were: acetylsalicylic acid (71%), nitrates (61%), diuretics (51%), angiotensin-converting enzyme inhibitors (46%), thrombolytic therapy (39%), and beta-blockers (35%). CONCLUSION: The absence of reperfusion therapy, smoking status, hypertension, cardiogenic shock, and advanced age are predictors of 30-day mortality in patients with acute myocardial infarction. In addition, some medications that are undoubtedly beneficial have been under-used after acute myocardial infarction.
2002
Zornoff,Leonardo A. M. Paiva,Sérgio A. R. Assalin,Vanessa M. Pola,Patrícia M. S. Becker,Luís E. Okoshi,Marina P. Matsubara,Luiz S. Inoue,Roberto M. T. Spadaro,Joel