ABSTRACT: The aim of this study was to examine the clinical presentation, biochemical profile and response to treatment among horses with experimentally-induced hypocalcemia. Twelve adult, mixed breed mares were used. A 5% ethylenediaminetetraacetic acid disodium (Na2EDTA) solution was infused into all the mares until the animals presented clinical signs of hypocalcemia, at which point they were divided into a control group (n = 5) and a treatment group (n = 7). The treated group received an infusion of calcium, phosphorus, magnesium and glucose at a dosage of 1 mL/kg/BW during 30 minutes. The control group received 0.9% saline solution at the same dosage. Clinical examination and blood sample collection were performed at the times T0 (baseline- thirty minutes before beginning the Na2EDTA), T1 (at the end of the Na2EDTA infusion), T2 (at the end of the treatment) and T3 (24 hours after the end of the experiment). Serum calcium and magnesium concentrations decreased in response to Na2EDTA administration. The clinical signs of hypocalcemia in the mares included tachycardia, tachypnea, hypophonesis and cecal atony. These signs disappeared over the course of treatment, while total calcium and magnesium increased. Treatment produced recovery from clinical hypocalcemia within 30 minutes and promoted return of the main biochemical parameters to baseline values.

RESUMEN: El objetivo de este estudio fue evaluar la presentación clínica, perfil bioquímico, y la respuesta al tratamiento en los caballos con hipocalcemia inducida experimentalmente. Doce yeguas se distribuyeron en un grupo control (n = 5) y un grupo tratado (n = 7). Ácido etilendiaminotetraacético disódico (Na2EDTA 5%) se infundió a los animales hasta que presentaron signos clínicos de hipocalcemia, momento en el que fueron tratados con una solución comercial con calcio, fósforo, magnesio, y la glucosa en una dosis de 1 mL/ kg / PV de 30 minutos. El grupo control recibió 0,9% solución salina en el mismo volumen. Exámenes físicos y colección de muestras sanguíneas se realizaron en cuatro oportunidades: T0 (basal), T1 (al final de la infusión de Na2EDTA), T2 (al final del tratamiento), y T3 (24 horas después del fin del experimento). Todas las yeguas presentaron una disminución temporal en las concentraciones de calcio total y de magnesio y se observaron signos clínicos de hipocalcemia. En el curso del tratamiento, la taquicardia, taquipnea, hipofonesis, y la atonía del ciego desaparecieron, así como aumentaron las concentraciones de calcio total magnesio. El tratamiento efectuado posibilitó la recuperación de la hipocalcemia clínica dentro de 30 minutos y retorno de las concentraciones de los principales parámetros bioquímicos a los valores basales.

Um ensaio de imunoadsorção enzimática (ELISA) indireto, foi desenvolvido para detecção de anticorpos contra Anaplasma marginale, utilizando um antígeno parcialmente solúvel preparado a partir de corpúsculos iniciais semipurificados de eritrócitos com 80,0% de parasitemia. Esta técnica utilizou a fosfatase alcalina e o p-nitrofenil fosfato como indicadores de reação. A alta sensibilidade (100,0%) foi comprovada com soros de 100 bezerros experimentalmente infectados com A. marginale. Todos estes animais soroconverteram antes ou ao mesmo tempo que a primeira parasitemia foi detectada, ou mesmo quando não se obteve parasitemia. A elevada especificidade (94,0%) foi confirmada pela baixa percentagem de reações cruzadas com soros de animais infectados experimentalmente com Babesia bigemina e Babesia bovis (1,4 e 6,6%, respectivamente). Os desempenhos do ELISA e da imunofluorescência indireta (IFI) com 324 soros de uma área de estabilidade enzoótica não diferiram estatisticamente (P>0,05), uma vez que o primeiro teste detectou 96,9% de reações positivas, enquanto o segundo, 97,2%. A vantagem deste ELISA foi um menor tempo de execução do que outros desenvolvidos até o momento, permitindo a análise de um maior número de soros.

A rapid indirect enzyme-linked immunosorbent assay (ELISA) was developed for measuring antibodies against Anaplasma marginale using a partially soluble antigen prepared from semi-purified initial bodies from erythrocytes with 80.0% of rickettsiaemia. This technique utilized alkaline phosphatase and p-nitrophenyl phosphate as reaction indicators. The high sensitivity (100.0%) was confirmed with sera from 100 calves experimentally-infected with A. marginale. All of these animals showed seroconversion before or at the same time of the first rickettsiaemia or even when it was not detected. Also the elevated specificity (94.0%) was confirmed by the low percentage of cross-reactions with sera from animals experimentally-infected with Babesia bigemina and Babesia bovis (1.4 and 6.6%, respectively). Performances of ELISA and indirect fluorescent antibody test (IFAT) with 324 sera from enzootically stable area did not show statistical difference (P>0.05), since the former showed 96.9% and the latter 97.2% of positive reactions. The advantage of this ELISA is a shorter execution time than others developed until now, allowing more samples to be analyzed.

OBJETIVO: Descrever características de pacientes diabéticos acompanhados em um posto de atenção primária à saúde. MÉTODOS: Estudo transversal. Rastrearam-se 3.024 prontuários de família, em busca de pacientes com 30-75 anos, com diagnóstico de diabetes, atendidos nos últimos cinco anos. Os pacientes detectados foram entrevistados em seus domicílios, e compareceram ao posto para o exame físico e requisição para dosagem da hemoglobina glicosilada. RESULTADOS: A prevalência de diabetes foi de 4,2%. A maioria eram mulheres brancas, ±50 anos de idade, com renda familiar mensal <= 3 salários-mínimos. Menos de um terço seguia dieta; e, apenas um quinto fazia exercícios regulares. Cerca de 70% estavam em uso de hipoglicemiantes orais ou insulina. Dos que fizeram o exame (adesão de 70%), a maioria apresentou níveis normais ou aceitáveis de glicemia. CONCLUSÕES: Maior esforço deve ser dispendido pelas equipes de saúde de forma a promover a adesão dos pacientes diabéticos à dieta e ao exercício.

OBJECTIVE: The characterization of diabetic patients seen at a primary health care clinic. METHODS: The case notes of 3,024 families were searched by means of a cross-sectional study for patients 30 to 75 years of age with a diagnosis of diabetes mellitus who had had a medical consultation during the previsous five years. These patients were interviewed at their homes and were asked to come to the health center for physical examination and a plasma glucose test using glucosylated hemoglobin (GH). RESULTS: The prevalence of diabetes was 4%. The typical diabetic patient was a white women, ±50 years of age, from a family with a monthly income <= 3 minimum wages. Compliance with GH was observed in 70% of the patients. Diet therapy was followed by less than one third of the patients and only one fifth were engaged in regular exercise. Nearly 70% were undergoing drug therapy (oral hypoglicemic agents or insulin); of these, only 15% used insulin. Most of the patients (66%) who agreed to have the GH test showed normal or fair glucose blood levels. CONCLUSIONS: Great efforts should be made by health teams to enhance diabetic patient education in order to promote compliance with recommendations regarding diet and exercise.

OBJETIVO: Descrever características de pacientes diabéticos acompanhados em um posto de atenção primária à saúde. MÉTODOS: Estudo transversal. Rastrearam-se 3.024 prontuários de família, em busca de pacientes com 30-75 anos, com diagnóstico de diabetes, atendidos nos últimos cinco anos. Os pacientes detectados foram entrevistados em seus domicílios, e compareceram ao posto para o exame físico e requisição para dosagem da hemoglobina glicosilada. RESULTADOS: A prevalência de diabetes foi de 4,2%. A maioria eram mulheres brancas, ±50 anos de idade, com renda familiar mensal <= 3 salários-mínimos. Menos de um terço seguia dieta; e, apenas um quinto fazia exercícios regulares. Cerca de 70% estavam em uso de hipoglicemiantes orais ou insulina. Dos que fizeram o exame (adesão de 70%), a maioria apresentou níveis normais ou aceitáveis de glicemia. CONCLUSÕES: Maior esforço deve ser dispendido pelas equipes de saúde de forma a promover a adesão dos pacientes diabéticos à dieta e ao exercício.

OBJECTIVE: The characterization of diabetic patients seen at a primary health care clinic. METHODS: The case notes of 3,024 families were searched by means of a cross-sectional study for patients 30 to 75 years of age with a diagnosis of diabetes mellitus who had had a medical consultation during the previsous five years. These patients were interviewed at their homes and were asked to come to the health center for physical examination and a plasma glucose test using glucosylated hemoglobin (GH). RESULTS: The prevalence of diabetes was 4%. The typical diabetic patient was a white women, ±50 years of age, from a family with a monthly income <= 3 minimum wages. Compliance with GH was observed in 70% of the patients. Diet therapy was followed by less than one third of the patients and only one fifth were engaged in regular exercise. Nearly 70% were undergoing drug therapy (oral hypoglicemic agents or insulin); of these, only 15% used insulin. Most of the patients (66%) who agreed to have the GH test showed normal or fair glucose blood levels. CONCLUSIONS: Great efforts should be made by health teams to enhance diabetic patient education in order to promote compliance with recommendations regarding diet and exercise.