Abstract Coronary artery bypass grafting (CABG) has consolidated its role as the most effective procedure for treating patients with advanced atherosclerotic coronary artery disease, reducing the long-term risk of myocardial infarction and death compared to other therapies and relieving angina. Despite the recognized benefits afforded by surgical myocardial revascularization, a subset of higher-risk patients bears a more elevated risk of perioperative stroke. Stroke remains the drawback of conventional CABG and has been strongly linked to aortic manipulation (cannulation, cross‐clamping, and side-biting clamping for the performance of proximal aortic anastomoses) and the use of cardiopulmonary bypass. Adoption of off-pump CABG (OPCAB) is demonstrated to lower the risk of perioperative stroke, as well as reducing the risk of short-term mortality, renal failure, atrial fibrillation, bleeding, and length of intensive care unit stay. However, increased risk persists owing to the need for the tangential ascending aorta clamping to construct the proximal anastomosis. The concept of anaortic (aorta no-touch) OPCAB (anOPCAB) stems from eliminating ascending aorta manipulation, virtually abolishing the risk of embolism caused by aortic wall debris into the brain circulation. The adoption of anOPCAB has been shown to further decrease the risk of postoperative stroke, especially in higher-risk patients, entailing a step forward and a refinement of outcomes provided by the primeval OPCAB technique. Therefore, anOPCAB has been the recommended technique in patients with cerebrovascular disease and/or calcification or atheromatous plaque in the ascending aorta and should be preferred in patients with high-risk factors for neurological damage and stroke.

The aim of this study was to analyze the effect of cytokinin and gibberellin on the characteristics of banana fruits (Musa spp. AAA, cv. Nanica) as a function of the formation period and position in the bunch. A completely randomized, 2x5 factorial design was adopted consisting of two bunch development periods (summer and winter) and five treatments as well as the same arrangement in a split plot with the 2×5 factorial arrangement as the plot and the position of the hand in the bunch (basal, middle and apical) as the subplot. Treatments consisted of spraying twice with either water, 150 mg L-1 of kinetin, 200 mg L-1 of gibberellic acid, 100 mg L-1 of kinetin plus 200 mg L-1 of gibberellic acid or 200 mgL-1 of kinetin plus 200 mg L-1 of gibberellic acid, all of which were applied from the fourth to the last hand of the bunch. The bunch formation period influenced the filling time, the mass of the bunch and the stalk, the number and the mass of the hands, the number of fruits per hand, fruit size, and the position of the fruit in the bunch as well as the time postharvest shelf life, mass loss, peel color, pH, the soluble solids content and the titratable acidity of the pulp. As applied, the cytokinin and gibberellin did not influence the yield or fruit size, but bunch position had a strong influence on the size and number of fruits per hand.

El objetivo de este trabajo fue analizar el efecto de la citoquinina y de giberelinas en las características de los frutos de banano (Musa spp. AAA, cv. Nanica), en función del período de formación y la posición en el racimo. Se adoptó un diseño experimental completamente al azar, con arreglo factorial 2x5, dos períodos de desarrollo del racimo (verano e invierno) y cinco tratamientos o, el mismo diseño en parcelas subdivididas, considerando en la parcela el arreglo factorial 2×5, y en la subparcela, la posición de la mano en el racimo (basal, mediana y apical). Los tratamientos constituyeron dos pulverizaciones con agua, 150 mg L-1 de cinetina, 200 mg L-1 de ácido giberélico, 100 mg L-1 de cinetina más 200 mg L-1 de ácido giberélico y 200 mg L-1 de cinetina más 200 mg L-1 de ácido giberélico, aplicados desde la cuarta hasta la última mano del racimo. El período de formación del racimo influye sobre el tiempo de llenado, el peso del racimo y del tallo, el número de manos, el número de frutos por mano y el tamaño del fruto, dependiendo de la posición que ocupa en el racimo, así como la vida poscosecha, la pérdida de masa, el color de la cáscara, el pH, el contenido de sólidos solubles y la acidez valorable de pulpa. Citoquinina y giberelina, en la forma que fueron aplicadas no influyeron en la producción, calidad, tamaño de y rendimiento fruta. La posición en el racimo tuvo una fuerte influencia en el tamaño y número de frutos por mano.

Avaliou-se a evolução anual das componentes global, direta e difusa da radiação solar incidente em superfícies inclinadas a 12,85; 22,85 e 32,85º, com face voltada ao Norte, em Botucatu-SP. Foram obtidas frações radiométricas para cada componente da radiação nas superfícies supracitadas, através de razões com a radiação global e a do topo da atmosfera. A sazonalidade foi avaliada através das médias mensais dos valores diários. As medidas ocorreram entre 04/1998 e 07/2001, em 22,85º; 08/2001 e 02/2003, em 12,85º; e de 03/2003 a 12/2007, em 32,85º, com medidas concomitantes no plano horizontal (referência). Os níveis das radiações global e direta nos planos inclinados foram inferiores no período de verão e superiores entre os equinócios, quando comparadas ao plano horizontal. A radiação difusa nas superfícies inclinadas foi inferior na maioria dos meses, com perdas de até 65%. Ocorreu uma tendência de aumento das diferenças entre as superfícies horizontal e inclinada com o incremento do ângulo em todas as componentes e frações da radiação incidente. A evolução anual das precipitações pluviométricas e da razão de nebulosidade afetou diretamente a transmissividade atmosférica das componentes direta e difusa na região.

It was evaluated the annual evolution of global, direct and diffuse components of incident solar radiation on tilted surfaces to 12.85, 22.85 and 32.85º, facing north, in Botucatu, state of São Paulo, Brazil. The radiometric fractions were obtained for each component of the radiation in the aforementioned surfaces, through the ratio with the global and top of the atmosphere radiations. Seasonality was evaluated based on monthly averages of daily values. The measures occurred between 04/1998 and 07/2001 at 22.85º; 08/2001 and 02/2003 at 12.85º; and from 03/2003 to 12/2007 at 32.85º, with concomitant measures in the horizontal surface (reference). The levels of global and direct radiation on tilted surfaces were lower in summer and higher in the equinoxes when compared with the horizontal. The diffuse radiation on tilted surfaces was lower in most months, with losses of up to 65%. A trend of increasing differences occurred between horizontal and tilted surfaces with the increase of the angle in all the components and fractions of incident radiation. The annual evolution of rainfall and cloud cover ratio directly affected the atmospheric transmissivity of direct and diffuse components in the region.

Foram avaliadas equações estatísticas de estimativas com agrupamentos de dados anuais e mensais e suas respectivas validações, para as componentes global, direta e difusa da radiação solar incidente em superfícies inclinadas a 12,85, 22,85 e 32,85º, com face para o Norte, nas condições climáticas e geográficas de Botucatu, SP. Empregou-se as frações das três componentes da radiação a do topo da atmosfera em correlação com o coeficiente de transmissividade atmosférica do plano horizontal, em uma base de dados de abril/1998 a dezembro/2007, cujas medidas nas três inclinações ocorreram em diferentes períodos, todavia concomitantes ao plano horizontal. O aumento do ângulo de inclinação da superfície propiciou aumento do espalhamento dos valores diários do índice de claridade para superfícies inclinada e horizontal. Nos agrupamentos anuais os piores desempenhos foram verificados na estimativa da radiação difusa diária para superfície inclinada, com valores máximos de espalhamentos iguais a 3,89 MJ m-2 d-1 (43,65%) e ajustamento em torno de 62%. Na estimativa das componentes global e direta da radiação solar nos planos inclinados, podem ser aplicadas, tanto as equações anuais como as mensais, com desempenhos dependentes das condições climáticas.

Statistics equations and validations with groups of annual and monthly data were evaluated for global, direct and diffuse solar radiation components incident on the tilted surface to 12.85, 22.85 and 32.85° with the face North, in climate and geographical conditions of Botucatu, SP. It was employed the fractions of three components of extraterrestrial radiation in correlation with the coefficient clearness index horizontal plane, in a database of April/1998 to December/2007, whose measures at different periods in three inclinations, however concomitant to the horizontal plane. Increasing the angle of the surface led to increased scattering of the daily values of clearness index for inclined and horizontal surfaces. In annual groups, the lower performances were observed in the estimation of inclined daily diffuse radiation, with maximum Root Mean Square Error to 3.89 MJ m-2 d-1 (43.65%) and adjustments around 62%. In estimates of global and direct components of solar radiation on inclined planes, both annual and monthly equations can be applied, with performance dependents to climatic conditions.

OBJETIVO: Comparar os valores de cloro no suor obtidos pelo teste quantitativo da iontoforese pela pilocarpina (teste clássico) com os valores de condutividade no suor obtidos pelo sistema de coleta por Macroduct® em pacientes com e sem fibrose cística (FC). O custo e tempo despendidos na execução de cada teste foram também analisados. MÉTODOS: O teste do suor pelas duas técnicas foi realizado simultaneamente, em pacientes com e sem FC. Os pontos de corte para a condutividade para excluir ou diagnosticar FC foram < 75 e > 90 mmol/L, respectivamente, e, para o teste clássico, cloro < 60 e > 60 mmol/L. RESULTADOS: Cinquenta e dois pacientes com FC (29 do sexo masculino e 23 do sexo feminino; de 1,5 a 18,2 anos) realizaram o teste do suor pelas duas técnicas, apresentando valores medianos de cloro e condutividade no suor de 114 e 122 mmol/L, respectivamente. Em todos eles, a condutividade foi > 95 mmol/L, o que conferiu ao teste 100% de sensibilidade (IC95% 93,1-100). Cinquenta pacientes sem FC (24 do sexo masculino e 26 do sexo feminino; de 0,5 a 12,5 anos) apresentaram valores medianos de cloro e condutividade no suor de 15,5 e 30 mmol/L, respectivamente. Em todos os casos, a condutividade foi < 70 mmol/L, o que conferiu ao teste 100% de especificidade (IC95% 92,9-100). O tempo despendido na execução dos testes foi significativamente menor com o teste da condutividade, e o seu custo também foi inferior. CONCLUSÕES: O teste da condutividade apresentou alta sensibilidade e especificidade, e houve boa correspondência entre os testes. O tempo de execução foi mais rápido e o custo inferior na aplicação do teste da condutividade em relação ao teste clássico.

OBJECTIVE: To compare sweat chloride values obtained by quantitative pilocarpine iontophoresis (classic test) with the sweat conductivity values obtained using Macroduct® collection system in patients with and without cystic fibrosis (CF). The cost and time spent to carry out each test were also analyzed. METHODS: The sweat test using both techniques was performed at the same time in patients with and without CF. Conductivity cutoff values to rule out or diagnose CF were < 75 and > 90 mmol/L, respectively, and for the classic test the chloride values were < 60 and > 60 mmol/L. RESULTS: Fifty-two patients with CF (29 males and 23 females; aged from 1.5 to 18.2 years) underwent the sweat test using both techniques, showing median sweat chloride and conductivity values of 114 and 122 mmol/L, respectively. In all of them, conductivity was > 95 mmol/L, which provided the test with 100% sensitivity (95%CI 93.1-100). Fifty patients without CF (24 males and 26 females; aged from 0.5 to 12.5 years) had median sweat chloride and conductivity values of 15.5 and 30 mmol/L, respectively. In all cases, conductivity was < 70 mmol/L, which provided the test with 100% specificity (95%CI 92.9-100). Time spent to perform the tests was significantly shorter for the conductivity test, and its cost was also lower. CONCLUSIONS: The conductivity test showed high sensitivity and specificity, and there was good correspondence between the tests. The time spent to carry out the conductivity test was shorter and the cost was lower in comparison with the classic test.