Effects of creatine supplementation on renal function: a randomized, double-blind, placebo-controlled clinical trial

Creatine (CR) supplementation is commonly used by athletes. However, its effects on renal function remain controversial. The aim of this study was to evaluate the effects of creatine supplementation on renal function in healthy sedentary males (18-35 years old) submitted to exercise training. A randomized, double-blind, placebo-controlled trial was performed. Subjects (n = 18) were randomly allocated to receive treatment with either creatine (CR) (similar to 10 g day(-1) over 3 months) or placebo (PL) (dextrose). All subjects undertook moderate intensity aerobic training, in three 40-min sessions per week, during 3 months. Serum creatinine, serum and urinary sodium and potassium were determined at baseline and at the end of the study. Cystatin C was assessed prior to training (PRE), after 4 (POST 4) and 12 weeks (POST 12). Cystatin C levels (mg L-1) (PRE CR: 0.82 +/- 0.09; PL: 0.88 +/- 0.07 vs. POST 12 CR: 0.71 +/- 0.06; PL: 0.75 +/- 0.09, P = 0.0001) were decreased over time, suggesting an increase in glomerular filtration rate. Serum creatinine decreased with training in PL but was unchanged with training in CR. No significant differences were observed within or between groups in other parameters investigated. The decrease in cystatin C indicates that high-dose creatine supplementation over 3 months does not provoke any renal dysfunction in healthy males undergoing aerobic training. In addition, the results suggest that moderate aerobic training per se may improve renal function.

Incidência de Arritmias Ventriculares em Doentes com Disfunção Sistólica Ventricular Esquerda Grave: Existe Benefício Após Terapêutica de Ressincronização Cardíaca

Introdução: A terapêutica de ressincronização cardíaca (TRC) tem benefícios significativos em doentes seleccionados. O impacto desta modalidade na incidência de taquidisritmias ventriculares permanece controverso. Analisámos a ocorrência de terapêuticas apropriadas em doentes submetidos a TRC combinada com cardioversor-desfibrilhador (CDI). Métodos: Estudo de 123 doentes com fracção de ejecção ventricular esquerda (FEVE) < 35%, submetidos a implantação com sucesso de TRC-CDI ou CDI isoladamente (prevenção primária). Resultados: Idade média foi 63±12 anos, FEVE de 25±6%, seguimento mediano de 372 dias. Implantou-se TRC-CDI em 63 doentes (grupo A) e CDI isoladamente em 60 doentes (grupo B). No grupo A tivemos 86% de respondedores clínicos, menor prevalência de miocardiopatia isquémica(30% versus 72%), e mais doentes em classe III da NYHA antes da implantação do dispositivo(90% versus 7%) comparativamente com o grupo com CDI isoladamente. Não se identificaram diferenças relativamente à incidência de terapêuticas apropriadas (19% versus 12%) ou no tempo para a primeira terapêutica (305 dias versus 293 dias). A mortalidade total foi de 11% no grupo A e de 12% no grupo B. As curvas de Kaplan-Meier para eventos arrítmicos em doentes com TRC, não mostraram diferenças significativas (HR 3,02, IC 95% 0,82-11,09, p = NS) comparativamente com doentes sem TRC. Conclusões: Em doentes submetidos a TRC-CDI por prevenção primária, apesar da elevada taxa de respondedores, a incidência de terapêuticas apropriadas não foi diferente do obtido em doentes com CDI isoladamente.

Heritability of renal function in hypertensive families of African descent in the Seychelles (Indian Ocean).

BACKGROUND: We estimated the heritability of three measures of glomerular filtration rate (GFR) in hypertensive families of African descent in the Seychelles (Indian Ocean). METHODS: Families with at least two hypertensive siblings and an average of two normotensive siblings were identified through a national hypertension register. Using the ASSOC program in SAGE (Statistical Analysis in Genetic Epidemiology), the age- and gender-adjusted narrow sense heritability of GFR was estimated by maximum likelihood assuming multivariate normality after power transformation. ASSOC can calculate the additive polygenic component of the variance of a trait from pedigree data in the presence of other familial correlations. The effects of body mass index (BMI), blood pressure, natriuresis, along with sodium to potassium ratio in urine and diabetes, were also tested as covariates. RESULTS: Inulin clearance, 24-hour creatinine clearance, and GFR based on the Cockcroft-Gault formula were available for 348 persons from 66 pedigrees. The age- and gender-adjusted correlations (+/- SE) were 0.51 (+/- 0.04) between inulin clearance and creatinine clearance, 0.53 (+/- 0.04) between inulin clearance and Cockcroft-Gault formula and 0.66 (+/- 0.03) between creatinine clearance and Cockcroft-Gault formula. The age- and gender-adjusted heritabilities (+/- SE) of GFR were 0.41 (+/- 0.10) for inulin clearance, 0.52 (+/- 0.13) for creatinine clearance, and 0.82 (+/- 0.09) for Cockcroft-Gault formula. Adjustment for BMI slightly lowered the correlations and heritabilities for all measurements whereas adjustment for blood pressure had virtually no effect. CONCLUSION: The significant heritability estimates of GFR in our sample of families of African descent confirm the familial aggregation of this trait and justify further analyses aimed at discovering genetic determinants of GFR.

Compensatory enlargement of human coronary arteries identified by magnetic resonance imaging

The aim of the present study was to evaluate the role of magnetic resonance imaging (MRI) for the non-invasive detection of coronary abnormalities and specifically the remodeling process in patients with coronary artery disease (CAD). MRI was performed in 10 control healthy subjects and 26 patients with angiographically proven CAD of the right coronary (RCA) or left anterior descending (LAD) artery; 23 patients were within two months of acute coronary syndromes, and 3 had stable angina with a positive test for ischemia. Wall thickness (WT), vessel wall area (VWA), total vessel area (TVA), and luminal area (LA) were measured. There were significant increases in WT (mean ± SEM, RCA: 2.62 ± 0.75 vs 0.53 ± 0.15 mm; LAD: 2.21 ± 0.69 vs 0.62 ± 0.24 mm) and in VWA (RCA: 30.96 ± 17.57 vs 2.1 ± 1.2 mm²; LAD: 19.53 ± 7.25 vs 3.6 ± 2.0 mm²) patients compared to controls (P < 0.001 for each variable). TVA values were also greater in patients compared to controls (RCA: 44.56 ± 21.87 vs 12.3 ± 4.2 mm²; LAD: 31.89 ± 11.31 vs 17.0 ± 6.2 mm²; P < 0.001). In contrast, the LA did not differ between patients and controls for RCA or LAD. When the LA was adjusted for vessel size using the LA/TVA ratio, a significant difference was found: 0.33 ± 0.16 in patients vs 0.82 ± 0.09 in controls (RCA) and 0.38 ± 0.13 vs 0.78 ± 0.06 (LAD) (P < 0.001). As opposed to normal controls, positive remodeling was present in all patients with CAD, as indicated by larger VWA. We conclude that MRI detected vessel wall abnormalities and was an effective tool for the noninvasive evaluation of the atherosclerotic process and coronary vessel wall modifications, including positive remodeling that frequently occurs in patients with acute coronary syndromes.

Blood lactate response and critical speed in swimmers aged 10-12 years of different standards

It has previously been shown that measurement of the critical speed is a non-invasive method of estimating the blood lactate response during exercise. However, its validity in children has yet to be demonstrated. The aims of this study were: (1) to verify if the critical speed determined in accordance with the protocol of Wakayoshi et al. is a non-invasive means of estimating the swimming speed equivalent to a blood lactate concentration of 4 mmol . l(-1) in children aged 10-12 years; and (2) to establish whether standard of performance has an effect on its determination. Sixteen swimmers were divided into two groups: beginners and trained. They initially completed a protocol for determination of speed equivalent to a blood lactate concentration of 4 mmol . l(-1). Later, during training sessions, maximum efforts were swum over distances of 50, 100 and 200 m for the calculation of the critical speed. The speeds equivalent to a blood lactate concentration of 4 mmol . l(-1) (beginners = 0.82 +/- 0.09 m . s(-1), trained = 1.19 +/- 0.11 m . s(-1); mean +/- s) were significantly faster than the critical speeds (beginners = 0.78 +/- 0.25 m . s(-1), trained = 1.08 +/- 0.04 m . s(-1)) in both groups. There was a high correlation between speed at a blood lactate concentration of 4 mmol . l(-1) and the critical speed for the beginners (r = 0.96, P < 0.001), but not for the trained group (r = 0.60, P > 0.05). The blood lactate concentration corresponding to the critical speed was 2.7 +/- 1.1 and 3.1 +/- 0.4 mmol . l(-1) for the beginners and trained group respectively. The percent difference between speed at a blood lactate concentration of 4 mmol . l(-1) and the critical speed was not significantly different between the two groups. At all distances studied, swimming performance was significantly faster in the trained group. Our results suggest that the critical speed underestimates swimming intensity corresponding to a blood lactate concentration of 4 mmol . l(-1) in children aged 10-12 years and that standard of performance does not affect the determination of the critical speed.

Avaliação ultrassonográfica dos efeitos da acupuntura na involução uterina em cadelas

The aim of this study was to evaluate, by means of ultrasound exam, acupuncture effects on uterine involution during the postpartum period in bitches with electroacupuncture. The phenomenon of eutocic uterine involution was studied in 16 bitches, randomly divided into two groups of eight animals each. Group 1 (G1) was treated with electric stimulation (electroacupuncture) of the needle at the points SP6, L3, Bai Hui, TB1, B23, B26, and group 2 (G2), the control group, received treatment in Sham points (placebo points), also with electrical stimuli. The monitoring of the phenomenon of uterine involution was performed by ultrasonography on days 0 (partum), 1, 3, 7 and 14 postpartum. We used SAS statistical analysis method, in order to compare the groups. The results of ultrasound examinations (mean and standard deviations in cm) for the period of observation were as follows: G1: 0.30 ± 0.01 (P), 2.08 ± 0.21 (LU), 4.13 ± 0.23 (DU) and G2: 0.31 ± 0.01 (P) 1.82 ± 0.09 (LU), 3.92 ± 0.11 (DU). We concluded that electroacupuncture affected uterine tone (lasting and uniform at the end of treatment). Electroacupuncture produces a positive tone in the uterus, aiding at the prevention of puerperal diseases.

Convergencias y divergencias respecto de las poéticas de la década del '60 en tres proyectos de escritura : César Fernández Moreno, Joaquín Giannuzzi y Alfredo Veiravé

La crítica especializada reconoce dos líneas dominantes en el campo intelectual argentino a partir de las producciones de las décadas del sesenta y sus prolongaciones en los setenta, aunque ambas se inscribirían en una genealogía que implica dos modos diferentes de leer la dicotomía arte/vida, una de las tensiones en las estéticas de las vanguardias históricas. Una de ellas, iniciada en los años cincuenta en torno de la famosa revista Poesía Buenos Aires, dirigida por Raúl Gustavo Aguirre, emerge como consecuencia, principalmente, del procesamiento de la vanguardia francesa [especialmente el surrealismo] y podría ser caracterizada como trascendentalismo poético [Calabrese: 2001 y 2002], un aspecto de la ideología del arte que, representado en plenitud por los poetas llamados "malditos", concibe a la poesía como un modo de vida y al poeta como vate, un ser singular, que se constituye en la poesía misma y que atisba un universo diferente al de la cotidianeidad. Mientras que la segunda de las líneas mencionadas, -surgida entre 1955, con "El solicitante descolocado" de Leónidas Lamborghini y prolongada hasta los '70- conocida como la de los "sesentistas", se instaura en polémica con la índole gratuita y estetizante del arte. Se trata de aproximar el texto a lo que se denominaba el contexto aludiendo a lo histórico-social; para ello se intenta crear un imaginario que establezca una continuidad entre la escritura y un determinado modo de ver el mundo; la literatura, inscripta así en el imperativo sartreano, debe identificarse con la praxis política y con los discursos sociales de procedencia referencial [Dalmaroni: 1993 y 1998]. Ingresan, así, elementos procedentes de la cultura popular [por ejemplo, el tango] y las jergas urbanas que construyen un simulacro de oralidad, como materiales a inscribir en la poesía, enfatizando su índole "antiliteraria": tales elementos, al desplazarse de su contexto de procedencia, generan un efecto de extrañamiento, apto para promover una estimulación de la conciencia crítica y develar los ideologemas vigentes. En este contexto, se trata de problematizar la generalización de esta periodización dicotómica, mediante el estudio de las obras de los tres poetas mencionados, instaladas en un espacio de cruce e hibridaciones entre estos mandatos y la vertiente experimental o más intelectual, por lo que no responderían a los rasgos dominantes que permitirían inscribirlos en uno u otro extremo del campo diseñado.

Textos y contextos en narraciones orales de migrantes provincianos

La tesis se centra en el estudio de las narraciones orales de migrantes provincianos, afincados en el conurbano platense, desde 1940. Las narraciones orales se denominan, en esta tesis, de retroalimentación ya que narradores y receptores recrean su origen, sus estrategias de reinserción en una nueva comunidad y de supervivencia de sus tradiciones. Estos textos han sido considerados de acuerdo con su problemática genérica (Bajtin; 1979) como narraciones de ficción (cuentos, chistes, fábulas) y de no-ficción (crónicas personales, anécdotas) y, asimismo, observar procesos de entextualización, cuando una misma narración presenta caracteres de ambas clasificaciones. De este modo, cada texto delimita su género en la situación de narración (Bauman y Briggs: 2003) Dichas narraciones deben ser analizadas por sus contextos de enunciación (Bausinger: 1988, 8-28). Los contextos de enunciación, según Hermann Bausinger, son textual, la conversación en sí misma, situacional, las circunstancias de emisores y receptores, social, del grupo de narración, de su grupo de pertenencia y de los grupos con los que interactúa, y societal, en cuanto a las relaciones con la sociedad mayoritaria son fundamentales al punto de que dos versiones de una misma narración se analizan de acuerdo con contextos de enunciación diferentes, con significaciones sociales disímiles. Dentro de los contextos de enunciación, la tesis propone el análisis del contexto ideológico (Coto: 2008), como signo de la intersubjetividad entre narradores y receptores. El contexto ideológico se analiza a partir de la selección de lexemas relevantes con sus definiciones contextuales, para constituir redes de enunciados, que revelan la ideología de narradores y receptores. La tesis propone establecer una matriz ideológica individual y grupal, observando los lexemas recurrentes en versiones de una misma narración, sus adiciones, supresiones y cambios de significación. Además, los textos puede compararse de acuerdo con sus relaciones intratextuales, intertextuales y extratextuales, en el marco de la genética textual (Palleiro: 2004). Finalmente, la tesis propone una metodología de análisis de las narrativas orales, en el marco de la cultura popular, tradicional y folklórica, con la observación de estrategias narrativas y macrorreglas (Van Dijk: 1983), estilo y (Kerbrat-Orecchioni: 1983) y representatividad sociolingüística. (Van Dijk: 1999 y Magariños: 1993). Estas consideraciones prueban la importancia de esta tesis para los intelectuales dedicados al análisis del discurso y a la interpretación de discursos sociales de grupos minoritarios, es decir, docentes, narradores orales, sociólogos y antropólogos. Asimismo, puede ser muy útil para animadores culturales y comunicadores sociales. La tesis postula continuar estos estudios, observando las relaciones entre narrativas de ficción y de no ficción, como el rumor, la leyenda urbana y la crónica periodística

La emergencia de la novela en la Argentina : 1880-1890

Fil: Espósito, Fabio. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

Lecturas de la tradición en la poesía argentina de los noventa

Fil: Yuszczuk, Marina. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

De cuerpos y territorios. Itinerarios de la Patagonia Austral en la narrativa argentina reciente (1982-2008)

Fil: Gasel, Alejandro Fabián. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.