Consistent reduction of postprandial glucagon and insulin by lixisenatide in the GetGoal clinical trial programme

Background and aims: Glucagon-like peptide-1 (GLP-1) receptor agonists improve islet function and delay gastric emptying in subjects with type 2 diabetes mellitus. We evaluated 2-hour glucose, glucagon and insulin changes following a standardized mixed-meal tolerance test before and after 24 weeks of treatment with the once-daily prandial GLP-1 receptor agonist lixisenatide (approved for a therapeutic dose of 20 μg once daily) in six randomized, placebo-controlled studies within the lixisenatide Phase III GetGoal programme. In the studies, the mixed-meal test was conducted before and after: (1) lixisenatide treatment in patients insufficiently controlled despite diet and exercise (GetGoal-Mono), (2) lixisenatide treatment in combination with oral antidiabetic drugs (OADs) (GetGoal-M and GetGoal-S), or (3) lixisenatide treatment in combination with basal insulin ± OAD (GetGoal-Duo 1, GetGoal-L and GetGoal-L-Asia).Materials and methods: A meta-analysis was performed (lixisenatide n=1124 vs placebo n=707) combining ANCOVA least squares (LS) mean values using an inverse variance weighted analysis. Results: Lixisenatide significantly reduced 2-hour postprandial glucose from baseline (LS mean difference vs placebo: -4.9 mmol/L, p<0.0001, Figure) and glucose excursions (LS mean difference vs placebo: -4.5 mmol/L, p<0.0001). As measured in two studies, lixisenatide also reduced postprandial glucagon (LS mean difference vs placebo: -19.0 ng/L, p<0.0001) and insulin (LS mean difference vs placebo: -64.8 pmol/L, p<0.0001), although the glucagon/insulin ratio was increased (LS mean difference vs placebo: 0.15, p=0.02) compared with placebo. Conclusion: The results show that lixisenatide potently reduces the glucose excursion after meal ingestion in subjects with type 2 diabetes, in association with marked reductions in glucagon and insulin levels. It is suggested that diminished glucagon secretion and slower gastric emptying contribute to reduced hepatic glucose production and delayed glucose absorption, enabling postprandial glycaemia to be controlled with less demand on beta-cell insulin secretion. Clinical Trial Registration Number: NCT00688701; NCT00712673; NCT00713830; NCT00975286; NCT00715624; NCT00866658 Supported by: Sanofi

Location and ages of terrestrial peatlands located on continental shelves and in coastal sediments

This synthesis dataset contains records of freshwater peat and lake sediments from continental shelves and coastal areas. Information included is site location (when available), thickness and description of terrestrial sediments as well as underlying and overlying sediments, dates (when available), and references.

The Relationship Between Cadwaladerite Al(OH)2Cl∙4H2O and Lesukite Al2(OH)5Cl∙2H2O as Investigated by SEM, PXRD, FTIR and Raman Spectroscopy

Cadwaladerite (Al(OH)2Cl∙4H2O) collected from Cerro Pintados, Chile described by Gordon in 1941 is designated as “doubtful” by the IMA. Material collected from the same locality in 2015 resembling the description of cadwaladerite gave a powder XRD pattern similar to lesukite (Al2(OH)5Cl∙2H2O). However, Gordon provided no X-ray data for his material from Cerro Pintados. In order to determine whether cadwaladerite and lesukite are the same mineral species, measurements were made on a suite of samples from various localities. A portion of the material collected by Gordon in 1941 was also obtained from the Mineralogical Museum of Harvard University. Type material of lesukite from a fumarolic environment at the Tolbachik Fissure in Kamchatka, Russia was obtained as well as lesukite from the Maria Mine, Chile (Arica Province) and a previously undescribed locality for lesukite (Barranaca del Sulfato, Mejillones Peninsula, Antofagasta Province). All samples are yellow to yellow-orange in colour and all exhibit small cubic crystals (up to 50µm), even Gordon’s cadwaladerite which was thought to be amorphous. The Chilean samples are all associated with halite and sometimes with anhydrite. These five samples were studied by SEM, FTIR, powder XRD, and Raman spectroscopy. A ratio of Al:Cl less than or equal to 1.3:1 was observed for all the samples, including measurements made on lesukite from the Russian locality Vergasova et al. studied in 1997, and determined to have a 2:1 ratio. SEM-EDS analyses also show all samples to have minor iron substitution, as well as copper substitution in two samples. FTIR spectra are very similar for all samples. Raman spectroscopy done on both samples collected in Cerro Pintados and the Russian lesukite gave similar spectra. Powder XRD analyses on all samples showed spectra identified to be lesukite, including Gordon’s cadwaladerite. Crystal cell parameters calculated from powder XRD ranged from 19.778Å to 19.878Å. Results using modern instrumental techniques confirm Gordon’s cadwaladerite, collected in 1939 and described in 1941, and lesukite are the same mineral species.

Latina Super-heroines: Hot Tamales in Tights vs. Women Warriors, Wrestlers and Guerrilla Fighters of La Raza

The year 1977 saw the making of the first Latino superhero by a Latino artist. From the 1980s onwards it is also possible to find Latina super-heroines, whose number and complexity has kept increasing ever since. Yet, the representations of spandexed Latinas are still few. For that reason, the goal of this paper is, firstly, to gather a great number of Latina super-heroines and, secondly, to analyze the role that they have played in the history of American literature and art. More specifically, it aims at comparing the spandexed Latinas created by non-Latino/a artists and mainstream comic enterprises with the Latina super-heroines devised by Latino/a artists. The conclusion is that whereas the former tend to conceive heroines within the constraints of the logic of Girl Power, the latter choose to imbue their works with a more daring political content and to align their heroines with the ideologies of Feminism and Postcolonialism.

Building capacity in the parliaments of Jordan and Morocco : an institutional approach

This thesis examines the parliaments of Jordan and Morocco within an institutional approach. Previous studies of the Middle East and North Africa [MENA] parliaments tended to identify some trends, but most were concerned with the governments’ behaviour rather than examining the extent to which these institutions were working and what their capacity was. This thesis takes an institutional approach as the context for assessing the role of these parliaments, considering in particular their committees and administrative systems. The study emphasizes capacity building to complement the institutional approach adopted. Taking an institutional approach and considering capacity building in the two parliaments the dynamics of environmental factors, the constraints on committees, and administrative capabilities are examined. With this approach, it is possible to identify factors that shaped the current work of the two parliaments ranging from the environment, regulations, political system, and the economic and social identities that may influence the way these parliaments operate. This approach also reveals some of the strengths and weaknesses of the parliamentary practices and the administrative supporting services undertaken, including an explanation of how these parliaments are operating under their respective governing systems. This research offers an empirical study of the chosen parliaments by acknowledging the current levels of capacity and trying to contextualise their identities and capabilities. The findings demonstrate that the institutional approach and capacity building in the two parliaments is highly influenced by a variety of arrangements of legislatures along with the environmental factors affecting the two parliaments’ way of work. This research contributes to institutional and capacity building studies, particularly on the development of parliamentary institutions in the MENA region. This approach recommends the need to undertake further case studies involving other parliaments in the MENA region particularly those accommodating the political transformation towards a new era of vibrant new democracies, not only by rearranging institutional structures, practices and support, but also through cognitive, discursive, and social participation in the two countries’ most prominent institutions – their parliaments.

Comportamento do herbicida hexazinone em área de recarga do Aqüífero Guarani cultivada com cana-de-açúcar.

THE BEHAVIOR OF HEXAZINONE HERBICIDE IN RECHARGE ZONE OF GUARANI AQUIFER WITH SUGARCANE CULTIVATED AREA. São Paulo state (Brazil) has an important area of sugarcane production, mainly for obtaining alcohol and sugar, where there is an intensive use of pesticides. An important recharge zone of Guarani aquifer, with supplies water for the local population, is located at Ribeirão Preto city, so the local behavior of pesticides must be investigated. The GUS index was obtained by using the paramenters Koc and half-life for hezazinone herbicide, determinated in representative soil of this region. This study has demonstrated that there is potential risks of hexazinone leaching to ground water, indicating that this herbicide must be monitored in ground water.

Desenvolvimento e validação de métodos para a determinação de agrotóxicos em água e solo das áreas de recarga de Aquífero Guarani, na região das nascentes do Rio Araguaia, MT/GO.

Abstract: The area near the Araguaia River, between Goiás and Mato Grosso States, is the location of a portion of the recharging of the Guarani Aquifer, which is one of the world¿s largest aquifer systems and an important source of drinking water. This reservoir could be threatened by the widespread use of pesticides in maize and soybean cultivation in this area. Thus, this work developed analytical methods for the determination of imazethapyr, nicosulfuron, imazaquin, carbofuran, atrazine, linuron, clorimuronethyl and diflubenzuron, pesticides used in maize and soybean cultivation. Pesticide separation, identification and quantification were performed using High-Performance Liquid Chromatography with Diode Array Detection (HPLC-DAD) and Liquid Chromatography-Electrospray Ionization Tandem Mass Spectrometry (LC-ESI-MS/MS). Solid Phase Extraction (SPE) with C18 sorbents was optimized for sample extraction from water. Soil samples were extracted by mechanical shaking, sonication or microwave-assisted extraction with industrial and home microwave ovens. Methods were validated resulting in limits of quantification (LOQ) for the pesticides in water in the range of 0.015-0.1 ng mL, using SPE-HPLC-DAD, and 0.01 ng mL using LC-ESI-MS/MS. LOQ of 1 ng mL for all pesticides in soil were achieved using the home microwave oven and LC-ESI-MS/MS. Recoveries for pesticides with all methods were in the range 70-120 %. Relative standard deviations for repeatability and intermediate precision were less than 15 %. SPEHPLC- DAD and LC-ESI-MS/MS were employed for the analysis of samples of water from the recharge area and most of the pesticides were detected at concentrations below the minimum residue limit (MRL) of 0.1 ng mL established by the European Community. The home microwave oven and LC-ESI-MS/MS were used for the analysis of soil samples from two other regions of Brazil and the pesticides were not detected in these samples. Adsorption and desorption parameters were determined for imazethapyr, imazaquin, nicosulfuron and chlorimuron-ethyl, indicating that these pesticides have little affinity for the soil of the region of the Guarani Aquifer recharge, and show significant leaching potential, according to the ground water ubiquity score (GUS index) for these pesticides.

Pedagogías lúdicas para la paz: una mirada a las percepciones de violencia en niñas y niños de Ciudad Bolívar

En esta investigación indagué sobre la influencia del entorno en las concepciones sociales que se forma el sujeto (en este caso los niños) frente a distintas realidades y situaciones de su cotidianidad, los elementos que están presentes en sus formas de interacción más cotidianas, y hasta dónde herramientas como la educación con enfoque lúdico y social pueden o no modificar prácticas y percepciones en el individuo. Para ello, la investigación se centra en tres conceptos claves: violencia, educación, y paz. Y hacia el final del trabajo se planta una propuesta de currículo para una educación para la paz basada en la formación de la persona social, desde el enfoque de la paz negativa.

Treino de força em Seco para nadadores

O desempenho em natação pura desportiva (NPD) está dependente da combinação de vários fatores, nomeadamente biomecânicos, energéticos, táticos e psicológicos (Barbosa et al., 2010), estando o sucesso desportivo altamente relacionado com a condição física dos nadadores, particularmente ao nível da força e potência musculares. Tendo em consideração a multiplicidade de eventos competitivos em NPD, a in uência da força parece ser mais determinante em provas de distância curta (Stager e Coyle 2005 Morouço et al, 2011a) pois, através da utilização de uma variedade de equipamentos de teste, tem-se demonstrado que a musculatura dos membros superiores e correspondente força e potência musculares estão fortemente relacionadas com a velocidade de nado (Aspenes et al., 2009 Morouço et al., 2015). Assim sendo, melhorias ao nível da força, nomeadamente dos membros superiores, poderão resultar numa maior força máxima exercida por ciclo de nado, visando uma maior velocidade média de nado (Strzala e Tyka, 2009 Morouço et al., 2011a). O treino de força no meio terrestre (comummente designado por “treino em seco”) deverá ter como principais objetivos melhorar o rendimento desportivo e prevenir lesões (Batalha et al., 2015). No entanto, a literatura sobre os benefícios do treino de força e condição física em seco para nadadores apresenta resultados inconclusivos (Tanaka et al., 1993 Trappe e Pearson, 1994 Girold et al., 2007 Garrido et al., 2010), sendo necessária uma melhor compreensão dos métodos e procedimentos desta área de treino, para uma melhor prescrição do processo de treino (dependente da fase de preparação desportiva). Neste capítulo, pretende-se apresentar uma revisão crítica da literatura sobre os efeitos do treino de força em seco no rendimento em natação (sem considerar os efeitos das partidas e viragens), procurando-se resumir o conhecimento existente e estimular pesquisas futuras. Estudos disponíveis na literatura foram recolhidos através das bases de dados (PubMed, Scopus e SPORTDiscus), sendo o termo “swimming” usado como principal palavra-chave, combinado com as palavras “dry-land”, “power”, “force” e “strength”. Com a finalidade de limitar o número de estudos a ser analisados, as palavras referidas foram, ocasionalmente, acopladas. Além disso, referências a atas de congressos relevantes e resumos foram tidas em consideração e acrescentadas à revisão.

THE IMPLICATION OF PLAY AND FANTASY IN THE CONSTRUCTION OF THE MEANING OF CHILDREN’S ENUNCIATION

The aim of this paper is to contribute to the understanding of issues related to the meanings of children's enunciation, considering particularly the role of play and fantasy. To achieve this, we have based ourselves on theoretical and conceptual contributions from the Theory of Enunciative Operations in association with cognitive psychology, through its position towards the construction process of the enunciations and their meaning (CULIOLI, 1990; DE VOGÜÉ, FRANCKEL, PAILLARD, 2011) – and towards interactions characterized as routinized, integrated into the concept of format (BRUNER, 1983), still stressing the relationship between play, fantasy and language in early childhood (WINNICOTT, 1982). Throughout this study we presented the analysis of the speech of a male child, GUS, registered between 24 and 35 months of age, provided by published audiovisual data, recorded and transcribed through the CLAN system, that is part of NALíngua, a databank that is integrated to interdisciplinary research project coordinated by DEL RE (UNESP/FCLAr-CNPq). The analysis focuses on GUS interactions that are observed at the play with different car toys, a themed card game, also about cars, and the animated film's plot “Cars”(PIXAR, DISNEY, 2006), that are presented within a wide range of supports for the child to interact with, stimulating his verbal and nonverbal production. By examining its presence in the process of acquiring structural aspects of the language, we demonstrated how the child is able to adopt representations accessed by the use of words and expressions, due to an intersubjective process of adjustment that integrates fantasies and ludic experiences.