993 resultados para Luke 4:14-21


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Prolonged intermittent renal replacement therapy (PIRRT) has emerged as an alternative to continuous renal replacement therapy in the management of acute kidney injury (AKI) patients. This trial aimed to compare the dialysis complications occurring during different durations of PIRRT sessions in critically ill AKI patients. We included patients older than 18 years with AKI associated with sepsis admitted to the intensive care unit and using noradrenaline doses ranging from 0.3 to 0.7 mu g/kg/min. Patients were divided into two groups randomly: in G1, 6-h sessions were performed, and in G2, 10-h sessions were performed. Seventy-five patients were treated with 195 PIRRT sessions for 18 consecutive months. The prevalence of hypotension, filter clotting, hypokalemia, and hypophosphatemia was 82.6, 25.3, 20, and 10.6%, respectively. G1 was composed of 38 patients treated with 100 sessions, whereas G2 consisted of 37 patients treated with 95 sessions. G1 and G2 were similar in male predominance (65.7 vs. 75.6%, P=0.34), age (63.6 +/- 14 vs. 59.9 +/- 15.5 years, P=0.28) and Sequential Organ Failure Assessment score (SOFA; 13.1 +/- 2.4 vs. 14.2 +/- 3.0, P=0.2). There was no significant difference between the two groups in hypotension (81.5 vs. 83.7%, P=0.8), filter clotting (23.6 vs. 27%, P=0.73), hypokalemia (13.1 vs. 8.1%, P=0.71), and hypophosphatemia (18.4 vs. 21.6%, P=0.72). However, the group treated with sessions of 10h were refractory to clinical measures for hypotension, and dialysis sessions were interrupted more often (9.5 vs. 30.1%, P=0.03). Metabolic control and fluid balance were similar between G1 and G2 (blood urea nitrogen [BUN]: 81 +/- 30 vs. 73 +/- 33mg/dL, P=1.0; delivered Kt/V: 1.09 +/- 0.24 vs. 1.26 +/- 0.26, P=0.09; actual ultrafiltration: 1731 +/- 818 vs. 2332 +/- 947mL, P=0.13) and fluid balance (-731 +/- 125 vs. -652 +/- 141mL, respectively) . In conclusion, intradialysis hypotension was common in AKI patients treated with PIRRT. There was no difference in the prevalence of dialysis complications in patients undergoing different durations of PIRRT.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Inorganic phosphorus (Pi) usually controls the P availability in tropical soils, but the contribution of organic P (Po) should not be neglected, mainly in systems with low P input or management systems that promote organic matter accumulation. The aims of this study were to evaluate the changes in the Po fractions over time in soil fertilized and not fertilized with cattle manure and to correlate Po forms with available P extracted by anion exchange resin. The experiment was carried out under field conditions, in a sandy-clay loam Haplustox. The experimental design was a 2 x 9 randomized complete block factorial design, in which the first factor was manure application (20 t ha(-1)) or absence, and the second the soil sampling times (3, 7, 14, 21, 28, 49, 70, 91, and 112 days) after manure incorporation. Labile, moderately labile and non-labile Po fractions were determined in the soil material of each sampling. Manure fertilization increased the Po levels in the moderately labile and non-labile fractions and the total organic P, but did not affect the Po fraction proportions in relation to total organic P. On average, 5.1 % of total Po was in the labile, 44.4 % in the moderately labile and 50.5 % in the non-labile fractions. Available P (resin P) was more affected by the manure soluble Pi rather than by the labile Po forms. The labile and non-labile Po fractions varied randomly with no defined trend in relation to the samplings; for this reason, the data did not fit any mathematical model.

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This project aimed to relate the efficiency of control of ACCase inhibiting herbicides applied post-emergence in Cenchrus echinatus under different soil water contents. The experiments were conducted in a greenhouse, with the application of three different herbicides (fluazifop-p-butyl, haloxyfop-methyl and sethoxydim + oil Assist) and the experimental design for each herbicide was completely randomized design with four replications, consisting a 3 x 4 factorial, with the combination of water management strategies (-0.03, -0.07 and -1.5 MPa) and four doses of these products (100, 50, 25 and 0% of the recommended dose). Herbicide application was made at vegetative stage of 2-3 tillers. The water management strategies were initiated in the development stage of two leaves, replacing the water until the soil reaches the potential of -0.01 MPa, when it came to severe pre-determined for each water management. The physiological parameters evaluated were: photosynthetic rate, stomatal conductance, transpiration, leaf temperature and plant dry matter. The visual assessments of phytotoxicity were performed at 7, 14, 21 and 28 days after application. The efficiency of these herbicides was influenced by soil management and water lowest in plants grown in the minimal potential of water in the soil of -1.5 MPa. All the herbicides were unsatisfactory controls in applications late (2-3 tiller plants).

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Fueron conducidos dos experimentos individuales en el municipio de Mossoró, Rio Grande do Norte, Brazil. Se empleó dos cultivares de melón, ‘Olimpic express’ (del tipo Cantaloupo) e ‘Iracema’ (del tipo Amarillo), para evaluar el crecimiento y la acumulación de macronutrientes, bajo el diseño de bloques al azar con siete tratamientos (épocas de muestreo) y tres repeticiones. Los muestreos de plantas fueron realizados a los 14, 21, 28, 35, 42, 49 y 56 días después del trasplante (DDT). El crecimiento fue lento hasta 28 DDT en ambos cultivares evaluados, intensificándose en el periodo siguiente, alcanzando a los 56 DDT, 246.4g planta-1 , en ‘Olimpic express’,y 266.9 g planta-1, en ‘Iracema’, siendo la materia seca (MS) de los frutos correspondientes a 60% y 64% de la MS total, respectivamente. Mayores acumulaciones de N, P y K fueron obtenidos en los frutos, mientras de Ca, Mg y S en las hojas. Al final del ciclo, en ‘Olimpic express’, cuya productividad fue de 32 t ha-1, fueron acumulados 173.4, 110.1, 101.1, 26.9, 15.6 y 13.5 kg ha-1 de K, Ca, N, Mg, S y P, respectivamente, y en ‘Iracema’, cuya productividad fue de 38 t ha-1, fueron acumulados 136.0, 93.9, 84.1, 22.6, 15.4 y 9.5 kg ha-1 de K, N, Ca, Mg, S y P, respectivamente. En relación al total acumulado, las exportaciones de N, P, K, Ca, Mg y S en los frutos fueron de 61, 73, 66, 9, 35 y 39% (‘Olimpic express’)y 58, 70, 55, 6, 33 y 41% (‘Iracema’). Con una menor producción de frutos y una mayor acumulación de nutrientes, ‘Olimpic express’ ha demostrado ser menos eficiente en el uso de nutrientes que ‘Iracema’.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Two different methods for isolation of islet of Langerhans on control of metabolic abnormalities of alloxan-induced diabetic rat were tested. Sixty rats were randomly assigned to four experimental groups: GI included 10 non-diabetic control rats, GII included 10 diabetic control rats, without treatment, GIII included 20 diabetic rats (10 inbred and 10 outbred rats) that received islet of Langerhans transplantation (ILT) using islet cells prepared by collagenase, and GIV included 20 diabetic rats (10 inbred and 10 outbred rats) submitted to ILT using islet cells prepared by nonenzymatic method. Clinical and laboratory parameters at beginning and 4, 7, 14, 21 and 30 days of follow-up were recorded. Outbred rats were immunosuppressed with cyclosporin A, diabetes was induced by e.v. alloxan administration, and islet cells were isolated from normal donor Lewis rats and injected into the portal vein. ILT corrected the body weight gain, polyuria, polydipsia, polyphagia, and the high levels of blood and urine glucose in 73.7% of rats treated by enzymatic method and in 64.7% of those ones treated by nonenzymatic method. However, there was no significantly difference between the two methods (P > 0.50). We did not also observe significantly difference between the two methods when ILT was performed either in inbred or outbred rats. We concluded that ILT performed by nonenzymatic method may be an alternative treatment for diabetes due to be less expensive and to have possible advantages in the isolation process.

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The contractions of the rat vas deferens in response to noradrenaline are mediated through alpha(1A)-adrenoceptors. We observed participation of alpha(1B)-adrenoceptors in these contractions after castration. We now investigated the time course of this plasticity and the effects of testosterone by determining the actions of competitive antagonists on noradrenaline-induced contractions after 7, 14, 21 and 30 days of castration. BMY 7378 (8-[2-[4-(2-methoxyphenyl)-1-piperazinyl]ethyl]-8-azaspiro[4.5]decane-7,9-dione dihydrochloride) antagonised noradrenaline-induced contractions in control and castrated rats with low pA(2) values (approximately = 6.8). In control vas deferens, WB 4101 (2-(2,6-dimethoxyphenoxyethyl)aminomethyl-1,4-benzodioxane hydrochloride) had a slope in the Schild plot no different from 1.0, while slopes lower than 1.0 (approximately 0.6) were observed for vas deferens from castrated rats. Chloroethylclonidine was ineffective in the control vas while it inhibited noradrenaline-induced contractions in vasa from castrated rats and converted the complex antagonism by WB 4101 into simple competitive antagonism. Treatment of castrated rats with testosterone prevented the effects of castration. The results suggest that alpha(1B)-adrenoceptors are detectable in vas deferens from at least the 7th through the 30th day after castration and that testosterone prevents this plasticity.

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