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Increased Nitrogen Retention after Trans-Operative Intravenous Amino Acid and Glucose Infusion, without Changes in Urinary Amino Acid, Adrenaline and Plasma Urea or Glucose

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Health 2014年第10期6卷 1012-1018页

作者： Ernann Tenorio Albuquerque-Filho mario jorge juca Gilberto Joao Padovan Julio Sergio Marchini Division of Nutrology Department of Internal Medicine Faculty of Medicine of Ribeir&atilde o Preto University of S&atilde o Paulo Ribeir&atilde o Preto Brazil Maceió University Hospital Coloproctology Alagoas Federal University Maceió Brazil Maceió University Hospital Federal University and Coordination Alagoas State Urgency Service Maceió Brazil

Objective: Nutritional deficiencies are associated with increased morbidity and mortality during and after surgery. The present study evaluated nitrogen retention after transoperative intravenous infusion of amino acids and glucose. Design: Prospective study. Setting: Large community hospital. Patients: 18 randomly chosen patients undergoing medium or major surgeries. Interventions and Measurements: The experimental design included a 12-hour period before surgery (P1), a trans-operative period of 6 hours (P2), an early postoperative period (P3, 18 hours), and a late postoperative period (P4, 24 hours). Urinary amino acid and nitrogen were analyzed from P1 through P4. Group I, nine patients, received Ringer’s lactate solution with 5% glucose, and Group II, another nine patients, received a 6.6% amino acid and 16.6% glucose solution over a 6-hour trans-operative period (P2) starting from the anesthesia procedures. All surgical procedures lasted a maximum of 3 hours. Results: There was no statistically significant difference in urinary amino acid or adrenaline excretion between P1 and P4 in either group. Nitrogen excretion values were also similar for both groups, i.e., 0.39 ± 0.16 and 0.39 ± 0.28 g/hour, respectively. The nitrogen balance showed greater nitrogen retention (﹣0.25 ± 0.24 g/hour) in the group receiving the amino acid infusion compared to the group receiving Ringer’s lactate solution (﹣0.59 ± 0.26 g/hour) (P < 0.05). Blood plasma urea nitrogen and glycaemia did not increase at the end of the study (P4 period) in either group. Conclusion: These data indicate that trans-operative infusion of glucose and amino acids can be beneficial for patients submitted to surgical stress in terms of nitrogen retention.

关键词： Nutrition Surgery Protein Metabolism Amino Acids Adrenaline

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Trials of testosterone replacement reporting cardiovascular adverse events

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Asian Journal of Andrology 2018年第2期20卷 131-137页

作者： Thiago Gagliano-juca Shehzad Basaria Research Program in Men's Health: Aging and Metabolism Brigham and Women's Hospital Harvard Medical School Boston MA 02115 USA

The numbers of testosterone prescriptions written have increased several-fold worldwide, but the incidence of pathological hypogonadism due to hypothalamic, pituitary, and testicular disease has remained unchanged. Most of these prescriptions are being dispensed to middle-aged and older men who have experienced age-related decline in serum testosterone levels; a subset of the population in which benefits of testosterone replacement is at best, modest. Recently, some randomized controlled trials have reported increased cardiovascular events in men （mainly older men and those with prevalent cardiovascular disease） with testosterone use, and a few recent meta-analyses have confirmed these findings, in this review, we discuss trials of testosterone therapy that have reported higher cardiovascular events, relevant trials that have not reported increased cardiovascular events and large trials that have focused on cardiovascular risk （mainly atherosclerosis progression） as their main outcome. We also review findings from meta-analyses that have evaluated cardiovascular events in various testosterone trials. Finally, we discuss some potential mechanisms by which testosterone use might result in an increased cardiovascular risk. As none of the trials conducted to date were adequately powered to evaluate cardiovascular events, no firm conclusions can be drawn regarding the cardiovascular safety of testosterone therapy at this time. In the interim, we hope that this review will help practitioners make informed decisions regarding the care of their patients.

关键词： atherosclerosis cardiovascular frailty testosterone thromboembolism

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Evaluation of antibiotic activity produced by Pseudomonas aeruginosa LV strain against Xanthomonas arboricola ***

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Agricultural Sciences 2014年第1期5卷 71-76页

作者： Fernanda Corrêa da Silva Vasconcellos Admilton Gonçalves de Oliveira Lucilene Lopes-Santos Jamile Priscila de Oliveira Beranger Martha Viviana Torres Cely Ane Stefano Simionato Juliana Fonteque Pistori Flavia Regina Spago João Carlos Palazzo de Mello juca Abramo Barrera San Martin Celia Guadalupe Tardeli de Jesus Andrade Galdino Andrade Departamento de Microbiologia Laboratório de Ecologia MicrobianaUniversidade Estadual de LondrinaLondrinaBrazil Departamento de Farmácia e Farmacologia Laboratório de Produtos FitoterápicosUniversidade Estadual de MaringáMaringáBrazil Departamento de Biologia Geral Laboratório de Microscopia e MicroanáliseUniversidade Estadual de LondrinaLondrinaBrazil

Bacterial spot caused by Xanthomonas arboricola pv. pruni (Xap) is considered as a major problem in peach orchards. Copper and antibiotics are used to control, and biocontrol should be a new alternative with low environment impact. The objective was evaluated by the antibiotic activity of the metabolite produced by Pseudomonas aeruginosa LV strain. The free cells supernatant was fractionated with a serial organic solvent with crescent polarity and a dichloromethane phase was concentrated and lyophilised, and after was fractionated using vacuum liquid chromatography. The antibiotic activity of the F3 fraction containing an organometallic compound was tested on Xap in vitro and in a greenhouse conditions. Plants were sprayed with F3 before or after Xap infection and the results showed changes in exopolysaccharides and cell morphology. The F3 concentration of 450 μg·mL-1 was more effective. The results showed that F3 fraction could be a new alternative to control bacterial spot.

关键词： Peach Tree Bacterial Spot Biological Control Leaf Lesions Xanthomonas arboricola Pv.pruni

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Managerial Compensation Program and Capital Structure： An Empirical Study of Brazilian Companies

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Journal of Modern Accounting and Auditing 2012年第2期8卷 147-160页

作者： Maria Aparecida Gouvea Jose Roberto F. Savoia Michele N. juca Ligia N. C. Fonseca University of Silo Paulo Brazil

The agency theory indicates the existence of costs as a way to mitigate conflicts between shareholders and managers, including: managerial compensation program, acquisition of shares by managers, monitoring of executives, and controlling shareholders. This study aims to determine the relevance of some variables related to compensation programs and of other determinants of the corporate debt level. It has considered a sample of 89 firms, which were analyzed through logistic regression (cross section). The model created has indicated a level of predictive assertiveness of approximately 87%.

关键词：资本结构管理人员 Logistic回归分析巴西补偿方案成本管理模型表示经理人

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