Efficacy and safety of cumaru syrup as complementary therapy in mild persistent asthma: a double-blind, randomized, placebo-controlled study

Amburana cearensis is a medicinal plant known as "cumaru". It is used in Northeast Brazil in the treatment of respiratory diseases. This was a randomized, double-blind, placebo-controlled study, with the aim of evaluating the efficacy and safety of cumaru syrup as complementary therapy in mild persistent asthma. The study consisted of 3 phases, pre-treatment, treatment and post-treatment. The primary efficacy outcome was comparison of the changes reported by patients of the cumaru and placebo groups after treatment, using the "Asthma Quality of Life Questionnaire" (AQLQ). The secondary outcome was the effect of cumaru syrup on lung function based on spirometry. The results showed that in the cumaru group, the proportion of patients who had global improvement in asthma symptoms was significantly greater (61.90%, P=0.0009) than in the placebo group (9.52%). Only the spirometric parameters Forced Vital Capacity (FVC) and Forced Expiratory Volume in 1 second (FEV1) showed significant intergroup differences in post-treatment (P0.05). Adverse events were reported by 3 patients (14.29%) in the cumaru group and 3 patients (14.29%) in the placebo group. All adverse events were considered non-serious and mild.Amburana cearensis é uma planta medicinal conhecida como "cumaru". No Nordeste do Brasil é usada no tratamento de doenças respiratórias. Este é um estudo randomizado, duplo-cego e controlado por placebo, com o objetivo de avaliar a eficácia e segurança do xarope de cumaru como terapia complementar da asma persistente leve. O estudo consistiu de três fases, pré-tratamento, tratamento e pós-tratamento. A variável primária para determinação da eficácia foi a comparação das mudanças referidas pelos pacientes dos grupos cumaru e placebo após o tratamento, usando o "Questionário sobre Qualidade de Vida na Asma" (QQVA). A variável secundária foi o efeito do xarope de cumaru na função pulmonar baseado na espirometria. Os resultados mostraram que no grupo cumaru, a proporção de pacientes com melhora global dos sintomas da asma foi significativamente maior (61,90%, P=0.0009) que no grupo placebo (9,52%). Somente os parâmetros espirométricos, capacidade vital forçada (CVF) e volume expiratório forçado no primeiro segundo (VEF1), mostraram diferença intergrupo significtivas no pós-tratamento (P0.05). Eventos adversos foram reportados por 3 pacientes (14,29%) no grupo cumaru e 3 (14,29%) no grupo placebo. Todos os eventos adversos foram não sérios e leves

FGFR1 and PROKR2 rare variants found in patients with combined pituitary hormone deficiencies.

The genetic aetiology of congenital hypopituitarism (CH) is not entirely elucidated. FGFR1 and PROKR2 loss-of-function mutations are classically involved in hypogonadotrophic hypogonadism (HH), however, due to the clinical and genetic overlap of HH and CH; these genes may also be involved in the pathogenesis of CH. Using a candidate gene approach, we screened 156 Brazilian patients with combined pituitary hormone deficiencies (CPHD) for loss-of-function mutations in FGFR1 and PROKR2. We identified three FGFR1 variants (p.Arg448Trp, p.Ser107Leu and p.Pro772Ser) in four unrelated patients (two males) and two PROKR2 variants (p.Arg85Cys and p.Arg248Glu) in two unrelated female patients. Five of the six patients harbouring the variants had a first-degree relative that was an unaffected carrier of it. Results of functional studies indicated that the new FGFR1 variant p.Arg448Trp is a loss-of-function variant, while p.Ser107Leu and p.Pro772Ser present signalling activity similar to the wild-type form. Regarding PROKR2 variants, results from previous functional studies indicated that p.Arg85Cys moderately compromises receptor signalling through both MAPK and Ca(2) (+) pathways while p.Arg248Glu decreases calcium mobilization but has normal MAPK activity. The presence of loss-of-function variants of FGFR1 and PROKR2 in our patients with CPHD is indicative of an adjuvant and/or modifier effect of these rare variants on the phenotype. The presence of the same variants in unaffected relatives implies that they cannot solely cause the phenotype. Other associated genetic and/or environmental modifiers may play a role in the aetiology of this condition

Estudos sobre a nutrição mineral do sorgo sacarino (Sorghum bicolor (L) Moench) cv. Brands. II: absorção e redistribuição do radiofósforo

This paper deals with the following aspects of the phosphatic nutrition of sweet sorghum: absorption of radiophosphate as influenced by time of uptake and external concentration; comparative foliar absorption of monoammonium and diammonium phosphate both in the presence and absence of urea; redistribution of previously absorbed and stored phosphate. Data obtained herewith allowed for the following conclusions to be drawn: (1) root absorption increased with time of contact, being higher in the case of excised when compared to roots in intact plants; (2) Michaelis and Menten kinetics are applicable to root uptake, the parameters being different for the two types of root material; (3) the two ammonium phosphates showed the same rate of uptake, which was not influenced by urea; (4) P deficient plants showed highes rates of uptake and translocation.Foi estudada a absorção radicular do radiofósforo sob influência do tempo de contato com a solução e da concentração externa. Foi também estudada a absorção foliar dos fosfatos mono e diamônico isolados e em presença de uréia. A redistribuiçao do P absorvido pelas raízes foi acompanhada através do fracionamento das formas de fósforo nos diversos órgaos da planta analisadas em diferentes períodos

The calibration system for the photomultiplier array of the SNO+ experiment

A light injection system using LEDs and optical fibres was designed for the calibration and monitoring of the photomultiplier array of the SNO+ experiment at SNOLAB. Large volume, non-segmented, low-background detectors for rare event physics, such as the multi-purpose SNO+ experiment, need a calibration system that allow an accurate and regular measurement of the performance parameters of their photomultiplier arrays, while minimising the risk of radioactivity ingress. The design implemented for SNO+ uses a set of optical fibres to inject light pulses from external LEDs into the detector. The design, fabrication and installation of this light injection system, as well as the first commissioning tests, are described in this paper. Monte Carlo simulations were compared with the commissioning test results, confirming that the system meets the performance requirements