Does an L-glutamine-containing, Glucose-free, Oral Rehydration Solution Reduce Stool Output and Time to Rehydrate in Children with Acute Diarrhoea? A Double-blind Randomized Clinical Trial

This study assessed whether an oral rehydration solution (ORS) in which glucose is replaced by L-glutamine (L-glutamine ORS) is more effective than the standard glucose-based rehydration solution recommended by the World Health Organization (WHO-ORS) in reducing the stool volume and time to rehydrate in acute diarrhoea. In a double-blind, randomized controlled trial in a Mexican hospital, 147 dehydrated children, aged 1–60 month(s), were assigned either to the WHO-ORS (74 children), or to the L-glutamine ORS (73 children) and followed until successful rehydration. There were no significant differences between the groups in stool output during the first four hours, time to successful rehydration, volume of ORS required for rehydration, urinary output, and vomiting. This was independent of rotavirus-associated infection. An L-glutamine-containing glucose-free ORS seems not to offer greater clinical benefit than the standard WHO-ORS in mildly-to-moderately-dehydrated children with acute non-cholera diarrhoea

Does an L-glutamine-containing, Glucose-free, Oral Rehydration Solution Reduce Stool Output and Time to Rehydrate in Children with Acute Diarrhoea? A Double-blind Randomized Clinical Trial

This study assessed whether an oral rehydration solution (ORS) in which glucose is replaced by L-glutamine (L-glutamine ORS) is more effective than the standard glucose-based rehydration solution recommended by the World Health Organization (WHO-ORS) in reducing the stool volume and time to rehydrate in acute diarrhoea. In a double-blind, randomized controlled trial in a Mexican hospital, 147 dehydrated children, aged 1-60 month(s), were assigned either to the WHO-ORS (74 children), or to the L-glutamine ORS (73 children) and followed until successful rehydration. There were no significant differences between the groups in stool output during the first four hours, time to successful rehydration, volume of ORS required for rehydration, urinary output, and vomiting. This was independent of rotavirus-associated infection. An L-glutamine-containing glucose-free ORS seems not to offer greater clinical benefit than the standard WHO-ORS in mildly-to-moderately-de\uadhydrated children with acute non-cholera diarrhoea

Thermographic inspection of impact damage in carbon fiber-reinforcing polymer matrix laminates

Laminados compósitos com matrizes poliméricas, respectivamente termorrígida e termoplástica, fortalecidas com fibras contínuas de carbono foram submetidos a impacto único transversal com diferentes níveis de energia. Os danos impingidos aos materiais estruturais foram avaliados por termografia ativa infravermelha na modalidade transmissão. Em geral, os termogramas do laminado termoplástico apresentaram indicações mais claras e bem definidas dos danos causados por impacto, se comparados aos do compósito termorrígido. O aquecimento convectivo das amostras por fluxo controlado de ar quente se mostrou mais eficaz que o realizado por irradiação, empregando-se lâmpada de filamento. Observou-se também que tempos mais longos de aquecimento favoreceram a visualização dos danos. O posicionamento da face impactada do espécime, relativamente à câmera infravermelha e à fonte de calor, não afetou a qualidade dos termogramas no caso do laminado termorrígido, enquanto que influenciou significativamente os termogramas do compósito termoplástico. Os resultados permitiram concluir que a termografia infravermelha é um método de ensaio não-destrutivo simples, robusto e confiável para a detecção de danos por impacto tão leve quanto 5 J em laminados compósitos poliméricos reforçados com fibras de carbono.Continuous carbon fiber reinforced thermoset and thermoplastic composite laminates were exposed to single transversal impact with different energy levels. The damages impinged to the structural materials were evaluated by active infrared thermography in the transmission mode. In general, the thermoplastic laminate thermograms showed clearer damage indications than those from the thermosetting composite. The convective heating of the samples by controlled hot air flow was more efficient than via irradiation using a filament lamp. It was also observed that longer heating times improved the damage visualization. The positioning of the specimen's impacted face regarding the infrared camera and the heating source did not affect the thermo-imaging of thermosetting specimens, whereas it substantially influenced the thermograms of thermoplastic laminates. The results obtained allow concluding that infrared thermography is a simple, robust and trustworthy methodology for detecting impact damages as slight as 5 J in carbon fiber composite laminates.Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)CNPqMaterials Institute of Brazi

Diacutaneous fibrolysis versus passive stretching after articular immobilisation : muscle recovery and extracellular matrix remodelling

Introduction Atrophy and muscle shortening due to articular immobilisation are common problems in musculoskeletal rehabilitation. Muscle stretching mechanical stimuli might be considered as the golden standard procedure to improve muscle flexibility in rehabilitation. Muscle stretching generates mechanotransduction, potentiating specific gene expression and promotes sarcomerogenesis and extracellular matrix remodelling on shortened and atrophied muscles. Hypothesis Diacutaneous fibrolysis, like stretching, uses an external force to stress connective and muscle tissues mechanically to treat muscle shortening; thus, it is widely used in clinical practice even if there is no evidence to support it. Considering this subject, we have hypothesised that diacutaneous fibrolysis can generate mechanotransduction, affecting muscle hypertrophy and extracellular matrix remodelling after immobilisation. Evaluation of hypothesis We have designed a laboratory experimental study with a sample of 50 rats. The sample was randomly divided into five groups: Control group (n = 10) with non–immobilised rats; 3–week immobilisation group (n = 10); 3–week immobilisation/3–week non–immobilisation group (n = 10);3–week immobilisation/3–week stretching group (n = 10); and 3–week immobilisation/3–week diacutaneous fibrolysis group (n = 10). All rats had their left tibiotarsal joint immobilised in maximum plantar flexion with the orthotics for 3 consecutive weeks. After the immobilisation period, the intervention groups received their respective intervention on their left triceps suralis for 3 weeks. Dependent variables of the study were sarcomere analysis, polymerase chain reaction, connective tissue density, collagen birefringence and matrix metalloproteinases. Statistical analysis was performed using analysis of variance and Duncan post hoc test was applied for differences between groups. For all calculations, a 5% (p < 0.05) significance level was established. Conclusion If the hypothesis is confirmed, the present study might provide evidence to support the use of this physical therapy resource widely used to treat muscle dysfunctions

Actividades corporales de aventura en la escuela: la carrera de orientación como propuesta en el desarrollo de habilidades socioemocionales

Os esportes de aventura quando tematizados nas aulas de Educação Física têm o potencial de despertar fortes emoções, principalmente pelas experiências de risco e aventura, no contexto escolar, a Base Nacional Comum Curricular-BNCC, existe há necessidade de se trabalhar a educação emocional. O objetivo deste estudo foi analisar o comportamento socioemocional dos alunos diante de uma intervenção de corrida de orientação. 39 escolares do ensino médio participaram do estudo. Foi aplicado o questionário Big Five Inventory (BFI) após uma intervenção de corrida de orientação para a avaliação do perfil socioemocional. Foi constado que as maiores médias entre os perfis foram: Abertura (34,59), amabilidade (30,44), conscienciosidade (28,23) (tabela 1). A corrida de orientação, se mostra eficaz no desempenho emocional dos escolares pois os perfis de maior as maiores medias foram para os perfis de: Abertura, amabilidade e conscienciosidade. Está intervenção também atende aos requisitos presentes no BNCC sobre o desenvolvimento emocional como também sobre a necessidade de práticas de aventura para a Educação Física.Adventure sports when thematized in Physical Education classes have the potential to arouse strong emotions, mainly through risk and adventure experiences, in the school context, the National Common Curricular Base-BNCC, there is a need to work on emotional education. The objective of this study was to analyze the socio-emotional behavior of students in the face of an orienteering race intervention. 39 high school students participated in the study. The Big Five Inventory (BFI) questionnaire was applied after an orienteering race intervention to assess the socio-emotional profile. It was found that the highest averages among the profiles were: Openness (34.59), kindness (30.44), conscientiousness (28.23) (Table 1). The orienteering race proves to be effective in the emotional performance of the students because the profiles of the highest the highest averages were for the profiles of: Openness, kindness and conscientiousness. This intervention also meets the requirements present in the BNCC on emotional development as well as on the need for adventure practices for Physical Education.Los deportes de aventura cuando son tematizados en las clases de Educación Física tienen el potencial de despertar emociones fuertes, principalmente a través de experiencias de riesgo y aventura, en el contexto escolar, Base Curricular Común NacionalBNCC, existe la necesidad de trabajar la educación emocional. El objetivo de este estudio fue analizar el comportamiento socioemocional de los estudiantes ante una intervención de carrera de orientación. 39 estudiantes de secundaria participaron en el estudio. Se aplicó el cuestionario Big Five Inventory (BFI) después de una intervención de carrera de orientación para evaluar el perfil socioemocional. Se encontró que los promedios más altos entre los perfiles fueron: Apertura (34,59), amabilidad (30,44), escrupulosidad (28,23) (Tabla 1). La carrera de orientación demuestra ser efectiva en el desempeño emocional de los estudiantes debido a que los perfiles de los más altos los promedios más altos fueron para los perfiles de: Apertura, amabilidad y escrupulosidad. Esta intervención también cumple con los requisitos presentes en el BNCC sobre el desarrollo emocional, así como sobre la necesidad de prácticas de aventura para la Educación Física.Facultad de Humanidades y Ciencias de la Educació

Data sources for drug utilization research in Latin American countries—A cross-national study: DASDUR-LATAM study

Purpose: Drug utilization research (DUR) contributes to inform policymaking and to strengthen health systems. The availability of data sources is the first step for conducting DUR. However, documents that systematize these data sources in Latin American (LatAm) countries are not known. We compiled the potential data sources for DUR in the LatAm region. Methods: A network of DUR experts from nine LatAm countries was assembled and experts conducted: (i) a website search of the government, academic, and private health institutions; (ii) screening of eligible data sources, and (iii) liaising with national experts in pharmacoepidemiology (via an online survey). The data sources were characterized by accessibility, geographic granularity, setting, sector of the data, sources and type of the data. Descriptive analyses were performed. Results: We identified 125 data sources for DUR in nine LatAm countries. Thirty-eight (30%) of them were publicly and conveniently available; 89 (71%) were accessible with limitations, and 18 (14%) were not accessible or lacked clear rules for data access. From the 125 data sources, 76 (61%) were from the public sector only; 46 (37%) were from pharmacy records; 43 (34%) came from ambulatory settings and; 85 (68%) gave access to individual patient-level data. Conclusions: Although multiple sources for DUR are available in LatAm countries, the accessibility is a major challenge. The procedures for accessing DUR data should be transparent, feasible, affordable, and protocol-driven. This inventory could permit a comparison of drug utilization between countries identifying potential medication-related problems that need further exploration.Fil: Lopes, Luciane C.. University Of Sorocaba; BrasilFil: Salas, Daiana Maribel. University of Pennsylvania; Estados UnidosFil: Osorio de Castro, Claudia Garcia Serpa. Fundación Oswaldo Cruz; BrasilFil: Freitas Leal, Lisiane. McGill University; CanadáFil: Doubova, Svetlana V.. Mexican Institute of Social Security; MéxicoFil: Cañás, Martín. Universidad Nacional Arturo Jauretche; Argentina. Federación Médica de la Provincia de Buenos Aires; ArgentinaFil: Dreser, Anahi. Instituto Nacional de Salud Pública; MéxicoFil: Acosta, Angela. Universidad ICESI; ColombiaFil: Oliveira Baldoni, Andre. Federal University of São João Del-Rei; BrasilFil: de Cássia Bergamaschi, Cristiane. University of Sorocaba; BrasilFil: Marques Mota, Daniel. Brazilian Health Regulatory Agency; BrasilFil: Gómez Galicia, Diana L.. Universidad Autónoma del Estado de Morelos; MéxicoFil: Sepúlveda Viveros, Dino. Universidad de Chile; ChileFil: Narvaez Delgado, Edgard. No especifíca;Fil: da Costa Lima, Elisangela. Universidade Federal do Rio de Janeiro; BrasilFil: Chandia, Felipe Vera. Pontificia Universidad Católica de Chile; ChileFil: Ferre, Felipe. Universidade Federal de Minas Gerais; BrasilFil: Marin, Gustavo Horacio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina. Universidad Nacional de La Plata; ArgentinaFil: Olmos, Ismael. State Health Services Administration; UruguayFil: Zimmermann, Ivan R.. Universidade do Brasília; BrasilFil: Fulone, Izabela. University of Sorocaba; BrasilFil: Roldán Saelzer, Juan. Instituto de Salud Pública; ChileFil: Sánchez Salgado, Juan Carlos. No especifíca;Fil: Castro Pastrana, Lucila I.. Universidad de Las Américas de Puebla; MéxicoFil: de Souza, Luiz Jupiter Carneiro. Fundación Oswaldo Cruz; BrasilFil: Machado Beltrán, Manuel. Universidad Nacional de Colombia; ColombiaFil: Tolentino Silva, Marcus. University of Sorocaba; BrasilFil: Mena, María Belén. Universidad Central del Ecuador; EcuadorFil: de França Fonteles, Marta Maria. Universidade Federal do Ceara; BrasilFil: Urtasun, Martín Alejandro. Universidad Nacional Arturo Jauretche; Argentina. Federación Médica de la Provincia de Buenos Aires; Argentin