Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to <90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], >300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Response of eggplant crop fertigated with doses of nitrogen and potassium

ABSTRACT The objective of the present study was to evaluate the response of eggplant, cv. ‘Ciça’, with respect to yield, number of fruits and dry matter (root and stem), when grown in a greenhouse and conducted under fertigation with nitrogen and potassium. The experiment was conducted in the Irrigation Technical Center of the State University of Maringá, between the months of February and August 2015. Four nitrogen doses (0.0; 6.43; 12.86 and 25.72 g of N plant-1) and four potassium doses (0.0; 5.18; 10.36 and 20.73 g of K plant-1) were tested, totaling 16 treatments in a 4 x 4 factorial scheme, arranged in a completely randomized design with four replicates, in a Red Latosol with sandy texture. The highest number of fruits per plant and yield were found in the range of 14-17 g of N plant-1 (145-177 kg N ha-1). Single doses of potassium did not statistically influence yield and root dry matter

Estimatation of evapotranspiration and crop coefficient of melon cultivated in protected environment

ABSTRACT The objective of this work was to determine the water consumption and the crop coefficient of melon in a protected environment. The experiment was conducted in a greenhouse at the Technical Center of Irrigation of the State University of Maringá, in Maringá, PR. The melon hybrid used was Sunrise and the irrigations were performed daily by drip irrigation. Crop water requirement was quantified based on its evapotranspiration directly measured through constant water table lysimeters. Weather information was collected in an automatic weather station, installed inside the protected environment, which allowed to calculate the reference evapotranspiration by the Penman-Monteith method. The total water consumption of the melon crop was 295 mm, reaching maximum crop evapotranspiration of 5.16 mm d-1. The phenological stages were shorter in the initial, growth and intermediate phases, compared with the data from FAO. The determined crop coefficients were 0.87, 1.15 and 0.64 for the initial, intermediate and final stages, respectivel

Estimatation of evapotranspiration and crop coefficient of melon cultivated in protected environment

<div><p>ABSTRACT The objective of this work was to determine the water consumption and the crop coefficient of melon in a protected environment. The experiment was conducted in a greenhouse at the Technical Center of Irrigation of the State University of Maringá, in Maringá, PR. The melon hybrid used was Sunrise and the irrigations were performed daily by drip irrigation. Crop water requirement was quantified based on its evapotranspiration directly measured through constant water table lysimeters. Weather information was collected in an automatic weather station, installed inside the protected environment, which allowed to calculate the reference evapotranspiration by the Penman-Monteith method. The total water consumption of the melon crop was 295 mm, reaching maximum crop evapotranspiration of 5.16 mm d-1. The phenological stages were shorter in the initial, growth and intermediate phases, compared with the data from FAO. The determined crop coefficients were 0.87, 1.15 and 0.64 for the initial, intermediate and final stages, respectively</p></div