23 research outputs found

    Time course of the antiproteinuric and antihypertensive effects of direct renin inhibition in type 2 diabetes

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    Inhibition of renin with an active site inhibitor, aliskiren, lowers blood pressure (BP) in diabetic patients. Here, we studied the time course of the antihypertensive and antiproteinuric effect of renin inhibition in 15 patients with type 2 diabetes and elevated urinary albumin/creatinine ratios (UACRs) to check whether aliskiren can decrease proteinuria. After a 4-week washout of previous medications, patients received aliskiren and furosemide daily for 28 days followed by a 4-week withdrawal period. Twenty-four-hour BPs were measured at baseline throughout treatment and withdrawal periods. The UACR was significantly reduced after 2-4 days of treatment with another significant reduction after 28 days. Systolic blood pressure (SBP) was significantly lower after 7 days with no further reduction after 28 days. The BP returned toward baseline 3 days after withdrawal, whereas the UACR was still significantly reduced compared with baseline 12 days after withdrawal. Our study shows that aliskiren reduced 24 h SBP, and this was associated with a reduction in albuminuria in type 2 diabetic patients

    A Numerical Approach for Non-Linear Moisture Flow in Porous Materials with Account to Sorption Hysteresis

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    A numerical approach for moisture transport in porous materials like concrete is presented. The model considers mass balance equations for the vapour phase and the water phase in the material together with constitutive equations for the mass flows and for the exchange of mass between the two phases. History-dependent sorption behaviour is introduced by considering scanning curves between the bounding desorption and absorption curves. The method, therefore, makes it possible to calculate equilibrium water contents for arbitrary relative humidity variations at every material point considered. The scanning curves for different wetting and drying conditions are constructed by using third degree polynomial expressions. The three coefficients describing the scanning curves is determined for each wetting and drying case by assuming a relation between the slope of boundary sorption curve and the scanning curve at the point where the moisture response enters the scanning domain. Furthermore, assuming that the slope of the scanning curve is the same as the boundary curve at the junction point, that is, at the point where the scanning curve hits the boundary curve once leaving the scanning domain, a complete cyclic behaviour can be considered. A finite element approach is described, which is capable of solving the non-linear coupled equation system. The numerical calculation is based on a Taylor expansion of the residual of the stated problem together with the establishment of a Newton-Raphson equilibrium iteration scheme within the time steps. Examples are presented illustrating the performance and potential of the model. Two different types of measurements on moisture content profiles in concrete are used to verify the relevance of the novel proposed model for moisture transport and sorption. It is shown that a good match between experimental results and model predictions can be obtained by fitting the included material constants and parameters

    Viabilidade de miracídios de Schistosoma mansoni, obtidos de fezes e de granulomas hepáticos de camundongos experimentalmente infectados com a linhagem BH Viability of Schislosoma mansoni miracidia obtained from feces and liver granuloma of experimental mice infected with the BH strain

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    Estudou-se comparativamente a viabilidade, em moluscos hospedeiros, de miracídios de Schistosoma mansoni de duas origens: de ovos eliminados com as fezes e de granulomas hepáticos. Procurou-se saber se havia efeito da origem sobre o número total de cercárias obtidas e sobre o período de eliminação de cercárias. Foram também verificados o período pré-patente da infecção dos moluscos, a sobrevivência do caramujo após a infecção e o sexo das cercárias eliminadas. Concluiu-se que: a) o período pré-patente foi maior nos moluscos infectados por miracídios provenientes de granulomas hepáticos; b) a sobrevivência dos moluscos após a infecção foi maior naqueles infectados por miracídios provenientes de granulomas hepáticos; c) o número de cercadas eliminadas por molusco infectado com miracídios provenientes de granulomas hepáticos foi três vezes maior que o número de cercárias eliminadas por moluscos infectados com miracídios provenientes de ovos eliminados com as fezes.<br>The viability of Schistosoma mansoni miracidia in host molluscs, obtained from two origins is examined: from eggs eliminated with feces of the definitive hosts and liver granuloma eggs. The effect of the origin of the miracidia on the number of cercariae and on the time of cercariae elimination was investigated. The prepatent period of cercariae elimination, snail survival after infection and the sex of the eliminated cercariae were also observed. The following results were obtained: a) snails infected with miracidia from liver granuloma eggs took longer to begin to eliminate cercariae; b) snail survival after infection was longer in the group infected with miracidia from liver granuloma eggs; c) the total number of cercariae produced by the snail group infected with miracidia from liver granuloma eggs was three times that of the group infected with miracidia from eggs eliminated with feces
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