Gestational paracetamol exposure induces core behaviors of neurodevelopmental disorders in infant rats and modifies response to a cannabinoid agonist in females.

Paracetamol (PAR) is an over-the-counter analgesic/antipyretic used during pregnancy worldwide. Epidemiological studies have been associating gestational PAR exposure with neurobehavioral alterations in the progeny resembling autism spectrum disorders and attention-deficit hyperactivity disorder symptoms. The endocannabinoid (eCB) dysfunction was previously hypothesized as one of the modes of action by which PAR may harm the developing nervous system. We aimed to evaluate possible effects of gestational exposure to PAR on male and female rat's offspring behavior and if an acute injection of WIN 55,212-2 (WIN, 0.3 mg/kg), a non-specific cannabinoid agonist, prior to behavioral tests, would induce different effects in PAR exposed and non-exposed animals. Pregnant Wistar rats were gavaged with PAR (350 mg/kg/day) or water from gestational day 6 until delivery. Nest-seeking, open field, apomorphine-induced stereotypy, marble burying and three-chamber tests were conducted in 10-, 24-, 25- or 30-days-old rats, respectively. PAR exposure resulted in increased apomorphine-induced stereotyped behavior and time spent in the central area of the open field in exposed female pups. Additionally, it induced hyperactivity in the open field and increased marble burying behavior in both male and female pups. WIN injection modified the behavioral response only in the nest seeking test, and opposite effects were observed in control and PAR-exposed neonate females. Reported alterations are relevant for the neurodevelopmental disorders that have been associated with maternal PAR exposure and suggest that eCB dysfunction may play a role in the action by which PAR may harm the developing brain.

Effect of total hardness of water on juvenile mullets (Mugil liza) raised in fresh water / Efeito da dureza total em juvenis de tainha (Mugil liza) criados em água doce

The aim of this study was to evaluate the effects of three fresh-water samples with different hardness values (25, 250, and 750 mg L-1 CaCO3) and a control (sea water with salinity 15% and hardness 2500 ± 130.9 mg L-1 CaCO3) on Mugil liza (mullet) juveniles by conducting a long-term test (for 50 days). Zootechnical performance [weight gain (WG), feed conversion rate, specific growth rate, and survival (%)], stress indicator parameters (glucose), and physiological parameters in gill tissues were analyzed to determine the fresh-water hardness range that can allow the optimal survival, growth, and feed conversion for the species. Fish with a mean initial weight of 22 ± 2.84 g were maintained under constant conditions of temperature, pH, alkalinity, and ammonia concentration, and they were fed four times per day with a commercial diet. When evaluating zootechnical performance, only survival (%) was not significantly different among treatments. For the other variables­weight gain, feed conversion, and specific growth rate­the best results were found in the treatment with 15% salinity (control). Blood glucose levels in animals maintained at 15% salinity (control) were significantly lower than those observed in the other treatments. Histological analyses corroborated the zootechnical data, potentially indicating stress in fish maintained at very low and very high water hardness. In conclusion, for cultivating juvenile mullets in fresh water, the most suitable hardness value was 250 mg L-1 CaCO3, because the best final weight of fish was achieved in that condition.(AU)

O objetivo desse estudo foi avaliar o efeito de três durezas diferentes de água doce (25, 250 e 750 mg.L-1 CaCO3) e controle (água do mar com salinidade 15 % e dureza 2500 ± 130,9 mg.L-1 CaCO3), em juvenis de tainha Mugil Liza , através de um teste de longo prazo (50 dias), avaliando o desempenho zootécnico (ganho de peso (GP), conversão alimentar (CA), taxa de crescimento específico (TCE) e sobrevivência (%)), parâmetros indicadores de estresse (glicose) e avaliação de parâme-tros fisiológicos nos tecidos das brânquias, a fim de determinar a faixa de dureza em água doce onde há melhor sobrevivência, crescimento e conversão alimentar dessa espécie. Os peixes com peso médio inicial de 22 ± 2,84g foram mantidos em condi-ções constantes de temperatura, pH, alcalinidade e amônia, e alimentados quatro vezes ao dia com dieta comercial. Ao avaliar o desempenho zootécnico apenas a sobrevivência (%) não foi significativamente diferente entre os tratamentos, porém, para as demais variáveis: ganho de peso (GP), conversão alimentar (CA) e taxa de crescimento específico (TCE) os melhores resul-tados foram encontrados no tratamento com salinidade 15 % (controle). A glicose no sangue dos animais mantidos a salini-dade 15 % (controle) foi significativamente menor em relação aos outros tratamentos. As análises histológicas corroboram os dados zootécnicos, indicando possivelmente stress nos peixes mantidos em durezas muito baixas e muito altas. Conclui-se que para cultivar juvenis de tainha em água doce, a dureza mais adequada é 250 mg.L-1 CaCO3, pois apresentou melhor peso final dentre as durezas avaliadas.(AU)

Participant recruitment and retention in longitudinal preconception randomized trials: lessons learnt from the Calcium And Pre-eclampsia (CAP) trial.

BACKGROUND: The preconception period has the potential to influence pregnancy outcomes and randomized controlled trials (RCTs) are needed to evaluate a variety of potentially beneficial preconception interventions. However, RCTs commencing before pregnancy have significant participant recruitment and retention challenges. The Calcium And Pre-eclampsia trial (CAP trial) is a World Health Organization multi-country RCT of calcium supplementation commenced before pregnancy to prevent recurrent pre-eclampsia in which non-pregnant participants are recruited and followed up until childbirth. This sub-study explores recruitment methods and preconception retention of participants of the CAP trial to inform future trials. METHODS: Recruiters at the study sites in Argentina, South Africa and Zimbabwe completed post-recruitment phase questionnaires on recruitment methods used. Qualitative data from these questionnaires and quantitative data on pre-pregnancy trial visit attendance and pregnancy rates up to September 2016 are reported in this paper. RStudio (Version 0.99.903 https://www.rstudio.org ) statistical software was used for summary statistics. RESULTS: Between July 2011 and 8 September 2016, 1354 women with previous pre-eclampsia were recruited. Recruitment took 2 years longer than expected and was facilitated mainly through medical record/register and maternity ward/clinic-based strategies. Recruiters highlighted difficulties associated with inadequate medical records, redundant patient contact details, and follow-up of temporarily ineligible women as some of the challenges faced. Whilst the attendance rates at pre-pregnancy visits were high (78% or more), visits often occurred later than scheduled. Forty-five percent of participants became pregnant (614/1354), 33.5% (454/1354) within 1 year of randomization. CONCLUSIONS: In preconception trials, both retrospective and prospective methods are useful for recruiting eligible women with certain conditions. However, these are time-consuming in low-resource settings with suboptimal medical records and other challenges. Trial planners should ensure that trial budgets cover sufficient on-site researchers with pre-trial training, and should consider using mobile phone and web-based electronic tools to optimize recruitment and retention. This should lead to greater efficiency and shorter trial durations. TRIAL REGISTRATION: Pan-African Clinical Trials Registry, Registration Number: PACTR201105000267371 . The trial was registered on 6 December 2016.

Concentração de flúor em dentifrícios comercializados no Estado da Paraíba, Brasil / Fluoride Concentration in Commercial Brands of Dentifrices Available in the State of Paraíba, Brazil

Objetivo: Verificar a concentração de flúor total (FT), flúor solúvel total (FST) e flúor iônico (FI) nos dentifrícios comercializados no Estado da Paraíba e avaliar as concentrações de FST em relação à presença de ar condicionado nos estabelecimentos comerciais e em relação às normas brasileiras vigentes. Método: As amostras foram coletadas de acordo com a disponibilidade e variedade de marcas comerciais (n= 18) em 11 cidades distribuídas em todas as regiões do estado. As análises das amostras (n= 69) foram feitas em triplicata, nas quais se utilizou eletrodo específico após hidrólise do flúor ionizável em HCl, neutralização com NaOH e tamponamento com TISAB II. Os dados foram analisados através da estatística descritiva e foi utilizado o teste paramétrico ANOVA, com nível de significância de 5%. Resultados: A maioria das amostras (83,3%) possuía flúor na forma de monofluorfosfato de sódio. Em relação ao abrasivo, 72,2% apresentavam carbonato de cálcio. As concentrações (ppm) médias de FST encontradas nos dentifrícios nos grupos com e sem ar condicionado em estabelecimentos comerciais não diferiram estatisticamente (p>0,05). Observou-se que, das 18 marcas analisadas, 16 estão de acordo com as normas da ANVISA apresentando valores logo abaixo dos 1500 ppm e apenas duas amostras excederam este limite. Conclusão: Não há diferença nas concentrações de flúor entre os estabelecimentos com e sem ar condicionado, a maioria dos dentifrícios estão de acordo com as normas brasileiras da ANVISA e também conforme as informações em suas embalagens.

Objective: To assess total fluoride (TF), total soluble fluoride (TSF) and ionic fluoride (FI) concentrations in commercial brands of dentifrices available in the State of Paraíba, Brazil and to evaluate TSF concentrations in the dentifrices in air-conditioned retail stores and whether they conform to the Brazilian up-to-date regulations.Method: The samples were collected according to the availability and variety of commercial brands (n=18) in 11 cities scattered in all regions of the state of Paraíba. Sample analyses (n=69) were made in triplicate with a specific electrode after hydrolysis of the ionizable fluoride in HCl, neutralization in NaOH and buffering in TISAB II. The data were analyzed by descriptive statistics and ANOVA at a 5% significance level.Results: Most of the samples (83.3%) contained fluoride in the form of sodium monofluorphosphate. The abrasive agent was calcium carbonate in 72.2% of the samples. The mean TFS concentrations (ppm) detected in the dentifrices purchased from retail stores with and without air conditioning had no statistically significant differences (p>0.05). It was also observed that 16 out of the 18 analyzed commercial brands conformed to the ANVISA regulations, with fluorides concentration just below 1,500 ppm threshold. Only two samples exceeded this value.Conclusion: There was no statistically significant difference in fluoride concentrations in the dentifrices from air-conditioned and non air-conditioned stores; most of the dentifrices were in accordance with the Brazilian regulations and also with the information on their packages.

Additive effects of beta-alanine and sodium bicarbonate on upper-body intermittent performance.

We examined the isolated and combined effects of beta-alanine (BA) and sodium bicarbonate (SB) on high-intensity intermittent upper-body performance in judo and jiu-jitsu competitors. 37 athletes were assigned to one of four groups: (1) placebo (PL)+PL; (2) BA+PL; (3) PL+SB or (4) BA+SB. BA or dextrose (placebo) (6.4 g day⁻¹) was ingested for 4 weeks and 500 mg kg⁻¹ BM of SB or calcium carbonate (placebo) was ingested for 7 days during the 4th week. Before and after 4 weeks of supplementation, the athletes completed four 30-s upper-body Wingate tests, separated by 3 min. Blood lactate was determined at rest, immediately after and 5 min after the 4th exercise bout, with perceived exertion reported immediately after the 4th bout. BA and SB alone increased the total work done in +7 and 8 %, respectively. The co-ingestion resulted in an additive effect (+14 %, p < 0.05 vs. BA and SB alone). BA alone significantly improved mean power in the 2nd and 3rd bouts and tended to improve the 4th bout. SB alone significantly improved mean power in the 4th bout and tended to improve in the 2nd and 3rd bouts. BA+SB enhanced mean power in all four bouts. PL+PL did not elicit any alteration on mean and peak power. Post-exercise blood lactate increased with all treatments except with PL+PL. Only BA+SB resulted in lower ratings of perceived exertion (p = 0.05). Chronic BA and SB supplementation alone equally enhanced high-intensity intermittent upper-body performance in well-trained athletes. Combined BA and SB promoted a clear additive ergogenic effect.

Application of preliminary risk analysis at marble finishing plants in Recife's metropolitan area.

The finishing of marble occurs in quarries all over Brazil, being the most significant dimension of the ornamental stone sector, with 7,000 businesses. Recife's Metropolitan Area (RMR) contains approximately 106 marble quarries, 25 of them unionized. The study focused on the application of Preliminary Risk Analysis, conducted at two unionized quarries: M1, a small business; and the second, M2, considered a micro enterprise. In this analysis both the administrative and the productive sectors were evaluated. The fieldwork was done in the month of December 2010. The study revealed that the two quarries carried moderate risks in the administrative sector, mainly due to ergonomic factors, and that in the productive sectors the risks were high, specifically because of excess noise, dust material, and precarious electrical installations. Using the results of the qualitative analysis as a base, the need for quantitative study presents itself in order to determine the most adequate modes of protection to be of assistance in the management of these risks, guaranteeing the safety and health of the worker and consequently the improvement in productivity in this sector.

Histopathological changes of vocal folds induced by chronic pollutant exposure: an experimental study.

UNLABELLED: Calcium carbonate (CaCO(3)) particles, the main component of chalk, are an important pollutant in the Brazilian school environment. However, there are few reports of the effect of this pollutant in the vocal folds and its influence in voice disorder in the literature. METHODS: Thirty rats (Wistar), randomly divided into two groups, the control group and the experimental group, were submitted to air or to CaCO(3) inhalation, respectively, during 15, 30, and 90 days. Then, the larynx region was dissected and embedded in paraffin, and 5-mum sections were obtained for microscopic analysis. RESULTS: No histopathological alteration was found on the vocal folds in the control group. In the experimental group, a moderate chronic inflammatory infiltrate, characterized by macrophage cells, was found in the vocal folds after 30 and 90 days of the CaCO(3) inhalation. CONCLUSIONS: This study suggests that the inhalation of pollutant particles, such as CaCO(3), induces inflammatory alterations in the larynx; this can affect the vibration of the vocal folds, which influence vocal function.

Calcium acetate versus calcium carbonate in the control of hyperphosphatemia in hemodialysis patients.

CONTEXT: Hyperphosphatemia has an important role in the development of bone and mineral abnormalities in end-stage renal disease (ESRD). OBJECTIVE: To compare the phosphorus binding power and the hypercalcemic effect of calcium acetate and calcium carbonate in hemodialysis patients. TYPE OF STUDY: Crossover, randomized, double-blind study. PLACE: A private hospital dialysis center. PARTICIPANTS: Fifty-two patients who were undergoing regular hemodialysis three times a week ([Ca++] dialysate = 3.5 mEq/L). PROCEDURES: Half of the patients were started on 5.6 g/day of calcium acetate and, after a 2 week washout period, received 6.2 g/day of calcium carbonate. The other half followed an inverse protocol. MAIN MEASUREMENTS: Clinical interviews were conducted 3 times a week to monitor for side effects. Determinations of serum urea, calcium, phosphorus, hematocrit, Kt/V and blood gas analysis were obtained before and after each treatment. RESULTS: Twenty-three patients completed the study. A significant increase in calcium plasma levels was only observed after treatment with calcium carbonate [9.34 mg/dl (SD 0.91) vs. 9.91 mg/dl (SD 0.79), P < 0.01]. The drop in phosphorus levels was substantial and significant for both salts [5.64 mg/dl (SD 1.54) vs. 4.60 mg/dl (SD 1.32), P < 0.01 and 5.89 mg/dl (SD 1.71) vs. 4.56 mg/dl (SD 1.57), P < 0.01, for calcium acetate and calcium carbonate respectively]. The percentage reduction in serum phosphorus (at the end of the study) per milliequivalent of salt administered per day tended to be higher with calcium acetate but statistical significance was not found. CONCLUSION: Calcium acetate can be a good alternative to calcium carbonate in the handling of hyperphosphatemia in ESRD patients. When calcium acetate is used, control of hyperphosphatemia can be achieved with a lower administration of calcium, perhaps with a lower risk of hypercalcemia.