Effects of Chronic Physical Activity on Glomerular Filtration Rate, Creatinine, and the Markers of Anemia of Kidney Transplantation Patients.

BACKGROUND: The incidence of anemia in kidney transplantation patients (KTPs) is very common and seems to be associated with the reduction in both renal function and physical exercise tolerance. The purpose of the present study was to compare biochemical markers of anemia and renal function of physically active and sedentary KTPs. METHOD: Serum hemoglobin (Hb), hematocrit (Hct), and serum creatinine (used to derive estimated glomerular filtration rate [eGFR]) were obtained from the medical records of 18 KTPs assisted at the Center for Prevention of Kidney Diseases of the Federal University of Maranhao Hospital. The physically active transplant patients (group 1) included 7 men and 2 women, aged 49 ± 14 years who participated for at least 6 months on a supervised physical exercise program (SPEP) (2 to 3 times a week, 90-minute sessions) and the sedentary counterparts (group 2) of 2 men and 7 women, aged 37 ± 15 years. RESULTS: Group 1 presented higher values of Hb (14.2 ± 2.6 vs 10.7 ± 0.6 g/dL; P = .003), Hct (41.6% ± 7.0% vs 32.3% ± 1.4%; P = .004), and eGFR (64.4 ± 19.4 vs 39.3 ± 19.7 mL/min/1.73 m2; P = .015) when compared with group 2. There was a positive and significant correlation between Hb and eGFR (r = 0.528; P = .024), and between Hct and eGFR (r = .509; P = .031). CONCLUSIONS: Our results suggest that regular physical activity seems to improve the biochemical markers of anemia and also the renal function of KTPs, and these patients should be advised to participate in SPEP.

Molecular identification of cetaceans from the West Atlantic using the E3-I5 region of COI.

Molecular identification is very useful in cases where morphology-based species identification is not possible. Examples for its application in cetaceans include the identification of carcasses of stranded animals in advanced state of decomposition and body parts that are illegally traded. One DNA region that is often used for molecular identification is the Folmer region of the mitochondrial gene cytochrome c oxidase subunit I (COI) (locus 48 to 705 bp). This locus has been used for the identification of several animal species, including whales and dolphins. The goal of the present study was to evaluate the usefulness of another region of COI, the E3-I5 (locus 685 to locus 1179; 495 bp) as a marker for identification of cetaceans from northeastern Canada and northeastern Brazil. The identification markers were successfully obtained for seven cetacean species after performing percent identity and Basic Local Alignment Search Tool analyses. The obtained markers are now publicly available and are useful for the identification of the endangered blue whale (Balaenoptera musculus), common minke whale (B. acutorostrata), vulnerable sperm whale (Physeter macrocephalus), harbor porpoise (Phocoena phocoena), common bottlenose dolphin (Tursiops truncatus), Guiana dolphin (Sotalia guianensis), and melon-headed whale (Peponocephala electra).

Crescimento e desenvolvimento de boto-cinza (Sotalia guianensis) do litoral do Espírito Santo / Growth and development of estuarine dolphin (Sotalia guianensis) from Espírito Santo coast

Estudou-se o desenvolvimento do boto-cinza (Sotalia guianensis) do litoral do Espírito Santo e verificou-se se a análise das radiografias da aleta peitoral pode ser utilizada para tal. Trinta e sete botos passaram pela determinação do comprimento total (CT), análise do grau de fusionamento das vértebras e radiografia das aletas peitorais. O CT ao nascimento foi de 103,3cm e o de animais maduros fisicamente 187,5cm. Observou-se correlação entre o CT, as epífises distais do rádio e da ulna e correlação entre o grau de fusionamento vertebral e a epífise distal do rádio. Concluiu-se que a análise radiográfica das aletas peitorais é uma boa maneira de avaliar o grau de maturação física do boto.

The aim of this study is to analyze the development of the estuarine dolphin from the coast of Espírito Santo and verify that the analysis of X-rays of pectoral fin can be used for such. Thirty-seven Sotalia guianensis were used, determining the TL, examination of the degree of fusion of the vertebrae and X-ray of pectoral fins. At birth the TL is 103.3cm and in physically mature animals the TL is 187.5cm. The TL showed a significant correlation with the epiphyses of the distal radius and ulna and the degree of spinal fusion showed significant correlation with distal radius. It can be concluded that the X-ray analysis of the pectoral fins is a good way of assessing the physical maturation of these animals and can be used in routine procedures.

Mycobacterium bovis BCG as a delivery system for the RAP-1 antigen from Babesia bovis.

Babesia bovis is the causative agent of babesiosis, a tick-borne disease that is a major cause of loss to livestock production in Latin America. Vaccination against Babesia species represents a major challenge against cattle morbidity and mortality in enzootic areas. The aim of this study was to evaluate the capacity of Bacille Calmette-Guerin (BCG) to deliver the rhoptry associated protein (RAP-1) antigen of B. bovis and to stimulate specific cellular and humoral immune responses in mice. Two of five mycobacterial expression vectors efficiently expressed the antigen. These constructs were subsequently studied in vivo following three immunization protocols. The construct with the greatest in vivo stability proved to be the one that induced the strongest immune responses. Our data support the hypothesis that specific T lymphocyte priming by rBCG can be employed as a component of a combined vaccine strategy to induce long-lasting humoral and cellular immune responsiveness towards B. bovis and encourage further work on the application of rBCG to the development of Babesia vaccines.

Use of complementary and alternative medicine by Brazilian oncologists.

Complementary and alternative medicine (CAM) is frequently employed by patients with cancer. An extensive survey was conducted among Brazilian cancer physicians to understand their attitude towards CAM. A questionnaire was sent to all 655 members of the Brazilian Cancer Society asking what is their opinion regarding CAM and if they would prescribe any CAM modality for their patients. They were also questioned regarding their degree of awareness of CAM self-administration by their patients. Overall, 119 questionnaires were returned to us (18%). Most oncologists knew at least one type of CAM (96.6%) and 76.7% had previously made use of at least one type of CAM for themselves. We observed that 76 (63.8%) of the oncologists used to ask their patients about CAM utilization and 37.8% described at least one reason to stimulate its use (68.8% as complementary treatment). Only 10% of the oncologists would prescribe at least one type of CAM and this attitude correlated significantly with previous physicians' use of CAM and with being a clinical oncologist as well as with having questioned patients about CAM use. Most oncologists (80.7%) would not indicate the use of CAM, mainly for lack of scientific proof of its efficacy (56.2%). Physicians knew many kinds of CAM and had frequently used some of them themselves, but only a minority of Brazilian oncologists would indicate them. As CAM use is very prevalent in our population, we believe that most of its utilization depends, probably, on patient's own and independent initiatives. However, these results should be viewed with caution because of the low response rate we observed in this study.