Resumen Los programas escolares de prevención de obesidad muestran efectos positivos sobre parámetros de obesidad y estilo de vida. Sin embargo, se desconoce cuál es la forma más efectiva de implementación y en México los estudios disponibles muestran limitaciones metodológicas. El objetivo del estudio es evaluar la factibilidad y efectividad de un programa escolar de prevención de obesidad 1) implementado por estudiantes avanzados de nutrición y actividad física y 2) implementado por maestros escolares y estudiantes avanzados de actividad física, ambos en comparación a un grupo control de niños mexicanos. El presente es un ensayo controlado aleatorio por conglomerados. Se invitará a participar a escolares de distintas primarias públicas de Hermosillo, Sonora. Las escuelas se asignarán aleatoriamente a: 1) Programa Planeta Nutrición (PPN) brindado por estudiantes avanzados, 2) PPN por maestros escolares y 3) grupo control. La intervención consistirá en sesiones de nutrición y actividad física para escolares e información de nutrición para padres. Se medirá el puntaje Z de IMC, grasa corporal y variables de estilo de vida al inicio y a los 6 meses. Se espera que el presente programa pueda ser un modelo de prevención de obesidad con un alto potencial de diseminación en las escuelas de México.

Abstract School-based obesity prevention programs show positive effects on obesity and lifestyle parameters. However, the most efficient way to implement them is unknown. In Mexico, available studies present methodological limitations. The aim of this study is to evaluate the feasibility and effectiveness of a school-based obesity prevention program 1) implemented by advanced undergraduate nutrition and physical activity students, and 2) the same program implemented by schoolteachers and advanced undergraduate physical activity students, each compared to a control group of Mexican children. This study is a cluster randomized controlled trial. Children from several schools in Hermosillo, Sonora, Mexico will be invited to participate. The schools will be randomly assigned to one option: 1) the Planet Nutrition Program (PNP) delivered by advanced undergraduate nutrition and physical activity students, 2) PNP by schoolteachers, or 3) a control group. The intervention will consist of nutritional education and physical activity sessions for children and nutrition information for parents. The BMI Z-score, body fat, and lifestyle parameters will be evaluated at baseline and at 6 months. If successful, we expect that the program turns out a model for obesity prevention in this age group, with a potential for dissemination in Mexican schools.

ABSTRACT This article describes progress in tackling noncommunicable diseases (NCDs) in the Americas since the Pan American Health Organization (PAHO) started its NCD program 25 years ago. Changes in the epidemiology of NCDs, NCD policies, health service capacity, and surveillance are discussed. PAHO’s NCD program is guided by regional plans of action on specific NCDs and risk factors, as well as a comprehensive NCD plan. Its work involves implementing evidence-based World Health Organization technical packages on NCDs and their risk factors with the aim of achieving the Sustainable Development Goal target of a one third reduction in premature mortality caused by NCDs by 2030. Important advances have been made in the past 25 years in implementation of: policies on NCD risk factors; interventions to improve NCD diagnosis and treatment; and NCD surveillance. Premature mortality from NCDs decreased by 1.7% a year between 2000 and 2011 and 0.77% a year between 2011 and 2019. However, policies on risk factor prevention and health promotion need to be strengthened to ensure more countries are on track to achieving the NCD-related health goals of the Sustainable Development Goals by 2030. Actions are recommended for governments to raise the priority of NCDs by: making NCDs a core pillar of primary care services, using revenues from health taxes to invest more in NCD prevention and control; and implementing policies, laws, and regulations to reduce the demand for and availability of tobacco, alcohol, and ultra-processed food products.

RESUMO Este artigo descreve o progresso no combate às doenças não transmissíveis (DNTs) nas Américas desde que a Organização Pan-Americana da Saúde (OPAS) iniciou seu programa para essas doenças há 25 anos. Discute-se como evoluíram a epidemiologia das DNTs, as políticas contra essas doenças, a capacidade dos serviços de saúde e a vigilância. O programa da OPAS para as DNTs é orientado por planos de ação regionais sobre DNTs específicas e fatores de risco, bem como por um plano integral contra essas doenças. O trabalho envolve a implementação de pacotes técnicos da Organização Mundial da Saúde baseados em evidências sobre as DNTs e seus fatores de risco, no intuito de alcançar a meta do Objetivo de Desenvolvimento Sustentável de reduzir em um terço a mortalidade prematura causada pelas DNTs até 2030. Avanços importantes foram obtidos nos últimos 25 anos na implementação de políticas sobre fatores de risco das DNTs, intervenções para melhorar o diagnóstico e o tratamento das DNTs, e vigilância das DNTs. A mortalidade prematura causada pelas DNTs diminuiu 1,7% ao ano entre 2000 e 2011 e 0,77% ao ano entre 2011 e 2019. Contudo, as políticas sobre a prevenção dos fatores de risco e a promoção da saúde precisam ser fortalecidas para que mais países estejam no rumo certo para alcançar as metas de saúde relacionadas a essas doenças, no âmbito dos Objetivos de Desenvolvimento Sustentável até 2030. São recomendadas medidas para que os governos elevem a prioridade das DNTs ao torná-las um pilar central dos serviços de atenção primária, usando a receita dos tributos saudáveis para investir mais na prevenção e no controle das DNTs, e ao implementar políticas, leis e regulamentos para reduzir a demanda e a disponibilidade de álcool, tabaco e produtos alimentícios ultraprocessados.

RESUMEN En este artículo se describe el progreso en la lucha contra las enfermedades no transmisibles (ENT) en la Región de las Américas desde que la Organización Panamericana de la Salud (OPS) iniciara su programa contra las ENT hace 25 años. Se abordan los cambios en las características epidemiológicas, las políticas, la capacidad de los servicios de salud y la vigilancia de estas enfermedades. Este programa de la OPS se rige por planes regionales de acción sobre enfermedades y factores de riesgo específicos, así como por un plan integral de ENT. Su labor consiste en poner en práctica paquetes técnicos de la Organización Mundial de la Salud basados en la evidencia sobre las ENT y sus factores de riesgo con el objetivo de alcanzar la meta de los Objetivos de Desarrollo Sostenible (ODS) de reducir en un tercio la mortalidad prematura causada por las ENT para el 2030. En los últimos 25 años se han logrado importantes avances en la ejecución de políticas sobre los factores de riesgo de estas enfermedades, en las intervenciones para mejorar su diagnóstico y tratamiento, y en la vigilancia. La mortalidad prematura por ENT disminuyó 1,7% anual entre el 2000 y el 2011 y 0,77% anual entre los años 2011 y 2019. Sin embargo, es necesario fortalecer las políticas de prevención de factores de riesgo y promoción de la salud para garantizar que más países estén bien encaminados para lograr las metas de salud de los ODS relacionadas con las ENT para el 2030. Se recomiendan medidas para que los gobiernos prioricen más las ENT y las conviertan en un pilar central de los servicios de atención primaria, al usar los ingresos generados por los impuestos en el sector de la salud para incrementar las inversiones en la prevención y control de las ENT, y ejecutar políticas, leyes y regulaciones para reducir la demanda y la disponibilidad de tabaco, alcohol y alimentos ultraprocesados.

ABSTRACT Salmonella Heidelberg is an emerging pathogen in Brazilian poultry production. The traditional methods (quicklime, windrowing and tarpaulin-on-surface) used for disinfecting reused poultry litter between flocks does not guarantee its elimination, thus allowing the transmission of this agent from one flock to another. The new tarpaulin-on-surface method with controlled injection of ammonia gas has proven to be effective in its control, however, it is still unknown what dose of ammonia gas is needed to eliminate Salmonella Heidelberg in reused poultry litter. The objective of this study was to evaluate the effect of ammonia gas at different concentrations in sterile poultry litter artificially contaminated with Salmonella Heidelberg. Then, ammonia gas was injected in concentrations of 0.25%, 0.5%, and 1%, and 48 hours later, a sample was collected from each repetition in an entirely randomized design, and bacterial isolation was performed. All treatments, including positive and negative controls, were tested in quadruplicate and the parameters temperature, humidity, pH and water activity were evaluated. In the 0.5% and 1% treated samples the pathogen was not isolated, while in the 0.25% concentration one of the four samples tested was positive. The study reveals that ammonia gas is efficient in killing Salmonella Heidelberg in poultry litter at concentrations of 0.5 % or more within a 48-hour period and that the litter treated with ammonia gas increases its pH and water activity.

Self-compacting lightweight concrete (SCLC) has become one of the most promising materials in civil construction. This work applies expanded clay as a light aggregate in the production of SCLC, seeking to evaluate the influence of the use of this material on the properties in the fresh state, mainly regarding workability, viscosity, passage capacity and resistance to segregation. In addition, density, compressive strength, thermal and microstructural properties were investigated. The results showed that expanded clay improved the workability of concrete when compared to self-compacting concrete (SCC) with conventional aggregates. As for the mechanical characteristics, resulting from the compressive strength, the SCLC, due to its reduced density, presented values lower than those found for the conventional CAA, produced with denser aggregates. It was observed that the use of lightweight aggregates promotes a reduction in thermal conductivity, a performance that guarantees better thermal insulation. As for the microstructural analysis, it was found that, with the use of expanded clay, there was a decrease in pores in the cement paste matrix and in the thickness of the interfacial transition zone (ITZ). It was evident, therefore, that the use of expanded clay maintained the mechanical characteristics and also ensured better thermal insulation than conventional concrete.

Abstract Acetylcholinesterase is an enzyme whose main function is to terminate the transmission of nerve impulses in the cholinergic synapse in insects through the hydrolysis of acetylcholine. However, frequent applications of insecticides can select for individuals with an alteration in the enzyme and functional changes that result in an insensitivity to insecticides. In Mexico, the current strategy to combat insect vectors such as Culex quinquefasciatus is based mainly on the use of synthetic insecticides. The use of these chemicals in health and agricultural practices may also contribute to mosquito insensitivity to several groups of insecticides. Therefore, it is considered necessary to determine if there is any physiological mechanism associated with resistance. For this reason, the objective of this research was to identify if there is insensitivity of acetylcholinesterase to insecticides in Cx. quinquefasciatus populations, collected in urban and rural areas of the State of Yucatán, Mexico. Enzymatic tests were carried out with slight modifications to the established protocols. Areas were identified with mosquito populations showing acetylcholinesterase insensitivity to propoxur, a carbamate insecticide. We consider it important to determine the environmental factors that affect the behavior and response of mosquitoes following exposure to insecticides, and this knowledge could inform the design of efficient strategies in vector control programs.

Resumen La acetilcolinesterasa es una enzima, cuya principal función es finalizar la transmisión de los impulsos nerviosos en la sinapsis colinérgica en los insectos mediante la hidrólisis de la acetilcolina. Sin embargo, el uso frecuente de los insecticidas sintéticos, probablemente originen una alteración en la enzima y cambios funcionales conduciendo a la insensibilidad a los insecticidas neurotóxicos. En México la estrategia actual para el combate de insectos vectores como Culex quinquefasciatus, se basa principalmente en el uso de estos compuestos. El uso de estos productos químicos en áreas de la salud y prácticas agrícolas probablemente contribuye a la insensibilidad a diferentes grupos de insecticidas. Por lo tanto, se considera necesario determinar si existe algún mecanismo fisiológico asociado a la resistencia. Por tal motivo, el objetivo de esta investigación fue identificar si existe insensibilidad de la acetilcolinesterasa a insecticidas en poblaciones de Cx. quinquefasciatus, colectados en áreas urbanas y rurales en Yucatán. Se realizaron pruebas enzimáticas con ligeras modificaciones en los protocolos establecidos y se identificaron áreas con poblaciones de mosquitos con acetilcolinesterasa insensible a propoxur, que es un carbamato ampliamente utilizado en México. Con nuestro trabajo consideramos importante identificar los factores ambientales que afectan el comportamiento y respuesta de los mosquitos a los insecticidas, lo cual será de gran utilidad para el diseño eficiente de estrategias en los programas de control de vectores.

Abstract: The media play a key role in the script of the successful Netflix series The Crown (Peter Morgan, 2016-2020), since a multitude of information-related actions appear in its 40 episodes. Journalism is essential in the daily agenda of the royal family and politicians and it becomes the undisputed protagonist to unite the plot, even with some chapters in which it occupies more than half the time. To quantify the presence of journalism in the four seasons, this research uses a structuralist method inspired by the book Morphology of the story (1928), by Russian Vladimir Propp, which extracted 31 irreducible functions or actions after analyzing one hundred traditional stories. This work is based on the template made by itself Morphology of the journalist in the cinema, with 70 functions in three spheres: with high, medium and low impact of journalism. Among the conclusions, the constant presence of journalism stands out from the first minutes of each episode to the end, with which headlines, flashes, radio broadcasts or television images mark the rhythm of the narrative thread in each chapter and become the link between royal family and politicians and society. In addition, the supremacy of the work of newspapers over radio and television is observed, and the prevalence of sensational themes linked to the personal lives of royals is also detected. This investigation thus becomes a new testimony of the fruitful union between journalism and cinema. It is also another document in the history of British journalism and its decisive link with the Crown and the political life of England during several decades of the second half of the 20th century.

Resumen: Los medios de comunicación desarrollan un papel clave en el guión de la exitosa serie de Netflix The Crown (Peter Morgan, 2016-2020), puesto que en sus 40 episodios aparecen multitud de acciones relacionadas con la información. El periodismo resulta esencial en la agenda diaria de la familia real y de los políticos y se convierte en protagonista indiscutible para unir la trama, incluso con algunos capítulos en los que ocupa más de la mitad del tiempo. Para cuantificar la presencia del periodismo en las cuatro temporadas, esta investigación utiliza un método estructuralista inspirado en el libro Morfología del cuento (1928), del ruso Vladimir Propp, que extrajo 31 funciones o acciones irreductibles tras analizar cien cuentos tradicionales. Este trabajo se sostiene en la plantilla de elaboración propia Morfología del periodista en el cine, con 70 funciones en tres esferas: con alto, medio y bajo impacto del periodismo. Entre las conclusiones destaca la presencia constante de periodismo desde los primeros minutos de cada episodio hasta el final, con lo que titulares, flashes, emisiones en radio o imágenes en televisión marcan el ritmo del hilo narrativo en cada capítulo y se convierten en el enlace entre familia real y políticos y la sociedad. Se observa además la supremacía del trabajo de los periódicos sobre la radio y la televisión y también se detecta el predominio de temas sensacionalistas vinculados a la vida personal de los miembros de la realeza y de los temas políticos trascendentales para el país. Esta investigación se convierte así en un testimonio nuevo de la fructífera unión entre periodismo y cine. Es además otro documento de la historia del periodismo británico y su decidida vinculación con la Corona y la vida política de Inglaterra durante varias décadas de la segunda mitad del siglo XX.

Resumen: Antecedentes y Objetivos: La restauración ecológica se ha centrado en los componentes físicos y vegetales de los ecosistemas, y ha dejado de lado a la fauna silvestre y sus interacciones. Chelonia mydas es un macroherbívoro en peligro de extinción que anida en playas de México y Cuba, e influye en la vegetación costera con aportaciones de materia orgánica. Los objetivos de este estudio fueron analizar su recuperación poblacional, un índice del verdor de la vegetación de duna, así como la cantidad de materia orgánica estimada de sus nidadas antes y después de la implementación de una Norma Oficial Mexicana. Métodos: Se analizaron datos de entre dos y tres décadas de monitoreo biológico en 16 playas de anidación de Chelonia mydas; a partir de ellos se realizaron tres niveles de análisis de indicadores demográficos, la aportación de materia orgánica de las tortugas en la playa y el vigor vegetal a partir de sensores remotos, además de aplicar los estadísticos pertinentes. Resultados clave: Hubo un crecimiento exponencial del número de anidaciones de tortuga verde (entre 12 y 14% anual), asociado con pulsos de reclutamiento poblacional en los años 2000 y 2008. El aporte de materia orgánica a la playa fue significativamente mayor después de un cambio en la estrategia para manejo de las nidadas en México, y se detectó un incremento en el verdor de la vegetación de duna en zonas de anidación alta de Chelonia mydas. Conclusiones: El incremento de las poblaciones de tortuga verde lleva a reflexionar acerca de las implicaciones que tiene la recuperación de especies de fauna sobre otras comunidades en los ecosistemas que habitan, lo que demanda el análisis de los paradigmas actuales y la adaptación de estrategias que atiendan sus necesidades de manejo, procurando las condiciones de integridad ecológica de sus hábitats.

Abstract: Background and Aims: Ecological restoration has focused on the physical and vegetation components of ecosystems, leaving aside studies on wild fauna and their interactions. Chelonia mydas is an endangered macroherbivore that nests on sandy beaches of Mexico and Cuba, and influences the coastal vegetation with organic matter contributions. The objectives of this study were to analyze its population recovery, a greenness index for dune vegetation, and the amount of organic matter estimated from its clutches before and after the implementation of an official Mexican norm. Methods: Biological data obtained from two and three decades of monitoring 16 Chelonia mydas nesting beaches were analyzed; based on these, three levels of demographic indexes were carried out, the contribution of organic matter by marine turtles to the beach and the vegetal vigor using remote sensing, besides implementing the pertinent statistical analysis. Key results: There was an exponential increase of the green turtle nests (between 12 and 14% per year), associated with population recruitment pulses in 2000 and 2008. The contribution of organic matter to the beach was significantly higher after a change in clutches management in Mexico, and an increase in the dune vegetation greenness was detected in high Chelonia mydas nesting zones. Conclusions: The increase of the green turtle populations invites to reflex about the implications of the recovery of species of fauna have on other communities in the ecosystems they inhabit, demanding the analysis of the actual paradigms and the adaptation strategies that attend their management needs, procuring the ecological integrity conditions of their habitats.

RESUMEN Los estudios taxonómicos sobre mosquitos se basan en la descripción morfológica de larvas y adultos. Sin embargo, son pocos los estudios enfocados en la descripción morfológica de los huevos a pesar de su valor taxonómico. La descripción de los huevos de mosquitos mediante microscopía electrónica de barrido (MEB) permite obtener imágenes más detalladas de la ornamentación del huevo, los cuales pueden proporcionar caracteres diagnósticos de la especie. El objetivo del trabajo fue describir los huevos de Psorophora cyanescens por MEB y proporcionar datos de fecundidad de la especie. En general, los huevos de Ps. cyanescens son de forma elíptica y muy anchos. El exocorión se caracteriza por un patrón de polígono, donde cada polígono consta de crestas longitudinales unidas por crestas cruzadas que definen áreas "hexagonales" regulares. Cada cresta longitudinal consiste en un pequeño tubérculo. Los pequeños tubérculos son irregulares, rectangulares, redondeados o tubulares. La ornamentación del exocorión también presenta largos tubérculos cónicos en toda la región del huevo. El aparato micropilar ubicado en la región anterior del huevo tiene un collar prominente, continuo y grueso. Psorophora cyanescens puso huevos maduros a los 2.5 días después de la alimentación sanguínea. El número promedio de huevos por hembra fue de 82.20 (± 13.31). Este es el primer estudio que describe la ultraestructura de la morfología de los huevos de Ps. cyanescens mediante MEB. Con el aporte del presente trabajo, son cinco las especies del género Psorophora que cuentan con la descripción de la morfología de los huevos mediante MEB: Ps. albigenu, Ps. albipes, Ps. columbiae, Ps. cyanescens, and Ps. ferox.

ABSTRACT Taxonomic studies on mosquitoes are based on the morphological description of larvae and adults. However, few studies have focused on the morphological description of eggs despite their taxonomic value. The description of mosquito eggs by scanning electron microscopy (SEM) allows more detailed descriptions of the ornamentation of the egg, which can provide diagnostic characters of the species. The objective of the work was to describe the eggs of Psorophora cyanescens by SEM and provide fecundity data for the species. In general, Ps. cyanescens eggs are elliptical and very wide. The exochorion is characterized by polygon pattern, where each polygon consists of longitudinal ridges joined by cross-ridges defining regular "hexagonal" areas. Each longitudinal ridge consisting by a small tubercle. The small tubercles are irregular, rectangular, rounded, or tubular. The ornamentation of the exochorion also has long and conical tubercles throughout the egg region. The micropylar apparatus located in the anterior region of the egg has a prominent, continuous and thickness collar. Psorophora cyanescens laid mature eggs at 2.5 days post-feeding. The mean number of eggs per female was 82.20 (± 13.31). This is the first study that describes the ultrastructure of the morphology of the eggs of Ps. cyanescens by SEM. With the contribution of the present work, there are five species of the genus Psorophora whose eggs morphology is described by SEM: Ps. albigenu, Ps. albipes, Ps. columbiae, Ps. cyanescens, and Ps. ferox.

Refractometric total proteins are commonly used in practice as a quick and inexpensive way to measure total protein concentration in bodily fluids. Little information is available about how the operator performing the measurement affects the results. The aim of our study was to determine the inter- and intra-operator variability of refractometric total proteins measured on canine plasma using a temperature-compensated handheld refractometer. A pooled sample of canine lithium-heparin plasma was created using leftover samples from dogs presented to our hospital. The sample was then divided into three aliquots. Total proteins of these aliquots were measured by veterinary nurses, interns, residents and specialists working at our hospital. Statistical analysis revealed excellent inter-operator (ICC 0.99, CI 95% 0.971-1.00) and intra-operator (ICC 0.997, CI 95% 0.9900.999) variability. Having different operators measuring refractometric total plasma proteins in practice should not affect the results. This suggests different operators can be used when monitoring total plasma proteins of a patient over time and when designing a study that involves this test.

Resumen Introducción: Los equinodermos del Pacífico Central mexicano poseen un alto interés científico, pero anterior al presente trabajo existía un vacío en la información básica como listados de especies incompletos con inconsistencias sistemáticas y de distribución espacial. Objetivo: Proporcionar una revisión histórica y un listado de especies actualizado con la riqueza completa de equinodermos para cada estado e islas de la región. Métodos: Se elaboró un listado de especies basado en una búsqueda exhaustiva de Echinodermata, y fue complementada con la revisión taxonómica de Ophiuroidea de colecciones científicas. Todas las coordenadas geográficas de los registros fueron validadas. Resultados: La región posee 187 especies de Echinodermata: tres Crinoidea, 35 Asteroidea, 67 Ophiuroidea, 32 Echinoidea, y 50 Holothuroidea. Detectamos 52 registros en la literatura considerados como inválidos y cinco como dudosos. Proveemos 16 nuevos registros de Ophiuroidea para diversos estados e islas; de estos, cuatro son nuevos registros para la región. Jalisco presentó el mayor número de especies (84), seguido por las costas de Nayarit (74), Michoacán (63), y Colima (55); entre las islas, Revillagigedo presentó el mayor número de especies (85) seguido por Marías (81), Marietas (48), e Isabel (44). Conclusiones: Los números de especies de la región están mayormente relacionados tanto con el esfuerzo de muestreo como con características ambientales que promueven una alta biodiversidad. El Pacífico Central mexicano es una región oceanográfica con condiciones mixtas del norte y sur del Pacífico mexicano, y por lo tanto con una importancia biogeográfica reflejada en la riqueza de la región.

Abstract Introduction: The echinoderms from the Central Mexican Pacific are of high scientific interest and, prior to this present work, there was a lack of basic information that included incomplete checklists with inconsistencies in systematics and spatial distribution. Objective: To provide a historical review, and an updated checklist with a more complete richness of echinoderms for each state and island of the region. Methods: A checklist was elaborated based on an exhaustive literature search of the Echinodermata, and was complemented with taxonomical revisions of Ophiuroidea scientific collections. All the geographical coordinates of the records were validated. Results: The region harbors 187 species of Echinodermata: three Crinoidea, 35 Asteroidea, 67 Ophiuroidea, 32 Echinoidea, and 50 Holothuroidea. We detected 52 records in the literature that must be considered as invalid and five as doubtful. We provide 16 new records of Ophiuroidea from different states and islands; of them, four are new records for the region. Jalisco presented the highest number of species (84), followed by the coast of Nayarit (74), Michoacán (63), and Colima (55); among the islands, Revillagigedo showed the major number of species (85) followed by Marías (81), Marietas (48), and Isabel (44). Conclusions: The numbers of species known in the region are mostly related to both sampling effort and environmental characteristics that promote high biodiversity. The Central Mexican Pacific is an oceanographic region with mixed conditions from the North and South of the Mexican Pacific, and therefore, with a biogeographical importance reflected in its species richness.

RESUMO Os fenômenos que envolvem a dinâmica de gases rarefeitos para fluxo de gases em micro-canais têm sido fonte de estudo em várias pesquisas. A Equação de Boltzmann descreve tais fenômenos sendo que a partir da sua simplificação surge a teoria cinética para a dinâmica dos gases rarefeitos. Os modelos cinéticos apresentam resultados sólidos e é abordado, neste estudo, em uma versão analítica através do método de ordenadas discretas. Dessa maneira, exploramos um modelo mais próximo da realidade, comparando os valores numéricos gerados por quatro modelos cinéticos derivados de maneira unificada da Equação Linearizada de Boltzmann. Em termos de viscosidade e condutividade térmica os modelos são confrontados baseados na estatística não paramétrica para problemas da dinâmica de gases rarefeitos resultantes do movimento de transferência de massa. Além disso, utiliza-se a interação gás-superfície definida pelo núcleo de Cercignani-Lampis ao longo de um canal para placas heterogêneas.

ABSTRACT The phenomena that involve the rarefied gas dynamics for gas flow in micro-channels have been a source of study in several studies. The Boltzmann Equation describes such phenomena, and from its simplification comes the kinetic theory for the dynamics of rarefied gases. The kinetic models present reliable results and are analyzed in this study under an analytical version using the discrete ordinate method. Therefore, we explore a model closer to reality, comparing the numerical values generated by four kinetic models derived in a unified way from Boltzmann’s Linearized Equation. In terms of viscosity and thermal conductivity, the models are compared based on non-parametric statistics for problems with rarefied gas dynamics resulting from the mass transfer movement. Also, the gas-surface interaction defined by the Cercignani-Lampis nucleus along a channel for heterogeneous plates is used.

Objective: To map the clinical pharmacy services conducted in Brazil, their characteristics, outcomes, and process measures in general population, as well as the assessment of the clinical impact on people with cardiometabolic diseases (cardiovascular diseases and metabolic diseases). Methods: A systematic scoping review and meta-analysis were conducted. The electronic searches were re-run in March 2020. To the clinical impact assessment, meta-analyses of cardiometabolic outcomes (i.e., change of systolic (SBP) and diastolic blood pressure (DBP), triglycerides, total cholesterol, glycated hemoglobin (HbA1c), fasting glycemia, LDL-, and HDL-cholesterol) were led. The risk of bias was assessed with the Cochrane Collaboration tools. Results: 71 studies were identified (7,402 patients), being the majority quasi-experimental studies (n=41) and published by research groups of Southeast Brazil (n=33). Medication therapy management (n=62) was the most frequent clinical pharmacy service, performed on outpatient setting (n=45), with adults or elderly people (n=58) with hypertension (n=18) or diabetes (n=10). Process measures (n=58) (e.g. resolution of drug related-problem) were widely used as indicator, followed by clinical (n=44) (e.g. change in SBP), humanistic (n=12) (e.g. change in quality-of-life score assessed by Short-Form 36 Health Survey Questionnaire), and economic outcomes (n=3) (incremental cost-effectiveness ratio for reduction in HbA1c). Regarding the assessment of clinical impact of the services, 20 studies were included in meta-analyses, showing improvement in most cardiometabolic outcomes when considered individual studies. However, the evidence presents high risk of bias, high heterogeneity (median 67-90%) and imprecision, contributing to wide prediction intervals and low reliability. Conclusions: A predominance of studies on cardiometabolic diseases, process measures, and clinical outcomes were identified. Considering the assessment of the clinical impact of clinical pharmacy services in cardiometabolic diseases, an improvement in most cardiometabolic outcomes was showed, however, with low confidence and wide prediction interval. Therefore, development of larger studies with low risk of bias and major homogeneity is necessary for a better comprehension of clinical pharmacy service characteristics, benefits, and the population groups most benefited.

Resumen Antecedentes: Curcumina ha sido utilizada como aditivo en la dieta de animales en los últimos años, debido a las potentes propiedades medicinales de esa molécula. Objetivo: Evaluar si la adición de curcumina en la alimentación de terneras en diferentes fases (pre y post-destete) presenta efecto positivo sobre el perfil metabólico, desempeño de los animales, y acción anti-coccidial. Métodos: Se seleccionaron 33 terneros Holstein en varias etapas de desarrollo: Experimento 1 (E1: n=10) 18±7 (pre-destete), Experimento 2 (E2: n=11) 64±4 (pre-destete) y Experimento 3 (E3: n=12) 95±8 (post-destete) días de vida. Para todos los experimentos, el período experimental fue de 15 días. Los animales se dividieron en dos grupos: control y tratados con curcumina. Los grupos con curcumina recibieron una dosis de 200 mg del aditivo por animal/día en la leche (pre-destete) o en el concentrado (post-destete). Las colectas de heces y sangre fueron realizadas en los días 0, 10 y 15 para conteo de ooquistes de Eimeria por gramo de heces y análisis de puntaje fecal. Se realizó hemograma, perfil oxidante y antioxidante, metabolismo proteico, lipídico, glucosa sanguínea y pesaje de los animales. También se realizó análisis de digestibilidad de la dieta total para los animales del Experimento 3 (post-destete). Resultados: Encontramos que, independientemente de la fase, los animales que recibieron curcumina tuvieron una mayor ganancia de peso en los días 0 a 15 (E1, E2 y E3, p=0,04, 0,001 y 0,001, respectivamente), probablemente debido al aumento de la digestibilidad del heno y concentrado a las 72 h (p=0,03 y 0,02, respectivamente). En los terneros suplementados observamos un nivel más bajo de oxidantes (oxidantes (sustancias reactivas al ácido tiobarbitúrico y especies reactivas de oxígeno); es decir, los niveles séricos de radicales libres y la peroxidación lipídica fueron más bajos. Esto se debió, probablemente, a los antioxidantes enzimáticos glutatión S-transferasa (E1, E2 y E3 p=0,001, 0,001 y 0,02 respectivamente), catalasa (E1, p=0,001) y superóxido dismutasa (E3, p=0,001) que aumentaron en los animales tratados al día 15. Además, los terneros que recibieron curcumina tuvieron niveles más bajos de infección por Eimeria durante el período experimental y fueron significativos en el día 15 (E1 y E2, p=0,02 y 0,001, respectivamente). Conclusión: La suplementación con curcumina tiene potencial coccidiostático y favorece la ganancia de peso en terneros Holstein.

Abstract Background: Curcumin has been used as an additive in the diet of animals in recent years due to the potent medicinal properties of this molecule. Objective: To evaluate whether the addition of curcumin to the diet of calves at different phases (pre- and post-weaning) has a positive effect on metabolic profile, performance, and anti-coccidian action. Methods: Thirty-three Holstein calves were selected at various phases of development: Experiment 1 (E1: n=10) 18±7 (pre-weaning), Experiment 2 (E2: n=11) 64±4 (pre-weaning) and Experiment 3 (E3: n=12) 95±8 (post-weaning) days of life. The calves were separated in three groups according to their phase of development. In each experiment, animals were divided into two sub-groups: control and curcumin. The curcumin groups received 200 mg of additive per animal/day either in milk (pre-weaning) or concentrate (post-weaning). Fecal collections were performed on days 0, 10 and 15 of the experiment to count Eimeria oocysts per gram of feces and to perform fecal score analysis. Complete blood counts, oxidant and antioxidant profiles, protein metabolism markers, lipid levels, glucose levels, and animal weights were measured. Analyses of digestibility and composition of the diet used in Experiment 3 (post-weaning) were also performed. Results: Independent of phase, animals that received curcumin had greater weight gain on days 0 to 15 (E1, E2 and E3 p=0.04, 0.001 and 0.001, respectively), probably due to the increased digestibility of hay and concentrate at 72h (p=0.03 and 0.02, respectively). The supplemented calves had lower level of oxidants (thiobarbituric acid reactive substances -TBARS- and reactive oxygen species -ROS-), indicating that free radical levels in serum and lipid peroxidation were lower. This was probably due to increased enzymatic antioxidants gluthatione S-transferase (E1, E2 and E3 p=0.001, 0.001 and 0.02, respectively), catalase (E1 p=0.001) and superoxide dismutase (E3 p=0.001) in treated animals at day 15. Furthermore, calves receiving curcumin had lower numeric number of Eimeria infection during the experimental period, and the difference was significant in day 15 (E1 and E2 p=0.02, and 0.001, respectively). Conclusion: Curcumin supplementation to dairy calves has coccidiostatic potential, favoring weight gain.

Resumo Antecedentes: Curcumina tem sido usado como aditivo na dieta de animais nos últimos anos, devido as propriedades medicinais potente dessa molécula. Objetivo: Avaliar se a adição de curcumina na alimentação de bezerras em diferentes fases (pré e pós-desmame) apresenta efeito positivo sobre perfil metabólico, desempenho e ação anti-coccidéo. Métodos: Para isso, 33 bezerros holandeses foram selecionados em vários estágios de desenvolvimento: Experimento 1 (E1: n=10) 18±7 (pré-desmame), Experimento 2 (E2: n=11) 64±4 (pré-desmame) e Experimento 3 (E3: n=12) 95±8 (pós-desmame) dias de vida. Para todos os experimentos o período experimental foi de 15 dias, assim como foram delineados com dois grupos: controle e tratados com curcumina. Os grupos de curcumina receberam 200 mg do aditivo por animal/dia no leite (pré-desmame) ou em concentrado (pós-desmame). Coletas de fezes e sangue foram realizadas nos dias 0, 10 e 15 de experimento para contagem de oocistos de Eimeria por grama de fezes e análise de escore fecal. Do sangue colhido foram realizados: hemograma, perfil oxidante e antioxidante, metabolismo proteico, lipídico, glicose, além da pesagem dos animais. Também foi realizado análise de digestibilidade da dieta total ofertada aos animais do Experimento 3 (pós-desmame). Resultados: Independentemente da fase, os animais que receberam curcumina tiveram maior ganho de peso do dia 0 a 15 (E1, E2 e E3, p=0,04, 0,001 e 0,001, respectivamente), provavelmente devido ao aumento da digestibilidade ao feno e concentrado após 72 h (p=0,03 e 0,02, respectivamente). Nos bezerros suplementados, observou-se menor nível de oxidantes (substâncias reativas ao ácido tiobarbitúrico e espécies reativas de oxigênio), ou seja, os níveis séricos de radicais livres e a peroxidação lipídica foram menores. Isto foi provavelmente devido a antioxidantes enzimáticos glutationa S-transferase (E1, E2 e E3, p=0,001, 0,001 e 0,02, respectivamente), catalase (E1, p=0,001) e superóxido dismutase (E3, p=0,001) aumentando nestes animais tratados no dia 15. Além disso, bezerros recebendo curcumina tiveram menores níveis de infecção por Eimeria durante o período experimental e significativos no dia 15 (E1 e E2, p=0,02 e 0,001, respectivamente). Conclusão: A suplementação de curcumina aumenta o potencial coccidiostático e favorece o ganho de peso.

Abstract Background: Although the management of hyperkalemia follows expert guidelines, treatment approaches are based on traditionally accepted practice standards. New drugs have been assessed such as sodium zirconium cyclosilicate and patiromer; however, their safety and efficacy or effectiveness have not yet been compared to traditional pharmacotherapy. Objective: The present systematic review had the purpose to evaluate the efficacy, effectiveness, and safety of hyperkalemia pharmacotherapies. Methods: PubMed, LILACS, Cochrane Library, and ClinicalTrials were searched through November 2018. Clinical trial, cohort and case-control were searched. The risk of bias (RoB v2.0 and ROBINS-I) and quality of evidence (GRADE) at the level of outcomes were assessed. Results: Sixteen clinical trials and one retrospective cohort were identified regarding efficacy and safety of 24 different alternatives. The management of hyperkalemia remains empirical and off-label, since sodium zirconium cyclosilicate and patiromer are not available in several countries and further studies are required to assess efficacy, effectiveness and safety. Sodium or calcium polystyrene sulfonate (moderate confidence), sodium zirconium cyclosilicate (moderate confidence), and insulin plus dextrose (moderate confidence) showed superior efficacy to, respectively, placebo, no treatment, placebo, and dextrose. Other therapies (low confidence) showed similar efficacy compared to active or inactive alternatives. Most of the adverse events reported were nonspecific, so it was not possible to assign the cause and to classify as defined or probable. Conclusions: Comparative cohort and case-control studies are need to evaluate the safety and effectiveness of new and traditional pharmacotherapies to support the development of guidelines about acute and chronic hyperkalemia, with high-quality evidence.

Abstract: The aim of this study was to evaluate whether the use phytogenic as feed additive of Holstein calves could exert beneficial effects on animal health and performance. Thirty newborn calves were randomly divided into two groups (control and treated), and the treated consisted of 10 g of the phytogenic product diluted in milk once a day for 30 days. Blood and fecal samples were collected, and fecal score was performed daily in order to determine the occurrence of diarrhea. Treated calves showed higher hematocrit on days 45 and 60 of life. Serum levels of urea, total proteins, globulins and glucose were lower in the treated group on day 60 of life, while triglycerides were lower on days 15 and 60 of life. Serum glutathione S-transferase activity was higher in treated animals on day 60 of life. Fecal bacterial count was lower in treated animals on days 30 and 60 of life. The weight gain was higher in treated animals on days 60 and 210 of life. Based on these results, it is possible to conclude that the addition of phytogenic as feed additive for calves was able to minimize fecal bacterial infections and to increase body weight gain.