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Maria A Risso,1 Sofía Sallustio,1 Valentin Sueiro,1 Victoria Bertoni,1 Henry Gonzalez-Torres,2,3 Carlos G Musso1,2 1Human Physiology Department, Instituto Universitario del Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; 2Facultad de Ciencias de la Salud, Universidad Simon Bolivar, Barranquilla, Colombia; 3Ciencias Biomédicas, Universidad del Valle, Cali, ColombiaCorrespondence: Carlos G MussoHuman Physiology Department, Instituto Universitario del Hospital Italiano de Buenos Aires, Buenos Aires, ArgentinaEmail carlos.musso@hospitalitaliano.org.arAbstract: Glomerular filtration rate (GFR) and proteinuria-albuminuria are the renal functional parameters currently used to evaluate chronic kidney disease (CKD) severity. However, tubular secretion is another important renal functional parameter to be taken into account since proximal tubule (PT) secretion, in particular, is a crucial renal mechanism for endogenous organic cations, anions and drug elimination. The residual diuresis is a relevant survival predictor in patients on dialysis, since their urine is produced by the glomerular and tubular functions. It has been hypothesized that drugs which up-regulate some renal tubular transporters could contribute to uremic toxin excretion, and nephroprevention. However, if tubular transporters’ down-regulation observed in CKD patients and experimental models is a PT adaptation to avoid intracellular accumulation and damage from uremic toxins, consequently the increase of toxin removal by inducing tubular transporters’ up-regulation could be deleterious to the kidney. Therefore, a deeper understanding of this phenomenon is currently needed. In conclusion, tubular function has an important role for endogenous organic cations, anions and drug excretion in CKD patients, and a deeper understanding of its multiple mechanisms could provide new therapeutic alternatives in this population.Keywords: tubular function, chronic kidney disease, drugs

Objects and semiochemicals may be used as enrichment in zoos. Domestic cats release Fraction 3 of Facial Pheromone (F3) by rubbing the muzzle to convey relational and territorial information. We aimed to evaluate whether and how the introduction of novel objects and scent stimuli could change the behaviour of one group (N = 5 subjects) of adult European wildcats ( Felis silvestris silvestris ) hosted at Parco Natura Viva-Garda Zoological Park, Italy. We assessed the behavioural changes following the introduction of novel objects (blocks and rags) and scent (synthetic F3) via observations over four experimental conditions (baseline, rags, F3 rags, blocks) using continuous focal animal sampling. Our results showed that no behavioural differences were found between the different conditions and the baseline, except for the condition with blocks when significantly less exploration was observed. Between conditions, wildcats performed significantly less individual explorative, affiliative, and agonistic behaviours, but more individual inactivity, when exposed to rags after F3 administration. Our findings suggest that the enrichment programme did not substantively affect the behaviour of the zoo-housed wildcats. However, the behavioural differences recorded between conditions suggest that, while novel objects introduced as visual stimuli (blocks) do not affect the wildcat behaviour, novel manipulative objects (rags) might impact their behaviour. Moreover, the changes in affiliative and agonistic behaviours displayed during the condition with exposure to rags sprayed with F3 suggest that such semiochemical could play an appeasement role within this study group.

The aim of this paper is to describe the distinctive ultrasound findings of a case of vaginal bleeding caused by the presence of a foreign body. We present the case of an infant who consulted for vaginal bleeding and foul-smelling discharge. The ultrasound revealed signs of vaginal distension due to heterogeneous-hematic contents and parietal thickening. At Doppler examination, a striking finding of increased vascularization limited to the upper two-thirds of the vaginal wall was found, which was initially interpreted as a sign of local inflammation suggesting the presence of an underlying foreign body. At direct vaginoscopic examination remains of toilet paper in the vaginal fundus were found. The presence of a foreign body in the vagina is an uncommon cause of discharge and vaginal bleeding in pediatrics, therefore, this etiology should be kept in mind when the adequate clinical context arises. Doppler ultrasound represents a first-line complementary method when this entity is suspected., (© 2021. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)

The union or reunion of animals with social groups can be a challenging situation, and little has been published about it when solitary species are concerned. Therefore, the aim of the present study was two-fold: (1) to advocate the need for systematic publications about strategies and the outcomes of reunion episodes in zoos and other facilities; and (2) to describe the behaviour of European wildcats ( Felis silvestris silvestris ) during one such episode, in which a female cat was reintroduced into her family social group using a gradual reunion procedure and cat appeasing pheromone (CAP) (spot-on). The study comprised three periods: the pre-reunion period (10 days, 20 sessions per wildcat), the post-reunion period (A, 5 days, 10 sessions per wildcat; B, 5 days, 10 sessions per wildcat) and the late-reunion period (5 days, 10 sessions per wildcat). In the post-reunion periods, all wildcats were together in the enclosure and were spotted with CAP pheromone. Per period, we collected data on individual and social behaviours. Individual behaviours, such as attention and self-grooming, were performed more in the pre-reunion than in the post-reunion period. Regarding social behaviours, we found that agonistic behaviours were performed more in the pre-reunion than in the post-reunion period. We observed behavioural changes over the course of the study, with behavioural patterns of the late-reunion periods resembling those of the pre-reunion period.

This article reports the rationale for the Brazilian Cardioprotective Nutritional Program (BALANCE Program) Trial. This pragmatic, multicenter, nationwide, randomized, concealed, controlled trial was designed to investigate the effects of the BALANCE Program in reducing cardiovascular events. The BALANCE Program consists of a prescribed diet guided by nutritional content recommendations from Brazilian national guidelines using a unique nutritional education strategy, which includes suggestions of affordable foods. In addition, the Program focuses on intensive follow-up through one-on-one visits, group sessions, and phone calls. In this trial, participants 45 years or older with any evidence of established cardiovascular disease will be randomized to the BALANCE or control groups. Those in the BALANCE group will receive the afore mentioned program interventions, while controls will be given generic advice on how to follow a low-fat, low-energy, low-sodium, and low-cholesterol diet, with a view to achieving Brazilian nutritional guideline recommendations. The primary outcome is a composite of death (any cause), cardiac arrest, acute myocardial infarction, stroke, myocardial revascularization, amputation for peripheral arterial disease, or hospitalization for unstable angina. A total of 2468 patients will be enrolled in 34 sites and followed up for up to 48 months. If the BALANCE Program is found to decrease cardiovascular events and reduce risk factors, this may represent an advance in the care of patients with cardiovascular disease., (Copyright © 2015 Elsevier Inc. All rights reserved.)