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The objective of this study was to compare rehydrated corn grain silages using water or whey and inoculated (Lactobacillus plantarum and Propionibacterium acidipropionici) or not. We also verified whether rehydration with whey associated with the bacterial inoculant improves material conservation. The treatments were as follows: silages rehydrated with water without inoculant (SWa); silages rehydrated with water and inoculated (SWaI); silages rehydrated with whey without inoculant (SWe); silages rehydrated with whey and inoculated (SWeI). A completely randomized design was used, with three replications, treatments in a 2 × 2 factorial scheme (RE: rehydration with water or whey, and IN: inoculation or addition of water without chlorine), during the following storage periods (T): 0, 4, 8, 16, 32, and 64 days. There was an RE x IN x T interaction (P < 0.001) for dry matter (DM), with lower values over time for SWe and higher values in SWeI. An interaction between RE x IN (P < 0.001) and IN x T (P < 0.001) was observed for pH, with higher values for SWe at 64 days of storage and a reduction from the first days of ensiling for SWaI and SWeI. The microbiological variables showed an RE x IN x T interaction (P < 0.001), with the highest counts of lactic acid bacteria for SWaI and SWeI up to 8 days of storage and subsequent higher counts in SWa and SWe. Higher counts were obtained in SWe. For the variables of fermentative losses, there was an RE x IN x T interaction (P < 0.001), with SWeI showing lower losses. The inoculation associated with whey for rehydration of corn grain improved the fermentation profile of the silage, with lower pH values and reduced losses.

O objetivo desse estudo foi comparar as silagens de grão de milho reidratado utilizando água ou soro de leite e inoculados (Lactobacillus plantarum e Propionibacterium acidipropionici) ou não, e verificar se a reidratação com soro associada ao inoculante bacteriano melhora a conservação do material. Os tratamentos foram: silagens reidratadas com água sem inoculante (SA); silagens reidratadas com água com inoculante (SAI); silagens reidratadas com soro de leite inoculante (SS); silagens reidratadas com soro de leite com inoculante (SSI). Foi utilizado um delineamento inteiramente casualizado, com três repetições, tratamentos em esquema fatorial 2 × 2 (RE: reidratação com água ou soro de leite, e IN: inoculação ou adição de água sem cloro), durante os períodos de estocagem (T): 0, 4, 8, 16, 32 e 64dias. Houve interação RE x IN x T (P < 0,001) para variável matéria seca (MS) com menores valores ao longo do tempo para SS e valores mais elevados em SSI. Foi observada interação RE x IN (P < 0,001)e IN x T (P < 0,001) para pH, com maiores valores para SS aos 64 dias de estocagem e redução desde os primeiros dias de ensilagem para SAI e SSI. As variáveis microbiológicas apresentaram interação RE x IN x T (P < 0,001), sendo a maior contagem de bactérias ácido láticas para SAI e SSI até os 8dias de estocagem e após com maiores contagens em SA e SS; maiores contagens foram obtidas em SS. Para as variáveis de perdas fermentativas houve interação RE x IN x T (P < 0,001), em geral, com SSI apresentando menores perdas. A inoculação associada ao uso de soro para reidratação de grão de milho melhorou o perfil fermentativo da silagem, com menores valores de pH e redução das perdas.

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The objective of this study was to compare rehydrated corn grain silages using water or whey and inoculated (Lactobacillus plantarum and Propionibacterium acidipropionici) or not. We also verified whether rehydration with whey associated with the bacterial inoculant improves material conservation. The treatments were as follows: silages rehydrated with water without inoculant (SWa); silages rehydrated with water and inoculated (SWaI); silages rehydrated with whey without inoculant (SWe); silages rehydrated with whey and inoculated (SWeI). A completely randomized design was used, with three replications, treatments in a 2 × 2 factorial scheme (RE: rehydration with water or whey, and IN: inoculation or addition of water without chlorine), during the following storage periods (T): 0, 4, 8, 16, 32, and 64 days. There was an RE x IN x T interaction (P < 0.001) for dry matter (DM), with lower values over time for SWe and higher values in SWeI. An interaction between RE x IN (P < 0.001) and IN x T (P < 0.001) was observed for pH, with higher values for SWe at 64 days of storage and a reduction from the first days of ensiling for SWaI and SWeI. The microbiological variables showed an RE x IN x T interaction (P < 0.001), with the highest counts of lactic acid bacteria for SWaI and SWeI up to 8 days of storage and subsequent higher counts in SWa and SWe. Higher counts were obtained in SWe. For the variables of fermentative losses, there was an RE x IN x T interaction (P < 0.001), with SWeI showing lower losses. The inoculation associated with whey for rehydration of corn grain improved the fermentation profile of the silage, with lower pH values and reduced losses.(AU)

O objetivo desse estudo foi comparar as silagens de grão de milho reidratado utilizando água ou soro de leite e inoculados (Lactobacillus plantarum e Propionibacterium acidipropionici) ou não, e verificar se a reidratação com soro associada ao inoculante bacteriano melhora a conservação do material. Os tratamentos foram: silagens reidratadas com água sem inoculante (SA); silagens reidratadas com água com inoculante (SAI); silagens reidratadas com soro de leite inoculante (SS); silagens reidratadas com soro de leite com inoculante (SSI). Foi utilizado um delineamento inteiramente casualizado, com três repetições, tratamentos em esquema fatorial 2 × 2 (RE: reidratação com água ou soro de leite, e IN: inoculação ou adição de água sem cloro), durante os períodos de estocagem (T): 0, 4, 8, 16, 32 e 64dias. Houve interação RE x IN x T (P < 0,001) para variável matéria seca (MS) com menores valores ao longo do tempo para SS e valores mais elevados em SSI. Foi observada interação RE x IN (P < 0,001)e IN x T (P < 0,001) para pH, com maiores valores para SS aos 64 dias de estocagem e redução desde os primeiros dias de ensilagem para SAI e SSI. As variáveis microbiológicas apresentaram interação RE x IN x T (P < 0,001), sendo a maior contagem de bactérias ácido láticas para SAI e SSI até os 8dias de estocagem e após com maiores contagens em SA e SS; maiores contagens foram obtidas em SS. Para as variáveis de perdas fermentativas houve interação RE x IN x T (P < 0,001), em geral, com SSI apresentando menores perdas. A inoculação associada ao uso de soro para reidratação de grão de milho melhorou o perfil fermentativo da silagem, com menores valores de pH e redução das perdas.(AU)

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OBJECTIVE: We sought to investigate if the chloride content of fluids used in resuscitation was associated with short- and long-term outcomes. DESIGN: We identified patients who received large-volume fluid resuscitation, defined as greater than 60 mL/kg over a 24-hour period. Chloride load was determined for each patient based on the chloride ion concentration of the fluids they received during large-volume fluid resuscitation multiplied by the volume of fluids. We compared the development of hyperchloremic acidosis, acute kidney injury, and survival among those with higher and lower chloride loads. SETTING: University Medical Center. PATIENTS: Patients admitted to ICUs from 2000 to 2008. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Among 4,710 patients receiving large-volume fluid resuscitation, hyperchloremic acidosis was documented in 523 (11%). Crude rates of hyperchloremic acidosis, acute kidney injury, and hospital mortality all increased significantly as chloride load increased (p < 0.001). However, chloride load was no longer associated with hyperchloremic acidosis or acute kidney injury after controlling for total fluids, age, and baseline severity. Conversely, each 100 mEq increase in chloride load was associated with a 5.5% increase in the hazard of death even after controlling for total fluid volume, age, and severity (p = 0.0015) over 1 year. CONCLUSIONS: Chloride load is associated with significant adverse effects on survival out to 1 year even after controlling for total fluid load, age, and baseline severity of illness. However, the relationship between chloride load and development of hyperchloremic acidosis or acute kidney injury is less clear, and further research is needed to elucidate the mechanisms underlying the adverse effects of chloride load on survival.

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We investigated the influence of different fluid resuscitation techniques on the number of myeloid-derived suppressor cells (MDSCs) in rats. Seventy-two healthy Sprague-Dawley rats were randomly divided into groups that received sham operation (Sham group), hypertonic saline (HRS group), lactated ringer's solution (LRS group), or crystalloid solution (LCRS group). Six rats from each group were sacrificed by cervical dislocation at 12, 24, and 48 h after resuscitation. The spleens were harvested under sterile conditions and spleen cell suspension was prepared. The number of MDSCs was detected using flow cytometry. The number of MDSCs in the Sham group did not differ significantly among the different time points. Compared with the Sham group, the number of MDSCs after the use of the different fluid resuscitation techniques increased to varying extents and the differences among the groups were significant. The number of MDSCs in the HRS group was much lower than that of the LRS and LCRS groups at both 24 and 48 h (P < 0.05). At 12 h, the number of MDSCs in the HRS group was significantly lower than that of the LRS group (P < 0.05). The differences between the HRS and LCRS groups were not statistically significant. Shortly after hemorrhagic shock resuscitation, the immune function of rats was suppressed to a varying extent and was gradually restored over time. Resuscitation with HRS alleviated the immunosuppression at the early stage after shock.

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No presente estudo, foram comparados os efeitos da administração intravenosa de três soluções eletrolíticas comerciais sobre o equilíbrio ácido-base em cães desidratados experimentalmente por restrição hídrica e poliúria. Os animais foram aleatoriamente distribuídos em três grupos e tratados com três diferentes soluções eletrolíticas comerciais durante 12 horas: Ringer com lactato de sódio (RL), Ringer simples (RS) e Glicofisiológico (GF). Entre os tratamentos testados, a fluidoterapia intravenosa com solução de Ringer com lactato de sódio (RL) foi o tratamento que apresentou efeito alcalinizante, sinalizado por pequeno aumento nos valores do pH(a), cHCO3(aP), ctCO2(aP) e cBase(a), podendo ser utilizada no tratamento de animais com acidose metabólica de intensidade discreta a moderada. As soluções Ringer simples (RS) e glicofisiológica (GF) determinaram discreta diminuição na concentração de base titulável do sangue arterial (cBase), demonstrando efeito acidificante, o que as tornam uma opção para tratar cães com alcalose metabólica.

Three commercial intravenous electrolyte solutions were compared as for their effects on the blood acid-base status in dogs experimentally dehydrated by withholding water and inducing polyuria. Animals were randomly divided into three groups which were rehydrated with the following commercial electrolyte solutions during 12 hours: Lactate Ringerïs solution (RL), Ringerïs solution (RS) and a normal saline solution (0.9 percent sodium chloride) containing 5 percent dextrose (GF). The RLïs intravenous fluid therapy resulted in an alkalinizing effect demonstrated by a mild increase in arterial blood pH, ctCO2, bicarbonate (cHCO-3), and arterial blood base concentration (cBase) and, thus, can be used in animals exhibiting mild to moderate metabolic acidosis. In contrast, the RS and GF therapies led to a mild decrease in the concentration of arterial blood tritiable base (cBase) inducing an acidifying effect, which make them an option to treat dogs with metabolic alkalosis.

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The objective of the present study was to evaluate the role of physical exercise as well as the influence of hydration with an isotonic sports drink on renal function in male Wistar rats. Four groups were studied over a period of 42 days: 1) control (N = 9); 2) physical exercise (Exe, N = 7); 3) isotonic drink (Drink, N = 8); 4) physical exercise + isotonic drink (Exe + Drink, N = 8). Physical exercise consisted of running on a motor-driven treadmill for 1 h/day, at 20 m/min, 5 days a week. The isotonic sports drink was a commercial solution used by athletes for rehydration after physical activity, 2 ml administered by gavage twice a day. Urine cultures were performed in all animals. Twenty-four-hour urine samples were collected in metabolic cages at the beginning and at the end of the protocol period. Urinary and plasma parameters (sodium, potassium, urea, creatinine, calcium) did not differ among groups. However, an amorphous material was observed in the bladders of animals in the Exe + Drink and Drink groups. Characterization of the material by Western blot revealed the presence of Tamm-Horsfall protein and angiotensin converting enzyme. Physical exercise and the isotonic drink did not change the plasma or urinary parameters measured. However, the isotonic drink induced the formation of intravesical matrix, suggesting a potential lithogenic risk.

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The objective of the present study was to evaluate the role of physical exercise as well as the influence of hydration with an isotonic sports drink on renal function in male Wistar rats. Four groups were studied over a period of 42 days: 1) control (N = 9); 2) physical exercise (Exe, N = 7); 3) isotonic drink (Drink, N = 8); 4) physical exercise + isotonic drink (Exe + Drink, N = 8). Physical exercise consisted of running on a motor-driven treadmill for 1 h/day, at 20 m/min, 5 days a week. The isotonic sports drink was a commercial solution used by athletes for rehydration after physical activity, 2 ml administered by gavage twice a day. Urine cultures were performed in all animals. Twenty-four-hour urine samples were collected in metabolic cages at the beginning and at the end of the protocol period. Urinary and plasma parameters (sodium, potassium, urea, creatinine, calcium) did not differ among groups. However, an amorphous material was observed in the bladders of animals in the Exe + Drink and Drink groups. Characterization of the material by Western blot revealed the presence of Tamm-Horsfall protein and angiotensin converting enzyme. Physical exercise and the isotonic drink did not change the plasma or urinary parameters measured. However, the isotonic drink induced the formation of intravesical matrix, suggesting a potential lithogenic risk.

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OBJECTIVES: Efficacy, development of overhydration, and correction of electrolyte disturbances of severely malnourished children with acute diarrhea using a modified oral rehydration solution for malnourished children (termed ReSoMaL and recommended by the World Health Organization [WHO]) were evaluated and compared with standard WHO-oral rehydration solution (ORS). STUDY DESIGN: Children age 6 to 36 months with severe malnutrition and acute watery diarrhea were randomized to ReSoMaL (n=65) or standard WHO-ORS (n=65). Major outcome measures included the number of children who developed overhydration and the number who corrected hypokalemia. RESULTS: The numbers of children who developed overhydration were not significantly different (ReSoMaL vs WHO-ORS, 5% vs 12%, P=.2). ReSoMaL corrected basal hypokalemia in a greater proportion of children by 24 hours (36% vs 5%, P=.0006) and 48 hours (46% vs 16%, P=.004) compared with WHO-ORS. More children on ReSoMaL than WHO-ORS remained hyponatremic at 48 hours (29% vs 10%, P=.017). Three children in the ReSoMaL group developed severe hyponatremia by 24 hours, with one experiencing hyponatremic convulsions (serum sodium, 108 mmol/L). CONCLUSIONS: ReSoMaL has a large beneficial effect on potassium status compared with standard ORS. However, ReSoMaL therapy may result in symptomatic hyponatremia and seizures in patients with severe diarrhea.

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Os repositores hidroeletrolíticos foram lançados no mercado nacional com a proposta inicial de funcionarem como um repositor de líquidos e sais minerais para os praticantes de esportes. Entretanto, em razäo do seu sabor agradável e da sensasäo de "saciar a sede", estas bebidas têm se tornado muito populares, sendo consumidas indiscriminadamente por crianças e adultos. O objetivo do presente estudo foi analisar, através de uma revisäo da Literatura, o potencial erosivo que estas bebidas possam ter sobre o esmalte dentário. Para isso, foram utilizados estudos experimentais publicados na forma de artigos científicos, a partir de 1984

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A razäo fundamental para o desenvolvimento das várias soluçöes para consumo antes, durante e após exercício físico é que tais bebidas podem atenuar alguns dos distúrbios, na homeostase, que ocorrem durante o próprio exercício, e desta forma, prevenir lesöes e fundamentalmente aumentar o desempenho. Aumentos na temperatura central, na osmolalidade dos líquidos corporais, na freqüência cardíaca, na perda de volume plasmático e, na depleçäo de carboidratos provocadas pelo exercício e por desidrataçäo säo, provavelmente, os distúrbios homeostáticos mais importantes que podem ser atenuados através do consumo de líquidos carboidratados. Portanto soluçöes que contenham açúcares simples ou polímeros de glicose (por exemplo a maltodextrina) com pequenas quantidades de eletrólitos, ou sem, minimizam distúrbios na regulaçäo da temperatura e na funçäo cardiovascular, mantém os níveis da glicose sangüínea e aumentam a performance de forma mais acentuada que quando ocorre a ingestäo de água pura.(au)

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O presente estudo teve por objetivos: 1) verificar a incidência de ocorrências adversas (OAs) com medicaçäo relacionadas ao tempo de infusäo das soluçöes hidroeletrolíticas e ao número de doses de antibióticos prescritos e administrados aos pacientes; 2) caracterizar a natureza dessas ocorrências. A investigaçäo foi realizada em duas UTIs de um hospital geral do Município de Säo Paulo...

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Os autores fazem uma análise crítica do enxerto tecido adiposo, seus aspectos clínicos e experimentais. Interpretam fatores de colheita, tratamento e injeçäo desta modalidade de enxerto. Deixam fortes suspeitas da a açäo lesiva de soluçöes fisiológicas e do processo inflamatório dos tecidos receptores, abrindo novas fontes de pesquisa

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Using the appropriate treatment for dehydration due to diarrhea, over a million deaths a year in children under five are being prevented. After analyzing the information related to the concentration of sodium in solutions used for oral rehydration, the following conclusions can be made: 1. Solutions with high glucose content, as well as hyperosmolar foods, favor the development of hypernatremia. Not so, sodium concentrations of up to 90 mmol/L, with glucose under 2.5%. 2. There are other factors which correlate with the presence of hypernatremia: abundant watery diarrhea, a good state of nutrition, under six months of age and the administration of solute loads, orally (boiled milk) as well as intravenously. 3. The WHO oral rehydration solution which contains, in mmol/L: sodium 90, glucose 111 (2%), chloride 80, potassium 20 and citrate 10, with a total osmolarity of 311 or 331 mOsm/L, is the one which more closely resembles the ideal concentration and has shown to be effective, not only in the treatment of dehydration due to diarrhea, but has also been to be useful in the prevention and maintenance of rehydration, independently from the etiology, the patient's age or the state of nutrition. 4. The use of oral serum with a sodium concentration of 90 mmol/L, reduces the natremia more slowly, therefore protecting the patient with hypernatremic dehydration from developing convulsions during treatment. This sodium concentration is also the best for cases of hyponatremic dehydration. 5. Using the recommended norms in cases of children with diarrhea, including continuing regular feeding habits and the adding of complementary liquids, no cases of hypernatremia have been recorded.(ABSTRACT TRUNCATED AT 250 WORDS)

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The use of the "universal" glucoelectrolytic solution proposed by the World Health Organization (WHO) for the treatment of the acute diarrheal syndrome, has now been recognized worldwide and successfully employed in the treatment of diarrhea and the maintenance of the normohydrated state once the patient has recuperated. All in all, it is necessary to comment and distinguish its beneficial aspects once placed into practice. This article primarily focuses on: 1. The recognition that local health indicators will determine importantly, the evaluation of the results obtained from the use of oral rehydration therapy; 2. The establishment of sound elements of judgement for the evaluation of the rehydrating solution from its composition to the volume employed; 3. Comment on the contraindications of oral rehydration therapy and describe the treatment plan suggested by the WHO; 4. Explain why in some parts of the world a sodium concentration of 60 is preferred over the 90 mmol/L found in the rehydrating solution; 5. Point out the risk of producing hypernatremia in patients rehydrated with the WHO solution and mechanisms which tend to reduce it; and finally, establish individualized management of water and electrolytic disturbances for certain regions of the world according to their health characteristics. Acute diarrhea; oral rehydration; critique.

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