Average creatinine-urea clearance: revival of an old analytical technique?

Background: Creatinine-based equations such as the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) are recommended for estimating glomerular filtration rate (eGFR) in clinical practice, but have reduced performance in advanced stages of chronic kidney disease. However, only rarely studies have evaluated the performance of eGFR by measuring the average of the urinary clearances of creatinine and urea (mCl) compared with the eGFR equations.

Methods: This cross-sectional study evaluated the usefulness of mCl in a population of 855 participants who performed a GFR measurement by urinary inulin clearance.

[Evaluation of a supervised physical exercise program in sedentary patients over 65 years with type 2 diabetes mellitus].

Objective: To analyze whether an exercise program can modify glycated hemoglobin (HbA1c), blood pressure (BP), body mass index (BMI), lipids, cardiovascular risk profile (CVR), self-perceived health status (SHS), and pharmaceutical expenditure (PE).

Design: A randomized, single blind, controlled trial.

Intervention: program of supervised aerobic physical exercise.

Chemical constituents antioxidant and anticholinesterasic activity of Tabernaemontana catharinensis.

The present work aimed to analyze the alkaloid content of the ethanolic extract of Tabernaemontana catharinensis (Apocynaceae family) and its fractions as well as to evaluate their antioxidant and anticholinesterasic activities. The analyses of the ethanolic extract of T. catharinensis by mass spectrometry allowed identifying the presence of the alkaloids 16-epi-affinine, coronaridine-hydroxyindolenine, voachalotine, voacristine-hydroxyindolenine, and 12-methoxy-n-methyl-voachalotine, as well as an alkaloid with m/z 385.