Patients on the Waiting List for Liver Transplantation: Caregiver Burden and Stress

Over the last few decades, informal caregivers of patients with chronic diseases have received more attention, and there is a growing volume of studies demonstrating high rates of burden, stress, and mental disorders in this group of individuals. The objective of this study was to evaluate the burden, stress, and psychosocial characteristics of informal caregivers of liver transplantation candidates. Participants were assessed by individual evaluations with the following instruments: a semi-structured interview, the Caregiver Burden Scale, the Inventario de Sintomas de Stress para Adultos de Lipp, and the Beck Depression Inventory. The Mann-Whitney test was used for statistical analysis with a significance level of 0.05. The characteristics of the study group (n = 61) were similar to those of groups in other studies with respect to gender (82% were women), kinship (64% were spouses), and age (the mean age was 47.6 years). The main stressors identified by the participants were as follows: doubts about ways to react in a crisis or in emergency situations (42.6%), mood swings of the patient (29.5%), and care involving food and medications (27.9%). Approximately 25% of the caregivers reported that they felt unprepared to adequately perform their roles. Data analysis indicated a greater burden overall on caregivers when the patient`s Model for End-Stage Liver Disease score was greater than or equal to 15 points (P = 0.041). Furthermore, caregivers of patients with alcoholic liver disease showed higher depression (P = 0.034) and overall burden scores (P = 0.031) versus caregivers of patients with liver disease due to other etiologies. In conclusion, the participants showed significantly high levels of burden, stress, and depression. Support measures and caregiver preparation should be implemented by health care providers. Liver Transpl 16: 1164-1168, 2010. (C) 2010 AASLD.

Effects of the extraction conditions on the yield and composition of rice bran oil extracted with ethanol-A response surface approach

Rice bran oil was obtained from rice bran by solvent extraction using ethanol. The influence of process variables, solvent hydration (0-24% of water, on mass basis), temperature (60-90 degrees C), solvent-to-rice bran mass ratio (2.5:1 to 4.5:1) and stirrer speed (100-250 rpm) were analysed using the response surface methodology. The extraction yield was highly affected by the solvent water content, and it varied from 8.56 to 20.05 g of oil/100 g of fresh rice bran (or 42.7-99.9% of the total oil available) depending on the experimental conditions. It was observed that oryzanol and tocols behave in different ways during the extraction process. A larger amount of tocols is extracted from the solid matrix in relation to gamma-oryzanol. It was possible to obtain values from 123 to 271 mg of tocols/kg of fresh rice bran and 1527 to 4164 mg of oryzanol/kg of fresh rice bran, indicating that it is feasible to obtain enriched oil when this renewable solvent is used. No differences in the chemical composition of the extracted oils were observed when compared to the data cited in the literature. (C) 2011 The Institution of Chemical Engineers. Published by Elsevier B.V. All rights reserved.

Retinol binding protein 4 and retinol in steatotic and nonsteatotic rat livers in the setting of partial hepatectomy under ischemia/reperfusion

Steatotic livers show increased hepatic damage and impaired regeneration after partial hepatectomy (PH) under ischemia/reperfusion (I/R), which is commonly applied in clinical practice to reduce bleeding. The known function of retinol-binding protein 4 (RBP4) is to transport retinol in the circulation. We examined whether modulating RBP4 and/or retinol could protect steatotic and nonsteatotic livers in the setting of PH under I/R. Steatotic and nonsteatotic livers from Zucker rats were subjected to PH (70%) with 60 minutes of ischemia. RBP4 and retinol levels were measured and altered pharmacologically, and their effects on hepatic damage and regeneration were studied after reperfusion. Decreased RBP4 levels were observed in both liver types, whereas retinol levels were reduced only in steatotic livers. RBP4 administration exacerbated the negative consequences of liver surgery with respect to damage and liver regeneration in both liver types. RBP4 affected the mobilization of retinol from steatotic livers, and this revealed actions of RBP4 independent of simple retinol transport. The injurious effects of RBP4 were not due to changes in retinol levels. Treatment with retinol was effective only for steatotic livers. Indeed, retinol increased hepatic injury and impaired liver regeneration in nonsteatotic livers. In steatotic livers, retinol reduced damage and improved regeneration after surgery. These benefits of retinol were associated with a reduced accumulation of hepatocellular fat. Thus, strategies based on modulating RBP4 could be ineffective and possibly even harmful in both liver types in the setting of PH under I/R. In terms of clinical applications, a retinol pretreatment might open new avenues for liver surgery that specifically benefit the steatotic liver. Liver Transpl 18:1198-1208, 2012. (c) 2012 AASLD.

Qualitative study of young, adult, and aged wistar rats temporomandibular synovial membrane employing light, scanning, and transmission electron microscopy

The aim of this study was to analyze the rat temporomandibular joint (TMJ) synovial membrane at different ages using light, scanning, and transmission electron microscopy. Under light microscopic analysis, the TMJ structures were observed such as condyle, capsule, disk, the synovial membrane collagen type, and cells distribution. In the scanning electron microscopy, the synovial membrane surface exhibited a smooth aspect in young animals and there was an increase with ageing in the number of folds. The transmission electron microscopic analysis showed more synoviocytes in the synovial layer in the young group and still a great number of vesicles and cisterns dilation of rough endoplasmic reticulum in the aged group. In the three groups, a dense layer of collagen fibers in the synovial layer and cytoplasmic extensions were clearly seen. It was possible to conclude that synovial membrane structures in aged group showed alterations contributing to the decrease in joint lubrication and in the sliding between disk and joint surfaces. These characteristic will reflect in biomechanics of chewing, and may cause the TMJ disorders, currently observed in clinical processes. Microsc. Res. Tech. (c) 2012 Wiley Periodicals, Inc.

Self-bound interacting QCD matter in compact stars

The quark gluon plasma (QGP) at zero temperature and high baryon number is a system that may be present inside compact stars. It is quite possible that this cold QGP shares some relevant features with the hot QGP observed in heavy ion collisions, being also a strongly interacting system. In a previous work we have derived from the QCD Lagrangian an equation of state (EOS) for the cold QGP, which can be considered an improved version of the MIT bag-model EOS. Compared to the latter, our EOS reaches higher values of the pressure at comparable baryon densities. This feature is due to perturbative corrections and also to nonperturbative effects. Here we apply this EOS to the study of neutron stars, discussing the absolute stability of quark matter and computing the mass-radius relation for self-bound (strange) stars. The maximum masses of the sequences exceed two solar masses, in agreement with the recently measured values of the mass of the pulsar PSR J1614-2230, and the corresponding radii of around 10-11 km.

New Aerosol Particle formation in Amazonia

Events of new particle formation (NPF) in tropical boundary layer followed by consecutive growth towards Aitken mode size range are sparse compared to mid- latitudes Kulmala et al. (2004). This is also the case for rainforest environment. More often short episodes of elevated ultrafine and Aitken mode aerosol particle concentrations are observed their origin and the processes governing these episodes do however remain unclear. Based on observations performed in the Amazonian rainforest environment combined with statistical analysis we present a mechanism explaining the erratic appearance of ultra-fine aerosol in tropical boundary layer of the rainforest.

Overview of the South American Biomass burning analysis (SAMBBA) field experiment.

Biomass burning represents one of the largest sources of particulate matter to the atmosphere, which results in a significant perturbation to the Earth’s radiative balance coupled with serious negative impacts on public health. Globally, biomass burning aerosols are thought to exert a small warming effect of 0.03 Wm-2, however the uncertainty is 4 times greater than the central estimate. On regional scales, the impact is substantially greater, particularly in areas such as the Amazon Basin where large, intense and frequent burning occurs on an annual basis for several months (usually from August-October). Furthermore, a growing number of people live within the Amazon region, which means that they are subject to the deleterious effects on their health from exposure to substantial volumes of polluted air. Initial results from the South American Biomass Burning Analysis (SAMBBA) field experiment, which took place during September and October 2012 over Brazil, are presented here. A suite of instrumentation was flown on-board the UK Facility for Airborne Atmospheric Measurement (FAAM) BAe-146 research aircraft and was supported by ground based measurements, with extensive measurements made in Porto Velho, Rondonia. The aircraft sampled a range of conditions with sampling of fresh biomass burning plumes, regional haze and elevated biomass burning layers within the free troposphere. The physical, chemical and optical properties of the aerosols across the region will be characterized in order to establish the impact of biomass burning on regional air quality, weather and climate.

Condição corporal ao parto e produção de leite sobre o desempenho reprodutivo de vacas holandesas em lactação

O objetivo, neste estudo, foi avaliar os efeitos da condição corporal ao parto e da mudança de condição corporal sobre o desempenho reprodutivo de vacas leiteiras após o parto. Para tanto, 51 vacas holandesas, de 30 dias pré-parto até 150 dias após o parto, foram distribuídas aleatoriamente de acordo com a condição corporal ao parto nas classes 1 (condição corporal maior ou igual a 3,25) e 2 (condição corporal menor ou igual a 3,0). Dentro das classes de condição corporal ao parto, os animais foram distribuídos quanto à mudança de condição corporal (Categoria 1, igual ou menor que -0,50 e Categoria 2, igual ou maior que -0,75) e à média da produção de leite ajustada para 3,5% aos 150 dias (Grupo 1 = 22,61 e Grupo 2 = 31,65 kg/dia). Não houve diferenças da condição corporal ao parto e da produção de leite ajustada para 3,5% sobre o intervalo parto primeiro estro, intervalo parto primeiro serviço, período de serviço, número de serviço / concepção e taxa de gestação aos 150 dias de lactação. Vacas que ao parto apresentaram média de escore de condição corporal de 3,40 e 2,79 tiveram semelhante desempenho reprodutivo pósparto. Em relação à produção de leite ajustada para 3,5%, vacas com produção média de 22,61 e 31,65 apresentaram similares resultados. A mudança de condição corporal não influenciou o intervalo parto primeiro serviço, o período de serviço e o número de serviço por concepção, mas apresentaram maior intervalo parto primeiro estro e menor taxa de gestação