Assessment of therapeutic benefit of antiviral therapy in chronic hepatitis C: is hepatic venous pressure gradient a better end point?

Chronic hepatitis C is a major healthcare problem. The response to antiviral therapy for patients with chronic hepatitis C has previously been defined biochemically and by PCR. However, changes in the hepatic venous pressure gradient (HVPG) may be considered as an adjunctive end point for the therapeutic evaluation of antiviral therapy in chronic hepatitis C. It is a validated technique which is safe, well tolerated, well established, and reproducible. Serial HVPG measurements may be the best way to evaluate response to therapy in chronic hepatitis C.

Rat splanchnic net oxygen consumption. Energetic implications

1. The blood flow, PO2, pH and PCO2 have been estimated in portal and suprahepatic veins as well as in hepatic artery of fed and overnight starved rats given an oral glucose load. From these data the net intestinal, hepatic and splanchnic balances for oxygen and bicarbonate were calculated. The oxygen consumption of the intact animal has also been measured under comparable conditions. 2. The direct utilization of oxygen balances as energy equivalents when establishing the contribution of energy metabolism of liver and intestine to the overall energy expenses of the rat, has been found to be incorrect, since it incorporates the intrinsic error of interorgan proton transfer through bicarbonate. Liver and intestine produced high net bicarbonate balances in all situations tested, implying the elimination (by means of oxidative pathways, i.e. consuming additional oxygen) of high amounts of H+ generated with bicarbonate. The equivalence in energy output of the oxygen balances was then corrected for bicarbonate production to 11-54% lower values. 3. Intestine and liver consume a high proportion of available oxygen, about one-half in basal (fed or starved) conditions and about one-third after gavage, the intestine consumption being about 15% in all situations tested and the liver decreasing its oxygen consumption with gavage.

Dramatic decline of serogrup C meningococcal disease incidence in Catalonia (Spain) 24 months after a mass vaccination programme of children and young people

STUDY OBJECTIVES The objective of this study was to evaluate the effectiveness of a mass vaccination programme carried out in Catalonia (Spain) in the last quarter of 1997 in response to an upsurge of serogroup C meningococcal disease (SCMD). DESIGN Vaccination coverage in the 18 month to 19 years age group was investigated by means of a specific vaccination register. Vaccination effectiveness was calculated using the prospective cohort method. Cases of SCMD were identified on the basis of compulsory reporting and microbiological notification by hospital laboratories. Vaccination histories were investigated in all cases. Unadjusted and age adjusted vaccination effectiveness referred to the time of vaccination and the corresponding 95% confidence intervals (CI) were estimated at 6, 12, 18 and 24 months of follow up. SETTING All population aged 18 months to 19 years of Catalonia. MAIN RESULTS A total of seven cases of SCMD were detected at six months of follow up (one in the vaccinated cohort), 12 cases at 12 months (one in the vaccinated cohort), 19 cases at 18 months (two in the vaccinated cohort) and 24 at 24 months (two in the vaccinated cohort). The age adjusted effectiveness was 84% (95%CI 30, 97) at six months, 92% (95%CI 63, 98) at 12 months, 92% (95% CI 71, 98) at 18 months and 94% (95%CI 78, 98) at 24 months. In the target population, cases have been reduced by more than two thirds (68%) two years after the vaccination programme. In the total population the reduction was 43%. CONCLUSION Vaccination effectiveness has been high in Catalonia, with a dramatic reduction in disease incidence in the vaccinated cohort accompanied by a relevant reduction in the overall population. Given that vaccination coverage was only 54.6%, it may be supposed that this vaccination effectiveness is attributable, in part, to the herd immunity conferred by the vaccine.

Estatuto juridico y urbanismo en la Tingitana (s. I-VII d.C.). Septem-Septon

La ciudad de Ceuta hace su aparición en las fuentes literarias históricas como 'statio' antes de ser citada, en la Antigüedad tardía, como un fuerte vándalo, y después como ciudad bizantina capital de la Mauretania Secunda. Ni las fuentes escritas, ni las fuentes arqueológicas ofrecen datos concluyentes sobre la adopción de un estatuto jurídico romano antes de su etapa bizantina.

La cerà mica grega fina de l'assentament ibèric d'Alorda Park (Calafell, Baix Penedès, Tarragona). Segles VI-IV a.C.

Les ceràmiques gregues, sobretot atiques, s' estudien des del punt de vista tipologic i decoratiu, pero també atenent a les categories funcionals i a la posició d'aquests materials dins el conjunt de cerarruques fines i dins del conjunt de ceramiques d'importació. Es condou l'existencia d'una facies original, pero vinculada, per diferents raons, amb la de la Iberia centre-meridional i amb la de l'area hel·lenitzant del golf del Lleó.

Producción y comercio de cereal en el NE de la Península Ibérica entre los siglos VI-II a.c.

Análisis de la problemática de la producción de excedentes cerealísticos en el ámbito de la Cultura Ibérica del NE. peninsular, así como de su posterior comercialización, a través de Emporion y Massalia, hacia los mercados del Mediterráneo central y el Atica. El estudio se basa en la comparación de la información proporcionada por las fuentes clásicas, con la obtenida mediante modelos teóricos de productividad.

Pseudo-two-girdles c-axis fabric patterns in a quartz-feldspar mylonite (Costabona granodiorite, Canigo massif)

An example of the relationship that exist between the preferred crystaliografic orientation of quartz grains and the attitude of the mylonite foliation of quartz-feldspar mylonites is described. These rocks are the result of the inhomogeneous deformation under low-grade metamorphic conditions of a late Hercynian granodiorite, intruded into the gneisses of the slopes of the Canig massif (Eastern Pyrenees). The Costabona mylonites have a quartz c-axis fabric in pseudo-twogirdles symmetrical with respect to the mylonite foliation and perpendicular to the shearband systems which produce an extensional crenulation of the mylonite foliation.

¿El modelo de cuña compuesta de C.I. Migliorini (1948) es aplicable a la estructura del rector central de los Catalánides?

Se comentan las conclusiones sobre la estructura de dos Catalánides recientemente publicadas, resaltando la ausencia de datos concretos que permitan aplicar el modelo de la cuna compuesta de Migliorini para 1os Catalánides. Además, los datos publicados (previamente, más como nuestras observaciones personales, indican una clara separación en el tiempo de una fase de comprensión y otra de distensión posterior.

Cystoseira abies marina (Gmelin) C. Agardh (Phaeophyceae) en el Mediterraneo Iberico

Hs, MURCIA: Murcia, Cala del Burro, 29 m de profundidad, 3-VIII-1989, J. Soto and A. Gómez Garreta, BCF 6090, 6091. Dos ejemplares recolectados en el transcurso de una inmersión con escafandra autónoma.