The Vacuolar H+-ATPase B1 Subunit Polymorphism p.E161K Associates with Impaired Urinary Acidification in Recurrent Stone Formers

Mutations in the vacuolar–type H+-ATPase B1 subunit gene ATP6V1B1 cause autosomal–recessive distal renal tubular acidosis (dRTA). We previously identified a single-nucleotide polymorphism (SNP) in the human B1 subunit (c.481G.A; p.E161K) that causes greatly diminished pump function in vitro. To investigate the effect of this SNP on urinary acidification, we conducted a genotype-phenotype analysis of recurrent stone formers in theDallas and Bern kidney stone registries. Of 555 patients examined, 32 (5.8%) were heterozygous for the p.E161K SNP, and the remaining 523 (94.2%) carried two wild–type alleles. After adjustment for sex, age, body mass index, and dietary acid and alkali intake, p.E161K SNP carriers had a nonsignificant tendency to higher urinary pH on a random diet (6.31 versus 6.09; P=0.09). Under an instructed low–Ca and low–Na diet, urinary pH was higher in p.E161K SNP carriers (6.56 versus 6.01; P,0.01). Kidney stones of p.E161K carriers were more likely to contain calcium phosphate than stones of wild-type patients. In acute NH4Cl loading, p.E161K carriers displayed a higher trough urinary pH (5.34 versus 4.89; P=0.01) than wild-type patients. Overall, 14.6% of wild-type patients and 52.4% of p.E161K carriers were unable to acidify their urine below pH 5.3 and thus, can be considered to have incomplete dRTA. In summary, our data indicate that recurrent stone formers with the vacuolar H+-ATPase B1 subunit p.E161K SNP exhibit a urinary acidification deficit with an increased prevalence of calcium phosphate– containing kidney stones. The burden of E161K heterozygosity may be a forme fruste of dRTA.

Normal values for pancreatic stone protein in different age groups.

BACKGROUND Pancreatic stone protein (PSP) has been identified as a promising sepsis marker in adults, children and neonates. However, data on population-based reference values are lacking. This study aimed to establish age-specific reference values for PSP. METHODS PSP was determined using a specific ELISA. PSP serum concentrations were determined in 372 healthy subjects including 217 neonates, 94 infants and children up to 16 years, and 61 adults. The adjacent categories method was used to determine which age categories had significantly different PSP concentrations. RESULTS PSP circulating levels were not gender-dependent and ranged from 1.0 to 99.4 ng/ml with a median of 9.2 ng/ml. PSP increased significantly between the age categories, from a median of 2.6 ng/ml in very preterm newborns, to 6.3 ng/ml in term newborns, to 16.1 ng/ml in older children (p < 0.001). PSP levels were higher on postnatal day three compared to levels measured immediately post delivery (p < 0.001). Paired umbilical artery and umbilical vein samples were strongly correlated (p < 0.001). Simultaneously obtained capillary heel-prick versus venous samples showed a good level of agreement for PSP (Rho 0.89, bias 19 %). CONCLUSIONS This study provides age-specific normal values that may be used to define cut-offs for future trials on PSP. We demonstrate an age-dependent increase of PSP from birth to childhood.

Hemodynamic changes associated with manual and automated lateral rotation in mechanically ventilated intensive care patients

Objective: To investigate hemodynamic responses to lateral rotation. ^ Design: Time-series within a randomized controlled trial pilot study. ^ Setting: A medical intensive care unit (ICU) and a medical-surgical ICU in two tertiary care hospitals. ^ Patients: Adult patients receiving mechanical ventilation. ^ Interventions: Two-hourly manual or continuous automated lateral rotation. ^ Measurements and Main Results: Heart rate (HR) and arterial pressure were sampled every 6 seconds for > 24 hours, and pulse pressure (PP) was computed. Turn data were obtained from a turning flow sheet (manual turn) or with an angle sensor (automated turn). Within-subject ensemble averages were computed for HR, mean arterial pressure (MAP), and PP across turns. Sixteen patients were randomized to either the manual (n = 8) or automated (n = 8) turn. Three patients did not complete the study due to hemodynamic instability, bed malfunction or extubation, leaving 13 patients (n = 6 manual turn and n = 7 automated turn) for analysis. Seven patients (54%) had an arterial line. Changes in hemodynamic variables were statistically significant increases ( p < .05), but few changes were clinically important, defined as ≥ 10 bpm (HR) or ≥ 10 mmHg (MAP and PP), and were observed only in the manual-turn group. All manual-turn patients had prolonged recovery to baseline in HR, MAP and PP of up to 45 minutes (p ≤ .05). No significant turning-related periodicities were found for HR, MAP, or PP. Cross-correlations between variables showed variable lead-lag relations in both groups. A statistically, but not clinically, significant increase in HR of 3 bpm was found for the manual-turn group in the back compared with the right lateral position ( F = 14.37, df = 1, 11, p = .003). ^ Conclusions: Mechanically ventilated critically ill patients experience modest hemodynamic changes with manual lateral rotation. A clinically inconsequential increase in HR, MAP, and PP may persist for up to 45 minutes. Automated lateral rotation has negligible hemodynamic effects. ^

Biomarker circadian rhythm profiles in critically ill mechanically ventilated patients

Objective: To explore the natural trajectory of core body temperature (CBT) and cortisol (CORT) circadian rhythms in mechanically ventilated intensive care unit (MV ICU) patients. ^ Design: Prospective, observational, time-series pilot study. ^ Setting: Medical-surgical and pulmonary ICUs in a tertiary care hospital. ^ Sample: Nine (F = 3, M = 6) adults who were mechanically ventilated within 12 hrs of ICU admission with mean ± SD age of 65.2 ± 14 years old. ^ Measurements: Core body temperature and environmental measures of light, sound, temperature, and relative humidity were logged in 1-min intervals. Hourly urine specimens and 2-hr interval blood specimens were collected for up to 7 consecutive days for CORT assay. Mechanical ventilation days, ICU length of stay, and ICU mortality were documented. Acute Physiology and Chronic Health Evaluation (APACHE) II scores were computed for each study day. The data of each biologic and environmental variable were analyzed using single cosinor analysis of 24-hr serial segments. One patient did not complete the study because mortality occurred within 8 hrs of enrollment. Nine ICU patients completed the study in 1.6 to 7.0 days. ^ Results: No normal circadian rhythm pattern was found when the cosinor-derived parameters of amplitude (one-half the peak-trough variability) and acrophase (peak time) were compared with cosinor-derived parameter reference ranges of healthy, diurnally active humans, although 83% of patient-day CBT segments showed statistically significant (p ≤ .05) and biologically meaningful (R2≥ 0.30) 24-hr rhythms with abnormal cosinor parameters. Cosinor parameters of the environmental temporal profiles showed 27% of light, 76% of ambient temperature, and 78% of relative humidity serial segments had a significant and meaningful 24-hr diurnal pattern. Average daily light intensity varied from 34 to 187 lx with a maximum light exposure of 1877 lx. No sound measurement segment had a statistically significant cosine pattern, and numerous 1-minute interval peaks ≥ 60 dB occurred around the clock. Average daily ambient temperature and relative humidity varied from 19 to 24°C and from 25% to 61%, respectively. There was no statistically significant association between CBT or clinical outcomes and cosinor-derived parameters of the environmental variables. Circadian rhythms of urine and plasma CORT were deferred for later analysis. ^ Conclusions: The natural trajectory of the CBT circadian rhythm in MV ICU patients demonstrated persistent cosinor parameter alteration, even when a significant and meaningful 24-hr rhythm was present. The ICU environmental measures showed erratic light and sound exposures. Room temperature and relative humidity data produced the highest rate of significant and meaningful diurnal 24-hr patterns. Additional research is needed to clarify relations among the CBT biomarker of the circadian clock and environmental variables of MV ICU patients. ^

Palabra y construcción de la identidad en Harry Potter and the Philosopher's Stone

En Harry Potter and the Philosopher's Stone, texto inaugural del ciclo novelístico de J. K. Rowling, aparecen diversos elementos y situaciones que inscriben el relato dentro del género bildungsroman (o novela de formación) y que a su vez son constitutivos del monomito estudiado por Joseph Campbell. Dentro de ese marco, el presente trabajo analizará la función que desempeña la palabra en el desarrollo del protagonista de la novela. Se sostendrá que la adquisición y el dominio pleno de una palabra permiten construir la subjetividad del personaje, quien valiéndose de esta herramienta se volverá capaz de disipar sus inquietudes frente a lo desconocido y al peso de la voz popular. El estudio se centrará en el nombre del antagonista, Lord Voldemort, su influencia en la saga y en cuán importante es que Harry sea capaz de nombrarlo por ese apelativo. Para este abordaje se utilizarán algunos conceptos de diversas disciplinas que nos permitirán advertir la injerencia de la palabra en la novela seminal de esta serie literaria y en el tránsito del personaje por la compleja senda del héroe

Palabra y construcción de la identidad en Harry Potter and the Philosopher's Stone

En Harry Potter and the Philosopher's Stone, texto inaugural del ciclo novelístico de J. K. Rowling, aparecen diversos elementos y situaciones que inscriben el relato dentro del género bildungsroman (o novela de formación) y que a su vez son constitutivos del monomito estudiado por Joseph Campbell. Dentro de ese marco, el presente trabajo analizará la función que desempeña la palabra en el desarrollo del protagonista de la novela. Se sostendrá que la adquisición y el dominio pleno de una palabra permiten construir la subjetividad del personaje, quien valiéndose de esta herramienta se volverá capaz de disipar sus inquietudes frente a lo desconocido y al peso de la voz popular. El estudio se centrará en el nombre del antagonista, Lord Voldemort, su influencia en la saga y en cuán importante es que Harry sea capaz de nombrarlo por ese apelativo. Para este abordaje se utilizarán algunos conceptos de diversas disciplinas que nos permitirán advertir la injerencia de la palabra en la novela seminal de esta serie literaria y en el tránsito del personaje por la compleja senda del héroe

Palabra y construcción de la identidad en Harry Potter and the Philosopher's Stone

En Harry Potter and the Philosopher's Stone, texto inaugural del ciclo novelístico de J. K. Rowling, aparecen diversos elementos y situaciones que inscriben el relato dentro del género bildungsroman (o novela de formación) y que a su vez son constitutivos del monomito estudiado por Joseph Campbell. Dentro de ese marco, el presente trabajo analizará la función que desempeña la palabra en el desarrollo del protagonista de la novela. Se sostendrá que la adquisición y el dominio pleno de una palabra permiten construir la subjetividad del personaje, quien valiéndose de esta herramienta se volverá capaz de disipar sus inquietudes frente a lo desconocido y al peso de la voz popular. El estudio se centrará en el nombre del antagonista, Lord Voldemort, su influencia en la saga y en cuán importante es que Harry sea capaz de nombrarlo por ese apelativo. Para este abordaje se utilizarán algunos conceptos de diversas disciplinas que nos permitirán advertir la injerencia de la palabra en la novela seminal de esta serie literaria y en el tránsito del personaje por la compleja senda del héroe

Hontoria’s stone (Burgos, Spain): Characteristics and weathering

This paper deals with petrological and petrophysical features of the Hontaria's stone, Burgos (Spain), with which many important monuments were built in northern Spain, in orderr to establish a basis for individual monument restoration. The study contains an historical reference to sorne buildings in which this stone was employed, geological considerations of the origin area, laboratory analysis of the samples, and results of the most common characterization tests. As a conclusion, it can be stated that the Hontoria's stone is apure limestone, with good mechanical and hydrological behaviour, resistent to weathering, easy to quarry (underground mining) and with large resources

Normalización del análisis de la piedra y conservación del patrimonio cultural. The Standardization of Stone Analysis and Conservation of Cultural Heritage

La normalización de los métodos de análisis y de los principales aspectos relacionados con la conservación de los bienes culturales ha empezado en 2004 con la creación del comité europeo de normalización, CEN/TC 346 Conservation of Cultural Property, que tiene la responsabilidad no solamente de redactar protocolos de ensayos en laboratorio, sino también proponer las recomendaciones más adecuadas para designarlos de forma consensual y conservarlos de la forma más apropiada. Se comentan los aspectos relacionados con el origen de estas normas, el trabajo desarrollado y que muchas de ellas, aunque no estén dirigidas específicamente a la piedra, tienen en cuenta la presencia de este material en objetos arqueológicos, obras de arte, estructuras de fábricas y elementos ornamentales.

Modelling the spatio-temporal pattern of primary dispersal in stone pine (Pinus pinea L.) stands in the Northern Plateau (Spain)

Natural regeneration in stone pine (Pinus pinea L.) managed forests in the Spanish Northern Plateau is not achieved successfully under current silviculture practices, constituting a main concern for forest managers. We modelled spatio-temporal features of primary dispersal to test whether (a) present low stand densities constrain natural regeneration success and (b) seed release is a climate-controlled process. The present study is based on data collected from a 6 years seed trap experiment considering different regeneration felling intensities. From a spatial perspective, we attempted alternate established kernels under different data distribution assumptions to fit a spatial model able to predict P. pinea seed rain. Due to P. pinea umbrella-like crown, models were adapted to account for crown effect through correction of distances between potential seed arrival locations and seed sources. In addition, individual tree fecundity was assessed independently from existing models, improving parameter estimation stability. Seed rain simulation enabled to calculate seed dispersal indexes for diverse silvicultural regeneration treatments. The selected spatial model of best fit (Weibull, Poisson assumption) predicted a highly clumped dispersal pattern that resulted in a proportion of gaps where no seed arrival is expected (dispersal limitation) between 0.25 and 0.30 for intermediate intensity regeneration fellings and over 0.50 for intense fellings. To describe the temporal pattern, the proportion of seeds released during monthly intervals was modelled as a function of climate variables – rainfall events – through a linear model that considered temporal autocorrelation, whereas cone opening took place over a temperature threshold. Our findings suggest the application of less intensive regeneration fellings, to be carried out after years of successful seedling establishment and, seasonally, subsequent to the main rainfall period (late fall). This schedule would avoid dispersal limitation and would allow for a complete seed release. These modifications in present silviculture practices would produce a more efficient seed shadow in managed stands.

Study of packing lines for stone fruits and citrus using two instrumented spheres in some cooperatives in the region of Murcia (Spain).

Two instrumented spheres IS 100 were used to evaluate the quality of post-harvest operations. Results obtained from measurements made with both IS (8.8 cm 0 and 6.2 cm 0) show significant differences. Both IS measure the same values of the same variables for soft materials, but not for hard surfaces. Four packing lines belonging to different cooperatives of the region of Murcia (two for stone fruits and two for citrus) were tested. IS values obtained in transfers belonging to the tested lines lay well above 50 g's in most of them Much higher impact intensities are registered in citrus lines than in stone fruit packing lines. To study the incidence of a certain packing line on different products an interaction fruit-packing line test was perf01med. In all cases, more than 50% of fruits belonging to the post-handling sample showed some kind of damage. Bruises evolve after 48 hours storage at room temperature.