Health-Related Quality of Life in patients with hepatitis C in double and triple therapy

Abstract OBJECTIVE Comparing Health-Related Quality of Life (HRQoL) scores in patients with chronic hepatitis C undergoing double and triple antiviral therapy and analyzing possible factors related to HRQoL. METHOD HRQoL was assessed using the Short Form 36 and Chronic Liver Disease Questionnaire, which were applied at baseline and at weeks 4, 12 and 16 of treatment to 32 patients divided into two groups: double therapy with pegylated interferon (IFN-PEG) and ribavirin, and triple therapy with PEG-IFN, ribavirin and telaprevir. RESULTS The reduction of HRQoL was greater in patients receiving triple therapy compared to those treated with two drugs, the most critical time is at 12 weeks in both groups. After removal of telaprevir, the triple therapy group significantly improved their HRQoL scores. Anxiety and depression before treatment, employment status and race are significantly related to diminished HRQoL. CONCLUSION Patients undergoing double and triple therapy have diminished HRQoL indexes, but the addition of telaprevir chooses a more significant decrease.

Traité de la tutelle et de la curatelle... par le C. Vermeil,...

[Loi. (Recueil)]

Regulatory B cells shape the development of Th2 immune responses in BALB/c mice infected with Leishmania major through IL-10 production.

Recent evidence indicates that B cells are required for susceptibility to infection with Leishmania major in BALB/c mice. In this study, we analyzed the role of the IL-10 produced by B cells in this process. We showed that B cells purified from the spleen of BALB/c mice produced IL-10 in response to stimulation with L. major in vitro. In vivo, early IL-10 mRNA expression is detected after L. major infection in B cells from draining lymph nodes of susceptible BALB/c, but not of resistant C57BL/6 mice. Although adoptive transfer of naive wild-type B cells prior to infection in B cell-deficient BALB/c mice restored Th2 cell development and susceptibility to infection with L. major of these otherwise resistant mice, adoptive transfer of IL-10(-/-) B cells mice did not. B cells stimulated by L. major, following in vitro or in vivo encounter, express the CD1d and CD5 molecules and the IL-10 produced by these cells downregulate IL-12 production by L. major-stimulated dendritic cells. These observations indicate that IL-10 secreting B cells are phenotypically and functionally regulatory B cells. Altogether these results demonstrate that the IL-10 produced by regulatory CD1d+ CD5+ B cells in response to L. major is critical for Th2 cell development in BALB/c mice.

Polinização de Vochysia lucida C. Presl (Vochysiaceae) em uma área de restinga na Bahia

As espécies de Vochysia são neotropicais e apresentam flores que podem ser visitadas por abelhas, beija-flores e borboletas. Este estudo teve como objetivo a análise das interações entre as flores de Vochysia lucida e seus visitantes florais, em uma área de restinga no Estado da Bahia, Brasil. V. lucida é uma espécie arbórea e apresenta inflorescências do tipo racemo, com cerca de 100 a 170 flores. As flores são zigomorfas, amarelas e foram consideradas melitófilas. O néctar floral é produzido e estocado em esporão, localizado no cálice. O pico de floração de V. lucida ocorreu em novembro e dezembro. Durante o estudo as flores abriam às 6:00 h, quando o estigma já estava receptivo. Na abertura da flor a antera já não estava mais presente e os grãos de pólen estavam depositados na parede do estilete, ocorrendo apresentação secundária de pólen. As pétalas caíam no final da tarde, por volta das 17:00 h. Os beija-flores embora freqüentes nas flores de V. lucida foram considerados visitantes oportunistas. Entre os visitantes florais registrados, as abelhas de grande porte foram consideradas os polinizadores mais eficientes, especialmente Xylocopa frontalis, por ter morfologia e comportamento adequados para contatar as estruturas reprodutivas da flor, durante as coletas de néctar, e por sua elevada freqüência de visita.

Evaluación de los recursos pelágicos: anchoveta, sardina, jurel y caballa en primavera 1989 : Crucero de evaluacion acustica BIC/SNP-1 8911-12 (Chicama - Punta Doña Maria)

Describe los principales resultados obtenidos en el Crucero evaluación de recursos pelágicos, efectuado a bordo del BIC/SNP-1 del 14 de noviembre de 1989, entre Chicama y Punta Doña María, constituyendo la segunda prospección planificada dentro del marco del proyecto Evaluación de los recursos: anchoveta, sardina, jurel y caballa, auspiciado por el Instituto del mar del Perú y la Comunidad económica europea.

Aspectos oceanográficos durante la prospección de recursos pelágico costeros y demersales costeros E/E Huamanga 9611-12

Ligera proyección de Aguas Ecuatoriales Superficiales originaron anomalías de 0,6 °C a 2,7 °C al norte de los 6°S, mientras que anomalías negativas asociadas al afloramiento costero se ubicaron al sur de esta latitud, con valores entre -04° C a -2,6° C. La extensión sur de la Corriente de Cromwell se vio moderadamente fortalecida frente a Paita (100 m de profundidad), disminuyendo su espesor en Punta Falsa. La merluza se presentó entre Puerto Pizarro a Punta Falsa, en temperaturas de 14,2 °C a 17,2 °C, salinidades de 34,89‰ a 35,13‰ y oxígeno entre 0,29 a 3,0 mL/L.

Les douze points-clés de la rééducation après une prothèse totale de genou [The 12 keypoints for rehabilitation after total knee arthroplasty].

The rehabilitation process after total knee arthroplasty (TKA) relies more and more on the family doctor. Many factors contribute to this development: the constantly increasing number of TKA performed, the reduced length of stay at the hospital and the rehabilitation process after TKA requiring care for 3 to 4 months. After this time, it is also of major importance to encourage patients to take up physical activities in order to limit the negative effects of sedentarity. The goal of this paper is to give family doctors an overview of the current knowledge in the area of rehabilitation after TKA for physicians.