Is procalcitonin useful to differentiate rejection from bacterial infection in the early post-operative period of liver transplantation in children?

PCT is a protein that is recognized as an acute marker of inflammation. Previous studies performed in adults who underwent liver or heart transplantation indicated that PCT plasmatic levels help to differentiate between rejection and infection. The objective of this study was to evaluate whether PCT has the same role in liver-transplanted children. Thirty-six patients were studied between the first and the thirtieth post-operative days, and PCT determinations were prospectively performed according to the clinical status of the patient. In the non-complicated patients, PCT measurements performed on the first and second post-operative days revealed a median value of 1.60 ng/mL (mean 5.68 +/- 7.05; range 0.69-18.30). After the fourth day of transplantation, PCT plasma concentrations decreased to a median value of 0.21 ng/mL (mean 0.47 +/- 0.59; range 0.05-2.00; normal values are less than 0.5 ng/mL). In infected patients, PCT plasma levels demonstrated a significant increase, differing from the patients with acute liver rejection whose levels were similar to those of non-complicated patients. In conclusion, we could demonstrate that in the early post-operative period of liver transplantation in children, measuring PCT plasmatic levels might be a useful tool for differentiation between bacterial infection and acute liver rejection.

Biochemical synthesis, purification and preliminary pharmacological evaluation of normorphine-3-glucuronide

Normorphine was synthesised from morphine by thermal decomposition of an N-alpha-chloroethylchloroformate adduct, and purified (> 98% purity) using semipreparative HPLC with ultraviolet detection. Normorphine-3-glucuronide (NM3G) was biochemically synthesised using the substrate normorphine, uridine diphosphoglucuronic acid and Sprague-Dawley rat liver microsomes in a 75% yield (relative to normorphine base). The synthesised NM3G was purified by precipitation and washing with acetonitrile. Determinations of purity using HPLC with electrochemical and ultraviolet detection confirmed that the NM3G produced was of high (> 99%) purity. Mass spectrometry, fourier transform infrared spectrophotometry and nuclear magnetic resonance spectrometry confirmed the structure, especially placement of the glucuronide moiety at the 3-phenolic position and not at the 17-nitrogen. Administration of NM3G by the intracerebroventricular (icy) route to rats in doses of 2.5 and 7.5 mu g resulted in the development of central nervous system (CNS) excitatory behavioural effects including myoclonus, chewing, wet-dog shakes, ataxia and explosive motor behaviour. At an icy dose of 7.5 mu g, NM3G also induced short periods of tonic-clonic convulsive activity. Thus, NM3G elicits CNS excitation following supraspinal administration in a manner analogous to morphine-3-glucuronide (M3G), the major metabolite of morphine (1). Further studies are required to determine whether NM3G attenuates morphine-induced antinociception in se similar manner to M3G.

Effects of melatonin on the endometrial morphology and embryo implantation in rats

Objective: To determine the effects of melatonin on rat endometrium morphology and embryo implantation. Design: Experimental study. Setting: Federal University of Sao Paulo, Brazil. Animal(s): Forty female rats. Intervention(s): GI: control, GII: sham-operated, GIII: pinealectomized, and GIV: pinealectomized rats that received melatonin during 3 months. The GI, GII, and Gin groups received the vehicle of melatonin (NaCl + ethanol). At the end of the treatment, the animals were killed during the estrous phase; the uterus was removed for morphometric analysis. Urine was collected for 6-sulfatoxymelatonin. Blood was collected for estrogen (E) and progesterone (P) level determinations. In a second experiment, female rats were used to evaluate the endometrial embryo implantation. Main Outcome Measure(s): Endometrial morphology and embryo implantation. Result(s): Gin presented the highest values for endometrial area and thickness index, number of endometrial glands, and eosinophils. The number of vessels of groups I, II, and IV was fewer than that of Gin. The highest number of eosinophils was detected in Gin in comparison to other groups. The implantation rate in Gin was the lowest of all groups. This implantation rate was significantly increased and restored toward normal in GIV. Conclusion(s): Our data suggested that, in nonphotoperiodic animals such as rats, melatonin may positively affect the endometrial morphology and improve embryo implantation.

Cavopulmonary anastomosis improves left ventricular assist device support in acute biventricular failure

Objective: Right ventricular failure during left ventricular assist device (WAD) support can result in severe hemodynamic compromise with high mortality. This study investigated the acute effects of cavopulmonary anastomosis on right ventricular loading and WAD performance in a model of severe biventricular failure. Methods: LVAD support was performed by means of centrifugal pump implantation in 14 anesthetized dogs (20-30 kg) with severe biventricular failure obtained by ventricular fibrillation induction. Animals were randomized to be submitted to classical cavopulmonary anastomosis (Glenn shunt) or to control group and were maintained under WAD support for 2 h. Left and right atrial, right ventricular and systemic pressures were monitored, white total pulmonary flow was simultaneously recorded by transonic flowmeters located on the superior vena cava and pulmonary trunk. Blood gas and venous lactate determinations were also obtained. Results: Ventricular fibrillation maintenance resulted in acute WAD performance impairment after 90 min in the control group, while animals with Glenn circuit maintained normal WAD pump flow (55 +/- 13 ml kg(-1) min(-1) vs 21 +/- 4 ml kg(-1) min(-1), p < 0.001) and better peripheral perfusion (blood lactate of 29 +/- 10 pg/ml vs 46 +/- 9 pg/ml, p < 0.001). Left and right atrial pressures did not change significantly, while right ventricular pressure was tower in animals with Glenn circuit (13 +/- 3 mmHg vs 22 +/- 8 mmHg, p = 0.005). Right ventricular unloading with Glenn shunt also resulted in superior total pulmonary flow (59 +/- 13 ml kg(-1) min(-1) vs 17 +/- 3 ml kg(-1) min(-1), p < 0.001). Conclusion: The concomitant use of cavopulmonary anastomosis during LVAD support in a model of severe biventricular failure limited right ventricular overloading and resulted in better hemodynamic performance. (C) 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

Low-Carbohydrate and High-Fat Diets on the Promotion of Hepatic Steatosis in Rats

Aim: The present work looked for to evaluate in rats the impact of different diets (high-lipid and high-lipid + high-protein) on liver, verifying the occurrence of oxidative stress and steatosis. Methods: The animals were treated with the respective diets (Group HLS: high-lipid diet with 50% of saturated fat; Group HPLS: high-lipid and high-protein diet with 50% of saturated fat and 40% of protein; Group Control: control diet AIN-93) for 28 days. After this period the animals were sacrificed for hepatic determinations of MDA, reduced GSH, vitamin E, steatosis and glycemia. Results: The results showed higher glycemia in the group HPLS, high concentration of MDA and GSH in the group Control and decreased hepatic vitamin E concentration in the groups that received the high-lipid diets. The hepatic fat was higher in the groups HPLS and HLS in relation to the Group Control, however HPLS presenting high level of fat concentration, showing similar results as the steatosis. Conclusion: the fat increase in the diet promoted increase of the oxidative stress, evidenced by the decrease in the hepatic concentration of vitamin E, showing its antioxidant role against the probable generated free radicals, the ones which possibly exercised a role in the steatosis occurrence.

Genes that code for T cell signaling proteins establish transcriptional regulatory networks during thymus ontogeny

Gene expression profiling by cDNA microarrays during murine thymus ontogeny has contributed to dissecting the large-scale molecular genetics of T cell maturation. Gene profiling, although useful for characterizing the thymus developmental phases and identifying the differentially expressed genes, does not permit the determination of possible interactions between genes. In order to reconstruct genetic interactions, on RNA level, within thymocyte differentiation, a pair of microarrays containing a total of 1,576 cDNA sequences derived from the IMAGE MTB library was applied on samples of developing thymuses (14-17 days of gestation). The data were analyzed using the GeneNetwork program. Genes that were previously identified as differentially expressed during thymus ontogeny showed their relationships with several other genes. The present method provided the detection of gene nodes coding for proteins implicated in the calcium signaling pathway, such as Prrg2 and Stxbp3, and in protein transport toward the cell membrane, such as Gosr2. The results demonstrate the feasibility of reconstructing networks based on cDNA microarray gene expression determinations, contributing to a clearer understanding of the complex interactions between genes involved in thymus/thymocyte development.

Exposure to lead exacerbates dental fluorosis

Aim: Our aim was to test: the hypothesis that co-exposure to lead and fluoride alter the severity of enamel fluorosis. Materials and methods: Wistar rats were allocated in four groups: control, and 3 groups that received water containing 100 ppm of fluoride (F), 30 ppm of lead (Pb), or 100 ppm of F and 30 ppm of Pb (F + Pb) from the beginning of gestation. Enamel analysis and F and Pb determinations in enamel, dentine, and bone were performed in 81-day-old animals. Fluorosis was quantified using a new fluorosis index based on the identification of incisor enamel defects (white bands and white islets, representing hypomineralization, and cavities) weighted according to their severity and quantity. Hypomineralization was validated histopathologically by polarizing microscopy and microradiography. Scores were given by two blinded calibrated examiners (intra and interexaminer kappa values were 0.8 and 0.86, respectively). Results: The control and the Pb groups presented normal enamel. The F + Pb group presented more severe enamel defects compared with the F group (P < 0.0001). Conclusions: This study shows that lead exacerbates dental fluorosis in rodents, suggesting that co-exposure to lead may affect the degree of fluorosis. (C) 2011 Elsevier Ltd. All rights reserved.

A proposal for developing a large patient population cohort for longterm safety monitoring in rheumatoid arthritis

This paper proposes the creation of an objectively acquired reference database to more accurately characterize the incidence and longterm risk of relatively infrequent, but serious, adverse events. Such a database would be maintained longitudinally to provide for ongoing comparison with new rheumatologic drug safety databases collecting the occurrences and treatments of rare events, We propose the establishment of product-specific registries to prospectively follow a cohort of patients with rheumatoid arthritis (RA) who receive newly approved therapies. In addition, a database is required of a much larger cohort of RA patients treated with multiple second line agents of sufficient size to enable case-controlled determinations of the relative incidence of rare but serious events in the treated (registry) versus the larger disease population, The number of patients necessary for agent-specific registries and a larger patient population adequate to supply a matched case-control cohort will depend upon estimates of the detectability of an increased incidence over background. We suggest a system to carry out this proposal that will involve an umbrella organization. responsible for establishment of this large patient cohort, envisioned to be drawn from around the world.

The crystallography and morphology of Mo2C in ferrite

The orientation relationships between hexagonal Mo2C precipitates (H) in ferrite (B) have been determined by electron diffraction to an accuracy of +/-2degrees. With one exception, the 19 results are consistent with the previously reported Pitsch and Schrader (P/S) orientation relationship. However, these more accurate determinations show clearly that there is a systematic deviation of up to 5.5degrees from the exact P/S relationship and that this deviation consists of a small rotation about the parallel close packed directions-[100](B)//[2 (1) over bar(1) over bar0](H). The long direction of the Mo2C needles has been determined unequivocally in terms of the orientation relationship to be [100](B)//[2 (1) over bar(1) over bar0](H). Moire fringes between precipitate and matrix have been used to improve the accuracy of the orientation relationship results and to determine the lattice parameters of the carbide precipitates investigated. The Moire fringe analysis has shown small systematic departures from the exact parallelism between [100](B) and [2 (1) over bar(1) over bar0](H) along the length of Mo2C needles and a lowering of the carbide lattice parameter that is consistent with the replacement of Mo by Fe in the carbide. The orientation relationship results, including the observed systematic deviation from the exact P/S relationship, are shown to be consistent with the edge-to-edge model. (C) 2002 Kluwer Academic Publishers.

Lamproites from Gaussberg, Antarctica: Possible transition zone melts of Archaean subducted sediments

Petrogenetic models for the origin of lamproites are evaluated using new major element, trace element, and Sr, Nd, and Pb isotope data for Holocene lamproites from the Gaussberg volcano in the East Antarctic Shield. Gaussberg lamproites exhibit very unusual Pb isotope compositions (Pb-206/Pb-204 = 17.44-17.55 and Pb-207/Pb-204 = 15.56-15.63), which in common Pb isotope space plot above mantle evolution lines and to the left of the meteorite isochron. Combined with very unradiogenic Nd, such compositions are shown to be inconsistent with an origin by melting of sub-continental lithospheric mantle. Instead, a model is proposed in which late Archaean continent-derived sediment is subducted as K-hollandite and other ultra-high-pressure phases and sequestered in the Transition Zone (or lower mantle) where it is effectively isolated for 2-3 Gyr. The high Pb-207/Pb-204 ratio is thus inherited from ancient continent-derived sediment, and the relatively low Pb-206/Pb-204 ratio is the result of a single stage of U/Pb fractionation by subduction-related U loss during slab dehydration. Sr and Nd isotope ratios, and trace element characteristics (e.g. Nb/Ta ratios) are consistent with sediment subduction and dehydration-related fractionation. Similar models that use variable time of isolation of subducted sediment can be derived for all lamproites. Our interpretation of lamproite sources has important implications for ocean island basalt petrogenesis as well as the preservation of geochemically anomalous reservoirs in the mantle.

Insect chemistry and chirality

Examination of the chemistry of a number of Australian insect species provided examples of unusual structures and encouraged determinations of their absolute stereochemistry by stereocontrolled syntheses and chromatographic comparisons. Inter alia, studies with the fruit-spotting bug (Amblypelta nitida), certain parasitic wasps (Biosteres sp.), the aposematic shield bug (Cantao parentum), and various species of scarab grubs are summarized. The determination of enantiomeric excesses (ee's) for component epoxides, lactones, spiroacetals, and allenes are described. Stereochemical and related aspects of the biosynthesis of spiroacetals in certain fruit-fly species (Bactrocerae sp.) are also presented.

Indicadores de qualidade do solo e determinação de níveis de degradação de pastagens

A utilização do solo no Brasil foi realizada de forma exploratória, com a conversão de sistemas naturais em sistemas agrícolas extrativistas. Grande parte das áreas de sistemas naturais deu lugar às áreas de cultivo, posteriormente sucedidas por pastagens, encontrando-se boa parte em elevado estágio de degradação. Diante do exposto, o presente trabalho tem como objetivo avaliar a sensibilidade de alguns atributos físicos, químicos, compartimentos da matéria orgânica e determinações de campo como indicadores de qualidade do solo estabelecendo relações entre os mesmos. O estudo foi desenvolvido no município de Governador Valadares-MG, para tal foram escolhidos níveis de pastagens progressivamente degradadas observadas visualmente (pastagem 1, pastagem 2, pastagem 3 e pastagem 4), duas áreas de capoeira em estágios de regeneração natural (capoeira 1 e capoeira 2) e mata (referência). O solo em estudo foi um Argissolo Vermelho, textura argilosa. As determinações dos indicadores físicos, químicos e compartimentos da matéria orgânica foram realizadas em quatro profundidades (0-5, 5-10, 10-20 e 20-40 cm). Foram realizadas também determinações de campo, todos os atributos foram determinados no terço médio de uma pedoforma convexa, em dois períodos, chuvoso e seco. Através dos atributos do solo utilizados como indicadores do solo, foi possível separar dois níveis de pastagens degradadas, baixa degradação (pastagem 1 e pastagem 2) e elevada degradação (pastagem 3 e pastagem 4). A melhor qualidade do solo foi observada na área de mata. Entre os atributos do solo utilizados como indicadores de qualidade do solo os mais sensíveis aos níveis de pastagens degradadas são os atributos químicos pH, Ca2+, Mg2+, Al3+, H+Al, saturação por bases (V), saturação por alumínio (m), seguidos pelos atributos físicos macroporosidade e porosidade total. Os compartimentos da matéria orgânica do solo, matéria orgânica particulada (MOP), matéria orgânica leve (MOL) e carbono solúvel em água (CSA) utilizados como indicadores de qualidade do solo são eficientes em diferenciar a qualidade do solo nas conversões de sistema, mata/pastagens e pastagens/capoeiras, não sendo sensível aos níveis de pastagens degradadas, o que sugere estudos futuros utilizado compartimentos mais sensíveis a pequenas variações. As determinações de campo espessura do horizonte “A”, profundidade do sistema radicular e taxa de cobertura do solo são sensíveis aos níveis de pastagens degradadas, e apresentam uma boa correlação com os indicadores de laboratório macroporosidade (Ma), matéria orgânica particulada (MOP), saturação por bases (V), saturação por alumínio (m) sugerindo assim a utilização dessas determinações como indicadores de qualidade do solo em pastagens degradadas, para o solo e a região estudados.

Mulheres mães vítimas de violência : impactos, vivências e constituição da rede de apoio sócio afetiva

A violência está presente a nível nacional e mundial no cotidiano de muitas famílias e se configura como um fenômeno de múltiplas determinações, podendo estar presente no cenário público e privado. Diante dos diversos tipos de violência presentes no espaço social, encontra-se a violência praticada pelo homem contra sua companheira. O presente estudo, com enfoque qualitativo, objetivou de maneira geral investigar de que forma o Centro de Referência Especializado da Assistência Social – Proteção e Atendimento Especializado a Famílias e Indivíduos (CREAS PAEFI “Adulto”) do município de Colatina, compõe a rede de apoio social e afetiva de mulheres/mães vítimas de violência física e/ou psicológica por parte de seus maridos/companheiros na percepção dos profissionais atuantes no serviço e, também, na percepção das próprias mulheres vítimas de violência usuárias do serviço. Para tanto, participaram da pesquisa 10 mulheres/mães usuárias do CREAS PAEFI “Adulto” do município de Colatina/ES, com faixa etária variando de 34 a 45 anos, que sofreram violência física e/ou psicológica por parte de seus maridos/companheiros e que possuíam pelo menos um filho. Também participaram da pesquisa 6 profissionais, com faixa etária variando de 25 a 38 anos, que faziam parte da equipe técnica do serviço. Os dados foram coletados por meio de entrevistas semi estruturadas realizadas individualmente em sala cedida pelo CREAS PAEFI “Adulto”. Para a organização dos dados utilizou-se a Análise de Conteúdo, sendo estes organizados em eixos temáticos e discutidos com base na Teoria Bioecológica do Desenvolvimento Humano de Urie Bronfenbrenner. Como resultados principais, pode-se notar que as interações estabelecidas entre os profissionais e as mulheres vítimas de violência usuárias do CREAS favoreceram processos proximais que promoveram mudanças positivas nas características pessoais das mulheres e reforçaram as relações que elas possuíam com suas famílias, principalmente com os filhos. Também foi verificado no macrossistema, que os papéis sociais estabelecidos pela sociedade para o homem e para a mulher estavam presentes nos discursos das usuárias do serviço, os quais naturalizavam a mulher como responsável pelos filhos, casa e marido, e o homem como o provedor da casa. A maternidade foi considerada por todas as usuárias como um fator importante em suas vidas e causou mudanças na dinâmica familiar com o companheiro.Verificou-se o comprometimento e envolvimento dos profissionais no atendimento às mulheres que se mostraram interessadas e engajadas com o atendimento e que tinham o objetivo de reconstruir suas vidas. A articulação do CREAS com a rede de atendimento à mulher vítima de violência no município de Colatina foi considerada satisfatória, principalmente levando em consideração o fato de que a cidade é pequena, o que facilita o contato entre os serviços. Algumas mulheres expuseram outras fontes de apoio que atuaram concomitantemente ao CREAS como, os amigos e a religião (Deus). Conclui-se que o CREAS PAEFI foi um serviço integrante da rede de apoio sócio afetiva das mulheres vítimas de violência que participaram do estudo, atuando como um microssistema significativo que favoreceu o desenvolvimento das mulheres frente à situação de violência vivenciada

Utilização da lógica fuzzy na geração de zonas de manejo

Este trabalho teve como objetivo utilizar a lógica fuzzy para geração de zonas de manejo, na área agrária e ambiental. Uma das aplicações consistiu da utilização do método fuzzy C-means, para geração de zonas de manejo para a cultura do mamoeiro, em um plantio comercial localizado em São Mateus-ES, com base em determinações realizadas através de amostragens e análises químicas do solo, considerando os atributos: P, K, Ca, Mg, e Saturação por bases (V%). Aplicou-se também a lógica fuzzy para desenvolver e executar um procedimento para dar suporte ao processo de tomada de decisões, envolvendo análise multicritério, gerando mapas de adequabilidade ao uso público e a conservação no Parque Estadual da Cachoeira da Fumaça, no município de Alegre-ES, considerando como fatores a localização da cachoeira, o uso do solo, os recursos hídricos, as trilhas, os locais de acessos, a infraestrutura, a declividade da área, e utilizando a abordagem de Sistema de Informações Geográficas para análise e combinação da base de dados. A partir das zonas de manejo geradas, foi possível explicar a variabilidade espacial dos atributos do solo na área de estudo da cultura do mamoeiro, e observa-se que as similaridades entre as zonas geradas, a partir de diferentes atributos, mostrou variação, mas observa-se uma influência nos dados, principalmente pelos atributos P e V. A partir do zoneamento da Unidade de Conservação foi possível selecionar áreas mais aptas ao ecoturismo, sendo encontradas próximas da cachoeira, trilhas em zonas de reflorestamento e de Mata Atlântica. Quanto às áreas propensas a medidas de conservação localizam-se próximas à cachoeira e às estruturas do parque, devido à maior pressão antrópica exercida nesses locais. Outras áreas que se destacaram, foram as áreas de pastagem, por estarem em estágio de regeneração natural. Os resultados indicam áreas de mesmo potencial de produção do mamoeiro, ou quando aplicado à área ambiental, áreas que devem receber maior cuidado para utilização por ecoturismo e para preservação e servem de base para a tomada de decisões, visando melhor aproveitamento da área.

Hydraulic conductivity in response to exchangeable sodium percentage and solution salt concentration

Hydraulic conductivity is determined in laboratory assays to estimate the flow of water in saturated soils. However, the results of this analysis, when using distilled or deionized water, may not correspond to field conditions in soils with high concentrations of soluble salts. This study therefore set out to determine the hydraulic conductivity in laboratory conditions using solutions of different electrical conductivities in six soils representative of the State of Pernambuco, with the exchangeable sodium percentage adjusted in the range of 5-30%. The results showed an increase in hydraulic conductivity with both decreasing exchangeable sodium percentage and increasing electrical conductivity in the solution. The response to the treatments was more pronounced in soils with higher proportion of more active clays. Determination of hydraulic conductivity in laboratory is routinely performed with deionized or distilled water. However, in salt affected soils, these determinations should be carried out using solutions of electrical conductivity different from 0 dS m-1, with values close to those determined in the saturation extracts.