NAD(P)H oxidase modulates angiogenesis and the development of portosystemic collaterals and splanchnic hyperaemia in portal hypertensive rats.

Then, the expression of angiogenesis markers (western blotting), the formation of portosystemic collaterals (radioactive microspheres) and the production of superoxide anion (lucigenin-enhanced chemiluminescence) were determined. Mean arterial pressure, portal pressure, and superior mesenteric arterial blood flow and resistance were also measured.Results: In portal hypertensive rats, NAD(P)H oxidase blockade significantly decreased portosystemic collateral formation, and superior mesenteric arterial flow. It also reduced the splanchnic expression of VEGF, VEGF receptor-2 and CD31, and attenuated the increased production of superoxide, compared with vehicle.Conclusions: NAD(P)H oxidase plays an important role in experimental portal hypertension, modulating splanchnic angiogenesis, the formation of portosystemic collaterals and the development of splanchnic hyperdynamic circulation. These results suggest that NAD(P)H oxidase may represent a new target in the treatment of portal hypertension.

CO2 wedged hepatic venography in the evaluation of portal hypertension.

BACKGROUND/AIMS/METHODS During hepatic vein catheterisation, in addition to measurement of hepatic venous pressure gradient (HVPG), iodine wedged retrograde portography can be easily obtained. However, it rarely allows correct visualisation of the portal vein. Recently, CO2 has been suggested to allow better angiographic demonstration of the portal vein than iodine. In this study we investigated the efficacy of CO2 compared with iodinated contrast medium for portal vein imaging and its role in the evaluation of portal hypertension in a series of 100 patients undergoing hepatic vein catheterisation, 71 of whom had liver cirrhosis. RESULTS In the overall series, CO2 venography was markedly superior to iodine, allowing correct visualisation of the different segments of the portal venous system. In addition, CO2, but not iodine, visualised portal-systemic collaterals in 34 patients. In cirrhosis, non-visualisation of the portal vein on CO2 venography occurred in 11 cases; four had portal vein thrombosis and five had communications between different hepatic veins. Among non-cirrhotics, lack of portal vein visualisation had a 90% sensitivity, 88% specificity, 94% negative predictive value, and 83% positive predictive value in the diagnosis of pre-sinusoidal portal hypertension. CONCLUSIONS Visualisation of the venous portal system by CO2 venography is markedly superior to iodine. The use of CO2 wedged portography is a useful and safe complementary procedure during hepatic vein catheterisation which may help to detect portal thrombosis. Also, lack of demonstration of the portal vein in non-cirrhotic patients strongly suggests the presence of pre-sinusoidal portal hypertension.

The extent of the collateral circulation influences the postprandial increase in portal pressure in patients with cirrhosis.

Background: In cirrhosis, repeated flares of portal pressure and collateral blood flow provoked by postprandial hyperaemia may contribute to variceal dilation and rupture. Aim: To examine the effect of the extent of the collateral circulation on the postprandial increase in portal pressure observed in cirrhosis. Patients and methods: The hepatic venous pressure gradient (HVPG), hepatic blood flow and azygos blood flow were measured in 64 patients with cirrhosis before and after a standard liquid meal. Results: Peak increases in HVPG (median+14.9%), hepatic blood flow (median+25.4%), and azygos blood flow (median+32.2%) occurred at 30 min after the meal. Compared with patients with marked postprandial increase in HVPG (above the median, n¿=¿32), those showing mild (<15%, n¿=¿32) increase in HVPG had a higher baseline azygos flow (p<0.01) and underwent a greater postprandial increase in azygos flow (p<0.02). Hepatic blood flow increased similarly in both groups. Postprandial increases in HVPG were inversely correlated (p<0.001) with both baseline azygos flow (r¿=¿¿0.69) and its postprandial increase (r¿=¿¿0.72). Food intake increased nitric oxide products in the azygos (p<0.01), but not in the hepatic vein. Large varices (p<0.01) and previous variceal bleeding (p<0.001) were more frequent in patients with mild increase in HVPG. Conclusions: Postprandial hyperaemia simultaneously increases HVPG and collateral flow. The extent of the collateral circulation determines the HVPG response to food intake. Patients with extensive collateralisation show less pronounced postprandial increases in HVPG, but associated with marked flares in collateral flow. Collateral vessels preserve their ability to dilate in response to increased blood flow.

Obesity and the incidence of chronic diseases: a seemingly unrelated probit approach

Western societies can reduce avoidable mortality and morbidity by better understanding the relationship between obesity and chronic disease. This paper examines the joint determinants of obesity and of heart disease, diabetes, hypertension, and elevated cholesterol. It analyzes a broadly representative Spanish dataset, the 1999 Survey on Disabilities, Impairments and Health Status, using a health production theoretical framework together with a seemingly unrelated probit model approach that controls for unobserved heterogeneity and endogeneity. Its findings provide suggestive evidence of a positive and significant, although specification-dependent, association between obesity and the prevalence of chronic illness

Cambios en el estado ecologico de tres rios producidos por el vertido de depuradoras

En el marco del proyecto Sostaqua se ha llevado a cabo la evaluación del efecto de las aguas residuales tratadas en tres depuradoras (dos en la provincia de Barcelona y una en Andorra), sobre la comunidad de macroinvertebrados bentónicos. En cada una de ellas se evaluó mensualmente el estado ecológico aguas arriba y aguas abajo del punto de vertido, utilizando varios índices biológicos. Mientras que en el río de andorra no se observó un efecto sobre los índices biológicos, en los ríos de la provincia de Barcelona (ríos ya perturbados y con una menor disolución del vertido) el efecto fue importante.

Non-conventional water resources in coastal areas: a review of the use of reclaimed water

In an era of increasing concern for limited water resources a wise joint management of conventional and nonconventional water resources must be considered. Water scarcity aggravates in coastal zones which are often characterised by high population density, intense economic activity and tourism; meaning heavy seasonal water demands. The relationships between sea and land-water can also compromise the quality of available freshwater. In this context, the use of non-conventional water increases the availability of water supplies. Non-conventional water resources of low quality could be directed to meet several needs (like watering lawns, washing cars, flushing toilets and cooling systems, among others). Therefore, significantly more potable water would be available to meet human demand for safe water.

La llei catalana de biodiversitat, ara sí (2)

S'ha posat a informació pública l'Avantprojecte de Llei de la Biodiversitat i el Patrimoni Natural de Catalunya, esperada des de fa força anys i que ha de ser el marc general de tota l'activitat de conservació i gestió de la diversitat biològica en el futur del nostre país. A la segona part de l'article s¿analitzen els títols finals de la Llei i, en la tercera, el tractament que hi rep la flora, així com les conseqüències pràctiques que se¿n derivaran.

La llei catalana de biodiversitat, ara sí (i 3)

S'ha posat a informació pública l'Avantprojecte de Llei de la Biodiversitat i el Patrimoni Natural de Catalunya, esperada des de fa força anys i que ha de ser el marc general de tota l'activitat de conservació i gestió de la diversitat biològica en el futur del nostre país. A la tercera part de l'article s'analitza el tractament que hi rep la flora, així com les conseqüències pràctiques que se'n derivaran.

Corniol dels Ports

AQUILEGIA PAUI FONT QUER IN TREB. MUS. CI NAT. BARCELONA SER. BOT. Nº3, 198 (1920) - Tàxon sobre el qual el BioC ha començat a treballar recentment i que forma part dels objectius del projecte de recerca CGL2007¿60475. Part de les informacions incorporades són encara inèdites o en curs de tractament.

La llei catalana de biodiversitat, ara sí (2)

S'ha posat a informació pública l'Avantprojecte de Llei de la Biodiversitat i el Patrimoni Natural de Catalunya, esperada des de fa força anys i que ha de ser el marc general de tota l'activitat de conservació i gestió de la diversitat biològica en el futur del nostre país. A la segona part de l'article s¿analitzen els títols finals de la Llei i, en la tercera, el tractament que hi rep la flora, així com les conseqüències pràctiques que se¿n derivaran.

La llei catalana de biodiversitat, ara sí (i 3)

S'ha posat a informació pública l'Avantprojecte de Llei de la Biodiversitat i el Patrimoni Natural de Catalunya, esperada des de fa força anys i que ha de ser el marc general de tota l'activitat de conservació i gestió de la diversitat biològica en el futur del nostre país. A la tercera part de l'article s'analitza el tractament que hi rep la flora, així com les conseqüències pràctiques que se'n derivaran.

Corniol dels Ports

AQUILEGIA PAUI FONT QUER IN TREB. MUS. CI NAT. BARCELONA SER. BOT. Nº3, 198 (1920) - Tàxon sobre el qual el BioC ha començat a treballar recentment i que forma part dels objectius del projecte de recerca CGL2007¿60475. Part de les informacions incorporades són encara inèdites o en curs de tractament.

Estudio de aplicaciones de los AINE para el dolor leve-moderado

Este trabajo pretende hacer una revisión de conceptos de la terapia farmacológica antiálgica. El objetivo es conocer la Escalera Analgésica de la OMS, mejorar el uso de AINEs para el dolor leve-moderado en nuestras consultas podológicas, comparar el poder analgésico de cinco AINE muy usados y estudiar posibles combinaciones entre ellos.