Hematological differences between patients with different subtypes of sickle cell disease on hydroxyurea treatment

OBJECTIVE: Sickle cell anemia and the interaction S/Beta thalassemia differ in hematological values due to microcytosis and hypochromia caused by the thalassemic mutation. The clinical benefit of long-term hydroxyurea treatment is undeniable in sickle cell disease with monitoring of the biological action of the drug being by the complete blood count. The objective of this work is to compare changes in some of the erythrocytic indexes between S/Beta thalassemia and sickle cell anemia patients on long-term hydroxyurea treatment. METHODS: The values of erythrocyte indexes (mean corpuscular volume and mean corpuscular hemoglobin) were compared in a retrospective study of two groups of patients (Sickle cell anemia and S/Beta thalassemia) on hydroxyurea treatment over a mean of six years. RESULTS: The quantitative values of the two parameters differed between the groups. Increases in mean corpuscular volume and reductions in mean corpuscular hemoglobin delay longer in S/Beta thalassemia patients (p-value = 0.018). CONCLUSION: Hematological changes are some of the beneficial effects of hydroxyurea in sickle cell disease as cellular hydration increases and the hemoglobin S concentration is reduced. The complete blood count is the best test to monitor changes, but the interpretation of the results in S/Beta thalassemia should be different.

Sociedade Tarja Preta: uma crítica à medicalização de crianças e adolescentes

Como breve análise do livro "Medicalização de crianças e adolescentes: conflitos silenciados pela redução de questões sociais a doenças de indivíduos", esta resenha contextualiza a importância da publicação na crítica contemporânea à invenção de (psico)patologias e tratamentos a elas destinados. O livro logra, de forma extremamente rigorosa, desconstruir as "bases científicas" que sustentam o transtorno de déficit de atenção e hiperatividade (TDAH), mostrando como a indústria farmacêutica vem ocultando sistematicamente os profundos efeitos colaterais do princípio ativo destinado a tratá-lo (o metilfenidato, presente na Ritalina® e Concerta®). Com textos de profissionais vinculados à saúde e educação, nas mais diferentes áreas do conhecimento, o livro representa uma notável coalizão de esforços em benefício da promoção dos direitos de crianças e adolescentes.

Concentração plasmática de cortisol decorrente do exercício físico em cavalos de enduro

O objetivo deste trabalho foi relacionar a intensidade do exercício físico e as concentrações de cortisol plasmático em cavalos de enduro, uma competição em que somente animais experientes podem competir nas provas mais longas. Foram utilizados 30 equinos Puro Sangue Árabe e mestiços Árabe, machos ou fêmeas participantes de provas de enduro. Foram divididos em três grupos de 10 animais: (G1): percorreram mais de 100km, (G2): percorreram menos de 100km, e (G3): desqualificados por causa metabólica. Foram realizadas dosagens de cortisol plasmático em três momentos diferentes: (t0): dia anterior à competição, (t1): 30 a 60 minutos após o término da prova e, (t2): 90 a 120 minutos após o término da prova. Concluiu-se que o enduro leva ao aumento do cortisol plasmático; animais que percorrem maiores distâncias apresentam menor aumento das concentrações de cortisol; animais desqualificados por causa metabólica, que passam por situações de extremo esforço físico, tendem a valores de cortisol mais elevados e animais menos experientes apresentam valores de cortisol mais elevados mesmo tendo percorrido menores distâncias.

USEFULNESS OF kDNA PCR IN THE DIAGNOSIS OF VISCERAL LEISHMANIASIS REACTIVATION IN CO-INFECTED PATIENTS

It is important to develop new methods for diagnosing relapses in the co-infection of visceral leishmaniasis (VL) and HIV to enable earlier detection using less invasive methods. We report a case of a co-infected patient who had relapses after VL treatment, where the qualitative kDNA PCR showed a good performance. The kDNA PCR seems to be a useful tool for diagnosing VL and may be a good marker for predicting VL relapses after treatment of co-infected patients with clinical symptoms of the disease.

ScPdZn and ScPtZn with YAlGe type structure: group-subgroup relation and 45Sc solid state NMR spectroscopy

The intermetallic compounds ScPdZn and ScPtZn were prepared from the elements by high-frequency melting in sealed tantalum ampoules. Both structures were refined from single crystal X-ray diffractometer data: YAlGe type, Cmcm, a = 429.53(8), b = 907.7(1), c = 527.86(1) pm, wR2 = 0.0375, 231 F2 values, for ScPdZn and a = 425.3(1), b = 918.4(2), c = 523.3(1) pm, wR2 = 0.0399, 213 F2 values for ScPtZn with 14 variables per refinement. The structures are orthorhombically distorted variants of the AlB2 type. The scandium and palladium (platinum atoms) build up ordered networks Sc3Pd3 and Sc3Pt3 (boron networks) which are slightly shifted with respect to each other. These networks are penetrated by chains of zinc atoms (262 pm in ScPtZn) which correspond to the aluminum positions, i.e. Zn(ScPd) and Zn(ScPt). The corresponding group-subgroup scheme and the differences in chemical bonding with respect to other AlB2-derived REPdZn and REPtZn compounds are discussed. 45Sc solid state NMR spectra confirm the single crystallographic scandium sites. From electronic band structure calculations the two compounds are found metallic with free electron like behavior at the Fermi level. A larger cohesive energy for ScPtZn suggests a more strongly bonded intermetallic than ScPdZn. Electron localization and overlap population analyses identify the largest bonding for scandium with the transition metal (Pd, Pt).

Ordenación territorial, urbanística y de los espacios naturales protegidos y el modelo territorial en la Comunidad Autónoma de Canarias (1982-2009)

[ES] Los graves problemas territoriales existentes en Canarias han motivado un continuo desarrollo normativo autonómico desde los ochenta que culminó con la aprobación en 2000 de un Texto Refundido de las leyes de ordenación del territorio en el que se intentó estructurar jerárquicamente la ordenación territorial, el planeamiento urbanístico y la protección de los espacios naturales. Además de dotarse con instrumentos propios de ordenación, la presente década se ha caracterizado por la definición normativa de un modelo de desarrollo sostenible a través de la formulación de unas Directrices de ordenación. En este artículo abordamos el análisis de las características de la ordenación territorial en Canarias y del modelo de desarrollo promulgado, con el fin de manifestar su escasa capacidad de intervención al mismo tiempo que aportamos una reflexión sobre las nuevas orientaciones anti-cíclicas aprobadas recientemente y que pueden suponer el desmoronamiento de parte del modelo de desarrollo construido en la presente década.

Bioremediation of PAHs - Limitations and soultions

Introduction 1.1 Occurrence of polycyclic aromatic hydrocarbons (PAH) in the environment Worldwide industrial and agricultural developments have released a large number of natural and synthetic hazardous compounds into the environment due to careless waste disposal, illegal waste dumping and accidental spills. As a result, there are numerous sites in the world that require cleanup of soils and groundwater. Polycyclic aromatic hydrocarbons (PAHs) are one of the major groups of these contaminants (Da Silva et al., 2003). PAHs constitute a diverse class of organic compounds consisting of two or more aromatic rings with various structural configurations (Prabhu and Phale, 2003). Being a derivative of benzene, PAHs are thermodynamically stable. In addition, these chemicals tend to adhere to particle surfaces, such as soils, because of their low water solubility and strong hydrophobicity, and this results in greater persistence under natural conditions. This persistence coupled with their potential carcinogenicity makes PAHs problematic environmental contaminants (Cerniglia, 1992; Sutherland, 1992). PAHs are widely found in high concentrations at many industrial sites, particularly those associated with petroleum, gas production and wood preserving industries (Wilson and Jones, 1993). 1.2 Remediation technologies Conventional techniques used for the remediation of soil polluted with organic contaminants include excavation of the contaminated soil and disposal to a landfill or capping - containment - of the contaminated areas of a site. These methods have some drawbacks. The first method simply moves the contamination elsewhere and may create significant risks in the excavation, handling and transport of hazardous material. Additionally, it is very difficult and increasingly expensive to find new landfill sites for the final disposal of the material. The cap and containment method is only an interim solution since the contamination remains on site, requiring monitoring and maintenance of the isolation barriers long into the future, with all the associated costs and potential liability. A better approach than these traditional methods is to completely destroy the pollutants, if possible, or transform them into harmless substances. Some technologies that have been used are high-temperature incineration and various types of chemical decomposition (for example, base-catalyzed dechlorination, UV oxidation). However, these methods have significant disadvantages, principally their technological complexity, high cost , and the lack of public acceptance. Bioremediation, on the contrast, is a promising option for the complete removal and destruction of contaminants. 1.3 Bioremediation of PAH contaminated soil & groundwater Bioremediation is the use of living organisms, primarily microorganisms, to degrade or detoxify hazardous wastes into harmless substances such as carbon dioxide, water and cell biomass Most PAHs are biodegradable unter natural conditions (Da Silva et al., 2003; Meysami and Baheri, 2003) and bioremediation for cleanup of PAH wastes has been extensively studied at both laboratory and commercial levels- It has been implemented at a number of contaminated sites, including the cleanup of the Exxon Valdez oil spill in Prince William Sound, Alaska in 1989, the Mega Borg spill off the Texas coast in 1990 and the Burgan Oil Field, Kuwait in 1994 (Purwaningsih, 2002). Different strategies for PAH bioremediation, such as in situ , ex situ or on site bioremediation were developed in recent years. In situ bioremediation is a technique that is applied to soil and groundwater at the site without removing the contaminated soil or groundwater, based on the provision of optimum conditions for microbiological contaminant breakdown.. Ex situ bioremediation of PAHs, on the other hand, is a technique applied to soil and groundwater which has been removed from the site via excavation (soil) or pumping (water). Hazardous contaminants are converted in controlled bioreactors into harmless compounds in an efficient manner. 1.4 Bioavailability of PAH in the subsurface Frequently, PAH contamination in the environment is occurs as contaminants that are sorbed onto soilparticles rather than in phase (NAPL, non aqueous phase liquids). It is known that the biodegradation rate of most PAHs sorbed onto soil is far lower than rates measured in solution cultures of microorganisms with pure solid pollutants (Alexander and Scow, 1989; Hamaker, 1972). It is generally believed that only that fraction of PAHs dissolved in the solution can be metabolized by microorganisms in soil. The amount of contaminant that can be readily taken up and degraded by microorganisms is defined as bioavailability (Bosma et al., 1997; Maier, 2000). Two phenomena have been suggested to cause the low bioavailability of PAHs in soil (Danielsson, 2000). The first one is strong adsorption of the contaminants to the soil constituents which then leads to very slow release rates of contaminants to the aqueous phase. Sorption is often well correlated with soil organic matter content (Means, 1980) and significantly reduces biodegradation (Manilal and Alexander, 1991). The second phenomenon is slow mass transfer of pollutants, such as pore diffusion in the soil aggregates or diffusion in the organic matter in the soil. The complex set of these physical, chemical and biological processes is schematically illustrated in Figure 1. As shown in Figure 1, biodegradation processes are taking place in the soil solution while diffusion processes occur in the narrow pores in and between soil aggregates (Danielsson, 2000). Seemingly contradictory studies can be found in the literature that indicate the rate and final extent of metabolism may be either lower or higher for sorbed PAHs by soil than those for pure PAHs (Van Loosdrecht et al., 1990). These contrasting results demonstrate that the bioavailability of organic contaminants sorbed onto soil is far from being well understood. Besides bioavailability, there are several other factors influencing the rate and extent of biodegradation of PAHs in soil including microbial population characteristics, physical and chemical properties of PAHs and environmental factors (temperature, moisture, pH, degree of contamination). Figure 1: Schematic diagram showing possible rate-limiting processes during bioremediation of hydrophobic organic contaminants in a contaminated soil-water system (not to scale) (Danielsson, 2000). 1.5 Increasing the bioavailability of PAH in soil Attempts to improve the biodegradation of PAHs in soil by increasing their bioavailability include the use of surfactants , solvents or solubility enhancers.. However, introduction of synthetic surfactant may result in the addition of one more pollutant. (Wang and Brusseau, 1993).A study conducted by Mulder et al. showed that the introduction of hydropropyl-ß-cyclodextrin (HPCD), a well-known PAH solubility enhancer, significantly increased the solubilization of PAHs although it did not improve the biodegradation rate of PAHs (Mulder et al., 1998), indicating that further research is required in order to develop a feasible and efficient remediation method. Enhancing the extent of PAHs mass transfer from the soil phase to the liquid might prove an efficient and environmentally low-risk alternative way of addressing the problem of slow PAH biodegradation in soil.

Variabilità delle caratteristiche meccaniche del Marmo delle Alpi Apuane

Lo svolgimento di questa tesi ha riguardato la caratterizzazione di una roccia carbonatica metamorfica, marmo proveniente da un bacino estrattivo delle Alpi Apuane, mediante prove di laboratorio: in particolare, si è esaminato il comportamento di tale materiale sia mediante prove distruttive, sia mediante prove non distruttive. Lo studio è stato condotto su diverse tipologie di campioni (cilindri di diametro differente ma con uguale rapporto tra diametro e altezza, campioni informi di materiale), tutti ottenuti da blocchi informi prelevati nel bacino estrattivo dell’Arnetola, sito nel comune di Vagli Sotto (LU). Sui campioni carotati sono state eseguite più prove standard (distruttive e non), mentre i campioni informi sono stati utilizzati per la determinazione, mediante prova distruttiva, dell’indice di resistenza R.I.H.N. (acronimo di Rock Impact Hardness Number). Tale prova è in grado di fornire utili informazioni sulla resistenza dei materiali rocciosi, risultando particolarmente utile nell’industria estrattiva grazie alla semplice apparecchiatura che dà la possibilità di eseguire un numero elevato di determinazioni nei centri stessi di produzione, con bassi costi unitari. Data la variabilità dei risultati ottenuti, sono state eseguite ulteriori analisi (studio tessiturale in sezione sottile, analisi calcimetrica e analisi diffrattometrica) che mettessero in luce la composizione mineralogica e la struttura microscopica del materiale testato, in modo da interpretare i risultati delle prove di laboratorio effettuate. Alla luce dei risultati ottenuti, sono state elaborate alcune correlazioni tra le varie prove, facendo anche uso di alcuni abachi.

EXAFS-Untersuchungen zur Rolle von Silicium bei der Sorption von umweltrelevanten Schwermetallen (Zn, As, Pb) in Speichermineralen (FeOOH,CSH)

Bei den Sorptions- und Desorptionsmechanismen an Mineraloberflächen ist oft nicht bekannt, durch welchen Mechanismus bestimmte Spurenelemente gebunden werden (Adsorption, Ionenaustausch, Ausfällung). Heterogene Reaktionen an der Fluid/Mineral-Grenzfläche sind im Allgemeinen sehr komplex. Ein Grund dafür ist, dass mehrere Mechanismen simultan ablaufen können. Da verschiedene Reaktionstypen räumlich getrennt ablaufen, d.h. im mikroskopischen Maßstab an unterschiedlichen Reaktionsplätzen, müssen die individuellen Reaktionsmechanismen auf atomarem Maßstab untersucht werden, um die Komplexität der Gesamtreaktion zu verstehen. Mit Hilfe der EXAFS Spektroskopie wurde die Bindungsform und -art der eingelagerten Zink- und Blei-Atome in die synthetische Calciumsilikathydratphase (CSH) und des adsorptiv gebundenen Arsens an der Oberfläche der natürlichen Eisenhydroxidphase bestimmt. Hierbei spielt Silizium eine relevante Rolle für die Immobilisierung von Schwermetallen. In beiden Fällen, in denen das Silizium einerseits als Adsorbat an der Oberfläche der Eisenhydroxidphase und andererseits in die Struktur der Mischphase gebunden vorliegt, trägt es wesentlich zur Form und Art der Bindung der Schwermetalle in die neugebildete Phase bei.

Biogeographische Beziehungen zwischen den Alpen, dem Kaukasus und den asiatischen Hochgebirgen

Hintergrund: Biogeographische Verbindungen der Alpen nach Asien wurden schon im 19. Jahrhundert durch floristische Vergleiche entdeckt. Ziele: In den vorliegenden drei Artikeln wird untersucht, ob diese Verbindung entlang einer nördlichen, arktisch-borealen Route oder entlang einer südlichen Route über dazwischen liegende Gebirge wie den Kaukasus bestand. Methoden: Molekulare Phylogenien von Epimedium (Berberidaceae) und der Tribus der Hyoscyameae (Solanaceae), deren Vertreter disjunkt in den Alpen, dem Kaukasus und in asiatischen Gebirgen vorkommen, wurden mit nukleären und plastidären Markern erstellt und bio¬geographisch ausgewertet. Zur Datierung der Diversifizierungsereignisse und Arealbil¬dung diente eine molekulare Uhr. Ein aktueller floristischer Vergleich von Gattungen, die in den Alpen, den asiatischen Gebirgen und in Gebieten entlang der potentiellen Routen vor¬kom¬men, wurde unternommen und ausgewertet. Daran anschließend wurde nach molekular-phylogenetischer Literatur für interessante Gruppen aus diesem Ver¬gleich recherchiert, um diese biogeogra¬phisch bezüglich der Fragestellung zu interpretieren. Ergebnisse: Von 429 Gattungen, die in den Alpen und im Himalaya vorkommen, wachsen 218 entlang der nördlichen und der südlichen Route. 203 kommen nur entlang der süd¬lichen und drei nur entlang der nördlichen Route vor. Fünf kommen nur in den Alpen und im Himalaya vor. Epimedium, Scopolia/Physochlaina aus den Hyoscyameae und Primula sect. Auricula sind Beispiele für eine nördliche biogeographische Verbindung zwischen den Alpen und Asien. Diese bestand zumindest in den ersten beiden Fällen wahrscheinlich aus einem durchgängigen Laubwaldgürtel, der durch das abkühlende und trockener werdende Klima im Pliozän und Pleistozän fragmentiert wurde und heute nicht mehr besteht. Es handelt sich also um ein Vikarianzmuster und weniger um eine Migrationsroute. Die größere Diver¬sität dieser Guppen, die in Asien beobachtet werden kann ist sekundär entstanden. Atropa aus den Hyoscyameae, Brachypodium, die Subtribus Loliinae aus den Poaceae, Bupleurum und Doronicum sind Beispiele für eine südliche Verbindung. Hier liegen die Diversitätszentren im Mediterraneum und die Vorkommen im Osten sind abgeleitet. Schlussfolgerungen: Die Datengrundlage aus der Literaturrecherche ist nicht sehr breit und die meisten Phylogenien waren für die Fragestellung nicht aussagekräftig. Die histori¬schen Erkenntnisse und die Ideen über den Zusammenhang der Alpenflora mit der asiatischer Gebirge werden grundsätzlich bestärkt. Die Flora der Alpen enthält ein Element das über eine nördliche Verbindung noch lange mit asiatischen Gebirgen in Kontakt stand und ein südliches Element, das aus dem Mittelmeer¬raum bzw. aus SW Asien stammt. Die Beispiele für eine nördliche Verbindung sprechen allerdings nicht für eine Migration von Asien nach Europa sondern zeigen ein Vikarianzmuster auf.

Safety and Efficacy of Ranibizumab in Diabetic Macular Edema (RESOLVE Study): A 12-month, randomized, controlled, double-masked, multicenter phase II study

The expression of vascular endothelial growth factor (VEGF) is elevated in diabetic macular edema (DME). Ranibizumab binds to and inhibits multiple VEGF variants. We investigated the safety and efficacy of ranibizumab in DME involving the foveal center.