Injection drug use before and after liver transplantation: a retrospective multicenter analysis on incidence and outcome.

De Gottardi A, Hilleret M-N, Gelez P, La Mura V, Guillaud O, Majno P, Hadengue A, Morel P, Zarski J-P, Fontana M, Moradpour D, Mentha G, Boillot O, Leroy V, Giostra E, Dumortier J. Injection drug use before and after liver transplantation: a retrospective multicenter analysis on incidence and outcome. Clin Transplant 2009 DOI: 10.1111/j.1399-0012.2009.01121.x.Background and aims: Injecting drug use (IDU) before and after liver transplantation (LT) is poorly described. The aim of this study was to quantify relapse and survival in this population and to describe the causes of mortality after LT. Methods: Past injection drug users were identified from the LT listing protocols from four centers in Switzerland and France. Data on survival and relapse were collected and used for uni- and multivariate analysis. Results: Between 1988 and 2006, we identified 59 patients with a past history of IDU. The mean age at transplantation was 42.4 yr and the majority of patients were men (84.7%). The indication for LT was for the vast majority viral cirrhosis accounting for 91.5% of cases, while alcoholic cirrhosis was 5.1%. There were 16.9% of patients who had a substitution therapy before and 6.8% who continued after LT. Two patients (3.4%) relapsed into IDU after LT and died at 18 and 41 months. The mean follow-up was 51 months. Overall survival was 84%, 66%, and 61% at 1, 5, and 10 yr after transplantation. Conclusions: Documented IDU was rare in liver transplanted patients. Past IDU was not associated with poorer survival after LT, and relapse after LT occurred in 3.4%.

Influência da calagem no rendimento de matéria seca de plantas de cobertura e adubação verde, em casa de vegetação

A recuperação de solos degradados é lenta e onerosa. Plantas de cobertura de solo e adubação verde têm sido amplamente utilizadas nesse processo de recuperação, pois promovem alta produção de fitomassa com baixo custo, especialmente se forem tolerantes à acidez. O presente trabalho objetivou avaliar o efeito da calagem no rendimento de matéria seca de dezesseis dessas espécies, em casa de vegetação. Oito espécies de inverno (Lollium multiflorum, Avena strigosa, Lathyrus sativus, Lupinus angustifolius, Pisum sativum, Secale cereale, Vicia sativa e Vicia villosa) e oito de verão (Stizolobium niveum, Stizolobium aterrinum, Stizolobium deeringianum, Crotalaria juncea, Crotalaria retusa, Crotalaria spectabilis, Cajanus cajan e Canavalia ensiformes) foram cultivadas em amostras da camada arável de dois solos ácidos catarinenses (Latossoso Bruno e Cambissolo Húmico), em Lages (SC), em 1997. Os tratamentos consistiram da aplicação de doses de calcário equivalentes a 0, 0,25, 0,50, 1,00 e 1,50 vezes a quantidade recomendada pelo método SMP para elevar o pH dos solos a 6,0. Os valores de Ca e Mg trocáveis aumentaram linearmente com a calagem e na mesma magnitude, ao redor de 3,0 mmol c kg-1 para cada incremento de 0,1 unidade de pH. O efeito da calagem no rendimento de matéria seca variou com o solo e, principalmente, com a espécie. Dez das 16 espécies não apresentaram aumento no rendimento de matéria seca com o aumento do pH, em pelo menos um dos solos, e somente cinco espécies responderam à calagem de forma semelhante nos dois solos. O pH no qual as espécies tiveram a produção máxima de matéria seca foi igual ou inferior a 5,5 em qualquer dos solos e foi normalmente menor no Cambissolo do que no Latossolo, provavelmente pelo efeito benéfico da matéria orgânica em minimizar a toxidez do Al. Essas espécies podem, portanto, ser cultivadas com sucesso como melhoradoras das propriedades físicas, químicas e biológicas de solos ácidos degradados e requerem, para a produção máxima, menos calcário do que as doses atualmente recomendadas para a região.

Biliary atresia: Swiss national study, 1994-2004.

OBJECTIVES: To determine the epidemiology of biliary atresia (BA) in Switzerland, the outcome of the children from diagnosis, and the prognostic factors. PATIENTS AND METHODS: The records of all patients with BA born in Switzerland between January 1994 and December 2004 were analyzed. Survival rates were calculated with the Kaplan-Meier method, and prognostic factors evaluated with the log rank test. Median follow up was 58 months (range, 5-124). RESULTS: BA was diagnosed in 48 children. Incidence was 1 in 17,800 live births (95% confidence interval 1/13,900-1/24,800), without significant regional, annual, or seasonal variation. Forty-three children underwent a Kasai portoenterostomy (PE) in 5 different Swiss pediatric surgery units. Median age at Kasai PE was 68 days (range, 30-126). Four-year survival with native liver after Kasai PE was 37.4%. Liver transplantation (LT) was needed in 31 in 48 children with BA, including 5 patients without previous Kasai PE. Four patients (8%, all born before 2001) died while waiting for LT, and 29 LT were performed in 27 patients (28 in Geneva and 1 in Paris). All of the transplanted patients are alive. Four-year overall BA patient survival was 91.7%. Four-year survival with native liver was 75% in patients who underwent Kasai PE before 46 days, 33% in patients operated on between 46 and 75 days, and 11% in patients operated on after 75 days (P = 0.02). CONCLUSIONS: Overall survival of patients with BA in Switzerland compares favorably with current international standards, whereas results of the Kasai operation could be improved to reduce the need for LTs in infancy and early childhood.

Presence of T 145 on cytolytic T cell lines and their lectin-resistant mutants.

Murine cytolytic T cell lines have been analyzed for the expression of two surface glycoproteins called T145 and T130. T145, known to be expressed by activated cytolytic T cells, is also expressed by such lines, but T130, which has been described by a universal T cell marker, is not. Our results suggest a structural relationship between T145 and T130. Vicia villosa lectin, which binds selectively to T145 of activated T cells and which is cytotoxic for cytolytic T cell lines, has been used to select lectin-resistant mutants from these lines. Five independent lectin-resistant mutants have been obtained. All of them are cytolytically active, bind up to 100-fold less lectin than the parental lines, but still express T145 or a closely related glycoprotein.

Effect of 15n-labeled hairy vetch and nitrogen fertilization on maize nutrition and yield under no-tillage¹

This study evaluated the effect of hairy vetch (Vicia villosa Roth) as cover crop on maize nutrition and yield under no tillage using isotope techniques. For this purpose, three experiments were carried out: 1) quantification of biological nitrogen fixation (BNF) in hairy vetch; 2) estimation of the N release rate from hairy vetch residues on the soil surface; 3) quantification of 15N recovery by maize from labeled hairy vetch under three rates of mineral N fertilization. This two-year field experiment was conducted on a sandy Acrisol (FAO soil classification) or Argissolo Vermelho distrófico arênico (Brazilian Soil Classification), at a mean annual temperature of 18 ºC and mean annual rainfall of 1686 mm. The experiment was arranged in a double split-plot factorial design with three replications. Two levels of hairy vetch residue (50 and 100 % of the aboveground biomass production) were distributed on the surface of the main plots (5 x 12 m). Maize in the sub-plots (5 x 4 m) was fertilized with three N rates (0, 60, and 120 kg ha-1 N), with urea as N source. The hairy vetch-derived N recovered by maize was evaluated in microplots (1.8 x 2.2 m). The BFN of hairy vetch was on average 72.4 %, which represents an annual input of 130 kg ha-1 of atmospheric N. The N release from hairy vetch residues was fast, with a release of about 90 % of total N within the first four weeks after cover crop management and soil residue application. The recovery of hairy vetch 15N by maize was low, with an average of 12.3 % at harvest. Although hairy vetch was not directly the main source of maize N nutrition, the crop yield reached 8.2 Mg ha-1, without mineral fertilization. There was an apparent synergism between hairy vetch residue application and the mineral N fertilization rate of 60 kg ha-1, confirming the benefits of the combination of organic and inorganic N sources for maize under no tillage.

Humoral and cellular rejection after combined liver-kidney transplantation in low immunologic risk recipients.

Combined liver-kidney transplantation is considered a low risk for immunologic complication. We report an unusual case of identical ABO liver-kidney recipient without preformed anti-human leukocyte antigen (HLA) antibodies, transplanted across a T- and B-cell-negative cross-match and complicated by early acute humoral and cellular rejection, first in the liver then in the kidney. While analyzing the immunologic complications in our cohort of 12 low-risk combined liver-kidney recipients, only one recipient experienced a rejection episode without detection of anti-HLA antibody over time. Although humoral or cellular rejection is rare after combined kidney-liver transplantation, our data suggest that even in low-risk recipients, the liver does not always systematically protect the kidney from acute rejection. Indeed, the detection of C4d in the liver should be carefully followed after combined liver-kidney transplantation.

Carbono e nitrogênio nas frações granulométricas da matéria orgânica do solo, em sistemas de culturas sob plantio direto

A qualidade do solo em plantio direto está relacionada ao sistema de culturas e pode ser avaliada pelo teor de matéria orgânica particulada (>53 ∝m), em razão da funcionalidade que essa fração proporciona ao solo e à sua sensibilidade às diferenças de manejo. Visando estudar a qualidade do solo em sistemas de culturas em plantio direto, este trabalho foi conduzido em experimento de longa duração (21 anos) em Latossolo Vermelho distrófico típico nos Campos Gerais do Paraná. Seis sistemas de culturas foram avaliados, em que trigo-TR (Triticum aestivum L.), soja-SO (Glycine max L.), milho-MI (Zea mays L.), aveia-preta-AV, para cobertura (Avena strigosa Schreb.), ervilhaca-ER, para cobertura (Vicia villosa Roth); azevém-AZ, para feno (Lolium multiflorum Lam.); ou alfafa-AL, para feno (Medicago sativa L.) compuseram os seguintes sistemas: TR-SO (referência), ER-MI-AV-SO-TR-SO, ER-MI-TR-SO, AV-MI-TR-SO, AZ-MI-AZ-SO e AL-MI (milho a cada três anos). Os estoques de carbono orgânico total (COT), nitrogênio total (NT) e de C e N na matéria orgânica (MO) particulada (>53 µm) e associada aos minerais (<53 µm) foram determinados em 0-5, 5-10 e 10-20 cm. O sistema semiperene AL-MI apresentou os maiores estoques de COT e NT na camada de 0-20 cm (63,6 Mg ha-1 COT e 4,6 Mg ha-1 NT), com incrementos anuais de 0,23 Mg ha-1 COT e 0,03 Mg ha-1 NT, em relação ao sistema TR-SO. O sistema AL-MI também teve os maiores estoques de C e N na MO particulada nessa camada (12,5 e 0,91 Mg ha-1, respectivamente), por causa da maior adição de fitomassa pelas raízes e a proteção física dos resíduos orgânicos. Os menores estoques de COT e NT na camada 0-20 cm ocorreram no sistema ER-MI-TR-SO (57,8 Mg ha-1 COT e 4,03 Mg ha-1 NT), sem apresentar incremento anual em relação ao sistema TR-SO. Os estoques de C e N na MO particulada foram de 10,4 e 0,67 Mg ha-1, respectivamente. Essa tendência repetiu-se para as camadas individuais, com diferença significativa entre os sistemas na camada de 0-5 cm e não significativa, para as de 5-10 e 10-20 cm. Na média dos sistemas, a MO particulada contribuiu em torno de 30 % para o estoque total de C na camada 0-5 cm. Rotação de culturas com espécies que tenham sistema radicular ativo por mais tempo, como o sistema semiperene AL-MI, tem potencial de incrementar o estoque total de C e N, especialmente da fração MO particulada, proporcionando funcionalidade ao solo e, consequentemente, qualidade.

Biomass decomposition and nutrient release from black oat and hairy vetch residues deposited in a vineyard

A significant quantity of nutrients in vineyards may return to the soil each year through decomposition of residues from cover plants. This study aimed to evaluate biomass decomposition and nutrient release from residues of black oats and hairy vetch deposited in the vines rows, with and without plastic shelter, and in the between-row areas throughout the vegetative and productive cycle of the plants. The study was conducted in a commercial vineyard in Bento Gonçalves, RS, Brazil, from October 2008 to February 2009. Black oat (Avena strigosa) and hairy vetch (Vicia villosa) residues were collected, subjected to chemical (C, N, P, K, Ca, and Mg) and biochemical (cellulose - Cel, hemicellulose - Hem, and lignin - Lig content) analyses, and placed in litter bags, which were deposited in vines rows without plastic shelter (VPRWS), in vines rows with plastic shelter (VPRS), and in the between-row areas (BR). We collected the residues at 0, 33, 58, 76, and 110 days after deposition of the litter bags, prepared the material, and subjected it to analysis of total N, P, K, Ca, and Mg content. The VPRS contained the largest quantities and percentages of dry matter and residual nutrients (except for Ca) in black oat residues from October to February, which coincides with the period from flowering up to grape harvest. This practice led to greater protection of the soil surface, avoiding surface runoff of the solution derived from between the rows, but it retarded nutrient cycling. The rate of biomass decomposition and nutrient release from hairy vetch residues from October to February was not affected by the position of deposition of the residues in the vineyard, which may especially be attributed to the lower values of the C/N and Lig/N ratios. Regardless of the type of residue, black oat or hairy vetch, the greatest decomposition and nutrient release mainly occurred up to 33 days after deposition of the residues on the soil surface, which coincided with the flowering of the grapevines, which is one of the phenological stages of greatest demand for nutrients.

Transplantation hépatique : introduction en Suisse d'un nouveau système d'allocation des organes [Liver transplantation: new organ allocation system in Switzerland]

This article describes the new organ allocation system for liver transplantation introduced in Switzerland on July 1, 2007. In its newly adopted transplantation law, Switzerland chose the MELD score (Model for end-stage liver disease), based on three laboratory values: total bilirubin, serum creatinine and INR. Advantages and limitations of the MELD score are discussed. Finally the West Switzerland joint liver transplantation program is briefly introduced. Cet article décrit le nouveau système d'allocation des organes pour la transplantation hépatique, qui a été introduit en Suisse depuis le 1er juillet 2007. En se dotant d'une nouvelle loi sur la transplantation en 2007, la Suisse a en effet opté pour le score MELD (Model for end-stage liver disease), c'est-à-dire un score calculable à partir de trois valeurs de laboratoire : bilirubine totale, créatinine et INR. Les avantages du MELD, mais aussi quelques inconvénients potentiels, sont brièvement décrits. Afin de clarifier le parcours du patient pour lequel une évaluation prétransplantation hépatique spécialisée est indiquée, une brève description du programme romand de transplantation hépatique est présentée.

L'aliança Agropyro-Rumicion a la la meitat oriental dels Pirineus Ibèrics

The alliance Agropyro-Rumicion in the eastern half of the IberianPyrenees. This alliance, related to eurosiberian landscapes, is represented in the studied area by three associations, all them inhabiting wet and ruderalized soils: Mentho-Juncetum (very frequent and chiefly formed by Juncus inflexus and Mentha longifolia), Festuco-Caricetum (more sporadic and grassland-shaped) and Rorippo-Agrostietum (only recorded from the upper part of the river Ter, dominated by the rare Rorippa sylvestris and more or less related to the alliance Bidention in some way).

Comportamento de adubos verdes de inverno na região serrana fluminense

O objetivo deste trabalho foi o de avaliar o comportamento de espécies de adubos verdes de inverno, em um Cambissolo Háplico Tb distrófico, sob duas condições de fertilidade, a 1.100 m de altitude. Dois experimentos de campo foram conduzidos em Nova Friburgo, RJ, utilizando as seguintes espécies: aveia-preta (Avena strigosa Schieb.), azevém-anual (Lollium multiflorum Lam.), chícharo (Lathyrus sativus L.), ervilhaca-comum (Vicia sativa L.), ervilhaca-peluda (Vicia villosa Roth), utilizada somente no segundo experimento, serradela-flor-rosa (Ornithopus sativus Brot.), tremoço-amarelo (Lupinus luteus L.), tremoço-branco cultivar Comum (Lupinus albus L.), tremoço-branco cultivar Multo Lupa Doce (Lupinus albus L.), tremoço-branco cultivar TRM 881 (Lupinus albus L.), trevo-branco (Trifolium repens L.), trevo-vermelho cultivar Achylesmarium (Trifolium pratense L.), e trevo-vesiculoso cultivar Jacuí 52 (Trifolium vesiculosum Savi). O delineamento experimental foi em blocos ao acaso, com três repetições. As espécies que mais se destacaram na produção de massa seca e acumulação de N na parte aérea, sob condições de boa fertilidade no solo, foram as três cultivares de tremoço-branco, o tremoço-amarelo, a ervilhaca-comum e a aveia-preta. Sob condições de baixo teor de P, Ca e Mg no solo, as que mais se destacaram foram as três cultivares de tremoço-branco e a aveia-preta.

Efeito fungistático de Bacillus thuringiensis e de outras bactérias sobre alguns fungos fitopatogênicos

Quatro isolados bacterianos da rizosfera de Drosera villosa var. villosa (B1, B2, B3, B4) e dois isolados de Bacillus thuringiensis (B5 e B6), sendo B6 produtor da toxina bioinseticida Cry1Ab, foram avaliados quanto à capacidade de inibir os fungos fitopatogênicos Fusarium solani f. sp. phaseoli, Fusarium solani f. sp. glycines, Fusarium oxysporum e Colletotrichum sp. A cepa mais efetiva foi B1 que inibiu o crescimento dos quatro fungos até o 26º dia. B. thuringiensis inibiu o crescimento de três destes, o que indica que possui atividade antifúngica e abre um novo campo de estudo para a utilização do B. thuringiensis.

El programa Biodiversitat Micològica de les terres de Ponent. Notícia i primers resultats.

La tardor de 1994 ha presentat unes condicions molt favorables de pluviositat, humitat i temperatura, que han permès un estudi intensiu (59 excursions, 64 localitats) de la part occidental, baixa i seca, de Catalunya, de la qual es tenien molt poques dades micològiques. E1 catàleg preliminar que oferim, amb tot i l'absència de moltes espècies pendents d'estudi o confirmació, i també de les més eurioiques, considerades poc característiques, conté 170 espècies, i permet fer-se una idea de la flora fúngica xero-termòfila mediterrània, especialment, la de les brolles, pinedes i espais oberts. Al costat d'algunes espècies poc citades, com Eutryblidiella hysterina, Helvella villosa, Agaricus pilatianus, Amanita boudieri, Calyptella capula, Ceriporia bresadolae, Coprinus vosoustii, Henningsomyces puber, Hygrophorus carneogriseus, Marasmius corbariensis, Phellinus punctatus, Ramicola iberica, Skeletocutis percandida, Tulostoma nanum, T. occidentale, T. xerophilum, Typhula setipes, Xerocomus ichnusanus, d'altres han mostrat una abundància inusitada, com Mycocalicium minutellum, Amanita ovoidea, Clitocybe alexandrí, C. umbilicata, Entoloma rusticoides, Hebeloma edurum, Inocybe roseipes, Lepista rickenii, Lopharia spadicea, Omphalotus olearius, Phaeotellus rickenii, Polyporus meridionalis, Suillus bellinii, S. collinitus, Volvariella speciosa, Mucilago crustacea. És previst continuar les prospeccions, per a completar aquesta primera visió.

Toxicidade de extratos vegetais a Scutellonema bradys

O objetivo deste trabalho foi avaliar o efeito nematostático e nematicida de extratos aquosos de bulbilhos de alho (Allium sativum L.), folhas de mandioca (Manihot esculenta Crantz), folhas e sementes de mamão (Carica papaya L.), folhas de hortelã (Mentha piperita L.) e casca de gliricídia (Gliricidia sepium (Jacq.) Steud.) em Scutellonema bradys, agente causal da casca-preta do inhame (Dioscorea cayennensis Lam.). Todos os extratos vegetais inibiram a mobilidade e causaram mortalidade ao fitonematóide. Os extratos de hortelã e de mandioca causaram menos de 45% de mortalidade a S. bradys. As maiores porcentagens de mortalidade são causadas pelos extratos de sementes e folhas do mamoeiro e pelos bulbilhos de alho.