Assessment of intradialysis calcium mass balance by a single pool variable‐volume calcium kinetic model

Introduction: A reliable method of intradialysis calcium mass balance quantification is far from been established. We herein investigated the use of a single‐pool variable‐volume Calcium kinetic model to assess calcium mass balance in chronic and stable dialysis patients. Methods: Thirty‐four patients on thrice‐weekly HD were studied during 240 dialysis sessions. All patients were dialyzed with a nominal total calcium concentration of 1.50 mmol/L. The main assumption of the model is that the calcium distribution volume is equal to the extracellular volume during dialysis. This hypothesis is assumed valid if measured and predicted end dialysis plasma water ionized calcium concentrations are equal. A difference between predicted and measured end‐dialysis ionized plasma water calcium concentration is a deviation on our main hypothesis, meaning that a substantial amount of calcium is exchanged between the extracellular volume and a nonmodeled compartment. Findings: The difference between predicted and measured values was 0.02 mmol/L (range ?0.08:0.16 mmol/L). With a mean ionized dialysate calcium concentration of 1.25 mmol/L, calcium mass balance was on average negative (mean ± SD ?0.84 ± 1.33 mmol, range ?5.42:2.75). Predialysis ionized plasma water concentration and total ultrafiltrate were the most important predictors of calcium mass balance. A significant mobilization of calcium from the extracellular pool to a nonmodeled pool was calculated in a group of patients. Discussion: The proposed single pool variable‐volume Calcium kinetic model is adequate for prediction and quantification of intradialysis calcium mass balance, it can evaluate the eventual calcium transfer outside the extracellular pool in clinical practice.     

How important is tryptophan in human health?

Tryptophan (Trp) is an amino acid and an essential component of the human diet. It plays a crucial role in many metabolic functions. Clinicians can use Trp levels in the course of diagnosing various metabolic disorders and the symptoms associated with those diseases. Furthermore, supplementation with this amino acid is considered in the treatment of depression and sleep disorders, mainly due to the Trp relationship with the synthesis of serotonin (5-HT) and melatonin. It is also used in helping to resolve cognitive disorders, anxiety, or neurodegenerative diseases. Reduced secretion of serotonin is associated with autism spectrum disorder, obesity, anorexia and bulimia nervosa, and other diseases presenting peripherals symptoms. The literature strongly suggests that Trp has a significant role in the correct functionality of the brain-gut axis and immunology. This information leads to the consideration of Trp as an essential dietary component due to its role in the serotonin pathway. A reduced availability of Trp in diet and nutraceutical supplementation should be considered with greater concern than one might expect. This paper constitutes a review of the more salient aspects gleaned from the current knowledge base about the role of Trp in diseases, associated nutritional disorders, and food science, in general.     

Anelastic reorganisation of fibre-reinforced biological tissues

In this work, we contribute to the study of the structural reorganisation of biological tissues in response to mechanical stimuli. We specialise our investigation to a class of hydrated soft tissues, whose internal structure features reinforcing fibres. These are oriented statistically within the tissue, and their pattern of orientation is such that, at each material point, the tissue is anisotropic. From its natural, stress-free state, the tissue can be distorted anelastically into a global reference configuration, and then deformed under the action of external mechanical loads. The anelastic distortions are responsible for changing irreversibly the internal structure of the tissue, which, in the present context, occurs through both the rearrangement of the bonds among the tissue cells and the deformation-driven reorientation of the fibres. The anelastic strains, in addition, are assumed to model the onset and evolution of microcracks in the tissue, which may be triggered by the mechanical loads applied to the tissue in the case of traumatic events, or diseases. For our purposes, we formulate an anisotropic model of remodelling and we consider a fully isotropic model of structural reorganisation for comparison, with the aim to study if, how, and to what extent the evolution of anelastic distortions is influenced by the tissue’s anisotropy.

     

Hybridizing adaptive large neighborhood search with kernel search: a new solution approach for the nurse routing problem with incompatible services and minimum demand

The average age of the population has grown steadily in recent decades along with the number of people suffering from chronic diseases and asking for treatments. Hospital care is expensive and often unsafe, especially for older individuals. This is particularly true during pandemics as the recent SARS-CoV-2. Hospitalization at home has become a valuable alternative to face efficiently a huge increase in treatment requests while guaranteeing a high quality of service and lower risk to fragile patients. This new model of care requires the redefinition of health services organization and the optimization of scarce resources (e.g., available nurses). In this paper, we study a Nurse Routing Problem that tries to find a good balance between hospital costs reduction and the well-being of patients, also considering realistic operational restrictions like maximum working times for the nurses and possible incompatibilities between services jointly provided to the same patient. We first propose a Mixed Integer Linear Programming formulation for the problem and use some valid inequalities to strengthen it. A simple branch-and-cut algorithm is proposed and validated to derive ground benchmarks. In addition, to efficiently solve the problem, we develop an Adaptive Large Neighborhood Search hybridized with a Kernel Search and validate its performance over a large set of different realistic working scenarios. Computational tests show how our matheuristic approach manages to find good solutions in a reasonable amount of time even in the most difficult settings. Finally, some interesting managerial insights are discussed through an economic analysis of the operating context.     

A Cumulative Effect of Food and Viruses to Trigger Celiac Disease (CD): A Commentary on the Recent Literature

Celiac disease (CD) is a type of inflammatory chronic disease caused by nutrients such as gliadin that induce a TC (T cell)-mediated response in a partially known genetical background in an environment predisposed to inflammation, including viruses and food. Various experimental and clinical observations suggest that multiple agents such as viruses and bacteria have some common, inflammatory pathways predisposing individuals to chronic inflammatory diseases including celiac disease (CD). More recently, a Western diet and lifestyle have been linked to tissue inflammation and increase in chronic inflammatory diseases. In CD, the gliadin protein itself has been shown to be able to induce inflammation. A cooperation between viruses and gliadin is present in vitro and in vivo with common mechanisms to induce inflammation. Nutrients could have also a protective effect on CD, and in fact the anti-inflammatory Mediterranean diet has a protective effect on the development of CD in children. The possible impact of these observations on clinical practice is discussed.     

Intrinsic second-order nonlinearity in chalcogenide glasses containing HgI2

Frequency conversion using nonlinear optical (NLO) crystals is widely used in advanced photonic technologies to produce coherent light in the spectral regions where the available laser sources are missing. Isotropic glasses usually do not show second order nonlinear processes like second harmonic or difference frequency generation (SHG, DFG) except for temporarily induced anisotropy under external stimuli. Here, we show that a HgI₂–Ga₂S₃–GeS₂ homogeneous glass exhibits a strong intrinsic SHG response comparable with that of the well-known NLO single crystal LiNbO₃. The origin of this extremely rare phenomenon seems to be noncentrosymmetric bent HgI₂ molecules embedded in a sulfide glassy host. Taking into account the unique properties of chalcogenide glasses (wide IR transmission, low phonon density, unlimited ability to be modified changing the appropriate glass properties, fiber drawing and thin layer design), the observed phenomenon opens up the possibility of creating fundamentally new devices for mid-IR photonics.     

Potential to retrofit existing small-scale gasifiers through steam gasification of biomass residues for hydrogen and biofuels production

This work investigates the opportunity of retrofitting existing small-scale gasifiers shifting from combined heat and power (CHP) to hydrogen and biofuels production, using steam and biomass residues (woodchips, vineyard pruning and bark). The experiments were carried out in a batch reactor at 700 °C and 800 °C and at different steam flow (SF) rates (0.04 g/min and 0.20 g/min). The composition of the producer gas is in the range of 46–70 % H₂, 9–29 % CO, 12–27 % CO₂, and 2–6 % CH₄. A producer gas specific production factor of approx. 10 NL_pg/g_char can be achieved when the lower SFs are used, which allows to provide 80 % of the hydrogen concentration required for biomethanation and MeOH synthesis. As for FT synthesis, an optimal H₂/CO ratio of approx. 2 can be achieved. The results of this work provide further evidence towards the feasibility of hydrogen and biofuels generation from residual biomass through steam gasification.     

Rainfall variability and food crop portfolio choice: evidence from Ethiopia

This paper concerns the patterns of food crop choice in a multicropping setting, in which production risk considerations and rainfall uncertainty are likely to be critical factors. The analysis employed plot level panel data from Ethiopia, combined with 30?year meteorological data corresponding to the survey villages used to construct seasonal and yearly rainfall variability. Using the single index approach, the riskiness of crop portfolio was constructed at a household level, taking into account the multicropping nature of the farming system. The combined riskiness of crops grown at a household level responded negatively to annual rainfall variability, with seasonal rainfall variability having a less consistent impact. Farmers are, therefore, more likely to select less risky crop portfolios even when intercrop interactions are taken into account.     

Microencapsulation of cashew apple (Anacardium occidentale,L.) juice using a new chitosan–commercial bovine whey protein isolate system in spray drying

The aim of this work was to obtain a new stable food product from cashew apple juice encapsulated by spray-drying technique using chitosan–whey protein isolate systems. The materials were evaluated according to their physicochemical stability during storage at different conditions and characterized with respect to their particle size distribution and structure. Encapsulated commercial and natural juices showed homogenous and unimodal particle size distribution with diameters ranging from 0.2 to 5.0 μm and from 0.2 to 40.0 μm, respectively. Both juices demonstrated higher physicochemical stability for vitamin C and color measurements than their respective non-encapsulated juices. X-ray diffractograms evidenced that the powder juices after the 140th day of storage were still in amorphous state. These results indicate that the new product was effective in protecting sensitive compounds present in the food matrix and it was also able to remain stable throughout the study period.