Prevention and preemptive therapy of postransplant lymphoproliferative disease in pediatric liver recipients

BACKGROUND: We have previously reported a 10% incidence of posttransplant lymphoproliferative disease (PTLD) in pediatric patients receiving first liver grafts and primarily immunosuppressed with tacrolimus. To decrease the incidence of PTLD, we developed a protocol utilizing preemptive intravenous ganciclovir in high-risk recipients (i.e., donor (D)+, recipient (R)-), combined with serial monitoring of peripheral blood for Epstein Barr virus (EBV) by polymerase chain reaction (PCR). METHODS: Consecutive pediatric recipients of a first liver graft were immunosuppressed with oral tacrolimus (both induction and maintenance), and low-dose prednisone. EBV serologies were obtained at the time of orthotopic liver transplant in recipients and donors. Recipients were divided into groups: group 1, high-risk (D+R-), and group 2, low-risk (D+R+; D-R-; D-R+). In group 1 (high-risk), all patients received a minimum of 100 days of intravenous ganciclovir (6-10 mg/kg/day), while, in group 2 (low-risk), patients received intravenous ganciclovir during their initial hospitalization and then were converted to oral acyclovir (40 mg/kg/day) at discharge. Semiquantitative EBV-PCR determinations were made at 1-2-month intervals. In both groups, patients with an increasing viral copy number by EBV-PCR had tacrolimus levels decreased to 2-5 ng/ml. Tacrolimus was stopped, and intravenous ganciclovir reinstituted for PTLD. A positive EBV-PCR with symptoms, but negative histology, was defined as EBV disease; PTLD was defined as histologic evidence of polyclonal or monoclonal B cell proliferation. RESULTS: Forty children who had survived greater than 2 months were enrolled. There were 18 children in group 1 (high-risk; mean age of 14+/-15 months and mean follow-up time of 243+/-149 days) and 22 children in group 2 (low-risk; mean age of 64+/-65 months and follow-up time of 275+/-130 days). In group 1 (high-risk), there was no PTLD and one case of EBV disease (mononucleosis-like syndrome), which resolved. In group 2 (low-risk), there were two cases of PTLD; both resolved when tacrolimus was stopped. Both children were 8 months old at time of transplant. Neither received OKT3, and they had one and two episodes of steroid-sensitive rejection, respectively. One child had EBV disease (mild hepatitis), which resolved. CONCLUSIONS: Since instituting this protocol, the overall incidence of PTLD has fallen from 10% to 5% for children receiving primary tacrolimus therapy after OLT. No high-risk pediatric liver recipient treated preemptively with intravenous ganciclovir developed PTLD. Both children with PTLD were less than 1 year at OLT and considered low-risk. However, their positive EBV antibody titers may have been maternal in origin and not have offered long-term protection. Serial monitoring of EBV-PCR after pediatric OLT is recommended to decrease the risk of PTLD by allowing early detection of EBV infection, which is then managed by decreasing immunosuppression and continuing intravenous ganciclovir.     

Chemical and sensory quality changes of fish fingers,made from mirror carp (Cyprinus carpio L., 1758), during frozen storage (−18 °C)

The effects of frozen storage at −18 °C on the chemical and sensory qualities of fish fingers produced from unwashed and washed mirror carp (Cyprinus carpio) mince were investigated. The amounts of moisture, crude protein, lipid, crude ash, ω3 polyunsaturated fatty acids (PUFA ω3), and ω6 polyunsaturated fatty acids (PUFA ω6) in fish fingers produced from unwashed mince (UWF) were found to be 68.50%, 15.5%, 6.00%, 2.20% 2.31%, and 55.2%, respectively, while they were found to be 70.23%, 10.8%, 2.14%, 1.80%, 2.28%, and 54.6%, respectively, in carp fingers produced from washed mince (WF). The thiobarbituric acid value (TBA, mg malonaldehyde/kg) was found to be significantly higher in mince of WF than in mince of UWF and increased significantly during frozen storage in both the mince of UWF and WF (p < 0.05). A significant decrease in pH was obtained throughout the washing treatment (p < 0.05). There were no significant differences of pH in either the mince of UWF or WF between the beginning and end of the storage periods (p > 0.05), whereas a sharp increase was observed in the fourth month in both groups. The protein solubilities of the mince of both UWF and WF decreased significantly throughout the storage periods (p < 0.05). Sensory parameters of colour, odour, flavour, and general acceptability for both groups decreased during the frozen storage period (p < 0.05) but were still within acceptable limits. It was also concluded that mirror carp was a good source for fish fingers and that product could be stored for five months in a frozen state without undesirable changes of sensory and chemical qualities.     

炭纤维增强轻质矿粉混凝土的热电行为

炭纤维增强混凝土能用来感知温度,其因在于短炭纤维的P-型传导性引起的塞贝克(Seebeck)效应所致.通过测量添加炭纤维或矿质掺和物(飞灰、硅土粉)前后六种波特兰水泥基混凝土的热电功率,研究了炭纤维增强轻质混凝土热敏的能力及其矿质掺合物对Seebeck效应的影响.结果表明: 炭纤维增强轻质混凝土具有类似于炭纤维增强标准混凝土的Seebeck效应,只是Seebeck系数因掺合了矿粉而减低.掺有矿粉的炭纤维增强轻质混凝土可用作建筑物的热传感器.     

Extraction of phenolics from Vitis vinifera wastes using non-conventional techniques

Polyphenols, the well known naturally occurring antioxidants, are the most abundant secondary metabolites in grape wastes. Herein we investigate several non-conventional extraction methods vs classic solid–liquid extraction (SLE) to obtain phenolic compounds from grape seeds and skins. We compared SLE, ultrasound-assisted extraction (UAE), microwave-assisted extraction (MAE) and high pressure and temperature extraction (HPTE) in term of extraction yield and antioxidant power of the extract. Solvent of choice between methanol and ethanol was the former, both for skins and seeds. Quali-quantitative analyses were performed using colorimetric and HPLC methods. The highest content in total polyphenols, o-diphenols and flavonoids, both for seeds (108.3, 47.0 mg_GAE g_DW⁻¹, 47.2 mg_CE g_DW⁻¹) and skins (34.2, 10.1 mg_GAE g_DW⁻¹, 21.6 mg_CE g_DW⁻¹) was obtained with HPTE working in a Parr reactor. While the highest antiradical power was determined in seeds extracts from MAE (78.6 μl_extract μg_DPPH⁻¹). Prolonged extraction times (over 30 min) further increased the amount of total polyphenols, while progressively decreased the amount of flavonoids and the antiradical power.     

Changes in the quality of fishburger produced from Tilapia (<Emphasis Type="Italic">Oreochromis niloticus</Emphasis>) during frozen storage (−18 °C)

In this study, the chemical and sensory qualities of fishburger produced from tilapia (Oreochromis niloticus) were investigated during frozen storage (–18 °C) over 8 months. The ratios of crude protein, lipid, moisture, crude ash, and polyunsaturated fatty acids in tilapiaburger were found to be 17.82%, 5.29%, 66.68%, 2.56% and 7.95% respectively. At the end of the study, the total volatile basic nitrogen value was found to have fluctuated throughout the storage periods. The highest thiobarbituric acid value was found at the 7th month as 0.142 mg malonaldehyde/kg. The peroxide value was 0.18 meq/kg at the beginning of the storage but increased to 5.03 meq/kg at 6th month of storage and then decreased to 0.82 meq/kg at the 8th month. The level of free fatty acids was 2.73% oleic acid at the beginning but reached 4.14% in the first month of storage and then increased to 5.92% at the end of the storage. pH values ranged between 8.01 and 7.97. At the end of the storage period, sensory quality criteria were scored as quite near those of the fresh samples.     

Valorization of olive oil solid waste using high pressure–high temperature reactor

The production of olive oil leads to considerable amounts of solid wastes rich in bioactive compounds with antioxidant properties, which have been partly used as inefficient polluting heating fuels for many years. This work was aimed to study the effect of extraction time and temperature on phenolics recovery from olive pomace. For this propose, different tests were performed, varying time from 15 to 120 min and temperature from 100 to 180 °C, using a high pressure–high temperature agitated reactor under a modified atmosphere. Total polyphenols, o-diphenols and total flavonoids were quantified. Maximum total polyphenols yield (45.2 mg_CAE/g_DP) was achieved at 180 °C and 90 min. HPLC analysis showed that oleuropein (2433 mg/100 g_DP) and tyrosol (485 mg/100 g_DP) were predominant phenolics in the extracts. Methanolic extracts, after additional purification processes, can be used in food, cosmetic and pharmaceutical industries. Solid residues, after phenolics extraction, are considered to have little environmental impact.     

High‐pressure high‐temperature extraction of phenolic compounds from grape skins

This study focused on the use of a non‐conventional extraction technology by employing high‐pressure high‐temperature stirred reactor to extract polyphenols from grape skins. Extraction time (15–330 min) and temperature (30–150 °C) were selected as independent variables, and their effects were studied. A preliminary kinetic study on polyphenols extraction revealed that the second‐order model fitted satisfactorily the experimental results (R² ≥ 0.9798). Total polyphenol yield and total flavonoid (TF) yield, as well as the antiradical power (ARP) of the extracts, were analysed. The use of high‐pressure high‐temperature technology resulted in obtaining extracts rich in polyphenols with high ARP. The highest total polyphenol (60.7 mg_GAE ) and TF (15.1 mg_CE ) yields were obtained at 150 °C for 270 min and 150 °C for 15 min, respectively. HPLC was employed to analyse phenolic compounds. Considerable quantities of single phenolic compounds were extracted. The highest yields of gallic acid, 5‐hydroxymethylfurfural, protocatechuic acid, catechin, vanillic acid, syringic acid, cumaric acid, trans‐resveratrol and quercetin (163.2, 20.0, 69.9, 420.0, 20.6, 603.0, 20.1, 42.4 and 117.1 mg per 100 g_DS, respectively) were found. ARP values were found between 8.45 and 52.17 μg_DPPH .     

Study of the behaviour of schist grains under crushing

Schist is abundant in the Kabylia region of Algeria and hence its use for civil engineering applications, particularly in pavements, is desirable. The paper reports a study on three of the more common schists to determine the characteristics controlling the mechanical behaviour of these materials. The geological and engineering properties of the schists are described and it is concluded that anisotropy is a more important influence than the mineralogy. Of the three schists studied, the harder minerals present in the mottled schist make this the most applicable for use in pavements.