Filling hemodialysis catheters in the interdialytic period: heparin versus citrate versus polygeline: a prospective randomized study

Heparin and saline are commonly used to fill hemodialysis central venous catheters to prevent their thrombosis during the interdialytic period. The purpose of this prospective clinical study was to evaluate whether replacing heparin with citrate or polygeline could ensure satisfactory catheter function without exposing patients to the risk of systemic heparinization. Thirty end-stage renal disease (ESRD) patients with subclavian or jugular single lumen catheters as temporary vascular access for hemodialysis were enrolled. After the insertion of the catheters, the patients were randomly assigned to one of the following three filling groups: Group A, heparin; Group B, citrate; Group C, polygeline. Before each dialysis, the filling solution was aspirated and clot volume, if present, was measured. The catheter usage time and the clot volume were 23 +/- 24 days and 0.052 +/- 0.035 ml in Group A, 51 +/- 36 days and 0.059 +/- 0.032 ml in Group B, and 32 +/- 10 days and 0.056 +/- 0.038 ml in Group C, respectively. Our results indicate that citrate or polygeline can replace heparin effectively as a filling solution for single lumen temporary hemodialysis catheters.     

Family factors and adolescents' alcohol use: A reply to Chassin and Handley (2006) and Fromme (2006).

In this reply, the authors address the comments of L. Chassin and E. D. Handley (see record 2006-07521-006) and of K. Fromme (see record 2006-07521-007) on the authors' article, "Parental Attachment, Parental Control, and Early Development of Alcohol Use: A Longitudinal Study" (see record 2006-07521-002). Further, the authors elaborate on some topics in the area of parenting and substance use-for example, testing bidirectional associations between parenting and adolescents' substance use, the importance of measuring substance-specific socialization, and the relevance of using within-family designs and multi-informant data. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Potential of Vitamin B6 Dioxime Analogues to Act as Cholinesterase Ligands

Seven pyridoxal dioxime quaternary salts (1–7) were synthesized with the aim of studying their interactions with human acetylcholinesterase (AChE) and butyrylcholinesterase (BChE). The synthesis was achieved by the quaternization of pyridoxal monooxime with substituted 2-bromoacetophenone oximes (phenacyl bromide oximes). All compounds, prepared in good yields (43–76%) and characterized by 1D and 2D NMR spectroscopy, were evaluated as reversible inhibitors of cholinesterase and/or reactivators of enzymes inhibited by toxic organophosphorus compounds. Their potency was compared with that of their monooxime analogues and medically approved oxime HI-6. The obtained pyridoxal dioximes were relatively weak inhibitors for both enzymes (K_i = 100–400 µM). The second oxime group in the structure did not improve the binding compared to the monooxime analogues. The same was observed for reactivation of VX-, tabun-, and paraoxon-inhibited AChE and BChE, where no significant efficiency burst was noted. In silico analysis and molecular docking studies connected the kinetic data to the structural features of the tested compound, showing that the low binding affinity and reactivation efficacy may be a consequence of a bulk structure hindering important reactive groups. The tested dioximes were non-toxic to human neuroblastoma cells (SH-SY5Y) and human embryonal kidney cells (HEK293).     

Altered Profile of E1-S Transporters in Endometrial Cancer: Lower Protein Levels of ABCG2 and OSTβ and Up-Regulation of SLCO1B3 Expression

Endometrial cancer (EC) is associated with increased estrogen actions. Locally, estrogens can be formed from estrone-sulphate (E1-S) after cellular uptake by organic anion-transporting polypeptides (OATP) or organic anion transporters (OAT). Efflux of E1-S is enabled by ATP Binding Cassette transporters (ABC) and organic solute transporter (OST)αβ. Currently, 19 E1-S transporters are known but their roles in EC are not yet understood. Here, we analysed levels of E1-S transporters in Ishikawa (premenopausal EC), HEC-1-A (postmenopausal EC), HIEEC (control) cell lines, in EC tissue, examined metabolism of steroid precursor E1-S, studied effects of OATPs’ inhibition and gene-silencing on E1-S uptake, and assessed associations between transporters and histopathological data. Results revealed enhanced E1-S metabolism in HEC-1-A versus Ishikawa which could be explained by higher levels of OATPs in HEC-1-A versus Ishikawa, especially 6.3-fold up-regulation of OATP1B3 (SLCO1B3), as also confirmed by immunocytochemical staining and gene silencing studies, lower ABCG2 expression and higher levels of sulfatase (STS). In EC versus adjacent control tissue the highest differences were seen for ABCG2 and SLC51B (OSTβ) which were 3.0-fold and 2.1-fold down-regulated, respectively. Immunohistochemistry confirmed lower levels of these two transporters in EC versus adjacent control tissue. Further analysis of histopathological data indicated that SLCO1B3 might be important for uptake of E1-S in tumours without lymphovascular invasion where it was 15.6-fold up-regulated as compared to adjacent control tissue. Our results clearly indicate the importance of E1-S transporters in EC pathophysiology and provide a base for further studies towards development of targeted treatment.     

Bridge performance indicators based on traffic load monitoring

The assessment of the existing road bridges as a part of bridge management networks has been a subject of several European research projects and actions in the last few decades. Bridge management includes a series of activities, interconnected in order to achieve optimal balancing of required costs, potential risks and overall bridge performance. This paper discusses a valuable link between a specific indicator (traffic load information calculated using Bridge Weigh-in-Motion measurement data) and the corresponding structural performance (reliability of existing bridge). It is shown that implementation of weigh-in-motion measurements in the probabilistic assessment of existing road bridges can reveal hidden bridge reserves and predict bridge reliability development over the required lifetime. Consequently, such approach can yield an unrestricted use of the bridge over a much longer remaining service life. Broader advantages lie in an improved road network management, road bridges in particular, and in a more sustainable development of infrastructure network and greater satisfaction of road users and owners.     

Extracellular Vesicles and Renal Fibrosis: An Odyssey toward a New Therapeutic Approach

Renal fibrosis is a complex disorder characterized by the destruction of kidney parenchyma. There is currently no cure for this devastating condition. Extracellular vesicles (EVs) are membranous vesicles released from cells in both physiological and diseased states. Given their fundamental role in transferring biomolecules to recipient cells and their ability to cross biological barriers, EVs have been widely investigated as potential cell-free therapeutic agents. In this review, we provide an overview of EVs, focusing on their functional role in renal fibrosis and signaling messengers responsible for EV-mediated crosstalk between various renal compartments. We explore recent findings regarding the renoprotective effect of EVs and their use as therapeutic agents in renal fibrosis. We also highlight advantages and future perspectives of the therapeutic applications of EVs in renal diseases.     

The bioactivity of titanium-cuttlefish bone-derived hydroxyapatite composites sintered at low temperature

ABSTRACT

The most limiting features of titanium as a bone substituent are lack of bioactivity and high Young’s modulus. We have prepared titanium-hydroxyapatite (Ti-HAp) composites using titanium hydride as sintering agent to provide titanium sintering at lower temperature and preserve the stability of apatite phase. After low temperature sintering, no hydroxyapatite decomposition was detected. Pure titanium samples sintered in the presence of hydride showed smooth surface indicating good densification at 800°C. Higher HAp content resulted in decreased density and higher porosity due to the formation of micro- and macro-pores caused by the integration of HAp particles into titanium matrix and titanium hydride decomposition. However, Vickers microhardness test showed increased hardness for Ti-HAp composite with 10% of HAp regarding pure Ti. The bioactivity of Ti-HAp composites evaluated in simulated body fluid significantly improved with HAp content. The presence of HAp has lowered the cytotoxic effect of Ti-based composites on Hek293 cells.     

Performance evaluation of different membrane types in the textile mercerization wastewater treatment

This study investigates the performance of three ultrafiltration membranes, i.e. a submerged polyethylene (PE) hollow fibre membrane, a multibore polyethersulfone (PES) membrane and a tubular multichannel ceramic membrane in the textile mercerization wastewater treatment. Experiments were carried out on two laboratory dead end membranes and on a cross flow membrane set‐up using wastewater with and without the addition of MgCl₂ as a coagulant. Investigation into energy consumption was also carried out. According to the obtained results, the submerged membrane could be used as the pretreatment of mercerization wastewater to significantly reduce the amount of suspended solids, to remove organic carbon and to decrease turbidity. The results showed that the tested membranes could be used for the treatment of wastewater from the textile mercerization process in terms of permeate quality. The cross‐flow ultrafiltration consumes far more energy than the dead‐end process.     

Virtual Reality Sickness and Challenges Behind Different Technology and Content Settings

Mobile Networks and Applications - VR sickness (Cybersickness) presents an important challenge in virtual reality environments. We present the results of a study on the effects of VR technology and...