Tailoring dialysis and resuming low‐protein diets may favor chronic dialysis discontinuation: Report on three cases

Renal function recovery (RFR), defined as the discontinuation of dialysis after 3 months of replacement therapy, is reported in about 1% of chronic dialysis patients. The role of personalized, intensive dialysis schedules and of resuming low‐protein diets has not been studied to date. This report describes three patients with RFR who were recently treated at a new dialysis unit set up to offer intensive hemodialysis. All three patients were females, aged 73, 75, and 78 years. Kidney disease included vascular‐cholesterol emboli, diabetic nephropathy and vascular and dysmetabolic disease. At time of RFR, the patients had been dialysis‐dependent from 3 months to 1 year. Dialysis was started with different schedules and was progressively discontinued with a “decremental” policy, progressively decreasing number and duration of the sessions. A moderately restricted low‐protein diet (proteins 0.6 g/kg/day) was started immediately after dialysis discontinuation. The most recent update showed that two patients are well off dialysis for 5 and 6 months; the diabetic patient died (sudden death) 3 months after dialysis discontinuation. Within the limits of small numbers, our case series may suggest a role for personalized dialysis treatments and for including low‐protein diets in the therapy, in enhancing long‐term RFR in elderly dialysis patients.     

Roughness variability in the honing process of steel cylinders with CBN metal bonded tools

Herein are presented roughness results of honing of steel cylinders with cubic boron nitride (CBN) abrasive tools. Different honing parameters such as honing stone pressure against the workpiece, tangential speed of the honing head as well as grain size of the abrasive stone were varied in order to determine their influence on the surface roughness of cylinders. Four different strategies were implemented to measure and characterise roughness of inner surfaces of honed steel cylinders. The variability in results obtained with each strategy is compared. The first three strategies consist in measuring roughness at one, three or nine points, respectively, which are uniformly distributed over a circumference located at one of the cylinder ends. The fourth strategy is based on the third one: it entails measuring roughness at nine points, and then subsequently filtering results to eliminate any extreme roughness value lying outside the boundaries set by Chauvenet's criterion. At each point of measurement, roughness is measured in the direction of the cylinder generatrix. It was verified that the larger the number of measurement points, the lower the variability in roughness values obtained. Therefore, it is recommended to make at least nine measurements per cylinder and to filter values to avoid any non-representative, outlier value. The variability in these values was quantified firstly according to relative differences. Secondly, variability was quantified by means of the coefficient of variation which provides smaller values than the relative difference, although less intuitive and less direct.     

Biological effects and photodegradation by TiO(2) of terpenes present in industrial wastewater

The aim of this work was to study the biological effects of four monoterpenes, i.e. α-pinene, β-pinene, 3-carene and D-limonene present in the wastewater of a citrus transformation factory. The study was carried out by exposing V79 Chinese hamster cells to single terpene or to the mixture of four terpenes at concentrations corresponding to those in the wastewater evaluated by head space solid phase micro extraction and gas chromatography (HS-SPME-GC) analyses. Treatments with single or combined terpenes similarly affected cell vitality, but only the combined treatments induced the 6-thioguanine resistant mutants. Moreover the photocatalytic degradation of the four terpenes was successfully achieved with the photocatalyst TiO(2) Degussa P25 in both the actual effluent and in synthetic solutions.     

Preparation, characterization, and topical delivery of paromomycin ion pairing

Topical chemotherapy with paromomycin (PA) has been used as an alternative for the treatment of cutaneous leishmaniasis; however, poor skin penetration of this drug limits the efficacy of formulations. The objective of this work was to study the ability of the PA free base to form ion pairing with organic acids, as well as evaluate the effect of these compounds on the topical delivery of PA. PA permeation across intact skin was low, while drug penetration into skin from PA ion pairing was the higher than that observed for the PA base. Data obtained on the stripped skin, a damaged skin model, clearly showed that the ion pairing presented a potential to improve PA skin permeation.     

Influence of injection conditions on EDDS-flushing of metal-contaminated soil

This study evaluated the design of step-gradient, single-pulse, multi-pulse, and continuous injection of biodegradable EDDS ([S,S]-ethylene-diamine-disuccinic acid, under the same total dosage) and the significance of pore-water velocities during in situ soil flushing. In view of the metal breakthrough and extraction efficiency of each injection mode, single-pulse injection was found to be the least effective for all metals. Multi-pulse injection was consistently more effective than single-pulse injection, although the efficiency of second and third pulse injections significantly diminished. Continuous injection offered a simple operation and the greatest Ni and Cu extraction, whereas step-gradient injection was the best option for Zn and Pb extraction because it mitigated the influence of metal exchange. Moreover, a rinsing step with a background solution following the initial injection of the multi-pulse injection removed newly formed metal-EDDS complexes from soil pores effectively before further EDDS-flushing. A decrease in pore-water velocity provided a longer residence time for greater Ni and Cu extraction, but also enhanced the rate-limited metal exchange of Zn-EDDS and Pb-EDDS complexes and thus hindered Zn and Pb extraction. These results suggest a slower and continuous injection for the best Ni or Cu removal, but a faster and step-gradient injection for Zn or Pb removal.     

Hexabromocyclododecane enantiomers: microsomal degradation and patterns of hydroxylated metabolites

The degradation of the enantiomers of α-, β-, and γ-hexabromocyclododecane (HBCD) by phase I metabolism was investigated using induced rat liver microsomes. HBCD isomers were quantified using HPLC-MS/MS (ESI(-)) after separation on a combination of a reversed phase and a chiral analytical column. The degradation of all six isomers followed first-order kinetics and the estimated half-lives ranged from 6.3 min for both β-HBCD enantiomers to 32.3 min in case of (+)-γ-HBCD. (+)-α- and (-)-γ-HBCD displayed significantly shorter half-lives than their corresponding antipodes. It could be shown that this degradation led to a significant enrichment of the first eluting enantiomers (-)-α- and (+)-γ-HBCD. Individual patterns of mono- and dihydroxylated derivatives obtained from each α- and γ-HBCD enantiomer were seen to be distinctly characteristic. The patterns of monohydroxylated HBCD derivatives detected in liver and muscle tissues of pollack, mackerel and in herring gull eggs were largely similar to those observed in the in vitro experiments with rat liver microsomes. This enabled individual hydroxy-HBCDs to be assigned to their respective parent HBCD enantiomers.     

Promoting Bacillus cereus spore germination for subsequent inactivation by mild heat treatment

Sublethal heat treatment may activate dormant spores and thereby potentiate the conversion of spores to vegetative cells. As the germinated spore is known to possess lower heat resistance than its dormant counterpart, it has been postulated that double heat treatment, i.e., spore heat activation followed by germination and then by heat inactivation, can be used to control spores in foods. Production of refrigerated processed foods of extended durability often includes more than one heat treatment of the food components. This work simulates conventional heat treatment procedures and evaluates double heat treatment as a method to improve spore control in model food matrixes of meat broth and cream sauce. Bacillus cereus NVH 1230-88 spores were supplemented in food model matrixes and heat activated at 70°C and then heat inactivated at 80 or 90°C. The samples were held at 29 to 30°C for 1 h between primary and secondary heat treatments, to allow spore germination. Nutrients naturally present in the food matrixes, e.g., amino acids and inosine, could act as germinants that induce germination. The levels of germinants could be too low to produce effective germination within 1 h. Following primary heat treatment, some samples were therefore supplemented with a combination of L-alanine and inosine, a germinant mixture known to be effective for B. cereus spores. In both matrixes, a combination of double heat treatment (heat activation, germination, and inactivation) and addition of germinants gave a reduction in spore counts equivalent to or greater than that obtained with a single heat treatment for 12 min at 90°C. Addition of germinants was essential to induce effective germination in cream sauce during 1 h at 29 to 30°C, and germinants were therefore a crucial supplement to obtain an effect of double heat treatment in this matrix. These data will be valuable when setting up temperature-time-germinant combinations for an optimized spore reduction in mild-heat-treated foods.     

Three-dimensional modeling using x-ray shape-from-silhouette

We present the application of the shape-from-silhouette technique to reconstruct the three-dimensional profile of ancient handworks from their x-ray absorption images. The acquisition technique is similar to tomography, since the images are taken all around the object while it is rotated. Some reference points are placed on a small and light structure corotating with the object, and are acquired on the images for calibration and registration. The reconstruction algorithm gives finally the three-dimensional appearance of the handwork. We present the analysis of a bronze pendant of VI-VII century B.C. (Venetic area, Italy) completely hidden by corrosion products. The three-dimensional reconstruction shows that the pendant is a very elaborated piece, with two embraced figures that were completely invisible at the excavation.