Gastric pacing improves emptying and symptoms in patients with gastroparesis

BACKGROUND & AIMS: No effective treatment is available for patients with gastroparesis refractory to standard medical therapy. The aim of this study was to investigate the effects of gastric pacing on gastric electrical activity, gastric emptying, and symptoms in patients with gastroparesis. METHODS: Nine patients with gastroparesis participated in this study. Four pairs of cardiac pacing wires were implanted on the serosa of the stomach. The protocol consisted of two portions: a temporary inpatient study period and an outpatient study for a period of 1 month or more. RESULTS: Gastric pacing entrained the gastric slow wave in all subjects and converted tachygastria in 2 patients into regular 3-cpm slow waves. Gastric emptying was significantly improved after the outpatient treatment with gastric pacing. The gastric retention at 2 hours was reduced from 77.0% +/- 3.3% to 56.6% +/- 8.6% (P < 0.05). Symptoms of gastroparesis were substantially reduced at the end of the outpatient treatment (1.51 +/- 0.46 vs. 2.84 +/- 0.61; P < 0.04). Eight of 9 patients no longer relied on jejunostomy tube feeding, and no adverse events were noted related to the pacing unit. CONCLUSIONS: Gastric pacing seems to be able to improve symptoms of gastroparesis and to accelerate gastric emptying in patients with gastroparesis. More controlled studies are necessary to further investigate the role of gastric pacing in clinical practice.     

In vivo electrochemical impedance measurement on single cell membrane

The electrochemical characteristics of the plasma membranes of single cells and organelles were investigated. Silicon fabrication technology was used to produce a metal ultra-microelectrode (UME). Furthermore, the UME was characterized in a cell medium using electrochemical impedance spectroscopy (EIS). A single rat fibroblast cell, or chloroplast purified from Peperomia metallica leaves, was immobilized by a micropipette after which the UME was inserted into its cytosolic space through cell membrane using a piezo actuator. An in vivo EIS measurement between the UME and the counter electrode outside of a single cell was taken. The measurements were analyzed using equivalent circuits in order to estimate the membrane impedance of a single cell.     

Modification of CaCO3 precipitation rates by water-soluble nacre proteins

Mineral growth in nacre and other CaCO₃-containing biominerals is controlled by biopolymers. Water-soluble proteins were extracted from nacre of the sea snail Haliotis laevigata by dissolving the mineral phase with 6% acetic acid. The influence of this protein mixture on CaCO₃ precipitation rates was investigated at different concentrations. A well-established assay for measuring the pH-value during CaCO₃ precipitation with and without protein additives was extended by calculating maximum precipitation rates from the pH-values. It could be shown that precipitation rates are greatly influenced by the mixtures of water-soluble nacre proteins. At very low protein concentrations (0.02 μg/ml) a rate enhancement in comparison to the pure supersaturated calcium carbonate solution by a factor of 1.4 was observed. At higher protein concentrations, a strong inhibitory effect occurred, with total inhibition at concentrations of 1.0 μg/ml and higher. Two unspecific proteins (bovine serum albumin and lysozyme) showed little or no modification of precipitation rates. In vivo, the function of the strong inhibition of CaCO₃ precipitation by nacre proteins at higher concentrations is presumably to prevent uncontrolled crystallization in the extrapallial fluid. The rate-enhancing capability of proteins at low concentrations may be explained by the presence of acidic and/or hydrophilic moieties.     

Use of fluorescence fingerprints for the estimation of bloom formation and toxin production of Microcystis aeruginosa

The development of methods facilitating the detection of cyanobacterial blooms in drinking water reservoirs at an early stage is of great importance. Fluorescence spectroscopy could meet these requirements. The study contains the examination of possible correlations between the different maxima of a fluorescence excitation-emission matrix and the amount of produced and excreted toxins of a lab culture of Microcystis aeruginosa at different stages of growth. Various fluorescence signals (protein-like and humic-like substances, pigments) are suited for an estimation of cell density and actual intra- and extracellular toxin concentration. One signal at 315 nm/396 nm presumably originating from protein-like substances might be useful as a tool for the prediction of increasing cyanobacterial toxin concentrations. As the measurement of fluorescence matrices is still time consuming, synchronous scans with Δλ = 80 nm were tested as a potential alternative. They accurately depict the course of protein-like and humic-like fluorescence during the different stages of growth although especially the latter one is not captured at its maximum. However, due to insufficient separation of chlorophyll a and phycocyanin, the image of the matrix maxima by synchronous scans with Δλ = 80 nm can only be used with minor restrictions. Nevertheless, fluorescence spectroscopy seems to be a powerful tool for the evaluation of cyanobacterial blooms.     

Evaluations of the TiO2/simulated solar UV degradations of XAD fractions of natural organic matter from a bog lake using size-exclusion chromatography

This work reports on the changes in compositions of humic acids (HAs) and fulvic acids (FAs) during photocatalytic degradation. The HAs and FAs were obtained from the XAD-resin fractionation of natural-organic matter (NOM) from a bog lake (Lake Hohloh, Black Forest, Germany). Degussa P-25 titanium dioxide (TiO₂) in a suspension and a solar UV simulator (batch reactor) were used in the experiments. The photocatalytic degradation of the HAs and FAs were monitored using size-exclusion chromatography (SEC) equipped with dissolved organic carbon (DOC) and ultraviolet (UV₂₅₄) detection (SEC-DOC and SEC-UV₂₅₄) and UV–Vis spectrophotometry. The evolutions of the photocatalytic degradations of the HA and FA fractions were selective. The photocatalytic degradation started with the degradations of high molecular weight compounds with relatively high UV₂₅₄ absorbances in the HA and FA fractions to yield low molecular weight compounds showing less specific UV₂₅₄ absorbances. Observance of the same tendency for the original NOM from Lake Hohloh indicates that these XAD-fractions still having complex compound mixtures. However, the larger molecular weight fractions of the FAs showed higher preferential adsorptions onto TiO₂, which caused their faster degradation rates. Furthermore, FAs showed a greater reduction of the total THM formation potential (TTHMFP) and the organic halogen compounds adsorbable on activated carbon formation potential (AOXFP), in comparison with the HAs.     

Didesoxy-Ribonucleoside durch Schmelzkondensation

Dideoxy Ribonucleosides by Fusion Method The dideoxy nucleosides 2 , 4 and 6 are synthesized from the 1-O-acetyl-2,3-dideoxyribose derivatives 1 , 3 and 5 by fusion with chlorinated purines and other nitrogen heterocycles at 110–120°C without added catalyst. The ¹H-NMR and ¹³C-NMR spectra of the compounds are given.     

Kernel‐based gluten contamination of gluten‐free oatmeal complicates gluten assessment as it causes binary‐like test outcomes

Gluten‐free (GF) foods, whose claim compliance is controlled at the ‘serving level’, hold better chances of protecting gluten‐intolerant consumers. This is particularly true for GF oatmeal, as oats are easily contaminated with gluten‐rich kernels of wheat, rye and barley, which remain intact to the spoon as pill‐like flakes. A single contaminant kernel in otherwise pure oats results in GF labelling noncompliance, thereby posing a risk to patients with coeliac disease. Our in‐market survey of 965 GF oatmeal servings uncovered that one in fifty‐seven servings exceeded the GF labelling maximum of 20 mg kg^?1 (i.e. 20 ppm). The noncompliance pattern was ‘binary‐like’, with kernel‐based contamination the suspected pass/fail driver. We have highlighted probabilities of misassessment for various sample sizes in light of oat's natural propensity for kernel‐based contamination and proposed use of attribute‐based sampling for compliance assessment, thereby providing a way to assess/manage/control ‘rates of servings containing a contaminant kernel’ within acceptable limits with high confidence.     

Characterization of microorganisms in Argentinean honeys from different sources

Seventy polyfloral honeys including commercial samples obtained from supermarkets, harvested from apiaries and purchased in bulk were initially examined for total antibacterial activity. From each sample, numbers of aerobic mesophilic bacteria, total coliforms, moulds and yeasts were determined and the presence of Salmonella spp., Shigella spp., Clostridium sulfite-reducers, Paenibacillus larvae and Bacillus spp. was investigated. Moisture content, pH and total acidity were also determined for all samples. Any honey diluted to concentrations from 75% to 1% (w/v) of full-strength honey showed total antibacterial activity. The numbers of aerobic mesophilic bacteria, moulds and yeasts were less than 10(3) cfu/g for all 70 samples. Faecal coliforms, Escherichia coli, Salmonella spp., Shigella spp. and Clostridium sulfite-reducers were not detected but P. larvae subspp. larvae, Bacillus cereus, Bacillus pumilus and Bacillus laterosporus were found among samples. For commercial, apiary and bulk honey the mean values for moisture content, pH and acidity, respectively, were 17.50%, 17.40% and 17.50%; 4.60, 4.10 and 4.20; and 18.30, 20.60 and 21 meq NaOH/kg. P. larvae was recovered from 35% of apiaries including hives in which the bees did not display symptoms of American foulbrood disease.