Assessment of the nutritional state of dialysis patients

Obstructive sleep apnea syndrome (OSAS) has been associated with a higher than normal cardiovascular morbidity and mortality. Some OSAS patients lack the sleep-related, nocturnal decrease, or "dip," in blood pressure which is seen in normal individuals. These subjects, called "non-dippers," may be at greater risk for cardiovascular problems. We studied 40 OSAS patients (including 3 women) and 6 control subjects, all identified by polysomnography, for nocturnal blood pressure "dipping." We performed a second nocturnal polysomnogram to determine their apnea and hypopnea indices, (A + H)I, and oxygen saturation levels at the beginning of the study and then initiated 48 hours of ambulatory blood pressure monitoring, with data points collected every 30 minutes. Controls, which included one hypertensive subject, were all dippers. Nineteen OSAS subjects (48% of OSAS individuals) were systolic non-dippers and only 9 of them (22.5%) were diastolic non-dippers. We considered the following clinical variables as potential predictors of non-dipping: age, body mass index, respiratory disturbance index, years of reported loud snoring by bed partners, lowest oxygen saturation during nocturnal sleep, and percentage of sleep time spent with oxygen saturation below 90%. Multiple regression analyses indicated respiratory disturbance index as the only significant variable for systolic (p = 0.04) and diastolic (p = 0.03) blood pressure non-dipping. When we forced the following two nonsignificant variables into the model, they showed a very meager impact: number of years with reported loud snoring (p = 0.4 and p = 0.5, respectively for systolic and diastolic blood pressure non-dipping) and age (p = 0.5 and p = 0.6). The calculated model explained only a low percentage of the variance with an r2 of 0.25 and 0.26 for systolic and diastolic blood pressure non-dipping, respectively. Analysis of hypertension/normotension and dipping/non-dipping failed to show a significant relationship in the studied population. Fifty percent of the normotensive OSAS subjects were non-dippers and 43% of the hypertensive OSAS subjects were also non-dippers. We found a relationship between increasing respiratory disturbance index and increasing average 24-hour systolic blood pressure only when OSAS subjects were non-dippers and hypertensive.     

Iterative optimization of high-affinity proteases inhibitors using phage display. 1. Plasmin

We generated a series of libraries having variants of the first Kunitz domain of human lipoprotein-associated coagulation inhibitor (LACI-D1, also known as tissue-factor pathway inhibitor-I) displayed on bacteriophage M13 as pIII-fusions. We varied LACI-DI iteratively in two regions: the P1 region (positions 10-21) and the "second loop", (positions 31-39), which together form one end of the domain. Display-phage library Lib#1 allows 31 200 amino-acid sequences in P1 region (residues 13, 16-19). Preliminary, we screened Lib#1 against human plasmin (PLA, EC 3.4.21.7) immobolized on agarose to enrich for phage displaying variants with PLA affinity. We introduced a 1600-fold increase in second-loop diversity (residues 31, 32, 34, 39) into the population of selectants from Lib#1, yielding Lib#2. Lib#2 (allowing approximately 50 million amino-acid sequences) was screened against PLA-agarose to isolate highest affinity binders. Protein EPI-P211, derived from the best isolate of Lib#2, inhibits PLA with Ki = 2 nM (at least 500-fold better than LACI-D1) and with high specificity. We used amino-acid sequences of PLA-binding selectants to design a PLA-biased library (Lib#3) which we screened against PLA. The protein EPI-P302 (derived from the best binder obtained from Lib#3) has Ki for PLA inhibition of 87 pM, which is 25-fold better than the first-round best binder and > or = 12 500-fold better than LACI-D1. EPI-P302 also shows very high specificity for PLA vs other human proteases and is resistant to inactivation by oxidants and extremes of temperature or pH. Thus, one can use selectants from one library to design target-tailored combinatorial libraries and obtain quite stable, highly specific, very high-affinity binding molecules while maintaining an essentially human framework.     

The course of geriatric depression with "reversible dementia": a controlled study

OBJECTIVE: The goals of this longitudinal investigation were 1) to study the rate of development of irreversible dementia in elderly depressed patients with a dementia syndrome that subsided after improvement of depression and 2) to compare it with that of depressed, never-demented patients. METHOD: The subjects were 57 elderly patients consecutively hospitalized for major depression. At entry into the study, 23 subjects also met criteria for "reversible dementia," while 34 were without dementia. After a systematic clinical evaluation, the subjects were followed up at approximately yearly intervals for an average of 33.8 months. RESULTS: Irreversible dementia developed significantly more frequently in the depressed group with reversible dementia (43%) than in the group with depression alone (12%). Survival analysis showed that the group with reversible dementia had a 4.69-times higher chance of having developed dementia at follow-up than the patients with depression alone. No clinical characteristics at entry into the study were found to discriminate the subjects who developed irreversible dementia during the follow-up period from those who remained nondemented. CONCLUSIONS: These findings suggest that geriatric depression with reversible dementia is a clinical entity that includes a group of patients with early-stage dementing disorders. Therefore, identification of a reversible dementia syndrome is an indication for a thorough diagnostic workup and frequent follow-ups in order to identify treatable neurological disorders.     

Comparative analysis of 8-oxo-2' -deoxyguanosine in DNA by 32P- and 33P-postlabeling and electrochemical detection

8-Oxo-2'-deoxyguanosine (8-oxo-dG) is emerging as a useful marker for oxidative DNA damage. Reported basal levels determined by 32P-postlabeling (PPL) method were 10-fold or more higher than those obtained with HPLC/electrochemical detection (ECD). This discrepancy was investigated. In commercial calf thymus DNA, levels of 4 +/- 1 and 64 +/- 14 8-oxo-dG per 10(6) 2'-deoxynucleosides (dN) were measured by the standard HPLC/ECD and PPL methods, respectively. DNA digestion by micrococcal nuclease/spleen phosphodiesterase and nuclease P1 (as used in the standard PPL method), followed by ECD analysis resulted in a level of 8 +/- 3. In calf thymus DNA spiked with chemically synthesized 8-oxo-dGp to give an increment of 9 8-oxo-dG/10(6) dN, the added standard produced a significant increase with HPLC/ECD but not PPL. After spiking the DNA with 90 8-oxo-dG/10(6) dN, the added 8-oxo-dGp was detectable also with PPL, with a labeling efficiency of 65%. In order to investigate the role of ionizing radiation from 32P for the higher 8-oxo-dG levels in PPL, incubation times and amounts of radioactivity in the phosphorylation reaction with commercial dGp were increased, and external irradiation of commercial dG with 32P was investigated. All modifications resulted in higher values of 8-oxo-dG measured, but the effect was not large enough to fully explain the discrepancy between PPL and HPLC/ECD. Using [gamma-33P]ATP instead of [gamma-32P]ATP or adding [33P]phosphate to a 32P-PPL assay resulted in even higher levels of 8-oxo-dG measured. The increase in 8-oxo-dG levels during the PPL workup is attributed to the presence and oxidation of unmodified dGp in the reaction mixture. For a determination of true basal levels, the PPL method will have to be modified, including the removal of dGp prior to the phosphorylation reaction.     

Shifting perceptions of food security and land in the context of labour out-migration in rural Nepal

This paper presents the results of a survey of the livelihoods of people living in the eastern part of the subtropical plains of Nepal, known as the terai. Both qualitative and quantitative approaches were used in the survey and further data were obtained through focus group discussions, in-depth interviews with key informants and participant observations. Changes were recorded both in the perception of agricultural and residential land for a secure living and the meaning given to food security. The principal drivers causing these changes were voluntary out-migration for remunerative employment, urbanization and the reluctance of members of the younger generation to farm, which they regard as a “dirty job”. In consequence, people’s livelihood practices and access to food are gradually shifting from an agriculture-based economy to an economy that is based on other sources of income, including remittances from out-migrants. This development threatens not only the role of agriculture in rural livelihoods but also the food security of the country.     

Brick and mortar treatment by cream emulsion for improved water repellence and thermal insulation

A novel polymer cream was applied to brick and mortar in an attempt to reduce water absorption and to improve thermal insulation for household heating energy saving. Tests were carried out on surface energy, water contact angle, thermal conductivity and sorptivity of brick and mortar with and without cream treatment. A model house was built and a heating and monitoring system was developed to quantitatively evaluate the heating energy consumption in different conditions before and after cream treatment. It was found out that cream treatment can successfully impart good water repellence and enhanced the thermal insulation of the brick and mortar. The results from contact angle and surface energy measurements showed that the materials became highly hydrophobic. Experimental results from the model house showed approximately 9% heating energy consumption reduction in dry conditions and approximately 50% in wet conditions. In addition, the internal humidity typically was reduced to almost 1/3 of that of the control. It has been demonstrated that the novel cream treatment on masonry buildings can help reduce damp problems and save household heating energy consumption which can make a significant contribution to addressing social, environmental, ecological and economic problems resulting from climate change and global warming.     

Effects of drilling parameters and aspect ratios on delamination and surface roughness of lignocellulosic HFRP composite laminates

Hemp fibre‐reinforced polycaprolactone (HFRP) composite has inherent good mechanical properties and benefits which include remarkably high specific strength and modulus, low density, and renewability. No doubt, these properties have attracted wider applications of HFRP composite in engineering applications. This paper presents an investigation on the influence of drilling parameters and fibre aspect ratios, AR (0, 19, 26, 30, and 38) on delamination damage factor and surface roughness of HFRP composite laminates utilising high speed steel twist drills under dry machining condition. Taguchi's technique was used in the design of experiment. The results obtained show that increase in cutting speed reduces delamination factor and surface roughness of drilled holes, whereas increase in feed rate causes increase in both delamination factor and surface roughness. Feed rate and cutting speed had the greatest influence on delamination and surface roughness respectively when compared with aspect ratio, while an increase in fibre aspect ratios leads to a significant increase in both delamination factor and surface roughness. The optimum results occurred at cutting speed and feed rate (drilling parameters) of 20 mm/min and 0.10 mm/rev, respectively, when drilling sample of AR 19. © 2015 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2016 , 133, 42879.     

Rainbow refractometry: simultaneous measurement of temperature, refractive index, and size of droplets

The capabilities and limitations of rainbow refractometry, specifically the minimum measurable droplet size and the errors in the refractive index (temperature), have been studied. We evaluate what we believe is a new method of indirectly applying the Lorenz-Mie theory to rainbow refractometry. The results show that this new method reduces the errors and eliminates the biases that may occur if the Airy theory is used. A more precise method to filter the high-frequency oscillations associated with the measurement signals was developed. Finally, it was discovered that the errors associated with rainbow refractometry are such that a single droplet measurement is unreliable. A mean refractive index should be determined on the basis of multiple droplet measurements.     

Modeling resonance tests for electrostrictive ceramics

The electromechanical coupling coefficient represents a useful figure-of-merit for comparing the quality of different electroactive materials. However, the coupling coefficient for an electrostrictive ceramic is not a unique material parameter, because it depends strongly on the applied DC bias field, AC field amplitude and frequency, and stress. These dependencies make direct comparison between electrostrictors and piezoelectrics somewhat ambiguous. In this paper, we developed a pair of coupling parameters for electrostrictors that were strictly material constants and completely characterized the material's electromechanical quality. We proposed relatively simple, inexpensive resonance testing to measure these new parameters from the electrical admittance of a vibrating electrostrictive rod. The electromechanical coupling coefficient for a specific loading condition is computed from these parameters, allowing direct comparison between electrostrictive and piezoelectric materials.     

Characterization of the radical trapping activity of a novel series of cyclic nitrone spin traps

alpha-Phenyl-tert-butyl nitrone (PBN) is a nitrone spin trap, which has shown efficacy in animal models of oxidative stress, including stroke, aging, sepsis, and myocardial ischemia/reperfusion injury. We have prepared a series of novel cyclic variants of PBN and evaluated them for radical trapping activity in vitro. Specifically, their ability to inhibit iron-induced lipid peroxidation in liposomes was assessed, as well as superoxide anion (O2(-.)) and hydroxyl radical ((.)OH) trapping activity as determined biochemically and using electron spin resonance (ESR) spectroscopy. All cyclic nitrones tested were much more potent as inhibitors of lipid peroxidation than was PBN. The unsubstituted cyclic variant MDL 101,002 was approximately 8-fold more potent than PBN. An analysis of the analogs of MDL 101,002 revealed a direct correlation of activity with lipophilicity. However, lipophilicity does not solely account for the difference between MDL 101,002 and PBN, inasmuch as the calculated octanol/water partition coefficient for MDL 101,002 is 1.01 as compared to 1.23 for PBN. This indicated the cyclic nitrones are inherently more effective radical traps than PBN in a membrane system. The most active compound was a dichloro analog in the seven-membered ring series (MDL 104,342), which had an IC50 of 26 mum, which was 550-fold better than that of PBN. The cyclic nitrones were shown to trap (.)OH with MDL 101,002 being 20 25 times more active than PBN as assessed using 2-deoxyribose and p-nitrosodimethylaniline as substrates, respectively. Trapping of (.)OH by MDL 101,002 was also examined by using ESR spectroscopy. When Fenton's reagent was used, the (.)OH adduct of MDL 101,002 yielded a six-line spectrum with hyperfine coupling constants distinct from that of PBN. Importantly, the half-life of the adduct was nearly 5 min, while that of PBN is less than 1 min at physiologic pH. MDL 101,002 also trapped the O2(-.) radical to yield a six-line spectrum with coupling constants very distinct from that of the (.)OH adduct. In mice, the cyclic nitrones ameliorated the damaging effects of oxidative stress induced by ferrous iron injection into brain tissue. Similar protection was not afforded by the lipid peroxidation inhibitor U74006F, thus implicating radical trapping as a unique feature in the prevention of cell injury. Together, the in vivo activity, the stability of the nitroxide adducts, and the ability to distinguish between trapping of (.)OH and O2(-.) suggest the cyclic nitrones to be ideal reagents for the study of oxidative cell injury.