Health status of the over 60 years of age population and its relationship with sociodemographic factors (ANCO Project)

OBJECTIVE: To describe the health status of a population over 60 years and to study their relationship with several socio-demographic variables. DESIGN: A cross-sectional study, population based. SETTINGS: A community. PARTICIPANTS: A randomized sample of 1,103 non institutionalized people over 60 years living in the city of Cordoba (Spain). MEASUREMENTS AND MAIN RESULTS: By mean of a personal interview at home we used the OARS-MFAQ-VE questionnaire. Low self-rated health was associated with the age, to be female sex, a low cultural background, and a low income. Only 5.2% of the study people do not suffered any illness and 56% state that their health problems are major problems for doing their current activities. 4.9% declared to have some degree of physical incapacity. 3.7% of elderly population has an important cognitive deficit. CONCLUSIONS: The majority of elderly people has good health. Age is related with a poor health. Women have more health problems than men.     

Tetradecylthioacetic acid incorporated into very low density lipoprotein: changes in the fatty acid composition and reduced plasma lipids in cholesterol-fed hamsters

The mechanism behind the hypolipidemic effect of tetradecylthioacetic acid (CMTTD, a non-beta-oxidizable 3-thia fatty acid) was studied in hamsters fed a high cholesterol diet (2%), which resulted in hyperlipidemia. Treating hyperlipidemic hamsters with CMTTD resulted in a progressive hypocholesterolemic and hypotriacylglycerolemic effect. Decreased plasma cholesterol was followed by a 39% and 30% reduction in VLDL-cholesterol and LDL-cholesterol, respectively. In contrast, the HDL-cholesterol content was not affected, thus decreasing the VLDL-cholesterol/HDL-cholesterol and LDL-cholesterol/HDL-cholesterol ratios. 3-Hydroxy-3-methylglutaryl- (HMG) CoA reductase activity and its mRNA level were unchanged after CMTTD administration. Also, the LDL receptor and LDL receptor-related protein (LRP-4) mRNAs were unchanged. The decrease in plasma triacylglycerol was accompanied by a 45% and 56% reduction in VLDL-triacylglycerol and LDL-triacylglycerol, respectively. The hypolipidemic effect of CMTTD was followed by a 1.4-fold increase in mitochondrial fatty acid oxidation and a 2.3-fold increase in peroxisomal fatty acid oxidation. CMTTD treatment led to an accumulation of dihomo-gamma-linolenic acid (20:3n-6) in liver, plasma, very low density lipoprotein, and heart. Noteworthy, CMTTD accumulated more in the heart, plasma, and VLDL particles compared to the liver, and in the VLDL particle alpha-linolenic acid (18:3n-3) decreased whereas eicosatetraenoic acid (20:4n-3) increased. In addition, linoleic acid (18:2n-6) and the total amount of polyunsaturated fatty acids decreased, the latter mainly due to a decrease in n-6 fatty acids. The present data show that CMTTD was detected in plasma and incorporated into VLDL, liver, and heart. The relative incorporation (mol%) of CMTTD was heart > VLDL > liver. In conclusion, CMTTD causes both a hypocholesterolemic and hypotriacylglycerolemic effect in hyperlipidemic hamsters.     

Effects of high fat diets on the activity of palmitoyl-CoA hydrolase in rat liver

Palmitoyl-CoA hydrolase [EC 3.1.2.2.] activity in rat liver was found to be enhanced by high fat diets. Partially hydrogenated marine oil and high-erucic acid rapeseed oil diets produced a greater increase than a diet containing soybean oil. With diets containing from 5 to 30% (w/w) of partially hydrogenated marine oil the increase in palmitoyl-CoA hydrolase activity was similar to the increase observed in peroxisomal β-oxidation activity (correlation coefficient r=0.94). A positive correlation (r=0.86) also was observed between the activity of palmitoyl-CoA hydrolase and previously determined levels of long-chain acyl-CoA. The results presented may suggest a common “induction” mechanism for palmitoyl-CoA hydrolase and peroxisomal β-oxidation enzymes, possibly exerted through an increased cellular level of long-chain acyl-CoA.     

The chlorine/carbon electrode in a silver chloride melt in the temperature range 475–820°C—I: The mechanism and rate of the reaction and the heat of activation

The kinetics of the chlorine evolution on carbon from a silver chloride melt have been studied at several temperatures using the steady state method and galvanostatic methods. Measurements with the double pulse method show that the charge transfer reaction is fast. The Tafel curves indicate that two parallel desorption reactions have about the same rate. The apparent heat of activation have been determined for the various reaction steps.     

On the effect of peroxisomal β-oxidation and carnitine palmitoyltransferase activity by eicosapentaenoic acid in liver and heart from rats

Repeated administration of highly purified eicosapentaenoic acid (as ethyl ester) resulted in a decrease in plasma triglycerides and high density lipoprotein (HDL) cholesterol. This was accompanied by a stimulation in the activities of carnitine palmitoyltransferase, fatty acyl-CoA oxidase and peroxisomal β-oxidation in the liver. The results suggest that the triglyceride-lowering effect observed with eicosapentaenoic acid may be due to a reduced supply of fatty acids for hepatic triglyceride synthesis because of increased fatty acid oxidation. Eicosapentaenoic acid feeding marginally affected the triglyceride content of heart and mitochondrial and peroxisomal enzyme activities.     

Triage Drift: A Workplace Study in a Pediatric Emergency Department

This paper presents a workplace study of triage work practices within an emergency department (ED). We examine the practices, procedures, and organization in which ED staff uses tools and technologies when coordinating the essential activity of assessing and sorting patients arriving at the ED. The paper provides in-depth empirical observations describing the situated work practices of triage work, and the complex collaborative nature of the triage process. We identify and conceptualize triage work practices as comprising patient trajectories, triage nurse activities, coordinative artefacts and exception handling; we also articulate how these four features of triage practices constitute and connect workflows, organize and re-organize time and space during the triage process. Finally we conceptualize these connections as an assessing and sorting mechanism in collaborative work. We argue that the complexities involved in this mechanism are a necessary asset of triage work, which calls for a reassessment of the concept of triage drift.     

DYFRAM: dynamic fragmentation and replica management in distributed database systems

In distributed database systems, tables are frequently fragmented and replicated over a number of sites in order to reduce network communication costs. How to fragment, when to replicate and how to allocate the fragments to the sites are challenging problems that has previously been solved either by static fragmentation, replication and allocation, or based on a priori query analysis. Many emerging applications of distributed database systems generate very dynamic workloads with frequent changes in access patterns from different sites. In such contexts, continuous refragmentation and reallocation can significantly improve performance. In this paper we present DYFRAM, a decentralized approach for dynamic table fragmentation and allocation in distributed database systems based on observation of the access patterns of sites to tables. The approach performs fragmentation, replication, and reallocation based on recent access history, aiming at maximizing the number of local accesses compared to accesses from remote sites. We show through simulations and experiments on the DASCOSA distributed database system that the approach significantly reduces communication costs for typical access patterns, thus demonstrating the feasibility of our approach.     

Efficient search based on content similarity over self-organizing P2P networks

The advent of the World Wide Web has made an enormous amount of information available to everyone and the widespread use of digital equipment enables end-users (peers) to produce their own digital content. This vast amount of information requires scalable data management systems. Peer-to-peer (P2P) systems have so far been well established in several application areas, with file-sharing being the most prominent. The next challenge that needs to be addressed is (more complex) data sharing, management and query processing, thus facilitating the delivery of a wide spectrum of novel data-centric applications to the end-user, while providing high Quality-of-Service. In this paper, we propose a self-organizing P2P system that is capable to identify peers with similar content and intentionally assign them to the same super-peer. During content retrieval, fewer super-peers need to be contacted and therefore efficient similarity search is supported, in terms of reduced network traffic and contacted peers. Our approach increases the responsiveness and reliability of a P2P system and we demonstrate the advantages of our approach using large-scale simulations.     

Effect of feed protein on carcass composition and meat quality in steers

Forty-five Charolais steers were fed one of four experimental regimes containing maize silage and maize grain supplemented with either protected soyabean-rapessed meal or linseed meal. The first three regimes were formulated to supply the same energy and different protein levels with soyabean-rapessed meal: low (L-SRM), medium (M-SRM) and high (H-SRM). The fourth regime consisted in feeding the same amount (kg/day) of linseed meal as that of soyabean-rapessed meal in the H-SRM regime (LSM). As the protein level increased from L-SRM to H-SRM, the daily weight gain of steers increased and the carcass composition was changed towards higher muscle and lower fat proportions. Though the actual supply of feed protein by regime LSM was close to that achieved with M-SRM, the effect of linseed meal supplementation on weight gain and carcass composition was comparable to that obtained by feeding the high protein level (H-SRM). The dry matter content increased and the heme pigments and lipids contents decreased in longissimus thoracis muscle as the protein supply increased from the low to the high level. Again the amplitude of the differences in meat quality with L-SRM were similar in H-SRM and LSM. Muscle colour, connective tissue and mechanical strength remained practically unaffected by the protein treatments. However, meat was scored less tender in H-SRM and less juicy in treatment LSM than in treatment L-SRM. The results obtained with linseed meal suggest a specific effect of type of feed protein on beef carcass composition and meat quality.